PART A - MULTIPLE CHOICE QESTIONS 1
The nurse expects a client exhibiting flight of ideas to do which of the following? A B C D
Make sudden stops in the flow of conversation Coin new words or combinations of several words Provide excessive detail those delays starting a point Talk excessively while frequently shifting from one idea to another
2
Client tells the nurse that his body is made of wood and is quite heavy. The nurse interprets this as which of the following? A Obsession B Compulsion C Hallucination D Depersonalization
3
The main symptom of Bipolar I Disorder has experienced A B C D
4
4. Commonly defined as a fixed false false belief and is used in everyday language to describe a belief that is either false, fanciful or derived from deception. In psychiatry is A B C D
5
A full syndrome of manic or mixed symptoms Hallucination and Delusion Panic attack Anxiety
A hallucination An illusion A delusion Sympathy
A perception in the absence of a stimulus that the person may or may not believe is real. Occur in any sensory modality — visual, auditory, visual, auditory, olfactory, olfactory, gustatory, gustatory, tactile. tactile. In psychiatry In psychiatry is A B C D
A hallucination An illusion A delusion Sympathy
6
The treatment for Bipolar disorder is Lithium carbonate as A B C D
Sodium valproate Calcium Natrium Electrolit
7
Periodical test on serum lithium is necessary for patient under going lithium carbonate therapy because A Over dosage, usually with plasma concentrations over 1.5mmol Li+/liter, may be fatal and toxic effects B Over dosage, usually with plasma concentrations over 1.5mmol Li+/liter, may hypertension C Low dosage, usually with plasma concentrations lower 1.5mmol Li+/liter, may be anxiety D Over dosage, usually with plasma concentrations over 1.5mmol Li+/liter, may heart attack
8
Which of the statement below did not fulfil social phobia A B C D
9
Anti Parkinson drug to be given together with antipsychotic drug, the purposes is A B C D
10
Public speaking Using public restroom Eating, drinking, writing in public Blood injection
Reducing side effect of dopamine treatment To prevent aggressive behaviour patient Reducing of hallucination Reducing of delusion
A client receiving the neuroleptic medication chlorpromazine (Thorazine) exhibits excessive drooling and fine hand tremors. Which medication would the nurse expect the physician to order? A Benztropine (Cogentin) B Acetaminophen (Tylenol) C Lorazepam (Ativan) D Naproxen (Aleve)
11
A client with schizophrenia is sitting quietly in his room, smiling and talking to himself. This behavior may be an indicator that the client is: A confabulating. B hallucinating C disoriented. D Delusional.
12
During her community presentation covering secondary prevention of schizophrenia, the community health nurse correctly states that incidence of schizophrenia in the general population is approximately: A 0.05%. B 1%. C 7% D 10%.
13
A client with schizophrenia states, "The TV screen is constantly communicating with me." Which of the following would the nurse document? A Ideas of influence B Ideas of reference C Delusions of grandeur D Looseness of association
14
A client is admitted to the hospital because of suicidal thoughts. The nurse knows that the incidence of suicide is highest among which population? A Children younger than age 10 B Single, young women C Older, widowed men D Married adults
15
A client's history includes three documented episodes of hypomania. The nurse understands that hypomania: A Is a state of extreme excitement and euphoria that does not require hospitalization. B Is a depressive state that is not considered full-blown depression. C Is a state of slowed thinking with both sad and euphoric episodes. D Is a state of mania that is less severe than a manic episode
16
Which finding would lead the nurse to suspect that a female client has insight into the mental disorder she is experiencing? A Demonstration of self-understanding related to the origin of behavior B Placement of responsibility for problems on dysfunctional family C Verbalization of acceptance of her mental illness D Suggestion that problems are related to bad nerves
17
When administering the neuroleptic haloperidol (Haldol) to a client, the nurse understands that it is decreasing the amounts of which neurotransmitter? A Acetylcholine B Dopamine C Serotonin D Histamine
18
For the client receiving the antipsychotic medication clozapine (Clozaril), which laboratory study would be most important for the nurse to monitor? A Complete blood count B Liver function study C Renal function study D Thyroid profile
19
A client receiving the neuroleptic medication chlorpromazine (Thorazine) exhibits excessive drooling and fine hand tremors. Which medication would the nurse expect the physician to order? A Benztropine (Cogentin B Acetaminophen (Tylenol) C Lorazepam (Ativan) D Naproxen (Aleve)
20
Condition where pt is having voice without sources is called A B C D
Delusion Nihilism Hallucination Stupor and anxiety
PART B Question 1. Psychiatric diseases are becoming more common in Malaysia. a) Explain THREE (3) factors of psychiatric aetiology. (6 marks) The psychiatric patients are manage by using psychotropic drugs and electroconvulsive therapy (ECT). b) State FOUR (4) advantages of ECT treatment. (4 marks) c) Explain your nursing responsibilities; before, during and after electroconvulsive therapy. (10 marks)
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END OF THE QUESTION -
