Advanced Psychiatric and Mental Health Nursing
Review Questions
Course Introduction
Advanced Psychiatric and Mental Health Nursing is designed to deepen students understanding and application of advanced clinical skills necessary for effective assessment, diagnosis, and management of complex psychiatric disorders across the lifespan. The course emphasizes evidence-based interventions, pharmacological and non-pharmacological therapies, culturally competent care, and interdisciplinary collaboration. Students will explore topics such as crisis intervention, therapeutic communication, recovery-oriented care, and the legal and ethical aspects of mental health nursing. Through a combination of theoretical knowledge, case studies, and clinical experiences, the course prepares nurses to function as leaders and advocates in diverse mental health settings.
Recommended Textbook
Canadian Psychiatric Mental Health Nursing Canadian Edition 1st Edition by
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37 Chapters
1052 Verified Questions
1052 Flashcards
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Jordan Halter
Chapter 1: Mental Health and Mental Illness
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26 Verified Questions
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Sample Questions
Q1) Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?
A) All mental illnesses are culturally determined.
B) Schizophrenia and bipolar disorder are cross-cultural disorders.
C) Symptoms of mental disorders are unchanged from culture to culture.
D) Assessment findings in mental disorders reflect a person's cultural patterns.
Answer: D
Q2) Which findings are signs of a person who is mentally healthy? Select all that apply.
A) Says, "I have some weaknesses, but I feel I'm important to my family and friends."
B) Adheres strictly to religious beliefs of parents and family of origin
C) Spends all holidays alone watching old movies on television
D) Considers past experiences when deciding about the future
E) Experiences feelings of conflict related to changing jobs
Answer: A, D, E
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3
Chapter 2: Historical Overview of Psychiatric Mental Health Nursing
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Q1) Which are historical approaches to caring for people with mental illness from an Aboriginal perspective? Select all that apply.
A) Sweat lodges
B) Restraint and confinement
C) Sundance
D) Potlatch
E) Abandonment
Answer: A, C, D
Q2) The first psychiatric nurse training program in Canada was in which of the following provinces?
A) Alberta
B) Quebec
C) Ontario
D) British Columbia
Answer: C
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Page 4
Chapter 3: Relevant Theories and Therapies for Nursing Practice
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Q1) Which stage of psychosexual development is most relevant to the patient that expresses a desire to be cared for by others and often behaves in a helpless fashion?
A) Latency
B) Phallic
C) Anal
D) Oral
Answer: D
Q2) A nurse listens to a group of recent retirees. One says, "I volunteer with Meals on Wheels, coach teen sports, and do church visitation." Another laughs and says, "I'm too busy taking care of myself to volunteer to help others." Which developmental task do these statements contrast?
A) Trust and mistrust
B) Intimacy and isolation
C) Industry and inferiority
D) Generativity and self-absorption
Answer: D
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Chapter 4: Psychotropic Drugs
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Sample Questions
Q1) A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. Which drug action causes these symptoms to develop?
A) Anticholinergic effects
B) Dopamine-blocking effects
C) Endocrine-stimulating effects
D) Ability to stimulate spinal nerves
Q2) A patient's history shows drinking 4 to 6 litres of fluid and eating more than 6,000 calories per day. Which part of the central nervous system is most likely dysfunctional for this patient?
A) Amygdala
B) Parietal lobe
C) Hippocampus
D) Hypothalamus
Q3) A drug blocks the attachment of norepinephrine to a<sub>1</sub> receptors. The patient may experience which of the following?
A) Hypertensive crisis
B) Orthostatic hypotension
C) Severe appetite disturbance
D) An increase in psychotic symptoms
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Chapter 5: Psychiatric Mental Health Nursing in Acute Care Settings
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Sample Questions
Q1) A patient usually watches television all day, seldom going out in the community or socializing with others. The patient says, "I don't know what to do with my free time." Which member of the treatment team would be most helpful to this patient?
A) Psychologist
B) Social worker
C) Recreational therapist
D) Occupational therapist
Q2) A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the nurse learned that the patient received a notice of eviction immediately prior to admission. Select the nurse's most appropriate action.
A) Postpone 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 genuine because the patient had nowhere to live.
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Chapter 6: Psychiatric Mental Health Nursing in Community Settings
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Q1) A patient with which of the following diagnoses would be most appropriate to refer for assertive community treatment (ACT)?
A) A phobic fear of crowded places.
B) A single episode of major depression.
C) A catastrophic reaction to a tornado in the community.
D) Schizophrenia and four hospitalizations in the past year.
Q2) A nurse can best address factors of critical importance to successful community treatment by including making assessments relative to which of the following: Select all that apply.
A) Source of income
B) Family and support systems
C) Housing adequacy and stability
D) Early psychosocial development
E) Substance abuse history and current use
Q3) Select the response that is an example of tertiary prevention.
A) Helping a person diagnosed with a serious mental illness learn to manage money
B) Restraining an agitated patient who has become aggressive and assaultive
C) Teaching school-age children about the dangers of drugs and alcohol
D) Genetic counselling with a young couple expecting their first child
Page 8
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Chapter 7: Cultural Implications for Psychiatric Mental
Health Nursing
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Sample Questions
Q1) A patient of Asian descent has a diagnosis of depression. A colleague tells the nurse, "This patient often looks down and is reluctant to share feelings. However, I've observed the patient spontaneously interacting with other black patients." Select the nurse's best response.
A) "Black patients depend on the church for support. Have you consulted the patient's pastor?"
B) "Encourage the patient to talk in a group setting. It will be less intimidating than one-to-one interaction."
C) "Don't take it personally. Black patients often have a resentful attitude that takes a long time to overcome."
D) "The patient may have difficulty communicating in English. Have you considered using a cultural broker?"
Q2) A Vietnamese patient's family reports that the patient has wind illness. Which menu selection will be most helpful for this patient?
A) Iced tea
B) Ice cream
C) Warm broth
D) Gelatin dessert
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Chapter 8: Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice
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Sample Questions
Q1) After leaving work, a nurse realizes documentation of administration of a PRN medication was omitted. This off-duty nurse phones the nurse on duty and says, "Please document administration of the medication for me. My password is alpha1." The nurse receiving the call should do which of the following?
A) Fulfill the request promptly.
B) Document the caller's password.
C) Refer the matter to the charge nurse to resolve.
D) Report the request to the patient's health care provider.
Q2) A person in the community asks, "Why aren't people with mental illness kept in 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 people with mental illness, so fewer 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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Chapter 9: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
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Q1) A nurse documents, "Patient is mute despite repeated efforts to elicit speech. Makes no eye contact. Inattentive to staff. Gazes off to the side or looks upward rather than at speaker." Which nursing diagnosis should be considered?
A) Defensive coping
B) Decisional conflict
C) Risk for other-directed violence
D) Impaired verbal communication
Q2) Before assessing a new patient, a nurse is told by another health care worker, "I know that patient. No matter how hard we work, there isn't much improvement by the time of discharge." The nurse's responsibility is to do which of the following?
A) Document the other worker's assessment of the patient
B) Assess the patient based on data collected from all sources
C) Validate the worker's impression by contacting the patient's significant other
D) Discuss the worker's impression with the patient during the assessment interview
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Chapter 10: Therapeutic Relationships
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Sample Questions
Q1) A patient says, "People should be allowed to commit suicide without interference from others." A nurse replies, "You're wrong. Nothing is bad enough to justify death." What is the best analysis of this interchange?
A) The patient is correct.
B) The nurse is correct.
C) Congruent attitudes are implied.
D) Differing values are reflected.
Q2) A patient says, "I'm still on restriction, but I want to attend some off-unit activities. Would you ask the doctor to change my privileges?" What is the nurse's best response?
A) "Why are you asking me when you're able to speak for yourself?"
B) "I will be glad to address it when I see your doctor later today."
C) "That's a good topic for you to discuss with your doctor."
D) "Do you think you can't speak to a doctor?"
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Chapter 11: Communication and the Clinical Interview
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Q1) While talking with a patient diagnosed with major depression, a nurse notices the patient is unable to maintain eye contact. The patient's chin lowers to the chest, while 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
Q2) Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?
A) A nurse is responsible for breaking silences.
B) Patients withdraw if silences are prolonged.
C) Silence can provide meaningful moments for reflection.
D) Silence helps patients know that what they said was understood.
Q3) Which technique will best communicate to a patient that the nurse is interested in listening?
A) Restating a feeling or thought the patient has expressed
B) Asking a direct question, such as "Did you feel angry?"
C) Making a judgement about the patient's problem
D) Saying, "I understand what you're saying."
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Page 13
Chapter 12: Understanding Responses to Stress
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Sample Questions
Q1) According to the Recent Life Changes Questionnaire, which situation would most necessitate a complete assessment of a person's stress status and coping abilities?
A) A person who has been assigned more responsibility at work
B) A parent whose job required relocation to a different city
C) A person returning to college after an employer ceased operations
D) A man who recently separated from his wife because of marital problems
Q2) A patient nervously says, "Financial problems are stressing my marriage. I've heard rumours about cutbacks at work; I am afraid I might get laid off." The patient's pulse is 112 per minute; respirations are 26 per minute; and blood pressure is 166/88. Which nursing intervention will the nurse implement?
A) Advise the patient, "Go to sleep 30 to 60 minutes earlier each night to increase rest."
B) Direct the patient in slow and deep breathing via use of a positive, repeated word.
C) Suggest the patient consider that a new job might be better than the present one.
D) Tell the patient, "Relax by spending more time playing with your pet."
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Chapter 13: Anxiety, Obsessive-Compulsive, and Related Disorders
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Sample Questions
Q1) A nurse plans health teaching for a patient with generalized anxiety disorder who begins a new prescription for lorazepam (Ativan). What information should be included? Select all that apply.
A) Caution in use of machinery
B) Foods allowed on a tyramine-free diet
C) The importance of caffeine restriction
D) Avoidance of alcohol and other sedatives
E) The need to take the medication on an empty stomach
Q2) A patient tells a nurse, "I was not able to write my final exam as I had a pounding headache and I was not able to read." This patient is demonstrating which of the following?
A) Denial
B) Projection
C) Compensation
D) Conversion
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Chapter 14: Depressive Disorders
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Sample Questions
Q1) The admission note indicates a patient diagnosed with major depression has anergia and anhedonia. For which measures should the nurse plan? Select all that apply.
A) Channeling excessive energy
B) Reducing guilty ruminations
C) Instilling a sense of hopefulness
D) Assisting with self-care activities
E) Accommodating psychomotor retardation
Q2) A patient diagnosed with depression repeatedly tells staff, "I have cancer. It's my punishment for being a bad person." Diagnostic tests reveal no cancer. Select the priority nursing diagnosis.
A) Powerlessness
B) Risk for suicide
C) Stress overload
D) Spiritual distress
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Chapter 15: Bipolar Disorders
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Sample Questions
Q1) A patient experiencing acute mania dances around the unit, seldom sits, monopolizes conversations, interrupts, and intrudes. Which nursing intervention will best assist the patient with energy conservation?
A) Monitor physiological functioning.
B) Provide a subdued environment.
C) Supervise personal hygiene.
D) Observe for mood changes.
Q2) A patient waves a newspaper and says, "I must have my credit card and use the computer right now. A store is having a big sale, and I need to order 10 dresses and 4 pairs of shoes." Select the nurse's appropriate intervention.
A) Suggest the patient have a friend do the shopping and bring purchases to the unit
B) Invite the patient to sit together and look at new fashion magazines
C) Tell the patient computer use is not allowed until self-control improves
D) Ask whether the patient has enough money to pay for the purchases
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17
Chapter 16: Schizophrenia Spectrum and Other Psychotic Disorders
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Q1) A patient diagnosed with schizophrenia and auditory hallucinations anxiously tells the nurse, "The voice is telling me to do things." Select the nurse's priority assessment question.
A) "How long has the voice been directing your behaviour?"
B) "Does what the voice tells you to do frighten you?"
C) "Do you recognize the voice speaking to you?"
D) "What is the voice telling you to do?"
Q2) A patient diagnosed with schizophrenia says, "My co-workers are out to get me. I also saw two doctors plotting to kill me." How does this patient perceive the environment?
A) Disorganized
B) Dangerous
C) Supportive
D) Bizarre
Q3) Which finding constitutes a negative symptom associated with schizophrenia?
A) Hostility
B) Bizarre behaviour
C) Poverty of thought
D) Auditory hallucinations
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Chapter 17: Eating Disorders
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Sample Questions
Q1) Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. This person wears layered loose clothing. Her current weight is 42 kg, a loss of 14 kg. Which medical diagnosis is most likely?
A) Binge eating
B) Bulimia nervosa
C) Anorexia nervosa
D) Eating disorder not otherwise specified
Q2) A patient diagnosed with anorexia nervosa is hospitalized for treatment. What features should the milieu provide? Select all that apply.
A) Flexible mealtimes
B) Unscheduled weight checks
C) Adherence to a selected menu
D) Observation during and after meals
E) Monitoring during bathroom trips
Q3) Which of the following is a complication of bulimia nervosa?
A) Tachycardia
B) Hyperchloremia
C) Hyperkalemia
D) Esophageal tears
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Chapter 18: Cognitive Disorders
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Q1) What is the priority intervention for a patient diagnosed with delirium who has fluctuating levels of consciousness, disturbed orientation, and perceptual alterations?
A) Distraction using sensory stimulation
B) Careful observation and supervision
C) Avoidance of physical contact
D) Activation of the bed alarm
Q2) An older adult patient in the intensive care unit has visual and auditory illusions. Which intervention will be most helpful?
A) Using the patient's glasses and hearing aids
B) Placing personally meaningful objects in view
C) Placing large clocks and calendars on the wall
D) Assuring that the room is brightly lit but very quiet at all times
Q3) An older adult with moderately severe dementia forgets where the bathroom is and has episodes of incontinence. Which intervention should the nurse suggest to the patient's family?
A) Label the bathroom door.
B) Take the older adult to the bathroom hourly.
C) Place the older adult in disposable adult briefs.
D) Limit the intake of oral fluids to 1000 mL per day.
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Page 20
Chapter 19: Substance Use and Addictive Disorders
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Q1) Which features should be present in a therapeutic milieu for a patient with a hallucinogen overdose?
A) Simple and safe
B) Active and bright
C) Stimulating and colourful
D) Confrontational and challenging
Q2) The treatment team discusses the plan of care for a patient with concurrent disorders of schizophrenia and daily cannabis abuse who is having increased hallucinations and delusions. To plan effective treatment, which of the following should the team do?
A) Provide long-term care for the patient in a residential facility
B) Withdraw the patient from cannabis, and then treat the schizophrenia
C) Consider each diagnosis primary and provide simultaneous treatment
D) First treat the schizophrenia, and then establish goals for substance abuse treatment
Q3) Which goal for treatment of alcoholism should the nurse address first?
A) Learn about addiction and recovery.
B) Develop alternate coping strategies.
C) Develop a peer support system.
D) Achieve physiologic stability.
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Chapter 20: Personality Disorders
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Sample Questions
Q1) As a nurse prepares to administer medication to a patient diagnosed with borderline personality disorder, the patient says, "Just leave it on the table. I'll take it when I finish combing my hair." What is the nurse's best response?
A) Reinforce this assertive action by the patient. Leave the medication on the table as requested.
B) Respond to the patient, "I'm worried that you might not take it. I'll come back later."
C) Say to the patient, "I must watch you take the medication. Please take it now."
D) Ask the patient, "Why don't you want to take your medication now?"
Q2) What is the priority intervention for a nurse beginning to work with a patient diagnosed with a schizotypal personality disorder?
A) Respect the patient's need for periods of social isolation.
B) Prevent the patient from violating the nurse's rights.
C) Teach the patient how to select clothing for outings.
D) Engage the patient in community activities.
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Chapter 21: Sleep Wake Disorders
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Sample Questions
Q1) Which person would be most likely to experience sleep fragmentation?
A) An obese adult
B) A toddler who attends day care
C) A person diagnosed with mild osteoarthritis
D) An adolescent diagnosed with anorexia nervosa
Q2) A patient with rheumatoid arthritis reports, "For the past month I've been having a lot of trouble falling asleep. When I finally get to sleep, I wake up several times during the night." Which information should the nurse seek initially?
A) "What have you done to try to improve your sleep?"
B) "What would be a good sleep pattern for you?"
C) "How much exercise are you getting?"
D) "Do you have pain at night?"
Q3) Which comment is most likely from a patient with chronic sleep deprivation?
A) "I turn on the television every night to get to sleep. I set the timer so it goes off in 30 minutes."
B) "I have diarrhea frequently and not much energy, so I stay at home most of the time."
C) "I sleep only about 5 hours a night, but I know I should sleep 7 or 8 hours."
D) "When my alarm clock goes off every morning, it seems like I am dreaming."
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Chapter 22: Sexual Dysfunction, Gender Dysphoria, and Paraphilias
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Q1) A parent who is very concerned about a 3-year-old son says, "He likes to play with girls' toys. Do you think he is homosexual or mentally ill?" Which response by the nurse most professionally describes the current understanding of gender identity?
A) "A child's interest in the activities of the opposite gender is not unusual or related to sexuality. Most children do not carry cross-gender interests into adulthood."
B) "It's difficult to say for sure because the research is incomplete so far, but chances are that he will grow up to be a normal adult."
C) "The research is incomplete, but many boys play with girls' toys and turn out normal as adults."
D) "I am sure that whatever happens, he will be a loving son, and you will be a proud parent."
Q2) Which characteristic fits the usual profile of an individual diagnosed with pedophilic disorder?
A) Homosexual
B) Ritualistic behaviours
C) Seeks access to children
D) Self-confident professional
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Page 24
Chapter 23: Somatic Symptom Disorders and Dissociative Disorders
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Q1) A patient reports fears of having cervical cancer and says to the nurse, "I've had Pap smears by six different doctors. The results were normal, but I'm sure that's because of errors in the laboratory." Which disorder would the nurse suspect?
A) Conversion (functional neurological) disorder
B) Illness anxiety disorder (hypochondriasis)
C) Somatic symptom disorder
D) Factitious disorder
Q2) A patient diagnosed with a somatic symptom disorder has been in treatment for 4 weeks. The patient says, "Although I'm still having pain, I notice it less and am able to perform more activities." The nurse should evaluate the treatment plan as which of the following?
A) Marginally successful
B) Minimally successful
C) Partially successful
D) Totally achieved
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Chapter 24: Crisis and Disaster
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Q1) While conducting the initial interview with a patient in crisis, the nurse should do which of the following?
A) Listen carefully and summarize often
B) Convey a sense of urgency to the patient
C) Be forthright about time limits of the interview
D) Let the patient know the nurse controls the interview
Q2) A nurse assesses a patient in crisis. Select the most appropriate question for the nurse to ask to assess this patient's situational support.
A) "Has anything upsetting occurred in the past few days?"
B) "Who can be helpful to you during this time?"
C) "How does this problem affect your life?"
D) "What led you to seek help at this time?"
Q3) A victim of spousal violence comes to the crisis centre seeking help. Which of the following crisis intervention strategy will be the nurse's focus?
A) Supporting emotional security and reestablishing equilibrium
B) Long-term resolution of issues precipitating the crisis
C) Promoting growth of the individual
D) Providing legal assistance
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Chapter 25: Suicide
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Q1) An adult outpatient diagnosed with major depression has a history of several suicide attempts by overdose. Given this patient's history and diagnosis, which antidepressant medication would the nurse expect to be prescribed?
A) Amitriptyline (Elavil), a sedating tricyclic medication
B) Fluoxetine (Prozac), a selective serotonin reuptake inhibitor
C) Desipramine (Norpramin), a stimulating tricyclic medication
D) Tranylcypromine sulfate (Parnate), a monoamine oxidase inhibitor
Q2) Which individual in the emergency department should be considered at highest risk for completing suicide?
A) An adolescent girl with superior athletic and academic skills who has asthma
B) A 38-year-old single female church member with fibrocystic breast disease
C) A 60-year-old married man with twelve grandchildren who has type 2 diabetes
D) A 79-year-old single, White male diagnosed recently with terminal cancer of the prostate
Q3) Which measure would be considered a form of primary intervention for suicide?
A) Psychiatric hospitalization of a suicidal patient
B) Referral of a formerly suicidal patient to a support group
C) Suicide precautions for 24 hours for newly admitted patients
D) Helping school children learn to manage stress and be resilient
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Page 27
Chapter 26: Anger, Aggression, and Violence
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Q1) An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive and has refused to leave the day room. Which of the following should the nurse do?
A) Enter the day room and say, "Would you like to come to your room and take some medication your health care provider prescribed for you?"
B) Enter the day room accompanied by three staff members and say, "Please come to your room so I can give you some medication that will help you regain control."
C) Enter the day room and place the patient in a basket hold and then say, "I am going to take you to your room to give you an injection of medication to calm you."
D) Enter the day room accompanied by a male security guard and tell the patient, "Come to your room willingly so I can give you this medication, or the guard and I will take you there."
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Chapter 27: Interpersonal Violence: Child, Older Adult, and
Intimate Partner Abuse
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Q1) Which rationale best explains why a nurse should be aware of personal feelings while working with a family experiencing family violence?
A) Self-awareness enhances the nurse's advocacy role.
B) Strong negative feelings interfere with assessment and judgement.
C) Strong positive feelings lead to healthy transference with the victim.
D) Positive feelings promote the development of sympathy for patients.
Q2) An 11-year-old says, "My parents don't like me. They call me stupid and say they wish I were never born. It doesn't matter what they think because I already know I'm dumb." Which nursing diagnosis applies to this child?
A) Chronic low self-esteem related to negative feedback from parents
B) Deficient knowledge related to interpersonal skills with parents
C) Disturbed personal identity related to negative self-evaluation
D) Complicated grieving related to poor academic performance
Q3) What is a nurse's legal responsibility if child abuse or neglect is suspected?
A) Discuss the findings with the child's parent and health care provider.
B) Document the observation and suspicion in the medical record.
C) Report the suspicion according to provincial or territorial regulations.
D) Continue the assessment.
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Chapter 28: Sexual Assault
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Source URL: https://quizplus.com/quiz/23110
Sample Questions
Q1) An emergency department nurse prepares to assist with evidence collection for a sexual assault victim. Prior to photographs and pelvic examination, what documentation is important?
A) The patient's vital signs
B) Consent signed by the patient
C) Supervision and credentials of the examiner
D) Storage location of the patient's personal effects
Q2) Before a victim of sexual assault is discharged from the emergency department, which of the following should the nurse do?
A) Notify the victim's family to provide emotional support
B) Offer to stay with the patient until stability is regained
C) Advise the patient to try not to think about the assault
D) Provide referral information verbally and in writing
Q3) After an abduction and rape at gunpoint by an unknown assailant, which assessment finding best indicates that a patient is in the acute phase of the rape-trauma syndrome?
A) Decreased motor activity
B) Confusion and disorientation
C) Flashbacks and dreams
D) Fears and phobias
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Chapter 29: Disorders of Children and Adolescents
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23111
Sample Questions
Q1) When group therapy is prescribed as a treatment modality, the nurse would suggest placement of a 9-year-old in a group that uses which of the following?
A) Guided imagery
B) Talk focused on a specific issue
C) Play and talk about a play activity
D) Group discussion about selected topics
Q2) Assessment data for a 7-year-old reveals an inability to take turns, blurting out answers to questions before a question is complete, and frequently interrupting others' conversations. How should the nurse document these behaviours?
A) Defiance
B) Hyperactivity
C) Impulsivity
D) Anxiety
Q3) Which child demonstrates behaviours indicative of a neurodevelopmental disorder?
A) A 4-year-old who stuttered for 3 weeks after the birth of a sibling
B) A 9-month-old who does not eat vegetables and likes to be rocked
C) A 3-month-old who cries after feeding until burped and sucks a thumb
D) A 3-year-old who is mute, passive toward adults, and twirls while walking
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Chapter 30: Psychosocial Needs of the Older Adult
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Source URL: https://quizplus.com/quiz/23112
Sample Questions
Q1) A nurse and social worker co-lead a reminiscence group for eight young-old adults. Which activity is most appropriate to include in the group?
A) Mild aerobic exercise
B) Singing a song from World War II
C) Discussing national leadership during the Vietnam War
D) Identifying the most troubling story in today's newspaper
Q2) An elderly patient must be physically restrained. Who is responsible for the patient's safety?
A) The nurse assigned to care for the patient
B) Unlicensed assistive personnel who apply the restraint
C) Family member who agrees to application of the restraint
D) Health care provider who prescribed application of restraint
Q3) Which information is most important to obtain during assessment of an older adult diagnosed with a mental disorder?
A) Functional ability and emotional status
B) Chronological age and sexual function
C) Economic status and sources of income
D) Developmental history, interests, and activities
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Chapter 31: Living With Recurrent and Persistent Mental Illness
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Source URL: https://quizplus.com/quiz/23113
Sample Questions
Q1) The parent of a seriously mentally ill adult asks the nurse, "Why are you making a referral to a vocational rehabilitation program? My child won't ever be able to hold a job."
Which is the nurse's best reply?
A) "We make this referral to continue eligibility for federal funding."
B) "Are you concerned that we're trying to make your child too independent?"
C) "If you think the program would be detrimental, we can postpone it for a time."
D) "Most patients are capable of employment at some level, competitive or supported."
Q2) The nurse manager of a mental health centre wants to improve medication adherence among the seriously mentally ill persons treated there. Which interventions are likely to help achieve this goal? Select all that apply.
A) Maintain stable and consistent staff.
B) Increase the length of medication education groups.
C) Stress that without treatment, illnesses will worsen.
D) Prescribe drugs in smaller but more frequent dosages.
E) Actively manage adverse medication effects.
F) Require adherence in order to participate in programming.
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Page 33
Chapter 32: Psychological Needs of Patients With Medical Conditions
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Source URL: https://quizplus.com/quiz/23114
Sample Questions
Q1) A patient has a disorder that causes progressive, severe muscle pain and weakness, and she has curtailed physical and social activities to accommodate her condition. She tells the nurse "I cannot do anything. I have to depend on other people to help me. I do not enjoy much of anything anymore; even food does not taste good. I cannot see that my situation will change, so I feel pretty hopeless." Which of the following is the priority action the nurse should take?
A) Point out that there is always room for hope
B) Discuss the importance of physical exercise
C) Inquire about her support system and coping plans
D) Assess for signs of depression
Q2) A staff nurse tells the clinical nurse leader, "I am at a total loss as to how to deal with this patient. He has so many physical needs since his head and neck surgery! Those needs have to be my primary focus, but sometimes it seems he's crying and in emotional pain, too, and I don't know how to help with that." Which resource would likely be the best choice to help this nurse?
A) Psychiatric consultation liaison nurse
B) On-call psychiatrist
C) Unit social worker
D) Hospital chaplain
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Chapter 33: Care for the Dying and for Those Who Grieve
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Source URL: https://quizplus.com/quiz/23115
Sample Questions
Q1) A terminally ill patient says, "I know I will never get well, but . . ." and the patient's voice trails off. Select the most therapeutic response by the nurse.
A) What do you hope for?"
B) "Do you have questions about what is happening?"
C) "You are not going to get well. It is healthy that you accept that."
D) "When you have questions, it is best to talk to the health care provider."
Q2) Which actions by a nurse are most appropriate when caring for a hospice patient? Select all that apply.
A) Giving choices
B) Fostering personal control
C) Explaining curative options
D) Supporting the patient's spirituality
E) Offering interventions that convey respect
Q3) When is the grieving process is more difficult?
A) When a person has experienced many previous losses in life
B) When a person was emotionally independent of the deceased
C) When a person had few unresolved conflicts with the deceased
D) When a person recognizes the deceased was an elderly person, so it was time for death
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Page 35
Chapter 34: Forensic Psychiatric Nursing
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Source URL: https://quizplus.com/quiz/23116
Sample Questions
Q1) The highest degree of credibility is required by a nurse who provides testimony before the court as which of the following?
A) Hostile witness
B) Expert witness
C) Correctional nurse
D) Critical care nurse
Q2) A guard tells an inmate diagnosed with schizophrenia to ask the desk officer for a mop and bucket, and then get some water from the shower area and mop the kitchen and hall. The inmate does not comply. The guard becomes angry and cancels the inmate's recreation time. Which action by the correctional nurse is most appropriate?
A) Document the inmate's response as indicative of resistance and psychopathology.
B) Do not intervene. Intervention is not part of a correctional nurse's scope of practice.
C) Confer with the prison psychiatrist regarding reevaluation of this inmate's antipsychotic medication regime.
D) Explain to the guard that this inmate has difficulty following multiple-step instructions. Suggest stating one idea at a time.
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Chapter 35: Therapeutic Groups
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Source URL: https://quizplus.com/quiz/23117
Sample Questions
Q1) Which outcome would be most appropriate for a symptom-management group for persons with schizophrenia?
A) Group members will state the names of their medications.
B) Group members will resolve conflicts within their families.
C) Group members will rate anxiety at least two points lower.
D) Group members will describe ways to cope with their illness.
Q2) 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." Select the nurse's most appropriate response.
A) "I am wondering what leads you to ask. Please tell me more."
B) "I am old enough to be a nurse, which qualifies me to lead this group."
C) "My age is not pertinent to why we are here and should not concern you."
D) "You are wondering whether I have enough experience to lead this group?"
Q3) "Everyone has had good ideas so far; so, whatever you say is fine with me."
A) Playboy
B) Energizer
C) Organizer
D) Follower
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Chapter 36: Family Interventions
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Source URL: https://quizplus.com/quiz/23118
Sample Questions
Q1) When a nurse assesses a family, which family function is the highest priority?
A) Allocation of family resources
B) Physical maintenance and safety
C) Maintenance of order and authority
D) Reproduction of new family members
Q2) Which scenario best illustrates scapegoating within a family?
A) The identified patient sends messages of aggression to selected family members.
B) Family members project problems of the family onto one particular family member.
C) The identified patient threatens separation from the family to induce feelings of isolation and despair.
D) Family members give the identified patient nonverbal messages that conflict with verbal messages.
Q3) Select the best question for the nurse to ask to assess a family's ability to cope.
A) "What strengths does your family have?"
B) "Do you think your family copes effectively?"
C) "Describe how you successfully handled one family problem."
D) "How do you think the current family problem should be resolved?"
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Chapter 37: Integrative Care
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Source URL: https://quizplus.com/quiz/23119
Sample Questions
Q1) Which traditional, complementary, and alternative therapy may be safely combined with traditional Western medicine in the treatment of anxiety disorder?
A) Electroconvulsive therapy
B) Megadoses of vitamins
C) Meditative practices
D) Herbal therapy
Q2) A patient with a history of asthma says, "I've been very nervous lately. I think aromatherapy will help. I am ordering $250 worth of oils from an Internet site that promised swift results." Select the nurse's best action.
A) Support the patient's efforts to become informed and to find health solutions.
B) Suggest the patient check with friends who have tried aromatherapy for treatment of anxiety.
C) Remind the patient, "If you spend that much on oils, you may not be able to buy your prescribed medication."
D) Tell the patient, "Aromatherapy can complicate respiratory problems such as asthma. Let's consider some other options."
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