Community Mental Health Nursing Exam Practice Tests
Course Introduction
Community Mental Health Nursing explores the roles and responsibilities of nurses in promoting mental health and providing care within community settings. This course covers the principles of mental health promotion, prevention, and intervention, focusing on individuals, families, and groups outside traditional hospital environments. Students will examine community assessment, case management, crisis intervention, rehabilitation, advocacy, and collaboration with multidisciplinary teams. Emphasis is placed on culturally sensitive and client-centered approaches, legal and ethical issues, and strategies for reducing stigma and enhancing access to mental health resources within 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
Source URL: https://quizplus.com/quiz/23083
Sample Questions
Q1) Which nursing intervention below is part of the scope of an advanced-practice psychiatric mental health nurse only?
A) Coordination of care
B) Health teaching
C) Milieu therapy
D) Psychotherapy
Answer: D
Q2) Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?
A) All mental illnesses are culturally determined.
B) Schizophrenia and bipolar disorder are cross-cultural disorders.
C) Symptoms of mental disorders are unchanged from culture to culture.
D) Assessment findings in mental disorders reflect a person's cultural patterns.
Answer: D
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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) The Canadian National Association of Trained Nurses was established in which of the following years?
A) 1898
B) 1908
C) 1918
D) 1928
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) 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
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Chapter 3: Relevant Theories and Therapies for Nursing Practice
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) A nurse and patient discuss a problem the patient has kept secret for many years. Afterward, the patient says, "I feel so relieved that I finally told somebody." Which term best describes the patient's feeling?
A) Catharsis
B) Superego
C) Cognitive distortion
D) Counter-transference
Answer: A
Q2) Although ego defence mechanisms and security operations are mainly unconscious and designed to relieve anxiety, the major difference is which of the following?
A) Defence mechanisms are intrapsychic and not observable.
B) Defence mechanisms cause arrested personal development.
C) Security operations are masterminded by the id and superego.
D) Security operations address interpersonal relationship activities.
Answer: D
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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 patient's history shows drinking 4 to 6 litres of fluid and eating more than 6,000 calories per day. Which part of the central nervous system is most likely dysfunctional for this patient?
A) Amygdala
B) Parietal lobe
C) Hippocampus
D) Hypothalamus
Q2) By which mechanism do selective serotonin reuptake inhibitors (SSRI) improve depression?
A) Destroying increased amounts of serotonin
B) Making more serotonin available at the synaptic gap
C) Increasing production of acetylcholine and dopamine
D) Blocking muscarinic and ?1 norepinephrine receptors
Q3) A patient has fear as well as increased heart rate and blood pressure. The nurse suspects increased activity of which neurotransmitter?
A) Gamma-aminobutyric acid (GABA)
B) Norepinephrine
C) Acetylcholine
D) Histamine
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Page 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) The health care team at an inpatient psychiatric facility drafts these criteria for admission. Which criteria should be included in the final version of the admission policy? Select all that apply.
A) Clear risk of danger to self or others
B) Adjustment needed for doses of psychotropic medication
C) Detoxification from long-term heavy alcohol consumption needed
D) Respite for caregivers of persons with serious and persistent mental illness
E) Failure of community-based treatment, demonstrating need for intensive treatment
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 can best address factors of critical importance to successful community treatment by including making assessments relative to which of the following: Select all that apply.
A) Source of income
B) Family and support systems
C) Housing adequacy and stability
D) Early psychosocial development
E) Substance abuse history and current use
Q2) The nurse assigned to assertive community treatment (ACT) should explain the program's treatment goal as which of the following?
A) Assisting patients to maintain abstinence from alcohol and other substances of abuse
B) Providing structure and a therapeutic milieu for mentally ill patients whose symptoms require stabilization
C) Maintaining medications and stable psychiatric status for incarcerated inmates who have a history of mental illness
D) Providing services for mentally ill individuals who require intensive treatment to continue to live in the community
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Chapter 7: Cultural Implications for Psychiatric Mental
Health Nursing
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/23089
Sample Questions
Q1) An experienced psychiatric nurse plans to begin a new job in a community-based medication clinic. The clinic sees culturally diverse patients. Which action should the nurse take first to prepare for this position?
A) Investigate cultural differences in patients' responses to psychotropic medications.
B) Contact the clinical nurse specialist for guidelines regarding cultural competence.
C) Examine the literature on various health beliefs of members of diverse cultures.
D) Complete an online continuing education offering about psychopharmacology.
Q2) A patient in the emergency department shows a variety of psychiatric symptoms, including restlessness and anxiety. The patient says, "I feel sad because evil spirits have overtaken my all of me-they think for me and they do things I would not normally do." Which world view is most applicable to this individual?
A) Religious
B) Holistic
C) Scientific
D) Biomedical
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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
Source URL: https://quizplus.com/quiz/23090
Sample Questions
Q1) A registered nurse requests that the unlicensed health care worker give a patient his or her medication at 1000 hrs as the nurse will be at coffee break. This represents an example of which of the following?
A) Malpractice
B) Intentional tort
C) Vicarious liability
D) Defamation of character
Q2) In a team meeting a nurse says, "I'm concerned about whether we are behaving ethically by using restraint to prevent one patient from self-mutilation, while the care plan for another self-mutilating patient requires one-on-one supervision." Which ethical principle most clearly applies to this situation?
A) Beneficence
B) Autonomy
C) Fidelity
D) Justice
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Chapter 9: The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23091
Sample Questions
Q1) What is the nurse's primary source for data collection?
A) The patient
B) The patients chart
C) The admission history and physical
D) The patient's family or significant other
Q2) When a new patient is hospitalized, a nurse takes the patient on a tour, explains rules of the unit, and discusses the daily schedule. The nurse is engaged in which of the following?
A) Counselling
B) Health teaching
C) Milieu management
D) Psychobiological intervention
Q3) When a nurse assesses an older adult patient, answers seem vague or unrelated to the questions. The patient also leans forward and frowns, listening intently to the nurse. Which of the following questions would be appropriate for the nurse to ask?
A) "Are you having difficulty hearing when I speak?"
B) "How can I make this assessment interview easier for you?"
C) "I notice you are frowning. Are you feeling annoyed with me?"
D) "You're having trouble focusing on what I'm saying. What is distracting you?"
Page 11
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Chapter 10: Therapeutic Relationships
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nurse is talking with a patient, and 5 minutes remain in the session. The patient has been silent most of the session. Another patient comes to the door of the room, interrupts, and says to the nurse, "I really need to talk to you." What should the nurse do?
A) Invite the interrupting patient to join in the session with the current patient.
B) Say to the interrupting patient, "I am not available to talk with you at the present time."
C) End the unproductive session with the current patient and spend time with the interrupting patient.
D) Tell the interrupting patient, "This session is 5 more minutes; then I will talk with you."
Q2) During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?
A) Preorientation
B) Orientation
C) Working
D) Termination
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Chapter 11: Communication and the Clinical Interview
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/23093
Sample Questions
Q1) A school-age child tells the school nurse, "Other kids call me mean names and will not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic response.
A) "Just ignore them and they will leave you alone."
B) "You should make friends with other children."
C) "Call them names if they do that to you."
D) "Tell me more about how you feel."
Q2) Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?
A) A nurse is responsible for breaking silences.
B) Patients withdraw if silences are prolonged.
C) Silence can provide meaningful moments for reflection.
D) Silence helps patients know that what they said was understood.
Q3) An Italian Canadian patient uses dramatic body language when describing emotional discomfort. Which analysis most likely explains the patient's behaviour?
A) The patient has a histrionic personality disorder.
B) The patient believes dramatic body language is sexually appealing.
C) The patient wishes to impress staff with the degree of emotional pain.
D) The patient belongs to a culture in which dramatic body language is the norm.
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Chapter 12: Understanding Responses to Stress
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/23094
Sample Questions
Q1) A patient is brought to the emergency department after a motorcycle accident. The patient is alert and responsive and is diagnosed with a broken leg. The patient's vital signs are pulse (P) 72 and respiration (R) 16. After being informed surgery is required for the broken leg, which vital sign readings would be expected?
A) P 64, R 14
B) P 68, R 12
C) P 72, R 16
D) P 80, R 20
Q2) Which scenario best demonstrates an example of eustress?
A) An individual loses a beloved family pet.
B) An individual prepares to take a one-week vacation to a tropical island with a group of close friends.
C) An individual receives a bank notice that there were insufficient funds in his or her account for a recent rent payment.
D) An individual receives notification that his or her current employer is experiencing financial problems and some workers will be terminated.
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14
Chapter 13: Anxiety, Obsessive-Compulsive, and Related Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/23095
Sample Questions
Q1) A nurse plans health teaching for a patient with generalized anxiety disorder who begins a new prescription for lorazepam (Ativan). What information should be included? Select all that apply.
A) Caution in use of machinery
B) Foods allowed on a tyramine-free diet
C) The importance of caffeine restriction
D) Avoidance of alcohol and other sedatives
E) The need to take the medication on an empty stomach
Q2) A patient experiences a sudden episode of severe anxiety. Of these medications in the patient's medical record, which is most appropriate to give as a prn anxiolytic?
A) Buspirone (Bustab)
B) Lorazepam (Ativan)
C) Phenelzine sulfate (Nardil)
D) Tranylcypromine sulfate (Parnate)
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15
Chapter 14: Depressive Disorders
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/23096
Sample Questions
Q1) When counselling patients diagnosed with major depression, an advanced practice nurse will address the negative thought patterns by using which of the following?
A) Psychoanalytic therapy
B) Desensitization therapy
C) Cognitive-behavioural therapy
D) Alternative and complementary therapies
Q2) A patient diagnosed with major depression began taking a tricyclic antidepressant 1 week ago. Today the patient says, "I don't think I can keep taking these pills. They make me so dizzy, especially when I stand up." The nurse will do which of the following?
A) Limit the patient's activities to those that can be performed in a sitting position
B) Withhold the drug, force oral fluids, and notify the health care provider
C) Teach the patient strategies to manage postural hypotension
D) Update the patient's mental status examination
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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 diagnosed with bipolar disorder will be discharged tomorrow. The patient is taking a mood stabilizing medication. What is the priority nursing intervention for the patient as well as the patient's family during this phase of treatment?
A) Attending psychoeducation sessions
B) Decreasing physical activity
C) Increasing food and fluids
D) Meeting self-care needs
Q2) A patient diagnosed with bipolar disorder becomes hyperactive after discontinuing lithium. The patient threatens to hit another patient. Which comment by the nurse is appropriate?
A) "Stop that! No one did anything to provoke an attack by you."
B) "If you do that one more time, you will be secluded immediately."
C) "Do not hit anyone. If you are unable to control yourself, we will help you."
D) "You know we will not let you hit anyone. Why do you continue this behaviour?"
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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 says, "It's beat. Time to eat. No room for the cat." What type of verbalization is evident?
A) Neologism
B) Idea of reference
C) Thought broadcasting
D) Associative looseness
Q2) A patient diagnosed with schizophrenia was hospitalized after arguing with co-workers and threatening to harm them. The patient is aloof and suspicious and says, "Two staff members I saw talking were plotting to kill me." Based on data gathered at this point, which nursing diagnoses relate? Select all that apply.
A) Risk for other-directed violence
B) Disturbed thought processes
C) Risk for loneliness
D) Spiritual distress
E) Social isolation
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Chapter 17: Eating Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/23099
Sample Questions
Q1) Physical assessment of a patient diagnosed with bulimia often reveals which of the following:
A) Prominent parotid glands
B) Peripheral edema
C) Thin, brittle hair
D) Twenty-five percent underweight
Q2) A patient referred to the eating disorders clinic has lost 16 kg in 3 months. For which physical manifestations of anorexia nervosa should a nurse assess? Select all that apply.
A) Peripheral edema
B) Parotid swelling
C) Constipation
D) Hypotension
E) Dental caries
F) Lanugo
Q3) Which of the following is a complication of bulimia nervosa?
A) Tachycardia
B) Hyperchloremia
C) Hyperkalemia
D) Esophageal tears
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Page 19
Chapter 18: Cognitive Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/23100
Sample Questions
Q1) An older adult is prescribed digoxin (Lanoxin) and hydrochlorothiazide daily as well as lorazepam (Ativan) as needed for anxiety. Over 2 days, the patient developed confusion, slurred speech, an unsteady gait, and fluctuating levels of orientation. What is the most likely reason for the patient's change in mental status?
A) Drug actions and interactions
B) Benzodiazepine withdrawal
C) Hypotensive episodes
D) Renal failure
Q2) Which assessment finding would be likely for a patient experiencing a hallucination?
A) The patient looks at shadows on a wall and says, "I see scary faces."
B) The patient states, "I feel bugs crawling on my legs and biting me."
C) The patient reports telepathic messages from the television.
D) The patient speaks in rhymes.
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
Source URL: https://quizplus.com/quiz/23101
Sample Questions
Q1) A hospitalized patient diagnosed with an alcohol abuse disorder believes spiders are spinning entrapping webs in the room. The patient is fearful, agitated, and diaphoretic. Which nursing intervention is indicated?
A) Check the patient every 15 minutes
B) One-on-one supervision
C) Keep the room dimly lit
D) Force fluids
Q2) A patient admitted yesterday for injuries sustained while intoxicated believes bugs are crawling on the bed. The patient is anxious, agitated, and diaphoretic. What is the priority nursing diagnosis?
A) Disturbed sensory perception
B) Ineffective coping
C) Ineffective denial
D) Risk for injury
Q3) Which goal for treatment of alcoholism should the nurse address first?
A) Learn about addiction and recovery.
B) Develop alternate coping strategies.
C) Develop a peer support system.
D) Achieve physiologic stability.
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Chapter 20: Personality Disorders
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/23102
Sample Questions
Q1) A nurse reports to the treatment team that a patient diagnosed with antisocial personality disorder has displayed the behaviours below. This patient is detached and superficial during counselling sessions. Which behaviour by the patient most clearly warrants limit setting?
A) Flattering the nurse
B) Lying to other patients
C) Verbal abuse of another patient
D) Detached superficiality during counselling
Q2) What is the most challenging nursing intervention with patients diagnosed with personality disorders who use manipulation?
A) Supporting behavioural change
B) Maintaining consistent limits
C) Monitoring suicide attempts
D) Using aversive therapy
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22
Chapter 21: Sleep Wake Disorders
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/23103
Sample Questions
Q1) A home care nurse assesses a very demanding patient with chronic obstructive pulmonary disease (COPD). Afterward, the nurse talks with the spouse, who has provided this patient's care for 6 years. The spouse says, "I don't need much sleep anymore. I might need to help him during the night." Select the nurse's most therapeutic response.
A) "It sounds like you are very devoted to your spouse."
B) "I noticed you fell asleep while I was assessing your spouse. I'm concerned about you."
C) "Your spouse is lucky to have you to provide care rather than being placed in a nursing home."
D) "If you keep going like this, your health will be impaired also. Then who will take care of both of you?"
Q2) Which neurotransmitters are most responsible for wakefulness? Select all that apply.
A) Gamma-aminobutyric acid (GABA)
B) Norepinephrine
C) Acetylcholine
D) Dopamine
E) Galanin
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Chapter 22: Sexual Dysfunction, Gender Dysphoria, and Paraphilias
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/23104
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 with hypospadias tells the nurse, "Intercourse with my new bride is painful." Which term applies to the patient's complaint?
A) Delayed ejaculation
B) Erectile dysfunction
C) Premature ejaculation
D) Dyspareunia
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Chapter 23: Somatic Symptom Disorders and Dissociative Disorders
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which prescription medication would the nurse expect to be prescribed for a patient diagnosed with a somatic symptom disorder?
A) Narcotic analgesics for use as needed for acute pain
B) Antidepressant medications to treat underlying depression
C) Long-term use of benzodiazepines to support coping with anxiety
D) Conventional antipsychotic medications to correct cognitive distortions
Q2) A nurse assessing a patient diagnosed with a somatic symptom disorder is most likely to note which of the following?
A) The patient sees a relationship between symptoms and interpersonal conflicts.
B) The patient has little difficulty communicating emotional needs to others.
C) The patient rarely derives personal benefit from the symptoms.
D) The patient has altered comfort and activity needs.
Q3) Which treatment modality should a nurse recommend to help a patient diagnosed with a somatic symptom disorder to cope more effectively?
A) Flooding
B) Response prevention
C) Relaxation techniques
D) Systematic desensitization
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Chapter 24: Crisis and Disaster
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23106
Sample Questions
Q1) A patient who is visiting the crisis clinic for the first time asks, "How long will I be coming here?" The nurse's reply should consider that the usual duration of crisis intervention is how long?
A) 1 to 2 weeks
B) 3 to 4 weeks
C) 4 to 6 weeks
D) 6 to 8 weeks
Q2) Which communication technique will the nurse use more in crisis intervention than in traditional counselling?
A) Role modeling
B) Giving direction
C) Information giving
D) Empathic listening
Q3) 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
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26
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) Four individuals have given information about their suicide plans. Which plan evidences the highest suicide risk?
A) Turning on the oven and letting gas escape into the apartment during the night
B) Cutting the wrists in the bathroom while the spouse reads in the next room
C) Overdosing on aspirin with codeine while the spouse is out with friends
D) Shooting in the head with a firearm that spouse keeps in the bedroom
Q3) Which measure would be considered a form of primary intervention for suicide?
A) Psychiatric hospitalization of a suicidal patient
B) Referral of a formerly suicidal patient to a support group
C) Suicide precautions for 24 hours for newly admitted patients
D) Helping school children learn to manage stress and be resilient
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Chapter 26: Anger, Aggression, and Violence
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23108
Sample Questions
Q1) A patient sat in silence for 20 minutes after a therapy appointment, appearing tense and vigilant. The patient abruptly stood, paced back and forth, clenched and unclenched fists, and then stopped and stared in the face of a staff member. Which of the following is the patient doing?
A) Demonstrating withdrawal
B) Working though angry feelings
C) Attempting to use relaxation strategies
D) Exhibiting clues to potential aggression
Q2) A patient is pacing the hall near the nurses' station, swearing loudly. An appropriate initial intervention for the nurse would be to address the patient by name and say which of the following?
A) "What is going on?"
B) "Please be quiet and sit down in this chair immediately."
C) "I'd like to talk with you about how you're feeling right now."
D) "You must go to your room and try to get control of yourself."
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Chapter 27: Interpersonal Violence: Child, Older Adult, and
Intimate Partner Abuse
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/23109
Sample Questions
Q1) Which rationale best explains why a nurse should be aware of personal feelings while working with a family experiencing family violence?
A) Self-awareness enhances the nurse's advocacy role.
B) Strong negative feelings interfere with assessment and judgement.
C) Strong positive feelings lead to healthy transference with the victim.
D) Positive feelings promote the development of sympathy for patients.
Q2) An adult tells the nurse, "My partner abuses me when I make mistakes, but I always get an apology and a gift afterward. I've considered leaving but haven't been able to bring myself to actually do it." Which phase in the cycle of violence prevents this adult from leaving?
A) Tension-building
B) Acute battering
C) Honeymoon
D) Stabilization
Q3) What is a nurse's legal responsibility if child abuse or neglect is suspected?
A) Discuss the findings with the child's parent and health care provider.
B) Document the observation and suspicion in the medical record.
C) Report the suspicion according to provincial or territorial regulations.
D) Continue the assessment.
Page 29
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Chapter 28: Sexual Assault
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/23110
Sample Questions
Q1) A nurse in the emergency department assesses an unresponsive victim of rape. The victim's friend reports, "That guy gave her salty water before he raped her." Which question is most important for the nurse to ask of the victim's friend?
A) "Does the victim have any kidney disease?"
B) "Has the victim consumed any alcohol?"
C) "What time was she given salty water?"
D) "Did you witness the rape?"
Q2) The nursing diagnosis Rape-trauma syndrome applies to a rape victim in the emergency department. Select the most appropriate outcome to achieve before discharging the patient.
A) The memory of the rape is less vivid and less frightening.
B) The patient is able to describe feelings of safety and relaxation.
C) Symptoms of pain, discomfort, and anxiety are no longer present.
D) The patient agrees to a follow-up appointment with a rape victim advocate.
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
28 Flashcards
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Sample Questions
Q1) Which factor presents the highest risk for a child to develop a psychiatric disorder?
A) Having an uncle with schizophrenia
B) Being the oldest child in a family
C) Living with a depressed parent
D) Being an only child
Q2) Which behaviour indicates that the treatment plan for a child diagnosed with an autism spectrum disorder was effective?
A) The child plays with one toy for 30 minutes.
B) The child repeats words spoken by a parent.
C) The child holds the parent's hand while walking.
D) The child spins around and claps hands while walking.
Q3) Assessment data for a 7-year-old reveals an inability to take turns, blurting out answers to questions before a question is complete, and frequently interrupting others' conversations. How should the nurse document these behaviours?
A) Defiance
B) Hyperactivity
C) Impulsivity
D) Anxiety
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Chapter 30: Psychosocial Needs of the Older Adult
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Q1) Which information is most important to obtain during assessment of an older adult diagnosed with a mental disorder?
A) Functional ability and emotional status
B) Chronological age and sexual function
C) Economic status and sources of income
D) Developmental history, interests, and activities
Q2) A patient living in community housing for the elderly says, "I don't go to the senior citizens club. They play cards and talk about the past because that's all they can do." The nurse analyzes these remarks to represent which of the following:
A) Failure to achieve developmental tasks
B) Thinking associated with ageism
C) Hypercritical behaviour
D) Paranoid thinking
Q3) What is considered the Silent Geriatric Giant?
A) Depression
B) Anxiety
C) Chronic pain
D) Sleep disorders
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Chapter 31: Living With Recurrent and Persistent Mental Illness
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Q1) A homeless individual diagnosed with serious mental illness, anosognosia, and a history of persistent treatment nonadherence is persuaded to come to the day program at a community mental health centre. Which intervention should be the team's initial focus?
A) Teach appropriate health maintenance and prevention practices.
B) Educate the patient about the importance of treatment adherence.
C) Help the patient obtain employment in a local sheltered workshop.
D) Interact regularly and supportively without trying to change the patient.
Q2) A patient diagnosed with schizophrenia tells the community mental health nurse, "I threw away my pills because they interfere with God's voice." The nurse identifies the etiology of the patient's ineffective management of the medication regime as which of the following?
A) Inadequate discharge planning
B) Poor therapeutic alliance with clinicians
C) Dislike of antipsychotic medication side effects
D) Lack of insight secondary to the schizophrenia
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Chapter 32: Psychological Needs of Patients With Medical Conditions
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Q1) A man was brought to the emergency room for treatment of minor injuries after an accident in which his life partner, a transvestite, was killed. He refuses care, paces, screams, "Why, why, why!" repeatedly, and scratches at his arms as if trying to tear the flesh. A nurse says, "Geez, he's going to hurt himself. We'd better admit him to psych." Which explanation for the nurse's response is most likely?
A) The nurse's experience tells her that the patient is developing a psychotic reaction to the stress of the accident and death.
B) She is stigmatizing the patient due to his sexuality, dramatic grief response, and connection to a transvestite person.
C) The nurse is unsure how to handle a person presenting in this manner, is anxious as a result, and copes by wanting to shift the patient to another unit.
D) Medical nurses usually have less skill in managing emotional problems, and psychiatric staff are more appropriate to deal with people who are grieving.
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Chapter
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Sample Questions
Q1) A widower tells friends, "I am going to take my neighbour out for dinner. It's time for me to be more sociable again." Which phenomenon of bereavement is evident?
A) Anger
B) Preoccupation with the image of the deceased
C) Change in behaviour; depression, disorganization, restlessness
D) Reorganization of behaviour directed toward a new object or activity
Q2) Children of a widow confer with the nurse because their mother is depressed and lonely. Her days are filled with aimless activities. Family members are concerned about her and ask, "What can we do? It`s been over 6 months since Dad died." What should the nurse counsel the family?
A) That they should offer to move in with their mother to help with loneliness
B) That they should encourage their mother to talk about her life as a widow with other women who have had the same experience
C) That loneliness and aimlessness are most pronounced 6 to 9 months after the death
D) That retelling of negative memories is expected as part of the aging process
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Chapter 34: Forensic Psychiatric Nursing
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Q1) 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.
Q2) Which specific task-oriented areas apply to the psychiatric forensic nurse's role?
Select all that apply.
A) Hostage negotiation
B) Management of violent behaviour
C) Administration of first aid
D) Therapeutic use of self
E) Pharmacological treatment orders
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Chapter 35: Therapeutic Groups
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Q1) The next-to-last meeting of an interpersonal therapy group is taking place. The leader should take which actions? Select all that apply.
A) Support appropriate expressions of disagreement by the group's members.
B) Facilitate discussion and resolution of feelings about the end of the group.
C) Encourage members to reflect on their progress and that of the group itself.
D) Remind members of the group's norms and rules, emphasizing confidentiality.
E)Help members identify goals they would like to accomplish after the group ends.
F) Promote the identification and development of new options for solving problems.
Q2) A patient in a group therapy session listens to others and then remarks, "I used to think I was the only one who felt afraid. I guess I'm not as alone as I thought." This comment is an example of which of the following?
A) Altruism
B) Ventilation
C) Universality
D) Group cohesiveness
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Chapter 36: Family Interventions
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Q1) A married couple has two children living in the home. Recently, the wife's mother moved in. They should be assessed as which type of family?
A) Nuclear
B) Blended
C) Extended
D) Alternative
Q2) 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
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Chapter 37: Integrative Care
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Q1) A patient asks, "What is the major difference between conventional health care and traditional, complementary, and alternative medicine (TCAM)?" Which of the following is the nurse's best reply?
A) Conventional health care focuses on what is done to the patient, whereas TCAM focuses on mind-body interaction with an actively involved patient.
B) Conventional health care has been tested by research so less regulation is needed, but TCAM is religiously based and highly regulated.
C) Conventional health care is controlled by the health care industry, but TCAM is the people's medicine and not motivated by profit.
D) Conventional health care is holistic and focused on health promotion, whereas TCAM treats illnesses and is symptom- specific.
Q2) Which vitamin is thought to improve anxiety and depression?
A) Vitamin A
B) Vitamin B
C) Vitamin C
D) Vitamin D
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