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Introduction to Mental Health Nursing Study Guide Questions - 754 Verified Questions

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Introduction to Mental Health Nursing Study Guide Questions

Course Introduction

Introduction to Mental Health Nursing provides students with foundational knowledge and skills essential for caring for individuals experiencing mental health challenges. The course explores key concepts in mental health, including the assessment and diagnosis of mental health conditions, therapeutic communication strategies, legal and ethical considerations, and evidence-based interventions. Emphasis is placed on the role of the nurse as an advocate, educator, and collaborator in multidisciplinary teams, with a focus on promoting recovery, resilience, and holistic wellbeing in diverse populations across the lifespan.

Recommended Textbook

Psychiatric Mental Health Nursing 5th Edition by Katherine M. Fortinash

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30 Chapters

754 Verified Questions

754 Flashcards

Source URL: https://quizplus.com/study-set/832

Page 2

Chapter 1: Psychiatric Nursing: Theory, Principles, and Trends

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) The nurse is attending a neighborhood meeting where a half-way house is being proposed for the neighborhood when a member of the community states,"We don't want the facility; we especially don't want violent people living near us." The response by the nurse that best addresses the public's concern is:

A) "In truth, most individuals with psychiatric disorder are passive and withdrawn and pose little threat to those around them."

B) "The mentally ill seldom behave in the manner they are portrayed by movies; they are people just like the rest of us."

C) "Patients with psychiatric disorder are so well medicated that they do not display violent behaviors."

D) "The mentally ill deserve a safe, comfortable place to live among people who truly care for them."

Answer: A

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Chapter 2: Nursing Practice in the Clinical Setting

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) Which statement by the patient reflects patient education that was based on the concept of integrated patient care?

A) "I know I'm anxious when I get a tension headache."

B) "My anxiety is a result of stressors I don't cope well with."

C) "Medication has helped me tremendously with anxiety control."

D) "Anxiety runs in my family; my entire family is trying to deal with it."

Answer: A

Q2) The nurse is effectively facilitating the nurse-patient relationship when:

A) Sharing with an angry patient who is verbally abusive that, "Although I can accept that you are angry, I cannot and will not accept your verbal abuse."

B) Focusing on the patient's life experience without relating to the similarities of one's own experiences

C) Objectively providing constructive criticism that is directed to helping the patient identify inappropriate behaviors

D) Refraining from abandoning the patient regardless of the frustration the interaction causes

Answer: A

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Chapter 3: The Nursing Process and Standards of Care

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) Care planning for a patient diagnosed with paranoid schizophrenia will include:

A) Analyzing effectiveness of care provided

B) Determining the patient's needs and problems

C) Establishing realistic patient-focused outcome criteria

D) Identifying priorities of care based on the patient's condition

Answer: D

Q2) A patient who has a nursing diagnosis of ineffective coping related to ineffective problem solving has been involved in treatment for 6 months.The nurse determines that the planned interventions require revision when the patient states:

A) "I really don't think my psychiatrist actually helps me."

B) "I can't decide if I should get my own apartment or not."

C) "I can't accept that I will never be able to comfortably make decisions."

D) "I don't think I'm liked well enough to seek election as a committee chairperson."

Answer: B

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5

Chapter 4: Therapeutic Communication: Interviews and Interventions

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30 Verified Questions

30 Flashcards

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Sample Questions

Q1) An example of an environmental factor that would cause a nurse to modify a planned critical interaction occurs when the:

A) Patient expresses a personal dislike for the nurse

B) Patient is in total denial about her condition

C) Nurse lacks the degree of knowledge required for the interaction

D) Nurse learns that the patient's mother has been hospitalized with a stroke

Q2) During the termination phase of the nurse-patient relationship with a dependent patient,the nurse evaluates the effectiveness of coping techniques learned by:

A) Role playing with the patient in order to practice being assertive

B) Asking the patient to define the difference between being assertive and being aggressive.

C) Discussing how her father effectively used both assertiveness and aggressiveness to control her

D) Asking, "When you used assertiveness to deal with your father during his visit, how did it work?"

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6

Chapter 5: Adaptation to Stress

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11 Verified Questions

11 Flashcards

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Sample Questions

Q1) The patient is being introduced to mindfulness-based stress reduction to help manage chronic stress.The patient is first taught to focus on:

A) What is causing the stress

B) Both inhaling and exhaling

C) Relaxing each major muscle group

D) Visualizing their life without the stress

Q2) Which are expected outcomes for a patient who is effectively implementing a decision tree to enhance their problem-solving abilities? Select all that apply.

A) A large, complex problem will be turned into a series of smaller, manageable problems.

B) The patient will not be overwhelmed and made to feel powerless by the problem.

C) The problem and the resulting stress will be clearly and concisely defined.

D) All resulting stress will be eliminated and the patient will feel empowered.

E) Several different options for resolving the problem will be formulated.

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7

Chapter 6: Neurobiology in Mental Health and Mental Disorder

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20 Verified Questions

20 Flashcards

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Sample Questions

Q1) The patient's family asks whether a diagnosis of Parkinson's disease creates an increased risk for any mental health issues.What question would the nurse ask to assess for such a comorbid condition?

A) "Has your father exhibited any signs of depression?"

B) "Does your father seem to experience mood swings?"

C) "Have you noticed your father talking about seeing things you can't see?"

D) "Is your dad preoccupied with behaviors that he needs to repeat over and over?"

Q2) A patient whose symptoms of mild depression have been managed with antidepressants is concerned about the affect of accepting a promotion that will require working the night shift.What will be the basis of the response the nurse gives to address the patient's concern?

A) The connection between a new job and possible depression does exist.

B) The medication can be adjusted to manage any increase in depression.

C) The interruption in normal wake-sleep patterns can influence mood disorders.

D) The change in sleep routine can be managed with a healthy sleep hygiene routine.

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Page 8

Chapter 7: Human Development Across the Life Span

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) A nurse is working with a group of older adults attending a seminar on the physical and emotional effects of aging.Which patient statements are good predictors of positive well being and perceived mortality? Select all that apply.

A) Being "satisfied with growing older"

B) Feeling "younger than my birthdays say I should"

C) Retirement "gives me time to do the things I've put off doing."

D) Not having "to deal with the stress of any major chronic illnesses"

E) "At least I don't have to worry about having enough money to retire."

Q2) According to Maslow's hierarchy of needs,the nursing strategies a psychiatric nurse would use to assist in meeting self-esteem needs of elderly patients would include:

A) Providing privacy when spouses are visiting

B) Arranging for the spouses to dine with the patients when visiting

C) Including both the patients and spouses in all educational sessions

D) Attending to patient hygiene and dress in preparation for spousal visits

Q3) A nursing diagnosis of hopelessness would be considered for an individual who:

A) Was consistently overprotected by family members

B) Was raised by parents who were strict disciplinarians

C) Had inconsistent, unpredictable physical care as an infant

D) As a teenager always felt unaccepted by his social peers

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Page 9

Chapter 8: Culture, Ethnicity, and Spirituality

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) The nurse identifies a patient as being in spiritual distress.Which patient statement supports this nursing diagnosis?

A) "I've never felt so alone before in my entire life."

B) "I don't know if I could get through this without faith in God."

C) "I've always relied on my faith in God but now I feel I've been abandoned."

D) "Why do bad things happen to good people? I've always been a good person."

Q2) The nurse is addressing the possibility that a family of newly emigrated Hispanics may experience cultural shock.Which statements are truisms concerning this cultural adaptation issue? Select all that apply.

A) Most primitive cultures embrace the lifestyle of the industrialized ones.

B) It may take generations for family members to become acculturated.

C) The most resistant to adaptation are children and young adults.

D) Typical responses include fear and distrust of strangers.

E) Family members are at high risk for anxiety disorder.

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Chapter 9: Legal and Ethical Aspects in Clinical Practice

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20 Flashcards

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Sample Questions

Q1) Upon voluntary admission,the nurse will ensure that the patient's rights are preserved.Which interventions are directly related to a patient's civil right? Select all that apply.

A) Arranging for the patient to vote in city election by absentee ballot

B) Respecting the patient's right to refuse a dose of a prescribed medication

C) Arranging for the patient to have a private area in which to visit with friends

D) Deferring to a patient's expressed wish to "not share a room with anyone else"

E) Changing the assignment because a patient "doesn't like" a particular staff member

Q2) Electroconvulsive therapy (ECT)has been prescribed for a patient diagnosed with chronic depression.Which statement by the patient helps assure the nurse that the patient's right to informed consent has been respected?

A) "ECT treatment will cure my depression."

B) "ECT is dangerous but I'm almost out of treatments."

C) "I may not remember things that happened just before the ECT treatment."

D) "I'm likely to permanently lose memory of things like dates and numbers."

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Chapter 10: Anxiety and Anxiety Disorders

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27 Verified Questions

27 Flashcards

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Sample Questions

Q1) The nurse has identified a nursing diagnosis of disturbed thought processes for a patient with obsessive-compulsive disorder.What abilities displayed by the patient would be related to an appropriate outcome for this problem? Select all that apply.

A) Can identify when obsessions are worsening

B) Speaks of obsessions as being embarrassing behaviors

C) Describes lessening anxiety when compulsive rituals are interrupted

D) Plans to ignore obsessive thoughts and so minimizes resulting stress

E) Limits time focusing on obsessive thoughts to 15 minutes, 4 times a day

Q2) The nurse is working with the family of a patient with obsessive-compulsive disorder (OCD).Which concept should the nurse incorporate in the teaching plan?

A) The thoughts, images, and impulses are voluntary.

B) The family should pay immediate attention to symptoms.

C) The thoughts, images, and impulses tend to worsen with stress.

D) OCD is a chronic disorder that does not respond to treatment.

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Chapter 11: Somatoform, Factitious, and Dissociative Disorders

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20 Verified Questions

20 Flashcards

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Sample Questions

Q1) Which question would the nurse performing an admission interview for a patient with suspected dissociative amnesia disorder identify as a priority?

A) "What help would you like us to give you?"

B) "Are you experiencing a high level of anxiety?"

C) "Do you find rituals make you feel more comfortable?"

D) "How would you describe your childhood memories?"

Q2) To differentiate between somatoform and conversion disorders,the nurse will direct the assessment to determine the presence of the critical defining factor associated with conversion disorder.Which is true about a conversion reaction?

A) Symptoms are generally associated with pain or sexual function.

B) Symptoms are not accounted for by a medical condition.

C) Symptoms are precipitated by psychological factors.

D) Symptoms are under the patient's voluntary control.

Q3) Which adult patient is most likely a candidate for the diagnosis of factitious disorder?

A) An educated African immigrant

B) A health care facility employee

C) A cognitively challenged female

D) A middle-aged American male

Page 13

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Chapter 12: Mood Disorders: Depression, Bipolar, and Adjustment Disorders

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41 Verified Questions

41 Flashcards

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Sample Questions

Q1) Which nursing intervention is most therapeutic when the nurse is managing the aggressive,disruptive behaviors of a manic patient whose attempts to control the milieu has been rejected by the other patients?

A) Advising that the patient to accept the wishes of the group

B) Suggesting that the patient either quiet down or leave the room

C) Accompanying the patient to a quieter part of the unit

D) Ignoring the patient's outbursts because they are surly related to the mania

Q2) When assessing a patient diagnosed with a mood disorder,which abnormal diagnostic tests would be considered a possible factor in the manifestation of the disorder? Select all that apply

A) RBC (red blood cell)

B) ECG (electrocardiogram)

C) BUN ( blood urea nitrogen)

D) TSH (thyroid stimulating hormone)

E) Blood glucose

Q3) The nurse will base a discussion of dysthymia on the fact that the condition:

A) Typically has an acute onset

B) Involves delusional thinking

C) Is chronic low-level depression

D) Does not include suicidal ideation

Page 14

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Chapter 13: Schizophrenia and Other Psychotic Disorders

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37 Verified Questions

37 Flashcards

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Sample Questions

Q1) The wife of a patient newly diagnosed with paranoid schizophrenia is concerned that her husband "will be this sick for the rest of his life." What information can the nurse provide to the wife?

A) "This disorder generally responds well with treatment and follow-up."

B) "All types of schizophrenia by their nature are chronic relapsing disorders."

C) "Outcomes are related to the patient's pre-hospital symptoms of disorganization."

D) "The typical outcome for this diagnosis is that total remission is not achievable."

Q2) Prior to discharge,the nurse plans to teach the patient and family about relapse.Which items will the nurse include in the teaching?

A) Recognizing warning signs of relapse

B) Using street drugs judiciously and only in small amounts

C) Lowering medication dosage to manage emerging side effects

D) Notifying the nurse of warning signs present for more than one month

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Chapter 14: Personality Disorders

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29 Verified Questions

29 Flashcards

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Sample Questions

Q1) The nurse counsels a mother to allow her 2-year-old child to keep a blanket that he uses to comfort himself.The basis for this counseling is:

A) Sullivan's theory of "good me"

B) Freud's developmental theory

C) Mahler's theory of object relations

D) Kernberg's conceptualization object constancy

Q2) Which intervention will provide the most information regarding a patient's self-perception of their role in their environment?

A) Asking the patient to keep a journal about things they enjoy doing

B) Observing the patient interact with family members at a unit picnic

C) Encouraging the patient to discuss the successes they have experienced

D) Helping the patient select appropriate, attractive clothing for family visitation day

Q3) The nurse conducts milieu therapy based on the understanding that:

A) Therapy is grounded in the milieu routine.

B) The milieu is a substitute for the patient's family.

C) Staff represents the authority within the milieu.

D) The milieu provides realistic community interactions.

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Page 16

Chapter 15: Substance Related Disorders and Addictive Behaviors

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29 Verified Questions

29 Flashcards

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Sample Questions

Q1) Which nursing intervention demonstrates an understanding regarding the primary form of substance use disorder among older adults?

A) Assessing the patient's hands and feet for the presence of both numbness and tingling

B) Having the patient, "describe your relationship with you adult children, co-workers, and friends."

C) Asking, "Please identify for me all the medications both prescribed and over the counter you regularly take."

D) Evaluate the patient's understanding of the possible health risks that alcohol and medication abuse has on one's health

Q2) Which assessment demonstrates the nurse's understanding of the relationship between substance abuse and the development of symptoms characteristic of delirium?

A) Determining the patient's age and gender

B) Evaluating the patient's food and fluid intake over the last 48 hours

C) Observing the patient for fine tremors of the hands, especially the fingers

D) Determining the amount of caffeine the patient ingested in the last 24 hours

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Chapter 16: Cognitive Disorders: Delirium, Dementia, and

Amnestic Disorders

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) Which intervention has highest priority for a patient with stage 3 Alzheimer's disease?

A) Cutting the patient's food into bite size pieces

B) Providing fluids to the patient every hour while awake

C) Demonstrating to the patient how to put toothpaste on the brush

D) Assisting the patient in signing a birthday care for a granddaughter

Q2) A patient diagnosed with delirium has become agitated and fearful.Which nursing intervention should the nurse implement to help prevent a catastrophic response?

A) Interact with the patient on an adult-to-child level.

B) Place the patient in a safe, nonstimulating environment.

C) Ask the patient to explain what is causing the agitation and fear.

D) Be prepared to apply physical restraints to minimize the patient's risk for injury.

Q3) Which situation would be most likely to serve as a trigger to a catastrophic reaction in a patient with stage 2 Alzheimer's disease?

A) Participating in singing "Happy Birthday" to another patient at dinner

B) Being scolded by an aide for spilling a glass of milk

C) Listening to Big Band music from the 1940s

D) Eating cupcakes in the activities room

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Page 18

Chapter 17: Disorders of Infancy, Childhood, and Adolescence

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27 Verified Questions

27 Flashcards

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Sample Questions

Q1) A 5-year-old girl on a behavior modification program is admitted to the unit.The nurse would expect to participate in which activity based on this approach?

A) Firmly challenging the child's irrational thoughts

B) Including the child in the creation of a behavioral contract

C) Family therapy with every member present for each session

D) Play therapy with dolls representing every member of the family

Q2) The mother of a child describes her child's "annoying behavior" as not being able to sit still or to stop jerking his arms when told to.Which disorder does the nurse suspect?

A) Tourette's disorder

B) Oppositional-defiant disorder

C) Pervasive developmental disorder

D) Attention-deficit/hyperactivity disorder

Q3) Which complaint is representative of anxiety in a 6-year-old child?

A) "I worry that my dad will get hurt at work."

B) "I get a stomach ache when it's my weekend at my dad's house."

C) "I can't sleep when I stay at Grandma's because I worry about my mom."

D) "I'm not going to sports camp because I don't like being away from my friends."

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Page 19

Chapter 18: Eating Disorders: Anorexia Nervosa and Bulimia

Nervosa

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29 Verified Questions

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Sample Questions

Q1) A nursing intervention that will be planned to occur early in the nurse-patient relationship with a patient with an eating disorder is:

A) Using confrontation to attack denial

B) Placing the patient in a therapeutic group

C) Formulating a therapeutic nurse-patient alliance

D) Attacking enmeshment by separating patient and family

Q2) The interdisciplinary care team has suggested family-based therapy as a part of the care plan of a teenager diagnosed with an eating disorder.Which statement is the basis for this recommendation?

A) This approach encourages family involvement in the patient's recovery.

B) The family is often dysfunctional, enmeshed, and in need of counseling.

C) This approach has shown a significant impact on successful long-term prognosis.

D) The family implements the behavioral contract as established by the plan of care.

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Chapter 19: Sleep Disorders: Dyssomnias and Parasomnias

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Sample Questions

Q1) An adult patient diagnosed with insomnia is prescribed the antihistamine,diphenhydramine.Which side effects does the nurse educate the patient about? Select all that apply.

A) Urinary retention

B) Blurred vision

C) Rhinorrhea

D) Dry mouth

E) Diarrhea

Q2) When the family of a child diagnosed with a nightmare disorder asks the nurse about prognosis,the nurse replies with the knowledge that:

A) The disorder is frequently self-limiting in children.

B) If the child is obese, it is likely the nightmares will continue.

C) High doses of diazepam (Valium) are needed to cure the disorder.

D) With the use of antipsychotic medication, the disorder will not worsen.

Q3) Which notations should be included in a sleep journal? Select all that apply.

A) Any regular bedtime rituals

B) Things that assist with sleep

C) Time when patient went to bed

D) Things that interfere with sleeping

E) Foods eaten at dinner or last meal

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Chapter 20: Sexual Disorders: Sexual Dysfunctions and Paraphilias

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20 Verified Questions

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Sample Questions

Q1) A patient approaches a clinic nurse in the waiting room and states,"I'd like to talk with you about a sexual problem I'm having." Which response demonstrates an understanding on the nurse's initial responsibility to this patient?

A) Offering, "Go ahead if you like. I have time to listen."

B) Suggesting, "Would you prefer speaking to a sex therapist?"

C) Saying, "Let's go into my office where there's more privacy."

D) Asking, "What type of sexual dysfunction are you experiencing?"

Q2) A patient who has a sexual disorder mentions to the nurse,"I don't know why I bother looking for help.They don't know much about sex problems." Which statement best describes the evolution of research on sexuality and should serve as the basis for the nurse's response?

A) Increased knowledge about sexual dysfunction has been available since the late 1960s.

B) Masters and Johnson were the first persons to explore the area of sexual dysfunction.

C) Kaplan was instrumental in identifying the need for psychoanalysis in treating sexual dysfunction.

D) Sigmund Freud, a sexologist, based his work on scientific data from studying human sexual behavior.

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Chapter 21: Crisis: Theory and Intervention

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27 Verified Questions

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Sample Questions

Q1) Which patient response demonstrates that the patient whose home was destroyed by a fire is coping with the disaster?

A) Agreeing to see a grief counselor

B) Stating, "At least no one was hurt in the fire."

C) Addressing the details regarding the rebuilding of the house

D) Stating, "I knew things were going along too well to be true."

Q2) Which characteristic makes a stressful event a crisis situation? Select all that apply.

A) The event was not expected.

B) The patient felt emotional or physically threatened.

C) The event resulted in physical trauma to the patient.

D) The patient showed immediate signs of anxiety or panic.

E) The patient has little or no social support system to rely upon.

Q3) Which factor will have the greatest impact on a patient's ability to effectively respond to the loss of a spouse?

A) The age of the patient

B) The years they were married

C) How the patient has handled other deaths

D) Availability of an effective support system

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Chapter 22: Suicide: Prevention and Intervention

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Sample Questions

Q1) Which statement by a young adult would alert the nurse to increased suicide risk?

A) "I have a necktie in my room that I can use to hang myself."

B) "If I fail one more class, I'm going to have to think about ending it."

C) "When I leave home to live on my own, I'm going to buy myself a gun."

D) "When I took two bottles of Mom's pills, I had to have my stomach pumped."

Q2) There are several suicidal patients on the psychiatric unit.When meal trays are returned to the kitchen,a serrated-edge knife is missing.The nurse to whom the aide reports this should:

A) Acknowledge the information and be watchful for the remainder of the shift.

B) Ask each of the patients on suicide precautions where the knife is hidden.

C) Report the information to the charge nurse and suggest a unit search.

D) Report the information to security and let them handle the matter.

Q3) When assigning the suicidal patient to a room on the unit,the nurse should select a:

A) Single room near the exit

B) Double room near the exit

C) Single room near the nurse's station

D) Double room near the nurse's station

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Chapter 23: Violence: Anger, Abuse, and Aggression

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34 Verified Questions

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Sample Questions

Q1) Which symptom reported by an adult patient,who was sexually abused as a child,reflects the diagnosis of posttraumatic stress disorder (PTSD)?

A) A history of substance abuse

B) Refusing to go to public places from which escape may be difficult

C) Seeking advice and guidance prior to making any significant decision

D) Ruminating easily concerning the abuse with friends and acquaintances

Q2) To provide nursing care to abused children and their families,the nurse must first:

A) Recommend removal of the children from the family.

B) Complete a comprehensive physical and mental assessment.

C) Refer each case to the appropriate social worker for follow-up.

D) Examine personal feelings regarding the trauma of child abuse and neglect.

Q3) The nurse caring for a school-age child who has been sexually abused by a close family member demonstrates an understanding of communication barriers in this situation by:

A) Realizing that repeated questioning by others will occur

B) Assuring the child that the story they are telling is believed

C) Reinforcing that the child will not be in trouble with the police

D) Promising to tell only those who need to know about the incident

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25

Chapter 24: Forensic Nursing

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Sample Questions

Q1) Which intervention demonstrates the SANE nurse's unique attention to the assessment of a sexual assault?

A) Conducting the assessment in the most private exam room

B) Not directly questioning the patient about the attack or the attacker

C) Identifying that the patient is showing signs of anxiety by withdrawing

D) Meticulously assessing the patient for signs of any resulting physical trauma

Q2) Based on the importance of recognizing all the important elements for their role as part of the assaulted patient's context or environment of care,the nurse will:

A) Keep the family well informed of the patient's status and plan of care.

B) Document the patient's statement for the purpose of future legal proceedings.

C) Provide the staff with a detailed shift change report including the patient's state of mind.

D) Notify the local police with updates concerning the patient's health status and verbal statements.

Q3) When providing care to an assault victim,the forensic nurse will initially:

A) Notify the police that an assault has occurred.

B) Assess the individual for any resulting physical trauma.

C) Bag all clothing to preserve any relevant evidence.

D) Determine whether the victim as been sexually assaulted as well.

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Page 26

Chapter 25: Psychopharmacology

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Sample Questions

Q1) Which patient complaint should receive priority from a patient who is taking the MAOI tranylcypromine (Parnate)?

A) "I haven't had a bowel movement in 2 days."

B) "Will you take my temperature? I feel too warm."

C) "I get a headache when I drank several cups of coffee."

D) "My legs get stiff when I sit in the chair for any length of time."

Q2) A patient taking SSRIs mentions to the nurse that his current medication causes fewer side effects than the tricyclic antidepressant he took several years earlier.The nurse understands that SSRIs advantage is due to:

A) Inhibiting both serotonin and norepinephrine uptake

B) Selectively inhibiting dopamine uptake

C) Blocking only serotonin reuptake

D) Making more GABA available

Q3) When following up on SSRI medication side effects,the nurse will need to make specific inquiries about:

A) Anticholinergic symptoms

B) Alpha-adrenergic blockade

C) GI tract symptoms

D) Sexual dysfunction

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Page 27

Chapter 26: Therapies: Theory and Clinical Practice

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43 Verified Questions

43 Flashcards

Source URL: https://quizplus.com/quiz/16543

Sample Questions

Q1) A patient is scheduled to attend an occupational therapy group to work on the identified goal of "recognizing and using more effective coping techniques." What measure can the nurse use to continue to support the patient's attainment of this goal after he returns to the unit?

A) Isolating him from more seriously ill patients

B) Praising him for positive behavioral changes

C) Avoiding setting limits that would increase his anxiety level

D) Permitting him to make mistakes prior to intervening on his behalf

Q2) Which action will best facilitate the development of trust between a nurse and patient?

A) Responding positively to the patient's demands

B) Following through with whatever was promised

C) Clarifying with the patient whenever there is doubt

D) Staying available to the patient for the entire shift

Q3) In the ECT treatment preparation period the morning of treatment,the nurse should:

A) Adequately hydrate the patient.

B) Assess the patient's cognitive function.

C) Have the patient exercise for 10 minutes.

D) Ensure that the patient produces a urine sample.

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Page 28

Chapter 27: Complementary and Alternative Therapies

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/16544

Sample Questions

Q1) A patient reports little change in her blood pressure even though she has been doing the biofeedback exercises stating that,"The machine has not been successful." The nurse will observe the next session being aware that:

A) There are several different components that need to be mastered in order to achieve successful biofeedback results.

B) The machine is a critical component of biofeedback during all phases and it's response needs to be monitored by a professional.

C) A patient's relaxation skills need to be excellent because muscle responses play a large role in determining the success of biofeedback.

D) The patient's mood and emotional stability affects one's ability to alter physiological results and thus affect positive results from biofeedback.

Q2) When a patient asks for an example of an alternative or complementary therapy,the nurse would correctly identify:

A) ECT

B) Acupuncture

C) Response prevention

D) Classic conditioning

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Chapter 28: Grief: In Loss and Death

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/16545

Sample Questions

Q1) An elderly couple who lived in the same home for the past 50 years have moved into an adult retirement center in a nearby town.Changes in lifestyle such as this couple is experiencing should alert the nurse to the possibility of:

A) Acute grief

B) Traumatic grief

C) Chronic sorrow

D) Adventitious crisis

Q2) Which statement best explains how a mother of several children should prepare to help them cope with the loss of a dear aunt?

A) Children are resilient and simply need love as they grieve.

B) People regardless of age or gender experience stages of grief.

C) Each child will grieve in a unique way and on their own timetable.

D) Extreme reactions are more commonly observed in the young griever.

Q3) A nurse plans care based upon the fact that anticipatory grief:

A) Is associated with a high risk for depression

B) Is associated with fewer expressions of guilt

C) Prevents development of symptoms of depression

D) Requires a longer period of time to effect resolution

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Chapter 29: Mental and Emotional Responses to Medical Illness

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/16546

Sample Questions

Q1) A patient with AIDS persistently uses denial with respect to the seriousness of the condition.The nurse will need to be alert for the presence of defining characteristics for the nursing diagnosis of:

A) Anxiety

B) Hopelessness

C) Noncompliance

D) Powerlessness

Q2) A patient diagnosed with HIV has moved back to her small hometown to be close to family.The major impact on the health management of this patient will include:

A) Emotional toll on families

B) The lack of supportive services

C) Financial burden of care on families

D) Distance from emergency acute care facilities

Q3) Which intervention addresses a strategy identified by the federal government to achieve an HIV-free generation?

A) Nutritional programs that deliver meals

B) Free medications for the uninsured patient

C) Screening programs directed towards women

D) Home health personnel available to deliver care

Page 31

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Chapter 30: Community Mental Health Nursing for Patients

with Severe and Persistent Mental Illness

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15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/16547

Sample Questions

Q1) Which behavior engaged in by a patient diagnosed with both schizophrenia and hepatitis C presents the community mental health nurse with the greatest need to share information ordinarily protected by the patient's right to confidentiality?

A) Engaging in unprotected sex

B) Wearing the uniform of a police officer

C) Expressing a "real hatred for the government"

D) Stealing clothing and food from stores in the neighborhood

Q2) In addition to excellent assessment skills and keen insight into human behavior,what additional ability is most critical to effective community mental health nursing?

A) Attention to economical nursing practice

B) Willingness to advocate for the patient

C) Familiarity with local patient-focused resources

D) Working relationship with community medical professionals

Q3) Which activity best reflects the role of the mental health nurse case manager?

A) Advocating for the patient in all aspects of care

B) Attending to the patient's physical and emotional needs

C) Acting as the leader of a patient's multidisciplinary care team

D) Assuming responsibility for maintaining the patient's mental health records

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