1 - 100 Solved Psychiatric Nursing MCQ Test Questions Bank

1. The nurse should observe the autistic for signs of ....
A. Crying for attention
B. Lack of responsiveness and failure to bond with caretakers
C. Loss of temper
D. Use of multiple non-verbal behavior

2. Echolalia and neologism are characteristic communication impairment found in one of these types of schizophrenia.
A. Catatonia
B. Folie a deux
C. Simple schizophrenia
D. Paranoid

3. A child scores 20 - 30 on a standardized intelligent quotient (IQ) assessment test. The best description to be given to this degree of intellectual impairment is....
A. Mild mental retardation
B. Moderate mental retardation
C. Profound mental retardation
D. Severe mental retardation

4. The level of IQ of 85 – 90 is best described as ....
A. Average
B. Borderline
C. Dull-normal
D. Imbecile

5. A person seeing some drops of water on the floor of his corridor and perceived it as a ploy of thwarting his efforts is....
A. Delusions of reference
B. Ideas of reference
C. Paranoid delusion
D. Illusion

6. A person seeing a design on the wallpaper and perceived it as an animal.
A. An illusion
B. Delusion
C. Hallucination
D. An ideas of reference

7. Disturbances of emotion manifest itself in one of these forms?
I.Aggression
II.Anger
III.Blunting of affect
IV.Incongruity of affect
A. I & II only
B. I & III only
C. II & III only
D. III & IV only

8. Skipping from one idea to another in a continuous flow of accelerated speech is said to be....
A. Pressure of speech
B. flight of speech
C. flight of ideas
D. puns

9. A client made a statement that “I hear my mother’s voice telling me to kill myself”. The most appropriate interpretation of this client’s hallucinatory content is....
A. Accusatory
B. Benign
C. Grandiose
D. Threatening

10. Which these hallucinations occur mainly in toxic states?
I.Auditory
II.Gustatory
III.Tactile
IV.Olfactory
V.Visual
A. I & II only
B. II & III only
C. III & IV only
D. III & V only

11. One of these hallucinations occurs when there is lesion of the temporal lobe of the brain.
A. Gustatory
B. Hypnagogic
C. Hypnopompic
D. Olfactory

12. Under stressful situations a healthy individual is likely to experience one of the following hallucinations upon awakening up.
A. Auditory
B. Hypnagogic
C. Hypnopompic
D. Tactile

13. Delusions are not a hallmark of....
A. Folie ầ deux
B. Schizoaffective type
C. Simple Schizophrenia
D. Residual type

14. A parrot-like repetition of another’s speech is....
A. Echolalia
B. Echopraxia
C. Perseveration
D. Verbigeration

15. The use of jumble of words and phrases that lacks any comprehensive meaning or logical coherency and is characteristics of schizophrenia is....
A. Clang association
B. Loose association
C. Neologism
D. Word salad

16. When exploring somatic delusions with the general question, the most appropriate opening question to be asked is....
A. Are you afraid that a body part is absent
B. Do you experience any abnormality of a body part in the past weeks or months?
C. Do you feel as if everything unreal and those around you are rotten?
D. Has anything unusual happened to your body?

17. A thinking that is delayed and indirect in reaching a goal or getting to the point is known as ....
A. Blocking of thought
B. Circumstantiality
C. Tangentiality
D. Perseveration

18. Slow movements and little reactivity are signs of the psychomotor retardation common in which one of these types of schizophrenia ....
A. Catatonia
B. Hebephrenia
C. Paranoid
D. Residual type

19. Inventing stories about situations or events that are not remembered in an effort to mask a memory deficit is....
A. Amnesia
B. Confabulation
C. Confusion
D. Clouding of consciousness

20. A memory loss for events that occurred after a significant point in time is known as....
A. Anterograde amnesia
B. Confabulation
C. Psychogenic amnesia
D. Retrograde amnesia

21. A client who has been hospitalized with schizophrenia tells the nurse, “My heart has stopped and my veins have turned to glass”. The nurse recognizes this as an example of :
A. Hypochondriasis
B. Depersonalization
C. Nihilistic delusion
D. Somatic delusion

22. A female client with paranoid schizophrenia tells the nurse, “Everyone hates me”. The best response by the nurse would be:
A. Everyone does not hate you
B. Tell me more about this
C. That feeling is part of your illness
D. You may be doing something to promote this feeling

23. The nurse recognizes that paranoid delusions usually are related to the defense mechanism of ....
A. Identification
B. Projection
C. Repression
D. Regression

24. One of these sexual deviations involving dressing in clothes appropriate to the opposite sex for a purpose of arousal is
A. Exhibitionism
B. Fetishism
C. Transexualism
D. Transvertism

25. The method of achieving sexual excitement by use of a nonhuman objects is
A. Aversion
B. Fetishism
C. Frotteurism
D. Transverstic-festishism

26. Which one of these disorders has a characteristic symptom of regression
A. Defense mechanism
B. Dissociation
C. Parkinson’s disease
D. Senile dementia

27. The most prominent symptoms of Korsakoff’s syndrome is....
A. Ataxia
B. Confabulation
C. Oculomotor difficulties
D. Recent Memory

28. The only prevention against Wernicke’s encephalopathy and Korsakoff’s syndrome is ....
A. Adequate diet
B. Avoidance of alcohol abuse
C. Use of thiamine extracts
D. Use of alcohol in moderation

29. Which one of this behavioral modification is used to produce deterrent to drinking of alcohol in an alcoholics?
A. Antabuse
B. Aversion therapy
C. Desensitization
D. Hypnosis

30. Alcoholic hallucinosis is most common in the first .... hours after the last drink
A. 6 – 12
B. 12 – 24
C. 24 – 48
D. 48 – 72

31. A typical plucking of bed sheet by a delirious client is described as ....
A. Agitation
B. Catastrophic reaction
C. Caphology
D. Restlessness

32. The tendency of a demented client leaving his home unnoticed to a familiar place and could not recall land mark features to trace his /her way home is said to be ....
A. Anterograde amnesia
B. Agnosia
C. Visuolspatial orientation
D. Wandering

33. When client is observed to be fabricating false details to fill in gaps in memory to keep the conversation on about his educational background is known as ....
A. Anterograde amnesia
B. Confabulation
C. Retrograde amnesia
D. Verbigeration

34. Infantile behavior of extreme emotional lability is predominant in ....
A. Conversional disorder
B. Dementia
C. Delirium
D. Infantile autism

35. Which one of the following classified depressions does not results from precipitating events?
A. Dysthemia
B. Major depression
C. Postnatal depression
D. Menopausal depression

36. A tactile hallucination of insects crawling under the skin is most common in....
A. Alcoholic hallucinosis
B. Delirium
C. Delirium tremens
D. Korsakoff’s syndrome

37. A persistent recurring of unwanted ideas, thoughts or images that cannot be eliminated even though the sufferer considers it to be foolish is ....
A. Compulsion
B. Folie a deux
C. Folie du donte
D. Obsession

38. Morbid preoccupation of guilt and deaths are commonly found in which of the following disorders?
A. Depression
B. Hypochodriasis
C. Mania
D. Nihilistic delusion

39. Early insomnia is a characteristic symptom of ....
A. Mania
B. Major depression
C. Phobic reaction
D. Post traumatic stress disorder

40. A tendency of performing a task or activity to relieve oneself of tensions and anxiety is....
A. Compulsion
B. Dissociation
C. Obsessive-compulsion
D. Phobic reaction

41. Recurrent intrusive ideas, impulses, thoughts or patterns of behavior that are ego-alien and produce anxiety if resisted is ....
A. Compulsion
B. Obsession
C. Obsessive-compulsive disorder
D. Phobic reaction

42. A pathological state characterized by a feeling of dread and accompanied by somatic signs is ....
A. Anxiety
B. Anxiety reaction
C. Fear
D. Phobic reaction

43. A psychodynamic view of an individual with a pervasive pattern of excessive emotionality, attention seeking and theatricality is a diagnostic criterion for....
A. Histrionic personality disorder
B. Narcissistic personality
C. Obsessive compulsive personality
D. Passive-aggressive personality disorder

44. One of these types of epilepsy require the highest nursing care
A. Epilepsy associated with psychosis
B. Grand mal epilepsy
C. Jacksonian epilepsy
D. Status epilepticus

45. The most appropriate diagnostic criteria to distinguish grand mal epilepsy from hysterical fit are....
I. Biting of tongue and lips
II. Erratic movement of the skeletal muscles
III. Loss of consciousness
IV. Presence of well defined stages.
A. I & II only
B. I & III only
C. II & III only
D. III & IV only

46. A client with conversional disorder has a personality trait of ....
A. Histrionic
B. Narcissistic
C. Paranoid
D. Obsessive-compulsive

47. Which one of the following disorders typically suggests neurological disease but has no known pathophysiological cause?
A. Conversional disorder
B. Factitious disorder
C. Parkinson’s disease
D. Psychosomatic illness

48. In conversional disorder, clients are believed to have unintentionally demonstrated a primary gain. This sort of gain is thought to be ....
I. A relief from emotional conflicts
II. Reduction of anxiety
III. The symptoms represent the conflict and the client achieves a partial solutions to it
IV. Disable person can avoid unwanted responsibilities by enjoying benefits from others
A. I only
B. II & III only
C. I & IV only
D. I, II & III only

49. A phenomenon of la belle indifference implies....
A. Client may seems relatively unconcerned about the physical disability experienced
B. Functioning is greatly impaired and client may develop physical complication
C. Secondary gain is an important motivational force in the illness
D. Use of suggestibility to relieve the symptoms.

50. Psychodynamic theory postulated that individuals with paranoid personality disorder rely heavily on one of these defense mechanisms.
A. Acting out
B. Displacement
C. Introjections
D. Projection

51. The behavioral therapy that suggests that people can master anxiety-provoking situations by approaching those situations gradually while in a relaxed state that inhibit anxiety is....
A. Flooding
B. Implosion
C. Relaxation training techniques
D. Systematic desensitization

52. An adult individual with a longstanding pattern of breaking rules/laws, violating the right of others arrogantly without lack of remorse is suffering from ....
A. Conduct disorder
B. Oppositional defiant disorder
C. Passive-aggressive personality disorder
D. Psychopathic disorder

53. How would you differentiate a factitious disorder from malingering?
I. Faking illness to assume a sick role
II. Presence of secondary gain
III. Presence of recent emotional conflict
A. I only
B. II & III only
C. I and III only
D. II only

54. An expression of “doctor shopping” is a characteristic behavior of clients with diagnosis of ....
A. Body dysmorphic disorder
B. Hysteria
C. Hypochondriasis
D. Post traumatic stress disorder

55. Under which one of these circumstances is a manic client’s condition considered to constitute a mental health emergency?
I. Inability to care for himself or herself
II. Presence of self-destructive behaviors
III. Proneness to violence
A. I & II only
B. I & III only
C. II & III only
D. I, II & III only

56. In treatment of acute mania episode that involves potentially life threatening reckless driving or daredevil stunts, the highest treatment regime to be considered is ....
I. Medication and setting limits on manic behaviors
II. Admission to a lock unit
III. Use of lock-door seclusion
IV. Use of Electro Convulsive Therapy
A. I & II only
B. I & III only
C. III & IV only
D. I, II & IV only

57. What are the most likely causes of Korsakoff’s psychosis?
I. Degeneration in the cerebrum and peripheral nerves
II. Dietary and vitamin B deficiency
III. Dependent on alcohol
IV. Deficiency of protein in the diet.
A. I & II only
B. II & III only
C. I & III only
D. III & IV only

58. A morbid, uncontrollable impulse to set things on fire is characteristics of a....
A. Antisocial personality disorder
B. Avoidant personality
C. Paranoia
D. Psychomotor epileptics

59. One of these sexual deviations involving dressing in clothes appropriate to the opposite sex for a purpose of arousal is
A. Exhibitionism
B. Fetishism
C. Transexualism
D. Transvertism

60. The method of achieving sexual excitement by use of a nonhuman objects is
A. Aversion
B. Fetishism
C. Frotteurism
D. Transverstic-festishism

61. Argyll Robertson’s pupil is a characteristic symptom of one of these disorders
A. Alzheimer’s’ disease
B. General paralysis of insane
C. Huntington’s chorea
D. Syphilis

62. Which one of these disorders has a characteristic symptom of regression
A. Defense mechanism
B. Dissociation
C. Parkinson’s disease
D. Senile dementia

63. The most prominent symptoms of Korsakoff’s syndrome is....
A. Ataxia
B. Confabulation
C. Oculomotor difficulties
D. Recent Memory

64. The only prevention against Wernicke’s encephalopathy and Korsakoff’s syndrome is ....
A. Adequate diet
B. Avoidance of alcohol abuse
C. Use of thiamine extracts
D. Use of alcohol in moderation

65. Which one of this behavioral modification is used to produce deterrent to drinking of alcohol in an alcoholics?
A. Antabuse
B. Aversion therapy
C. Desensitization
D. Hypnosis

66. Alcoholic hallucinosis is most common in the first ....hours after the last drink
A. 6 – 12
B. 12 – 24
C. 24 – 48
D. 48 – 72

67. A typical plucking of bed sheet by a delirious client is described as ....
A. Agitation
B. Catastrophic reaction
C. Caphology
D. Restlessness

68. The tendency of a demented client leaving his home unnoticed to a familiar place and could not recall land mark features to trace his /her way home is said to be ....
A. Anterograde amnesia
B. Agnosia
C. Visuolspatial orientation
D. Wandering

69. When client is observed to be fabricating false details to fill in gaps in memory to keep the conversation on about his educational background is known as ....
A. Anterograde amnesia
B. Confabulation
C. Retrograde amnesia
D. Verbigeration

70. Infantile behavior of extreme emotional lability is predominant in ....
A. Conversional disorder
B. Dementia
C. Delirium
D. Infantile autism

71. Which one of the following classified depressions does not results from precipitating events?
A. Dysthemia
B. Major depression
C. Postnatal depression
D. Menopausal depression

72. A tactile hallucination of insects crawling under the skin is most common in....
A. Alcoholic hallucinosis
B. Delirium
C. Delirium tremens
D. Korsakoff’s syndrome

73. A persistent recurring of unwanted ideas, thoughts or images that cannot be eliminated even though the sufferer considers it to be foolish is ....
A. Compulsion
B. Folie a deux
C. Folie du donte
D. Obsession

74. Morbid preoccupation of guilt and deaths are commonly found in which of the following disorders?
A. Depression
B. Hypochodriasis
C. Mania
D. Nihilistic delusion

75. Early insomnia is a characteristic symptom of ....
A. Mania
B. Major depression
C. Phobic reaction
D. Post traumatic stress disorder

76. A tendency of performing a task or activity to relieve oneself of tensions and anxiety is....
A. Compulsion
B. Dissociation
C. Obsessive-compulsion
D. Phobic reaction

77. Recurrent intrusive ideas, impulses, thoughts or patterns of behavior that are ego-alien and produce anxiety if resisted is ....
A. Compulsion
B. Obsession
C. Obsessive-compulsive disorder
D. Phobic reaction

78. A pathological state characterized by a feeling of dread and accompanied by somatic signs is ....
A. Anxiety
B. Anxiety reaction
C. Fear
D. Phobic reaction

79. A psychodynamic view of an individual with a pervasive pattern of excessive emotionality, attention seeking and theatricality is a diagnostic criterion for....
A. Histrionic personality disorder
B. Narcissistic personality
C. Obsessive compulsive personality
D. Passive-aggressive personality disorder

80. One of these types of epilepsy require the highest nursing care
A. Epilepsy associated with psychosis
B. Grand mal epilepsy
C. Jacksonian epilepsy
D. Status epilepticus

81. The most appropriate diagnostic criteria to distinguish grand mal epilepsy from hysterical fit are....
I. Biting of tongue and lips
II. Erratic movement of the skeletal muscles
III. Loss of consciousness
IV. Presence of well defined stages.
A. I & II only
B. I & III only
C. II & III only
D. III & IV only

82. A client with conversional disorder has a personality trait of ....
A. Histrionic
B. Narcissistic
C. Paranoid
D. Obsessive-compulsive

83. Which one of the following disorders typically suggests neurological disease but has no known pathophysiological cause?
A. Conversional disorder
B. Factitious disorder
C. Parkinson’s disease
D. Psychosomatic illness

84. In conversional disorder, clients are believed to have unintentionally demonstrated a primary gain. This sort of gain is thought to be ....
I. A relief from emotional conflicts
II. Reduction of anxiety
III. The symptoms represent the conflict and the client achieves a partial solutions to it
IV. Disable person can avoid unwanted responsibilities by enjoying benefits from others
A. I only
B. II & III only
C. I & IV only
D. I, II & III only

85. A phenomenon of la belle indifference implies....
A. Client may seems relatively unconcerned about the physical disability experienced
B. Functioning is greatly impaired and client may develop physical complication
C. Secondary gain is an important motivational force in the illness
D. Use of suggestibility to relieve the symptoms.

86. La belle indifference is seen in
A. conversion reaction
B. Schizophrenia
C. Manic depressive
D. Depression

87. The enactment which gave birth to the establishment of psychiatric hospitals is?
A. NDC 10, 1972
B. PNDC 10, 1972
C. NRCD 10, 1972
D. NRCD 10, 1973

88. Which is most common form of hallucination in schizophrenia
A. Visual hallucination
B. Auditory hallucination
C. Tactile hallucination
D. Gustatory hallucination

89. Mental Status Examination include the following except
A. Examination of perception
B. Examination of thought
C. Examination of interpersonal relations
D. Examination of higher mental functions

90. Insight is?
A. Patients awareness of his illness
B. Absent in neurotic disorder
C. Doctors awareness of patients illness
D. Present in manic psychosis

91. Delirium and dementia can be differentiated by
A. Clouding of consciousness
B. Disorientation
C. IQ Testing
D. Impairment of memory

92. Features of alcohol withdrawal are all except
A. Hyper somnolence
B. Hallucination
C. Delirium
D. Delusion

93. A motivational syndrome is seen in
A. Cannabis
B. Cocaine
C. Amphetamine
D. LSD

94. The main difference between drug abuse and drug dependence lies in
A. Duration of addiction
B. Quality of drug
C. Evidence of tolerance or withdrawal
D. Disruption of social or professional life

95. Commonest type of schizophrenia is:
A. Simple
B. Hebephrenic
C. Cataplexy
D. Paranoid

96. Catatonia is associated with :
A. Cataplexy
B. Waxy flexibility
C. Automatic obedience
D. Tics

97. A false believe unexplained by reality shared by a number of people is :
A. Superstition
B. Illusion
C. Delusion
D. Obsession

98. Alexithymia is
A. A feeling of intense rapture
B. Pathological sadness
C. Affective flattering
D. Inability to recognize and describe feelings

99. Which of the following is not part of psychosis
A. Panic attack
B. Delusion
C. Hallucination
D. Abnormal behaviour

100. Semen’s squeeze techniques is used for
A. Premature ejaculation
B. Impatience
C. Infertility
D. Priapism