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capt psych nursing

QuestionAnswer
Which of the following are considered therapeutic techniques that encourage communication when interviewing a client? Silence, restating, broad openings, reflecting.
The Psychiatric Technician is assisting the client with Attention –Deficit/Hyperactivity Disorder. Which of the following interventions promote opportunities for the client to experience successful behavior? Develop brief working periods with planned breaks.
To encourage the client to engage in a discussion, the Psychiatric Technician says to the client, “Tell me about you visit with your family this morning.” This is which of the following therapeutic communication techniques? Offering general leads
The Psychiatric Technician is assisting the AD-HD client to learn to incorporate new responses into daily living. One intervention might be which of the following? Channel excess energy into suitable gross motor activities.
In an effort to assist the autistic client to develop new, more effective means of communication the Psychiatric Technician should do which of the following? Use verbal and sign communication.
When communicating with the client with a delirium disorder which of the following communication strategies would be best? Approach the client from the front rather than behind to prevent a startle response.
In assisting the client with schizophrenia to develop adaptive coping strategies the Psychiatric Technician should do which of the following? Teach the client appropriate ways to handle stress, such as journaling.
The client is recovering from burns that have left her hands disfigured. Which of the following interventions would the Psychiatric Technician use to help her develop control over her anxious feelings related to the trauma? Teach the client self-relaxation techniques to deal with anxiety.
Which of the following strategies would help reduce the incidence of elder abuse by caregivers? Have the caregiver attempt to involve other family members in the responsibilities of caring for the elderly family member.
The question, “Are you sad today?” is an example of which of the following? Closed-ended sentence
Which of the following responses by the Psychiatric Technician best illustrates the principle of “acceptance” in a therapeutic relationship? “I appreciate your resentment.”
Which of the following questions would the Psychiatric Technician use to test the abstract thinking of the client? “How are an apple and pear alike?”
The Psychiatric Technician is assisting the client meet his needs according to Maslow’s Hierarchy of Needs. Which of the following is the last intervention to be taken? . Assist the client to choose a painting to hang in their room.
In determining which restraints are appropriate for a particular client, which of the following is the basis for the Psychiatric Technician’s decision? The least restrictive mode that provides the desired intervention.
The client states, “I am terrified of leaving my apartment!” Which of the following corresponds to that statement? Agoraphobia
Which of the following statements illustrates the characteristic of “obsession” in the codependent individual? “ I cannot stop worrying about my daughter’s poor performance in school.”
The client has been caught setting fires at school. His mother states, “It’s my fault because I had to work so much when he was younger.” This statement is an indication of which of the following? Codependency
A high school student dies in a car accident. Which reaction would the Psychiatric Technician expect from the family when they first receive the news? “This can’t be true. You must have contacted the wrong family.”
Which of the following qualities is most useful to the Psychiatric Technician in establishing a therapeutic relationship? Empathy
The Psychiatric Technician is admitting a client with a diagnosis of alcohol dependency. What would be the most important information for the Psychiatric Technician to have? When did he last have a drink?
The Psychiatric Technician is caring for terminally ill clients. Which of the following behaviors by the Psychiatric Technician may indicate that he or she is experiencing hopelessness in the work environment? He is inactive on his days off, and decreasing contact with friends and family.
The Psychiatric Technician has been asked to address a class of third graders on the topic of substance abuse. Which of the following topics would be most appropriate to include? Inhalants
Which of the following is considered a reversible cause of confusion that the Psychiatric Technician may correct? Dehydration.
A 15 year old has been admitted following a suicide attempt. The Psychiatric Technician knows that a suicide attempt by a teenager is usually which of the following? Indication of need for intervention.
Which of these statements would be the best statements that the Psychiatric Technician could use when communicating with the confused elderly client? “ It’s 3:00 pm. We are going for a walk outside.”
The Psychiatric Technician is observing a normally quiet client for escalation in normal behavior patterns. Which of the following behaviors is an example of this? Pacing in the recreation area.
Which of the following responses by the Psychiatric Technician best illustrates the principle of “acceptance” in a therapeutic relationship? “ I appreciate your resentment.”
A client expresses the beliefs that the FBI and all people who prepare food are out to kill him. The psychiatric technician answers with a therapeutic response. Which is the best selection below? I don’t have any evidence that the FBI or anyone else is out to kill you, but this must be a frightening feeling for you.”
When working with a schizophrenic client, an important part of your assessment is to determine if the client has any auditory hallucinations. The best way to obtain this data is Ask the patient, “Do you hear voices?”
After three days of taking the medication, the client tells the psychiatric technician “I don’t think this medicine is doing any good. I don’t feel a bit better.” What is the most appropriate response by the psychiatric technician-• “Sometimes it takes a few weeks for the medicine to bring about an improvement in symptoms.”
A paranoid schizophrenic is claiming that is hearing voices that appear to come from the radio and he states, “It’s telling me to do things?” What is the best intervention?- Ask the client “What are the voices telling you to do?”
Client is placed on one-to-one observation. The psychiatric technician follows her into the bathroom, she objects strongly, yelling, “I’m sick of being followed around like a small child who can’t be trusted.” The best response for the P.T. would be- “I understand you are angry, but I must be able to see you at all times to make sure you are safe.”
While talking with a client diagnosed with schizophrenia, you notice the client loses eye contact with you and starts staring at the wall. The client is making facial grimaces. The most appropriate intervention would be to:- • Ask the client directly, “What are you seeing on the wall?”
A suicidal client with low self-esteem seems less lethargic today and agrees to participate in an occupational therapy program. To help make the session most successful, the psychiatric technician should do which of the following?- Structure the client’s activity to help them complete one simple task, such as painting a picture.
A client on the unit has a diagnosis of paranoid-type schizophrenia. The new mental health care worker on this unit approaches the psychiatric technician and asks about the best way to work with this client. The psychiatric technician replies: Avoid touching this client and invading personal space.”
An 85-year-old female who is confused, malnourished, dehydrated, and is reluctant to explain how a fall at home happened. The client’s 62-year-old daughter frequently interrupts the interview. Which of the following interventions is a priority?- Interview the client alone first and assess for abuse.
A client stated that she had been brutally raped by her date. She had bruises and lacerations over all areas of the body and severe anxiety. The priority intervention for her would be: Communicating, “I’m very sorry this happened to you. You are safe here.”
A client is becoming more confused and disoriented. The psychiatric technician is told that the client has been recently diagnosed with Alzheimer’s disease. The psychiatric technician should know that the characteristics of this disease are: Gradual and progressive loss of cognitive abilities
A female comes to the crisis center with a broken wrist and severe bruises from a beating by her husband. She states that she does not want to leave the relationship at this time. The most appropriate response by the nurse is: Let’s develop a safety plan for repeated violence.”
Which of the following strategies for coping are effective for a psychiatric technician to suggest to a client with narcolepsy?- Scheduling naps daily and maintaining a structured lifestyle
A client with dissociative identity disorder, who is now 20 minutes late for group, is adamant that she was never told to go to the cognitive therapy group. The psychiatric technician’s best response is: . It is possible that you were not aware of group time.”
Which of the following interventions would be contraindicated as part of such a violence intervention protocol? Soothing the client by stroking an arm or shoulder
When a patient is in restraints and seclusion, it is your responsibility as a psychiatric technician to do which of the following? Check the patient every 15 minutes, do range of motion on all limbs every two hours and do frequent circulation checks.
Which of the following findings may be consistent with sleep apnea? The client has irregular breathing with pauses of 20 seconds or longer interspersed with snoring or gasping.
The wife of a client who has returned to his pre-fugue state asks if her husband will be able to remember what happened during the time of the fugue. The nurse’s best response is: He will have no memory for events during the fugue.”
In consulting with the parents of a 12-year-old child with a sleepwalking problem, the psychiatric technician needs to emphasize safety. Which of the following is not an appropriate guideline? Family members need to waken and talk with the child who is sleep walking
A 15-year-old female student comes into the school nurse’s office asking to be tested for pregnancy. She confides to the nurse that her boyfriend forced her to have sex against her will. The most appropriate intervention by the nurse would be: Identify the student’s immediate concerns.
An extremely agitated client with multiple drainage tubes and an IV line is restrained in bed with wrist and ankle cuffs. A family member expresses concern and asks for an explanation. The best initial response by the psychiatric technician is: “The restraints are a temporary safety precaution and will be removed as soon as possible when the agitation lessens.”
A teenage student is telling the psychiatric technician about her boyfriend’s behaviors. Which of the following would not be an issue of concern for the psychiatric technician and the student? • “ When my boyfriend becomes angry, he tells me he is sorry, and it’s his fault. This makes me feel better.”
The wife of a client who tends to dissociate under stress asks if there is anything she can do to help him. The psychiatric technician’s best response is: When he starts feeling anxious, you could talk with him and have him focus on you.”
The client with dementia of the Alzheimer’s type says to the psychiatric technician, “I have a date tonight for the Valentine’s dance.” The most appropriate response is: Today is January 11th. Tell me about some of the other dances you’ve been to.”
If during an interview your patient stated: “I feel like dying.” What should be your primary response? Ask the patient if they have a suicide plan.
During an intake interview of an elderly client, you can improve communication by- Restating terms or phrases in different ways if the client indicates they do not understand.
During an assertiveness training group, a client asks, “Why do we need to learn about this stuff?” The best response is: “Being assertive is the ability to stand up for yourself while respecting the rights of others.”
Which of the following indicates the most appropriate client reaction to the termination of the psychiatric technician-client relationship? Verbalization of anxiety.
In an attempt to understand what the client is saying you state: “I’m confused about what you just said. Could you tell me again?” This is an example of: Clarifying.
Which of the following questions would be most appropriate to ask when assessing a client for signs of generalized anxiety disorder? Do you find yourself frequently distressing about a number of different things?”
Which intervention is most effective when a client is severely anxious? Give calm, clear, concrete information.
During admission to a recovery facilty, the patient states, “I don’t have a problem with alcohol. I can handle my booze better than anyone I know. My boss is a jerk! I haven’t missed any more days than my co-workers.” Your best response is: “Was drinking interfering with your work? Let’s talk about you and your feelings.”
Which would be the most appropriate intervention with a patient who has a history of acting upon obsessions? Help patient identify the underlying anxiety that leads to the ritualistic behavior.
A client who is receiving an anxiolytic medication is refusing to participate in group therapy. The client states: “The pills I am taking will take care of my stress. I don’t need to talk about my problems.” Which of the following is the best teaching Medications relieve symptoms, but do not change the source of the anxiety.”
When evaluating the effectiveness of the treatment plan of an anxious client, it is important to verify that the client understands that: • Anxiety can be managed.
Clients in a relapse prevention group are completing a short question-answer test after a coping skills lecture. What statement would indicate that a client is learning how to use a sober support network? “ I will call someone when I feel upset or sad.”
When caring for a client with anorexia nervosa, what would be the best way to offer the daily caloric requirements? Six small meals per day.
A patient tells you: “I cannot sleep at night, I’m afraid of dying.” Which would be the best initial response: “It must be frightening for you to feel that way. Tell me more about it.”
Which of the following is a priority intervention for a client admitted with acute alcohol intoxication?- Monitor vital signs.
As a part of weight mananagement group, your patient diagnosed with binge eating disorder has outlined a 7-day diet plan with a daily calorie count between 1500-1600. You would document what of the following: Demonstrates abilty to create a diet that has the appropriate caloric intake.
When a patient has an panic attack at night and refuses to remain in their room because of fear, you should: Let them sit out in the hall by the nurse’s station.
Which of the following is the best group recreational activity for a patient diagnosed with an anxiety disorder: Sing-a-long.
An alcoholic on a medical detox unit complains of tactile hallucinations; stating: “My skin is crawling with ants.” The best response would be: • • “What you are experiencing must be very frightening, but I do not see any ants.”
When meeting with the treatment planning team, a client diagnosed with an anxiety disorder agrees that which of the following would be the most appropriate long-term goal? Apply alternative techniques to deal with stress within two months.
An appropriate long term goal for your patient with anorexia would be: • Restoration of normal eating and elimination patterns.
When teaching a “Knowing Your Symptoms” group, to parents and adolescents with eating disorders, which of the following complications associated with repeated vomiting and use of laxatives should be included in the lesson? Electrolyte imbalance.
A violent client begins to escalate by threatening to hurt staff and peers. Which of the following interventions are considered the least restrictive measure? . Setting boundaries on the client’s behaviors
Which of the following is an indication that the Psychosocial Rehabilitation Model is being used as the guide for care of the client? The client is a member of the team planning care.
Which of the following will best help the health team to be cohesive? Members should develop mutual trust and good communication skills.
Which of the following is a characteristic of a therapeutic milieu? Problem solving is achieved by discussion, negotiation, and consensus.
Which of the following describes the term “scope of practice”? A legal document stating the function of a person in a designated occupation.
The Psychiatric Technician who works in a correctional facility: Will most likely work with clients who have a dual diagnosis.
Psychiatric Technicians who work in a correctional facility have which of the following challenges? The goals of incarceration and the health profession are in conflict.
The movement of treatment from the institution to the community increases the likelihood that the Psychiatric Technician will: Work in a variety of settings.
A consumer is being restrained in a hospital bed. Which of the following about the use of restraints is correct? Attach restraints to a moveable part of the bed frame.
The client has been taking Nardil (phenalazine) and now states he has a pounding headache. The Psychiatric Technician should take which of the following actions? Check the client’s blood pressure and inquire about his eating habits.
The client taking an MAO inhibitor is attending a graduation party. Which of the following foods may he have? Ice cream milkshake.
The Psychiatric Technician encounters a 15 year-old client who is threatening suicide. Which of the following actions would be the most appropriate for the Psychiatric Technician to take? Acknowledge the client’s feelings.
A male client with dissociative identity disorder suddenly begins to speak with a woman’s voice. Which of the following is the most therapeutic response by the psychiatric technician? “Can you tell me what is happening?”
The Psychiatric Technician is helping the client with diverticulosis plan a meal. Which of the following would be part of a well-balanced meal or this client? Tossed green salad with raw peppers
The client with a family history of colon cancer wants to reduce his risk for developing colon cancer. Which of the following diets would the Psychiatric Technician recommend? Low fat, high fiber
A client in the dining room of an acute care psychiatric unit is conscious, but is choking and unable to cough or speak. Which of the following would be the most appropriate action for the Psychiatric Technician to take? Perform abdominal thrusts.
The Psychiatric Technician is preparing the client for ECT and is administering atropine for which of the following reasons? To reduce respiratory secretions.
The Psychiatric Technician is preparing the client for ECT and is to administer Sodium Brevitol for which of the following reasons? As a short acting anesthesia.
The Psychiatric Technician is preparing the client for ECT and is to administer Anectine for which of the following reasons? To provide skeletal muscle paralysis.
A client with fugue has amnesia and which of the following behaviors? Flees.
Which of the following would be typical of a client with a labile personality? A supervisor who rapidly changes from angry to sympathetic.
A 12 year-old child is using intellectualization as a coping mechanism. Which of the following statements would the Psychiatric Technician expect to hear from this child? “How does the cardiac monitor work?”
The Psychiatric Technician is assisting the new, single mother to bond with her newborn. Which of the following actions should the mother be encouraged to do to help with the bonding process? Hold the infant close to her, making skin to skin contact.
Which of the following is an example of acting out as a coping mechanism in an 8 year-old child? Refusing to stay in bed when bed rest is ordered.
The Psychiatric Technician has been told to observe the group process of the support group that is gathering in the meeting room. Which of the following should the Psychiatric Technician focus on? The interaction between group members.
The client seems irritable and tells the Psychiatric Technician, “I need to find a way to help my son now. I really love him.” The Psychiatric Technician knows that the client is experiencing which of he following levels of anxiety? Moderate
Which of the following actions would be indicative of a client with severe anxiety? Client has purposeless movements with confused communication.
Which of the following statements made by the client indicate that she is the clarifier of the group? “When you said you were angry, did you mean at yourself or your husband?”
A client reports that some times she sleeps a lot and seems to lack interest in doing anything. Other times she feels elated and energetic. The Psychiatric Technician knows that this client may have which of the following disorders? Bipolar disorder.
It has been determined that the client has a conversion disorder. Which of the following signs can the Psychiatric Technician expect to find in this client? He has developed in inability to use his right hand following a separation from his wife
The 19 year-old client is unaware that she suddenly “becomes” another personality with behavior patterns different from those of herself. She is most likely showing signs of which of the following? Dissociative disorder
A client has just received electroconvulsive therapy. Which of the following actions would be most appropriate? Monitor the client’s vital signs every 5 minutes until the client is stable.
The client is going to receive electroconvulsive therapy. In preparing the client for the procedure, the Psychiatric Technician must do which of the following? Have client remove dentures and contact lenses.
The client is asking the Psychiatric Technician about the medication, Paxil, which the client has begun to take. Which of the following statements by the Psychiatric Technician would be most appropriate? “This medication may make you feel less anxious. It has side effects but we will monitor you.”
Which of the following characteristics of the Psychiatric Technician would be important for him as a “healer”? Respectfulness for the choice of others.
The client with bone cancer wishes to use herbal therapy as part of his treatment. Which of the following responses by the Psychiatric Technician would be most appropriate? Understand his decision; encourage review of his choice of herbs for possible contraindications.
The Psychiatric Technician is working in a student clinic and is helping a client find ways to improve the client’s overall sense of well-being. Which of the following would be the best suggestion to be made? Engage in regular exercise.
In an outpatient group, a client states that she was furious when she found out her job was taken by someone else. Another client states he had a similar experience. What should the Psychiatric Technician do? Understand that the clients are learning that they are not alone in their experience.
The Psychiatric Technician is working with a chronically mentally ill client in a homeless shelter. The priority of care for this client is which of the following? Assistance with self care activities.
Which of the following is the most common psychiatric condition of the homeless population? Schizophrenia.
A group is meeting and one member makes the following statement, “Today, we have been focusing in how we can be more assertive in our interactions at work.” This client is playing which of the following roles? Summarizer
The Psychiatric Technician observes that when speaking with a client, the client is making up words when expressing himself. These words made up by the client are referred to as which of the following? Neologisms
The client has applied for a habeas corpus. Which of the following is this client requesting? An immediate court hearing to determine his sanity.
The parents of a 10 year-old client consent to treatment of their son. This is referred to as which of the following? Vicarious consent
The client states to the Psychiatric Technician, “I’m going to slit my roommate’s throat one of these days.” Keeping in mind the client’s right to confidentiality, which of the following actions should the Psychiatric Technic Report the conversation to the charge nurse or supervisor.
A group has been meeting and one member makes the following statement, “I felt betrayed when my wife teased me in front of our friends.” Which of the following group roles is this client taking? Self-discloser
A group is meeting and one member has taken the role of harmonizer. Which of the following statements would the Psychiatric Technician expect the client to make? “Yes, that would be what I would do.”
Which of the following mental health clients is a candidate for treatment in a community based setting? A 65 year-old woman in the early stage of Alzheimer’s disease.
Partial Hospitalization Programs have which of the following characteristics? Accommodate the schedules of the those clients who work
The frequency of those using homecare for mental health services has: Increased over recent years.
The focus of the psychosocial rehabilitation model includes which of the following? Ability of client to function.
Which of the following clients needs to be treated in an inpatient setting rather than community setting? The client who: The client with psychosis who refuses to take his medication.
Assisting a consumer to dress in age-appropriate clothing illustrates the principle of: Normalization.
The components of objective assessment data are: measureable, observable, goal oriented.
A patient who has a histroy of seizure disorder may be prescribed: topamax.
Which action should a Psychiatric Technician take if a client known to carry hepatitis B scratched another client's arm? wash the affected area with soap and water and take client to an urgent care center.
When educating a client diagnosed with bipolar disorder, the Psychiatric Technician would explain that repeat hospitalization occur most often due to: noncompliance
The patient with diabetes tells you that he jogs two miles each day for exercise. What should you tell be sure to share with him? an exercise program is an important part of diabetic management when balanced with insulin and diet.
The Psychiatric Technician knows that dementia is characterized by: a general intellectual decline
To provide for the prevention of physical injury for a patient with mental confusion, over activity and emotional distress it is important to: remove all hazards such as loose rugs.
An elderly patient with Alzheimer's disease is restless at night. The Psychiatric Technician would initially... ask the physician to order a sedative.
When working with an elderly patient with Alzheimer's disease who is restless at night, the Psychiatric Technician would: Encourage light exercise and activity as well as adequate sleep.
At times the patient is withdrawn, negativistic and difficult to engage in ward activities. In approaching this client the Psychiatric Technician would say. "I need a partner to play checkers, I'll be back to get you in five minutes."
When communicating with a depressed patient, it is important for the Psychiatric Technician. to respect and support.
Filling in memory gaps with made-up stories. This is known as? confabulation
Which of the following group experiences would be appropriate for a patient with a dementia related depression. reality orientation group.
According to the Lanterman-Petris-Short Act, a person who cannot provide for his/her basic needs is defined as: gravely disabled.
Someone appointed by the court to act as guardian and to protect the patients interests while they are unable to care for themselves is know as: conservator
A patient in a state of acute phencyclidine (PCP) intoxication. To further confirm this suspicion the Psychiatric Technician assessed the eyes for signs of: pupil reactivity
The client is frightened and believes that he is being held a prisoner of the communist forces. This belief is an example of: paranoid thinking.
A client is sitting in a quiet corner of the day room. Suddenly, he becomes agitated stands up and begins to pace the hallway. "You'll never get me to talk, you'll have to kill me first." Which medication would be indicated: haldol
The client has begun to slam the bedroom door, threatening to kill anyone who touches him. At this point the Psychiatric Technician: must provide controls for the clients behavior until he is able to control himself.
A patient is noted to have eaten less than 10 percent of her diet for the past week. To encourage an adequate intake, it may be helpful for the Psychiatric Technician to: serve small attractive portions more frequently.
A patient hospitalized is noted to be incontinent at night. To prevent this behavior, it would be important for the Psychiatric Technician to: toilet the patient at regular intervals during the night.
Tolerance, dependence and withdrawal may be produced by continuous use: diazepam
The Psychiatric Technician is aware that the early symptoms of agranulocytosis are similar to those of: viral infections such as flu.
A state of hypertensive crisis may occur with the use of: Isocardoxide (Nardil)
Which of the following foods is restricted for client’s on a low tyramine diet? avocados
A decrease in blood pressure may be experienced by the patient taking Thorazine. This is most apparent when the: client gets up quickly after being seated.
In a holistic health approach to mental health nursing, the Psychiatric Technician recognizes that the focus of decision making ideally rests with the: client.
For the Psychiatric Technician to become culturally competent, the individual would have to: learn the conceptual and behavioral systems found in the one’s own culture.
The Psychiatric Technician can best assist an individual of a different culture adjust to life in a new community by: Becoming familiar with the client's communication patterns.
A fifteen year old patient in a psychiatric facility says, “I going to be a Psych Tech.” This is an example of: identification
In order to determine the client’s perception of the reason for admission to the psychiatric facility, it will be most appropriate for the psychiatric technician to say: “Why did you come here?”
A newly admitted client angrily tells the Psychiatric Technician, “My stupid spouse railroaded me in here.” The most appropriate response by the Psychiatric Technician is to: realize that the anger is most accurately an expression of helplessness.
In establishing a therapeutic relationship with a client, it is imperative that the Psychiatric Technician demonstrate the ability to: see the client’s world from client’s perspective.
The client awakens one day and is uncommunicative. There is no response to staff or peers. The most appropriate approach is to: sit with the client periodically throughout the shift.
Appropriate intervention strategies when working with families include: conveying warmth and acceptance of all members.
Which of the following is characteristic of the initial phase of group development when developing a functioning group? Testing behaviors are not unusual.
The client is observed talking to an imaginary person. The client is most likely responding to: hallucinations.
Which of the following will be most useful in assisting the client cope with a stressful situation? Practicing active listening.
Which of the following is most important when caring for the client in the first phase of alcohol withdrawal? provide the care and administer medications which minimize the effects of delirium tremens.
The doctor has ordered the drug naloxone (narcan) to be given stat. The Psychiatric Technician knows that this preparation will act to: prevent or reverse the effects of opioids.
Which of the following statements is an indication that the dying client is in the bargaining stage? “I’ll never complain about dying if I can just complete this year of school.”
The family sobs and screams, “Why her?, It can't be!” after being told that death is imminent. This statement may indicate that the family is in which of the following stages in the dying process? denial
The Native American client requests that the drinking water be kept in a special receptacle. Cultural sensitivity is best demonstrated when the psychiatric technician states: “You can do this only if the container is made from a safe material.”
The withdrawn client stands up in living area and states emphatically, “I am the mother of God and He is my Son.” When a client exhibits this behavior, the Psychiatric Technician should: attempt to determine the underlying needs that are met by the delusion.
In assisting the geriatric client build feelings self-esteem, the most useful action on the part of the Psychiatric Technician would be to: allow the client to choose a familiar activity to engage in.
The client reports that the recent dismissal from college was due to the fact that nausea and vomiting occurred before every examination. The defense mechanism is use was most likely: conversion
The client is very flattering and asks the psychiatric technician for a date as soon the client is discharged. The appropriate response by the Psychiatric Technician is to: explain that an indicator of progress is be able to function without the involvement of the Psychiatric Technician.
The client suddenly begins to hyperventilate and complains of being scared but doesn’t know why. The psychiatric technician most correctly assesses this event as due to: anxiety
The client has accepted electroconvulsive therapy (ECT) as a treatment for resistant depression. The Psychiatric Technician will instruct the client in which of the following before the procedure? take nothing by mouth the morning of the treatment.
To encourage the client to engage in a discussion, the Psychiatric Technician says to the client, “Tell me about you visit with your family this morning.” This is which of the following therapeutic communication techniques? Offering general leads
The question, “Are you sad today?” is an example of which of the following? Closed-ended sentence.
A client becomes agitated during a group session and throws a glass against the wall. The registered nurse says that she is going to call a code and place the client in seclusion. Which of the following would be the best response by the Psych Tech. Tell the nurse that you have an excellent rapport with the client and would like to try to talk him down first.
Which of the following behaviors by the Psychiatric Technician is likely to increase the possibility of violence by the clients on the unit? Pushing for disclosure
The father of a 19 year-old rape victim states, “This doesn’t happen to good girls.” The Psychiatric Technician’s best response would be which of the following? Allow the father to ventilate his feelings.
The client has told the Psychiatric Technician that when he is discharged next week he is going to shoot his wife. Which of the following would be the best response by the Psychiatric Technician? Report this immediately to the charge nurse.
The Psychiatric Technician knows that frequent hand washing can be a sign of which of the following? Compulsion
The young adult experiencing extreme anxiety is suddenly unable to move his right arm. The Psychiatric Technician knows that this may be a form of which of the following? Conversion disorder
Which of the following about psychogenic amnesia is correct? It usually follows a stressful event.
The client with a schizophrenic disorder characterized by immobility and waxy flexibility will have which type of schizophrenia? Catatonic
Which of the following will the client with a schizophrenic disorder find helpful? Provide a flexible but consistent approach.
A four-year-old child is hospitalized and has begun wetting the bed. This is an example of which of the following coping mechanisms? Regression
The Psychiatric Technician needs to select some toys for the 4 year-old hospitalized child. Which of the following would be the best choice? Assembly toys and puzzles
The use of denial as a coping mechanism in children is which of the following? Common
The client is somewhat irritable and is focusing on solving a problem. The Psychiatric Technician knows that the client is experiencing what level of anxiety? Moderate
The Psychiatric Technician demonstrates how the teenage client might handle a confrontation with a sibling. This technique is known as which of the following? Modeling
The client with hypochondriasis will display which of the following behaviors? An abnormal fear about one’s health.
The client states, “I’m always worrying about my son. Sometimes I can’t concentrate on anything else.” This may be an example of which of the following? Obsession
The 22 year-old client has an abnormal, excessive fear of being disfigured. The Psychiatric Technician knows that the client has which of these? Phobia
The Psychiatric Technician is counseling a parent suspected of abusing her daughter. Which of the following may be considered to be a factor in child abuse? Poor coping ability.
Which of the following would be considered an open-ended question? “Tell me more about your reaction to the accident?”
When communicating with a client experiencing a disturbance in cognition which of the following communication strategies would be best Speak in a clam, soft, and unhurried manner.
To assist the client with a psychotic disorder develop new coping strategies the Psychiatric Technician should do which of the following? Help the client establish a predictable, daily routine.
The Psychiatric Technician is planning interventions according to Maslow’s hierarchy of needs. Which of the following would be the first action to be taken for a client just admitted to the unit? Inform the client about the time and location where meals are served.
The Psychiatric Technician is assisting the client recovering from a CVA to regain awareness of his paralyzed side. Which of the following actions should the Psychiatric Technician take? Provide direct visual contact of the area via mirrors and grooming.
The Psychiatric Technician who asks the question, “What would you do if you saw someone drop a lighted cigarette on the carpet?” is testing which of the following? Judgment
The client states, “I keep letting other people hurt me.” This statement corresponds to which of the following characteristics of the codependent person? Weak boundaries
Created by: Kferns178
 

 



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