Mental Health Nursing Practice Exam
Course Introduction
Mental Health Nursing explores the principles and practices essential to providing holistic care to individuals experiencing mental health challenges. The course emphasizes the development of therapeutic communication, assessment skills, and evidence-based interventions to support patients across the lifespan. Students learn about the biological, psychological, and social factors that influence mental health, as well as the legal and ethical considerations specific to psychiatric care. By engaging in case studies, clinical simulations, and collaborative discussions, learners develop critical thinking and empathy to effectively advocate for and empower individuals on their path to mental wellness.
Recommended Textbook
Canadian Psychiatric Mental Health Nursing Canadian Edition 1st Edition by Jordan Halter
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37 Chapters
1052 Verified Questions
1052 Flashcards
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Page 2
Chapter 1: Mental Health and Mental Illness
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Select the best response for the nurse who receives a question from another health professional seeking to understand the difference between a Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnosis and a nursing diagnosis.
A) "There is no functional difference between the two. Both identify human disorders."
B) "The DSM-5 diagnosis disregards culture, whereas the nursing diagnosis takes culture into account."
C) "The DSM-5 diagnosis describes causes of disorders, whereas a nursing diagnosis does not explore etiology."
D) "The DSM-5 diagnosis guides medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for issues a patient is experiencing."
Answer: D
Q2) Most psychiatric disorders are the result of which of the following?
A) Childhood trauma
B) Adverse life events
C) Multiple defective genes
D) Chronic medical conditions
Answer: C
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Chapter 2: Historical Overview of Psychiatric Mental Health
Nursing
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Which of the following has largely been excluded from Canadian nursing history?
A) Female nurses' role in psychiatric nursing
B) Mental health field of study
C) Male attendants' role in institutions
D) Generalist registered nurses' role
Answer: B
Q2) The first psychiatric nurse training program in Canada was in which of the following provinces?
A) Alberta
B) Quebec
C) Ontario
D) British Columbia
Answer: C
Q3) Which was instrumental in the establishment of a psychiatry rotation to the nursing curriculum of Eastern and Atlantic Canada?
A) Dorothea Dix
B) The "Weir Report"
C) The Canadian Nurses Association
D) The Canadian Medical Association
Answer: B
Page 4
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Chapter 3: Relevant Theories and Therapies for Nursing Practice
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) A person says, "I was the only survivor in a small plane crash. Three business associates died. I got depressed and saw a counsellor twice a week for 4 weeks. We talked about my feelings related to being a survivor, and I'm better now." Which type of therapy was used?
A) Milieu therapy
B) Psychoanalysis
C) Behaviour modification
D) Interpersonal psychotherapy
Answer: D
Q2) A nurse uses Maslow's hierarchy of needs to plan care for a patient with mental illness. Which problem will receive priority?
A) The patient refuses to eat or bathe.
B) The patient reports feelings of alienation from family.
C) The patient is reluctant to participate in unit social activities.
D) The patient is unaware of medication action and adverse effects.
Answer: A
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5
Chapter 4: Psychotropic Drugs
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35 Flashcards
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Sample Questions
Q1) An obese patient has a diagnosis of schizophrenia. Medications that block which receptors would contribute to further weight gain?
A) H<sub>1</sub>
B) 5 HT<sub>2</sub>
C) Acetylcholine
D) Gamma-aminobutyric acid (GABA)
Q2) A patient has fear as well as increased heart rate and blood pressure. The nurse suspects increased activity of which neurotransmitter?
A) Gamma-aminobutyric acid (GABA)
B) Norepinephrine
C) Acetylcholine
D) Histamine
Q3) The therapeutic action of neurotransmitter inhibitors that block reuptake cause which of the following effects?
A) Decreased concentration of the blocked neurotransmitter in the central nervous system
B) Increased concentration of the blocked neurotransmitter in the synaptic gap
C) Destruction of receptor sites specific to the blocked neurotransmitter
D) Limbic system stimulation
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Chapter 5: Psychiatric Mental Health Nursing in Acute Care Settings
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) A nurse surveys medical records. Which finding signals a violation of patients' rights?
A) A patient was not allowed to send letters to family.
B) A patient's belongings were searched at admission.
C) A patient with suicidal ideation was placed on continuous observation.
D) Physical restraint was used after a patient was assaultive toward a staff member.
Q2) The patients below were evaluated in the emergency department. The psychiatric unit has one bed available. Which patient should be admitted?
A) The patient who is feeling anxiety and a sad mood after separation from a spouse of 10 years.
B) The patient who self-inflicted a superficial cut on the forearm after a family argument.
C) The patient experiencing dry mouth and tremor related to taking haloperidol (Haldol).
D) The patient who is a new parent and hears voices saying, "Smother your baby."
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Chapter 6: Psychiatric Mental Health Nursing in Community Settings
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Sample Questions
Q1) Which assessment finding for a patient in the community deserves priority intervention by the psychiatric nurse?
A) The patient receives provincial disability income plus a small cheque from a trust fund every month.
B) The patient was absent from three of six planned Alcoholics Anonymous meetings in the past 2 weeks.
C) The patient lives in an apartment with two patients who attend partial hospitalization programs.
D) The patient has a sibling who was recently diagnosed with a mental illness.
Q2) Which level of prevention activities would a nurse in an emergency department employ most often?
A) Primary
B) Secondary
C) Tertiary
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Chapter 7: Cultural Implications for Psychiatric Mental
Health Nursing
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The nurse knows that the blueprint for guiding actions that impact care, health, and well-being is which of the following?
A) World view
B) Ethnicity
C) Ethnocentrism
D) Culture
Q2) When caring for a patient of Western culture, the nurse is aware that the personal space of this patient is which of the following?
A) up to 0.5 m
B) 0.5 to 1.0 m
C) 1.0 to 1.5 m
D) 1.5 to 2.0 m
Q3) To provide culturally competent care, the nurse should do which of the following?
A) Accurately interpret the thinking of individual patients
B) Predict how a patient may perceive treatment interventions
C) Formulate interventions to reduce the patient's ethnocentrism
D) Identify strategies that fit within the cultural context of the patient
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Page 9
Chapter 8: Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice
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Sample Questions
Q1) A psychiatric nurse best applies the ethical principle of autonomy by doing which of the following?
A) Exploring alternative solutions with a patient, who then makes a choice.
B) Suggesting that two patients who were fighting be restricted to the unit.
C) Intervening when a self-mutilating patient attempts to harm self.
D) Staying with a patient demonstrating a high level of anxiety.
Q2) Two hospitalized patients fight whenever they are together. During a team meeting, a nurse asserts that safety is of paramount importance, so treatment plans should call for both patients to be secluded to keep them from injuring each other. This assertion does which of the following?
A) Reinforces the autonomy of the two patients
B) Violates the civil rights of both patients
C) Represents the intentional tort of battery
D) Correctly places emphasis on safety
Q3) Which action by a nurse constitutes a breach of a patient's right to privacy?
A) Documenting the patient's daily behaviour during hospitalization
B) Releasing information to the patient's employer without consent
C) Discussing the patient's history with other staff during care planning
D) Asking family to share information about a patient's pre-hospitalization behaviour
Page 10
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Chapter 9: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
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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 which of the following?
A) Counselling
B) Health teaching
C) Milieu management
D) Psychobiological intervention
Q2) A patient begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item, "Encourage patient to attend one psychoeducational group daily"?
A) Assessment
B) Analysis
C) Implementation
D) Evaluation
Q3) What is the nurse's primary source for data collection?
A) The patient
B) The patients chart
C) The admission history and physical
D) The patient's family or significant other
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Chapter 10: Therapeutic Relationships
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Sample Questions
Q1) A nurse assesses a confused older adult. The nurse experiences sadness and reflects, "The patient is like one of my grandparents-so helpless." Which response is the nurse demonstrating?
A) Transference
B) Counter-transference
C) Catastrophic reaction
D) Defensive coping reaction
Q2) A patient says, "I've done a lot of cheating and manipulating in my relationships." Select a nonjudgemental response by the nurse.
A) "How do you feel about that?"
B) "I am glad that you realize this."
C) "That's not a good way to behave."
D) "Have you outgrown that type of behaviour?"
Q3) A nurse wants to enhance growth of a patient by showing positive regard. The nurse's action most likely to help achieve this goal is which of the following?
A) Making rounds daily
B) Staying with a tearful patient
C) Administering medication as prescribed
D) Examining personal feelings about a patient
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Page 12
Chapter 11: Communication and the Clinical Interview
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The patient says, "My marriage is just great. My spouse and I always agree." The nurse observes the patient's foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can draw is that the patient's communication is which of the following?
A) Clear
B) Mixed
C) Precise
D) Inadequate
Q2) During a one-on-one interaction with the nurse, a patient frequently looks nervously at the door. Select the best comment by the nurse regarding this nonverbal communication.
A) "I notice you keep looking toward the door."
B) "This is our time together. No one is going to interrupt us."
C) "It looks as if you are eager to end our discussion for today."
D) "If you are uncomfortable in this room, we can move someplace else."
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13
Chapter 12: Understanding Responses to Stress
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Sample Questions
Q1) According to the Recent Life Changes Questionnaire, which situation would most necessitate a complete assessment of a person's stress status and coping abilities?
A) A person who has been assigned more responsibility at work
B) A parent whose job required relocation to a different city
C) A person returning to college after an employer ceased operations
D) A man who recently separated from his wife because of marital problems
Q2) A patient tells the nurse, "I know that I should reduce the stress in my life, but I have no idea where to start." What would be the best initial nursing response?
A) "Physical exercise works to elevate mood and reduce anxiety."
B) "Reading about stress and how to manage it might be a good place to start."
C) "Why not start by learning to meditate? That technique will cover everything."
D) "Let's talk about what is going on in your life and then look at possible options."
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Chapter 13: Anxiety, Obsessive-Compulsive, and Related Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) When alprazolam (Xanax) is prescribed for a patient who experiences acute anxiety, health teaching should include instructions to do which of the following?
A) Report drowsiness
B) Eat a tyramine-free diet
C) Avoid alcoholic beverages
D) Adjust dose and frequency based on anxiety level
Q2) A nurse plans health teaching for a patient with generalized anxiety disorder who begins a new prescription for lorazepam (Ativan). What information should be included? Select all that apply.
A) Caution in use of machinery
B) Foods allowed on a tyramine-free diet
C) The importance of caffeine restriction
D) Avoidance of alcohol and other sedatives
E) The need to take the medication on an empty stomach
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15
Chapter 14: Depressive Disorders
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A patient became depressed after the last of the family's six children moved out of the home 4 months ago. Select the best initial outcome for the nursing diagnosis
Situational low self-esteem related to feelings of abandonment.
A) The patient will verbalize realistic positive characteristics about self by (date).
B) The patient will agree to take an antidepressant medication regularly by (date).
C) The patient will initiate social interaction with another person daily by (date).
D) The patient will identify two personal behaviours that alienate others by (date).
Q2) A patient diagnosed with depression begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. The nurse should provide information to the patient and family about which of the following?
A) Restricting sodium intake to 1 gram daily
B) Minimizing exposure to bright sunlight
C) Reporting increased suicidal thoughts
D) Maintaining a tyramine-free diet
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Chapter 15: Bipolar Disorders
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) A patient with acute mania has disrobed in the hall three times in 2 hours. Which of the following should the nurse do?
A) Direct the patient to wear clothes at all times.
B) Ask if the patient finds clothes bothersome.
C) Tell the patient that others feel embarrassed.
D) Arrange for one-on-one supervision.
Q2) A patient diagnosed with acute mania has distributed pamphlets about a new business venture on a street corner for 2 days. Which nursing diagnosis has priority?
A) Risk for injury
B) Ineffective coping
C) Impaired social interaction
D) Ineffective therapeutic regimen management
Q3) At a unit meeting, the staff discusses decor for a special room for patients with acute mania. Which suggestion is appropriate?
A) An extra-large window with a view of the street
B) Neutral walls with pale, simple accessories
C) Brightly coloured walls and print drapes
D) Deep colours for walls and upholstery
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Chapter 16: Schizophrenia Spectrum and Other Psychotic Disorders
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A patient diagnosed with schizophrenia and auditory hallucinations anxiously tells the nurse, "The voice is telling me to do things." Select the nurse's priority assessment question.
A) "How long has the voice been directing your behaviour?"
B) "Does what the voice tells you to do frighten you?"
C) "Do you recognize the voice speaking to you?"
D) "What is the voice telling you to do?"
Q2) When a patient diagnosed with schizophrenia was discharged 6 months ago, haloperidol (Haldol) was prescribed. The patient now says, "I stopped taking those pills. They made me feel like a robot." What are common side effects the nurse should validate with the patient?
A) Sedation and muscle stiffness
B) Sweating, nausea, and diarrhea
C) Mild fever, sore throat, and skin rash
D) Headache, watery eyes, and runny nose
Q3) Which finding constitutes a negative symptom associated with schizophrenia?
A) Hostility
B) Bizarre behaviour
C) Poverty of thought
D) Auditory hallucinations
Page 18
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Chapter 17: Eating Disorders
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Sample Questions
Q1) Physical assessment of a patient diagnosed with bulimia often reveals which of the following:
A) Prominent parotid glands
B) Peripheral edema
C) Thin, brittle hair
D) Twenty-five percent underweight
Q2) The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention "monitor for complications of refeeding." Which system should a nurse closely monitor for dysfunction?
A) Renal
B) Endocrine
C) Integumentary
D) Cardiovascular
Q3) Which assessment finding for a patient diagnosed with an eating disorder meets criteria for hospitalization?
A) Urine output 40 mL/hr
B) Pulse rate 58 beats/min
C) Serum potassium 3.4 mEq/L
D) Blood pressure 78/58 mm Hg
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Page 19
Chapter 18: Cognitive Disorders
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Sample Questions
Q1) Two patients in a residential care facility have dementia. One shouts to the other, "Move along, you're blocking the road." The other patient turns, shakes a fist, and shouts, "You're trying to steal my car." What is the nurse's best action?
A) Administer one dose of an antipsychotic medication to both patients.
B) Reinforce reality. Say to the patients, "Walk along in the hall. This is not a traffic intersection."
C) Separate and distract the patients. Take one to the day room and the other to an activities area.
D) Step between the two patients and say, "Please quiet down. We do not allow violence here."
Q2) Which medication prescribed to patients diagnosed with Alzheimer's disease normalizes levels of glutamate rather than antagonizes cholinesterase?
A) Donepezil (Aricept)
B) Rivastigmine (Exelon)
C) Memantine (Ebixa)
D) Galantamine (Reminyl)
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Chapter 19: Substance Use and Addictive Disorders
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Sample Questions
Q1) The treatment team discusses the plan of care for a patient with concurrent disorders of schizophrenia and daily cannabis abuse who is having increased hallucinations and delusions. To plan effective treatment, which of the following should the team do?
A) Provide long-term care for the patient in a residential facility
B) Withdraw the patient from cannabis, and then treat the schizophrenia
C) Consider each diagnosis primary and provide simultaneous treatment
D) First treat the schizophrenia, and then establish goals for substance abuse treatment
Q2) A nurse cares for a patient diagnosed with an opioid overdose. Which focused assessment has the highest priority?
A) Cardiovascular
B) Respiratory
C) Neurologic
D) Hepatic
Q3) Which goal for treatment of alcoholism should the nurse address first?
A) Learn about addiction and recovery.
B) Develop alternate coping strategies.
C) Develop a peer support system.
D) Achieve physiologic stability.
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Chapter 20: Personality Disorders
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Sample Questions
Q1) A nurse determines desired outcomes for a patient diagnosed with schizotypal personality disorder. Select the best outcome.
A) The patient will adhere willingly to unit norms.
B) The patient will report decreased incidence of self-mutilative thoughts.
C) The patient will demonstrate fewer attempts at splitting or manipulating staff.
D) The patient will demonstrate the ability to introduce self to a stranger in a social situation.
Q2) A new psychiatric technician says, "Schizophrenia . . . schizotypal! What's the difference?" The nurse's response should include which information?
A) A patient diagnosed with schizophrenia is not usually overtly psychotic.
B) In schizotypal personality disorder, the patient remains psychotic much longer.
C) With schizotypal personality disorder, the person can be made aware of misinterpretations of reality.
D) Schizotypal personality disorder causes more frequent and more prolonged hospitalizations than schizophrenia.
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Chapter 21: Sleep Wake Disorders
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Sample Questions
Q1) A person is prescribed a selective serotonin reuptake inhibitor (SSRI). Which change in sleep is likely to be secondary to this medication?
A) The patient will have more dreams.
B) The patient will have excessive sleepiness.
C) The patient will have less slow-wave sleep.
D) The patient will have less rapid eye movement (REM) sleep.
Q2) A person is prescribed lorazepam (Ativan) 2 mg po bid prn for anxiety. When the person takes this medication, which change in sleep is anticipated?
A) The patient will have fewer dreams.
B) The patient will have less slow-wave sleep.
C) The patient will experience extended sleep latency.
D) The patient will enter sleep through rapid eye movement (REM) sleep.
Q3) A patient needs diagnostic evaluation of sleep problems. Which test will evaluate the patient for possible sleep-related problems?
A) Skull X-rays
B) Electroencephalogram (EEG)
C) Positron emission tomography (PET)
D) Single-photon emission computed tomography (SPECT)
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Page 23
Chapter 22: Sexual Dysfunction, Gender Dysphoria, and Paraphilias
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Sample Questions
Q1) A nurse is anxious about assessing the sexual history of a patient who is considerably older than the nurse is. Which statement would be most appropriate for obtaining information about the patient's sexual practices?
A) "Some people are not sexually active, others have a partner, and some have several partners. What has been your pattern?"
B) "Sexual health can reflect a number of medical problems, so I'd like to ask if you have any sexual problems you think we should know about."
C) "It's your own business, of course, but it might be helpful for us to have some information about your sexual history. Could you tell me about that, please?"
D) "I would appreciate it if you could share your sexual history with me so I can share it with your health care provider. It might be helpful in planning your treatment."
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Chapter 23: Somatic Symptom Disorders and Dissociative Disorders
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Q1) A patient diagnosed with a somatic symptom disorder has been in treatment for 4 weeks. The patient says, "Although I'm still having pain, I notice it less and am able to perform more activities." The nurse should evaluate the treatment plan as which of the following?
A) Marginally successful
B) Minimally successful
C) Partially successful
D) Totally achieved
Q2) To plan effective care for patients diagnosed with somatic symptom disorders, the nurse should understand that patients have difficulty giving up the symptoms because of which of the following?
A) The symptoms are generally chronic.
B) The symptoms have a physiological basis.
C) The symptoms can be voluntarily controlled.
D) The symptoms provide relief from health anxiety.
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25
Chapter 24: Crisis and Disaster
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Q1) A patient comes to the crisis centre saying, "I'm in a terrible situation. I don't know what to do." The triage nurse can initially assume that the patient is which of the following?
A) Suicidal
B) Anxious and fearful
C) Misperceiving reality
D) Potentially homicidal
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 patient that has recently survived a plane crash has returned to work and reports being able to sleep well at night. The nurse meets with the patient once a month to provide ongoing support and encouragement. Which type of crisis intervention is the nurse performing?
A) Primary
B) Secondary
C) Tertiary
D) Critical incident stress debriefing
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Chapter 25: Suicide
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Q1) Which nursing interventions will be implemented for a patient who is actively suicidal? Select all that apply.
A) Maintain arm's-length, one-on-one direct observation at all times.
B) Check all items brought by visitors and remove risk items.
C) Use plastic eating utensils; count utensils upon collection.
D) Remove the patient's eyeglasses to prevent self-injury.
E) Interact with the patient every 15 minutes.
Q2) Four individuals have given information about their suicide plans. Which plan evidences the highest suicide risk?
A) Turning on the oven and letting gas escape into the apartment during the night
B) Cutting the wrists in the bathroom while the spouse reads in the next room
C) Overdosing on aspirin with codeine while the spouse is out with friends
D) Shooting in the head with a firearm that spouse keeps in the bedroom
Q3) Which measure would be considered a form of primary intervention 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
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Chapter 26: Anger, Aggression, and Violence
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Q1) Which information from a patient's record would indicate marginal coping skills and the need for careful assessment of the risk for violence?
A) A history of academic problems
B) A history of family involvement
C) A history of childhood trauma
D) A history of substance abuse
Q2) Which indications warrant the use of seclusion? Select all that apply.
A) To protect from self-harm
B) To increase self-isolation
C) To decrease environmental stimulation
D) To prevent assault
E) To encourage self-reflection
Q3) The staff development coordinator plans to teach use of physical management techniques for use when patients become assaultive. Which topic should the coordinator emphasize?
A) Practice and teamwork
B) Spontaneity and surprise
C) Caution and superior size
D) Diversion and physical outlets
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Chapter 27: Interpersonal Violence: Child, Older Adult, and
Intimate Partner Abuse
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Sample Questions
Q1) What feelings are most commonly experienced by nurses working with abusive families?
A) Outrage toward the victim and discouragement regarding the abuser
B) Helplessness regarding 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
Q2) An 11-year-old says, "My parents don't like me. They call me stupid and say they wish I were never born. It doesn't matter what they think because I already know I'm dumb." Which nursing diagnosis applies to this child?
A) Chronic low self-esteem related to negative feedback from parents
B) Deficient knowledge related to interpersonal skills with parents
C) Disturbed personal identity related to negative self-evaluation
D) Complicated grieving related to poor academic performance
Q3) What is a nurse's legal responsibility if child abuse or neglect is suspected?
A) Discuss the findings with the child's parent and health care provider.
B) Document the observation and suspicion in the medical record.
C) Report the suspicion according to provincial or territorial regulations.
D) Continue the assessment.
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Chapter 28: Sexual Assault
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Q1) A nurse cares for a rape victim who was given a drink that contained GHB (?-hydroxybutyric acid) by an assailant. Which intervention has priority?
A) Monitoring for coma
B) Monitoring for seizures
C) Monitoring for hypotonia
D) Monitoring for respiratory depression
Q2) An unconscious teenager is treated in the emergency department. The teenager's friends suspect a rape occurred at a party and tell the nurse the teenager received ketamine. Priority action by the nurse should focus on which of the following?
A) Preserving rape evidence
B) Maintaining physiologic stability
C) Determining what drugs were ingested
D) Obtaining a description of the rape from a friend
Q3) Where do the majority of sexual assaults occur?
A) Private home
B) City street at night
C) Commercial establishment
D) Person's own motor vehicle
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Chapter 29: Disorders of Children and Adolescents
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Source URL: https://quizplus.com/quiz/23111
Sample Questions
Q1) A desired outcome for a 12-year-old diagnosed with attention deficit-hyperactivity disorder is to improve relationships with other children. Which treatment modality should the nurse suggest for the plan of care?
A) Reality therapy
B) Simple restitution
C) Social skills group
D) Insight-oriented group therapy
Q2) Which nursing diagnosis is universally applicable for children diagnosed with autism spectrum disorders?
A) Impaired social interaction related to difficulty relating to others
B) Chronic low self-esteem related to excessive negative feedback
C) Deficient fluid volume related to abnormal eating habits
D) Anxiety related to nightmares and repetitive activities
Q3) The child who has been prescribed an antipsychotic medication to manage violent behaviour was most likely diagnosed with which of the following?
A) Attention deficit-hyperactivity disorder
B) Post-traumatic stress disorder
C) Communication disorder
D) An anxiety disorder
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Chapter 30: Psychosocial Needs of the Older Adult
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Source URL: https://quizplus.com/quiz/23112
Sample Questions
Q1) A 75-year-old patient comes to the clinic reporting frequent headaches. As the nurse begins the interaction, which action is most important?
A) Complete a neurological assessment.
B) Determine whether the patient can hear as the nurse speaks.
C) Suggest that the patient lie down in a darkened room for a few minutes.
D) Administer medication to relieve the patient's pain before continuing the assessment.
Q2) A nurse wants to assess for suicidal ideation in an elderly patient. Select the best question to begin this assessment.
A) "Are there any things going on in your life that would cause you to consider suicide?"
B) "What are your beliefs about a person's right to take his or her own life?"
C) "Do you think you are vulnerable to developing a depressed mood?"
D) "If you felt suicidal, would you tell someone about your feelings?"
Q3) What is considered the Silent Geriatric Giant?
A) Depression
B) Anxiety
C) Chronic pain
D) Sleep disorders
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Chapter 31: Living With Recurrent and Persistent Mental Illness
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Source URL: https://quizplus.com/quiz/23113
Sample Questions
Q1) A person diagnosed with a serious mental illness (SMI) living in the community was punched, pushed to the ground, and robbed of $7 during the day on a public street. Which statements about violence and SMI in general are accurate? Select all that apply.
A) People with SMI are more likely to be violent.
B) People with SMI are more likely to commit crimes than to be the victims of crime.
C) Impaired judgement and social skills can provoke hostile or assaultive behaviour.
D) Lower incomes force people with SMI to live in high-crime areas, increasing risk.
E) People with SMI experience higher rates of sexual assault and victimization than others.
F) Criminals may believe people with SMI are less likely to resist or testify against them.
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33
Chapter 32: Psychological Needs of Patients With Medical Conditions
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Source URL: https://quizplus.com/quiz/23114
Sample Questions
Q1) A patient has a disorder that causes progressive, severe muscle pain and weakness, and she has curtailed physical and social activities to accommodate her condition. She tells the nurse "I cannot do anything. I have to depend on other people to help me. I do not enjoy much of anything anymore; even food does not taste good. I cannot see that my situation will change, so I feel pretty hopeless." Which of the following is the priority action the nurse should take?
A) Point out that there is always room for hope
B) Discuss the importance of physical exercise
C) Inquire about her support system and coping plans
D) Assess for signs of depression
Q2) Which modality would be helpful to include in the standard plan of care for patients who are being treated for severe, chronic low back pain? Select all that apply.
A) Biofeedback to promote muscular relaxation relief of tension that aggravates pain
B) Guided imagery to deepen relaxation and desensitize the patient to pain
C) Hypnosis for a state of restful alertness and blocking out painful sensations
D) Acupuncture and transcendental meditation for relaxation and direct pain relief
E) Psychotherapy to address emotional issues that can aggravate tension and pain
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Page 34
Chapter 33: Care for the Dying and for Those Who Grieve
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Source URL: https://quizplus.com/quiz/23115
Sample Questions
Q1) When is the grieving process is more difficult?
A) When a person has experienced many previous losses in life
B) When a person was emotionally independent of the deceased
C) When a person had few unresolved conflicts with the deceased
D) When a person recognizes the deceased was an elderly person, so it was time for death
Q2) Family members of a dying patient ask the nurse, "What can we say when our loved one says, 'Death is coming soon?'" To promote communication, which response could the nurse suggest for family members?
A) "We feel sad when we think about life without you."
B) "We have not given up on getting you well."
C) "We think you will be around for a long time yet."
D) "Let's talk about the good memories we have."
Q3) A recently widowed patient tells the nurse, "I am having epigastric discomfort. I think I have developed an ulcer." Diagnostic tests are negative. Which phenomenon of bereavement is evident?
A) Preoccupation with the image of the deceased
B) Disorganization, depression, and restlessness
C) Sensations of somatic distress
D) Reorganization of behaviour
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Chapter 34: Forensic Psychiatric Nursing
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Source URL: https://quizplus.com/quiz/23116
Sample Questions
Q1) A correctional nurse plans a health education series for male prison inmates based upon the greatest likelihood of experiencing which mental health disorder while incarcerated?
A) Mood disorder
B) Schizophrenia
C) Hallucinations
D) Bipolar disease
Q2) An inmate was diagnosed with post-traumatic stress disorder (PTSD) caused by severe sexual abuse. One day this inmate sees a person with characteristics similar to the perpetrator, has a flashback, and then attacks the person. Correctional officers place the inmate in restraint. In what way should the correctional nurse anticipate that the inmate would react to restraint?
A) By committing to counselling to reduce the incidence of flashbacks
B) By becoming less likely to assault others during future flashbacks
C) By gradually calming and returning from the flashback to reality
D) By becoming more frightened, agitated, and combative
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Chapter 35: Therapeutic Groups
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Source URL: https://quizplus.com/quiz/23117
Sample Questions
Q1) The nurse has been working with a large group of patients and has noticed that there are six members that have experienced sexual abuse and tend to talk only amongst themselves. Which type of group does this reflect?
A) Subgroup
B) Open group
C) Closed group
D) Heterogeneous group
Q2) Guidelines followed by the leader of a therapeutic group include focusing on recognizing dysfunctional behaviour and thinking patterns, followed by identifying and practising more adaptive alternate behaviours and thinking. Which theory is evident by this approach?
A) Behavioural
B) Interpersonal
C) Psychodynamic
D) Cognitive-behavioural
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Chapter 36: Family Interventions
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Source URL: https://quizplus.com/quiz/23118
Sample Questions
Q1) A married couple has two biological children who live with them as well as a child from the wife's first marriage. What type of family is evident?
A) Homogeneous
B) Extended
C) Blended
D) Nuclear
Q2) Which comment by a mother during a family therapy session shows evidence of scapegoating?
A) "Our youngest child always starts arguments and upsets everyone else."
B) "We all express our feelings openly except when we think it might upset my husband."
C) "Our oldest child knows that my husband and I are doing all we can for the others."
D) "After my husband has been drinking, I have to get everyone up and ready for school."
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Chapter 37: Integrative Care
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Source URL: https://quizplus.com/quiz/23119
Sample Questions
Q1) Which traditional, complementary, and alternative therapy may be safely combined with traditional Western medicine in the treatment of anxiety disorder?
A) Electroconvulsive therapy
B) Megadoses of vitamins
C) Meditative practices
D) Herbal therapy
Q2) A patient tells the nurse, "I've been having problems with my memory. I read some information on the Internet and started taking ginkgo." Select the nurse's best response.
A) "The Internet does not have reliable health information for consumers."
B) "More recent studies indicate ginkgo does not help memory problems."
C) "Valerian has been shown to have better effects for treating memory problems."
D) "Your memory problems are related to your circulation problems. Herbs will not help."
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