Advanced Psychiatric Nursing Practice
Test Bank
Course Introduction
Advanced Psychiatric Nursing Practice focuses on enhancing the clinical skills and theoretical knowledge necessary for advanced nursing roles within mental health care settings. This course covers comprehensive mental health assessments, diagnostic reasoning, and psychiatric interventions for individuals across the lifespan experiencing complex mental health disorders. Emphasis is placed on evidence-based psychotherapeutic modalities, psychopharmacology, culturally competent care, and interdisciplinary collaboration. Students will develop expertise in case formulation, treatment planning, and the ethical and legal aspects of psychiatric nursing, preparing them to provide high-quality, patient-centered mental health care in diverse and evolving practice environments.
Recommended Textbook
Canadian Psychiatric Mental Health Nursing Canadian Edition 1st Edition by
Available Study Resources on Quizplus
37 Chapters
1052 Verified Questions
1052 Flashcards
Source URL: https://quizplus.com/study-set/1167
Page 2
Jordan Halter
Chapter 1: Mental Health and Mental Illness
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/23083
Sample Questions
Q1) A visitor at a community health fair asks the nurse, "What is the most prevalent mental disorder in Canada?" Select the nurse's best response.
A) Schizophrenia
B) Bipolar disorder
C) Generalized anxiety disorder
D) Major depression
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
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: Historical Overview of Psychiatric Mental Health
Nursing
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/23084
Sample Questions
Q1) The nurse is caring for a patient in an asylum in the mid-1800s in Canada. What would the nurse expect to implement?
A) Assisting with eating and dressing
B) Group therapy interventions
C) Electroconvulsive therapy
D) Antipsychotic medication administration
Answer: A
Q2) Which of the following has largely been excluded from Canadian nursing history?
A) Female nurses' role in psychiatric nursing
B) Mental health field of study
C) Male attendants' role in institutions
D) Generalist registered nurses' role
Answer: B
Q3) 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
Page 4
To view all questions and flashcards with answers, click on the resource link above.
Chapter 3: Relevant Theories and Therapies for Nursing Practice
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/23085
Sample Questions
Q1) A patient says, "I always feel good when I wear a size 2 petite." Which type of cognitive distortion is evident?
A) Disqualifying the positive
B) Overgeneralization
C) Catastrophizing
D) Personalization
Answer: B
Q2) A nurse uses Maslow's hierarchy of needs to plan care for a patient with mental illness. Which problem will receive priority?
A) The patient refuses to eat or bathe.
B) The patient reports feelings of alienation from family.
C) The patient is reluctant to participate in unit social activities.
D) The patient is unaware of medication action and adverse effects.
Answer: A
Q3) Which technique is most applicable to aversion therapy?
A) Punishment
B) Desensitization
C) Role modeling
D) Positive reinforcement
Answer: A
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Psychotropic Drugs
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/23086
Sample Questions
Q1) A patient asks, "What are neurotransmitters? The doctor said mine are imbalanced." Select the nurse's best response.
A) "How do you feel about having imbalanced neurotransmitters?"
B) "Neurotransmitters protect us from harmful effects of free radicals."
C) "Neurotransmitters are substances we consume that influence memory and mood."
D) "Neurotransmitters are natural chemicals that pass messages between brain cells."
Q2) A patient with a long history of hypertension and diabetes now develops confusion. The health care provider wants to make a differential diagnosis between Alzheimer's disease and multiple infarcts. Which diagnostic procedure should the nurse expect to prepare the patient for first?
A) Skull X-rays
B) Computed tomography (CT) scan
C) Positron emission tomography (PET)
D) Single-photon emission computed tomography (SPECT)
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Psychiatric Mental Health Nursing in Acute Care Settings
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/23087
Sample Questions
Q1) Inpatient hospitalization for persons with mental illness is generally reserved for which of the following patients?
A) Patients who present a clear danger to self or others
B) Patients who are noncompliant with medication at home
C) Patients who have limited support systems in the community
D) Patients who develop new symptoms during the course of an illness
Q2) A patient diagnosed with schizophrenia had an exacerbation related to medication noncompliance and was hospitalized for 5 days. The patient's thoughts are now more organized, and discharge is planned. The patient's family says, "It's too soon for discharge. We will just go through all this again." Which of the following should the nurse do?
A) Ask the case manager to arrange a transfer to a long-term care facility.
B) Notify hospital security to handle the disturbance and escort the family off the unit.
C) Explain that the patient will continue to improve if the medication is taken regularly.
D) Contact the health care provider to meet with the family and explain the discharge rationale.
To view all questions and flashcards with answers, click on the resource link above.
7
Chapter 6: Psychiatric Mental Health Nursing in Community Settings
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/23088
Sample Questions
Q1) Which level of prevention activities would a nurse in an emergency department employ most often?
A) Primary
B) Secondary
C) Tertiary
Q2) Which characteristic would be more applicable to a community mental health nurse than to a nurse working in an operating room?
A) Kindness
B) Autonomy
C) Compassion
D) Professionalism
Q3) A nurse makes an initial visit to a homebound patient diagnosed with a serious mental illness. A family member offers the nurse a cup of coffee. Select the nurse's best response.
A) "Thank you. I would enjoy having a cup of coffee with you."
B) "Thank you, but I would prefer to proceed with the assessment."
C) "No, but thank you. I never accept drinks from patients or families."
D) "Our agency policy prohibits me from eating or drinking in patients' homes."
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Cultural Implications for Psychiatric Mental
Health Nursing
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/23089
Sample Questions
Q1) Which intervention best demonstrates that a nurse correctly understands the cultural needs of a hospitalized Asian Canadian patient diagnosed with a mental illness?
A) Encouraging the family to attend community support groups
B) Involving the patient's family to assist with activities of daily living
C) Providing educational pamphlets to explain the patient's mental illness
D) Restricting homemade herbal remedies the family brings to the hospital
Q2) An experienced psychiatric nurse plans to begin a new job in a community-based medication clinic. The clinic sees culturally diverse patients. Which action should the nurse take first to prepare for this position?
A) Investigate cultural differences in patients' responses to psychotropic medications.
B) Contact the clinical nurse specialist for guidelines regarding cultural competence.
C) Examine the literature on various health beliefs of members of diverse cultures.
D) Complete an online continuing education offering about psychopharmacology.
To view all questions and flashcards with answers, click on the resource link above.
9
Chapter 8: Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23090
Sample Questions
Q1) Which individual diagnosed with a mental illness may need involuntary hospitalization?
A) An individual who has a panic attack after her child gets lost in a shopping mall
B) An individual with visions of demons emerging from cemetery plots throughout the community
C) An individual who takes 38 acetaminophen tablets after his or her stock portfolio becomes worthless
D) An individual diagnosed with major depression who stops taking prescribed antidepressant medication
Q2) A patient experiencing psychosis asks a psychiatric technician, "What's the matter with me?" The technician replies, "Nothing is wrong with you. You just need to use some self-control." The nurse who overheard the exchange should take action based on which of the following?
A) The technician's unauthorized disclosure of confidential clinical information.
B) Violation of the patient's right to be treated with dignity and respect.
C) The nurse's obligation to report caregiver negligence.
D) The patient's right to social interaction.
To view all questions and flashcards with answers, click on the resource link above.
Page 10
Chapter 9: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23091
Sample Questions
Q1) An adolescent asks a nurse conducting an assessment interview, "Why should I tell you anything? You'll just tell my parents whatever you find out." Which response by the nurse is appropriate?
A) "That isn't true. What you tell us is private and held in strict confidence. Your parents have no right to know."
B) "Yes, your parents may find out what you say, but it is important that they know about your problems."
C) "What you say about your feelings is private, but some things, like suicidal thinking, must be reported to the treatment team."
D) "It sounds as though you are not really ready to work on your problems and make changes."
Q2) At what point in an assessment interview would a nurse ask, "How does your faith help you in stressful situations?"
A) During the assessment of childhood growth and development
B) During the assessment of substance use and abuse
C) During the assessment of educational background
D) During the assessment of coping strategies
To view all questions and flashcards with answers, click on the resource link above.
Page 11
Chapter 10: Therapeutic Relationships
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23092
Sample Questions
Q1) During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?
A) Preorientation
B) Orientation
C) Working
D) Termination
Q2) A nurse caring for a withdrawn, suspicious patient recognizes development of feelings of anger toward the patient. Which of the following should the nurse do?
A) Suppress the angry feelings
B) Express the anger openly and directly with the patient
C) Tell the nurse manager to assign the patient to another nurse
D) Discuss the anger with a clinician during a supervisory session
Q3) Which statement shows a nurse has empathy for a patient who made a suicide attempt?
A) "You must have been very upset when you tried to hurt yourself."
B) "It makes me sad to see you going through such a difficult experience."
C) "If you tell me what is troubling you, I can help you solve your problems."
D) "Suicide is a drastic solution to a problem that may not be such a serious matter."
To view all questions and flashcards with answers, click on the resource link above. Page 12
Chapter 11: Communication and the Clinical Interview
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/23093
Sample Questions
Q1) A nurse is interacting with patients in a psychiatric unit. Which statements reflect use of therapeutic communication? Select all that apply.
A) "Tell me more about that situation."
B) "Let's talk about something else."
C) "I notice you are pacing a lot."
D) "I'll stay with you a while."
E) "Why did you do that?"
Q2) A patient cries as the nurse explores the patient's feelings about the death of a close friend. The patient sobs, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse facilitate communication? Select all that apply.
A) "Why do you think you are so upset?"
B) "I can see that you feel sad about this situation."
C) "The loss of a close friend is very painful for you."
D) "Crying is a way of expressing the hurt you are experiencing."
E) "Let's talk about something else because this subject is upsetting you."
To view all questions and flashcards with answers, click on the resource link above.
13
Chapter 12: Understanding Responses to Stress
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/23094
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 diagnosed with emphysema has severe shortness of breath and needs portable oxygen when leaving home. Recently, the patient has reduced activity because of fear that breathing difficulty will occur. A nurse suggests using guided imagery. Which image should the patient be encouraged to visualize?
A) Engaging in activity without using any supplemental oxygen
B) Sleeping comfortably and soundly, without respiratory distress
C) Feeling relaxed and taking regular deep breaths when leaving home
D) Having a younger, healthier body that knows no exercise limitations
To view all questions and flashcards with answers, click on the resource link above.
Chapter 13: Anxiety, Obsessive-Compulsive, and Related Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/23095
Sample Questions
Q1) A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states this event is not likely. This counselling demonstrates principles of which of the following?
A) Flooding
B) Desensitization
C) Relaxation technique
D) Cognitive restructuring
Q2) A patient undergoing diagnostic tests says, "Nothing is wrong with me except a stubborn chest cold." The spouse reports the patient smokes, coughs daily, lost 15 pounds, and is easily fatigued. Which defence mechanism is the patient using?
A) Displacement
B) Regression
C) Projection
D) Denial
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Depressive Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/23096
Sample Questions
Q1) A nurse provided medication education for a patient diagnosed with major depression who began a new prescription for phenelzine (Nardil). Which behaviour indicates effective learning?
A) The patient monitors sodium intake and weight daily.
B) The patient wears support stockings and elevates the legs when sitting.
C) The patient can identify foods with high selenium content that should be avoided.
D) The patient confers with a pharmacist when selecting over-the-counter medications.
Q2) Priority interventions for a patient diagnosed with major depression and feelings of worthlessness should include which of the following?
A) Distracting the patient from self-absorption
B) Careful, unobtrusive observation around the clock
C) Allowing the patient to spend long periods alone in meditation
D) Opportunities to assume a leadership role in the therapeutic milieu
To view all questions and flashcards with answers, click on the resource link above.
Chapter 15: Bipolar Disorders
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/23097
Sample Questions
Q1) Which suggestions are appropriate for the family of a patient diagnosed with bipolar disorder who is being treated as an outpatient during a hypomanic episode? Select all that apply.
A) Limit credit card access.
B) Provide a structured environment.
C) Encourage group social interaction.
D) Suggest limiting work to half-days.
E) Monitor the patient's sleep patterns.
Q2) Which nursing diagnosis would most likely apply to both a patient diagnosed with major depression and one experiencing acute mania?
A) Deficient diversional activity
B) Disturbed sleep pattern
C) Fluid volume excess
D) Defensive coping
Q3) Which dinner menu is best suited for a patient with acute mania?
A) Spaghetti and meatballs, salad, and a banana
B) Beef and vegetable stew, a roll, and chocolate pudding
C) Broiled chicken breast on a roll, an ear of corn, and an apple
D) Chicken casserole, green beans, and flavoured gelatin with whipped cream
To view all questions and flashcards with answers, click on the resource link above.
Page 17
Chapter 16: Schizophrenia Spectrum and Other Psychotic Disorders
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/23098
Sample Questions
Q1) A patient diagnosed with schizophrenia was hospitalized after arguing with co-workers and threatening to harm them. The patient is aloof and suspicious and says, "Two staff members I saw talking were plotting to kill me." Based on data gathered at this point, which nursing diagnoses relate? Select all that apply.
A) Risk for other-directed violence
B) Disturbed thought processes
C) Risk for loneliness
D) Spiritual distress
E) Social isolation
Q2) When a patient diagnosed with schizophrenia was discharged 6 months ago, haloperidol (Haldol) was prescribed. The patient now says, "I stopped taking those pills. They made me feel like a robot." What are common side effects the nurse should validate with the patient?
A) Sedation and muscle stiffness
B) Sweating, nausea, and diarrhea
C) Mild fever, sore throat, and skin rash
D) Headache, watery eyes, and runny nose
To view all questions and flashcards with answers, click on the resource link above. Page 18
Chapter 17: Eating Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/23099
Sample Questions
Q1) A nurse provides health teaching for a patient diagnosed with binge-purge bulimia. Priority information the nurse should provide relates to which of the following?
A) Self-monitoring of daily food and fluid intake
B) Establishing the desired daily weight gain
C) How to recognize hypokalemia
D) Self-esteem maintenance
Q2) As a patient admitted to the eating disorders unit undresses, a nurse observes that the patient's body is covered by fine, downy hair. The patient weighs 32 kg and is 162 cm. Which term should be documented?
A) Amenorrhea
B) Alopecia
C) Lanugo
D) Stupor
Q3) Physical assessment of a patient diagnosed with bulimia often reveals which of the following:
A) Prominent parotid glands
B) Peripheral edema
C) Thin, brittle hair
D) Twenty-five percent underweight
To view all questions and flashcards with answers, click on the resource link above.
19
Chapter 18: Cognitive Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/23100
Sample Questions
Q1) A patient has progressive memory deficits associated with dementia. Which nursing intervention would best help the individual function in the environment?
A) Assist the patient to perform simple tasks by giving step-by-step directions.
B) Reduce frustration by performing activities of daily living for the patient.
C) Stimulate intellectual function by discussing new topics with the patient.
D) Read one story from the newspaper to the patient every day.
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) What is the priority need for a patient with late-stage dementia?
A) Promotion of self-care activities
B) Meaningful verbal communication
C) Preventing the patient from wandering
D) Maintenance of nutrition and hydration
To view all questions and flashcards with answers, click on the resource link above. Page 20
Chapter 19: Substance Use and Addictive Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/23101
Sample Questions
Q1) A patient is thin, tense, and jittery and has dilated pupils. The patient says, "My heart is pounding in my chest. I need help." The patient allows vital signs to be taken but then becomes suspicious and says, "You could be trying to kill me." The patient refuses further examination. Abuse of which substance is most likely?
A) PCP
B) Heroin
C) Barbiturates
D) Amphetamines
Q2) Police bring a patient to the emergency department after an automobile accident. The patient demonstrates ataxia and slurred speech. The blood alcohol level is 0.50 mg%. Considering the relationship between the behaviour and blood alcohol level, which conclusion is most probable?
A) The patient rarely drinks alcohol.
B) The patient has a high tolerance to alcohol.
C) The patient has been treated with disulfiram (Antabuse).
D) The patient has ingested both alcohol and sedative drugs recently.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 20: Personality Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/23102
Sample Questions
Q1) A new psychiatric technician says, "Schizophrenia . . . schizotypal! What's the difference?" The nurse's response should include which information?
A) A patient diagnosed with schizophrenia is not usually overtly psychotic.
B) In schizotypal personality disorder, the patient remains psychotic much longer.
C) With schizotypal personality disorder, the person can be made aware of misinterpretations of reality.
D) Schizotypal personality disorder causes more frequent and more prolonged hospitalizations than schizophrenia.
Q2) The history shows that a newly admitted patient is impulsive. The nurse would expect behaviour to be characterized by which of the following?
A) Adherence to a strict moral code
B) Manipulative, controlling strategies
C) Acting without thought on urges or desires
D) Postponing gratification to an appropriate time
To view all questions and flashcards with answers, click on the resource link above.
22
Chapter 21: Sleep Wake Disorders
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/23103
Sample Questions
Q1) A nurse cares for the following four patients. Which patient has the highest risk for problems with sleep physiology?
A) Retiree who volunteers twice a week at Habitat for Humanity
B) Corporate accountant who travels frequently
C) Parent with three teenagers
D) Lawn care worker
Q2) A nurse counsels a patient on ways to determine the person's total sleep requirement. Which instruction would produce the most accurate results?
A) "For 1 full week, record what you remember about your dream content and related feelings as soon as you wake up. Bring the record to your next appointment."
B) "While off work for 1 week, go to bed at your usual time and wake up without an alarm. Record how many hours you sleep and then average the findings."
C) "For 2 full weeks, record how much time you sleep each night and rate your daytime alertness on a scale of 1 to 10. Calculate your average alertness score."
D) "All adults need 7 or 8 hours of sleep to function properly. Let's design ways to help you reach that goal."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 22: Sexual Dysfunction, Gender Dysphoria, and Paraphilias
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/23104
Sample Questions
Q1) A man who reports frequently experiencing premature ejaculation tells the nurse, "I feel like such a failure. It's so awful for both me and my partner. Can you help me?" Select the nurse's best response.
A) "Have you discussed this problem with your partner?"
B) "I can refer you to a practitioner who can help you with this problem."
C) "Have you asked your health care provider for prescription medication?"
D) "There are several techniques described in this pamphlet that might be helpful."
Q2) An adult seeks treatment for urges involving sexual contact with children. The adult has not acted on these urges but feels shame. Which finding best indicates that this adult is making progress in treatment?
A) The adult consistently avoids schools and shops at malls only during school hours.
B) The adult indicates sexual drive and enjoyment from sex have decreased.
C) The adult reports an active and satisfying sex life with an adult partner.
D) The adult volunteers to become a scout troop leader.
To view all questions and flashcards with answers, click on the resource link above.
24
Chapter 23: Somatic Symptom Disorders and Dissociative Disorders
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/23105
Sample Questions
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) Which assessment question could a nurse ask to help identify secondary gains associated with a somatic symptom disorder?
A) "What are you unable to do now but were previously able to do?"
B) "How many doctors have you seen in the last year?"
C) "Who do you talk to when you're upset?"
D) "Did you experience abuse as a child?"
Q3) A nurse assessing a patient diagnosed with a somatic symptom disorder is most likely to note which of the following?
A) The patient sees a relationship between symptoms and interpersonal conflicts.
B) The patient has little difficulty communicating emotional needs to others.
C) The patient rarely derives personal benefit from the symptoms.
D) The patient has altered comfort and activity needs.
Page 25
To view all questions and flashcards with answers, click on the resource link above.
Chapter 24: Crisis and Disaster
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23106
Sample Questions
Q1) During the initial interview at the crisis centre, a patient says, "I've been served with divorce papers. I'm so upset and anxious that I can't think clearly." Which comment should the nurse use to assess personal coping skills?
A) "In the past, how have you handled difficult or stressful situations?"
B) "What would you like us to do to help you feel more relaxed?"
C) "Tell me more about how it feels to be anxious and upset."
D) "Can you describe your role in the marital relationship?"
Q2) 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
Q3) Which situation demonstrates use of primary care related to crisis intervention?
A) Implementation of suicide precautions for a depressed patient
B) Teaching stress reduction techniques to a first-year college student
C) Assessing coping strategies used by a patient who attempted suicide
D) Referring a patient with schizophrenia to a partial hospitalization program
To view all questions and flashcards with answers, click on the resource link above.
26
Chapter 25: Suicide
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23107
Sample Questions
Q1) It has been 3 days since a suicidal patient was hospitalized and prescribed an antidepressant medication. The patient is now more talkative and shows increased energy. Select the highest priority nursing intervention.
A) Supervise the patient 24 hours a day.
B) Begin discharge planning for the patient.
C) Refer the patient to art and music therapists.
D) Consider discontinuation of suicide precautions.
Q2) After one of their identical twin daughters commits suicide, the parents express concern that the other twin may also have suicidal tendencies. Which reply should the nurse provide?
A) "Genetics are associated with suicide risk. Monitoring and support are important."
B) "Apathy underlies suicide. Instilling motivation is the key to health maintenance."
C) "Your child is unlikely to act out suicide when identifying with a suicide victim."
D) "Fraternal twins are at higher risk for suicide than identical twins."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 26: Anger, Aggression, and Violence
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23108
Sample Questions
Q1) A confused older adult patient in a nursing home was asleep when unlicensed assistive personnel (UAP) entered the room quietly and touched the bed to see if it was wet. The patient awakened and hit the UAP in the face. Which statement best explains the patient's action?
A) Older adult patients often demonstrate exaggerations of behaviours used earlier in life.
B) Crowding in nursing homes increases an individual's tendency toward violence.
C) The patient learned violent behaviour by watching other patients act out.
D) The patient interpreted the UAP's behaviour as potentially harmful.
Q2) Family members describe the patient as "a difficult person who finds fault with others." The patient verbally abuses nurses for their poor care. The most likely explanation lies in which of the following?
A) Poor childrearing that did not teach respect for others
B) Automatic thinking leading to cognitive distortions
C) A personality style that externalizes problems
D) Delusions that others wish to deliver harm
To view all questions and flashcards with answers, click on the resource link above.
Chapter 27: Interpersonal Violence: Child, Older Adult, and
Intimate Partner Abuse
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/23109
Sample Questions
Q1) A 10-year-old cares for siblings while the parents work because the family cannot afford a babysitter. This child says, "My father doesn't like me. He calls me stupid all the time." The mother says the father is easily frustrated and has trouble disciplining the children. The community health nurse should consider which resources as priorities to stabilize the home situation? Select all that apply.
A) Parental sessions to teach childrearing practices
B) Anger management counselling for the father
C) Continuing home visits to give support
D) A safety plan for the wife and children
E) Placing the children in foster care
Q2) A patient tells the nurse, "My husband lost his job. He's abusive only when he drinks too much. His family was like that when he was growing up. He always apologizes and regrets hurting me." What risk factor was most predictive for the husband to become abusive?
A) History of family violence
B) Loss of employment
C) Abuse of alcohol
D) Poverty
To view all questions and flashcards with answers, click on the resource link above. Page 29
Chapter 28: Sexual Assault
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/23110
Sample Questions
Q1) A rape victim visited a rape crisis counsellor weekly for 8 weeks. At the end of this counselling period, which comment by the victim best demonstrates that reorganization was successful?
A) "I have a rash on my buttocks. It itches all the time."
B) "Now I know what I did that triggered the attack on me."
C) "I'm sleeping better although I still have an occasional nightmare."
D) "I have lost 8 pounds since the attack, but I needed to lose some weight."
Q2) An emergency department nurse prepares to assist with examination of a sexual assault victim. What equipment will be needed to collect and document forensic evidence? Select all that apply.
A) Camera
B) Body map
C) DNA swabs
D) Pulse oximeter
E) Sphygmomanometer
Q3) Where do the majority of sexual assaults occur?
A) Private home
B) City street at night
C) Commercial establishment
D) Person's own motor vehicle
To view all questions and flashcards with answers, click on the resource link above. Page 30
Chapter 29: Disorders of Children and Adolescents
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23111
Sample Questions
Q1) A nurse works with a child who is sad and irritable because the child's parents are divorcing. Why is establishing a therapeutic alliance with this child a priority?
A) Therapeutic relationships provide an outlet for tension.
B) Focusing on the strengths increases a person's self-esteem.
C) Acceptance and trust convey feelings of security to the child.
D) The child should express feelings rather than internalize them.
Q2) A child diagnosed with attention deficit-hyperactivity disorder will begin medication therapy. The nurse should prepare a plan to teach the family about which classification of medications?
A) Psychostimulants
B) Tricyclic antidepressants
C) Antipsychotics
D) Anxiolytics
Q3) Which assessment finding would cause the nurse to consider a child to be most at risk for the development of mental illness?
A) The child has been raised by a parent with chronic major depression.
B) The child's best friend was absent from the child's birthday party.
C) The child was not promoted to the next grade one year.
D) The child moved to three new homes over a 2-year period.
To view all questions and flashcards with answers, click on the resource link above.
Page 31
Chapter 30: Psychosocial Needs of the Older Adult
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/23112
Sample Questions
Q1) An 85-year-old has difficulty walking after a knee replacement. The patient tells the nurse, "It's awful to be old. Every day is a struggle. No one cares about old people." Select the nurse's best response.
A) "Everyone here cares about old people. That's why we work here."
B) "It sounds like you're having a difficult time. Tell me about it."
C) "Let's not focus on the negative. Tell me something good."
D) "You are still able to get around, and your mind is alert."
Q2) 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
Q3) A nurse and social worker co-lead a reminiscence group for eight elite-old adults. Which activity is 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
To view all questions and flashcards with answers, click on the resource link above.
Page 32
Chapter 31: Living With Recurrent and Persistent Mental Illness
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/23113
Sample Questions
Q1) A person diagnosed with a serious mental illness (SMI) living in the community was punched, pushed to the ground, and robbed of $7 during the day on a public street. Which statements about violence and SMI in general are accurate? Select all that apply.
A) People with SMI are more likely to be violent.
B) People with SMI are more likely to commit crimes than to be the victims of crime.
C) Impaired judgement and social skills can provoke hostile or assaultive behaviour.
D) Lower incomes force people with SMI to live in high-crime areas, increasing risk.
E) People with SMI experience higher rates of sexual assault and victimization than others.
F) Criminals may believe people with SMI are less likely to resist or testify against them.
To view all questions and flashcards with answers, click on the resource link above.
33
Chapter 32: Psychological Needs of Patients With Medical Conditions
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/23114
Sample Questions
Q1) A patient being treated for an MI has been transferred from the intensive care unit to a step-down unit. She uses the call bell as often as every 15 minutes. She makes a seemingly small request or complains each time a staff member is summoned. Several staff tell the primary nurse that the patient is "obnoxious" and that they feel inadequate because they can never seem to satisfy her needs. The primary nurse decides to intervene directly with the patient. Which response would be most therapeutic?
A) "I'm wondering if you are feeling anxious about your illness and being left alone."
B) "The staff are concerned that you are not satisfied with the care you are receiving."
C) "Let's talk about why you use your call light so frequently; it's a bit of a problem."
D) "You are frustrating the staff by calling them so often; any idea why you do that?"
To view all questions and flashcards with answers, click on the resource link above.
Chapter 33: Care for the Dying and
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/23115
Sample Questions
Q1) A woman grieving her husband's sudden death tells the nurse, "Yesterday, I saw my husband walk through the door and smile at me, but then he just faded away." Select the nurse's most appropriate action.
A) Assess for substance use and abuse.
B) Assess the patient's psychiatric history.
C) Refer the patient to the mental health centre.
D) Counsel the patient that visualizations are a normal part of grieving.
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) Which is considered the hallmark of hospice palliative care?
A) Available in the patients' home.
B) Excellent symptom management.
C) Family-centred approach to health decisions.
D) Based on culturally sensitive nursing care.
To view all questions and flashcards with answers, click on the resource link above.
Page 35
Chapter 34: Forensic Psychiatric Nursing
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/23116
Sample Questions
Q1) An inmate was diagnosed with post-traumatic stress disorder (PTSD) caused by severe sexual abuse. One day this inmate sees a person with similar characteristics to the perpetrator, has a flashback, and then attacks the person. Correctional officers place the inmate in restraint. Which action by the correctional nurse is most appropriate?
A) Plan to meet with the inmate for debriefing after release from the required period of restraint.
B) Support the use of restraints as needed to control violent outbursts and assure the safety of all inmates.
C) Contact a supervisor authorized to make an exception to the restraint policy and explain why an alternate response is needed.
D) Confront the correctional officers who initiated the restraint, explain the inappropriateness of this action, and request the inmate's release.
Q2) Which credential would be expected of forensic psychiatric nursing?
A) Three years of experience in an inpatient psychiatric facility
B) Ten years of experience in community health nursing
C) Educational preparation in theories of violence and victimology
D) Publication of five articles in peer-reviewed psychiatric nursing journals
To view all questions and flashcards with answers, click on the resource link above.
Page 36
Chapter 35: Therapeutic Groups
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23117
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." 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?"
Q2) "It doesn't really matter what we do. I'm just here because they make me attend."
A) Playboy
B) Energizer
C) Organizer
D) Follower
Q3) "Last week we finished our first goal, and today we are starting on our second."
A) Playboy
B) Energizer
C) Orienter
D) Follower
To view all questions and flashcards with answers, click on the resource link above. Page 37
Chapter 36: Family Interventions
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
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 comment by a mother during a family therapy session shows evidence of scapegoating?
A) "Our youngest child always starts arguments and upsets everyone else."
B) "We all express our feelings openly except when we think it might upset my husband."
C) "Our oldest child knows that my husband and I are doing all we can for the others."
D) "After my husband has been drinking, I have to get everyone up and ready for school."
Q3) Which finding of family assessment indicates a healthy and functional family?
A) Members provide nurturance.
B) Power is distributed equally among all members.
C) Members believe there are specific causes for events.
D) Under stress, members turn inward and become enmeshed.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 37: Integrative Care
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23119
Sample Questions
Q1) A patient has tried a variety of traditional, complementary, and alternative medicine (TCAM) approaches to manage health concerns. The nurse asks, "How is going to TCAM practitioners different from seeing your medical doctors?" How is the patient most likely to respond?
A) "The TCAM practitioners usually prescribe a course of invasive and sometimes painful treatments."
B) "The TCAM practitioners spend more time talking with me and not just about my symptoms."
C) "The TCAM practitioners say I need to become much more spiritual to be well."
D) "The TCAM practitioners order many tests to determine my diagnoses."
Q2) A patient has just completed 6 weeks of electroconvulsive therapy. When visiting the clinic for a follow-up visit, the patient reports taking ginkgo for memory enhancement. Which nursing diagnosis applies?
A) Impaired memory related to neurological changes
B) Deficient knowledge related to potentially harmful drug interactions
C) Ineffective denial related to consequences of mismanagement of therapeutic regime
D) Effective management of the therapeutic regime related to improvement of memory loss associated with electroconvulsive therapy
To view all questions and flashcards with answers, click on the resource link above. Page 39