Nursing Assessment and Intervention in Mental Health Final Test Solutions
Course Introduction
This course provides an in-depth exploration of the principles and practices involved in assessing and intervening with individuals experiencing mental health challenges. Students will develop skills in conducting comprehensive mental health assessments, using evidence-based tools and techniques to identify symptoms and factors influencing mental well-being. The course emphasizes the development of therapeutic communication, crisis intervention, and culturally competent care. Through case studies and clinical simulations, students learn to create collaborative care plans, implement appropriate nursing interventions, and evaluate outcomes, preparing them to deliver compassionate and effective mental health care in diverse clinical settings.
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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Chapter 1: Mental Health and Mental Illness
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/23083
Sample Questions
Q1) When a new bill introduced in Parliament reduces funding for care of people with mental illness, a group of people with mild mental illness write letters to their elected representatives in opposition to the legislation for all people with mental illness. Which role does this action portray?
A) Recovery
B) Self-care
C) Advocacy
D) Social action
Answer: C
Q2) A nurse is part of a multidisciplinary team working with groups of depressed patients. Half the patients receive supportive interventions and antidepressant medication. The other half receives only medication. The team measures outcomes for each group. Which type of study is evident?
A) Incidence
B) Prevalence
C) Co-morbidity
D) Clinical epidemiology
Answer: D
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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 is true of asylums?
A) Short-term stays
B) Cognitive-behavioural therapy experts
C) Place where people with mental illness could be cured
D) Middle to upper socioeconomic status patients with mental illness received treatment
Answer: C
Q2) Who was instrumental in lobbying for the first mental health hospital in the United States and for reform in British and Canadian institutions?
A) Michel Foucault
B) Dorothea Dix
C) The Grey Nuns
D) Philippe Pinel
Answer: B
Q3) 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
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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) Which patient statement would lead the nurse to suspect unsuccessful completion of the developmental task of infancy?
A) "I have very warm and close friendships."
B) "I'm afraid to allow anyone to really get to know me."
C) "I'm always absolutely right, so don't bother saying more."
D) "I'm ashamed that I didn't do things correctly in the first place."
Answer: B
Q2) Although ego defence mechanisms and security operations are mainly unconscious and designed to relieve anxiety, the major difference is which of the following?
A) Defence mechanisms are intrapsychic and not observable.
B) Defence mechanisms cause arrested personal development.
C) Security operations are masterminded by the id and superego.
D) Security operations address interpersonal relationship activities.
Answer: D
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Chapter 4: Psychotropic Drugs
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A patient with a long history of hypertension and diabetes now develops confusion. The health care provider wants to make a differential diagnosis between Alzheimer's disease and multiple infarcts. Which diagnostic procedure should the nurse expect to prepare the patient for first?
A) Skull X-rays
B) Computed tomography (CT) scan
C) Positron emission tomography (PET)
D) Single-photon emission computed tomography (SPECT)
Q2) A patient has disorganized thinking associated with schizophrenia. Neuroimaging would likely show dysfunction in which part of the brain?
A) Hippocampus
B) Frontal lobe
C) Cerebellum
D) Brain stem
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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 performed these actions while caring for patients in an inpatient psychiatric setting. Which action violated patients' rights?
A) Prohibited a patient from using the telephone
B) In patient's presence, opened a package mailed to patient
C) Remained within arm's length of patient with homicidal ideation
D) Permitted a patient with psychosis to refuse oral psychotropic medication
Q2) A psychiatric nurse discusses rules of the therapeutic milieu and patients' rights with a newly admitted patient. Which rights should be included? (Select all that apply.)
A) The right to vote
B) The right to confidentiality
C) The right to a private room
D) The right to complain about inadequate care
E) The right to select the nurse assigned to their care
Q3) Clinical pathways are used in managed care settings to do which of the following?
A) Stabilize aggressive patients
B) Identify obstacles to effective care
C) Relieve nurses of planning responsibilities
D) Streamline the care process and improve outcomes
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Chapter 6: Psychiatric Mental Health Nursing in Community Settings
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A nurse can best address factors of critical importance to successful community treatment by including making assessments relative to which of the following: Select all that apply.
A) Source of income
B) Family and support systems
C) Housing adequacy and stability
D) Early psychosocial development
E) Substance abuse history and current use
Q2) Which statements most clearly reflect the stigma of mental illness? Select all that apply.
A) "Many mental illnesses are hereditary."
B) "Mental illness can be evidence of a brain disorder."
C) "People claim mental illness so they can get disability cheques."
D) "Mental illness results from the breakdown of nuclear families."
E) "If people with mental illness went to church, their symptoms would vanish."
Q3) Which level of prevention activities would a nurse in an emergency department employ most often?
A) Primary
B) Secondary
C) Tertiary
8
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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 should be particularly alert to somatization of psychological distress among patients whose cultural beliefs include which of the following? (select all that apply)
A) Mental illness reflects badly on the family.
B) Mental illness shows moral weakness.
C) Intergenerational conflict is common.
D) The mind and body are merged.
E) Food choices influence one's health.
Q2) An experienced psychiatric nurse plans to begin a new job in a community-based medication clinic. The clinic sees culturally diverse patients. Which action should the nurse take first to prepare for this position?
A) Investigate cultural differences in patients' responses to psychotropic medications.
B) Contact the clinical nurse specialist for guidelines regarding cultural competence.
C) Examine the literature on various health beliefs of members of diverse cultures.
D) Complete an online continuing education offering about psychopharmacology.
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9
Chapter 8: Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A patient diagnosed with schizophrenia believes a local minister stirred evil spirits. The patient threatens to bomb a local church. The psychiatrist notifies the minister. Select the answer with the correct rationale.
A) The psychiatrist released information without proper authorization.
B) The psychiatrist demonstrated the duty to warn and protect.
C) The psychiatrist violated the patient's confidentiality.
D) The psychiatrist avoided charges of malpractice.
Q2) A new antidepressant is prescribed for an elderly patient with major depression, but the dose is more than the usual geriatric dose. What should the nurse do?
A) Consult a reliable drug reference.
B) Teach the patient about possible side effects and adverse effects.
C) Withhold the medication and confer with the health care provider.
D) Encourage the patient to increase oral fluids to reduce drug concentration.
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
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Chapter 9: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) After formulating the nursing diagnoses for a new patient, what is a nurse's next action?
A) Designing interventions to include in the plan of care
B) Determining the goals and outcome criteria
C) Implementing the nursing plan of care
D) Completing the spiritual assessment
Q2) Select the most appropriate label to complete this nursing diagnosis: ___________ related to feelings of shyness and poorly developed social skills as evidenced by watching television alone at home every evening.
A) Deficient knowledge
B) Ineffective coping
C) Social isolation
D) Powerlessness
Q3) What does the nurse assess when completing the final "S" of the HEADSSS Psychosocial Interview Technique?
A) Suicide risk
B) Savagery
C) Sexuality
D) Social support
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Chapter 10: Therapeutic Relationships
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30 Flashcards
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Sample Questions
Q1) At what point in the nurse-patient relationship should a nurse plan to first address termination?
A) During the orientation phase
B) At the end of the working phase
C) Near the beginning of the termination phase
D) When the patient initially brings up the topic
Q2) Which remark by a patient indicates passage from orientation 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 problems."
C) "I don't know how it will help to talk to you about my problems."
D) "I want to find a way to deal with my anger without becoming violent."
Q3) A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. Which of the following should the nurse do?
A) Restate what the patient says.
B) Use congruent communication strategies.
C) Use self-revelation in patient interactions.
D) Consistently interpret the patient's behaviours.
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Chapter 11: Communication and the Clinical Interview
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A patient diagnosed with 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 black patient says to a white nurse, "There's no sense talking. You wouldn't understand because you live in a white world." Which of the following would be the nurse's best action?
A) Explain, "Yes, I do understand. Everyone goes through the same experiences."
B) Say, "Please give an example of something you think I wouldn't understand."
C) Reassure the patient that nurses interact with people from all cultures.
D) Change the subject to one that is less emotionally disturbing.
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13
Chapter 12: Understanding Responses to Stress
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) 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."
Q2) A patient is brought to the emergency department after a motorcycle accident. The patient is alert and responsive and is diagnosed with a broken leg. The patient's vital signs are pulse (P) 72 and respiration (R) 16. After being informed surgery is required for the broken leg, which vital sign readings would be expected?
A) P 64, R 14
B) P 68, R 12
C) P 72, R 16
D) P 80, R 20
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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) Two staff nurses applied for promotion to nurse manager. The day of the job interviews, one nurse was told by her boyfriend that he wanted to end the relationship. Although visibly upset, the nurse does not think about what her boyfriend has said and prepares for the interview. Which term best describes the nurse's response?
A) Altruism
B) Suppression
C) Intellectualization
D) Reaction formation
Q2) A student says, "Before taking a test, I feel very alert and a little restless." Which nursing intervention is most appropriate to assist the student?
A) Explain that the symptoms result from mild anxiety and discuss the helpful aspects.
B) Advise the student to discuss this experience with a health care provider.
C) Encourage the student to begin antioxidant vitamin supplements.
D) Listen attentively, using silence in a therapeutic way.
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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) Which falls within the parameters of the normal course of treatment of depression with ECT?
A) Daily for 7 days
B) Three times per week for 10 weeks
C) Once a week for 8 weeks
D) Twice a week for 4 weeks
Q2) Priority interventions for a patient diagnosed with major depression and feelings of worthlessness should include which of the following?
A) Distracting the patient from self-absorption
B) Careful, unobtrusive observation around the clock
C) Allowing the patient to spend long periods alone in meditation
D) Opportunities to assume a leadership role in the therapeutic milieu
Q3) How long after a patient stops a monoamine oxidase inhibitor does he or she need to maintain the dietary restrictions followed when taking this medication?
A) Can resume normal diet immediately
B) 48 hours after the last dose
C) 1 week after the last dose
D) 2 weeks after the last dose
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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 waves a newspaper and says, "I must have my credit card and use the computer right now. A store is having a big sale, and I need to order 10 dresses and 4 pairs of shoes." Select the nurse's appropriate intervention.
A) Suggest the patient have a friend do the shopping and bring purchases to the unit
B) Invite the patient to sit together and look at new fashion magazines
C) Tell the patient computer use is not allowed until self-control improves
D) Ask whether the patient has enough money to pay for the purchases
Q2) Four new patients were admitted to the behavioural health unit in the past 12 hours. The nurse directs a psychiatric technician to monitor these patients for safety. A patient with which of the following diagnoses will need the most watchful supervision?
A) Bipolar I disorder
B) Bipolar II disorder
C) Dysthymic disorder
D) Cyclothymic disorder
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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) The nurse is developing a plan for psychoeducational sessions for several adults diagnosed with schizophrenia. Which goal is best for this group?
A) Members will gain insight into unconscious factors that contribute to their illness.
B) Members will explore situations that trigger hostility and anger.
C) Members will learn to manage delusional thinking.
D) Members will demonstrate improved social skills.
Q2) A health care provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory hallucinations and poor social function. The patient is also overweight and hypertensive. Which drug should the nurse advocate?
A) Clozapine (Clozaril)
B) Ziprasidone (Zeldox)
C) Olanzapine (Zyprexa)
D) Aripiprazole (Abilify)
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18
Chapter 17: Eating Disorders
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Sample Questions
Q1) A nurse finds a patient diagnosed with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight. Which response by the nurse is appropriate?
A) "You and I will have to sit down and discuss this problem."
B) "It bothers me to see you exercising. I am afraid you will lose more weight."
C) "Let's discuss the relationship between exercise, weight loss, and the effects on your body."
D) "According to our agreement, no exercising is permitted until you have gained a specific amount of weight."
Q2) Outpatient treatment is planned for a patient diagnosed with anorexia nervosa. Select the most important desired outcome related to the nursing diagnosis Imbalanced nutrition: less than body requirements. Within 1 week, which of the following will the patient do?
A) Weigh self accurately using balanced scales
B) Limit exercise to less than 2 hours daily
C) Select clothing that fits properly
D) Gain 1 to 1.5 kg
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19
Chapter 18: Cognitive Disorders
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Sample Questions
Q1) Which of the following will be the focus for goals of care for an older adult patient diagnosed with delirium caused by fever and dehydration?
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
Q2) Consider these diagnostic findings: apolipoprotein E (apoE) malfunction, neurofibrillary tangles, neuronal degeneration in the hippocampus, and brain atrophy. Which health problem corresponds to these diagnostic findings?
A) Huntington's disease
B) Alzheimer's disease
C) Parkinson's disease
D) Vascular dementia
Q3) What is the priority need for a patient with late-stage dementia?
A) Promotion of self-care activities
B) Meaningful verbal communication
C) Preventing the patient from wandering
D) Maintenance of nutrition and hydration
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Chapter 19: Substance Use and Addictive Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) Which features should be present in a therapeutic milieu for a patient with a hallucinogen overdose?
A) Simple and safe
B) Active and bright
C) Stimulating and colourful
D) Confrontational and challenging
Q2) 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
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) Which personality traits are most likely to be documented regarding a patient demonstrating characteristics of an obsessive-compulsive personality disorder?
A) Affable, generous
B) Perfectionist, inflexible
C) Suspicious, holds grudges
D) Dramatic speech, impulsive
Q2) Consider this comment to three different nurses by a patient diagnosed with antisocial personality disorder. "Another nurse said you don't do your job right." Collectively, these interactions can be assessed as which of the following?
A) Seductive
B) Detached
C) Manipulative
D) Guilt-producing
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22
Chapter 21: Sleep Wake Disorders
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Sample Questions
Q1) A person says, "I often feel like I have been dreaming just before I awake in the morning." Which rationale correctly explains the comment?
A) Sleep architecture changes during the sleep period, resulting in increased slow-wave sleep at the end of the cycle.
B) Cycles of rapid eye movement sleep increase in the second half of sleep and occupy longer periods.
C) Dreams occur more frequently when a person is experiencing unresolved conflicts or depression.
D) Dream content relates directly to developmental tasks. The person is likely feeling autonomous.
Q2) Which comment is most likely from a patient with chronic sleep deprivation?
A) "I turn on the television every night to get to sleep. I set the timer so it goes off in 30 minutes."
B) "I have diarrhea frequently and not much energy, so I stay at home most of the time."
C) "I sleep only about 5 hours a night, but I know I should sleep 7 or 8 hours."
D) "When my alarm clock goes off every morning, it seems like I am dreaming."
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23
Chapter 22: Sexual Dysfunction, Gender Dysphoria, and Paraphilias
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25 Verified Questions
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Sample Questions
Q1) A parent who is very concerned about a 3-year-old son says, "He likes to play with girls' toys. Do you think he is homosexual or mentally ill?" Which response by the nurse most professionally describes the current understanding of gender identity?
A) "A child's interest in the activities of the opposite gender is not unusual or related to sexuality. Most children do not carry cross-gender interests into adulthood."
B) "It's difficult to say for sure because the research is incomplete so far, but chances are that he will grow up to be a normal adult."
C) "The research is incomplete, but many boys play with girls' toys and turn out normal as adults."
D) "I am sure that whatever happens, he will be a loving son, and you will be a proud parent."
Q2) Which nursing action should occur first regarding a patient who has a problem of sexual dysfunction or sexual disorder?
A) The nurse should develop an understanding of human sexual response.
B) The nurse should assess the patient's sexual functioning and needs.
C) The nurse should acquire knowledge of the patient's sexual roles.
D) The nurse should clarify his or her own personal values about sexuality.
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Page 24
Chapter 23: Somatic Symptom Disorders and Dissociative Disorders
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24 Verified Questions
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Sample Questions
Q1) A patient reports fears of having cervical cancer and says to the nurse, "I've had Pap smears by six different doctors. The results were normal, but I'm sure that's because of errors in the laboratory." Which disorder would the nurse suspect?
A) Conversion (functional neurological) disorder
B) Illness anxiety disorder (hypochondriasis)
C) Somatic symptom disorder
D) Factitious disorder
Q2) Which treatment modality should a nurse recommend to help a patient diagnosed with a somatic symptom disorder to cope more effectively?
A) Flooding
B) Response prevention
C) Relaxation techniques
D) Systematic desensitization
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25
Chapter 24: Crisis and Disaster
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Sample Questions
Q1) A woman says, "I can't take anymore. Last year my husband had an affair, and now we do not communicate. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college and moving in with her boyfriend." Which issue should the nurse focus on during crisis intervention?
A) The possible mastectomy
B) The disordered family communication
C) The effects of the husband's extramarital affair
D) Coping with the reaction to the daughter's events
Q2) After celebrating the fortieth birthday, an individual becomes concerned with the loss of youthful appearance. What type of crisis has occurred?
A) Reactive
B) Situational
C) Maturational
D) Adventitious
Q3) Which situation demonstrates use of primary care related to crisis intervention?
A) Implementation of suicide precautions for a depressed patient
B) Teaching stress reduction techniques to a first-year college student
C) Assessing coping strategies used by a patient who attempted suicide
D) Referring a patient with schizophrenia to a partial hospitalization program
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Page 26
Chapter 25: Suicide
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Sample Questions
Q1) A nurse counsels a patient with recent suicidal ideation. Which is the nurse's most therapeutic comment?
A) "Let's make a list of all your problems and think of solutions for each one."
B) "I'm happy you're taking control of your problems and trying to find solutions."
C) "When you have bad feelings, try to focus on positive experiences from your life."
D) "Let's consider which problems are very important and which are less important."
Q2) A college student is extremely upset after failing two examinations. The student said, "No one understands how this will hurt my chances of getting into medical school." The student then suspends access to his social networking Web site and turns off his cell phone. Which suicide risk factors are evident? Select all that apply.
A) Shame
B) Panic attack
C) Humiliation
D) Self-imposed isolation
E) Recent stressful life event
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Chapter 26: Anger, Aggression, and Violence
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Sample Questions
Q1) A patient was arrested for breaking windows in the home of a former domestic partner. The patient's history also reveals childhood abuse by a punitive parent, torturing family pets, and an arrest for disorderly conduct. Which nursing diagnosis has priority?
A) Risk for injury
B) Ineffective coping
C) Impaired social interaction
D) Risk for other-directed violence
Q2) Which central nervous system structures are most associated with anger and aggression? Select all that apply.
A) Amygdala
B) Cerebellum
C) Basal ganglia
D) Temporal lobe
E) Prefrontal cortex
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Chapter 27: Interpersonal Violence: Child, Older Adult, and
Intimate Partner Abuse
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Sample Questions
Q1) A nurse assists a victim of intimate partner abuse to create a plan for escape if it becomes necessary. Which components should the plan include? Select all that apply.
A) Keep a cell phone fully charged.
B) Hide money with which to buy new clothes.
C) Have the phone number for the nearest shelter.
D) Take enough toys to amuse the children for 2 days.
E) Secure a supply of current medications for self and children.
F) Assemble birth certificates, passports, and other identification and licences.
G) Determine a code word to signal children when it is time to leave.
Q2) An 11-year-old reluctantly tells the nurse, "My parents don't like me. They said they wish I was never born." Which type of abuse is likely?
A) Sexual
B) Physical
C) Emotional
D) Economic
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Chapter 28: Sexual Assault
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Sample Questions
Q1) The nurse at a university health centre leads a dialogue with female freshmen about rape and sexual assault. One student says, "If I avoid strangers or situations where I am alone outside at night, I'll be safe from sexual attacks." Choose the nurse's best response.
A) "Your plan is not adequate. You could still be raped or sexually assaulted."
B) "I am glad you have this excellent safety plan. Would others like to comment?"
C) "It's better to walk with someone or call security when you enter or leave a building."
D) "Sexual assaults are more often perpetrated by acquaintances. Let's discuss ways to prevent that."
Q2) A woman was found confused and disoriented after being abducted and raped at gunpoint by an unknown assailant. The emergency department nurse makes these observations about the woman: talking rapidly in disjointed phrases, unable to concentrate, indecisive when asked to make simple decisions. What is the woman's level of anxiety?
A) Weak
B) Mild
C) Moderate
D) Severe
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Chapter 29: Disorders of Children and Adolescents
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/23111
Sample Questions
Q1) At the time of a home visit, the nurse notices that each parent and child in a family has his or her own personal online communication device. Each member of the family is in a different area of the home. Which nursing actions are appropriate? Select all that apply.
A) Report the finding to the official child protection social services agency.
B) Educate all members of the family about risks associated with cyberbullying.
C) Talk with the parents about parental controls on the children's communication devices.
D) Encourage the family to schedule daily time together without communication devices.
E) Obtain the family's network password and examine online sites family members have visited.
Q2) 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
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Chapter 30: Psychosocial Needs of the Older Adult
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/23112
Sample Questions
Q1) Which information is most important to obtain during assessment of an older adult diagnosed with a mental disorder?
A) Functional ability and emotional status
B) Chronological age and sexual function
C) Economic status and sources of income
D) Developmental history, interests, and activities
Q2) What is considered the Silent Geriatric Giant?
A) Depression
B) Anxiety
C) Chronic pain
D) Sleep disorders
Q3) Discharge planning begins for an elderly patient hospitalized for 2 weeks and diagnosed with major depression. The patient needs ongoing assessment and socialization opportunities as well as education about medication and relapse prevention. The patient lives with a daughter, who works during the week. Select the best referral for this patient.
A) Behavioural health home care
B) A nursing home
C) Partial hospitalization
D) A halfway house
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Chapter 31: Living With Recurrent and Persistent Mental Illness
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/23113
Sample Questions
Q1) The nurse wants to enroll a patient with poor social skills in a training program for patients diagnosed with schizophrenia. Which description accurately describes social skills training?
A) Patients learn to improve their attention and concentration.
B) Group leaders provide support without challenging patients to change.
C) Complex interpersonal skills are taught by breaking them into simpler behaviours.
D) Patients learn social skills by practising them in a supported employment setting.
Q2) After 5 years in a psychiatric hospital, an adult diagnosed with schizophrenia was discharged to the community. This patient now requires persistent direction to accomplish activities of daily living and expects others to provide meals and do laundry. The nurse assesses this behaviour as the probable result of which of the following?
A) Side effects of antipsychotic medications
B) Dependency caused by institutionalization
C) Cognitive deterioration from schizophrenia
D) Stress associated with acclimation to the community
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Chapter 32: Psychological Needs of Patients With Medical Conditions
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20 Verified Questions
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Source URL: https://quizplus.com/quiz/23114
Sample Questions
Q1) A man was brought to the emergency room for treatment of minor injuries after an accident in which his life partner, a transvestite, was killed. He refuses care, paces, screams, "Why, why, why!" repeatedly, and scratches at his arms as if trying to tear the flesh. A nurse says, "Geez, he's going to hurt himself. We'd better admit him to psych." Which explanation for the nurse's response is most likely?
A) The nurse's experience tells her that the patient is developing a psychotic reaction to the stress of the accident and death.
B) She is stigmatizing the patient due to his sexuality, dramatic grief response, and connection to a transvestite person.
C) The nurse is unsure how to handle a person presenting in this manner, is anxious as a result, and copes by wanting to shift the patient to another unit.
D) Medical nurses usually have less skill in managing emotional problems, and psychiatric staff are more appropriate to deal with people who are grieving.
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Chapter 33: Care for the Dying and for Those Who Grieve
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/23115
Sample Questions
Q1) A nurse talks with a woman who recently learned that her husband died while jogging. Select the appropriate statement for the nurse.
A) "At least your husband did not suffer."
B) "It's better to go quickly as your husband did."
C) "Your husband's loss must be very painful for you."
D) "You will begin to feel better after you get over the shock."
Q2) 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
Q3) Four teenagers died in an automobile accident. One week later, which behaviour by parents indicates adaptive mourning?
A) The parents who isolate themselves at home.
B) The parents who return immediately to employment.
C) The parents who forbid other teens in the household to drive a car.
D) The parents who create a scholarship fund at their child's high school.
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Page 35
Chapter 34: Forensic Psychiatric Nursing
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/23116
Sample Questions
Q1) Health problems most commonly encountered by correctional nurses are which of the following?
A) Routine infections and minor trauma
B) Chronic medical and psychiatric disorders
C) Similar to the non-incarcerated population
D) Injuries acquired during arrest or incarceration
Q2) Which statement about the practice of correctional nursing is accurate?
A) Because the majority of inmates are younger than 40 years of age, most have lower rates of chronic illnesses than the general population.
B) Correctional nurses work primarily with medically ill people rather than people with psychiatric or substance abuse disorders.
C) Individuals with mental illness are over-represented in the Canadian criminal justice system.
D) Correctional nurses commonly provide holistic and comprehensive care for the incarcerated population.
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36
Chapter 35: Therapeutic Groups
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Source URL: https://quizplus.com/quiz/23117
Sample Questions
Q1) Three members of a therapy group share covert glances as other members of the group describe problems. When one makes a statement that subtly criticizes another speaker, the others nod in agreement. Which group dynamic should the leader suspect?
A) Some members are acting as a subgroup instead of as members of the main group.
B) Some of the members have become bored and are disregarding others.
C) Three members are showing their frustration with slower members.
D) The leadership of the group has been ineffective.
Q2) During a support group, a patient diagnosed with schizophrenia says, "Sometimes I feel sad that I will never have a good job like my brother. Then I dwell on it and maybe I should not." Select the nurse leader's best comment to facilitate discussion of this issue.
A) "It is often better to focus on our successes rather than our failures."
B) "How have others in the group handled painful feelings like these?"
C) "Grieving for what is lost is a normal part of having a mental disorder."
D) "I wonder if you might also experience feelings of anger and helplessness."
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Chapter 36: Family Interventions
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/23118
Sample Questions
Q1) Parents of a teenager recently diagnosed with a serious mental illness express dismay. One parent says, "Our hopes for our child's future are ruined. We probably won't ever have grandchildren." The nurse will use interventions to assist with which of the following?
A) Denial
B) Grieving
C) Acting out
D) Manipulation
Q2) Which scenario best illustrates scapegoating within a family?
A) The identified patient sends messages of aggression to selected family members. B) Family members project problems of the family onto one particular family member.
C) The identified patient threatens separation from the family to induce feelings of isolation and despair.
D) Family members give the identified patient nonverbal messages that conflict with verbal messages.
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38
Chapter 37: Integrative Care
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28 Flashcards
Source URL: https://quizplus.com/quiz/23119
Sample Questions
Q1) A nurse plans health education for a patient who is having difficulty sleeping and wants to try a natural supplement. Which substance should the nurse recommend to the patient?
A) Ginkgo biloba
B) St. John's wort
C) Valerian
D) Kava kava
Q2) A patient has tried a variety of traditional, complementary, and alternative medicine (TCAM) approaches to manage health concerns. The nurse asks, "How is going to TCAM practitioners different from seeing your medical doctors?" How is the patient most likely to respond?
A) "The TCAM practitioners usually prescribe a course of invasive and sometimes painful treatments."
B) "The TCAM practitioners spend more time talking with me and not just about my symptoms."
C) "The TCAM practitioners say I need to become much more spiritual to be well."
D) "The TCAM practitioners order many tests to determine my diagnoses."
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