Nursing Care of Clients with Mental Health Disorders Exam Practice Tests
Course Introduction
This course provides students with the knowledge and skills necessary to deliver holistic nursing care to clients experiencing mental health disorders across the lifespan.
Emphasizing the principles of therapeutic communication, evidence-based interventions, and recovery-oriented practice, the course explores common psychiatric conditions such as mood disorders, anxiety disorders, psychotic disorders, and substance use disorders. Students will learn to assess mental health status, develop individualized care plans, implement crisis interventions, and collaborate with interdisciplinary teams to promote optimal mental well-being. The course also addresses legal, ethical, and cultural considerations in mental health nursing, fostering compassionate and respectful care for diverse populations.
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) An experienced nurse says to a new graduate, "When you've practiced as long as I have, you will instantly know how to take care of psychotic patients." What is the new graduate's best analysis of this comment? (Select all that apply.)
A) The experienced nurse may have lost sight of patients' individuality, which may compromise the integrity of practice.
B) New research findings must be continually integrated into a nurse's practice to provide the most effective care.
C) Experience provides mental health nurses with the tools and skills needed for effective professional practice.
D) Experienced psychiatric nurses have learned the best ways to care for psychotic patients through trial and error.
E) Effective psychiatric nurses should be continually guided by an intuitive sense of patients' needs.
Answer: A, B
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3
Chapter 2: Mental Health and Mental Illness
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) In the majority culture of the United States, which individual is at greatest risk to be incorrectly labeled mentally ill?
A) Person who is usually pessimistic but strives to meet personal goals
B) Wealthy person who gives $20 bills to needy individuals in the community
C) Person with an optimistic viewpoint about getting his or her own needs met
D) Person who attends a charismatic church and describes hearing God's voice
Answer: D
Q2) The spouse of a patient diagnosed with schizophrenia says, "I don't understand why childhood experiences have anything to do with this disabling illness." Select the nurse's response that will best help the spouse understand this condition.
A) "Psychological stress is actually at the root of most mental disorders."
B) "We now know that all mental illnesses are the result of genetic factors."
C) "It must be frustrating for you that your spouse is sick so much of the time."
D) "Although this disorder more likely has a biological rather than psychological origin, the support and involvement of caregivers is very important."
Answer: D
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4
Chapter 3: Theories and Therapies
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A single parent is experiencing feelings of inadequacy related to work and family since one teenaged child ran away several weeks ago. The parent seeks the help of a therapist specializing in cognitive therapy. The psychotherapist who uses cognitive therapy will treat the patient by:
A) discussing ego states.
B) focusing on unconscious mental processes.
C) negatively reinforcing an undesirable behavior.
D) helping the patient identify and change faulty thinking.
Answer: D
Q2) A 4-year-old child grabs toys from siblings, saying, "I want that toy now!" The siblings cry, and the child's parent becomes upset with the behavior. Using the Freudian theory, a nurse can interpret the child's behavior as a product of impulses originating in the: A) id.
B) ego.
C) superego.
D) preconscious.
Answer: A
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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 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
Q2) A nurse can anticipate anticholinergic side effects are likely to occur when a patient is taking:
A) lithium (Lithobid).
B) buspirone (BuSpar).
C) risperidone (Risperdal).
D) fluphenazine (Prolixin).
Q3) A patient has disorganized thinking associated with schizophrenia. Neuroimaging would most likely show dysfunction in which part of the brain?
A) Brainstem
B) Cerebellum
C) Temporal lobe
D) Prefrontal cortex
6
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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) 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) Which patient would a nurse refer to partial hospitalization? An individual who:
A) spent yesterday in the 24-hour supervised crisis care center and continues to be actively suicidal.
B) because of agoraphobia and panic episodes needs psychoeducation for relaxation therapy.
C) has a therapeutic lithium level and reports regularly for blood tests and clinic follow-up.
D) states, "I'm not sure I can avoid using alcohol when my spouse goes to work every morning."
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Page 7
Chapter 6: Legal and Ethical Basis for Practice
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A nurse's neighbor asks, "Why aren't people with mental illness kept in state institutions anymore?" What is the nurse's best response?
A) "Many people are still in psychiatric institutions. Inpatient care is needed because many people who are mentally ill are violent."
B) "Less restrictive settings are now available to care for individuals with mental illness."
C) "Our nation has fewer persons with mental illness; therefore fewer hospital beds are needed."
D) "Psychiatric institutions are no longer popular as a consequence of negative stories in the press."
Q2) A newly admitted patient who is acutely psychotic is a private patient of the senior psychiatrist. To whom does the psychiatric nurse who is assigned to this patient owe the duty of care?
A) Health care provider
B) Profession
C) Hospital
D) Patient
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8
Chapter
7: Nursing Process and QSEN: The Foundation for Safe and Effective Care
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A patient begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item "Encourage patient to attend one psychoeducational group daily"?
A) Assessment
B) Analysis
C) Planning
D) Implementation
E) Evaluation
Q2) Select the best outcome for a patient with this nursing diagnosis: impaired social interaction, related to sociocultural dissonance as evidenced by stating, "Although I'd like to, I don't join in because I don't speak the language very well." The patient will:
A) demonstrate improved social skills.
B) express a desire to interact with others.
C) become more independent in decision making.
D) select and participate in one group activity per day.
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Chapter 8: Communication Skills: Medium for All Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) 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."
Q2) 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."
Q3) Which technique will best communicate to a patient that the nurse is interested in listening?
A) Restate a feeling or thought the patient has expressed.
B) Ask a direct question, such as, "Did you feel angry?"
C) Make a judgment about the patient's problem.
D) Say, "I understand what you're saying."
Page 10
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Chapter 9: Therapeutic Relationships and the Clinical
Interview
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nurse ends a relationship with a patient. Which actions by the nurse should be included in the termination phase? (Select all that apply.)
A) Focus dialog with the patient on problems that may occur in the future.
B) Help the patient express feelings about the relationship with the nurse.
C) Help the patient prioritize and modify socially unacceptable behaviors.
D) Reinforce expectations regarding the parameters of the relationship.
E) Help the patient identify strengths, limitations, and problems.
Q2) A nurse says, "I am the only one who truly understands this patient. Other staff members are too critical." The nurse's statement indicates:
A) boundary blurring.
B) sexual harassment.
C) positive regard.
D) advocacy.
Q3) A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. The nurse should:
A) restate what the patient says.
B) use congruent communication strategies.
C) use self-disclosure in patient interactions.
D) consistently interpret the patient's behaviors.
Page 11
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Chapter 10: Trauma and Stress-Related Disorders
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A patient is brought to the emergency department after a motorcycle accident. The patient is alert, responsive, and diagnosed with a broken leg. The patient's vital signs are temperature (T), 98.6° F; pulse (P), 72 beats per minute (bpm); and respirations (R), 16 breaths per minute. After being informed that surgery is required for the broken leg, which vital sign readings would be expected?
A) T, 98.6°; P, 64; R, 14
B) T, 98.6°; P, 68; R, 12
C) T, 98.6°; P, 62; R, 16
D) T, 98.6°; P, 84; R, 22
Q2) Cortisol is released in response to a patient's prolonged stress. Which initial effect would the nurse expect to result from the increased cortisol level?
A) Diuresis and electrolyte imbalance
B) Focused and alert mental status
C) Drowsiness and lethargy
D) Restlessness and anxiety
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12
Chapter 11: Anxiety, Anxiety Disorders, and
Obsessive-Compulsive and Related Disorders
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) A student says, "Before taking a test, I feel a heightened sense of awareness and restlessness." The nursing intervention most suitable for assisting the student is to:
A) explain that the symptoms are the result of 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 without comment.
Q2) If a cruel and abusive person rationalizes this behavior, which comment is most characteristic of this person?
A) "I don't know why it happens."
B) "I have always had poor impulse control."
C) "That person should not have provoked me."
D) "Inside I am a coward who is afraid of being hurt."
Q3) For a patient experiencing panic, which nursing intervention should be implemented 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.
Page 13
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Chapter 12: Somatic Symptom Disorders and Dissociative Disorders
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A medical-surgical nurse works with a patient diagnosed with a somatic system disorder. Care planning is facilitated by understanding that the patient will probably:
A) readily seek psychiatric counseling.
B) be resistant to accepting psychiatric help.
C) attend psychotherapy sessions without encouragement.
D) be eager to discover the true reasons for physical symptoms.
Q2) Which prescription medication would the nurse expect to be prescribed for a patient diagnosed with a somatic symptom disorder?
A) Narcotic analgesics for use as needed for acute pain
B) Antidepressant medications to treat underlying depression
C) Long-term use of benzodiazepines to support coping with anxiety
D) Conventional antipsychotic medications to correct cognitive distortions
Q3) A nurse counseling a patient diagnosed with dissociative identity disorder (DID) should understand that the assessment of highest priority is:
A) risk for self-harm.
B) cognitive functioning.
C) identification of drug abuse.
D) readiness to reestablish identity or memory.
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Chapter 13: Personality Disorders
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) 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.
Q2) What is an appropriate initial outcome for a patient diagnosed with a personality disorder who frequently manipulates others? The patient will:
A) identify when feeling angry.
B) use manipulation only to get legitimate needs met.
C) acknowledge manipulative behavior when it is called to his or her attention.
D) accept fulfillment of his or her requests within an hour rather than immediately.
Q3) Which characteristic of individuals diagnosed with personality disorders makes it most necessary for staff to schedule frequent meetings?
A) Ability to achieve true intimacy
B) Flexibility and adaptability to stress
C) Ability to evoke interpersonal conflict
D) Inability to develop trusting relationships
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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) The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention "Monitor for complications of refeeding." Which body system should a nurse closely monitor for dysfunction?
A) Renal
B) Endocrine
C) Central nervous
D) Cardiovascular
Q2) One bed is available on the inpatient eating disorders unit. Which patient should be admitted? The patient whose weight dropped from:
A) 150 to 100 pounds over a 4-month period. Vital signs: temperature, 35.9° C; pulse, 38 beats/min; blood pressure, 60/40 mm Hg.
B) 120 to 90 pounds over a 3-month period. Vital signs: temperature, 36° C; pulse, 50 beats/min; blood pressure, 70/50 mm Hg.
C) 110 to 70 pounds over a 4-month period. Vital signs: temperature, 36.5° C; pulse, 60 beats/min; blood pressure, 80/66 mm Hg.
D) 90 to 78 pounds over a 5-month period. Vital signs: temperature, 36.7° C; pulse, 62 beats/min; blood pressure, 74/48 mm Hg.
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Chapter 15: Mood Disorders: Depression
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) During a psychiatric assessment, the nurse observes a patient's facial expressions that are without emotion. The patient says, "Life feels so hopeless to me. I've been feeling sad for several months." How should the nurse document the patient's affect and mood?
A) Affect depressed; mood flat
B) Affect flat; mood depressed
C) Affect labile; mood euphoric
D) Affect and mood are incongruent
Q2) A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to:
A) avoid exposure to bright sunlight.
B) report increased suicidal thoughts.
C) restrict sodium intake to 1 g daily.
D) maintain a tyramine-free diet.
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Chapter 16: Bipolar Spectrum Disorders
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35 Verified Questions
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Sample Questions
Q1) A nurse receives this laboratory result for a patient diagnosed with bipolar disorder: lithium level 1 mEq/L. This result is:
A) within therapeutic limits.
B) below therapeutic limits.
C) above therapeutic limits.
D) likely to be inaccurate.
Q2) 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
Q3) A patient experiencing acute mania has disrobed in the hall three times in 2 hours. The nurse should:
A) direct the patient to wear clothes at all times.
B) ask if the patient finds clothes bothersome.
C) tell the patient that others feel embarrassed.
D) arrange for one-on-one supervision.
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18
Chapter 17: Schizophrenia Spectrum Disorders and Other
Psychotic Disorders
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38 Verified Questions
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Sample Questions
Q1) A patient diagnosed with schizophrenia has taken a first generation antipsychotic medication for a year. Hallucinations are less intrusive but the patient continues to have apathy, poverty of thought, and social isolation. The nurse expects a change to which medication?
A) Haloperidol (Haldol)
B) Olanzapine (Zyprexa)
C) Chlorpromazine (Thorazine)
D) Diphenhydramine (Benadryl)
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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Sample Questions
Q1) What is the priority nursing need for a patient diagnosed with late-stage dementia?
A) Promotion of self-care activities
B) Meaningful verbal communication
C) Maintenance of nutrition and hydration
D) Prevention of the patient from wandering
Q2) A hospitalized patient experiencing delirium misinterprets reality and a patient diagnosed with dementia wanders about the home. Which outcome is the priority in both scenarios? Each patient will:
A) remain safe in the environment.
B) participate actively in self-care.
C) communicate verbally.
D) acknowledge reality.
Q3) Which nursing intervention is appropriate to use for patients diagnosed with either delirium or dementia?
A) Speak in a loud, firm voice.
B) Touch the patient before speaking.
C) Reintroduce the health care worker at each contact.
D) When the patient becomes aggressive, use physical restraint instead of medication.
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20
Chapter 19: Substance-Related and Addictive Disorders
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Sample Questions
Q1) A patient comes to an outpatient appointment obviously intoxicated. The nurse should:
A) explore the patient's reasons for drinking today.
B) arrange admission to an inpatient psychiatric unit.
C) coordinate emergency admission to a detoxification unit.
D) tell the patient, "We cannot see you today because you've been drinking."
Q2) Which statement most accurately describes substance addiction?
A) A chronic, relapsing brain disease associated with craving and a lack of control over use of a substance.
B) A disorder associated with tolerance to a substance as well as withdrawal symptoms if use is abruptly discontinued.
C) Behaviors associated with habitual use of a substance for the single purpose of altering one's mood, emotion, or state of consciousness.
D) A behavioral disorder associated with selected personality features.
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21
Chapter 20: Crisis and Mass Disaster
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Sample Questions
Q1) During the initial interview at the crisis center, a patient says, "I've been served with divorce papers. I'm so upset and anxious that I can't think clearly." What could the nurse say to assess personal coping skills?
A) "What would you like us to do to help you feel more relaxed?"
B) "In the past, how did you handle difficult or stressful situations?"
C) "Do you think you deserve to have things like this happen to you?"
D) "I can see you are upset. You can rely on us to help you feel better."
Q2) 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
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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Page 22
Chapter 21: Child, Partner, and Elder Violence
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26 Verified Questions
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Sample Questions
Q1) An older adult diagnosed with Alzheimer disease lives with family. During the week, the person attends a day care center while the family is at work. In the evenings, members of the family provide care. Which factor makes this patient most vulnerable to abuse?
A) Dementia
B) Living in a rural area
C) Being part of a busy family
D) Being home only in the evening
Q2) What feelings are most commonly experienced by nurses working with abusive families?
A) Outrage toward the victim and sympathy for the abuser
B) Sympathy for the victim and anger toward the abuser
C) Unconcern for the victim and dislike for the abuser
D) Vulnerability for self and empathy with the abuser
Q3) What is a nurse's legal responsibility if child abuse or neglect is suspected?
A) Discuss the findings with the child's teacher, principal, and school psychologist.
B) Report the suspected abuse or neglect according to state regulations.
C) Document the observations and speculations in the medical record.
D) Continue the assessment.
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Page 23
Chapter 22: Sexual Violence
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Sample Questions
Q1) 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.
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) Which activities are in the scope of practice of a sexual assault nurse examiner? (Select all that apply.)
A) Requiring HIV testing of a victim
B) Collecting and preserving evidence
C) Providing long-term counseling for rape victims
D) Obtaining signed consents for photographs and examinations
E) Providing pregnancy and sexually transmitted disease prophylaxis
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Page 24
Chapter 23: Suicidal Thoughts and Behavior
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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 and patient construct a no-suicide contract. Select the preferable wording for the contract.
A) "I will not try to harm myself during the next 24 hours."
B) "I will not make a suicide attempt while I am hospitalized."
C) "For the next 24 hours, I will not kill or harm myself in any way."
D) "I will not kill myself until I call my primary nurse or a member of the staff."
Q3) When assessing a patient's plan for suicide, what aspect has priority?
A) Patient's financial and educational status
B) Patient's insight into suicidal motivation
C) Availability of means and lethality of method
D) Quality and availability of patient's social support
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Page 25
Chapter 24: Anger, Aggression, and Violence
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Sample Questions
Q1) A patient has been responding to auditory hallucinations throughout the day. The patient approaches the nurse, shaking a fist and shouting, "Back off!" and then goes into the day room. As the nurse follows the patient into the day room, the nurse should:
A) make sure adequate physical space exists between the nurse and the patient. B) move into a position that allows the patient to be close to the door.
C) maintain one arm's length distance from the patient.
D) sit down in a chair near the patient.
Q2) An adult patient assaulted another patient and was restrained. One hour later, which statement by this restrained patient necessitates the nurse's immediate attention?
A) "I hate all of you!"
B) "My fingers are tingly."
C) "You wait until I tell my lawyer."
D) "It was not my fault. The other patient started it."
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Chapter 25: Care for the Dying and Those Who Grieve
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Sample Questions
Q1) A person whose spouse died two years earlier tells friends, "I think I'm ready to start going out socially, maybe even take someone to dinner." This comment best demonstrates that the individual is:
A) denying the significance of the loss.
B) in a period of resolution of grief.
C) actively working through grief.
D) experiencing intrusion.
Q2) The spouse of a patient in hospice care angrily tells the nurse, "The care provided by the aide and other family members is inadequate, so I must do everything myself. Can't anyone do things right?" The palliative care nurse should:
A) provide teaching about anticipatory grieving.
B) assign new personnel to the patient's care.
C) arrange hospitalization for the patient.
D) refer the spouse for crisis counseling.
Q3) The mourning process is more difficult when the bereaved:
A) was relatively independent of the deceased.
B) has experienced many previous losses.
C) accepts that death is expected for everyone.
D) had resolved conflicts with the deceased.
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Page 27
Chapter 26: Children and Adolescents
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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 a 3-year-old diagnosed with autism spectrum disorder. Which finding is most associated with the child's disorder? The child:
A) has occasional toileting accidents.
B) is unable to read children's books.
C) cries when separated from a parent.
D) continuously rocks in place for 30 minutes.
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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) Which information should a nurse include in health teaching for adults diagnosed with attention deficit hyperactivity disorder (ADHD) and their significant others? (Select all that apply.)
A) Tendency for genetic transmission
B) Prevention strategies related to substance abuse
C) Negative reinforcement strategies to help modify behaviors
D) Selective serotonin reuptake inhibitors (SSRIs) are usually prescribed for hyperactivity
E) Cognitive therapy may help resolve internalized negative beliefs about self
Q2) Which economic factors are most critical to the success of discharge planning for a patient diagnosed with severe and persistent mental illness? (Select all that apply.)
A) Access to housing
B) Individual psychotherapy
C) Income to meet basic needs
D) Availability of health insurance
E) Ongoing interdisciplinary evaluation
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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/2074
Sample Questions
Q1) 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.
Q2) A community mental health nurse plans an educational program for staff members at a home health agency that specializes in the care of older adults. A topic of high priority should be:
A) identifying depression in older adults.
B) providing cost-effective foot care for older adults.
C) identifying nutritional deficiencies in older adults.
D) psychosocial stimulation for those who live alone.
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.
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