Mental Health Nursing Exam Materials
Course Introduction
Mental Health Nursing is a specialized field of nursing focused on the care and support of individuals experiencing mental health challenges across the lifespan. This course explores the assessment, diagnosis, and management of various mental health conditions, emphasizing evidence-based interventions, therapeutic communication, and multidisciplinary collaboration. Students will learn to promote mental well-being, advocate for patients, and work within legal and ethical frameworks, preparing them to support diverse populations in inpatient, community, and outpatient settings.
Recommended Textbook
Essentials of Psychiatric Mental Health Nursing 2nd Edition by Elizabeth M. Varcarolis
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28 Chapters
809 Verified Questions
809 Flashcards
Source URL: https://quizplus.com/study-set/2156
Page 2
Chapter 1: Practicing the Science and Art of Psychiatric Nursing
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/42971
Sample Questions
Q1) A patient shows the nurse an article from the Internet about a health problem.Which characteristic of the web site's address most alerts the nurse that the site may have biased and prejudiced information?
A)Address ends in ".org."
B)Address ends in ".com."
C)Address ends in ".gov."
D)Address ends in ".net."
Answer: B
Q2) A bill introduced in Congress would reduce funding for the care of people with mental illnesses.A group of nurses write letters to their elected representatives in opposition to the legislation.Which role have the nurses fulfilled?
A)Advocacy
B)Attending
C)Recovery
D)Evidence-based practice
Answer: A
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Chapter 2: Mental Health and Mental Illness
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) 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 reflect a person's cultural patterns.
Answer: D
Q2) A newly admitted patient is profoundly depressed,mute,and motionless.The patient has refused to bathe and eat for a week.Which score would be expected on the patient's global assessment of functioning?
A)100
B)80
C)50
D)10
Answer: D
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Chapter 3: Theories and Therapies
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/42973
Sample Questions
Q1) A single parent is experiencing feelings of inadequacy related to work and family since one teenaged child ran away several weeks ago.The parent seeks the help of a therapist specializing in cognitive therapy.The psychotherapist who uses cognitive therapy will treat the patient by:
A)discussing ego states
B)focusing on unconscious mental processes
C)negatively reinforcing an undesirable behavior
D)helping the patient identify and change faulty thinking
Answer: D
Q2) A 26-month-old child displays negative behavior,refuses toilet training,and often shouts,"No!" when given direction.The nurse's counseling with the parent should be based on the premise that the child is engaged in which of Erikson's psychosocial crises?
A)Trust versus Mistrust
B)Initiative versus Guilt
C)Industry versus Inferiority
D)Autonomy versus Shame and Doubt
Answer: D
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Chapter 4: Biological Basis for Understanding
Psychopharmacology
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A nurse caring for a patient taking a serotonin reuptake inhibitor (SSRI)will develop outcome criteria related to:
A)mood improvement
B)logical thought processes
C)reduced levels of motor activity
D)decreased extrapyramidal symptoms
Q2) A patient has dementia.The health care provider wants to make a differential diagnosis between Alzheimer disease and multiple infarctions.Which diagnostic procedure should a nurse expect to prepare the patient for first?
A)Computed tomography (CT)scan
B)Positron emission tomography (PET)scan
C)Functional magnetic resonance imaging (fMRI)
D)Single-photon-emission computed tomography (SPECT)scan
Q3) A nurse administers a medication that potentiates the action of gamma-aminobutyric acid (GABA).Which finding would be expected?
A)Reduced anxiety
B)Improved memory
C)More organized thinking
D)Fewer sensory perceptual alterations
Page 6
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Chapter 5: Settings for Psychiatric Care
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A community psychiatric nurse assesses that a patient with a mood disorder is more depressed than on the previous visit a month ago;however,the patient says,"I feel the same." Which intervention supports the nurse's assessment while preserving the patient's autonomy?
A)Arrange for a short hospitalization.
B)Schedule weekly clinic appointments.
C)Refer the patient to the crisis intervention clinic.
D)Call the family and ask them to observe the patient closely.
Q2) A multidisciplinary health care team meets 12 hours after an adolescent is hospitalized after a suicide attempt.Members of the team report their assessments.What outcome can be expected from this meeting?
A)A treatment plan will be determined.
B)The health care provider will order neuroimaging studies.
C)The team will request a court-appointed advocate for the patient.
D)Assessment of the patient's need for placement outside the home will be undertaken.
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Chapter 6: Legal and Ethical Basis for Practice
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/42976
Sample Questions
Q1) Two hospitalized patients fight when they are in the same room.During a team meeting,a nurse asserts that safety is of paramount importance and therefore the treatment plans should call for both patients to be secluded to prevent them from injuring each other.This assertion:
A)reveals that the nurse values the principle of justice.
B)reinforces the autonomy of the two patients.
C)violates the civil rights of the two patients.
D)represents the intentional tort of battery.
Q2) A patient should be considered for involuntary commitment for psychiatric care when he or she:
A)is noncompliant with the treatment regimen.
B)sold sells and distributes illegal drugs.
C)threatens to harm self and others.
D)fraudulently files for bankruptcy.
Q3) An example of a breach of a patient's right to privacy occurs when a nurse:
A)asks a family to share information about a patient's prehospitalization behavior.
B)discusses the patient's history with other staff members during care planning.
C)documents the patient's daily behaviors during hospitalization.
D)releases information to the patient's employer without consent.
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Page 8
Chapter 7: Nursing Process and Qsen: The Foundation for
Safe and Effective Care
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/42977
Sample Questions
Q1) An adolescent asks a nurse conducting an assessment interview,"Why should I tell you anything? You'll just tell my parents whatever you find out." Select the nurse's best reply.
A)"That isn't true.What you tell us is private and held in strict confidence.Your parents have no right to know."
B)"Yes,your parents may find out what you say,but it is important that they know about your problems."
C)"What you say about feelings is private,but some things,like suicidal thinking,must be reported to the treatment team."
D)"It sounds as though you are not really ready to work on your problems and make changes."
Q2) Select the best outcome for a patient with the nursing diagnosis: Impaired social interaction,related to sociocultural dissonance as evidenced by stating,"Although I'd like to,I don't join in because I don't speak the language very well." The patient will:
A)demonstrate improved social skills.
B)express a desire to interact with others.
C)become more independent in decision making.
D)select and participate in one group activity per day.
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Chapter 8: Communication Skills: Medium for All Nursing Practice
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/42978
Sample Questions
Q1) A Filipino-American patient had this nursing diagnosis: Situational low self-esteem,related to poor social skills as evidenced by lack of eye contact.Interventions were used to raise the patient's self-esteem;however,after 3 weeks,the patient's eye contact did not improve.What is the most accurate analysis of this scenario?
A)The patient's eye contact should have been directly addressed by role-playing to increase comfort with eye contact.
B)The nurse should not have independently embarked on assessment,diagnosis,and planning for this patient.
C)The patient's poor eye contact is indicative of anger and hostility that remain unaddressed.
D)The nurse should have assessed the patient's culture before making this diagnosis and plan.
Q2) During an interview,a patient attempts to shift the focus from self to the nurse by asking personal questions.The nurse should respond by saying:
A)"You've turned the tables on me."
B)"Nurses direct the interviews with patients."
C)"Do not ask questions about my personal life."
D)"The time we spend together is to discuss your concerns."
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Chapter 9: Therapeutic Relationships and the Clinical Interview
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/42979
Sample Questions
Q1) A nurse says,"I'm the only one who truly understands this patient.Other staff members are too critical." The nurse's statement indicates:
A)boundary blurring.
B)sexual harassment.
C)positive regard.
D)advocacy.
Q2) Which issues should a nurse address during the first interview with a patient with a psychiatric disorder?
A)Trust,congruence,attitudes,and boundaries
B)Goals,resistance,unconscious motivations,and diversion
C)Relationship parameters,the contract,confidentiality,and termination
D)Transference,countertransference,intimacy,and developing resources
Q3) A patient says,"I've done a lot of cheating and manipulating in my relationships." Select a nonjudgmental response by the nurse.
A)"How do you feel about that?"
B)"It's good that you realize this."
C)"That's not a good way to behave."
D)"Have you outgrown that type of behavior?"
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Chapter 10: Stress and Stress-Related Disorders
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/42980
Sample Questions
Q1) A soldier in a combat zone tells the nurse,"I saw a child get blown up over a year ago,but I keep seeing bits of flesh everywhere.I see something red and the visions race back to my mind." Which phenomenon associated with post-traumatic stress disorder (PTSD)is this soldier describing?
A)Reexperiencing
B)Hyperarousal
C)Avoidance
D)Psychosis
Q2) A nurse assesses soldiers in a combat zone in Afghanistan.When is it most important for the nurse to screen for signs and symptoms of traumatic brain injury (TBI)?
A)After a fall,vehicle crash,or exposure to a blast
B)Before departing Afghanistan to return to the United States
C)One year after returning to the United States from Afghanistan
D)Immediately upon return to the United States from Afghanistan
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Chapter 11: Anxiety, anxiety Disorders, and
Obsessive-Compulsive Disorders
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/42981
Sample Questions
Q1) A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down.The nurse and patient explore the likelihood of an actual fire.The patient states that a house fire is not likely.This counseling demonstrates the principles of:
A)Flooding
B)Desensitization
C)Relaxation technique
D)Cognitive restructuring
Q2) A patient has the nursing diagnosis: Anxiety,related to __________,as evidenced by an inability to control compulsive cleaning.Which phrase correctly completes the etiologic portion of the diagnosis?
A)Ensuring the health of household members
B)Attempting to avoid interactions with others
C)Having persistent thoughts about bacteria,germs,and dirt
D)Needing approval for cleanliness from friends and family
Q3) Which statement is mostly likely to be made by a patient with agoraphobia?
A)"Being afraid to go out seems ridiculous,but I can't go out the door."
B)"I'm sure I'll get over not wanting to leave home soon.It takes time."
C)"When I have a good incentive to go out,I can do it."
Page 13
D)"My family says they like it now that I stay home."
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Chapter 12: Somatoform Disorders and Dissociative Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/42982
Sample Questions
Q1) A patient's roommate has observed the patient behaving in uncharacteristic ways,but the patient cannot remember the episodes.A dissociative identity disorder is suspected.Which questions are most relevant to the assessment of this patient? Select all that apply.
A)"Are you sexually promiscuous?"
B)"Do you think you need an antidepressant medication?"
C)"Have you ever found yourself someplace and did not know how you got there?"
D)"Are your memories of childhood clear and complete,or do you have blank spots?"
E)"Have you ever found new things in your belongings that you can't remember buying?"
Q2) A woman is 5'7" tall,weighs 160 pounds,and wears a size 8 shoe.She says,"My feet are huge.I've asked three orthopedists to surgically reduce my feet." The patient tries to buy shoes to make her feet look smaller,and in social settings conceals both feet under a table or chair.Which health problem is likely?
A)Dissociative fugue
B)Prominent pain disorder
C)Body dysmorphic disorder
D)Depersonalization disorder
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Page 14
Chapter 13: Personality Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/42983
Sample Questions
Q1) Which commonality would be most applicable to the patient with a personality disorder? The patient:
A)demonstrates behaviors that cause distress to self rather than to others.
B)has self-esteem issues,despite his or her outward presentation.
C)usually becomes psychotic when exposed to stress.
D)does not experience real distress from symptoms.
Q2) The most challenging nursing intervention with patients with personality disorders who use manipulation to get their needs met is:
A)supporting behavioral change.
B)monitoring suicide attempts.
C)maintaining consistent limits.
D)using aversive therapy.
Q3) Which intervention is appropriate for a patient with an antisocial personality disorder who frequently manipulates others?
A)Refer the patient's requests and questions related to care to the case manager.
B)Encourage the patient to discuss his or her feelings of fear and inferiority.
C)Provide negative reinforcement for acting-out behavior.
D)Ignore,rather than confront,inappropriate behavior.
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Chapter 14: Eating Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/42984
Sample Questions
Q1) One bed is available on the inpatient eating disorders unit.Which patient should be admitted? The patient whose weight dropped from:
A)150 to 100 pounds over a 4-month period.Vital signs: temperature,35.9° C;pulse,38 beats/min;blood pressure,60/40 mm Hg
B)120 to 90 pounds over a 3-month period.Vital signs: temperature,36° C;pulse,50 beats/min;blood pressure,70/50 mm Hg
C)110 to 70 pounds over a 4-month period.Vital signs: temperature 36.5° C;pulse,60 beats/min;blood pressure,80/66 mm Hg
D)90 to 78 pounds over a 5-month period.Vital signs: temperature,36.7° C;pulse,62 beats/min;blood pressure,74/48 mm Hg
Q2) A patient with anorexia nervosa virtually stopped eating 5 months ago and has lost 25% of body weight.A nurse asks,"Describe what you think about your present weight and how you look." Which response by the patient is most consistent with the diagnosis?
A)"I'm fat and ugly."
B)"What I think about myself is my business."
C)"I'm grossly underweight,but that's what I want."
D)"I'm a few pounds overweight,but I can live with it."
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Chapter 15: Mood Disorders: Depression
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/42985
Sample Questions
Q1) A disheveled patient with severe depression and psychomotor retardation has not showered for several days.The nurse should:
A)avoid forcing the issue.
B)bring up the issue at the community meeting.
C)calmly tell the patient,"You must bathe daily."
D)firmly and neutrally assist the patient with showering.
Q2) Which documentation indicates the treatment plan of a patient with major depression was effective?
A)Slept 6 hours uninterrupted.Sang with activity group.Anticipates seeing grandchild.
B)Slept 10 hours uninterrupted.Attended craft group;stated "project was a failure,just like me."
C)Slept 5 hours with brief interruptions.Personal hygiene adequate with assistance.Weight loss of 1 pound.
D)Slept 7 hours uninterrupted.Preoccupied with perceived inadequacies.States,"I feel tired all the time."
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Chapter 16: Bipolar Spectrum Disorders
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/42986
Sample Questions
Q1) At a unit meeting,staff members discuss the decor for a special room for patients with mania.Select the best option.
A)Extra-large window with a view of the street
B)Neutral walls with pale,simple accessories
C)Brightly colored walls and print drapes
D)Deep colors for walls and upholstery
Q2) Outcome identification for the treatment plan of a patient with grandiose thinking associated with acute mania focuses on:
A)developing an optimistic outlook
B)self-control of distorted thinking
C)maintaining an interest in the environment
D)stabilizing the sleep pattern
Q3) A nurse prepares the plan of care for a patient having a manic episode.Which nursing diagnoses are most likely? Select all that apply.
A)Imbalanced nutrition: more than body requirements
B)Disturbed thought processes
C)Sleep deprivation
D)Chronic confusion
E)Social isolation
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Page 18
Chapter 17: Schizophrenia Spectrum Disorders
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) A nurse sits with a patient diagnosed with disorganized schizophrenia.The patient starts to laugh uncontrollably,although the nurse has not said anything funny.Select the nurse's best response.
A)"Why are you laughing?"
B)"Please share the joke with me."
C)"I don't think I said anything funny."
D)"You're laughing.Tell me what's happening."
Q2) A patient diagnosed with paranoid schizophrenia says,"My co-workers are out to get me.I also saw two doctors plotting to kill me." How does this patient perceive the environment?
A)Disorganized
B)Dangerous
C)Supportive
D)Bizarre
Q3) Withdrawn patients with schizophrenia:
A)Universally fear sexual involvement with therapists.
B)Are socially disabled by the positive symptoms of schizophrenia.
C)Exhibit a high degree of hostility as evidenced by rejecting behavior.
D)Avoid relationships because they become anxious with emotional closeness.
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Page 19
Chapter 18: Neurocognitive Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/42988
Sample Questions
Q1) What is the priority intervention for a patient with delirium who has fluctuating levels of consciousness,disturbed orientation,and perceptual alterations?
A)Avoidance of physical contact
B)High level of sensory stimulation
C)Careful observation and supervision
D)Application of wrist and ankle restraints
Q2) A nurse should anticipate that which symptoms of Alzheimer's disease will become apparent as the disease progresses from moderate to severe to late stage? Select all that apply.
A)Agraphia
B)Hyperorality
C)Fine motor tremors
D)Hypermetamorphosis
E)Improvement of memory
Q3) Which description best applies to a hallucination? A patient:
A)looks at shadows on a wall and says,"I see scary faces."
B)states,"I feel bugs crawling on my legs and biting me."
C)becomes anxious when the nurse leaves his or her bedside.
D)tries to hit the nurse when vital signs are taken.
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Page 20
Chapter 19: Addictions and Compulsions
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/42989
Sample Questions
Q1) When assessing a patient who has ingested flunitrazepam (Rohypnol),the nurse would expect:
A)acrophobia
B)hypothermia
C)hallucinations
D)anterograde amnesia
Q2) Which assessment findings best correlate to the withdrawal from central nervous system depressants?
A)Dilated pupils,tachycardia,elevated blood pressure,elation
B)Labile mood,lack of coordination,fever,drowsiness
C)Nausea,vomiting,diaphoresis,anxiety,tremors
D)Excessive eating,constipation,headache
Q3) A patient has smoked two packs of cigarettes daily for many years.When the patient does not smoke or tries to cut back,anxiety,craving,poor concentration,and headache result.What does this scenario describe?
A)Substance abuse
B)Substance intoxication
C)Substance dependence
D)Recreational use of a social drug
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Page 21
Chapter 20: Crisis and Mass Disaster
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/42990
Sample Questions
Q1) A woman says,"I can't take it anymore! Last year my husband had an affair and now we don't communicate.Three months ago,I found a lump in my breast.Yesterday my daughter said she's quitting college and moving in with her boyfriend." Which issue should be the focus for crisis intervention?
A)Possible mastectomy
B)Disordered family communication
C)Effects of the husband's infidelity
D)Coping with the reaction to the daughter's events
Q2) Which scenario is an example of an adventitious crisis?
A)Death of a child from sudden infant death syndrome
B)Being fired from a job because of company downsizing
C)Retirement of a 55-year-old
D)Riot at a rock concert
Q3) A victim of spousal violence comes to the crisis center seeking help.The nurse uses crisis intervention strategies that focus on:
A)supporting emotional security and reestablishing equilibrium
B)offering a long-term resolution of issues precipitating the crisis
C)promoting growth of the individual
D)providing legal assistance
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Page 22
Chapter 21: Child, Partner, and Elder Violence
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26 Verified Questions
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Source URL: https://quizplus.com/quiz/42991
Sample Questions
Q1) A person at the emergency department is diagnosed with a concussion.The individual is accompanied by a spouse who insists on staying in the room and answering all questions.The patient avoids eye contact and has a sad affect and slumped shoulders.Assessment of which additional problem has priority?
A)Phobia of crowded places
B)Risk of domestic abuse
C)Migraine headaches
D)Major depression
Q2) What is a nurse's legal responsibility if child abuse or neglect is suspected?
A)Discuss the findings with the child's teacher,principal,and school psychologist.
B)Report the suspected abuse or neglect according to state regulations.
C)Document the observations and speculations in the medical record.
D)Continue the assessment.
Q3) What feelings are most commonly experienced by nurses working with abusive families?
A)Outrage toward the victim and sympathy for the abuser
B)Sympathy for the victim and anger toward the abuser
C)Unconcern for the victim and dislike for the abuser
D)Vulnerability for self and empathy with the abuser
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Page 23
Chapter 22: Sexual Violence
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26 Verified Questions
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Source URL: https://quizplus.com/quiz/42992
Sample Questions
Q1) A patient in the long-term reorganization phase of the rape trauma syndrome has experienced intrusive thoughts of the rape and developed a fear of being alone.Which finding demonstrates the patient has made improvement? The patient:
A)temporarily withdraws from social situations.
B)plans coping strategies for fearful situations.
C)uses increased activity to reduce fear.
D)expresses a desire to be with others.
Q2) A person was abducted and raped at gunpoint.The nurse observes this victim is confused,talks rapidly in disconnected phrases,and is unable to concentrate or make simple decisions.What is the patient's level of anxiety?
A)Weak
B)Mild
C)Moderate
D)Severe
Q3) A nurse working a rape telephone hotline should focus communication to:
A)arrange long-term patient counseling.
B)provide callers with a sympathetic listener.
C)explain immediate steps that a victim of rape should take.
D)obtain information to relay to the local police.
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Page 24
Chapter 23: Suicidal Thoughts and Behavior
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Sample Questions
Q1) An adolescent tells the school nurse,"My friend threatened to take an overdose of pills." The nurse talks to the friend who verbalized the suicide threat.The most critical question for the nurse to ask would be:
A)"Why do you want to kill yourself?"
B)"Do you have access to medications?"
C)"Have you been taking drugs and alcohol?"
D)"Did something happen with your parents?"
Q2) A patient with suicidal impulses is on the highest level of suicide precautions.Which measures should the nurse incorporate into the patient's plan of care? Select all that apply.
A)Allow no glass or metal on meal trays.
B)Remove all potentially harmful objects from the patient's possession.
C)Maintain arm's length,one-on-one nursing observation around the clock.
D)Check the patient's whereabouts every hour.Make verbal contact at least three times each shift.
E)Check the patient's whereabouts every 15 minutes,and make frequent verbal contacts.
F)Keep the patient within visual range while he or she is awake.Check every 15 to 30 minutes while the patient is sleeping.
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Page 25
Chapter 24: Anger, Aggression, and Violence
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Sample Questions
Q1) Which scenario predicts the highest risk for directing violent behavior toward others?
A)Major depression with delusions of worthlessness
B)Obsessive-compulsive disorder;performing many rituals
C)Paranoid delusions of being followed by alien monsters
D)Completing alcohol withdrawal and beginning a rehabilitation program
Q2) A patient with a history of anger and impulsivity is hospitalized after an accident resulting in injuries.When in pain,the patient loudly scolds the nursing staff for "not knowing enough to give me pain medicine when I need it." Which nursing intervention would best address this problem?
A)Tell the patient to notify nursing staff 30 minutes before the pain returns so the medication can be prepared.
B)Urge the health care provider to change the prescription for pain medication from as needed to a regular schedule.
C)Tell the patient that verbal assaults on nurses will not shorten the wait for pain medication.
D)Have the clinical nurse leader request a psychiatric consultation.
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Chapter 25: Care for the Dying and Those Who Grieve
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Sample Questions
Q1) A child drowned while swimming in a local lake 4 years earlier.Which behavior indicates that the parents are effectively coping with their loss? The parents:
A)prohibit their other children from going swimming.
B)keep a place set for the dead child at the family dinner table.
C)keep their child's room exactly as the child left it 4 years ago.
D)throw flowers on the lake at each anniversary date of the accident.
Q2) A person whose husband is terminally ill says,"I don't want to cry in front of him.I don't want him to know how close he is to death or how sad I am." Which response by the nurse would be most therapeutic?
A)"You're right to protect him at a time when he is so vulnerable."
B)"He might be more reassured than disturbed by your tears."
C)"It's important for you to know that time is running out."
D)"You definitely need to be honest about your feelings."
Q3) A nurse talks with a person whose spouse died while jogging.Which is the appropriate statement for the nurse?
A)"At least your spouse did not suffer."
B)"It's better to go quickly as your spouse did."
C)"The loss of your spouse must be very painful for you."
D)"You'll begin to feel better after you get over the shock."
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Page 27
Chapter 26: Children and Adolescents
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Sample Questions
Q1) A 12-year-old child has been the neighborhood bully for several years.The parents say,"We can't believe anything our child says." Recently,the child shot a dog with a pellet gun and set fire to a trash bin outside a store.The child's behaviors are most consistent with:
A)conduct disorder CD.
B)attention deficit ADHD.
C)defiance of authority.
D)anxiety over separation from a parent.
Q2) When group therapy is to be used as a treatment modality,the nurse should suggest placing a 9-year-old in a group that uses:
A)play activities exclusively.
B)group discussion exclusively.
C)talk focused on a specific issue.
D)play and talk about the play activity.
Q3) Which child shows behaviors indicative of mental illness?
A)4-year-old who stuttered for 3 weeks after the birth of a sibling
B)9-month-old who does not eat vegetables and likes to be rocked
C)3-month-old who cries after feeding until burped and sucks a thumb
D)3-year-old who is mute,passive toward adults,and twirls while walking
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Page 28
Chapter 27: Adults
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/42997
Sample Questions
Q1) Severe and persistent mental illness is characterized as a:
A)mental illness of longer than 2 weeks' duration
B)major chronic mental illness marked by significant functional impairments
C)mental illness accompanied by physical impairment and severe social problems
D)major mental illness that cannot be treated to prevent deterioration of cognitive and social abilities
Q2) A patient with schizophrenia tells the community mental health nurse,"I threw away my pills because they interfere with God's voice." The nurse identifies the cause of the patient's ineffective management of the medication regime as:
A)inadequate discharge planning
B)poor therapeutic alliance with clinicians
C)dislike of the side effects of antipsychotic medications
D)impaired reasoning secondary to the schizophrenia
Q3) Before working with patients regarding sexual concerns,a prerequisite for providing nonjudgmental care is:
A)sympathy
B)assertiveness training
C)sexual self-awareness
D)effective communication
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Chapter 28: Older Adults
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/42998
Sample Questions
Q1) A 78-year-old nursing home resident with hypertension and cardiac disease is usually alert and oriented.This morning,however,the resident says,"My family visited during the night.They stood by the bed and talked to me." In reality,the patient's family lives 200 miles away.The nurse should first suspect that the resident:
A)may have a cognitive impairment associated with medication effects.
B)may be developing Alzheimer's disease associated with advanced age.
C)had a transient ischemic attack and developed sensory perceptual alterations.
D)has a previously unidentified alcohol dependency and is beginning alcohol withdrawal delirium.
Q2) Recognizing the risk for acquired immunodeficiency syndrome (AIDS)among older adults,nurses should provide health teaching aimed at:
A)discouraging sexual expression
B)using birth controls measures
C)avoiding blood transfusions
D)encouraging condom use
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