Advanced Psychiatric Nursing Review Questions
Course Introduction
Advanced Psychiatric Nursing explores complex concepts and practices in the care of individuals with psychiatric disorders across the lifespan. The course emphasizes diagnostic reasoning, evidence-based interventions, and psychopharmacological management within diverse populations. Students will analyze the latest research, therapeutic modalities, and interdisciplinary approaches to address acute and chronic mental health challenges. The curriculum also covers legal, ethical, and cultural issues, preparing students to assume leadership roles in advanced practice psychiatric nursing and contribute to mental health advocacy, policy, and quality improvement initiatives.
Recommended Textbook
Foundations of Psychiatric Mental Health Nursing A Clinical Approach 6th Edition by Elizabeth M.
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36 Chapters
1052 Verified Questions
1052 Flashcards
Source URL: https://quizplus.com/study-set/2592
Page 2
Chapter 1: Mental Health and Mental Illness
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/51624
Sample Questions
Q1) The spouse of a patient with schizophrenia says,"I don't understand how nurturing or toilet training in childhood has anything to do with this incredibly disabling illness." Which response by the nurse will best help the spouse understand this disorder?
A) "This illness is the result of genetic factors."
B) "Psychological stress is at the root of most mental disorders."
C) "It must be frustrating for you that your spouse is sick so much of the time."
D) "New findings show that this condition more likely has biological rather than psychological origins."
Answer: D
Q2) A nurse encounters an unfamiliar psychiatric disorder on a new patient's admission form.To determine criteria used to establish this diagnosis,the nurse should consult which resource?
A) Diagnostic and Statistical Manual of Mental Disorders
B) A nursing diagnosis handbook
C) A psychiatric nursing textbook
D) A behavioral health reference manual
Answer: A
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3
Chapter 2: Relevant Theories and Therapies for Nursing Practice
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A cognitive strategy the nurse could use to help a dependent patient would be:
A) avoidance training.
B) filling the patient's pill minder.
C) interpreting the patient's dream content.
D) examining the patient's fears related to being independent.
Answer: D
Q2) A patient is suspicious and frequently manipulates others.To which psychosexual stage do these traits relate?
A) Oral
B) Anal
C) Phallic
D) Genital
Answer: A
Q3) A patient repeatedly stated,"I'm stupid." Which statement by the patient shows progress because of cognitive behavioral therapy?
A) "Sometimes I do stupid things."
B) "Things always go wrong for me."
C) "I always fail when I try new things."
D) "I'm disappointed in my lack of ability."
Answer: A
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Chapter 3: Biological Basis for Understanding Psychotropic Drugs
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A nurse instructs a patient taking a drug that inhibits monoamine oxidase (MAO)to avoid certain foods and drugs because of the risk of:
A) cardiac dysrhythmia.
B) hypotensive shock.
C) hypertensive crisis.
D) cardiogenic shock.
Answer: C
Q2) A nurse cares for patients taking various medications,including buspirone (BuSpar),haloperidol (Haldol),carbamazepine (Tegretol),trazodone (Desyrel),and phenelzine (Nardil).The nurse will order a special diet for the patient who takes:
A) buspirone.
B) haloperidol.
C) carbamazepine.
D) trazodone.
E) phenelzine.
Answer: E
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5
Chapter 4: Psychiatric Mental Health Nursing in Acute Care Settings
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse surveys medical records.Which finding signals a violation of patients' rights?
A) No treatment plan present in record.
B) Patients' belongings were searched at admission.
C) Physical restraint was used to prevent harm to self.
D) A patient with suicidal ideation was placed on 1:1 continuous observation.
Q2) A patient was admitted after being brought to the hospital by police after a fight with a roommate.The patient told the nurse,"My roommate cast a spell by looking at me intently,so I fought to protect myself." The patient admits stopping prescribed antipsychotic medication a week ago when the prescription needed refill.Which outcome should the nurse working in a managed behavioral health inpatient unit select for this patient?
A) The patient will express feelings of self-control within 48 hours.
B) A trusting relationship with the nurse will be developed within 5 days.
C) A high level of ease with other patients will be reported within 1 week.
D) The patient will agree to placement in a new residence within 3 weeks.
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Page 6
Chapter 5: Psychiatric Mental Health Nursing in Community Settings
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which statement(s)by patients with serious,persistent mental illness best demonstrate that the case manager has established an effective long-term relationship? (Select all that apply. )
"My case manager:
A) talks in language I can understand."
B) helps me keep track of my medication."
C) gives me little gifts from time to time."
D) looks at me as a whole person with lots of needs."
E) lets me do whatever I choose without interfering."
Q2) Which competency is more important for a nurse who works in a community mental health center than a psychiatric nurse who works in an inpatient unit?
A) Problem-solving skills
B) A calm external manner
C) Ability to cross service systems
D) Knowledge of psychopharmacology
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Chapter 6: Cultural Implications for Psychiatric Mental
Health Nursing
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) A Chinese American patient diagnosed with an anxiety disorder says,"My problems began when my energy became imbalanced." When the nurse asks for the patient's ideas about how to treat the imbalance,the patient may request:
A) eating special foods.
B) taking antianxiety medication.
C) undergoing cognitive behavior therapy.
D) having a native healer perform a ritual.
Q2) Ghost sickness
A)Navajo
B)Korean
C)Latin American
D)Chinese
Q3) The nurse should be particularly alert to somatization of psychological distress among patients whose cultural beliefs include: (Select all that apply. )
A) mental illness reflects badly on the family.
B) mental illness shows moral weakness.
C) food choices influence one's health.
D) the mind,body,and spirit are merged.
E) intergenerational conflict is common.
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Chapter 7: Legal and Ethical Guidelines for Safe Practice
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) Which nursing intervention demonstrates false imprisonment?
A) A confused and combative patient says,"I'm getting out of here and no one can stop me." The nurse restrains this patient without a health care provider's order and then promptly obtains an order.
B) A patient has been irritating and attention seeking much of the day.Now a nurse escorts the patient down the hall saying,"Stay in your room or you'll be put in seclusion."
C) An involuntarily hospitalized patient with suicidal ideation runs out of the psychiatric unit.The nurse rushes after the patient and convinces the patient to return to the unit.
D) An involuntarily hospitalized patient with homicidal ideation attempts to leave the facility.A nurse calls the security team and uses established protocols to prevent the patient from leaving.
Q2) Which patient meets criteria for involuntary commitment for psychiatric treatment?
The patient who:
A) is noncompliant with the treatment regimen.
B) fraudulently files for bankruptcy.
C) sold and distributed illegal drugs.
D) threatens to harm self and others.
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Page 9
Chapter 8: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/51631
Sample Questions
Q1) Which nursing documentation best meets the requirement for problem-oriented charting?
A) "Pacing and muttering to self.Sensory perceptual alteration related to internal auditory stimulation.Given fluphenazine 2.5 mg PO at 0900 and went to room to lie down.Calmer by 0930.Returned to lounge to watch TV."
B) "Agitated behavior.Patient muttering to self as though answering an unseen person.Given haloperidol 2 mg PO and went to room to lie down.Patient calmer within 30 minutes.Returned to lounge to watch TV."
C) "S: States 'I feel like I'm ready to blow up.' O: Pacing hall,mumbling to self.A: Auditory hallucinations.P: Offer haloperidol 2 mg PO.I: Haloperidol 2 mg PO given at 0900.E: Returned to lounge at 0930 and quietly watched TV."
D) "Pacing hall and muttering to self as though answering an unseen person.Haloperidol 2 mg PO administered at 0900,with calming effect in 30 minutes.Stated 'I'm no longer bothered by the voices.'"
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Chapter 9: Therapeutic Relationships
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) At what point in the nurse-patient relationship should a nurse first address termination?
A) Preorientation phase
B) Orientation phase
C) Working phase
D) Termination phase
Q2) A nurse ends a relationship with a patient.Which action(s)by the nurse should be included in the termination phase? (Select all that apply. )
A) Establish expectations of how long the relationship will last.
B) Work with the patient to identify strengths,limitations,and problems.
C) Help the patient express feelings about the relationship with the nurse.
D) Help the patient prioritize and modify socially unacceptable behaviors.
E) Focus dialogues with the patient on problems that may develop in the future.
Q3) A nurse caring for a withdrawn,suspicious patient recognizes development of feelings of anger toward the patient.The nurse should:
A) suppress the angry feelings.
B) explore the anger openly and directly with the patient.
C) ask the nurse manager to assign the patient to another nurse.
D) discuss the anger with a clinician during a supervisory session.
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Page 11
Chapter 10: Communication and the Clinical Interview
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The relationship between a nurse and patient as it relates to status and power is best described by which term?
A) Incongruent
B) Symmetrical
C) Paralinguistic
D) Complementary
Q2) A nurse interviews a patient who is having difficulty with self-expression and staying focused.Select the nurse's most helpful comment.
A) "Go on."
B) "What would you like to discuss?"
C) "Tell me what is happening right now."
D) "It seems you are having trouble staying focused."
Q3) A nurse documents: "Patient mute despite repeated efforts to elicit speech.No eye contact.Short attention span;less than 1 minute." Which nursing diagnosis should be considered?
A) Defensive coping
B) Risk for violence
C) Decisional conflict
D) Impaired verbal communication
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Page 12
Chapter 11: Understanding Responses to Stress
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A stress-laden patient has elected to learn deep breathing as a means of reducing stress.Rank the order the nurse should give the following information when teaching this technique.
A) Focus on your breathing;repeat the exercise for 2 to 5 minutes.
B) With each breath,pay attention to muscular sensations that accompany abdominal expansion.
C) Hold the breath for 3 seconds.
D) Find a comfortable position.Relax the shoulders and chest;let the body relax.
E) Take a deep breath through the nose,expanding the abdomen.
F) Exhale slowly through the nose,telling the body to relax.
Q2) A patient who is experiencing great stress associated with a disturbing new diagnosis asks the nurse,"Do you think saying a prayer would help?" The answer the nurse should give is:
A) "To be honest,it could be that prayer may be your only hope."
B) "You may find prayer gives comfort and lowers your stress."
C) "I could help you feel calmer by teaching you to meditate."
D) "We don't have evidence that prayer helps,but it wouldn't hurt."
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Chapter 12: Anxiety and Anxiety Disorders
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/51635
Sample Questions
Q1) A patient complains of tension,indigestion,and difficult concentrating;his resting pulse is 110/minute.An appropriate nursing response would be:
A) "Perhaps time out in the seclusion room would help you focus."
B) "What do you think would we could do to help you feel calmer?"
C) "It might help to talk.Tell me about what has been going on today."
D) "I'll check about getting you a PRN medication for your anxiety."
Q2) A patient,just laid off from his job of 15 years,is pacing rapidly in the waiting room.His behavior is disorganized,he is trembling,and he can be heard admonishing himself that he should have worked harder.He told the triage nurse that he would like to get some medication to calm him down so he can "think straight." Which of the following would constitute a therapeutic rationale for the use of antianxiety medication as his initial treatment?
A) The patient believes it would be beneficial to him.
B) It would calm the patient and allow his discharge.
C) It would not be as addictive as antidepressant drugs.
D) It would better enable him to participate in treatment.
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14
Chapter 13: Depressive Disorders
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A recently divorced man with severe depression exhibits poor sleep and impaired concentration,leading him to function poorly at work.Inattention to hygiene and irritability with others aggravate problems at work.Co-workers do not recognize that he is depressed and instead assume his behavioral changes are due to drug abuse.One day he is fired.Work had been his one remaining source of self-worth.The man presents at the emergency room seeking medication to help him sleep.Which of the following responses would be most important for the triage nurse to take at this time?
A) "Have you considered seeking treatment for the depression itself?"
B) "Tell me what you have already been trying to help improve your sleep."
C) "We usually don't prescribe sleep medications in the emergency room."
D) "You said you are depressed;have you thought about harming yourself?"
Q2) A middle-aged patient who has been treated for depression with SSRIs and cognitive-behavioral therapy has identified that passivity probably contributed to her depression.Which treatment modality would be best for the nurse to suggest?
A) Social skills training
B) Assertive communication training
C) Relaxation training classes
D) Exercise therapy group
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Chapter 14: Bipolar Disorders
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/51637
Sample Questions
Q1) After hospital discharge,a priority intervention for a patient with bipolar disorder who is taking antimanic medication is:
A) decreasing physical activity.
B) increasing food and fluids.
C) meeting self-care needs.
D) psychoeducation.
Q2) Which assessment findings would be expected for a patient diagnosed with bipolar I disorder?
A) Rapid cycling
B) Major depression and acute mania
C) Major depression and/or hypomania
D) Hypomania and/or minor depression
Q3) At a unit meeting,staff discusses interior decoration for a special room for patients in acute mania.Select the best suggestion.
A) An extra-large window with a view of the street.
B) Neutral walls with pale,coordinated accessories.
C) Brightly colored walls and print drapes.
D) A rocking chair.
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16
Chapter 15: Schizophrenia
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/51638
Sample Questions
Q1) A patient is noted to be bending over backward in the group room.A peer asks what he is doing,and he replies,"People say they are bending over backwards to help me,so I am bending over backwards to help myself." This is an example of:
A) abstract thinking.
B) concrete thinking.
C) impaired reality testing.
D) boundary impairment.
Q2) A newly admitted patient with schizophrenia approaches the unit nurse and says,"The voices are bothering me.They are yelling and telling me stuff.They are really bad." Which response by the nurse would be most appropriate?
A) "Do you hear these voices very often?"
B) "Do you have a plan for getting away from the voices?"
C) "I'll stay with you.Tell me what you are hearing."
D) "Try to ignore them and play cards with the others."
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Chapter 16: Eating Disorders
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) One bed is available on the eating disorders unit.Which patient should be admitted? The patient whose assessment findings show the weight dropped from:
A) 150 to 102 pounds over a 4-month period.Vital signs: temperature,96.1° F;pulse,38 beats/min;blood pressure 64/42 mm Hg.
B) 120 to 90 pounds over a 3-month period.Vital signs: temperature,97.2° F;pulse,50 beats/min;blood pressure 70/50 mm Hg.
C) 110 to 70 pounds over a 4-month period.Vital signs: temperature 97.6° F;pulse,60 beats/min;blood pressure 80/66 mm Hg.
D) 90 to 78 pounds over a 5-month period.Vital signs: temperature,98.6° F;pulse,62 beats/min;blood pressure 74/48 mm Hg.
Q2) Which statement is most likely from a patient with anorexia nervosa?
A) "I'm fat and ugly."
B) "I have nice eyes."
C) "I'm thin for my height."
D) "My mother is doesn't pay much attention to me."
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Chapter 17: Cognitive Disorders
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/51640
Sample Questions
Q1) A patient is referred to the visiting nurse agency due to cognitive impairment.Which functional problems is this patient most likely to exhibit?
A) Inability to bathe and dress independently
B) Wandering in and away from his home
C) Lability of moods,from sociable to irritable
D) Becomes frustrated easily
Q2) A patient in a dimly lit room demonstrates fluctuating levels of consciousness,disturbed orientation,and perceptual alterations and begs the nurse to get the bugs off her.Which nursing response would be most therapeutic?
A) "There are no bugs on your legs.Your imagination is playing tricks on you."
B) "Try to relax.The crawling sensation will go away sooner if you can relax."
C) "Don't worry,I will have someone stay here and brush away the bugs for you."
D) "I don't see bugs,but I'll stay with you and brighten the lights so we can be sure."
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19
Chapter 18: Addictive Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/51641
Sample Questions
Q1) An alcohol dependent patient says,"Drinking helps me cope with being a single parent." Which response by the nurse would help the patient conceptualize the drinking more objectively?
A) "Sooner or later,alcohol will kill you.Then what will happen to your children?"
B) "I hear a lot of defensiveness in your voice.Do you really believe this?"
C) "If you were coping so well,why were you hospitalized again?"
D) "Tell me what happened the last time you drank."
Q2) Select the priority nursing intervention when caring for a patient after an overdose of amphetamines.
A) Monitor vital signs.
B) Observe for depression.
C) Use warmers to maintain body temperature.
D) Offer intellectual activities to stimulate concentration.
Q3) When assessing a patient who ingested flunitrazepam (Rohypnol),the nurse would expect:
A) acrophobia.
B) hypothermia.
C) hallucinations.
D) anterograde amnesia.
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Page 20
Chapter 19: Personality Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/51642
Sample Questions
Q1) The nurse in the emergency department tells the daughter of a patient that her 86-year-old mother has had a stroke.The daughter tearfully asks the nurse,"Who will take care of me now?" When the nurse explores this query,the daughter mentions that her mother always tells her what job to take,what clothes to buy and wear,and what to have for lunch.The daughter states that she needs someone to direct her and reassure her when she gets anxious.With which personality disorder is this presentation most consistent?
A) Histrionic
B) Dependent
C) Narcissistic
D) Borderline
Q2) To plan effective interventions,the nurse should understand that the underlying reason a patient with paranoid personality disorder is so critical of others probably lies in the patient's:
A) need to control all aspects of the world around him.
B) use of intellectualization to protect against anxiety.
C) inflexible view of the environment and the people in it.
D) projection of blame for his own shortcomings onto others.
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Chapter 20: Sleep Disorders
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/51643
Sample Questions
Q1) A nurse who works night shift says,"I am exhausted most of the time.I sleep through my alarm.Sometimes my brain does not seem to work right.I am worried that I might make a practice error." Which question should the nursing supervisor ask first?
A) "What stress are you experiencing in your life?"
B) "How much sleep do you get in a 24-hour period?"
C) "Would it help if you do some exercises just before going to bed?"
D) "Have you considered using a hypnotic medication to help you sleep?"
Q2) Which season would be most associated with increased periods of wakefulness in the general population?
A) Summer
B) Winter
C) Spring
D) Fall
Q3) Which sleep disturbance would be most likely for a patient with bipolar I disorder?
A) Early morning awakening
B) Fragmentation of sleep
C) Decreased REM sleep
D) Hypersomnia
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Chapter 21: Sexual Dysfunction and Sexual Disorders
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The male manager of a health club has been discovered to have placed a hidden video camera in the women's locker room and has taped several women as they showered and dressed.The disorder most likely represented by this behavior is: A) homosexuality.
B) exhibitionism.
C) pedophilia.
D) voyeurism.
Q2) A man seeks treatment for urges involving sexual contact with children.He has not acted on these urges and is ashamed of them.Which of the following outcomes would indicate that the patient is making progress in his treatment?
A) He consistently drives far around school yards and shops only during school hours.
B) He reports that he no longer has fantasies about sexual contact with children.
C) The patient indicates that his sexual drive and enjoyment from sex have decreased. D) He reports that he has an active and satisfying his sex life with his adult partner.
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23
Chapter 22: Somatoform, Factitious, and Dissociative Disorders
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A patient has been diagnosed as having blindness related to conversion disorder.She displays indifference regarding the conversion symptom.The nurse states,"I can't understand why the patient doesn't seem more anxious about her symptom." Which explanation from the Clinical Nurse Specialist would enable the nurse to understand the patient's behavior?
A) The patient is suppressing her true feelings.She is upset but is not showing it.
B) The blindness is actually helping the patient by reducing her anxiety.
C) Her needs are met during hospitalization,so she has no need to be anxious.
D) She is controlling her own anxiety through partial denial of the blindness.
Q2) To plan effective care for patients with somatoform disorders,the nurse must understand that the patients may have difficulty giving up the symptoms because they: A) have impaired interpersonal skills.
B) can be voluntarily controlled.
C) provide relief of anxiety.
D) have a physiological basis.
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Chapter 23: Crisis and Disaster
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27 Flashcards
Source URL: https://quizplus.com/quiz/51646
Sample Questions
Q1) The nursing diagnosis of Powerlessness related to impaired problem solving has been established for a patient seeking crisis counseling.An appropriate outcome for this nursing diagnosis would be that the patient will:
A) agree to sign a no-suicide contract within 30 minutes.
B) resume meeting pre-crisis role expectations within 36 hours.
C) state he feels less anxious within 4 hours of the interview.
D) describe two possible solutions during the first interview.
Q2) Which health care worker should be referred to critical incident stress debriefing?
A) A nurse who worked 8 hours answering visitor queries at the intensive care unit information desk after a bus crash led to multiple admissions
B) The emergency medical technician who treated victims of a car bomb attack on a large department store
C) A nurse who works at an oncology clinic with patients receiving chemotherapy,many of whom are terminally ill
D) A case manager working day in,day out,with low-functioning severely mentally ill persons in group homes
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Chapter 24: Suicide
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Sample Questions
Q1) A student has committed suicide.Which statement(s)about those left behind after suicide is accurate?
A) A suicide makes survivors more conscious of risk factors and more motivated to reduce risk in themselves and others,leading to a reduced risk of suicide in survivor groups.
B) The first few weeks after a suicide are the most difficult and are when survivors are at highest risk;the risk then returns quickly to its pre-suicide level as time passes.
C) All survivors are at increased risk,should be assessed for risk at intervals after their loss,and would benefit from ongoing support primary intervention to reduce their risk.
D) Speaking of the dead increases the discomfort of surviving loved ones and should generally be avoided in their presence.
Q2) An indicator that the suicidal patient is exercising suicide self-restraint is:
A) adherence to antidepressant therapy.
B) agreeing to sign a no-suicide contract.
C) disclosing a plan for suicide to staff.
D) expressing feelings of hopelessness to the nurse.
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Chapter 25: Anger, Aggression, and Violence
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28 Flashcards
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Sample Questions
Q1) An elderly patient with multi-infarct dementia is striking out with her arms and kicking at people who walk past in the hall.After making contact with the patient,which intervention would be most appropriate?
A) Administering PRN sedation to calm the patient.
B) State: "You may not hit others;you are safe here."
C) Distract the patient into playing a board game.
D) State: "I notice you are trying to hit people."
Q2) A nurse deciding whether or not to place an agitated patient in seclusion or restraints would need to keep in mind that:
A) the goal in using either seclusion or restraint is always to maintain the safety of the patient or others.
B) restraints are designed to discourage inappropriate behavior by serving as negative reinforcements.
C) seclusion and restraint are used in place of de-escalation when staff judge that de-escalation would be ineffective.
D) once implemented,restraints should not be terminated until the patient has remained calm for at least 6 hours.
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Chapter 26: Child, Older Adult, and Intimate Partner Abuse
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26 Flashcards
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Sample Questions
Q1) A victim of physical abuse by her domestic partner is being treated for a broken humerus.Which indicator for the outcome of Abuse protection is most important to achieve before the patient leaves the emergency department?
A) The patient has completed and reviewed a workable safety plan.
B) She agrees to seek a restraining order limiting contact by the perpetrator.
C) The patient demonstrates insight into the abusive nature of the relationship.
D) She has been referred to counseling and battered-person support groups.
Q2) A victim of partner abuse,parent of one child,describes the partner as someone who is easily frustrated and more likely to be abusive after a experiencing an event in which self-esteem is challenged.The most recent episodes of violence were related to feeling "upset" over a job loss.What type of therapy would provide the greatest help to the victim?
A) Individual therapy
B) Group therapy
C) Couples therapy
D) Family therapy
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Chapter 27: Sexual Assault
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24 Flashcards
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Sample Questions
Q1) A rape victim tells the emergency room nurse,"I feel so dirty.Help me take a shower before the doctor examines me." The nurse should:
A) arrange for the patient to shower.
B) explain that bathing would destroy evidence.
C) give the patient a basin of water and towels.
D) explain that bathing facilities are not available in the emergency department.
Q2) When a victim of sexual assault is discharged from the emergency department,the nurse should:
A) notify the patient's family of the event to ensure support for the patient.
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) Which aspect of assessment has priority when a nurse interviews a rape victim?
A) Coping mechanisms the patient is using
B) The patient's previous sexual experiences
C) Adequacy of the patient's interpersonal relationships
D) Whether the patient has ever had a sexually transmitted disease
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Chapter 28: Disorders of Children and Adolescents
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/51651
Sample Questions
Q1) Shortly after the parents announced that they were divorcing,a 15-year-old stopped participating in cheerleading,sat alone at lunch,and avoided former friends.The adolescent told the school nurse,"All the other kids have families.If my parents loved me,they would work out their problems." Which nursing intervention would be most appropriate?
A) Develop a plan for activities of daily living.
B) Communicate disbelief relative to the patient's feelings.
C) Assist the patient to distinguish reality from perceptions.
D) Assess and document the patient's level of fatigue daily.
Q2) A 5-year-old cries and screams from the time the parents leave the child at kindergarten until picked up 6 hours later;however,this child is calm and relaxed when with the parents.The parents ask the nurse,"What should we do?" Select the nurse's best advice.
A) "Send a picture of yourself to school to keep with the child."
B) "Arrange with the teacher to let the child call home at play time."
C) "Talk with the school about withdrawing the child until maturity increases."
D) "Talk with your health care provider about a referral to a mental health clinic."
To view all questions and flashcards with answers, click on the resource link above. Page 30
Chapter 29: Psychosocial Needs of the Older Adult
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A homebound patient drinks a six-pack of beer daily.The patient tells the nurse,"I've been having pain from my arthritis lately,so I take acetaminophen four times a day." The nurse's priority interventions include: (Select all that apply. )
A) determining the safety of the dose the patient is ingesting daily.
B) inquiring about sleep disturbances caused by mixing alcohol and analgesics.
C) advising the patient of the harmful effect of alcohol and acetaminophen on the liver.
D) suggesting increasing the acetaminophen dose,since alcohol causes faster excretion.
E) assessing for declining functional status associated with medication-induced dementia.
Q2) When making a distinction as to whether an elderly patient has confusion related to delirium or another problem,what information would be of particular value?
A) Evidence of spasticity or flaccidity
B) The patient's level of motor activity
C) Medications the patient has taken recently
D) Level of preoccupation with somatic symptoms
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Chapter 30: Serious Mental Illness
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19 Flashcards
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Sample Questions
Q1) The nurse wishes to enroll a patient with poor social skills in a training program for patients with schizophrenia.Which description accurately describes how social skills training works?
A) Complex interpersonal skills are taught by breaking them into simpler behaviors.
B) Patients learn to improve their attention and concentration via computer drills.
C) The group leaders provide support without challenging the patient to change.
D) Patients learn social skills by practicing them in a supported employment setting.
Q2) A man with schizophrenia states: "I will not take medicine-there is nothing wrong with me! Why would I take medicine when I'm not sick! They only put me here because they want to steal my thoughts so they can sell them." What is this patient demonstrating?
A) Denial
B) Anosognosia
C) Rationalization
D) Hallucinations
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Chapter 31: Psychological Needs of Patients With Medical Conditions
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A patient being treated for an MI has been transferred to a step-down unit from the intensive care unit.She uses the call bell as often as every 15 minutes.Each time a staff member responds,the patient complains about her care or makes a seemingly small request.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 can be most helpful by:
A) explaining that the demanding behavior is due to the patient's increasing anxiety.
B) "laying down the law" to the patient,limiting use of the call light to once per hour.
C) rotating caregivers to give each person a much-needed respite from her complaints.
D) asking the patient's family to sit with her and help meet her need for attention.
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Chapter
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Sample Questions
Q1) A child drowned while swimming in a local lake 2 years ago.Which behavior indicates the child's parents are mourning in an effective way? The parents who:
A) forbid their other children from going swimming.
B) keep a place set for the dead child at the family dinner table.
C) sealed their child's room exactly as the child left it 2 years ago.
D) throw flowers on the lake at each anniversary date of the accident.
Q2) Which event is most likely to precipitate grief across a community?
A) A local bank is robbed twice in a single month
B) An adolescent shoots the principal of a local high school
C) The elderly pastor of the town's largest church dies of heart failure
D) Concrete pilings crumble in a bridge important to movement of local traffic
Q3) A father and son have a long history of hostility and conflict.As the father dies,he finally expresses his love,but the son is unable to respond verbally.Which gift of resolving relationships is most important to address with the son?
A) Guilt
B) Anger
C) Gratitude
D) Forgiveness
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34
Chapter 33: Forensic Psychiatric Nursing
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) When asked by student nurses wishing to learn about correctional nursing,the correctional nurse would characterize the health problems of inmates as:
A) primarily routine infections and minor trauma.
B) chronic medical and psychiatric disorders.
C) similar to the nonincarcerated population.
D) injuries acquired during arrest or incarceration.
Q2) Which question would the psychiatric forensic nurse examiner ask to obtain data with which to assess legal sanity?
A) "Tell me about what you were thinking at the time of the alleged crime."
B) "What would you do if you heard a fire alarm going off where you live?"
C) "At this time,are you having any experiences that others might think strange?"
D) "Do you feel as though you would like to harm anyone at the present time?"
Q3) In which case would the psychiatric forensic nurse examiner assess the alleged perpetrator as competent to proceed with trial?
A) The defendant believes the FBI had paid assassins to kill him.
B) The accused hears voices commanding him to kill the president.
C) The defendant is developmentally disabled with an IQ of 70.
D) The accused understands the charges and the trial procedures.
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Chapter 34: Therapeutic Groups
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) "Last week we finished our first goal,and today we are starting on our second."
A) Playboy
B) Energizer
C) Organizer
D) Gatekeeper
E) Follower
Q2) Three members of the therapy group share covert glances as other members of the group bring up problems.One of them often makes a statement that subtly puts down another speaker or takes exception to a comment by the group leader.The others then nod in agreement.What explanation should the leader suspect underlies this group dynamic?
A) Some members are acting as a subgroup instead of as members of the main group.
B) The members in question are showing their frustration with slower members.
C) Some of the members have become bored and are tuning out the rest.
D) The members in question are passive aggressive in their personality style.
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36
Chapter 35: Family Interventions
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Sample Questions
Q1) A woman tells the BSN-prepared community health nurse that she and her son fight all the time since the son started using drugs.The son tells his mother that his drug use is none of her business.Which initial response by the nurse would be most appropriate?
A) Have separate,informal,nonjudgmental conversations with the mother and the son about their respective concerns.
B) Initiate family therapy with the family unit,focusing on dysfunctional communication patterns.
C) Advise the mother to motivate her son by telling him that if he doesn't get drug abuse treatment,she'll report him to the police.
D) Discuss the dangers of substance abuse with the son,and then refer him to substance abuse treatment providers.
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Chapter 36: Integrative Care
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20 Flashcards
Source URL: https://quizplus.com/quiz/51659
Sample Questions
Q1) A patient asks the nurse,"What is the major difference between traditional Western medicine and complementary and alternative therapies (CAM)?" The best reply for the nurse to make is that traditional Western medicine:
A) focuses on what is done to the patient,and CAM focuses on body-mind interaction in an actively involved patient.
B) treats illnesses and is symptom specific,whereas CAM is holistic and focused more on health promotion than illness treatment.
C) is controlled by doctors and the health care industry,but CAM is the people's medicine and not motivated by profit.
D) has been tested by research and is regulated,but CAM is religiously based and not nearly as regulated.
Q2) When a patient wishes to learn more about alternative or complementary treatments,the nurse should refer the patient to the:
A) American Medical Association.
B) American Nurses Association.
C) National League for Nursing.
D) National Center for Complementary and Alternative Medicine.
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