Assistant Professor / Lecturer • 2017 • Paper-II
Thought-stopping technique is developed by ___________to eliminate and intrusive unwanted thoughts.
A)
Egen Bluler
B)
Simund Freud
C)
Joseph Wolpe
D)
Thomas Schnider
The correct choice is Joseph Wolpe.
Assistant Professor / Lecturer • 2017 • Paper-II
Which of the following is normal adolescent behavior?
A)
Critical of self and others
B)
Defiant, negative, and depressed behavior
C)
Frequent hypochondriacal complaints
D)
Unwillingness to assume greater autonomy
The correct choice is Critical of self and others.
Assistant Professor / Lecturer • 2017 • Paper-II
A client, diagnosed with an antisocial personality disorder, is given a nursing diagnosis of defensive coping R/T a dysfunctional family system AEB denial of obvious problems and weaknesses. Which client statement would confirm this nursing diagnosis?
A)
“I know what I did was wrong, and I understand the consequences.”
B)
“I don’t see how I can afford follow-up therapy.”
C)
“I’m an angel compared with the rest of my family.”
D)
“I go to church, but only when it suits me.”
The selected option follows from the stated numerical/logical relationship: “I’m an angel compared with the rest of my family.”.
Assistant Professor / Lecturer • 2017 • Paper-II
Among the following psychiatric illness, the client is most likely to have insight in ____
A)
Paranoid Schizophrenia
B)
Delusional disorder
C)
Paranoid personality disorder
D)
Involutional melancholia
The correct choice is Involutional melancholia.
Assistant Professor / Lecturer • 2017 • Paper-II
A client with bipolar disorder who complaints of headache, agitation, and indigestion most likely experiencing which of the following problems?
A)
Depression
B)
Cyclothymia
C)
Hypomania
D)
Mania
The correct choice is Mania.
Assistant Professor / Lecturer • 2017 • Paper-II
A nurse is assessing a client in the mental health clinic. For 3 weeks, the client has been exhibiting eccentric behaviors with blunted affect. There is impairment in the client’s role functioning. These symptoms are reflective of which phase in the development of schizophrenia?
A)
Phase I—schizoid personality
B)
Phase II—prodromal phase
C)
Phase III—schizophrenia
D)
Phase IV—residual phase
The correct choice is Phase II—prodromal phase.
Assistant Professor / Lecturer • 2017 • Paper-II
Which of the following group therapy interventions would be of primary importance to a client with panic disorder?
A)
Explore how secondary gains are derived from the disorder
B)
Discuss new ways of thinking and feeling about panic attacks
C)
Work to eliminate manipulative behavior used for meeting needs
D)
Learn the risk factors and other demographics associated with panic disorder
The correct choice is Discuss new ways of thinking and feeling about panic attacks.
Assistant Professor / Lecturer • 2017 • Paper-II
A pervasive pattern of grandiosity, lack of empathy, and need for admiration suggests the diagnosis of which of the following personality disorders?
A)
Borderline
B)
Narcissistic
C)
Paranoid
D)
Passive-aggressive
The correct choice is Narcissistic.
Assistant Professor / Lecturer • 2017 • Paper-II
____________ is characterised by episodes of wandering away (usually away from home). During the episode, the person usually adopts a new identity with complete amnesia for the earlier life.
A)
Dementia
B)
Alzhemers’s disease
C)
Multiple personality disorder
D)
Dissociative fugue
The correct choice is Dissociative fugue.
Assistant Professor / Lecturer • 2017 • Paper-II
The nurse recognizes which of the following as a common behavioral sign of autism?
A)
Clinging behavior toward parents
B)
Creative imaginative play with peers
C)
Early language development
D)
Indifference to being hugged or held
The correct choice is Indifference to being hugged or held.
Assistant Professor / Lecturer • 2017 • Paper-II
Which of the following adverse reactions does the client with bipolar disorder taking lithium need to report?
A)
Black tongue
B)
Increased lacrimation
C)
Periods of disorientation
D)
Persistent GI upset
The correct choice is Persistent GI upset.
Assistant Professor / Lecturer • 2017 • Paper-II
Which factors does Mahler attribute to the etiology of attention-deficit/hyperactivity disorder?
A)
Genetic factors
B)
Psychodynamic factors
C)
Neurochemical factors
D)
Family dynamic factors
The correct choice is Genetic factors.
Assistant Professor / Lecturer • 2017 • Paper-II
A client with sleep terror disorder might have autonomic signs of intense anxiety. Which of the following autonomic signs and symptoms should the nurse monitor?
A)
Tachycardia
B)
Pupil constriction
C)
Cool, clammy skin
D)
Decreased muscle tone
The correct choice is Tachycardia.
Assistant Professor / Lecturer • 2017 • Paper-II
The nurse would expect to see all the following symptoms in a child with ADHD except
A)
Easily distracted and forgetful
B)
Excessive running, climbing, and fidgeting
C)
Moody, sullen, and pouting behavior
D)
Interrupts others and can’t take turns
The selected option is the exception/incorrect statement: Moody, sullen, and pouting behavior.
Assistant Professor / Lecturer • 2017 • Paper-II
During the assessment, the client tells the nurse that she cannot stop worrying about her appearance and that she often removes “old” makeup and applies fresh makeup every hour or two throughout the day. The nurse identifies this behavior as indicative of a(n)
A)
Acute stress disorder
B)
Generalized anxiety disorder
C)
Panic disorder
D)
Obsessive–compulsive disorder
In DIC, PT and aPTT are prolonged and thrombocytopenia develops; PCV is not a coagulation test.
Assistant Professor / Lecturer • 2017 • Paper-II
Among the following, which one considered as positive symptom of schizophrenia?
A)
Inappropriate affect
B)
Delusion
C)
Withdrawl
D)
Loosening of associations
The correct choice is Delusion.
Assistant Professor / Lecturer • 2017 • Paper-II
Wernicke’s encephalopathy is a deficiency of ______,which occur in chronic alcoholic patient.
A)
Riboflavin
B)
Niacin
C)
Thiamine
D)
Pyridoxine
The correct choice is Thiamine.
Assistant Professor / Lecturer • 2017 • Paper-II
The nurse is planning care for a client with a long history of cocaine abuse who has recently been admitted to the substance abuse unit. The nurse intentionally keeps the treatment plan simple. What is the underlying rationale for this decision?
A)
The client would be unable to focus because of the use of denial
B)
The client is at high risk for mild to moderate cognitive problems
C)
Physical complications would impede learning
D)
The client has arrested in developmental progression
The correct choice is The client is at high risk for mild to moderate cognitive problems.
Assistant Professor / Lecturer • 2017 • Paper-II
A client diagnosed with a sleep disorder awakens abruptly with a piercing scream. Which of the following disorders best explains the behavior?
A)
Hypersomnia
B)
Nightmare disorder
C)
Sleep terror disorder
D)
Sleepwalking
The correct choice is Sleep terror disorder.
Assistant Professor / Lecturer • 2017 • Paper-II
Mutism,stupor and posturing suggestive of ________
A)
Retarded catatonia
B)
Catatonic excitement
C)
Hebephrenic schizophrenia
D)
Simple schizopherenia
The correct choice is Retarded catatonia.
Assistant Professor / Lecturer • 2017 • Paper-II
Which of the following facts does the nurse need to include when teaching the client with bipolar disorder and his family about the drug carbamazepine (Tegretol)?
A)
The risk of losing hair is a problem for clients taking the drug
B)
Clients most be closely monitored for nephrogenic diabetes insipidus
C)
Hematologic toxicity and bone marrow depression are serious adverse effects
D)
To avoid toxic reactions, most other drugs shouldn’t be taken concurrently
The correct choice is Hematologic toxicity and bone marrow depression are serious adverse effects.
Assistant Professor / Lecturer • 2017 • Paper-II
Which intervention is a nurse’s priority when working with a client suspected of having a conversion disorder?
A)
Avoid situations in which secondary gains may occur
B)
Confront the client with the fact that anxiety is the cause of physical symptoms
C)
Teach the client alternative coping skills to use during times of stress
D)
Monitor assessments, lab reports to rule out organic pathology
The correct choice is Monitor assessments, lab reports to rule out organic pathology.
Assistant Professor / Lecturer • 2017 • Paper-II
A client is diagnosed with alcoholic dementia. What nursing intervention is appropriate for this client’s nursing diagnosis of altered sensory perception?
A)
Assess vital signs
B)
Decrease environmental stimuli
C)
Maintain a nonjudgmental approach
D)
Empathetically confront denial
The correct choice is Decrease environmental stimuli.
Assistant Professor / Lecturer • 2017 • Paper-II
A client suspected of having posttraumatic stress disorder should be assessed for which of the following problems?
A)
Eating disorder
B)
Schizophrenia
C)
Suicide
D)
“sundown” syndrome
The correct choice is Suicide.
Assistant Professor / Lecturer • 2017 • Paper-II
When assessing a client with anxiety, the nurse’s questions should be
A)
Avoided until the anxiety is gone
B)
Open ended
C)
Postponed until the client volunteers information
D)
Specific and direct
The correct choice is Specific and direct.
