Question 1: What are the five stages of death according to Kubler-Ross?
Denial, anger, bargaining, depression, and acceptance
Shock, denial, anger, acceptance, resolution
Bargaining, denial, acceptance, anger, and depression
Resistance, denial, grief, anger, and acceptance
Question 2: When does La Belle Indifference most commonly occur?
In patients with anxiety disorders
In patients with depressive disorders
In patients with a conversion disorder
In patients with psychotic disorders
Question 3: What is the most common complication of moderate anxiety?
Complete loss of reality perception
Sudden paralysis of voluntary muscles
Auditory hallucinations
A decrease in the ability to perceive surroundings and concentrate
Question 4: What is the most common defense mechanism used by patients who suffer from phobias?
Projection
Self-protective avoidance
Regression
Denial
Question 5: What is the most common complication of moderate anxiety?
Loss of contact with reality
Sudden paralysis
A decrease in the ability to perceive surroundings and concentrate
Auditory hallucinations
Question 6: What is the most important concern of a patient who suffers from anorexia nervosa?
Correction of nutritional intake and electrolyte imbalance
Distorted body image
Social isolation
Excessive exercise habits
Question 7: Why are patients taking Lithium (Lithobid) tested on a monthly basis?
To monitor liver function
To monitor lithium blood serum levels
To evaluate electrolyte replacement
To assess weight changes
Question 8: What is a normal Lithium (Lithobid) blood serum level?
0.1 – 0.4 mEq/L
1.8 – 2.5 mEq/L
2.0 – 3.0 mEq/L
0.5 – 1.5 mEq/L
Question 9: What is a toxic Lithium (Lithobid) blood serum level?
0.8 mEq/L
1.4 mEq/L
0.3 mEq/L
2.0+ mEq/L
Question 10: What are the most common characteristics of alcohol withdrawal?
Hallucinations and seizures
Anxiety, anorexia, tremors, and insomnia
Respiratory depression
Euphoria and sedation
Question 11: When do alcohol withdrawal symptoms most commonly occur?
Immediately after the last drink
After 72 hours
Within 8 hours of withdrawal
After two weeks
Question 12: Why should Chlorpromazine (Thorazine) not be administered to a patient who has ingested alcohol?
Over-sedation and respiratory depression
Reduced medication effectiveness
Acute liver failure
Severe hypertension
Question 13: When does Lithium (Lithobid) toxicity most commonly occur?
Sudden weight gain
Insufficient fluid intake causing lithium retention
Increased physical activity
Liver dysfunction
Question 14: What is the most important consideration when dealing with a patient who is depressed?
Sleep disturbance
Appetite changes
Social isolation
Increased risk for suicide
Question 15: According to psychoanalytical theory, what is the ego responsible for?
Internal demands and interaction with reality
Instinctual drives
Moral judgment
Unconscious impulses only
Question 16: According to psychoanalytical theory, what is the superego responsible for?
Reality testing
Instinctual gratification
Morals, values, and ethics
Memory storage
Question 17: According to psychoanalytical theory, what is the id responsible for?
Rational decision-making
Moral judgment
Instinctual drives
Conditioned responses
Question 18: When is seclusion implemented?
For routine behavioral control
When protection from self-harm or harm to others is required
As punishment
For medication non-compliance
Question 19: Why is seclusion an effective treatment?
It disciplines patients
It eliminates the need for medication
It permanently resolves symptoms
It assists patients in regaining self-control
Question 20: What type of diet increases the risk of hypertension in patients taking MAOIs?
Tyramine-rich foods
Low-protein foods
High-carbohydrate foods
High-fat foods
Question 21: What are the most important interventions for a patient taking monoamine oxidase inhibitors (MAOIs)?
Bi-weekly weight records and monitoring for suicidal tendencies
Daily blood pressure monitoring only
Strict carbohydrate restriction
Monitoring sleep patterns
Question 22: What characteristics should be closely monitored in patients taking MAOIs?
Nausea and vomiting
Excessive drowsiness
Heart palpitations, headaches, and orthostatic hypotension
Shortness of breath
Question 23: What are the most common causes of child abuse by adults?
Financial hardship only
Hereditary traits
Social influence
Poor impulse control and lack of education about child development
Question 24: What are the two most important diagnostic factors of Alzheimer’s dementia?
CT scan findings only
Progressive memory decline and neuropsychological test results
Gait instability
Depression and anxiety
Question 25: What factor places a patient at the highest risk for suicide?
Passive death wishes
Emotional withdrawal
A concrete plan with intent to act within 48–72 hours
Insomnia
Question 26: How are phobic disorders most effectively treated?
Desensitization therapy through gradual exposure
Long-term sedative use
Complete avoidance of triggers
Psychoanalysis only
Question 27: What is the primary focus of Phase 1 (Orientation) of the nurse–patient relationship?
Behavioral change implementation
Establishing history and agreement on the nurse–patient contract
Relationship closure
Teaching coping skills
Question 28: What occurs during Phase 2 (Working Phase) of the nurse–patient relationship?
Establishing the contract
Termination of care
Introduction and rapport building
Exploration of problems and behavioral change
Question 29: What defines Phase 3 (Termination) of the nurse–patient relationship?
Addressing unresolved issues
Establishing rapport
Teaching coping strategies
Ending the relationship with acknowledgment of progress
Question 30: What are the top three leading causes of death among teenagers?
Cancer, infection, heart disease
Unintentional accidents, homicide, and suicide
Stroke, diabetes, asthma
Depression-related illness
Question 31: What is the most common link among successful suicides in teenagers?
Poor school performance
Social rejection
Previous suicide attempts and depressive symptoms
Experimental drug use
Question 32: What are the most common characteristics of anorexia nervosa?
Excessive weight loss, lanugo, abdominal distention, and electrolyte imbalance
Rapid weight gain
Elevated blood pressure
Increased energy levels
Question 33: What percentage of suspected child abuse cases must be reported?
Only confirmed cases
100% of cases
Cases with physical evidence only
Only repeated incidents
Question 34: What are nurses legally required to report?
Medication administration errors
Patient complaints
Noncompliance with treatment
Suspicion of child abuse
Question 35: What are the most common signs of sexual abuse in a child?
Genital trauma, discharge, blood in urine or feces, or STIs
Isolated bruising
Withdrawal from peers
Poor school performance
Question 36: What is the best way to clarify a question during patient communication?
Ask yes-or-no questions
Use leading questions
Use open-ended questions
Limit responses to brief answers
Question 37: At what age is autism most commonly diagnosed?
Before 1 year of age
After 6 years of age
Between 2 and 3 years of age
During adolescence
Question 38: Why do patients most commonly use defense mechanisms?
To permanently resolve conflict
To reduce stress and anxiety
To manipulate others intentionally
To remove stressors entirely
Question 39: What are the most important teaching points for patients taking Disulfiram (Antabuse)?
Avoid fatty foods
Increase fluid intake only
Increase physical activity
Avoid all products containing alcohol
Question 40: What right does a patient involuntarily admitted to a psychiatric unit retain?
The ability to sign out freely unless legally restricted
No right to leave under any circumstances
Mandatory medication compliance
Loss of legal rights
Question 41: Why are psychiatric exams sometimes administered using proverbs?
To assess abstract versus concrete thinking
To test memory retention
To assess speech articulation
To evaluate emotional control
Question 42: What are the most common characteristics of Lithium (Lithobid) toxicity?
Elevated mood and hypertension
Respiratory suppression
Diarrhea, tremors, nausea, muscle weakness, ataxia, and confusion
Sudden weight gain
Question 43: What are the most common characteristics of borderline personality disorder?
Emotional blunting
Perfectionistic behavior
Social isolation only
Demanding interpersonal behavior and violent outbursts
Question 44: What medication should NOT be administered with Disulfiram (Antabuse)?
Acetaminophen
Metronidazole (Flagyl)
Ibuprofen
Antacids
Question 45: What rare but serious complications have occurred after electroconvulsive therapy (ECT)?
Weight gain
Permanent paralysis
Cardiac arrhythmias and death
Vision impairment
Question 46: What is the most important intervention BEFORE electroconvulsive therapy?
Keeping the patient NPO prior to treatment
Administering sedatives
Lateral positioning
Monitoring blood pressure
Question 47: What anesthetic is most commonly used during electroconvulsive therapy?
Propofol
Methohexital (Brevital)
Ketamine
Midazolam
Question 48: What disorder is electroconvulsive therapy most commonly used to treat?
Generalized anxiety disorder
Borderline personality disorder
Phobic disorders
Treatment-resistant depression
Question 49: How is electroconvulsive therapy typically scheduled?
Daily for one month
One-time treatment
Once yearly
6–12 treatments, 2–3 times per week
Question 50: What is the most important intervention during a manic episode?
Increasing activity levels
Slowing the patient down to prevent exhaustion or injury
Exploring past trauma
Social isolation