Foundations of Psychiatric Nursing Exam Review
Course Introduction
Foundations of Psychiatric Nursing introduces students to the essential principles and practices of mental health care within the nursing profession. The course covers fundamental concepts in psychiatric nursing, including the assessment, diagnosis, and management of mental health disorders across the lifespan. Emphasis is placed on therapeutic communication, patient advocacy, cultural sensitivity, and ethical considerations in psychiatric settings. Students explore various treatment modalities, crisis intervention strategies, and interdisciplinary collaboration to promote holistic mental health and well-being. Through theoretical study and case-based discussions, learners develop foundational knowledge and skills necessary for providing compassionate, evidence-based care to individuals experiencing psychiatric conditions.
Recommended Textbook
Essentials of Psychiatric Mental Health Nursing 3rd Edition by Varcarolis
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28 Chapters
803 Verified Questions
803 Flashcards
Source URL: https://quizplus.com/study-set/165 Page 2
Chapter 1: Practicing the Science and Art of Psychiatric Nursing
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/2047
Sample Questions
Q1) A bill introduced in Congress would reduce funding for the care of people diagnosed with mental illnesses. A group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?
A) Advocacy
B) Attending
C) Recovery
D) Evidence-based practice
Answer: A
Q2) A patient is hospitalized for depression and suicidal ideation after their spouse asks for a divorce. Select the nurse's most caring comment.
A) "Let's discuss some means of coping other than suicide when you have these feelings."
B) "I understand why you're so depressed. When I got divorced, I was devastated too."
C) "You should forget about your marriage and move on with your life."
D) "How did you get so depressed that hospitalization was necessary?"
Answer: A
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Chapter 2: Mental Health and Mental Illness
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/2048
Sample Questions
Q1) The goal for a patient is to increase resiliency. Which outcome should a nurse add to the plan of care? Within 3 days, the patient will:
A) describe feelings associated with loss and stress.
B) meet own needs without considering the rights of others.
C) identify healthy coping behaviors in response to stressful events.
D) allow others to assume responsibility for major areas of own life.
Answer: C
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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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A person tells a nurse, "I was the only survivor in a small plane crash, but three business associates died. I got anxious and depressed and saw a counselor three times a week for a month. We talked about my feelings related to being a survivor, and now I'm fine, back to my old self." Which type of therapy was used?
A) Milieu therapy
B) Psychoanalysis
C) Behavior modification
D) Interpersonal therapy
Answer: D
Q2) A patient comments, "I never know the right answer" and "My opinion is not important." Using Erikson's theory, which psychosocial crisis did the patient have difficulty resolving?
A) Initiative versus Guilt
B) Trust versus Mistrust
C) Autonomy versus Shame and Doubt
D) Generativity versus Self-Absorption
Answer: C
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Chapter 4: Biological Basis for Understanding
Psychopharmacology
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) An individual is experiencing problems associated with memory. Which cerebral structures are most likely to be involved in this deficit? (Select all that apply.)
A) Prefrontal cortex
B) Occipital lobe
C) Temporal lobe
D) Parietal lobe
E) Basal ganglia
Q2) The nurse wants to assess for disturbances in circadian rhythms in a patient admitted for major depressive disorder. Which question best implements this assessment?
A) "Do you ever see or hear things that others do not?"
B) "Do you have problems with short-term memory?"
C) "What are your worst and best times of day?"
D) "How would you describe your thinking?"
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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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which employer's health plan is required to include parity provisions related to mental illnesses?
A) Employer with more than 50 employees
B) Cancer thrift shop staffed by volunteers
C) Day care center that employs 7 teachers
D) Church that employs 15 people
Q2) A patient tells the nurse at the clinic, "I haven't been taking my antidepressant medication as directed. I leave out the midday dose. I have lunch with friends and don't want them to ask me about the pills." Select the nurse's most appropriate intervention.
A) Investigate the possibility of once-daily dosing of the antidepressant.
B) Suggest to the patient to take the medication when no one is watching.
C) Explain how taking each dose of medication on time relates to health maintenance.
D) Add the following nursing diagnosis to the plan of care: ineffective therapeutic regimen management, related to lack of knowledge.
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Chapter 6: Legal and Ethical Basis for Practice
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A newly admitted patient who is acutely psychotic is a private patient of the senior psychiatrist. To whom does the psychiatric nurse who is assigned to this patient owe the duty of care?
A) Health care provider
B) Profession
C) Hospital
D) Patient
Q2) A nurse volunteers for a committee that must revise the hospital policies and procedures for suicide precautions. Which resources would provide the best guidance? (Select all that apply.)
A) Diagnostic and Statistical Manual of Mental Disorders (fifth edition) (DSM-5)
B) State's nurse practice act
C) State and federal regulations that govern hospitals
D) Summary of common practices of several local hospitals
E) American Nurses Association Scope and Standards of Practice for Psychiatric-Mental Health Nursing
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2053
Sample Questions
Q1) A nurse performing an assessment interview for a patient with a substance abuse disorder decides to use a standardized rating scale. Which scales are appropriate? (Select all that apply.)
A) Addiction Severity Index (ASI)
B) Brief Drug Abuse Screen Test (B-DAST)
C) Abnormal Involuntary Movement Scale (AIMS)
D) Cognitive Capacity Screening Examination (CCSE)
E) Recovery Attitude and Treatment Evaluator (RAATE)
Q2) Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care?
A) "I can always trust my family."
B) "It seems like I always have bad luck."
C) "You never know who will turn against you."
D) "I hear evil voices that tell me to do bad things."
Q3) The acronym QSEN refers to:
A) Qualitative Standardized Excellence in Nursing.
B) Quality and Safety Education for Nurses.
C) Quantitative Effectiveness in Nursing.
D) Quick Standards Essential for Nurses.
Page 9
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Chapter 8: Communication Skills: Medium for All Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) While talking with a patient diagnosed with major depressive disorder, 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
Q2) A patient tells the nurse, "I don't think I will 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."
Q3) 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."
Page 10
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Chapter 9: Therapeutic Relationships and the Clinical
Interview
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Termination of a therapeutic nurse-patient relationship with a patient has been successful when the nurse:
A) avoids upsetting the patient by shifting focus to other patients before the discharge.
B) gives the patient a personal telephone number and permission to call after discharge.
C) discusses with the patient changes that have happened during the relationship and evaluates the outcomes.
D) offers to meet the patient for coffee and conversation three times a week after discharge.
Q2) During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?
A) Preorientation
B) Orientation
C) Working
D) Termination
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11
Chapter 10: Trauma and Stress-Related Disorders
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2056
Sample Questions
Q1) A soldier returned home last year after deployment to a war zone. The soldier's spouse complains, "We were going to start a family but now he won't talk about it. He will not look at children. I wonder if we're going to make it as a couple." Select the nurse's best response.
A) "Posttraumatic stress disorder often changes a person's sexual functioning."
B) "I encourage you to continue to participate in social activities where children are present."
C) "Have you talked with your spouse about these reactions? Sometimes we just need to confront behavior."
D) "Posttraumatic stress disorder often strains relationships. I will suggest some community resources for help and support."
Q2) As part of the stress response, the HPA axis is stimulated. Which structures make up this system?
A) Hippocampus, parietal lobe, and amygdala
B) Hypothalamus, pituitary gland, and adrenal glands
C) Hind brain, pyramidal nervous system, and anterior cerebrum
D) Hepatic artery, parasympathetic nervous system, and acoustic nerve
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Page 12
Chapter 11: Anxiety, Anxiety Disorders, and
Obsessive-Compulsive and Related Disorders
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/2057
Sample Questions
Q1) A nurse encourages an anxious patient to talk about feelings and concerns. What is the rationale for this intervention?
A) Offering hope allays and defuses the patient's anxiety.
B) Concerns stated aloud become less overwhelming and help problem solving to begin.
C) Anxiety is reduced by focusing on and validating what is occurring in the environment.
D) Encouraging patients to explore alternatives increases the sense of control and lessens anxiety.
Q2) A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states that a house fire is not likely. This counseling demonstrates the principles of:
A) flooding.
B) desensitization.
C) relaxation technique.
D) cognitive restructuring.
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Chapter 12: Somatic Symptom Disorders and Dissociative Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2058
Sample Questions
Q1) A nurse assesses a patient suspected to have somatic system disorder. Which findings support the diagnosis? (Select all that apply.)
A) Female
B) Reports frequent syncope
C) Complains of heavy menstrual bleeding
D) First diagnosed with psoriasis at 12 years of age
E) Reports of back pain, painful urination, frequent diarrhea, and hemorrhoids
Q2) To plan effective care for patients diagnosed with somatic system disorders, the nurse should understand that patients have difficulty giving up the symptoms because the symptoms:
A) are generally chronic in nature.
B) have a physiological basis.
C) can be voluntarily controlled.
D) provide relief from health anxiety.
Q3) The causes of somatic system disorders may be related to:
A) faulty perceptions of body sensations.
B) traumatic childhood events.
C) culture-bound phenomena.
D) mood instability.
14
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Chapter 13: Personality Disorders
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A patient who has been diagnosed with schizoid personality disorder is newly admitted to the unit. The best initial nursing intervention is to:
A) set firm limits.
B) engage in trust building.
C) involve in milieu and group activities.
D) encourage identification and expression of feelings.
Q2) A patient diagnosed with borderline personality disorder has a history of self-mutilation and suicide attempts. The patient reveals feelings of depression and anger with life. The psychiatrist suggests the use of a medication. Which type of medication should the nurse expect?
A) Selective serotonin reuptake inhibitor (SSRI)
B) Monoamine oxidase inhibitor (MAOI)
C) Benzodiazepine
D) Antipsychotic
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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Page 15
Chapter 14: Eating Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2060
Sample Questions
Q1) A patient diagnosed with anorexia nervosa is resistant to weight gain. What is the rationale for establishing a contract with the patient to participate in measures designed to produce a specified weekly weight gain?
A) Because severe anxiety concerning eating is expected, objective and subjective data must be routinely collected.
B) Patient involvement in decision making increases a sense of control and promotes compliance with the treatment.
C) A team approach to planning the diet ensures that physical and emotional needs of the patient are met.
D) Because of increased risk for physical problems with refeeding, obtaining patient permission is required.
Q2) An appropriate intervention for a patient diagnosed with bulimia nervosa who binges and purges is to teach the patient to:
A) eat a small meal after purging.
B) avoid skipping meals or restricting food.
C) concentrate oral intake after 4 PM daily.
D) understand the value of reading journal entries aloud to others.
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Chapter 15: Mood Disorders: Depression
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A patient became depressed after the last of six children moved out of the home 4 months ago. The patient has been self-neglectful, slept poorly, lost weight, and repeatedly says, "No one cares about me anymore. I'm not worth anything." Select an appropriate initial outcome. The patient will:
A) verbalize realistic positive characteristics about self by (date).
B) consent to take antidepressant medication regularly by (date).
C) initiate social interaction with another person daily by (date).
D) identify two personal behaviors that alienate others by (date).
Q2) A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to:
A) avoid exposure to bright sunlight.
B) report increased suicidal thoughts.
C) restrict sodium intake to 1 g daily.
D) maintain a tyramine-free diet.
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Chapter 16: Bipolar Spectrum Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) When a hyperactive patient experiencing acute mania is hospitalized, what initial nursing intervention is a priority?
A) Allow the patient to act out his or her feelings.
B) Set limits on the patient's behavior as necessary.
C) Provide verbal instructions to the patient to remain calm.
D) Restrain the patient to reduce hyperactivity and aggression.
Q2) 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.
Q3) The cause of bipolar disorder has not been determined, but:
A) several factors, including genetics, are implicated.
B) brain structures were altered by trauma early in life.
C) excess norepinephrine is probably a major factor.
D) excess sensitivity in dopamine receptors may exist.
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Chapter 17: Schizophrenia Spectrum Disorders and Other
Psychotic Disorders
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) A newly admitted patient diagnosed with schizophrenia is hypervigilant and constantly scans the environment. The patient states, "I saw two doctors talking in the hall. They were plotting to kill me." The nurse may correctly assess this behavior as:
A) echolalia.
B) an idea of reference.
C) a delusion of infidelity.
D) an auditory hallucination.
Q2) A patient diagnosed with schizophrenia has paranoid thinking. The patient angrily tells a nurse, "You are mean and nasty. No one trusts you or wants to be around you." Select the most likely analysis. The patient:
A) is trying to manipulate the nurse by using negative comments.
B) is likely to experience disorganization and catatonia in the near future.
C) is jealous of the nurse's position of power in the relationship.
D) may be identifying another person's shortcomings in order to preserve his or her own self-esteem.
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Chapter 18: Neurocognitive Disorders
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29 Verified Questions
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Source URL: https://quizplus.com/quiz/2064
Sample Questions
Q1) Two patients in a residential care facility are diagnosed with dementia. One shouts to the other, "Move along, you're blocking the road." The other patient turns, shakes a fist, and shouts, "I know what you're up to; you're trying to steal my car." What is the nurse's best action?
A) Administer one dose of an antipsychotic medication to both patients.
B) Reinforce reality. Say to the patients, "Walk along in the hall. This is not a traffic intersection."
C) Separate and distract the patients. Take one to the day room and the other to an activities area.
D) Step between the two patients and say, "Please quiet down. We do not allow violence here."
Q2) 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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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) A patient asks for information about Alcoholics Anonymous (AA). Which is the nurse's best response?
A) "It is a self-help group with the goal of sobriety."
B) "It is a form of group therapy led by a psychiatrist."
C) "It is a group that learns about drinking from a group leader."
D) "It is a network that advocates strong punishment for drunk drivers."
Q2) A patient comes to an outpatient appointment obviously intoxicated. The nurse should:
A) explore the patient's reasons for drinking today.
B) arrange admission to an inpatient psychiatric unit.
C) coordinate emergency admission to a detoxification unit.
D) tell the patient, "We cannot see you today because you've been drinking."
Q3) A patient in an alcohol treatment program says, "I have been a loser all my life. I'm so ashamed of what I have put my family through. Now, I'm not even sure I can succeed at staying sober." Which nursing diagnosis applies?
A) Chronic low self-esteem
B) Situational low self-esteem
C) Disturbed personal identity
D) Ineffective health maintenance
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Page 21
Chapter 20: Crisis and Mass Disaster
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2066
Sample Questions
Q1) Which situation demonstrates the use of primary care related to crisis intervention?
A) Implementing suicide precautions for a patient with depression.
B) Teaching stress reduction techniques to a beginning student nurse.
C) Assessing coping strategies used by a patient who has attempted suicide.
D) Referring a patient with schizophrenia to a partial hospitalization program.
Q2) A victim of intimate partner violence comes to the crisis center seeking help. The nurse uses crisis intervention strategies that focus on:
A) supporting emotional security and re-establishing equilibrium.
B) offering long-term resolution of issues precipitating the crisis.
C) promoting growth of the individual.
D) providing legal assistance.
Q3) A nurse assesses an adult experiencing a crisis. An appropriate question for the nurse to ask to determine situational support is:
A) "Has anything upsetting occurred in the past few days?"
B) "Who can be helpful to you during this time?"
C) "How does this problem affect your life?"
D) "What led you to seek help at this time?"
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Chapter 21: Child, Partner, and Elder Violence
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26 Verified Questions
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Sample Questions
Q1) A patient tells the nurse, "My husband is abusive only 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) A victim of physical abuse by an intimate partner is treated for a broken wrist. The patient has considered leaving but says, "You stay together, no matter what happens." Which outcome should be met before the patient leaves the emergency department? The patient will:
A) limit contact with the abuser by obtaining a restraining (protective) order.
B) name two community resources that can be contacted.
C) demonstrate insight into the abusive relationship.
D) facilitate counseling for the abuser.
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Chapter 22: Sexual Violence
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Sample Questions
Q1) A patient comes to the hospital for treatment of injuries sustained during a rape. The patient abruptly decides to decline treatment and return home. Before the patient leaves, the nurse should:
A) tell the patient, "You may not leave until you receive prophylactic treatment for sexually transmitted diseases."
B) provide written information concerning the physical and emotional reactions that may be experienced.
C) explain the need and importance of human immunodeficiency virus (HIV) testing.
D) offer verbal information about legal resources.
Q2) 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.
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Chapter 23: Suicidal Thoughts and Behavior
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Sample Questions
Q1) The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is:
A) hopelessness.
B) sadness.
C) elation.
D) anger.
Q2) A new nurse says to a peer, "My new patient is diagnosed with bipolar disorder. At least I won't have to worry about suicide risk." Which response by the peer would be most helpful?
A) "Let's reconsider your plan. Suicide risk is high in patients diagnosed with bipolar disorder."
B) "Suicide is a risk for any patient diagnosed with bipolar disorder who uses alcohol or drugs."
C) "The thought processes of patients diagnosed with bipolar disorder are usually too disorganized to attempt suicide."
D) "Racing thoughts during mania often prompt suicide among patients diagnosed with bipolar disorder."
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Chapter 24: Anger, Aggression, and Violence
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Sample Questions
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) An emergency department nurse realizes that the spouse of a patient is becoming increasingly irritable while waiting. Which intervention should the nurse use to prevent escalation of anger?
A) Explain that the patient's condition is not life threatening.
B) Periodically provide an update and progress report on the patient.
C) Explain that all patients are treated in order, based on their medical needs.
D) Suggest that the spouse return home until the patient's treatment is completed.
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Chapter 25: Care for the Dying and Those Who Grieve
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Sample Questions
Q1) A patient diagnosed with metastatic brain cancer says, "I'm dying, but I'm still living. I want to be in control as long as I can." Which reply shows the nurse was actively listening?
A) "Our staff will do their best to help you feel comfortable."
B) "Most people do not know how to help and are afraid of death."
C) "Your mind and spirit are healthy, although your body is frail."
D) "You want people to stop focusing on your weaknesses."
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.
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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Page 27
Chapter 26: Children and Adolescents
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Sample Questions
Q1) When assessing a 2-year-old diagnosed with autism spectrum disorder, a nurse expects:
A) hyperactivity and attention deficits.
B) failure to develop interpersonal skills.
C) history of disobedience and destructive acts.
D) high levels of anxiety when separated from a parent.
Q2) A desired outcome for a 12-year-old diagnosed with oppositional defiant disorder (ODD) is to improve relationships with other children. Which treatment modality should the nurse suggest for the plan of care?
A) Bibliotherapy
B) Music therapy
C) Social skills groups
D) Behavior modification
Q3) A nurse assesses a 3-year-old diagnosed with autism spectrum disorder. Which finding is most associated with the child's disorder? The child:
A) has occasional toileting accidents.
B) is unable to read children's books.
C) cries when separated from a parent.
D) continuously rocks in place for 30 minutes.
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Page 28
Chapter 27: Adults
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Sample Questions
Q1) Which statements most clearly indicate that the speaker views mental illness with stigma? (Select all that apply.)
A) "Everyone is a little bit crazy."
B) "If people with mental illness would go to church, their problems would be solved with faith."
C) "Many mental illnesses are genetically transmitted. It is no one's fault that the illness occurs."
D) "Anyone can have a mental illness. War or natural disasters can be too stressful for healthy people."
E) "People with mental illness are lazy. They expect the government to take care of everything they need."
Q2) A patient diagnosed with severe and persistent mental illness lives in a homeless shelter. The priority nursing diagnosis for this patient is Powerlessness. Which intervention should be included in the plan of care?
A) Encourage mutual goal setting.
B) Verbally communicate empathy.
C) Reinforce participation in activities.
D) Demonstrate an accepting attitude.
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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) A 78-year-old nursing home resident diagnosed with hypertension and cardiac disease is usually alert and oriented. This morning, however, the resident says, "My family visited during the night. They stood by the bed and talked to me." In reality, the patient's family lives 200 miles away. The nurse should first suspect that the resident:
A) may be experiencing side effects associated with medications.
B) may be developing Alzheimer disease associated with advanced age. C) had a transient ischemic attack and developed sensory perceptual alterations. D) has previously unidentified alcohol abuse and is beginning alcohol withdrawal delirium.
Q2) When admitting older adult patients, health care agencies receiving federal funds must provide written information about:
A) advance health care directives.
B) the financial status of the institution.
C) how to sign out against medical advice.
D) the institution's policy on the use of restraints.
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