Mental Health Nursing Pre-Test Questions
Course Introduction
Mental Health Nursing explores the principles and practices involved in caring for individuals experiencing mental health challenges across the lifespan. The course covers foundational psychiatric concepts, communication strategies, assessment techniques, and therapeutic interventions within various healthcare settings. Students will examine prevalent mental health disorders, cultural considerations, legal and ethical issues, and the importance of interdisciplinary collaboration. Emphasis is placed on fostering therapeutic relationships, promoting recovery, and advocating for patient rights while addressing stigma and supporting diverse populations.
Recommended Textbook
Principles and Practice of Psychiatric Nursing 10th Edition by Gail Wiscarz Stuart
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40 Chapters
943 Verified Questions
943 Flashcards
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Page 2
Chapter 1: Roles and Functions of Psychiatric-Mental Health
Nurses: Competent Caring
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21 Verified Questions
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Sample Questions
Q1) The primary opportunity provided by psychiatric clinical rotations for nursing students is an opportunity to:
A) become familiar with patients who have chronic psychiatric mental health issues.
B) work with patients who have psychiatric as well as physical health issues.
C) learn to work with patients with various psychiatric mental health issues.
D) learn to care for patients who have emotional disorders.
Answer: C
Q2) Case supervision is a psychiatric nursing activity that falls within the nursing practice domain of:
A) community education.
B) communication.
C) management.
D) direct care.
Answer: D
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Chapter 2: Therapeutic Nurse-Patient Relationship
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A teenager being treated for oppositional defiance behavior states: "I wish my parents would stop treating me like an irresponsible child." The nurse implements confrontation as a therapeutic technique when responding:
A) "How can they treat you like an adult when you are only a teenager?"
B) "You want to be treated like an adult, but is it adult-like when you skip school?"
C) "Your parents have a legal responsibility to care for you until you are eighteen."
D) "Your parents are worried about giving you more freedom than you can handle."
Answer: B
Q2) A patient says to a nurse,"My spouse and I get along just fine.We usually agree on everything." The nurse observes nonverbal communication that disagrees with what the patient has verbally communicated.Which of the patient's actions is incongruent with her statement?
A) Getting up from her chair while making the statement
B) Walking toward the nurse while talking about her spouse
C) Staring down at her shoes during the conversation
D) Smiling while talking with the nurse
Answer: C
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Page 4
Chapter 3: The Stuart Stress Adaptation Model of Psychiatric Nursing Care
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A patient became acutely anxious and hysterical in response to the stress of the patient's home being destroyed by fire the previous evening.The immediate nursing goal for the patient is the:
A) patient will be stabilized.
B) illness will go into remission.
C) patient will completely recover.
D) patient will achieve optimal wellness.
Answer: A
Q2) A patient became acutely anxious and hysterical in response to the stress of the patient's home being destroyed by fire the previous evening.A nurse assesses the patient's treatment stage as:
A) crisis.
B) acute.
C) maintenance.
D) health promotion.
Answer: A
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Chapter 4: Evidence-Based Psychiatric Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which prevention and treatment option used in informed decision making regarding behavioral health assessment and treatment has the strongest evidence base?
A) Standards
B) Algorithms
C) Best practices
D) Practice guidelines
Q2) Dimensions that are considered regarding outcome measurement tools such as quality report cards include: (Select all that apply.)
A) patient care goals.
B) nurses' system evaluations.
C) performance appraisals.
D) situational content.
E) intended audience.
Q3) The categories of outcome indicators include:
A) process and reliability.
B) clinical and functional.
C) process and evaluation.
D) measurement and evaluation.
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Chapter 5: Biological Context of Psychiatric Nursing Care
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Sample Questions
Q1) A genetic counselor is called to see patients with genetic questions or concerns.With which patient would it be most appropriate for the counselor to speak?
A) A pregnant patient with sickle cell anemia
B) A patient who has made a recent suicide attempt
C) A patient prescribed the most drugs for the treatment of chronic disorders
D) A patient with schizophrenia who had multiple hospital admissions in the last year
Q2) Which neurotransmitter is involved in the movement disorders seen in Parkinson disease and in the deficits seen in schizophrenia and other psychoses?
A) Dopamine
B) Melatonin
C) Serotonin
D) Norepinephrine
Q3) The function of the limbic system is to:
A) regulate emotional behavior.
B) perform abstract reasoning.
C) facilitate critical decision making.
D) coordinate stress-related responses.
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Chapter 6: Psychological Context of Psychiatric Nursing Care
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28 Verified Questions
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Sample Questions
Q1) Which question would best assess a patient's ability to make judgments?
A) "Who is the president of the USA?"
B) "How long have you been here?"
C) "What is the name of the building we're in?"
D) "If you won $10,000, what would you do with it?"
Q2) A nurse asks a patient to remember the following object,color,and address: pencil,red,and 15 Maple Street.After 15 minutes the nurse asks the patient to repeat the object,color,and address.The nurse is assessing:
A) judgment.
B) recent memory.
C) ability to abstract.
D) immediate recall.
Q3) A nurse plans to engage in participant observation while conducting a mental status examination.This will require the nurse to:
A) increase verbalization with the patient.
B) listen attentively to the patient's response.
C) engage in communication and observation simultaneously.
D) advise the patient on what to do about data obtained during the interview.
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Chapter 7: Social, Cultural, and Spiritual Context of Psychiatric Nursing Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A nurse assessing sociocultural risk factors for a 34-year-old female,single,poorly educated immigrant with three young children and who receives support from social services,should be most concerned about the effects of:
A) age.
B) gender.
C) immigration.
D) disadvantagement.
Q2) Which of these statements by a nurse suggests that the nurse will display cultural sensitivity when interviewing a patient from a different culture?
A) "The patient's cultural background is very different from my own."
B) "I think introducing ethnic humor is an effective way of establishing rapport."
C) "I have to remember to document the patient's ethnic origin and religion in the record."
D) "Before the interview I will take a few minutes to review actions that might offend a patient of this culture."
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9
Chapter 8: Legal and Ethical Context of Psychiatric Nursing Care
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A psychiatric nurse working in a community health center receives a call asking whether a family friend has been a patient in the facility.The nurse should:
A) ask why the information is being sought.
B) suggest that the caller speak to the patient's therapist.
C) state that he or she is unable to give any information to the caller.
D) state that the patient has been seen at the center but should give no further information.
Q2) A patient in the process of being involuntarily committed demands to be evaluated by his own private psychiatrist.To preserve the patient's rights,the treatment team must:
A) stop the commitment process.
B) notify the unit psychiatrist immediately.
C) provide access to the private psychiatrist.
D) determine why the patient is resisting staff care.
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10
Chapter 9: Policy and Advocacy in Mental Health Care
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23 Verified Questions
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Sample Questions
Q1) A patient tells a nurse,"I belong to a health maintenance organization (HMO) that advertises being a capitated system.What does that mean?" The nurse replies:
A) "It's complicated but if you like I'll have the payments office discuss it with you."
B) "You pay a sliding fee for each illness based on your monthly take-home income."
C) "You pay a fixed fee per month while the HMO provides all medically necessary care."
D) "The HMO pays your physician a flat fee for a particular episode of illness regardless of the number of office visits you make."
Q2) A nurse works in an organization that provides an integrated behavioral continuum of care.The goal of treatment in the crisis clinic is:
A) remission.
B) recovery.
C) stabilization.
D) optimal level of wellness.
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Chapter 10: Families as Resources, Caregivers, and Collaborators
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Sample Questions
Q1) Which component would be part of a comprehensive program for working with families of mentally ill patients? (Select all that apply.)
A) Skill
B) Social
C) Debate
D) Emotional
E) Family process
Q2) Which item would not be included by a nurse when using the family APGAR tool as an assessment measure of family roles and relationships? (Select all that apply.)
A) Nurturing
B) Decision making
C) Recreational activities
D) Emotional experiences
E) Allocation of earned income
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Chapter 11: Implementing the Nursing Process: Standards of Practice
and Professional Performance
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25 Verified Questions
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Sample Questions
Q1) If physicians wish to understand the nursing equivalent of the medical DSM-IV-TR,they should seek an understanding of the:
A) nursing diagnoses.
B) nursing process.
C) behavioral rating scales.
D) computerized medical records.
Q2) A psychiatric nurse clinician is heard calling nurse educators "the experts" and frequently refers to nurse administrators and researchers as "those who know it all." This nurse can be assessed as having a problem with:
A) ethics.
B) education.
C) collegiality.
D) resource use.
Q3) Which goal should be given the highest priority?
A) Reduction of anxiety
B) Alleviation of depression
C) Enhancement of self-esteem
D) Protection from self-destructive impulses
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Chapter 12: Prevention and Mental Health Promotion
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Sample Questions
Q1) A nurse working with adolescents recognizes which factor as being of greatest importance to this age group?
A) Normal growth and development
B) Peer relationships
C) Career selection
D) Child rearing
Q2) To effectively use the nursing primary prevention model,it is most important for a nurse to have knowledge of:
A) personality types.
B) psychiatric medications.
C) normal growth and development.
D) the DSM-IV-TR diagnostic categories.
Q3) The nurse explains that the main goal of primary prevention is the reduction of the _____ of mental disorders.
A) severity
B) duration
C) incidence
D) prevalence
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Chapter 13: Crisis Intervention
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Sample Questions
Q1) Which statement made by a person in a crisis state indicates the presence of a balancing factor?
A) "I've been drinking more than usual."
B) "I've always been a loner. I don't need other people."
C) "I pray when things get tough. It's always helped me survive trouble."
D) "My spouse just went to the store. I don't believe it when they tell me my spouse is dead."
Q2) To understand the effects of a precipitating event such as the loss of one's job,a nurse must assess the:
A) patient's appraisal of the event.
B) perception of the support group.
C) patient's awareness or lack of awareness of options.
D) patient's own feelings about his or her response to the situation.
Q3) When a crisis clinic nurse asks a patient,"Who takes care of you when you are sick?" the nurse is exploring the balancing factors of:
A) situational support.
B) problem resolution.
C) coping mechanisms.
D) perception of the event.
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Page 15
Chapter 14: Recovery and Psychiatric Rehabilitation
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Sample Questions
Q1) To promote positive outcomes,nurses in psychiatric rehabilitation practices should be skilled in: (Select all that apply.)
A) teaching the patient living skills.
B) actively listening to patient complaints.
C) assisting the patient in developing his or her strengths.
D) helping patients accept their own disabilities.
E) accessing the appropriateness of environmental support.
Q2) In a recovery treatment program,staff members are assigned to spend time with psychiatric patients who are in crisis in the community rather than hospitalizing the patient.Staff members help patients learn to meet real-world demands.Such a program typifies:
A) respite care.
B) foster home care.
C) halfway housing.
D) training in community living.
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Chapter 15: Anxiety Responses and Anxiety Disorders
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25 Verified Questions
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Sample Questions
Q1) A patient tends to use the defense mechanism of displacement.When the patient's spouse accuses the patient of being disorganized and flighty,the patient is most likely to react by:
A) burning the spouse's dinner.
B) scolding the paperboy for being late.
C) telling the spouse, "I'm so angry with you."
D) promising the spouse to try be more organized and calm.
Q2) A police officer who uses reaction formation to deal with fears of acting cowardly is most likely to:
A) call others cowards.
B) develop paralysis of the leg.
C) volunteer for perilous duty.
D) have nightmares about running from an assailant.
Q3) A patient is experiencing panic-level anxiety.Of these medications listed on the patient's prn medication administration record,which should be given?
A) Buspirone (BuSpar)
B) Lorazepam (Ativan)
C) Phenytoin (Dilantin)
D) Fluoxetine (Prozac)
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Page 17
Chapter 16: Psychophysiological Responses and Somatoform
and Sleep
Disorders
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Sample Questions
Q1) Which expected outcome would be appropriate for a patient with a somatoform disorder?
A) Patient's anxiety level will decrease from severe to moderate.
B) Patient will demonstrate compliance with antianxiety medication regimen.
C) Patient will be able to cope with stress without being preoccupied with physical symptoms.
D) Patient will express feelings verbally rather than through the development of physical symptoms.
Q2) A nurse is caring for a patient diagnosed with extreme stress.The nurse is focusing interventions on the promotion of adaptive psychophysiological patient responses.Which intervention is included in the plan of care?
A) Monitoring the patient's medication
B) Monitoring the patient's physical health
C) Shifting the patient's attention away from the symptoms
D) Providing education to promote change in the patient's health practices
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Chapter 17: Self-Concept Responses and Dissociative Disorders
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Sample Questions
Q1) Select the best goal when working with a patient who has an alteration in self-concept.
A) The patient will develop insight into his or her problems and current life situation.
B) The patient will clarify his or her concept of self in relation to relationships with others.
C) The patient will attain the maximum level of self-actualization to realize his or her potential.
D) The patient will effectively evaluate coping choices made in the past and their consequences.
Q2) Which relationships most significantly affect a 3-year-old child's development of self-concept? Relationships with:
A) peers.
B) parents.
C) extended family.
D) teachers in nursery school.
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Chapter 18: Emotional Responses and Mood Disorders
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Sample Questions
Q1) A patient was widowed 8 months ago.The patient has never cried and speaks of the spouse as if they were still together.The prominent defense mechanism exhibited by the patient is:
A) denial.
B) projection.
C) introjection.
D) sublimation.
Q2) Which coping mechanism should a nurse expect to see a patient initially use to mourn the death of a spouse?
A) Denial
B) Introjection
C) Suppression
D) Dissociation
Q3) A patient displaying symptoms of mania has spent the entire morning pacing in the dayroom and now has begun verbally intimidating other patients.The nurse manages the milieu by:
A) obtaining a telephone order to seclude the patient.
B) stating, "You can't frighten the other patients."
C) escorting the patient out of the dayroom.
D) distracting the patient with the television.
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Chapter 19: Self-Protective Responses and Suicidal Behavior
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Sample Questions
Q1) During an admission a nurse suspects a patient is having suicidal ideations.The best course of action is to:
A) ask the patient if thoughts of suicide have occurred.
B) ask the patient's significant other if the patient is suicidal.
C) arrange for involuntary commitment to avoid harm to self or others.
D) avoid the subject to avoid pushing the patient into further thoughts of self-harm.
Q2) A patient was admitted after an unsuccessful suicide attempt.The patient is overheard saying,"Next time,I'll make sure no one interrupts me." Which level of suicide precautions should be ordered?
A) Occasional safety checks
B) Verbal contract for safety
C) Every-15-minute safety checks
D) One-to-one supervision for safety
Q3) The major difference between self-injury and suicide lies in whether the patient has:
A) a need to control or a need to be controlled.
B) the wish to relieve tension or the wish to die.
C) been diagnosed with a developmental disorder or psychosis.
D) a tendency toward indirect or direct expression of self-destructive urges.
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Chapter 20: Neurobiological Responses and Schizophrenia and Psychotic Disorders
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Sample Questions
Q1) A patient tells the nurse,"I can't go to any unit meetings because everyone can hear my thoughts." The nurse can correctly assess this symptom as:
A) concrete thinking.
B) loose associations.
C) thought broadcasting.
D) auditory hallucinations.
Q2) The medical record of a patient diagnosed with schizophrenia states that the patient has cognitive dysfunction.From this statement,the nurse can expect to see evidence of:
A) anxiety, fear, and agitation.
B) aggression, anger, hostility, or violence.
C) blunted or flat affect or inappropriate affective responses.
D) impaired memory and attention as well as formal thought disorder.
Q3) Which neurological deficits would the nurse be most likely to encounter when assessing a patient diagnosed with schizophrenia?
A) Weakness and loss of function
B) Paralysis and diminished reflexes
C) Droopy eyelids and reddened cornea
D) Increased blinking and impaired fine motor skills
Page 22
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Chapter 21: Social Responses and Personality Disorders
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Sample Questions
Q1) A patient regularly uses manipulation to control situations.Staff working to reduce this behavior should first convey the message that:
A) while the patient is accepted, the behavior is rejected as inappropriate.
B) if the patient cannot control the behavior, staff will establish external controls.
C) manipulative behavior results in frustration and anger among staff and patients.
D) manipulation of patients is no more acceptable than manipulation of unit staff.
Q2) A patient with borderline personality disorder tells the nurse,"When I met my boyfriend he was simply perfect.Now he is the worst person in the world.I tell him to leave and then I feel so empty and awful that I have to cut myself." The description of the boyfriend is strongly influenced by the patient's inclination to:
A) use splitting.
B) be attention-seeking.
C) display antisocial tendencies.
D) suffer from a formal thought disorder.
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23
Chapter 22: Cognitive Responses and Organic Mental Disorders
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Sample Questions
Q1) A patient is admitted with a tentative diagnosis of delirium.The patient repeatedly mistakes one of the nursing staff for a family member.The nurse documents that this patient is experiencing a disturbance in which area of functioning?
A) Consciousness
B) Attention
C) Perception
D) Cognition
Q2) Which intervention would likely be most useful when attempting to prevent or lessen the symptoms associated with sundown syndrome?
A) Keeping the patient's room quiet and dimly lit at night
B) Interacting frequently with the patient during evening hours
C) Providing the patient with a large protein-based bedtime snack
D) Giving the patient a soft stuffed animal to provide a source of security
Q3) A nurse would attempt to reduce nighttime agitation for a patient with either delirium or dementia by:
A) giving warm milk as a snack at bedtime.
B) keeping a soft light on in the patient's room.
C) placing a large-faced lighted alarm clock opposite the bed.
D) hanging family pictures near enough to the bed to be easily seen.
Page 24
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Chapter 23: Chemically Mediated Responses and
Substance-Related Disorders
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Sample Questions
Q1) The nursing intervention of highest priority relative to alcohol withdrawal delirium is:
A) application of restraints.
B) reorientation of the patient to reality.
C) identification of existing social supports.
D) maintenance of fluid and electrolyte balance.
Q2) A patient has been admitted in an acute psychotic state after ingesting PCP.The nurse has not been able to administer the prescribed dose of benzodiazepine because of the patient's aggressive behavior.The most appropriate intervention under these circumstances would be to:
A) provide an alternative activity to channel energy.
B) move the patient to a quiet room to minimize stimulation.
C) perform a lavage to prevent continuing absorption of drug.
D) assign a nurse to stay with the patient to reassure and calm the patient.
Q3) A nurse should specifically assess a patient opiate withdrawal for:
A) lacrimation, rhinorrhea, dilated pupils, and muscle pain.
B) somnolence, constipation, normal pupils, and hypothermia.
C) tremors, hypertension, constricted pupils, and deep sleep.
D) visual and tactile hallucinations, agitation, and generalized seizures.
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Chapter 24: Eating Regulation Responses and Eating Disorders
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Sample Questions
Q1) When undertaking care for patients with eating disorders,a nurse should first:
A) perform a complete patient assessment.
B) obtain a history from the patient's family.
C) examine personal feelings about weight.
D) question the patient as to when he or she last ate a meal.
Q2) A nurse would evaluate that a family education plan for preventing childhood eating problems was effective if which outcome is evident?
A) Parents serve three meals per day plus midmorning, midafternoon, and bedtime snacks.
B) Parents indicate an interest in learning about healthier eating patterns for their children.
C) Parents use food to reward their children for only especially good behavior or outstanding achievements.
D) Parents keep a diary to record both physical and psychological signs of hunger for themselves and their children.
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Chapter 25: Sexual Responses and Sexual Disorders
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Sample Questions
Q1) A patient with a sexual response disorder reports hypersexuality.During the interview,a nurse should inquire about a history of which psychiatric disorder?
A) Mania
B) Depression
C) Personality disorder
D) Obsessive-compulsive disorder
Q2) A nurse assesses a patient who reports that she is unable to have intercourse because of involuntary contractions at the vaginal opening.The nurse can correctly assess this as:
A) vaginismus.
B) dyspareunia.
C) arousal disorder.
D) orgasmic dysfunction.
Q3) What is the rationale for seeking information about the effects of prescribed medications on a patient's sexual function?
A) Sexual dysfunction may result from use of prescription medications.
B) The question eases the transition to questioning about sexual practices.
C) Patients are more comfortable talking about medications than about sex.
D) The question provides an opening to question about nonprescription drug use.
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Page 27
Chapter 26: Psychopharmacology
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Sample Questions
Q1) A nurse who administers an antipsychotic medication explains to the client patient how the medication helps manage the symptoms by affecting:
A) dopamine and GABA.
B) serotonin and dopamine.
C) synaptic neurovesicles and neurodendrites.
D) monoamine oxidase inhibitors and serotonin.
Q2) Which statement represents the most appropriate instructions for a patient with a past suicide attempt who is prescribed amitriptyline (Elavil),150 mg PO at bedtime?
A) "You will need to pick up your 7-day supply of medication at the pharmacy each week."
B) "Your prescription will provide you with a 6-month supply to save you money and time."
C) "I'm going to strongly suggest that your spouse dispense this medication to you each evening."
D) "Stop by the clinic each evening for your medication so your emotional state of mind can be assessed."
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Chapter 27: Behavior Change and Cognitive Interventions
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Sample Questions
Q1) A nurse explains the technique of extinction to parents who are seeking to reduce the frequency of unwanted behaviors in their children.What is an example of this type of strategy?
A) Ignoring a temper tantrum
B) Taking away an allowance for not keeping a clean room
C) Sending children to their rooms after fighting with each other
D) Not allowing children to play with friends because homework is not completed
Q2) Which strategy will help evoke relaxation when using meditation?
A) Playing soft background music
B) Ten-second deep breathing and exhaling
C) Ten-second tensing and relaxing of muscle groups
D) Providing a word or scene on which the patient can focus
Q3) Which behavior would a nurse focus upon when using a token economy as a method of positive reinforcement?
A) Altering cognitive perceptions
B) Reinforcing cognitive congruence
C) Performing assigned tasks in a cooperative manner
D) Pairing desired behaviors with undesired behaviors
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29
Chapter 28: Preventing and Managing Aggressive Behavior
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Sample Questions
Q1) A nurse has just explained to a newly admitted patient that the token economy system is employed on the unit.The patient announces,"I have a PhD,and I'll be damned if I participate in a barter exchange for my human rights." An appropriate response from the nurse would be:
A) "Well, according to the unit rules you have just lost four tokens for swearing, and you haven't even earned any yet. That makes your score a negative four."
B) "Being a PhD, I'm sure you are familiar with being held responsible for your actions. That's the policy on this unit, and you now have minus four tokens."
C) "It seems as if you're having difficulty being here. Are you saying that you feel you don't have to abide by the same policies for living on this unit because you are well educated?"
D) "Well-educated individuals usually have no need to swear. You have now lost four tokens. We'll talk when you are able to be more polite."
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Chapter 29: Somatic Therapies
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Q1) A nurse reviewing the medical records of inpatients on the psychiatric unit would conclude that which patient may gain the most benefit from transcranial magnetic stimulation (TMS)?
A) A patient with anorexia nervosa
B) A patient with a personality disorder
C) A patient with generalized anxiety disorder
D) A patient with a chronic severe mood disorder
Q2) A nurse is discussing ECT (electroconvulsive therapy) treatments with a patient with chronic depression and the patient's parents.Which is the first therapeutic comment appropriate for this situation?
A) "What do you know about ECT treatment?"
B) "ECT treatment is used very successfully in treating your disorder."
C) "The risks most often associated with ECT treatment are both minor and rare."
D) "Do you have any questions about ECT treatment that I can answer for you now?"
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Chapter 30: Complementary and Alternative Therapies
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Sample Questions
Q1) Which activity should a nurse suggest to a patient who asks,"What kind of exercise should I do to raise my mood?"
A) Horseback riding four times per week
B) A game of softball three times per week
C) Weight lifting for 15 minutes twice per week
D) 30 minutes on the stationary bike four times per week
Q2) Which modality would a nurse plan to implement to best facilitate the patient's capacity to implement mind-body interventions? (Select all that apply.)
A) Hypnosis
B) Meditation
C) Reflexology
D) Music therapy
E) Electromagnets
Q3) A nurse should advise a patient taking the herb kava-kava in conjunction with central nervous system medications that it may:
A) have addictive properties.
B) trigger asthmatic attacks.
C) cause fatal arrhythmias.
D) exacerbate depression.
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Chapter 31: Therapeutic Groups
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Sample Questions
Q1) A patient in a therapeutic group expresses resistance by stating,"I need to drop out of this group because I don't think I'm getting enough from it." Which outcome would be most appropriate for this patient?
A) The patient stays in the group and works out problems.
B) The patient leaves the group and enters individual therapy.
C) The patient stays in the group but enters long-term psychotherapy.
D) The patient leaves the group and enters one that provides more one-on-one time.
Q2) Which goal applies to a brief therapy group?
A) Determine the underlying cause of the chief problem.
B) Identify maladaptive behaviors that hinder recovery.
C) Substitute ineffective strategies with effective ones.
D) Facilitate members' abilities to effectively manage self-care.
Q3) Which example best describes an unresolved issue that should be further discussed at a future group meeting?
A) The seating of the two new members to the group
B) The identification of the goals successfully accomplished
C) An individual termination that was not anticipated by group members
D) The group leader's role now that the group has been meeting for 4 weeks
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Chapter 32: Family Interventions
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Sample Questions
Q1) Which term refers to the mutual support,time,energy,resources,and advancement of awareness about psychiatric illness needed to advocate for improved family services?
A) Family advocacy
B) Family community aid
C) Suicide prevention advocacy
D) Community advancement agency
Q2) A fundamental component of family therapy is: (Select all that apply.)
A) attendance at all sessions by all family members.
B) agreement on when the therapeutic sessions will terminate.
C) consensus among all parties regarding the amount of needed therapy.
D) understanding related to the target behaviors identified for therapeutic change.
E) willingness on the part of all family members to actively participate in sessions.
Q3) One of the primary goals identified in marital therapy is:
A) support from families of origin.
B) consensus in all decisions related to the marriage.
C) the preservation of good interpersonal communication skills.
D) the maintenance of a support system comprised of mutual friends.
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Chapter 33: Hospital-Based Psychiatric Nursing Care
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Sample Questions
Q1) During a group session,a flirtatious patient with mania shares that several patients and the nurse "have bodies that are really nice." The most therapeutic response from the nurse would be:
A) "Please go to your room. You're being inappropriate to me and the other patients."
B) "I know your thoughts are very rapid right now. Let's walk to your room where you can take a 30-minute time-out."
C) "Were you aware before you spoke that what you just said would offend me and the other patients on the unit very much?"
D) "Do not speak to me or others like this. Would you like to take this opportunity to apologize to me and the other patients?"
Q2) A patient with a history of chronic alcohol abuse and impaired cognitive function has been successfully taught to interpret a community bus schedule.The nurse should now be confident that the patient would benefit from attending:
A) a community resource group in the day hospital.
B) a substance abuse group on an outpatient basis.
C) a life skills group at the outpatient clinic.
D) Alcoholics Anonymous at the YMCA.
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Chapter 34: Community-Based Psychiatric Nursing Care
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Q1) Individuals may seek treatment for mental health disorders from their primary care provider.Which assessment questions are directed towards identifying the most common of these conditions? (Select all that apply.)
A) "Do you see yourself as a depressed individual?"
B) "What is your opinion of recreational drug use?"
C) "Would you consider yourself an anxious person?"
D) "Is your daily routine controlled by ritual behaviors?"
E) "Have you ever been told you drink too much alcohol?"
Q2) Which intervention demonstrates effective management of two contradictory goals of case management?
A) Arranging for outpatient patients to car pool to group meetings
B) Assessing patients to determine who is able to shower independently
C) Scheduling a patient to have in-home help with cooking and cleaning
D) Helping a patient appropriately fill a personal 5-day medication container
Q3) A psychiatric home care nurse's greatest patient care challenge is:
A) effectively assessing the home care needs of the patient.
B) documenting care to reflect the skilled service given.
C) providing all the attention each patient wants.
D) evaluating family situations accurately.
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Chapter 35: Child Psychiatric Nursing
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Sample Questions
Q1) Which statement by a child best indicates the child may be experiencing symptoms of depression?
A) "I don't like to play outside. Besides, I've got so much homework and my parents expect me to be a good student."
B) "I have some friends at school but there's no one my age who lives in my neighborhood. I watch television and play with my video games."
C) "I've got some friends, but they are older than me. Sometimes we play together but not all the time since they want to do things I'm not old enough to do."
D) "I don't know; I don't think about school much. It's just a place I have to go every day. I guess it's alright. Some of the kids are nice, and I like the food."
Q2) When attempting to modify unacceptable behaviors exhibited by an aggressive and self-destructive child,which nursing intervention would be most therapeutic while being the least restrictive?
A) Informing the child that physical restraints will be used to remodel behavior
B) Requiring the child to interact only with staff when unable to behave
C) Encouraging the child to engage in only low-stimulation activities
D) Secluding the patient with a time-out for inappropriate behavior
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Chapter 36: Adolescent Psychiatric Nursing
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Q1) A parent shares with a nurse a concern that an adolescent "constantly reads about Hitler and watches history television programs that show concentration camp footage." Which statement would be the most therapeutic response?
A) "Are there any other behavior changes that concern you?"
B) "Being interested in Hitler isn't necessarily something to be worried about."
C) "Have you ever talked with your child about how this interest in Hitler concerns you?"
D) "I'll be happy to talk with your child, but anything I learn is considered confidential."
Q2) A nurse would be most concerned about the risk of suicide in which adolescent?
A) A 13-year-old girl with poor school performance
B) A 14-year-old male exhibiting hostile behavior
C) A 17-year-old female with alcohol abuse issues
D) An 18-year-old male with relationship problems
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Chapter 37: Geropsychiatric Nursing
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Q1) Which would be the most effective approach for a nurse to take when assessing the self-care needs and activities of daily living (ADLs) for an older adult?
A) Observe the level of grooming and dress that the patient demonstrates on a daily basis.
B) Interview the patient with a focus on how daily toileting and bathing are typically achieved.
C) Offer to provide the patient with the typical activities involved with bathing and grooming.
D) Interact with the patient to determine his or her ability to bathe, toilet, eat, and dress independently.
Q2) Which scenario indicates to the nurse that an older adult is at risk for falls?
A) A 68-year-old retiree who moves in with family members to babysit their 3-year-old
B) A 75-year-old who lives alone and uses a cane at night and when going outside
C) An 80-year-old who marries and moves into the spouse's home after selling his home
D) A 92-year-old who moves to a retirement community after hip replacement surgery
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Chapter 38: Care of Survivors of Abuse and Violence
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Q1) Which intervention would be the best initial approach for a nurse to take when a young adult patient is verbally abusive?
A) Ask the patient to define "verbally abusive language."
B) Provide the patient with examples of assertive communication.
C) Identify the patient's verbal abuse in order to set standards for future dialogue.
D) Remove privileges from the patient until communications show less aggression.
Q2) When a nurse overhears the spouse of a patient threaten to "punch you in the face if you don't shut up" while sitting in the unit's dayroom,which action reflects the most immediate,therapeutic nursing intervention?
A) Notify hospital security immediately that the situation exists.
B) Tell the spouse, "Your presence is no longer permitted on the unit."
C) Ask the patient if the spouse has ever engaged in abusive behavior.
D) Tell the spouse, "The police will be called unless you leave immediately."
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Chapter 39: The Military and Their Families
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Q1) Which interventions address the most commonly identified sources of risk to the mental health of military personnel and their dependents? (Select all that apply.)
A) Depression support groups for adolescent dependents of military personnel
B) Outpatient mental health services conveniently located near on-base housing
C) Low-interest loans to assist dependent families in the payment of relocation expenses
D) Relocation orders being delayed for families with school-age children so the move can occur during the summer months
E) Access to on-base Internet communication resources to facilitate communication between deployed personnel and their families
Q2) A combat experienced military veteran with a diagnosis of depression is concerned about adjusting to civilian life and reconnecting with family and friends.In assisting the individual's long-term readjustment,the mental health nurse would suggest a referral to:
A) job retraining programs.
B) family and marital counseling sessions.
C) civilian employment assistance services.
D) support groups comprised of combat veterans.
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Chapter 40: Psychological Care of Patients with Life-Threatening Illness
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Sample Questions
Q1) A patient underwent surgery for cancer and now needs follow-up chemotherapy.The patient reports anorexia,fatigue,and trouble concentrating and sleeping.A nurse would place highest priority on responding to which statement by the family member?
A) "We are so concerned about him. He hardly eats or sleeps anymore. Can something be done?"
B) "We're not surprised he's depressed after all he is going through, but is there some medicine that can help him right now?"
C) "We're not surprised he's so depressed. It ought to be expected after all that he's been through. He'll be back to normal after the chemotherapy."
D) "We can't wait for the chemotherapy to start. He worries about any remaining cancer starting to grow between the surgery and the chemotherapy."
Q2) Palliative care includes: (Select all that apply.)
A) comfort measures.
B) fluid-volume replacement.
C) range-of-motion exercises.
D) nasogastric tube feedings.
E) pain medication therapies.
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