Foundations of Mental Health Nursing Exam Preparation Guide - 809 Verified Questions

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Foundations of Mental Health Nursing Exam Preparation Guide

Course Introduction

This course introduces students to the fundamental principles and practices of mental health nursing, emphasizing the holistic care of individuals experiencing mental health challenges across the lifespan. Students will explore key concepts such as mental health promotion, the biopsychosocial model, therapeutic communication, and the nurses role in psychiatric settings. The curriculum covers common mental health disorders, assessment techniques, and evidence-based interventions, while highlighting ethical considerations and the importance of cultural competence. Through theoretical learning and practical application, students develop the foundational skills necessary to support, advocate for, and empower individuals and families affected by mental health issues.

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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Chapter 1: Practicing the Science and Art of Psychiatric Nursing

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15 Verified Questions

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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 outcome,focused on recovery,would be expected in the plan of care for a patient living in the community with serious and persistent mental illness? Within 3 months,the patient will:

A)deny suicidal ideation.

B)report a sense of well-being.

C)take medications as prescribed.

D)attend clinic appointments on time.

Answer: B

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Chapter 2: Mental Health and Mental Illness

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Sample Questions

Q1) A nurse wants to find a description of diagnostic criteria for a person with schizophrenia.Which resource should the nurse consult?

A)U.S.Department of Health and Human Services

B)Journal of the American Psychiatric Association

C)North American Nursing Diagnosis Association (NANDA)International

D)DSM-IV-TR

Answer: D

Q2) A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patient's insurance form.Which resource should the nurse consult to discern the criteria used to establish this diagnosis?

A)DSM-IV-TR

B)Nursing Diagnosis Manual

C)A psychiatric nursing textbook

D)A behavioral health reference manual

Answer: A

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4

Chapter 3: Theories and Therapies

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Sample Questions

Q1) A psychiatric technician says,"Little of what takes place on the behavioral health unit seems to be theory based." A nurse educates the technician by identifying which common use of Sullivan's theory?

A)Structure of the therapeutic milieu of most behavioral health units

B)Frequent use of restraint and seclusion as behavior management tools

C)Assessment tools based on age-appropriate versus arrested behaviors

D)Method nurses use to determine the best sequence for nursing actions

Answer: A

Q2) A nurse assesses that a patient is suspicious and frequently manipulates others.Using the Freudian theory,these traits are related to which psychosexual stage?

A)Oral

B)Anal

C)Phallic

D)Genital

Answer: A

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Chapter 4: Biological Basis for Understanding

Psychopharmacology

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Sample Questions

Q1) The laboratory report for a patient taking clozapine (Clozaril)shows a white blood cell count of 3000 mm³ and a granulocyte count of 1500 mm³.The nurse should:

A)report the laboratory results to the health care provider.

B)give the next dose as prescribed.

C)administer aspirin and force fluids.

D)repeat the laboratory tests.

Q2) A patient has dementia.The health care provider wants to make a differential diagnosis between Alzheimer disease and multiple infarctions.Which diagnostic procedure should a nurse expect to prepare the patient for first?

A)Computed tomography (CT)scan

B)Positron emission tomography (PET)scan

C)Functional magnetic resonance imaging (fMRI)

D)Single-photon-emission computed tomography (SPECT)scan

Q3) Priority teaching for a patient taking clozapine (Clozaril)should include which instruction?

A)Report sore throat and fever immediately.

B)Avoid foods high in polyunsaturated fat.

C)Use water-based lotions for rashes.

D)Avoid unprotected sex.

Page 6

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Chapter 5: Settings for Psychiatric Care

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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 nurse can best address factors of critical importance to successful community treatment for persons with mental illness by including assessments related to which of the following? Select all that apply.

A)housing adequacy and stability

B)income adequacy and stability

C)family and other support systems

D)early psychosocial development

E)substance abuse history and current use

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Chapter 6: Legal and Ethical Basis for Practice

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Sample Questions

Q1) Which situations qualify as abandonment on the part of a nurse? (Select all that apply. )The nurse:

A)allows a patient with acute mania to refuse hospitalization without taking further action.

B)terminates employment without referring a seriously mentally ill for aftercare.

C)calls police to bring a suicidal patient to the hospital after a suicide attempt.

D)refers a patient with persistent paranoid schizophrenia to community treatment.

E)asks another nurse to provide a patient's care because of concerns about countertransference.

Q2) A voluntarily hospitalized patient tells the nurse,"Get me the forms for discharge against medical advice so I can leave now." What is the nurse's best initial response?

A)"I can't give you those forms without your health care provider's knowledge."

B)"I will get them for you,but let's talk about your decision to leave treatment."

C)"Since you signed your consent for treatment,you may leave if you desire."

D)"I'll get the forms for you right now and bring them to your room."

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Chapter 7: Nursing Process and Qsen: The Foundation for

Safe and Effective Care

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Sample Questions

Q1) After formulating the nursing diagnoses for a new patient,what is the next action a nurse should take?

A)Design interventions to include in the plan of care.

B)Determine the goals and outcome criteria.

C)Implement the nursing plan of care.

D)Complete the spiritual assessment.

Q2) 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.An appropriate question for the nurse to ask would be:

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?"

Q3) A nurse assessing a new patient asks,"What is meant by the saying,'You can't judge a book by its cover'?" Which aspect of cognition is the nurse assessing?

A)Mood

B)Attention

C)Orientation

D)Abstraction

Page 9

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Chapter 8: Communication Skills: Medium for All Nursing Practice

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Sample Questions

Q1) Which technique will best communicate to a patient that the nurse is interested in listening?

A)Restate a feeling or thought the patient has expressed.

B)Ask a direct question,such as "Did you feel angry?"

C)Make a judgment about the patient's problem.

D)Say,"I understand what you're saying."

Q2) While talking with a patient with severe depression,a nurse notices the patient is unable to maintain eye contact.The patient's chin lowers to the chest while the patient looks at the floor.Which aspect of communication has the nurse assessed?

A)Nonverbal communication

B)A message filter

C)A cultural barrier

D)Social skills

Q3) A patient tells the nurse,"I don't think I'll ever get out of here." Select the nurse's most therapeutic response.

A)"Don't talk that way.Of course you will leave here!"

B)"Keep up the good work and you certainly will."

C)"You don't think you're making progress?"

D)"Everyone feels that way sometimes."

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Chapter 9: Therapeutic Relationships and the Clinical

Interview

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Sample Questions

Q1) A new nurse tells a mentor,"I want to convey to my patients that I am interested in them and that I want to listen to what they have to say." Which behaviors are helpful in meeting the nurse's goal? Select all that apply.

A)Sitting behind a desk,facing the patient.

B)Introducing self to a patient and identifying own role.

C)Using facial expressions that convey interest and encouragement.

D)Assuming an open body posture and sometimes mirror imaging.

E)Maintaining control of the topic under discussion by asking direct questions.

Q2) 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.

Q3) What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviors that indicate:

A)great sense of independence.

B)rapport and trust with the nurse.

C)self-responsibility and autonomy.

D)resolved transference.

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Chapter 10: Stress and Stress-Related Disorders

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Sample Questions

Q1) A person with a fear of heights drives across a high bridge.Which structure will stimulate a response from the autonomic nervous system?

A)Thalamus

B)Parietal lobe

C)Hypothalamus

D)Pituitary gland

Q2) An individual says to the nurse,"I feel so stressed out lately.I think the stress is affecting my body also." Which somatic complaints are most likely to accompany this feeling? Select all that apply.

A)Headache

B)Neck pain

C)Insomnia

D)Anorexia

E)Myopia

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Chapter 11: Anxiety, anxiety Disorders, and

Obsessive-Compulsive Disorders

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Sample Questions

Q1) A nurse wishes to teach alternative coping strategies to a patient who is experiencing severe anxiety.The nurse will first need to:

A)Lower the patient's current anxiety level.

B)Verify the patient's learning style.

C)Create outcomes and a teaching plan.

D)Assess how the patient uses defense mechanisms.

Q2) A patient approaches the nurse and impatiently blurts out,"You've got to help me! Something terrible is happening.My heart is pounding." The nurse responds,"It's almost time for visiting hours.Let's get your hair combed." Which approach has the nurse used?

A)Distracting technique to lower anxiety

B)Bringing up an irrelevant topic

C)Responding to physical needs

D)Addressing false cognitions

Q3) Which statement is mostly likely to be made by a patient with agoraphobia?

A)"Being afraid to go out seems ridiculous,but I can't go out the door."

B)"I'm sure I'll get over not wanting to leave home soon.It takes time."

C)"When I have a good incentive to go out,I can do it."

D)"My family says they like it now that I stay home."

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Chapter 12: Somatoform Disorders and Dissociative Disorders

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Sample Questions

Q1) A patient with blindness related to a functional neurological (conversion)disorder says,"All the doctors and nurses in this hospital stop by often to check on me.Too bad people outside the hospital don't find me interesting." Which nursing diagnosis is most relevant?

A)Social isolation

B)Chronic low self-esteem

C)Interrupted family processes

D)Ineffective health maintenance

Q2) Which assessment finding best supports dissociative fugue? The patient states:

A)"I cannot recall why I'm living in this town."

B)"I feel as if I'm living in a fuzzy dream state."

C)"I feel like different parts of my body are at war."

D)"I feel very anxious and worried about my problems."

Q3) A nurse assessing a patient with a somatic system disorder is most likely to note that the patient:

A)Readily sees a relationship between symptoms and interpersonal conflicts.

B)Rarely derives personal benefit from the symptoms.

C)Has little difficulty communicating emotional needs.

D)Has altered comfort and activity needs.

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Chapter 13: Personality Disorders

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Sample Questions

Q1) A nurse in the emergency department tells an adult,"Your mother had a severe stroke." The adult tearfully says,"Who will take care of me now? My mother always told me what to do,what to wear,and what to eat.I need someone to reassure me when I get anxious." Which term best describes this behavior?

A)Histrionic

B)Dependent

C)Narcissistic

D)Borderline

Q2) A patient with borderline personality disorder is hospitalized several times after self-mutilating episodes.The patient remains impulsive.Dialectical behavior therapy starts on an outpatient basis.Which nursing diagnosis is the focus of this therapy?

A)Risk for self-directed violence

B)Impaired skin integrity

C)Risk for injury

D)Powerlessness

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Chapter 14: Eating Disorders

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Sample Questions

Q1) Which nursing intervention has priority as a patient with anorexia nervosa begins to gain weight?

A)Assess for depression and anxiety.

B)Observe for adverse effects of refeeding.

C)Communicate empathy for the patient's feelings.

D)Help the patient balance energy expenditure and caloric intake.

Q2) A patient being admitted to the eating disorders unit has a yellow cast to the skin and fine,downy hair covering the body.The patient weighs 70 pounds;height is 5 feet,4 inches.The patient is quiet and says only,"I won't eat until I look thin." What is the priority initial nursing diagnosis?

A)Anxiety,related to fear of weight gain

B)Disturbed body image,related to weight loss

C)Ineffective coping,related to lack of conflict resolution skills

D)Imbalanced nutrition: less than body requirements,related to self-starvation

Q3) Which statement is a nurse most likely to hear from a patient with anorexia nervosa?

A)"I'm fat and ugly."

B)"I have nice eyes."

C)"I'm thin for my height."

D)"My parents don't pay much attention to me."

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Page 16

Chapter 15: Mood Disorders: Depression

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Sample Questions

Q1) A patient's employment is terminated and major depression results.The patient says to the nurse,"I'm not worth the time you spend with me.I'm the most useless person in the world." Which nursing diagnosis applies?

A)Powerlessness

B)Defensive coping

C)Situational low self-esteem

D)Disturbed personal identity

Q2) A patient with major depression will begin electroconvulsive therapy tomorrow.Which interventions are routinely implemented before the treatment? Select all that apply.

A)Administer pretreatment medication 30 to 45 minutes before treatment.

B)Withhold food and fluids for a minimum of 6 hours before treatment.

C)Remove dentures,glasses,contact lenses,and hearing aids.

D)Restrain the patient in bed with padded limb restraints.

E)Assist the patient to prepare an advance directive.

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Chapter 16: Bipolar Spectrum Disorders

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Sample Questions

Q1) A patient with bipolar disorder is in the maintenance phase of treatment.The patient asks,"Do I have to keep taking this lithium even though my mood is stable now?" Select the nurse's most appropriate response.

A)"You will be able to stop the medication in approximately 1 month."

B)"Taking the medication every day helps prevent relapses and recurrences."

C)"Usually patients take this medication for approximately 6 months after discharge."

D)"It's unusual that the health care provider hasn't already stopped your medication."

Q2) Consider these three drugs: divalproex (Depakote),carbamazepine (Tegretol),and gabapentin (Neurontin).Which drug also belongs to this group?

A)clonazepam (Klonopin)

B)risperidone (Risperdal)

C)lamotrigine (Lamictal)

D)aripiprazole (Abilify)

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18

Chapter 17: Schizophrenia Spectrum Disorders

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Sample Questions

Q1) A patient with schizophrenia begins to talks about "volmers" hiding in the warehouse at work.The term "volmers" should be documented as:

A)neologism

B)concrete thinking

C)thought insertion

D)idea of reference

Q2) A nurse works with a patient with paranoid schizophrenia regarding the importance of medication management.The patient repeatedly says,"I don't like taking pills." Family members say they feel helpless to foster compliance.Which treatment strategy should the nurse discuss with the health care provider?

A)Use of a long-acting antipsychotic preparation

B)Addition of a benzodiazepine,such as lorazepam (Ativan)

C)Adjunctive use of an antidepressant,such as amitriptyline (Elavil)

D)Prolonged hospitalization;this patient is not ready for discharge

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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Page 19

Chapter 18: Neurocognitive Disorders

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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) A patient with Alzheimer's disease wanders at night.Which action should the nurse recommend for a family to use in the home to enhance safety?

A)Place throw rugs on tile or wooden floors.

B)Place locks at the tops of doors.

C)Encourage daytime napping.

D)Obtain a bed with side rails.

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Page 20

Chapter 19: Addictions and Compulsions

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Sample Questions

Q1) A patient was admitted 48 hours ago for injuries sustained while intoxicated.The patient is shaky,irritable,anxious,and diaphoretic.The pulse rate is 130 beats per minute.The patient shouts,"Bugs are crawling on my bed.I've got to get out of here." What is the most accurate assessment of the situation? The patient:

A)is attempting to obtain attention by manipulating staff.

B)may have sustained a head injury before admission.

C)has symptoms of alcohol withdrawal delirium.

D)is having a recurrence of an acute psychosis.

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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Chapter 20: Crisis and Mass Disaster

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Sample Questions

Q1) Which scenario is an example of an adventitious crisis?

A)Death of a child from sudden infant death syndrome

B)Being fired from a job because of company downsizing

C)Retirement of a 55-year-old

D)Riot at a rock concert

Q2) While conducting the initial interview with a patient in crisis,the nurse should:

A)speak in short,concise sentences.

B)convey a sense of urgency to the patient.

C)be forthright about time limits of the interview.

D)let the patient know the nurse controls the interview.

Q3) 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.

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Chapter 21: Child, Partner, and Elder Violence

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Q1) A patient tells the nurse,"My husband is abusive most often when he drinks too much.His family was like that when he was growing up.He always apologizes and regrets hurting me." What risk factor was most predictive for the husband to become abusive?

A)History of family violence

B)Loss of employment

C)Abuse of alcohol

D)Poverty

Q2) An adult has recently been absent from work on several occasions.Each time,the adult returns wearing dark glasses.Facial and body bruises are apparent.During the occupational health nurse's interview,the adult says,"My partner beat me,but it was because there are problems at work." What should the nurse's next action be?

A)Call the police.

B)Arrange for hospitalization.

C)Call the adult protective agency.

D)Document injuries with a body map.

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Chapter 22: Sexual Violence

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Sample Questions

Q1) A child was abducted and raped.In the emergency department,this victim is confused and crying.Which personal reaction by the nurse could interfere with this victim's care?

A)Anger

B)Concern

C)Empathy

D)Compassion

Q2) A victim of a violent rape has been in the emergency department for 3 hours.Evidence collection is complete.As discharge counseling begins,the patient says softly,"I will never be the same again.I can't face my friends.There is no sense of trying to go on." Select the nurse's most important response.

A)"Are you thinking of suicide?"

B)"It will take time,but you will feel the same as before."

C)"Your friends will understand when you tell them."

D)"You will be able to find meaning in this experience as time goes on."

Q3) A nurse working a rape telephone hotline should focus communication to:

A)arrange long-term patient counseling.

B)provide callers with a sympathetic listener.

C)explain immediate steps that a victim of rape should take.

D)obtain information to relay to the local police.

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Chapter 23: Suicidal Thoughts and Behavior

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Q1) A college student failed two examinations.The student cried for hours and then tried to call a parent but got no answer.The student then suspended access to his social networking web site.Which suicide risk factors are present? Select all that apply.

A)History of earlier suicide attempt

B)Co-occurring medical illness

C)Recent stressful life event

D)Self-imposed isolation

E)Shame or humiliation

Q2) A nurse assesses the health status of soldiers returning from Afghanistan.Screening for which health problems will be a priority? Select all that apply.

A)Schizophrenia

B)Eating disorder

C)Traumatic brain injury

D)Seasonal affective disorder

E)Posttraumatic stress disorder

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Chapter 24: Anger, Aggression, and Violence

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Q1) A patient with burn injuries has had good coping skills for several weeks.Today,a newly assigned nurse is poorly organized.The patient's usual schedule was not followed.By mid-afternoon,the patient is angry and loudly complains to the nurse manager.Which is the nurse manager's best response?

A)Explain the reasons for the disorganization,and take over the patient's care for the rest of the shift.

B)Acknowledge and validate the patient's distress and ask,"What would you like to have happen?"

C)Apologize and explain that the patient will have to accept the situation for the rest of the shift.

D)Ask the patient to control the anger and explain that allowances must be made for new staff members.

Q2) Information from a patient's record that indicates marginal coping skills and the need for careful assessment of the risk for violence is a history of:

A)childhood trauma.

B)family involvement.

C)academic problems.

D)chemical dependence.

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26

Chapter 25: Care for the Dying and Those Who Grieve

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Q1) Which finding indicates the successful completion of an individual's grieving process?

A)For 2 years,a person has kept the deceased spouse's belongings in their usual places.

B)After 15 months,a widowed person realistically remembers both the pleasures and disappointments of the relationship with the spouse.

C)Three years after the death,a person talks about the spouse as if the spouse were still alive and weeps when others mention the spouse's name.

D)Eighteen months after the spouse's death,a person says,"I never cry or have feelings of loss even though we were always very close."

Q2) A recently widowed patient tells the health care provider,"I have so much epigastric discomfort.I wonder if I have an ulcer." Diagnostic tests are negative.The symptom demonstrates:

A)early reorganization behavior

B)disorganization and depression

C)preoccupation with the deceased

D)normal phenomenon of mourning

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Chapter 26: Children and Adolescents

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Q1) A 5-year-old child with attention deficit hyperactivity disorder (ADHD)bounces out of a chair in the waiting room,runs across the room,and begins to slap another child.What is the nurse's best action?

A)Call for emergency assistance from another staff member.

B)Instruct the parents to take the child home immediately.

C)Direct this child to stop,and then comfort the other child.

D)Take the child into another room with toys to act out feelings.

Q2) A child blurts out answers to questions before the questions are complete,demonstrates an inability to take turns,and persistently interrupts and intrudes in the conversations of others.Assessment data show these behaviors relate primarily to: A)hyperactivity

B)impulsivity

C)inattention

D)defiance

Q3) Which child shows behaviors indicative of mental illness?

A)4-year-old who stuttered for 3 weeks after the birth of a sibling

B)9-month-old who does not eat vegetables and likes to be rocked

C)3-month-old who cries after feeding until burped and sucks a thumb

D)3-year-old who is mute,passive toward adults,and twirls while walking

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Page 28

Chapter 27: Adults

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Sample Questions

Q1) A nurse prepares a plan of care for a patient with adult attention deficit hyperactivity disorder (ADHD).Which intervention should be included?

A)Remind the patient of priorities and deadlines.

B)Teach work-related skills such as basic computer literacy.

C)Establish penalties for failing to organize and prioritize tasks.

D)Give encouragement and strategies for managing and organizing.

Q2) Which nursing action should occur first when preparing to work with a patient who has a problem of sexual functioning?

A)Acquiring knowledge of the patient's sexual roles and preferences

B)Developing an understanding of human sexual responses

C)Assessing the patient's sexual functioning

D)Clarifying the nurse's own personal values

Q3) A patient tells the nurse,"My sexual functioning is normal when my partner wears lace.Without it,I'm not interested in sex." This comment evidences:

A)exhibitionism

B)voyeurism

C)pedophilia

D)fetishism

To view all questions and flashcards with answers, click on the resource link above.

Chapter 28: Older Adults

Available Study Resources on Quizplus for this Chatper

31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/42998

Sample Questions

Q1) Recognizing the risk for acquired immunodeficiency syndrome (AIDS)among older adults,nurses should provide health teaching aimed at:

A)discouraging sexual expression

B)using birth controls measures

C)avoiding blood transfusions

D)encouraging condom use

Q2) An SSRI is prescribed for an older adult patient with depression.Nursing assessment should include careful collection of information regarding:

A)use of other prescribed medications and over-the-counter products.

B)evidence of pseudoparkinsonism or tardive dyskinesia.

C)history of psoriasis and any other skin disorders.

D)history of diarrhea and electrolyte imbalances.

Q3) If an older adult patient must be physically restrained,who is responsible for the patient's safety?

A)Nurse assigned to care for the patient

B)Nursing assistant who applies the restraint

C)Health care provider who ordered the application of restraint

D)Family member who agrees to the application of the restraint

To view all questions and flashcards with answers, click on the resource link above. Page 30

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