Psychiatric Mental Health Nursing
Exam Materials
Course Introduction
Psychiatric Mental Health Nursing focuses on the promotion of mental health and the care of individuals, families, and groups experiencing mental health disorders. This course provides an overview of foundational concepts in psychiatric nursing, including assessment, diagnosis, therapeutic communication, and evidence-based interventions for a range of psychiatric conditions. Students will explore the biological, psychological, and social determinants of mental health, as well as ethical, legal, and cultural considerations in mental health care. Emphasis is placed on developing clinical judgment, fostering therapeutic relationships, and collaborating with interdisciplinary teams to deliver holistic, patient-centered care in diverse settings.
Recommended Textbook
Foundations of Psychiatric Mental Health Nursing A Clinical Approach 6th Edition by Elizabeth M.
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36 Chapters
1052 Verified Questions
1052 Flashcards
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Chapter 1: Mental Health and Mental Illness
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse is part of a multidisciplinary team working with groups of depressed patients.Half the patients receive supportive interventions and antidepressant medication.The other half receives only medication.The team measures outcomes for each group.Which type of study is evident?
A) Prevalence
B) Clinical epidemiology
C) Descriptive epidemiology
D) Experimental epidemiology
Answer: B
Q2) Complete this analogy.NANDA : clinical judgment :: NIC : _________________
A) patient outcomes
B) nursing actions
C) diagnosis
D) symptoms
Answer: B
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Chapter 2: Relevant Theories and Therapies for Nursing Practice
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Sample Questions
Q1) A student nurse says,"I don't need to interact with my patients.I learn what I need to know by observation." An instructor can best interpret the nursing implications of Sullivan's theory to this student by responding:
A) "Interactions are required in order to help you develop therapeutic communication skills."
B) "Nurses cannot be isolated.We must interact to provide patients with opportunities to practice interpersonal skills."
C) "Observing patient interactions will help you formulate priority nursing diagnoses and appropriate interventions."
D) "It is important to note patients' behavioral changes,because these signify adjustments in personality."
Answer: B
Q2) A cognitive strategy the nurse could use to help a dependent patient would be:
A) avoidance training.
B) filling the patient's pill minder.
C) interpreting the patient's dream content.
D) examining the patient's fears related to being independent.
Answer: D
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Chapter 3: Biological Basis for Understanding Psychotropic Drugs
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35 Flashcards
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Sample Questions
Q1) An individual is experiencing problems with memory.Which of these structures are most likely to be involved in this deficit? Select all that apply.
A) Amygdala
B) Hippocampus
C) Occipital lobe
D) Temporal lobe
E) Basal ganglia
Answer: A,B,D
Q2) An obese patient has schizophrenia.Medications that block which receptors would contribute to further weight gain?
A) H<sub>1</sub>
B) 5 HT<sub>2</sub>
C) GABA
D) Acetylcholine
Answer: A
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Chapter 4: Psychiatric Mental Health Nursing in Acute Care Settings
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Sample Questions
Q1) A nurse receives three phone calls regarding a newly admitted patient. The psychiatrist wishes complete an assessment interview. The medical doctor wants to perform a physical examination. The patient's attorney wants an appointment with the patient. The nurse schedules the activities for the patient.Which role has the nurse fulfilled?
A) Advocate
B) Case manager
C) Milieu manager
D) Provider of care
Q2) A nurse inspects an inpatient psychiatric unit and finds that exits are free from obstruction,no one is smoking,the janitor's closet is locked,and sharp objects are used under staff supervision.These observations relate to:
A) management of milieu safety.
B) coordinating care of patients.
C) management of the interpersonal climate.
D) use of therapeutic intervention strategies.
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Chapter 5: Psychiatric Mental Health Nursing in Community Settings
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Sample Questions
Q1) Which competency is more important for a nurse who works in a community mental health center than a psychiatric nurse who works in an inpatient unit?
A) Problem-solving skills
B) A calm external manner
C) Ability to cross service systems
D) Knowledge of psychopharmacology
Q2) A community psychiatric nurse facilitates medication compliance for a patient by having the health care provider prescribe depot medications every 3 weeks at the clinic.For this plan to be successful,which factor will be of critical importance?
A) The attitude of significant others toward the patient
B) Nutrition services in the patient's neighborhood
C) The level of trust between the patient and nurse
D) The availability of transportation to the clinic
Q3) Select the example of primary prevention.
A) Assisting a person with serious and persistent mental illness to fill a pill-minder
B) Helping school-age children describe normal emotions people experience
C) Leading a psychoeducational group in a partial hospitalization program
D) Medicating an acutely ill patient who assaulted a staff person
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Chapter 6: Cultural Implications for Psychiatric Mental
Health Nursing
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37 Verified Questions
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Sample Questions
Q1) An African American patient,originally from Haiti,was admitted for depression.A staff nurse tells a peer,"This patient frequently looks down and does not express feelings.When I observe interactions with other African American patients,however,the patient appears spontaneous." What remark by the peer would be most helpful?
A) "Most African Americans depend on the church for support.Have you consulted the patient's pastor?"
B) "Ask the patient to describe feelings in a group setting.It will be less intimidating than one-to-one interaction."
C) "Don't take it personally.African Americans often have a resentful attitude that takes a long time to overcome."
D) "The patient may have difficulty communicating feelings in English.Have you considered using a cultural broker?"
Q2) Ataque de nervios
A)Navajo
B)Korean
C)Latin American
D)Chinese
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8
Chapter 7: Legal and Ethical Guidelines for Safe Practice
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Sample Questions
Q1) A new antidepressant is prescribed for an elderly patient with major depression,but the dose is more than the usual geriatric dose.The nurse should:
A) consult a drug reference.
B) teach the patient about possible side effects and adverse effects.
C) withhold the medication and confer with the health care provider.
D) encourage the patient to increase oral fluids to reduce drug concentration.
Q2) A person in the community asks,"Why aren't people with mental illness kept in state institutions anymore?" Select the nurse's best response.
A) "Less restrictive settings are available now to care for individuals with mental illness."
B) "There are fewer persons with mental illness,so less hospital beds are needed."
C) "Most people with mental illness are still in psychiatric institutions."
D) "Psychiatric institutions violated patients' rights."
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9
Chapter 8: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
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Sample Questions
Q1) A patient states: "I'm not worth anything.I have negative thoughts about myself.I want to go to sleep and never wake up." Which nursing intervention has the highest priority?
A) Self-esteem building activities
B) Anxiety self-control measures
C) Sleep enhancement activities
D) Suicide precautions
Q2) At what point in an assessment interview could a nurse logically ask,"How does your faith help you in stressful situations?" During the assessment of:
A) childhood growth and development.
B) substance use and abuse.
C) educational background.
D) coping strategies.
Q3) Nursing behaviors associated with the implementation phase of the nursing process are concerned with:
A) carrying out interventions and coordinating care.
B) comparing patient responses and expected outcomes.
C) gathering accurate and sufficient patient-centered data.
D) participating in mutual identification of patient outcomes.
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Chapter 9: Therapeutic Relationships
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Sample Questions
Q1) Which nursing actions demonstrate consistency and reliability? (Select all that apply. )
A) Providing a schedule of daily activities.
B) Offering solutions to a patient's problems.
C) Having the same nurse care for a patient daily.
D) Setting a time for regular sessions with a patient.
E) Encouraging a patient to share initial impressions of staff.
Q2) Which issues should a nurse address during the first interview with a patient with a psychiatric disorder?
A) Trust,congruence,attitudes,and boundaries.
B) Goals,resistance,unconscious motivations,and diversion.
C) Relationship parameters,the contract,confidentiality,and termination.
D) Transference,countertransference,intimacy,and developing resources.
Q3) A patient frequently asks the nurse for extra snacks,implying more willingness to talk if these items are provided.The nurse should assess this behavior as:
A) typical of transference reactions.
B) indicative of feelings of insecurity.
C) reflecting resistance to involvement.
D) testing the nurse's clinical competence.
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Page 11
Chapter 10: Communication and the Clinical Interview
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33 Flashcards
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Sample Questions
Q1) "You look very nice today.I'm proud you took more time with your appearance."
Q2) Which remark by the nurse gives a patient verbal tracking feedback?
A) "Describe your relationship with your children."
B) "Give me an example of not getting along with your children."
C) "Am I correct in stating you are feeling angry with your children?"
D) "You're saying you do not have a good relationship with your children?"
Q3) "Why do you think these events have happened to you?"
Q4) A depressed patient is unable to maintain eye contact with the nurse.The patient's chin drops,and the patient looks at the floor.Which aspect of communication has the nurse assessed?
A) Nonverbal communication
B) A message filter
C) A cultural barrier
D) Social skills
Q5) A nurse interviews a patient who is having difficulty with self-expression and staying focused.Select the nurse's most helpful comment.
A) "Go on."
B) "What would you like to discuss?"
C) "Tell me what is happening right now."
D) "It seems you are having trouble staying focused."
Page 12
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Chapter 11: Understanding Responses to Stress
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A patient who is experiencing great stress associated with a disturbing new diagnosis asks the nurse,"Do you think saying a prayer would help?" The answer the nurse should give is:
A) "To be honest,it could be that prayer may be your only hope."
B) "You may find prayer gives comfort and lowers your stress."
C) "I could help you feel calmer by teaching you to meditate."
D) "We don't have evidence that prayer helps,but it wouldn't hurt."
Q2) A patient with emphysema who has severe shortness of breath and frequent hospitalizations often depends on her portable oxygen tank when she leaves her home.Recently she has not been able to go upstairs to her bedroom at night because of shortness of breath and fear of developing severe breathing difficulty if she continues up the stairs.A support group leader suggests the use of guided imagery.What image would the patient be encouraged to visualize?
A) Having a younger,healthier body that knows no exercise limitations
B) Walking up the stairs in a steady,relaxed manner,taking regular deep breaths
C) Walking up stairs slowly and steadily without using any supplemental oxygen
D) Sleeping comfortably and soundly downstairs,without respiratory distress
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Chapter 12: Anxiety and Anxiety Disorders
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) A patient who has been unable to leave his home for more than a month because of symptoms of severe anxiety tells the nurse: "I feel really stupid,a grown man not being able to leave his house." The most therapeutic reply is:
A) "I don't think it's stupid.You're afraid,it happens."
B) "Many individuals share this situation with you."
C) "You feel stupid because you're afraid to leave home?"
D) "I can see how you might feel that way."
Q2) A rather unattractive woman seems to work diligently to be an excellent mother and a bright,exceptional employee,striving to please her husband and her boss,sometimes to the point that she sacrifices her own needs to assure that their needs are met.This is an example of:
A) intellectualization
B) compensation.
C) identification.
D) undoing.
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14
Chapter 13: Depressive Disorders
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A patient being treated for major depression is the CEO of her own business.She has shown significant improvement and is about to be discharged after completing a course of 15 electroconvulsive therapy sessions.She will continue on SSRI medications.The patient has been counseled not to make a major business decision for a month.The rationale for this is that:
A) SSRIs may cause confusion in susceptible persons.
B) ECT often causes temporary memory impairment.
C) Lingering depression makes the patient incompetent.
D) The patient needs months to readjust to work pressures.
Q2) A depressed patient who is scheduled to receive electroconvulsive therapy this morning asks the nurse,"How is this treatment supposed to help me?" The best reply would be: "Electroconvulsive therapy seems to ____________."
A) increase the activity of brain chemicals involved in mood
B) interfere with one's memory of why he's feeling depressed
C) serve as a punishment so you can stop punishing yourself
D) open your mind to learning and trying new ways of coping
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15
Chapter 14: Bipolar Disorders
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Sample Questions
Q1) A patient with bipolar disorder commands another patient,"Change the television channel.Get me something to drink ," and so forth.The nurse wants to interrupt this behavior without entering into a power struggle with the patient.Select the nurse's best approach.
A) Distraction: "Let's go to the dining room for a snack."
B) Humor: "How much are you paying servants these days?"
C) Limit setting: "You must stop ordering other patients around."
D) Honest feedback: "Your behavior is annoying other patients."
Q2) At a unit meeting,staff discusses interior decoration for a special room for patients in acute mania.Select the best suggestion.
A) An extra-large window with a view of the street.
B) Neutral walls with pale,coordinated accessories.
C) Brightly colored walls and print drapes.
D) A rocking chair.
Q3) A patient takes lithium daily.The nurse should monitor the patient for:
A) pharyngitis,mydriasis,and dystonia.
B) alopecia,purpura,and drowsiness.
C) diaphoresis,weakness,and nausea.
D) ascites,dyspnea,and edema.
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Page 16
Chapter 15: Schizophrenia
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Sample Questions
Q1) A patient with many positive symptoms of schizophrenia,whose behavior is disorganized and who is highly anxious,tells the nurse in the psychiatric emergency department,"You have got to help me.I do not know what is going on.I think someone is trying to wipe me out.I have to get a gun." The patient,a college student,lives alone and has no family or support system in the immediate area.He has not left his room in 2 weeks,has not eaten in several days,and is unkempt.Of the available treatment settings,the nurse should recommend:
A) admission to an unlocked residential crisis unit.
B) inpatient hospitalization on a locked unit.
C) attending a day treatment program for 4 weeks.
D) admission to a partial hospital program.
Q2) The nurse is sitting with a patient diagnosed as having schizophrenia,disorganized type,who starts to laugh uncontrollably,although nothing funny has occurred.The nurse should say:
A) "Please share the joke with me."
B) "Why are you laughing?"
C) "I don't think I said anything funny."
D) "You're laughing.Tell me what's happening."
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Chapter 16: Eating Disorders
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Sample Questions
Q1) A patient with anorexia nervosa is treated as an outpatient.Select the desired outcome related to the nursing diagnosis Imbalanced nutrition: less than body requirements.Within 1 week,the patient will:
A) gain 1 to 2 pounds.
B) exercise 1 hour daily.
C) take a laxative every 3 days.
D) weigh self accurately using balanced scales.
Q2) An 18-year-old referred to the mental health center often cooks gourmet meals but eats only tiny portions.The patient wears layers of loose clothing saying,"I like the style." The patient's weight dropped from 130 to 95 pounds.She has amenorrhea.Which diagnosis is most likely?
A) Eating disorder not otherwise specified
B) Anorexia nervosa
C) Bulimia nervosa
D) Binge eating
Q3) Which statement is most likely from a patient with anorexia nervosa?
A) "I'm fat and ugly."
B) "I have nice eyes."
C) "I'm thin for my height."
D) "My mother is doesn't pay much attention to me."
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Chapter 17: Cognitive Disorders
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Sample Questions
Q1) A widow,aged 72 years,lives alone and is visited weekly by her son.She takes digoxin,hydrochlorothiazide,and an antihypertensive drug.She also has a prescription for diazepam (Valium)as needed for moderate to severe anxiety.When the son visited today,he found his mother confused.Her speech was thick and slurred and she had an unsteady gait.She was taken to the emergency department,and hospital admission followed.The nurse assessed the patient as having several cognitive problems,including memory and attention deficits and fluctuating levels of orientation.The nurse confirms that the patient's symptoms developed over a 2-day period.The patient's symptoms are most characteristic of:
A) delirium.
B) dementia.
C) amnestic syndrome.
D) Alzheimer's disease.
Q2) Which intervention would best address the nursing diagnosis of Imbalanced nutrition for elderly patients in stages 2 to 3 of Alzheimer's disease?
A) Monitor the frequency and characteristics of bowel movements.
B) Offer finger foods the patient can take away from the table.
C) Monitor intake and output,and take patient weights each week.
D) Provide protein-dense foods to provide for neurological regrowth.
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Page 19
Chapter 18: Addictive Disorders
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Sample Questions
Q1) Symptoms of withdrawal from central nervous system depressants for which the nurse should assess include:
A) dilated pupils,tachycardia,elevated blood pressure,elation.
B) mood lability,incoordination,fever,drowsiness.
C) nausea,vomiting,diaphoresis,anxiety,tremors.
D) excessive eating,constipation,headache.
Q2) An alcohol dependent patient says,"Drinking helps me cope with being a single parent." Which response by the nurse would help the patient conceptualize the drinking more objectively?
A) "Sooner or later,alcohol will kill you.Then what will happen to your children?"
B) "I hear a lot of defensiveness in your voice.Do you really believe this?"
C) "If you were coping so well,why were you hospitalized again?"
D) "Tell me what happened the last time you drank."
Q3) Which assessment findings are likely for an individual who recently injected heroin?
A) Anxiety,restlessness,paranoid delusions
B) Muscle aching,dilated pupils,tachycardia
C) Heightened sexuality,insomnia,euphoria
D) Drowsiness,constricted pupils,slurred speech
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Chapter 19: Personality Disorders
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Sample Questions
Q1) The nurse reports to the interdisciplinary team that an antisocial patient lies to other patients,verbally abuses a patient with Alzheimer's disease,flatters his primary nurse,and is detached and superficial during counseling sessions.Which behavior should be the priority focus of limit setting?
A) Lying to other patients
B) Flattering the nursing staff
C) Verbally abusing other patients
D) Superficiality during counseling
Q2) Which intervention would be appropriate for a patient with a nursing diagnosis of Ineffective coping as evidenced by manipulation of others?
A) Refer patient requests and questions about care to the primary nurse.
B) Provide negative reinforcement for any acting-out behavior.
C) Ignore rather than confront inappropriate interpersonal behavior.
D) Encourage the patient to discuss feelings of fear and inferiority.
Q3) Place the steps for limit setting in the most desirable order.
A) Implement consequences when undesired behaviors present.
B) Identify undesirable behavior and discuss concerns with patient.
C) Jointly establish consequences for future inappropriate behavior.
D) Jointly determine what behaviors would be preferred instead.
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Page 21
Chapter 20: Sleep Disorders
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Sample Questions
Q1) Which sleep disturbance would be most likely for a patient with bipolar I disorder?
A) Early morning awakening
B) Fragmentation of sleep
C) Decreased REM sleep
D) Hypersomnia
Q2) A 76-year-old man tells the nurse at the sleep disorder clinic,"I awaken almost nightly in the midst of violent dreams in which I am defending myself against multiple attackers.Then I realize I have been hitting and kicking my wife.She has bruises." Which health problem is most likely?
A) Sleep paralysis
B) Night terror disorder
C) Sleep-related bruxism
D) REM sleep behavior disorder
Q3) A patient needs diagnostic evaluation of sleep problems.Which test will measure the patient's sleep?
A) Skull x-rays
B) Electroencephalogram (EEG)
C) Positron emission tomography (PET)
D) Single-photon emission tomography (SPECT)
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Page 22
Chapter 21: Sexual Dysfunction and Sexual Disorders
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Sample Questions
Q1) A woman consults the nurse practitioner because she has not been able to have an orgasm,despite having been sexually active for 2 years.She is very frustrated and feels it is harming the relationship with her spouse.Which nursing diagnosis would be most appropriate for this presentation?
A) Sexual dysfunction
B) Relational impairment
C) Ineffective sexuality pattern
D) Impaired sexual arousal
Q2) The male manager of a health club has been discovered to have placed a hidden video camera in the women's locker room and has taped several women as they showered and dressed.The disorder most likely represented by this behavior is:
A) homosexuality.
B) exhibitionism.
C) pedophilia.
D) voyeurism.
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Chapter 22: Somatoform, Factitious, and Dissociative Disorders
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Sample Questions
Q1) The patient lives with her roommate in a condominium.The roommate has observed her leaving the condo wearing seductive clothing quite different from her usual wardrobe and returning 12 to 24 hours later,after which she sleeps for 8 to 12 hours.Episodes have also occurred in which the patient and her roommate have argued about household matters,and the patient has gone to sit on the floor in the corner of the kitchen.While seated there,she has spoken like a young child.The patient's problem can be assessed as being consistent with DSM-IV-TR criteria for:
A) dissociative fugue state.
B) dissociative identity disorder.
C) body dysmorphic disorder.
D) depersonalization disorder.
Q2) A patient with somatization has an established nursing diagnosis of Interrupted family processes related to patient's symptoms.The patient's spouse and children assume roles and tasks that previously belonged to the patient.Which is an appropriate outcome for the patient? The patient will __________.
A) demonstrate resumption of former roles and tasks.
B) assume roles and functions of other family members.
C) focus energy on problems occurring in the family.
D) rely on family members to meet all patient needs.
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Chapter 23: Crisis and Disaster
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Sample Questions
Q1) A nurse in the emergency room is responsible for responding to crises involving school children and has spent many days in local schools helping grieving students who have lost peers or teachers unexpectedly.She is also exposed daily to the victims of horrible accidents and other physical and emotional traumas.Which of the following would be most important for her to address in periodic clinical supervision?
A) Vicarious traumatization
B) Evidence-based interventions
C) Research on crisis response
D) Physiological response to crises
Q2) A woman goes to the airport to pick up her husband,returning from one of many business trips.Persons awaiting his flight are directed to a conference room where airline counselors explain that the flight crashed into the ocean,and it is believed that there are no survivors.The woman tells a counselor that it is too soon to be sure,he might still be alive,clinging to wreckage and waiting to be found.The patient is demonstrating:
A) trial-and-error problem solving.
B) adaptive denial.
C) ineffective denial.
D) acute confusion.
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Chapter 24: Suicide
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Sample Questions
Q1) A woman with a history of several suicide attempts by overdose is found to have recurrent major depression.Given this patient's history and diagnosis,which of the following antidepressant medications would the nurse expect to be ordered?
A) Amitriptyline (Elavil),a sedating tricyclic medication
B) Desipramine (Norpramin),a stimulating tricyclic medication
C) Fluoxetine (Prozac),a selective serotonin reuptake inhibitor
D) Tranylcypromine sulfate (Parnate),a monoamine oxidase inhibitor
Q2) Which of these statements about suicide is accurate?
A) The majority of persons who attempt suicide have given overt or covert indications of their intentions to others.
B) A background in health care has a protective effect,leading to a lower rate of suicide among physicians and nurses than in the general public.
C) Most persons with previous suicide attempts survived because they did not truly intend to die;they are at lower risk than those making their first attempt.
D) Use of a low-lethality means or likelihood of being discovered in time to prevent death are merely suicide gestures,not genuine attempts.
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Chapter 25: Anger, Aggression, and Violence
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Sample Questions
Q1) A nurse deciding whether or not to place an agitated patient in seclusion or restraints would need to keep in mind that:
A) the goal in using either seclusion or restraint is always to maintain the safety of the patient or others.
B) restraints are designed to discourage inappropriate behavior by serving as negative reinforcements.
C) seclusion and restraint are used in place of de-escalation when staff judge that de-escalation would be ineffective.
D) once implemented,restraints should not be terminated until the patient has remained calm for at least 6 hours.
Q2) The patient on the mental health unit who should be assessed as being at highest risk for directing violent behavior toward others is the patient who has:
A) obsessive-compulsive disorder and performs many rituals.
B) paranoid delusions of being followed by the Mafia.
C) severe depression with feelings of worthlessness and self-loathing.
D) completed alcohol withdrawal and is now in a rehabilitation program.
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Chapter 26: Child, Older Adult, and Intimate Partner Abuse
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Sample Questions
Q1) The plan of care for a patient who has demonstrated outbursts of physical violence against his family when frustrated,followed by periods of remorse after each outburst,would be considered successful when the patient:
A) expresses frustration verbally instead of physically.
B) agrees to seek group counseling at a future time.
C) explains the reason for his behavior toward the victim.
D) identifies three personal strengths and coping strategies.
Q2) A woman who is a victim of severe emotional violence tells the nurse that her husband abuses her most often when he is intoxicated,just as his father had beaten him and his mother.The woman is aware of the location of a safe house and has considered leaving home with her two children,but she cites being brought up to believe "you keep quiet and stay together,no matter what happens." She states the husband is always apologetic and remorseful after an incident.The nurse responds,"You cannot live like this;you have to defend yourself and your children." Which statement most accurately describes the nurse's response?
A) It is an honest and direct response that will help build trust and rapport.
B) It suggests that the nurse herself has been a victim of physical abuse.
C) It is unprofessional,but it will likely help by motivating the patient.
D) It is a human but unprofessional response and is not helpful.
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Chapter 27: Sexual Assault
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) An emergency department nurse prepares to assist with examination of a sexual assault victim.What equipment will be needed to collect and document forensic evidence? Select all that apply.
A) Body map
B) DNA swabs
C) Photographs
D) Pulse oximeter
E) Sphygmomanometer
Q2) A nurse interviews a patient abducted and raped at gunpoint by an unknown assailant.The patient says,"I can't talk about it.Nothing happened.I have to forget." What is the patient's present coping strategy?
A) Somatization
B) Repression
C) Projection
D) Denial
Q3) A nurse works a rape telephone hotline.Communication should focus on:
A) explaining immediate steps victims should take.
B) providing callers with a sympathetic listener.
C) obtaining information for law enforcement.
D) arranging long-term counseling.
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Chapter 28: Disorders of Children and Adolescents
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/51651
Sample Questions
Q1) A nurse works with an adolescent who is moody and withdrawn because the teen's parents are divorcing.Establishing a therapeutic alliance is a priority because:
A) focusing on the strengths of an individual increases the individual's self-esteem.
B) the adolescent should express feelings and not keep them internalized.
C) acceptance and trust convey feelings of security to the adolescent.
D) therapeutic activities provide an outlet for tension.
Q2) A parent with schizophrenia and 10-year-old child live in a homeless shelter.The child has adapted to shelter life.The child says,"I have three good friends at school.We talk about lots of things and sit together at lunch." Select the nurse's best action.
A) Recommend foster home placement of the child.
B) Refer the parent to the domestic violence program.
C) Refer the child for evaluation of emerging developmental problems.
D) Foster the child's healthy characteristics and existing environmental supports.
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Chapter 29: Psychosocial Needs of the Older Adult
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse plans an educational program for staff of a home health agency specializing in care of the elderly.Which topic is the highest priority to include?
A) Pain assessment techniques for older adults
B) Psychosocial stimulation for those who live alone
C) Preparation of psychiatric advance directives in the elderly
D) Ways to manage disinhibition in elderly persons with dementia
Q2) A 78-year-old resident of a skilled nursing facility has hypertension and cardiac disease.This resident is usually alert and oriented but this morning tells the nurse,"My family visited during the night.They brought flowers and candy to me." In reality,the patient's family lives 200 miles away.The nurse should first suspect that the resident:
A) may be developing Alzheimer's disease associated with advanced age.
B) may have a cognitive impairment associated with medication actions.
C) had a stroke and developed sensory perceptual alteration.
D) has an alcohol-related cognitive impairment.
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Chapter 30: Serious Mental Illness
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A judge notices that many of the persons brought before her criminal court are mentally ill people who have committed minor offenses,are off their medications,and who probably offended because of their illness.She consults the nurse director of the local community mental health center for guidance about how to most helpfully respond when handling such cases.Which advice from the nurse would be most appropriate?
A) "Sometimes a little time in jail makes a person rethink what they've been doing and puts them back on the right track."
B) "Sentencing such persons to participate in treatment instead of incarcerating them has been shown to reduce repeat offenses."
C) "Actually,police arresting these people helps them in the long run;sometimes I can't hospitalize them,but in jail they'll at least get their meds."
D) "Research suggests that special 'mental health courts' aren't making much of a difference so far,but outpatient commitment does seem to help."
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Chapter 31: Psychological Needs of Patients With Medical Conditions
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19 Flashcards
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Sample Questions
Q1) A patient hospitalized after an MI is restlessly moving about in bed.Her pulse,blood pressure,and respiratory rate are elevated.In a shaky voice,she tells the nurse,"I think I am going to die.The pain is gone,but it could come back anytime.Where is the doctor? Why isn't the doctor here with me?" The nurse should analyze this behavior as suggesting the nursing diagnosis of:
A) Spiritual distress.
B) Ineffective breathing pattern.
C) Nonadherence.
D) Anxiety.
Q2) A diabetic patient is to have a midthigh amputation of his left leg.He tells the nurse,"I guess I'll be called 'Gimpy' after the surgery.My life is really going to change when I can't carry out my exercise program anymore.It sure won't be the same." What do these comments suggest the patient is experiencing?
A) Loss and grief
B) Fear and denial
C) Depression
D) Spiritual distress
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Page 33
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/51655
Sample Questions
Q1) A nurse asks a hospice nurse,"Who should be referred for hospice care?" Select the correct reply.
A) "Hospice is for terminally ill patients with cancer."
B) "Patients in the end stage of any disease are eligible."
C) "We are best equipped to care for patients with end-stage renal disease."
D) "Patients with degenerative neurological disease are eligible after respiration is affected."
Q2) A nurse cared for a terminally ill patient over a month and looked forward to spending time with this patient.After the patient died,the nurse began to sleep poorly,lacked energy,and felt depressed.Eventually the nurse explained these feelings to a mentor.The mentor should counsel the nurse:
A) about stress-reduction strategies.
B) to seek therapy for dysfunctional grief.
C) about the experience of disenfranchised grief.
D) to consider taking a leave of absence to pursue healing.
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34
Chapter 33: Forensic Psychiatric Nursing
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19 Flashcards
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Sample Questions
Q1) An inmate with schizophrenia does not respond when the guard tells him to ask the desk officer for a mop and bucket,then get water from the shower area and mop the center aisle.The guard becomes angry and cancels the inmate's recreation break.Which response by the corrections nurse would be most appropriate?
A) Document the patient's response as indicating that he is resistant and would benefit from a behavior modification plan.
B) Suggest to the jail psychiatrist that when he next does rounds,he reevaluate the patient's medications and talk to the inmate about cooperating.
C) Explain to the guard that schizophrenia makes it hard to follow multistep instructions,and suggest assigning one action at a time.
D) Do not intervene,because it would be inappropriate for a corrections nurse to serve as a patient advocate.
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Chapter 34: Therapeutic Groups
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Sample Questions
Q1) A new nurse is reviewing the various types of groups available on her new unit.One group adds new members as others leave.She recognizes this type of group as a(n)________ group.
A) open
B) closed
C) homogenous
D) heterogeneous
Q2) Which outcome would be most appropriate for a symptom-management group for persons with schizophrenia? Group members:
A) state the names of their medications.
B) resolve conflicts within their families.
C) describe ways to cope with their illness.
D) rate anxiety at least two points lower.
Q3) "It doesn't really matter what we do,I'm just here because they make me attend."
A) Playboy
B) Energizer
C) Organizer
D) Gatekeeper
E) Follower
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Page 36
Chapter 35: Family Interventions
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16 Flashcards
Source URL: https://quizplus.com/quiz/51658
Sample Questions
Q1) Mary believes that her husband John is having an affair because he has become increasingly distant,disinterested in romance,and works late.John is in charge of an important project at work that is running behind and causing stress.Mary asks her daughter if she has noticed anything different about her father,and when the daughter mentions it to her father,the father tells her to tell her mother that he cannot deal with her insecurities right now.After establishing a therapeutic relationship,which initial intervention by the nurse therapist would be most therapeutic?
A) Ask the parents what they would most like to change in each other.
B) Advise the parents to stop communicating through their daughter.
C) Point out that the parents have something in common: both are hurting.
D) Ask the daughter to explain to her parents how she is feeling about them.
Q2) The nurse therapist assessing a family system perceives the family to be poorly differentiated and determines that family members have little sense of individuality.A desirable outcome is that members will:
A) distinguish who is at fault for the family's dysfunction.
B) develop their own values and beliefs instead of simply adopting those of others.
C) become comfortable adhering to family norms and rules.
D) integrate more effectively with other social systems.
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Chapter 36: Integrative Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/51659
Sample Questions
Q1) A patient has tried a variety of CAM approaches to her health concerns.The nurse asks a patient to describe what it was like going to CAM practitioners.The patient is most likely to recount,"The CAM practitioners:
A) prescribed a course of invasive and sometimes painful treatments."
B) spent a long time talking with me,and not just about my symptoms."
C) said I would need to become much more spiritual to be well."
D) told me that there is no research support yet,so I would have to act on faith."
Q2) A patient shows a nurse the following advertisement for a product: "Product X is a scientific breakthrough helpful for a wide range of ailments,including depression,anxiety,and sleeplessness.Made from an ancient formula,X stimulates circulation and doubles the body's ability to excrete toxins.Satisfaction is guaranteed or your money back.Only $45 for a 1-month supply.Order now and receive a free month's supply." The nurse should assess this as most likely being:
A) a bargain.
B) worth a try.
C) dangerous.
D) worthless.
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