Behavioral Health Nursing Exam Preparation Guide - 803 Verified Questions

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Behavioral Health Nursing Exam Preparation Guide

Course Introduction

Behavioral Health Nursing focuses on the principles and practices essential for providing comprehensive care to individuals experiencing mental health disorders and emotional challenges. This course explores the roles and responsibilities of nurses in assessing, diagnosing, and delivering evidence-based interventions for patients with psychiatric conditions. Topics include therapeutic communication, crisis intervention, psychopharmacology overview, legal and ethical considerations, and collaboration with multidisciplinary teams. Students will also learn strategies for promoting mental wellness, advocating for vulnerable populations, and reducing stigma associated with mental illness, preparing them to support patients and families across diverse healthcare settings.

Recommended Textbook

Essentials of Psychiatric Mental Health Nursing 3rd Edition by Varcarolis

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28 Chapters

803 Verified Questions

803 Flashcards

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Chapter 1: Practicing the Science and Art of Psychiatric Nursing

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15 Verified Questions

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Sample Questions

Q1) A bill introduced in Congress would reduce funding for the care of people diagnosed with mental illnesses. A group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?

A) Advocacy

B) Attending

C) Recovery

D) Evidence-based practice

Answer: A

Q2) A team of nurses wants to integrate evidence-based practice into a facility's clinical pathways. Which step should the team implement first?

A) Acquire findings from published literature.

B) Apply the research findings to clinical practice.

C) Assess the outcomes of using new research findings.

D) Ask questions to identify clinical problems that should be changed.

Answer: D

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Chapter 2: Mental Health and Mental Illness

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17 Verified Questions

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Sample Questions

Q1) Which basic intervention should a psychiatric mental health nurse plan to provide for a patient diagnosed with a mood disorder?

A) Sharing clinical expertise to enhance patient treatment

B) Performing individual or group psychotherapy for the patient

C) Using appropriate diagnostic tests to monitor patient condition

D) Conducting stress management and health maintenance classes

Answer: D

Q2) A nurse wants to find a description of diagnostic criteria for a person diagnosed with schizophrenia. Which resource should the nurse consult?

A) U.S. Department of Health and Human Services

B) Journal of the American Psychiatric Association

C) North American Nursing Diagnosis Association International (NANDA-I)

D) Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

Answer: D

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Chapter 3: Theories and Therapies

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Sample Questions

Q1) A 26-month-old child displays negative behaviors. The parent says, "My child refuses toilet training and shouts, 'No!' when given direction. What do you think is wrong?" Select the nurse's best reply.

A) "This is normal for your child's age. The child is striving for independence."

B) "The child needs firmer control. Punish the child for disobedience and say, 'No.'"

C) "There may be developmental problems. Most children are toilet trained by age 2 years."

D) "Some undesirable attitudes are developing. A child psychologist can help you develop a remedial plan."

Answer: A

Q2) A nurse uses Peplau's interpersonal therapy while working with an anxious, withdrawn patient. Interventions should focus on:

A) changing the patient's perceptions about self.

B) improving the patient's interactional skills.

C) using medications to relieve anxiety.

D) reinforcing specific behaviors.

Answer: B

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Chapter 4: Biological Basis for Understanding

Psychopharmacology

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Sample Questions

Q1) A patient has symptoms of acute anxiety related to the death of a parent in an automobile accident 2 hours earlier. The nurse should anticipate administering a medication from which group?

A) Tricyclic antidepressants

B) Atypical antipsychotics

C) Anticonvulsants

D) Benzodiazepines

Q2) A patient has anxiety, increased heart rate, and fear. The nurse would suspect the presence of a high concentration of which neurotransmitter?

A) GABA

B) Histamine

C) Acetylcholine

D) Norepinephrine

Q3) A patient's spouse, who is a chemist, asks a nurse how serotonin reuptake inhibitors (SSRIs) lift depression. The nurse should explain that SSRIs: A) destroy increased amounts of neurotransmitters.

B) make more serotonin available at the synaptic gap.

C) increase production of acetylcholine and dopamine.

D) block muscarinic and alpha1-norepinephrine receptors.

Page 6

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Chapter 5: Settings for Psychiatric Care

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Sample Questions

Q1) A community psychiatric nurse assesses that a patient diagnosed with a mood disorder is more depressed than on the previous visit a month ago; however, the patient says, "I feel the same." Which intervention supports the nurse's assessment while preserving the patient's autonomy?

A) Arrange for a short hospitalization.

B) Schedule weekly clinic appointments.

C) Refer the patient to the crisis intervention clinic.

D) Call the family and ask them to observe the patient closely.

Q2) A community mental health nurse has worked for 6 months to establish a relationship with a delusional, suspicious patient. The patient recently lost employment and stopped taking medications because of inadequate money. The patient says, "Only a traitor would make me go to the hospital." Which solution is best?

A) Arrange a bed in a local homeless shelter with nightly onsite supervision.

B) Negotiate a way to provide medication so the patient can remain at home.

C) Hospitalize the patient until the symptoms have stabilized.

D) Seek inpatient hospitalization for up to 1 week.

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Chapter 6: Legal and Ethical Basis for Practice

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Sample Questions

Q1) After leaving work, a staff nurse realizes that documentation of the administration of a medication to a patient was omitted. This off-duty nurse telephones the unit and tells the nurse, "Please document the administration of the medication I forgot to do. My password is alpha1." The nurse should:

A) fulfill the request.

B) refer the matter to the charge nurse to resolve.

C) access the record and document the information.

D) report the request to the patient's health care provider.

Q2) A patient being treated in an alcohol rehabilitation unit reveals to the nurse, "I feel terrible guilt for sexually abusing my 6-year-old child before I was admitted." Based on state and federal law, the best action for the nurse to take is to:

A) anonymously report the abuse by telephone to the local child abuse hotline.

B) reply, "I'm glad you feel comfortable talking to me about it."

C) respect the nurse-patient relationship of confidentiality.

D) file a written report on the agency letterhead.

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8

Chapter

and Effective Care

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Sample Questions

Q1) A patient diagnosed with major depressive disorder has lost 20 pounds in one month. The patient has chronic low self-esteem and a plan for suicide. The patient has taken an antidepressant medication for 1 week. Which nursing intervention is most directly related to this priority: "Patient will refrain from gestures and attempts to harm self"?

A) Implement suicide precautions.

B) Frequently offer high-calorie snacks and fluids.

C) Assist the patient to identify three personal strengths.

D) Observe patient for therapeutic effects of antidepressant medication.

Q2) A nurse works with a patient to establish outcomes. The nurse believes that one outcome suggested by the patient is not in the patient's best interest. What is the nurse's best action?

A) Remain silent.

B) Educate the patient that the outcome is not realistic.

C) Explore with the patient possible consequences of the outcome.

D) Formulate a more appropriate outcome without the patient's input.

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Chapter 8: Communication Skills: Medium for All Nursing Practice

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Sample Questions

Q1) A nurse interacts with a newly hospitalized patient. Select the nurse's comment that applies the communication technique of "offering self."

A) "I've also had traumatic life experiences. Maybe it would help if I told you about them."

B) "Why do you think you had so much difficulty adjusting to this change in your life?"

C) "I hope you will feel better after getting accustomed to how this unit operates."

D) "I'd like to sit with you for a while to help you get comfortable talking to me."

Q2) A patient tells the nurse, "I don't think I will ever get out of here." Select the nurse's most therapeutic response.

A) "Don't talk that way. Of course you will leave here."

B) "Keep up the good work and you certainly will."

C) "You don't think you're making progress?"

D) "Everyone feels that way sometimes."

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Chapter 9: Therapeutic Relationships and the Clinical Interview

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Sample Questions

Q1) A nurse ends a relationship with a patient. Which actions by the nurse should be included in the termination phase? (Select all that apply.)

A) Focus dialog with the patient on problems that may occur in the future.

B) Help the patient express feelings about the relationship with the nurse.

C) Help the patient prioritize and modify socially unacceptable behaviors.

D) Reinforce expectations regarding the parameters of the relationship.

E) Help the patient identify strengths, limitations, and problems.

Q2) During the first interview, a nurse notices that the patient does not make eye contact. The nurse can correctly analyze that:

A) the patient is not truthful.

B) the patient is feeling sad.

C) the patient has a poor self-concept.

D) more information is needed to draw a conclusion.

Q3) A patient says, "I've done a lot of cheating and manipulating in my relationships." Select a nonjudgmental response by the nurse.

A) "How do you feel about that?"

B) "It's good that you realize this."

C) "That's not a good way to behave."

D) "Have you outgrown that type of behavior?"

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Chapter 10: Trauma and Stress-Related Disorders

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Sample Questions

Q1) A veteran of military combat tells the nurse, "I saw a child get blown up over a year ago, and now I keep seeing bits of flesh everywhere. I see something red and the visions race back to my mind." Which phenomenon associated with posttraumatic stress disorder (PTSD) is this veteran describing?

A) Re-experiencing

B) Hyperarousal

C) Avoidance

D) Psychosis

Q2) A person with a fear of heights drives across a high bridge. Which division of the autonomic nervous system is stimulated in response to this experience?

A) Limbic system

B) Peripheral nervous system

C) Sympathetic nervous system

D) Parasympathetic nervous system

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Chapter 11: Anxiety, Anxiety Disorders, and

Obsessive-Compulsive and Related Disorders

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39 Verified Questions

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Sample Questions

Q1) A patient has a fear of public speaking. The nurse should be aware that social anxiety disorders (social phobias) are often treated with which type of medication?

A) Beta blockers

B) Antipsychotic medications

C) Tricyclic antidepressant agents

D) Monoamine oxidase inhibitors

Q2) A student says, "Before taking a test, I feel a heightened sense of awareness and restlessness." The nursing intervention most suitable for assisting the student is to:

A) explain that the symptoms are the result of mild anxiety, and discuss the helpful aspects.

B) advise the student to discuss this experience with a health care provider.

C) encourage the student to begin antioxidant vitamin supplements.

D) listen without comment.

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Chapter 12: Somatic Symptom Disorders and Dissociative Disorders

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Sample Questions

Q1) To assist a patient diagnosed with a somatic system disorder, a nursing intervention of high priority is to:

A) imply that somatic symptoms are not real.

B) help the patient suppress feelings of anger.

C) shift the focus from somatic symptoms to feelings.

D) investigate each physical symptom as soon as it is reported.

Q2) Which treatment modality should a nurse recommend to help a patient diagnosed with somatic symptom disorder cope more effectively?

A) Flooding

B) Relaxation

C) Response prevention

D) Systematic desensitization

Q3) A patient has blindness related to a functional neurological (conversion) disorder but is unconcerned about this problem. Which understanding should guide the nurse's planning for this patient? The patient is:

A) suppressing accurate feelings regarding the problem.

B) relieving anxiety through the physical symptom.

C) meeting needs through hospitalization.

D) refusing to disclose genuine fears.

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Chapter 13: Personality Disorders

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Sample Questions

Q1) The most challenging nursing intervention for patients diagnosed with personality disorders who use manipulation to get their needs met is:

A) supporting behavioral change.

B) monitoring suicide attempts.

C) maintaining consistent limits.

D) using aversive therapy.

Q2) As a nurse prepares to administer an oral medication to a patient diagnosed with a borderline personality disorder, the patient says, "Just leave it on the table. I'll take it when I finish combing my hair." What is the nurse's best response?

A) Reinforce this assertive action by the patient. Leave the medication on the table as requested.

B) Respond to the patient, "I'm worried that you might not take it. I will come back later."

C) Say to the patient, "I must watch you take the medication. Please take it now."

D) Ask the patient, "Why don't you want to take your medication now?"

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Chapter 14: Eating Disorders

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Sample Questions

Q1) A patient being admitted to the eating disorders unit has a yellow cast to the skin and fine downy hair covering the body. The patient weighs 70 pounds; height is 5 feet, 4 inches. The patient is quiet and says only, "I won't eat until I look thin." What is the priority initial nursing diagnosis?

A) Anxiety, related to fear of weight gain

B) Disturbed body image, related to weight loss

C) Ineffective coping, related to lack of conflict resolution skills

D) Imbalanced nutrition: less than body requirements, related to self-starvation

Q2) Which assessment finding for a patient diagnosed with an eating disorder meets a criterion for hospitalization?

A) Urine output: 40 ml/hr

B) Pulse rate: 58 beats/min

C) Serum potassium: 3.4 mEq/L

D) Systolic blood pressure: 62 mm Hg

Q3) Physical assessment of a patient diagnosed with bulimia nervosa often reveals:

A) prominent parotid glands.

B) peripheral edema.

C) thin, brittle hair.

D) amenorrhea.

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Page 16

Chapter 15: Mood Disorders: Depression

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Sample Questions

Q1) A patient says to the nurse, "My life does not have any happiness in it anymore. I once enjoyed holidays, but now they're just another day." How would the nurse document the complaint?

A) Vegetative

B) Anhedonia

C) Euphoria

D) Anergia

Q2) A nurse teaching a patient about a tyramine-restricted diet would approve which meal?

A) Mashed potatoes, ground beef patty, corn, green beans, apple pie

B) Avocado salad, ham, creamed potatoes, asparagus, chocolate cake

C) Macaroni and cheese, hot dogs, banana bread, caffeinated coffee

D) Noodles with cheddar cheese sauce, smoked sausage, lettuce salad, yeast rolls

Q3) A nurse provided medication education for a patient who takes phenelzine (Nardil) for depression. Which behavior indicates effective learning? The patient:

A) monitors sodium intake and weight daily.

B) wears support stockings and elevates the legs when sitting.

C) consults the pharmacist when selecting over-the-counter medications.

D) can identify foods with high selenium content, which should be avoided.

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Page 17

Chapter 16: Bipolar Spectrum Disorders

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Sample Questions

Q1) A patient experiencing acute mania has exhausted the staff members by noon. The patient has joked, manipulated, insulted, and fought all morning. Staff members are feeling defensive and fatigued. Which is the best action?

A) Confer with the health care provider regarding use of seclusion for this patient.

B) Hold a staff meeting to discuss consistency and limit setting approaches.

C) Conduct a meeting with all patients to discuss the behavior.

D) Explain to the patient that the behavior is unacceptable.

Q2) Outcome identification for the treatment plan of a patient with grandiose thinking associated with acute mania focuses on:

A) maintaining an interest in the environment.

B) developing an optimistic outlook.

C) self-control of distorted thinking.

D) stabilizing the sleep pattern.

Q3) The cause of bipolar disorder has not been determined, but:

A) several factors, including genetics, are implicated.

B) brain structures were altered by trauma early in life.

C) excess norepinephrine is probably a major factor.

D) excess sensitivity in dopamine receptors may exist.

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Chapter 17: Schizophrenia Spectrum Disorders and Other

Psychotic Disorders

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Sample Questions

Q1) A patient diagnosed with schizophrenia is hospitalized after arguing with coworkers and threatening to harm them. The patient is aloof and suspicious and says, "Two staff members I saw talking were plotting to assault 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) The family members of a patient newly diagnosed with schizophrenia state that they do not understand what has caused the illness. The nurse's response should be based on which models? (Select all that apply.)

A) Neurobiological

B) Environmental

C) Family theory

D) Genetic

E) Stress

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Chapter 18: Neurocognitive Disorders

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Sample Questions

Q1) An older adult patient in an intensive care unit is experiencing visual and auditory illusions. Which nursing intervention will be most helpful?

A) Place large clocks and calendars on the wall.

B) Place personally meaningful objects in view.

C) Use the patient's glasses and hearing aids.

D) Keep the room brightly lit at all times.

Q2) What is the priority nursing need for a patient diagnosed with late-stage dementia?

A) Promotion of self-care activities

B) Meaningful verbal communication

C) Maintenance of nutrition and hydration

D) Prevention of the patient from wandering

Q3) A patient has progressive memory deficit 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) Promote the use of the patient's sense of humor by telling jokes.

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Chapter 19: Substance-Related and Addictive Disorders

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Sample Questions

Q1) Which medication is the nurse most likely to see prescribed as part of the treatment plan for both a patient in an alcoholism treatment program and a patient in a program for the treatment of opioid addiction?

A) Methadone (Dolophine)

B) Bromocriptine (Parlodel)

C) Disulfiram (Antabuse)

D) Naltrexone (Revia)

Q2) Which question has the highest priority when assessing a newly admitted patient with a history of alcohol abuse?

A) "Have you ever had blackouts?"

B) "When did you have your last drink?"

C) "Has drinking caused you any problems?"

D) "When did you decide to seek treatment?"

Q3) Select the nursing intervention necessary after administering naloxone (Narcan) to a patient experiencing an opiate overdose.

A) Monitor the airway and vital signs every 15 minutes.

B) Insert a nasogastric tube and test gastric pH.

C) Treat hyperpyrexia with cooling measures.

D) Insert an indwelling urinary catheter.

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Page 21

Chapter 20: Crisis and Mass Disaster

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Sample Questions

Q1) A patient comes to the clinic with superficial cuts on the left wrist. The patient paces around the room sobbing but cringes when approached and responds to questions with only shrugs or monosyllables. Select the nurse's best initial statement to this patient.

A) "Everything is going to be all right. You are here at the clinic, and the staff will keep you safe."

B) "I see you are feeling upset. I am going to stay and talk with you to help you feel better."

C) "You need to try to stop crying so we can talk about your problems."

D) "Let's set some guidelines and goals for your visit here."

Q2) A victim of intimate partner violence comes to the crisis center seeking help. The nurse uses crisis intervention strategies that focus on:

A) supporting emotional security and re-establishing equilibrium.

B) offering long-term resolution of issues precipitating the crisis.

C) promoting growth of the individual.

D) providing legal assistance.

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Chapter 21: Child, Partner, and Elder Violence

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Sample Questions

Q1) An employee has recently been absent from work on several occasions. Each time, this employee returns to work wearing dark glasses. Facial and body bruises are apparent. During the occupational health nurse's interview, the employee says, "My partner beat me, but it was because there are problems at work." What should the nurse's next action be?

A) Notify the police.

B) Refer the employee to a shelter.

C) Notify the adult protective agency.

D) Document injuries with a body map.

Q2) An 11-year-old child is absent from school to care for siblings while the parents work. The family cannot afford a babysitter. When asked about the parents, the child reluctantly says, "My parents don't like me. They call me stupid and say I never do anything right." Which type of abuse is likely?

A) Sexual

B) Physical

C) Emotional

D) Economic

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Chapter 22: Sexual Violence

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Sample Questions

Q1) A nurse interviews a person abducted and raped at gunpoint by an unknown assailant. The person says, "I can't talk about it. Nothing happened. I have to forget!" What is the person's present coping strategy?

A) Somatic reaction

B) Repression

C) Projection

D) Denial

Q2) Which situation constitutes consensual sex rather than rape?

A) After coming home intoxicated from a party, a person forces the spouse to have sex. The spouse objects.

B) A person's lover pleads to have oral sex. The person gives in but then regrets the decision.

C) A person is beaten, robbed, and forcibly subjected to anal penetration by an assailant.

D) A physician gives anesthesia for a procedure and has intercourse with an unconscious patient.

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Chapter 23: Suicidal Thoughts and Behavior

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Sample Questions

Q1) A college student who attempted suicide by overdose is hospitalized. When the parents are contacted, they respond, "There must be a mistake. This could not have happened. We've given our child everything." The parents' reaction reflects:

A) denial.

B) anger.

C) anxiety.

D) rescue feelings.

Q2) A person intentionally overdoses on antidepressant drugs. Which nursing diagnosis has the highest priority?

A) Powerlessness

B) Social isolation

C) Risk for suicide

D) Ineffective management of the therapeutic regimen

Q3) Select the most helpful response for a nurse to make when a patient being treated as an outpatient states, "I am considering suicide."

A) "I'm glad you shared this. Please do not worry. We will handle it together."

B) "I think you should admit yourself to the hospital to get help."

C) "We need to talk about the good things you have to live for."

D) "Bringing this up is a very positive action on your part."

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Page 25

Chapter 24: Anger, Aggression, and Violence

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Sample Questions

Q1) A cognitively impaired patient has been a widow for 30 years. This patient is frantically trying to leave the unit, saying, "I have to go home to cook dinner before my husband arrives from work." To intervene with validation therapy, the nurse should first say:

A) "You must come away from the door."

B) "You have been a widow for many years."

C) "You want to go home to prepare your husband's dinner?"

D) "Was your husband angry if you did not have dinner ready on time?"

Q2) The staff development coordinator plans to teach use of physical management techniques when patients become assaultive. Which topic should be emphasized?

A) Practice and teamwork

B) Spontaneity and surprise

C) Caution and superior size

D) Diversion and physical outlets

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Chapter 25: Care for the Dying and Those Who Grieve

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Q1) Psychotherapy for individuals at risk for complicated grief focuses on which goals? (Select all that apply.)

A) Exploring emotional responses to a loss

B) Identifying ways to break bonds with the deceased

C) Solving problems related to moving forward in life

D) Learning about the stages and symptoms of grieving

E) Using antipsychotic medications for dysfunctional grief

Q2) A terminally ill patient says, "I know I'm not going to get well, but still." and the patient's voice trails off. Which response by the nurse is therapeutic?

A) "What do you hope for?"

B) "No, you're not going to get well."

C) "Do you have questions about what is happening?"

D) "I'm happy you are being realistic about your future."

Q3) The mourning process is more difficult when the bereaved:

A) was relatively independent of the deceased.

B) has experienced many previous losses.

C) accepts that death is expected for everyone.

D) had resolved conflicts with the deceased.

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27

Chapter 26: Children and Adolescents

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Sample Questions

Q1) The health care provider prescribes medication for a child diagnosed with attention deficit hyperactivity disorder (ADHD). The desired behavior for which the nurse should monitor is:

A) increased expressiveness in communicating with others.

B) improved ability for cooperative play with other children.

C) ability to identify anxiety and implement self-control strategies.

D) improved socialization skills with other children and authority figures.

Q2) A 12-year-old child has been the neighborhood bully for several years. The parents say, "We can't believe anything our child says." Recently, the child shot a dog with a pellet gun and set fire to a trash bin outside a store. The child's behaviors are most consistent with:

A) conduct disorder (CD).

B) defiance of authority.

C) anxiety over separation from a parent.

D) attention deficit hyperactivity disorder (ADHD).

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Chapter 27: Adults

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Sample Questions

Q1) A person diagnosed with severe and persistent mental illness enters a shelter for the homeless. Which intervention should be the nurse's initial priority?

A) Develop a relationship

B) Find supported employment

C) Administer prescribed medication

D) Teach appropriate health care practices

Q2) An adult has been feeling significant tension since losing a home through foreclosure. This person goes to a park, feeds the birds, and then impulsively exposes himself to a group of parents and children. Which term applies to this behavior?

A) Voyeurism

B) Frotteurism

C) Exhibitionism

D) Sexual masochism

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Chapter 28: Older Adults

Available Study Resources on Quizplus for this Chatper

31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/2074

Sample Questions

Q1) When admitting older adult patients, health care agencies receiving federal funds must provide written information about:

A) advance health care directives.

B) the financial status of the institution.

C) how to sign out against medical advice.

D) the institution's policy on the use of restraints.

Q2) A health care provider writes these new prescriptions for a resident in a skilled care facility: "2 g sodium diet; restraint as needed; limit fluids to 2000 ml daily; 1 dose milk of magnesia 30 ml orally if no bowel movement occurs for 3 days." Which prescription should the nurse question?

A) Restraint

B) Fluid restriction

C) Milk of magnesia

D) Sodium restriction

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Behavioral Health Nursing Exam Preparation Guide - 803 Verified Questions by Quizplus - Issuu