Clinical Psychiatric Nursing
Final Test Solutions
Course Introduction
Clinical Psychiatric Nursing is an advanced course designed to equip nursing students with the theoretical knowledge and practical skills necessary to assess, plan, implement, and evaluate care for individuals experiencing mental health disorders. The course emphasizes the nurse's role in therapeutic communication, crisis intervention, and the development of individualized care plans within a multidisciplinary team. Students will explore a range of psychiatric conditions, psychopharmacology, legal and ethical issues, and evidence-based interventions while applying concepts in real-world clinical settings. Through case studies and hands-on clinical experiences, learners will develop cultural competence, empathy, and professional resilience, preparing them to support patients and families across the continuum of mental health care.
Recommended Textbook
Foundations of Psychiatric Mental Health Nursing A Clinical Approach 6th Edition by Elizabeth M.
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36 Chapters
1052 Verified Questions
1052 Flashcards
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Chapter 1: Mental Health and Mental Illness
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/51624
Sample Questions
Q1) A nurse wants to find a description of diagnostic criteria for anxiety disorders.Which resource would have the most complete information?
A) The ICD-10
B) Nursing Outcomes Classification
C) Diagnostic and Statistical Manual of Mental Disorders
D) The ANA Psychiatric-Mental Health Nursing Scope and Standards of Practice
Answer: C
Q2) A new staff nurse completes orientation to a psychiatric unit.This nurse may expect an advanced practice nurse to perform which additional interventions?
A) Conduct mental health assessments
B) Establish therapeutic relationships
C) Individualize nursing care plans
D) Prescribe psychotropic medication
Answer: D
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Chapter 2: Relevant Theories and Therapies for Nursing Practice
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Although ego defense mechanisms and security operations are unconsciously determined and designed to relieve anxiety,the major difference is:
A) defense mechanisms are intrapsychic and not observable.
B) defense mechanisms cause arrested personal development.
C) security operations are masterminded by the id and superego.
D) security operations address interpersonal relationship activities.
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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4
Chapter 3: Biological Basis for Understanding Psychotropic Drugs
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The therapeutic action of neurotransmitter inhibitors that block reuptake cause:
A) decreased concentration of the neurotransmitter in the central nervous system.
B) increased concentration of neurotransmitter in the synaptic gap.
C) destruction of receptor sites.
D) limbic system stimulation.
Answer: B
Q2) Correctly sequence these structures of the brainstem,beginning with the most superior.
A) Pons
B) Midbrain
C) Medulla oblongata
Answer: 1.B
2.A
3.C
The brainstem is composed of the midbrain,pons,and medulla oblongata.
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Page 5
Chapter 4: Psychiatric Mental Health Nursing in Acute Care Settings
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse can best address factors of critical importance to successful community treatment,including making assessments relative to: (Select all that apply. )
A) housing adequacy and stability.
B) income adequacy and stability.
C) family and other support systems.
D) early psychosocial development.
E) substance abuse history and current use.
Q2) At age 19,an individual developed a serious mental illness.Symptoms continued for 2 years despite treatment,and the individual is unable to work.For which resource should this individual apply?
A) Social Security Disability Insurance
B) Veterans Administration benefits
C) Supplemental Security Income
D) Welfare
Q3) Clinical pathways are used in managed care settings to:
A) stabilize aggressive patients.
B) identify obstacles to effective care.
C) relieve nurses of planning responsibilities.
D) streamline the care process and save money.
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Chapter 5: Psychiatric Mental Health Nursing in Community Settings
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A Category V tornado hits a community,destroying many homes and businesses.Which nursing intervention would best demonstrate compassion and caring?
A) Encouraging persons to describe their memories and feelings about the event.
B) Arranging transportation to the local community mental health center.
C) Referring a patient to a community food bank.
D) Coordinating psychiatric home care services.
Q2) A patient with serious mental illness lives alone in a neighborhood.The patient receives monthly depot medication injections but lately has missed regular clinic appointments,saying,"My life is so busy I couldn't find time to come in." To prevent decompensation and hospitalization,the community mental health nurse should arrange for:
A) a psychosocial rehabilitation program.
B) assertive community treatment (ACT).
C) an appointment with a nurse in private practice.
D) insurance authorization to change to daily oral medication.
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Chapter 6: Cultural Implications for Psychiatric Mental
Health Nursing
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) A Native American hospitalized with auditory and visual hallucinations says,"My father said I should kill myself to save me from bad spirits." The patient's father is deceased.Which intervention would most appropriate?
A) After the patient becomes comfortable in the hospital setting,encourage description of the visions in a group setting.
B) Explain to the patient that there are no evil spirits and these symptoms demonstrate grief related to the father's death.
C) Obtain the patient's consent then consult the family for a spiritual healer from the patient's tribe.
D) Provide the patient with private time to meditate and pray.
Q2) Susto
A)Navajo
B)Korean
C)Latin American
D)Chinese
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Page 8
Chapter 7: Legal and Ethical Guidelines for Safe Practice
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) Which patient meets criteria for involuntary commitment for psychiatric treatment? The patient who:
A) is noncompliant with the treatment regimen.
B) fraudulently files for bankruptcy.
C) sold and distributed illegal drugs.
D) threatens to harm self and others.
Q2) Select the example of a tort.
A) The plan of care for a patient is not completed within 24 hours of the patient's admission.
B) A nurse gives a PRN dose of an antipsychotic drug to an agitated patient because the unit is short staffed.
C) An advanced practice nurse recommends hospitalization for a patient who is dangerous to self and others.
D) A patient's admission status changed from involuntary to voluntary after the patient's hallucinations subside.
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9
Chapter 8: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The scope of practice for an advanced practice psychiatric nurse adds which interventions beyond the basic level? You may select more than one answer.
A) Perform mental health assessment interviews
B) Prescribe psychotropic medication
C) Establish therapeutic relationships
D) Consultation with other clinicians
E) Psychotherapy
Q2) An adult patient recently diagnosed with cancer states,"I've lived my life according to the Bible.I don't understand why God has forsaken me." Which nursing diagnosis applies?
A) Hopelessness
B) Spiritual distress
C) Spiritual dysfunction
D) Disturbed thought processes
Q3) A patient has these nursing diagnoses.Prioritize them,beginning with the highest priority.
A) Social isolation
B) Spiritual distress
C) Self-care deficit syndrome
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Chapter 9: Therapeutic Relationships
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) During the first interview,a nurse notices that a patient does not make eye contact.Which analysis is correct?
A) The patient is not truthful and is demonstrating evasive behavior.
B) The patient is shy.The nurse should progress slowly.
C) The patient feels sad and cannot look at the nurse.
D) More information is needed to draw a conclusion.
Q2) The nurse tells a peer,"I feel very uncomfortable with a patient and find myself wanting to avoid both informal contacts and scheduled sessions." Without supervision,which outcome is likely?
A) Growing interest and mutuality
B) Mutual withdrawal
C) Positive regard
D) Trust
Q3) At what point in the nurse-patient relationship should a nurse first address termination?
A) Preorientation phase
B) Orientation phase
C) Working phase
D) Termination phase
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Chapter 10: Communication and the Clinical Interview
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) "You look very nice today.I'm proud you took more time with your appearance."
Q2) The relationship between a nurse and patient as it relates to status and power is best described by which term?
A) Incongruent
B) Symmetrical
C) Paralinguistic
D) Complementary
Q3) Which technique communicates to a patient that a nurse is listening?
A) Saying,"You said you were unsure how to handle your feelings."
B) Commenting,"I understand what you're saying."
C) Stating,"Your behavior was inappropriate."
D) Asking,"Do you feel angry?"
Q4) Which statement by a nurse may underrate a patient's feelings and belittle the patient's concerns?
A) "You appear tense."
B) "I'm not sure I follow you."
C) "Everything will be all right."
D) "I notice you are biting your lip."
Q5) "I noticed your hands trembling when you told me about your accident."
Q6) "Why do you think these events have happened to you?"
Page 12
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Chapter 11: Understanding Responses to Stress
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/51634
Sample Questions
Q1) The nurse wishes to use guided imagery to help her patient relax.Which comment would be appropriate to include in the guided imagery script? Select all that apply.
A) "Imagine others treating you the way they should,the way you want to be treated "
B) "With each breath,you are feeling calmer,more relaxed,almost as if you are floating "
C) "You are alone on a beach,the sun is warm,and you hear only the sound of the surf "
D) "You have taken control,nothing can hurt you now,everything is going your way "
E) "You have grown calm,your mind is still,there is nothing to disturb your well-being "
Q2) According to the Life Changing Event Questionnaire,which situation would most merit a complete assessment of a person's stress status and coping abilities?
A) A person returning to college after his employer ceased operations.
B) A man who whose job is requiring him to relocate to a different city.
C) A person who has been assigned more responsibilities at work.
D) A man who recently separated from his wife because of marital problems.
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13
Chapter 12: Anxiety and Anxiety Disorders
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) The nurse interviewing a patient with suspected posttraumatic stress disorder should be alert to findings indicating the patient: Select all that apply.
A) experiences flashbacks or re-experiences trauma.
B) demonstrates hypervigilance or distrusts.
C) feels detached,estranged,or empty inside.
D) feels driven to repeat ritualistic behaviors.
E) avoids people and places that arouse painful memories.
Q2) A patient is seeking treatment for her fear of cats;even a picture or a thought of a cat causes her to sweat,tremble,become very apprehensive and uncomfortable,and become sick to her stomach.The nurse has established the nursing diagnosis as Anxiety related to exposure to phobic object (cats).A realistic indicator for the outcome Anxiety self-control would be that within 10 days,the patient will:
A) avoid the feared object whenever possible.
B) face the feared object without supportive assistance.
C) state that the fear of cats is unrealistic and inappropriate.
D) report a decrease in distress when thinking about cats.
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14
Chapter 13: Depressive Disorders
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A patient being treated for depression has been taking 300 mg amitriptyline (Elavil)daily for nearly a year.She calls her case manager at the mental health clinic,stating she stopped taking her antidepressant 2 days ago and has developed something like the "flu," with cold sweats,nausea,a rapid heartbeat,terrible nightmares when she sleeps,but no other symptoms.How should the nurse respond?
A) Advise her to go to the nearest emergency department for an evaluation.
B) Tell her to take two aspirin,drink plenty of fluids,and call her family doctor.
C) Explain it may be withdrawal;tell her to take one Elavil and contact her doctor.
D) Direct her to take the medicine every other day for 2 weeks,then stop.
Q2) A student in the Mood Disorders Clinic states that everything he does is wrong and that nothing he tries ever works.Although he has never failed an exam,he believes he will fail the next one.Based on evidence-based research,which of the following interventions would best address a presentation of this type?
A) Psychoanalytic therapy
B) Desensitization therapy
C) Cognitive-behavioral therapy
D) Alternative and complementary therapies
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Chapter 14: Bipolar Disorders
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Which documentation indicates that the treatment plan for a patient with acute mania was effective?
A) "Converses without interrupting;clothing matched;participates in activities."
B) "Irritable;suggestible;distractible;napped for 10 minutes in afternoon."
C) "Attention span 1 to 3 minutes;journals frequently about unit activities."
D) "Heavy makeup;seductive toward staff;pressured speech."
Q2) A patient with acute mania undresses in the day room and dances about.Select the best intervention.
A) Quietly ask the patient,"Are you embarrassed? Don't you think you should put your clothes on?"
B) Let the patient stay in the day room.Move other patients to a different area.
C) Cover the patient with a blanket and walk with the patient to a quiet room.
D) Tell the patient firmly,"Stop dancing and put on your clothing."
Q3) A patient with mania has not eaten or slept for 3 days.Which nursing diagnosis has priority?
A) Risk for injury
B) Ineffective coping
C) Ineffective management of therapeutic regime
D) Imbalanced nutrition,less than body requirements
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Page 16
Chapter 15: Schizophrenia
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A catatonic patient admitted in a stuporous condition begins to demonstrate increased motor activity.During his assessment,the psychiatrist raises the patient's arm above his head and releases it.The patient maintains the position his arm was placed in,immobile in that position for 15 minutes,moving only when the nurse gently lowers his arm.What symptom is demonstrated by this assessment technique?
A) Echopraxia
B) Waxy flexibility
C) Depersonalization
D) Thought withdrawal
Q2) A patient received maintenance doses of fluphenazine decanoate (Prolixin Decanoate)25 mg IM every 2 weeks for 2 years.The clinic nurse notes the patient is grimacing and seems to be constantly smacking her lips.On the next clinic visit,the patient's neck and shoulders twist in a slow,snakelike motion.The nurse should suspect the presence of ________ and should __________.
A) agranulocytosis check the patient's complete blood count for changes
B) tardive dyskinesia administer the Abnormal Involuntary Movement Scale
C) Tourette's syndrome consult the patient's physician about a neuro evaluation
D) anticholinergic effects consult the physician about possible medication changes
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Chapter 16: Eating Disorders
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A history reveals that a patient virtually stopped eating 5 months ago and lost 25% of body weight.The nurse says,"Describe what you think about your present weight and how you look." Which response would be most consistent with anorexia nervosa?
A) "I'm fat and ugly."
B) "What I think about myself is my business."
C) "I'm grossly underweight,but I cover it well."
D) "I'm a few pounds overweight,but I can live with it."
Q2) A patient admitted to the eating disorders unit has yellow skin,the extremities are cold,and the heart rate is 42 bpm.The patient weighs 70 pounds;height is 5 feet 4 inches.The patient is quiet during the assessment saying only,"I will not eat until I lose enough weight to look thin." Select the best 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
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Chapter 17: Cognitive Disorders
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The outcome that should be established for an elderly patient with delirium caused by fever and dehydration is that the patient will:
A) return to a premorbid level of functioning.
B) demonstrate motor responses to noxious stimuli.
C) identify stressors negatively affecting self.
D) exert control over responses to perceptual distortions.
Q2) Which symptom would suggest that the patient is experiencing delirium instead of dementia?
A) Altered level of consciousness
B) Disorientation to place and time
C) Wandering of attention
D) Stable autonomic functioning
Q3) A patient with severe dementia can no longer recognize her only daughter and becomes anxious and agitated when the daughter attempts to reorient her.An alternative the nurse could suggest to the daughter is to:
A) wear a large name tag.
B) visit her mother less often.
C) talk about experiences they've shared.
D) place clocks and calendars strategically.
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Page 19
Chapter 18: Addictive Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A nurse reviews vital signs for a patient admitted last night with an injury sustained while intoxicated.The medical record shows these blood pressure and pulse readings: Admission,2 AM - 118/78 mm Hg and 72 beats/min
4 AM - 126/80 mm Hg and 76 beats/min
6 AM - 128/82 mm Hg and 72 beats/min
8 AM - 132/88 mm Hg and 80 beats/min
10 AM - 148/94 mm Hg and 96 beats/min
What is the nurse's priority action?
A) Force fluids.
B) Consult the health care provider.
C) Obtain a clean-catch urine sample.
D) Place the patient in a vest-type restraint.
Q2) A hospitalized,alcohol-dependent patient 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.
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Page 20
Chapter 19: Personality Disorders
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A patient with borderline personality disorder has cut her wrists.The physician orders daily dressing changes for the lacerations.The nurse performing this care should:
A) encourage the patient to vent anger and aggression.
B) provide care in a matter-of-fact manner.
C) be kindly,sympathetic,and concerned.
D) offer to listen to the patient's feelings about cutting.
Q2) The nurse reports to the interdisciplinary team that an antisocial patient lies to other patients,verbally abuses a patient with Alzheimer's disease,flatters his primary nurse,and is detached and superficial during counseling sessions.Which behavior should be the priority focus of limit setting?
A) Lying to other patients
B) Flattering the nursing staff
C) Verbally abusing other patients
D) Superficiality during counseling
Q3) Place the steps for limit setting in the most desirable order.
A) Implement consequences when undesired behaviors present.
B) Identify undesirable behavior and discuss concerns with patient.
C) Jointly establish consequences for future inappropriate behavior.
D) Jointly determine what behaviors would be preferred instead.
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Page 21
Chapter 20: Sleep Disorders
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A person takes lorazepam (Ativan)2 mg PO BID PRN for anxiety.When the person takes this medication,which change in sleep is anticipated? The patient will:
A) have fewer dreams.
B) enter sleep through REM.
C) have less slow-wave sleep.
D) have more complaints of pain.
Q2) A person takes sertraline (Zoloft)100 mg PO daily for posttraumatic stress disorder.Which change in sleep is likely secondary to this medication? The patient will have:
A) more dreams.
B) less REM sleep.
C) excessive sleepiness.
D) less slow-wave sleep.
Q3) Normally,most people sleep at night.What is the physiological rationale?
A) The master biological clock responds to darkness with sleep.
B) Darkness stimulates histamine release,which promotes sleep.
C) Cooler environmental temperatures stimulate retinal messages.
D) Stimulation of the sympathetic nervous system promotes sleep.
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Chapter 21: Sexual Dysfunction and Sexual Disorders
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A woman consults the nurse practitioner because she has not been able to have an orgasm,despite having been sexually active for 2 years.She is very frustrated and feels it is harming the relationship with her spouse.Which nursing diagnosis would be most appropriate for this presentation?
A) Sexual dysfunction
B) Relational impairment
C) Ineffective sexuality pattern
D) Impaired sexual arousal
Q2) The nursing action that takes priority when working with a patient who has a problem of sexual dysfunction or disorder is:
A) acquiring knowledge of the patient's sexual roles.
B) developing an understanding of human sexual response.
C) clarifying the nurse's personal values about sexuality.
D) assessing the patient's sexual functioning and needs.
Q3) Which of these statements about erectile dysfunction is accurate?
A) When present in young men,the cause is usually physical.
B) It can be caused by medication,anxiety,or depression.
C) Acquired erectile dysfunction affects about 40% of males.
D) It is usually treated via individual and couples counseling.
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Page 23
Chapter 22: Somatoform, Factitious, and Dissociative Disorders
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Sample Questions
Q1) A patient with blindness related to conversion disorder tells the nurse,"Lots of doctors and nurses stop by to check on my blindness,and the other patients are really interested in it,too.Too bad people didn't think I was interesting before I became blind." Which nursing diagnosis is most suggested by this comment?
A) Social isolation
B) Chronic low self-esteem
C) Interrupted family processes
D) Ineffective health maintenance
Q2) A college senior comes to the mental health clinic with the chief complaint that "My face is so ugly I can't go out in public." Assessment reveals she has no actual disfigurement and is of average attractiveness.She tells the nurse that she goes to class wearing a scarf draped across her lower face but is concerned that she will be unable to interview for positions after graduation because of her ugly appearance.The patient's symptoms are consistent with the clinical picture of:
A) dissociative identity disorder.
B) body dysmorphic disorder.
C) hypochondriasis.
D) malingering.
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Chapter 23: Crisis and Disaster
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Sample Questions
Q1) The assumption that will be most useful to the nurse planning crisis intervention for any patient who is experiencing a crisis is that the patient:
A) is experiencing a type of mental illness.
B) is experiencing a state of disequilibrium.
C) has high potential for self-injury.
D) poses a threat of violence to others.
Q2) Which health care worker should be referred to critical incident stress debriefing?
A) A nurse who worked 8 hours answering visitor queries at the intensive care unit information desk after a bus crash led to multiple admissions
B) The emergency medical technician who treated victims of a car bomb attack on a large department store
C) A nurse who works at an oncology clinic with patients receiving chemotherapy,many of whom are terminally ill
D) A case manager working day in,day out,with low-functioning severely mentally ill persons in group homes
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Chapter 24: Suicide
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Sample Questions
Q1) An indicator that the suicidal patient is exercising suicide self-restraint is:
A) adherence to antidepressant therapy.
B) agreeing to sign a no-suicide contract.
C) disclosing a plan for suicide to staff.
D) expressing feelings of hopelessness to the nurse.
Q2) An adolescent whose peer committed suicide attempts suicide himself and is admitted to an inpatient mental health unit and assessed as being at high risk for self-harm.Which of the following nursing actions would be most appropriate to assure his safety during his first few days in the hospital?
A) Place him on every-15-minute checks while awake.
B) Search the patient and his belongings for dangerous material.
C) Have him sign a no-suicide contract on arrival to the unit.
D) Place him on direct one-to-one observation 24 hours a day.
Q3) Every person who thinks about suicide should be considered to be:
A) intending to kill himself.
B) demonstrating impaired cognition.
C) experiencing a mental illness.
D) experiencing pain and hopelessness.
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26
Chapter 25: Anger, Aggression, and Violence
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Sample Questions
Q1) Which situation would involve the highest risk for violence?
A) A nurse is about to set limits on a patient.
B) Shift change and report are about to begin.
C) A PRN medication is to be offered.
D) The patient is a young adult male.
Q2) A patient who has been seen responding to auditory hallucinations earlier in the morning approaches the nurse and shakes his fist,saying,"Back off,bitch!" and then goes into the day room.Which intervention would be most important to undertake before the nurse follows the patient into the day room?
A) Contact the patient's physician to obtain an order for seclusion.
B) Review the patient's history for clues about his risk of violence.
C) Assure that adequate staff are available and nearby for backup.
D) Check for orders for PRN medication and prepare a sedative.
Q3) Which characteristics of the unit milieu are most likely to result in a low incidence of violent behavior?
A) A milieu that emphasizes maintaining control and structure
B) A unit that is adequately staffed and not overcrowded
C) A unit that has a high percentage of newer,fresher staff
D) A milieu that focuses on privileges to reward or punish behavior
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Page 27
Chapter 26: Child, Older Adult, and Intimate Partner Abuse
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Sample Questions
Q1) The plan of care for a patient who has demonstrated outbursts of physical violence against his family when frustrated,followed by periods of remorse after each outburst,would be considered successful when the patient:
A) expresses frustration verbally instead of physically.
B) agrees to seek group counseling at a future time.
C) explains the reason for his behavior toward the victim.
D) identifies three personal strengths and coping strategies.
Q2) A woman tells the nurse that her husband abuses her most often when he is intoxicated,just as his father had beaten him and his mother.The woman is aware of the location of a safe house and has considered leaving home with her two children,but she cites being brought up to believe "you keep quiet and stay together,no matter what happens." She states the husband is always apologetic and remorseful after an incident.What evidence exists that the husband is at risk of becoming a perpetrator of physical abuse? He:
A) is unable to make lasting behavioral changes.
B) was an abused child.
C) is without a job.
D) experiences remorse.
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Chapter 27: Sexual Assault
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Sample Questions
Q1) A rape victim asks a nurse,"How do I know whether this attack was my fault?" Which response by the nurse is therapeutic?
A) Support the victim to separate issues of vulnerability from blame.
B) Make decisions for the victim because of the temporary confusion.
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 patient in the long-term phase of the rape-trauma syndrome had intrusive thoughts of the attack and developed fears of being alone.Which finding best demonstrates the patient has improved? The patient:
A) uses increased activity to reduce fear.
B) plans coping strategies for fearful situations.
C) temporarily withdraws from social situations.
D) expresses willingness to engage in sexual activity.
Q3) A nurse works a rape telephone hotline.Communication should focus on:
A) explaining immediate steps victims should take.
B) providing callers with a sympathetic listener.
C) obtaining information for law enforcement.
D) arranging long-term counseling.
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29
Chapter 28: Disorders of Children and Adolescents
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36 Verified Questions
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Sample Questions
Q1) Shortly after the parents announced that they were divorcing,a 15-year-old stopped participating in cheerleading,sat alone at lunch,and avoided former friends.The adolescent told the school nurse,"All the other kids have families.If my parents loved me,they would work out their problems." Which nursing intervention would be most appropriate?
A) Develop a plan for activities of daily living.
B) Communicate disbelief relative to the patient's feelings.
C) Assist the patient to distinguish reality from perceptions.
D) Assess and document the patient's level of fatigue daily.
Q2) Shortly after the parents announced that they were divorcing,a 15-year-old stopped participating in sports,sat alone at lunch,and avoided friends.The adolescent told the school nurse,"I would rather stay in my room and listen to music.It's easier than talking to my friends about what is happening in my family." Which nursing diagnosis is most applicable?
A) Decisional conflict
B) Chronic low self-esteem
C) Disturbed personal identity
D) Impaired social interaction
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Chapter 29: Psychosocial Needs of the Older Adult
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse is asked to explain why ageism is a problem among health care workers.The nurse should cite that ageism results in: (Select all that apply. )
A) failure of the elderly to receive necessary medical information.
B) development of public policy that discriminates against the elderly.
C) staff shortages because caregivers prefer working with younger adults.
D) the perception that elderly consume a smaller share of medical resources.
E) more ancillary than professional personnel discriminate with regard to age.
Q2) Which statement about aging provides the best rationale for focused assessment of elderly patients?
A) The elderly are usually socially isolated and lonely.
B) Vision,hearing,touch,taste,and smell decline with age.
C) The majority of elderly patients have some form of early dementia.
D) As people age,thinking becomes more rigid,and learning is impaired.
Q3) A nurse wants to assess for suicidal ideation in an elderly patient.Select the best question to begin the assessment.
A) "What thoughts do you have about a person's right to take his or her life?"
B) "Do you have any risk factors that potentially contribute to suicide?"
C) "Do you think you are vulnerable to developing depressed mood?"
D) "If you felt suicidal,would you tell someone about your feelings?"
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Page 31
Chapter 30: Serious Mental Illness
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Sample Questions
Q1) A patient with severe schizophrenia is seen at a community mental health center.He tells the nurse,"I am here to save the world.I threw away the pills because they make God go away." The nurse identifies the patient's reason for medication nonadherence as:
A) poor alliance with clinicians.
B) inadequate discharge planning.
C) dislike of drug side effects.
D) poor insight into his illness.
Q2) The nurse manager of a mental health center wants to improve medication adherence among the seriously mentally ill persons treated there.Which interventions are likely to help achieve this goal? Select all that apply.
A) Increase the length of medication education groups.
B) Improve working conditions to reduce staff turnover.
C) Make it easier to access prescribers and pay for drugs.
D) Require adherence in order to participate in the day program.
E) Prescribe drugs in smaller but more frequent dosages.
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Chapter 31: 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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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) Which event is most likely to precipitate grief across a community?
A) A local bank is robbed twice in a single month
B) An adolescent shoots the principal of a local high school
C) The elderly pastor of the town's largest church dies of heart failure
D) Concrete pilings crumble in a bridge important to movement of local traffic
Q2) After a spouse's death,a patient repeatedly says,"I should have recognized what was happening and been more helpful." This individual is experiencing:
A) preoccupation with the image of the deceased.
B) sensations of somatic distress.
C) anger.
D) guilt.
Q3) A woman just received notification that her husband died.She approaches the nurse who cared for him during his last hours and says angrily,"If you had given him your undivided attention,he would still be alive." Which analysis applies?
A) The comment warns of a malpractice suit.
B) Anger is a phenomenon experienced during grieving.
C) The patient had ambivalent feelings about her husband.
D) In some cultures,grief is expressed solely through anger.
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34
Chapter 33: Forensic Psychiatric Nursing
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19 Flashcards
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Sample Questions
Q1) A correctional nurse is called to testify about care received by a specific patient in the 8 hours before his successful suicide.The nurse responds to questions about what he saw and heard and the interventions he performed and documented during the work shift.In what capacity was this nurse testifying?
A) Forensic nurse examiner
B) Consultant
C) Expert witness
D) Fact witness
Q2) In which case would the psychiatric forensic nurse examiner assess the alleged perpetrator as competent to proceed with trial?
A) The defendant believes the FBI had paid assassins to kill him.
B) The accused hears voices commanding him to kill the president.
C) The defendant is developmentally disabled with an IQ of 70.
D) The accused understands the charges and the trial procedures.
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35
Chapter 34: Therapeutic Groups
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Sample Questions
Q1) A leader is planning to start a new self-esteem group.Which intervention would be most helpful for assuring mutual respect within the group?
A) Describe the importance of mutual respect in the first session,and make it a group norm.
B) Exclude potential members whose behavior suggests they are likely to be disrespectful.
C) Give members a brochure describing the purpose,norms,and expectations of group.
D) Explain that mutual respect is expected,and confront those who aren't respectful.
Q2) A group is in the working phase,and one member states,"That is the stupidest thing I've ever heard.I have never been in a group like this.Everyone is just whining and telling everyone else what to do when they have no clue,and people just sit there and take it.This is a waste of time." Which response by the group leader would be most therapeutic?
A) Meet privately with the member outside of group to discuss her anger.
B) Advise all that hostility is inappropriate and remove her if it continues.
C) Keep the focus on the hostile member so they can exhaust their anger.
D) Remember that angry members feel others are weak compared to themselves.
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Chapter 35: Family Interventions
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Sample Questions
Q1) The nurse performing a family assessment determines that the parents jointly make decisions regarding family rules and apportion the family resources in ways that serve the interests of all members.Plans for the future exist but are flexible and allow for changing circumstances.The three teenage children participate in discussions but do not have responsibility for decisions.The assessment the nurse should document is:
A) family management function is appropriate and adequate.
B) boundary function makes a distinction between individuals.
C) communication function of the family is healthy.
D) emotional-supportive function is dominated by conflict.
Q2) Which comment during a family therapy session would best be assessed as scapegoating?
A) "Billy is always the one that starts these arguments and upsets everyone else."
B) "You have to express your feelings more,but not if it might upset your father."
C) "Our son Tom will tell you,my husband and I are doing all we can for the others."
D) "After mom has been drinking,I have to get the others up and ready for school."
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37
Chapter 36: Integrative Care
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Sample Questions
Q1) A patient tells the nurse,"I prefer to try to treat my physical problems with CAM remedies.After all,they are natural substances,and natural products are safe." Which response by the nurse would be most appropriate?
A) "Natural substances do tend to be safer than conventional medical remedies."
B) "The word natural can be a marketing term used to imply that a product is healthy,but it's not always true."
C) "Most natural substances have more side effects than conventional remedies."
D) "Natural remedies give you the idea that you are controlling your treatment."
Q2) A patient states she has taken megadoses of vitamin E for 3 months to improve her circulation but thinks she feels somewhat worse.Which action should the nurse take first?
A) Assess the patient for symptoms and signs of toxicity from excess vitamin exposure.
B) Note that research has not shown that vitamin megadoses produce any benefits.
C) Explain to the patient that megadoses may actually be harmful and advise caution.
D) Assess for signs of circulatory impairment to determine whether improvement has occurred.
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