Canadian Mental Health Nursing Solved Exam Questions
Course Introduction
Canadian Mental Health Nursing explores the principles and practices of mental health care within the Canadian context, emphasizing the role of nurses in promoting mental health, preventing mental illness, and supporting individuals and families experiencing mental health challenges. The course covers key topics such as the assessment and management of mental health disorders, therapeutic communication techniques, recovery-oriented care, and the impact of social determinants on mental health. Students will learn about Canadian legislation, ethical considerations, and cultural competencies relevant to mental health nursing, and will examine collaborative approaches within interdisciplinary mental health teams. This course prepares students to provide compassionate, evidence-based care in a variety of mental health settings across Canada.
Recommended Textbook
Canadian Psychiatric Mental Health Nursing Canadian Edition 1st Edition by Jordan Halter
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37 Chapters
1052 Verified Questions
1052 Flashcards
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Page 2
Chapter 1: Mental Health and Mental Illness
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A staff nurse completes orientation to a psychiatric unit. Which of the following would the nurse expect as an advanced practice intervention?
A) Conduct mental health assessments
B) Prescribe psychotropic medication
C) Establish therapeutic relationships
D) Individualize nursing care plans
Answer: B
Q2) Which of the following has been identified as a significant trend that will affect the future of psychiatric mental health nursing in Canada?
A) Decrease in the aging population
B) Increase in cultural diversity
C) Role of the advanced-practice nurse
D) Shortage of physicians in rural and urban areas
Answer: B
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3
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 has largely been excluded from Canadian nursing history?
A) Female nurses' role in psychiatric nursing
B) Mental health field of study
C) Male attendants' role in institutions
D) Generalist registered nurses' role
Answer: B
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 nurse is caring for a patient in an asylum in the mid-1800s in Canada. What would the nurse expect to implement?
A) Assisting with eating and dressing
B) Group therapy interventions
C) Electroconvulsive therapy
D) Antipsychotic medication administration
Answer: A
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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) Which comments by an elderly person best indicate successful completion of the developmental task? Select all that apply.
A) "I am proud of my children's successes in life."
B) "I should have given to community charities more often."
C) "My relationship with my father made life more difficult for me."
D) "My experiences in the war helped me appreciate the meaning of life."
E) "I often wonder what would have happened if I had chosen a different career."
Answer: A, D
Q2) A nurse consistently encourages a patient to do his or her own activities of daily living (ADLs). If the patient is unable to complete an activity, the nurse helps until the patient is once again independent. This nurse's practice is most influenced by which theorist?
A) Betty Neuman
B) Patricia Benner
C) Dorothea Orem
D) Joyce Travelbee
Answer: C
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Chapter 4: Psychotropic Drugs
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) Which instruction has priority when teaching a patient about clozapine (Clozaril)?
A) "Avoid unprotected sex."
B) "Report sore throat and fever immediately."
C) "Reduce foods high in polyunsaturated fats."
D) "Use over-the-counter preparations for rashes."
Q2) The nurse should assess a patient taking a drug with anticholinergic properties for inhibited function of which of the following?
A) Parasympathetic nervous system
B) Sympathetic nervous system
C) Reticular activating system
D) Medulla oblongata
Q3) A nurse instructs a patient taking a drug that inhibits monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of which of the following?
A) Cardiac dysrhythmia
B) Hypotensive shock
C) Hypertensive crisis
D) Hypoglycemia
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6
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) Which principle has the highest priority when addressing a behavioural crisis in an inpatient setting?
A) Suspend the patients' rights until the crisis is resolved.
B) Swift intervention is justified to maintain the integrity of a therapeutic milieu.
C) Rights of an individual patient are superseded by the rights of the majority of patients.
D) Patients should have opportunities to regain control without intervention if the safety of others is not compromised.
Q2) Clinical pathways are used in managed care settings to do which of the following?
A) Stabilize aggressive patients
B) Identify obstacles to effective care
C) Relieve nurses of planning responsibilities
D) Streamline the care process and improve outcomes
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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 nurse receives the following three phone calls regarding a community patient.
·The psychiatrist wants to complete a follow-up assessment.
·An internist wants to schedule a physical examination.
·The patient's attorney wants an appointment with the patient. The nurse schedules the activities for the patient. Which role has the nurse fulfilled?
A) Advocate
B) Case manager
C) Milieu manager
D) Provider of care
Q2) Which characteristic would be more applicable to a community mental health nurse than to a nurse working in an operating room?
A) Kindness
B) Autonomy
C) Compassion
D) Professionalism
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Page 8
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) Which questions should the nurse ask to determine an individual's world view? Select all that apply.
A) What is more important: the needs of an individual or the needs of a community?
B) How would you describe an ideal relationship between individuals?
C) How long have you lived at your present residence?
D) Of what importance are possessions in your life?
E) Do you speak any foreign languages?
Q2) A nurse cares for a first-generation Canadian whose family emigrated from Germany. Which world view about the source of knowledge would this patient likely have?
A) Knowledge is acquired through use of affective or feeling senses.
B) Science is the foundation of knowledge and proves something exists.
C) Knowledge develops by striving for transcendence of the mind and body.
D) Knowledge evolves from an individual's relationship with a supreme being.
Q3) Which term refers to the sharing of common traits, customs, and race?
A) World view
B) Ethnicity
C) Ethnocentrism
D) Culture
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 patient with psychosis became aggressive, struck another patient, and required seclusion. Select the best documentation.
A) Patient struck another patient who attempted to leave day room to go to bathroom. Seclusion necessary at 1415. Plan: Maintain seclusion for 8 hours and keep these two patients away from each other for 24 hours.
B) Seclusion ordered by physician at 1415 after command hallucinations told the patient to hit another patient. Careful monitoring of patient maintained during period of seclusion.
C) Seclusion ordered by physician for aggressive behaviour. Begun at 1415. Maintained for 2 hours without incident. Outcome: Patient calmer and apologized for outburst.
D) Patient pacing, shouting. Haloperidol 5 mg given PO at 1300. No effect by 1315. At 1415 patient yelled, Ill punch anyone who gets near me, and struck another patient with fist. Physically placed in seclusion at 1420. Seclusion order obtained from physician at 1430.
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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
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Sample Questions
Q1) The desired outcome for a patient experiencing insomnia is, "Patient will sleep for a minimum of 5 hours nightly within 7 days." At the end of 7 days, review of sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse's next action?
A) Continue the current plan without changes.
B) Remove this nursing diagnosis from the plan of care.
C) Write a new nursing diagnosis that better reflects the problem.
D) Examine interventions for possible revision of the target date.
Q2) A nurse prepares to assess a new patient who moved to Canada from Central America three years ago. After introductions, what is the nurse's next comment?
A) "How did you get to Canada?"
B) "Would you like for a family member to help you talk with me?"
C) "An interpreter is available. Would you like for me to make a request for these services?"
D) "Are you comfortable conversing in English, or would you prefer to have a translator present?"
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Chapter 10: Therapeutic Relationships
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) 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."
Q2) A community mental health nurse has worked with a patient for 3 years but is moving out of the city and terminates the relationship. When a novice nurse begins work with this patient, what is the starting point for the relationship?
A) Begin at the orientation phase.
B) Resume the working relationship.
C) Initially establish a social relationship.
D) Return to the emotional catharsis phase.
Q3) At what point in the nurse-patient relationship should a nurse plan to first address termination?
A) During the orientation phase
B) At the end of the working phase
C) Near the beginning of the termination phase
D) When the patient initially brings up the topic
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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) During an interview, a patient attempts to shift the focus from self to the student nurse by asking personal questions. The student nurse should respond by saying:
A) "Why do you keep asking about me?"
B) "Nurses direct the interviews with patients."
C) "Do not ask questions about my personal life."
D) "The time we spend together is to discuss your concerns."
Q2) The patient says, "My marriage is just great. My spouse and I always agree." The nurse observes the patient's foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can draw is that the patient's communication is which of the following?
A) Clear
B) Mixed
C) Precise
D) Inadequate
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13
Chapter 12: Understanding Responses to Stress
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A recent immigrant from Honduras comes to the clinic with a family member who has been a Canadian resident for 10 years. The family member says, "The immigration to Canada has been very difficult." Considering cultural background, which expression of stress by this patient would the nurse expect?
A) Motor restlessness
B) Somatic complaints
C) Memory deficiencies
D) Sensory perceptual alterations
Q2) A patient nervously says, "Financial problems are stressing my marriage. I've heard rumours about cutbacks at work; I am afraid I might get laid off." The patient's pulse is 112 per minute; respirations are 26 per minute; and blood pressure is 166/88. Which nursing intervention will the nurse implement?
A) Advise the patient, "Go to sleep 30 to 60 minutes earlier each night to increase rest."
B) Direct the patient in slow and deep breathing via use of a positive, repeated word.
C) Suggest the patient consider that a new job might be better than the present one.
D) Tell the patient, "Relax by spending more time playing with your pet."
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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) The nurse assesses a patient who complains of loneliness and episodes of anxiety. Which statement by the patient is mostly likely if this patient also has agoraphobia?
A) "I'm sure I will get over not wanting to leave home soon. It takes time."
B) "Being afraid to go out seems ridiculous, but I can't go out the door."
C) "My family says they like it now that I stay home most of the time."
D) "When I have a good incentive to go out, I can do it."
Q2) A patient experiencing panic suddenly began running and shouting, "I'm going to explode!" Select the nurse's best action.
A) Ask, "I'm not sure what you mean. Give me an example."
B) Capture the patient in a basket-hold to increase feelings of control.
C) Tell the patient, "Stop running and take a deep breath. I will help you."
D) Assemble several staff members and say, "We will take you to seclusion to help you regain control."
Q3) Which is an intermediate indicator of the nursing outcome of anxiety self-control?
A) Maintains adequate sleep
B) Monitors intensity of anxiety
C) Controls anxiety response
D) Uses relaxation techniques to lower anxiety
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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 patient diagnosed with major depression tells the nurse, "Bad things that happen are always my fault." Which response by the nurse will best assist the patient to reframe this overgeneralization?
A) "I really doubt that one person can be blamed for all the bad things that happen."
B) "Let's look at one bad thing that happened to see if another explanation exists."
C) "You are being extremely hard on yourself. Try to have a positive focus."
D) "Are you saying that you don't have any good things happen?"
Q2) Which falls within the parameters of the normal course of treatment of depression with ECT?
A) Daily for 7 days
B) Three times per week for 10 weeks
C) Once a week for 8 weeks
D) Twice a week for 4 weeks
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16
Chapter 15: Bipolar Disorders
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) A patient demonstrating characteristics of acute mania relapsed after discontinuing lithium. New orders are written to resume lithium twice daily and begin olanzapine (Zyprexa). What is the rationale for the addition of olanzapine to the medication regimen?
A) It minimizes the side effects of lithium.
B) It brings hyperactivity under rapid control.
C) It enhances the antimanic actions of lithium.
D) It is used for long-term control of hyperactivity.
Q2) Which nursing diagnosis would most likely apply to both a patient diagnosed with major depression and one experiencing acute mania?
A) Deficient diversional activity
B) Disturbed sleep pattern
C) Fluid volume excess
D) Defensive coping
Q3) Which dinner menu is best suited for a patient with acute mania?
A) Spaghetti and meatballs, salad, and a banana
B) Beef and vegetable stew, a roll, and chocolate pudding
C) Broiled chicken breast on a roll, an ear of corn, and an apple
D) Chicken casserole, green beans, and flavoured gelatin with whipped cream
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Page 17
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 anxiously says, "I can see the left side of my body merging with the wall. Then my face appears and disappears in the mirror." While listening, the nurse should do which of the following?
A) Sit close to the patient
B) Place an arm protectively around the patient's shoulders
C) Place a hand on the patient's arm and exert light pressure
D) Maintain a normal social interaction distance from the patient
Q2) A health care provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory hallucinations and poor social function. The patient is also overweight and hypertensive. Which drug should the nurse advocate?
A) Clozapine (Clozaril)
B) Ziprasidone (Zeldox)
C) Olanzapine (Zyprexa)
D) Aripiprazole (Abilify)
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Chapter 17: Eating Disorders
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29 Verified Questions
29 Flashcards
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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 over the trunk. The patient weighs 32 kg; height is 172 cm. The patient says, "I won't eat until I look thin." Select 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) A nurse finds a patient diagnosed with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight. Which response by the nurse is appropriate?
A) "You and I will have to sit down and discuss this problem."
B) "It bothers me to see you exercising. I am afraid you will lose more weight."
C) "Let's discuss the relationship between exercise, weight loss, and the effects on your body."
D) "According to our agreement, no exercising is permitted until you have gained a specific amount of weight."
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Chapter 18: Cognitive Disorders
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) 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
Q2) An older adult patient takes multiple medications daily. Over 2 days, the patient developed confusion, incoherent speech, an unsteady gait, and fluctuating levels of orientation. These findings are most characteristic of which of the following?
A) Delirium
B) Dementia
C) Amnestic syndrome
D) Alzheimer's disease
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) Which assessment findings are likely for an individual who recently injected heroin?
A) Anxiety, restlessness, paranoid delusions
B) Muscle aching, dilated pupils, tachycardia
C) Heightened sexuality, insomnia, euphoria
D) Drowsiness, constricted pupils, slurred speech
Q2) Family members of an individual undergoing a residential alcohol rehabilitation program ask, "How can we help?" Select the nurse's best response.
A) "Alcoholism is a lifelong disease. Relapses are expected."
B) "Use search and destroy tactics to keep the home alcohol-free."
C) "It's important that you visit your family member on a regular basis."
D) "Make your loved one responsible for the consequences of behaviour."
Q3) At a meeting for family members of alcoholics, a spouse says, "I did everything I could to help. I even requested sick leave when my partner was too drunk to go to work." The nurse assesses these comments as which of the following?
A) Codependence
B) Assertiveness
C) Role reversal
D) Homeostasis
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Chapter 20: Personality Disorders
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32 Verified Questions
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Sample Questions
Q1) The history shows that a newly admitted patient is impulsive. The nurse would expect behaviour to be characterized by which of the following?
A) Adherence to a strict moral code
B) Manipulative, controlling strategies
C) Acting without thought on urges or desires
D) Postponing gratification to an appropriate time
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
Q3) Which of the following nursing diagnoses is appropriate to consider for a patient diagnosed with any of the personality disorders?
A) Noncompliance
B) Impaired social interaction
C) Disturbed personal identity
D) Diversional activity deficit
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Page 22
Chapter 21: Sleep Wake Disorders
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Sample Questions
Q1) A patient reports, "The medicine prescribed to help me get to sleep worked well for about a month, but I don't have any more of those pills, and now my insomnia is worse than ever. I had nightmares the last 2 nights." Which type of medication did the health care provider most likely prescribe?
A) Hypnotic
B) Tricyclic antidepressant
C) Conventional antipsychotic
D) Central nervous system stimulant
Q2) A patient says, "It takes me about 15 minutes to go to sleep each night." Which of the following does this comment describe?
A) Delta sleep
B) Parasomnia
C) Sleep latency
D) Rapid eye movement sleep
Q3) Which person would be most likely to experience sleep fragmentation?
A) An obese adult
B) A toddler who attends day care
C) A person diagnosed with mild osteoarthritis
D) An adolescent diagnosed with anorexia nervosa
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Chapter 22: Sexual Dysfunction, Gender Dysphoria, and Paraphilias
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Sample Questions
Q1) A man who reports frequently experiencing premature ejaculation tells the nurse, "I feel like such a failure. It's so awful for both me and my partner. Can you help me?" Select the nurse's best response.
A) "Have you discussed this problem with your partner?"
B) "I can refer you to a practitioner who can help you with this problem."
C) "Have you asked your health care provider for prescription medication?"
D) "There are several techniques described in this pamphlet that might be helpful."
Q2) A man who regularly experiences premature ejaculation tells the nurse, "I feel like such a failure. It's so awful for both me and my partner." Select the nurse's most therapeutic response.
A) "I sense you are feeling frustrated and upset."
B) "Tell me more about feeling like a failure."
C) "You are too hard on yourself."
D) "What do you mean by awful?"
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Chapter 23: Somatic Symptom Disorders and Dissociative Disorders
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Sample Questions
Q1) A nurse's neighbour says, "I saw a news story about a man without any known illness who died suddenly after his ex-wife committed suicide. Was that a coincidence, or can emotional shock be fatal?" The nurse should respond by noting that some serious medical conditions may be complicated by emotional stress, including which of the following? Select all that apply.
A) Cancer
B) Hip fractures
C) Hypertension
D) Immune disorders
E) Cardiovascular disease
Q2) Which assessment data would help the health care team distinguish symptoms of conversion (functional neurological) disorder from symptoms of illness anxiety disorder (hypochondriasis)?
A) Voluntary control of symptoms
B) Patient's style of presentation
C) Results of diagnostic testing
D) The role of secondary gains
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Chapter 24: Crisis and Disaster
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Sample Questions
Q1) 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
Q2) Which agency plays a major role in mass disaster planning and prevention?
A) Health Canada
B) Provincial or territorial disaster management agencies
C) National Incident Management System
D) Federal Emergency Management Agency
Q3) Which scenario is an example of an adventitious crisis?
A) The death of a child from sudden infant death syndrome
B) Being fired from a job because of company downsizing
C) Retirement of a 55-year-old person
D) A riot at a rock concert
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Chapter 25: Suicide
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Sample Questions
Q1) A nurse interacts with an outpatient who has a history of multiple suicide attempts. Select the most helpful response for a nurse to make when the patient states, "I am considering committing 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 keep you safe."
C) "Bringing up these feelings is a very positive action on your part."
D) "We need to talk about the good things you have to live for."
Q2) A depressed patient says, "Nothing matters anymore." What is the most appropriate response by the nurse?
A) "Are you having thoughts of suicide?"
B) "I am not sure I understand what you are trying to say."
C) "Try to stay hopeful. Things have a way of working out."
D) "Tell me more about what interested you before you became depressed."
Q3) Which statement by a depressed patient will alert the nurse to the patient's need for immediate, active intervention?
A) "I am mixed up, but I know I need help."
B) "I have no one to turn to for help or support."
C) "It is worse when you are a person of colour."
D) "I tried to get attention before I cut myself last time."
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Page 27
Chapter 26: Anger, Aggression, and Violence
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Sample Questions
Q1) A patient with a history of anger and impulsivity was hospitalized after an accident resulting in injuries. When in pain, the patient loudly scolded nursing staff for "not knowing enough to give me pain medicine when I need it." Which nursing intervention would best address this problem?
A) Teach the patient to use coping strategies such as deep breathing and progressive relaxation to reduce the pain.
B) Talk with the health care provider about changing the pain medication from PRN to patient-controlled analgesia.
C) Tell the patient that verbal assaults on nurses will not shorten the wait for analgesic medication.
D) Talk with the patient about the risks of dependency associated with overuse of analgesic medication.
Q2) A patient has a history of impulsively acting out anger by striking others. Select the most appropriate intervention for avoiding similar incidents.
A) Teach the patient about herbal preparations that reduce anger.
B) Help the patient identify incidents that trigger impulsive anger.
C) Explain that restraint and seclusion will be used if violence occurs.
D) Offer one-on-one supervision to help the patient maintain control.
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Chapter 27: Interpersonal Violence: Child, Older Adult, and
Intimate Partner Abuse
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Sample Questions
Q1) A young adult has recently had multiple absences from work. After each absence, this adult returned to work wearing dark glasses and a long-sleeved shirt. During an interview with the occupational health nurse, this adult says, "My partner beat me, but it was because I did not do the laundry." What is the nurse's next action?
A) Call the police.
B) Arrange for hospitalization.
C) Call the relevant social services agency.
D) Document injuries with a body map.
Q2) Several children are seen in the emergency department for treatment of various illnesses and injuries. Which assessment finding would create the most suspicion for child abuse?
A) The child with complaints of abdominal pain
B) The child who has repeated middle ear infections
C) The child with bruises on extremities
D) The child with diarrhea
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Chapter 28: Sexual Assault
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Source URL: https://quizplus.com/quiz/23110
Sample Questions
Q1) A rape victim tells the nurse, "I should not have been out on the street alone." Select the nurse's most therapeutic response.
A) "Rape can happen anywhere."
B) "Blaming yourself increases your anxiety and discomfort."
C) "You are right. You should not have been alone on the street at night."
D) "You feel as though this would not have happened if you had not been alone."
Q2) A nurse interviews a patient who was abducted and raped at gunpoint by an unknown assailant. The patient says, "I can't talk about it. Nothing happened. I have to forget." What is the patient's present coping strategy?
A) Compensation
B) Somatization
C) Projection
D) Denial
Q3) Where do the majority of sexual assaults occur?
A) Private home
B) City street at night
C) Commercial establishment
D) Person's own motor vehicle
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Chapter 29: Disorders of Children and Adolescents
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Source URL: https://quizplus.com/quiz/23111
Sample Questions
Q1) A nurse prepares to lead a discussion at a community health centre regarding children's health problems. The nurse wants to use current terminology when discussing these issues. Which terms are appropriate for the nurse to use? Select all that apply.
A) Autism
B) Bullying
C) Mental retardation
D) Autism spectrum disorder
E) Intellectual development disorder
Q2) A child diagnosed with attention deficit-hyperactivity disorder (ADHD) shows hyperactivity, aggression, and impaired play. The health care provider prescribed amphetamine (Adderall XR). For which desired behaviour should the nurse monitor?
A) Increased expressiveness in communication with others
B) Abilities to identify anxiety and implement self-control strategies
C) Improved ability to participate in cooperative play with other children
D) Ability to tolerate social interactions for short periods without disruption or frustration
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Chapter 30: Psychosocial Needs of the Older Adult
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Source URL: https://quizplus.com/quiz/23112
Sample Questions
Q1) A nurse wants to assess for suicidal ideation in an elderly patient. Select the best question to begin this assessment.
A) "Are there any things going on in your life that would cause you to consider suicide?"
B) "What are your beliefs about a person's right to take his or her own life?"
C) "Do you think you are vulnerable to developing a depressed mood?"
D) "If you felt suicidal, would you tell someone about your feelings?"
Q2) An elderly patient must be physically restrained. Who is responsible for the patient's safety?
A) The nurse assigned to care for the patient
B) Unlicensed assistive personnel who apply the restraint
C) Family member who agrees to application of the restraint
D) Health care provider who prescribed application of restraint
Q3) A nurse and social worker co-lead a reminiscence group for eight young-old adults. Which activity is most appropriate to include in the group?
A) Mild aerobic exercise
B) Singing a song from World War II
C) Discussing national leadership during the Vietnam War
D) Identifying the most troubling story in today's newspaper
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Chapter 31: Living With Recurrent and Persistent Mental Illness
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Sample Questions
Q1) A person diagnosed with serious mental illness has frequent relapses, usually precipitated by situational stressors such as running out of money or the absence of key staff at the mental health centre. Which interventions would the nurse suggest to reduce the risk of stressors to cause relapse? Select all that apply.
A) Discourage potentially stressful activities such as groups or volunteer work.
B) Develop plans that will help the patient remember what to do in a crisis.
C) Help the patient identify and anticipate events that are likely to be overwhelming.
D) Encourage health-promoting activities such as exercise and getting adequate rest.
E) Accompany the patient to a support group meeting.
Q2) For patients diagnosed with serious mental illness, what is the major advantage of case management?
A) The case manager can modify traditional psychotherapy.
B) With one coordinator of services, resources can be more efficiently used.
C) The case manager can focus on social skills training and esteem building.
D) Case managers bring groups of patients together to discuss common problems.
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Chapter 32: Psychological Needs of Patients With Medical Conditions
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Sample Questions
Q1) A diabetic patient is to have a mid-thigh amputation of his left leg. He tells the nurse, "I guess I'll be called 'Gimpy' after the surgery. My life is really going to change when I can't carry out my exercise program anymore. It sure won't be the same." What do these comments suggest the patient is experiencing?
A) Loss and grief
B) Fear and denial
C) Depression
D) Spiritual distress
Q2) A patient has a disorder that causes progressive, severe muscle pain and weakness, and she has curtailed physical and social activities to accommodate her condition. She tells the nurse "I cannot do anything. I have to depend on other people to help me. I do not enjoy much of anything anymore; even food does not taste good. I cannot see that my situation will change, so I feel pretty hopeless." Which of the following is the priority action the nurse should take?
A) Point out that there is always room for hope
B) Discuss the importance of physical exercise
C) Inquire about her support system and coping plans
D) Assess for signs of depression
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Chapter 33: Care for the Dying and for Those Who Grieve
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Source URL: https://quizplus.com/quiz/23115
Sample Questions
Q1) A wife received news that her husband died of heart failure, and she called her family to come to the hospital. She angrily tells the nurse who cared for him, "He would still be alive if you had given him your undivided attention." Select the nurse's best response.
A) "Most people go through periods of anger when their loved one dies. Are you feeling angry now?"
B) "Your husband's heart was so severely damaged that it could no longer pump."
C) "I will call my supervisor to discuss this matter with you."
D) Hold the spouse's hand in silence until the family arrives.
Q2) 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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Chapter 34: Forensic Psychiatric Nursing
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Q1) A nurse testifies about care provided to a patient in the 8 hours before a successful suicide. The nurse responds to questions about observations regarding the patient's behaviour. In what capacity was this nurse testifying?
A) Forensic nurse examiner
B) Expert witness
C) Hostile witness
D) Consultant
Q2) What chronic condition is an individual that is incarcerated in a Canadian Federal Institutions more likely to have than someone in the general population?
A) COPD
B) Diabetes
C) Multiple sclerosis
D) Cystic fibrosis
Q3) Health problems most commonly encountered by correctional nurses are which of the following?
A) Routine infections and minor trauma
B) Chronic medical and psychiatric disorders
C) Similar to the non-incarcerated population
D) Injuries acquired during arrest or incarceration
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Page 36
Chapter 35: Therapeutic Groups
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Sample Questions
Q1) During a group therapy session, a newly admitted patient suddenly says to the nurse, "How old are you? You seem too young to be leading a group." Select the nurse's most appropriate response.
A) "I am wondering what leads you to ask. Please tell me more."
B) "I am old enough to be a nurse, which qualifies me to lead this group."
C) "My age is not pertinent to why we are here and should not concern you."
D) "You are wondering whether I have enough experience to lead this group?"
Q2) A group begins the working phase. One member has a childhood history of neglect and ridicule by parents. Which comment would the group leader expect from this member?
A) "My boss is always expecting more of me than the others, but talking to him would only make it worse."
B) "I'm sorry for talking all the time, but there is so much going on in my life. I can't remember what I already said."
C) "Thanks for the suggestions, everyone. Maybe some of them will help. It won't hurt to give them a try."
D) "This group is stupid. Nobody here can help anybody else because we are all so confused. It's a waste."
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Chapter 36: Family Interventions
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Q1) A wife believes her husband is having an affair. Lately, he has been disinterested in romance and has been working late. The husband has an important, demanding project at work. The mother asks her teen, "What have you noticed about your father?" The teen later mentions this to the father, who says, "Tell your mother that I can't deal with her insecurities right now." Which family dynamic is evident?
A) Multigenerational dysfunction
B) Triangulation
C) Enmeshment
D) Blaming
Q2) A 16-year-old wants to drive, but the parents will not allow it. The 14-year-old sibling was invited to several sleepovers, but the parents found reasons to deny permission. Both teens are annoyed because the parents buy clothes for them that are more suitable for younger children. The parents say, "We don't want our kids to grow up too fast." Which term best describes this family's boundaries?
A) Rigid
B) Clear
C) Enmeshed
D) Differentiated
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Chapter 37: Integrative Care
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Source URL: https://quizplus.com/quiz/23119
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Q1) Acupuncture is a traditional Chinese medical treatment based on which of the following beliefs?
A) That insertion of needles in key locations will drain toxic energies
B) That pressure on meridian points will correct problems in energy flow
C) That insertion of needles modulates the flow of energy along body meridians
D) That taking small doses of noxious substances will alleviate specific symptoms
Q2) A patient with a history of asthma says, "I've been very nervous lately. I think aromatherapy will help. I am ordering $250 worth of oils from an Internet site that promised swift results." Select the nurse's best action.
A) Support the patient's efforts to become informed and to find health solutions.
B) Suggest the patient check with friends who have tried aromatherapy for treatment of anxiety.
C) Remind the patient, "If you spend that much on oils, you may not be able to buy your prescribed medication."
D) Tell the patient, "Aromatherapy can complicate respiratory problems such as asthma. Let's consider some other options."
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