Client: “I don’t know what I’m going to do about Tony. Well there’s the neighbor’s dog barking again.

Did
you realize there are three weeks left until June? Man, it’s hot in here. There’s a sale down at the mall I
just can’t miss.” This is an example of:

a.
Tangential thinking

b.
Delusion

c.
Circumstantial thinking

d.
Flight of ideas
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The correct answer is: Flight of ideas

Question 2
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Question text
Asking the client to explain a proverb could help the nurse assess the client's:

a.
Logical thinking

b.
Abstract thinking

c.
Magical thinking

d.
Concrete thinking
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The correct answer is: Abstract thinking

Question 3
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Stopping abruptly in the middle of a sentence or train of thought.

a.
Thought withdrawal

b.
Thought insertion

c.
Thought broadcasting
d.
Thought blocking
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The correct answer is: Thought blocking

Question 4
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Which of the following interventions is appropriate when caring for patient who will undergo MRI?

a.
Instruct patient to lie prone for 2-3 hours after the procedure.

b.
Administer antiseizure agents prior to the procedure.

c.
Remove all metal objects and credit cards from the patient and from the area.

d.
Explore allergies to iodine or shellfish.
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The correct answer is: Remove all metal objects and credit cards from the patient and from the area.

Question 5
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An individually administered measure of intelligence and cognitive abilities for persons 2-85 years and
older; which is used to diagnose a wide variety of developmental disabilities.

a.
Wechsler Scales

b.
Kauffman Assessment Battery

c.
Stanford-Binet Intelligence Scales

d.
Bayley Scales of Infant and Toodler Development
Feedback
The correct answer is: Stanford-Binet Intelligence Scales

Question 6
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Leukopenia could be a side effect of phenothaizine, clozapine, and carbamezepine.

a.
False

b.
True
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The correct answer is: True

Question 7
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Nurse: How have you been sleeping lately?” Client: “Oh, I go to bed early, so I can get plenty of rest. I like
to listen to music or read before bed. Right now I’m reading a good mystery. Maybe, I’ll write a mystery
someday. But it isn’t helping, reading I mean. I have been getting only 2 or 3 hours of sleep at night.”
What alteration in thought process is displayed by the client?

a.
Flight of ideas

b.
Circumstantial thinking

c.
Tangential thinking

d.
Delusion
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The correct answer is: Circumstantial thinking

Question 8
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Letting the client spell the "world" backward attempts to assess his:

a.
Cognitive ability

b.
Memory
c.
Concrete thinking

d.
Concentration ability
Feedback
The correct answer is: Concentration ability

Question 9
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Avoid asking suicidal ideation and plans of your client directly.

a.
True

b.
False
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The correct answer is: False

Question 10
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Thought process refers to what the client thinks.

a.
False

b.
True
Feedback
The correct answer is: False

Question 11
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An objective measure for personality which includes 21 items on scale of 0-3 to indicate level of
depression.

a.
Milton Clinical Multiaxial Inventory

b.
Minnesota Multiphasic Personality Inventory

c.
Beck Depression Inventory

d.
Psychological Screening Inventory
Feedback
The correct answer is: Beck Depression Inventory

Question 12
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The nurse dos not need to consider the client's cultural and spiritual beliefs when gathering data for
psychosocial assessment.

a.
False

b.
True
Feedback
The correct answer is: False

Question 13
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When the patient states, “I haven’t slept the last couple of nights.” Which response by the nurse would
help to elicit further details?

a.
"I see."

b.
"Sometimes, I have trouble sleeping too."

c.
"Really?"

d.
"You're having difficulty sleeping?"
Feedback
The correct answer is: "You're having difficulty sleeping?"

Question 14
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Many mental disorders may require clients to take medications on a long-term basis.

a.
False

b.
True
Feedback
The correct answer is: True

Question 15
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Question text
Elevated red cell distribution width (RDW) suggests combined alcoholism due to vitamin B12, folate acid
and iron deficiencies.

a.
False

b.
True
Feedback
The correct answer is: True

Question 16
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A patient experiencing disturbed thought processes believes that his food is has been poisoned. Which
communication technique should the nurse use?

a.
Using open-ended questions

b.
Documenting reasons why the patient does not want to eat

c.
Sharing personal preference regarding food choices

d.
Offering opinions about the necessity of adequate nutrition
Feedback
The correct answer is: Using open-ended questions

Question 17
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Which of the following is not true about psychosocial assessment?

a.
Its purpose is to construct a picture of the client's past emotional state, mental capacity, and behavioral
function.

b.
The nurse must do careful self-assessment to interpret the data objectively.

c.
It includes a mental status examination.

d.
The client should develop a sense of trust before the conduct of psychosocial assessment.
Feedback
The correct answer is: Its purpose is to construct a picture of the client's past emotional state, mental
capacity, and behavioral function.

Question 18
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Question text
The category in the Gordon's functional health pattern that describes the patient's patterns of role
engagement and relationships.

a.
Coping-stress tolerance

b.
Role-value-belief

c.
Role-relationship

d.
Self-perception-self-concept
Feedback
The correct answer is: Role-relationship

Question 19
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A delusional belief that others can hear or know what the client is thinking.

a.
Thought insertion

b.
Thought withdrawal

c.
Thought blocking

d.
Thought broadcasting
Feedback
The correct answer is: Thought broadcasting

Question 20
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“I am afraid of grittiz. If there are any grittiz here, I will have to leave. Are you a grittiz? This is an example
of:

a.
Delusion

b.
Neologism

c.
Word salad

d.
Flight of ideas

e.
Loose association
Feedback
The correct answer is: Loose association

Question 21
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Question text
This refers to repeated purposeless behaviors often indicative of anxiety.
a.
Psychomotor retardation

b.
PSychomotor agitation

c.
Waxy flexibility

d.
Automatisms
Feedback
The correct answer is: Automatisms

Question 22
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Question text
The following are examples of open-ended questions, except:

a.
Do you have plans of committing suicide?

b.
What brings you here today?

c.
What has been happening to you?

d.
How can we help you?
Feedback
The correct answer is: Do you have plans of committing suicide?

Question 23
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Which of the following do not accurately describe the Gordon's Functional Health Pattern? Select all that
apply.

a.
The assessment moves from specific to general.

b.
It includes functional health patterns to guide the collection of comprehensive assessment data from the
client.

c.
It includes nine functional health patterns which represents the client's interaction with the environment.

d.
The patterns of behavior and physiologic responses relating to a functional health category are organized.
Feedback
The correct answers are: The assessment moves from specific to general., It includes nine functional
health patterns which represents the client's interaction with the environment.

Question 24
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It reflects client's inaccurate interpretation that general events are personally directed to him or her.

a.
Ideas of reference

b.
Flight of ideas

c.
Hallucination

d.
Circumstantial thinking
Feedback
The correct answer is: Ideas of reference

Question 25
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Question text
Self-concept refers to the way one views onself in terms of personal worth and dignity.

a.
True

b.
False
Feedback
The correct answer is: True

Question 26
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“I like the color blue. Do you ever feel blue? Feelings can change from day to day. The days are getting
longer. My pencil is long. I can’t write today”. This is an example of:
a.
Tangential thinking

b.
Flight of ideas

c.
Circumstantial thinking

d.
Loose association
Feedback
The correct answer is: Loose association

Question 27
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Question text
Positron emission test provides images of metabolic functions rather than anatomical structure.

a.
False

b.
True
Feedback
The correct answer is: True

Question 28
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It refers to displaying of full-range of emotional expressions.

a.
Inappropriate affect

b.
Flat affect

c.
Restricted affect

d.
Broad affect
Feedback
The correct answer is: Broad affect

Question 29
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Question text
Judgement refers to the client's ability to understand the true nature of one's situation and accept
personal responsibility for that situation.

a.
False

b.
True
Feedback
The correct answer is: False

Question 30
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Question text
Which of the following statement requires further understanding in the conduct of psychosocial
assessment?

a.
The client's previous experiences with the health care does not affect the accuracy of the psychosocial
assessment, because the current assessment attempts to provide a picture of the present emotional,
mental, and behavioral state of the client.

b.
It is imporatnt to determine the client's ability to hear, read, and understand the language used in the
assessment.

c.
A thorough and complete assessment requires active participation from the client.

d.
It is important to ensure that teh cleint is not anxious, tired, or in pain when conducting the assessment as
these may affect their participation and the accuracy of findings.
Feedback
The correct answer is: The client's previous experiences with the health care does not affect the accuracy
of the psychosocial assessment, because the current assessment attempts to provide a picture of the
present emotional, mental, and behavioral state of the client.