PSYCHOTHERAPEUTIC, SOMATIC AND PSYCHOPHARMACOLOGIC MANAGEMENT

NON-PSYCHOTIC-PSYCHOTIC
Prepared by: Prof. John Jaravata Vengado RN, LPT,CSE,Forensics

1. Nurse Alex is teaching a group of students about the benefits of using group
psychotherapy. Which statement best describes the ra<onale for group psychotherapy?
A. It decreases the focus on the individual
B. It fosters the physician-client rela<onship
C. It confronts the individuals with their shortcomings
D. It fosters a new learning environment

2. What is the major purpose of group therapy for adolescents who witnessed the violent
death of a peer?
A. To learn violence preven<on strategies
B. To talk about appropriate expression of anger
C. To discuss the effect of the trauma on their lives
D. To develop trus<ng rela<onships among their peers

3. EaKng disorders include anorexia nervosa and bulimia nervosa. The most common
used treatment for paKent’s eaKng disorders is Behavior ModificaKon. One of Nurse
Melvin’s pa<ent is Anna, 23, a pa<ent diagnosed to have anorexia nervosa. She has
shown improvement in her psychopathologic behavior. Nurse Melvin u<lized behavior
modifica<on therapy to change her problema<c behavior, this therapy is best
exemplified by:

A. Helping Anna recognize her own thoughts and repaSerning them to promote
behavioral change

B. Giving nega<ve punishments every <me she fails to consume required dietary
allowance

C. Giving Anna privileges which are important to her every <me she exhibits weight
gain

D. LeWng Anna verbalize her own feelings

4. A nurse is providing teaching for a client with bipolar disorder who is scheduled for
electroconvulsive therapy (ECT). The client asks the nurse if there are any adverse effects
from the therapy. What is the best response by the nurse?
A. Cholesta<c jaundice
 B. Hypertensive crisis
C. Mouth ulcers
D. Respiratory distress

5. Brando, a client who has just had electroconvulsive therapy (ECT) asks the nurse for a
drink of water. What is the most important interven<on by the nurse?
A. Take the client’s blood pressure
B. Monitor the gag reflex
C. Obtain a body temperature
D. Determine the level of consciousness

6. A nurse is administering haloperidol (Haldol) to a client experiencing psychosis. What are

the most appropriate nursing interven<ons?
1. Review subcutaneous objec<ves
2. Closely monitor vital signs, especially temperature
3. Provide the client the opportunity to pace
4. Monitor blood glucose levels
5. Provide the client with hard candy
6. Monitor for signs and symptoms of ur<carial

A. 1, 3, 6
B. 2, 3, 5
C. 2, 3, 4, 5
D. All except 1

7. The nurse is teaching the family of a client with a psychiatric disorder about tradi<onal
an<psycho<c drugs and their effect on symptoms. Which of the following symptoms
would be most responsive to these types of drugs?
A. Apathy
B. Delusions
C. Social withdrawal
D. ASen<on impairment

8. A client begins to display some bothersome and dismaying new symptoms from his
an<psycho<c medicine. He is concerned because he had noted improvement of his
psycho<c symptoms but is now experiencing uncontrollable restlessness of his limbs and
head. The client calls the clinic to ask what is happening and how he can stop it. What is
the best response by the nurse?
A. Tell the client to ignore these symptoms because they will go away.
 B. Explain that he should try to experiment with different dosages to see how he feels
C. Inform him that if he develops blurred vision or a fever that he must go to the
nearest emergency room
D. Reassure him that he is experiencing signs of tardive dyskinesia and should see his
psychiatric provider to begin a medica<on that helps resolve these symptoms

9. A client with a diagnosis of schizophrenia is receiving an an<psycho<c medica<on. His

physician has just prescribed benztropine (Cogen<n). The nurse determines that this
medica<on was most likely prescribed which adverse reac<on?
A. Tardive dyskinesia
B. Hypertensive crisis
C. Acute dystonia
D. Orthosta<c hypotension

10. An<psycho<cs are also known as major-tranquilizers. They are most commonly used in
the treatment of schizophrenia. The psychiatric nurse is also involved in devising and
evalua<ng health teaching plans for all the pa<ents in the psychiatric unit. The health
teaching plan for pa<ents taking Chlorpromazine is sa<sfactory if it includes teaching the
pa<ent to:
A. “Avoid driving because seizure treshold can be increased.”
B. “Apply sunblock when going out on a sunny day.”
C. “Stop the medica<on immediately if cons<pa<on occurs.”
D. “Report to the doctor if the pa<ent feels sedated by the drug.”

11. Theories say that Endogenous Depression is caused by imbalances in serotonin and
norepinephrine. It is best treated with An< Depressants. When assigned to pa<ents
taking an<depressants, which of the following statement can reflect the nurse’ good
clinical nursing prac<ce:
A. Scheduling pa<ents who are taking tofranil for a complete blood count every 2
weeks
B. Immediately shiging from SSRI to MAOI once ordered by the aSending physician
C. Informing pa<ents who are taking Isocarboxacid (Marplan) to refrain from ea<ng
foods such as organ meats, processed foods, avocado
D. Informing pa<ents who are taking Tranylcypromine (Parnate) to refrain from alcohol
based drugs, food sauces with white wine, vinegar and ager shave lo<ons

12. Nurse Lando explains that the therapeu<c ac<on of tricyclic an<depressants for clients
experiencing posSrauma<c stress disorder is to:
A. Prevent hyperac<vity and purposeless movements
B. Increase the client’s ability to concentrate
C. Help prevent experiencing the trauma again
 D. Facilitate the grieving process

13. A depressed client who is taking a prescribed tricyclic an<depressant tells the nurse he is
sleepy all the <me and does not feel like doing anything. What is the best response by
the nurse?
A. Tell the client to stop taking the drug un<l he sees his physician
B. Advise the client to con<nue taking the drug to see whether these effects wear off
C. Ask the physician whether the medica<on can be given in one dose at bed<me
D. Advise the client to get another opinion

14. The nurse is aware that cogni<ve-behavioral therapy is most appropriate for a client who
is experiencing low self-esteem. What is the best interven<on for the nurse to use for
facilita<on of this therapy?
A. Condi<onal posi<ve regard
B. Analysis of free associa<on
C. Classical condi<oning
D. Examina<on of nega<ve thought paSerns

15. Nurse Alex is teaching a group of students about the benefits of using group
psychotherapy. Which statement best describes the ra<onale for group psychotherapy?
A. It decreases the focus on the individual
B. It fosters the physician-client rela<onship
C. It confronts the individuals with their shortcomings
D. It fosters a new learning environment

16. Which group therapy interven<on is 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 aSacks
C. Work to eliminate manipula<ve behavior used for mee<ng needs
D. Learn risk factors and other demographics associated with panic disorder

17. What is the major purpose of group therapy for adolescents who witnessed the violent
death of a peer?
A. To learn violence preven<on strategies
B. To talk about appropriate expression of anger
C. To discuss the effect of the trauma on their lives
D. To develop trus<ng rela<onships among their peers
18. EaKng disorders include anorexia nervosa and bulimia nervosa. The most common
used treatment for paKent’s eaKng disorders is Behavior ModificaKon. One of Nurse
Melvin’s pa<ent is Anna, 23, a pa<ent diagnosed to have anorexia nervosa. She has
shown improvement in her psychopathologic behavior. Nurse Melvin u<lized behavior
modifica<on therapy to change her problema<c behavior, this therapy is best
exemplified by:

A. Helping Anna recognize her own thoughts and repaSerning them to promote
behvioral change

B. Giving nega<ve punishments every<me she fails to consume required dietary

allowance

C. Giving Anna privileges which are important to her every<me she exhibits weight
gain

D. LeWng Anna verbalize her own feelings

19. A nurse is providing teaching for a client with bipolar disorder who is scheduled for
electroconvulsive therapy (ECT). The client asks the nurse if there are any adverse effects
from the therapy. What is the best response by the nurse?
A. Cholesta<c jaundice
B. Hypertensive crisis
C. Mouth ulcers
D. Respiratory distress

20. Brando, a client who has just had electroconvulsive therapy (ECT) asks the nurse for a
drink of water. What is the most important interven<on by the nurse?
A. Take the client’s blood pressure
B. Monitor the gag reflex
C. Obtain a body temperature
D. Determine the level of consciousness

21. A nurse is administering haloperidol (Haldol) to a client experiencing psychosis. What are
the most appropriate nursing interven<ons?
7. Review subcutaneous objec<ves
8. Closely monitor vital signs, especially temperature
9. Provide the client the opportunity to pace
10. Monitor blood glucose levels
 11. Provide the client with hard candy
12. Monitor for signs and symptoms of ur<carial

A. 1, 3, 6
B. 2, 3, 5
C. 2, 3, 4, 5
D. All except 1

22. The nurse is teaching the family of a client with a psychiatric disorder about tradi<onal
an<psycho<c drugs and their effect on symptoms. Which of the following symptoms
would be most responsive to these types of drugs?
A. Apathy
B. Delusions
C. Social withdrawal
D. ASen<on impairment

23. A client begins to display some bothersome and dismaying new symptoms from his
an<psycho<c medicine. He is concerned because he had noted improvement of his
psycho<c symptoms but is now experiencing uncontrollable restlessness of his limbs and
head. The client calls the clinic to ask what is happening and how he can stop it. What is
the best response by the nurse?
A. Tell the client to ignore these symptoms because they will go away.
B. Explain that he should try to experiment with different dosages to see how he feels
C. Inform him that if he develops blurred vision or a fever that he must go to the
nearest emergency room
D. Reassure him that he is experiencing signs of tardive dyskinesia and should see his
psychiatric provider to begin a medica<on that helps resolve these symptoms

24. A client with a diagnosis of schizophrenia is receiving an an<psycho<c medica<on. His

physician has just prescribed benztropine (Cogen<n). The nurse determines that this
medica<on was most likely prescribed which adverse reac<on?
A. Tardive dyskinesia
B. Hypertensive crisis
C. Acute dystonia
D. Orthosta<c hypotension

25. An<psycho<cs are also known as major-tranquilizers. They are most commonly used in
the treatment of schizophrenia. The psychiatric nurse is also involved in devising and
evalua<ng health teaching plans for all the pa<ents in the psychiatric unit. The health
 teaching plan for pa<ents taking Chlorpromazine is sa<sfactory if it includes teaching the
pa<ent to:
A. “Avoid driving because seizure treshold can be increased.”
B. “Apply sunblock when going out on a sunny day.”
C. “Stop the medica<on immediately if cons<pa<on occurs.”
D. “Report to the doctor if the pa<ent feels sedated by the drug.”

26. Theories say that Endogenous Depression is caused by imbalances in serotonin and
norepinephrine. It is best treated with An< Depressants. When assigned to pa<ents
taking an<depressants, which of the following statement can reflect the nurse’ good
clinical nursing prac<ce:
A. Scheduling pa<ents who are taking tofranil for a complete blood count every 2
weeks
B. Immediately shiging from SSRI to MAOI once ordered by the aSending physician
C. Informing pa<ents who are taking Isocarboxacid (Marplan) to refrain from ea<ng
foods such as organ meats, processed foods, avocado
D. Informing pa<ents who are taking Tranylcypromine (Parnate) to refrain from
alcohol based drugs, food sauces with white wine, vinegar and ager shave lo<ons

27. Nurse Lando explains that the therapeu<c ac<on of tricyclic an<depressants for clients
experiencing posSrauma<c stress disorder is to:
A. Prevent hyperac<vity and purposeless movements
B. Increase the client’s ability to concentrate
C. Help prevent experiencing the trauma again
D. Facilitate the grieving process

28. A depressed client who is taking a prescribed tricyclic an<depressant tells the nurse he is
sleepy all the <me and does not feel like doing anything. What is the best response by
the nurse?
A. Tell the client to stop taking the drug un<l he sees his physician
B. Advise the client to con<nue taking the drug to see whether these effects wear off
C. Ask the physician whether the medica<on can be given in one dose at bed<me
D. Advise the client to get another opinion