مركز الاختبارات الالكترونية و المحوسبة

رقم السؤال: 1 من 20 درجة السؤال: 1

Which of the following elements are essential in a clinician’s duty to warn?

Threat is not a delusion

History of violence

Potential victim(s) are identifiable

Potential victim is easy to locate

رقم السؤال: 2 من 20 درجة السؤال: 1

A client is admitted to the emergency department after a car accident, but does not remember anything about it. The client is using which defense mechanism?

Rationalization.

Repression.

Undoing.

Suppression.

رقم السؤال: 3 من 20 درجة السؤال: 1

The transferring of mental conflict into a physical symptom to release tension or anxiety is referred to……………………………….

Sublimation

Displacement

Isolation

Conversion

رقم السؤال: 4 من 20 درجة السؤال: 1

A client diagnosed with cyclothymia is newly admitted to an in-patient psychiatric unit. The client has a history of irritability and grandiosity and is currently sleeping 2 hours a night. Which nursing diagnoses take priority?

Disturbed sleep patterns R/T agitation.

Risk for violence: self-directed R/T depressive symptoms.

Altered thought processes R/T biochemical alterations.

Social isolation R/T grandiosity.

رقم السؤال: 5 من 20 درجة السؤال: 1

When physiologic mechanisms within the body respond to internal changes to maintain an essential balance, which of the following processes has occurred?

Stress

Self-regulation

Homeostasis

Fight-or-ﬂight response

رقم السؤال: 6 من 20 درجة السؤال: 1

The nurse observed that the patient suffers from rapid abrupt changes in his emotional state, unrelated to external stimuli. The psychiatric term that best describes this symptom is:

Irritable mood

Labile affect

Apathy

Euphoria

رقم السؤال: 7 من 20 درجة السؤال: 1

A mother who has just punished her child decides to offer him a favorite biscuit. This is an example of:

Repression

Rationalization

Undoing

Conversion

رقم السؤال: 8 من 20 درجة السؤال: 1

Which of the following best illustrates a general task for a patient adapting to acute and chronic illness?

Maintain self-esteem

Handle pain

Carry out medical treatment

Confront family problems

رقم السؤال: 9 من 20 درجة السؤال: 1

A client in the emergency department was violently attacked and raped. When discussing the incident with the nurse, the client shows no emotion related to the event. Which defense mechanism is the client using?

Displacement.

Isolation.

Compensation.

Regression.

رقم السؤال: 10 من 20 درجة السؤال: 1

The diagnostic criteria for a manic episode include all of the followings except:

Grandiosity.

Flight of ideas.

Catatonic state.

Pressure of speech.

رقم السؤال: 11 من 20 درجة السؤال: 1

A client says to the nurse, "You are the best nurse I’ve ever met. I want you to remember me". What is an appropriate response by the nurse?

"Thank you. I think you are special too."

"I suspect you want something from me. What is it?"

"You probably say that to all your nurses."

"Are you thinking of suicide?"

رقم السؤال: 12 من 20 درجة السؤال: 1

Which of the following would indicate a duty to warn a third party?

A client with delusions states, “I’m going to get them before they get me.”

A hostile client says, “I hate all police.”

A client says he plans to blow up the federal government.

A client states, “If I can’t have my girlfriend back, then no one can have her.”

رقم السؤال: 13 من 20 درجة السؤال: 1

A client denying suicidal ideations comes into the emergency department complaining about insomnia, irritability, anorexia, and depressed mood. Which intervention would the nurse implement first?

Complete a thorough physical assessment including lab tests.

Remove all hazardous materials from the environment.

Request a psychiatric consultation.

Place the client on a one-to-one observation.

رقم السؤال: 14 من 20 درجة السؤال: 1

The client who is involuntarily committed to an inpatient psychiatric unit loses which of the following rights?

Right to freedom

Right to refuse treatment

Right to sign legal documents

The client loses no rights

رقم السؤال: 15 من 20 درجة السؤال: 1

A client has been placed in seclusion because the client has been deemed a danger to others. Which is the priority nursing intervention for this client?

Have little contact with the client to decrease stimulation.

Provide the client with privacy to maintain confidentiality.

Maintain contact with the client and assure the client that seclusion is a way to maintain the client’s safety.

Teach the client relaxation techniques and effective coping strategies to deal with anger.

رقم السؤال: 16 من 20 درجة السؤال: 1

In the overactive patient, feeding problems result from the patient:

Feeling unworthy of food.

Being preoccupied with trivialities.

Thinking the food is poisoned.

Not slowing down long enough to eat.

رقم السؤال: 17 من 20 درجة السؤال: 1

A nursing student uses a client’s full name on an interpersonal process recording submitted to the student’s instructor. What is the instructor’s priority intervention?

Correct and remind the student of the importance of maintaining client confidentiality.

Tell the student that because the client has been deemed incompetent, confidentiality is not an issue.

Reinforce the importance of accurate documentation, including the client’s name.

Tell the student that because the client is involuntarily committed, confidentiality is not an issue.

رقم السؤال: 18 من 20 درجة السؤال: 1

While caring for the manic patient, the nurse should keep the unit:

Cheerful but not too stimulating

Active and stimulating

Active, interesting, and exciting

Very permissive and stress- free

رقم السؤال: 19 من 20 درجة السؤال: 1

Which of the following would indicate an increased suicidal risk?

Crying when discussing sadness.

An abrupt improvement in mood.

Statements such as "Everything will be better soon."

Feeling overwhelmed by simple daily tasks.

رقم السؤال: 20 من 20 درجة السؤال: 1

A client diagnosed with major depressive disorder has a nursing diagnosis of low self-esteem R/T negative view of self. Which cognitive intervention by the nurse would be appropriate to deal with this client’s problem?

Promote attendance in group therapy to assist client to socialize.

Focus on strengths and accomplishments to minimize failures.

Encourage the client to journal to uncover underlying feelings.

Teach assertiveness skills by role-playing situations.