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CAPT Psych Nurse
CAPT questions based on Psych Nursing
Question | Answer |
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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The withdrawn client stands up in living area and states emphatically, “I am the mother of God and He is my Son.”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 Defined as: A loss of or change in body function that cannot be explained by any known medical d/o or pathophysiological mechanism. |
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. |
Which of the following is the most appropriate response to the client who states, “I feel like I’m so inadequate. I can’t do anything right.” The Psychiatric Technician will reply: | “You are telling that you feel inadequate?” |
Psychiatric technicians who confuse their clients with persons who are of importance in their own lives are manifesting which of the following? | Countertransference Transference vs Countertransference: Transference is when a client redirects emotions for another person onto the PT. Transference can be useful. Countertransference is when a PT redirects emotions onto a client. Not useful |
The client says, “My, I love babies. They’re so little, like dolls. Did you see Carol Channing sing “Hello Dolly! I guess blondes do have more fun. The Psychiatric Technician will document this as: | Flight of ideas |
The client has the persistent idea that the CIA has placed him in the witness protection program because of the connection to the President of the United States. This is best described as: | Delusions of grandeur |
The best indication that the delusional client’s psychotic symptoms have improved include: | Recognition that the delusions were false ideas. |
The Psychiatric Technician will be alert when a client is having command hallucinations because these hallucinations: | May lead to aggressive acts directed to self or others. |
Which of the following activities will the Psychiatric Technician discourage for the client who has been on phenothiazines for several weeks? | Sunbathing at the beach. |
A client says, "I will never lead a normal life!". Which statement shows the Psych Tech understanding of "reflecting feelings" as an active listening technique? | "You sound extremely disappointed." |
A client says,"I will never lead a normal life!". Which statement shows the Psych Tech understanding of "clarifying" as an active listening technique? | "In what way do you see yourself not leading a normal life?" |
A client says,"I don't fit in anywhere." Which statement shows the Psych Tech understanding of "paraphrasing" as an active listening technique? | "It's hard to find a niche?" |
The most common reason people with depression become non-compliant with tricyclic anti-depressants is? | Weight gain. |
Which antidepressant would likely be the medication of last resort in treating prolonged depression? | Marplan (isocarboxazid) <--- Added generic name to the answer. MAOI's like Marplan are last resort medications used to Tx prolonged depression. |
A client reports that 10 months ago her teenaged daughter was killed in an automobile accident. Which of the following indicate a pathological grief response? | The client reports setting a place at all meals for the daughter. People are typically functionally impaired by prolonged grief symptoms for at least one month after six months of bereavement to be declared pathological. |
A consumer just started on an anti-psychotic medication reports rigidity, fever, sweating, fluctuations in blood pressure and confusion. The Psychiatric Technician recognizes the possible onset of: | Neuroleptic malignant syndrome. |
When a group meeting is in progress the client states, “I want to change my vote now that I’ve heard your opinion.” This client is playing which of the following roles? | Compromiser |
In speaking with a client the Psychiatric Technician observes that the client repeats the words spoken by the Psychiatric Technician. This involuntary action is referred to as which of the following? | Echolalia |
The client reports during the history and physical that she has periods of depression and elation. Which of the following best describes this client’s disorder? | Cyclothymic disorder |
The client who engages in frequent hand washing may be doing so for which of the following reasons? | Reduce anxiety |
A client who has an irresistible urge to go shopping is said to have which of the following? | Compulsion |
The Psychiatric Technician is working with a client who is in a manic phase. The client’s thought processes are difficult for the Psychiatric Technician to follow. This behavior by the client is referred to as which of the following? | Flight of ideas |
Which of the following approaches is an example of behaviorism? | Have the client keep a diary to identify maladaptive responses and possible causes. |
The mother is on the phone at home taking to a business associate about a project due in 2 days. The child interrupts the mother to ask for help with his homework. Which response by the mother best illustrates assertiveness? | “I know you’re frustrated and I want to help. I’ll be off the phone in 2 minutes and help you then.” |
The client participates in a group session in which helps him to understand his interactions with others until he reaches the conclusion “I’m O.K. You’re O.K.”. This is an example of which of the following types of therapy? | Transactional analysis |
While speaking with a client the Psychiatric Technician observes that the client is jumbling his words and that they make no sense. The client is displaying which of the following? | Word salad |
The Psychiatric Technician observes that each time a member of the group shuffles in his seat one particular client does the same. This imitation of an action by another person is referred to as which of the following? | Echopraxia |
The client is ordered to take Mellaril (thioridazine) four times a day. The client remembers that he was supposed to take this medication three hours ago. Which of the following actions by the client would be best? | Skip the medication now; take the regular dose the next time it is due. Note: Take missed doses as soon as remembered unless almost time for next dose BUT if there are more than 2 doses ordered, the missed dose may be taken within 1HR otherwise skip it |
A group is meeting and one member interrupts another who is speaking and states, “I must add that if we meet on Thursdays like we used to, I can get a sitter for my children.” This client is displaying which of the following roles in the group | Dominator |
The client, who has started a regimen that includes taking an MAO inhibitor, will be attending a party. Which of the following foods served at the party must this client avoid? | Pizza = aged cheese higher levels of Tyramine than anything in the list... |
A client with Parkinson’s disease is being treated with Cogentin (benztropine). He reports that the medication is causing constipation. Which of the following actions should the Psychiatric Technician recommend? | Have the client increase his activity and fluid intake. |
A client who has been taking Zoloft (sertraline) reports that the medication is making his mouth very dry. Which of the following actions should the Psychiatric Technician take? | Suggest the client use a sugar-free candy and drink plenty of fluids. |
The client is recovering from electroconvulsive therapy. The Psychiatric Technician can expect which of the following about the client’s memory? | Memory loss is generally self-limiting. |
Which of the following activities would indicate that the group is in the working phase of the group? | Members encourage a quieter member to express her view. |
The Psychiatric Technician has worked in an inpatient facility for the last 6 years. Which of the following behaviors by the Psychiatric Technician suggests he is experiencing burnout? | He frequently argues with co-workers about break time. |
Which of the following adolescents has the most difficulty adjusting? | The late maturing boy. |
The professor reprimands the college student for failing to turn in a term paper on time. Later the student starts an argument with her younger brother. This college student’s behavior is an example of which of the following? | Displacement. |
A Psychiatric Technician has worked 6 night shift rotations for a co-worker. The co-worker is again asking the Psychiatric Technician to work the night shift for him. Which of the following responses by the Psychiatric Technician is an appropriate? | “I’ve already helped you a few times. I can’t do it this time. Please ask someone else.” |
The Psychiatric Technician responds to the client with a statement of empathy. Which of the following statements is an example of an empathetic statement? **** | ???“That would make me feel lonely.” |
The Psychiatric Technician responds to the client by saying, “You really look discouraged today.” This is an example of which of the following? **** | Validation |
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. |
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 (phenelzine) 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. |
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 Brevital (methohexital) 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 (succinylcholine) for which of the following reasons? | To provide skeletal muscle paralysis. |
Which of the following would the Psychiatric Technician expect to find in a therapeutic milieu? | The therapist and client develop the plan to treat the client’s depression. |
Which of the following comes under the term “scope of practice”? | Psychiatric Technicians may administer medication within particular guidelines. |
The Psychiatric Technician working in a correctional facility will face which of the following challenges? | The Psychiatric Technician’s goal is to assist clients and the correctional facility’s goal is to punish clients. |
Which of the following is true about the use of restraints? | hey should be removed once every 2 hours and the client’s skin assessed. |
The Psychiatric Technician is observing the client for early symptoms of opiate withdrawal. Which of the following would the Psychiatric Technician most likely observe? | Perspiration and runny nose. |
The question, “Will you tell me about what you did this week?” is an example of which of the following? | Open-ended question. |
In addition to drug therapy which of the following actions by the teacher would be most beneficial to the 8 year-old with ADHD? | Reward him with something from the treasure box when he completes his worksheet. |
The Psychiatric Technician is helping to determine of a 78 year-old client can continue to live at home alone. When he asks the client, “What would you do if you dropped and broke a glass on the floor?”, he is testing which of the following? | Judgment |
In addition to drug therapy which of the following actions by the mother would be most beneficial to the 8 year-old with ADHD? | Reward him with his favorite breakfast when he is dresses for school on time. |
The Psychiatric Technician is counseling a 4 year-old client who is recovering from burns inflicted by his father. Which of the following diets will this client most likely be on? | High calorie, high protein diet |
A 68 year-old client tells the Psychiatric Technician, “My husband is very forgetful and sometimes leaves the stove turned on after he’s finished cooking.” Which of the following responses by the Psychiatric Technician would be most appr | “You seem concerned about your husband.” |
The Psychiatric Technician is admitting a client to an acute care facility. Which of the following articles of clothing worn by the client is most indicative that the client belongs to a gang? | Tennis shoes with the British Knight logo. |
The client has been admitted to the acute care facility. Which of the following article of clothing worn by the client suggests that the client is a member of a neo-nazi hate group? | Jeans with black steel-toed boots. |
The client has been placed in wrist restraints at 1:00 pm. When should his skin integrity be assessed next?*** | At 1:30 pm. Because the question specifies "wrist restraints" one is to understand they really want you to determine circulation. Circulation is checked q 30 min so, 1:30 is a better answer than 3:00. |
The client has been placed in wrist restraints at 5:00 pm. Which of the following times best indicates when the restraints should be removed to allow range of motion activities for this client? | 7:00 pm |
The Psychiatric Technician is caring for a client with a history of suicide attempts. Which of the following is suggestive that the client has ingested a poison? | Burns around the mouth. |
The client has a history of abusing barbiturates. The Psychiatric Technician can expect to see which of the following in this client? | Delayed reaction time while playing volleyball. |
In a patient with anorexia nervosa, the highest treatment priority is: | correction of nutritional and electrolyte imbalances. |
The consumer complains that reading anything longer than a sentence is difficult to remember. The cause of this is likely: | dementia |
Your client askes you if you see the ants crawling on the wall (there are none there). This is an example of a... | hallucination |
The first step in the process of developing a treatment plan using "systematic desensitization" is to.. | teach the skill of relaxation over several sessions. |
After breaking plates and raging after his wife walked out, the consumer sought help at a crisis center. Which question is the most helpful for treatment planning?*** | "Why did you come for help today?" The question was most help towards "Tx". Not what is the most appropriate thing to ask r/t safety. |
A male client is diagnosed with Schizotypal Personality Disorder. The psychiatric technician would implement which one of the following nursing interventions the most when working with this individual? | Respect the client’s need for social isolation. |
When the psychiatric technician takes the vital signs for the client diagnosed with Anorexia Nervosa she should assess for: | Hypotension and bradycardia. |
A bipolar client was prescribed a maintenance dose of lithium carbonate 600 mg PO per day. Before discharge, the psychiatric technician will educate the client that: | It is important to consume a normal salt diet while avoiding the consumption of diuretics. |
The question, “Are you sad today?” is an example of which of the following? | Open-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 a pear alike?" |
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 |
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 |
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.” |
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.” |
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 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? |
Which of the following is considered a reversible cause of confusion that the Psychiatric Technician may correct? | Dehydration. |
Which of these statements would be the best statements that the Psychiatric Technician could use when communicating with the confused elderly client? | "It's 3:00pm. We're 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. |
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. |
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 d/o |
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. |
The Psychiatric Technician is assisting the new, at risk mother to bond with her newborn son. Which of the following should the mother be encouraged to do? | Hold her infant close to her, making eye contact. |
The Psychiatric Technician student is instructed before a group meets to pay particular attention to the group process. Which of these should he focus on? | What is going on between members of the group. |
The client has a history of being anxious. Which of the following symptoms would indicate to the Psychiatric Technician that the client is experiencing severe anxiety? | Purposeless movements, confused communication. |
The Psychiatric Technician is going to take the part of the client while the client takes the part of her father. They will act through a confrontation regarding curfew. This effort to understand the feelings and attitudes of another person is called what | Role playing. |
A father is reminded of his own youth when his son brings home disciplinary reports from the school and gives his son a hug. This is an example of which of the following? | Non-contingent reward. |
The 6 year-old child is hospitalized and is acting out as a means of coping. Which of the following illustrates this coping mechanism by the child? | Refusing to stay in bed. |
The Psychiatric Technician is assisting the client to ambulate when the client becomes dizzy and says, "I think I'm going to faint." What would be the most appropriate action to be taken by the Psychiatric Technician? | Ease the client to a chair or to the floor. |
The client with a full beard is unaware that there are food crumbs in the beard. Which of the following should the Psychiatric Technician suggest? | A comb or brush should be offered to the client for him to groom the beard. |
The Psychiatric Technician is assisting the client to use a cane. Which of the following instructions about using a cane is correct? | Place the cane on the same side as the unaffected leg. |
In addition to drug therapy, which of the following would be most beneficial to the child with ADD? | Provide a small treat when homework is completed. |
Which of the following behaviors may be seen in depression of a preschool child? | Less exuberance in play. |
Which of the following would indicate that the 50 year-old male is meeting the developmental tasks of the middle adult? | His children are becoming responsible adults. |
The Psychiatric Technician is caring for a 72 year-old client in the first stage of Alzheimer’s disease. Which of the following statements by the Psychiatric Technician would best allow this client to meet his ADL? | “It’s raining today. Which coat should you wear?” |
Which of the following is an indication that the 78 year-old is meeting the developmental tasks of his age group? | He enjoys tending to his vegetable garden in his yard. |
The Psychiatric Technician wants to reward the 10 year-old boy for successfully working on tasks that address the boy’s developmental tasks. Which of the following will the Psychiatric Technician do? | Reward him for making a good effort on a school project. |
The client is participating in a discussion group for people recently discharged from a psychiatric unit. The therapeutic benefit for this client is which of the following? | Builds self esteem and encourages communication. |
Which of the following would indicate to the Psychiatric Technician that the 24 year-old client is working on the developmental task for her age? | She has been dating the same person for 2 months. |
The client is at home recovering from a broken leg and is not able to visit friends at the local senior center. Which of the following actions taken by the Psychiatric Technician would best relieve the client’s concerns about recovering? | Arrange for the client’s friend to visit daily. |
A college student has expressed feeling of being overwhelmed with his schedule of school and part-time job. After assessing that he is not suicidal, which of the following would be an appropriate response by the Psychiatric Technician? | “Here is a list of resources on campus that may help you with your academics and finances.” |
The Psychiatric Technician is working with a 17 year-old high school student who is lacking in friends and is socially isolated. Which of the following actions taken by the Psychiatric Technician would best help this client? | Encourage him to join an after-school club. |
An active 80 year-old woman, living alone and financially secure, recently lost weight and is not eating as usual. What might be a possible cause for this particular client? | New medication is affecting her taste buds. |
The client, who prepares his own meals at home, is receiving radiation treatments and finds his mouth has sores. Which of the following actions will best allow this client to meet his needs for nutrition. | Mix foods with thin gravies. |
The client is preparing his own foods and is finding he has some changes in his sense of taste as a result of his chemotherapy. Which of the following actions would help this client meet his nutritional needs? | Choose foods that smell good and have some new spices. |
The Psychiatric Technician is counseling a 17 year old on practices of safe sex. In addition to abstinence, which of the following should the Psychiatric Technician recommend the client take in order to avoid being infected with STI? | Use latex condoms for sexual intercourse. |
The Psychiatric Technician is working with a 19 year-old client who is HIV positive. Which of the following might help this client remain compliant with the complicated drug regimen? | Include family members and/or significant other when teaching the client about the drugs. |
A 54 year-old client, recently diagnosed with diverticulitis, is preparing a shopping list for the supermarket. Which of the following items should be included? | Apples |
The hard of hearing client is interacting with the Psychiatric Technician. Which of the following should the Psychiatric Technician do to improve communication with this client? | Face the individual when speaking. |
The child with obsessive-compulsive disorder is having trouble with peer relationships in school at the psychiatric facility. Which of the following might the Psychiatric Technician suggest to help this child? | Have projects assigned to small groups. |
A 10 year-old boy with OCD is using his disorder to avoid schoolwork and the teacher is now expecting less from this student. The Psychiatric Technician’s best response would be which of the following? | Review with the teacher what she can reasonably expect from this student. |
The elderly client finds that his hearing aid is squealing. Which of the following actions should the client take to remedy this? | Turn down the volume of the hearing aid. |
The client is being discharged after receiving a new ostomy. Which of the following should the Psychiatric Technician be sure the client is able to do before being discharged from the hospital? | Accurately measure the size of the stoma. |
The 78 year-old client is receiving bladder training. Which of the following should be part of that regimen? | Avoid intake of beverages with caffeine. |
The 28 year-old client has recently been diagnosed with HIV. Which of the following would be important self-care tips for this client to know? | Do not share a razor with others. |
The Psychiatric Technician is counseling a client on ways to prevent contracting a Sexually Transmitted Disease. Which of the following will help the client minimize her exposure to STD’s?**** | ???Have sex with someone who only has one sexual partner. |
The client has just been admitted to the unit and has a history of cardiac problems. Which of the following questions would be most appropriate for the Psychiatric Technician to ask this client? | "Do you have any shortness of breath after normal activities?" |
The parents of an 8 year-old boy report that over the past 9 months he has become increasingly disobedient and argues with them daily. The Psychiatric Technician knows that this child is displaying symptoms of which of the following? | Oppositional defiant disorder. |
The Psychiatric Technician is planning some activities for a group of depressed clients. Which of the following activities would be the best choice? | Painting a clay pot. |
The client states, “I see my dead mother and she is scarring me. Can you see her?” Which of the following would be the best response by the Psychiatric Technician?* | “I don’t see her, but you look scared.” |
The Psychiatric Technician notices that the client with severe depression is sitting alone in his room. Which of the following would be the best approach for the Psychiatric Technician to take? | Hand the client his shoes and tell him to go for a walk with you. |
The child diagnosed with Oppositional Defiant Disorder is frequently treated with which of the following? | Behavior modification therapy used by the parents. |
The Psychiatric Technician responds to the client and states, “You are afraid you will not be able to care for your daughter?” The Psychiatric Technician has used which of the following techniques of communication? | Reflection |
The Psychiatric Technician is trying to develop a rapport with a client in distress. Which of the following responses by the Psychiatric Technician would be best? | Begin sitting quietly with the client |
The client states, “I’m worried that my son might be using drugs.” Which response by the Psychiatric Technician would be the most therapeutic choice?* | “You seem very upset.” |
The client undergoing therapy is displaying signs of transference. Which of the following statements by the client would indicate this? | “The doctor is stubborn just like my ex-husband.” |
The Psychiatric Technician has been asked to conduct the opening session of a newly formed group. Which comment by the Psychiatric Technician would be most appropriate? | “Let’s go over the rules for our group meetings.” |
The client frequently plays the role of consensus validator in the group. Which of the following statements by the client would reflect this? | “Does everyone agree with what was just said?” |
When a group meeting is in progress the client states, “I want to change my vote now that I’ve heard your opinion.” This client is playing which of the following roles? | Compromiser |
The client who engages in frequent hand washing may be doing so for which of the following reasons? | Reduce anxiety. |
Which of the following approaches is an example of Gestalt therapy? | Have the client “talk” to a dead parent whose birthday she missed by going out with some friends instead. |
Which of the following approaches is an example of psychoanalysis? | The client is encouraged to say aloud whatever comes to mind. |
Which of the following statements made by the client indicate that his behavior is that of the gatekeeper of the group? | “Pat, what would you like to add?” |
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 |
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. |
The Psychiatric Technician responds to the client by saying, “You are afraid your husband is ill.” This statement is an example of which of the following?*** | ???Validation |
Which of the following approaches is an example of Gestalt therapy? | Have the client “talk” to a dead parent whose birthday she missed by going out with some friends instead. |
Which of the following approaches is an example of psychoanalysis? | The client is encouraged to say aloud whatever comes to mind. |
Which of the following statements made by the client indicate that his behavior is that of the gatekeeper of the group? | “Pat, what would you like to add?” |
The client participates in a group session in which helps him to understand his interactions with others until he reaches the conclusion “I’m O.K. You’re O.K.”. This is an example of which of the following types of therapy? | Transactional analysis. |
The Psychiatric Technician observes that each time a member of the group shuffles in his seat one particular client does the same. This imitation of an action by another person is referred to as which of the following? | Echopraxia |
The Psychiatric Technician responds to the client by saying, “You really look discouraged today.” This is an example of which of the following? | Validation |
The Psychiatric Technician is administering medication to a client with moderate to severe anxiety. Which of the following statements should the Psychiatric Technician make as she does this? | “Take this glass of water.” |
Which of the following characteristics of the Psychiatric Technician would be important for him as a “healer”? | Respectfulness for the choice of others. |
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?” |
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 |
The client is very alert and is speaking in a controlled voice. He is most likely experiencing which of the following levels of anxiety? | Mild |
Which of the following actions would be indicative of a client with anxiety that is at a panic level? | Client is unable to solve simple problems and is fearful of loosing control. (Don't get sever and panic mixed up) |
The 16 year-old client will demonstrate the actions of the mother and the Psychiatric Technician will demonstrate the actions of this client in an effort to understand the feeling and attitudes of another person. This technique is referred to as which? | Role playing. |
A mother is reminded of her own youth when her teenage daughter is caught shoplifting and gives the daughter money to purchase the item to keep her out of trouble. This is an example of which of the following? | Negative conditioning. |
A 12 year-old boy brings home a passing grade for a subject he previously failed. The father rewards him with a trip to the movies. This is an example of which of the following? | Positive conditioning. |
A 28 Year-old male states following a crippling motor vehicle accident, “How will my wife ever find me attractive?” The best response by the Psychiatric Technician is which of the following? | State, “You seem very concerned about your relationship between you and your wife.” |
The Psychiatric Technician is trying to help the ADD-HD client to learn to develop successful ways of learning new tasks. Which of the following actions should the Psychiatric Technician take? | Schedule breaks frequently |
The client tells the Psychiatric Technician that she is very afraid to leave her house. She breaks into a sweat when she goes out the front door. Which of the following disorders does this client have? | Agoraphobia |
The client states that she has “acrophobia”. The Psychiatric Technician would expect that the client has a fear of which of the following? | Being in high places. |
The client states that he has “demophobia”. The Psychiatric Technician would expect that the client has a fear of which of the following? | Crowds |
The 16 year-old client has been caught shoplifting. The mother states, “It’s my fault. I don’t earn enough money to get the things she wants.” Which of the following best describes the behavior of the mother? | Codependency |
It is preferred that the mental health client be cared for at home for which of the following reasons? | The client can be assessed in his “normal” environment. |
Twenty years ago, the need for home care for the mentally ill was: | Less than the present time. |
The client is being cared for in an inpatient facility. Which of the following is an example that would be found in the treatment of this client when the Psychosocial Rehabilitation Model is used? | The client’s ability to participate in self-care activities is recognized. |
The client is being cared for in an inpatient facility. Which of the following is an example that would be found in the treatment of this client when the medical model is used? | The client’s diagnosis of “manic-depression” is the focus of treatment. |
Which of the following clients would best be treated in an inpatient facility and not in the community? | The client who refuses to take his medication and is easily agitated. |
Which of the following would the Psychiatric Technician expect to find in a therapeutic milieu? | The therapist and client develop the plan to treat the client’s depression. |
The question, “Will you tell me about what you did this week?” is an example of which of the following? | Open-ended question. |
Which of the following pairs of personality disorders would have an increased suicide risk? | Borderline Personality Disorder and Antisocial Personality Disorder |
Your client tells you that his wife of 20 years left without warning. He continues to tell you in a calm manner that they were never compatible. You recognize this as: | Intellectualization |
It has been reported that your client, as a child, witnessed her mother being abused by her father. She quickly forgot the incidence and still has no memory of the abuse. You recognize this as: | Repression |
Your client complains of the following symptoms: anxiety, drowsiness and headache. You recognize these as side effects of which one of the following medication? | fluoxetine (Prozac) |