Psychiatric Nursing Practice Test Questions with Answer Key

BASIC CONCEPTS

1. The DSM-IV is a tool utilized for diagnosis I mental health settings. This multi-axial system includes: 

a. Nursing and medical diagnosis 

b. Frameworks of specific theories 

c. Assessments for several areas of functioning 

d. Specific critical pathways 

2. The nurse meets with the client daily. The client stays mostly in his room and speaks only when addressed, answering briefly and abruptly while keeping his eyes on the  floor. In this stage of their relationship, the nurse focuses on the client’s ability to 

a. make decisions 

b. relate to other clients 

c. function independently 

d. express himself verbally 

3. The client has tearfully described her negative  feelings about herself to the nurse during their last three interactions. Which of the following goals would be most appropriate for the nurse to include in the care of plan at this time? The client will 

a. Increase her self-esteem 

b. Write her negative feelings in a daily journal 

c. Verbalize her work-related accomplishments. 

d. Verbalize three things she likes about herself 

4. The most important assessment data for the nurse to gather from the client in crisis would be: 

a. The client’s work habits  

b. Any significant physical health data 

c. A past history of any emotional problems in the family 

d. the specific circumstances surrounding the perceived crisis situation 

5. A female client is admitted for surgery. Although not physically distressed, the client appears apprehensive and alienated. A nursing action that may help the client to feel more at ease includes: 

a. Telling her that everything is all right 

b. Giving her a copy of hospital regulations 

c. Orienting her to the environment and unit personnel

d. Reassuring her that staff will be available if she becomes upset 

TIP: Paranoid patients frequently use the  defense mechanism of projection.  

6. On arrival for admission to a voluntary unit, a female client loudly announces: “Everyone kneel, you are in the presence of the Queen of England.” This is: 

a. A delusion of self-belief 

b. A delusion of self-appreciation 

c. A nihilistic delusion 

d. A delusion of grandeur 

7. A client refuses to eat food sent up on individual trays from the hospital kitchen. The client shouts, “You want to kill me.” The client has lost 8 pounds in 4 days. In discussion of this problem, with the assigned staff member, which statement by the nurse indicates an accurate interpretation of this client’s needs? 

a. “The client is malnourished and may require tube feedings.” 

b. “The client is terrified. Ask the kitchen to send foods that are not easily  contaminated such as baked potatoes 

c. “Continue to observe the client. When the client gets hungry enough, the client will eat.” 

d. The client appears frightened. Spend more time with the client, showing a warm affection.” 

8. The nurse is discussing the orientation phase. The student nurse asks what the primary goal between the nurse and the client is during this phase. The nurse should respond that the primary goal is to: 

a. Explain unit rules 

b. Establish a relationship 

c. Establish trust and support 

d. Formulate a mutual plan of action 

9.  A nurse is talking with a client who is hearing voices. The nurse states, “The only voices I hear are yours and mine.” This is an example of: 

a. Restating 

b. Clarification 

c. Focusing 

d. Presenting reality 

10. The parents of a child who had open-heart surgery are informed that their child is in the recovery room and is stable. The mother is crying. The nurse can best help allay the mother’s anxiety by: 

a. Reassuring her that their child is doing well 

b. Allowing her to continue to express her feelings

c. Bringing her and her husband to the recovery unit for several minutes 

d. Encouraging them both to go have a cup of coffee and return in 2 hours 

THERAPEUTIC COMMUNICATION

11. A 24-year old man with a diagnosis of chronic schizophrenia is admitted to the psychiatric unit. He is talking loudly as the nurse approaches him. When asked who he is talking to, he said, “I hear God’s voice.”  Which of these responses by the nurse would be best? 

a.    “It must make you think important to talk with God.” 

b.   “I don’t hear a voice, but I know it’s real to you.” 

c.    “Why do you think you’re hearing a voice?” 

d. “What could be God’s reason for talking to you?”

12. A patient who has a borderline personality disorder asks the nurse on a psychiatric unit if she may stay up beyond the designated bedtime. When the nurse says no, the patient says, “The nurse on duty last night let me stay up late.” Which of these responses by the nurse would be therapeutic? 

a. “You shouldn’t have been given that      privilege.” 

b.  “Everyone is required to go to bed, now.”  

c.  “You can stay up for one more hour.” 

d.“Direct his focus away from his symptoms.” 

13. A patient tells a nurse, “I really don’t want to have these shock treatments but my doctor insists.”  Which of the following responses by the nurse would be therapeutic? 

a. “We should cancel the procedure  until you feel better.” 

b. “Have you talked to your doctor about your fears?” 

c. “It’s normal to every patient who experienced dissatisfaction with this procedure.” 

d. “This procedure is the best treatment for your condition.” 

14. During the admission procedure a client appears to be responding to voices. The client cries out at intervals, “No, no, I didn’t kill him. You know the truth; tell that policeman. Please help me!” The nurse should :  

a. Sit there quietly and not respond at all to the client’s statements 

b. Respond to the client by asking, “Whom are they saying you killed?” 

c. Respond by saying, “I want to help you and I realize you must be very frightened.” 

d. Saying. “Do not become so upset. No one is talking to you; the accusing voices are part of your illness. 

15. A client on the unit believes another client has stolen his watch, and they want to discuss this with the nurse. What is the nurse’s best response? 

a. “I’ll meet with each of you individually.” 

b. “Tell me what you believed happened.” 

c. “I’m sure no one here would do a thing like that.” 

d. “Be careful when you accuse someone.” 

16. During the nurse’ conversation with the client, the client states, “I have no reason to be sad. I have a great job and a wonderful wife and family.” Which of the following comments are would be best for the nurse to make at this time?  

a. “Why do you think you’re depressed?” 

b. “Think about how fortunate you are.” 

c. “You have many positive qualities.” 

d. “Depression can be caused by a chemical imbalance in the brain.”    

SITUATION: The client was admitted to the psychiatric unit yesterday. The nurse observes that his head is bowed in a dejected manner, his facial expression is sad, and he isolates himself in his room. 

17. After a few minutes of conversation, the client wearily asks the nurse, “Why pick me to talk to when there are so many other people here?” Which reply by the nurse would be best?” 

a. “I’m assigned to care for you today, if you’ll let me.” 

b. “You have a lot of potential, and I’d like to help you.” 

c. “Why shouldn’t I want to talk to you, as well as the others?” 

d. “You’re wondering why I’m interested in you, and not in others?” 

18. The client begins to attend group sessions daily. She explains to the group how she lost her job. Which of the following statements by a group member would be most therapeutic for the client? 

a.  “Tell us about what you did on your job?” 

b. “It must have been very upsetting for you.” 

c. With your skills, finding another job would be easy.” 

d. “The company must have had some reason for letting you go. 

19. The client admits to having thoughts of suicide, he is lethargic, withdrawn and irritable. In conversations with the nurse, he stresses his faults. When he starts to point out the things he can’t do, which of the following responses by the nurse would provide best intervention? 

a.   “You can do anything you out your mind to.” 

b.  “Try to think more positively about yourself.” 

c.  “Let’s talk about your plans for the weekend.” 

d.  “You were able to write a letter to your friend today.” 

20. The client states, “I’m looking forward to going back to work, but I wonder if I’ll be able to keep up with the demands of my job.” Which of the following statements by the nurse would be most helpful? 

a. “You’ll do well. You have an excellent work record.” 

b. “I wouldn’t worry about it. The main thing to remember is that you can work.” 

c. “You might need extra breaks at first until you feel better.” 

d. “You sound concerned. I want to hear more about how you are feeling.” 

PSYCHIATRIC DISORDERS AND CONDITIONS

21.   The situation in which individuals have excessive worry or belief that they are suffering from a physical illness despite lack of medical evidence is known as: 

a. Pain disorder 

b. Phobic disorder 

c. Somatoform disorder  

d. Dissociative disorder 

22.   A newly admitted client states, “No one cares, everyone is against me.” This type of statement is consistent with what disorder? 

a. Paranoid personality disorder 

b. Schizoid personality disorder 

c. Schizotypal personality disorder 

d. Antisocial personality disorder 

23. Your client states, “I work for the government, and I am so important in my office that that the other people will not be able to work without me.” This is characteristic of: 

a. A histrionic personality disorder 

b. An antisocial personality disorder 

c. A narcissistic personality disorder 

d. A multiple personality disorder 

24.  An appropriate nursing diagnosis of a client with a major depression is: 

a. Alteration in activity 

b. Alteration in perceptions 

c. Alteration in affect 

d. Alteration in social activity 

25. A client is diagnosed with catatonic schizophrenia. Which is the highest priority nursing diagnosis? 

a. Noncompliance 

b. Impaired communication 

c. Ineffective coping 

d. Self-care deficit 

26.  A disorder where an individual may manifest a personality that is opposite to a previous identity is: 

a. Psychogenic amnesia 

b. Somatoform disorder 

c. La  belle indifference 

d. Psychogenic fugue 

27. Personality disorders, on the multi-axial diagnosis, appear in: 

a. Axis I 

b. Axis II 

c. Axis III 

d. Axis IV 

28. For clients with paranoid disorders, which would be an initial goal? 

a. The clients will diminish suspicious behavior. 

b. The clients will express thoughts and feeling verbally. 

c. The clients will develop a sense of trust of reality that is validated by others 

d. The clients will establish trusting relationships with staff 

29. Parents are at the clinic with a child diagnosed with attention deficit hyperactivity disorder. Which group of characteristics would the nurse most likely observe in the waiting room of the clinic? The child: 

a. Plays with 2 children in the waiting room 

b. Runs over and turns on the video player without listening to parents’ directions 

c. Constantly wiggles a leg when waiting to take a turn at the board game 

d. Puts the toy truck back into the playbox only after visiting with three other children and their parents 

30.  The nurse is careful not to act rushed or inpatient with the client and gradually learn that the client is very down and feel worthless and unloved. In view of the fact that the client had previously made a suicidal gesture, which of the following interventions by the nurse would be a priority at this time? 

a. Ask the client frankly if she has thought of or plans of committing suicide 

b. Avoid bringing up the subject of suicide to prevent giving the client ideas of self-harm 

c. Outline some alternative measures to suicide for the client to use during periods of sadness 

d. Mention others the nurse has known who  have felt like the client and attempted suicide, to draw her out 

PSYCHIATRIC DRUGS

31.  Based on the knowledge of electro-convulsive treatment, the nurse explains to the student nurse that atropine is given before the treatment primarily to: 

a. Minimize intestinal contractions 

b. Decrease anxiety 

c. Dry up body secretions 

d. Prevent aspiration 

32. Lithium, the drug of choice for bipolar disorders, has a narrow therapeutic range of: 

a. 0.5 mEq/L to 1.5 mEq/L 

b. 0.6 mEq/L to 1.0 mEq/L 

c. 0.7 mEq/L to 1.3 mEq/L 

d. 1.0 mEq/L to 2.o mEq/L 

33.   A client is receiving monoamine oxidase inhibitors (MAOIs) as part of the treatment. Which food  would be most important for the nurse to stress to avoid? 

a. Organ meats 

b. Sardines 

c. Shellfish 

d. Legumes 

34. A patient receiving lithium carbonate complains of blurred vision and appears confused. The nurse also notices that the client is having difficulty maintaining balance. Which of these nursing actions are appropriate? 

a. Administer a PRN antiparkinsonism drug and hold all other drugs 

b. Take the client’s vital signs and administer high-potassium foods 

c. Hold the client’s next dose of medication and notify the physician immediately 

d. Sit with client to talk and teach the side effects of lithium 

35. Many of the major tranquilizers display untoward side effects. The one side effect displaying irreversible, abnormal, involuntary movements of the tongue and mouth is: 

a. Akathisia 

b. Tardive dyskinesia 

c. Agranulocytosis 

d. Dystonia 

36. Which classification of drugs may be used in children to treat enuresis?  

a. Tricyclic antidepressant 

b. Major tranquilizers 

c. Antianxiety agents 

d. Hypnotic 

37. A client has been medicated with trifluperazine HCl (Stelazine) for a prolonged period of time. How would the nurse check for early signs of tardive dyskinesia? 

a. Akathisia of the lower extremities 

b. Cogwheel rigidity at the elbow 

c. Drying of the mucous membranes 

d. Vermiform movements of the tongue 

38.When the nurse checks the lithium level of a client on the unit, it is 2.0 mEq/L. What would the interpretation/action by the nurse be? 

a. The level is within therapeutic range; do nothing. 

b. The level is below therapeutic range; call the physician. 

c. The level is slightly elevated but does not require any nursing action. 

d. This level is high; the client should be assessed for manifestation of toxicity. 

39. The nurse judges correctly that a client is experiencing an adverse effect from amitriptyline hydrochloride (Elavil) when the client demonstrates 

a. An elevated blood glucose level 

b. Insomnia 

c. Hypertension 

d. Urinary retention 

40.  The client has been taking lithium carbonate (Lithane) for hyperactivity, as prescribed by his physician. While the client is taking this drug, the nurse should ensure that he has adequate intake of 

a. Sodium  

b. Iron 

c. Iodine 

d.Calcium 

TREATMENT MODALITIES & THERAPIES

41.  What is the expected outcome when working with a client who has experienced a crisis? 

a. Stabilization of moods with medications and return to previous levels of functioning 

b. Recovery from the crisis and return to pre-crisis levels of functioning 

c. Recovery from the crisis with intense out-client therapy 

d. Recovery from the crisis with total adjustment at pre-crisis events 

42. An actively psychotic client is being assessed by the nurse for a participation in a milieu group. Which is the most appropriate group for this client? 

a. A highly structured task-oriented group 

b. An activity group 

c. A group is not appropriate 

d. A movement therapy group, after a short period of isolation 

43. The role of the nurse in environmental therapy includes: 

a. Coordinating team activities, maintaining the environment 24 hrs. a day 

b. Referring others to work with families, observing in groups 

c. Coordinating medical care, selecting programs 

d. Observing community meetings leading groups 

44. The activity therapy the nurse would select to promote reminiscing in a group with age over 70 is:

a. Poetry 

b. Art 

c. Movement 

d. Music 

45.  The registered nurse is discussing with a student the guidelines for the use of restraints. Which of the statements by the students indicates a need for clarification? 

a. An adequate number of staff are needed before restraints are attempted. 

b. Being restrained may help the client gain physical control 

c. A physician’s order is required initially, followed by frequent renewal 

d. The use of restraints requires the supervision of a licensed and certified professional   

46. A client seeks counseling from the nurse for marital conflict that includes a history of physical abuse. What would be the initial intervention in this client’s plan of care? 

a. Assist the client in identifying aspects of the client’s life that are under the control of the client

b. Facilitate the client’s desire to gain knowledge of the democratic family process 

c. Discuss issues of the use of stereotypic gender role behavior and the effect of violence in the family

d. Explain theories of family violence so the client understands patterns in the marital conflict 

47. A client is to receive his first electro-convulsive treatment (ECT). He states, “I’m afraid because my roommate told me I’ll forget everything and my memory will never return.” What is the best response? 

a. Don’t worry about it. You will get your memory back.” 

b. You may not experience memory loss, but you still need ECT to get better.” 

c. It may be best if you can’t remember certain things.” 

d. There is memory loss, but it will return over a 2-3 week period 

48.   A therapist is leading in a client group. Which is most important to the development of the group process? 

a. Planning 

b. Goal setting 

c. Problem-solving 

d. Reality orientation 

49.   Therapeutic treatment of a female client with ritualistic behavior should be directed       toward helping her to: 

a. Redirect her energy into activities to help others 

b. Learn that her behavior is not serving a realistic purpose  

c. Forget her fears by administering antianxiety medications 

d. Understand her behavior is caused by unconscious impulses that the fears 

50. A client is participating in a crafty therapy session when suddenly he begins to shout at another client, “Stop watching me. I know what you’re up to. I’ll get you…” What will be the best immediate action for the nurse to take? 

a.    Disband the group immediately 

b.   Instruct the client to follow the nurse to  her room 

c.    Tell the client that no one is watching her 

d.   Ask the other clients to stop looking at this person 

ANSWER KEY
1. C   2. D  3. D  4. D  5. C  6. D  7. B  8. C  9. D  10. B	11. B  12. B  13. B  14. C  15. B  16. D  17. D  18. B  19. D  20. D	21. C  22. A  23. C  24. C  25. D  26. D  27.  A  28. B  29. B  30. A	31. D  32. A  33. B  34. C  35. B  36. A  37. D  38. D  39. D  40. A	41. D  42. C  43. A  44. D  45. D  46. B  47. D  48. B  49. D  50. B

Naruto

Naruto (NARUTO—ナルト—^?, romanized as NARUTO) is an ongoing Japanese manga series writ

ten and illustrated by Masashi Kishimoto. The plot tells the story of Naruto Uzumaki, an adolescent ninja who constantly searches for recognition and aspires to become a Hokage, the ninja in his village that is acknowledged as the leader and the strongest of all. The series is based on a one-shot comic by Kishimoto that was published in the August 1997 issue ofAkamaru Jump.

The manga was first published by Shueisha in 1999 in the 43rd issue of Japan's Weekly Shōnen Jump magazine. Currently, the manga is still being serialized; fifty-one tankōbon volumes have been released so far. The manga was later adapted into an anime, which was produced byStudio Pierrot and Aniplex. It premiered across Japan on the terrestrial TV Tokyo network and the anime satellite television network Animax on October 3, 2002. The first series lasted 220 episodes, while Naruto: Shippuden, a sequel to the original series, has been airing since February 15, 2007. In addition to the anime series, Studio Pierrot has developed six movies for the series and several original video animations (OVAs). Other types of merchandise includelight novels, video games and trading cards developed by several companies.

Viz Media has licensed the manga and anime for North American production. Viz has been publishing the series in their Shonen Jump magazine, and as well as the indidividual volumes. The anime series began airing in the United States and Canada in 2005, and later in the United Kingdom and Australia in 2006 and 2007, respectively. The films, as well as most OVAs from the series, have also been released by Viz, with the first film premiering in cinemas. The first DVD volume of Naruto: Shippuden was released by Viz in North America on September 29, 2009, and it started broadcast on Disney XD in October of the same year.

The manga has sold over 100 million copies in Japan. Serialized in Viz's Shonen Jumpmagazine, Naruto has become one of the company's best-selling manga series. The English adaptation of the series has also appeared in the USA Today Booklist several times and volume 11 won the Quil Award in 2006. Reviewers from the series have praised the balance between fighting and comedy scenes, as well as the characters' personalities, but have criticized it for using standard shōnen plot elements.

Naruto Uzumaki is a young boy who has the Nine-Tailed Demon Fox sealed within him. Twelve years before the start of the series, the Nine-Tailed Demon Fox attacked the ninja villageKonohagakure, slaughtering many people. In response, the leader of Konohagakure and its ninja military – the Fourth Hokage – sacrificed his life to seal the demon inside Naruto when he was a newborn. Konohagakure, however, regarded Naruto as if he were the demon fox itself and mistreated him throughout most of his childhood. A decree made by the Third Hokage, who replaced the Fourth Hokage after his death, forbade anyone mention the attack of the demon fox to anyone else. This included Naruto, who was not aware of the demon inside of him.

Years later, Naruto is tricked by the renegade ninja Mizuki into stealing a forbidden scroll, but he is stopped by his teacher, Iruka Umino. When Iruka almost dies while protecting Naruto from Mizuki, Naruto uses a Jutsu he learned from the scroll that creates multiple clones of himself,Shadow Clone Technique, to defeat Mizuki. This encounter leads Naruto to realize that he is the container of the demon fox.

The main story follows Naruto and his friends. Naruto befriends two comrades, Sasuke Uchihaand Sakura Haruno, who are assigned with him to form a three-person team named Team 7 under an experienced sensei named Kakashi Hatake. Like all the ninja teams from every village, Team 7 is charged with completing missions requested by villagers, such as doing chores or being bodyguards. During the course of their missions, Naruto befriends other characters that he meets throughout the series. Team 7 learns new abilities, get to know each other, and experience a coming-of-age journey as Naruto dreams of becoming the Hokage of Konohagakure.

After several missions, Kakashi allows Team 7 to participate into a ninja exam in which they can improve their ranks, and thus, take part in more difficult missions. During the exams,Orochimaru, a criminal at the top of Konohagakure's most wanted list, attacks Konoha and kills the Third Hokage in an act of revenge. This forces one of the three legendary ninja, Jiraiya to search for his former teammate Tsunade, who has been nominated to become the Fifth Hokage. During the search, it is revealed that Orochimaru desires to acquire Sasuke Uchiha due to his powerful genetic heritage. Believing Orochimaru will be able to give him the strength needed to kill his brother Itachi, who destroyed his clan, Sasuke goes to him in search of power. Tsunade sends a group of ninja including Naruto to make Sasuke return to Konoha, but Naruto is unable to defeat him and bring him back to the village. Naruto does not give up on Sasuke, however, and he leaves Konoha to train for two-and-a-half years under Jiraiya's tutelage in order to prepare himself for the next time he encounters Sasuke.

After the training period, a mysterious organization called Akatsuki attempts to capture the nine powerful tailed beasts including the Nine-Tailed Demon Fox sealed inside of Naruto. Several ninjas from Konohagakure, including Team 7, fight against the Akatsuki members and search for their teammate Sasuke. Although they manage to save Gaara the host of the One-Tailed beast, Akatsuki is successful in capturing seven of the creatures. In the meantime, Sasuke betrays Orochimaru and faces Itachi to take revenge. Although Itachi dies in battle, Sasuke is later told by the Akatsuki founder Madara Uchiha that Itachi was ordered by Konohagakure's leadership to destroy his clan. Saddened with this revelation, Sasuke joins forces with Akatsuki to destroy Konohagakure. Meanwhile, as several Akatsuki members are defeated by the Konohagakure ninja, their leader, Pain, invades the village to capture Naruto. However, Naruto defeats Pain's multiple bodies and convinces the real one to leave Akatsuki.

With Pain leaving, Madara announces that he wants to obtain the all nine of the tailed beasts in order to perform an illusion powerful enough to control humanity. All of the leaders of the five ninja villages refuse to aid him, and instead, join forces to confront him.

Production

Masashi Kishimoto first created a one-shot of Naruto for August 1997 issue of Akamaru Jump.^[1]Despite its high positive results in the reader poll, Kishimoto thought "[the] art stinks and the story's a mess!" Kishimoto was originally working on Karakuri for the Hop Step Award when, unsatisfied by the rough drafts, he decided to work on something different, which later formed into the manga series Naruto. Kishimoto has expressed concerns that the use of chakras and hand signs makes Naruto too Japanese, but still believes it to be an enjoyable read.^[2]

When originally creating the Naruto story, Kishimoto looked to other shōnen manga as influences for his work, although he attempted to make his characters as unique as possible.^[3]The separation of the characters into different teams was intended to give each group a specific flavor. Kishimoto wished for each member to be "extreme," having a high amount of aptitude in one given attribute yet be talentless in another."^[4] The insertion of villains into the story was largely to have them act as a counterpoint to the characters' moral values. Kishimoto has admitted that this focus on illustrating the difference in values is central to his creation of villains to the point that, "I don't really think about them in combat."^[5] When drawing the characters, Kishimoto consistently follows a five-step process: concept and rough sketch, drafting, inking, shading, and coloring. These steps are followed when he is drawing the actual manga and making the color illustrations that commonly adorn the cover of tankōbon, the cover of Weekly Shōnen Jump, or other media, but the toolkit he utilizes occasionally changes.^[6] For instance, he utilized an airbrush for one illustration for a Weekly Shōnen Jump cover, but decided not to use it for future drawings largely due to the cleanup required.^[7] For Part II, the part of the manga beginning with volume 28, Kishimoto said that he attempted to not "overdo the typical manga style" by not including "too much deformation" and keeping the panel layouts to make it easy for the reader to follow the plot. Kishomoto said his drawing style changed from "the classic manga look to something a bit more realistic."^[8]

Kishimoto added that, as Naruto takes place in a "Japanese fantasy world," he has set certain rules, in a systematic way so that he could easily "convey the story." Kishimoto wanted to "draw on" the Chinese zodiac tradition, which had a long-standing presence in Japan; the zodiac hand signs originate from this. When Kishimoto was creating the setting of the Naruto manga, he initially concentrated on the designs for village of Konohagakure, the primary setting of the series. Kishimoto asserts that his design for Konohagakure was created "pretty spontaneously without much thought", but admits that the scenery is based on his home in the Okayama prefecture in Japan. Without a specific time period, Kishimoto included modern elements in the series such as convenience stores, but specifically excluded projectile weapons and vehicles from the storyline. For reference materials, Kishimoto performs his own research into Japanese culture and alludes to it in his work.^[9] Regarding technology Kishimoto said that Naruto would not have any firearms. He said he may include automobiles, aircraft and "low-processing" computers; Kishimoto specified the computers would "maybe" be eight-bit and that they would "definitely not" be sixteen-bit.^[10] He has also stated that he has a visual idea of the last chapter of the series, including the text and the story. However, he notes that it may take a long time to end the series since "there are still so many things that need to be resolved".^[11]

When asked about what was Naruto's main theme during Part I, Kishimoto answered that it is how people accept each other citing Naruto's development in such part. Kishimoto said that since he was unable to focus on romance during Part I, he was to emphasize it more in Part II, despite finding it difficult.^[12]

Manga

Naruto premiered in Shueisha's Weekly Shōnen Jump magazine in 1999.^[13] The first 238 chapters are known as Part I, and constitute the first part of the Naruto storyline. Manga chapters 239 to 244 comprise a gaiden series focusing on the background of the character Kakashi Hatake. All subsequent chapters belong to Part II, which continues the storyline in Part I after a two and a half year time gap. Besides the regular Naruto manga, a spin-off series focused in the character of Rock Lee started being published in Shueisha's Super Strong Jump since December 2010.^[14]

The Naruto manga is serialized in North America by Viz Media in their manga anthology magazine Shonen Jump, with the first chapter of the English adaptation published in the January 2003 issue.^[15] To compensate for the gap between the Japanese and English adaptations of the manga, Viz implemented its "Naruto Nation" campaign, where it released three volumes a month in the last four months of 2007 in order to close said gap.^[16] Cammie Allen, Viz's product manager, commented that, their main reason for the schedule was to catch up to the Japanese release schedule to give their readers a similar experience to that of Japanese readers.^[16] A similar campaign was planned for 2009, with eleven volumes from Part II of the series being released between February and April in order to catch up to the Japanese serialization. Starting with the release of volume forty-five in July, Viz will begin releasing Naruto on a quarterly basis.^[17]

As of 2010, 51 tankōbon have been released by Shueisha in Japan, with the first twenty-seven tankōbon containing Part I, and the remaining twenty-four belonging to Part II. The first tankōbon was released on March 3, 2000.^[18][19] In addition, several tankōbon, each containing ani-manga based one of the Naruto movies, have been released by Shueisha.^{[20][21][22][23]} In Japanese, Shueisha has also released the series for cell-phone download on their website Shueisha Manga Capsule.^[24] Viz has released 46 volumes of the English adaptation of the manga with the first being published on October 6, 2009.^[25][26] In addition, Viz Media released all twenty-seven volumes in a boxed set, thus constituting the entirety of the Naruto storyline before Part II on November 13, 2007.^[27]

Naruto has been well received in both Japan and the United States. As of volume 36, the manga has sold over 71 million copies in Japan,^[116]while in 2008 it increased to 89 million.^[117] In April 2010, Shueisha announced Naruto sold 100.4 million copies, becoming the fifth manga from Shueisha that sold more than 100 million.^[118] During 2008, volume 43 sold 1.1 million copies becoming the 9th best-selling comic from Japan. Volumes 41, 42 and 44 also ranked within the top 20, but had smaller sold copies.^[119] In total, the manga sold 4.2 million copies in Japan during 2008, becoming the 2nd best-selling series.^[120] In the first half from 2009, it ranked as the 3rd best-seller manga from Japan, having sold 3.4 million copies.^[121] In such period, volume 45 ranked 5th with 1.1 million sold copies, while volume 46 ranked 9th, having sold 864,708 copies and volume 44 at 40th place.^[122]

The Naruto manga series has become one of Viz's top properties,^[123] accounting for nearly 10% of all manga sales in 2006.^[124] Gonzalo Ferreyra, Vice President of Sales and Marketing for Viz, noted that the volumes's sales of Naruto astonished him as the attrition on the series is relatively low.^[125] ICv2 has listed it as the top manga property from North America several times.^[126][127] The seventh volume of Viz's release became the first manga win a Quill Award when it claimed the award for "Best Graphic Novel" in 2006.^[124] The manga also appeared in the USA Today Booklist with volume 11 holding the title of the highest ranked manga series on the list, until it was surpassed by volume 28, which claimed the 17th rank in its first week of release in March 2008.^{[128][129][130]} Volume 28 also had one of the biggest debut weeks of any manga in years, becoming the top selling manga volume of 2008 as well as the second best-seller book in North America.^[131][132] During its release, volume 29 ranked #57, while the volume 28 had dropped to #139.^[133] In April 2007, volume 14 earned Viz the "Manga Trade Paperback of the Year" Gem Award from Diamond Comic Distributors.^[134] The manga series also became the top manga property from 2008 in the United States with 31 volumes having been published during the chart.^[135] Searches for the word "Naruto" were #7 on the Yahoo! web search engine's list of the top 10 most popular search terms of 2008, and #4 from 2007.^[136] Responding toNaruto's success, Kishimoto said in Naruto Collector Winter 2007/2008 that he was "very glad that the American audience has accepted and understood ninja. It shows that the American audience has good taste... because it means they can accept something previously unfamiliar to them."^[137]

The series has received praise and criticism by several reviewers. A. E. Sparrow from IGN noted how some manga volumes focus only in certain characters to the point the number of fans increases. He also praised the way that Kishimoto manages to make a remarkable combinations of fighting scenes, comedy and good artwork.^[138] The anime and manga magazine Neo described Naruto's character as "irksome", but attributed the series' "almost sickening addictiveness" to its level of characterization.^[139] Carl Kimlinger from Anime News Network (ANN) praised the designs of the characters, since every one shows their unique way of acting and appearance. He also noted how even the "goofiest looking character" can act "damn cool" when he fights. However, Kimlinger noted that in some volumes there are several fights, so the plot is not able to develop, however he praised how each of the battles were emotional.^[140] The series has also been praised for remaining enjoyable after several volumes by Javier Lugo from mangalife.com, who also praised the antagonists as well as the fights scenes from the manga. Kishimoto's artwork was also commented by Lugo as it makes the story "dramatic, exciting, and just right for the story he’s telling".^[141] The start of Part II has been praised in another review by Casey Brienza from ANN. She noted how well the characters were developed as they had new appearances and abilities. Brienza also praised the balance between plot and action scenes allowing the readers the enjoy the volume. However, she noted that it is not frequent that all the volumes have the same quality.^[142] Briana Lawrence from Mania Entertainment added that in Part II, the manga feels "adult" since several characters grew up but there are still comedy parts in the series. However, Viz's translations were criticized for being "inconsisent" due to the change of some Japanese terms to English, while other words were left intact.^[143]

The Spanish webcomic author Jesús García Ferrer (JesuLink) created the parody webcomic Raruto, based on Naruto. As of 2008 about 40,000 people in Spain read Raruto.^[144]

Anime series

Naruto

Main article: List of Naruto episodes

Directed by Hayato Date and produced by Studio Pierrot and TV Tokyo, the Naruto anime adaptation premiered in Japan on TV Tokyo October 3, 2002, and ran for 220 episodes until its conclusion on February 8, 2007.^[28][29] The first 135 episodes are adapted from the firsttwenty-seven volumes of the manga, while the remaining eighty episodes are original episodes that utilize plot elements not seen in the original manga.^[30] Beginning on April 29, 2009, the original Naruto anime began a rerun on Wednesdays and Thursdays (until the fourth week September 2009 when it changed to just Wednesdays) in HDTV with new opening and ending themes under the name Shōnen Hen (少年篇^?, "Youth Version").^{[citation needed]}

Episodes from the series have been published in DVD. The first DVD series has been the only one to be collected in VHS format.^[31] There are a total of five series, with each of the including four episodes per volume.^[32] The series has also been collected in a series of three DVD boxes during 2009.^[33][34] The newest DVD series is Naruto The Best Scene which collects scenes from the first 135 episodes from the anime.^[35]

Viz licensed the anime series for broadcast and distribution in the Region 1 market. The English adaptation of the anime began airing on September 10, 2005 and finished on January 31, 2009, with 209 episodes aired.^[36] The episodes have been shown on Cartoon Network'sToonami (United States), YTV's Bionix (Canada) and Jetix's (United Kingdom) programming blocks. YTV still airs the show with newer ones at midnight on Sundays and with reruns at 4am on Tuesdays-Fridays. Beginning on March 28, 2006, Viz released the series on DVD.^[37]While the first 26 volumes contain four episodes, since DVD volumes have five episodes.^[38] Uncut editions are compiled in DVD Box Sets, each containing 12-15 episodes, with some variation based around story arcs.^[39] In the American broadcast, references to alcohol, Japanese culture, sexual innuendo, and the appearance of blood and death were sometimes reduced for the broadcast, but left in the DVD editions.^[40]Other networks make additional content edits apart from the edits done by Cartoon Network, such as Jetix's stricter censoring of blood, language, smoking and the like. The series has also been licensed to the websites Hulu, Joost, and Crunchyroll, which air episodes online with the original Japanese audio tracks and English subtitles.^[41][42][43] The last Naruto episode aired on YTV's Bionix block on December 6,2009 at 12:30am ET.^[44]

In TV Asahi's latest top 100 Anime Ranking from October 2006, Naruto ranked 17th on the list.^[145] Naruto Shippuden has ranked several times as one of most watched series in Japan.^[146][147] The Naruto anime adaptation won the "Best Full-Length Animation Program Award" in the Third UStv Awards held in the University of Santo Tomas in Manila, Philippines.^[148] The first of the DVD compilations containing thirteen episodes, released by Viz was nominated at the American Anime Awards for best package design.^[149] It also ranked as the third best-seller anime property from all 2008.^[150] Naruto was named "Best Full Animated Program" at the USTv Student's Choice Awards 2009 held at the UST Medicine Auditorium on February 19, 2009.^[151] In ICv2's "Top 10 Anime Properties" from the first half of 2009, Naruto ranked as the second best anime franchise.^[152] The episodes from Naruto: Shippuden have appeared various times in Japanese Anime TV Ranking.^[153][154] DVD sales from Naruto: Shippuden have also been good, having appeared several times in the Japanese Animation DVD Ranking.^[155][156] The freely streamed episodes from Naruto: Shippuden have an average of 160,000 viewers a week.^[157] Naruto has also been 20th among shows and channels from Hulu in February from 2009. In Joost, it was first during the same month. In February, Naruto: Shippuden was first among the animated shows on Joost while Naruto stayed second.^[158]

The Naruto anime was listed as the 38th best animated show in IGN's Top 100 Animated Series.^[159] Reviewers noted that the primary focus of the series was on the fighting since they consider that the fight scenes are more dedicated than backgrounds. The music has also been noted to be a good match with the fighting scenes though it sometimes interferes with the dialogues.^[160] Martin Theron from ANN criticized the series for long fights, but he also noted that most of them break the "stereotypical shōnen concepts." The soundtracks have been praised for enhancing the excitement and mood of the storytelling.^[161] Although Christina Carpenter of T.H.E.M. Anime Reviews considered the characters from the series as "likeable", she commented that most of them did not surpass the "stereotypics" that appear in shōnen manga. She also considered Kishimoto "an average artist at best" and derided the poor transition of his artistic style into animation.^[162] Despite this, the second reviewer from T.H.E.M. Anime Reviews, Derrick L. Tucker, admitted that when the animators were at their best, they produced "artistic renderings that leave little to be desired on the part of fans of the manga", but concluded the animation was "a mixed bag". He also added that while fights were entertaining, due to the large number of them, the plot takes time to continue.^[163] Some critics panned theBattle at Hidden Falls special, as being a throw back to the earliest episodes of the main Naruto series. ANN' s reviewer called it a poor addition to the Naruto franchise that didn't "do the series justice" but may make viewers gain new appreciation for how far the series has progressed since its earliest episodes.^[164] Todd Douglass Jr. from DVD talk commented the OVA was good overrall but it still lacked the depth that common story arcs from the series have.^[165] Naruto: Shippuden received good response from Activeanime's David C. Jones who commented on the new characters designs and the animation's improvement. Like Lawrence when reviewing the Part II manga, Jones also felt the series to be more serious and more dramatic.^[166]

Naruto: Shippuden

Main article: List of Naruto: Shippuden episodes

Marquee at the Viz Media headquarters inSan Francisco advertising Naruto Shippuden on Disney XD

Naruto: Shippuden (ナルト 疾風伝 Naruto Shippūden^?, lit. "Naruto: Hurricane Chronicles") is the ongoing sequel to the original Naruto anime and covers the Naruto manga from volume twenty-eight on. The TV adaptation of Naruto: Shippuden debuted in Japan on February 15, 2007 on TV Tokyo. It is developed by Studio Pierrot and directed by Hayato Date.^[30][45] ABS-CBN is the first TV network outside Japan to broadcast Naruto: Shippuden; it aired the first 40 episodes of Naruto: Shippuden, running the show through March 19, 2008. On January 8, 2009, TV Tokyo began broadcasting new episodes via internet streaming directly to monthly subscribers. Each streamed episode is made available online within an hour of its Japanese premiere and includes English subtitles.^[46] Viz began streaming English subtitled episodes on January 2, 2009, on its official website for the series. The uploaded episodes include both previously released episodes and the new episodes from Japan.^[47] Since October 2009, the English dub of Naruto: Shippuden started airing weekly on Disney XD.^[48]

The series is being released to Region 2 DVD in Japan with four or five episodes per disc. There are currently four series of DVD releases divided by story arc.^[49] There is also a special feature included with the seventh Naruto: Shippudencompilation DVD based on the second ending of the series called Hurricane! "Konoha Academy" Chronicles.^[50] Besides the regular DVD series, on December 16, 2009 Kakashi Chronicles: Boys' Life on the Battlefield (カカシ外伝～戦場のボーイズライフ～ Kakashi Gaiden ~Senjō no Bōizu Raifu~^?) was released featuring episodes 119-120 which are set during Kakashi Hatake's childhood.^[51] The first North American DVD of the series was released on September 29, 2009.^[52]

CDs

Cover of Naruto Shippūden Original Soundtrack

The Naruto soundtracks were composed and arranged by Toshio Masuda. The first, titled Naruto Original Soundtrack, was released on April 3, 2003 and contained twenty-two tracks that appeared during the first season of the anime.^[53] The second, called Naruto Original Soundtrack II was released on March 18, 2004 and contained nineteen tracks.^[54] The third, called Naruto Original Soundtrack III was released on April 27, 2005 and contained twenty-three tracks.^[55]

A series of two soundtracks containing all the opening and ending themes of the series, titledNaruto: Best Hit Collection and Naruto: Best Hit Collection II were released on November 17, 2004 and August 2, 2006, respectively.^[56][57] Of all tracks of the series, eight were selected and released as a CD called Naruto in Rock -The Very Best Hit Collection Instrumental Version- that was released on December 19, 2007.^[58] Each of the three movies of the first anime series has a soundtrack that was released near its release date.^[59][60][61] Various Drama CD series have also been released in which the voice actors play original episodes.^[62]

The soundtracks of Naruto: Shippuden have been produced by Yasuharu Takanashi. The first,Naruto Shippūden Original Soundtrack was released on December 9, 2007.^[63] The second CD,Naruto Shippuden Original Soundtrack II, was published on December 16, 2009.^[64] Naruto All Stars was released on July 23, 2008 and consists of ten original Naruto songs remixed and sung by characters from the series.^[65] The two films from the sequel also had their soundtracks, with the first released on August 1, 2007 and the second on July 30, 2008.^[66][67]

Original video animations

There are five Naruto original video animations (OVAs). The first two, Find the Crimson Four-Leaf Clover! and Mission: Protect the Waterfall Village!, were aired at the Shōnen Jump Jump Festa 2003 and Jump Festa 2004, respectively, and were later released on DVD.^[68] The English localization of the second OVA was released on DVD by Viz on May 22, 2007.^[69] The third OVA, Finally a clash! Jonin VS Genin!! Indiscriminate grand melee tournament meeting!!, was released on a bonus disc with the Japanese edition of the Naruto: Ultimate Ninja 3video game for the PlayStation 2.^[70] The fourth OVA, Konoha Annual Sports Festival, is a short video released with the first Naruto movie. In North America, the OVA was included in the "Deluxe Edition" DVD from the first film.^[71] The fifth OVA, Naruto: The Cross Roads, was featured at the Jump Festa 2010. It is focused in Team 7 after their encounter with Zabuza and Haku.^[72] A short OVA was also included within the DVD "Naruto x UT Original DVD" released on January 1, 2011 as promoted by UNIQLO.^[73]

Films

The series has also spawned seven films; with the first three situated during the first anime series, the remaining from Naruto: Shippūden. The first film, Ninja Clash in the Land of Snow, was released on August 21, 2004 in Japan. It tells how Team 7 is dispatched to the Land of Snow to protect the actors during the shooting of the new Princess Fuun movie, to whom Naruto became a fan. As a bonus, the short original video animation Konoha Annual Sports Festival was included with the Japanese release of the film.^[74] It premiered on September 6, 2007 in the United States.^[75][76]

It was followed by Legend of the Stone of Gelel, which was released in theaters in Japan on August 6, 2005. The film involves Naruto, Shikamaru and Sakura during a ninja mission in which they are involved in a war between the Sunagakure village and a large number of armored warriors.^[77] Unlike its predecessor, Legend of the Stone of Gelel did not see a theatrical release in the United States, and was direct-to-video instead. It aired on Cartoon Network on July 26, 2008 and then was released to DVD July 29, 2008.^[78]

The third film, Guardians of the Crescent Moon Kingdom, was originally released on August 5, 2006. It shows how Naruto, Sakura, Lee, and Kakashi are assigned to protect the future prince of the Land of Moon, Hikaru Tsuki.^[79] The English dub of the movie aired on Cartoon Network and was released to DVD on November 11, 2008.^[80][81] On July 3, 2008, Sony released a Japanese DVD Box containing the first three movies.^[82]

The series' fourth film, Naruto: Shippūden the Movie, was released on August 4, 2007, and chronicles Naruto's assignment to protect the priest Shion who starts having visions of his death.^[83] The fifth film, Naruto Shippūden 2: Bonds, was released on August 2, 2008. It tells how ninja from the Sky Country attack Konoha and to stop them, Naruto and Sasuke join forces although the latter has already left two years ago.^[84] The next film is Naruto Shippūden 3: Inheritors of the Will of Fire, which premiered in Japan on August 1, 2009.^[85] Naruto Shippūden 4: The Lost Tower is the latest film which premiered in Japan on July 31, 2010.^[86]

Light novels

Three Naruto light novels, written by Masatoshi Kusakabe, have been published in Japan by Shueisha, while the first two were released in English in North America by Viz. The first, Naruto: Innocent Heart, Demonic Blood (白の童子、血風の鬼人^?), retells Team 7's mission in which they encounter the assassins Zabuza and Haku. It was released on December 16, 2002 in Japan and November 21, 2006 in North America.^[87][88] The second novel Naruto: Mission: Protect the Waterfall Village! (滝隠れの死闘　オレが英雄だってばよ！ Takigakure no Shitō Ore ga Eiyū dattebayo!^?, lit. The Waterfall Village's Fight to the Death I am the Hero!), based on the 2nd original video animation of the anime, was published on December 15, 2003 in Japan and October 16, 2007 in the United States.^[89][90] The latest novel is an adaptation of the firstNaruto film and was published on August 23, 2004.^[91] Viz has also started to publish new novels called Chapter Books written by Tracey West, and with illustrations from the manga. Unlike the series, the novels are aimed to children aged 7 to 10 years old.^[92] The first two novels were released on October 7, 2008 and currently at least 11 novel have been published.^[93][94][95]

Video games

Main article: List of Naruto video games

Naruto video games have appeared on various consoles from Nintendo, Sony and Microsoft. Most of them are fighting games in which the player controls one of a select few characters directly based upon their counterparts in the Naruto anime and manga. The player pits their character against another character controlled by the game's AI or by another player, depending on the mode that the player is in. The objective is to reduce the opponent's health to zero using basic attacks and special techniques unique to each character that are derived from techniques they use in the Naruto anime or manga.^[96] The very first Naruto video game was Naruto: Konoha Ninpōchō, which was released in Japan on March 27, 2003, for the WonderSwan Color.^[97] Most Naruto video games have been released only in Japan. The first games released outside Japan were the Naruto: Gekitou Ninja Taisen series and the Naruto: Saikyou Ninja Daikesshu series, released in North America under the titles of Naruto: Clash of Ninja and Naruto: Ninja Council.^[98][99]

Trading card game

Naruto Collectible Card Game (ナルト- カードゲーム lit. Naruto CardGame^?) is a collectible card game based around the Naruto series. Produced by Bandai, the game was first introduced in Japan in February 2003.^[100] Bandai began releasing the game in English in North American in April 2006.^[101] The game is played between two players requiring players use a customized deck of fifty cards from the set, a game mat, an item to act as a "turn marker" for noting whose turn it is, and a "Ninja Blade Coin" which is primarily used to flip for making decisions. In order to win, a player must either earn ten "battle rewards" through their actions in the game, or they must cause the other player to exhaust their deck.^[102]

The cards are released in named sets, called "series" in the form of four different 50-card preconstructed box sets.^[100][101] Each set includes a starter deck, the game mat, a turn-counter, and one stainless steel "Ninja Blade Coin". Additional cards are made available in 10-card booster packs, and deck sets, primarily for retailers, contain all four box sets available for each series. Cards for each set are also made available in collectible tins, containing several booster packs and exclusive promotional cards in a metal box.^[103] By October 2006, seventeen series had been released in Japan spanning 417 unique cards.^[100] As of August 2008, ten of these series have been released in North America.^[104]

Art and guidebooks

Several supplementary books of the Naruto series have been released. An artbook named The Art of Naruto: Uzumaki contains illustration from the Part I manga and was released in both Japan and the United States.^[105][106] For the Part II manga, an interactive book calledPAINT JUMP: Art of Naruto was released by Shueisha on April 4, 2008.^[107] The latest artbook was published on July 3, 2009 under the name of Naruto.^[108] A series of guidebooks for the Part I called First Official Data Book (秘伝·臨の書キャラクターオフィシャルデータBOOK Hiden: Rin no Sho Character Official Data Book^?)^[109] and Second Official Data Book (秘伝·闘の書キャラクターオフィシャルデータBOOK Hiden: Tō no Sho Character Official Data Book^?)^[110] were released only in Japan. The third databook, Character Official Data Book Hiden Sha no Sho (秘伝・者の書 ― キャラクターオフィシャルデータBOOK Hiden: Sha no Sho - Kyarakutā ofisharu dēta book ^?) was released on September 4, 2008, and adapted Part II from the manga.^[111] These books contain character profiles, Jutsu guides and drafts made by Kishimoto. For the anime, a series of guidebook called Naruto anime profiles were also released. These books contain information about the production of the anime episodes and explanation of the characters designs.^[112] On October 4, 2002, it was released a manga fanbook named Secret: Writings from the Warriors Official Fanbook (秘伝・兵の書 ― オフィシャルファンBOOK Hiden: Hei no Sho - Ofisharu fan book^?).^[113] Viz published it in North America on February 19, 2008 under the name of Naruto: The Official Fanbook.^[114] Another fanbook was released to conmemmorate the series' 10th anniversary. It includes illustrations of Naruto Uzumaki by other manga artists, a novel, Kishimoto's one-shot named Karakuri and an interview between Kishimoto and Yoshihiro Togashi.^[115]