Evidence-Based Practice in Mental Health Nursing Final
Exam Questions
Course Introduction
This course introduces students to the principles and application of evidence-based practice within the context of mental health nursing. Focusing on the integration of the best available research, clinical expertise, and patient values, the course guides students through the process of critically appraising scientific literature and translating evidence into effective nursing interventions. Key topics include evidence appraisal, the role of clinical guidelines, ethical considerations, and strategies for implementing evidence-informed practices to improve mental health outcomes. Through case studies and practice-based assignments, students develop skills in decision-making, literature review, and quality improvement, preparing them to deliver high-quality, patient-centered mental health care.
Recommended Textbook
Psychiatric Mental Health Nursing Concepts of Care in Evidence Based Practice 7th Edition by Mary
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Page 2
Chapter 1: The Concept of Stress Adaptation
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Q1) A client who experiences stress on a regular basis asks a nurse what causes these feelings. Which is the most appropriate nursing response?
A)"Genetics have nothing to do with your temperament."
B)"How you reacted to past experiences influences how you feel now."
C)"If you're in good health physically, your stress level will be low."
D)"Stress can always be avoided if appropriate coping mechanisms are employed."
Answer: B
Q2) Research undertaken by Miller and Rahe in 1997 demonstrated a correlation between the effects of life change and illness. This research led to the development of the Recent Life Changes Questionnaire (RLCQ). Which principle most limits the effectiveness of this tool?
A)Specific illnesses are not identified.
B)Individual coping abilities are not assessed.
C)Stress is viewed as only a physiological response.
D)Personal perception of the event is excluded.
Answer: D
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3
Chapter 2: Mental Healthmental Illness: Historical and Theoretical Concepts
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Q1) Looking at a client's history and physical examination, a nurse notices that a diagnosis of rheumatoid arthritis has not been placed on any axis. Based on knowledge of the DSM-IV-TR, where should the nurse anticipate the coding of this assessment?
A)Axis I
B)Axis II
C)Axis III
D)Axis IV
E)Axis V
Answer: C
Q2) A nurse should recognize that the diagnostic and statistical manual of mental disorders (DSM-IV-TR) is based on which model of health-care delivery?
A)The holistic nursing model
B)The eclectic model
C)Freud's psychoanalytic model
D)The medical model
Answer: D
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Chapter 3: Theoretical Models of Personality Development
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Q1) A female complains that her husband only meets his sexual needs and never her needs. According to Freud, which personality structure should a nurse identify as predominantly driving the husband's actions?
A)The id
B)The superid
C)The ego
D)The superego
Answer: A
Q2) A physically healthy, 35-year-old single client lives with parents who provide total financial support. According to Erikson's theory, which developmental task should a nurse assist the client to accomplish?
A)Establishing the ability to control emotional reactions
B)Establishing a strong sense of ethics and character structure
C)Establishing and maintaining self-esteem
D)Establishing a career, personal relationships, and societal connections
Answer: D
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Chapter 4: Concepts of Psychobiology
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Q1) A client is admitted to an emergency department experiencing memory deficits and decreased motor function. What alteration in brain chemistry should a nurse correlate with the presentation of these symptoms?
A)Abnormal levels of serotonin
B)Decreased levels of dopamine
C)Increased levels of norepinephrine
D)Decreased levels of acetylcholine
Q2) A nurse should recognize that a decrease in norepinephrine levels would play a significant role in which mental illness?
A)Mania
B)Schizophrenia
C)Anxiety
D)Depression
Q3) Which part of the nervous system should a nurse identify as playing a major role during stressful situations?
A)Peripheral nervous system
B)Somatic nervous system
C)Sympathetic nervous system
D)Parasympathetic nervous system
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Page 6
Chapter 5: Ethical and Legal Issues in Psychiatricmental
Health Nursing
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Q1) In the situation presented, which nursing intervention constitutes false imprisonment?
A)The client is combative and will not redirect stating, "No one can stop me from leaving." The nurse seeks the physician's order after the client is restrained.
B)The client has been consistently seeking the attention of the nurse much of the day.The nurse institutes seclusion.
C)A psychotic client, admitted in an involuntary status, runs off the psychiatric unit.The nurse runs after the client and the client agrees to return.
D)A client hospitalized as an involuntary admission attempts to leave the unit.The nurse calls the security team and they prevent the client from leaving.
Q2) Which situation reflects the ethical principle of veracity?
A)A nurse provides a client with outpatient resources to benefit recovery.
B)A nurse refuses to give information to a physician who is not responsible for the client's care.
C)A nurse tricks a client into seclusion by asking the client to carry linen to the seclusion room.
D)A nurse treats all of the clients equally regardless of illness severity.
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Page 7
Chapter 6: Cultural and Spiritual Concepts Relevant to Psychiatricmental Health Nursing
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Q1) Which cultural considerations should a nurse identify with Western European Americans?
A)They are present-time oriented and perceive the future as God's will.
B)They value youth, and older adults are commonly placed in nursing homes.
C)They are at high risk for alcoholism due to a genetic predisposition.
D)They are future oriented and practice preventive health care.
Q2) A Latin American woman refuses to participate in an assertiveness training group. Which cultural belief should a nurse identify as most likely to have influenced this client's decision?
A)Future orientation causes the client to devalue assertiveness skills.
B)Decreased emotional expression makes it difficult to be assertive.
C)Assertiveness techniques may not be aligned with the client's definition of the female role.
D)Religious prohibitions prevent the client's participation in assertiveness training.
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8
Chapter 7: Relationship Development
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Q1) The nurse-client therapeutic relationship includes which of the following characteristics? (Select all that apply.)
A)Meeting the psychological needs of the nurse and the client
B)Ensuring therapeutic termination
C)Promoting client insight into problematic behavior
D)Collaborating to set appropriate goals
E)Meeting both the physical and psychological needs of the client
Q2) A hungry, homeless client, diagnosed with schizophrenia, refuses to participate in an admission interview. A nurse streamlines the assessment, verbally assures safety, and provides a warm meal. What is the nurse promoting by these actions?
A)Sympathy
B)Trust
C)Veracity
D)Manipulation
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Chapter 8: Therapeutic Communication
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Q1) What is the purpose of a nurse providing appropriate feedback?
A)To give the client good advice
B)To advise the client on appropriate behaviors
C)To evaluate the client's behavior
D)To give the client critical information
Q2) After assertiveness training, a formerly passive client appropriately confronts a peer in group therapy. The group leader states, "I'm so proud of you for being assertive. You are so good!" Which communication technique has the leader employed?
A)The nontherapeutic technique of giving approval
B)The nontherapeutic technique of interpreting
C)The therapeutic technique of presenting reality
D)The therapeutic technique of making observations
Q3) When interviewing a client, which nonverbal behavior should a nurse employ?
A)Maintaining indirect eye contact with the client
B)Providing space by leaning back away from the client
C)Sitting squarely, facing the client
D)Maintaining open posture with arms and legs crossed
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Chapter 9: The Nursing Process in Psychiatricmental Health
Nursing
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Q1) An instructor overhears a student say, "That family seems to disagree more than agree. The family seems to be dysfunctional." To further assess the family's situation, which would be an appropriate instructor reply?
A)"Families who disagree can be a challenge to the treatment team."
B)"You seem very critical of the family.Do you believe that you are unable to help them?"
C)"Let's bring the family in for an educational session to improve their communication."
D)"What appears to trigger family disagreements?"
Q2) Which of the following characteristics of accurately developed client outcomes should a nurse identify? (Select all that apply.)
A)Client outcomes are specifically formulated by nurses.
B)Client outcomes are not restricted by time frames.
C)Client outcomes are specific and measurable.
D)Client outcomes are realistically based on client capability.
E)Client outcomes are formally approved by the psychiatrist.
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Chapter 10: Therapeutic Groups
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Q1) An experienced psychiatric registered nurse has taken a new position leading groups in a day treatment program. Without further education, which group is this nurse most qualified to lead?
A)A psychodrama group
B)A psychotherapy group
C)A parenting group
D)A family therapy group
Q2) A nurse believes that the members of a parenting group are in the initial, or orientation, phase of group development. Which group behaviors would support this assumption?
A)The group members manage conflict within the group.
B)The group members use denial as part of the grief response.
C)The group members compliment the leader and compete for the role of recorder.
D)The group members initially trust one another and the leader.
Q3) When planning group therapy, a nurse should identify which configuration as most optimal for a therapeutic group?
A)Open-ended membership; circle of chairs; group size of 5 to 10 members
B)Open-ended membership; chairs around a table; group size of 10 to 15 members
C)Closed membership; circle of chairs; group size of 5 to 10 members
D)Closed membership; chairs around a table; group size of 10 to 15 members
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Chapter 11: Intervention With Families
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Q1) Which task should the nurse recognize as appropriate to stage IV of the family life cycle?
A)Making adjustments within the marital system to meet the responsibilities of parenthood
B)Establishing a new identity as a couple by realigning relationships with extended family
C)Redefining the level of dependence so that adolescents are provided with greater autonomy
D)Reestablishing the bond of the dyadic marital relationship
Q2) A couple has been married for 20 years. They argue constantly, belittle feelings, and continuously contradict each other. During a therapy session, the nurse documents "Marital schism." What does the nurse mean by this documentation?
A)The couple has a compatible marriage relationship.
B)The husband has a dominant relationship over the wife.
C)The couple has an enmeshed relationship.
D)The couple has an incompatible marriage relationship.
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13
Chapter 12: Milieu Therapy - the Therapeutic Community
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Q1) To promote self-reliance, how should a psychiatric nurse best conduct medication administration?
A)Encourage clients to request their medications at the appropriate times.
B)Refuse to administer medications unless clients request them at the appropriate times.
C)Allow the clients to determine appropriate medication times.
D)Take medications to the clients' bedside at the appropriate times.
Q2) What is the best rationale for including the client's family in therapy within the inpatient milieu?
A)To structure a program of social and work-related activities
B)To facilitate discharge from the hospital
C)To provide a concrete demonstration of caring
D)To encourage the family to model positive behaviors
Q3) A nurse working on an inpatient psychiatric unit is assigned to conduct a 45-minute education group. What should the nurse identify as an appropriate group topic?
A)Dream analysis
B)Creative cooking
C)Paint by number
D)Stress management
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Page 14
Chapter 13: Crisis Intervention
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Q1) Which of the following are effective interventions that a nurse should utilize when caring for an inpatient client who expresses anger inappropriately? (Select all that apply.)
A)Maintain a calm demeanor.
B)Clearly delineate the consequences of the behavior.
C)Use therapeutic touch to convey empathy.
D)Set limits on the behavior.
E)Teach the client to avoid "I" statements related to expression of feelings.
Q2) An involuntarily committed client, when offered a dinner tray, pushes it off the bedside table onto the floor. Which intervention should a nurse prioritize to address this behavior?
A)Initiate forced medication protocol.
B)Help the client to explore the source of anger.
C)Ignore the act to avoid reinforcing the behavior.
D)With staff support and a show of solidarity, set firm limits on the behavior.
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15
Chapter 14: Relaxation Therapy
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Q1) Which positive physical benefit would relaxation provide for a client who has experienced stress-related asthma?
A)Decreased neurotransmitters
B)Decreased blood pressure
C)Increased oxygen saturation levels
D)Decreased alpha brain waves
Q2) During a psychoeducational group on stress management, a client asks about meditation. Which nursing statement is most accurate regarding meditation?
A)"It is a procedure whereby various muscle groups are contracted and relaxed, bringing about an overall sense of relaxation."
B)"The procedure is one whereby you use your imagination to relax and reduce the tension in your body."
C)"The purpose is to become aware of one's bodily processes and to bring them under conscious control."
D)"The goal is to gain mastery and control over one's attention, bringing about a special state of consciousness."
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16
Chapter 15: Assertiveness Training
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Q1) During an assertiveness training group, a nurse suggests using "I statements." The group questions the usefulness of this communication technique. Which explanation by the nurse is most appropriate?
A)"When 'I statements' are used, opinions are communicated without blaming others."
B)"When 'I statements' are used, anger is displaced by using indirect means."
C)"When 'I statements' are used, responsibility for one's behavior is attributed to another."
D)"When 'I statements' are used, eye contact is promoted."
Q2) A nurse has identified the following nursing diagnosis: "ineffective communication
R/T lack of assertiveness skills AEB inability to state needs." Which statement encourages the client to acknowledge the priority of this problem?
A)"Are you having thoughts of harming yourself or others?"
B)"With whom are you least assertive?"
C)"On a scale of 1 to 10, rank the importance of being assertive."
D)"When are you available to attend the assertiveness training class?"
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Chapter 16: Promoting Self Esteem
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Q1) A nurse is caring for a client who has recently undergone a radical prostatectomy. Which of the following objective symptoms of low self-esteem should the nurse be prepared to recognize? (Select all that apply.)
A)Withdrawal from activities
B)A decrease in self-care behaviors
C)Poor eye contact
D)Denial of possible side effects
E)Feelings of powerlessness
Q2) Which is an appropriate initial nursing intervention for a client with chronic low self-esteem?
A)Assessing the content of negative self-talk
B)Administering anxiolytic medications
C)Using reassurance and physical touch
D)Using distraction techniques
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18
Chapter 17: Angeraggression Management
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Q1) For select clients, physical restraint is considered to be a beneficial intervention. This is based on which premise?
A)Clients with poor boundaries do not respond to verbal redirection, and they need firm and consistent limit setting.
B)Clients with limited internal control over their behavior need external controls to prevent harm to themselves and others.
C)Clients with antisocial tendencies need to submit to authority.
D)Clients with behavioral dysfunction need behavioral interventions.
Q2) The nurse observes a client's escalating anger. The client begins to pace the hall and shouts, "You all better watch out. I'm going to hurt anyone who gets in my way." Which should be the priority nursing intervention?
A)Calmly tell the client, "Staff will help you to control your impulse to hurt others."
B)Remove other clients from the area and maintain milieu safety.
C)Gather a show of force by contacting security for assistance.
D)Calmly tell the client, "You will need to be medicated and secluded."
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19
Chapter 18: Intervention With a Suicidal Client
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Q1) A nursing instructor is teaching about suicide. Which student statement indicates that learning has occurred?
A)"Suicidal threats and gestures should be considered manipulative and/or attention-seeking."
B)"Suicide is the act of a psychotic person."
C)"All suicidal individuals are mentally ill."
D)"50% to 80% of all people who kill themselves have a history of a previous attempt."
Q2) A nurse is caring for four clients diagnosed with major depression. When considering the client's belief system, which client would potentially be at highest risk for suicide?
A)Roman Catholic
B)Protestant
C)Atheist
D)Muslim
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Chapter 19: Behavior Therapy
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Q1) During hospitalization, an attention-seeking client has repeatedly cut self. After threatening to cut self again, the nurse states, "Here are some Band-Aids so you won't bleed on the sheets." Which is the underlying reason for this nurse's response?
A)The nurse is using an aversive stimulus in response to the client's manipulative cutting behavior.
B)The nurse is using negative reinforcement in response to the client's behavior.
C)The nurse is minimizing reinforcement of the client's manipulative behavior with the goal of extinction.
D)The nurse lacks empathy for the client's recurring self-injurious behavior.
Q2) According to behavioral theory, the treatment of phobic symptoms should involve which action?
A)The manipulation of the environment
B)The use of desensitization
C)The use of family therapy
D)The uncovering of past events
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21
Chapter 20: Cognitive Therapy
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Q1) Which client statement would exemplify the cognitive changes that you would expect to see in mild anxiety?
A)"Right now I feel as sharp as a tack."
B)"I'm having a tough time focusing."
C)"Sometimes I feel like I'm having an out-of-body experience."
D)"All I seem to focus on is my anger."
Q2) A nursing instructor is lecturing about cognitive therapy. Which of the following are objectives when implementing this therapy? (Select all that apply.)
A)To modify automatic thoughts to promote minimization of negative cognitions
B)To apply a variety of methods to create change in an individual's thinking
C)To apply cognitive principles in order to change an individual's basic schema
D)To modify belief systems in an effort to bring about emotional change
E)To modify belief systems in an effort to bring about behavioral change
Q3) A client recovering from alcohol toxicity is using minimization. Which statement reflects this cognitive distortion?
A)"I can't give up alcohol right now because I just gave up smoking."
B)"I just read that red wine has health benefits."
C)"I may have a minor problem, but I can handle it."
D)"I don't drink as much as my wife and nobody thinks she has a problem."
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Page 22
Chapter 21: Electroconvolusive Therapy
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Q1) During a course of 12 electroconvulsive therapy (ECT) treatments, an anxious client diagnosed with major depression refuses to bathe or attend group therapy. At this time, which of the following nursing diagnoses should be assigned to this client? (Select all that apply.)
A)Anxiety R/T post-ECT confusion and memory loss
B)Risk for injury R/T post-ECT confusion and memory loss
C)Disturbed thought processes R/T post-ECT confusion and memory loss
D)Altered sensory perception R/T post-ECT confusion and memory loss
E)Social isolation R/T post-ECT confusion and memory loss
Q2) A client scheduled for electroconvulsive therapy (ECT) at 9:00 a.m. is discovered eating breakfast at 8:00 a.m. Based on this observation, which is the most appropriate nursing action?
A)The nurse notifies the client's physician of the situation and cancels the ECT.
B)The nurse removes the breakfast tray and assists the client to the ECT treatment room.
C)The nurse allows the client to finish breakfast and reschedules ECT for 10:00 a.m.
D)The nurse increases the client's fluid intake to facilitate the digestive process.
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Chapter 22: Complementary Therapies
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Q1) A client reports taking St. John's wort for depression. The client states, "I'm taking the recommended dose, but it seems like if two capsules are good, four would be better!" Which is an appropriate nursing reply?
A)"Herbal medicines are more likely to cause adverse reactions than prescription medications."
B)"Increasing the amount of herbal preparations can lead to overdose and toxicity."
C)"The FDA does not regulate herbal remedies, therefore ingredients are often unknown."
D)"Certain companies are better than others.Always buy a reputable brand."
Q2) Which of the following practices should a nurse describe to a client as being incorporated during yoga therapy? (Select all that apply.)
A)Deep breathing
B)Meridian therapy
C)Balanced body postures
D)Massage therapy
E)Meditation
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24
Chapter 23: Disorders Usually First Diagnosed in Infancy,
Childhood, or Adolescence
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Q1) A 6-year-old client is prescribed methylphenidate (Ritalin) for a diagnosis of attention deficit-hyperactivity disorder (ADHD). When teaching the parents about this medication, which nursing statement explains how Ritalin works?
A)"Ritalin's sedation side effect assists children by decreasing their energy level."
B)"How Ritalin works is unknown.It is a stimulant; however, it does combat the symptoms of ADHD."
C)"Ritalin helps the child focus by decreasing the amount of dopamine in the basal ganglia and neuron synapse."
D)"Ritalin decreases hyperactivity by increasing serotonin levels."
Q2) The nurse should recognize which of the following findings contribute to a client's development of attention deficit-hyperactivity disorder (ADHD)? (Select all that apply.)
A)The client's father was a smoker.
B)The client was born 7 weeks premature.
C)The client is lactose intolerant.
D)The client has a sibling diagnosed with ADHD.
E)The client has been diagnosed with dyslexia.
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Chapter 24: Delirium, Dementia, and Amnestic Disorders
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Q1) A client diagnosed with vascular dementia is discharged to home under the care of his wife. Which information should cause the nurse to question the client's safety?
A)His wife works from home in telecommunication.
B)The client has worked the night shift his entire career.
C)His wife has minimal family support.
D)The client smokes one pack of cigarettes per day.
Q2) At what time during a 24-hour period should a nurse expect clients diagnosed with Alzheimer's dementia to exhibit more pronounced symptoms?
A)When they first awaken
B)In the middle of the night
C)At twilight
D)After taking medications
Q3) Which symptom should a nurse identify that would differentiate clients diagnosed with dementia from clients diagnosed with mood disorders?
A)Altered sleep
B)Altered concentration
C)Impaired memory
D)Impaired psychomotor activity
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Chapter 25: Substance-Related Disorders
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Q1) A client with a history of heavy alcohol use is brought to an emergency department (ED) by family members who state that the client has had nothing to drink in the last 24 hours. Which client symptom should the nurse immediate report to the ED physician?
A)Tactile hallucinations
B)Blood pressure of 180/100 mm Hg
C)Mood rating of 2/10 on numeric scale
D)Dehydration
Q2) A lonely, depressed divorcée has been self-medicating with cocaine for the past year. Which term should a nurse use to best describe this individual's situation?
A)The individual is experiencing psychological dependency.
B)The individual is experiencing physical dependency.
C)The individual is experiencing substance dependency.
D)The individual is experiencing social dependency.
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Chapter 26: Schizophrenia and Other Psychotic Disorders
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Q1) If clozapine (Clozaril) therapy is being considered, the nurse should evaluate which laboratory test to establish a baseline for comparison in order to recognize a potentially life-threatening side effect?
A)White blood cell count
B)Liver function studies
C)Creatinine clearance
D)Blood urea nitrogen
Q2) A client diagnosed with chronic schizophrenia presents in an emergency department (ED) with uncontrollable tongue movements, stiff neck, and difficulty swallowing. The nurse would expect the physician to recognize which condition and implement which treatment?
A)Neuroleptic malignant syndrome and treat by discontinuing antipsychotic medications
B)Agranulocytosis and treat by administration of clozapine (Clozaril)
C)Extrapyramidal symptoms and treat by administration of benztropine (Cogentin)
D)Tardive dyskinesia and treat by discontinuing antipsychotic medications
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Chapter 27: Mood Diorders: Depression
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Q1) Sertraline (Zoloft) has been prescribed for a client complaining of poor appetite, fatigue, and anhedonia. Which consideration should the nurse recognize as influencing this prescriptive choice?
A)Zoloft is less expensive for the client.
B)Zoloft is extremely sedating and will help with sleep disturbances.
C)Zoloft has less adverse side effects than other antidepressants.
D)Zoloft begins to improve depressive symptoms quickly.
Q2) A nurse is implementing a one-on-one suicide observation level with a client diagnosed with major depressive disorder. The client states, "I'm feeling a lot better so you can stop watching me. I have taken up too much of your time already." Which is the best nursing reply?
A)"I really appreciate your concern but I have been ordered to continue to watch you."
B)"Because we are concerned about your safety, we will continue to observe you."
C)"I am glad you are feeling better.The treatment team will consider your request."
D)"I will forward you request to your psychiatrist because it is his decision."
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Chapter 28: Mood Disorders: Bipolar Disorder
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Q1) A client's spouse asks, "What evidence supports the possibility of genetic transmission of bipolar disorder?" Which is the best nursing reply?
A)"Clients diagnosed with bipolar disorders have alterations in neurochemicals which affect behaviors."
B)"Higher rates of relatives diagnosed with bipolar disorder are found in families of client's diagnosed with this disorder."
C)"Higher rates of relatives of clients diagnosed with bipolar disorder respond in an exaggerated way to daily stress."
D)"More individuals diagnosed with bipolar disorder come from higher socioeconomic and educational backgrounds."
Q2) A client is diagnosed with bipolar disorder: manic phase. Which nursing intervention would be implemented to achieve the outcome of "Client will gain 2 lbs by the end of the week?"
A)Provide client with high-calorie finger foods throughout the day.
B)Accompany client to cafeteria to encourage adequate dietary consumption.
C)Initiate total parenteral nutrition to meet dietary needs.
D)Teach the importance of a varied diet to meet nutritional needs.
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Chapter 29: Anxiety Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/79534
Sample Questions
Q1) A client is prescribed alprazolam (Xanax) for acute anxiety. What client history should cause a nurse to question this order?
A)History of alcohol dependence
B)History of personality disorder
C)History of schizophrenia
D)History of hypertension
Q2) A client is experiencing a severe panic attack. Which nursing intervention would meet this client's immediate need?
A)Teach deep breathing relaxation exercises
B)Place the client in a Trendelenburg position
C)Stay with the client and offer reassurance of safety
D)Administer the ordered prn buspirone (BuSpar)
Q3) A client has a history of excessive fear of water. What is the term that a nurse should use to describe this specific phobia, and under what subtype is this phobia identified?
A)Aquaphobia, a natural environment type of phobia
B)Aquaphobia, a situational type of phobia
C)Acrophobia, a natural environment type of phobia
D)Acrophobia, a situational type of phobia
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31
Chapter 30: Somatoform and Disassociative Disorders
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Sample Questions
Q1) A client is diagnosed with dissociative identity disorder (DID). What is the primary goal of therapy for this client?
A)To recover memories and improve thinking patterns
B)To prevent social isolation
C)To decrease anxiety and need for secondary gain
D)To collaborate among subpersonalities to improve functioning
Q2) Neurological tests have ruled out pathology in a client's sudden lower-extremity paralysis. Which nursing care should be included for this client?
A)Deal with physical symptoms in a detached manner.
B)Challenge the validity of physical symptoms.
C)Meet dependency needs until the physical limitations subside.
D)Encourage a discussion of feelings about the lower-extremity problem.
Q3) An inpatient client is newly diagnosed with dissociative identity disorder (DID) stemming for severe childhood sexual abuse. Which nursing intervention takes priority?
A)Encourage exploration of sexual abuse
B)Encourage guided imagery
C)Establish trust and rapport
D)Administer antianxiety medications
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Chapter 31: Issues Related to Human Sexuality and Gender
Identity
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/79532
Sample Questions
Q1) A nursing instructor is teaching about the various categories of paraphilia. Which of the following categories are correctly matched with expected behaviors? (Select all that apply.)
A)Exhibitionism: Mary models lingerie for a company that specializes in home parties.
B)Voyeurism: John is arrested for peering in a neighbor's bathroom window.
C)Frotteurism: Peter enjoys subway rush-hour female contact that results in arousal.
D)Pedophilia: George can experience an orgasm by holding and feeling shoes.
E)Fetishism: Henry masturbates into his wife's silk panties.
Q2) A recently widowed client reports a fear of intimacy due to an inability to achieve and sustain an erection. He has become isolative, has difficulty sleeping, and has recently lost weight. Which correctly written nursing diagnosis should be prioritized for this client?
A)Risk for situational low self-esteem AEB inability to achieve an erection
B)Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm
C)Social isolation R/T low self-esteem AEB refusing to engage in dating activities
D)Disturbed body image R/T penile flaccidity AEB client statements
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Chapter 32: Eating Disorders
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A client who is 5 foot 6 inches tall and weighs 98 pounds is admitted with a medical diagnosis of anorexia nervosa. Which nursing diagnosis would take priority at this time?
A)Ineffective coping R/T food obsession
B)Altered nutrition: less than body requirements R/T inadequate food intake
C)Risk for injury R/T suicidal tendencies
D)Altered body image R/T perceived obesity
Q2) A potential Olympic figure skater collapses during practice and is hospitalized for severe malnutrition. Anorexia nervosa is diagnosed. Which client statement best reflects the underlying etiology of this disorder?
A)"Skaters need to be thin to improve their daily performance."
B)"All the skaters on the team are following an approved 1,200-calorie diet."
C)"When I lose skating competitions, I also lose my appetite."
D)"I am angry at my mother.I can only get her approval when I win competitions."
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Chapter 33: Adjustment and Impulse Control Disorders
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Sample Questions
Q1) A nursing instructor is teaching about the correlation between pathological gambling and abnormalities in the neurotransmitter system. What statement by the nursing student indicates that learning has occurred?
A)"Pathological gamblers present with decreased serotonin, increased norepinephrine, and increased dopamine."
B)"Pathological gamblers present with increased serotonin, increased norepinephrine, and increased dopamine."
C)"Pathological gamblers present with decreased serotonin, decreased norepinephrine, and decreased dopamine."
D)"Pathological gamblers present with increased serotonin, decreased norepinephrine, and decreased dopamine."
Q2) A client is diagnosed with intermittent explosive disorder. The clinic nurse should anticipate teaching about which medication?
A)Citalopram (Celexa)
B)Risperidone (Risperdal)
C)Fluvoxamine (Luvox)
D)Isocarboxazid (Marplan)
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Chapter 34: Personality Disorders
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Sample Questions
Q1) When a client on an acute care psychiatric unit demonstrates behaviors and verbalizations indicating a lack of guilt feelings, which nursing intervention would help the client to meet desired outcomes?
A)Provide external limits on client behavior.
B)Foster discussions of rationales for behavioral change.
C)Implement interventions consistently by only one staff member.
D)Encourage the client to involve self in care.
Q2) A client diagnosed with cluster "C" traits sits alone and ignores other's attempts to converse. When ask to join a group the client states, "No thanks." In this situation, which should the nurse assign as an initial nursing diagnosis?
A)Fear R/T hospitalization
B)Social isolation R/T poor self-esteem
C)Risk for suicide R/T to hopelessness
D)Powerlessness R/T dependence issues
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Chapter 35: The Aging Individual
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Source URL: https://quizplus.com/quiz/79528
Sample Questions
Q1) A couple resides in a long-term care facility. The husband is admitted to the psychiatric unit after physically abusing his wife. He states, "My wife is having an affair with a young man, and I want it investigated." Which is the appropriate nursing reply?
A)"Your wife is not having an affair.What makes you think that?"
B)"Why do you think that your wife is having an affair?"
C)"Your wife has told us that these thoughts have no basis in fact."
D)"I understand that you are upset.Let's talk about it."
Q2) A nurse is conducting a class on fall prevention at a local senior center. In relationship to the slowed cognitive processing of advanced age, which teaching modification would be most appropriate for the nurse to implement?
A)Encouraging the clients to use hearing aids if needed
B)Avoiding overarticulation
C)Minimizing distractive stimuli
D)Providing more time for client feedback
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Chapter 36: Victims of Abuse or Neglect
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16 Flashcards
Source URL: https://quizplus.com/quiz/79527
Sample Questions
Q1) Which statement made by an emergency department nurse indicates accurate knowledge of domestic violence?
A)"Power and control are central to the dynamic of domestic violence."
B)"Poor communication and social isolation are central to the dynamic of domestic violence."
C)"Erratic relationships and vulnerability are central to the dynamic of domestic violence."
D)"Emotional injury and learned helplessness are central to the dynamic of domestic violence."
Q2) When planning care for women in abusive relationships, which of the following information is important for the nurse to consider? (Select all that apply.)
A)It often takes several attempts before a woman leaves an abusive situation.
B)Substance abuse is a common factor in abusive relationships.
C)Until children reach school age, they are usually not affected by parental discord.
D)Women in abusive relationships usually feel isolated and unsupported.
E)Economic factors rarely play a role in the decision to stay in abusive relationships.
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Chapter 37: Community Mental Health Nursing
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/79526
Sample Questions
Q1) Which of the following clients should a nurse recommend for a structured day program? (Select all that apply.)
A)An acutely suicidal teenager who has had three previous suicide attempts
B)A chronically mentally ill woman who has a history of medication noncompliance
C)An elderly individual with end-stage Alzheimer's disease
D)A depressed individual who is able to participate in a safety plan
E)A client who is hearing voices that tell the client to harm others
Q2) A homeless client comes to an emergency department reporting cough, night sweats, weight loss, and blood-tinged sputum. What disease that has recently become more prevalent among the homeless community should a nurse suspect?
A)Meningitis
B)Tuberculosis
C)Encephalopathy
D)Mononucleosis
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Chapter 38: Forensic Nursing
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/79525
Sample Questions
Q1) A forensic nurse assesses patterned injuries on a 3-year-old child. What assessment data led to this conclusion?
A)Multiple minute cuts and abrasions
B)Generalized bruising of the buttock
C)Circular burn marks, the size of a lit cigarette
D)Stab wounds resulting from sharp object penetration
Q2) A nurse providing health teaching to inmates of a correctional facility is most likely to include which of the following topics? (Select all that apply.)
A)Benefits of exercise
B)Ways to achieve optimum wellness
C)Prevention of sexually transmitted diseases (STDs)
D)Prevention of pregnancy
E)Stress management
Q3) A rape victim is concerned about becoming pregnant. Which is the most appropriate intervention by the nurse practitioner?
A)Refer the client to an abortion clinic.
B)Refer the client to a spiritual counselor.
C)Offer ethinyl estradiol/norgestrel (Ovral).
D)Instruct the client to douche daily for 1 week.
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Page 40
Chapter 39: The Bereaved Individual
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Sample Questions
Q1) A nurse is caring for an Irish client who has recently lost a spouse. The client states to the nurse, "I'm planning an elaborate wake and funeral." According to George Engel, what purpose would these rituals serve?
A)To delay the recovery process initiated by the loss of the client's spouse
B)To facilitate the acceptance of the loss of the client's spouse
C)To avoid dealing with grief associated with the loss of the client's spouse
D)To eliminate emotional pain related to the loss of the client's spouse
Q2) A client is diagnosed with terminal cancer. Which situation would the nurse assess as reflecting Kübler-Ross's grief stage of "anger"?
A)The client registers for an iron-man marathon to be held in 9 months.
B)The client is a devoted Catholic but refuses to attend church and states that his faith has failed him.
C)The client promises God to give up smoking if allowed to live long enough to witness a grandchild's birth.
D)The client gathers family in order to plan a funeral and make last wishes known.
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