Foundations of Psychiatric Nursing Exam Questions
Course Introduction
Foundations of Psychiatric Nursing introduces students to the core concepts and principles underlying the practice of psychiatric-mental health nursing. This course covers the historical development of psychiatric nursing, theories of mental health and illness, and the legal and ethical considerations essential to safe and effective care. Students will explore various mental health disorders, assessment techniques, therapeutic communication skills, and evidence-based interventions for individuals across the lifespan. Emphasis is placed on building a therapeutic nurse-patient relationship, understanding the impact of culture and environment on mental health, and collaborating with interprofessional teams to promote holistic, patient-centered care.
Recommended Textbook
Principles and Practice of Psychiatric Nursing 10th Edition by Gail Wiscarz Stuart
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40 Chapters
943 Verified Questions
943 Flashcards
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Page 2
Chapter 1: Roles and Functions of Psychiatric-Mental Health
Nurses: Competent Caring
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) In the 1960s,the psychiatric nurse began to shift to primary prevention and psychiatric nursing practice began to focus more on community care.This focus was initiated by which act?
A) The Primary Prevention Act of 1960
B) The Deinstitutionalization Act of 1961
C) The Therapeutic Community Act of 1962
D) The Community Mental Health Centers Act of 1963
Answer: D
Q2) When considering psychiatric nursing roles and functions,in order to delegate effectively the nurse must have knowledge of the domains of: (Select all that apply.)
A) management.
B) communication.
C) direct care.
D) teaching.
E) collaboration.
Answer: A,C
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Chapter 2: Therapeutic Nurse-Patient Relationship
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Which task would be most appropriate to focus on during the introductory phase of work with a teenage patient with low self-esteem?
A) Mutual formulation of a contract
B) Nurse's self-analysis of strengths
C) Promotion of patient use of constructive coping mechanisms
D) Review of progress of therapy and goal attainment with patient
Answer: A
Q2) A chronically depressed patient has been diagnosed with having a dependent personality.The nurse suspects that the situation has resulted in dependence transference when the patient shares that:
A) "Leaving the hospital and helpful, caring people like you will be really hard."
B) "Over the weeks we've been meeting I've come to feel as though you are a very special person."
C) "I think of you as being sent from heaven to guide me out of this darkness of the soul."
D) "I know I can count on you to chart my course back to health. I will do whatever you say."
Answer: D
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Chapter 3: The Stuart Stress Adaptation Model of Psychiatric Nursing Care
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A nurse assessing a patient is interested in the patient's appraisal of a recent divorce as a stressor.To obtain this information,it is important for the nurse to gather data about which of the patient's responses.(Select all that apply.)
A) Affective
B) Behavioral
C) Physiological
D) Cognitive
E) Ethical
Answer: A,B,C,D
Q2) On the basis of predictions from the Global Burden of Disease Study,mental health professionals should be most concerned with increasing primary prevention efforts for: A) alcohol abuse.
B) schizophrenia.
C) bipolar disorder.
D) major depressive disorder.
Answer: D
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Chapter 4: Evidence-Based Psychiatric Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Practice guidelines are formulated to:
A) establish evidence of appropriate psychiatric care based on anecdotal data collected only on the unit where you are using the practice guidelines.
B) promote consistency of patient care for all patients with a particular need regardless of age or DSM-IV-TR diagnosis.
C) identify treatments that are safe and effective for a particular psychiatric disorder based on collected data.
D) minimize the need for nurses to continuously update the guidelines after they have been established.
Q2) To substantiate clinical practice the psychiatric nurse should place the greatest reliance on the _____ basis.
A) traditional
B) regulatory
C) evidence
D) philosophical/conceptual
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6
Chapter 5: Biological Context of Psychiatric Nursing Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A patient tells a nurse,"My daughter is pregnant with our first grandchild and my son-in-law has a sibling with cystic fibrosis.Is there a chance the baby might have this disease?" Which response is best?
A) "This is not an inherited disorder."
B) "You should speak to a genetic counselor."
C) "Science has not yet developed gene testing for this disease."
D) "There are new treatments for this illness that are readily available."
Q2) Which neurotransmitter is located only in the brain,particularly in the raphe nuclei of the brainstem,and is implicated in depression?
A) Norepinephrine
B) Acetylcholine
C) Dopamine
D) Serotonin
Q3) What part of the brain is responsible for regulating pituitary hormones and is known to regulate the body's temperature?
A) Thalamus
B) Cerebellum
C) Limbic system
D) Hypothalamus
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Page 7
Chapter 6: Psychological Context of Psychiatric Nursing Care
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The patient believes that the CIA is "plotting to kill me." The report is given with the patient exhibiting little emotion.The nurse documents the patient's affect as:
A) flat.
B) elated.
C) labile.
D) congruent.
Q2) A nurse assessing a patient's emotional intelligence will focus on the patient's:
A) linguistic and musical abilities.
B) body kinesthetic and spatial abilities.
C) interpersonal and intrapersonal skills.
D) logical mathematics and linguistic abilities.
Q3) A patient tells a nurse,"God has given me special powers to heal the sick and raise the dead.I can cast out demons and cure cancer." The nurse assesses the patient's statements as indicating:
A) a phobia.
B) depersonalization.
C) grandiose delusions.
D) an idea of reference.
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Chapter 7: Social, Cultural, and Spiritual Context of Psychiatric Nursing Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which of these statements by a nurse suggests that the nurse will display cultural sensitivity when interviewing a patient from a different culture?
A) "The patient's cultural background is very different from my own."
B) "I think introducing ethnic humor is an effective way of establishing rapport."
C) "I have to remember to document the patient's ethnic origin and religion in the record."
D) "Before the interview I will take a few minutes to review actions that might offend a patient of this culture."
Q2) A nurse assessing sociocultural risk factors for a 34-year-old female,single,poorly educated immigrant with three young children and who receives support from social services,should be most concerned about the effects of:
A) age.
B) gender.
C) immigration.
D) disadvantagement.
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Chapter 8: Legal and Ethical Context of Psychiatric Nursing Care
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24 Verified Questions
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Sample Questions
Q1) When a patient who immigrated to the United States tells a nurse that consent to electroconvulsive therapy (ECT) was only given because the patient's spouse said,"They will deport you if you didn't do what they said to do," the nurse should initially:
A) reassure the patient that the decision is sound.
B) discuss the reasons the spouse believed they must consent.
C) explain that consenting to treatment will not stop deportation.
D) document the comment and notify the health care provider immediately.
Q2) A patient with a history of assaulting several family members is voluntarily admitted for alcohol detoxification.A nurse suggests use of physical restraints to minimize the risk to the milieu and to manage the patient's anticipated aggressive behavior.The primary principle guiding the manager's response is:
A) the right to the least restrictive measure of restriction possible.
B) that legal considerations exist when physical restraints are used.
C) the limitations for the use of physical restraints on voluntarily admitted patients.
D) that thorough documentation is needed whenever physical restraints are applied.
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Page 10
Chapter 9: Policy and Advocacy in Mental Health Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) In many rural communities the ratio of consumers to doctors is higher than it is in cities.This is an example of:
A) a health access problem in rural areas.
B) a lack of compassion among physicians.
C) reimbursement barriers in rural states.
D) appropriate distribution of health care providers.
Q2) A committee is formed to increase the public's understanding that mental health is essential to overall health.A nurse would expect that the focus of this group's work would be:
A) improving access to quality care that is culturally competent.
B) protecting and enhancing the rights of people with mental illness.
C) developing and implementing integrated electronic health record and personal health information systems.
D) collaborating with the emergency department to treat mental health problems with the same urgency as physical health problems.
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11
Chapter 10: Families as Resources, Caregivers, and Collaborators
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Sample Questions
Q1) Which interview information could indicate the need for further assessment of a potential problem with a patient's family functioning?
A) The patient spends time away from the family, taking both a weekly art and dance class.
B) Every other week, the patient visits aging parents who live 1 hour away.
C) The patient and spouse resolve problems on their own, although it often takes several hours.
D) The patient often grounds the children for misbehavior in an attempt to raise them "the right way."
Q2) A patient experiences frequent recurring bouts of bipolar illness.Which member of the patient's family is likely to be most profoundly and negatively affected by the patient's illness?
A) Her mother
B) Her child
C) Her husband
D) Her adult sister
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Chapter 11: Implementing the Nursing Process: Standards of Practice
and Professional Performance
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse registers for a DSM-IV-TR update workshop.This is an example of adherence to the standard of professional performance that refers to:
A) education.
B) ethical standards.
C) resource utilization.
D) performance appraisal.
Q2) A staff nurse is told in orientation to expect to receive performance appraisals in various forms.The nurse can expect that these will be: (Select all that apply.)
A) collaborative practice.
B) interdisciplinary.
C) administrative.
D) professional.
E) clinical.
Q3) Which goal should be given the highest priority?
A) Reduction of anxiety
B) Alleviation of depression
C) Enhancement of self-esteem
D) Protection from self-destructive impulses
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Chapter 12: Prevention and Mental Health Promotion
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Sample Questions
Q1) A nurse whose primary focus is tertiary prevention of mental disorders would focus on:
A) providing prompt treatment of an individual's mental disorder.
B) identifying social supports to prevent the need for hospitalization.
C) funding rehabilitative activities to reduce the disability associated with mental disorders.
D) forming a preretirement counseling program staffed by professional mental health nurses.
Q2) A psychiatric nurse is responsible for providing patient-focused health education.In order to promote primary prevention of mental health problems,the nurse stresses: A) trust.
B) resilience.
C) networking. D) motivation.
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Chapter 13: Crisis Intervention
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A patient comes to the mental health clinic with insomnia,irritability,increased tension,and headaches.The symptoms began 1 week ago after the patient was laid off from work.The patient expresses concern that this will result in a relocation that will be hard on the entire family.The patient is most likely experiencing:
A) an anxiety reaction.
B) a situational crisis.
C) a maturational crisis.
D) an adjustment disorder.
Q2) Which statement made by a person in a crisis state indicates the presence of a balancing factor?
A) "I've been drinking more than usual."
B) "I've always been a loner. I don't need other people."
C) "I pray when things get tough. It's always helped me survive trouble."
D) "My spouse just went to the store. I don't believe it when they tell me my spouse is dead."
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15
Chapter 14: Recovery and Psychiatric Rehabilitation
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23 Verified Questions
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Sample Questions
Q1) At a community meeting,a homeowner states,"I don't want mentally ill people in the neighborhood.They're dangerous!" The community mental health nurse should respond:
A) "Former patients need care and concern, not stigmatization."
B) "I sincerely believe your fears and concerns are really unfounded."
C) "The way you act toward former patients will determine how they act toward you."
D) "Our residents are more apt to be withdrawn and timid than aggressive or violent."
Q2) A nurse notes that a patient voices shame and socially isolates.The nurse will most likely interpret this behavior as:
A) unrelated to serious mental illness.
B) likely representing learned behaviors.
C) associated with secondary symptoms of serious mental illness.
D) a coincidental response that has little relationship to the illness.
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16
Chapter 15: Anxiety Responses and Anxiety Disorders
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25 Verified Questions
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Sample Questions
Q1) A nurse who has spent an hour with a highly anxious patient shares with a peer,"I'm really feeling uptight! I need a quiet place to be alone." This can be attributed to:
A) hypersensitivity on the nurse's part.
B) anxiety resulting from the patient contact.
C) fatigue from the effort of establishing a relationship.
D) a threat to the nurse's self-esteem created by a difficult patient.
Q2) A police officer who uses reaction formation to deal with fears of acting cowardly is most likely to:
A) call others cowards.
B) develop paralysis of the leg.
C) volunteer for perilous duty.
D) have nightmares about running from an assailant.
Q3) A nurse explains a patient's behavior by stating,"The patient's anxiety stemmed from being unable to attain a desired goal." Which theory is the nurse basing the response upon?
A) Learning
B) Behaviorist
C) Interpersonal
D) Psychoanalytic
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Page 17
Chapter 16: Psychophysiological Responses and Somatoform and Sleep Disorders
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25 Verified Questions
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Sample Questions
Q1) A staff nurse decides to ignore an unfavorable evaluation from the nurse manager but now complains about getting little satisfaction from work,feels tired all the time,and can't wait for the shift to end.The nurse's behavior is characteristic of which stage of the general adaptation syndrome?
A) Alarm
B) Resistance
C) Exhaustion
D) Resolution
Q2) A patient is diagnosed with conversion disorder that is evidenced by paralysis of the right hand.Which nursing intervention should be implemented?
A) Focus discussions on the patient's inability to fulfill usual roles.
B) Focus discussions on the patient's unusual and unexplainable physical symptom.
C) Spend time with the patient to give recognition for positive qualities and strengths.
D) Spend time with the patient when the patient is helpless to perform self-care activities because of paralysis.
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18
Chapter 17: Self-Concept Responses and Dissociative Disorders
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24 Verified Questions
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Sample Questions
Q1) A nurse is working with a patient to improve self-concept using an intervention directed toward self-exploration.Which intervention is best?
A) Challenging the patient's faulty beliefs
B) Discussing all possible alternatives and solutions
C) Creating a climate of acceptance toward the patient
D) Encouraging the patient to examine behaviors related to a stressor
Q2) Which individual would be at greatest risk for self-esteem disturbance?
A) A 5-year-old starting school
B) A 16-year-old high school junior
C) A 26-year-old licensed practical nurse (LPN) entering a college nursing program
D) A 45-year-old working toward a master's degree in business administration
Q3) Which relationships most significantly affect a 3-year-old child's development of self-concept? Relationships with:
A) peers.
B) parents.
C) extended family.
D) teachers in nursery school.
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Page 19
Chapter 18: Emotional Responses and Mood Disorders
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27 Verified Questions
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Sample Questions
Q1) A patient is extremely hyperactive,distractible,and rarely sleeps.The patient eats little,resulting in a loss of 6 pounds since admission 3 days ago.Which measure is a priority when developing a plan for the patient's care?
A) Require that the patient remain in the dining room for at least 15 minutes per meal.
B) Offer high-calorie "portable" finger foods and nutritionally fortified fluids hourly.
C) Document all food and fluid intake.
D) Weigh the patient daily.
Q2) A patient hospitalized for depression demonstrates dysfunctional thinking as evidenced by persistent pessimism and predictions of disastrous outcomes.A nurse using cognitive therapy will focus on:
A) uncovering unconscious conflicts that affect the "here and now" behavior.
B) finding an area of mutual understanding to serve as a basis for therapy.
C) patient recognition and replacement of automatic negative evaluations.
D) analyzing and enhancing relationships with significant others.
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Chapter 19: Self-Protective Responses and Suicidal Behavior
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Sample Questions
Q1) A priority for nurses working with psychiatric patients would be the assessment of suicide risk for individuals who have the tendency to be: (Select all that apply.)
A) blaming.
B) hostile.
C) hopeless.
D) impulsive.
E) controlling.
Q2) A nurse assessing a patient who has been noncompliant with the prescribed diabetic diet and exercise regimen should consider planning strategies to overcome patient use of:
A) denial.
B) projection.
C) dissociation.
D) displacement.
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Page 21
Chapter 20: Neurobiological Responses and Schizophrenia and Psychotic Disorders
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26 Verified Questions
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Sample Questions
Q1) The nursing diagnosis most likely to be applicable for a person who has schizophrenia,paranoid type,is:
A) social isolation related to impaired ability to trust.
B) impaired mobility related to fear of losing control of hostile impulses.
C) fear of being alone related to lack of confidence in significant others.
D) impaired memory related to poor information processing associated with brain deficits.
Q2) A nurse observes a patient who is sitting alone in a room muttering,"You don't know what you're talking about! Leave me alone." The nurse attempts to validate whether the patient is:
A) seeking the attention of staff.
B) inappropriately expressing emotion.
C) experiencing auditory hallucinations.
D) displaying negative symptoms of schizophrenia.
Q3) What part of the brain is dysfunctional in persons with schizophrenia? Research has implicated the:
A) medulla and cortex.
B) cerebellum and cerebrum.
C) hypothalamus and medulla.
D) prefrontal and limbic cortices.
Page 22
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Chapter 21: Social Responses and Personality Disorders
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Sample Questions
Q1) Milieu work with patients with personality disorders is most effective when it:
A) focuses on interactional behaviors in the here and now.
B) facilitates a process of delving into the patient's early childhood.
C) provides strict structure to compensate for a lack of personal boundaries.
D) promotes regression to help the patient work through earlier conflicts.
Q2) The frustration of caring for a patient who displays maladaptive social responses such as manipulation,impulsivity,and self-mutilation can be most effectively managed when staff members:
A) focus on patient strengths.
B) are watchful about patient limits.
C) rely on the milieu to prompt responsible behavior.
D) are experienced enough to ignore feelings of frustration.
Q3) Which characteristic exhibited by an individual diagnosed with a personality disorder makes it advisable to schedule frequent staff meetings with the patient as the focus? The patient tends to:
A) manipulate to circumvent established limits.
B) become introverted when in a group of peers.
C) rapidly and successfully adapt to internal stress.
D) develop same-gender interdependent relationships.
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Page 23
Chapter 22: Cognitive Responses and Organic Mental Disorders
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Sample Questions
Q1) A nurse would attempt to reduce nighttime agitation for a patient with either delirium or dementia by:
A) giving warm milk as a snack at bedtime.
B) keeping a soft light on in the patient's room.
C) placing a large-faced lighted alarm clock opposite the bed.
D) hanging family pictures near enough to the bed to be easily seen.
Q2) An individual brought to the emergency room fights against the restraints and shouts incoherently.The history reveals that the patient was weak and confused on awakening this morning and soon began "rambling and talking crazy." A nurse notes that the patient's skin is flushed and dry.The priority nursing action is to:
A) assess vital signs.
B) insert an intravenous catheter.
C) request a sedative prescription.
D) perform a mental status examination.
Q3) The goal for a patient with disturbed thought processes is,"The patient will:
A) be safe from injury."
B) meet basic biological needs."
C) achieve optimum cognitive functioning."
D) maintain positive interpersonal relationships."
Page 24
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Chapter 23: Chemically Mediated Responses and
Substance-Related Disorders
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Sample Questions
Q1) When designing a teaching plan for a patient taking disulfiram (Antabuse),a nurse should include an explanation on the importance of avoiding certain over-the-counter substances.With the appropriate instruction,which substance could the patient identify as being safe to use?
A) Antacids
B) Mouthwash
C) Cough syrups
D) Cold medications
Q2) In assessing risks and planning interventions,a nurse should recognize that the longer the half-life of a drug of abuse,the:
A) shorter the withdrawal.
B) less intense the withdrawal symptoms.
C) sooner the patient will begin to crave the drug.
D) shorter the withdrawal and the more intense the symptoms.
Q3) A nurse should specifically assess a patient opiate withdrawal for:
A) lacrimation, rhinorrhea, dilated pupils, and muscle pain.
B) somnolence, constipation, normal pupils, and hypothermia.
C) tremors, hypertension, constricted pupils, and deep sleep.
D) visual and tactile hallucinations, agitation, and generalized seizures.
Page 25
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Chapter 24: Eating Regulation Responses and Eating Disorders
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Sample Questions
Q1) After assessing a patient with anorexia nervosa,a nurse writes the following nursing diagnosis: imbalanced nutrition,less than body requirements related to refusal to eat as evidenced by being 25% below body weight for height.The expected outcome should be listed as "Patient will:
A) identify cognitive distortions about food, weight, and body shape."
B) exhibit fewer signs of malnutrition within 2 weeks of hospitalization."
C) be able to describe both the physical and emotional complications of the eating disorder."
D) restore healthy eating patterns and normalize physiological parameters related to ideal weight."
Q2) A patient is diagnosed with anorexia nervosa.A nurse who is assessing for co-morbid psychiatric disorders should begin by looking for signs of which common,concurrent diagnosis?
A) Phobias
B) Depression
C) Schizophrenia
D) Personality disorder
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26
Chapter 25: Sexual Responses and Sexual Disorders
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Sample Questions
Q1) What factor is most important during evaluation of effectiveness of sexual counseling or intervention?
A) Patient satisfaction with treatment
B) Patient reduction in use of fantasy
C) Nursing involvement in forming the sex education plan
D) Patient agreement with the moral norms of the community
Q2) A patient is hospitalized for an acute episode of schizophrenia.A nurse finds the patient in the lounge nude and telling everyone,"I am the body beautiful." The most appropriate intervention for the nurse would be to:
A) tell the patient to put on clothes immediately and to not undress in public again.
B) take the patient back to the assigned room and then assist the patient with getting appropriately dressed.
C) ignore the behavior and share with the other patients that the patient has no control over it.
D) seclude the patient until control can be regained and clearly define why the behavior is unacceptable.
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Chapter 26: Psychopharmacology
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Sample Questions
Q1) Which set of instructions is most appropriate when preparing the patient for collection of a 24-hour creatinine clearance for a prelithium workup?
A) "Collect all urine when you wake up and for 12 hours thereafter, and then discard all collected urine, noting the time. Begin again to collect all urine, and refrigerate it for the next 12 hours after your blood is drawn."
B) "Discard your first morning urine on awakening, and then begin to time and collect your urine. Keep it refrigerated in a clean 3-L plastic container. Your blood may be drawn at any time during the collection."
C) "Sign this consent form; then collect your urine for the next 24 hours after discarding the first urine of the morning and then refrigerate the clean 3-L container between voidings."
D) "Sign this consent form, and then begin to collect your urine in a clean 3-L plastic container for 24 hours. You may refrigerate the urine collection if you wish."
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Chapter 27: Behavior Change and Cognitive Interventions
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Sample Questions
Q1) Which strategy will help evoke relaxation when using meditation?
A) Playing soft background music
B) Ten-second deep breathing and exhaling
C) Ten-second tensing and relaxing of muscle groups
D) Providing a word or scene on which the patient can focus
Q2) A patient says,"I've been sick a lot this last year but I'm still the biggest seller.I think my boss wants me to leave because a big change in our health insurance plan was implemented last week." The nurse responds:
A) "So you've been sick but you're the best seller. That makes you a valued employee."
B) "It's hard to get up one day and find that you're the oldest person in any group. It's only natural that you'd be sicker than everyone else."
C) "You're still the best seller. It's important not to be suspicious of what is probably only a necessary change in health insurance coverage."
D) "So you think that while you're still the best seller the fact you've been sick a lot this year is a problem? You feel that your employer's change in health insurance indicates they want you to leave?"
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29
Chapter 28: Preventing and Managing Aggressive Behavior
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Sample Questions
Q1) A unit has experienced several violent outbursts that have resulted in the forcible restraint of patients.On review,each violent event and all crisis management strategies were appropriately followed.To maximize staff efficiency the nurse manager should:
A) determine the institution's policies regarding the management of crisis situations should be reviewed in mandatory staff education sessions.
B) schedule staff breaks at intervals that allow staff members to leave the unit and relax while discussing the problems in the current milieu.
C) invite a team of experts to evaluate crisis management on the unit for 1 month to determine whether any procedures are being unintentionally omitted.
D) schedule a multidisciplinary team education meeting and invite a distinguished expert who can help staff members understand that they managed each crisis appropriately.
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Chapter 29: Somatic Therapies
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Sample Questions
Q1) A patient who has received three ECT (electroconvulsive therapy) treatments with no ill effects displays confusion and memory loss after the fourth treatment.Which nursing intervention would be most therapeutic based on a nurse's knowledge of ECT effects?
A) Administer a benzodiazepine by IM injection immediately.
B) Call the health care provider and report this sudden alteration immediately.
C) Inform the family that the short-term memory loss may be permanent.
D) Orient the patient periodically, emphasizing that the memory loss is temporary.
Q2) During the ECT (electroconvulsive therapy) stimulus,the nurse supports the patient's chin firmly against the bite-block positioned between the upper and lower teeth.The rationale for this intervention is to prevent:
A) involuntary biting of the lips.
B) tooth damage or gum laceration.
C) involuntary swallowing of the tongue.
D) development of TMJD (temporomandibular joint disorder).
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Chapter 30: Complementary and Alternative Therapies
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Sample Questions
Q1) A patient states,"My nurse practitioner performs therapeutic touch (TT) on me and it relaxes me but my partner said it's just the power of suggestion." Which response would be most therapeutic?
A) "Recent studies have demonstrated that TT promotes healing and well-being, so it's reasonable to believe it relaxes you."
B) "I agree with your partner. The power of suggestion is a very powerful tool, so TT may make you feel more relaxed."
C) "TT cannot hurt you, so if you feel it helps relax you, I see no reason why you should not continue with the treatment."
D) "Your partner may not be very knowledgeable about current therapeutic nursing interventions. If you find TT helpful, that is what is important."
Q2) When asked about the benefits of complementary and alternative medicine (CAM) therapies,a nurse's best response is that CAM therapies usually:
A) are readily available to most patients.
B) are more costly than conventional therapies.
C) produce a variety of psychological side effects.
D) are most effective when implemented for chronic conditions.
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Page 32
Chapter 31: Therapeutic Groups
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Q1) Which documentation by a nurse leader best indicates that the group was demonstrating an appropriate pattern of interaction during the group process?
A) Not all group members chose to communicate equally on the topics discussed.
B) Members removed unused chairs because they felt the chairs were a distraction.
C) Group members shared today while the group was in session.
D) The absence of one member was noted by the group.
Q2) Which length of time should a nurse allocate for a session focusing on the drug fluphenazine (Prolixin) with a medication group for cognitively impaired patients diagnosed with schizophrenia?
A) 20 minutes
B) 50 minutes
C) 60 minutes
D) 130 minutes
Q3) Which goal applies to a brief therapy group?
A) Determine the underlying cause of the chief problem.
B) Identify maladaptive behaviors that hinder recovery.
C) Substitute ineffective strategies with effective ones.
D) Facilitate members' abilities to effectively manage self-care.
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Chapter 32: Family Interventions
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Sample Questions
Q1) An adolescent with a history of multiple minor physical injuries is sent to the school nurse because of a large bruise on the lower left leg.The adolescent says,"I think I got the bruise when I fell." The school nurse should interview the adolescent with a primary focus on:
A) having the adolescent describe the circumstances of the fall that resulted in the bruise.
B) determining whether this adolescent will identify other risk factors for physical abuse.
C) gathering data to include in a report to the department of social services for adolescent abuse.
D) establishing the likelihood that the adolescent has a physical condition that accounts for the frequent injuries.
Q2) It is useful initially for a therapist who is completing a family assessment to:
A) have members also attend individual therapy.
B) interview members individually.
C) consider cultural influences.
D) visit the family home.
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Chapter 33: Hospital-Based Psychiatric Nursing Care
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Q1) In order to best demonstrate the broad scope of practice knowledge and expertise required for contemporary psychiatric nursing a nurse must:
A) possess experience in both inpatient and outpatient psychiatric settings.
B) effectively manage and implement all aspects of individualized patient care.
C) demonstrate sensitivity to the need for cost savings and short-stay care.
D) provide patient education in a manner that reflects caring and individual needs.
Q2) A nurse would determine that medication teaching was most successful for a patient starting on lithium (Lithobid) if the patient stated:
A) "I will discontinue my medication if I experience any fine hand tremors."
B) "I know that I will need to reduce exercising to only three times per week."
C) "I will need to get regular blood levels drawn while I'm on my medication."
D) "I will continue my medication unless I get sick and catch a very bad cold."
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Chapter 34: Community-Based Psychiatric Nursing Care
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Q1) When considering mental health issues,deinstitutionalization is best demonstrated when a:
A) patient newly diagnosed with bipolar disorder is admitted to a mental health unit for medication and therapy stabilization.
B) patient who has been hospitalized for 5 years for persistent depression is being discharged to an outpatient program.
C) suburban community's shelter for its persistently mentally ill and cognitively impaired population receives renewed funding.
D) homeless adolescent newly diagnosed with obsessive compulsive disorder (OCD) is discharged earlier than expected when a foster home becomes available.
Q2) A psychiatric nurse is focusing on the fifth area of service,based on the Community Mental Health Centers Act of 1963,when:
A) assisting with electroconvulsive therapy (ECT) treatments.
B) providing stress management technique classes to new mothers.
C) assessing patients for admission into an outpatient group program.
D) providing emergency psychiatric care to a rape victim demonstrating psychoses.
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Chapter 35: Child Psychiatric Nursing
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Sample Questions
Q1) Which observation gives the best indication that an adolescent is able to effectively balance relaxation and work?
A) After being reminded to clean his bedroom the child goes back to playing computer games.
B) When found sitting quietly in the living room the child indicates to parents that the behavior is a way to relax.
C) The child enjoys several group sports and delivers newspapers before school for 25 families in the neighborhood.
D) The child seems to enjoy participating in activities such as cleaning and learning complicated software on the family computer.
Q2) Which response by a nurse is most therapeutic in response to parents who are concerned that their child has been drawing sexually explicit pictures?
A) "Are you sure your child fully understood what it was that was being drawn?"
B) "What did your child say when asked about why the drawings were made?"
C) "Most children experiment with this type of behavior at a certain age."
D) "I will need your permission to speak directly with your child."
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Chapter 36: Adolescent Psychiatric Nursing
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Q1) Since the divorce of parents 6 months ago,an adolescent has been absent from school nearly every Friday and gives vague complaints of various illnesses.Which nursing intervention would be most therapeutic in this situation?
A) Ask the student to discuss what is happening on Fridays.
B) Call the student's parents to determine their view concerning the behavior.
C) Request that the school counselor invite the student's parents for a family meeting.
D) Arrange for an examination including diagnostic testing to rule out any medical illnesses.
Q2) An adolescent is just beginning individual therapy.The nurse suspects the adolescent is demonstrating resistance when stating:
A) "There isn't anything so wonderful about this kind of therapy."
B) "I'm really busy and may miss some of our meetings because of things I have to do."
C) "I don't really need to be here. It's my parents who have the real problems, not me."
D) "It is so embarrassing to have to come here and talk with someone I hardly know about my problems."
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Chapter 37: Geropsychiatric Nursing
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Q1) Which of these nursing communications would be most effective when teaching an older adult patient about aging through the disengagement theoretical framework?
A) "It's a natural result of growing older that your level of activity will decrease."
B) "It's important to maintain the same level of socialization throughout your lifetime, even though the type of activity may be changed to accommodate aging."
C) "It's important to maintain the familiarity of your environment to reflect your enduring competencies even though you're an older adult."
D) "Look to the ways in which your family of origin functions. If they are impaired it is more likely that you will be, too, as you age."
Q2) Which assessment finding best indicates that an older adult who resides at an assisted living center has functional mobility?
A) The patient spends most of the day interacting with others in the dayroom.
B) The patient spends weekends and holidays at the home of family members.
C) The patient shows an interest in having his hair professionally styled.
D) The patient dresses, bathes, and eats independently.
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Chapter 38: Care of Survivors of Abuse and Violence
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Q1) A young,newly married adult says,"My spouse never lets me out of sight.I'm not allowed to do anything on my own,and I'm constantly accused of cheating." Which nursing comment is most therapeutic for this individual?
A) "Have you discussed the behavior with your spouse?"
B) "How does your spouse's behavior make you feel?"
C) "Are there other examples of controlling behaviors on your spouse's part?"
D) "Do you feel that your spouse has anything to be upset or suspicious about?"
Q2) What is the best initial approach for a nurse when managing the care of an individual with two children who works full-time and has been abused by a partner?
A) Teach the individual how to avoid provoking the abuser.
B) Assist the individual in filing a police report describing the abuse.
C) Help the individual identify needs to best obtain the appropriate support.
D) Facilitate the individual's move into a safe house located near the current workplace.
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Chapter 39: The Military and Their Families
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Sample Questions
Q1) A military veteran being treated for substance abuse shares that the family is experiencing financial problems since being discharged.In order to assess the individual's coping skills,the nurse asks:
A) "Do you have any idea about how your finances got out of your control?"
B) "How well were you at managing your finances before leaving the military?"
C) "Can you give me some idea of the kind of financial help you feel you need?"
D) "Have your financial expenses increased dramatically since being discharged?"
Q2) When educating an individual diagnosed with posttraumatic stress disorder (PTSD) regarding prescribed medication therapy,the nurse should include that:
A) selective serotonin reuptake inhibitors (SSRIs) like escitalopram (Lexapro) have failed to prove effective in managing PTSD-related depression.
B) the prescribed selective serotonin reuptake inhibitor (SNRI) venlafaxine (Effexor) is intended to help lessen intrusive thoughts.
C) benzodiazepines like alprazolam (Xanax) are safe and have very good results in managing avoidance symptoms.
D) mood stabilizers like valproic acid (Depakote) are effective in managing mood swings that occur with PTSD.
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Chapter 40: Psychological Care of Patients with Life-Threatening Illness
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Source URL: https://quizplus.com/quiz/6414
Sample Questions
Q1) A nurse should use which measure initially to reduce dyspnea in a patient with end-stage chronic obstructive pulmonary disease?
A) Administer a dose of an ordered prn bronchodilator.
B) Encourage the patient to use an incentive spirometer.
C) Assist the patient to cough and deep breathe.
D) Elevate the head of the bed.
Q2) A patient has just been diagnosed with an inoperable brain tumor.Which patient statement about concerns should the nurse expect initially?
A) "I wish I knew what I did to cause this to happen."
B) "I'm very concerned about becoming a burden to my family."
C) "If that is the case I would like to look into nursing home placement or hospice care right away."
D) "Well, all of us have to die someday. I'll have to see a lawyer about a will, and I'll need you to tell me more about advance directives."
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