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Foundations of Nursing: Mental Health introduces students to the essential principles, theories, and practices related to mental health nursing. The course explores the biological, psychological, and social factors influencing mental wellness and illness across the lifespan. Students gain foundational knowledge in therapeutic communication, assessment skills, and evidence-based interventions when caring for individuals experiencing mental health challenges. Emphasis is placed on ethical, legal, and cultural considerations, as well as interdisciplinary collaboration to promote recovery and holistic care. Through case studies and practical scenarios, students develop critical thinking and compassionate approaches to effectively support patients mental health and well-being.
Recommended Textbook
Essentials of Psychiatric Mental Health Nursing 3rd Edition by Varcarolis
Available Study Resources on Quizplus 28 Chapters
803 Verified Questions
803 Flashcards
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15 Verified Questions
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Source URL: https://quizplus.com/quiz/2047
Sample Questions
Q1) A patient who immigrated to the United States from Honduras was diagnosed with schizophrenia. The patient took an antipsychotic medication for 3 weeks but showed no improvement. Which resource should the treatment team consult for information on more effective medications for this patient?
A) Clinical algorithm
B) Clinical pathway
C) Clinical practice guideline
D) International Statistical Classification of Diseases and Related Health Problems (ICD)
Answer: A
Q2) A patient is hospitalized for depression and suicidal ideation after their spouse asks for a divorce. Select the nurse's most caring comment.
A) "Let's discuss some means of coping other than suicide when you have these feelings."
B) "I understand why you're so depressed. When I got divorced, I was devastated too."
C) "You should forget about your marriage and move on with your life."
D) "How did you get so depressed that hospitalization was necessary?"
Answer: A
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3
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17 Verified Questions
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Sample Questions
Q1) A patient is admitted to the psychiatric hospital. Which assessment finding best indicates that the patient has a mental illness? The patient:
A) describes coping and relaxation strategies used when feeling anxious. B) describes mood as consistently sad, discouraged, and hopeless.
C) can perform tasks attempted within the limits of own abilities.
D) reports occasional problems with insomnia.
Answer: B
Q2) A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patient's insurance form. Which resource should the nurse consult to discern the criteria used to establish this diagnosis?
A) A psychiatric nursing textbook
B) NANDA International (NANDA-I)
C) A behavioral health reference manual
D) Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Answer: D
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4
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Sample Questions
Q1) A person received an invitation to be in the wedding of a friend who lives across the country. The individual is afraid of flying. What type of therapy should the nurse recommend?
A) Psychoanalysis
B) Milieu therapy
C) Systematic desensitization
D) Short-term dynamic therapy
Answer: C
Q2) Operant conditioning will be used to encourage speech in a child who is nearly mute. Which technique would a nurse include in the treatment plan?
A) Ignore the child for using silence.
B) Have the child observe others talking.
C) Give the child a small treat for speaking.
D) Teach the child relaxation techniques, then coax speech.
Answer: C
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Sample Questions
Q1) A patient has delusions and hallucinations. Before beginning treatment with a psychotropic medication, the health care provider wants to rule out the presence of a brain tumor. For which test will a nurse need to prepare the patient?
A) Cerebral arteriogram
B) Functional magnetic resonance imaging (fMRI)
C) Computed tomography (CT) scan or magnetic resonance imaging (MRI)
D) Positron emission tomography (PET) or single-photon emission computed tomography (SPECT)
Q2) The therapeutic action of monoamine oxidase inhibitors (MAOIs) blocks neurotransmitter reuptake, causing:
A) increased concentration of neurotransmitters in the synaptic gap.
B) decreased concentration of neurotransmitters in serum.
C) destruction of receptor sites.
D) limbic system stimulation.
Q3) A drug causes muscarinic-receptor blockade. A nurse will assess the patient for:
A) dry mouth.
B) gynecomastia.
C) pseudoparkinsonism.
D) orthostatic hypotension.

Page 6
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Sample Questions
Q1) A patient tells the nurse at the clinic, "I haven't been taking my antidepressant medication as directed. I leave out the midday dose. I have lunch with friends and don't want them to ask me about the pills." Select the nurse's most appropriate intervention.
A) Investigate the possibility of once-daily dosing of the antidepressant.
B) Suggest to the patient to take the medication when no one is watching.
C) Explain how taking each dose of medication on time relates to health maintenance.
D) Add the following nursing diagnosis to the plan of care: ineffective therapeutic regimen management, related to lack of knowledge.
Q2) Which principle takes priority for the psychiatric inpatient staff when addressing behavioral crises?
A) Resolve behavioral crises using the least restrictive intervention possible.
B) Rights of the majority of patients supersede the rights of individual patients.
C) Swift intervention is justified to maintain the integrity of the therapeutic milieu.
D) Allow patients opportunities to regain control without intervention if the safety of other patients is not compromised.
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Sample Questions
Q1) A nurse at the mental health center prepares to administer a scheduled injection of haloperidol decanoate (Haldol depot) to a patient with schizophrenia. As the nurse swabs the site, the patient shouts, "Stop! I don't want to take that medicine anymore. I hate the side effects." Select the nurse's best initial action.
A) Stop the medication administration procedure and say to the patient, "Tell me more about the side effects you've been having."
B) Say to the patient, "Since I've already drawn the medication in the syringe, I'm required to give it, but let's talk to the doctor about skipping next month's dose."
C) Proceed with the injection but explain to the patient that other medications are available that may help reduce the unpleasant side effects.
D) Notify other staff members to report to the room for a show of force and proceed with the injection, using restraint if necessary.
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Q1) A newly admitted patient diagnosed with major depressive disorder has lost 20 pounds over the past month and has suicidal ideation. The patient has taken an antidepressant medication for 1 week without remission of symptoms. Select the priority nursing diagnosis.
A) Imbalanced nutrition: Less than body requirements
B) Chronic low self-esteem
C) Risk for suicide
D) Hopelessness
Q2) At one point in an assessment interview a nurse asks, "How does your faith help you in stressful situations?" This question would be asked during the assessment of:
A) childhood growth and development.
B) substance use and abuse.
C) educational background.
D) coping strategies.
Q3) The acronym QSEN refers to:
A) Qualitative Standardized Excellence in Nursing.
B) Quality and Safety Education for Nurses.
C) Quantitative Effectiveness in Nursing.
D) Quick Standards Essential for Nurses.

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Sample Questions
Q1) A patient says to the nurse, "I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which comment would be appropriate if the nurse seeks clarification?
A) "It sounds as though you were uncomfortable with the content of your dream."
B) "I understand what you're saying. Bad dreams leave me feeling tired, too."
C) "So, all in all, you feel as though you had a rather poor night's sleep?"
D) "Can you give me an example of what you mean by 'stoned'?"
Q2) The patient says, "My marriage is just great. My spouse and I usually agree on everything." The nurse observes the patient's foot moving continuously as the patient twirls a shirt button. What conclusion can the nurse draw? The patient's communication is:
A) clear.
B) mixed.
C) precise.
D) inadequate.
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Sample Questions
Q1) A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. The nurse should:
A) restate what the patient says.
B) use congruent communication strategies.
C) use self-disclosure in patient interactions.
D) consistently interpret the patient's behaviors.
Q2) What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviors that indicate:
A) great sense of independence.
B) rapport and trust with the nurse.
C) self-responsibility and autonomy.
D) resolution of feelings of transference.
Q3) A patient says, "I'm still on restriction, but I want to attend some off-unit activities. Would you ask the doctor to change my privileges?" What is the nurse's best response?
A) "Why are you asking me when you're able to speak for yourself?"
B) "I will be glad to address it when I see your doctor later today."
C) "That's a good topic for you to take up with your doctor."
D) "Do you think you can't speak to a doctor?"
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Sample Questions
Q1) A person with a fear of heights drives across a high bridge. Which division of the autonomic nervous system is stimulated in response to this experience?
A) Limbic system
B) Peripheral nervous system
C) Sympathetic nervous system
D) Parasympathetic nervous system
Q2) A soldier returns to the United States from active duty in a combat zone. The soldier is diagnosed with posttraumatic stress disorder (PTSD). Which comment by the soldier requires the nurse's immediate attention?
A) "It's good to be home. I missed my family and friends."
B) "I saw my best friend get killed by a roadside bomb. It should have been me instead."
C) "Sometimes I think I hear bombs exploding, but it's just the noise of traffic in my hometown."
D) "I want to continue my education but I'm not sure how I will fit in with other college students."
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Sample Questions
Q1) A student says, "Before taking a test, I feel a heightened sense of awareness and restlessness." The nurse can correctly assess the student's experience as:
A) culturally influenced.
B) displacement.
C) trait anxiety.
D) mild anxiety.
Q2) A student says, "Before taking a test, I feel a heightened sense of awareness and restlessness." The nursing intervention most suitable for assisting the student is to:
A) explain that the symptoms are the result of mild anxiety, and discuss the helpful aspects.
B) advise the student to discuss this experience with a health care provider.
C) encourage the student to begin antioxidant vitamin supplements.
D) listen without comment.
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Sample Questions
Q1) Which prescription medication would the nurse expect to be prescribed for a patient diagnosed with a somatic symptom disorder?
A) Narcotic analgesics for use as needed for acute pain
B) Antidepressant medications to treat underlying depression
C) Long-term use of benzodiazepines to support coping with anxiety
D) Conventional antipsychotic medications to correct cognitive distortions
Q2) For a patient diagnosed with dissociative amnesia, complete this outcome: "Within 4 weeks, the patient will demonstrate an ability to execute complex mental processes by:
A) functioning independently."
B) verbalizing feelings of safety."
C) regularly attending diversional activities."
D) describing previously forgotten experiences."
Q3) Which treatment modality should a nurse recommend to help a patient diagnosed with somatic symptom disorder cope more effectively?
A) Flooding
B) Relaxation
C) Response prevention
D) Systematic desensitization
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2059
Q1) A nurse reports to the interdisciplinary team that a patient diagnosed with an antisocial personality disorder lies to other patients, verbally abuses a patient diagnosed with dementia, and flatters the primary nurse. This patient is detached and superficial during counseling sessions. Which behavior most clearly warrants limit setting?
A) Flattering the nurse
B) Lying to other patients
C) Verbal abuse of another patient
D) Detached superficiality during counseling
Q2) A patient diagnosed with borderline personality disorder has been hospitalized several times after self-inflicted lacerations. The patient remains impulsive. Dialectical behavior therapy starts on an outpatient basis. Which nursing diagnosis is the focus of this therapy?
A) Risk for self-mutilation
B) Impaired skin integrity
C) Risk for injury
D) Powerlessness
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Sample Questions
Q1) Which nursing intervention has priority as a patient diagnosed with anorexia nervosa begins to gain weight?
A) Assess for depression and anxiety.
B) Observe for adverse effects of refeeding.
C) Communicate empathy for the patient's feelings.
D) Help the patient balance energy expenditure and caloric intake.
Q2) Disturbed body image is the nursing diagnosis for a patient diagnosed with an eating disorder. Which outcome indicator is most appropriate to monitor?
A) Weight, muscle, and fat are congruent with height, frame, age, and sex.
B) Calorie intake is within the required parameters of the treatment plan.
C) Weight reaches the established normal range for the patient.
D) The patient expresses satisfaction with body appearance.
Q3) An appropriate intervention for a patient diagnosed with bulimia nervosa who binges and purges is to teach the patient to:
A) eat a small meal after purging.
B) avoid skipping meals or restricting food.
C) concentrate oral intake after 4 PM daily.
D) understand the value of reading journal entries aloud to others.
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Sample Questions
Q1) A nurse teaching a patient about a tyramine-restricted diet would approve which meal?
A) Mashed potatoes, ground beef patty, corn, green beans, apple pie
B) Avocado salad, ham, creamed potatoes, asparagus, chocolate cake
C) Macaroni and cheese, hot dogs, banana bread, caffeinated coffee
D) Noodles with cheddar cheese sauce, smoked sausage, lettuce salad, yeast rolls
Q2) A patient diagnosed with major depressive disorder does not interact with others except when addressed and then only in monosyllables. The nurse wants to show nonjudgmental acceptance and support for the patient. Select the nurse's most effective approach to communication.
A) Make observations.
B) Ask the patient direct questions.
C) Phrase questions to require "yes" or "no" answers.
D) Frequently reassure the patient to reduce guilt feelings.
Q3) Which beverage should the nurse offer to a patient diagnosed with major depressive disorder who refuses solid food?
A) Tomato juice
B) Orange juice
C) Hot tea
D) Milk
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Sample Questions
Q1) When a hyperactive patient experiencing acute mania is hospitalized, what initial nursing intervention is a priority?
A) Allow the patient to act out his or her feelings.
B) Set limits on the patient's behavior as necessary.
C) Provide verbal instructions to the patient to remain calm.
D) Restrain the patient to reduce hyperactivity and aggression.
Q2) A nurse receives this laboratory result for a patient diagnosed with bipolar disorder: lithium level 1 mEq/L. This result is:
A) within therapeutic limits.
B) below therapeutic limits.
C) above therapeutic limits.
D) likely to be inaccurate.
Q3) Outcome identification for the treatment plan of a patient with grandiose thinking associated with acute mania focuses on:
A) maintaining an interest in the environment.
B) developing an optimistic outlook.
C) self-control of distorted thinking.
D) stabilizing the sleep pattern.
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Q1) A nurse at the mental health clinic plans a series of psychoeducational groups for persons diagnosed with schizophrenia. Which two topics would take priority? (Select all that apply.)
A) How to complete an application for employment
B) The importance of correctly taking your medication
C) How to dress when attending community events
D) How to give and receive compliments
E) Ways to quit smoking
Q2) A patient diagnosed with schizophrenia has auditory hallucinations. The patient anxiously tells the nurse, "The voice is telling me to do things." Select the nurse's priority assessment question.
A) "How long has the voice been directing your behavior?"
B) "Do the messages from the voice frighten you?"
C) "Do you recognize the voice speaking to you?"
D) "What is the voice telling you to do?"
Q3) Patients diagnosed with schizophrenia who are suspicious and withdrawn:
A) universally fear sexual involvement with therapists.
B) are socially disabled by the positive symptoms of schizophrenia.
C) exhibit a high degree of hostility as evidenced by rejecting behavior.
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D) avoid relationships because they become anxious with emotional closeness.
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Q1) A nurse should anticipate that which symptoms of Alzheimer's disease will become apparent as the disease progresses from Stage 3, moderate to severe to Stage 4, late stage? (Select all that apply.)
A) Agraphia
B) Hyperorality
C) Fine motor tremors
D) Hypermetamorphosis
E) Improvement of memory
Q2) A patient experiencing fluctuating levels of awareness, confusion, and disturbed orientation shouts, "Bugs are crawling on my legs! Get them off!" Which problem is the patient experiencing?
A) Aphasia
B) Dystonia
C) Tactile hallucinations
D) Mnemonic disturbance
Q3) Which description best applies to a hallucination? A patient:
A) looks at shadows on a wall and says, "I see scary faces."
B) states, "I feel bugs crawling on my legs and biting me."
C) becomes anxious when the nurse leaves his or her bedside.
D) tries to hit the nurse when vital signs are taken.
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Sample Questions
Q1) While caring for a patient with a methamphetamine overdose, which tasks are the priorities of care? (Select all that apply.)
A) Administration of naloxone (Narcan)
B) Vitamin BS1U1B112S1U1B0 and folate supplements
C) Restoring nutritional integrity
D) Prevention of seizures
E) Reduction of fever
Q2) A patient is admitted in a comatose state after ingesting five capsules of lorazepam. A friend of the patient says, "Often my friend drinks, along with taking more of the drug than is prescribed." What is the effect of the use of alcohol with this drug?
A) The drug's metabolism is stimulated.
B) The drug's effect is diminished.
C) A synergistic effect occurs.
D) There is no effect.
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Q1) Which premise is most useful to a nurse planning crisis intervention for any patient?
The patient:
A) is experiencing a state of disequilibrium.
B) is experiencing a type of mental illness.
C) poses a threat of violence to others.
D) has a high potential for self-injury.
Q2) Which health care worker should be referred to critical incident stress debriefing?
A) Nurse who works at an oncology clinic where patients receive chemotherapy
B) Case manager whose patients are seriously mentally ill and are being cared for at home
C) Health care employee who worked 8 hours at the information desk of an intensive care unit
D) Emergency medical technician (EMT) who treated victims of a car bombing at a department store
Q3) Which agency provides coordination in the event of a terrorist attack?
A) U.S. Food and Drug Administration (FDA)
B) Environmental Protection Agency (EPA)
C) National Incident Management System (NIMS)
D) Federal Emergency Management Agency (FEMA)
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Q1) An adult has recently been absent from work for 3-day periods on several occasions. Each time, this person returns to work wearing dark glasses. Facial and body bruises are apparent. What is the occupational health nurse's priority question?
A) "Do you drink excessively?"
B) "Did your partner beat you?"
C) "How did this happen to you?"
D) "What did you do to deserve this?"
Q2) A 10-year-old child cares for siblings while the parents work because the family cannot afford a babysitter. This child says, "My father doesn't like me. He calls me stupid all the time." The mother says the father is easily frustrated and has trouble disciplining the children. The community health nurse should consider which resources to stabilize the home situation? (Select all that apply.)
A) Parental sessions to teach child-rearing practices
B) Anger management counseling for the father
C) Continuing home visits to provide support
D) Safety plan for the wife and children
E) Foster placement of the children in foster care
F) Determine a code word to signal children that it is time to leave.
G) Assemble birth certificates, Social Security cards, and licenses.
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Q1) A person was abducted and raped at gunpoint by an unknown assailant. Which assessment finding best indicates the person is in the acute phase of rape trauma syndrome?
A) Confusion and disbelief
B) Decreased motor activity
C) Flashbacks and dreams
D) Fears and phobias
Q2) A rape victim tells the emergency department nurse, "I feel so dirty. Please let me take a shower before the doctor examines me." The nurse should:
A) arrange for the patient to shower.
B) explain that washing would destroy evidence.
C) give the patient a basin of hot water and towels.
D) instruct the victim to wash above the waist only.
Q3) A nurse cares for a rape victim who was given flunitrazepam (Rohypnol) by the assailant. Which intervention has priority? Monitoring for:
A) coma.
B) seizures.
C) hypotonia.
D) respiratory depression.
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Q1) An adolescent tells the school nurse, "My friend threatened to take an overdose of pills." The nurse talks to the friend who verbalized the suicide threat. The most critical question for the nurse to ask would be:
A) "Why do you want to kill yourself?"
B) "Do you have access to medications?"
C) "Have you been taking drugs and alcohol?"
D) "Did something happen with your parents?"
Q2) Which change in brain biochemical function is most associated with suicidal behavior?
A) Dopamine excess
B) Serotonin deficiency
C) Acetylcholine excess
D) Gamma-aminobutyric acid deficiency
Q3) The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is:
A) hopelessness.
B) sadness.
C) elation.
D) anger.
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Q1) Which behavior best demonstrates aggression?
A) Stomping away from the nurses' station, darting to another room, and grabbing a snack from another patient.
B) Bursting into tears, leaving the community meeting, and sitting on a bed hugging a pillow and sobbing.
C) Telling the primary nurse, "I felt angry when you said I could not have a second helping at lunch."
D) Telling the medication nurse, "I am not going to take that or any other medication you try to give me."
Q2) A nurse directs the intervention team who must take an aggressive patient to seclusion. Other patients were removed from the area. Before approaching the patient, the nurse should ensure that which actions are taken by staff? (Select all that apply.)
A) Remove jewelry, glasses, and harmful items from the patient and staff members.
B) Appoint a person to clear a path and open, close, or lock doors.
C) Quickly approach the patient, and grab the closest extremity.
D) Select the person who will communicate with the patient.
E) Move behind the patient to use the element of surprise.
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Q1) Which finding indicates the successful completion of an individual's grieving process?
A) For two years, a person has kept the deceased spouse's belongings in their usual places.
B) After 15 months, a widowed person realistically remembers both the pleasures and disappointments of the relationship with the spouse.
C) Three years after the death, a person talks about the spouse as if the spouse was still alive and weeps when others mention the spouse's name.
D) Eighteen months after the spouse's death, a person says, "I never cry or have feelings of loss even though we were always very close."
Q2) A patient diagnosed with metastatic brain cancer says, "I'm dying, but I'm still living. I want to be in control as long as I can." Which reply shows the nurse was actively listening?
A) "Our staff will do their best to help you feel comfortable."
B) "Most people do not know how to help and are afraid of death."
C) "Your mind and spirit are healthy, although your body is frail."
D) "You want people to stop focusing on your weaknesses."
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Q1) When group therapy is to be used as a treatment modality, the nurse should suggest placing a 9-year-old in a group that uses:
A) play activities exclusively.
B) group discussion exclusively.
C) talk focused on a specific issue.
D) play and then talk about the play activity.
Q2) The child most likely to receive propranolol (Inderal) to manage tremors is one diagnosed with:
A) attention deficit hyperactivity disorder (ADHD).
B) posttraumatic stress disorder (PTSD).
C) a motor disorder.
D) separation anxiety.
Q3) An 11-year-old child, who has been diagnosed with oppositional defiant disorder (ODD), becomes angry over the rules at a residential treatment program and begins shouting at the nurse. Select the best method to defuse the situation.
A) Assign the child to a short time-out.
B) Administer an antipsychotic medication.
C) Place the child in a therapeutic hold.
D) Call a staff member to seclude the child.
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Q1) Before working with patients regarding sexual concerns, a prerequisite for providing nonjudgmental care is:
A) sympathy.
B) assertiveness training.
C) sexual self-awareness.
D) effective communication.
Q2) An adult diagnosed with attention deficit hyperactivity disorder (ADHD) says, "I've always been stupid. I never had friends when I was a child. My parents often punished me because I made mistakes. Now, I can't keep a job." The nurse managing care should consider:
A) aversive therapy to extinguish negative behaviors.
B) cognitive therapy to help address internalized beliefs.
C) group therapy to allow comparison of feelings with others.
D) vocational counseling to identify needed occupational skills.
Q3) Severe and persistent mental illness is best characterized as a:
A) mental illness with longer than 2 weeks' duration.
B) major ongoing mental illness marked by significant functional impairments.
C) mental illness accompanied by physical impairment and severe social problems.
D) major mental illness that cannot be treated to prevent deterioration of cognitive and social abilities.
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Q1) The highest priority for assessment by nurses caring for older adults who self-administer medications is:
A) use of multiple drugs with anticholinergic effects.
B) overuse of medications for erectile dysfunction.
C) misuse of antihypertensive medications.
D) trading medications with others.
Q2) A patient tells the nurse of the recent deaths of a spouse of 50 years as well as an adult child in an automobile accident. The patient has no other family and only a few friends in the community. What is the priority nursing diagnosis?
A) Spiritual distress, related to being angry with God for taking the family
B) Risk for suicide, related to recent deaths of significant others
C) Anxiety, related to sudden and abrupt lifestyle changes
D) Social isolation, related to loss of existing family
Q3) Which statement about aging provides the best rationale for focused assessment of older adult patients?
A) Older adults are often socially isolated and lonely.
B) As people age, they become more rigid in their thinking.
C) The majority of older adults sleep more than 12 hours per day.
D) The senses of vision, hearing, touch, taste, and smell decline with age.
To view all questions and flashcards with answers, click on the resource link above.
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