Introduction to Psychiatric Nursing
Textbook Exam Questions
Course Introduction
Introduction to Psychiatric Nursing provides students with foundational knowledge and skills necessary to care for individuals experiencing mental health challenges across the lifespan. The course explores the principles of mental health and psychiatric nursing, therapeutic communication techniques, common psychiatric disorders, and evidence-based interventions. Emphasis is placed on holistic assessment, the nurse-client relationship, ethical and legal considerations, and the promotion of mental health and recovery. Through case studies, simulations, and interactive learning, students gain insights into the roles and responsibilities of psychiatric nurses within diverse healthcare settings.
Recommended Textbook
Principles and Practice of Psychiatric Nursing 10th Edition by Gail
Wiscarz Stuart
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Page 2
Chapter 1: Roles and Functions of Psychiatric-Mental Health
Nurses: Competent Caring
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Sample Questions
Q1) It is essential that psychiatric nurses become aware of their ability in the area of positive political action.The nurse can best achieve this goal by:
A) raising donations for a local community health center.
B) becoming involved in an election campaign for a local sheriff.
C) becoming an active volunteer working regularly at a crisis center.
D) working on a city committee to help register local voters.
Answer: D
Q2) In 1952,Hildegard Peplau defined the psychiatric nurse's role as a:
A) professional who helps patients with attitude adjustment.
B) nurse who is extensively trained to care for psychiatric patients.
C) resource person, a teacher, a leader, and a counselor to patients.
D) professional who is certified to conduct psychosocial therapy sessions.
Answer: C
Q3) The major determinants of the roles in which a psychiatric nurse engages are:
A) personal preference and age.
B) local custom and physician support.
C) state law and personal qualifications.
D) work setting and personal preference.
Answer: C
Page 3
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Chapter 2: Therapeutic Nurse-Patient Relationship
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Q1) A patient who is currently in an abusive marriage shares,"Some days I think it's just not worth it.I'd be better off if we separated." The nurse uses restating as a therapeutic communication technique when responding:
A) "Are you sure you are ready to be on your own?"
B) "Can I help you work on a safe, realistic plan to leave?"
C) "You think you would be better off without your spouse?"
D) "How much thought have you given to leaving the marriage?"
Answer: C
Q2) A patient is admitted to the unit and complains of being depressed.The patient says,"I want to feel like my old self again." Which nursing response will be most therapeutic?
A) "How long have you felt this way?"
B) "We're all here to help you get better."
C) "What do you think the hospital can do for you?"
D) "Tell me more so that I can better understand."
Answer: D
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Chapter 3: The Stuart Stress Adaptation Model of Psychiatric Nursing Care
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Q1) An adolescent who belongs to a neighborhood gang has been caught both lying and stealing by a parent.After psychiatric testing determines that the adolescent is able to adequately test reality and has no symptoms of a major psychiatric disorder,the most likely finding will be that the child's behavior demonstrates:
A) healthy deviant.
B) healthy conformist.
C) unhealthy deviant.
D) unhealthy conformist.
Answer: A
Q2) A nurse caring for a patient would look at DSM-IV-TR Axis III to obtain information about the patient's:
A) clinical syndromes.
B) general medical conditions.
C) global assessment of functioning.
D) psychosocial and environmental problems.
Answer: B
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Chapter 4: Evidence-Based Psychiatric Nursing Practice
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Q1) Practice guidelines are formulated to:
A) establish evidence of appropriate psychiatric care based on anecdotal data collected only on the unit where you are using the practice guidelines.
B) promote consistency of patient care for all patients with a particular need regardless of age or DSM-IV-TR diagnosis.
C) identify treatments that are safe and effective for a particular psychiatric disorder based on collected data.
D) minimize the need for nurses to continuously update the guidelines after they have been established.
Q2) Which activity will be most useful to a nurse wishing to provide evidence-based psychiatric nursing care?
A) Relying on findings of one properly designed, randomized, controlled trial
B) Using a protocol from several well-designed, cohort, quasiexperimental studies
C) Seeking sound, opinion-based processes and maintaining self-directed practice
D) Applying findings from a meta-analysis of relevant randomized, controlled trials
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Chapter 5: Biological Context of Psychiatric Nursing Care
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Q1) A patient tells a nurse,"My doctor says my problem may be with the neurotransmitters in my brain but I don't understand what that means." The nurse responds:
A) "Let's begin with exploring what your doctor has told you about your problem."
B) "We should start with a discussion about any concerns you have about having a neurotransmitter disorder."
C) "First let me say that neurotransmitter problems can usually be treated or cured with medication therapy."
D) "What you need to understand is that neurotransmitters are chemical messengers in the brain responsible for brain communication."
Q2) Pharmacogenetics will eventually allow researchers to do which of the following?
A) Remove the genes that cause illness.
B) Allow the design of custom drugs.
C) Develop foods that fight disease.
D) Splice genes to improve health.
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Chapter 6: Psychological Context of Psychiatric Nursing Care
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Q1) During an interview,a patient with mania demonstrates very rapid speech and talks continuously and loudly.The patient's speech pattern is best documented as:
A) tangential.
B) pressured.
C) inappropriate.
D) circumlocution.
Q2) Success in obtaining sufficient data in the initial psychiatric interview depends largely on the:
A) patient's ability to communicate effectively.
B) interviewer's ability to establish good rapport.
C) number of psychiatric interviews the nurse has performed.
D) interviewer's ability to organize and systematically record data.
Q3) While being interviewed,a patient expresses the belief that other people can place beliefs in her mind.This statement can be assessed as evidence of:
A) thought insertion.
B) nihilistic delusions.
C) somatic delusions.
D) ideas of reference.
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Chapter 7: Social, Cultural, and Spiritual Context of Psychiatric Nursing Care
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Q1) Which factor is most likely to delay a member of a minority group from seeking needed medical care? (Select all that apply.)
A) Access to medical insurance
B) Ability to speak English as a second language
C) Availability of primary physicians for referrals
D) Amount of support provided by ethnic community
E) Familiarity of the community where care is being offered
Q2) An elderly Hispanic woman has become depressed after the death of her husband.The nurse would anticipate that this patient is most likely to:
A) be less able to adapt than before.
B) recover and return to her preillness state.
C) believe the death is a punishment for past acts.
D) suffer recurrences of depression because of cultural strain.
Q3) A nurse working with individuals from ethnic minority groups recognizes which as a factor that affects mental health care?
A) They often delay seeking help until problems become intense or chronic.
B) They characteristically do not engage in early termination from care.
C) They tend to dislike using community support systems.
D) They tend to avoid using family support systems.
Page 9
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Chapter 8: Legal and Ethical Context of Psychiatric Nursing Care
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Q1) A nurse was sued for malpractice but not convicted.Which fact from the case would have been decisive in determining its outcome?
A) The patient was verbally and physically combative.
B) The nurse was being oriented to the mental health unit.
C) The nurse has expressed a fear of the patient to the manager.
D) The patient did not suffer any physical or any emotional harm.
Q2) Regardless of the type of commitment,which right is guaranteed to a hospitalized psychiatric patient?
A) The right to consult a lawyer
B) The right to release after 72 hours
C) The right to choose agency caregivers
D) The right to keep all personal effects
Q3) Which action by a nurse violates the rights of a psychiatric patient?
A) Arranging for a patient to work in the hospital kitchen for minimum wage
B) Refusing to mail letters to the local newspaper written by a committed patient
C) Placing the wristwatch of a patient with delusions in the hospital's main safe
D) Discouraging a patient with paranoid delusions to sign a contract to sell a home
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Page 10
Chapter 9: Policy and Advocacy in Mental Health Care
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Q1) A case manager at the local mental health center evaluates the clinical appropriateness of a patient's current level of care.To do this,the case manager will assess:
A) the type of service currently provided.
B) the vigor of the patient to whom the service is provided.
C) the type, amount, and level of care needed to achieve positive outcomes.
D) whether the level of the patient's care is currently considered cost effective.
Q2) A trend in psychiatric nursing related to cost controls imposed in the managed care environment is:
A) reduced emphasis on utilization review.
B) a marked increase in the use of risk managers.
C) reduced use of patient and family educators to promote compliance.
D) a shift from acute inpatient to community-based positions.
Q3) Which disorder is the leading psychiatric cause of disability in the world?
A) Depression
B) Schizophrenia
C) Bipolar disorder
D) Obsessive-compulsive disorder
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Chapter 10: Families as Resources, Caregivers, and Collaborators
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Q1) Which statement confirms that a nurse approaches working with mentally ill patients from a pathology paradigm?
A) "The patient made some important gains during the group session today. The patient was able to identify two strategies for coping with stressors to use after discharge."
B) "It's understandable that the patient keeps getting readmitted. The family dysfunction that the patient has to cope with must be such a burden after each discharge."
C) "During our session today, I hope to be able to get the patient to share more about the family's cultural background."
D) "The patient has not yet fully grasped the concept of being a full partner in the process of care and in setting goals for functioning after discharge."
Q2) A nurse has established a helping relationship with the family of a mentally ill patient.This relationship should focus on:
A) the patient and the patient's needs.
B) family attending educational sessions.
C) family concerns with burden and grief.
D) helping the family members meet their own needs.
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Chapter 11: Implementing the Nursing Process: Standards of Practice
and Professional Performance
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Q1) Nursing interventions that have the greatest validity are those that:
A) are used by nurse clinicians.
B) are prescribed by physicians.
C) have been investigated by nurse researchers.
D) are based on evidence of the efficacy of the intended treatment.
Q2) To obtain the clearest clinical information about a patient,a nurse who used several secondary sources,including the patient's spouse and the report of the admitting psychiatrist,will seek validation from:
A) the patient.
B) psychiatric nursing textbooks.
C) the patient's extended family.
D) the use of psychiatric behavioral rating scales.
Q3) A staff nurse is told in orientation to expect to receive performance appraisals in various forms.The nurse can expect that these will be: (Select all that apply.)
A) collaborative practice.
B) interdisciplinary.
C) administrative.
D) professional.
E) clinical.
13
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Chapter 12: Prevention and Mental Health Promotion
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Q1) To effectively use the nursing primary prevention model,it is most important for a nurse to have knowledge of:
A) personality types.
B) psychiatric medications.
C) normal growth and development.
D) the DSM-IV-TR diagnostic categories.
Q2) Which person is most vulnerable to the development of psychiatric illness based on sociocultural factors?
A) A 16-year-old who has a parent with bipolar disorder
B) A 55-year-old who has retired with full pay from a job as a high school teacher
C) A 24-year-old who was raised by a grandparent after both parents died in a plane crash
D) A 67-year-old from a minority group who is poor and has no social support system
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14
Chapter 13: Crisis Intervention
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Q1) To understand the effects of a precipitating event such as the loss of one's job,a nurse must assess the:
A) patient's appraisal of the event.
B) perception of the support group.
C) patient's awareness or lack of awareness of options.
D) patient's own feelings about his or her response to the situation.
Q2) Which statement made by a person in a crisis state indicates the presence of a balancing factor?
A) "I've been drinking more than usual."
B) "I've always been a loner. I don't need other people."
C) "I pray when things get tough. It's always helped me survive trouble."
D) "My spouse just went to the store. I don't believe it when they tell me my spouse is dead."
Q3) A nurse working with a parent in crisis suggests that the parent send both children to stay with their grandparents temporarily.This is an example of:
A) reducing dependency.
B) environmental manipulation.
C) reducing the children's stressors.
D) increasing contact with the extended family.
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Page 15
Chapter 14: Recovery and Psychiatric Rehabilitation
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Q1) In addition to the psychiatric nurse,which professional would be considered a multidisciplinary rehabilitative treatment team member in a community mental health center? (Select all that apply.)
A) Psychologist
B) Pharmacist
C) Social worker
D) Psychiatrist
E) Employment specialist
Q2) All recovery programs should be evaluated regularly to ensure: (Select all that apply.)
A) accountability.
B) cost effectiveness.
C) relevancy of services.
D) geographical service area.
E) appropriate grant funding.
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Page 16
Chapter 15: Anxiety Responses and Anxiety Disorders
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Q1) A person who was raped several years ago denies having any memory of the event.The defense mechanism in use is:
A) projection.
B) repression.
C) displacement.
D) reaction formation.
Q2) A patient experiences double approach-avoidance conflicts associated with the need to replace maladaptive behaviors with more adaptive behaviors.This tendency is exhibited when the patient:
A) wishes to both pursue and avoid the same goal.
B) is required to choose between two undesirable goals.
C) seeks to pursue two equally desirable but incompatible goals.
D) sees both desirable and undesirable aspects of two alternatives.
Q3) A patient repeatedly states,"I'm so tense,and I'm sure that I'm going to be fired." Which statement would be most useful in helping the patient deal with his primary concern?
A) "Let's look at the evidence that you'll lose your job."
B) "I'm going to teach you how to make your body relax."
C) "Before we talk about this problem, you are going to the gym to work out."
D) "Let's use role playing to help you explain your actions to your superiors."
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Chapter 16: Psychophysiological Responses and Somatoform and
Sleep
Disorders
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Q1) A patient diagnosed with hypochondriasis says,"No one believes I have a brain tumor! I have terrible headaches and episodes of blurred vision.I'm going to die." Which nursing approach fosters cognitive restructuring?
A) "Tell me about your relationships with the significant people in your life."
B) "You must be very worried about your condition. Let's discuss these feelings."
C) "Let's look at the evidence that suggests you have a brain tumor and consider the possible explanations for the symptoms."
D) "Your concern is unfounded. The more you talk about it, the more real your false idea seems. Let's talk about something else."
Q2) A patient diagnosed with body dysmorphic disorder says,"I'm seriously dissatisfied with the appearance of my nose.It's ruining my life." A possible nursing diagnosis to consider for this patient is:
A) anxiety.
B) disturbed body image.
C) ineffective coping skills.
D) ineffective role performance.
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Chapter 17: Self-Concept Responses and Dissociative Disorders
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Q1) A patient who is acutely psychotic and withdrawn claims to be a robot.An early intervention designed to help this patient expand self-awareness would be to:
A) confirm the patient's identity.
B) set up a daily schedule for the patient.
C) introduce the patient to two other withdrawn patients.
D) explain to the patient the need to express feelings more openly.
Q2) Which individual is most in need of measures to reduce the risk for self-concept disturbance associated with health-illness transition?
A) A 15-year-old with Crohn disease who states, "An ileostomy will mean I won't be able to do stuff with my friends."
B) An 18-year-old with an above-the-knee double amputation who states, "I guess I'll be a wheelchair athlete instead of a marathon runner."
C) A 30-year-old with blindness caused by glaucoma who states, "My spouse will help me learn Braille."
D) A 52-year-old with breast cancer who states, "My life is more valuable than any body part."
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Chapter 18: Emotional Responses and Mood Disorders
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Q1) A patient with severe depression and suicidal ideation has not improved after trials with selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants.Which treatment option can a nurse expect the health care provider will now consider?
A) Light therapy
B) Benzodiazepines
C) Electroconvulsive therapy
D) Antipsychotic medication
Q2) The nurse can expect to find which assessment findings in a patient who is hypomanic?
A) Psychomotor symptoms more severe than mania
B) Some motor hyperactivity but depressive affect
C) Clinical symptoms less severe than those of a manic state
D) Grandiosity, distractibility, flight of ideas, and excessive psychomotor activity
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20
Chapter 19: Self-Protective Responses and Suicidal Behavior
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Q1) The major difference between self-injury and suicide lies in whether the patient has:
A) a need to control or a need to be controlled.
B) the wish to relieve tension or the wish to die.
C) been diagnosed with a developmental disorder or psychosis.
D) a tendency toward indirect or direct expression of self-destructive urges.
Q2) A patient who has recently lost a spouse calls the crisis line and reports suicidal ideations that involve jumping off a bridge over the river when no one is around.What level of lethality would a nurse assess for this plan?
A) Low
B) Moderate
C) High
D) Lethality cannot be determined from this data.
Q3) What nursing diagnosis should be considered when caring for a patient who has engaged in direct or indirect self-destructive behavior?
A) Death anxiety
B) Chronic low self-esteem
C) Disturbed body image
D) Disturbed personal identity
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Chapter 20: Neurobiological Responses and Schizophrenia and Psychotic Disorders
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Q1) What part of the brain is dysfunctional in persons with schizophrenia? Research has implicated the:
A) medulla and cortex.
B) cerebellum and cerebrum.
C) hypothalamus and medulla.
D) prefrontal and limbic cortices.
Q2) A nurse observes a patient who is sitting alone in a room muttering,"You don't know what you're talking about! Leave me alone." The nurse attempts to validate whether the patient is:
A) seeking the attention of staff.
B) inappropriately expressing emotion.
C) experiencing auditory hallucinations.
D) displaying negative symptoms of schizophrenia.
Q3) A patient who has been hospitalized for 2 days remains anxious and continues to be preoccupied with paranoid delusions.What intervention will best help the patient focus less on the delusions?
A) Schedule time for the patient to read and listen to music.
B) Plan activities that require physical skills and constructive use of time.
C) Begin planning for discharge by engaging the patient in psychoeducation.
Page 22
D) Discuss personal goals related to improved socialization with the patient.
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Chapter 21: Social Responses and Personality Disorders
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Q1) A patient with borderline personality disorder tells the nurse,"When my sister got married and had a baby,she ignored me and I got so angry with her because she is so inattentive to my needs." The patient's sense of entitlement to her sister's attention is consistent with:
A) impulsivity.
B) narcissism.
C) magical thinking.
D) passive aggression.
Q2) A patient with borderline personality disorder tells the nurse,"When I met my boyfriend he was simply perfect.Now he is the worst person in the world.I tell him to leave and then I feel so empty and awful that I have to cut myself." The description of the boyfriend is strongly influenced by the patient's inclination to:
A) use splitting.
B) be attention-seeking.
C) display antisocial tendencies.
D) suffer from a formal thought disorder.
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23
Chapter 22: Cognitive Responses and Organic Mental Disorders
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Q1) An adult was brought to the emergency room.The patient's sensorium alternates between clouded and clear,and the patient becomes agitated both physically and verbally when approached.The patient's roommate states,"The patient was fine after getting up this morning but started talking crazy about 3 hours ago." The patient's cognitive impairment is most consistent with:
A) delirium.
B) dementia.
C) sundown syndrome.
D) early-onset Alzheimer disease.
Q2) An individual is brought to the emergency room after family reports that the patient awoke confused and began "rambling and talking crazy" about 3 hours ago.The patient strikes out at the staff and shouts,"You're not going to kill me!" The most likely analysis of this behavior is:
A) disturbed self-esteem related to catastrophic reaction.
B) disturbed sensory perception related to altered brain function.
C) other-directed violence related to fear associated with hospitalization.
D) impaired environmental interpretational syndrome related to metabolic disturbance.
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Chapter 23: Chemically Mediated Responses and
Substance-Related Disorders
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Q1) In the emergency room a nurse learns that a patient has recently taken a large amount of the drug PCP.The nurse should be ready to provide interventions for:
A) acute psychosis, agitation, and violence.
B) hypotension, sedation, and respiratory depression.
C) heightened sensory perceptions, dizziness, and ataxia.
D) paranoid thinking, hyperthermia, hyperactivity, and arrhythmias.
Q2) A nursing diagnosis universally appropriate for patients who abuse mood-altering drugs would be:
A) confusion.
B) ineffective coping.
C) imbalanced nutrition.
D) impaired environmental interpretation syndrome.
Q3) It will be most helpful for a nurse to describe a relapse to a recovering substance abuser as a(n):
A) error from which to learn.
B) indicator of treatment failure.
C) event with a physiological cause.
D) need for additional environmental support.
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Chapter 24: Eating Regulation Responses and Eating Disorders
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Q1) Which therapy is shown through evidence to be most effective for a patient with an eating disorder?
A) Supportive therapy
B) Behavioral therapy
C) Cognitive behavioral therapy
D) Psychoanalytical group therapy
Q2) A patient who has a maladaptive response to eating regulation says,"I know my parents are already upset about me losing so much weight,but I need to lose a lot more to be at a weight that doesn't make me feel fat." This statement suggests that the best treatment setting for this patient would be:
A) the hospital.
B) an outpatient program.
C) a day treatment program.
D) at home with weekly nursing visits.
Q3) The coping mechanism patients with anorexia nervosa use maladaptively is:
A) denial.
B) projection.
C) introjection.
D) rationalization.
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Chapter 25: Sexual Responses and Sexual Disorders
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Q1) What factor is most important during evaluation of effectiveness of sexual counseling or intervention?
A) Patient satisfaction with treatment
B) Patient reduction in use of fantasy
C) Nursing involvement in forming the sex education plan
D) Patient agreement with the moral norms of the community
Q2) A nurse assesses a patient who reports that she is unable to have intercourse because of involuntary contractions at the vaginal opening.The nurse can correctly assess this as:
A) vaginismus.
B) dyspareunia.
C) arousal disorder.
D) orgasmic dysfunction.
Q3) A couple reports having rare-to-occasional variations in their sexual response patterns.The nurse should conclude that this couple has:
A) no medically diagnosed health problem.
B) behaviors in accordance with sexual dysfunction.
C) engaged in sexual perversion or deviations regularly.
D) at least one partner who experiences a gender identity disorder.
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Chapter 26: Psychopharmacology
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Q1) A patient will be starting on fluoxetine hydrochloride (Prozac) therapy and taking 20 mg PO every morning.Which information should the nurse provide to the patient?
A) "Make sure that you take your pulse before getting out of bed in the morning."
B) "Try taking your medication with breakfast if you begin experiencing nausea."
C) "You may need to reduce your fluids at night because of nocturnal urination."
D) "Remember to avoid red wine, nuts, and any cheese except cottage and cream."
Q2) A nurse is assessing a patient who was recently prescribed an antipsychotic medication.Which side effects could the nurse expect to observe?
A) Constipation, decreased sweating, and increased sensitivity to heat
B) Increased moisture around the eyes, vomiting, and frontal headache
C) Slurred speech, hand tremors, and severe occipital headache
D) Sleeplessness, irritability, and muscle weakness
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Chapter 27: Behavior Change and Cognitive Interventions
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Q1) A patient says,"My partner doesn't love me! Even the roses I get are the wrong color.It doesn't matter if I am not happy." The nurse responds:
A) "How do you want your partner to show you that you're loved?"
B) "When was the last time your partner made you feel really loved?"
C) "Everyone deserves to be shown by their partners that they are loved. What did your partner have to say in his defense?"
D) "Let me see if I understand you. You think your partner doesn't love you because the gifted roses were of the wrong color?"
Q2) Which relaxation technique will a nurse implement for a patient who reports panic attacks that "come over me for no apparent reason" but denies being agoraphobic?
A) Implosion therapy
B) Relaxation technique
C) Interoceptive exposure
D) Progressive muscle relaxation
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Chapter 28: Preventing and Managing Aggressive Behavior
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Sample Questions
Q1) A patient who is displaying manic behavior enters the unit's dayroom and declares in a loud,threatening voice,"I have friends,and if you don't show me proper respect,you'll be sorry!" The nurse's initial response should be to approach the patient,address him formally,and say in a:
A) soft voice, "You will always have proper respect here. Let's sit over here and talk."
B) soft voice, "You are really frightening the other patients. Please go to your room."
C) firm voice, "You are out of control. I expect you to go to your room immediately."
D) firm voice, "You seem to be escalating again. I've brought an injection that will calm you and slow your thinking."
Q2) Which medication would a nurse expect to be prescribed to an adolescent patient diagnosed with a conduct disorder who has a history of physically abusing younger siblings?
A) Propranolol (Inderal)
B) Propranolol (Ritalin)
C) Clozapine (Clozaril)
D) Phenytoin (Dilantin)
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Chapter 29: Somatic Therapies
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Source URL: https://quizplus.com/quiz/6403
Sample Questions
Q1) A patient scheduled for an early-morning electroconvulsive therapy (ECT) treatment asks a nurse,"Am I going to be able to eat breakfast before I go for ECT?" Which response by the nurse is most appropriate?
A) "No, but you can have your breakfast when you get back to the unit."
B) "You can have a light, liquid breakfast along with your medications."
C) "You may only have enough liquids before the procedure to swallow your allergy medications."
D) "Yes, but you need to get up early so you can fast for 2 to 4 hours before your ECT treatment begins."
Q2) Which patient has the greatest potential for symptom improvement after ECT (electroconvulsive therapy) treatment?
A) A patient who has a dual diagnosis of cocaine and alcohol abuse
B) A patient who appears stuporous and is diagnosed with major depression
C) A patient diagnosed with depression who exhibits a sociopathic personality disorder
D) A patient diagnosed with chronic schizophrenia who is exhibiting signs of dementia
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Chapter 30: Complementary and Alternative Therapies
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Sample Questions
Q1) Which modality would a nurse plan to implement to best facilitate the patient's capacity to implement mind-body interventions? (Select all that apply.)
A) Hypnosis
B) Meditation
C) Reflexology
D) Music therapy
E) Electromagnets
Q2) Which of these patient statements would indicate an understanding of complementary and alternative medicine (CAM) therapies? (Select all that apply.)
A) "I read that melatonin can help some people sleep better."
B) "Ginkgo biloba is proven to help both my concentration and memory."
C) "I'm thinking of taking St. John's wort to eliminate my severe depression."
D) "I've heard that omega-3 fatty acids have some positive effects on depression."
E) "Herbals are produced and packaged under conditions similar to medications."
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Chapter 31: Therapeutic Groups
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Sample Questions
Q1) A patient in a therapeutic group expresses resistance by stating,"I need to drop out of this group because I don't think I'm getting enough from it." Which outcome would be most appropriate for this patient?
A) The patient stays in the group and works out problems.
B) The patient leaves the group and enters individual therapy.
C) The patient stays in the group but enters long-term psychotherapy.
D) The patient leaves the group and enters one that provides more one-on-one time.
Q2) Which statement should a nurse make in the orientation stage of the initial phase of a therapeutic group?
A) "I'd like to take this opportunity to review the goals for this group."
B) "You all are experiencing similar challenges, and this group will help you develop a support network."
C) "The group is about sharing both your challenges and your successes with each other."
D) "Please be sure to attend as many meetings as possible; it is important that you be here for yourself and the group."
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Chapter 32: Family Interventions
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Sample Questions
Q1) A family participating in family therapy has identified the middle child as being the source of the family's conflict.What will the family therapist most likely suggest?
A) The parents should provide extra time and support to the middle child in order to facilitate necessary changes in behavior.
B) All members should participate in therapy sessions by identifying the daily difficulties that the individual member is experiencing.
C) The middle child should attend an educational group especially designed to address the special needs of this birth order position.
D) All members should be active participants in suggested activities between therapy sessions that focus on improving their coping skills.
Q2) One of the primary goals identified in marital therapy is:
A) support from families of origin.
B) consensus in all decisions related to the marriage.
C) the preservation of good interpersonal communication skills.
D) the maintenance of a support system comprised of mutual friends.
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Chapter 33: Hospital-Based Psychiatric Nursing Care
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Sample Questions
Q1) Which intervention by the nurse is most therapeutic when a patient loses a pool game on the unit and begins acting aggressively?
A) Having the other unit staff present to demonstrate both a unified presence as well as a show of force
B) Saying to the patient, "Accompany me to your room so we can talk about what triggered your anger."
C) Stating, "The rules here are for everyone. If you cannot control your temper, you may need to leave the dayroom."
D) Setting limits on the behavior immediately, in front of other patients, to help communicate that the unit rules apply to everyone
Q2) In order to best address the educational needs of a patient diagnosed with cognitive impairment,the teaching plan should incorporate which strategy?
A) Repetition of both the information and practice opportunities
B) Use of music therapy for reducing anxiety while learning
C) Providing specific patient-focused instructions for attainment of outcomes
D) Asking the patient to verbally repeat the information using his or her own words
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Chapter 34: Community-Based Psychiatric Nursing Care
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Sample Questions
Q1) Individuals may seek treatment for mental health disorders from their primary care provider.Which assessment questions are directed towards identifying the most common of these conditions? (Select all that apply.)
A) "Do you see yourself as a depressed individual?"
B) "What is your opinion of recreational drug use?"
C) "Would you consider yourself an anxious person?"
D) "Is your daily routine controlled by ritual behaviors?"
E) "Have you ever been told you drink too much alcohol?"
Q2) A community mental health nurse is often a member of a multidisciplinary Assertive Community Treatment (ACT) team.An example of a nursing intervention that focuses on the primary concentration of care for such a team is:
A) providing medication education to all patients.
B) volunteering to counsel homeless abused women.
C) involving a patient in the various aspects of his or her discharge planning.
D) conducting a support group for patients recovering from depression.
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Chapter 35: Child Psychiatric Nursing
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Sample Questions
Q1) A nurse is meeting with an adolescent who appears to be better able to cope with anxiety because of compliance with the treatment plan.Which statement by the adolescent confirms that belief?"
A) "I went to the school dance last week. I didn't dance, but I didn't leave either. I stayed until the end. Next time I'm going to try to talk with some of the kids."
B) "I went to the ball game last week with my friend. We met a couple of other people from school that were there. It was fun, and I really enjoyed myself."
C) "I wish the other kids in my school would include me in their game of basketball. I would play if I could."
D) "I'm going to call one of the kids in my class next week so we can play ball or something."
Q2) Which medication would the nurse expect to include in a care plan for an adolescent with a history of conduct disorder and violent behaviors?
A) Antianxiety agents
B) Antipsychotic medications
C) Antihistamine medications
D) Antidepressant medications
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Chapter 36: Adolescent Psychiatric Nursing
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Sample Questions
Q1) Which behavior would indicate to the nurse that an adolescent has entered the third stage of substance abuse? The adolescent:
A) is abusing alcohol on the weekends.
B) has been caught smoking hash in the school bathroom.
C) admits to being curious about the alcohol in the family liquor cabinet.
D) has begun selling drugs at school to support a serious drug addiction.
Q2) Which nursing intervention would be most effective when assisting an adolescent who is in stage three of substance abuse?
A) Recommend a drug-free self-help group and family therapy.
B) Provide drug education and drug-free activities for the adolescent.
C) Recommend hospitalization at a drug abuse center to facilitate withdrawal.
D) Provide anticipatory guidance to help the adolescent develop healthy coping skills.
Q3) A nurse would be most concerned about the risk of suicide in which adolescent?
A) A 13-year-old girl with poor school performance
B) A 14-year-old male exhibiting hostile behavior
C) A 17-year-old female with alcohol abuse issues
D) An 18-year-old male with relationship problems
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Chapter 37: Geropsychiatric Nursing
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Sample Questions
Q1) An older adult patient will be moved from a psychiatric inpatient unit to a nursing home.Which action should be given priority by the nurse to best facilitate the move?
A) Have the patient visit the nursing home before actually moving.
B) Administer a sedative-hypnotic to the patient before the patient moves.
C) Place the patient's belongings in the new room after they are inventoried.
D) Hold all of the patient's medications until after the move to minimize confusion.
Q2) Which strategy would be included in a nursing care plan for an older adult patient who has sundown syndrome? (Select all that apply.)
A) Minimizing daytime sleep
B) Increasing physical activity, such as walking
C) Protecting the patient from exposure to sunlight
D) Increasing social interaction with staff and others
E) Engaging the patient in mentally stimulating activities
Q3) Which older adult patient profile presents the highest risk for falls?
A) A widowed older adult who takes an antidepressant at bedtime
B) An older adult with diabetes who bicycles regularly as exercise
C) An older retired adult who provides in-home care for a spouse
D) An older single adult who wears corrective eyeglasses for myopia
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Chapter 38: Care of Survivors of Abuse and Violence
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Sample Questions
Q1) Which assessment finding most clearly indicates that a rape victim is exhibiting behavior typically seen in the acute stage of sexual assault? The victim:
A) is demanding and controlling when dealing with staff.
B) appears to be confused, restless, and fearful when left alone.
C) uses profanity to describe events surrounding the attack.
D) experiences a panic attack on the anniversary of the attack.
Q2) Which comment best reflects the nurse's use of an empowerment model with an individual who has been abused?
A) "Let me share with you my knowledge of what happens psychologically to individuals who have been abused."
B) "I know that you feel that your partner will change, but the current research does not validate your thinking."
C) "It's up to you to end the violence. You are the only one who can set limits on how your partner is allowed to treat you."
D) "Let's consider what you believe your options are in terms of your relationship with your partner in light of the behavior toward you."
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Chapter 39: The Military and Their Families
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Sample Questions
Q1) A member of the military shares that he has been a victim of sexual trauma during his enlistment.Which question will the nurse ask to best assess the individual's degree of self-blame?
A) "Were you physically hurt as a result of sexual abuse?"
B) "Have you confided this information with family or a trusted friend?"
C) "What occurred when you reported the attack to your military superior?"
D) "Have you been tested for sexually transmitted diseases since the attack?"
Q2) A military veteran is diagnosed with tinnitus.The educational material provided by the nurse related to the condition should include: (Select all that apply.)
A) exposure to repeated loud noises is often the cause of the disorder.
B) the primary characteristic is a persistent ringing in the ears.
C) tinnitus may be either temporary or chronic.
D) the symptoms can be expected to worsen over time.
E) surgery on the eardrum is usually recommended.
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Chapter 40: Psychological Care of Patients with Life-Threatening Illness
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Source URL: https://quizplus.com/quiz/6414
Sample Questions
Q1) A patient with metastasized cancer says to the nurse,"I've been reading about some of the cancer research,and I am still hoping for a cure in the next few months." In formulating a response to the patient,which should the nurse consider first?
A) The patient's religion and/or faith-based beliefs
B) The need for a consultation with a professional grief counselor
C) The purpose that would be served in confronting the patient's denial
D) The patient's ability to understand the meaning of this particular research
Q2) A nurse enters the room of a patient newly diagnosed with multiple sclerosis and notes that the patient is crying quietly while lying in bed.Which communication by the nurse would be most appropriate?
A) "You are crying. What are you feeling that's making you so sad?"
B) "Do you want me to call the health care provider to order some antidepressant medication for you?"
C) "I can understand why you would cry. I imagine most people would feel sad after being given your diagnosis."
D) "Crying is a normal response to a diagnosis such as yours. You'll feel better after your plan of care has been fully developed."
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