Clinical Practice in Mental Health Nursing Final Exam
Course Introduction
This course provides an in-depth exploration of essential skills, theories, and interventions in mental health nursing within clinical practice settings. Students learn to assess, plan, and implement evidence-based care for individuals experiencing acute and chronic mental health conditions. Emphasis is placed on establishing therapeutic relationships, applying psychiatric nursing processes, administering psychopharmacological treatments, and managing crisis situations. The course integrates ethical, legal, and cultural considerations while encouraging reflective practice and interdisciplinary collaboration. Through practical placements and simulation, students gain hands-on experience in delivering safe, person-centered mental health nursing care and promoting recovery and resilience among diverse populations.
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) 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
Q2) A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information?
A) Nursing Outcomes Classification (NOC)
B) Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
C) The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice
D) International Statistical Classification of Diseases and Related Health Problems (ICD-10)
Answer: B
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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) Who was instrumental in lobbying for the first mental health hospital in the United States and for reform in British and Canadian institutions?
A) Michel Foucault
B) Dorothea Dix
C) The Grey Nuns
D) Philippe Pinel
Answer: B
Q2) The first psychiatric nurse training program in Canada was in which of the following provinces?
A) Alberta
B) Quebec
C) Ontario
D) British Columbia
Answer: C
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) Which stage of psychosexual development is most relevant to the patient that expresses a desire to be cared for by others and often behaves in a helpless fashion?
A) Latency
B) Phallic
C) Anal
D) Oral
Answer: D
Q2) A psychotherapist works with an anxious, dependent patient. Which strategy is most consistent with psychoanalytic psychotherapy?
A) Identifying the patient's strengths and assets
B) Praising the patient for describing feelings of isolation
C) Focusing on feelings developed by the patient toward the therapist
D) Providing psychoeducation and emphasizing medication adherence
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) A nurse prepares to administer a second-generation antipsychotic medication to a patient diagnosed with schizophrenia. Additional monitoring for adverse effects will be most important if the patient has which co-morbid health problems? Select all that apply.
A) Parkinson's disease
B) Grave's disease
C) Hyperlipidemia
D) Osteoarthritis
E) Diabetes
Q2) A patient begins therapy with a phenothiazine medication. What teaching should the nurse provide related to the drug's strong dopaminergic effect?
A) Chew sugarless gum.
B) Increase dietary fiber.
C) Arise slowly from bed.
D) Report changes in muscle movement.
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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) A nurse surveys medical records. Which finding signals a violation of patients' rights?
A) A patient was not allowed to send letters to family.
B) A patient's belongings were searched at admission.
C) A patient with suicidal ideation was placed on continuous observation.
D) Physical restraint was used after a patient was assaultive toward a staff member.
Q2) Which of the following scenarios best depicts a behavioural crisis?
A) A patient is waving fists, cursing, and shouting threats at a nurse.
B) A patient is curled up in a corner of the bathroom, wrapped in a towel.
C) A patient is crying hysterically after receiving a phone call from a family member.
D) A patient is performing push-ups in the middle of the hall, forcing others to walk around.
Q3) 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 patient diagnosed with schizophrenia has been stable for 2 months. Today the patient's spouse calls the nurse to report the patient has not taken prescribed medication and is having disorganized thinking. The patient forgot to refill the prescription. The nurse arranges a refill. Select the best outcome to add to the plan of care.
A) The patient's spouse will mark dates for prescription refills on the family calendar.
B) The nurse will obtain prescription refills every 90 days and deliver to the patient.
C) The patient will call the nurse weekly to discuss medication-related issues.
D) The patient will report to the clinic for medication follow-up every week.
Q2) Which level of prevention activities would a nurse in an emergency department employ most often?
A) Primary
B) Secondary
C) Tertiary
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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 communication techniques would be most effective for a nurse to use during an assessment interview with an adult Aboriginal patient?
A) Open and friendly; ask direct questions; touch the patient's arm or hand occasionally for reassurance.
B) Frequent nonverbal behaviours, such as gestures and smiles; make an unemotional face to express negatives.
C) Soft voice; break eye contact occasionally; general leads and reflective techniques.
D) Stern voice; unbroken eye contact; minimal gestures; direct questions.
Q2) Susto
A)Navajo
B)Korean
C)Latin American
D)Chinese
E)Vietnamese
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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) Which documentation of a patient's behaviour best demonstrates a nurse's observations?
A) Isolates self from others. Frequently fell asleep during group. Vital signs stable.
B) Calmer; more cooperative. Participated actively in group. No evidence of psychotic thinking.
C) Appeared to hallucinate. Frequently increased volume on television, causing conflict with others.
D) Wore four layers of clothing. States, "I need protection from evil bacteria trying to pierce my skin."
Q2) Which of the following patients meets criteria for involuntary hospitalization for psychiatric treatment?
A) The patient who is noncompliant with the treatment regimen
B) The patient who fraudulently files for bankruptcy
C) The patient who sold and distributed illegal drugs
D) The patient who threatens to harm self and others
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10
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) A nurse wants to assess an adult patient's recent memory. Which question would best yield the desired information?
A) "Where did you go to elementary school?"
B) "What did you have for breakfast this morning?"
C) "Can you name the current president of the United States?"
D) "A few minutes ago, I told you my name. Can you remember it?"
Q2) Before assessing a new patient, a nurse is told by another health care worker, "I know that patient. No matter how hard we work, there isn't much improvement by the time of discharge." The nurse's responsibility is to do which of the following?
A) Document the other worker's assessment of the patient
B) Assess the patient based on data collected from all sources
C) Validate the worker's impression by contacting the patient's significant other
D) Discuss the worker's impression with the patient during the assessment interview
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11
Chapter 10: Therapeutic Relationships
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30 Flashcards
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Sample Questions
Q1) Which issues should a nurse address during the first interview with a patient with a psychiatric disorder?
A) Trust, congruence, attitudes, and boundaries
B) Goals, resistance, unconscious motivations, and diversion
C) Relationship parameters, the contract, confidentiality, and termination
D) Transference, counter-transference, intimacy, and developing resources
Q2) As a patient diagnosed with a mental illness is being discharged from a facility, a nurse invites the patient to the annual staff picnic. What is the best analysis of this scenario?
A) The invitation facilitates dependency on the nurse.
B) The nurse's action blurs the boundaries of the therapeutic relationship.
C) The invitation is therapeutic for the patient's diversional activity deficit.
D) The nurse's action assists the patient's integration into community living.
Q3) What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviours that indicate which of the following?
A) Self-responsibility and autonomy
B) A greater sense of independence
C) Rapport and trust with the nurse
D) Resolved transference
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Chapter 11: Communication and the Clinical Interview
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) During the initial patient interview, which of the following are reasons that the patient may be reluctant to speak? Select all that apply.
A) Feelings of distrust
B) The nurse is a health care provider
C) Feelings of embarrassment
D) Repetitive nature of the situation
E) Shyness
Q2) A patient with acute depression states, "God is punishing me for my past sins." What is the nurse's most therapeutic response?
A) "You sound very upset about this."
B) "God always forgives us for our sins."
C) "Why do you think you are being punished?"
D) "If you feel this way, you should talk to your minister."
Q3) Which technique will best communicate to a patient that the nurse is interested in listening?
A) Restating a feeling or thought the patient has expressed
B) Asking a direct question, such as "Did you feel angry?"
C) Making a judgement about the patient's problem
D) Saying, "I understand what you're saying."
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Page 13
Chapter 12: Understanding Responses to Stress
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The adult child of a patient diagnosed with major depression asks, "Do you think depression and physical illness are connected? Since my father's death, my mother has had shingles and the flu, but she's usually not one who gets sick." Which answer by the nurse best reflects current knowledge about psychoneuroimmunology?
A) "It is probably a coincidence. Emotions and physical responses travel on different tracts of the nervous system."
B) "You may be paying more attention to your mother since your father died and noticing more things such as minor illnesses."
C) "So far, research on emotions or stress and becoming ill more easily is unclear. We do not know for sure if there is a link."
D) "Negative emotions and stress may interfere with the body's ability to protect itself and can increase the likelihood of infection."
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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 patient performs ritualistic handwashing. Which action should the nurse implement to help the patient develop more effective coping?
A) Displacement
B) Reflection
C) Systematic desensitization
D) Reaction formation
Q2) A patient diagnosed with obsessive-compulsive disorder has this nursing diagnosis: Anxiety related to __________ as evidenced by inability to control compulsive cleaning. Which phrase correctly completes the etiological portion of the diagnosis?
A) Feelings of responsibility for the health of family members
B) Approval-seeking behaviour from friends and family
C) Persistent thoughts about bacteria, germs, and dirt
D) Needs to avoid interactions with others
Q3) For a patient experiencing panic, which nursing intervention should be implemented first?
A) Teach relaxation techniques.
B) Administer an anxiolytic medication.
C) Prepare to implement physical controls.
D) Provide calm, brief, directive communication.
Page 15
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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 takes a monoamine oxidase inhibitor and refuses solid foods. In order to meet nutritional needs, which beverage will the nurse offer to this patient?
A) Imported beer
B) Protein dietary supplement beverage
C) Hot tea
D) Milk
Q2) A nurse provided medication education for a patient diagnosed with major depression who began a new prescription for phenelzine (Nardil). Which behaviour indicates effective learning?
A) The patient monitors sodium intake and weight daily.
B) The patient wears support stockings and elevates the legs when sitting.
C) The patient can identify foods with high selenium content that should be avoided.
D) The patient confers with a pharmacist when selecting over-the-counter medications.
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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) At a unit meeting, the staff discusses decor for a special room for patients with acute mania. Which suggestion is appropriate?
A) An extra-large window with a view of the street
B) Neutral walls with pale, simple accessories
C) Brightly coloured walls and print drapes
D) Deep colours for walls and upholstery
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 newly hospitalized patient experiencing psychosis says, "Red chair out town board." Which term should the nurse use to document this finding?
A) Word salad
B) Neologism
C) Anhedonia
D) Echolalia
Q2) A client says, "Facebook has a new tracking capacity. If I use the Internet, Homeland Security will detain me as a terrorist." Select the nurse's best initial action.
A) Tell the client, "Facebook is a safe Web site. You don't need to worry about Homeland Security."
B) Tell the client, "You are in a safe place where you will be helped."
C) Administer a prn dose of an antipsychotic medication.
D) Tell the client, "You don't need to worry about that."
Q3) Which finding constitutes a negative symptom associated with schizophrenia?
A) Hostility
B) Bizarre behaviour
C) Poverty of thought
D) Auditory hallucinations
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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 was diagnosed with anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and lost 25% of body weight. The serum potassium is currently 2.7 mg/dL. Which nursing diagnosis applies?
A) Adult failure to thrive related to abuse of laxatives as evidenced by electrolyte imbalances and weight loss
B) Disturbed energy field related to physical exertion in excess of energy produced through caloric intake as evidenced by weight loss and hyperkalemia
C) Ineffective health maintenance related to self-induced vomiting as evidenced by swollen parotid glands and hyperkalemia
D) Imbalanced nutrition: less than body requirements related to reduced oral intake as evidenced by loss of 25% of body weight and hypokalemia
Q2) Which personality characteristic is a nurse most likely to assess in a patient diagnosed with anorexia nervosa?
A) Carefree flexibility
B) Rigidity, perfectionism
C) Open displays of emotion
D) High spirits and optimism
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Page 19
Chapter 18: Cognitive Disorders
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32 Verified Questions
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Sample Questions
Q1) Which assessment findings would the nurse expect in a patient experiencing delirium? Select all that apply.
A) Impaired level of consciousness
B) Disorientation to place, time
C) Wandering attention
D) Apathy
E) Agnosia
Q2) A patient diagnosed with moderately severe Alzheimer's disease has a self-care deficit of dressing and grooming. Designate appropriate interventions to include in the patient's plan of care. Select all that apply.
A) Provide clothing with elastic and Velcro closures.
B) Label clothing with the patient's name and name of the item.
C) Administer anti-anxiety medication before bathing and dressing.
D) Provide necessary items and direct the patient to proceed independently.
E) If the patient resists dressing, use distraction and try again after a short interval.
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Chapter 19: Substance Use and Addictive Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) Police bring a patient to the emergency department after an automobile accident. The patient demonstrates ataxia and slurred speech. The blood alcohol level is 0.50 mg%. Considering the relationship between the behaviour and blood alcohol level, which conclusion is most probable?
A) The patient rarely drinks alcohol.
B) The patient has a high tolerance to alcohol.
C) The patient has been treated with disulfiram (Antabuse).
D) The patient has ingested both alcohol and sedative drugs recently.
Q2) A patient admitted to an alcoholism rehabilitation program tells the nurse, "I'm actually just a social drinker. I usually have a drink at lunch, two in the afternoon, wine with dinner, and a few drinks during the evening." The patient is using which defence mechanism?
A) Denial
B) Projection
C) Introjection
D) Rationalization
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Chapter 20: Personality Disorders
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32 Verified Questions
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Sample Questions
Q1) For which behaviour would limit setting be most essential?
A) The patient who clings to the nurse and asks for advice about inconsequential matters
B) The patient who is flirtatious and provocative with staff members of the opposite sex
C) The patient who is hypervigilant and refuses to attend unit activities
D) The patient who urges a suspicious patient to hit anyone who stares
Q2) A patient diagnosed with borderline personality disorder has a history of self-mutilation and suicide attempts. The patient reveals feelings of depression and anger with life. Which type of medication would the nurse expect to be prescribed?
A) A benzodiazepine
B) A mood-stabilizing medication
C) A monoamine oxidase inhibitor (MAOI)
D) A serotonin norepinephrine reuptake inhibitor (SNRI)
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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 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 new patient at the sleep disorders clinic tells the nurse, "I have not slept well in a year, so I never feel good. I do not expect things will ever improve or be any different." Which of the following interventions should the nurse consider doing? Select all that apply.
A) Suggest using alcohol as a sedative
B) Provide instruction in relaxation techniques
C) Counsel the patient to address cognitive distortions
D) Teach the patient about factors that influence sleep
E) Teach fatigue-producing activities to become overtired
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Chapter 22: Sexual Dysfunction, Gender Dysphoria, and Paraphilias
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25 Verified Questions
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Sample Questions
Q1) A man says, "I enjoy watching women when I am out in public. I like to go to places where I can observe women crossing their legs in hopes of seeing something good." Which statement about this behaviour is most accurate?
A) It is a sexual disorder. The behaviour is socially atypical. It could disrupt relationships and could be insulting to others.
B) It is not a sexual disorder. These events occur in public, where those he observes do not have a reasonable expectation of privacy.
C) It is not a sexual disorder. Because it occurs in public areas, this behaviour does not hurt others or involve intrusion into the personal space of those observed.
D) An action is or is not a sexual disorder depending on applicable local laws, so whether this meets the definition of a sexual disorder depends on the location.
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Chapter 23: Somatic Symptom Disorders and Dissociative Disorders
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Sample Questions
Q1) A nurse assesses a patient suspected of having somatic symptom disorder. Which assessment findings regarding this patient support the suspected diagnosis? Select all that apply.
A) Female
B) Reports frequent syncope
C) Rates pain as "1" on a scale of "10"
D) First diagnosed with psoriasis at age 12
E) Reports insomnia often results from back pain
Q2) To plan effective care for patients diagnosed with somatic symptom disorders, the nurse should understand that patients have difficulty giving up the symptoms because of which of the following?
A) The symptoms are generally chronic.
B) The symptoms have a physiological basis.
C) The symptoms can be voluntarily controlled.
D) The symptoms provide relief from health anxiety.
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25
Chapter 24: Crisis and Disaster
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Sample Questions
Q1) An adult seeks counselling after the spouse was murdered. The adult angrily says, "I hate the beast that did this. It has ruined my life. During the trial, I don't know what I'll do if the jury doesn't return a guilty verdict." What is the nurse's highest priority response?
A) "Would you like to talk to a psychiatrist about some medication to help you cope during the trial?"
B) "What resources do you need to help you cope with this situation?"
C) "Do you have enough support from your family and friends?"
D) "Are you having thoughts of hurting yourself or others?"
Q2) An adolescent comes to the crisis clinic and reports sexual abuse by an uncle. The adolescent told both parents about the uncle's behaviour, but the parents did not believe the adolescent. What type of crisis exists?
A) Maturational
B) Adventitious
C) Situational
D) Organic
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Chapter 25: Suicide
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Sample Questions
Q1) Which intervention will the nurse recommend for the distressed family and friends of someone who has committed suicide?
A) Participating in reminiscence therapy
B) Psychological postmortem assessment
C) Attending a self-help group for survivors
D) Contracting for at least two sessions of group therapy
Q2) 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."
Q3) 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."
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Page 27
Chapter 26: Anger, Aggression, and Violence
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Sample Questions
Q1) Which assessment finding presents the greatest risk for violent behaviour directed at others?
A) Severe agoraphobia
B) Substance abuse disorder
C) Bizarre somatic delusions
D) Verbalized hopelessness and powerlessness
Q2) An adult patient assaulted another patient and was then restrained. One hour later, which statement by the restrained patient requires the nurse's immediate attention?
A) "I hate all of you!"
B) "My fingers are tingly."
C) "You wait until I tell my lawyer."
D) "The other patient started the fight."
Q3) 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 survivor of physical spousal abuse was treated in the emergency department for a broken wrist. This patient said, "I've considered leaving, but I made a vow and I must keep it no matter what happens." Which outcome should be met before discharge?
A) Staff will lay charges against the abuser with police.
B) The patient will name two community resources for help.
C) The patient will demonstrate insight into the abusive relationship.
D) The patient will reexamine cultural beliefs about marital commitment.
Q2) After treatment for a detached retina, a survivor of intimate partner abuse says, "My partner only abuses me when I make mistakes. I've considered leaving, but I was brought up to believe you stay together, no matter what happens." Which diagnosis should be the focus of the nurse's initial actions?
A) Risk for injury related to physical abuse from partner
B) Social isolation related to lack of a community support system
C) Ineffective coping related to uneven distribution of power within a relationship
D) Deficient knowledge related to resources for escape from an abusive relationship
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Page 29
Chapter 28: Sexual Assault
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Sample Questions
Q1) A victim of a sexual assault who sits in the emergency department is rocking back and forth and repeatedly saying, "I can't believe I've been raped." This behaviour is characteristic of which stage of rape-trauma syndrome?
A) The acute phase
B) The long-term phase
C) A delayed reaction
D) The angry stage
Q2) 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.
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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Page 30
Chapter 29: Disorders of Children and Adolescents
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28 Verified Questions
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Source URL: https://quizplus.com/quiz/23111
Sample Questions
Q1) Which assessment finding would cause the nurse to consider a child to be most at risk for the development of mental illness?
A) The child has been raised by a parent with chronic major depression.
B) The child's best friend was absent from the child's birthday party.
C) The child was not promoted to the next grade one year.
D) The child moved to three new homes over a 2-year period.
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
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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Chapter 30: Psychosocial Needs of the Older Adult
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Sample Questions
Q1) Discharge planning begins for an elderly patient hospitalized for 2 weeks and diagnosed with major depression. The patient needs ongoing assessment and socialization opportunities as well as education about medication and relapse prevention. The patient lives with a daughter, who works during the week. Select the best referral for this patient.
A) Behavioural health home care
B) A nursing home
C) Partial hospitalization
D) A halfway house
Q2) 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?"
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Chapter 31: Living With Recurrent and Persistent Mental Illness
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Sample Questions
Q1) The sibling of a patient diagnosed with a serious mental illness asks why a case manager has been assigned. The nurse's reply should cite which of the following as the major advantage of the use of case management?
A) "The case manager can modify traditional psychotherapy for patients so that it is more flexible."
B) "Case managers coordinate services and help with accessing them, making sure the patient's needs are met."
C) "The case manager can focus on social skills training and esteem building in the real world where the patient lives."
D) "Having a case manager has been shown to reduce hospitalizations, which prevents disruption and saves money."
Q2) Which nursing diagnosis is likely to apply to an individual diagnosed with a serious mental illness who is homeless?
A) Insomnia
B) Substance abuse
C) Chronic low self-esteem
D) Impaired environmental interpretation syndrome
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33
Chapter 32: Psychological Needs of Patients With Medical Conditions
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Sample Questions
Q1) A patient who has been diagnosed with breast cancer has many questions related to surgery, radiation therapy, and chemotherapy. The nurse provides education about the disease and treatments but perceives that the patient has further questions about coping with day-to-day situations. Which of the following actions would be of greatest benefit to the patient?
A) Suggesting cognitive-behavioural therapy with a counsellor
B) Teaching her to monitor her stress level while at home
C) Suggesting she enroll in a pain-management program
D) Referring her to a support group for people with breast cancer
Q2) A staff nurse tells the clinical nurse leader, "I am at a total loss as to how to deal with this patient. He has so many physical needs since his head and neck surgery! Those needs have to be my primary focus, but sometimes it seems he's crying and in emotional pain, too, and I don't know how to help with that." Which resource would likely be the best choice to help this nurse?
A) Psychiatric consultation liaison nurse
B) On-call psychiatrist
C) Unit social worker
D) Hospital chaplain
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Chapter
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Sample Questions
Q1) After a spouse's death, a patient repeatedly says, "I should have recognized what was happening and been more helpful." This individual is experiencing which of the following?
A) Preoccupation with the image of the deceased
B) Sensations of somatic distress
C) Anger
D) Guilt
Q2) As death approaches, a patient with AIDS says, "I do not have enough energy for many visitors anymore, and I am embarrassed about how I look. I only want to see my parents and sister." What action should the nurse take?
A) Support the patient to share the request with the parents and sister. Suggest that they inform the patient's friends of the request.
B) Encourage the patient to reconsider this decision. Interested and caring friends can be sources of support.
C) Suggest that the patient discuss these wishes with the health care provider.
D) Place a "No Visitors" sign on the patient's door.
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Chapter 34: Forensic Psychiatric Nursing
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Q1) The highest degree of credibility is required by a nurse who provides testimony before the court as which of the following?
A) Hostile witness
B) Expert witness
C) Correctional nurse
D) Critical care nurse
Q2) The correctional nurse assesses a new prisoner beginning incarceration after committing a sex crime. The prisoner speaks in a low voice and tearfully tells the nurse, "My life might as well be over. There is no hope I will ever fit into society after I get out of prison. My family disowned me." Select the nurse's priority action.
A) Advise guards to place the inmate in solitary confinement.
B) Offer to contact the inmate's family to convey these feelings of remorse.
C) Alert the guards of the risk for suicide and implement suicide precautions.
D) Meet with the inmate weekly to discuss these feelings and explore coping strategies.
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Chapter 35: Therapeutic Groups
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Sample Questions
Q1) 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
Q2) A nurse leads a psychoeducational group for patients in the community diagnosed with schizophrenia. A realistic outcome for group members is that they will do which of the following?
A) Discuss ways to manage their illness
B) Develop a high level of trust and cohesiveness
C) Understand unconscious motivation for behaviour
D) Demonstrate insight about development of their illness
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Chapter 36: Family Interventions
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Source URL: https://quizplus.com/quiz/23118
Sample Questions
Q1) A 15-year-old is hospitalized after a suicide attempt. This adolescent lives with her mother, stepfather, and several siblings. When performing a family assessment, which of the following must the nurse first determine?
A) How the family expresses and manages emotion
B) Names and relationships of the family's members
C) The communication patterns between the patient and parents
D) The meaning that the patient's suicide attempt has for family members
Q2) A family expresses helplessness related to dealing with a mentally ill member's odd behaviours, mood swings, and argumentativeness. Which of the following would be an effective nursing intervention for this family?
A) To express sympathy for their situation
B) To involve local social service agencies
C) To explain symptoms of relapse
D) To role-play difficult situations
Q3) Which finding of family assessment indicates a healthy and functional family?
A) Members provide nurturance.
B) Power is distributed equally among all members.
C) Members believe there are specific causes for events.
D) Under stress, members turn inward and become enmeshed.
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Page 38
Chapter 37: Integrative Care
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Sample Questions
Q1) An immigrant from China needs a colonic resection but is anxious and reluctant about surgery. This patient usually follows traditional Chinese health practices. Which comment by the nurse would most likely reduce the patient's anxiety and reluctance?
A) "Surgery will help rebalance the yin and yang forces and return you to harmony."
B) "The surgery we are recommending will help you achieve final transformation."
C) "I know this is new to you, but you can trust us to take very good care of you."
D) "If you would like, we could investigate using acupuncture to help control pain."
Q2) Which traditional, complementary, and alternative therapy may be safely combined with traditional Western medicine in the treatment of anxiety disorder?
A) Electroconvulsive therapy
B) Megadoses of vitamins
C) Meditative practices
D) Herbal therapy
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