Nursing Care of Clients with Mental Health Disorders
Solved Exam Questions
Course Introduction
This course focuses on the nursing care of clients experiencing mental health disorders across the lifespan. Students will explore the assessment, planning, implementation, and evaluation of holistic care for individuals, families, and groups affected by mental illness. Emphasis is placed on therapeutic communication, evidence-based interventions, cultural sensitivity, and legal-ethical considerations in mental health nursing. Through theoretical knowledge and clinical practice, students learn to collaborate with interdisciplinary teams to support recovery, promote mental wellness, and advocate for individuals living with psychiatric disorders.
Recommended Textbook
Essentials of Psychiatric Mental Health Nursing 2nd Edition by Elizabeth M. Varcarolis
Available Study Resources on Quizplus
28 Chapters
809 Verified Questions
809 Flashcards
Source URL: https://quizplus.com/study-set/2156 Page 2
Chapter 1: Practicing the Science and Art of Psychiatric Nursing
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/42971
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.Craziness is what we are all about."
B)"Let's all show acceptance of this patient by wearing lots of makeup too."
C)"Your comments are inconsiderate and inappropriate.Keep the report objective."
D)"Our patients need our help to learn behaviors that will help them get along in society."
Answer: D
Q2) A nurse assesses a newly admitted patient with depression.Which statement is an example of "attending"?
A)"We all have stress in life.Being in a psychiatric hospital isn't the end of the world."
B)"Tell me why you felt you had to be hospitalized to receive treatment for your depression."
C)"You will feel better after we get some antidepressant medication started for you."
D)"I'd like to sit with you a while so you may feel more comfortable talking with me."
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
Page 3
Chapter 2: Mental Health and Mental Illness
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/42972
Sample Questions
Q1) A 40-year-old adult living with parents states,"I'm happy but I don't socialize much.My work is routine.When new things come up,my boss explains them a few times to make sure I understand.At home,my parents make decisions for me,and I go along with them." A nurse should identify interventions to improve this patient's:
A)self-concept.
B)overall happiness.
C)appraisal of reality.
D)control over behavior.
Answer: A
Q2) A patient is admitted to the psychiatric hospital for assessment and evaluation.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
To view all questions and flashcards with answers, click on the resource link above. Page 4
Chapter 3: Theories and Therapies
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/42973
Sample Questions
Q1) A 26-month-old child displays negative behaviors.The parent says,"My child refuses toilet training and shouts,'No!' when given direction.What do you think is wrong?" Select the nurse's best reply.
A)"This is normal for your child's age.The child is striving for independence."
B)"The child needs firmer control.Punish the child for disobedience and say,'No.'"
C)"There may be developmental problems.Most children are toilet trained by age 2 years."
D)"Some undesirable attitudes are developing.A child psychologist can help you develop a remedial plan."
Answer: A
Q2) A nurse psychotherapist works with an anxious,dependent patient.The therapeutic strategy most consistent with the framework of psychoanalytic psychotherapy is:
A)emphasizing medication compliance
B)identifying the patient's strengths and assets
C)offering psychoeducational materials and groups
D)focusing on feelings developed by the patient toward the nurse
Answer: D
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Biological Basis for Understanding
Psychopharmacology
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/42974
Sample Questions
Q1) A nurse administers a medication that potentiates the action of gamma-aminobutyric acid (GABA).Which finding would be expected?
A)Reduced anxiety
B)Improved memory
C)More organized thinking
D)Fewer sensory perceptual alterations
Q2) A patient has dementia.The health care provider wants to make a differential diagnosis between Alzheimer disease and multiple infarctions.Which diagnostic procedure should a nurse expect to prepare the patient for first?
A)Computed tomography (CT)scan
B)Positron emission tomography (PET)scan
C)Functional magnetic resonance imaging (fMRI)
D)Single-photon-emission computed tomography (SPECT)scan
Q3) Priority teaching for a patient taking clozapine (Clozaril)should include which instruction?
A)Report sore throat and fever immediately.
B)Avoid foods high in polyunsaturated fat.
C)Use water-based lotions for rashes.
D)Avoid unprotected sex.
Page 6
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Settings for Psychiatric Care
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/42975
Sample Questions
Q1) A community mental health nurse has worked for 6 months to establish a relationship with a delusional,suspicious patient.The patient recently lost employment and stopped taking medications because of inadequate money.The patient says,"Only a traitor would make me go to the hospital." Which solution is best?
A)Arrange a bed in a local homeless shelter with nightly onsite supervision.
B)Negotiate a way to provide medication so the patient can remain at home.
C)Hospitalize the patient until the symptoms have stabilized.
D)Seek inpatient hospitalization for up to 1 week.
Q2) A nurse can best address factors of critical importance to successful community treatment for persons with mental illness by including assessments related to which of the following? Select all that apply.
A)housing adequacy and stability
B)income adequacy and stability
C)family and other support systems
D)early psychosocial development
E)substance abuse history and current use
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Legal and Ethical Basis for Practice
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/42976
Sample Questions
Q1) Which situations qualify as abandonment on the part of a nurse? (Select all that apply. )The nurse:
A)allows a patient with acute mania to refuse hospitalization without taking further action.
B)terminates employment without referring a seriously mentally ill for aftercare.
C)calls police to bring a suicidal patient to the hospital after a suicide attempt.
D)refers a patient with persistent paranoid schizophrenia to community treatment.
E)asks another nurse to provide a patient's care because of concerns about countertransference.
Q2) The spouse of a patient who has delusions asks the nurse,"Are there any circumstances under which the treatment team is justified in violating the patient's right to confidentiality?" The nurse must reply that confidentiality may be breached:
A)under no circumstances.
B)at the discretion of the psychiatrist.
C)when questions are asked by law enforcement.
D)if the patient threatens the life of another person.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 7: Nursing Process and Qsen: The Foundation for
Safe and Effective Care
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/42977
Sample Questions
Q1) What information is conveyed by nursing diagnoses? Select all that apply.
A)Medical judgments about the disorder
B)Goals and outcomes for the plan of care
C)Unmet patient needs currently present
D)Supporting data that validate the diagnoses
E)Probable causes that will be targets for nursing interventions
Q2) A patient states,"I'm not worth anything.I have negative thoughts about myself.I feel anxious and shaky all the time.Sometimes I feel so sad that I want to go to sleep and never wake up." Which nursing intervention should have the highest priority?
A)Self-esteem-building activities
B)Anxiety self-control measures
C)Sleep enhancement activities
D)Suicide precautions
Q3) 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."
Page 9
To view all questions and flashcards with answers, click on the resource link above.
Chapter 8: Communication Skills: Medium for All Nursing Practice
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/42978
Sample Questions
Q1) A Filipino-American patient had this nursing diagnosis: Situational low self-esteem,related to poor social skills as evidenced by lack of eye contact.Interventions were used to raise the patient's self-esteem;however,after 3 weeks,the patient's eye contact did not improve.What is the most accurate analysis of this scenario?
A)The patient's eye contact should have been directly addressed by role-playing to increase comfort with eye contact.
B)The nurse should not have independently embarked on assessment,diagnosis,and planning for this patient.
C)The patient's poor eye contact is indicative of anger and hostility that remain unaddressed.
D)The nurse should have assessed the patient's culture before making this diagnosis and plan.
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."
To view all questions and flashcards with answers, click on the resource link above. Page 10
Chapter 9: Therapeutic Relationships and the Clinical Interview
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/42979
Sample Questions
Q1) A patient says,"I've done a lot of cheating and manipulating in my relationships." Select a nonjudgmental response by the nurse.
A)"How do you feel about that?"
B)"It's good that you realize this."
C)"That's not a good way to behave."
D)"Have you outgrown that type of behavior?"
Q2) A patient says,"Please don't share information about me with the other people." How should the nurse respond?
A)"I won't share information with your family or friends without your permission,but I will share information about you with other staff members."
B)"A therapeutic relationship is just between the nurse and the patient.It's up to you to tell others what you want them to know."
C)"It really depends on what you choose to tell me.I will be glad to disclose at the end of each session what I will report to others."
D)"I cannot tell anyone about you.It will be as though I am talking about my own problems,and we can help each other by keeping it between us."
To view all questions and flashcards with answers, click on the resource link above. Page 11
Chapter 10: Stress and Stress-Related Disorders
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/42980
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) Which scenario best demonstrates an example of eustress? An individual:
A)loses a beloved family pet.
B)prepares to take a 1 week vacation to a tropical island with a group of close friends.
C)receives a bank notice there were insufficient funds in their account for a recent rent payment.
D)receives notification that their current employer is experiencing financial problems and some workers will be terminated.
To view all questions and flashcards with answers, click on the resource link above.
12
Chapter 11: Anxiety, anxiety Disorders, and
Obsessive-Compulsive Disorders
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/42981
Sample Questions
Q1) Which comment by a person who is experiencing severe anxiety indicates the possibility of obsessive-compulsive disorder?
A)"I check where my car keys are eight times."
B)"My legs often feel weak and spastic."
C)"I'm embarrassed to go out in public."
D)"I keep reliving the car accident."
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.
Q3) A person who feels unattractive repeatedly says,"Although I'm not beautiful,I am smart." This is an example of:
A)Repression
B)Devaluation
C)Identification
D)Compensation
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 12: Somatoform Disorders and Dissociative Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/42982
Sample Questions
Q1) A patient says,"I know I have a brain tumor despite the results of the magnetic resonance image (MRI).The radiologist is wrong.People who have brain tumors vomit,and yesterday I vomited all day." Which response by the nurse fosters cognitive restructuring?
A)"You do not have a brain tumor.The more you talk about it,the more it reinforces your illogical thinking."
B)"Let's see whether any other explanations for your vomiting are possible."
C)"You seem so worried.Let's talk about how you're feeling."
D)"We'll talk about something else."
Q2) A woman is 5'7" tall,weighs 160 pounds,and wears a size 8 shoe.She says,"My feet are huge.I've asked three orthopedists to surgically reduce my feet." The patient tries to buy shoes to make her feet look smaller,and in social settings conceals both feet under a table or chair.Which health problem is likely?
A)Dissociative fugue
B)Prominent pain disorder
C)Body dysmorphic disorder
D)Depersonalization disorder
To view all questions and flashcards with answers, click on the resource link above.
Page 14
Chapter 13: Personality Disorders
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/42983
Sample Questions
Q1) Others describe a worker as very shy and lacking in self-confidence.This worker stays in an office cubicle all day,and never comes out for breaks or lunch.Which term best describes this behavior?
A)Avoidant
B)Dependent
C)Histrionic
D)Paranoid
Q2) A patient with borderline personality disorder has a history of self-mutilation and suicide attempts.The patient reveals feelings of depression and anger with life.The psychiatrist suggests the use of a medication.Which type of medication should the nurse expect?
A)Selective serotonin reuptake inhibitor (SSRI)
B)Monoamine oxidase inhibitor (MAOI)
C)Benzodiazepine
D)Antipsychotic
Q3) For which behavior would limit setting be most essential? The patient:
A)clings to the nurse and asks for advice about inconsequential matters.
B)is flirtatious and provocative with staff members of the opposite sex.
C)is hypervigilant and refuses to attend unit activities.
D)urges a suspicious patient to hit anyone who stares.
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 14: Eating Disorders
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/42984
Sample Questions
Q1) A psychiatric clinical nurse specialist uses cognitive therapy techniques with a patient diagnosed with anorexia nervosa.Which statement by the staff nurse supports this type of therapy?
A)"What are your feelings about not eating the food that you prepare?"
B)"You seem to feel much better about yourself when you eat something."
C)"It must be difficult to talk about private matters to someone you just met."
D)"Being thin doesn't seem to solve your problems.You're thin now but still unhappy."
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
To view all questions and flashcards with answers, click on the resource link above. Page 16
Chapter 15: Mood Disorders: Depression
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/42985
Sample Questions
Q1) A patient being treated with paroxetine (Paxil)50 mg/day orally for depression reports to the clinic nurse,"I took a few extra tablets earlier in the day and now I feel bad." Which assessments are most critical? Select all that apply.
A)Vital signs
B)Urinary frequency
C)Increased suicidal ideation
D)Presence of abdominal pain and diarrhea
E)Hyperactivity or feelings of restlessness
Q2) An adult with depression was treated with medication and cognitive behavioral therapy.The patient now recognizes how passivity contributed to the depression.Which intervention should the nurse suggest?
A)Social skills training
B)Relaxation training classes
C)Use of complementary therapy
D)Learning desensitization techniques
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Bipolar Spectrum Disorders
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/42986
Sample Questions
Q1) A patient with mania dances around the unit,seldom sits,monopolizes conversations,interrupts,and intrudes.Which nursing intervention will best assist the patient with energy conservation?
A)Monitor physiologic functioning.
B)Provide a subdued environment.
C)Supervise personal hygiene.
D)Observe for mood changes.
Q2) A person is directing traffic on a busy street and shouting,"To work,you jerk,for perks," and making obscene gestures at 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) A health teaching plan for a patient taking lithium should include instructions to:
A)Maintain normal salt and fluids in the diet.
B)Drink twice the usual daily amount of fluids.
C)Double the lithium dose if diarrhea or vomiting occurs.
D)Avoid eating aged cheese,processed meats,and red wine.
To view all questions and flashcards with answers, click on the resource link above.
Page 18
Chapter 17: Schizophrenia Spectrum Disorders
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/42987
Sample Questions
Q1) A patient with schizophrenia has taken a conventional 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) When a patient with paranoid schizophrenia was discharged 6 months ago,haloperidol (Haldol)was prescribed.The patient now says,"I stopped taking those pills.They made me feel like a robot." What common side effects should the nurse validate with the patient?
A)Sedation and muscle stiffness
B)Sweating,nausea,and diarrhea
C)Mild fever,sore throat,and skin rash
D)Headache,watery eyes,and runny nose
To view all questions and flashcards with answers, click on the resource link above.
19
Chapter 18: Neurocognitive Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/42988
Sample Questions
Q1) What is the priority intervention for a patient with delirium who has fluctuating levels of consciousness,disturbed orientation,and perceptual alterations?
A)Avoidance of physical contact
B)High level of sensory stimulation
C)Careful observation and supervision
D)Application of wrist and ankle restraints
Q2) What is the priority need for a patient 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
Q3) A hospitalized patient with delirium misinterprets reality and a patient with dementia wanders about the home.Which outcome is the priority in both scenarios? Each patient will:
A)remain safe in the present environment.
B)participate actively in self-care.
C)communicate verbally.
D)acknowledge reality.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 19: Addictions and Compulsions
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/42989
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) An alcohol-dependent individual says,"Drinking helps me cope with being a single parent." Which response by the nurse would help the individual conceptualize the drinking more objectively?
A)"Sooner or later,alcohol will kill you.Then what will happen to your children?"
B)"I hear a lot of defensiveness in your voice.Do you really believe this?"
C)"If you were coping so well,why were you hospitalized again?"
D)"Tell me what happened the last time you drank."
Q3) A patient asks for information about Alcoholics Anonymous (AA).Which is the nurse's best response?
A)"It is a self-help group with the goal of sobriety."
B)"It is a form of group therapy led by a psychiatrist."
C)"It is a group that learns about drinking from a group leader."
D)"It is a network that advocates strong punishment for drunk drivers."
To view all questions and flashcards with answers, click on the resource link above.
Page 21
Chapter 20: Crisis and Mass Disaster
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/42990
Sample Questions
Q1) A victim of spousal violence comes to the crisis center seeking help.The nurse uses crisis intervention strategies that focus on:
A)supporting emotional security and reestablishing equilibrium
B)offering a long-term resolution of issues precipitating the crisis
C)promoting growth of the individual
D)providing legal assistance
Q2) A troubled adolescent opened fire in a high school cafeteria,fatally shooting three people and injuring many others.Hundreds of parents come to the high school after hearing the news reports.After the police arrest the shooter,which action should occur next?
A)Ask the police to encircle the school campus with yellow tape to prevent parents from entering.
B)Announce over the loudspeakers,"The campus is now secure.Please return to your classrooms."
C)Require parents to pass through metal detectors and then allow them to look for their children in the school.
D)Designate zones according to the alphabet,and direct students to the zones based on their surnames to facilitate reuniting them with their parents.
To view all questions and flashcards with answers, click on the resource link above. Page 22
Chapter 21: Child, Partner, and Elder Violence
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/42991
Sample Questions
Q1) An older adult with dementia lives with family and attends day care.After observing poor hygiene,the nurse at the center talks with the patient's adult child.This caregiver becomes defensive and says,"It takes all my time and energy to care for my mother.She's awake all night.I never get any sleep." Which nursing intervention has priority?
A)Teach the caregiver more about the effects of dementia.
B)Secure additional resources for the mother's evening and night care.
C)Support the caregiver to grieve the loss of the mother's ability to function.
D)Teach the family how to give physical care more effectively and efficiently.
Q2) An 11-year-old child is absent from school to care for siblings while the parents work.The family cannot afford a babysitter.When asked about the parents,the child reluctantly says,"My parents don't like me.They call me stupid and say I never do anything right." Which type of abuse is likely?
A)Sexual
B)Physical
C)Emotional
D)Economic
To view all questions and flashcards with answers, click on the resource link above.
Page 23
Chapter 22: Sexual Violence
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/42992
Sample Questions
Q1) A rape victim tells the emergency department nurse,"I feel so dirty.Please let me take a shower before the doctor examines me." The nurse should:
A)arrange for the patient to shower.
B)explain that washing would destroy evidence.
C)give the patient a basin of hot water and towels.
D)instruct the victim to wash above the waist only.
Q2) 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
Q3) After assessing a victim of sexual assault,which terms could the nurse use in the documentation? Select all that apply.
A)Alleged
B)Reported
C)Penetration
D)Intercourse
E)Refused
F)Declined
To view all questions and flashcards with answers, click on the resource link above.
Page 24
Chapter 23: Suicidal Thoughts and Behavior
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/42993
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 most important and which are less important."
Q2) 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
Q3) A person intentionally overdoses on antidepressant drugs.Which nursing diagnosis has the highest priority?
A)Powerlessness
B)Social isolation
C)Risk for suicide
D)Compromised family coping
To view all questions and flashcards with answers, click on the resource link above.
25
Chapter 24: Anger, Aggression, and Violence
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/42994
Sample Questions
Q1) 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 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?"
Q2) A patient with a history of command hallucinations approaches the nurse,yelling obscenities.The patient mumbles and then walks away.The nurse follows.Which nursing actions are most likely to be effective in de-escalating this scenario? Select all that apply.
A)State the expectation that the patient will stay in control.
B)State that the patient cannot be understood when mumbling.
C)Tell the patient,"You are behaving inappropriately."
D)Offer to provide the patient with medication to help.
E)Speak in a firm but calm voice.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 25: Care for the Dying and Those Who Grieve
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/42995
Sample Questions
Q1) A widow grieving her husband's sudden death tells the nurse,"I'm not feeling well.Yesterday,I saw my husband walk through the door,stop,and smile at me.Then he just faded away." Which is the nurse's most appropriate action?
A)Assess for recent substance use.
B)Suggest a referral to the mental health clinic.
C)Arrange for an evaluation for antidepressant medication.
D)Counsel the widow that visualizations are a normal part of grieving.
Q2) A grieving patient tells a nurse,"It's been 8 months since my spouse died.I thought I would feel better by now,but lately I feel worse.I have no energy.I am lonely,but I don't want to be around people.What should I do?" What is the nurse's best counsel?
A)Seek psychotherapy.
B)Become active in a church.
C)Attend a bereavement group.
D)Understand this is a normal response.
Q3) The mourning process is more difficult when the bereaved:
A)was relatively independent of the deceased.
B)has experienced a number of previous losses.
C)accepts that death is expected for older adults.
D)had few unresolved conflicts with the deceased.
To view all questions and flashcards with answers, click on the resource link above.
Page 27
Chapter 26: Children and Adolescents
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/42996
Sample Questions
Q1) Which assessment finding would cause the nurse to consider an 8-year-old child to be most at risk for the development of a psychiatric disorder?
A)Being raised by a parent with chronic major depression
B)Moving to three new homes over a 2-year period
C)Not being promoted to the next grade
D)Having an imaginary friend
Q2) A 12-year-old child has been the neighborhood bully for several years.The parents say,"We can't believe anything our child says." Recently,the child shot a dog with a pellet gun and set fire to a trash bin outside a store.The child's behaviors are most consistent with:
A)conduct disorder CD.
B)attention deficit ADHD.
C)defiance of authority.
D)anxiety over separation from a parent.
Q3) Which child shows behaviors indicative of mental illness?
A)4-year-old who stuttered for 3 weeks after the birth of a sibling
B)9-month-old who does not eat vegetables and likes to be rocked
C)3-month-old who cries after feeding until burped and sucks a thumb
D)3-year-old who is mute,passive toward adults,and twirls while walking
To view all questions and flashcards with answers, click on the resource link above.
Page 28
Chapter 27: Adults
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/42997
Sample Questions
Q1) The manager of a health club put a hidden camera in the women's locker room and videotaped women as they showered and dressed.Which sexual dysfunction is evident?
A)Frotteurism
B)Exhibitionism
C)Pedophilia
D)Voyeurism
Q2) A nurse prepares for an initial interview with a patient with suspected adult ADHD.Questions should be focused to elicit information about which problem?
A)Headaches
B)Inattention
C)Sexual impulses
D)Trichotillomania
Q3) Which nursing action should occur first when preparing to work with a patient who has a problem of sexual functioning?
A)Acquiring knowledge of the patient's sexual roles and preferences
B)Developing an understanding of human sexual responses
C)Assessing the patient's sexual functioning
D)Clarifying the nurse's own personal values
To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: Older Adults
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/42998
Sample Questions
Q1) An advance directive gives valid direction to health care providers when a patient is:
A)aggressive
B)dehydrated
C)unable to verbally communicate
D)unable to make decisions for him- or herself
Q2) When making a distinction as to whether a patient is experiencing confusion related to depression or dementia,what information would be most important for the nurse to consider?
A)The patient with dementia is persistently angry and hostile.
B)Early morning agitation and hyperactivity occur in dementia.
C)Confusion seems to worsen at night when dementia is present.
D)A patient who is depressed is constantly preoccupied with somatic symptoms.
Q3) A 74-year-old patient is regressed and apathetic and responds to others only when they initiate the interaction.What form of therapy would be most useful to promote resocialization?
A)Life review
B)Remotivation
C)Group psychotherapy
D)Individual psychotherapy
To view all questions and flashcards with answers, click on the resource link above.
Page 30