Foundations of Psychiatric Nursing Test Preparation
Course Introduction
Foundations of Psychiatric Nursing provides students with essential knowledge and skills for the care of individuals experiencing mental health challenges across the lifespan. The course explores the principles of psychiatric nursing, including assessment, therapeutic communication, evidence-based interventions, and the promotion of mental health and well-being. Students will learn to recognize common psychiatric disorders, understand the impact of mental illness on individuals and families, and apply ethical, legal, and cultural considerations in practice. Emphasis is placed on the nurse-client relationship, advocacy, and the interdisciplinary approach to mental health 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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Chapter 1: Roles and Functions of Psychiatric-Mental Health
Nurses: Competent Caring
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/6375
Sample Questions
Q1) When teaching the orientation portion of a psychiatric nursing course,which statement would the instructor be most likely to make to the students?
A) "There is one approved theoretical framework for psychiatric nursing practice."
B) "Psychiatric nursing has yet to be recognized as a core mental health discipline."
C) "Contemporary practice of psychiatric nursing is primarily focused on inpatient care."
D) "The psychiatric nursing patient may be an individual, a family, a group, or even a community."
Answer: D
Q2) In 1952,Hildegard Peplau defined the psychiatric nurse's role as a:
A) professional who helps patients with attitude adjustment.
B) nurse who is extensively trained to care for psychiatric patients.
C) resource person, a teacher, a leader, and a counselor to patients.
D) professional who is certified to conduct psychosocial therapy sessions.
Answer: C
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3
Chapter 2: Therapeutic Nurse-Patient Relationship
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A psychiatric nurse will recognize which action as demonstration of resistance behavior?
A) Regularly referring to himself as a "loser"
B) Becoming tearful during every therapy session about abuse
C) Asking to postpone a therapy session until after visiting hours
D) Consistently describing his drug use as starting "a little while ago"
Answer: D
Q2) A patient reports seeing a "frightening" face on the wall of the dayroom.A nurse attempts to calm her by providing an explanation for the flawed perception of what she saw.The nurse would implement this strategy by stating:
A) "Let's see if anyone else has seen those frightening faces on the walls of the dayroom."
B) "The shadows of the tree outside the window make strange shapes on the dayroom walls."
C) "Have you ever seen frightening faces like that on the dayroom walls before today?"
D) "Did someone in the dayroom tell you there were frightening faces on the walls?"
Answer: B
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4
Chapter 3: The Stuart Stress Adaptation Model of Psychiatric Nursing Care
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/6377
Sample Questions
Q1) A patient mentions,"No one else I know is mentally ill." What reply would help the patient understand the extent of mental illness?
A) "You are not unique; many people experience mental illness."
B) "Let's concern ourselves with you and getting you well again."
C) "Being among people who understand your problem and want to help is what is important."
D) "You are truly not alone; almost 50% of adults experience some kind of mental illness.
Answer: D
Q2) A patient in the emergency room of a local community hospital is crying uncontrollably and repeating over and over,"He will hurt me if I don't get away from him.You have to help me,please." Which of the following interventions reflects attention to care in the manner advocated by the assumptions stated in the Stuart Stress Adaptation Model?
A) Getting a health care provider to prescribe a sedative for the patient
B) Asking the patient to provide more details about "what he will do"
C) Beginning the nursing process by conducting a nursing assessment
D) Putting the patient in a quiet room to minimize environmental stimuli
Answer: C
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Chapter 4: Evidence-Based Psychiatric Nursing Practice
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/6378
Sample Questions
Q1) The reason for routinely using the behavioral rating scale is to assess the: (Select all that apply.)
A) changes in the patient's condition related to treatment.
B) effectiveness of the unit's patient behavior scales.
C) strength of the behavioral scale's reliability.
D) patient's state at the time of admission.
E) patient's status to support discharge.
Q2) A patient is scheduled to be discharged from the locked inpatient psychiatric unit.In order to best evaluate the appropriateness of the patient's care the nurse:
A) brings the care plan and ongoing documentation to an interdisciplinary team meeting, where the patient's progression towards discharge will be discussed.
B) gathers evidence from the chart that shows progression in the patient's medical condition to prepare for the evaluation of the outcomes.
C) asks the patient's family to discuss the discharge because they have visited daily since the patient's admission.
D) asks the patient to meet with you to discuss any feelings about discharge and returning home.
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Chapter 5: Biological Context of Psychiatric Nursing Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) 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
Q2) A patient states,"I'm going to have a positron emission tomography (PET) scan.What are the doctors going to learn from it?" The best reply would be that they focus on:
A) "identifying structures like tumors and scars."
B) "highlighting activity in various portions of the brain."
C) "outlining the structures of the brain more clearly."
D) "providing data to support new treatment modalities."
Q3) A patient demonstrates disoriented thinking and irrational ideas.A nurse can anticipate that a PET scan would most likely show dysfunction in the brain's _____ lobe.
A) frontal
B) parietal
C) occipital
D) temporal
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Chapter 6: Psychological Context of Psychiatric Nursing Care
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/6380
Sample Questions
Q1) A nurse managing the care of a depressed patient will use the Beck Depression Inventory Scale at admission and during the course of treatment.The nurse expects to obtain assessment data that would: (Select all that apply.)
A) confirm the patient's diagnosis.
B) measure the extent of the patient's problem.
C) identify co-morbid physiological disorders.
D) track the patient's progress over the hospitalization.
E) predict the patient's likelihood of experiencing a relapse.
Q2) A patient admitted for treatment of uncontrolled diabetes mellitus is withdrawn and tearful.The patient says,"I just want to be normal again." The nurse determines there is a need for a psychiatric evaluation primarily to assist:
A) the patient in verbalizing distress about the disease.
B) in assessing the emotional factors affecting the patient's present condition.
C) in assessing priorities to be set for the patient's overall nursing plan of care.
D) the patient in emotionally accepting the chronic nature of the disease.
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Chapter 7: Social, Cultural, and Spiritual Context of Psychiatric Nursing Care
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/6381
Sample Questions
Q1) Asian patients prescribed psychiatric medications: A) exhibit better response to antidepressants and phenothiazine than do African-American patients.
B) have less tendency to abuse alcohol with their medications than do white patients. C) have extrapyramidal side effects at lower dosage levels than do other ethnic groups. D) experience fewer side effects when taking anticholinergic medications than do white patients taking the same dosage.
Q2) During a team conference about a patient,the patient's spouse states,"My spouse is Irish,so I should have expected a drinking problem." This statement is an example of: A) racism.
B) intolerance.
C) stereotyping.
D) discrimination.
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Chapter 8: Legal and Ethical Context of Psychiatric Nursing Care
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/6382
Sample Questions
Q1) 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.
Q2) An individual is advised to seek psychiatric hospitalization and agrees to receive treatment and abide by hospital rules.What type of admission is this?
A) Legal
B) Informal
C) Voluntary
D) Involuntary
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Chapter 9: Policy and Advocacy in Mental Health Care
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/6383
Sample Questions
Q1) A patient receiving mental health services complains about having to get a referral from a primary care physician in order to obtain mental health services.The nurse should explain to the patient that this is a cost control practice used in managed care that is described as:
A) gatekeeping.
B) utilization review.
C) case management.
D) preadmission certification.
Q2) When a facility administrator mentions that the employee assistance program (EAP) may be discontinued because of its expense,the health liaison nurse disagrees,stating that the program pays for itself through: (Select all that apply.)
A) prevention of illness encouraged by educational programs.
B) early disease detection brought about by offered screenings.
C) its primary focus on alcohol and drug abuse awareness sessions.
D) decreased work-related injuries resulting from ergonomics training.
E) mandated immunization policies regarding acquired job-related illnesses.
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Chapter 10: Families as Resources, Caregivers, and Collaborators
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/6384
Sample Questions
Q1) When providing education for families of mentally ill patients,the nurse realizes that which of the following organizations places the most importance on this intervention?
A) The Managed Care Association
B) National Alliance on Mental Illness
C) American Psychiatric Nurses Association
D) New Freedom Commission on Mental Health
Q2) A patient accompanied by a sibling has returned to the hospital because of a recurrence of bipolar disorder.The admitting nurse notes that the sibling seems disinterested in the admitting process.The nurse should act on the thought that the sibling:
A) may be quiet by nature.
B) is probably thankful for the admission.
C) may be feeling hurt, anger, or resentment.
D) may not fully understand the admission process.
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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
Source URL: https://quizplus.com/quiz/6385
Sample Questions
Q1) Which is a well-written short-term goal for a socially withdrawn patient who tells a nurse of a wish to reduce social isolation? By day 2,the patient will:
A) express desire to go shopping.
B) participate in one unit activity.
C) become more independent.
D) be more outgoing.
Q2) While gathering a baseline history about a patient,a nurse is told by a team social worker that the patient "acts weird and has bad hygiene." The nurse's responsibility is to:
A) accept the data without question.
B) form impressions based on data personally gathered.
C) document the impression of the team social worker.
D) discuss the social worker's impression with the patient.
Q3) Nursing interventions that have the greatest validity are those that:
A) are used by nurse clinicians.
B) are prescribed by physicians.
C) have been investigated by nurse researchers.
D) are based on evidence of the efficacy of the intended treatment.
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Page 13
Chapter 12: Prevention and Mental Health Promotion
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) 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.
Q2) A nurse working with adolescents recognizes which factor as being of greatest importance to this age group?
A) Normal growth and development
B) Peer relationships
C) Career selection
D) Child rearing
Q3) When a community mental health nurse focuses on intervention strategies designed to increase self-efficacy among members of a minority neighborhood group,a realistic primary prevention goal would be:
A) elimination of mental illness in the community.
B) resolving social problems within the community.
C) reducing both stressors and suffering in the group.
D) reducing the incidence of depression in the group.
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Page 14
Chapter 13: Crisis Intervention
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A variety of crisis intervention modalities are available in contemporary society depending on the needs of patients.Some of them are:
A) in mobile crisis programs.
B) available only during non-daytime hours.
C) in primary care provider (PCP) office settings.
D) available only to members of certain patient populations.
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."
Q3) Survivors of a hurricane are grieving the loss of loved ones and homes.Which level of crisis intervention would be most appropriate for a nurse to use?
A) General support
B) Generic approach
C) Individual approach
D) Environmental manipulation
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Page 15
Chapter 14: Recovery and Psychiatric Rehabilitation
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The most effective way for a nurse working in psychiatric rehabilitation to gain firsthand knowledge about a community agency is to:
A) query patients who have used the services of the agency.
B) go to the agency with someone who is requesting services.
C) read the description in a community social services directory.
D) go to the agency pretending to be someone who needs services.
Q2) To promote positive outcomes,nurses in psychiatric rehabilitation practices should be skilled in: (Select all that apply.)
A) teaching the patient living skills.
B) actively listening to patient complaints.
C) assisting the patient in developing his or her strengths.
D) helping patients accept their own disabilities.
E) accessing the appropriateness of environmental support.
Q3) 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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Page 16
Chapter 15: Anxiety Responses and Anxiety Disorders
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/6389
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 psychiatric patient is experiencing panic-level anxiety.The initial intervention of highest priority is:
A) provide for the patient's safety.
B) reduce all environmental stimuli.
C) respect the patient's personal space.
D) encourage the patient to discuss the anxious feelings.
Q3) A patient whose current behavior includes pacing and cursing tells a nurse,"I'm feeling edgy and can't concentrate." The nurse can assess the patient's level of anxiety as:
A) mild.
B) moderate.
C) severe.
D) panic.
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Page 17
Chapter 16: Psychophysiological Responses and Somatoform
and Sleep
Disorders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse is caring for a patient diagnosed with extreme stress.The nurse is focusing interventions on the promotion of adaptive psychophysiological patient responses.Which intervention is included in the plan of care?
A) Monitoring the patient's medication
B) Monitoring the patient's physical health
C) Shifting the patient's attention away from the symptoms
D) Providing education to promote change in the patient's health practices
Q2) A patient has been instructed to use crutches in order to rest an injured foot.At a follow-up appointment,the patient admits to beginning a walking program.A nurse can assess this behavior as evidence the patient is employing:
A) projection.
B) regression.
C) rationalization.
D) compensation.
Q3) Which patient is most likely exhibiting a conversion disorder?
A) A toddler with frequent ear infections
B) An athlete with exercise-induced asthma
C) A night guard who suddenly goes blind
D) An older adult whose fractured foot is not healing well
Page 18
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Chapter 17: Self-Concept Responses and Dissociative Disorders
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/6391
Sample Questions
Q1) A patient tells a nurse,"I am a weak person." The patient feels inadequate and vulnerable and states often feeling helpless and frightened.The nursing diagnosis most likely to fit this situation is:
A) personal identity disturbance.
B) chronic low self-esteem.
C) personality fusion.
D) depersonalization.
Q2) A patient with low self-esteem has begun making behavior changes.A nurse positively reinforces these changes during a therapy session.The patient and nurse are actively engaged in which level of intervention?
A) Commitment to action
B) Expanded self-awareness
C) Realistic planning
D) Self-evaluation
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19
Chapter 18: Emotional Responses and Mood Disorders
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) When a patient begins fluoxetine (Prozac),what information should be included in the plan for patient education?
A) The onset of action is 2 to 6 weeks.
B) Foods containing tyramine should be restricted.
C) Intake of salt and salty foods should be restricted.
D) The patient should be alert for symptoms of hypomania.
Q2) A patient was widowed 8 months ago.The patient has never cried and speaks of the spouse as if they were still together.The prominent defense mechanism exhibited by the patient is:
A) denial.
B) projection.
C) introjection.
D) sublimation.
Q3) The nurse can expect to find which assessment findings in a patient who is hypomanic?
A) Psychomotor symptoms more severe than mania
B) Some motor hyperactivity but depressive affect
C) Clinical symptoms less severe than those of a manic state
D) Grandiosity, distractibility, flight of ideas, and excessive psychomotor activity
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Page 20
Chapter 19: Self-Protective Responses and Suicidal Behavior
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Patients of which demographic group have the highest suicide rate in the United States?
A) Female between the ages of 13 and 19 years
B) Male between the ages of 19 and 27 years
C) Female age 65 years or older
D) Male age 50 years or older
Q2) The major difference between self-injury and suicide lies in whether the patient has:
A) a need to control or a need to be controlled.
B) the wish to relieve tension or the wish to die.
C) been diagnosed with a developmental disorder or psychosis.
D) a tendency toward indirect or direct expression of self-destructive urges.
Q3) When evaluating the effectiveness of the care provided for a self-destructive patient,the best approach is to:
A) identify maladaptive coping behaviors.
B) involve the patient in the process of evaluation.
C) make sure the staff has followed the original care plan.
D) modify the plan as little as possible to avoid confusing the patient.
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Page 21
Chapter 20: Neurobiological Responses and Schizophrenia and Psychotic Disorders
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A patient with schizophrenia repeatedly asks for directions and the time of day.The nurse should:
A) repeat the information in a kind, matter-of-fact manner.
B) write out the information so the patient can easily refer to it.
C) share that the habit of frequent questioning is annoying and should be avoided.
D) initially provide the facts and then remind the patient that the question was already asked.
Q2) Which neurological deficits would the nurse be most likely to encounter when assessing a patient diagnosed with schizophrenia?
A) Weakness and loss of function
B) Paralysis and diminished reflexes
C) Droopy eyelids and reddened cornea
D) Increased blinking and impaired fine motor skills
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22
Chapter 21: Social Responses and Personality Disorders
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26 Verified Questions
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Sample Questions
Q1) A patient tells a nurse about being in a relationship with a significant other for more than 1 year and states,"the person is available when I need support,but neither of us tries to control the other." The nurse can correctly assess this relationship as: A) narcissistic.
B) enmeshed.
C) disconnected. D) interdependent.
Q2) An admission note describes a patient as being "lively,excessively emotional,attention seeking,and superficial." The patient's history reveals stormy relationships with friends and lovers.The patient only seems comfortable when the focus of attention and becomes anxious when the focus changes.The nurse anticipates that the DSM-IV-TR diagnosis that is being considered is _____ personality disorder.
A) paranoid
B) antisocial
C) histrionic
D) obsessive-compulsive
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Chapter 22: Cognitive Responses and Organic Mental Disorders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A widowed patient tells a nurse that the door should be left unlocked because her husband will be coming home soon.Which response by the nurse would be most therapeutic?
A) "You've forgotten that your husband's dead, haven't you?"
B) "Just try to sleep. He won't be home for a very long time yet."
C) "You must miss him a lot. It almost seems he's here with you."
D) "Your husband died over 10 years ago. He won't be coming here."
Q2) A nurse is caring for a patient who is confused,disoriented,and experiencing visual hallucinations.While preparing to provide personal care,the nurse should:
A) ask the patient, "Do you remember who I am?"
B) speak minimally so as not to disturb the patient.
C) pat the patient on the forearm and say, "Let's get started."
D) explain to the patient what will happen during the care.
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."
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Chapter 23: Chemically Mediated Responses and
Substance-Related Disorders
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27 Verified Questions
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Source URL: https://quizplus.com/quiz/6397
Sample Questions
Q1) A patient asks a nurse,"What is the primary aim of self-help groups for alcohol abusers?" The nurse should reply,"The goal is first to:
A) always be available to help others with an addiction."
B) commit to always strive for total abstinence."
C) find and rely on the help of the member's sponsor."
D) admit powerlessness over the addiction."
Q2) A nurse has concerns about erratic behavior and slurred speech of another member of the nursing staff.The most appropriate action for the concerned nurse to take is to:
A) immediately confront the impaired nurse with the observation.
B) ask other nurses if they have observed anything unusual regarding the nurse in question.
C) personally supervise the team member whenever the care involves the preparation of pain medication.
D) notify the nursing supervisor to assess the team member's condition and performance.
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25
Chapter 24: Eating Regulation Responses and Eating Disorders
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Sample Questions
Q1) The first step in the creation of a therapeutic alliance between a nurse and a patient with a maladaptive response to eating regulation is:
A) formulation of a nurse-patient contract.
B) resolution of conflicts with family members.
C) nurse and patient will agree on perception of patient's body.
D) the means of stabilizing the patient's nutritional status will be specified.
Q2) A nurse would assess for which behavior to substantiate a diagnosis of bulimia nervosa?
A) Abuse of diuretics and laxatives
B) Introverted personality traits
C) Disinterest in sexual activity
D) Denial of hunger at all times
Q3) A nurse assesses that which individual is most likely to engage in binge-eating behaviors characteristic of bulimia? A person who:
A) weighs 225 pounds and is 5 feet 4 inches tall.
B) is 5 pounds overweight and cannot stick to a diet.
C) lost 40 pounds but gained it back within 1 year.
D) monitors caloric intake in order to fit into a small suit.
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Chapter 25: Sexual Responses and Sexual Disorders
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23 Verified Questions
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Source URL: https://quizplus.com/quiz/6399
Sample Questions
Q1) The best expected outcome for a patient with maladaptive sexual response is,"The patient will
A) identify sexual questions and problems."
B) implement one new behavior to improve sexual functioning."
C) state comfort and satisfaction with gender identity and sexual orientation."
D) achieve a mutually acceptable level of sexual response with a consenting partner."
Q2) A nurse assesses a patient who reports that she is unable to have intercourse because of involuntary contractions at the vaginal opening.The nurse can correctly assess this as:
A) vaginismus.
B) dyspareunia.
C) arousal disorder.
D) orgasmic dysfunction.
Q3) Which statement made by a patient shows a correct understanding of human sexuality?
A) "Oral intercourse is dangerous."
B) "Sex during menstruation should be avoided."
C) "Advanced age is not by itself a deterrent to sexual function."
D) "Alcohol ingestion enhances sexual pleasure and performance."
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Page 27
Chapter 26: Psychopharmacology
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Sample Questions
Q1) A patient taking a benzodiazepine says to the nurse,"I really like this pill because if I just take an extra one when I get very anxious,I always feel a lot better." What is the nurse's best response?
A) "That isn't the way the medication is to be taken. I think you need to talk to your doctor so something more effective can be prescribed for you."
B) "Let's review the way you use this medication. Remember to try the coping measures that we discussed to help manage your nervousness."
C) "You are not taking the medication as the doctor ordered. I think the doctor will be very concerned that you are abusing your medication."
D) "You really shouldn't be adjusting your medication dosage like that. You need to take the medication only as it was originally prescribed by your physician."
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Chapter 27: Behavior Change and Cognitive Interventions
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27 Verified Questions
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Source URL: https://quizplus.com/quiz/6401
Sample Questions
Q1) When describing cognitive behavioral therapy,it would be stressed that nursing is responsible for: (Select all that apply.)
A) providing direct patient care.
B) assisting in actual psychotherapy sessions.
C) participating in planning the treatment program.
D) teaching family members how to use cognitive behavioral techniques.
E) reinforcing the expectations of the planned interventions of the treatment plan.
Q2) 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
Q3) A nurse instructing a group of patients in the sequence of progressive muscle relaxation tells the group to tense and relax which area first?
A) Eyes
B) Toes
C) Hands
D) Mouth
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Chapter 28: Preventing and Managing Aggressive Behavior
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Q1) During staff debriefing after placing a patient with a history of violence into seclusion,a nurse new to the unit says,"I think we acted prematurely.We didn't spend enough time trying to deescalate the situation." An appropriate response from the nurse manager would be:
A) "You're new here. Trust the staff to make decisions based on experience and sound, evidence-based practice."
B) "We're a team. We all need to be open to other possibilities, and I expect that we respect each other's viewpoints."
C) "I'd like to hear more specifically what you think we could have said or done to talk the patient down and avoid the need for seclusion."
D) "Professional nurses are familiar with a variety of communication interventions; maybe it's time we had an in-service to improve our communication skills."
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Chapter 29: Somatic Therapies
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Q1) A patient has been enrolled in a clinical trial of repetitive transcranial magnetic stimulation (rTMS).A nurse should ensure that which item is available in the treatment area?
A) A blood pressure cuff
B) A reflex hammer
C) Suction
D) Earplugs
Q2) A patient with recurring depression who experiences anhedonia,early-morning awakening,and sadness asks a nurse,"Do you think this sleep deprivation therapy would work for me?" Which response reflects the best attempt to answer the patient's question?
A) "It's a legitimate therapy that works for some people. What do you know about it?"
B) "Up to 60% of patients improve after sleep deprivation, but the depression tends to return soon after sleeping."
C) "You can't go without sleep forever. What didn't you like about the treatment you received the last time?"
D) "Sleep deprivation therapy may or may not help, but you've responded well in the past to antidepressant drug therapy."
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Chapter 30: Complementary and Alternative Therapies
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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) A group member says to a nurse facilitator,"Why don't you say something? It's not just me; there are others in this group who feel that you could do more in here." Which statement shows the best therapeutic communication on the part of the nurse?
A) "So, you and others feel that I 'could do more in here'?"
B) "You sound enraged. Let's discuss what is making you so angry with me."
C) "I don't remember the group contract requiring that I actively participate in the discussions."
D) "If I understand you correctly, you and others in this group feel that I should take a more active role in group sessions?"
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
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Chapter 32: Family Interventions
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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) To conduct research based on family intervention,the researcher would focus on the family as a unit or system to better understand family: A) roles.
B) economics.
C) ethnicity.
D) functioning.
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Chapter 33: Hospital-Based Psychiatric Nursing Care
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Q1) Which statement made by a nurse manager to personnel working short-staffed best reflects an understanding of the importance of safe unit staffing?
A) "If you cannot find sufficient staff, I will have to leave this unit, because it is unsafe and someone could be hurt."
B) "I cannot safely manage this unit with such a small staff. When can I expect you to send additional staffing to help?"
C) "If you don't provide extra staffing immediately, I will quit and report this situation to The Joint Commission (TJC)."
D) "In order to ensure unit safety I will need additional staff. I am limiting care to priority needs only until you meet that need. My written report will document my actions."
Q2) A young adult patient is alienated by others who are offended by the patient's poor hygiene and body odor.Which nursing intervention should occur first for this patient?
A) Assessing the patient's understanding of good hygiene practices
B) Assigning the patient a scheduled shower and personal grooming time
C) Instructing the patient regarding the need for daily showering and shampooing
D) Having two mental health workers shower and dress the patient every morning
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35
Chapter 34: Community-Based Psychiatric Nursing Care
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Q1) Which intervention demonstrates effective management of two contradictory goals of case management?
A) Arranging for outpatient patients to car pool to group meetings
B) Assessing patients to determine who is able to shower independently
C) Scheduling a patient to have in-home help with cooking and cleaning
D) Helping a patient appropriately fill a personal 5-day medication container
Q2) A community mental health nurse is often a member of a multidisciplinary Assertive Community Treatment (ACT) team.An example of a nursing intervention that focuses on the primary concentration of care for such a team is:
A) providing medication education to all patients.
B) volunteering to counsel homeless abused women.
C) involving a patient in the various aspects of his or her discharge planning.
D) conducting a support group for patients recovering from depression.
Q3) A psychiatric home care nurse's greatest patient care challenge is:
A) effectively assessing the home care needs of the patient.
B) documenting care to reflect the skilled service given.
C) providing all the attention each patient wants.
D) evaluating family situations accurately.
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Chapter 35: Child Psychiatric Nursing
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Q1) When assisting a child to learn to express personal feelings verbally without hurting a playmate's feeling,the nurse encourages the child to first:
A) play with imaginary friends.
B) play the role of the other child.
C) avoid competitive games like baseball.
D) use nonverbal mannerisms like frowning.
Q2) When planning immediate care for a child based on a biopsychosocial assessment,the nurse initially addresses any dysfunction in the:
A) biological development of the child.
B) effect of medical illness on the child.
C) social support systems available to the child.
D) child's mastery of specific ego competency skills.
Q3) A nurse is working with primary school-age children diagnosed with psychiatric disorders.To most therapeutically address low self-esteem issues the nurse should:
A) give positive feedback for small goal accomplishment.
B) reward all acceptable behavior with positive feedback.
C) set major goals so that they can strive for accomplishments.
D) encourage active participation in a peer self-esteem self-help group.
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Chapter 36: Adolescent Psychiatric Nursing
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Q1) When asked to manage the care of an intoxicated adolescent who was found drinking alcohol in the school bathroom,the school nurse should: (Select all that apply.)
A) arrange for the adolescent to sleep in a safe place.
B) report the adolescent's drinking to the local police.
C) inform the parents that the child will be suspended.
D) call the parents to notify them of the situation.
E) notify the school's alcohol counselor.
Q2) Which intervention by the nurse would be the most therapeutic when a student reports witnessing a depressed teenager put a gun into a locker?
A) Call the principal and request a locker search without breaching confidentiality.
B) Accompany the witness to the principal's office to further discuss what was seen.
C) Call the police immediately and report that there is a student in school with a gun.
D) Call the parents of the depressed teen and ask them to come and talk with their child.
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Chapter 37: Geropsychiatric Nursing
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Q1) Which nursing intervention would be most important initially when evaluating the physiological health status of an older adult being admitted to an assisted living center?
A) Obtain a complete medication profile, including over-the-counter medications
B) Ask the patient, "How do you think your physical health has been overall?"
C) Observe the patient for indications of the degree of physical autonomy
D) Ask the patient's adult child, "Does your parent have any health problems?"
Q2) An older adult who recently learned that his last surviving sibling has died refuses to take medication and is fearful of allowing anyone other than a specific staff member to assist with bathing and dressing.The patient is exhibiting signs of:
A) paranoia.
B) confusion.
C) depression.
D) disorientation.
Q3) Which older adult patient profile presents the highest risk for falls?
A) A widowed older adult who takes an antidepressant at bedtime
B) An older adult with diabetes who bicycles regularly as exercise
C) An older retired adult who provides in-home care for a spouse
D) An older single adult who wears corrective eyeglasses for myopia
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Chapter 38: Care of Survivors of Abuse and Violence
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Q1) An individual who has been physically abused says,"When I called the police,I just wanted my spouse to stop shoving me around and kicking me.I didn't want anyone to get in trouble.It's easy to get angry with me because I spend too much money." Which comment by the nurse would be most therapeutic for this individual?
A) "You feel your spouse was justified in the abuse because you overspent?"
B) "Tell your spouse that if this happens again, I will report it to the police."
C) "Your spouse abuses you when you overspend. So you think it will stop if you do not spend money?"
D) "I can understand that you don't want to press charges, but your spouse needs help controlling anger."
Q2) Which assessment finding most clearly indicates that a rape victim is exhibiting behavior typically seen in the acute stage of sexual assault? The victim:
A) is demanding and controlling when dealing with staff.
B) appears to be confused, restless, and fearful when left alone.
C) uses profanity to describe events surrounding the attack.
D) experiences a panic attack on the anniversary of the attack.
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Chapter 39: The Military and Their Families
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Source URL: https://quizplus.com/quiz/6413
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Q1) The nurse is about to assess the possible incidence of sexual abuse.Based on an understanding of how males and females experience and internalize sexual trauma differently,the nurse would ask the male soldier:
A) "Have you ever been sexually abused?"
B) "Have you ever felt victimized sexually by anyone?"
C) "Has an unwanted sexual advance by anyone ever made you feel harassed or confused?"
D) "Has a superior officer ever made an unwanted sexual advancement that you felt you had to agree to?"
Q2) Six months after returning from a combat zone,a discharged Marine reports having both memory and concentration problems that resulted in earning failing grades in two college courses.An understanding of the pathophysiology of traumatic brain injury would prompt the nurse to initially ask:
A) "Were you ever treated for a traumatic brain injury?"
B) "Were you ever hit on the head during your military deployment?"
C) "Has a blow to the head ever resulted in you being unconscious for more than 20 minutes?"
D) "When did the memory problems and difficulty with concentration begin to affect your schoolwork?"
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Page 41
Chapter 40: Psychological Care of Patients with Life-Threatening Illness
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Q1) A nurse is caring for a patient awaiting test results that will indicate whether the patient has cancer.Which communication would be most helpful initially to facilitate a therapeutic nurse-patient relationship?
A) "I'm sure this must be a difficult time. It may be most helpful for you to focus on the development of new drugs and other therapies."
B) "How sad and frightened you must feel right now. Do you have any family or friends that are good support systems for you that I might call?"
C) "I am trying to imagine how you feel. If you spend this time making sure all your affairs are in order, it will give you more of a sense of control over the situation."
D) "This is a time of uncertainty for you and your family. I sense that you are quite anxious and in disbelief. I'd like to talk to you about how you're feeling."
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