Canadian Mental Health Nursing Exam Preparation Guide
Course Introduction
Canadian Mental Health Nursing explores the principles and practices of mental health nursing within the Canadian healthcare context. The course examines the roles and responsibilities of nurses in promoting mental wellness, preventing mental illness, and providing compassionate care to individuals across the lifespan experiencing mental health challenges. Emphasizing cultural competence, ethical considerations, and recovery-oriented approaches, students will gain insight into trauma-informed care, collaborative interprofessional practice, and the legal and policy frameworks that shape mental health services in Canada. The course also addresses current trends, societal influences, therapeutic communication, and evidence-based interventions to prepare students for effective mental health nursing practice.
Recommended Textbook
Canadian Psychiatric Mental Health Nursing Canadian Edition 1st Edition by Jordan
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37 Chapters
1052 Verified Questions
1052 Flashcards
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Halter
Chapter 1: Mental Health and Mental Illness
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) classifies which of the following?
A) Deviant behaviours
B) Present disability or distress
C) People with mental disorders
D) Mental disorders people have
Answer: D
Q2) Which of the following represents an outcome domain of the Nursing Outcomes Classification (NOS)?
A) Mental health
B) Perceived health
C) Chronic illness
D) Mental illness
Answer: B
Q3) Most psychiatric disorders are the result of which of the following?
A) Childhood trauma
B) Adverse life events
C) Multiple defective genes
D) Chronic medical conditions
Answer: C
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Chapter 2: Historical Overview of Psychiatric Mental Health
Nursing
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Which of the following represented a seventeenth- to eighteenth-century societal view of people with mental illness?
A) Restraints were not to be used on mentally ill patients.
B) Those with mental illness were immune to human discomforts.
C) Informed consent was required prior to admission to an asylum.
D) Patient neglect rarely if ever occurred in asylums.
Answer: B
Q2) Which is true of asylums?
A) Short-term stays
B) Cognitive-behavioural therapy experts
C) Place where people with mental illness could be cured
D) Middle to upper socioeconomic status patients with mental illness received treatment
Answer: C
Q3) The first asylum in Canada was in which of the following provinces?
A) Alberta
B) Quebec
C) Ontario
D) British Columbia
Answer: B
Page 4
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Chapter 3: Relevant Theories and Therapies for Nursing Practice
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) A patient had psychotherapy weekly for 5 months. The therapist used free association, dream analysis, and facilitated transference to help the patient understand conflicts and foster change. Select the term that applies to this method.
A) Rational-emotive behaviour therapy
B) Psychodynamic therapy
C) Cognitive-behavioural therapy
D) Operant conditioning
Answer: B
Q2) Which patient statement would lead the nurse to suspect unsuccessful completion of the developmental task of infancy?
A) "I have very warm and close friendships."
B) "I'm afraid to allow anyone to really get to know me."
C) "I'm always absolutely right, so don't bother saying more."
D) "I'm ashamed that I didn't do things correctly in the first place."
Answer: B
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Chapter 4: Psychotropic Drugs
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) Consider these medications: carbamazepine (Tegretol), lamotrigine (Lamictal), gabapentin (Neurontin). Which medication below also belongs with this group?
A) Galantamine hydrobromide (Reminyl)
B) Valproate (Depakene)
C) Buspirone hydrochloride (Bustab)
D) Rivastigmine hydrogen tartrate (Exelon)
Q2) A nurse cares for a group of patients receiving various medications, including haloperidol (Haldol), carbamazepine (Tegretol), trazodone (Oleptro), and phenelzine (Nardil). The nurse will order a special diet for the patient who takes which of the following?
A) Carbamazepine
B) Haloperidol
C) Phenelzine
D) Trazodone
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Chapter 5: Psychiatric Mental Health Nursing in Acute Care
Settings
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14 Verified Questions
14 Flashcards
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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 usually watches television all day, seldom going out in the community or socializing with others. The patient says, "I don't know what to do with my free time." Which member of the treatment team would be most helpful to this patient?
A) Psychologist
B) Social worker
C) Recreational therapist
D) Occupational therapist
Q3) Which aspect of direct care is an experienced, inpatient registered nurse most likely to provide for a patient?
A) Hygiene assistance
B) Diversional activities
C) Assistance with job hunting
D) Building assertiveness skills
Page 7
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Chapter 6: Psychiatric Mental Health Nursing in Community Settings
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A patient with which of the following diagnoses would be most appropriate to refer for assertive community treatment (ACT)?
A) A phobic fear of crowded places.
B) A single episode of major depression.
C) A catastrophic reaction to a tornado in the community.
D) Schizophrenia and four hospitalizations in the past year.
Q2) Which assessment finding for a patient in the community deserves priority intervention by the psychiatric nurse?
A) The patient receives provincial disability income plus a small cheque from a trust fund every month.
B) The patient was absent from three of six planned Alcoholics Anonymous meetings in the past 2 weeks.
C) The patient lives in an apartment with two patients who attend partial hospitalization programs.
D) The patient has a sibling who was recently diagnosed with a mental illness.
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Chapter 7: Cultural Implications for Psychiatric Mental
Health Nursing
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse would increase the distance of personal space when interacting with a patient who is of which of the following origins?
A) Middle Eastern
B) Asian
C) Southern European
D) Latin American
Q2) An Inuit patient sadly describes a difficult childhood. The patient abused alcohol as a teenager but stopped 10 years ago. The patient now says, "I feel stupid and good for nothing. I don't help my people." How should the treatment team focus planning for this patient?
A) Psychopharmacological and somatic therapies should be central techniques.
B) Apply a psychoanalytic approach, focused on childhood trauma.
C) Depression and alcohol abuse should be treated concurrently.
D) Use a holistic approach, including mind, body, and spirit.
Q3) To provide culturally competent care, the nurse should do which of the following?
A) Accurately interpret the thinking of individual patients
B) Predict how a patient may perceive treatment interventions
C) Formulate interventions to reduce the patient's ethnocentrism
D) Identify strategies that fit within the cultural context of the patient
Page 9
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Chapter 8: Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A voluntarily hospitalized patient tells the nurse, "Get me the forms for discharge. I want to leave now." Select the nurse's best response.
A) "I will get the forms for you right now and bring them to your room."
B) "Since you signed your consent for treatment, you may leave if you desire."
C) "I will get them for you, but let's talk about your decision to leave treatment."
D) "I cannot give you those forms without your health care provider's permission."
Q2) What is the legal significance of a nurse's action when a patient verbally refuses medication and the nurse gives the medication over the patient's objection?
A) The nurse has been negligent.
B) The nurse has committed malpractice.
C) The nurse has fulfilled the standard of care.
D) The nurse can be charged with battery.
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Chapter 9: The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse records this entry in a patient's progress notes: Patient escorted to unit by ER nurse at 2130. Patient's clothing was dirty. In interview room, patient sat with hands over face, sobbing softly. Did not acknowledge nurse or reply to questions. After several minutes, abruptly arose, ran to window, and pounded. Shouted repeatedly, "Let me out of here." Verbal intervention unsuccessful. Order for stat dose 2 mg haloperidol PO obtained; medication administered at 2150. By 2215, patient stopped shouting and returned to sit wordlessly in chair. Patient placed on one-to-one observation.
How should this documentation be evaluated?
A) Uses unapproved abbreviations
B) Contains subjective material
C) Too brief to be of value
D) Excessively wordy
E) Meets standards
Q2) What information is conveyed by nursing diagnoses? Select all that apply.
A) Medical judgements about the disorder
B) Unmet patient needs currently present
C) Goals and outcomes for the plan of care
D) Supporting data that validate the diagnoses
E) Probable causes that will be targets for nursing interventions
Page 11
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Chapter 10: Therapeutic Relationships
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. Which of the following should the nurse do?
A) Restate what the patient says.
B) Use congruent communication strategies.
C) Use self-revelation in patient interactions.
D) Consistently interpret the patient's behaviours.
Q2) A patient says, "People should be allowed to commit suicide without interference from others." A nurse replies, "You're wrong. Nothing is bad enough to justify death." What is the best analysis of this interchange?
A) The patient is correct.
B) The nurse is correct.
C) Congruent attitudes are implied.
D) Differing values are reflected.
Q3) Which remark by a patient indicates passage from orientation to the working phase of a nurse-patient relationship?
A) "I don't have any problems."
B) "It is so difficult for me to talk about problems."
C) "I don't know how it will help to talk to you about my problems."
D) "I want to find a way to deal with my anger without becoming violent."
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Page 12
Chapter 11: Communication and the Clinical Interview
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A patient says to the nurse, "I dreamed I was stoned. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response should the nurse use to clarify the patient's comment?
A) "It sounds as though you were uncomfortable with the content of your dream."
B) "I understand what you're saying. Bad dreams leave me feeling tired, too."
C) "So you feel as though you did not get enough quality sleep last night?"
D) "Can you give me an example of what you mean by 'stoned'?"
Q2) During the first interview with a parent whose child died in a car accident, the nurse feels empathic and reaches out to take the patient's hand. Select the correct analysis of the nurse's behaviour.
A) It shows empathy and compassion. It will encourage the patient to continue to express feelings.
B) The gesture is premature. The patient's cultural and individual interpretation of touch is unknown.
C) The patient will perceive the gesture as intrusive and overstepping boundaries.
D) The action is inappropriate. Psychiatric patients should not be touched.
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Chapter 12: Understanding Responses to Stress
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse leads a psychoeducational group for depressed patients. The nurse plans to implement an exercise regime for each patient. Which of the following rationales should the nurse use when presenting this plan to the treatment team?
A) Exercise can lead to protection from the harmful effects of stress.
B) Exercise prevents damage from overstimulation of the sympathetic nervous system.
C) Exercise detoxifies the body by removing metabolic wastes and other toxins.
D) Exercise improves mood stability for patients with bipolar disorders.
Q2) Which changes reflect short-term physiological responses to stress? Select all that apply.
A) Muscular tension, blood pressure, and triglycerides increase.
B) Epinephrine is released, increasing heart and respiratory rates.
C) Corticosteroid release increases stamina and impedes digestion.
D) Cortisol is released, increasing glucogenesis and reducing fluid loss.
E) Immune system functioning decreases, and risk of cancer increases.
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14
Chapter 13: Anxiety, Obsessive-Compulsive, and Related Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A person who has been unable to leave home for more than a week because of severe anxiety says, "I know it does not make sense, but I just can't bring myself to leave my apartment alone." Which nursing intervention is appropriate?
A) Help the person use online video calls to provide interaction with others.
B) Advise the person to accept the situation and use a companion.
C) Ask the person to explain why the fear is so disabling.
D) Teach the person to use positive self-talk techniques.
Q2) A patient fearfully runs from chair to chair, crying, "They're coming! They're coming!" The patient does not follow the staff's directions or respond to verbal interventions. Which nursing diagnosis has the highest priority?
A) Fear
B) Risk for injury
C) Self-care deficit
D) Disturbed thought processes
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Chapter 14: Depressive Disorders
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A nurse worked with a patient diagnosed with major depression, severe withdrawal, and psychomotor retardation. After 3 weeks, the patient did not improve. The nurse is most at risk for which of the following?
A) Feelings of guilt and despair
B) Feelings of over-involvement
C) Feelings of interest and pleasure
D) Feelings of ineffectiveness and frustration
Q2) An adult diagnosed with major depression was treated with medication and cognitive-behavioural therapy. The patient now recognizes how passivity contributed to the depression. Which intervention should the nurse suggest?
A) Social skills training
B) Relaxation training classes
C) Desensitization techniques
D) Use of complementary therapy
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Chapter 15: Bipolar Disorders
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective?
A) "Converses with few interruptions; clothing matches; participates in activities."
B) "Irritable, suggestible, distractible; napped for 10 minutes in afternoon."
C) "Attention span short; writing copious notes; intrudes in conversations."
D) "Heavy makeup; seductive toward staff; pressured speech."
Q2) A patient with diagnosed bipolar disorder was hospitalized 7 days ago and has been taking lithium 600 mg tid. Staff observes increased agitation, pressured speech, poor personal hygiene, and hyperactivity. Which action demonstrates that the nurse understands the most likely cause of the patient's behaviour?
A) Educate the patient about the proper ways to perform personal hygiene and Coordinate clothing.
B) Continue to monitor and document the patient's speech patterns and motor Activity.
C) Ask the health care provider to prescribe an increased dose and frequency of Lithium.
D) Consider the need to check the lithium level. The patient may not be swallowing medications.
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Chapter 16: Schizophrenia Spectrum and Other Psychotic Disorders
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A patient diagnosed with schizophrenia has taken a conventional antipsychotic medication for a year. Hallucinations are less intrusive, but the patient continues to have apathy, poverty of thought, and social isolation. The nurse would expect a change to which medication?
A) Haloperidol (Haldol)
B) Olanzapine (Zyprexa)
C) Chlorpromazine (Thorazine)
D) Diphenhydramine (Benadryl)
Q2) The nurse is developing a plan for psychoeducational sessions for several adults diagnosed with schizophrenia. Which goal is best for this group?
A) Members will gain insight into unconscious factors that contribute to their illness.
B) Members will explore situations that trigger hostility and anger.
C) Members will learn to manage delusional thinking.
D) Members will demonstrate improved social skills.
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18
Chapter 17: Eating Disorders
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29 Verified Questions
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Sample Questions
Q1) A patient referred to the eating disorders clinic has lost 16 kg in 3 months. For which physical manifestations of anorexia nervosa should a nurse assess? Select all that apply.
A) Peripheral edema
B) Parotid swelling
C) Constipation
D) Hypotension
E) Dental caries
F) Lanugo
Q2) The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention "monitor for complications of refeeding." Which system should a nurse closely monitor for dysfunction?
A) Renal
B) Endocrine
C) Integumentary
D) Cardiovascular
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19
Chapter 18: Cognitive Disorders
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32 Verified Questions
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Sample Questions
Q1) A nurse counsels the family of a patient diagnosed with Alzheimer's disease who lives at home and wanders at night. Which action is most important for the nurse to recommend to enhance safety?
A) Apply a medical alert bracelet to the patient.
B) Place locks at the tops of doors.
C) Discourage daytime napping.
D) Obtain a bed with side rails.
Q2) Which nursing diagnoses are most applicable for a confused patient diagnosed with severe Alzheimer's disease? Select all that apply.
A) Acute confusion
B) Anticipatory grieving
C) Urinary incontinence
D) Disturbed sleep pattern
E) Risk for caregiver role strain
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
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Page 20
Chapter 19: Substance Use and Addictive Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A hospitalized patient diagnosed with an alcohol abuse disorder believes spiders are spinning entrapping webs in the room. The patient is fearful, agitated, and diaphoretic. Which nursing intervention is indicated?
A) Check the patient every 15 minutes
B) One-on-one supervision
C) Keep the room dimly lit
D) Force fluids
Q2) The nurse can assist a patient to prevent substance abuse relapse by doing which of the following? Select all that apply.
A) Rehearsing techniques to handle anticipated stressful situations
B) Advising the patient to accept residential treatment if relapse occurs
C) Assisting the patient to identify life skills needed for effective coping
D) Advising isolating self from significant others until sobriety is established
E) Informing the patient of physical changes to expect as the body adapts to functioning without substances
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Chapter 20: Personality Disorders
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32 Verified Questions
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Sample Questions
Q1) A nurse set limits while interacting with a patient demonstrating behaviours associated with borderline personality disorder. The patient tells the nurse, "You used to care about me. I thought you were wonderful. Now I can see I was wrong. You're evil." This outburst can be assessed as which of the following?
A) Denial
B) Splitting
C) Defensive
D) Reaction formation
Q2) Which characteristic of personality disorders makes it most necessary for staff to schedule frequent team meetings in order to address the patient's needs and maintain a therapeutic milieu?
A) Ability to achieve true intimacy
B) Flexibility and adaptability to stress
C) Ability to provoke interpersonal conflict
D) Inability to develop trusting relationships
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22
Chapter 21: Sleep Wake Disorders
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26 Verified Questions
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Sample Questions
Q1) A young adult says to the nurse, "I go to sleep without any problem, but I often wake up during the night because it feels like there are rubber bands in my legs." Which assessment question should the nurse ask to assess for restless legs syndrome (RLS)?
A) "What type of birth control do you use?"
B) "How much caffeine do you use every day?"
C) "How much exercise do you get in a typical day?"
D) "Is the sensation relieved by stretching or flexing your legs?"
Q2) The nurse provides health education for an adult experiencing sleep deprivation. Which instruction has the highest priority?
A) "It's important to limit your driving to short periods. Sleep deprivation increases your risks for serious accidents."
B) "Sleep deprivation is usually self-limiting. See your health care provider if it lasts more than a year."
C) "Turn the radio on with a soft volume as you prepare for bed each evening. It will help you relax."
D) "Three glasses of wine each evening help many patients who suffer from sleep deprivation."
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Chapter 22: Sexual Dysfunction, Gender Dysphoria, and Paraphilias
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse is performing an assessment for a 59-year-old man who has hypertension. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment?
A) Sexual dysfunction may result from use of prescription medications for management of hypertension.
B) Such questions are an indirect way of learning about the patient's medication adherence.
C) These questions ease the transition to questions about sexual practices in general.
D) Sexual dysfunction can cause stress and contribute to increased blood pressure.
Q2) Which characteristic fits the usual profile of an individual diagnosed with pedophilic disorder?
A) Homosexual
B) Ritualistic behaviours
C) Seeks access to children
D) Self-confident professional
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24
Chapter 23: Somatic Symptom Disorders and Dissociative Disorders
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Sample Questions
Q1) A patient diagnosed with a somatic symptom disorder says, "My pain is from an undiagnosed injury. I can't take care of myself. I need pain medicine six or seven times a day. I feel like a baby because my family has to help me so much." It is important for the nurse to assess which of the following?
A) Mood
B) Cognitive style
C) Secondary gains
D) Identity and memory
Q2) A patient with fears of serious heart disease was referred to the mental health centre by a cardiologist. Extensive diagnostic evaluation showed no physical illness. The patient says, "My chest is tight, and my heart misses beats. I'm often absent from work. I don't go out much because I need to rest." Which health problem is most likely?
A) Dysthymic disorder
B) Somatic symptom disorder
C) Antisocial personality disorder
D) Illness anxiety disorder (hypochondriasis)
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25
Chapter 24: Crisis and Disaster
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Sample Questions
Q1) A student falsely accused a college professor of sexual intimidation. The professor tells the nurse, "I cannot teach nor do any research. My mind is totally preoccupied with these false accusations." What is the priority nursing diagnosis?
A) Ineffective denial related to threats to professional identity
B) Deficient knowledge related to sexual harassment protocols
C) Impaired social interaction related to loss of teaching abilities
D) Ineffective role performance related to distress from false accusations
Q2) A woman says, "I can't take anymore. Last year my husband had an affair, and now we do not communicate. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college and moving in with her boyfriend." Which issue should the nurse focus on during crisis intervention?
A) The possible mastectomy
B) The disordered family communication
C) The effects of the husband's extramarital affair
D) Coping with the reaction to the daughter's events
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Chapter 25: Suicide
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Sample Questions
Q1) A person who attempted suicide by overdose was treated in the emergency department and then hospitalized. The initial outcome is that the patient will do which of the following?
A) Verbalize a will to live by the end of the second hospital day
B) Describe two new coping mechanisms by the end of the third hospital day
C) Accurately delineate personal strengths by the end of the first week of hospitalization
D) Refrain from attempts to harm self for 24 hours
Q2) A college student is extremely upset after failing two examinations. The student said, "No one understands how this will hurt my chances of getting into medical school." The student then suspends access to his social networking Web site and turns off his cell phone. Which suicide risk factors are evident? Select all that apply.
A) Shame
B) Panic attack
C) Humiliation
D) Self-imposed isolation
E) Recent stressful life event
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Chapter 26: Anger, Aggression, and Violence
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Sample Questions
Q1) The staff development coordinator plans to teach use of physical management techniques for use when patients become assaultive. Which topic should the coordinator emphasize?
A) Practice and teamwork
B) Spontaneity and surprise
C) Caution and superior size
D) Diversion and physical outlets
Q2) A cognitively impaired patient has been a widow for 30 years. This patient frantically tries to leave the facility, saying, "I have to go home to cook dinner before my husband arrives from work." To intervene with validation therapy, the nurse will say which of the following?
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) "Your husband gets angry if you do not have dinner ready on time?"
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Chapter 27: Interpersonal Violence: Child, Older Adult, and
Intimate Partner Abuse
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Sample Questions
Q1) The parents of a 15-year-old seek to have this teen declared a delinquent because of excessive drinking, habitually running away, and prostitution. The nurse interviewing the teen should recognize that these behaviours often occur in which of the following adolescents?
A) Adolescents who have been abused
B) Adolescents who are attention-seeking
C) Adolescents who have eating disorders
D) Adolescents who are developmentally delayed
Q2) A community health nurse visits a family with four children. The father behaves angrily, finds fault with the oldest child, and asks twice, "Why are you such a stupid kid?" The wife says, "I have difficulty disciplining the children. It's so frustrating." Which comments by the nurse will facilitate an interview with these parents? Select all that apply.
A) "Tell me how you discipline your children."
B) "How do you stop your baby from crying?"
C) "Caring for four small children must be difficult."
D) "Do you or your husband ever spank your children?"
E) "Calling children 'stupid' injures their self-esteem."
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Chapter 28: Sexual Assault
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Sample Questions
Q1) A rape victim says to the nurse, "I always try to be so careful. I know I should not have walked to my car alone. Was this attack my fault?" Which communication by the nurse is most therapeutic?
A) Support the victim to separate issues of vulnerability from blame.
B) Emphasize the importance of using a buddy system in public places.
C) Reassure the victim that the outcome of the situation will be positive.
D) Pose questions about the rape and help the patient explore why it happened.
Q2) A woman was found confused and disoriented after being abducted and raped at gunpoint by an unknown assailant. The emergency department nurse makes these observations about the woman: talking rapidly in disjointed phrases, unable to concentrate, indecisive when asked to make simple decisions. What is the woman's level of anxiety?
A) Weak
B) Mild
C) Moderate
D) Severe
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Chapter 29: Disorders of Children and Adolescents
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Sample Questions
Q1) A kindergartener is disruptive in class. This child is unable to sit for expected lengths of time, inattentive to the teacher, screams while the teacher is talking, and is aggressive toward other children. The nurse plans interventions designed to do which of the following?
A) Promote integration of self-concept
B) Provide inpatient treatment for the child
C) Reduce loneliness and increase self-esteem
D) Improve language and communication skills
Q2) Which nursing diagnosis is universally applicable for children diagnosed with autism spectrum disorders?
A) Impaired social interaction related to difficulty relating to others
B) Chronic low self-esteem related to excessive negative feedback
C) Deficient fluid volume related to abnormal eating habits
D) Anxiety related to nightmares and repetitive activities
Q3) Which child demonstrates behaviours indicative of a neurodevelopmental disorder?
A) A 4-year-old who stuttered for 3 weeks after the birth of a sibling
B) A 9-month-old who does not eat vegetables and likes to be rocked
C) A 3-month-old who cries after feeding until burped and sucks a thumb
D) A 3-year-old who is mute, passive toward adults, and twirls while walking
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Page 31
Chapter 30: Psychosocial Needs of the Older Adult
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Sample Questions
Q1) A 79-year-old white male tells a nurse, "I have felt very sad lately. I do not have much to live for. My family and friends are all dead, and my own health is failing." The nurse should analyze this comment as which of the following?
A) Normal pessimism of the elderly
B) Evidence of risks for suicide
C) A call for sympathy
D) Normal grieving
Q2) A patient living in community housing for the elderly says, "I don't go to the senior citizens club. They play cards and talk about the past because that's all they can do." The nurse analyzes these remarks to represent which of the following:
A) Failure to achieve developmental tasks
B) Thinking associated with ageism
C) Hypercritical behaviour
D) Paranoid thinking
Q3) What is considered the Silent Geriatric Giant?
A) Depression
B) Anxiety
C) Chronic pain
D) Sleep disorders
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Page 32
Chapter 31: Living With Recurrent and Persistent Mental Illness
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Sample Questions
Q1) After 5 years in a psychiatric hospital, an adult diagnosed with schizophrenia was discharged to the community. This patient now requires persistent direction to accomplish activities of daily living and expects others to provide meals and do laundry. The nurse assesses this behaviour as the probable result of which of the following?
A) Side effects of antipsychotic medications
B) Dependency caused by institutionalization
C) Cognitive deterioration from schizophrenia
D) Stress associated with acclimation to the community
Q2) A patient diagnosed with schizophrenia has had multiple relapses. The patient usually responds quickly to antipsychotic medication but soon discontinues the medication. Discharge plans include follow-up at the mental health centre, group home placement, and a psychosocial day program. Which strategy should apply as the patient transitions from hospital to community?
A) Administer a second-generation antipsychotic to help negative symptoms.
B) Use a quick-dissolving medication formulation to reduce "cheeking."
C) Prescribe a long-acting intramuscular antipsychotic medication.
D) Involve the patient in decisions about which medication is best.
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Page 33
Chapter 32: Psychological Needs of Patients With Medical Conditions
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Sample Questions
Q1) A 32-year-old patient experiences an intestinal perforation and requires emergency surgery. The surgeon first meets the patient just before anesthesia is to be given and explains that peritonitis and intestinal inflammation may make a colostomy necessary. The patient is still quite groggy when stepped down to a postoperative unit and does not yet know that he does have a colostomy. Which initial response(s) should his nurse anticipate when the patient discovers that this procedure has been necessary? Select all that apply.
A) Distress that he has been disfigured and will be repugnant to others
B) Thankfulness that the surgery was successful and that he will live
C) Concerns about how he will do all the things he is used to doing
D) Anger that this has happened to him and that it has ruined his life
E) Depression related to changes in body image and perceived losses
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Chapter
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Sample Questions
Q1) A patient with pancreatic cancer says, "I know I am dying, but I am still alive. I want to be in control as long as I can." Which reply by the nurse shows active listening?
A) "Our staff will do their best to manage your pain."
B) "Your mind and spirit are healthy, although your body is frail."
C) "Most people do not know how to help. Try not to be hard on them."
D) "Are you saying you want people to stop focusing on your diagnosis?"
Q2) Which patients meet criteria for hospice services? Select all that apply.
A) A 92-year-old with pneumonia and late-stage Alzheimer's disease
B) A 74-year-old with advanced COPD and self-managed at home.
C) A 54-year-old with glioblastoma and life expectancy of 8 to 10 weeks
D) A 16-year-old with type 1 diabetes, multiple infections, and substance abuse
E) A 36-year-old with multiple sclerosis complicated by depression and pain associated with muscle spasms
Q3) Four teenagers died in an automobile accident. One week later, which behaviour by parents indicates adaptive mourning?
A) The parents who isolate themselves at home.
B) The parents who return immediately to employment.
C) The parents who forbid other teens in the household to drive a car.
D) The parents who create a scholarship fund at their child's high school.
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Page 35
Chapter 34: Forensic Psychiatric Nursing
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Sample Questions
Q1) A psychiatric clinical nurse specialist works with a defendant as a competency evaluator. A staff member asks, "Why are you spending so much time with that defendant? You spend one-to-one time and write volumes. Usually, we give defendants some medication and return them to court." Select the clinical nurse specialist's most appropriate response.
A) "My role is to be an advocate for the defendant, so I have to know him well and build a trusting relationship."
B) "My focus is providing intensive psychotherapy to ensure the defendant becomes competent before returning to court."
C) "The specialized assessments I make on behalf of the court require very lengthy and detailed interviews, so it takes a lot of time."
D) "I spend the time observing, assessing, and documenting competency, writing a report, and preparing expert testimony for the court."
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
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Chapter 35: Therapeutic Groups
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Q1) The nurse has been working with a large group of patients and has noticed that there are six members that have experienced sexual abuse and tend to talk only amongst themselves. Which type of group does this reflect?
A) Subgroup
B) Open group
C) Closed group
D) Heterogeneous group
Q2) During a therapy group that uses existential/Gestalt theory, patients shared feelings that occurred at the time of their admission. After a brief silence, one member says, "Several people have described feeling angry. I would like to hear from members who had other feelings." Which group role is evident by this comment?
A) Energizer
B) Encourager
C) Compromiser
D) Self-confessor
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Chapter 36: Family Interventions
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Q1) Parents of a mentally ill teenager say, "We have never known anyone who was mentally ill. We have no one to talk to because none of our friends understand the problems we are facing." Select the nurse's most helpful intervention.
A) Refer the parents to a support group.
B) Build the parents' self-concept as coping parents.
C) Teach the parents techniques of therapeutic communication.
D) Facilitate achievement of normal developmental tasks of the family.
Q2) A parent became unemployed 6 months ago. The parent has subsequently been verbally abusive toward the spouse and oldest child. The child ran away twice, and the spouse has become depressed. What is the most appropriate nursing diagnosis for this family?
A) Impaired parenting related to verbal abuse of oldest child
B) Impaired social interaction related to disruption of family bonds
C) Ineffective community coping related to fears about economic stability
D) Interrupted family processes related to insecurity secondary to loss of family income
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Chapter 37: Integrative Care
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Source URL: https://quizplus.com/quiz/23119
Sample Questions
Q1) A patient in good health and without any major health needs says, "I want to try some nutritional supplements I read about on the Internet." What information would be appropriate for the nurse to include in a response? Select all that apply.
A) "Most healthy people who eat a balanced diet do not need nutritional supplements."
B) "Research has not supported claims that various nutritional supplements create significant benefits in healthy people."
C) "Some nutritional supplements are proven to significantly delay aging and reduce the incidence of age-related diseases like cancer."
D) "I am glad you are actively engaged in managing your health by trusting information from the Internet."
E) "Researchers are still studying the benefits and side effects of many supplements. We should know more in the years to come."
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