Kerala Psc staff nurse Grade 2 WORK OUT PSY KIT 1

Question 1 of 126

1. Question

1 points

Which of the following behaviour by a 35-year old male client indicate cognitive development?

Acqure object permananence
Generate new level of awareness
Intelligence is demonstrated through logical and systematic manipulation
Egocentric thought diminishes

Question 2 of 126

2. Question

1 points

Among the following identity the overall priority goal of inpatient psychiatric treatment?

Prevention of violence
Monitor and minimise self harm behaviour
Stabilization and return to the community
Encourage to come for regular follow up

Question 3 of 126

3. Question

1 points

Among the following groups of sign & symptoms identify the most specific sign & symptoms that would be used for diagnosis of anorexia nervosa?

Binge eating behaviour is present
Excessive weight loss,amenorrhea & abdomenal distension
Eating only home made food and avoiding fasting food
Lazy and not doing any activity

Question 4 of 126

4. Question

1 points

A nurse who is caring for a client with anti-social behaviour should stress on

Close supervision of the client
Educate the family members that someone should be with the client all time
Setting clear rules and expectations about the client behaviour
Provide stimuli free environment to the client

Question 5 of 126

5. Question

1 points

Which of the following describes “ego defense maechanism”?

A mechanism designed to reduce stress and conflict caused by specific experiences
A mechanism designed to remove psychological barriers
Any form of martial arts
A method for negotiatina a stage of development

Question 6 of 126

6. Question

1 points

While communicating a client who is admitted in psychiatry ward because of the disordered thinking process about food being poisoned,which of the following technique need to be adopted by the nurse to encourage the client to have dinner?

Using open ended questions and silence
Having dinner with client
Explain the client and food is not poisoned
Allow the client to express his thoughts

Question 7 of 126

7. Question

1 points

Which among the following is the most appropriate nursing action if the client is experiencing muscle rigidity following haloperidol administration?

Administer one or more dose of haloperidol per orally as the dose is lessfor the client
Administer a dose of benztropine I.M as ordered
Withhold the next dose of haloperidol as it occur because of toxicity
Inform the physician immediately

Question 8 of 126

8. Question

1 points

What is the advantage of liquid chlorpromazine over its tablet forms?

Has a more predictable onset of action
Easy to swallow early absorbtion in GI tract
It is more palatable than the tablet form
Has few drug interaction

Question 9 of 126

9. Question

1 points

Among the following which all are somatoform disorder?

conversion disorder
Body dysmorphic disorder
Pain disorder
All the above

Question 10 of 126

10. Question

1 points

Among the following which one is treated with hypnotic drugs?

Psychosis
Sleep disorders
Delusion
Hallucination

Question 11 of 126

11. Question

1 points

Which of the following neurotransmitter is deficient in depression?

Serotonin
5HT
Both A and B
GABA

Question 12 of 126

12. Question

1 points

Rechanneling of socially unacceptable drives into activities that are more tolerable and constructive is also known as

Displacement
Sublimation
Intellectualization
Projection

Question 13 of 126

13. Question

1 points

Which is the most appropriate nursing intervention for a schizotypal personality disorder client with a nursing diagnosis of impaired verbal communication?

Helping the client in participating in social interactions
Establishing a one-on -one relationship with the client
Establishing alternating form of communication
Allowing the client to decide when he wants to participate in verbal communication with the nurse

Question 14 of 126

14. Question

1 points

Which of the following is the most lethal method of suicide?

Wrist cutting
taking poison
Use of gun
Rowning

Question 15 of 126

15. Question

1 points

In a client with substance abuse ,which is the best indicator to assess the client progress in rehabilitation?

Perform all the activities of daily living independently
The number of drug free days he has
Taking all prescribed drug on time
Willing to come for follow up

Question 16 of 126

16. Question

1 points

Which among the following activity need to restricted the client with Parkinsons disease?

taking cold water bath
Walking on the yard on acold winter day
taking food iten which is high in water content
Sitting on the beach in the sun on the summer day

Question 17 of 126

17. Question

1 points

After initiating lithium therapy ,the therapeutic effective serum lithium concentration level is monitored

<12 hrs
12-24hrs
1-2 days
After 1 week

Question 18 of 126

18. Question

1 points

Rema is admitted in psychiatric ward ,refused to eat breakfast by stating that the food is poisoned.The kind of response is an example of:

hallucination
illusion
Delusion
Empathy

Question 19 of 126

19. Question

1 points

Disturbances of orientation memory & intelligence is present in which of the following condition?

Organic psychosis
Functional psychosis
Hallucination
Phobia

Question 20 of 126

20. Question

1 points

OCD is managed with which of the following psychotherapy?

Psychodynamic psychotherapy
Interpersonal psychotherapy
Cognitive behaviour therapy
Supportive psychotherapy

Question 21 of 126

21. Question

1 points

Which of the following client behaviour indicate displacement?

Ignoring unpleasant aspect of reality
Resisting any demand made by others
Using imaginary activity to escape reality
Directing pent-up emotions to oter than the primary source

Question 22 of 126

22. Question

1 points

A client stated that “people get angry and take it out on me”.This sentence indicate which defence mechanism

Denial
Projection
Displacement
Intellectualization

Question 23 of 126

23. Question

1 points

Which of the following therapy is based on learning therapy?

Logo therapy
Psychoanalysis
Behavior therapy
Interpersonal therapy

Question 24 of 126

24. Question

1 points

Unshakable & persistent ideas are called as:

Delusion
Obsession
Compulsion
Illusion

Question 25 of 126

25. Question

1 points

An example of non-therapeutic communication techniques:

Validating
Reflecting
Belittling
Listening

Question 26 of 126

26. Question

1 points

Chronic alcholic patients are treated initially by:

Use of paraldehyde
Use of tranquilizers
Providing high protein diet
I/M injection of thiamine

Question 27 of 126

27. Question

1 points

The most common psychotherapy used to help a person with Obsessive Compulsive Disorder is:

Behaviour modification
Transaction therapy
Abreaction
flooding

Question 28 of 126

28. Question

1 points

The main treatement for Dissociative Identity Disorder is:

Hypnosis
Individual psychodynamic psychotherapy
Family therapy
Group psychotherapy focusing on family issues

Question 29 of 126

29. Question

1 points

Johari window Quadrant numbers are

2
6
4
8

Question 30 of 126

30. Question

1 points

Imposing one’s own wekness to others is a defence mechanism known as-

Projection
Intellectualization
Supression
Displacement

Question 31 of 126

31. Question

1 points

The most important factor in a therapeutic relationship is-

Trust
Knowledge
Professionalism
Motivating

Question 32 of 126

32. Question

1 points

When administering , an oral medication to a patient with psychiatric disorder, it is important to-

Give the medication to the patient's attendant
Keep the medication on the beside table
Give to the patient and observe that is swallowed
Tell the patient to take the medication

Question 33 of 126

33. Question

1 points

When a patient is not aware of his/her mental illness it is called:

Disorienation
Lack of insight
Unconsciousness
Lack of concentration

Question 34 of 126

34. Question

1 points

A person who is aloof,isolated & does not socialized , falls into which of the following category?

Withdrawn
Anxious
Aggressive
Obsessive

Question 35 of 126

35. Question

1 points

Finding s logical reason for the things that one wants to do ‘sour grapes’ mechanism is:

Projection
Rationalization
Identification
Sublimation

Question 36 of 126

36. Question

1 points

All of the following are neurotic disorders,except

panic anxiety
Delirious mania
Conversion reaction
Depersonalization

Question 37 of 126

37. Question

1 points

The person is able to speak only in whisper

Alphonia
Mutisim
Aphasia
Stuperness

Question 38 of 126

38. Question

1 points

The act of purging or purification or elimination of complex emotions by bringing it to consciousness & affording to expression is:

Areaction therapy
Hypnosis
Catharsis
Biofeedback

Question 39 of 126

39. Question

1 points

A legal classification of children’s behaviour that violate the law:

Juvenile delinquency
Enuresis
Pica
ADHD

Question 40 of 126

40. Question

1 points

Heroin is a form of

Tobacco
Poppy
Datura
Cannabis

Question 41 of 126

41. Question

1 points

The most frequent period of onset of schizophrenia is

Adolescence
Childhood
Middle age
Old age

Question 42 of 126

42. Question

1 points

Common risk factor in patient with severe depression is

Fatigability
Hallucinations
Agitation
Suicidal tendency

Question 43 of 126

43. Question

1 points

False sensory perceptions with no basis in reality is known as

Hallucinations
Delusions
Illusions
Thought insertion

Question 44 of 126

44. Question

1 points

Mania is a type of …………….

Thought disorder
Dissociative disorder
Mood disorder
Neurotic disorder

Question 45 of 126

45. Question

1 points

Parkinsons disease is caused by

Dead of brain cells due to old age
heriditary factors
Impairement of dopamine producing cells in the brain
Demyelination of the nerve cells

Question 46 of 126

46. Question

1 points

Abrupt withdrawal of barbiturate cause

Sleepiness
Itching
Erythema
Seizures

Question 47 of 126

47. Question

1 points

Persecutory delusion is common in

Schizophrenia
Paranoid Schizophrenia
BPAD
OCD

Question 48 of 126

48. Question

1 points

Gustatory hallucination affects the

Ears
Taste buds
Nose
Eyes

Question 49 of 126

49. Question

1 points

La Bella indifference is related to ……………..

Displacement
Pain disorder
Somatization disorder
Conversion disorder

Question 50 of 126

50. Question

1 points

The parrot like repetition of words spoken by others is known as ………………

Enmeshment
Echopraxia
Echolalia
Neologism

Question 51 of 126

51. Question

1 points

The part of mind that distinguishes right from wrong and act as sensor of behavior is known as

Id
Ego
Superego
Libido

Question 52 of 126

52. Question

1 points

In psychosomatic disorders, which of the following factors causes physical symptoms?

Genetic factors
Emotional factors
Social factors
Physical factors

Question 53 of 126

53. Question

1 points

The involuntary blocking of unpleasant feeling and experience from one’s awareness is known as………

Displacement
Repression
Regression
Suppression

Question 54 of 126

54. Question

1 points

The junction at which impulses are being transmitted from one neuron to another is

Schwan cell
Axon
Synapse
Dendron

Question 55 of 126

55. Question

1 points

Blocking of acetylcholine receptor by a psychotropic drug resulting in……

Diarrhea
Dry mouth
Dementia
Vomiting

Question 56 of 126

56. Question

1 points

Emotion can be best expressed through

Gesture
Language
Posture
All of the above

Question 57 of 126

57. Question

1 points

Which of the following part controls eating behavior

Hypothalamus
Pituitary gland
Pineal gland
Pancreas

Question 58 of 126

58. Question

1 points

The priority nursing intervention for a client who is admitted with paranoid schizophrenia is

Establish a structured daily routine
Plan a programme of self fulfillment
Provide patient and others with safe environment
Do mini mental status examination

Question 59 of 126

59. Question

1 points

Which of the following comments, if made by a patient who has major depression would indicate an increased risk of suicide?

I don't want to share my problem with anyone
I won't be a problem much longer
My family members are not giving me the medication daily
I don't have any plan to kill myself

Question 60 of 126

60. Question

1 points

Identity v/s role confusion is the task of which stage of development according to Erik Erikson?

Toddler
Preschool
Adolescent
Adult

Question 61 of 126

61. Question

1 points

Oedipus complex means

Reject the parents of same sex
Introjects behavior of both parents
Identify the parentsof same sex
Identify the parents of opposite sex

Question 62 of 126

62. Question

1 points

In which defense mechanism anxiety is expressed through physical symptoms?

Projection
Regression
Conversion
Hypochondriasis

Question 63 of 126

63. Question

1 points

As per psychoanalytic theory the ability to tolerate frustration is seen in

id
ego
Superego
Unconscious

Question 64 of 126

64. Question

1 points

Which of the following delusions common in depression?

delusion of Nihilism
delusion of poverty
delusion of persecution
All the above

Question 65 of 126

65. Question

1 points

Administration of a neuromuscular blocking agents before ECT can cause ……………..

Dry mouth
Respiratory difficulties
Increased by body secretions
Seizures

Question 66 of 126

66. Question

1 points

Mental illness that cause bodily symptoms including pain & the symptoms can’t be traced back to any physical cause is known as…………

PTSD
Obsessive compulsive disorder
Somatoform disorders
Dissociative disorder

Question 67 of 126

67. Question

1 points

Creating imaginary events to fill up the memory gap is known as…………..

Circumstaniality
Neologism
Confabulation
Confabulation

Question 68 of 126

68. Question

1 points

A psychiatric illness may be manifested by all of the following Except:

Impairement in pre-existing functioning
Impoverishment of feelings
Disturbance in behavior
Unpopular beliefs

Question 69 of 126

69. Question

1 points

Identify the correct statement regarding suicide

Suicidal people have definitive clues and warning about their plan
Suicidal people are ambivalent about their feeling
Suicidal thoughts are only for limited period of time
All the above

Question 70 of 126

70. Question

1 points

While talking to a psychiatric client,nurse came to know that the client moves from one idea to other which are not related .This phenomenon is called as

Echopraxia
Echolalia
Circumstantiality
Loosening of association

Question 71 of 126

71. Question

1 points

Rorschach’s projective test designed to measure?

Unconscious intentions
Dreams
Conscious desires
Brain size

Question 72 of 126

72. Question

1 points

Drug of choice to reverse a dystonic reaction is ……………….

Prochlorperazine(compazine)
Diphenhydramine(Benadryl)
Chlorpromazine(thorazine)
Fentanyl

Question 73 of 126

73. Question

1 points

Which among the following indicate the client is experiencing pseudo-parkinsonism induced by chlorpromzine?

Restlessness & showing tics
Continuous muscle twitching
Tremors,shuffling gait, & mask like face
Extremity spasm and difficulty to walk

Question 74 of 126

74. Question

1 points

Important teaching for women in their childbearing years who are receiving antipsychotic medications includes

Instruction that amenorrhea is irreversible
Increased incidence of dysmenorrhea while taking the drug
Continuing previous use of contraception during periods of amenorrhea
Occurence of increased libido due to medication adverse effects

Question 75 of 126

75. Question

1 points

An attempt to avoid expressing actual emotions associated with a stressful situation by using the intellectual process of logic ,reasoning and analysis is……………..

Suppression
Regression
Intellectualization.
Displacement

Question 76 of 126

76. Question

1 points

Which is the characteristic of anorexia nervosa?

Obsessed with weight loss
Body image disturbance
Healthy family relationship
Both A and B

Question 77 of 126

77. Question

1 points

The most effective treatment for alcholism is ……………

Group therapy
Disulfiram therapy
Total abstinence
Chlorpromazine

Question 78 of 126

78. Question

1 points

Most commonly used defensive mechanism by a physically abusive individual

Transference
Manipulation
Displacement
Reaction formation

Question 79 of 126

79. Question

1 points

The level of anxiety that enhance the individual’s power of perception is

Mild
Panic
Moderate
Severe

Question 80 of 126

80. Question

1 points

Treatment of ADHD involves the following drugs except

Amphetamine
Antidepressants
Benzodiazepine
Methylphenidate

Question 81 of 126

81. Question

1 points

Among the following food items which item is contraindicated in alcohol withdrawl client?

Milk
Regular coffee
Fruit juice
None of the above

Question 82 of 126

82. Question

1 points

Disulfiram therapy is …………….type of behavioral therapy

Systematic densensitization
Overt sensitization
Token econoomy
Flooding

Question 83 of 126

83. Question

1 points

In a group therapy members express both positive and negative feeling in a non-threatening atmosphere is called as………….

Catharsis
Ecopraxia
Cognition
Apraxia

Question 84 of 126

84. Question

1 points

Which among the following information is required by the nurse to make the client return to pre-crisis level of functioning?

Full knowledge regarding the event
Family support system
Social support system
Personal strength of the client

Question 85 of 126

85. Question

1 points

Following the death of spouse the person is experiencing crisis,this type of crisis is known as………..

Dispositional crisis
Crisis resulting from traumatic life experiences
Developmental crisis
Crisis reflecting psychopathology

Question 86 of 126

86. Question

1 points

Higher dose of thioridazine(mellaril) results in

Widened or narrowed pupils
Stuffed nose
Retinal pigmentation
All the above

Question 87 of 126

87. Question

1 points

Which among the following activity is best suited for a client with histrionic personality disorder who is responding to situations in anexaggerated manner?

Behavioral therapy
Roleplaying
Isolate the client
Therapeutic community

Question 88 of 126

88. Question

1 points

A condition in which thoughts enter into the mind of the person though he does not want to think about them ,is known as

Obsession
Delusion
Regression
Supression

Question 89 of 126

89. Question

1 points

Psychiatrist orders “restraints PRN”, the nurse should understand that

Use restraints if client begin to act out
Ask the doctor regarding the type of restraints
Ensure that all staffs are aware about restraints
Identify the PRN orders are not valid for restraints

Question 90 of 126

90. Question

1 points

Most difficult part of a nurse client relationship in therapeutic relationship for the nurse is

Remain as therapeutic and professional
Being able to understand and accept client's behavior
Developing an awareness of self and professional role relationship
accepting responsibility in identifying and evaluating the real need of the client

Question 91 of 126

91. Question

1 points

The purpose of self-help people to provide

Support
Confrontation
Psychotherapy
Self- awareness

Question 92 of 126

92. Question

1 points

You need to abide by the unit rules and attend the community meeting.This statement by the nurse is indicative of ……………theory.

Crisis theory
Milieu theory
Family system theory
Biological theory

Question 93 of 126

93. Question

1 points

Identify the characteristic of crisis among the following

Crisis occur in all individuals and is not equated with psychopathology
Crisis is precipitated by specific identifiable event
Crisis is personal nature and can vary from one person to another
All the above

Question 94 of 126

94. Question

1 points

Cognitive manifestation of stress includes……………

Inability to concentrate
Higher level of anxiety
Obsessive thoughts
All the above

Question 95 of 126

95. Question

1 points

Termination of interpersonal relationship starts in ……………phase

Pre-interaction
Orientation
Working
Termination

Question 96 of 126

96. Question

1 points

Client with schizophrenia experiencing voice which stated that “You are bad and you should die” .This is called as

A delusion
Illusion
Grandiosity
Hallucination

Question 97 of 126

97. Question

1 points

A client on a ntipsychotic therapy developed muscle rigidity,higher fever,tachycardia,fluctations in BP,diaphoresis and rapid deterioration of mental status to stupor and coma.These signs and symptoms indicative of ……………….

Extra pyramidal symptoms
Oculogyric crisis
Tardive dyskinesia
Neuroleptic malignant syndrome

Question 98 of 126

98. Question

1 points

Characteristic of paranoid personality disorder includes…………

Constantly on guard and hyper vigilant
Appear tense & irritable
Avoid interaction with other people
All the above

Question 99 of 126

99. Question

1 points

All are anti-depressant drug Except

Tricyclic antidepressants
Monoamine oxidase inhibitors(MAOIs)
Selective serotonin reuptake inhibitors (SSRIs)
Thiazides

Question 100 of 126

100. Question

1 points

Splitting the trait of ……………… disorder

Borderline personality disorder
Passive aggressive personality
Dependent personality disorder
Narcissistic personality disorder

Question 101 of 126

101. Question

1 points

Following ECT a client is receiving oxygen via positive pressure ventilation method.The nurse should understand that positive pressure verification is necessary because

Seizure can depress respirations
Decrease oxygen to the brain leads to confusion & disorientation
Anesthesia is administered during the procedure
Succinylcholine administered during procedure can cause respiratory depression

Question 102 of 126

102. Question

1 points

How agitation in a disturbed client can be minimised?

Communicate to the client regarding his problem
Limiting unnecessary interaction
Involve the client in psychotherapies
Encourage the family members to interact with the client

Question 103 of 126

103. Question

1 points

Identify the correct statement regarding Milieu therapy(therapeutic community)

Manipulate the environment to bring about positive changes in behavior
The client own his or her own environment
Each client own his or her own behavior
All the above

Question 104 of 126

104. Question

1 points

Delusions of grandeur means………………

Someone usually in higher status in love with them
Irrational ideas regarding thier own worth ,talent knowledge or power
Sexual partner is unfaithful
They are being malevolently treated in some way

Question 105 of 126

105. Question

1 points

An alcoholic client is showing confabulation,which complication of alcholism did the nurse need to suspect?

Seizure
Wernicke's encephalopathy
Korsakoff's psychosis
Dementia

Question 106 of 126

106. Question

1 points

Most appropriate nursing intervention for a client who has a history of suicidal attempt and currently on suicidial tendancy is

Give him privacy
Allow him to urinate
openthe window and allow him to get some fresh air
Observe him continuously

Question 107 of 126

107. Question

1 points

“Doctor shopping” is the characteristic of hypochondriac disease, which defence mechanism is the root of this behavior?

Denial
Compensation
Displacement
Identification

Question 108 of 126

108. Question

1 points

Among the following identify the late sign of heroine withdrawal?

Dysphoric mood
Lacrimation
Vomiting and Diarrhea
Muscle cramps

Question 109 of 126

109. Question

1 points

The crisis experienced by middle aged adult during midlife is most commonly due to

Many role changes experienced by the person
Individual's perception about his or her own life
Anticipation of negative changes associated with old age
Lack of support from family

Question 110 of 126

110. Question

1 points

The main goal in planning care for a client in crisis is

Schedule follow up counselling for the client
Restore the client's psychological equilibrium
Have the client gain insight into the problems
Refer the client for occupational and physio therapy

Question 111 of 126

111. Question

1 points

Schizotypal personality disorder exhibit……………

Paranoid thoughts
Inappropriate/constricted affect
Odd thinking speech
All the above

Question 112 of 126

112. Question

1 points

Disorientation is most evident in………………

Organic brain damage
Paranoid Schizophrenia
BPAD
OCD

Question 113 of 126

113. Question

1 points

Prior to RCT therapy client is given with atropine to

Induce sleep
Minimize the secretions
To decrease pain
Relax smooth muscles

Question 114 of 126

114. Question

1 points

Gamophobia means …………………

Fear of marriage
Fear of sound
Fear of social isolation
Fear of speed

Question 115 of 126

115. Question

1 points

The acquisition of phobia can best be explained by which of the following model?

Behavioral model
Tetrad model
Interpersonal model
Environmental model

Question 116 of 126

116. Question

1 points

During crisis intervention nurse should adopt

Passive and reflective approach
Active and goal directed
Future oriented and passive
Interpretive and analytical

Question 117 of 126

117. Question

1 points

What will be the side effect if aclient on monoamine oxidase fail to follow the diet restriction?

Occipital headache
Generalized urticarial
Severe muscle spasm
sudden drop in blood pressure

Question 118 of 126

118. Question

1 points

Important nursing intervention for a client who is on lithium therapy is?

Restrict daily sodium intake
Test client's urine specific gravity
Monitor drug level in blood
Withhold all other medication

Question 119 of 126

119. Question

1 points

Drug of choice for Tourette’s disorder?

Chloramphenicol
Methylphenidate
Haloperidol
Faith in his wife

Question 120 of 126

120. Question

1 points

Which group of drug is the choice for ADHD?

Benzodiazepine
CNS stimulant
Anti -psychotics
Anticonvulsant

Question 121 of 126

121. Question

1 points

Full form of MMSE is

Multi Memory State status Examination
Multi mental Strata Evaluation
Mini mental Status Examination
Meta mental Structural Evaluation

Question 122 of 126

122. Question

1 points

The patient may not talk at all

Mutism
Aphonia
Stupor
Thought block

Question 123 of 126

123. Question

1 points

The extreme feeling of happiness is

Euphoria
Elation
Exaltation
Ecstasy

Question 124 of 126

124. Question

1 points

Sheldon’s classification of personality includes

Ectomorphs
Endomorphs
Mesoomorphs
All the above

Question 125 of 126

125. Question

1 points

The morbid fear of becoming obese with apersistent lack of appetite and severe weight lose is

Anorexia nervosa
Bulimia nervosa
Binge eating disorder
Pica

Question 126 of 126

126. Question

1 points

Identify common motor symptoms in conversion disorder?

Paralysis
Impaired balance
Double vision
All the above

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