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Mental Health Nursing Test Bank - 803 Verified Questions

Page 1


Mental Health Nursing Test Bank

Course

Introduction

Mental Health Nursing explores the principles and practices involved in caring for individuals with mental health disorders across the lifespan. This course emphasizes therapeutic communication, assessment skills, crisis intervention, and evidence-based nursing interventions in diverse mental health settings. Students will study common psychiatric conditions, psychopharmacology, and legal and ethical considerations in mental health care. Through theory and practical experiences, the course prepares students to support recovery, promote mental well-being, and advocate for patients and their families in multidisciplinary teams.

Recommended Textbook

Essentials of Psychiatric Mental Health Nursing 3rd Edition by Varcarolis

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28 Chapters

803 Verified Questions

803 Flashcards

Source URL: https://quizplus.com/study-set/165

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/2047

Sample Questions

Q1) 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, so we expect our patients to behave bizarrely."

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

Q2) Which patient statements identify qualities of nursing practice with high therapeutic value? (Select all that apply.) "My nurse:

A) talks in language I can understand."

B) helps me keep track of my medications."

C) is willing to go to social activities with me."

D) lets me do whatever I choose without interfering."

E) looks at me as a whole person with different needs."

Answer: A, B, E

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Page 3

Chapter 2: Mental Health and Mental Illness

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17 Verified Questions

17 Flashcards

Source URL: https://quizplus.com/quiz/2048

Sample Questions

Q1) A patient is admitted to the psychiatric hospital. Which assessment finding best indicates that the patient has a mental illness? The patient:

A) describes coping and relaxation strategies used when feeling anxious. B) describes mood as consistently sad, discouraged, and hopeless.

C) can perform tasks attempted within the limits of own abilities.

D) reports occasional problems with insomnia.

Answer: B

Q2) A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patient's insurance form. Which resource should the nurse consult to discern the criteria used to establish this diagnosis?

A) A psychiatric nursing textbook

B) NANDA International (NANDA-I)

C) A behavioral health reference manual

D) Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

Answer: D

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4

Chapter 3: Theories and Therapies

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/2049

Sample Questions

Q1) The parent of a 4-year-old rewards and praises the child for helping a younger sibling, being polite, and using good manners. A nurse supports the use of praise because, according to the Freudian theory, these qualities will likely be internalized and become part of the child's:

A) id.

B) ego.

C) superego.

D) preconscious.

Answer: C

Q2) A nurse assesses that a patient is suspicious and frequently manipulates others. Using the Freudian theory, these traits are related to which psychosexual stage?

A) Oral

B) Anal

C) Phallic

D) Genital

Answer: A

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5

Chapter 4: Biological Basis for Understanding

Psychopharmacology

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/2050

Sample Questions

Q1) A patient begins therapy with a first generation antipsychotic medication. What teaching should a 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 muscle stiffness.

Q2) A nurse caring for a patient taking a selective 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) A patient has symptoms of acute anxiety related to the death of a parent in an automobile accident 2 hours earlier. The nurse should anticipate administering a medication from which group?

A) Tricyclic antidepressants

B) Atypical antipsychotics

C) Anticonvulsants

D) Benzodiazepines

6

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Chapter 5: Settings for Psychiatric Care

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/2051

Sample Questions

Q1) A patient diagnosed with schizophrenia has been stable in the community. Today, the spouse reports the patient is expressing delusional thoughts. The patient says, "I'm willing to take my medicine, but I forgot to get my prescription refilled." Which outcome should the nurse add to the plan of care?

A) Nurse will obtain prescription refills every 90 days and deliver them to the patient.

B) Patient's spouse will mark dates for prescription refills on the family calendar.

C) Patient will report to the hospital for medication follow-up every week.

D) Patient will call the nurse weekly to discuss medication-related issues.

Q2) Planning for patients diagnosed with mental illness is facilitated by understanding that inpatient hospitalization is generally reserved for patients who:

A) present a clear danger to self or others.

B) are noncompliant with medications at home.

C) have no support systems in the community.

D) develop new symptoms during the course of an illness.

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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/2052

Sample Questions

Q1) A patient diagnosed with mental illness asks a psychiatric technician, "What's the matter with me?" The technician replies, "Your wing nuts need tightening." The nurse who overheard the exchange should take action based on:

A) violation of the patient's right to be treated with dignity and respect.

B) the nurse's obligation to report caregiver negligence.

C) preventing defamation of the patient's character.

D) supervisory liability.

Q2) Which scenario is an example of a tort?

A) The primary nurse does not complete the plan of care for a patient within 24 hours of the patient's admission.

B) An advanced practice nurse recommends that a patient who is dangerous to self and others be voluntarily hospitalized.

C) A patient's admission status is changed from involuntary to voluntary after the patient's hallucinations subside.

D) A nurse gives an as-needed dose of an antipsychotic drug to a patient to prevent violence because a unit is short staffed.

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8

Chapter

7: Nursing Process and QSEN: The Foundation for

and Effective Care

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/2053

Sample Questions

Q1) Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care?

A) "I can always trust my family."

B) "It seems like I always have bad luck."

C) "You never know who will turn against you."

D) "I hear evil voices that tell me to do bad things."

Q2) A nurse asks a patient, "If you had fever and vomiting for 3 days, what would you do?" Which aspect of the mental status examination is the nurse assessing?

A) Behavior

B) Cognition

C) Affect and mood

D) Perceptual disturbances

Q3) At one point in an assessment interview a nurse asks, "How does your faith help you in stressful situations?" This question would be asked during the assessment of:

A) childhood growth and development.

B) substance use and abuse.

C) educational background.

D) coping strategies.

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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/2054

Sample Questions

Q1) A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?

A) "What are the common elements here?"

B) "Tell me again about your experiences."

C) "Am I correct in understanding that ?"

D) "Tell me everything from the beginning."

Q2) During an interview, a patient attempts to shift the focus from self to the nurse by asking personal questions. The nurse should respond by saying:

A) "You've turned the tables on me."

B) "Nurses direct the interviews with patients."

C) "Do not ask questions about my personal life."

D) "The time we spend together is to discuss your concerns."

Q3) A school-age child tells the school nurse, "Other kids call me mean names and will not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic response. A) "Just ignore them and they will leave you alone."

B) "You should make friends with other children."

C) "Call them names if they do that to you."

D) "Tell me more about how you feel."

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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/2055

Sample Questions

Q1) A patient says, "People should be allowed to commit suicide without interference from others." A nurse replies, "You're wrong. Nothing is bad enough to justify death." What is the best analysis of this interchange?

A) The patient is correct.

B) The nurse is correct.

C) Neither person is totally correct.

D) Differing values are reflected in the two statements.

Q2) A patient says, "I'm still on restriction, but I want to attend some off-unit activities. Would you ask the doctor to change my privileges?" What is the nurse's best response?

A) "Why are you asking me when you're able to speak for yourself?"

B) "I will be glad to address it when I see your doctor later today."

C) "That's a good topic for you to take up with your doctor."

D) "Do you think you can't speak to a doctor?"

Q3) Which behavior shows that a nurse values autonomy? The nurse:

A) sets limits on a patient's romantic overtures toward the nurse.

B) suggests one-on-one supervision for a patient who is suicidal.

C) informs a patient that the spouse will not be in during visiting hours.

D) discusses available alternatives and helps the patient weigh the consequences.

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Chapter 10: Trauma and Stress-Related Disorders

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/2056

Sample Questions

Q1) As part of the stress response, the HPA axis is stimulated. Which structures make up this system?

A) Hippocampus, parietal lobe, and amygdala

B) Hypothalamus, pituitary gland, and adrenal glands

C) Hind brain, pyramidal nervous system, and anterior cerebrum

D) Hepatic artery, parasympathetic nervous system, and acoustic nerve

Q2) A soldier returned home last year after deployment to a war zone. The soldier's spouse complains, "We were going to start a family but now he won't talk about it. He will not look at children. I wonder if we're going to make it as a couple." Select the nurse's best response.

A) "Posttraumatic stress disorder often changes a person's sexual functioning."

B) "I encourage you to continue to participate in social activities where children are present."

C) "Have you talked with your spouse about these reactions? Sometimes we just need to confront behavior."

D) "Posttraumatic stress disorder often strains relationships. I will suggest some community resources for help and support."

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Page 12

Chapter 11: Anxiety, Anxiety Disorders, and

Obsessive-Compulsive and Related Disorders

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39 Verified Questions

39 Flashcards

Source URL: https://quizplus.com/quiz/2057

Sample Questions

Q1) A student says, "Before taking a test, I feel a heightened sense of awareness and restlessness." The nurse can correctly assess the student's experience as:

A) culturally influenced.

B) displacement.

C) trait anxiety.

D) mild anxiety.

Q2) A patient who is preparing for surgery has moderate anxiety and is unable to understand preoperative information. Which nursing intervention is appropriate?

A) Reassure the patient that all nurses are skilled in providing postoperative care.

B) Describe the procedure again in a calm manner, using simple language.

C) Tell the patient that the staff is prepared to promote recovery.

D) Encourage the patient to express feelings to his or her family.

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13

Chapter 12: Somatic Symptom Disorders and Dissociative Disorders

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/2058

Sample Questions

Q1) An adult diagnosed with conversion (functional neurobiological symptom) disorder says, "Our family has gotten along over the years by working together. My partner cooks and the children clean house." Nursing interventions should recognize that the patient likely:

A) receives secondary gains from the symptoms.

B) has problems with sexual identity and satisfaction.

C) will be resistant to developing a trusting relationship.

D) will benefit from confrontation about physical complaints.

Q2) A patient diagnosed with a somatic symptom disorder has the nursing diagnosis: interrupted family processes, related to patient's disabling symptoms as evidenced by the spouse and children assuming roles and tasks that previously belonged to patient. An appropriate outcome is that the patient will:

A) assume roles and functions of the other family members.

B) demonstrate a resumption of former roles and tasks.

C) focus energy on problems occurring in the family.

D) rely on family members to meet his or her personal needs.

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14

Chapter 13: Personality Disorders

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/2059

Sample Questions

Q1) Which statement made by a patient diagnosed with borderline personality disorder indicates the treatment plan is effective?

A) "I think you are the best nurse on the unit."

B) "I'm never going to get high on drugs again."

C) "I hate my doctor for not giving me what I ask for."

D) "I felt empty and wanted to cut myself, so I called you."

Q2) A patient diagnosed with borderline personality disorder and a history of self-mutilation has now begun dialectical behavior therapy (DBT) on an outpatient basis. Counseling focuses on self-harm behavior management. Today the patient telephones to say, "I'm feeling empty and want to cut myself." The nurse should:

A) arrange for emergency inpatient hospitalization.

B) send the patient to the crisis intervention unit for 8 to 12 hours.

C) assist the patient to identify the trigger situation and choose a coping strategy.

D) advise the patient to take an antianxiety medication to decrease the anxiety level.

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Chapter 14: Eating Disorders

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/2060

Sample Questions

Q1) While providing health teaching for a patient diagnosed with bulimia nervosa, a nurse should emphasize information about:

A) self-monitoring of daily food and fluid intake.

B) establishing the desired daily weight gain.

C) recognizing symptoms of hypokalemia.

D) self-esteem maintenance.

Q2) A patient diagnosed with anorexia nervosa is hospitalized for treatment. What features should the milieu provide? (Select all that apply.)

A) Flexible mealtimes

B) Unscheduled weight checks

C) Adherence to a selected menu

D) Observation during and after meals

E) Monitoring during bathroom trips

F) Privileges correlated with emotional expression

Q3) Physical assessment of a patient diagnosed with bulimia nervosa often reveals:

A) prominent parotid glands.

B) peripheral edema.

C) thin, brittle hair.

D) amenorrhea.

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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/2061

Sample Questions

Q1) A disheveled patient with severe depression and psychomotor retardation has not bathed for several days. The nurse should:

A) avoid forcing the issue.

B) bring up the issue at the community meeting.

C) calmly tell the patient, "You must bathe daily."

D) firmly and neutrally assist the patient with showering.

Q2) A nurse wants to reinforce positive self-esteem for a patient diagnosed with major depressive disorder. Today, the patient is wearing a new shirt and has neat, clean hair. Which remark is most appropriate?

A) "You look nice this morning."

B) "You are wearing a new shirt."

C) "I like the shirt you're wearing."

D) "You must be feeling better today."

Q3) A nurse is caring for a patient with low self-esteem. Which nonverbal communication should the nurse anticipate?

A) Arms crossed

B) Staring at the nurse

C) Smiling inappropriately

D) Eyes pointed downward

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Page 17

Chapter 16: Bipolar Spectrum Disorders

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35 Verified Questions

35 Flashcards

Source URL: https://quizplus.com/quiz/2062

Sample Questions

Q1) When a hyperactive patient experiencing 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 the patient's behavior as necessary.

C) Provide verbal instructions to the patient to remain calm.

D) Restrain the patient to reduce hyperactivity and aggression.

Q2) A person is directing traffic on a busy street while shouting and making obscene gestures at passing cars. The person has not slept or eaten for 3 days. What features of mania are evident?

A) Increased muscle tension and anxiety

B) Vegetative signs and poor grooming

C) Poor judgment and hyperactivity

D) Cognitive deficit and sad mood

Q3) Which nursing diagnosis would most likely apply to both a patient diagnosed with major depressive disorder (MDD) as well as one experiencing acute mania?

A) Deficient diversional activity

B) Disturbed sleep pattern

C) Fluid volume excess

D) Defensive coping

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Page 18

Chapter 17: Schizophrenia Spectrum Disorders and Other

Psychotic Disorders

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38 Verified Questions

38 Flashcards

Source URL: https://quizplus.com/quiz/2063

Sample Questions

Q1) A patient has taken trifluoperazine (Stelazine) 30 mg/day orally for 3 years. The clinic nurse notes that the patient grimaces and constantly smacks both lips. The patient's neck and shoulders twist in a slow, snakelike motion. Which problem would the nurse suspect?

A) Agranulocytosis

B) Tardive dyskinesia

C) Tourette syndrome

D) Anticholinergic effects

Q2) A patient diagnosed with schizophrenia says, "High heat. Last time here. Did you get a coat?" What type of verbalization is evident?

A) Neologism

B) Idea of reference

C) Thought broadcasting

D) Associative looseness

Q3) Patients diagnosed with schizophrenia who are suspicious and withdrawn: A) universally fear sexual involvement with therapists.

B) are socially disabled by the positive symptoms of schizophrenia.

C) exhibit a high degree of hostility as evidenced by rejecting behavior.

D) avoid relationships because they become anxious with emotional closeness.

Page 19

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Chapter 18: Neurocognitive Disorders

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29 Verified Questions

29 Flashcards

Source URL: https://quizplus.com/quiz/2064

Sample Questions

Q1) A patient experiencing fluctuating levels of awareness, confusion, and disturbed orientation shouts, "Bugs are crawling on my legs! Get them off!" Which problem is the patient experiencing?

A) Aphasia

B) Dystonia

C) Tactile hallucinations

D) Mnemonic disturbance

Q2) A patient diagnosed with stage 2 moderate Alzheimer disease calls the police saying, "An intruder is in my home." Police investigate and discover the patient misinterpreted a reflection in the mirror as an intruder. This phenomenon can be assessed as:

A) hyperorality.

B) aphasia.

C) apraxia.

D) agnosia.

Q3) Which description best applies to a hallucination? A patient:

A) looks at shadows on a wall and says, "I see scary faces."

B) states, "I feel bugs crawling on my legs and biting me."

C) becomes anxious when the nurse leaves his or her bedside.

D) tries to hit the nurse when vital signs are taken.

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Chapter 19: Substance-Related and Addictive Disorders

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44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/2065

Sample Questions

Q1) A hospitalized patient, injured in a fall while intoxicated, believes spiders are spinning entrapping webs in the room. The patient is anxious, agitated, and diaphoretic. Which nursing intervention has priority?

A) Check the patient every 15 minutes.

B) Rigorously encourage fluid intake.

C) Provide one-on-one supervision.

D) Keep the room dimly lit.

Q2) A patient was admitted one day ago with a hip fracture sustained in a fall while intoxicated. The patient points to the Buck's traction and screams, "Somebody tied me up with ropes." The patient is experiencing:

A) an illusion.

B) a delusion.

C) hallucinations.

D) hypnagogic phenomenon.

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21

Chapter 20: Crisis and Mass Disaster

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/2066

Sample Questions

Q1) An adolescent comes to the crisis clinic and reports sexual abuse by an uncle. The patient told the parents about the uncle's behavior, but the parents did not believe the adolescent. What type of crisis exists?

A) Maturational

B) Adventitious

C) Situational

D) Organic

Q2) A patient comes to the clinic with superficial cuts on the left wrist. The patient is pacing and sobbing. After a few minutes with the nurse, the patient is calmer. What should the nurse ask to determine the patient's perception of the precipitating event?

A) "Tell me why you were crying."

B) "How did your wrist get injured?"

C) "How can I help you feel more comfortable?"

D) "What was happening just before you started feeling this way?"

Q3) Which scenario is an example of an adventitious crisis?

A) Death of a child from sudden infant death syndrome

B) Being fired from a job because of company downsizing

C) Retirement of a 55-year-old

D) A riot at a rock concert

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Page 22

Chapter 21: Child, Partner, and Elder Violence

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/2067

Sample Questions

Q1) An older adult, diagnosed with Alzheimer disease, lives with family and has multiple bruises. The home health nurse talks with the older adult's daughter, who becomes defensive and says, "My mother often wanders at night. Last night she fell down the stairs." Which nursing diagnosis has priority?

A) Risk for injury, related to cognitive impairment and lack of caregiver supervision

B) Noncompliance, related to confusion and disorientation as evidenced by lack of cooperation

C) Impaired verbal communication, related to brain impairment as evidenced by the confusion

D) Insomnia, related to cognitive impairment as evidenced by wandering at night

Q2) An 11-year-old child says, "My parents don't like me. They call me stupid and say I never do anything right, but it doesn't matter. I'm too dumb to learn." 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

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Chapter 22: Sexual Violence

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/2068

Sample Questions

Q1) A rape victim asks an emergency department nurse, "Maybe I did something to cause this attack. Was it my fault?" Which response by the nurse is the most therapeutic?

A) Pose questions about the rape, helping the patient explore why it happened.

B) Reassure the victim that the outcome of the situation will be positive.

C) Make decisions for the victim because of the temporary confusion.

D) Support the victim to separate issues of vulnerability from blame.

Q2) A nurse cares for a rape victim who was given flunitrazepam (Rohypnol) by the assailant. Which intervention has priority? Monitoring for:

A) coma.

B) seizures.

C) hypotonia.

D) respiratory depression.

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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24

Chapter 23: Suicidal Thoughts and Behavior

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/2069

Sample Questions

Q1) Four individuals have given information about their suicide plans. Which plan evidences the highest suicide risk?

A) Jumping from a 100-foot-high railroad bridge located in a deserted area late at night

B) Turning on the oven and letting gas escape into the apartment during the night

C) Cutting the wrists in the bathroom while the spouse reads in the next room

D) Overdosing on aspirin with codeine while the spouse is out with friends

Q2) A nurse assesses a patient who reports a 3-week history of depression and crying spells. The patient says, "My business is bankrupt, and I was served with divorce papers." Which subsequent statement by the patient alerts the nurse to a concealed suicidal message?

A) "I wish I were dead."

B) "Life is not worth living."

C) "I have a plan that will fix everything."

D) "My family will be better off without me."

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Chapter 24: Anger, Aggression, and Violence

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/2070

Sample Questions

Q1) When a patient's aggression quickly escalates, which principle applies to the selection of nursing interventions?

A) Staff members should match the patient's affective level and tone of voice.

B) Ask the patient what intervention would be most helpful.

C) Immediately use physical containment measures.

D) Begin with the least restrictive measure possible.

Q2) A cognitively impaired patient has been a widow for 30 years. This patient is frantically trying to leave the unit, saying, "I have to go home to cook dinner before my husband arrives from work." To intervene with validation therapy, the nurse should first say:

A) "You must come away from the door."

B) "You have been a widow for many years."

C) "You want to go home to prepare your husband's dinner?"

D) "Was your husband angry if you did not have dinner ready on time?"

Q3) Which scenario predicts the highest risk for directing violent behavior toward others?

A) Major depressive disorder with delusions of worthlessness

B) Obsessive-compulsive disorder; performing many rituals

C) Paranoid delusions of being followed by a military attack team

D) Completion of alcohol withdrawal and beginning a rehabilitation program

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Page 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/2071

Sample Questions

Q1) An adult who was widowed 18 months ago says, "I can now remember good times we shared without getting upset. Sometimes I even think about the disappointments. I've become accustomed to sleeping in our bed alone." The work of mourning:

A) is beginning.

B) is progressing abnormally.

C) is at or near completion.

D) has not begun.

Q2) After her husband died of heart failure, a wife approaches the nurse who cared for her husband. In the hospital hallway the wife shouts angrily, "He'd still be alive if you'd given him your undivided attention!" Which response should the nurse implement?

A) "I understand you're feeling upset. Let's go to our conference room, and I'll stay with you until your family comes."

B) "Your husband's heart was severely damaged and could no longer pump. There's nothing anyone could have done."

C) "I will call the nursing supervisor to discuss this matter with you."

D) "It will be all right if you cry. Crying is a normal grief response."

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Chapter 26: Children and Adolescents

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27 Verified Questions

27 Flashcards

Source URL: https://quizplus.com/quiz/2072

Sample Questions

Q1) A parent diagnosed with schizophrenia and 13-year-old child live in a homeless shelter. The child has formed a trusting relationship with a volunteer. The teen says, "I have three good friends at school. We talk and sit together at lunch." What is the nurse's best suggestion to the treatment team?

A) Suggest foster home placement.

B) Seek assistance from an intimate partner violence program.

C) Make referrals for existing and emerging developmental problems.

D) Encourage healthy characteristics and existing environmental supports.

Q2) A nurse assesses the four children below. Which assessment findings should prompt the nurse to refer the child for further evaluation?

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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Chapter 27: Adults

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/2073

Sample Questions

Q1) For patients diagnosed with severe and persistent mental illness, what is the major advantage of case management? A case manager can:

A) modify traditional psychotherapy.

B) efficiently access and use resources.

C) focus on social skills training and self-esteem building.

D) bring groups of patients together to discuss common problems.

Q2) A patient diagnosed with severe and persistent mental illness lives independently. This patient often has command hallucinations and shouts warnings to neighbors. After a short hospitalization, the patient's landlord says, "You can't come back here. You cause too much trouble." What problem is the patient experiencing?

A) Grief

B) Stigma

C) Recidivism

D) Lack of insurance parity

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29

Chapter 28: Older Adults

Available Study Resources on Quizplus for this Chatper

31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/2074

Sample Questions

Q1) A nurse and social worker co-lead a reminiscence group for six "elite-old" adults. Which activity is appropriate to include in the group?

A) Singing a song from World War II

B) Learning to send and receive email

C) Discussing national leadership during the Vietnam War

D) Identifying the most troubling story in today's newspaper

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 preoccupied with somatic symptoms.

Q3) The highest priority for assessment by nurses caring for older adults who self-administer medications is:

A) use of multiple drugs with anticholinergic effects.

B) overuse of medications for erectile dysfunction.

C) misuse of antihypertensive medications.

D) trading medications with others.

To view all questions and flashcards with answers, click on the resource link above.

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