Introduction to Mental Health Nursing Review
Questions
Course Introduction
Introduction to Mental Health Nursing provides students with foundational knowledge and practical skills required to support individuals experiencing mental health challenges. The course explores key concepts in mental health, the role of the mental health nurse, communication and therapeutic relationship-building, assessment and intervention strategies, as well as ethical and legal considerations in psychiatric care. Emphasis is placed on understanding a variety of mental illnesses, promoting mental well-being, reducing stigma, and applying evidence-based practices to real-world scenarios in clinical and community settings.
Recommended Textbook
Canadian Psychiatric Mental Health Nursing Canadian Edition 1st Edition by Jordan Halter
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37 Chapters
1052 Verified Questions
1052 Flashcards
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Page 2
Chapter 1: Mental Health and Mental Illness
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information?
A) Nursing Outcomes Classification (NOC)
B) Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
C) The ANA's Psychiatric-Mental Health Nursing Scope and Standards of Practice
D) International Statistical Classification of Diseases and Related Health Problems (ICD-10)
Answer: B
Q2) A patient's relationships are intense and unstable. The patient initially idealizes the significant other and then devalues him or her, resulting in frequent feelings of emptiness. This patient will benefit from interventions to develop which aspect of mental health?
A) Effectiveness in work
B) Communication skills
C) Productive activities
D) Fulfilling relationships
Answer: D
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Chapter 2: Historical Overview of Psychiatric Mental Health
Nursing
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The exclusion of males from attending psychiatric nurse training programs hindered which of the following?
A) The availability of students to enter the training program
B) The ability of institutions to maintain enough trained nursing staff
C) The recognition of the importance of nursing knowledge and skills
D) The status of female nurses by lowering their status
Answer: C
Q2) Which was instrumental in the establishment of a psychiatry rotation to the nursing curriculum of Eastern and Atlantic Canada?
A) Dorothea Dix
B) The "Weir Report"
C) The Canadian Nurses Association
D) The Canadian Medical Association
Answer: B
Q3) Which of the following has largely been excluded from Canadian nursing history?
A) Female nurses' role in psychiatric nursing
B) Mental health field of study
C) Male attendants' role in institutions
D) Generalist registered nurses' role
Answer: B
Page 4
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Chapter 3: Relevant Theories and Therapies for Nursing Practice
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Which patient statement would lead the nurse to suspect unsuccessful completion of the developmental task of infancy?
A) "I have very warm and close friendships."
B) "I'm afraid to allow anyone to really get to know me."
C) "I'm always absolutely right, so don't bother saying more."
D) "I'm ashamed that I didn't do things correctly in the first place."
Answer: B
Q2) Which approach would be best to provide therapy in which peers as well as staff have a voice in determining patients' privileges and psychoeducational topics?
A) Milieu therapy
B) Cognitive therapy
C) Short-term dynamic therapy
D) Systematic desensitization
Answer: A
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5
Chapter 4: Psychotropic Drugs
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A patient begins therapy with a phenothiazine medication. What teaching should the nurse provide related to the drug's strong dopaminergic effect?
A) Chew sugarless gum.
B) Increase dietary fiber.
C) Arise slowly from bed.
D) Report changes in muscle movement.
Q2) A patient asks, "What are neurotransmitters? The doctor said mine are imbalanced." Select the nurse's best response.
A) "How do you feel about having imbalanced neurotransmitters?"
B) "Neurotransmitters protect us from harmful effects of free radicals."
C) "Neurotransmitters are substances we consume that influence memory and mood."
D) "Neurotransmitters are natural chemicals that pass messages between brain cells."
Q3) An obese patient has a diagnosis of schizophrenia. Medications that block which receptors would contribute to further weight gain?
A) H<sub>1</sub>
B) 5 HT<sub>2</sub>
C) Acetylcholine
D) Gamma-aminobutyric acid (GABA)
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Chapter 5: Psychiatric Mental Health Nursing in Acute Care Settings
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) The health care team at an inpatient psychiatric facility drafts these criteria for admission. Which criteria should be included in the final version of the admission policy? Select all that apply.
A) Clear risk of danger to self or others
B) Adjustment needed for doses of psychotropic medication
C) Detoxification from long-term heavy alcohol consumption needed
D) Respite for caregivers of persons with serious and persistent mental illness
E) Failure of community-based treatment, demonstrating need for intensive treatment
Q2) Which of the following scenarios best depicts a behavioural crisis?
A) A patient is waving fists, cursing, and shouting threats at a nurse.
B) A patient is curled up in a corner of the bathroom, wrapped in a towel.
C) A patient is crying hysterically after receiving a phone call from a family member.
D) A patient is performing push-ups in the middle of the hall, forcing others to walk around.
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Chapter 6: Psychiatric Mental Health Nursing in Community Settings
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A patient with which of the following diagnoses would be most appropriate to refer for assertive community treatment (ACT)?
A) A phobic fear of crowded places.
B) A single episode of major depression.
C) A catastrophic reaction to a tornado in the community.
D) Schizophrenia and four hospitalizations in the past year.
Q2) The nurse should refer which of the following patients to a partial hospitalization program?
A) A patient who has a therapeutic lithium level and reports regularly for blood tests and clinic follow-up.
B) A patient who needs psychoeducation for relaxation therapy related to agoraphobia and panic episodes.
C) A patient who spent yesterday in a supervised crisis care centre and continues to have active suicidal ideation.
D) A patient who states, "I'm not sure I can avoid using alcohol when my spouse goes to work every morning."
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8
Chapter 7: Cultural Implications for Psychiatric Mental
Health Nursing
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A First Nations patient describes a difficult childhood and dropping out of high school. The patient used many recreational substances as a teenager to escape feelings of isolation but stopped 13 years ago. The patient now says, "I feel stupid. I've never had a good job. There is nothing that I am good enough at doing to be able to work." Which nursing diagnosis applies?
A) Risk for other-directed violence
B) Chronic low self-esteem
C) Deficient knowledge
D) Social isolation
Q2) Which questions should the nurse ask to determine an individual's world view? Select all that apply.
A) What is more important: the needs of an individual or the needs of a community?
B) How would you describe an ideal relationship between individuals?
C) How long have you lived at your present residence?
D) Of what importance are possessions in your life?
E) Do you speak any foreign languages?
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9
Chapter 8: Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nurse finds a psychiatric advance directive in the medical record of a patient experiencing psychosis. The directive was executed during a period when the patient was stable and competent. The nurse should do which of the following?
A) Review the directive with the patient to ensure it is current.
B) Ensure that the directive is respected in treatment planning.
C) Consider the directive only if there is a cardiac or respiratory arrest.
D) Encourage the patient to revise the directive in light of the current health problem.
Q2) A new antidepressant is prescribed for an elderly patient with major depression, but the dose is more than the usual geriatric dose. What should the nurse do?
A) Consult a reliable drug reference.
B) Teach the patient about possible side effects and adverse effects.
C) Withhold the medication and confer with the health care provider.
D) Encourage the patient to increase oral fluids to reduce drug concentration.
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10
Chapter 9: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) 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."
Q2) Who is the best person to provide information about a 4-year-old's behaviour, attitude, and performance?
A) The child
B) The parent(s)
C) The family doctor
D) The psychologist
Q3) Select the best outcome for a patient with the nursing diagnosis Impaired social interaction related to sociocultural dissonance as evidenced by stating, "Although I'd like to, I don't join in because I don't speak the language very well."
A) Patient will show improved use of language.
B) Patient will demonstrate improved social skills.
C) Patient will become more independent in decision making.
D) Patient will select and participate in one group activity per day.
Page 11
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Chapter 10: Therapeutic Relationships
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) As a patient diagnosed with a mental illness is being discharged from a facility, a nurse invites the patient to the annual staff picnic. What is the best analysis of this scenario?
A) The invitation facilitates dependency on the nurse.
B) The nurse's action blurs the boundaries of the therapeutic relationship.
C) The invitation is therapeutic for the patient's diversional activity deficit.
D) The nurse's action assists the patient's integration into community living.
Q2) What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviours that indicate which of the following?
A) Self-responsibility and autonomy
B) A greater sense of independence
C) Rapport and trust with the nurse
D) Resolved transference
Q3) Which issues should a nurse address during the first interview with a patient with a psychiatric disorder?
A) Trust, congruence, attitudes, and boundaries
B) Goals, resistance, unconscious motivations, and diversion
C) Relationship parameters, the contract, confidentiality, and termination
D) Transference, counter-transference, intimacy, and developing resources
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Chapter 11: Communication and the Clinical Interview
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) While talking with a patient diagnosed with major depression, a nurse notices the patient is unable to maintain eye contact. The patient's chin lowers to the chest, while the patient looks at the floor. Which aspect of communication has the nurse assessed?
A) Nonverbal communication
B) A message filter
C) A cultural barrier
D) Social skills
Q2) During the initial patient interview, which of the following are reasons that the patient may be reluctant to speak? Select all that apply.
A) Feelings of distrust
B) The nurse is a health care provider
C) Feelings of embarrassment
D) Repetitive nature of the situation
E) Shyness
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Chapter 12: Understanding Responses to Stress
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse wishes to use guided imagery to help a patient relax. Which comments would be appropriate to include in the guided imagery script? Select all that apply.
A) "Imagine others treating you the way they should, the way you want to be treated . . ."
B) "With each breath, you feel calmer, more relaxed, almost as if you are floating . . ."
C) "You are alone on a beach, the sun is warm, and you hear only the sound of the surf . . ."
D) "You have taken control; nothing can hurt you now. Everything is going your way . . ."
E) "You have grown calm; your mind is still; there is nothing to disturb your well-being . . ."
Q2) According to the Recent Life Changes Questionnaire, which situation would most necessitate a complete assessment of a person's stress status and coping abilities?
A) A person who has been assigned more responsibility at work
B) A parent whose job required relocation to a different city
C) A person returning to college after an employer ceased operations
D) A man who recently separated from his wife because of marital problems
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Chapter 13: Anxiety, Obsessive-Compulsive, and Related Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A patient fearfully runs from chair to chair, crying, "They're coming! They're coming!" The patient does not follow the staff's directions or respond to verbal interventions. The initial nursing intervention of highest priority is to do which of the following?
A) Provide for the patient's safety
B) Encourage clarification of feelings
C) Respect the patient's personal space
D) Offer an outlet for the patient's energy
Q2) A student says, "Before taking a test, I feel very alert and a little restless." The nurse can correctly assess the student's experience as which of the following?
A) Culturally influenced
B) Displacement
C) Trait anxiety
D) Mild anxiety
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15
Chapter 14: Depressive Disorders
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A patient diagnosed with depression repeatedly tells staff, "I have cancer. It's my punishment for being a bad person." Diagnostic tests reveal no cancer. Select the priority nursing diagnosis.
A) Powerlessness
B) Risk for suicide
C) Stress overload
D) Spiritual distress
Q2) A patient was diagnosed with seasonal affective disorder (SAD). During which month would this patient's symptoms be most acute?
A) January
B) April
C) June
D) September
Q3) A nurse taught a patient about a tyramine-restricted diet. Which menu selection would the nurse approve?
A) Macaroni and cheese, hot dogs, banana bread, caffeinated coffee
B) Mashed potatoes, ground beef patty, corn, green beans, apple pie
C) Avocado salad, ham, creamed potatoes, asparagus, chocolate cake
D) Noodles with cheddar cheese sauce, smoked sausage, lettuce salad, yeast rolls
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Page 16
Chapter 15: Bipolar Disorders
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) A patient experiencing acute mania is dancing atop a pool table in the recreation room. The patient waves a cue in one hand and says, "I'll throw the pool balls if anyone comes near me." To best assure safety, the nurse's first intervention is to do which of the following?
A) Tell the patient, "You need to be secluded."
B) Clear the room of all other patients.
C) Help the patient down from the table.
D) Assemble a show of force.
Q2) Consider these three anticonvulsant medications used in mood stabilization: divalproex sodium (Epival), carbamazepine (Tegretol), and gabapentin (Neurontin). Which of the following medications also belongs to this classification?
A) Clonazepam (Rivotril)
B) Risperidone (Risperdal)
C) Lamotrigine (Lamictal)
D) Aripiprazole (Abilify)
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17
Chapter 16: Schizophrenia Spectrum and Other Psychotic Disorders
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A patient diagnosed with schizophrenia and auditory hallucinations anxiously tells the nurse, "The voice is telling me to do things." Select the nurse's priority assessment question.
A) "How long has the voice been directing your behaviour?"
B) "Does what the voice tells you to do frighten you?"
C) "Do you recognize the voice speaking to you?"
D) "What is the voice telling you to do?"
Q2) A patient diagnosed with schizophrenia begins to talks about "macnabs" hiding in the warehouse at work. The term macnabs should be documented as which of the following?
A) A neologism
B) Concrete thinking
C) Thought insertion
D) An idea of reference
Q3) Which finding constitutes a negative symptom associated with schizophrenia?
A) Hostility
B) Bizarre behaviour
C) Poverty of thought
D) Auditory hallucinations
18
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Chapter 17: Eating Disorders
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29 Verified Questions
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Sample Questions
Q1) A nurse conducting group therapy on the eating disorders unit schedules the sessions immediately after meals for which primary purpose?
A) Maintaining patients' concentration and attention
B) Shifting the patients' focus from food to psychotherapy
C) Promoting processing of anxiety associated with eating
D) Focusing on weight control mechanisms and food preparation
Q2) A patient being admitted to the eating disorders unit has a yellow cast to the skin and fine, downy hair over the trunk. The patient weighs 32 kg; height is 172 cm. The patient says, "I won't eat until I look thin." Select the priority initial nursing diagnosis.
A) Anxiety related to fear of weight gain
B) Disturbed body image related to weight loss
C) Ineffective coping related to lack of conflict resolution skills
D) Imbalanced nutrition: less than body requirements related to self-starvation
Q3) Which of the following is a complication of bulimia nervosa?
A) Tachycardia
B) Hyperchloremia
C) Hyperkalemia
D) Esophageal tears
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19
Chapter 18: Cognitive Disorders
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) An older adult was stopped by police for driving through a red light. When asked for a driver's license, the adult hands the police officer a pair of sunglasses. What sign of dementia is evident?
A) Aphasia
B) Apraxia
C) Agnosia
D) Anhedonia
Q2) A patient with severe dementia no longer recognizes family members and becomes anxious and agitated when they attempt reorientation. Which alternative could the nurse suggest to the family members?
A) Wear large name tags.
B) Focus interaction on familiar topics.
C) Frequently repeat the reorientation strategies.
D) Place large clocks and calendars strategically.
Q3) Which assessment finding would be likely for a patient experiencing a hallucination?
A) The patient looks at shadows on a wall and says, "I see scary faces."
B) The patient states, "I feel bugs crawling on my legs and biting me."
C) The patient reports telepathic messages from the television.
D) The patient speaks in rhymes.
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Page 20
Chapter 19: Substance Use and Addictive Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) Police bring a patient to the emergency department after an automobile accident. The patient demonstrates ataxia and slurred speech. The blood alcohol level is 0.50 mg%. Considering the relationship between the behaviour and blood alcohol level, which conclusion is most probable?
A) The patient rarely drinks alcohol.
B) The patient has a high tolerance to alcohol.
C) The patient has been treated with disulfiram (Antabuse).
D) The patient has ingested both alcohol and sedative drugs recently.
Q2) Select the most therapeutic manner for a nurse to work with a patient who is beginning treatment for alcohol addiction.
A) Empathetic, supportive
B) Skeptical, guarded
C) Cool, distant
D) Confrontational
Q3) Which goal for treatment of alcoholism should the nurse address first?
A) Learn about addiction and recovery.
B) Develop alternate coping strategies.
C) Develop a peer support system.
D) Achieve physiologic stability.
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Page 21
Chapter 20: Personality Disorders
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32 Verified Questions
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Sample Questions
Q1) What is an appropriate initial outcome for a patient diagnosed with a personality disorder who has impulse control interferences?
A) The patient will identify when feeling angry.
B) The patient will use impulsive behaviours only to get legitimate needs met.
C) The patient will identify harmful impulsive behaviours.
D) The patient will accept fulfillment of his or her requests within an hour rather than immediately.
Q2) Which of the following nursing diagnoses is appropriate to consider for a patient diagnosed with any of the personality disorders?
A) Noncompliance
B) Impaired social interaction
C) Disturbed personal identity
D) Diversional activity deficit
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22
Chapter 21: Sleep Wake Disorders
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26 Verified Questions
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Sample Questions
Q1) A person is prescribed lorazepam (Ativan) 2 mg po bid prn for anxiety. When the person takes this medication, which change in sleep is anticipated?
A) The patient will have fewer dreams.
B) The patient will have less slow-wave sleep.
C) The patient will experience extended sleep latency.
D) The patient will enter sleep through rapid eye movement (REM) sleep.
Q2) A night shift worker reports, "I'm having trouble getting to sleep after a night's work. I have a hearty breakfast with coffee, read the paper, do my exercises, and then go to bed. However, I just lie awake until it is nearly time to get up to be with my family for dinner." What changes should the nurse suggest? Select all that apply.
A) Drink juice with breakfast rather than coffee.
B) Exercise after awakening rather than before.
C) Turn on the television when going to bed.
D) Do not read the paper.
E) Eat a light breakfast.
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Chapter 22: Sexual Dysfunction, Gender Dysphoria, and Paraphilias
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25 Verified Questions
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Sample Questions
Q1) A nurse is performing an assessment for a 59-year-old man who has hypertension. What is the rationale for including questions about prescribed medications and their effects on sexual function in the assessment?
A) Sexual dysfunction may result from use of prescription medications for management of hypertension.
B) Such questions are an indirect way of learning about the patient's medication adherence.
C) These questions ease the transition to questions about sexual practices in general.
D) Sexual dysfunction can cause stress and contribute to increased blood pressure.
Q2) An adult consulted a nurse practitioner because of an inability to achieve orgasm for 2 years, despite having been sexually active. This adult was frustrated and expressed concerns about the relationship with the sexual partner. Which nursing diagnosis is most appropriate for this scenario?
A) Defensive coping
B) Sexual dysfunction
C) Ineffective sexuality pattern
D) Disturbed sensory perception, tactile
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Chapter 23: Somatic Symptom Disorders and Dissociative Disorders
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Sample Questions
Q1) A patient says, "I know I have a brain tumor despite the results of the MRI. The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited all day." Which response by the nurse fosters cognitive reframing?
A) "You do not have a brain tumor. The more you talk about it, the more it reinforces your belief."
B) "Let's see if there are any other possible explanations for your vomiting."
C) "You seem so worried. Let's talk about how you're feeling."
D) "We need to talk about something else."
Q2) To assist patients diagnosed with somatic symptom disorders, nursing interventions of high priority do which of the following?
A) Explain the pathophysiology of symptoms
B) Help these patients suppress feelings of anger
C) Shift focus from somatic symptoms to feelings
D) Investigate each physical symptom as it is reported
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Chapter 24: Crisis and Disaster
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Sample Questions
Q1) An adult has cared for a debilitated parent for 10 years. The parent's condition recently declined, and the health care provider recommended placement in a nursing home. The adult says, "I've always been able to care for my parents. Nursing home placement goes against everything I believe." Successful resolution of this person's crisis will most closely relate to which of the following?
A) Resolving the feelings associated with the threat to the person's self-concept
B) Ability of the person to identify situational supports in the community
C) Reliance on assistance from role models within the person's culture
D) Mobilization of automatic relief behaviours by the person
Q2) At the last contracted visit in the crisis intervention clinic, an adult says, "I've emerged from this a stronger person. You helped me get my life back in balance." The nurse responds, "I think we should have two more sessions to explore why your reactions were so intense." Which analysis applies?
A) The patient is experiencing transference.
B) The patient demonstrates need for continuing support.
C) The nurse is having difficulty terminating the relationship.
D) The nurse is empathizing with the patient's feelings of dependency.
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Chapter 25: Suicide
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Sample Questions
Q1) A nurse assesses five newly hospitalized patients. Which patients have the highest suicide risk? Select all that apply.
A) 82-year-old White male
B) 17-year-old White female
C) 22-year-old Hispanic male
D) 19-year-old Inuit male
E) 39-year-old African Canadian male
Q2) A nurse interacts with an outpatient who has a history of multiple suicide attempts. Select the most helpful response for a nurse to make when the patient states, "I am considering committing suicide."
A) "I'm glad you shared this. Please do not worry. We will handle it together."
B) "I think you should admit yourself to the hospital to keep you safe."
C) "Bringing up these feelings is a very positive action on your part."
D) "We need to talk about the good things you have to live for."
Q3) Which measure would be considered a form of primary intervention for suicide?
A) Psychiatric hospitalization of a suicidal patient
B) Referral of a formerly suicidal patient to a support group
C) Suicide precautions for 24 hours for newly admitted patients
D) Helping school children learn to manage stress and be resilient
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Page 27
Chapter 26: Anger, Aggression, and Violence
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28 Verified Questions
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Sample Questions
Q1) Because an intervention was required to control a patient's aggressive behaviour, the nurse plans a critical incident debriefing with staff members. Which topics should be the primary focus of this discussion? Select all that apply.
A) Patient behaviours associated with the incident
B) Genetic factors associated with aggression
C) Intervention techniques used by the staff
D) Effects of environmental factors
E) Theories of aggression
Q2) Family members describe the patient as "a difficult person who finds fault with others." The patient verbally abuses nurses for their poor care. The most likely explanation lies in which of the following?
A) Poor childrearing that did not teach respect for others
B) Automatic thinking leading to cognitive distortions
C) A personality style that externalizes problems
D) Delusions that others wish to deliver harm
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Chapter 27: Interpersonal Violence: Child, Older Adult, and
Intimate Partner Abuse
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Sample Questions
Q1) The parents of a 15-year-old seek to have this teen declared a delinquent because of excessive drinking, habitually running away, and prostitution. The nurse interviewing the teen should recognize that these behaviours often occur in which of the following adolescents?
A) Adolescents who have been abused
B) Adolescents who are attention-seeking
C) Adolescents who have eating disorders
D) Adolescents who are developmentally delayed
Q2) Which comment by the nurse would best support relationship building with a survivor of intimate partner abuse?
A) "You are feeling violated because you thought you could trust your partner."
B) "I'm here for you. I want you to tell me about the bad things that happened to you."
C) "I was very worried about you. I knew you were living in a potentially violent situation."
D) "Abusers often target people who are passive. I will refer you to an assertiveness class."
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Chapter 28: Sexual Assault
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/23110
Sample Questions
Q1) A nurse interviews a patient who was abducted and raped at gunpoint by an unknown assailant. The patient says, "I can't talk about it. Nothing happened. I have to forget." What is the patient's present coping strategy?
A) Compensation
B) Somatization
C) Projection
D) Denial
Q2) An unconscious teenager is treated in the emergency department. The teenager's friends suspect a rape occurred at a party and tell the nurse the teenager received ketamine. Priority action by the nurse should focus on which of the following?
A) Preserving rape evidence
B) Maintaining physiologic stability
C) Determining what drugs were ingested
D) Obtaining a description of the rape from a friend
Q3) Where do the majority of sexual assaults occur?
A) Private home
B) City street at night
C) Commercial establishment
D) Person's own motor vehicle
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Page 30
Chapter 29: Disorders of Children and Adolescents
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23111
Sample Questions
Q1) Assessment data for a 7-year-old reveals an inability to take turns, blurting out answers to questions before a question is complete, and frequently interrupting others' conversations. How should the nurse document these behaviours?
A) Defiance
B) Hyperactivity
C) Impulsivity
D) Anxiety
Q2) A nurse will prepare teaching materials for the parents of a child newly diagnosed with attention deficit-hyperactivity disorder. Which medication will the information focus on?
A) Paroxetine (Paxil)
B) Citalopram (Celexa)
C) Methylphenidate (Ritalin)
D) Carbamazepine (Tegretol)
Q3) Which child demonstrates behaviours indicative of a neurodevelopmental disorder?
A) A 4-year-old who stuttered for 3 weeks after the birth of a sibling
B) A 9-month-old who does not eat vegetables and likes to be rocked
C) A 3-month-old who cries after feeding until burped and sucks a thumb
D) A 3-year-old who is mute, passive toward adults, and twirls while walking
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Page 31
Chapter 30: Psychosocial Needs of the Older Adult
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/23112
Sample Questions
Q1) A nurse and social worker co-lead a reminiscence group for eight elite-old adults. Which activity is appropriate to include in the group?
A) Mild aerobic exercise
B) Singing a song from World War II
C) Discussing national leadership during the Vietnam War
D) Identifying the most troubling story in today's newspaper
Q2) An older adult patient was diagnosed with schizophrenia at age 18. A nurse at the outpatient medication clinic interviews this patient. Which communication strategy will be most helpful?
A) Ask questions that can be answered with "yes" or "no."
B) Ask clear, simple questions using concrete language.
C) Use silence often and let the patient take the lead.
D) Use open-ended, indirect questions.
Q3) A nurse plans an educational program for staff of a home health agency specializing in care of the elderly. Which topic is the highest priority to include?
A) Pain assessment techniques for older adults
B) Psychosocial stimulation for those who live alone
C) Preparation of psychiatric advance directives in the elderly
D) Ways to manage disinhibition in elderly persons with dementia
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Page 32
Chapter 31: Living With Recurrent and Persistent Mental Illness
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/23113
Sample Questions
Q1) Which service would be expected to provide resources 24 hours a day, 7 days a week, if needed, for persons with serious mental illness?
A) Clubhouse model
B) Cognitive Behavioural Therapy (CBT)
C) Assertive Community Treatment (ACT)
D) Cognitive Enhancement Therapy (CET)
Q2) An adult patient tells the case manager, "I don't have bipolar disorder anymore, so I don't need medicine. After I was in the hospital last year, you helped me get an apartment and disability cheques. Now I'm bored and don't have any friends." Where should the nurse refer the patient? Select all that apply.
A) Psychoeducational classes
B) Vocational rehabilitation
C) Social skills training
D) A homeless shelter
E) Crisis intervention
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33
Chapter 32: Psychological Needs of Patients With Medical Conditions
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/23114
Sample Questions
Q1) A woman whose sister-in-law died of cancer is herself diagnosed with breast cancer after a mammogram. Her doctor has advised a lumpectomy followed by radiation and chemotherapy. The patient is awaiting surgery, oncology, and radiation consults and is scheduled for surgery the day after tomorrow. She tearfully tells the nurse, "I keep thinking about how there is something growing inside me that could kill me. It's like living with a bomb inside you, and you don't know if or when it's going to go off." Which observation noted in the patient's chart would most suggest that nursing interventions had been helpful?
A) "Less tearful today, denies having questions or concerns, pain rating = 0, up ad lib."
B) "Reading and talking with visitors, smiles readily, says she feels better since talking."
C) "States she is less worried after looking at her glass as half full instead of half empty."
D) "Met with oncologist, reports she is not going to think about it until they know more."
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Chapter 33: Care for the Dying and for Those Who Grieve
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/23115
Sample Questions
Q1) A woman grieving her husband's sudden death tells the nurse, "Yesterday, I saw my husband walk through the door and smile at me, but then he just faded away." Select the nurse's most appropriate action.
A) Assess for substance use and abuse.
B) Assess the patient's psychiatric history.
C) Refer the patient to the mental health centre.
D) Counsel the patient that visualizations are a normal part of grieving.
Q2) A father and son have a long history of hostility and conflict. As the father dies, he finally expresses his love, but the son is unable to respond verbally. Which gift of resolving relationships is most important to address with the son?
A) Guilt
B) Anger
C) Gratitude
D) Forgiveness
Q3) Which is considered the hallmark of hospice palliative care?
A) Available in the patients' home.
B) Excellent symptom management.
C) Family-centred approach to health decisions.
D) Based on culturally sensitive nursing care.
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Page 35
Chapter 34: Forensic Psychiatric Nursing
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/23116
Sample Questions
Q1) A correctional nurse plans a health education series for male prison inmates based upon the greatest likelihood of experiencing which mental health disorder while incarcerated?
A) Mood disorder
B) Schizophrenia
C) Hallucinations
D) Bipolar disease
Q2) The highest degree of credibility is required by a nurse who provides testimony before the court as which of the following?
A) Hostile witness
B) Expert witness
C) Correctional nurse
D) Critical care nurse
Q3) Which Correctional Service Canada treatment setting would necessitate the most restrictive care environment?
A) Institutional health unit
B) Reception centre
C) Regional treatment centre
D) Regional hospital
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Page 36
Chapter 35: Therapeutic Groups
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/23117
Sample Questions
Q1) A young female member in a therapy group says to an older female member, "You are just like my mother, always trying to control me with your observations and suggestions." Which therapeutic factor of a group is evident by this behaviour?
A) Instillation of hope
B) Existential resolution
C) Development of socializing techniques
D) Corrective recapitulation of the primary family group
Q2) A patient tells members of a therapy group, "I hear voices saying my doctor is poisoning me." Another patient replies, "I used to hear voices too. They sounded real, but I found out later they were not. The voices you hear are not real either." Which therapeutic factor is exemplified in this interchange?
A) Catharsis
B) Universality
C) Imitative behaviour
D) Interpersonal learning
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Chapter 36: Family Interventions
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29 Verified Questions
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Source URL: https://quizplus.com/quiz/23118
Sample Questions
Q1) A wife believes her husband is having an affair. Lately, he has been disinterested in romance and has been working late. The husband has an important, demanding project at work. The mother asks her teen, "What have you noticed about your father?" The teen later mentions this to the father, who says, "Tell your mother that I can't deal with her insecurities right now." Which family dynamic is evident?
A) Multigenerational dysfunction
B) Triangulation
C) Enmeshment
D) Blaming
Q2) A family expresses helplessness related to dealing with a mentally ill member's odd behaviours, mood swings, and argumentativeness. Which of the following would be an effective nursing intervention for this family?
A) To express sympathy for their situation
B) To involve local social service agencies
C) To explain symptoms of relapse
D) To role-play difficult situations
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Chapter 37: Integrative Care
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23119
Sample Questions
Q1) A patient reports good results from taking an herb to manage migraine headache pain. The nurse confirms there are no hazardous interactions between the herb and the patient's current prescription drugs. Select the nurse's best comment to the patient.
A) "Thanks for telling me. I'll make a note in your medical record that you take it."
B) "You are experiencing a placebo effect. When we believe something will help, it usually does."
C) "Self-management of health problems can be dangerous. You should have notified me sooner."
D) "Research studies show that herbals actually increase migraine pain by inflaming nerve cells in the brain."
Q2) Acupuncture is a traditional Chinese medical treatment based on which of the following beliefs?
A) That insertion of needles in key locations will drain toxic energies
B) That pressure on meridian points will correct problems in energy flow
C) That insertion of needles modulates the flow of energy along body meridians
D) That taking small doses of noxious substances will alleviate specific symptoms
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