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PCC III Final Exam Questions and Answers
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PCC III Final Exam Questions and Answers A 50-year-old female patient is admitted to the psychiatric unit for an acute exacerbation of paranoid schizophrenia after she stopped taking her medications for several months. She tells the nurse that she believes her food is being poisoned, and she refus...

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  • October 27, 2024
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  • 2024/2025
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  • pcc iii final exam questions and answers
  • a 50 year old female patient is admitted to the ps
  • while watching television a 28 year old male pati

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PCC III Final Exam Questions and
Answers
A 50-year-old female patient is admitted to the psychiatric unit for an acute exacerbation
of paranoid schizophrenia after she stopped taking her medications for several months.
She tells the nurse that she believes her food is being poisoned, and she refuses to eat.
What is the most appropriate intervention by the nurse?
A. Provide canned food while expressing reasonable doubt.
B. Agree with the patient's decision.
C. Challenge the patient's delusion.
D. Dismiss her fears and insecurities. - answer A. Provide canned food while
expressing reasonable doubt.

Highly suspicious patients may refuse to eat food from an individually prepared tray.
While not reinforcing the patient's delusion by agreeing with it, providing canned food
may be an acceptable alternative to ensure proper nutrition. Challenging the delusion
may increase the patient's anxiety. Dismissing her fears and insecurities invalidates the
patient's emotional state.

While watching television, a 28-year-old male patient appears to be hallucinating. He is
swearing loudly at the television and is becoming increasingly agitated. Which of the
following nursing interventions would be appropriate in dealing with this patient?
Select all that apply.
A. In a firm voice, tell the patient to stop this behavior.
B. Acknowledge the presence of the hallucinations.
C. Instruct other team members to ignore the patient's behavior.
D. Reassure the patient that he is not in any danger.
E. Give simple commands in a calm voice. - answer B. Acknowledge the presence of
the hallucinations.
D. Reassure the patient that he is not in any danger.
E. Give simple commands in a calm voice.

Using a calm voice and giving simple commands, the nurse should reassure the patient
that he is not in any danger. It is not appropriate to tell the patient to stop the behavior,
and ignoring the behavior will not reduce his agitation.

A 25-year-old man is admitted to the psychiatric unit after being found by the police
walking naked down the middle of the street at 3:00 AM. He insists that he is the real
Santa Claus. Which of the following nursing interventions should the nurse implement
when working with this patient?
A. Consistently use the patient's name.
B. Point out to the patient why he cannot be Santa Claus.
C. Agree that he is Santa Claus so as not to upset him further.

,D. Provide medication as needed (PRN). - answer A. Consistently use the patient's
name.

The patient needs continuous reality-based orientation, so his name should be used in
all interactions with the nurse and other staff. The nurse should not reinforce the
delusion by agreeing with the patient. Logical arguments and PRN medication are not
likely to change his thinking.

A 20-year-old male patient diagnosed with chronic schizophrenia is placed on an
antipsychotic, 20 mg twice a day. At the evening medication time, he expresses that he
is not feeling well. The nurse assesses the patient and finds the following symptoms:
oral temperature 103° F (39.4° C), pulse 110 beats/min, and respirations 24
breaths/min. The patient is diaphoretic and appears rigid. This patient is most likely
suffering from which of the following?
A. Tardive dyskinesia
B. Pneumonia
C. Neuroleptic malignant syndrome
D. Pseudoparkinsonism - answer C. Neuroleptic malignant syndrome

The symptoms are consistent with neuroleptic malignant syndrome, which is an adverse
reaction to antipsychotic medication. While the other conditions listed in answers A and
D may also be side effects of antipsychotic medication, the symptoms presented are not
indicative of these conditions. Pneumonia may present with these vital signs; however,
the diaphoresis and muscular rigidity are not.

When conducting a health history, the nurse identifies some of the following social risk
factors as possible predictors of a diagnosis of schizophrenia.
Select all that apply.
A. Urban residence
B. Recent immigration
C. Impaired physical or mental health
D. Older paternal age
E. First-degree relative diagnosed with schizophrenia
F. Ethnic and racial discrimination - answer A. Urban residence
B. Recent immigration
F. Ethnic and racial discrimination

Urban residence, recent immigration, and ethnic and racial discrimination are social
conditions that have been implicated as risk factors for developing schizophrenia.
Although the other factors are also considered to be risk factors, they are not classified
as social predictors.

A charge nurse is discussing mental status examinations with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching? (Select all that apply.)
A. "To assess cognitive ability, I should ask the client to count backward by sevens."

,B. "To assess affect, I should observe the client's facial expression."
C. "To assess language ability, I should instruct the client to write a sentence."
D. "To assess remote memory, I should have the client repeat a list of objects."
E. "To assess the client's abstract thinking, I should ask the client to identify our most
recent presidents." - answer A. "To assess cognitive ability, I should ask the client to
count backward by sevens."
- Counting backward by 7s is an appropriate technique to assess a client's cognitive
ability.
B. "To assess affect, I should observe the client's facial expression."
- Observing a client's facial expression is appropriate when assessing affect.
C. "To assess language ability, I should instruct the client to write a sentence."
- Writing a sentence is an indication of language ability.

- Asking the client to repeat a list of objects is appropriate to assess immediate, rather
than remote, memory. Asking the client to identify recent presidents is appropriate to
assess cognitive knowledge rather than abstract thinking

A nurse is planning care for a client who has a mental health disorder. Which of the
following actions should the nurse include as a psychobiological intervention?
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
D. Monitor the client for adverse effects of medications. - answer D. Monitor the
client for adverse effects of medications.
- Monitoring for adverse effects of medications is an example of a psychobiological
intervention.

Assisting with systematic desensitization therapy is a cognitive and behavioral, rather
than a psychobiological intervention. Teaching appropriate coping mechanisms is a
counseling or health teaching, rather than a psychobiological intervention. Assessing for
comorbid health conditions is health promotion and maintenance, rather than a
psychobiological, intervention.

A nurse in an outpatient mental health clinic is preparing to conduct an initial client
interview. When conducting the interview, which of the following actions should the
nurse identify as the priority?
A. Coordinate holistic care with social services.
B. Identify the client's perception of their mental health status.
C. Include the client's family in the interview.
D. Teach the client about their current mental health disorder. - answer B. Identify
the client's perception of their mental health status.
- Assessment is the priority action when using the nursing process approach to client
care. Identifying the client's perception of their mental health status provides important
information about the client's psychosocial history.

, - It is appropriate to coordinate holistic care for the client with social services as part of
case management. If the client wishes, it is appropriate to include the client's family in
the interview. However, another action is the priority. It is appropriate to teach the client
about their disorder. However, another action is the priority.

A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual
of Mental Disorders, 5th Edition (DSM-5). Which of the following information is
appropriate to include
in the discussion? (Select all that apply.)
A. The DSM-5 includes client education handouts for mental health disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders.
C. The DSM-5 indicates recommended pharmacological treatment for mental health
disorders.
D. The DSM-5 assists nurses in planning care for client's who have mental health
disorders.
E. The DSM-5 indicates expected assessment findings of mental health disorders. -
answer B. The DSM-5 establishes diagnostic criteria for individual mental health
disorders.
- The DSM-5 establishes diagnostic criteria for mental health disorders.
D. The DSM-5 assists nurses in planning care for client's who have mental health
disorders.
- Nurses use the DSM-5 to plan, implement, and evaluate care for client's who have
mental health disorders.
E. The DSM-5 indicates expected assessment findings of mental health disorders.
- The DSM-5 identifies expected findings for mental health disorders.

- The DSM-5 is used by mental health professionals. However, it does not include client
education handouts. The DSM-5 does not indicate pharmacological treatment for
mental health disorders.

A charge nurse is conducting a class on therapeutic communication with a group of
newly licensed nurses. Which of the following aspects of communication should the
nurse identify asa component of verbal communication?
A. Personal space
B. Posture
C. Eye contact
D. Intonation - answer D. Intonation
- Identify intonation as a component of
verbal communication. Intonation is the tone of one's voice and can communicate a
variety of feelings.

- Personal space is a component of nonverbal communication. Posture is a component
of nonverbal communication. Eye contact is a component of nonverbal communication.

A nurse in an acute mental health facility is communicating with a client. The client
states,"I can't sleep. I stay up all night." The nurse responds, "You are having difficulty

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