Mental Health Nursing Final Exam
Course Introduction
Mental Health Nursing is a specialized field that focuses on supporting individuals experiencing mental health challenges and psychiatric disorders. This course covers fundamental concepts in mental health, the role of the mental health nurse, therapeutic communication, and the assessment, planning, and implementation of individualized care plans. Students will learn about various mental health conditions, legal and ethical considerations, crisis intervention, and collaborative care strategies. Emphasis is placed on promoting patient recovery, advocacy, and applying evidence-based practices in diverse clinical settings. Through theoretical knowledge and practical experiences, this course prepares students to provide compassionate, competent care to individuals, families, and communities affected by mental health issues.
Recommended Textbook
Varcarolis Foundations of Psychiatric Mental Health Nursing A Clinical Approach 7th Edition by
Available Study Resources on Quizplus
35 Chapters
1040 Verified Questions
1040 Flashcards
Source URL: https://quizplus.com/study-set/703
Page 2
Chapter 1: Mental Health and Mental Illness
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/13714
Sample Questions
Q1) An experienced nurse says to a new graduate,"When you've practiced as long as I have,you instantly know how to take care of psychotic patients." What information should the new graduate consider when analyzing this comment? Select all that apply.
A) The experienced nurse may have lost sight of patients' individuality, which may compromise the integrity of practice.
B) New research findings should be integrated continuously into a nurse's practice to provide the most effective care.
C) Experience provides mental health nurses with the essential tools and skills needed for effective professional practice.
D) Experienced psychiatric nurses have learned the best ways to care for mentally ill patients through trial and error.
E) An intuitive sense of patients' needs guides effective psychiatric nurses.
Answer: A,B
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: Relevant Theories and Therapies for Nursing Practice
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/13715
Sample Questions
Q1) Which activities represent the art of nursing? Select all that apply.
A) Administering medications on time to a group of patients
B) Listening to a new widow grieve her husband's death
C) Helping a patient obtain groceries from a food bank
D) Teaching a patient about a new medication
E) Holding the hand of a frightened patient
Answer: B,C,E
Q2) A 4-year-old grabs toys from siblings and says,"I want that now!" The siblings cry,and the child's parent becomes upset with the behavior.According to Freudian theory,this behavior is a product of impulses originating in which system of the personality?
A) Id
B) Ego
C) Superego
D) Preconscious
Answer: A
To view all questions and flashcards with answers, click on the resource link above. Page 4
Chapter 3: Biological Basis for Understanding Psychiatric
Disorders and Treatments
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/13716
Sample Questions
Q1) A nurse would anticipate that treatment for a patient with memory difficulties might include medications designed to:
A) inhibit gamma-aminobutyric acid (GABA).
B) prevent destruction of acetylcholine.
C) reduce serotonin metabolism.
D) increase dopamine activity.
Answer: B
Q2) A patient begins therapy with a phenothiazine medication.What teaching should the nurse provide related to the drug's strong dopaminergic effect?
A) Chew sugarless gum.
B) Increase dietary fiber.
C) Arise slowly from bed.
D) Report changes in muscle movement.
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
Page 5
Chapter 4: Settings for Psychiatric Care
Available Study Resources on Quizplus for this Chatper
37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/13717
Sample Questions
Q1) Which principle has the highest priority when addressing a behavioral crisis in an inpatient setting?
A) Resolve the crisis with the least restrictive intervention possible.
B) Swift intervention is justified to maintain the integrity of a therapeutic milieu.
C) Rights of an individual patient are superseded by the rights of the majority of patients.
D) Patients should have opportunities to regain control without intervention if the safety of others is not compromised.
Q2) A nurse performed these actions while caring for patients in an inpatient psychiatric setting.Which action violated patients' rights?
A) Prohibited a patient from using the telephone
B) In patient's presence, opened a package mailed to patient
C) Remained within arm's length of patient with homicidal ideation
D) Permitted a patient with psychosis to refuse oral psychotropic medication
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Cultural Implications for Psychiatric Mental
Health Nursing
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/13718
Sample Questions
Q1) Which intervention best demonstrates that a nurse correctly understands the cultural needs of a hospitalized Asian American patient diagnosed with a mental illness?
A) Encouraging the family to attend community support groups
B) Involving the patient's family to assist with activities of daily living
C) Providing educational pamphlets to explain the patient's mental illness
D) Restricting homemade herbal remedies the family brings to the hospital
Q2) A Haitian patient diagnosed with depression tells the nurse,"There's nothing you can do.This is a punishment.The only thing I can do is see a healer." The culturally aware nurse assesses that the patient:
A) has delusions of persecution.
B) has likely been misdiagnosed with depression.
C) may believe the distress is the result of a curse or spell.
D) feels hopeless and helpless related to an unidentified cause.
Q3) Which viewpoint of an Asian American family will most affect decision making about care?
A) The father is the authority figure.
B) The mother is head of the household.
C) Women should make their own decisions.
D) Emotional communication styles are desirable.
Page 7
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Legal and Ethical Guidelines for Safe Practice
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/13719
Sample Questions
Q1) In order to release information to another health care facility or third party regarding a patient diagnosed with a mental illness,the nurse must obtain:
A) a signed consent by the patient for release of information stating specific information to be released.
B) a verbal consent for information release from the patient and the patient's guardian or next of kin.
C) permission from members of the health care team who participate in treatment planning.
D) approval from the attending psychiatrist to authorize the release of information.
Q2) A newly admitted acutely psychotic patient is a private patient of the medical director and a private-pay patient.To whom does the psychiatric nurse assigned to the patient owe the duty of care?
A) Medical director
B) Hospital
C) Profession
D) Patient
To view all questions and flashcards with answers, click on the resource link above.
8
Chapter 7: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/13720
Sample Questions
Q1) When a new patient is hospitalized,a nurse takes the patient on a tour,explains rules of the unit,and discusses the daily schedule.The nurse is engaged in:
A) counseling.
B) health teaching.
C) milieu management.
D) psychobiological intervention.
Q2) What is the nurse's next action?
A) Continue the current plan without changes.
B) Remove this nursing diagnosis from the plan of care.
C) Write a new nursing diagnosis that better reflects the problem.
D) Examine interventions for possible revision of the target date.
Q3) A patient is very suspicious and states,"The FBI has me under surveillance." Which strategies should a nurse use when gathering initial assessment data about this patient? Select all that apply.
A) Tell the patient that medication will help this type of thinking.
B) Ask the patient, "Tell me about the problem as you see it."
C) Seek information about when the problem began.
D) Tell the patient, "Your ideas are not realistic."
E) Reassure the patient, "You are safe here."
Page 9
To view all questions and flashcards with answers, click on the resource link above.
Chapter 8: Therapeutic Relationships
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/13721
Sample Questions
Q1) A nurse caring for a withdrawn,suspicious patient recognizes development of feelings of anger toward the patient.The nurse should:
A) suppress the angry feelings.
B) express the anger openly and directly with the patient.
C) tell the nurse manager to assign the patient to another nurse.
D) discuss the anger with a clinician during a supervisory session.
Q2) A nurse is talking with a patient,and 5 minutes remain in the session.The patient has been silent most of the session.Another patient comes to the door of the room,interrupts,and says to the nurse,"I really need to talk to you." The nurse should:
A) invite the interrupting patient to join in the session with the current patient.
B) say to the interrupting patient, "I am not available to talk with you at the present time."
C) end the unproductive session with the current patient and spend time with the interrupting patient.
D) tell the interrupting patient, "This session is 5 more minutes; then I will talk with you."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: Communication and the Clinical Interview
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/13722
Sample Questions
Q1) Which technique will best communicate to a patient that the nurse is interested in listening?
A) Restating a feeling or thought the patient has expressed.
B) Asking a direct question, such as "Did you feel angry?"
C) Making a judgment about the patient's problem.
D) Saying, "I understand what you're saying."
Q2) A nurse interacts with a newly hospitalized patient.Select the nurse's comment that applies the communication technique of "offering self."
A) "I've also had traumatic life experiences. Maybe it would help if I told you about them."
B) "Why do you think you had so much difficulty adjusting to this change in your life?"
C) "I hope you will feel better after getting accustomed to how this unit operates."
D) "I'd like to sit with you for a while to help you get comfortable talking to me."
To view all questions and flashcards with answers, click on the resource link above.
11
Chapter 10: Understanding and Managing Responses to Stress
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/13723
Sample Questions
Q1) A patient tells the nurse,"I will never be happy until I'm as successful as my older sister." The nurse asks the patient to reassess this statement and reframe it.Which reframed statement by the patient is most likely to promote coping?
A) "People should treat me as well as they treat my sister."
B) "I can find contentment in succeeding at my own job level."
C) "I won't be happy until I make as much money as my sister."
D) "Being as smart or clever as my sister isn't really important."
Q2) A patient tells the nurse,"My doctor thinks my problems with stress relate to the negative way I think about things and suggested I learn new ways of thinking." Which response by the nurse would support the recommendation?
A) Encourage the patient to imagine being in calm circumstances.
B) Provide the patient with a blank journal and guidance about journaling.
C) Teach the patient to recognize, reconsider, and reframe irrational thoughts.
D) Teach the patient to use instruments that give feedback about bodily functions.
To view all questions and flashcards with answers, click on the resource link above. Page 12
Chapter 11: Childhood and Neurodevelopmental Disorders
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/13724
Sample Questions
Q1) A child diagnosed with attention deficit hyperactivity disorder had this nursing diagnosis: impaired social interaction related to excessive neuronal activity as evidenced by aggression and demanding behavior with others.Which finding indicates the plan of care was effective? The child:
A) has an improved ability to identify anxiety and use self-control strategies.
B) has increased expressiveness in communication with others.
C) shows increased responsiveness to authority figures.
D) engages in cooperative play with other children.
Q2) A 4-year-old cries for 5 minutes when the parents leave the child at preschool.The parents ask the nurse,"What should we do?" Select the nurse's best response.
A) "Ask the teacher to let the child call you at play time."
B) "Withdraw the child from preschool until maturity increases."
C) "Remain with your child for the first hour of preschool time."
D) "Give your child a kiss before you leave the preschool program."
Q3) Which child demonstrates behaviors indicative of a neurodevelopmental disorder?
A) A 4-year-old who stuttered for 3 weeks after the birth of a sibling
B) A 9-month-old who does not eat vegetables and likes to be rocked
C) A 3-month-old who cries after feeding until burped and sucks a thumb
D) A 3-year-old who is mute, passive toward adults, and twirls while walking
To view all questions and flashcards with answers, click on the resource link above.
Page 13
Chapter 12: Schizophrenia and Schizophrenia Spectrum Disorders
Available Study Resources on Quizplus for this Chatper
40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/13725
Sample Questions
Q1) What assessment findings mark the prodromal stage of schizophrenia?
A) Withdrawal, misinterpreting, poor concentration, and preoccupation with religion
B) Auditory hallucinations, ideas of reference, thought insertion, and broadcasting
C) Stereotyped behavior, echopraxia, echolalia, and waxy flexibility
D) Loose associations, concrete thinking, and echolalia neologisms
Q2) A patient's care plan includes monitoring for auditory hallucinations.Which assessment findings suggest the patient may be hallucinating?
A) Detachment and overconfidence
B) Darting eyes, tilted head, mumbling to self
C) Euphoric mood, hyperactivity, distractibility
D) Foot tapping and repeatedly writing the same phrase
Q3) Withdrawn patients diagnosed with schizophrenia:
A) are usually violent toward caregivers.
B) universally fear sexual involvement with therapists.
C) exhibit a high degree of hostility as evidenced by rejecting behavior.
D) avoid relationships because they become anxious with emotional closeness.
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 13: Bipolar and Related Disorders
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/13726
Sample Questions
Q1) A patient diagnosed with bipolar disorder is dressed in a red leotard and bright scarves.The patient twirls and shadow boxes.The patient says gaily,"Do you like my scarves? Here; they are my gift to you." How should the nurse document the patient's mood?
A) Euphoric
B) Irritable
C) Suspicious
D) Confident
Q2) Outcome identification for the treatment plan of a patient experiencing grandiose thinking associated with acute mania will focus on:
A) developing an optimistic outlook.
B) distorted thought self-control.
C) interest in the environment.
D) sleep pattern stabilization.
Q3) Which dinner menu is best suited for a patient with acute mania?
A) Spaghetti and meatballs, salad, and a banana
B) Beef and vegetable stew, a roll, and chocolate pudding
C) Broiled chicken breast on a roll, an ear of corn, and an apple
D) Chicken casserole, green beans, and flavored gelatin with whipped cream
To view all questions and flashcards with answers, click on the resource link above.
Page 15
Chapter 14: Depressive Disorders
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/13727
Sample Questions
Q1) A patient being treated with paroxetine (Paxil)50 mg po daily for depression reports to the clinic nurse,"I took a few extra tablets earlier today and now I feel bad." Which assessments are most critical? Select all that apply.
A) Vital signs
B) Urinary frequency
C) Psychomotor retardation
D) Presence of abdominal pain and diarrhea
E) Hyperactivity or feelings of restlessness
Q2) A patient diagnosed with major depression says,"No one cares about me anymore.I'm not worth anything." Today the patient is wearing a new shirt and has neat,clean hair.Which remark by the nurse supports building a positive self-esteem for this patient?
A) "You look nice this morning."
B) "You're wearing a new shirt."
C) "I like the shirt you are wearing."
D) "You must be feeling better today."
To view all questions and flashcards with answers, click on the resource link above.
16
Chapter 15: Anxiety and Obsessive Compulsive Related Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/13728
Sample Questions
Q1) A nurse wants to teach alternative coping strategies to a patient experiencing severe anxiety.Which action should the nurse perform first?
A) Verify the patient's learning style.
B) Lower the patient's current anxiety.
C) Create outcomes and a teaching plan.
D) Assess how the patient uses defense mechanisms.
Q2) For a patient experiencing panic,which nursing intervention should be implemented first?
A) Teach relaxation techniques.
B) Administer an anxiolytic medication.
C) Prepare to implement physical controls.
D) Provide calm, brief, directive communication.
Q3) The nurse assesses a patient who complains of loneliness and episodes of anxiety.Which statement by the patient is mostly likely if this patient also has agoraphobia?
A) "I'm sure I will get over not wanting to leave home soon. It takes time."
B) "Being afraid to go out seems ridiculous, but I can't go out the door."
C) "My family says they like it now that I stay home most of the time."
D) "When I have a good incentive to go out, I can do it."
Page 17
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Trauma, Stressor-Related, and Dissociative Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/13729
Sample Questions
Q1) A soldier served in combat zones in Iraq during 2010 and was deployed to Afghanistan in 2013.When is it most important for the nurse to screen for signs and symptoms of posttraumatic stress disorder (PTSD)?
A) Immediately upon return to the U.S. from Afghanistan
B) Before departing Afghanistan to return to the U.S.
C) One year after returning from Afghanistan
D) Screening should be on-going
Q2) Select the correct etiology to complete this nursing diagnosis for a patient with dissociative identity disorder.Disturbed personal identity related to:
A) obsessive fears of harming self or others.
B) poor impulse control and lack of self-confidence.
C) depressed mood secondary to nightmares and intrusive thoughts.
D) cognitive distortions associated with unresolved childhood abuse issues.
Q3) Relaxation techniques help patients who have experienced major traumas because they:
A) engage the parasympathetic nervous system.
B) increase sympathetic stimulation.
C) increase the metabolic rate.
D) release hormones.
Page 18
To view all questions and flashcards with answers, click on the resource link above.
Chapter 17: Somatic Symptom Disorders
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/13730
Sample Questions
Q1) A medical-surgical nurse works with a patient diagnosed with a somatic symptom disorder.Care planning is facilitated by understanding that the patient will probably:
A) readily seek psychiatric counseling.
B) be resistant to accepting psychiatric help.
C) attend psychotherapy sessions without encouragement.
D) be eager to discover the true reasons for physical symptoms.
Q2) A patient says,"I know I have a brain tumor despite the results of the MRI.The radiologist is wrong.People who have brain tumors vomit,and yesterday I vomited all day." Which response by the nurse fosters cognitive reframing?
A) "You do not have a brain tumor. The more you talk about it, the more it reinforces your belief."
B) "Let's see if there are any other possible explanations for your vomiting."
C) "You seem so worried. Let's talk about how you're feeling."
D) "We need to talk about something else."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 18: Feeding, Eating, and Elimination Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/13731
Sample Questions
Q1) A nurse conducting group therapy on the eating disorders unit schedules the sessions immediately after meals for the primary purpose of:
A) maintaining patients' concentration and attention.
B) shifting the patients' focus from food to psychotherapy.
C) promoting processing of anxiety associated with eating.
D) focusing on weight control mechanisms and food preparation.
Q2) Physical assessment of a patient diagnosed with bulimia often reveals:
A) prominent parotid glands.
B) peripheral edema.
C) thin, brittle hair.
D) 25% underweight.
Q3) Which nursing intervention has the highest priority as a patient diagnosed with anorexia nervosa begins to gain weight?
A) Assess for depression and anxiety.
B) Observe for adverse effects of refeeding.
C) Communicate empathy for the patient's feelings.
D) Help the patient balance energy expenditures with caloric intake.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 19: Sleep-Wake Disorders
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/13732
Sample Questions
Q1) The nurse provides health education for an adult experiencing sleep deprivation.Which instruction has the highest priority?
A) "It's important to limit your driving to short periods. Sleep deprivation increases your risks for serious accidents."
B) "Sleep deprivation is usually self-limiting. See your health care provider if it lasts more than a year."
C) "Turn the radio on with a soft volume as you prepare for bed each evening. It will help you relax."
D) "Three glasses of wine each evening help many patients who suffer from sleep deprivation."
Q2) A nurse provides health education for an adult with sleep deprivation.It is most important for the nurse to encourage caution when the patient engages in:
A) using a vacuum cleaner.
B) cooking a meal.
C) driving a car.
D) bathing.
To view all questions and flashcards with answers, click on the resource link above.
21
Chapter 20: Sexual Dysfunctions, Gender Dysphoria, and Paraphilias
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/13733
Sample Questions
Q1) A woman consults the nurse practitioner because she has not achieved orgasm for 2 years,despite having been sexually active.This is an example of:
A) Paraphilic Disorder.
B) Female Orgasmic Disorder.
C) Genito-Pelvic Pain/Penetration Disorder.
D) Female Sexual Interest/Arousal Disorder.
Q2) A man who regularly experiences premature ejaculation tells the nurse,"I feel like such a failure.It's so awful for both me and my partner." Select the nurse's most therapeutic response.
A) "I sense you are feeling frustrated and upset."
B) "Tell me more about feeling like a failure."
C) "You are too hard on yourself."
D) "What do you mean by awful?"
Q3) A patient's medical record documents sexual masochism.This patient derives sexual pleasure:
A) from inanimate objects.
B) by inflicting pain on a partner.
C) when sexually humiliated by a partner.
D) from touching a non-consenting person.
Page 22
To view all questions and flashcards with answers, click on the resource link above.
Chapter 21: Impulse Control Disorders
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/13734
Sample Questions
Q1) A child known as the neighborhood bully says,"Nobody can tell me what to do." After receiving a poor grade on a science project,this child secretly loaded a virus on the teacher's computer.These behaviors support a diagnosis of:
A) conduct disorder.
B) oppositional defiant disorder.
C) intermittent explosive disorder.
D) attention deficit hyperactivity disorder.
Q2) A 16-year-old diagnosed with a conduct disorder has been in a residential program for 3 months.Which outcome should occur before discharge?
A) The adolescent and parents create and agree to a behavioral contract with rules, rewards, and consequences.
B) The adolescent identifies friends in the home community who are a positive influence.
C) Temporary placement is arranged with a foster family until the parents complete a parenting skills class.
D) The adolescent experiences no anger and frustration for 1 week.
To view all questions and flashcards with answers, click on the resource link above.
23
Chapter 22: Substance Related and Addictive Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/13735
Sample Questions
Q1) A patient asks for information about Alcoholics Anonymous.Select the nurse's best response."Alcoholics Anonymous is a:
A) form of group therapy led by a psychiatrist."
B) self-help group for which the goal is sobriety."
C) group that learns about drinking from a group leader."
D) network that advocates strong punishment for drunk drivers."
Q2) A patient undergoing alcohol rehabilitation decides to begin disulfiram (Antabuse)therapy.Patient teaching should include the need to: (select all that apply)
A) avoid aged cheeses.
B) avoid alcohol-based skin products.
C) read labels of all liquid medications.
D) wear sunscreen and avoid bright sunlight.
E) maintain an adequate dietary intake of sodium.
F) avoid breathing fumes of paints, stains, and stripping compounds.
Q3) Symptoms of withdrawal from opioids for which the nurse should assess include:
A) dilated pupils, tachycardia, elevated blood pressure, and elation.
B) nausea, vomiting, diaphoresis, anxiety, and hyperreflexia.
C) mood lability, incoordination, fever, and drowsiness.
D) excessive eating, constipation, and headache.
To view all questions and flashcards with answers, click on the resource link above.
Page 24
Chapter 23: Neurocognitive Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/13736
Sample Questions
Q1) An older adult was stopped by police for driving through a red light.When asked for a driver's license,the adult hands the police officer a pair of sunglasses.What sign of dementia is evident?
A) Aphasia
B) Apraxia
C) Agnosia
D) Anhedonia
Q2) An older adult drove to a nearby store but was unable to remember how to get home or state an address.When police intervened,they found that this adult was wearing a heavy coat and hat,even though it was July.Which stage of Alzheimer's disease is evident?
A) Preclinical Alzheimer's disease
B) Mild cognitive decline
C) Moderately severe cognitive decline
D) Severe cognitive decline
Q3) What is the priority need for a patient with late-stage dementia?
A) Promotion of self-care activities
B) Meaningful verbal communication
C) Preventing the patient from wandering
D) Maintenance of nutrition and hydration
To view all questions and flashcards with answers, click on the resource link above. Page 25
Chapter 24: Personality Disorders
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/13737
Sample Questions
Q1) When preparing to interview a patient diagnosed with narcissistic personality disorder,a nurse can anticipate the assessment findings will include:
A) preoccupation with minute details; perfectionist.
B) charm, drama, seductiveness; seeking admiration.
C) difficulty being alone; indecisive, submissiveness.
D) grandiosity, self-importance, and a sense of entitlement.
Q2) What is the priority nursing diagnosis for a patient diagnosed with antisocial personality disorder who has made threats against staff,ripped art off the walls,and thrown objects?
A) Risk for other-directed violence
B) Risk for self-directed violence
C) Impaired social interaction
D) Ineffective denial
Q3) The history shows that a newly admitted patient is impulsive.The nurse would expect behavior characterized by:
A) adherence to a strict moral code.
B) manipulative, controlling strategies.
C) acting without thought on urges or desires.
D) postponing gratification to an appropriate time.
To view all questions and flashcards with answers, click on the resource link above.
Page 26
Chapter 25: Suicide and Non-Suicidal Self-Injury
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/13738
Sample Questions
Q1) A college student who attempted suicide by overdose was hospitalized.When the parents were contacted,they responded,"We should have seen this coming.We did not do enough." The parents' reaction reflects:
A) guilt.
B) denial.
C) shame.
D) rescue feelings.
Q2) Which measure would be considered a form of primary prevention for suicide?
A) Psychiatric hospitalization of a suicidal patient
B) Referral of a formerly suicidal patient to a support group
C) Suicide precautions for 24 hours for newly admitted patients
D) Helping school children learn to manage stress and be resilient
Q3) Select the most critical question for the nurse to ask an adolescent who has threatened to take an overdose of pills.
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?"
To view all questions and flashcards with answers, click on the resource link above.
Chapter 26: Crisis and Disaster
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/13739
Sample Questions
Q1) A victim of spousal violence comes to the crisis center seeking help.Crisis intervention strategies the nurse uses will focus on:
A) supporting emotional security and reestablishing equilibrium.
B) long-term resolution of issues precipitating the crisis.
C) promoting growth of the individual.
D) providing legal assistance.
Q2) Which scenario is an example of an adventitious crisis?
A) The 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 person
D) A riot at a rock concert
Q3) A nurse driving home after work comes upon a serious automobile accident.The driver gets out of the car with no apparent physical injuries.Which assessment findings would the nurse expect from the driver immediately after this event? Select all that apply.
A) Difficulty using a cell phone
B) Long-term memory losses
C) Fecal incontinence
D) Rapid speech
E) Trembling
To view all questions and flashcards with answers, click on the resource link above. Page 28
Chapter 27: Anger, Aggression, and Violence
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/13740
Sample Questions
Q1) Family members describe the patient as "a difficult person who finds fault with others." The patient verbally abuses nurses for their poor care.The most likely explanation lies in:
A) poor childrearing that did not teach respect for others.
B) automatic thinking leading to cognitive distortions.
C) a personality style that externalizes problems.
D) delusions that others wish to deliver harm.
Q2) After an assault by a patient,a nurse has difficulty sleeping,startles easily,and is preoccupied with the incident.The nurse said,"That patient should not be allowed to get away with that behavior." Which response poses the greatest barrier to the nurse's ability to provide therapeutic care?
A) Startle reactions
B) Difficulty sleeping
C) A wish for revenge
D) Preoccupation with the incident
To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: Child, Older Adult, and Intimate Partner Violence
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/13741
Sample Questions
Q1) After treatment for a detached retina,a survivor of intimate partner abuse says,"My partner only abuses me when I make mistakes.I've considered leaving,but I was brought up to believe you stay together,no matter what happens." Which diagnosis should be the focus of the nurse's initial actions?
A) Risk for injury related to physical abuse from partner
B) Social isolation related to lack of a community support system
C) Ineffective coping related to uneven distribution of power within a relationship
D) Deficient knowledge related to resources for escape from an abusive relationship
Q2) An adult has recently been absent from work for 3-day periods on several occasions.Each time,the individual returned wearing dark glasses.Facial and body bruises were apparent.What is occupational health nurse's priority assessment?
A) Interpersonal relationships
B) Work responsibilities
C) Socialization skills
D) Physical injuries
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: Sexual Assault
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/13742
Sample Questions
Q1) An emergency department nurse prepares to assist with evidence collection for a sexual assault victim.Prior to photographs and pelvic examination,what documentation is important?
A) The patient's vital signs
B) Consent signed by the patient
C) Supervision and credentials of the examiner
D) Storage location of the patient's personal effects
Q2) A rape victim tells the nurse,"I should not have been out on the street alone." Select the nurse's most therapeutic response.
A) "Rape can happen anywhere."
B) "Blaming yourself increases your anxiety and discomfort."
C) "You are right. You should not have been alone on the street at night."
D) "You feel as though this would not have happened if you had not been alone."
Q3) A nurse cares for a rape victim who was given a drink that contained flunitrazepam (Rohypnol)by an assailant.Which intervention has priority? Monitoring for:
A) coma.
B) seizures.
C) hypotonia.
D) respiratory depression.
To view all questions and flashcards with answers, click on the resource link above.
Page 31
Chapter 30: Psychosocial Needs of the Older Adult
Available Study Resources on Quizplus for this Chatper
34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/13743
Sample Questions
Q1) An elderly patient must be physically restrained.Who is responsible for the patient's safety?
A) The nurse assigned to care for the patient
B) Unlicensed assistive personnel who apply the restraint
C) Family member who agrees to application of the restraint
D) Health care provider who prescribed application of restraint
Q2) An older adult patient was diagnosed with schizophrenia at age 18.A nurse at the outpatient medication clinic interviews this patient.Which communication strategy will be most helpful?
A) Ask questions that can be answered with "yes" or "no."
B) Ask clear, simple questions using concrete language.
C) Use silence often and let the patient take the lead.
D) Use open-ended, indirect questions.
Q3) A nurse and social worker co-lead a reminiscence group for eight young-old adults.Which activity is most appropriate to include in the group?
A) Mild aerobic exercise
B) Singing a song from World War II
C) Discussing national leadership during the Vietnam War
D) Identifying the most troubling story in today's newspaper
To view all questions and flashcards with answers, click on the resource link above.
Page 32
Chapter 31: Serious Mental Illness
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/13744
Sample Questions
Q1) A patient living independently had command hallucinations to shout warnings to neighbors.After a short hospitalization,the patient was prohibited from returning to the apartment.The landlord said,"You cause too much trouble." What problem is the patient experiencing?
A) Grief
B) Stigma
C) Homelessness
D) Nonadherence
Q2) A consumer at a rehabilitative psychosocial program says to the nurse,"People are not cleaning up behind themselves in the bathrooms.The building is dirty and cluttered." How should the nurse respond?
A) Encourage the consumer to discuss it at a meeting with everyone.
B) Hire a professional cleaning service to clean the restrooms.
C) Address the complaint at the next staff meeting.
D) Tell the consumer, "That's not my problem."
To view all questions and flashcards with answers, click on the resource link above. Page 33
Chapter 32: Forensic Psychiatric Nursing
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/13745
Sample Questions
Q1) A nurse testifies about care provided to a patient in the 8 hours before a successful suicide.The nurse responds to questions about observations regarding the patient's behavior as well as interventions performed and documented during the shift.In what capacity was this nurse testifying?
A) Forensic nurse examiner
B) Expert witness
C) Fact witness
D) Consultant
Q2) Which treatment setting would necessitate the most restrictive care environment?
A) Partial hospitalization program
B) Geropsychiatric unit
C) Forensic hospital
D) Group home
Q3) A correctional nurse plans a health education series for prison inmates.Which topic is most important for the nurse to include in this series?
A) Sleep hygiene
B) Personal grooming
C) Social skills training
D) Assertive communication
To view all questions and flashcards with answers, click on the resource link above.
Page 34
Chapter 33: Therapeutic Groups
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/13746
Sample Questions
Q1) "Everyone has had good ideas so far; so,whatever you say is fine with me."
A) Playboy
B) Energizer
C) Organizer
D) Follower
Q2) During a group therapy session,a newly admitted patient suddenly says to the nurse,"How old are you? You seem too young to be leading a group." Select the nurse's most appropriate response.
A) "I am wondering what leads you to ask. Please tell me more."
B) "I am old enough to be a nurse, which qualifies me to lead this group."
C) "My age is not pertinent to why we are here and should not concern you."
D) "You are wondering whether I have enough experience to lead this group?"
Q3) A patient in a support group says,"I'm tired of being sick.Everyone always helps me,but I will be glad when I can help someone else." This statement reflects:
A) altruism.
B) universality.
C) cohesiveness.
D) corrective recapitulation.
To view all questions and flashcards with answers, click on the resource link above.
35
Chapter 34: Family Interventions
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/13747
Sample Questions
Q1) A wife believes her husband is having an affair.Lately,he has been disinterested in romance and working late.The husband has an important,demanding project at work.The mother asks her teen,"What have you noticed about your father?" The teen later mentions this to the father,who says,"Tell your mother that I can't deal with her insecurities right now." Which family dynamic is evident?
A) Multigenerational dysfunction
B) Triangulation
C) Enmeshment
D) Blaming
Q2) A nurse interviews a homeless parent with two teenage children.To best assess the family's use of resources,the nurse should ask:
A) "Can you describe a problem your family has successfully resolved?"
B) "What community agencies have you found helpful in the past?"
C) "What aspect of being homeless is most frightening for you?"
D) "Do you feel you have adequate resources to survive?"
To view all questions and flashcards with answers, click on the resource link above.
Chapter 35: Integrative Care
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/13748
Sample Questions
Q1) A patient tells the nurse,"I prefer to treat my physical problems with herbs and vitamins.They are natural substances,and natural products are safe." Which response by the nurse would be most appropriate?
A) "Natural substances tend to be safer than conventional medical remedies."
B) "Natural remedies give you the idea that you are controlling your treatment."
C) "The word natural can be a marketing term used to imply a product is healthy, but that's not always true."
D) "You should not treat your own physical problems. You should see your health care provider for these problems."
Q2) A patient diagnosed with depression tells the nurse,"I want to try supplementing my selective serotonin reuptake inhibitor with St.John's wort." Which action should the nurse take first?
A) Advise the patient of the danger of serotonin syndrome.
B) Suggest that aromatherapy may produce better results.
C) Assess the patient for depression and risk for suicide.
D) Suggest the patient decrease the antidepressant dose.
To view all questions and flashcards with answers, click on the resource link above.