Advanced Psychiatric Nursing
Exam Answer Key
Course Introduction
Advanced Psychiatric Nursing is designed to deepen students knowledge and clinical skills in the assessment, diagnosis, and management of complex mental health conditions across the lifespan. This course emphasizes the application of advanced nursing theories, psychopharmacology, and evidence-based interventions in various settings. Students will explore topics such as crisis intervention, therapeutic communication, cultural competence in psychiatric care, and ethical/legal aspects of mental health nursing. Through case studies, simulations, and clinical experiences, students will develop proficiency in collaborative care, leadership, and advocacy for individuals with psychiatric disorders and their families.
Recommended Textbook
Principles and Practice of Psychiatric Nursing 10th Edition by Gail Wiscarz Stuart
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40 Chapters
943 Verified Questions
943 Flashcards
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Chapter 1: Roles and Functions of Psychiatric-Mental Health
Nurses: Competent Caring
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A psychiatric aide says,"I don't know why that patient does all that silly giggling and posturing.It's senseless!" The best reply to this comment would address the psychiatric nursing principle that states:
A) every individual has the potential to change.
B) illness can be a growth-producing experience for the individual.
C) all behavior is meaningful, arising from personal needs and goals.
D) everyone has the right to self-determination that includes the pursuit of health.
Answer: C
Q2) In the 1960s,the psychiatric nurse began to shift to primary prevention and psychiatric nursing practice began to focus more on community care.This focus was initiated by which act?
A) The Primary Prevention Act of 1960
B) The Deinstitutionalization Act of 1961
C) The Therapeutic Community Act of 1962
D) The Community Mental Health Centers Act of 1963
Answer: D
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Chapter 2: Therapeutic Nurse-Patient Relationship
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) When the nurse suggests the patient communicate to her employer how overwhelmed she is by the workload,the patient responds,"Yes but I'll get fired if I do that."
According to transactional analysis theory,this is an example of a(n) _____ transaction.
A) ulterior
B) crossed
C) congruous
D) complementary
Answer: A
Q2) When asked to contrast social superficiality with therapeutic intimacy,an experienced nurse mentor explains to a new nurse that the termination component in therapeutic intimacy is:
A) unknown.
B) open-ended.
C) specified and agreed to.
D) closed to negotiation or agreement.
Answer: C
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Chapter 3: The Stuart Stress Adaptation Model of Psychiatric Nursing Care
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which statement can a nurse use to best describe the Stuart Stress Adaptation Model to someone who is unfamiliar with it?
A) "The model recognizes the limitations of the nursing process and organizes treatment along critical pathways."
B) "The model bases psychiatric nursing practice on principles derived from nursing science and establishes generic goals for each discrete stage of psychiatric treatment."
C) "The model integrates biopsychosociocultural, environmental, and legal-ethical aspects of psychiatric nursing care into a unified framework for practice throughout the care continuum."
D) "The model is based primarily on the medical model and organizes psychiatric nursing practice according to discrete treatment stages, selected treatment settings, and legal mandates."
Answer: C
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5
Chapter 4: Evidence-Based Psychiatric Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which activity will be most useful to a nurse wishing to provide evidence-based psychiatric nursing care?
A) Relying on findings of one properly designed, randomized, controlled trial
B) Using a protocol from several well-designed, cohort, quasiexperimental studies
C) Seeking sound, opinion-based processes and maintaining self-directed practice
D) Applying findings from a meta-analysis of relevant randomized, controlled trials
Q2) The reason for routinely using the behavioral rating scale is to assess the: (Select all that apply.)
A) changes in the patient's condition related to treatment.
B) effectiveness of the unit's patient behavior scales.
C) strength of the behavioral scale's reliability.
D) patient's state at the time of admission.
E) patient's status to support discharge.
Q3) Most often,clinical pathways are used in:
A) inpatient units.
B) outpatient settings.
C) home-care settings.
D) mental health clinics.
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Chapter 5: Biological Context of Psychiatric Nursing Care
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Sample Questions
Q1) A patient diagnosed with depression tells a nurse,"I don't feel rested.It's as though I didn't sleep at all." Comments by night shift staff show that the patient slept through most of the night.How can these two observations be reconciled?
A) The patient is considered the more accurate reporter.
B) The staff observations are more objective than the patient's statement.
C) Studies show that people with depression have disturbed sleep cycles that can result in sleep deprivation.
D) People with depression characteristically underreport sleep satisfaction because of cognition flaws.
Q2) Which neurotransmitter is located only in the brain,particularly in the raphe nuclei of the brainstem,and is implicated in depression?
A) Norepinephrine
B) Acetylcholine
C) Dopamine
D) Serotonin
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Chapter 6: Psychological Context of Psychiatric Nursing Care
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse assessing a patient's emotional intelligence will focus on the patient's:
A) linguistic and musical abilities.
B) body kinesthetic and spatial abilities.
C) interpersonal and intrapersonal skills.
D) logical mathematics and linguistic abilities.
Q2) The patient believes that the CIA is "plotting to kill me." The report is given with the patient exhibiting little emotion.The nurse documents the patient's affect as:
A) flat.
B) elated.
C) labile.
D) congruent.
Q3) To assess for the presence of hallucinations during the mental status examination,a nurse should ask:
A) "Can you tell me what the name of this building is?"
B) "Do you ever see or hear things that others don't see or hear?"
C) "When did you start believing aliens were controlling your thoughts?"
D) "What do I mean when I say, 'Don't count your chickens before they hatch?'"
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Page 8
Chapter 7: Social, Cultural, and Spiritual Context of Psychiatric Nursing Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) During a team conference about a patient,the patient's spouse states,"My spouse is Irish,so I should have expected a drinking problem." This statement is an example of:
A) racism.
B) intolerance.
C) stereotyping.
D) discrimination.
Q2) Which statement will be most important for planning future community mental health services?
A) The population over age 65 years will continue to increase.
B) Many more people will move out of rural and into urban areas.
C) The U.S. population will increase drastically by the year 2050.
D) The U.S. population will become more diverse with regard to race and ethnicity.
Q3) Sociocultural risk factors are identified by assessing which patient characteristic?
A) Belief system
B) Daily health habits
C) Stress management habits
D) Restfulness of the home environment
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Page 9
Chapter 8: Legal and Ethical Context of Psychiatric Nursing Care
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24 Verified Questions
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Sample Questions
Q1) A patient in the process of being involuntarily committed demands to be evaluated by his own private psychiatrist.To preserve the patient's rights,the treatment team must:
A) stop the commitment process.
B) notify the unit psychiatrist immediately.
C) provide access to the private psychiatrist.
D) determine why the patient is resisting staff care.
Q2) A patient claims to have been denied the right to confidentiality.To best preserve the patient's rights,the treatment team must:
A) re-explain the guidelines for confidentiality to the patient.
B) provide in-service to the unit's staff regarding confidentiality.
C) educate the patient about the process required for the filing of a formal complaint.
D) determine why the patient feels that the right to confidentiality has been denied.
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Chapter 9: Policy and Advocacy in Mental Health Care
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Sample Questions
Q1) Health professionals planning treatment initiatives should be most concerned with the burden of disease created by:
A) violence and injury.
B) environmental quality.
C) behavioral health problems.
D) irresponsible sexual behavior.
Q2) A nurse works in an organization that provides an integrated behavioral continuum of care.The goal of treatment in the crisis clinic is:
A) remission.
B) recovery.
C) stabilization.
D) optimal level of wellness.
Q3) A patient's goal of treatment is stabilization.The patient is in which stage of treatment in an integrated behavioral continuum of care?
A) Crisis
B) Acute
C) Maintenance
D) Health promotion
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11
Chapter 10: Families as Resources, Caregivers, and Collaborators
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Sample Questions
Q1) During a mental health assessment,a patient reports living with two children from a previous relationship,a sibling,and a sibling's three children.To use the most precise documentation,the nurse documents that the patient is part of a(n):
A) household.
B) nuclear family.
C) extended family.
D) traditional family.
Q2) Which finding is a positive indicator of family functioning?
A) A patient's child occasionally has an asthma attack when the patient and the patient's spouse argue.
B) A patient's spouse leaves for a few days and gambles after a serious fight with the patient.
C) A patient's 12-year-old child has one daily and one weekly household chore to complete.
D) A patient calls a parent daily concerning decisions such as what to prepare for dinner.
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12
Chapter 11: Implementing the Nursing Process: Standards of Practice
and Professional Performance
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) What is the major difference between supervision and therapy?
A) Therapy is more intensive; supervision is less structured in its focus.
B) Supervision extends to all aspects of life, whereas therapy is limited to problem areas.
C) Supervision teaches psychotherapeutic skills, whereas therapy changes personal coping patterns.
D) Therapy uses transference, whereas supervision focuses on only personal limitations.
Q2) Nursing behaviors associated with the implementation phase of the nursing process are concerned with:
A) regular, in-depth self-analysis.
B) participating in quality improvement activities.
C) carrying out interventions and generating alternatives.
D) comparing patient responses and expected outcomes.
Q3) Which goal should be given the highest priority?
A) Reduction of anxiety
B) Alleviation of depression
C) Enhancement of self-esteem
D) Protection from self-destructive impulses
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Page 13
Chapter 12: Prevention and Mental Health Promotion
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21 Verified Questions
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Sample Questions
Q1) A nurse focuses on increasing gang members' problem-solving and coping skills.This is an example of:
A) crime reduction.
B) community service.
C) competency building.
D) environmental manipulation.
Q2) To effectively use the nursing primary prevention model,it is most important for a nurse to have knowledge of:
A) personality types.
B) psychiatric medications.
C) normal growth and development.
D) the DSM-IV-TR diagnostic categories.
Q3) The nurse explains that the main goal of primary prevention is the reduction of the _____ of mental disorders.
A) severity
B) duration
C) incidence
D) prevalence
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Chapter 13: Crisis Intervention
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Sample Questions
Q1) A patient is being seen for crisis intervention as a result of receiving a poor job evaluation.The self-esteem need that nursing assessment will most likely reveal a problem with:
A) dependency.
B) role mastery.
C) biological functioning.
D) unmet financial responsibility.
Q2) A nurse working with a parent in crisis suggests that the parent send both children to stay with their grandparents temporarily.This is an example of:
A) reducing dependency.
B) environmental manipulation.
C) reducing the children's stressors.
D) increasing contact with the extended family.
Q3) A variety of crisis intervention modalities are available in contemporary society depending on the needs of patients.Some of them are:
A) in mobile crisis programs.
B) available only during non-daytime hours.
C) in primary care provider (PCP) office settings.
D) available only to members of certain patient populations.
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Page 15
Chapter 14: Recovery and Psychiatric Rehabilitation
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) At a community meeting,a homeowner states,"I don't want mentally ill people in the neighborhood.They're dangerous!" The community mental health nurse should respond:
A) "Former patients need care and concern, not stigmatization."
B) "I sincerely believe your fears and concerns are really unfounded."
C) "The way you act toward former patients will determine how they act toward you."
D) "Our residents are more apt to be withdrawn and timid than aggressive or violent."
Q2) Under the recovery model,a nurse is more likely to work with a patient with a psychiatric disorder:
A) in a decision-making partnership.
B) by prescribing appropriate treatment.
C) with the assumption the patient is curable.
D) from the position of expecting compliance.
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Chapter 15: Anxiety Responses and Anxiety Disorders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Physiological responses associated with anxiety are modulated by the brain through which system?
A) Autonomic nervous
B) Cardiovascular
C) Neuromuscular
D) Endocrine
Q2) If a penny-pinching patient rationalizes personal behavior,a nurse will expect that the patient is most likely to:
A) call other people wasteful.
B) start spending money liberally.
C) claim to exemplify the virtue of thrift.
D) give vast amounts of money to charity on death.
Q3) A patient repeatedly states,"I'm so tense,and I'm sure that I'm going to be fired." Which statement would be most useful in helping the patient deal with his primary concern?
A) "Let's look at the evidence that you'll lose your job."
B) "I'm going to teach you how to make your body relax."
C) "Before we talk about this problem, you are going to the gym to work out."
D) "Let's use role playing to help you explain your actions to your superiors."
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Page 17
Chapter 16: Psychophysiological Responses and Somatoform and
Sleep
Disorders
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Sample Questions
Q1) A patient says,"Although numerous assessments and diagnostic tests over the past year have shown no evidence of organic disease I'm still anxious and sure something is wrong." The nurse should suspect the presence of:
A) hypochondriasis.
B) chronic pain disorder.
C) chronic major depression.
D) body dysmorphic disorder.
Q2) A nurse plans care for a patient at risk for development of a psychophysiological disorder associated with multiple stressors.In the assessment of the patient's coping resources,which factor would the nurse consider initially?
A) The social support available to the patient
B) Whether there has been sustained grief over a recent loss
C) Whether the patient is overworked with too many commitments
D) Strain associated with the patient's parenting duties
Q3) Which patient is most likely exhibiting a conversion disorder?
A) A toddler with frequent ear infections
B) An athlete with exercise-induced asthma
C) A night guard who suddenly goes blind
D) An older adult whose fractured foot is not healing well
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Chapter 17: Self-Concept Responses and Dissociative Disorders
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24 Verified Questions
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Sample Questions
Q1) A patient who was abused as a child tells a nurse of the abuse in a stilted,unemotional manner.Which intervention would encourage the patient to examine feelings associated with childhood abuse?
A) "You poor thing! I feel deeply sorry for what you endured."
B) "When you described this relationship, you didn't tell me how you felt."
C) "You must be feeling so angry with your parents that you'd like to harm them."
D) "If I experienced that as a child, I would feel betrayed, confused, and frightened."
Q2) A patient who is acutely psychotic and withdrawn claims to be a robot.An early intervention designed to help this patient expand self-awareness would be to:
A) confirm the patient's identity.
B) set up a daily schedule for the patient.
C) introduce the patient to two other withdrawn patients.
D) explain to the patient the need to express feelings more openly.
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19
Chapter 18: Emotional Responses and Mood Disorders
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Sample Questions
Q1) A patient with mania is displaying elation,hyperactivity,grandiosity,verbosity,disturbed sleep pattern,and poor judgment.The plan of care should take into consideration the need to:
A) maintain physiological equilibrium.
B) provide a permissive, unstructured environment.
C) show good humor when interacting with the patient.
D) provide large amounts of appropriate sensory stimulation.
Q2) A patient is extremely hyperactive,distractible,and rarely sleeps.The patient eats little,resulting in a loss of 6 pounds since admission 3 days ago.Which measure is a priority when developing a plan for the patient's care?
A) Require that the patient remain in the dining room for at least 15 minutes per meal.
B) Offer high-calorie "portable" finger foods and nutritionally fortified fluids hourly.
C) Document all food and fluid intake.
D) Weigh the patient daily.
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Chapter 19: Self-Protective Responses and Suicidal Behavior
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Sample Questions
Q1) During an admission a nurse suspects a patient is having suicidal ideations.The best course of action is to:
A) ask the patient if thoughts of suicide have occurred.
B) ask the patient's significant other if the patient is suicidal.
C) arrange for involuntary commitment to avoid harm to self or others.
D) avoid the subject to avoid pushing the patient into further thoughts of self-harm.
Q2) A suicidal patient was found attempting to hang himself in the bathroom shower.What nursing intervention would best address the patient's current need for safety while maintaining his self-esteem?
A) Assign a staff member to remain with the patient at all times.
B) Place the patient in the seclusion room with 15-minute checks.
C) Request that the patient remain with the patient group at all times.
D) Tell the patient that he may use the bathroom only with staff supervision.
Q3) A patient who _____ should be assessed as using indirect self-destructive behavior.
A) scratches both wrists with safety pins
B) drinks nearly 1 quart of whiskey per day
C) took an overdose of sedative-hypnotic drugs
D) calls a friend when contemplating suicide
Page 21
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Chapter 20: Neurobiological Responses and Schizophrenia and Psychotic Disorders
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Sample Questions
Q1) During occupational therapy a patient diagnosed with schizophrenia sits staring at a piece of paper.Which response is most therapeutic at this time?
A) "If you prefer to sit and stare for a time, it is acceptable for you to leave."
B) "You seem immobilized by anxiety. Is there anything I can do to help?"
C) "Are you having trouble deciding where you want to glue that piece?"
D) "Rub the glue stick on the back of the paper."
Q2) A patient is delusional and has auditory hallucinations.The best statement to make when approaching the patient with an oral electronic thermometer would be:
A) "I need your vital signs. Put this in your mouth. This will not hurt. "
B) "I hope I can count on you to hold still while I take your temperature."
C) "Please sit here while I put the thermometer under your tongue for a little while."
D) "This probe is only a thermometer that will tell us whether you have a fever. It will be all over in just a few seconds."
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Chapter 21: Social Responses and Personality Disorders
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Sample Questions
Q1) A goal for a patient with impulsive behavior is "The patient will explore the causes and consequences of impulsive behavior." A strategy that will best assist the patient in achieving this goal is:
A) using rewards for appropriate behavior.
B) using relaxation exercises to reduce interpersonal anxiety.
C) keeping a diary to describe events before and after the behavior.
D) frequent clinical supervision for the nurse providing therapy for the patient.
Q2) A patient with borderline personality disorder tells the nurse,"When my sister got married and had a baby,she ignored me and I got so angry with her because she is so inattentive to my needs." The patient's sense of entitlement to her sister's attention is consistent with:
A) impulsivity.
B) narcissism.
C) magical thinking.
D) passive aggression.
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23
Chapter 22: Cognitive Responses and Organic Mental Disorders
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Sample Questions
Q1) An adolescent is diagnosed with dementia.The patient's age would cause a nurse to suspect an underlying condition associated with a history of:
A) traumatic brain injury (TBI).
B) neurosyphilis.
C) Pick disease.
D) hypothyroidism.
Q2) An individual is brought to the emergency room after family reports that the patient awoke confused and began "rambling and talking crazy" about 3 hours ago.The patient strikes out at the staff and shouts,"You're not going to kill me!" The most likely analysis of this behavior is:
A) disturbed self-esteem related to catastrophic reaction.
B) disturbed sensory perception related to altered brain function.
C) other-directed violence related to fear associated with hospitalization.
D) impaired environmental interpretational syndrome related to metabolic disturbance.
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24
Chapter 23: Chemically Mediated Responses and
Substance-Related Disorders
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Sample Questions
Q1) The following are goals for a patient being treated for alcoholism.Select the order in which these goals should be approached.
A.Developing alternative coping skills
B.Attaining physiological stabilization
C.Learning about dependence and recovery
D.Abstinence and development of a support system
A) A,B,C,D
B) B,D,C,A
C) C,D,B,A
D) D,C,B,A
Q2) Care planning for a patient undergoing detoxification for both alcohol and sedative-hypnotics is based on the treatment principle that states that:
A) medications are used to treat symptoms as they appear.
B) a cross-tolerant drug is used to gradually wean the patient.
C) liver function is preserved best by avoiding detoxification drugs.
D) forcing fluids is therapeutic since detoxification mainly occurs in the kidneys.
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Chapter 24: Eating Regulation Responses and Eating Disorders
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Q1) A patient has a maladaptive response to eating regulation.Findings include the following: T,96.6° F; BP,68/40; P,40; R,20; poor skin turgor; admits to restricting intake to 350 calories daily; and diagnostic testing reveals serum potassium of 2.9 mEq/L and urine specific gravity of 1.028.What is the highest priority nursing diagnosis for this patient?
A) Imbalanced nutrition, less than body requirements
B) Disturbed body image
C) Deficient fluid volume
D) Powerlessness
Q2) Which therapy is shown through evidence to be most effective for a patient with an eating disorder?
A) Supportive therapy
B) Behavioral therapy
C) Cognitive behavioral therapy
D) Psychoanalytical group therapy
Q3) When undertaking care for patients with eating disorders,a nurse should first:
A) perform a complete patient assessment.
B) obtain a history from the patient's family.
C) examine personal feelings about weight.
Page 26
D) question the patient as to when he or she last ate a meal.
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Chapter 25: Sexual Responses and Sexual Disorders
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Q1) What factor is most important during evaluation of effectiveness of sexual counseling or intervention?
A) Patient satisfaction with treatment
B) Patient reduction in use of fantasy
C) Nursing involvement in forming the sex education plan
D) Patient agreement with the moral norms of the community
Q2) Which nursing diagnosis could be applied to both a patient who is upset that she has developed vaginismus associated with fear of pregnancy as well as a patient with diabetes who is concerned that he cannot attain an erection?
A) Sexual dysfunction
B) Sexual arousal disorder
C) Sexual aversion disorder
D) Ineffective sexuality pattern
Q3) Which classification of drugs has the greatest potential for causing sexual dysfunction?
A) Diuretics
B) Antihypertensives
C) Appetite suppressants
D) Gastrointestinal (GI) antiinflammatory agents
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Page 27
Chapter 26: Psychopharmacology
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Sample Questions
Q1) A patient taking medication for depression states,"I need to stop taking my medication because it blurs my vision,and I'm making mistakes when I paint jewelry by hand." Which response by a nurse would be most therapeutic?
A) "If you cannot take medication, would you consider a course of 6 to 10 electroconvulsive therapy (ECT) treatments offered on an outpatient basis? ECT treatments usually work immediately."
B) "Do you recall the two of us discussing that blurred vision may occur but that it will resolve shortly? In the meantime, let's discuss how to best avoid getting injured until your vision clears up."
C) "I understand your concern considering that you need to work to receive health insurance. Would you like me to ask the psychiatrist to change your medication?"
D) "You may need to apply for a sick leave for 6 months until your depression improves enough to lessen the medication dosage."
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Chapter 27: Behavior Change and Cognitive Interventions
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Sample Questions
Q1) A patient tearfully says to a nurse,"I don't want to go on living now that my spouse has left me for someone else after 20 years.Our children are grown and don't need me.I just want to die." Which response is the most therapeutic?
A) "You're young, and you will manage well. I know several people your age who've actually done better after divorcing their spouses."
B) "It always seems bleak when we lose someone we've loved. Don't worry, it will work out-we just need to think this through."
C) "So your spouse is off having a midlife crisis and you are here thinking of killing yourself. Let's focus on how to make you feel better."
D) "I am very concerned about you wanting to die because your spouse left. Rather than trying to solve all the problems immediately let's focus on your feelings of hopelessness right now."
Q2) Which strategy will help evoke relaxation when using meditation?
A) Playing soft background music
B) Ten-second deep breathing and exhaling
C) Ten-second tensing and relaxing of muscle groups
D) Providing a word or scene on which the patient can focus
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Chapter 28: Preventing and Managing Aggressive Behavior
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Q1) Which statement by a nurse new to the unit best reflects an understanding that staff attitudes and actions have a powerful effect on both patient behavior and milieu management?
A) "I understand that there are going to be days where the unit will be short-staffed or really busy. As new members of the team, how can we contribute to keeping the stress level on the unit from escalating?"
B) "What are the administration's expectations of us as new employees related to the management of the milieu in general and of individual patient behavior?"
C) "I'm new, so I will learn best by observing while one of the more experienced staff members manages control over the patients."
D) "How do I best involve the health care providers in the management of the milieu when a patient begins to escalate?"
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Chapter 29: Somatic Therapies
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Sample Questions
Q1) Which therapeutic nursing intervention would a nurse initiate just before ECT (electroconvulsive therapy) treatment?
A) Providing the patient the opportunity to void in order to prevent incontinence
B) Insertion of a straight urinary catheter to ensure the patient has an empty bladder
C) Administration of diazepam (Valium) to minimize the presence of muscle spasms
D) Administration of thiopental sodium (Pentothal) to help induce muscle relaxation
Q2) A patient who has received three ECT (electroconvulsive therapy) treatments with no ill effects displays confusion and memory loss after the fourth treatment.Which nursing intervention would be most therapeutic based on a nurse's knowledge of ECT effects?
A) Administer a benzodiazepine by IM injection immediately.
B) Call the health care provider and report this sudden alteration immediately.
C) Inform the family that the short-term memory loss may be permanent.
D) Orient the patient periodically, emphasizing that the memory loss is temporary.
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Chapter 30: Complementary and Alternative Therapies
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Sample Questions
Q1) When asked about the benefits of complementary and alternative medicine (CAM) therapies,a nurse's best response is that CAM therapies usually:
A) are readily available to most patients.
B) are more costly than conventional therapies.
C) produce a variety of psychological side effects.
D) are most effective when implemented for chronic conditions.
Q2) Nurses are in an ideal position to help patients understand how complementary and alternative medicine (CAM) therapies affect individuals.It is most important that they:
A) remain current about important findings related to CAM therapy outcomes.
B) be familiar with CAM information to help patients receive the latest treatments.
C) warn patients about the dangers of applying these therapies without first consulting their primary care provider.
D) recommend CAM therapies as often as possible, since many provide relief without the expense of traditionally prescribed medicines.
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Chapter 31: Therapeutic Groups
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Sample Questions
Q1) One patient in a social skills group shares,"I feel like I'm the only one who says anything in here." Which statement made by the nurse facilitator would have the greatest therapeutic effect on the group?
A) "Can anyone in this group respond to the statement?"
B) "The reason you feel this way is because you do all the talking."
C) "Does everyone agree that no other members have participated in discussion?"
D) "I agree that you have contributed greatly to the discussion in today's group."
Q2) Which comment by the nurse would be most therapeutic when a group member challenges a nurse leader's authority?
A) "Who do you think should be the group leader, if not me?"
B) "So you're asking, 'Who made me the leader?'"
C) "Do you want to be the group leader?"
D) "You resist my authority?"
Q3) Which is an appropriate nurse-led educational group?
A) Smoking cessation group
B) Parents without partners
C) A medication group
D) Grieving a loss
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33
Chapter 32: Family Interventions
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Sample Questions
Q1) Skill building may include relapse-prevention drills and disorder-related conflict skills for adult patients diagnosed with schizophrenia or a mood disorder.Along with skill building,the patient typically receives individualized:
A) pharmacotherapy.
B) subsidized housing.
C) occupational therapy.
D) health care treatment.
Q2) A nurse is managing the care of a family who has had no previous experience with community mental health care.The intervention addressed at the initial meeting should focus on:
A) determining similarities between the family and the other families presently receiving care at the clinic.
B) arranging for a social worker to be present to help the family acquire supportive community services.
C) helping the family meet other families in the community who have members with mental illnesses.
D) examining whether the nurse's cultural background reflects those of the family members.
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Chapter 33: Hospital-Based Psychiatric Nursing Care
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Sample Questions
Q1) A patient has contracted to be allowed to walk about outside after meals with staff supervision.When the patient begins to make a habit of asking if it's time to go outside well before meals,the nurse should:
A) provide the patient with a paper of hourly times to be clocked by the patient and initialed by the staff to indicate when it's time to go outside.
B) firmly state to the patient, "15 minutes after you're done eating, someone will come to find you so the two of you can go outside."
C) say, with empathy, to the patient, "It is very difficult to wait patiently for something you really want like going outside."
D) instruct the patient to stand at the door of the unit after eating each meal.
Q2) A patient shares with a nurse,"I don't seem to be sleeping any better since I came here." Which nursing intervention will the nurse implement initially?
A) Comparing the patient's admission and current sleeping patterns
B) Giving the patient a warm glass of milk at bedtime
C) Teaching relaxation techniques to the patient
D) Starting a running program for the patient
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35
Chapter 34: Community-Based Psychiatric Nursing Care
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Sample Questions
Q1) When assessing a new prison inmate the correctional nurse conducts a particularly thorough mental illness screening because:
A) the rate of serious mental illness among inmates is three to four times that of the general U.S. population.
B) this may be the only opportunity this individual has ever had for a mental health assessment to be conducted.
C) the prison system is prepared to deal with underlying mental health disorders that may have previously gone untreated.
D) medication dosages being used to treat existing mental health disorders may need to be reevaluated to address the stressors of incarceration.
Q2) A psychiatric nurse is focusing on the fifth area of service,based on the Community Mental Health Centers Act of 1963,when:
A) assisting with electroconvulsive therapy (ECT) treatments.
B) providing stress management technique classes to new mothers.
C) assessing patients for admission into an outpatient group program.
D) providing emergency psychiatric care to a rape victim demonstrating psychoses.
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Chapter 35: Child Psychiatric Nursing
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Sample Questions
Q1) Which question would be most appropriate to ask when attempting to determine a 6-year-old child's ability to establish trusting relationships after being diagnosed with an anxiety disorder?
A) "Do you like making new friends?"
B) "Is it important to be liked by people?"
C) "What would you do if your favorite toy got broken?
D) "How do you feel when you can't have something you want?"
Q2) A group of 10-year-old children are playing a board game.Which of these patient outcomes would the nurse evaluate as evidence of a favorable response to the frustration of losing?
A) The child congratulates the winner.
B) The child walks away to read a book.
C) The child invites another child to join.
D) The child wants an immediate rematch.
Q3) Which assessment finding most clearly indicates an adolescent has a conduct disorder?
A) Misses at least one day of school a month
B) Admits to pulling the dog's ears and tail for "fun"
C) Told the teacher that he is usually "sad and confused"
D) Consistently awakens during the night and has difficulty falling asleep again
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Chapter 36: Adolescent Psychiatric Nursing
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Source URL: https://quizplus.com/quiz/6410
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Q1) Which response by an adolescent during the termination of outpatient substance abuse therapy indicates the need to reevaluate the treatment plan? The adolescent:
A) says, "I'm ready to get started, but I'm just a little worried."
B) becomes tearful, and the voice quivers while saying, "goodbye."
C) says, "I never thought I'd be sorry to stop coming here!"
D) writes a note sharing fears of relapsing once independent.
Q2) Which intervention by the nurse would be the most therapeutic when a student reports witnessing a depressed teenager put a gun into a locker?
A) Call the principal and request a locker search without breaching confidentiality.
B) Accompany the witness to the principal's office to further discuss what was seen.
C) Call the police immediately and report that there is a student in school with a gun.
D) Call the parents of the depressed teen and ask them to come and talk with their child.
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Chapter 37: Geropsychiatric Nursing
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Sample Questions
Q1) A person who is the primary caregiver for a mother with Alzheimer disease says,"Sometimes I hate my mother for living this long and Dad for dying and not caring for her." Which response is most therapeutic?
A) "What do you do to cope with these negative feelings?"
B) "It's fairly common for a caregiver to feel such negative emotions."
C) "Have you ever felt angry enough to be abusive toward your mother?"
D) "Please consider discussing these feelings with other members of your family."
Q2) A mildly confused older adult patient states,"I am in the Mojave desert." A nurse who is using validation therapy with the patient would make which response?
A) "Are you feeling hot or thirsty?"
B) "Can you tell me about a time in your past when you were in a desert?"
C) "You are in a rehabilitation nursing center because you need help caring for yourself."
D) "Your medical record shows that you have hyperthyroidism, which is probably responsible for the confusion you are experiencing."
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Chapter 38: Care of Survivors of Abuse and Violence
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Sample Questions
Q1) Which intervention would be the best initial approach for a nurse to take when a young adult patient is verbally abusive?
A) Ask the patient to define "verbally abusive language."
B) Provide the patient with examples of assertive communication.
C) Identify the patient's verbal abuse in order to set standards for future dialogue.
D) Remove privileges from the patient until communications show less aggression.
Q2) A nursing colleague says,"This patient was admitted claiming to have been raped by her boyfriend,but just look at the sexy clothes she's wearing." Which response reflects an understanding of the most likely source of the colleague's comment?
A) "Have you ever cared for other sexual assault victims?"
B) "Your sister was raped when she was in college, wasn't she?"
C) "You have three unmarried brothers about the patient's age, don't you?"
D) "Are you saying that wearing sexy clothes caused her to be sexually assaulted?"
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Chapter 39: The Military and Their Families
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Sample Questions
Q1) A military veteran is diagnosed with tinnitus.The educational material provided by the nurse related to the condition should include: (Select all that apply.)
A) exposure to repeated loud noises is often the cause of the disorder.
B) the primary characteristic is a persistent ringing in the ears.
C) tinnitus may be either temporary or chronic.
D) the symptoms can be expected to worsen over time.
E) surgery on the eardrum is usually recommended.
Q2) Which assessment question is particularly important to ask of a veteran of the Iraq conflict?
A) "Have you ever experienced a migraine headache?"
B) "Could you ever see yourself considering suicide?"
C) "Do you feel anxious when you find yourself in a confined space like an elevator?"
D) "Would you say that your sleep patterns provide you with sufficient amounts of recuperative rest?"
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Chapter 40: Psychological Care of Patients with Life-Threatening Illness
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Sample Questions
Q1) When the parents of a terminally ill teenager whose death is imminent are approached and counseled regarding the possibility of organ donation,the parents refuse.The nurse is concerned that they may not have fully considered the positive effect organ donation has on both the surviving family members as well as organ recipients.Which nursing action will have the greatest therapeutic effect regarding the parents' decision?
A) Ask the chaplain to address the issue with the parents after giving them time to reconsider.
B) Gently share with the parents that they could be making a mistake they will later regret.
C) Say nothing, and support the parents in their decision to the fullest extent possible.
D) Refer the matter to the hospital's organ procurement agent.
Q2) A nurse advocating for an anxious patient newly diagnosed with a life-threatening illness would ask the health care provider to prescribe which type of medication?
A) Selective serotonin reuptake inhibitor
B) Monoamine oxidase inhibitor
C) Tricyclic antidepressant
D) Benzodiazepine
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