Psychosocial Nursing Question Bank
Course Introduction
Psychosocial Nursing explores the dynamic relationship between psychological well-being and social factors in the context of nursing care. This course focuses on the assessment and management of individuals with mental health needs, emphasizing therapeutic communication, crisis intervention, and promotion of coping strategies for patients and their families. Students will learn to integrate evidence-based practices into holistic care plans, address common psychiatric disorders, and collaborate across interdisciplinary teams. By examining concepts such as stress, resilience, cultural sensitivity, and recovery, the course prepares nurses to effectively support diverse populations in various healthcare 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
Source URL: https://quizplus.com/quiz/51624
Sample Questions
Q1) In the majority culture of the United States,which individual has the greatest risk to be labeled mentally ill? One who:
A) describes hearing God's voice speaking.
B) is usually pessimistic but strives to meet personal goals.
C) is wealthy and gives away $20 bills to needy individuals.
D) always has an optimistic viewpoint about life and having own needs met.
Answer: A
Q2) Which comment most clearly shows a speaker views mental illness with stigma?
A) "Some mental illnesses are inherited."
B) "Most people with mental illness are unmotivated."
C) "Severe environmental stress sometimes causes mental illness."
D) "Some mental illnesses are brain disorders resulting from changes in how impulses are transmitted."
Answer: B
Q3) The Diagnostic and Statistical Manual of Mental Disorders classifies:
A) deviant behaviors.
B) people with mental disorders.
C) present disability or distress.
D) mental disorders people have.
Answer: D
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Chapter 2: Relevant Theories and Therapies for Nursing Practice
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/51625
Sample Questions
Q1) Order these outcomes from highest to lowest priority.The patient will:
A)consume at least 50% of every meal.
B)identify assets and strengths about self.
C)describe characteristics of an intimate relationship.
D)identify reasons to wear a helmet when riding a motorcycle.
Answer: 1.A
2.D
3.C
4.B
Correct prioritization is vital to ensure the well-being of patients in a nurse's care.Health (physiological needs)is first,followed by safety/security,interpersonal (love and belonging),and self-esteem needs.
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 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/51626
Sample Questions
Q1) A patient begins therapy with a phenothiazine medication.What teaching should the nurse provide related to the drug's strong dopaminergic effect?
A) Chew sugarless gum
B) Increase dietary fiber
C) Arise slowly from bed
D) Report muscle stiffness
Answer: D
Q2) A nurse instructs a patient taking a drug that inhibits monoamine oxidase (MAO)to avoid certain foods and drugs because of the risk of:
A) cardiac dysrhythmia.
B) hypotensive shock.
C) hypertensive crisis.
D) cardiogenic shock.
Answer: C
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Chapter 4: Psychiatric Mental Health Nursing in Acute Care Settings
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/51627
Sample Questions
Q1) A patient was hospitalized for a reaction to a psychotropic medication.A new medication was prescribed,and the patient was monitored for 24 hours.During pre-discharge planning,the case manager learned that the patient received a notice of eviction on the day of admission.Select the most appropriate action for the case manager.
A) Cancel the patient's discharge from the hospital.
B) Contact the landlord who evicted the patient to further discuss the situation.
C) Arrange a temporary place for the patient to stay until new housing can be arranged.
D) Determine whether the adverse medication reaction was artificial,because the patient had nowhere to live.
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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Page 6
Chapter 5: Psychiatric Mental Health Nursing in Community Settings
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/51628
Sample Questions
Q1) Which statement(s)by patients with serious,persistent mental illness best demonstrate that the case manager has established an effective long-term relationship? (Select all that apply. )
"My case manager:
A) talks in language I can understand."
B) helps me keep track of my medication."
C) gives me little gifts from time to time."
D) looks at me as a whole person with lots of needs."
E) lets me do whatever I choose without interfering."
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
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Chapter 6: Cultural Implications for Psychiatric Mental
Health Nursing
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/51629
Sample Questions
Q1) A Native American patient describes difficulty learning as a child,living on a reservation,and being sent away to a Native American boarding school.The patient began using alcohol as a teenager to escape feelings of isolation but stopped 10 years ago when gastritis developed.The patient now says,"I feel stupid and good for nothing.I don't help my people." How should the treatment team focus planning for this patient?
A) Group therapy for treatment of posttraumatic stress disorder
B) Simultaneous treatment of depression and alcohol abuse
C) Psychoanalytic approach
D) Holistic approach
Q2) Which tip(s)would be useful for an American nurse preparing for an encounter with a female patient from Japan? (Select all that apply. )
A) Anticipate diversity.
B) Promote a feeling of acceptance.
C) Assess the patient's health beliefs.
D) Facilitate communication by using direct eye contact.
E) Recognize that all Eastern women adhere to the same cultural norms.
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Chapter 7: Legal and Ethical Guidelines for Safe Practice
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/51630
Sample Questions
Q1) A patient with psychosis asks a psychiatric technician,"What's the matter with me?" The technician replies,"Your wing nuts need tightening." The nurse who overheard the exchange will need to take action based on:
A) violation of the patient's right to be treated with dignity and respect.
B) the nurse's obligation to report caregiver negligence.
C) preventing defamation of the patient's character.
D) supervisory liability.
Q2) A community mental health nurse worked for 6 months to establish a relationship with a delusional and suspicious patient.The patient is fired from employment,has no money for medication,and decompensates within 1 week.Should the patient be hospitalized or provided with medication and allowed to remain at home? Which two ethical principle(s)are most relevant to the team's decision making?
A) Justice
B) Beneficence
C) Veracity
D) Confidentiality
E) Autonomy
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Chapter 8: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/51631
Sample Questions
Q1) Select the best outcome for a patient with this nursing diagnosis: Impaired social interaction related to sociocultural dissonance as evidenced by stating,"Although I'd like to,I don't join in because I don't speak the language very well." Within 1 week,the patient will:
A) demonstrate improved social skills.
B) express a desire to interact with others.
C) become more independent in decision making.
D) select and participate in one group activity per day.
Q2) A newly admitted patient is severely depressed,lost 20 pounds over the past month,and expresses hopelessness for the future.Select the priority nursing diagnosis.
A) Imbalanced nutrition: less than body requirements
B) Chronic low self-esteem
C) Risk for suicide
D) Powerlessness
Q3) A patient has these nursing diagnoses.Prioritize them,beginning with the highest priority.
A) Social isolation
B) Spiritual distress
C) Self-care deficit syndrome
Page 10
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Chapter 9: Therapeutic Relationships
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/51632
Sample Questions
Q1) As a nurse discharges a patient,the patient gives the nurse a card of appreciation made in an arts and crafts group.Select the nurse's best action.
A) Recognize the patient's thoughtfulness.Express appreciation and accept the card.
B) Inform the patient that accepting gifts violates policies of the facility.Decline the card.
C) Acknowledge the patient's transition through the termination phase,but decline the card.
D) Accept the card.Invite the patient to return to participate in other arts and crafts groups.
Q2) Which action by a nurse shows positive regard?
A) Making rounds according to the daily assignment.
B) Administering daily medication as prescribed.
C) Examining own feelings about a patient.
D) Staying with a patient who is crying.
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Chapter 10: Communication and the Clinical Interview
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/51633
Sample Questions
Q1) A patient says,"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) "I'm glad you were able to tell me how you felt about your loss."
Q3) A patient with paranoid schizophrenia tells the nurse,"The FBI is listening through fluorescent lights in this room.Be careful what you say." Which response by the nurse would be most therapeutic?
A) "Let's talk about something other than the FBI."
B) "It sounds like you're concerned about your privacy."
C) "The FBI is prohibited from operating in health care facilities."
D) "You have lost touch with reality,which is a symptom of your illness."
Q4) "You look very nice today.I'm proud you took more time with your appearance."
Q5) "I'd like to hear more about your difficult relationships at work."
Q6) "There are people with problems much worse than yours."
Q7) "I noticed your hands trembling when you told me about your accident."
Q8) "Why do you think these events have happened to you?"
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Chapter 11: Understanding Responses to Stress
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/51634
Sample Questions
Q1) When the inpatient psychiatric nurse asks the newly-admitted patient to describe her social supports,the patient reports that she is newly divorced,has no siblings,her parents died last year,and she has little contact with her former in-laws,who subtly blame her for the divorce.She has few friends because most of her peers are not nearly as religiously conservative as she is.Which response related to social support would be most therapeutic?
A) Encourage the patient to begin dating again,perhaps with members of her church.
B) Discuss how divorce support groups could increase coping and social support.
C) Note that being so particular about potential friends reduces social contact.
D) Discuss using the internet as a way to find supportive others with similar values.
Q2) Which changes reflect the short-term physiological response to stress? Select all that apply.
A) Cortisol is released,increasing glucogenesis and reducing fluid loss.
B) Immune system functioning decreases,and risk of cancer increases.
C) Corticosteroid release increases stamina and impedes digestion.
D) Muscular tension,blood pressure,and triglycerides increase.
E) Epinephrine is released,increasing heart and respiratory rates.
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Chapter 12: Anxiety and Anxiety Disorders
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/51635
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 patient who asked for and was refused a pass to leave the unit left the nurse's station and went to his room,where he slammed his closet door several times while looking for a sweater.A nurse came into the room and remarked,"You seem pretty angry." The patient replied that he was not the least bit angry.What defense mechanism is the patient demonstrating?
A) Splitting
B) Rationalization
C) Compensation
D) Denial
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Chapter 13: Depressive Disorders
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/51636
Sample Questions
Q1) Which nursing progress note would most suggest that the treatment plan of a severely depressed and withdrawn patient has been effective?
A) "Slept 6 hours straight,sang with activity group,eager to see grandchild."
B) "Slept 8 hours,attended craft group,ate half of lunch,denies suicidal ideation."
C) "Slept 10 hours,personal hygiene adequate with assistance,lost one pound."
D) "Slept 7 hours on and off,reports "food has no taste",no self-harm noted."
Q2) A depressed patient tells the nurse,"The bad things that happen are always my fault." How should the nurse respond to assist the patient to reframe this overgeneralization?
A) "I really doubt that one person can be blamed for all the bad things that happen."
B) "You are being exceptionally hard on yourself when you imply you are a jinx."
C) "What about the good things that happen;are any of those ever your fault?"
D) "Let's look at one bad thing that happened to see if another explanation exists."
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Chapter 14: Bipolar Disorders
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/51637
Sample Questions
Q1) A patient with bipolar disorder has taken lamotrigine (Lamictal)for 3 months with an excellent response.Which complaint from the patient necessitates the nurse's priority attention?
A) "I have a rash on my chest and abdomen."
B) "I experience occasional nausea."
C) "I have a little hand tremor."
D) "My nose is stuffy."
Q2) A teaching plan for a patient taking lithium should include instructions to:
A) maintain normal salt and fluids in the diet.
B) drink twice the usual daily amount of fluid.
C) have regular laboratory studies of liver function.
D) avoid eating aged cheese,processed meats,and red wine.
Q3) A patient with acute mania has disrobed in the hall 3 times in 2 hours.The nurse should:
A) direct the patient to wear clothes at all times.
B) tell the patient that others feel embarrassed.
C) provide a hospital gown for the patient.
D) arrange one-on-one supervision.
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Chapter 15: Schizophrenia
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/51638
Sample Questions
Q1) A patient with schizophrenia is admitted to the psychiatric unit in an acutely disturbed,violent state.He is given several doses of haloperidol (Haldol)and becomes calm and approachable.During rounds the nurse notices the patient has his head rotated to one side in a stiffly fixed position.His lower jaw is thrust forward and he appears severely anxious.The patient has _________ ,and the nurse should
A) a dystonic reaction administer PRN IM benztropine (Cogentin)
B) tardive dyskinesia seek a change in the drug or its dosage
C) waxy flexibility continue treatment with antipsychotic drugs
D) akathisia administer PRN diphenhydramine (Benadryl)PO
Q2) The physician prescribes haloperidol (Haldol),a first-generation antipsychotic drug,for a patient with schizophrenia who displays delusions,hallucinations,apathy,and social isolation.Which symptoms should most be monitored to evaluate the expected improvement from this medication?
A) Talking to himself,belief that others will harm him
B) Flat affect,avoidance of social activities,poor hygiene
C) Loss of interest in recreational activities,alogia
D) Impaired eye contact,needs help to complete tasks
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Chapter 16: Eating Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/51639
Sample Questions
Q1) Which assessment finding is most associated with bulimia nervosa?
A) Prominent parotid glands
B) Peripheral edema
C) Thin,brittle hair
D) Amenorrhea
Q2) A patient with anorexia nervosa is resistant to weight gain.What is the rationale for establishing a contract with the patient to participate in measures to produce a specified weekly weight gain?
A) Severe anxiety concerning eating is expected,so objective and subjective data must be routinely collected.
B) Patient involvement in decision making increases sense of control and promotes adherence.
C) Because of risks of physical problems from refeeding,the patient's consent is essential.
D) A team approach to treatment planning ensures that physical and emotional needs are met.
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18
Chapter 17: Cognitive Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/51640
Sample Questions
Q1) A family states that the father,who has moderate-stage dementia,is incontinent related to forgetting where the bathroom is located.An intervention the nurse should suggest to the family is to:
A) label the bathroom door with a picture of a toilet.
B) have someone take him to the bathroom hourly.
C) place the patient in disposable adult diapers.
D) restrict the patient's fluid intake to reduce voiding.
Q2) An immigrant from Korea who has stage 3 Alzheimer's disease lives with a daughter,an Oregon native,in her hometown.During a patient follow-up visit,the visiting nurse notices that the daughter seems exhausted and has begun to cry.Which nurse response to the daughter would best reflect an understanding of the family's culture?
A) "Being expected to care for one's family can be a significant burden to bear."
B) "You seem very tired.Respite care for a day or two each week might help you."
C) "Caring for a loved one in need can be both a great honor and a great challenge."
D) "There is a very nice nursing home not far from here.Your father might like it there."
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Chapter 18: Addictive Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/51641
Sample Questions
Q1) A patient admitted yesterday for injuries sustained while intoxicated believes bugs are crawling on the bed.The patient is anxious,agitated,and diaphoretic.What is the priority nursing diagnosis?
A) Ineffective airway clearance
B) Ineffective coping
C) Ineffective denial
D) Risk for injury
Q2) When a patient first began using alcohol,two drinks produced relaxation and drowsiness.After 1 year,four drinks are needed to achieve the same response.Why has this change occurred?
A) The alcohol is less potent.
B) Tolerance has developed.
C) Hypomagnesemia has occurred.
D) Antagonistic effects are evident.
Q3) Select the priority nursing intervention when caring for a patient after an overdose of amphetamines.
A) Monitor vital signs.
B) Observe for depression.
C) Use warmers to maintain body temperature.
D) Offer intellectual activities to stimulate concentration.
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Chapter 19: Personality Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/51642
Sample Questions
Q1) 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.
Q2) When a patient with a personality disorder uses manipulation as a way of getting needs met,the staff agree to use limit setting as an intervention.How does limit setting work to reduce manipulation?
A) Limit setting indulges the patient's desire for attention from staff.
B) It gives the patient a different concern on which to focus his anger.
C) External controls provide security while internal controls are developing.
D) When staff limit the patient's behavior,he is no longer anxious about it.
Q3) The nurse who assesses a patient previously diagnosed as having paranoid personality disorder is most likely to describe the patient as:
A) superficially charming.
B) intense and impulsive.
C) guarded and distant.
D) friendly and open.
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Page 21
Chapter 20: Sleep Disorders
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/51643
Sample Questions
Q1) Which season would be most associated with increased periods of wakefulness in the general population?
A) Summer
B) Winter
C) Spring
D) Fall
Q2) A nurse who works night shift says,"I am exhausted most of the time.I sleep through my alarm.Sometimes my brain does not seem to work right.I am worried that I might make a practice error." Which question should the nursing supervisor ask first?
A) "What stress are you experiencing in your life?"
B) "How much sleep do you get in a 24-hour period?"
C) "Would it help if you do some exercises just before going to bed?"
D) "Have you considered using a hypnotic medication to help you sleep?"
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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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/51644
Sample Questions
Q1) A new staff nurse tells the clinical nurse specialist "I am unsure about my role when patients bring up sexual problems." The clinical nurse specialist should give clarification by saying,"All nurses _______________:
A) qualify as sexual counselors.Each has knowledge about the biopsychosocial aspects of sexuality throughout the life cycle."
B) should be able to screen for sexual dysfunction and give basic information about sexual feelings,behaviors,and myths."
C) should defer questions about sex to other health care professionals because of their limited knowledge of sexuality."
D) who are interested in sexual dysfunction can provide sex therapy for individuals and couples."
Q2) Which of these statements about erectile dysfunction is accurate?
A) When present in young men,the cause is usually physical.
B) It can be caused by medication,anxiety,or depression.
C) Acquired erectile dysfunction affects about 40% of males.
D) It is usually treated via individual and couples counseling.
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Chapter 22: Somatoform, Factitious, and Dissociative Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/51645
Sample Questions
Q1) A patient who is concerned that she may have serious heart disease seeks help at the mental health center after her internist examined her and told her that she has no physical illness.She wants staff to tell her internist it's not all in her head.The patient reports she has had tightness in her chest and the sensation of her heart missing a beat.Her concern over her symptoms has caused her to miss much time from work over the past 2 years,and her social life has been severely restricted because she believes she must rest each evening.This presentation most suggests:
A) somatization disorder.
B) pain disorder.
C) body dysmorphic disorder.
D) hypochondriasis.
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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27 Flashcards
Source URL: https://quizplus.com/quiz/51646
Sample Questions
Q1) A patient being interviewed on his first visit to the crisis center says he is there because he needs help,but then he falters and cannot continue his explanation.Which question would be of value in helping him relate his perception of the precipitating event?
A) "It will be hard to help you if we cannot get more information."
B) "Tell me about what happened that led you to come in today."
C) "Who is available to help and support you with your problem?"
D) "What things do you usually do to get through difficult times?"
Q2) Which of the following indicators best demonstrates that crisis intervention has been successful?
A) Patient reports that he is no longer distressed.
B) Patient reports that his life is back to normal.
C) Patient reports sleeping 6 hours or more per night.
D) Patient has returned to previous work schedule.
Q3) An appropriate question for the nurse to ask to assess support systems is:
A) "Has anything upsetting occurred in the last few days?"
B) "What led you to seek help at this time?"
C) "How does this problem affect your life?"
D) "Who can be helpful to you during this time?"
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Page 25
Chapter 24: Suicide
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31 Flashcards
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Sample Questions
Q1) An adolescent whose peer committed suicide attempts suicide himself but is now ready for discharge to outpatient care.Which of the following actions would be most important to accomplish before the discharge?
A) Take the patient to a support group for young persons with mood disorders.
B) Assure that all guns and medications have been locked or taken off premises.
C) Have the patient sign a no-suicide contract agreeing to seek help if in danger.
D) Arrange a pass so he can go to his first outpatient session to meet his counselor.
Q2) A despondent patient says,"Nothing matters anymore." The most appropriate response by the nurse when would be:
A) "Are you having thoughts about suicide?"
B) "I am not sure I understand what you're saying."
C) "Try to stay hopeful.Things usually work out."
D) "What used to matter,before the depression?"
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Chapter 25: Anger, Aggression, and Violence
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/51648
Sample Questions
Q1) A patient who has been seen responding to auditory hallucinations earlier in the morning approaches the nurse and shakes his fist,saying,"Back off,bitch!" and then goes into the day room.The nurse follows the patient into the day room.Which intervention would be best at this time?
A) Stay between the patient and the door for easy exit.
B) Stand out of range of possible assault by the patient.
C) Position oneself about 28 inches from the patient.
D) Sit down in a chair near the patient to convey interest.
Q2) A cognitively impaired patient who has been a widow for 30 years is frantically trying to leave the unit,saying,"I have to go home to start dinner before my husband comes home from work." To intervene with validation therapy,the nurse should say:
A) "Please,you must come away from the door."
B) "Mrs.Smith,you have been a widow for many years."
C) "You want to go home to get your husband's dinner."
D) "I think your husband said he is going to eat out tonight."
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Chapter 26: Child, Older Adult, and Intimate Partner Abuse
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/51649
Sample Questions
Q1) A woman has been severely beaten by her husband,has no relatives or friends in the community,is afraid to return home,has no financial resources of her own,and has no job skills.Which would be the most important referral for the nurse to make?
A) Community food cupboard
B) Vocational counseling
C) Law enforcement
D) Safe house or shelter
Q2) A victim of partner abuse,parent of one child,describes the partner as someone who is easily frustrated and more likely to be abusive after a experiencing an event in which self-esteem is challenged.The most recent episodes of violence were related to feeling "upset" over a job loss.What type of therapy would provide the greatest help to the abuser?
A) Voluntary individual or group therapy
B) Court-ordered individual or group therapy
C) Voluntary couples or family therapy
D) Court-ordered couples or family therapy
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Chapter 27: Sexual Assault
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Sample Questions
Q1) 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.
Q2) A patient in the long-term phase of the rape-trauma syndrome had intrusive thoughts of the attack and developed fears of being alone.Which finding best demonstrates the patient has improved? The patient:
A) uses increased activity to reduce fear.
B) plans coping strategies for fearful situations.
C) temporarily withdraws from social situations.
D) expresses willingness to engage in sexual activity.
Q3) Which aspect of assessment has priority when a nurse interviews a rape victim?
A) Coping mechanisms the patient is using
B) The patient's previous sexual experiences
C) Adequacy of the patient's interpersonal relationships
D) Whether the patient has ever had a sexually transmitted disease
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Chapter 28: Disorders of Children and Adolescents
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Sample Questions
Q1) Parents of a child with ADHD tell the nurse,"We try to teach our child how to behave,but it doesn't help.We feel as though we are terrible parents." Select the nurse's most helpful response.
A) Refer the parents for pastoral counseling.
B) Discuss how traumatic life events precipitate ADHD.
C) Explain the correlation between ADHD and parental conflict.
D) Provide information about the relationship between ADHD and biochemical abnormalities.
Q2) Which mental health problems for children and adolescents may respond favorably to atypical antipsychotic medications? Select all that apply.
A) ADHD
B) Tic disorders
C) Generalized anxiety disorder
D) Posttraumatic stress disorder
E) Pervasive developmental disorder
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Chapter 29: Psychosocial Needs of the Older Adult
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Sample Questions
Q1) A health care provider decides that an elderly patient's pain warrants use of a narcotic analgesic.Nursing staff must take action to reduce the risk of:
A) falls.
B) seizures.
C) dehydration.
D) incontinence.
Q2) An advance directive gives valid direction to health care givers when a patient: A) has cancer.
B) is diagnosed with Parkinson's disease.
C) with amyotrophic lateral sclerosis is unable to speak. D) is unable to make decisions for self because of illness.
Q3) In a sad voice,an elderly patient tells the nurse of the recent deaths of a spouse and daughter in an automobile accident.The patient has no other family,only a few acquaintances in the community.The nurse's priority is to gather additional assessment data to determine whether which nursing diagnosis applies to this patient?
A) Spiritual distress related to being angry with God for taking her 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
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Page 31
Chapter 30: Serious Mental Illness
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Sample Questions
Q1) The brother of a patient who is seriously mentally ill asks why the patient has been assigned a case manager.The nurse's reply should cite the major advantage of the use of case management as:
A) "The case manager can modify traditional psychotherapy for homeless patients so that it is more flexible."
B) "Case managers coordinate services and help with accessing them,making sure the patient gets what he needs."
C) "The case manager can focus on social skills training and esteem building out in the real world where he lives."
D) "Having a case manager has been shown to reduce hospitalizations,which prevents disruption and saves money."
Q2) A seriously mentally ill patient who lives in a homeless shelter has a nursing diagnosis of Powerlessness.Which intervention would best address this nursing diagnosis?
A) Reinforce participation in social activity.
B) Help the patient set long-term goals.
C) Role-play assertive communication skills.
D) Role-model effective conflict resolution.
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Chapter 31: Psychological Needs of Patients With Medical Conditions
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Q1) A patient is recovering from a severe myocardial infarction.He tells his nurse,to whom he is very close,"I will be fine once I get home.All that 'watch your cholesterol,watch your calories,watch your stress' stuff is bull;if your time is up,your time is up." Which response would be most therapeutic?
A) "You've had a very serious heart attack and are lucky to be getting a second chance that many don't get;what you do with it is up to you."
B) "It sounds as if you would be just as happy with dying sooner as later.I wonder if those cute grandkids would feel the same way."
C) "Well,when you are home you can do as you wish,but until then you are on a low-sodium,low-fat diet and will be walking 30 minutes per shift."
D) "Research has shown that diet changes and stress control can at least double how long a person lives after a heart attack like yours."
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33
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Sample Questions
Q1) A patient with a new diagnosis of cancer says,"My father died of pancreatic cancer.I took care of him during his illness,so I know what is ahead for me." Which nursing diagnosis applies?
A) Anticipatory grieving
B) Ineffective coping
C) Ineffective denial
D) Spiritual distress
Q2) After a spouse's death,a patient repeatedly says,"I should have recognized what was happening and been more helpful." This individual is experiencing:
A) preoccupation with the image of the deceased.
B) sensations of somatic distress.
C) anger.
D) guilt.
Q3) Four teenagers died in an automobile accident.One week later,which behavior by parents indicates adaptive mourning? The parents who:
A) isolate themselves at home.
B) return immediately to employment.
C) forbid other teens in the household to drive a car.
D) create a scholarship fund at their child's high school.
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Page 34
Chapter 33: Forensic Psychiatric Nursing
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Sample Questions
Q1) An inmate suffers from PTSD caused by severe sexual abuse during which she had been restrained by the perpetrator's girlfriend.One day she sees an inmate who reminds her of the perpetrator's girlfriend and has a flashback,during which she attacks the inmate.Corrections officers place her in restraints per the jail's protocol.The corrections nurse should anticipate that the patient will react to the restraints by:
A) gradually calming and returning from the flashback to reality.
B) becoming even more frightened,agitated,and combative.
C) becoming less likely to assault others during future flashbacks.
D) committing to counseling to reduce the incidence of flashbacks.
Q2) The psychiatric forensic nurse describes her work as follows: "I apply my knowledge of psychopathology as I investigate and reconstruct the crime and attempt to understand the criminal's reasoning process.This allows me to compile information on the type of individual who most likely would have committed the crime." The work the nurse describes is that of the:
A) forensic examiner.
B) competency therapist.
C) hostage negotiator.
D) criminal profiler.
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Page 35
Chapter 34: Therapeutic Groups
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Sample Questions
Q1) During a group therapy session,a newly admitted patient suddenly says to the nurse,"How old are you? You seem too young to be leading a group." The most appropriate response the nurse might make is:
A) "I am wondering what leads you to ask.Could you tell me more,please?"
B) "I am old enough to be a nurse,so that would make me in my 20s at least."
C) "My age is not pertinent to why we are here and should not really concern you."
D) "You are wondering whether I have enough experience to lead this group."
Q2) A group has two more sessions before it ends.One member who previously has been vocal and has shown much progress has grown silent.What explanation most likely underlies his current silence?
A) He has said what is on his mind and now has nothing more to offer.
B) He wants to give quieter members a chance to talk in the time remaining.
C) Quiet members are dominating now in order to talk more before group ends.
D) He is having trouble dealing with his feelings about the group's ending.
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Page 36
Chapter 35: Family Interventions
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Q1) The nurse is to meet a family for the first family therapy session.The husband/father is an accountant who admits to being skeptical of the idea that talking can help the family strengthen its ability to cope with life stressors.The wife/mother is a teacher who states she is not skillful in conflict resolution.The son,aged 15 years,defies parents and teachers and is in academic trouble.The daughter,aged 17 years,is trying to decide whether to attend a local college and live at home or attend an out-of-state university.The family member listed on the referral as the identified patient is most likely to be the:
A) husband/father.
B) wife/mother.
C) son.
D) daughter.
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Chapter 36: Integrative Care
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Q1) A patient who has emigrated from India is hospitalized under the care of a traditional Western provider.He tells the nurse that his entire family uses ayurvedic medicine.A culturally-sensitive nurse plans to alter this patient's health care experience so that it is comfortable and more familiar to the patient.What changes from normal Western practice will she recommend? Select all that apply.
A) Spend more time exploring the patient's life overall,not just focusing on his health.
B) Give the patient the health-related information he needs,and then allow him to determine which course of action to pursue.
C) Arrange for a native practitioner of ayurveda to visit the patient and conduct spiritual cleansing services.
D) Anticipate that because his traditions are so steeped in history,he may be mistrustful of higher-tech and other "new" methods.
E) In preparation for discharge,be sure to include a significant focus on preventive practices.
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