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Course Introduction
Introduction to Psychiatric Nursing provides students with foundational knowledge and skills needed to care for individuals experiencing mental health challenges across the lifespan. The course covers key concepts in psychiatric nursing, including the history and philosophy of mental health care, therapeutic communication techniques, assessment and diagnosis of psychiatric disorders, and evidence-based nursing interventions. Students explore the role of the psychiatric nurse within interdisciplinary teams, legal and ethical considerations, and approaches to promoting mental health and recovery. Emphasis is placed on developing compassionate, culturally competent, and person-centered care strategies in various clinical and community settings.
Recommended Textbook
Essentials of Psychiatric Mental Health Nursing 3rd Edition by Varcarolis
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28 Chapters
803 Verified Questions
803 Flashcards
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/2047
Sample Questions
Q1) A patient is hospitalized for depression and suicidal ideation after their spouse asks for a divorce. Select the nurse's most caring comment.
A) "Let's discuss some means of coping other than suicide when you have these feelings."
B) "I understand why you're so depressed. When I got divorced, I was devastated too."
C) "You should forget about your marriage and move on with your life."
D) "How did you get so depressed that hospitalization was necessary?"
Answer: A
Q2) Which patient statements identify qualities of nursing practice with high therapeutic value? (Select all that apply.) "My nurse:
A) talks in language I can understand."
B) helps me keep track of my medications."
C) is willing to go to social activities with me."
D) lets me do whatever I choose without interfering."
E) looks at me as a whole person with different needs."
Answer: A, B, E
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17 Flashcards
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Sample Questions
Q1) A nurse wants to find a description of diagnostic criteria for a person diagnosed with schizophrenia. Which resource should the nurse consult?
A) U.S. Department of Health and Human Services
B) Journal of the American Psychiatric Association
C) North American Nursing Diagnosis Association International (NANDA-I)
D) Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Answer: D
Q2) Which belief by a nurse supports the highest degree of patient advocacy during a multidisciplinary patient care planning session?
A) All mental illnesses are culturally determined.
B) Schizophrenia and bipolar disorder are cross-cultural disorders.
C) Symptoms of mental disorders are constant from culture to culture.
D) Some symptoms of mental disorders may reflect a person's cultural patterns.
Answer: D
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27 Verified Questions
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Sample Questions
Q1) A nurse psychotherapist works with an anxious, dependent patient. The therapeutic strategy most consistent with the framework of psychoanalytic psychotherapy is:
A) emphasizing medication compliance.
B) identifying the patient's strengths and assets.
C) offering psychoeducational materials and groups.
D) focusing on feelings developed by the patient toward the nurse.
Answer: D
Q2) A psychiatric technician says, "Little of what takes place on the behavioral health unit seems to be theory based." A nurse educates the technician by identifying which common use of Sullivan's theory?
A) Structure of the therapeutic milieu of most behavioral health units
B) Frequent use of restraint and seclusion for behavior modification
C) Assessment tools based on age-appropriate versus arrested behaviors
D) Use of the nursing process to determine the best sequence for nursing actions
Answer: A
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Sample Questions
Q1) A patient hospitalized with a mood disorder has aggression, agitation, talkativeness, and irritability. A nurse begins the care plan based on the expectation that the health care provider is most likely to prescribe a medication classified as a(n):
A) anticholinergic.
B) mood stabilizer.
C) psychostimulant.
D) tricyclic antidepressant.
Q2) The spouse of a patient diagnosed with schizophrenia asks, "Which neurotransmitters are more active when a person has schizophrenia?" The nurse should state, "The current thinking is that the thought disturbances are related to increased activity of: (Select all that apply.)
A) GABA."
B) substance P."
C) histamine."
D) dopamine."
E) norepinephrine."
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Sample Questions
Q1) A patient hurriedly tells the community mental health nurse, "Everything's a disaster! I can't concentrate. My disability check didn't come. My roommate moved out, and I can't afford the rent. My therapist is moving away. I feel like I'm coming apart." Nursing interventions should be focused on which problem?
A) Assisting the patient to clarify personal values
B) Coping with feelings of abandonment
C) Coping with anxiety that may lead to psychological disequilibrium
D) Clarifying misperceptions of the environment,
Q2) The relapse of a patient diagnosed with schizophrenia is related to medication nonadherence. The patient is hospitalized for 5 days, medication is restarted, and the patient's thoughts are now more organized. The patient's family members are upset and say, "It's too soon for discharge. Hospitalization is needed for at least a month." The nurse should:
A) call the psychiatrist to come explain the discharge rationale.
B) explain that health insurance will not pay for a longer stay for the patient.
C) call security to handle the disturbance and escort the family off the unit.
D) explain that the patient will continue to improve if medication is taken regularly.
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Sample Questions
Q1) Which documentation of a patient's behavior best demonstrates a nurse's observations?
A) Isolates self from others. Frequently fell asleep during group. Vital signs stable.
B) Calmer and more cooperative. Participated actively in group. No evidence of psychotic thinking.
C) Appeared to hallucinate. Patient frequently increased volume on television, causing conflict with others
D) Wears four layers of clothing. States, "I need protection from dangerous bacteria trying to penetrate my skin."
Q2) A patient diagnosed with schizophrenia believes evil spirits are being summoned by a local minister and verbally threatens to bomb a local church. The psychiatrist notifies the minister. The psychiatrist has:
A) released information without proper authorization.
B) demonstrated the duty to warn and protect.
C) violated the patient's confidentiality.
D) avoided charges of malpractice.
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Sample Questions
Q1) A nurse performing an assessment interview for a patient with a substance abuse disorder decides to use a standardized rating scale. Which scales are appropriate? (Select all that apply.)
A) Addiction Severity Index (ASI)
B) Brief Drug Abuse Screen Test (B-DAST)
C) Abnormal Involuntary Movement Scale (AIMS)
D) Cognitive Capacity Screening Examination (CCSE)
E) Recovery Attitude and Treatment Evaluator (RAATE)
Q2) A nurse assessing a new patient asks, "What is meant by the saying, 'You can't judge a book by looking at the cover'?" Which aspect of cognition is the nurse assessing?
A) Mood
B) Attention
C) Orientation
D) Abstraction
Q3) The acronym QSEN refers to:
A) Qualitative Standardized Excellence in Nursing.
B) Quality and Safety Education for Nurses.
C) Quantitative Effectiveness in Nursing.
D) Quick Standards Essential for Nurses.

Page 9
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Sample Questions
Q1) The patient says, "My marriage is just great. My spouse and I usually agree on everything." The nurse observes the patient's foot moving continuously as the patient twirls a shirt button. What conclusion can the nurse draw? The patient's communication is:
A) clear.
B) mixed.
C) precise.
D) inadequate.
Q2) Which technique will best communicate to a patient that the nurse is interested in listening?
A) Restate a feeling or thought the patient has expressed.
B) Ask a direct question, such as, "Did you feel angry?"
C) Make a judgment about the patient's problem.
D) Say, "I understand what you're saying."
Q3) The relationship between a nurse and patient as it relates to status and power is best described by which term?
A) Symmetric
B) Complementary
C) Incongruent
D) Paralinguistic
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Sample Questions
Q1) A patient says, "I'm still on restriction, but I want to attend some off-unit activities. Would you ask the doctor to change my privileges?" What is the nurse's best response?
A) "Why are you asking me when you're able to speak for yourself?"
B) "I will be glad to address it when I see your doctor later today."
C) "That's a good topic for you to take up with your doctor."
D) "Do you think you can't speak to a doctor?"
Q2) After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?
A) The patient's reactions toward the nurse seem realistic and appropriate.
B) The patient states, "Talking to you feels like talking to my parents."
C) The nurse feels unusually happy when the patient's mood begins to lift.
D) The nurse develops a trusting relationship with the patient.
Q3) Which behavior shows that a nurse values autonomy? The nurse:
A) sets limits on a patient's romantic overtures toward the nurse.
B) suggests one-on-one supervision for a patient who is suicidal.
C) informs a patient that the spouse will not be in during visiting hours.
D) discusses available alternatives and helps the patient weigh the consequences.
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Sample Questions
Q1) A veteran of the war in Afghanistan was diagnosed with posttraumatic stress disorder (PTSD). The veteran says, "If there's a loud noise at night, I get under my bed because I think we're getting bombed." What type of experience has the veteran described?
A) Illusion
B) Flashback
C) Nightmare
D) Auditory hallucination
Q2) A patient is brought to the emergency department after a motorcycle accident. The patient is alert, responsive, and diagnosed with a broken leg. The patient's vital signs are temperature (T), 98.6° F; pulse (P), 72 beats per minute (bpm); and respirations (R), 16 breaths per minute. After being informed that surgery is required for the broken leg, which vital sign readings would be expected?
A) T, 98.6°; P, 64; R, 14
B) T, 98.6°; P, 68; R, 12
C) T, 98.6°; P, 62; R, 16
D) T, 98.6°; P, 84; R, 22
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A nurse plans health teaching for a patient diagnosed with generalized anxiety disorder (GAD) who takes lorazepam (Ativan). What information should be included? (Select all that apply.)
A) Use caution when operating machinery.
B) Allow only tyramine-free foods in diet.
C) Restrict intake of caffeine.
D) Avoid using alcohol and other sedatives.
E) Take the medication on an empty stomach.
Q2) A person who is speaking about a contender for a significant other's affection says in a gushy, syrupy voice, "What a lovely person. That's someone I simply adore." The individual is demonstrating:
A) reaction formation.
B) repression.
C) projection.
D) denial.
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Sample Questions
Q1) A patient has blindness related to a functional neurological (conversion) disorder. To help the patient eat, the nurse should:
A) establish a "buddy" system with other patients who can feed the patient at each meal.
B) expect the patient to feed himself or herself after explaining the arrangement of the food on the tray.
C) direct the patient to locate items on the tray independently and feed himself or herself unassisted.
D) address the needs of other patients in the dining room, and then feed this patient.
Q2) To assist a patient diagnosed with a somatic system disorder, a nursing intervention of high priority is to:
A) imply that somatic symptoms are not real.
B) help the patient suppress feelings of anger.
C) shift the focus from somatic symptoms to feelings.
D) investigate each physical symptom as soon as it is reported.
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Q1) A patient diagnosed with a personality disorder has used manipulation to get his or her needs met. The staff decides to apply limit setting interventions. What is the correct rationale for this action?
A) It provides an outlet for feelings of anger and frustration.
B) It respects the patient's wishes so assertiveness will develop.
C) External controls are necessary while internal controls are developed.
D) Anxiety is reduced when staff members assume responsibility for the patient's behavior.
Q2) Consider these comments made to three different nurses by a patient diagnosed with an antisocial personality disorder: "You're a better nurse than the day shift nurse said you were"; "Another nurse said you don't do your job right"; "You think you're perfect, but I've seen you make three mistakes." Collectively, these interactions can be assessed as:
A) seductive.
B) detached.
C) manipulative.
D) guilt producing.
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Q1) An outpatient diagnosed with anorexia nervosa has begun refeeding. Between the first and second appointments, the patient gained 8 pounds. The nurse should:
A) assess lung sounds and extremities.
B) suggest the use of an aerobic exercise program.
C) positively reinforce the patient for the weight gain.
D) establish a higher goal for weight gain the next week.
Q2) A nursing diagnosis for a patient diagnosed with bulimia nervosa is: ineffective coping, related to feelings of loneliness as evidenced by overeating to comfort self, followed by self-induced vomiting. The best outcome related to this diagnosis is, "Within 2 weeks the patient will:
A) appropriately express angry feelings."
B) verbalize two positive things about self."
C) verbalize the importance of eating a balanced diet."
D) identify two alternative methods of coping with loneliness."
Q3) Physical assessment of a patient diagnosed with bulimia nervosa often reveals:
A) prominent parotid glands.
B) peripheral edema.
C) thin, brittle hair.
D) amenorrhea.
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A patient diagnosed with major depressive disorder does not interact with others except when addressed and then only in monosyllables. The nurse wants to show nonjudgmental acceptance and support for the patient. Select the nurse's most effective approach to communication.
A) Make observations.
B) Ask the patient direct questions.
C) Phrase questions to require "yes" or "no" answers.
D) Frequently reassure the patient to reduce guilt feelings.
Q2) A woman gave birth to a healthy newborn 1 month ago. The patient now reports she cannot cope and is unable to sleep or eat. She says, "I feel like a failure. This baby is the root of my problems." The priority nursing diagnosis is:
A) insomnia.
B) ineffective coping.
C) situational low self-esteem.
D) risk for other-directed violence.
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Sample Questions
Q1) The spouse of a patient diagnosed with bipolar disorder asks what evidence supports the possibility of genetic transmission of bipolar disorders. Select the nurse's best response.
A) "A high proportion of patients diagnosed with bipolar disorders are found among creative writers."
B) "A higher rate of relatives diagnosed with bipolar disorder is found among patients with bipolar disorder."
C) "Patients diagnosed with bipolar disorder have higher rates of relatives who respond in an exaggerated way to daily stresses."
D) "More individuals diagnosed with bipolar disorder come from high socioeconomic and educational backgrounds."
Q2) Which nursing diagnosis would most likely apply to both a patient diagnosed with major depressive disorder (MDD) as well as one experiencing acute mania?
A) Deficient diversional activity
B) Disturbed sleep pattern
C) Fluid volume excess
D) Defensive coping
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Sample Questions
Q1) A patient diagnosed with schizophrenia has auditory hallucinations. The patient 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 behavior?"
B) "Do the messages from the voice frighten you?"
C) "Do you recognize the voice speaking to you?"
D) "What is the voice telling you to do?"
Q2) Which patient diagnosed with schizophrenia would be expected to have the lowest level of overall functioning?
A) 39 years old; paranoid ideation since age 35 years
B) 32 years old; isolated episodes of catatonia since age 24 years; stable for 3 years
C) 19 years old; diagnosed with schizophreniform disorder 6 months ago
D) 40 years old; frequent relapses since age 18; often does not take medication as prescribed
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Sample Questions
Q1) A patient experiencing fluctuating levels of consciousness, disturbed orientation, and perceptual alteration begs, "Someone get these bugs off me." What is the nurse's best response?
A) "There are no bugs on your legs. Your imagination is playing tricks on you."
B) "Try to relax. The crawling sensation will go away sooner if you can relax."
C) "Don't worry. I will have someone stay here and brush off the bugs for you."
D) "I don't see any bugs, but I know you are frightened so I will stay with you."
Q2) An older adult drove to a nearby store but was unable to remember how to get home or state an address. When police took the person home, the spouse reported frequent wandering into neighbors' homes. Which stage of Alzheimer disease is evident?
A) 1 (mild)
B) 2 (moderate)
C) 3 (moderate to severe)
D) 4 (late)
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Sample Questions
Q1) A newly hospitalized patient has needle tracks on both arms. A friend states that the patient uses heroin daily but has not used in the past 24 hours. The nurse should assess the patient for:
A) slurred speech, excessive drowsiness, and bradycardia.
B) paranoid delusions, tactile hallucinations, and panic.
C) runny nose, yawning, insomnia, and chills.
D) anxiety, agitation, and aggression.
Q2) A patient asks for information about Alcoholics Anonymous (AA). Which is the nurse's best response?
A) "It is a self-help group with the goal of sobriety."
B) "It is a form of group therapy led by a psychiatrist."
C) "It is a group that learns about drinking from a group leader."
D) "It is a network that advocates strong punishment for drunk drivers."
Q3) Which assessment findings support a nurse's suspicion that a patient has been using inhalants?
A) Pinpoint pupils and respiratory rate of 12 breaths per minute
B) Perforated nasal septum and hypertension
C) Drowsiness, euphoria, and constipation
D) Confusion, mouth ulcers, and ataxia
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Sample Questions
Q1) A nurse assesses an adult experiencing a crisis. An appropriate question for the nurse to ask to determine situational support is:
A) "Has anything upsetting occurred in the past few days?"
B) "Who can be helpful to you during this time?"
C) "How does this problem affect your life?"
D) "What led you to seek help at this time?"
Q2) An adult tells the nurse, "I can't take anymore! Last year my husband left me. Three months ago, I found a lump in my breast. Yesterday my daughter told me she's quitting college and moving in with her boyfriend." What is the priority nursing diagnosis?
A) Fear, related to impending breast surgery
B) Deficient knowledge, related to breast lesion
C) Ineffective coping, related to perceived loss of daughter
D) Impaired verbal communication, related to spousal estrangement
Q3) Which situation demonstrates the use of primary care related to crisis intervention?
A) Implementing suicide precautions for a patient with depression.
B) Teaching stress reduction techniques to a beginning student nurse.
C) Assessing coping strategies used by a patient who has attempted suicide.
D) Referring a patient with schizophrenia to a partial hospitalization program.
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Sample Questions
Q1) An adult tells the nurse, "My partner abuses me only when drinking. The drinking has increased lately, but I always get an apology afterward and a box of candy. I've considered leaving but haven't been able to bring myself to actually do it." Which phase in the cycle of violence prevents the patient from leaving?
A) Tension building
B) Acute battering
C) Honeymoon
D) Recovery
Q2) An 11-year-old child says, "My parents don't like me. They call me stupid and say I never do anything right, but it doesn't matter. I'm too dumb to learn." Which nursing diagnosis applies to this child?
A) Chronic low self-esteem, related to negative feedback from parents
B) Deficient knowledge, related to interpersonal skills with parents
C) Disturbed personal identity, related to negative self-evaluation
D) Complicated grieving, related to poor academic performance
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Q1) The nursing diagnosis rape trauma syndrome applies to a rape victim in the emergency department. Which outcome should occur before the patient's discharge?
A) Patient states, "I feel safe and entirely relaxed."
B) Memory of the rape is less vivid and frightening.
C) Physical symptoms of pain and discomfort are no longer present.
D) Patient agrees to keep a follow-up appointment with the rape crisis center.
Q2) A person was abducted and raped at gunpoint. The nurse observes this person is confused, talks rapidly in disconnected phrases, and is unable to concentrate or make simple decisions. What is the person's level of anxiety?
A) Weak
B) Mild
C) Moderate
D) Severe
Q3) When a victim of sexual assault is discharged from the emergency department, the nurse should:
A) arrange support from the victim's family.
B) provide referral information verbally and in writing.
C) advise the victim to try not to think about the assault.
D) offer to stay with the victim until stability is regained.
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Q1) Which statement by a patient during an assessment interview should alert the nurse to the patient's need for immediate, active intervention?
A) "I am mixed up, but I know I need help."
B) "I have no one for help or support."
C) "It is worse when you are a person of color."
D) "I tried to get attention before I shot myself."
Q2) A person attempts suicide by overdose, is treated in the emergency department, and then hospitalized. What is the best initial outcome? The patient will:
A) verbalize a will to live by the end of the second hospital day.
B) describe two new coping mechanisms by the end of the third hospital day.
C) accurately delineate personal strengths by the end of first week of hospitalization.
D) exercise suicide self-restraint by refraining from gestures or attempts to kill self for 24 hours.
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Q1) A nurse directs the intervention team who must take an aggressive patient to seclusion. Other patients were removed from the area. Before approaching the patient, the nurse should ensure that which actions are taken by staff? (Select all that apply.)
A) Remove jewelry, glasses, and harmful items from the patient and staff members.
B) Appoint a person to clear a path and open, close, or lock doors.
C) Quickly approach the patient, and grab the closest extremity.
D) Select the person who will communicate with the patient.
E) Move behind the patient to use the element of surprise.
Q2) Because an intervention is required to control a patient's aggressive behavior, a critical incident debriefing takes place. Which topics should be the focus of the discussion? (Select all that apply.)
A) Patient behavior associated with the incident
B) Genetic factors associated with aggression
C) Intervention techniques used by staff
D) Effect of environmental factors
E) Review of theories of aggression
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Q1) An individual was killed during a store robbery 2 weeks ago. The widowed spouse, who was diagnosed 6 years ago with schizoaffective disorder, cries spontaneously when talking about the death. Which is the nurse's most therapeutic comment?
A) "I'm worried about how much you're crying. Your grief over your spouse's death has gone on too long."
B) "The unexpected death of your spouse must be painful. I'm glad you're able to talk to me about your feelings."
C) "This loss is harder to accept because of your mental illness. Let's refer you to the partial hospitalization program."
D) "Your crying shows me you aren't coping well. I made an appointment for you to see the psychiatrist for medication adjustment."
Q2) The mourning process is more difficult when the bereaved:
A) was relatively independent of the deceased.
B) has experienced many previous losses.
C) accepts that death is expected for everyone.
D) had resolved conflicts with the deceased.
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Q1) When assessing a 2-year-old diagnosed with autism spectrum disorder, a nurse expects:
A) hyperactivity and attention deficits.
B) failure to develop interpersonal skills.
C) history of disobedience and destructive acts.
D) high levels of anxiety when separated from a parent.
Q2) The parent of a child diagnosed with Tourette's disorder says to the nurse, "I think my child is faking the tics because they come and go." Which response by the nurse is accurate?
A) "Perhaps your child was misdiagnosed."
B) "Your observation indicates the medication is effective."
C) "Tics often change frequency or severity. That does not mean they aren't real."
D) "This finding is unexpected. How have you been administering your child's medication?"
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Q1) Which economic factors are most critical to the success of discharge planning for a patient diagnosed with severe and persistent mental illness? (Select all that apply.)
A) Access to housing
B) Individual psychotherapy
C) Income to meet basic needs
D) Availability of health insurance
E) Ongoing interdisciplinary evaluation
Q2) A patient says, "I often make careless mistakes and have trouble staying focused. Sometimes it's hard to listen to what someone is saying. I have problems putting things in the right order and often lose equipment." Which problem should the nurse document?
A) Inattention
B) Impulsivity
C) Hyperactivity
D) Social impairment
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Q1) The highest priority for assessment by nurses caring for older adults who self-administer medications is:
A) use of multiple drugs with anticholinergic effects.
B) overuse of medications for erectile dysfunction.
C) misuse of antihypertensive medications.
D) trading medications with others.
Q2) A tricyclic antidepressant is prescribed for an older adult patient diagnosed with major depressive disorder. Nursing assessment should include careful collection of information regarding:
A) use of other prescribed medications and over-the-counter products.
B) evidence of pseudoparkinsonism or tardive dyskinesia.
C) history of psoriasis and any other skin disorders.
D) current immunization status.
Q3) When making a distinction as to whether a patient is experiencing confusion related to depression or dementia, what information would be most important for the nurse to consider?
A) The patient with dementia is persistently angry and hostile.
B) Early morning agitation and hyperactivity occur in dementia.
C) Confusion seems to worsen at night when dementia is present.
D) A patient who is depressed is preoccupied with somatic symptoms.
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