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This course explores current trends and challenges in psychiatric nursing, emphasizing the evolving landscape of mental health care. Students will examine the impact of social, cultural, and legal factors on psychiatric practice, including emerging disorders, stigma reduction, trauma-informed care, and patient advocacy. Key topics include advanced therapeutic communication techniques, evidence-based interventions, ethical considerations, interprofessional collaboration, and the integration of technology in mental health settings. The course fosters critical thinking and reflective practice to prepare nursing students for addressing complex issues and delivering holistic, person-centered psychiatric care in diverse clinical environments.
Recommended Textbook
Essentials of Psychiatric Mental Health Nursing 2nd Edition by Elizabeth M. Varcarolis
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28 Chapters
809 Verified Questions
809 Flashcards
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/42971
Sample Questions
Q1) A nurse consistently strives to demonstrate caring behaviors during interactions with patients.Which reaction by a patient indicates this nurse is effective? A patient reports feeling:
A)distrustful l of others.
B)connected with others.
C)uneasy about the future.
D)discouraged with efforts to improve.
Answer: B
Q2) Which patient statements identify qualities of nursing practice with high therapeutic value? (Select all that apply. )"The nurse:
A)talks in language I can understand."
B)helps me keep track of my medications."
C)is willing to go to social activities with me."
D)lets me do whatever I choose without interfering."
E)looks at me as a whole person with different needs."
Answer: A,B,E
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/42972
Sample Questions
Q1) A nurse must assess several new patients at a community mental health center.Conclusions concerning current functioning should be made on the basis of:
A)the degree of conformity of the individual to society's norms.
B)the degree to which an individual is logical and rational.
C)a continuum from mentally healthy to unhealthy.
D)the rate of intellectual and emotional growth.
Answer: C
Q2) A nurse explains multiaxial diagnoses to a psychiatric technician.Which information is accurate?
A)It is a template for treatment planning.
B)Nursing and medical diagnoses are included.
C)Assessments of several aspects of functioning are included.
D)It incorporates the framework of a specific biopsychosocial theory.
Answer: C
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/42973
Sample Questions
Q1) A nurse psychotherapist works with an anxious,dependent patient.The therapeutic strategy most consistent with the framework of psychoanalytic psychotherapy is:
A)emphasizing medication compliance
B)identifying the patient's strengths and assets
C)offering psychoeducational materials and groups
D)focusing on feelings developed by the patient toward the nurse
Answer: D
Q2) The parent of a 4-year-old rewards and praises the child for helping a younger sibling,being polite,and using good manners.A nurse supports the use of praise because according to the Freudian theory,these qualities will likely be internalized and become part of the child's:
A)id.
B)ego.
C)superego.
D)preconscious.
Answer: C
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/42974
Sample Questions
Q1) A nurse administers a medication that potentiates the action of gamma-aminobutyric acid (GABA).Which finding would be expected?
A)Reduced anxiety
B)Improved memory
C)More organized thinking
D)Fewer sensory perceptual alterations
Q2) A patient has disorganized thinking associated with schizophrenia.Neuroimaging would most likely show dysfunction in which part of the brain?
A)Brainstem
B)Cerebellum
C)Temporal lobe
D)Prefrontal cortex
Q3) A patient has anxiety,increased heart rate,and fear.The nurse would suspect the presence of a high concentration of which neurotransmitter?
A)GABA
B)Histamine
C)Acetylcholine
D)Norepinephrine
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/42975
Sample Questions
Q1) A nurse assesses an inpatient psychiatric unit,noting that exits are free from obstruction,no one is smoking,the janitor's closet is locked,and all sharp objects are being used under staff supervision.These observations relate to:
A)management of milieu safety
B)coordinating care of patients
C)management of the interpersonal climate
D)use of therapeutic intervention strategies
Q2) A community psychiatric nurse assesses that a patient with a mood disorder is more depressed than on the previous visit a month ago;however,the patient says,"I feel the same." Which intervention supports the nurse's assessment while preserving the patient's autonomy?
A)Arrange for a short hospitalization.
B)Schedule weekly clinic appointments.
C)Refer the patient to the crisis intervention clinic.
D)Call the family and ask them to observe the patient closely.
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26 Flashcards
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Sample Questions
Q1) A patient with paranoid schizophrenia believes evil spirits are being summoned by a local minister and verbally threatens to bomb a local church.The psychiatrist notifies the minister.The psychiatrist has:
A)released information without proper authorization.
B)demonstrated the duty to warn and protect.
C)violated the patient's confidentiality.
D)avoided charges of malpractice.
Q2) A nurse volunteers for a committee that must revise the hospital policies and procedures for suicide precautions.Which resources would provide the best guidance? Select all that apply.
A)Diagnostic and Statistical Manual of Mental Disorders (fourth edition,text revision)(DSM-IV-TR)
B)State's nurse practice act
C)State and federal regulations that govern hospitals
D)Summary of common practices of several local hospitals
E)American Nurses Association Scope and Standards of Practice for Psychiatric-Mental Health Nursing Practice
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/42977
Sample Questions
Q1) A nurse asks a patient,"If you had fever and vomiting for 3 days,what would you do?" Which aspect of the mental status examination is the nurse assessing?
A)Behavior
B)Cognition
C)Affect and mood
D)Perceptual disturbances
Q2) A patient states,"I'm not worth anything.I have negative thoughts about myself.I feel anxious and shaky all the time.Sometimes I feel so sad that I want to go to sleep and never wake up." Which nursing intervention should have the highest priority?
A)Self-esteem-building activities
B)Anxiety self-control measures
C)Sleep enhancement activities
D)Suicide precautions
Q3) The acronym QSEN refers to:
A)Qualitative Standardized Excellence in Nursing.
B)Quality and Safety Education for Nurses.
C)Quantitative Effectiveness in Nursing.
D)Quick Standards Essential for Nurses.
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/42978
Sample Questions
Q1) A Filipino-American patient had this nursing diagnosis: Situational low self-esteem,related to poor social skills as evidenced by lack of eye contact.Interventions were used to raise the patient's self-esteem;however,after 3 weeks,the patient's eye contact did not improve.What is the most accurate analysis of this scenario?
A)The patient's eye contact should have been directly addressed by role-playing to increase comfort with eye contact.
B)The nurse should not have independently embarked on assessment,diagnosis,and planning for this patient.
C)The patient's poor eye contact is indicative of anger and hostility that remain unaddressed.
D)The nurse should have assessed the patient's culture before making this diagnosis and plan.
Q2) The relationship between a nurse and patient as it relates to status and power is best described by which term?
A)Symmetric
B)Complementary
C)Incongruent
D)Paralinguistic
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/42979
Q1) Which behavior shows that a nurse values autonomy? The nurse: A)sets limits on a patient's romantic overtures toward the nurse. B)suggests one-on-one supervision for a patient who is suicidal. C)informs a patient that the spouse will not be in during visiting hours. D)discusses available alternatives and helps the patient weigh the consequences.
Q2) A nurse explains to the family of a patient who is mentally ill how the nurse-patient relationship differs from social relationships.Which is the best explanation?
A)"The focus is on the patient.Problems are discussed by the nurse and patient,but solutions are implemented by the patient."
B)"The focus shifts from nurse to patient as the relationship develops.Advice is given by both,and solutions are implemented."
C)"The focus of the relationship is socialization.Mutual needs are met,and feelings are openly shared."
D)"The focus is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other."
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Sample Questions
Q1) A person with a fear of heights drives across a high bridge.Which division of the autonomic nervous system is stimulated in response to this experience?
A)Limbic system
B)Peripheral nervous system
C)Sympathetic nervous system
D)Parasympathetic nervous system
Q2) A soldier returned home from active duty in a combat zone in Afghanistan and was diagnosed with post-traumatic stress disorder (PTSD).The soldier says,"If there's a loud noise at night,I get under my bed because I think we're getting bombed." What type of experience has the soldier described?
A)Illusion
B)Flashback
C)Nightmare
D)Auditory hallucination
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/42981
Q1) A supervisor assigns a worker a new project.The worker initially agrees but feels resentful.The next day when asked about the project,the worker says,"I've been working on other things." When asked 4 hours later,the worker says,"Someone else was using the copier,so I couldn't finish it." The worker's behavior demonstrates: A)acting out.
B)projection.
C)rationalization.
D)passive aggression.
Q2) A child is placed in a foster home after being removed from parental contact because of abuse.The child is apprehensive and overreacts to environmental stimuli.The foster parents ask the nurse how to help the child.What should the nurse recommend? Select all that apply.
A)Use a calm manner and low voice.
B)Maintain simplicity in the environment.
C)Avoid repetition in what is said to the child.
D)Minimize opportunities for exercise and play.
E)Explain and reinforce reality to avoid distortions.
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30 Flashcards
Source URL: https://quizplus.com/quiz/42982
Sample Questions
Q1) A nurse assesses a patient diagnosed with functional neurological (conversion)disorder.Which comment is most likely from this patient?
A)"Since my father died,I've been short of breath and had sharp pains that go down my left arm,but I think it's just indigestion."
B)"I have daily problems with nausea,vomiting,and diarrhea.My skin is very dry and I think I'm getting seriously dehydrated."
C)"Sexual intercourse is painful.I pretend as if I'm asleep so I can avoid it.I think it's starting to cause problems with my marriage."
D)"I get choked very easily and have trouble swallowing when I eat.I think I might have cancer of the esophagus."
Q2) A medical-surgical nurse works with a patient diagnosed with a somatic system disorder.Care planning is facilitated by understanding that the patient will probably:
A)Readily seek psychiatric counseling.
B)Be resistant to accepting psychiatric help.
C)Attend psychotherapy sessions without encouragement.
D)Be eager to discover the true reasons for physical symptoms.
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28 Flashcards
Source URL: https://quizplus.com/quiz/42983
Sample Questions
Q1) What is the priority intervention for a nurse beginning to work with a patient with a schizotypal personality disorder?
A)Respect the patient's need for periods of social isolation.
B)Prevent the patient from violating the nurse's rights.
C)Engage the patient in many community activities.
D)Teach the patient how to match clothing.
Q2) Consider these comments to three different nurses by a patient with an antisocial personality disorder: "You're a better nurse than the day shift nurse said you were";"Another nurse said you don't do your job right";"You think you're perfect,but I've seen you make three mistakes." Collectively,these interactions can be assessed as:
A)Seductive
B)Detached
C)Manipulative
D)Guilt producing
Q3) For which behavior would limit setting be most essential? The patient:
A)clings to the nurse and asks for advice about inconsequential matters.
B)is flirtatious and provocative with staff members of the opposite sex.
C)is hypervigilant and refuses to attend unit activities.
D)urges a suspicious patient to hit anyone who stares.
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28 Flashcards
Source URL: https://quizplus.com/quiz/42984
Sample Questions
Q1) A nurse conducting group therapy on the eating disorders unit schedules the sessions immediately after meals for the primary purpose of:
A)Maintaining patients' concentration and attention.
B)Shifting the patients' focus from food to psychotherapy.
C)Focusing on weight control mechanisms and food preparation.
D)Processing the heightened anxiety levels associated with eating.
Q2) An appropriate intervention for a patient with bulimia nervosa who binges and purges is to teach the patient to:
A)eat a small meal after purging.
B)avoid skipping meals or restricting food.
C)concentrate intake after 4 PM daily.
D)understand the value of reading journal entries aloud to others.
Q3) An outpatient diagnosed with anorexia nervosa has begun refeeding.Between the first and second appointments,the patient gained 8 pounds.The nurse should:
A)assess lung sounds and extremities.
B)suggest the use of an aerobic exercise program.
C)positively reinforce the patient for the weight gain.
D)establish a higher goal for weight gain the next week.
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/42985
Sample Questions
Q1) The admission note indicates a patient with depression has anergia and anhedonia.For which measures should the nurse plan? Select all that apply.
A)Channeling excessive energy
B)Reducing guilty ruminations
C)Instilling a sense of hopefulness
D)Assisting with self-care activities
E)Accommodating psychomotor retardation
Q2) A patient with major depression shows vegetative signs of depression.Which nursing actions should be implemented? Select all that apply.
A)Offer laxatives,if needed.
B)Monitor food and fluid intake.
C)Provide a quiet sleep environment.
D)Eliminate all daily caffeine intake.
E)Restrict the intake of processed foods.
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/42986
Sample Questions
Q1) A patient with bipolar disorder,who is being treated on an outpatient basis,takes lithium carbonate 300 mg three times daily.The patient complains of nausea.To reduce the nausea,the nurse can suggest that the lithium be taken with:
A)meals
B)an antacid
C)an antiemetic medication
D)a large glass of juice
Q2) After hospital discharge,what is the priority intervention for a patient with bipolar disorder,who is taking antimanic medication,and for the patient's family?
A)Decreasing physical activity
B)Increasing food and fluids
C)Meeting self-care needs
D)Psychoeducation
Q3) The cause of bipolar disorder has not been determined,but:
A)several factors,including genetics,are implicated.
B)brain structures were altered by stresses early in life.
C)excess norepinephrine is probably a major factor.
D)excess sensitivity in dopamine receptors may exist.
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/42987
Sample Questions
Q1) A patient with delusions of persecution about being poisoned has refused all hospital meals for 3 days.Which intervention is most likely to be acceptable to the patient?
A)Allowing the patient to have supervised access to food vending machines
B)Allowing the patient to telephone a local restaurant to deliver meals
C)Offering to taste each portion on the tray for the patient
D)Providing tube feedings or total parenteral nutrition
Q2) A patient with schizophrenia has auditory hallucinations,delusions of grandeur,poor personal hygiene,and motor agitation.Which assessment finding would the nurse regard as a negative symptom of schizophrenia?
A)Auditory hallucinations
B)Delusions of grandeur
C)Poor personal hygiene
D)Motor agitation
Q3) Withdrawn patients with schizophrenia:
A)Universally fear sexual involvement with therapists.
B)Are socially disabled by the positive symptoms of schizophrenia.
C)Exhibit a high degree of hostility as evidenced by rejecting behavior.
D)Avoid relationships because they become anxious with emotional closeness.
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29 Flashcards
Source URL: https://quizplus.com/quiz/42988
Sample Questions
Q1) What is the priority intervention for a patient with delirium who has fluctuating levels of consciousness,disturbed orientation,and perceptual alterations?
A)Avoidance of physical contact
B)High level of sensory stimulation
C)Careful observation and supervision
D)Application of wrist and ankle restraints
Q2) An older adult with moderate-stage dementia forgets where the bathroom is and has episodes of incontinence.Which intervention should the nurse suggest to the patient's family?
A)Label the bathroom door.
B)Take the older adult to the bathroom hourly.
C)Place the older adult in disposable adult diapers.
D)Make sure the older adult does not eat nonfood items.
Q3) Consider these health problems: Lewy body disease,Pick's disease,and Korsakoff's syndrome.Which term unifies these problems?
A)Intoxication
B)Dementia
C)Delirium
D)Amnesia
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/42989
Sample Questions
Q1) A patient admitted yesterday for injuries sustained while intoxicated believes the window blinds are snakes trying to get into the room.The patient is anxious,agitated,and diaphoretic.Which medication can the nurse anticipate the health care provider will prescribe?
A)Monoamine oxidase inhibitor,such as phenelzine (Nardil)
B)Phenothiazine,such as thioridazine (Mellaril)
C)Benzodiazepine,such as lorazepam (Ativan)
D)Narcotic analgesic,such as morphine
Q2) A newly hospitalized patient has needle tracks on both arms.A friend states that the patient uses heroin daily but has not used in the past 24 hours.The nurse should assess the patient for:
A)slurred speech,excessive drowsiness,and bradycardia
B)paranoid delusions,tactile hallucinations,and panic
C)runny nose,yawning,insomnia,and chills
D)anxiety,agitation,and aggression
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/42990
Sample Questions
Q1) A patient comes to the crisis center saying,"I'm in a terrible situation.I don't know what to do." The triage nurse can initially assume that the patient is:
A)suicidal.
B)anxious and fearful.
C)misperceiving reality.
D)potentially homicidal.
Q2) An appropriate question for the nurse to ask to assess situational support is:
A)"Has anything upsetting occurred in the past few days?"
B)"Who can be helpful to you during this time?"
C)"How does this problem affect your life?"
D)"What led you to seek help at this time?"
Q3) During the initial interview at the crisis center,a patient says,"I've been served with divorce papers.I'm so upset and anxious that I can't think clearly." What could the nurse say to assess personal coping skills?
A)"What would you like us to do to help you feel more relaxed?"
B)"In the past,how did you handle difficult or stressful situations?"
C)"Do you think you deserve to have things like this happen to you?"
D)"I can see you are upset.You can rely on us to help you feel better."
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/42991
Sample Questions
Q1) An adult has recently been absent from work for 3-day periods on several occasions.Each time,the individual returns wearing dark glasses.Facial and body bruises are apparent.What is the occupational health nurse's priority assessment?
A)Interpersonal relationships
B)Work responsibilities
C)Socialization skills
D)Physical injuries
Q2) An older adult with dementia lives with family and attends day care.After observing poor hygiene,the nurse at the center talks with the patient's adult child.This caregiver becomes defensive and says,"It takes all my time and energy to care for my mother.She's awake all night.I never get any sleep." Which nursing intervention has priority?
A)Teach the caregiver more about the effects of dementia.
B)Secure additional resources for the mother's evening and night care.
C)Support the caregiver to grieve the loss of the mother's ability to function.
D)Teach the family how to give physical care more effectively and efficiently.
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Source URL: https://quizplus.com/quiz/42992
Sample Questions
Q1) The nurse cares for a victim of a violent sexual assault.What is the most therapeutic intervention?
A)Use accepting,nurturing,and empathetic communication techniques.
B)Educate the victim about strategies to avoid attacks in the future.
C)Discourage the expression of feelings until the victim stabilizes.
D)Maintain a matter-of-fact manner and objectivity.
Q2) A patient was abducted and raped at gunpoint by an unknown assailant.Which assessment finding best indicates the patient is in the acute phase of rape trauma syndrome?
A)Confusion and disbelief
B)Decreased motor activity
C)Flashbacks and dreams
D)Fears and phobias
Q3) What is the primary motivator for most rapists?
A)Anxiety
B)Need for humiliation
C)Overwhelming sexual desires
D)Desire to humiliate or control others
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32 Flashcards
Source URL: https://quizplus.com/quiz/42993
Sample Questions
Q1) A nurse uses the SAD PERSONS scale to interview a patient.This tool provides data relevant to:
A)current stress level.
B)mood disturbance.
C)suicide potential.
D)level of anxiety.
Q2) A severely depressed patient who has been on suicide precautions tells the nurse,"I am feeling a lot better,so you can stop watching me.I have taken too much of your time already." Which is the nurse's best response?
A)"I wonder what this sudden change is all about.Please tell me more."
B)"I am glad you are feeling better.The team will consider your request."
C)"You should not try to direct your care.Leave that to the treatment team."
D)"Because we are concerned about your safety,we will continue with our plan."
Q3) A tearful,anxious patient at the outpatient clinic reports,"I should be dead." The initial task of the nurse conducting the assessment interview is to:
A)assess the lethality of a suicide plan.
B)encourage expression of anger.
C)establish a rapport with the patient.
D)determine risk factors for suicide.
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Source URL: https://quizplus.com/quiz/42994
Sample Questions
Q1) When a patient's aggression quickly escalates,which principle applies to the selection of nursing interventions?
A)Staff members should match the patient's affective level and tone of voice.
B)Ask the patient what intervention would be most helpful.
C)Immediately use physical containment measures.
D)Begin with the least restrictive measure possible.
Q2) A patient with severe injuries is irritable,angry,and belittles the nurses.As a nurse changes a dressing,the patient screams,"Don't touch me! You are so stupid.You will make it worse!" Which intervention uses a cognitive technique to help the patient?
A)Wordlessly discontinue the dressing change,and then leave the room.
B)Stop the dressing change,saying,"Perhaps you would like to change your own dressing."
C)Continue the dressing change,saying,"Do you know this dressing change is needed so your wound will not get infected?"
D)Continue the dressing change,saying,"Unfortunately,you have no choice in this because your doctor ordered this dressing change."
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Sample Questions
Q1) After being notified that her husband died of heart failure,a wife approaches the nurse who cared for her husband and in the hospital hallway shouts angrily,"He'd still be alive if you'd given him your undivided attention!" Select the nurse's best response.
A)"I understand you're feeling upset.Let's go to our conference room,and I'll stay with you until your family comes."
B)"Your husband's heart was severely damaged and could no longer pump.There's nothing anyone could have done."
C)"I will call the nursing supervisor to discuss this matter with you."
D)"It will be all right if you cry.Crying is a normal grief response."
Q2) Psychotherapy for individuals at risk for complicated grief focuses on which goals? Select all that apply.
A)Identifying ways to break bonds with the deceased
B)Exploring emotional responses to a loss
C)Solving problems related to moving forward in life
D)Learning about the stages and symptoms of grieving
E)Using antipsychotic medications for dysfunctional grief
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Source URL: https://quizplus.com/quiz/42996
Sample Questions
Q1) A 4-year-old child cries and screams from the time the parents leave the child at preschool until the child is picked up 4 hours later.The child is calm and relaxed when the parents are present.The parents ask,"What should we do?" What is the nurse's best recommendation?
A)"Send a picture of yourself to school to keep with the child."
B)"Arrange with the teacher to let the child call home at playtime."
C)"Talk with the school about withdrawing the child until maturity increases."
D)"Talk with your health care provider about a referral to a mental health clinic."
Q2) A parent with schizophrenia and 13-year-old child live in a homeless shelter.The child has formed a trusting relationship with a volunteer.The teen says,"I have three good friends at school.We talk and sit together at lunch." What is the nurse's best suggestion to the treatment team?
A)Suggest foster home placement.
B)Seek assistance from the domestic violence program.
C)Make referrals for existing and emerging developmental problems.
D)Foster healthy characteristics and existing environmental supports.
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Source URL: https://quizplus.com/quiz/42997
Sample Questions
Q1) A patient says,"I often make careless mistakes and have trouble staying focused.Sometimes it's hard to listen to what someone is saying.I have problems putting things in the right order and often lose equipment." Which problem should the nurse document?
A)Inattention
B)Impulsivity
C)Hyperactivity
D)Social impairment
Q2) A person with serious and persistent mental illness enters a shelter for the homeless.Which intervention should be the nurse's initial priority?
A)Develop a relationship
B)Find supported employment
C)Administer prescribed medication
D)Teach appropriate health care practices
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Source URL: https://quizplus.com/quiz/42998
Sample Questions
Q1) A nurse and social worker co-lead a reminiscence group for eight "young-old" adults.Which activity is most appropriate to include in the group?
A)Performing mild aerobic exercises
B)Singing a song from World War II
C)Discussing national leadership during the Vietnam War
D)Identifying the most troubling story in today's newspaper
Q2) When making a distinction as to whether a patient is experiencing confusion related to depression or dementia,what information would be most important for the nurse to consider?
A)The patient with dementia is persistently angry and hostile.
B)Early morning agitation and hyperactivity occur in dementia.
C)Confusion seems to worsen at night when dementia is present.
D)A patient who is depressed is constantly preoccupied with somatic symptoms.
Q3) The highest priority for assessment by nurses caring for older adults who self-administer medications is:
A)use of multiple drugs with anticholinergic effects
B)overuse of medications for erectile dysfunction
C)misuse of antihypertensive medications
D)trading medications with acquaintances
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