Psychiatric Nursing Practice Exam/Test (26-30)

26. The child is on Ritalin therapy for attention deficit hyperactivity disorder (ADHD). Which of the following should be included when giving instructions to the parents?

a) give ritalin before meals
b) give ritalin at bedtime
c) check CBC every month
d) check growth rate every 3 months

27. Which of the following client is at high risk for suicide?

a) an adolescent with anorexia nervosa
b) a 45-year old female diagnosed to have diabetes mellitus
c) a 50-year old male with benign prostatic hypertrophy
d) an old lady with cancer

28. Which of the following clients should be given highest priority by the nurse?

a) schizophrenic client hugging and shouting at a patient with post-traumatic stress syndrome
b) obsessive-compulsive client who washes his hands every fifteen minutes
c) withdrawn client who curls in a fetal position in a bench in the lounging room
d) manic client who paces along the hallway

29. A manic client uses the telephone a lot by himself to the exclusion of others. What is the most appropriate statement by the nurse?

a) if you continue using the phone beyond your privilege, you will not be allowed to use the phone again
b) I'll let you use the phone but you have to share it with others
c) the other clients have the right to use the phone as you do
d) nobody in this unit is given more privilege than the others

30. Which of the following activities is appropriate for a manic patient?

a) playing chess with another child
b) reading a book
c) sanding wood
d) folding table napkins



ANSWERS AND RATIONALE

26) D
- ritalin may cause growth retardation. Ritalin is best given after meals to prevent anorexia; to be given 6 hours before sleep to prevent insomnia.

27) D
- elderly clients, especially those with terminal illness, like cancer are prone to depression. Therefore, they are high risk for suicide.

28) A
- the nurse has a priority responsibility to promote safety of the client and other clients.

29) B
- limit setting is a therapeutic approach to clients. Do not threaten clients.

30) C
- a manic patient should be given activities that allow him to exert his energy in socially acceptable and productive manner like sanding wood.


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