Download Psychiatric Technician State Board Exam Questions and Answers and more Exams Biology in PDF only on Docsity!
SBVC PSYCHIATRIC TECHNICIAN STATE BOARD
The most effective nursing strategy to prevent infection would be to - answer wash hands before and after any direct client contact The highest achievable total score in the apgar scoring system for newborn babies is - answer 10 The physician needs to know the oral temperature of a client. The client recently smoked a cigarette. The psychiatric technician would wait how many minutes before taking the client's oral temperature? - answer 15 minutes The physician now needs a pedal pulse from the same client. The psychiatric technician knows this pulse site is being used - answer to determine circulation to the foot The psychiatric technician is assigned to administer medication for the a.m. Shift. On mrs. Smith's medication administration record it states that one medication is to be given "p.c." the psychiatric technician would administer this medication - answer after meals The client is to be given demerol and vistaril im. The psychiatric technician would inject the needle at what angle? - answer 90 degrees A diagnosis of hypertension would not be made unless the client has abnormally high blood pressure for at least two consecutive visits at the physician's office. The criteria that is used to determine hypertension is - answer over 140 mm hg systolic and/or 90 mm hg diastolic A client is having her blood pressure taken by the psychiatric technician. The client asks what does blood pressure represent. The best response the psychiatric technician would give is - answer "it is a measure of the pressure exerted by the blood as it pulsates through the arteries" A client is suffering from osteoporosis - a condition that causes bones to become porous and less dense. This results in increased susceptibility to fracture and collapse. The physician would order an increased amount of which foods to help treat this condition? - answer liver, milk, egg yolks The bed position in which the client's head and trunk are raised 45 degrees to 90 degrees is referred to as - answer fowler's position
The prodromal signs/symptoms of aids (acquired immune deficiency syndrome) are - answer fatigue, night sweats, intermittent fever, severe diarrhea A client complains of a lesion on his penis. The physician examines it and sees that it is reddish in color. The client states that it is painless and that he has been sexually promiscuous. - answer syphilis A client is experiencing abnormal breathing which involves very deep to very shallow respirations with temporary apnea. This type of irregular breathing pattern is referred to as - answer cheyne-stroke's Debbie lawson is a seven years old. Her mother brings her to the family physician because debbie has a rash on her body and is running a slight fever. The diagnosis is chickenpox. This childhood disease is caused by what virus? - answer herpesvirus The most common cause of accidental deaths for children that are one year old or less is - answer choking The psychiatric technician is preparing to give the client a bed bath. The temperature of the water should be between - answer 110-115 f The client would be bathed in what order? - answer face, arms, hand, chest and abdomen, legs and feet, back and perineum The appropriate toothbrushing technique for clients would consist of - answer using tepid water, a soft toothbrush and brushing at a 45 degree angle The client has been complaining that she is having difficulty sleeping the past few months. The physician has prescribed a low dose of a sedative-hypnotic for a temporary period of time. Client teaching to promote a regular sleep pattern would include - answer get adequate exercise during the day and established a regular bedtime Carol stevens was brought into the emergency room. She was restless and complained of being thirsty. The nurse took her vital signs and discovered that carol had a pulse of 140 and pale looking and when she touched her hands they were cold and clammy. The most probably medical condition carol is suffering from is - answer shock Mrs. Clark has been a diabetic for ten years. She has been admitted to the hospital for another possible medical problem. Her doctor prescribes regular insulin for her. The injection was given at 07:00. If mrs. Clark has a reaction it will most likely be - answer before lunch
response. The psychiatric technician then calls for help. The next procedure the psychiatric technician implements is - answer tilting the head backward Which of the following symptoms is indicative of hypothyroidism? - answer cold intolerance During cardiopulmonary resuscitation for an infant, the psychiatric technician would check which artery for a pulse? - answer brachial Often a person that has been diagnosed with alzheimer's disease will develop a fondness for what type of food? - answer sweet Hepatitis b is mainly caused by which of the following factors? - answer sexual transmission, blood or body secretions The psychiatric technician can prevent contracting hepatitis b by - answer applying the principle of universal precautions Carriers of hepatitis b infection have a much higher risk of contracting which of the following medical conditions? - answer liver cancer A female client is to receive a vaginal cream every day for 10 days. An appropriate nursing intervention the psychiatric technician would implement to decrease discomfort during the treatment would be to - answer ask the client to void Mrs. Hathaway has some abdominal complaints. She visits her physician and is diagnosed with irritable bowel syndrome. Specific symptoms of this medical condition would be - answer stomach cramping, excessive gas, and incomplete evacuation of the bowels Mr.s hathaway asks her physician about the cure for abdominal complaints. The physician responds with which of the following statements? - answer "it is a chronic condition that is not life-threatening." Possible medications mrs. Hathaway's physician may prescribe for her abdominal complaints would be classified under which of the following groups? - answer antispasmodic and antidiarrheal Which of the following would aggravate irritable bowel syndrome? - answer stress The psychiatric technician is instructed to take a rectal temperature of a client. He/she knows that the normal rectal temperature is - answer 99.
A rectal temperature would possibly be taken instead of an oral temperature for all of the following reasons except when the client - answer is feeling warm all over A female client is 72 years old. The psychiatric technician takes her pulse and it is
- The psychiatric technician would know that this pulse rate for an elderly person is - answer within the normal range Mr. Prescott is 59 years old and is in the hospital for inoperative cancer. He finally begins to talk to the staff about his feelings about dying. Sometimes he cries but it seems like he just wants someone to listen to him. The stage of dying that mr. Prescott is most likely in is the stage of - answer depression A client is wearing elastic stockings. This is to prevent pooling of blood in the veins of the legs which can cause evin dilation and engorgement. Unless the physician has specific orders, the psychiatric technician would remove the stockings and give skin care - answer once during his/her shift Mr. Appleton has been diagnosed with hypertension. His physician has put him on clonidine 0.2 mg t.i.d. Treatment for this client would consist of decreasing stress, eliminating smoking, a reduced alcohol intake, adequate rest, exercise and controlling obesity. Mr. Appleton needs to restrict his intake of which of the following? - answer sodium and saturated fat The psychiatric technician has given an im injection to a client. He/she withdraws the needle and then - answer immediately drops the syringe into the sharps container An elderly man has been diagnosed with copd. He is taught by his visiting home nurse to utilize the technique of postural drainage by - answer lie with the head and chest over the side of the bed Which of the following recordings would demonstrate objective charting? - answer "was able to complete morning grooming care with no assistance. Ate 50% of breakfast. Was escorted by wheelchair to the radiology department for x- ray of right wrist." The psychiatric technician suddenly remembers that he didn't chart significant information about a client yesterday when he recorded his shift note. He would then go to the client's chart and - answer write the words "late entry" before he records the additional information using today's date and time The medical condition atherosclerosis involves a narrowing of the arteries caused by plaques on their inner linings. These plaques are composed mainly of fats deposited from the bloodstream. They disrupt the normal flow of blood
Mr. Jones goes to his family physician complaining of a gnawing pain in this abdomen. He has had a lot of stress lately at work and has been taking a corticosteroid medication. The physician diagnoses the problem to be a peptic ulcer. The most likely medication the physician will prescribe for mr. Jones is - answer famotidine The psychiatric technician is to give 400mg of chlorpromazine to the client at
- There are both 100mg and 200mg tablets of chlorpromazine in the client's medication cassette. The psychiatric technician would give - answer two of the 200mg The doctor has ordered 10mg of a medication and the label on the bottle reads 0.005 grams per tablet. How many tablets should the client receive? - answer two Acyclovir is the first drug known to successfully treat genital herpes. The brand name for this medication is - answer zovirax The psychiatric technician just received an order for lithium carbonate for a new client. This medication would be written as - answer li₂ co₃ A depressed client who is receiving a tricyclic antidepressant tells the nurse, "my mood is a little better, but i'm so sleepy all the time that i can't do much of anything." the psychiatric technician should - answer ask the physician if the medication can be administered at h.s. Which nursing intervention is necessary after the administration of naloxone? - answer monitor airway and take vital signs every 15 minutes The client is asking the medication nurse for his prn sedative/hypnotic. The medication nurse asks the client whether he attempted to go to sleep naturally first before he came to the medication room. The client responded that he hadn't tried this. The medication nurse should encourage the client to attempt to sleep first or suggest some relaxation methods because sedative-hypnotics tend to - answer suppress rem sleep One difference between ativan im and other parenteral im injections for anxiety is
- answer it must be refrigerated A sedative/hypnotic medication that is generally well tolerated with only mild side effects is - answer chloral hydrate (noctec) A client is complaining of angina. He has a vial of nitroglycerin. He takes one pill and places it under his tongue. Then he complains of having a dry mouth and it not being absorbed fast enough the psychiatric technician should - answer give him a small amount of water
Mr. Adams has chronic heart failure and is taking digoxin 0.1mg every day. The psychiatric technician would perform which of the following procedures before administering this medication to mr. Adams? - answer take his apical pulse for one minute Mr. Adams has chronic heart failure and is taking digoxin 0.1mg every day. One day mr. Adams' pulse is 59. The psychiatric technician would - answer hold the dose and call the physician Fluphenazine decanoate is administered every - answer one-four weeks A depressed client is receiving imipramine (tofranil) 300mg daily. Which of the following side effects of this drug would require immediate medication attention?
- answer urinary retention The generic name for inderal is - answer propranolol The target dose for clozaril is 350-450mg po daily in divided doses. The maximum daily dosage is - answer 900mg A client has been complaining of having chapped skin. The physician orders a lotion to be applied to the client's affected areas t.i.d. After two weeks the client complains that the lotion is still not helping this condition. The physician then decides to order - answer vitamin e Susan is developmentally disabled client who has had a history of grand mal seizures. Her annual dental examination reveals an overgrowth of gum tissue (gingival hyperplasia). The anticonvulsant medication that would cause this adverse effect is - answer dilantin A serious side effect of morphine sulfate is - answer respiratory depression The client comes to the medication nurse and states that she just had a bowel movement and her stool was black in color. She asks the medication nurse if her antipsychotic or antianxiety medication is causing this side effect. The medication nurse looks on the client's medication administration record and discovers that the client is receiving - answer ferrous sulfate The doctor's order reads "procardia 10mg po t.i.d." it's to be given at 1200. The medication nurse opens the client's cassette and does not see any medication labeled "procardia." in the cassette is dyphylline, nifedipine, dexpanthenol and ceftazidime. The medication nurse pulls out the - answer nifedipine Donna walker has been hospitalized for bipolar disorder. She has been receiving lithium carbonate and it has been decreasing her symptoms of mania. She is
done every week to determine his white blood count. After a few months of receiving this medication, jesse's wbc is 4,900. Jesse's physician decides to - answer continue jesse on this medication The medication nurse gives the client his 2000 dose of ativan. The client accidentally drops the medication on the floor. The medication nurse gives him a new dose. Then the medication nurse takes the contaminated pill and - answer sends it back to pharmacy after filling out the appropriate paperwork. An injectable medication comes in a vial that reads, "100mg/ml." there are 5ml per vial. There is only one client on the unite receiving this medication and he receives 150mg once per week. The medication has to be ordered a week ahead of time. If the medication nurse is starting a new vial and this is week one, then what week will the medication nurse have to reorder this medication? - answer week three The hospital has a policy that a client's allergies must be put on his/her medication administration record. The psychiatric technician asks the new client if he has any allergies and he states that he does not. What abbreviation would the psychiatric technician put on the client's medication administration record to convey this? - answer n.k.a. The psychiatrist orders 5 grains of medication to be given stat. The medication comes in milligrams. How many milligrams will the psychiatric technician give? - answer 300mg The client is to receive 650mg of enteric-coated aspirin. The medication nurse would not allow the client to take his medication with - answer milk Besides stomach pains, two other common side effects of aspirin are - answer nausea and heartburn Joy is a seven-year-old child diagnosed with attention deficit disorder. His pediatrician prescribes ritalin 5mg bid. What other disorder does this medication treat? - answer narcolepsy The generic name for tagamet is - answer cimetidine Health teaching instructions for tagamet would include: avoid taking the medication with - answer an antacid The psychiatric technician is to give 90ml of a liquid medication. The measuring instrument is only in ounces. The psychiatric technician would give how many ounces of this medication? - answer three
The medication nurse is setting up medication and reads that he newly admitted client is receiving prozac 100mg po daily at 0900. The medication nurse questions this order because prozac - answer has a maximum range of 20-80mg daily A client is to receive an ophthalmic medication-timolol 1gtt of 25% solution ou. The psychiatric technician would place the medication in - answer both eyes A client receiving clozaril should be encouraged to report early signs of agranulocytosis. These signs would include - answer lethargy, weakness, fever, sore throat, malaise Judy walters has been taking thorazine 100mg po qid for 6 months. The staff start to notice that judy has been moving around a lot and seems to have a difficult time sitting still. The most likely diagnosis for this would be - answer akathisia A phenothiazine medication that is prescribed more for nausea and vomiting than for psychotic disorders is - answer compazine (prochlorperazine) A client is experiencing stiffness in the neck from taking an antipsychotic medication. She is allergic to cogentin and artane and complains that benadryl makes her feel too drowsy. The psychiatrist prescribes - answer symmetrel Ken davis is a client on an open adult psychiatric unit. He is taking nardil 15mg po for depression. He decides to have a snack between groups and goes to the client refrigerator. Which of the following foods does ken choose to eat? - answer crackers A client with a history of seizure disorder begins to have a seizure one evening. They are uncontrollable and after five minutes the medication nurse calls the physician. The physician will most likely prescribe which of the following medications intravenously for this condition? - answer diazepam The psychiatric technician is having a difficult time reading the medication on the client's medication administration record sheet. She thinks it states "paxipam" but her supervisor believers that it states "paxil". The first procedure the psychiatric technician should do is - answer refer to the physician's orders in the client's chart. The only marijuana derivative that is approved for cancer and is an oral antiemetic is - answer marinol For the elderly adult, the most difficult means of administrating medication would be by what route? - answer inhalation The physician orders a medication qid for 10 days. It is to be administered at 0800, 1200, 1600 and 2000. The first dose will be given at 1600 on the 6th of the
Which of the following is not a critical functional living skill? - answer matching appropriate clothing The best intervention for inappropriate behavior is prevention. Realistically, inappropriate behavior might still be exhibited by a client. The second best intervention to deal with inappropriate behavior is to intervene - answer at the antecedent level The psychiatric technician is teaching the client how to put on socks. The psychiatric technician and the licent each have a pair of socks. The psychiatric technician first puts on her socks and then encourages the client to put his socks on his feet. This type of teaching strategy is referred to as - answer modeling Jenny, a psychiatric technician, wants her clients to be focusing on the most desirable employment for developmentally disabled person. This type of work is referred to as - answer competitive employment A speech disorder that is believed to be a result of stress most of the time and is also referred to as a fluency disorder is called - answer stuttering According to the lanterman act, a developmental disability must originate before age - answer 18 The psychiatric technician is interacting with a group of developmentally disabled clients. All of a sudden one of the clients falls down and appears to be having a grand mal seizure. The psychiatric technician would utilize all of the following nursing interventions except - answer put and object, such as a spoon, between the teeth Some evidence has shown that there may be a possible relationship between older clients with down syndrome and - answer alzheimer's disease The most common cause of down syndrome is - answer trisomy 21 One of the primary symptoms of tay-sachs disease is - answer a cherry red spot on each retina Tay-sachs is best known among what group of people in the united states? - answer jewish Getting out of bed in the morning and eating breakfast relates to normal rhythm of the - answer day
Which of the following is an example of visual prompt? - answer painting the same color on each plastic food container and lid so clients can match the same size lids and containers after they wash and dry them Tiffany is a severely mentally retarded client. She tends to pick up anything she finds on the floor and puts it in her mouth. She is often diagnosed with pinworms small parasitic worms that live in the intestines. Which shift would probably be responsible for diagnosis? - answer noc What medication is taken by pregnant women to avoid birth defects? - answer folic acid Breaking down a skill into small, teachable steps is referred to as - answer task analysis Joe, a developmentally disabled client, has a behavior of pouring shampoo all over the bathroom floor. When he does this, staff instructs joe to clean the bathroom floor, the toilet, and sink and the bath rub. This type of punishment is known as - answer overcorrection The psychiatric technician is feeding a client with a tongue thrust. The best technique for feeding this type of client is to place the food - answer on the middle of the tongue Larry is a client with weak ankles. The physician prescribes orthotic shoes for him. It is important for the psychiatric technician to remember that - answer the toes should not be curled up within the shoes A ten year old developmentally disabled client is able to say the words "mama" and "dada". This would be an example of which of the following language developmental levels? - answer 8-12 months A child is pretending to serve cookies to his stuffed toys. This stage of development is characteristic of the age range of - answer 18-24 months A psychiatric technician wants to increase auditory and tactile stimulation in her clients. The most appropriate equipment the psychiatric technician would use is - answer music and sand The first step in teaching a female developmentally disabled client how to put her blouse using backward chaining would be - answer tucking in her blouse Dennis is a developmentally disabled client who asks repetitive questions most of the time. The staff that work with denis would like to extinguish this maladaptive behavior. The first step in setting up a behavioral program for dennis is to - answer obtain a baseline of the maladaptive behavior
Most causes of epilepsy are - answer unknown The medical term "status epilepticus" refers to - answer repeated grand mal seizures The psychiatric technician has five hearing impaired clients in her group. One of the most appropriate nursing interventions she can use is - answer speak clearly while facing the person In relation to sexual abuse, developmentally disabled people are - answer more often victims of sexual abuse than the general population Inappropriate sexual behavior by a client should be dealt with by - answer interrupting it in a non-punitive manner Raymond seems to have a difficult time understanding language. It can be said that he has a problem with - answer receptive language While taking a walk on the developmental centerground with a group of clients, the psychiatric technician notices that a client is missing. The psychiatric technician's first response would be to - answer search the immediate grounds A client has a maladaptive behavior of urinating on the floor. The staff decides to train the client to use the toilet when he needs to urinate. The behavior plan includes positively reinforcing the client with a cookie every time he urinates approximately five feet or less from the bathroom. After he masters this, the staff will only positively reinforce him with a cookie when he urinates approximately three feet or less from the bathroom. This behavior modification technique is called - answer shaping When choosing reinforcers for clients it is important to remember that - answer use the most preferred reinforcer Rh factor incompatibility is a condition between the fetus and the mother in which the mother has - answer rh-negative blood and the fetus has rh-positive blood The population that represents the largest subgroup of those people mentally retarded is the - answer mildly retarded The group of individuals that have the responsibility of providing an appropriate educational program for a developmentally disabled client is referred to as the - answer interdisciplinary team Mrs. Evans is 40 years old and pregnant with her first child. She is concerned about having a child with down syndrome or other anomalies so she is planning
on having amniocentesis done. During what time period of mrs. Evan's pregnancy will this be performed? - answer 16-20 weeks "making available to all persons with developmental disabilities patterns of life and conditions of everyday living which are as close as possible to or indeed the same as the regular circumstances and ways of life of society" is which of the following principles? - answer normalization A sensation or a sign of a developmentally disabled person may experience before having an epileptic seizure is referred to as an - answer aura The parents of a developmentally disabled client take their child home for a visit and he exhibits maladaptive behavior. When they return to the unit the parents ask the psychiatric technician how they can deal with maladaptive behavior on future home visits. The psychiatric technician would suggest they - answer observe the behavior techniques A person with cretinism has - answer hypothyroidism A skill has been mastered by the developmentally disabled client when the skill has been demonstrated - answer in a natural environment A cognitive approach to helping an excessively dependent client would require having the client - answer examine thoughts about being independent A client tells the psychiatric technician she had psychotherapy weekly for three years. The therapist used the techniques of free association, dream analysis, and facilitating awareness of transference feelings to help the client understand unconscious process and foster personality change. The psychiatric technician can identify this type of therapy as - answer psychoanalysis Ashley, a 19-year-old, accompanied her boyfriend, chris, to the emergency room. They had been in a motorcycle accident. Chris was badly hurt, but apparently, ashley was not injured. However, she appeared confused and had trouble focusing on what was going on around her. She complained of dizziness and nausea although physically she was unharmed. She was hyperventilating as the nurse was doing the assessment. The nurse should assess ashley's level of anxiety as - answer severe Which of the following statements indicates that the nurse is reacting to ashley's severe anxiety rather than her needs? - answer "there is nothing physically wrong with you, you need to stop breathing so rapidly" Paul, a 32 year old salesman, has had difficulty holding a job because he accuses co-workers of conspiring to take his sales. Today, when he argued with several office mates psychiatric unit for evaluation, he has had previous admissions to
The husband who is sexually inadequate and blames it on his partner, saying that she is unattractive and that her manner is too blasé, may be using defense mechanism of - answer rationalization The psychiatric technician attempts to give the client her medication. The client adamantly refuses the medication. The psychiatric technician gives the medication anyway. Legally, what can the psychiatric technician be charged with? - answer battery Clients who voluntarily admit themselves to a mental health facility are - answer able to refuse antipsychotic medications James is a 40 year old native american. In order to obtain admission data what communication style should the psychiatric technician adopt? - answer soft- spoken, breaking eye contact occasionally using general leads and reflective techniques The psychiatric technician can best communicate to the client that he/she has been listening by - answer restating the main feeling or thought the client has expressed The psychiatric technician says to the client, "i noticed the anger in your voice when you spoke of your father. Tell me about that." what communication techniques is the psychiatric technician using? - answer making observations and exploring Which statement from a female client experiencing severe anxiety after being raped would indicate the possibility of post-traumatic stress disorder? - answer "i keep reliving the rape." The client shakes his fist at the female psychiatric technician and states, "back off, you witch!" and goes into the dayroom. The psychiatric technician should - answer make sure there is physical space between herself and the client Each of the following interventions is appropriate for the psychiatric technician in the keeping space between herself and the client except - answer speaking in a loud, urgent tone of voice Which of the following sets of characteristics describes the pedophile? - answer tends to be sexually and socially immature and feels less threatened by children than by adults A young male client in a psychoanalytically oriented group related to the therapist as one might to a parent. The client asks permission to attend activities, to socialize with others, etc. This phenomenon is known as - answer transference
When group members use concepts such as ego states, scripts and games, the type of group therapy in which they're involved can be identified as - answer transactional analysis A client tells the members of the inpatient therapy group that he hears voices telling him that his doctor is going to poison him. He continues, "i look around to see who's talking to me, and i can't see anybody." another client replies, "i used to hear voices too. I found out they were my imagination. The voices you hear aren't real either." which concept, basic to group process, is demonstrated in this interchange? - answer reality testing Which statement best describes a therapeutic relationship? - answer the focus is on the client; problems are discussed by the psychiatric technician and the client; solutions are implemented by the client Paula is a depressed client on the acute psychiatric unit. The psychiatric technician notices as she talks with paula that she is unable to maintain eye contact; she drops her chin to her chest and looks down. The nurse has made an assessment of paula's - answer nonverbal communication Which of the following statements are true about clients who have somatoform disorders? - answer these clients are difficult to convince to seek psychiatric help Patricia tells the psychiatric technician, "i'm really popular here in the hospital. Lots of doctors and nurses stop by to check on my blindness and the other patients are really interested in it too. Too bad people outside the hospital don't find me so interesting." based on this statement the psychiatric technician will want to continue to gather assessment data to support a nursing diagnosis of - answer self-esteem disturbance For the client whose nursing diagnosis is powerlessness related to inability to control compulsive cleaning, the psychiatric technician recognizes that the primary gain associated with the cleaning rituals is - answer temporary anxiety reduction Mrs. Jacobson was admitted to the psychiatric unit last night. She was transferred from the emergency room where she had an x-ray taken of her leg. She had fallen down while intoxicated. The x-ray revealed no injury. The psychiatric technician had cared for this client on previous admissions for similar problems and is feeling angry and frustrated to see her again in this condition. What action by the psychiatric technician would be most beneficial for mrs. Jacobson? - answer acknowledge her feelings to herself and the client by asking how she can help mrs. Jacobson Mrs. Jacobson was brought to the hospital at 0200. She had been drinking at the time she fell. If she is going to experience withdrawal symptoms the psychiatric
