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Foundations of Mental Health Nursing Practice Questions - 803 Verified Questions

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Foundations of Mental Health Nursing Practice Questions

Course Introduction

Foundations of Mental Health Nursing introduces students to the core principles, theories, and practices essential for providing effective nursing care to individuals experiencing mental health challenges. The course explores the biological, psychological, and social factors influencing mental health and illness, with emphasis on communication skills, therapeutic relationships, and evidence-based nursing interventions. Students will examine legal and ethical considerations, cultural competence, and the promotion of mental health across diverse populations. Through case studies and practical learning experiences, learners will develop foundational skills for assessing, planning, implementing, and evaluating care in a variety of mental health settings.

Recommended Textbook

Essentials of Psychiatric Mental Health Nursing 3rd Edition by Varcarolis

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28 Chapters

803 Verified Questions

803 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 patient who immigrated to the United States from Honduras was diagnosed with schizophrenia. The patient took an antipsychotic medication for 3 weeks but showed no improvement. Which resource should the treatment team consult for information on more effective medications for this patient?

A) Clinical algorithm

B) Clinical pathway

C) Clinical practice guideline

D) International Statistical Classification of Diseases and Related Health Problems (ICD)

Answer: A

Q2) A team of nurses wants to integrate evidence-based practice into a facility's clinical pathways. Which step should the team implement first?

A) Acquire findings from published literature.

B) Apply the research findings to clinical practice.

C) Assess the outcomes of using new research findings.

D) Ask questions to identify clinical problems that should be changed.

Answer: D

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Chapter 2: Mental Health and Mental Illness

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17 Verified Questions

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Sample Questions

Q1) An 86-year-old, previously healthy and independent, falls after an episode of vertigo. Which behavior by this patient best demonstrates resilience? The patient:

A) says, "I knew this would happen eventually."

B) stops attending her weekly water aerobics class.

C) refuses to use a walker and says, "I don't need that silly thing."

D) says, "Maybe some physical therapy will help me with my balance."

Answer: D

Q2) Which belief by a nurse supports the highest degree of patient advocacy during a multidisciplinary patient care planning session?

A) All mental illnesses are culturally determined.

B) Schizophrenia and bipolar disorder are cross-cultural disorders.

C) Symptoms of mental disorders are constant from culture to culture.

D) Some symptoms of mental disorders may reflect a person's cultural patterns.

Answer: D

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4

Chapter 3: Theories and Therapies

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Sample Questions

Q1) Operant conditioning will be used to encourage speech in a child who is nearly mute. Which technique would a nurse include in the treatment plan?

A) Ignore the child for using silence.

B) Have the child observe others talking.

C) Give the child a small treat for speaking.

D) Teach the child relaxation techniques, then coax speech.

Answer: C

Q2) A nurse uses Maslow's hierarchy of needs to plan care for a psychotic patient. Which problem will receive priority? The patient:

A) refuses to eat or bathe.

B) reports feelings of alienation from family.

C) is reluctant to participate in unit social activities.

D) needs to be taught about medication action and side effects.

Answer: A

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Chapter 4: Biological Basis for Understanding

Psychopharmacology

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Sample Questions

Q1) A patient hospitalized with a mood disorder has aggression, agitation, talkativeness, and irritability. A nurse begins the care plan based on the expectation that the health care provider is most likely to prescribe a medication classified as a(n):

A) anticholinergic.

B) mood stabilizer.

C) psychostimulant.

D) tricyclic antidepressant.

Q2) On the basis of current knowledge of neurotransmitter effects, a nurse anticipates that the treatment plan for a patient with memory difficulties may include medications designed to:

A) inhibit GABA production.

B) increase dopamine sensitivity.

C) decrease dopamine at receptor sites.

D) prevent destruction of acetylcholine.

Q3) A drug causes muscarinic-receptor blockade. A nurse will assess the patient for:

A) dry mouth.

B) gynecomastia.

C) pseudoparkinsonism.

D) orthostatic hypotension.

Page 6

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Chapter 5: Settings for Psychiatric Care

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Sample Questions

Q1) A multidisciplinary health care team meets 12 hours after an adolescent is hospitalized after a suicide attempt. Members of the team report their assessments. What outcome can be expected from this meeting?

A) A treatment plan will be formulated.

B) The health care provider will order neuroimaging studies.

C) The team will request a court-appointed advocate for the patient.

D) Assessment of the patient's need for placement outside the home will be undertaken.

Q2) A community psychiatric nurse assesses that a patient diagnosed 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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Chapter 6: Legal and Ethical Basis for Practice

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Sample Questions

Q1) The family of a patient whose insurance will not pay for continuing hospitalization considers transferring the patient to a public psychiatric hospital. The family expresses concern that the patient will "never get any treatment." Which reply by the nurse would be most helpful?

A) "Under the law, treatment must be provided. Hospitalization without treatment violates patients' rights."

B) "That's a justifiable concern because the right to treatment extends only to the provision of food, shelter, and safety."

C) "Much will depend on other patients, because the right to treatment for a psychotic patient takes precedence over the right to treatment of a patient who is stable."

D) "All patients in public hospitals have the right to choose both a primary therapist and a primary nurse."

Q2) A psychiatric nurse best implements the ethical principle of autonomy when he or she:

A) intervenes when a self-mutilating patient attempts to harm self.

B) stays with a patient who is demonstrating a high level of anxiety.

C) suggests that two patients who are fighting be restricted to the unit.

D) explores alternative solutions with a patient, who then makes a choice.

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Chapter 7: Nursing Process and QSEN: The Foundation for

Safe and Effective Care

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Sample Questions

Q1) When a nurse assesses an older adult patient, the patient's 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?"

Q2) A patient is very suspicious and states, "The FBI has me under surveillance." Which strategies should a nurse use when gathering initial assessment data about this patient? (Select all that apply.)

A) Tell the patient that medication will help this type of thinking.

B) Ask the patient, "Tell me about the problem as you see it."

C) Seek information about when the problem began.

D) Tell the patient, "Your ideas are not realistic."

E) Reassure the patient, "You are safe here."

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Page 9

Chapter 8: Communication Skills: Medium for All Nursing Practice

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Sample Questions

Q1) During the first interview with a parent whose child died in a car accident, the nurse feels empathic and reaches out to take the patient's hand. Select the correct analysis of the nurse's behavior.

A) It shows empathy and compassion. It will encourage the patient to continue to express feelings.

B) The gesture is premature. The patient's cultural and individual interpretation of touch is unknown.

C) The patient will perceive the gesture as intrusive and overstepping boundaries.

D) The action is inappropriate. Patients in a psychiatric setting should not be touched.

Q2) A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?

A) "What are the common elements here?"

B) "Tell me again about your experiences."

C) "Am I correct in understanding that ?"

D) "Tell me everything from the beginning."

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Chapter 9: Therapeutic Relationships and the Clinical

Interview

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Sample Questions

Q1) Which descriptors exemplify consistency regarding therapeutic nurse-patient relationships? (Select all that apply.)

A) Having the same nurse care for a patient on a daily basis

B) Encouraging a patient to share initial impressions of staff

C) Providing a schedule of daily activities to a patient

D) Setting a time for regular sessions with a patient

E) Offering solutions to a patient's problems

Q2) A nurse says, "I am the only one who truly understands this patient. Other staff members are too critical." The nurse's statement indicates:

A) boundary blurring.

B) sexual harassment.

C) positive regard.

D) advocacy.

Q3) At what point in the nurse-patient relationship should a nurse plan to first address termination?

A) In the orientation phase

B) During the working phase

C) In the termination phase

D) When the patient initially brings up the topic

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Chapter 10: Trauma and Stress-Related Disorders

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Sample Questions

Q1) A professor's 4-year-old child has a temperature of 101.6° F, diarrhea, and complains of stomach pain. The professor is scheduled to teach three classes today. Which actions by the professor demonstrate effective parenting? (Select all that apply.)

A) Telephoning a grandparent to stay with the child at home for the day.

B) Telephoning a colleague to teach his classes and staying home with the sick child.

C) Taking the child to the university and keeping the child in a private office for the day.

D) Taking the child to a day care center and hoping day care workers will not notice the child is sick.

E) Giving the child one dose of ibuprofen (Motrin) and taking the child to the day care center.

Q2) Cortisol is released in response to a patient's prolonged stress. Which initial effect would the nurse expect to result from the increased cortisol level?

A) Diuresis and electrolyte imbalance

B) Focused and alert mental status

C) Drowsiness and lethargy

D) Restlessness and anxiety

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Page 12

Chapter 11: Anxiety, Anxiety Disorders, and

Obsessive-Compulsive and Related Disorders

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Sample Questions

Q1) A person who is speaking about a contender for a significant other's affection says in a gushy, syrupy voice, "What a lovely person. That's someone I simply adore." The individual is demonstrating:

A) reaction formation.

B) repression.

C) projection.

D) denial.

Q2) A patient tells the nurse, "I wanted my health care provider to prescribe diazepam (Valium) for my anxiety disorder, but buspirone (BuSpar) was prescribed instead. Why?"

The nurse's reply should be based on the knowledge that buspirone:

A) does not produce blood dyscrasias.

B) does not cause dependence.

C) can be administered as needed. D) is faster acting than diazepam.

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Chapter 12: Somatic Symptom Disorders and Dissociative Disorders

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Sample Questions

Q1) For a patient diagnosed with dissociative amnesia, complete this outcome: "Within 4 weeks, the patient will demonstrate an ability to execute complex mental processes by:

A) functioning independently."

B) verbalizing feelings of safety."

C) regularly attending diversional activities."

D) describing previously forgotten experiences."

Q2) A patient has blindness related to a functional neurological (conversion) disorder. To help the patient eat, the nurse should:

A) establish a "buddy" system with other patients who can feed the patient at each meal.

B) expect the patient to feed himself or herself after explaining the arrangement of the food on the tray.

C) direct the patient to locate items on the tray independently and feed himself or herself unassisted.

D) address the needs of other patients in the dining room, and then feed this patient.

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14

Chapter 13: Personality Disorders

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Sample Questions

Q1) When preparing to interview a patient diagnosed with narcissistic personality disorder, a nurse can anticipate the assessment findings will include:

A) preoccupation with minute details; perfectionism.

B) charm, drama, seductiveness; seeking admiration.

C) difficulty being alone; indecisiveness, submissiveness.

D) grandiosity, attention seeking, and arrogance.

Q2) A person's spouse filed charges of battery. The person has a long history of acting-out behaviors and several arrests. Which statement by the person suggests an antisocial personality disorder?

A) "I have a quick temper, but I can usually keep it under control."

B) "I've done some stupid things in my life, but I've learned a lesson."

C) "I'm feeling terrible about the way my behavior has hurt my family."

D) "I get tired of being nagged. My spouse deserved the beating."

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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Chapter 14: Eating Disorders

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Sample Questions

Q1) A nursing diagnosis for a patient diagnosed with bulimia nervosa is: ineffective coping, related to feelings of loneliness as evidenced by overeating to comfort self, followed by self-induced vomiting. The best outcome related to this diagnosis is, "Within 2 weeks the patient will:

A) appropriately express angry feelings."

B) verbalize two positive things about self."

C) verbalize the importance of eating a balanced diet."

D) identify two alternative methods of coping with loneliness."

Q2) While providing health teaching for a patient diagnosed with bulimia nervosa, a nurse should emphasize information about:

A) self-monitoring of daily food and fluid intake.

B) establishing the desired daily weight gain.

C) recognizing symptoms of hypokalemia.

D) self-esteem maintenance.

Q3) Physical assessment of a patient diagnosed with bulimia nervosa often reveals:

A) prominent parotid glands.

B) peripheral edema.

C) thin, brittle hair.

D) amenorrhea.

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Page 16

Chapter 15: Mood Disorders: Depression

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Sample Questions

Q1) A nurse provided medication education for a patient who takes phenelzine (Nardil) for depression. Which behavior indicates effective learning? The patient:

A) monitors sodium intake and weight daily.

B) wears support stockings and elevates the legs when sitting.

C) consults the pharmacist when selecting over-the-counter medications. D) can identify foods with high selenium content, which should be avoided.

Q2) A patient's employment is terminated and major depressive disorder develops shortly afterward. 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

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Chapter 16: Bipolar Spectrum Disorders

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Sample Questions

Q1) A patient diagnosed with bipolar disorder is being treated on an outpatient basis with 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) a large glass of juice.

D) an antiemetic medication.

Q2) A nurse receives this laboratory result for a patient diagnosed with bipolar disorder: lithium level 1 mEq/L. This result is:

A) within therapeutic limits.

B) below therapeutic limits.

C) above therapeutic limits.

D) likely to be inaccurate.

Q3) A patient experiencing acute mania has disrobed in the hall three times in 2 hours. The nurse should:

A) direct the patient to wear clothes at all times.

B) ask if the patient finds clothes bothersome.

C) tell the patient that others feel embarrassed.

D) arrange for one-on-one supervision.

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Page 18

Chapter 17: Schizophrenia Spectrum Disorders and Other

Psychotic Disorders

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Sample Questions

Q1) A patient diagnosed with schizophrenia tells the nurse, "I eat skiller. Tend to end. Easter. It blows away. Get it?" Select the nurse's best response.

A) "Nothing you are saying is clear."

B) "Your thoughts are very disconnected."

C) "Try to organize your thoughts, and then tell me again."

D) "I am having difficulty understanding what you are saying."

Q2) A patient diagnosed with schizophrenia has catatonia. The patient has little spontaneous movement and waxy flexibility. Which patient needs are of priority importance?

A) Psychosocial

B) Physiologic

C) Self-actualization

D) Safety and security

Q3) Which symptoms are expected for a patient diagnosed with schizophrenia who has disorganization?

A) Extremes of motor activity, from excitement to stupor

B) Socially withdrawal and ineffective communication

C) Severe anxiety with ritualistic behavior

D) Highly suspicious, delusional behavior

Page 19

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Chapter 18: Neurocognitive Disorders

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Sample Questions

Q1) Consider these problems: apolipoprotein E (apoE) malfunction, neuritic plaques, neurofibrillary tangles, granulovascular degeneration, and brain atrophy. Which condition corresponds to this group?

A) Alzheimer disease

B) Wernicke encephalopathy

C) Central anticholinergic syndrome

D) Acquired immunodeficiency syndrome (AIDS)-related dementia

Q2) What is the priority nursing need for a patient diagnosed with late-stage dementia?

A) Promotion of self-care activities

B) Meaningful verbal communication

C) Maintenance of nutrition and hydration

D) Prevention of the patient from wandering

Q3) Which nursing intervention is appropriate to use for patients diagnosed with either delirium or dementia?

A) Speak in a loud, firm voice.

B) Touch the patient before speaking.

C) Reintroduce the health care worker at each contact.

D) When the patient becomes aggressive, use physical restraint instead of medication.

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Chapter 19: Substance-Related and Addictive Disorders

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Sample Questions

Q1) A patient with a history of daily alcohol use says, "Drinking helps me cope with being a single parent." Which response by the nurse would help the individual conceptualize the drinking more objectively?

A) "Sooner or later, alcohol will kill you. Then what will happen to your children?"

B) "I hear a lot of defensiveness in your voice. Do you really believe this?"

C) "If you were coping so well, why were you hospitalized again?"

D) "Tell me what happened the last time you drank."

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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21

Chapter 20: Crisis and Mass Disaster

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Sample Questions

Q1) A woman says, "I can't take anymore! Last year my husband had an affair and now we don't communicate. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college." What is the nurse's priority assessment?

A) Identifying measures useful to help improve the couple's communication

B) Discussing the patient's feelings about the possibility of having a mastectomy

C) Determining whether the husband is still engaged in an extramarital affair

D) Clarifying what the patient means by "I can't take it anymore!"

Q2) 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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Chapter 21: Child, Partner, and Elder Violence

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Sample Questions

Q1) An adult has recently been absent from work for 3-day periods on several occasions. Each time, this person returns to work wearing dark glasses. Facial and body bruises are apparent. What is the occupational health nurse's priority question?

A) "Do you drink excessively?"

B) "Did your partner beat you?"

C) "How did this happen to you?"

D) "What did you do to deserve this?"

Q2) A nurse assists a victim of intimate partner violence to create a plan for escape if it becomes necessary. The plan should include which components? (Select all that apply.)

A) Keep a cell phone fully charged.

B) Hide money with which to buy new clothes.

C) Have the telephone number for the nearest shelter.

D) Take enough toys to amuse the children for 2 days.

E) Secure a supply of current medications for self and children.

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Chapter 22: Sexual Violence

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Sample Questions

Q1) A rape victim asks an emergency department nurse, "Maybe I did something to cause this attack. Was it my fault?" Which response by the nurse is the most therapeutic?

A) Pose questions about the rape, helping the patient explore why it happened.

B) Reassure the victim that the outcome of the situation will be positive.

C) Make decisions for the victim because of the temporary confusion.

D) Support the victim to separate issues of vulnerability from blame.

Q2) A nurse interviews a person abducted and raped at gunpoint by an unknown assailant. The person says, "I can't talk about it. Nothing happened. I have to forget!" What is the person's present coping strategy?

A) Somatic reaction

B) Repression

C) Projection

D) Denial

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

A) arrange long-term counseling.

B) serve as a sympathetic listener.

C) obtain information to relay to the local police.

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

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Page 24

Chapter 23: Suicidal Thoughts and Behavior

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Q1) When assessing a patient's plan for suicide, what aspect has priority?

A) Patient's financial and educational status

B) Patient's insight into suicidal motivation

C) Availability of means and lethality of method

D) Quality and availability of patient's social support

Q2) Which change in brain biochemical function is most associated with suicidal behavior?

A) Dopamine excess

B) Serotonin deficiency

C) Acetylcholine excess

D) Gamma-aminobutyric acid deficiency

Q3) An adult attempts suicide after declaring bankruptcy. The patient is hospitalized and takes an antidepressant medication for five days. The patient is now more talkative and shows increased energy. Select the highest priority nursing intervention.

A) Supervise the patient 24 hours a day.

B) Begin discharge planning for the patient.

C) Refer the patient to art and music therapists.

D) Consider the discontinuation of suicide precautions.

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Chapter 24: Anger, Aggression, and Violence

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Q1) A nurse directs the intervention team who must take an aggressive patient to seclusion. Other patients were removed from the area. Before approaching the patient, the nurse should ensure that which actions are taken by staff? (Select all that apply.)

A) Remove jewelry, glasses, and harmful items from the patient and staff members.

B) Appoint a person to clear a path and open, close, or lock doors.

C) Quickly approach the patient, and grab the closest extremity.

D) Select the person who will communicate with the patient.

E) Move behind the patient to use the element of surprise.

Q2) The staff development coordinator plans to teach use of physical management techniques when patients become assaultive. Which topic should be emphasized?

A) Practice and teamwork

B) Spontaneity and surprise

C) Caution and superior size

D) Diversion and physical outlets

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Chapter 25: Care for the Dying and Those Who Grieve

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Sample Questions

Q1) The spouse of a patient in hospice care angrily tells the nurse, "The care provided by the aide and other family members is inadequate, so I must do everything myself. Can't anyone do things right?" The palliative care nurse should:

A) provide teaching about anticipatory grieving.

B) assign new personnel to the patient's care.

C) arrange hospitalization for the patient.

D) refer the spouse for crisis counseling.

Q2) A family of a terminally ill patient asks the nurse, "What can we say when our family member mentions death is coming soon?" Which response could the nurse suggest?

A) "We think you will be around for a long time."

B) "We don't want you to give up trying to get well."

C) "We don't think we're ready to talk about this yet."

D) "We feel so sad when we think of life without you."

Q3) The mourning process is more difficult when the bereaved:

A) was relatively independent of the deceased.

B) has experienced many previous losses.

C) accepts that death is expected for everyone.

D) had resolved conflicts with the deceased.

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Chapter 26: Children and Adolescents

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Sample Questions

Q1) Shortly after a 15-year-old's parents announce a plan to divorce, the adolescent stops participating in sports, sits alone at lunch, and avoids former friends. The adolescent says, "All the other kids have families. If my parents loved me, then they would stay together." Which nursing intervention is most appropriate?

A) Develop a plan for activities of daily living.

B) Communicate disbelief relative to the adolescent's feelings.

C) Assist the adolescent to differentiate reality from perceptions.

D) Assess and document the adolescent's level of depression daily.

Q2) A child diagnosed with attention deficit hyperactivity disorder (ADHD) is going to begin medication therapy. The nurse should plan to teach the family about which classification of medications?

A) Central nervous system stimulants and non-stimulants

B) Monoamine oxidase inhibitors (MAOIs)

C) Antipsychotic medications

D) Anxiolytic medications

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Chapter 27: Adults

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Sample Questions

Q1) The treatment team believes medication will help a patient diagnosed with adult attention deficit hyperactivity disorder (ADHD). Which class of medications does the nurse expect will be prescribed?

A) Benzodiazepines

B) Psychostimulants

C) Antipsychotics

D) Anxiolytics

Q2) Before working with patients regarding sexual concerns, a prerequisite for providing nonjudgmental care is:

A) sympathy.

B) assertiveness training.

C) sexual self-awareness.

D) effective communication.

Q3) Which nursing action should occur first when preparing to work with a patient who has a problem of sexual functioning?

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

B) Develop an understanding of human sexual responses

C) Assess the patient's sexual functioning

D) Clarify the nurse's own personal values

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

Page 29

Chapter 28: Older Adults

Available Study Resources on Quizplus for this Chatper

31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/2074

Sample Questions

Q1) An older adult with a history of major depressive disorder has taken sertraline (Zoloft) daily for three years. The patient tells the nurse, "I want to stop taking this medication. I don't think I need it anymore." Select the nurse's best response.

A) "Why do you think you don't need this medication anymore?"

B) "Have you talked with your family members about this decision?"

C) "If you stop the medication, your depression will return worse than ever."

D) "This medication should be gradually stopped. Let's talk to your health care provider about a plan."

Q2) A patient tells the nurse of the recent deaths of a spouse of 50 years as well as an adult child in an automobile accident. The patient has no other family and only a few friends in the community. What is the priority nursing diagnosis?

A) Spiritual distress, related to being angry with God for taking the family

B) Risk for suicide, related to recent deaths of significant others

C) Anxiety, related to sudden and abrupt lifestyle changes

D) Social isolation, related to loss of existing family

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

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