

Mental Health Nursing Practice Questions
Course Introduction
Mental Health Nursing focuses on the principles and practices involved in caring for individuals experiencing mental health challenges across the lifespan. Students will explore the biopsychosocial factors influencing mental health, assessment skills, therapeutic communication, crisis intervention, and evidence-based interventions for a range of psychiatric conditions. Emphasis is placed on promoting recovery, reducing stigma, advocating for patient rights, and fostering collaborative relationships with clients, families, and multidisciplinary teams in a variety of healthcare 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) Which research evidence would most influence a group of nurses to change their practice?
A)Expert committee report of recommendations for practice
B)Systematic review of randomized controlled trials
C)Nonexperimental descriptive study
D)Critical pathway
Answer: B
Q2) In the shift-change report,an off-going nurse criticizes a patient who wears heavy makeup.Which comment by the nurse who receives the report best demonstrates advocacy?
A)"This is a psychiatric hospital.Craziness is what we are all about."
B)"Let's all show acceptance of this patient by wearing lots of makeup too."
C)"Your comments are inconsiderate and inappropriate.Keep the report objective."
D)"Our patients need our help to learn behaviors that will help them get along in society."
Answer: D
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Chapter 2: Mental Health and Mental Illness
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/42972
Sample Questions
Q1) A psychiatric nurse addresses Axis I of the DSM-IV-TR as the focus of care but also considers the presence of other long-term,nonmedical disorders that may affect treatment.To which axis should the nurse refer for this information?
A)II
B)III
C)IV
D)V
Answer: A
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) Which patient statement would lead a nurse to suspect that the developmental task of infancy was not successfully completed?
A)"I have very warm and close friendships."
B)"I'm afraid to let anyone really get to know me."
C)"I am always right,so don't bother saying more."
D)"I'm ashamed that I didn't do it correctly in the first place."
Answer: B
Q2) A cognitive strategy a nurse could use to assist a very dependent patient would be to help the patient:
A)reveal dream content.
B)take prescribed medications.
C)examine thoughts about being independent.
D)role model ways to ask for help from others.
Answer: C
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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 patient is hospitalized for major depression.Of the medications listed,a nurse can expect to provide the patient with teaching about:
A)chlordiazepoxide (Librium)
B)fluoxetine (Prozac)
C)clozapine (Clozaril)
D)tacrine (Cognex)
Q2) 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
Q3) The laboratory report for a patient taking clozapine (Clozaril)shows a white blood cell count of 3000 mm³ and a granulocyte count of 1500 mm³.The nurse should:
A)report the laboratory results to the health care provider.
B)give the next dose as prescribed.
C)administer aspirin and force fluids.
D)repeat the laboratory tests.
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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) The following patients are seen in the emergency department.The psychiatric unit has one bed available.Which patient should the admitting officer recommend for admission to the hospital? The patient who:
A)experiencing dry mouth and tremor related to side effects of haloperidol (Haldol).
B)experiencing anxiety and a sad mood after a separation from a spouse of 10 years.
C)who self-inflicted a superficial cut on the forearm after a family argument.
D)who is a single parent and hears voices saying,"Smother your infant."
Q2) A patient is hospitalized for a reaction to a psychotropic medication and then is closely monitored for 24 hours.During a predischarge visit,the case manager learns the patient received a notice of eviction on the day of admission.The most appropriate intervention for the case manager is to:
A)cancel the patient's discharge from the hospital.
B)contact the landlord who evicted the patient to further discuss the situation.
C)arrange a temporary place for the patient to stay until new housing can be arranged.
D)document that the adverse medication reaction was feigned because the patient had nowhere to live.
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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) Which nursing intervention demonstrates false imprisonment?
A)A confused and combative patient says,"I'm getting out of here and no one can stop me." The nurse restrains this patient without a health care provider's order and then promptly obtains an order.
B)A patient has been irritating,seeking the attention of nurses most of the day.Now a nurse escorts the patient down the hall saying,"Stay in your room or you'll be put in seclusion."
C)An involuntarily hospitalized patient with suicidal ideation runs out of the psychiatric unit.A nurse rushes after the patient and convinces the patient to return to the unit.
D)An involuntarily hospitalized patient with suicidal ideation attempts to leave the unit.A nurse calls the security team and uses established protocols to prevent the patient from leaving.
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.
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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) When a nurse assesses an older adult patient,answers seem vague or unrelated to the questions.The patient also leans forward and frowns,listening intently to the nurse.An appropriate question for the nurse to ask would be:
A)"Are you having difficulty hearing when I speak?"
B)"How can I make this assessment interview easier for you?"
C)"I notice you are frowning.Are you feeling annoyed with me?"
D)"You're having trouble focusing on what I'm saying.What is distracting you?"
Q2) A new staff nurse completes orientation to the psychiatric unit.This nurse will expect to ask an advanced practice nurse to perform which action for patients?
A)Perform mental health assessment interviews.
B)Establish therapeutic relationships.
C)Prescribe psychotropic medications.
D)Individualize nursing care plans.
Q3) What information is conveyed by nursing diagnoses? Select all that apply.
A)Medical judgments about the disorder
B)Goals and outcomes for the plan of care
C)Unmet patient needs currently present
D)Supporting data that validate the diagnoses
E)Probable causes that will be targets for nursing interventions
Page 9
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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 patient with paranoid schizophrenia tells the nurse,"The CIA is monitoring us through the fluorescent lights in this room.Be careful what you say." Which response by the nurse would be most therapeutic?
A)"Let's talk about something other than the CIA."
B)"It sounds like you're concerned about your privacy."
C)"The CIA is prohibited from operating in health care facilities."
D)"You have lost touch with reality,which is a symptom of your illness."
Q2) A patient says to the nurse,"I dreamed I was stoned.When I woke up,I felt emotionally drained,as though I hadn't rested well." Which comment would be appropriate if the nurse seeks clarification?
A)"It sounds as though you were uncomfortable with the content of your dream."
B)"I understand what you're saying.Bad dreams leave me feeling tired,too."
C)"So,all in all,you feel as though you had a rather poor night's sleep?"
D)"Can you give me an example of what you mean by 'stoned'?"
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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) During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?
A)Preorientation
B)Orientation
C)Working
D)Termination
Q2) Which remark by a patient indicates passage from the orientation phase to the working phase of a nurse-patient relationship?
A)"I don't have any problems."
B)"It is so difficult for me to talk about my problems."
C)"I don't know how talking about things twice a week can help."
D)"I want to find a way to deal with my anger without becoming violent."
Q3) A community mental health nurse has worked with a patient for 3 years but is moving out of the city and terminates the relationship.A new nurse who begins work with this patient will:
A)begin at the orientation phase.
B)resume the working relationship.
C)enter into a social relationship.
D)return to the emotional catharsis phase.
Page 11
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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 person with a fear of heights drives across a high bridge.Which division of the autonomic nervous system is stimulated in response to this experience?
A)Limbic system
B)Peripheral nervous system
C)Sympathetic nervous system
D)Parasympathetic nervous system
Q2) A soldier returned home from active duty in a combat zone in Afghanistan and was diagnosed with post-traumatic stress disorder (PTSD).The soldier says,"If there's a loud noise at night,I get under my bed because I think we're getting bombed." What type of experience has the soldier described?
A)Illusion
B)Flashback
C)Nightmare
D)Auditory hallucination
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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) Which assessment question would be most appropriate to ask a patient who has possible generalized anxiety disorder?
A)"Have you been a victim of a crime or seen someone badly injured or killed?"
B)"Do you feel especially uncomfortable in social situations involving people?"
C)"Do you repeatedly do certain things over and over again?"
D)"Do you find it difficult to control your worrying?"
Q2) A patient tells the nurse,"I wanted my health care provider to prescribe diazepam (Valium)for my anxiety disorder,but buspirone (BuSpar)was prescribed instead.Why?" The nurse's reply should be based on the knowledge that buspirone:
A)Does not produce blood dyscrasias.
B)Does not cause dependence.
C)Can be administered as needed.
D)Is faster acting than diazepam.
Q3) For a patient experiencing panic,which nursing intervention should be first?
A)Teach relaxation techniques.
B)Administer an anxiolytic medication.
C)Provide calm,brief,directive communication.
D)Gather a show of force in preparation for gaining physical control.
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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 says,"I know I have a brain tumor despite the results of the magnetic resonance image (MRI).The radiologist is wrong.People who have brain tumors vomit,and yesterday I vomited all day." Which response by the nurse fosters cognitive restructuring?
A)"You do not have a brain tumor.The more you talk about it,the more it reinforces your illogical thinking."
B)"Let's see whether any other explanations for your vomiting are possible."
C)"You seem so worried.Let's talk about how you're feeling."
D)"We'll talk about something else."
Q2) A patient with depersonalization disorder tells the nurse,"It's starting again.I feel as though I'm going to float away." The nurse should help the patient by:
A)encouraging meditation.
B)administering an anxiolytic medication.
C)helping the patient visualize a pleasant scene.
D)helping the patient focus on the here and now.
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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) For which patients with personality disorders would a family history of similar problems be most likely? Select all that apply.
A)Obsessive-compulsive
B)Antisocial
C)Dependent
D)Schizotypal
E)Narcissistic
Q2) 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.
Q3) For which behavior would limit setting be most essential? The patient:
A)clings to the nurse and asks for advice about inconsequential matters.
B)is flirtatious and provocative with staff members of the opposite sex.
C)is hypervigilant and refuses to attend unit activities.
D)urges a suspicious patient to hit anyone who stares.
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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) As a patient admitted to the eating disorders unit undresses,a nurse observes that the patient's body is covered by fine,downy hair.The patient weighs 70 pounds and is 5 feet,4 inches tall.Which term should be documented?
A)Amenorrhea
B)Alopecia
C)Lanugo
D)Stupor
Q2) Which nursing intervention has the highest priority for a patient with bulimia nervosa?
A)Assist the patient to identify triggers to binge eating.
B)Provide corrective consequences for weight loss.
C)Assess for signs of impulsive eating.
D)Explore patient needs for health teaching.
Q3) 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)Focusing on weight control mechanisms and food preparation.
D)Processing the heightened anxiety levels associated with eating.
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Page 16

Chapter 15: Mood Disorders: Depression
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/42985
Sample Questions
Q1) 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."
Q2) A patient with depression tells the nurse,"Bad things that happen are always my fault." To assist the patient in reframing this overgeneralization,the nurse should respond:
A)"I really doubt that one person can be blamed for all the bad things that happen."
B)"Let's look at one bad thing that happened to see if another explanation exists."
C)"You are being exceptionally hard on yourself when you imply you are a jinx."
D)"What about the good things that happen;are any of them ever your fault?"
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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) When a hyperactive patient with acute mania is hospitalized,what initial nursing intervention is a priority?
A)Allow the patient to act out his or her feelings.
B)Set limits on patient behavior as necessary.
C)Provide verbal instructions to the patient to remain calm.
D)Restrain the patient to reduce hyperactivity and aggression.
Q2) A patient with acute mania is dancing atop the pool table in the recreation room.The patient waves a cue in one hand and says,"I'll throw the pool balls if anyone comes near me." The nurse's first intervention is to:
A)tell the patient,"You need to be secluded."
B)clear the room of all other patients.
C)help the patient down from the table.
D)assemble a show of force.
Q3) Which dinner menu is best suited for the patient with bipolar disorder experiencing 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
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Page 18

Chapter 17: Schizophrenia Spectrum Disorders
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/42987
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 with schizophrenia is acutely disturbed and violent.After several doses of haloperidol (Haldol),the patient is calm.Two hours later the nurse sees the patient's head rotated to one side in a stiff position;the lower jaw is thrust forward,and the patient is drooling.Which problem is most likely?
A)Acute dystonic reaction
B)Tardive dyskinesia
C)Waxy flexibility
D)Akathisia
Q3) Which symptoms are expected for a patient with disorganized schizophrenia?
A)Extremes of motor activity,from excitement to stupor
B)Social withdrawal and ineffective communication
C)Severe anxiety with ritualistic behavior
D)Highly suspicious,delusional behavior
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19

Chapter 18: Neurocognitive Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/42988
Sample Questions
Q1) A nurse administers medications to four patients with Alzheimer's disease.Which medication would be expected to antagonize N-methyl-D-aspartate (NMDA)channels rather than cholinesterase?
A)donepezil (Aricept)
B)rivastigmine (Exelon)
C)memantine (Namenda)
D)galantamine (Razadyne)
Q2) 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
Q3) Goals and outcomes for an older adult patient with delirium caused by fever and dehydration will focus on:
A)returning to premorbid levels of function
B)identifying stressors negatively affecting self
C)demonstrating motor responses to noxious stimuli
D)exerting control over responses to perceptual distortions
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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) Which nursing diagnosis would likely apply to both patients with paranoid schizophrenia and patients with amphetamine-induced psychosis?
A)Powerlessness
B)Disturbed thought processes
C)Ineffective thermoregulation
D)Impaired oral mucous membrane
Q2) 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
Q3) When working with a patient beginning treatment for alcohol dependence,what is the nurse's most therapeutic approach?
A)Empathetic,supportive
B)Strong,confrontational
C)Skeptical,guarded
D)Cool,distant
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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 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
Q2) A patient comes to the crisis center saying,"I'm in a terrible situation.I don't know what to do." The triage nurse can initially assume that the patient is:
A)suicidal.
B)anxious and fearful.
C)misperceiving reality.
D)potentially homicidal.
Q3) Which agency provides coordination in the event of a terrorist attack?
A)U.S.Food and Drug Administration (FDA)
B)Environmental Protection Agency (EPA)
C)National Incident Management System (NIMS)
D)Federal Emergency Management Agency (FEMA)
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Chapter 21: Child, Partner, and Elder Violence
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/42991
Sample Questions
Q1) A nurse visits the home of an 11-year-old child and finds the child caring for three younger siblings.Both parents are at work.The child says,"I want to go to school but we can't afford a babysitter.It doesn't matter though;I'm too dumb to learn." What preliminary assessment is evident?
A)Insufficient data are present to make an assessment.
B)Child and siblings are experiencing neglect.
C)Children are at high risk for sexual abuse.
D)Children are experiencing physical abuse.
Q2) A married individual has recently been absent from work for 3-day periods on several occasions.Each time,the individual returns to work wearing dark glasses.Facial and body bruises are apparent.What is the occupational health nurse's priority question?
A)"Do you drink excessively?"
B)"Did your partner beat you?"
C)"How did this happen to you?"
D)"What did you do to deserve this?"
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23

Chapter 22: Sexual Violence
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26 Verified Questions
26 Flashcards
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) When a victim of sexual assault is discharged from the emergency department,the nurse should:
A)arrange support from the victim's family.
B)provide referral information verbally and in writing.
C)advise the victim to try not to think about the assault.
D)offer to stay with the victim until stability is regained.
Q3) What is the primary motivator for most rapists?
A)Anxiety
B)Need for humiliation
C)Overwhelming sexual desires
D)Desire to humiliate or control others
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Chapter 23: Suicidal Thoughts and Behavior
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/42993
Sample Questions
Q1) Which understanding about individuals who attempt suicide will help a nurse plan the care for a suicidal patient? Every suicidal person should be considered:
A)mentally ill.
B)intent on dying.
C)cognitively impaired.
D)experiencing hopelessness.
Q2) Which statement provides the best rationale for why a nurse should closely monitor a severely depressed patient during antidepressant medication therapy?
A)As depression lifts,physical energy becomes available to carry out suicide.
B)Suicide may be precipitated by a variety of internal and external events.
C)Suicidal patients have difficulty using social supports.
D)Suicide is an impulsive act.
Q3) The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is:
A)hopelessness.
B)sadness.
C)elation.
D)anger.
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25
Chapter 24: Anger, Aggression, and Violence
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/42994
Sample Questions
Q1) A patient being admitted suddenly pulls a knife from a coat pocket and threatens,"I will kill anyone who tries to get near me." An emergency code is called.The patient is safely disarmed and placed in seclusion.Justification for the use of seclusion is that the patient:
A)evidences a thought disorder,rendering rational discussion ineffective.
B)presents a clear and present danger to others.
C)presents a clear escape risk.
D)is psychotic.
Q2) A patient with a history of command hallucinations approaches the nurse,yelling obscenities.The patient mumbles and then walks away.The nurse follows.Which nursing actions are most likely to be effective in de-escalating this scenario? Select all that apply.
A)State the expectation that the patient will stay in control.
B)State that the patient cannot be understood when mumbling.
C)Tell the patient,"You are behaving inappropriately."
D)Offer to provide the patient with medication to help.
E)Speak in a firm but calm voice.
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26

Chapter 25: Care for the Dying and Those Who Grieve
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/42995
Sample Questions
Q1) After the death of his wife,a man tells the nurse,"I can't live without her.She was my whole life." Which is the nurse's most therapeutic reply?
A)"Each day will get a little better."
B)"Her death is a terrible loss for you."
C)"Remember,she's no longer suffering."
D)"Your friends will help you cope with this."
Q2) A nurse working with a person whose spouse recently died uses cheer and humor to lift the person's spirits.At one point,the widowed person smiles.What analysis of this scenario is correct?
A)The nurse's technique was successful.
B)Use of humor should be added to the plan of care.
C)Approach may prove useful in other,similar situations.
D)The nurse needs supervision;the communication technique was not appropriate.
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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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/42996
Sample Questions
Q1) A child with attention deficit hyperactivity disorder (ADHD)is going to begin medication therapy.The nurse should plan to teach the family about which classification of medications?
A)Central nervous system stimulants
B)Monoamine oxidase inhibitors (MAOIs)
C)Antipsychotic medications
D)Anxiolytic medications
Q2) When a 5-year-old child is disruptive,the nurse says,"You must take a time-out." The expectation is that the child will:
A)go to a quiet room until called for the next meal.
B)slowly count to 20 before returning to the group activity.
C)sit on the edge of the activity until able to regain self-control.
D)sit quietly on the lap of a staff member until able to apologize for the behavior.
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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28

Chapter 27: Adults
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/42997
Sample Questions
Q1) Which statements most clearly indicate that the speaker views mental illness with stigma? Select all that apply.
A)"We are all a little bit crazy."
B)"If people with mental illness would go to church,their problems would be solved."
C)"Many mental illnesses are genetically transmitted.It's no one's fault that the illness occurs."
D)"Anyone can have a mental illness.War or natural disasters can be too stressful for healthy people."
E)"People with mental illness are lazy.They get government disability checks instead of working."
Q2) Health maintenance and promotion efforts for patients with severe and persistent mental illness should include education about the importance of regular:
A)home safety inspections
B)monitoring of self-care abilities
C)screening for cancer,hypertension,and diabetes
D)determination of adequacy of a patient's support system
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Chapter 28: Older Adults
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/42998
Sample Questions
Q1) An 80-year-old patient has difficulty walking because of arthritis and says,"It's awful to be old.Every day is a struggle.No one cares about old people." Which is the nurse's most therapeutic response?
A)"Everyone here cares about old people.That's why we work here."
B)"It sounds like you're having a difficult time.Tell me about it."
C)"Let's not focus on the negative.Tell me something good."
D)"You are still able to get around,and your mind is alert."
Q2) When making a distinction as to whether a patient is experiencing confusion related to depression or dementia,what information would be most important for the nurse to consider?
A)The patient with dementia is persistently angry and hostile.
B)Early morning agitation and hyperactivity occur in dementia.
C)Confusion seems to worsen at night when dementia is present.
D)A patient who is depressed is constantly preoccupied with somatic symptoms.
Q3) If an older adult patient must be physically restrained,who is responsible for the patient's safety?
A)Nurse assigned to care for the patient
B)Nursing assistant who applies the restraint
C)Health care provider who ordered the application of restraint
D)Family member who agrees to the application of the restraint
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