Nursing Care of Patients with Mental Disorders Solved
Exam Questions
Course Introduction
This course explores the principles and practices involved in caring for patients with mental health disorders, emphasizing a holistic, patient-centered approach. Students will gain an understanding of the etiology, symptoms, and treatment options for a variety of psychiatric conditions, including mood disorders, psychoses, anxiety disorders, and substance use disorders. The course emphasizes therapeutic communication, safety, crisis intervention, legal and ethical issues, and interprofessional collaboration. Clinical experiences and case studies are incorporated to help students develop critical thinking and clinical judgment skills necessary for providing compassionate, evidence-based nursing care to individuals and families affected by mental illness.
Recommended Textbook
Psychiatric Nursing 7th Edition by Keltner
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36 Chapters
819 Verified Questions
819 Flashcards
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Chapter 1: Me, Meds, Milieu
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Sample Questions
Q1) An acutely psychotic patient is restricted to an inpatient unit. Which milieu element has been adapted?
A) Norms
B) Balance
C) Therapy
D) Psychopathology
Answer: B
Q2) Referral to a psychiatric extended-care facility would be most appropriate for which of the following patients?
A) An adult with generalized anxiety disorder
B) A severely depressed 70-year-old retiree
C) A patient with personality disorder who frequently self-mutilates
D) A severely ill person with schizophrenia who is regressed and withdrawn
Answer: D
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3
Chapter 2: Historical Issues
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Sample Questions
Q1) A patient with mental illness was initially treated in an outpatient setting and then hospitalized for a week when the disorder became acute. After discharge to a halfway house, this patient's care was managed by a community mental health nurse. Which inference applies to this community?
A) Additional mental health services should be made available for the severely mentally ill.
B) A seamless continuum of services is in place to serve persons with severe mental illness.
C) Case management services should be expanded to care for acute as well as long-term system consumers.
D) There are insufficient data to make a conclusion.
Answer: B
Q2) Select the most accurate characterization of treatment of the mentally ill prior to the Period of Enlightenment.
A) Large asylums provided custodial care.
B) Care for the mentally ill was more compassionate.
C) Care focused on reducing stress and meeting basic human needs.
D) Patients were banished from communities or displayed for public amusement.
Answer: D
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Chapter 3: Legal Issues
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Sample Questions
Q1) A patient tells the nurse, "You better take good care of me or I'll sue you using the precedent established in Wyatt v. Stickney." The nurse can interpret this as:
A) intellectualization.
B) concern about rights to adequate treatment.
C) a warning about being coerced into treatment.
D) a request for immediate discharge from the facility.
Answer: B
Q2) An involuntarily admitted inpatient with paranoid schizophrenia repeatedly calls the local mayor. The patient verbally abuses the person who reply the phone as well as the mayor. Select the most appropriate initial nursing intervention.
A) Allow the patient to continue to use the phone.
B) Include the patient in a social skills building group.
C) Suspend the patient's phone privileges temporarily, and document the reason.
D) Ask the patient advocate to review the limits of the patient's rights with the patient.
Answer: C
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5
Chapter 4: Psychobiologic Bases of Behavior
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Sample Questions
Q1) A patient reports an inability to sleep because of too much noise and light, even though the environment is quiet with soft lighting. The nurse knows such reports support dysfunction of which organ?
A) Basal ganglia
B) Pituitary gland
C) Substantia nigra
D) Reticular activating system
Q2) Ventricular enlargement noted in brain studies of patients diagnosed with Alzheimer's disease is most likely attributable to:
A) narrowing of the subarachnoid space.
B) overproduction of cerebrospinal fluid.
C) blockage of cerebrospinal fluid outflow.
D) brain atrophy associated with cellular degeneration.
Q3) When a nurse administers an anticholinergic drug, it is important to assess for symptoms associated with inhibition of:
A) spinal nerve function.
B) the central nervous system.
C) the sympathetic nervous system.
D) the parasympathetic nervous system.
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Page 6
Chapter 5: Cultural Issues
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Sample Questions
Q1) A nurse begins work at an agency that provides care to members of a minority ethnic population. The nurse will be better able to demonstrate cultural competence after:
A) identifying culture-bound issues.
B) implementing scientifically proven interventions.
C) correcting inferior health practices of the population.
D) exploring commonly held beliefs and values of the population.
Q2) A Chinese-American infant is seen in a well-baby clinic. The parent reports that the baby is irritable and not eating well. The nurse notices several skin abrasions on the thighs and upper arms. What is the nurse's most appropriate initial intervention?
A) Ask if the parent has used coining.
B) Report the parent for suspected child abuse.
C) Assess whether or not the parent desires to harm the child.
D) Ask if the parent has taken the child to an acupuncturist.
Q3) Culture is defined as a group's shared:
A) race and ethnicity.
B) values, beliefs, and norms.
C) biologic variations and psychological characteristics.
D) patterned behavioral responses that developed over time.
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Page 7
Chapter 6: Spiritual Issues
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Sample Questions
Q1) The spouse of a psychiatric patient says, "This mental illness should not have happened. I tried to teach the importance of professing faith in God and getting converts, but my partner rejected them. Those practices keep me well. It's the only way to live." The nurse can assess that the spouse is demonstrating:
A) atheism.
B) humanism.
C) agnosticism.
D) sick religiosity.
Q2) A group of nurses disagrees about whether or not to make spirituality a part of the assessment. Which statement provides a compelling argument in favor of including spiritual assessment?
A) Research clearly demonstrates that spiritual interventions by nurses are a cost-effective practice.
B) Accrediting organizations regard spiritual care as a patient right.
C) Spirituality is better addressed by nurses than by clergy.
D) Prayer consistently improves mental health outcomes.
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8
Chapter 7: Models for Working with Psychiatric Patients
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Sample Questions
Q1) When the nurse conducts a developmental assessment with a new patient, the assessment can be expected to yield information regarding what?
A) The use of defense mechanisms
B) The degree of mastery of critical tasks
C) Strategies to help the patient make rational decisions
D) The mobilization of defenses against the patient's stressors
Q2) A patient says, "It's my fault because I always make bad decisions. I should never have taken that job." Using a rational-emotive approach, how would the nurse respond?
A) "What can you do to solve your problems at work?"
B) "You're experiencing a great deal of stress right now. How can you manage it more effectively?"
C) "Can you describe a time in your childhood when your parents blamed you for things you didn't do?"
D) "Consider the words you are using to talk about yourself. Let's try to change those words to more positive ones."
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Chapter 8: Learning to Communicate Professionally
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Sample Questions
Q1) Which techniques are therapeutic when interacting with a patient? Select all that apply.
A) Avoiding direct questions
B) Validating and clarifying
C) Using empathy sparingly
D) Assuming an attending posture
E) Maintaining constant eye contact
Q2) When observing and interpreting a patient's nonverbal communication, which nursing consideration is important?
A) Patients are usually aware of their nonverbal cues.
B) Verbal responses are more important than nonverbal cues.
C) Nonverbal cues have obvious meaning and are easily interpreted.
D) Nonverbal cues provide significant information but must be validated.
Q3) A patient is withdrawn, suspicious, and maintains physical distance from staff and other patients. Which intervention demonstrates appropriate use of touch with this patient?
A) Refraining from touch
B) Patting the patient's arm when fear is expressed
C) Reaching out to shake the patient's hand as an initial greeting
D) Placing an arm around the patient's shoulders while walking down the hall
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Chapter 9: Working with an Individual Patient
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Sample Questions
Q1) A patient tells the nurse, "I was raped a month ago. Since then I've felt anxious and have been unable to talk normally to my husband. I've had frequent thoughts about cutting my wrists." What is the priority nursing concern regarding this patient?
A) The risk for self-directed violence
B) The development of rape traumatic syndrome
C) The damage that could result in poor self-esteem
D) The demonstration of signs and symptoms of acute anxiety
Q2) A patient shouts at a nurse who just entered the room, "You're an incompetent fool. Leave me alone." The nurse's response should be based on which rationale?
A) The anger was created by a situation or significant person, not the nurse.
B) The reaction probably results from transference and countertransference.
C) The patient is probably reacting to fear of loss of emotional control.
D) The patient has a right to openly express negative feelings.
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Chapter 10: Working with Groups of Patients
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Sample Questions
Q1) While a member of a group shares painful feelings of guilt, another member begins humming and tapping the side of the chair. Select the leader's best initial action with the disruptive patient.
A) Recognize that the behavior is an expression of anxiety, and do not interrupt it.
B) Say, "Please stop humming and tapping. It is disruptive to our group."
C) Say, "Please leave the group now. Your behavior is inappropriate."
D) Say, "You seem uncomfortable with our discussion."
Q2) A patient in a support group says, "I'm tired of being sick. Everyone always helps me, but I'll be glad when I can help someone else." This statement reflects:
A) altruism.
B) universality.
C) cohesiveness.
D) corrective recapitulation.
Q3) A nurse prepares to lead an anger management group, which is what type of group?
A) Psychoeducational
B) Self-help
C) Activity
D) Support
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Page 12
Chapter 11: Working with the Family
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Sample Questions
Q1) A nurse interviews a homeless parent with two teenage children. To best assess the family's use of resources, the nurse should ask:
A) "Can you describe a problem your family has successfully resolved?"
B) "What community agencies have you found helpful in the past?"
C) "Do you feel you have adequate resources to survive?"
D) "What is one thing you dislike about this family?"
Q2) Which information is the nurse most likely to find when assessing the family of a patient with a serious and persistent mental illness?
A) The family exhibits many characteristics of dysfunctional families.
B) Several family members have serious problems with their physical health.
C) Power in the family is maintained in the parental dyad and rarely delegated.
D) The stress of living with a mentally ill individual has negatively affected family function.
Q3) Which documentation of family assessment indicates a healthy and functional family?
A) Members provide mutual support.
B) Power is distributed equally among all members.
C) Members believe that there are specific causes for events.
D) Under stress, members turn inward and become enmeshed.
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Page 13
Chapter 12: Introduction to Psychotropic Drugs
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Sample Questions
Q1) A week after beginning fluoxetine ( Prozac ), a patient complains, "I still feel so depressed all the time." Based on pharmacodynamics, the nurse's best action is to:
A) administer the medication on an empty stomach.
B) advise the health care provider that the drug is ineffective.
C) reassess the expected outcomes of antidepressant therapy.
D) educate the patient that the drug needs more time to be effective.
Q2) A realistic outcome of patient teaching about psychotropic medication is that the patient will:
A) understand physiologic responses to drug therapy.
B) assess effectiveness of prescribed drugs in controlling symptoms.
C) describe onset, peak, and duration of action of each drug prescribed.
D) state the purpose, dose, and significant side effects of each drug prescribed.
Q3) A nurse administers a highly protein-bound medication. Which patient would have the most immediate and powerful effect from this drug?
A) A healthy adolescent
B) A 76-year-old patient with malnutrition
C) A woman in the second trimester of pregnancy
D) An adult with a fractured femur from a sporting accident
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Chapter 13: Antiparkinsonian Drugs
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Sample Questions
Q1) When developing a teaching plan for a patient receiving benztropine (Cogentin), a priority consideration for the nurse is:
A) anticholinergic drugs often cause blurred vision.
B) urinary frequency may impair the patient's concentration.
C) akathisia produced by the drug will make concentration difficult.
D) increased peristalsis might cause gastrointestinal distress and impair concentration.
Q2) A patient who has taken three doses of haloperidol (Haldol) suddenly cries out for help. The nurse observes that the patient's eyes are rolled upward in a fixed gaze. The nurse should administer which drug from the patient's PRN list?
A) Vitamin E
B) Carbidopa (Sinemet)
C) Benztropine (Cogentin)
D) Amantadine (Symmetrel)
Q3) Which neurotransmitter is most affected by an anticholinergic drug?
A) Acetylcholine
B) Dopamine
C) Serotonin
D) GABA
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15
Chapter 14: Antipsychotic Drugs
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Sample Questions
Q1) A patient receiving a traditional high-potency antipsychotic medication should be closely monitored for:
A) adrenergic effects.
B) extrapyramidal side effects.
C) anticholinergic side effects.
D) changes in pain perception.
Q2) When a patient is taking a traditional antipsychotic medication, the nurse should assess carefully for EPSEs, particularly:
A) akathisia.
B) mydriasis.
C) hypotension.
D) constipation.
Q3) A patient has taken a traditional antipsychotic medication for several years. The nurse observes involuntary tongue movements and lip smacking. The nurse should:
A) notify the health care provider.
B) administer PRN doses of an anticholinergic drug.
C) offer a reward when the patient stops these motions.
D) counsel the patient that the movements are annoying to others.
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16
Chapter 15: Antidepressant Drugs
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Sample Questions
Q1) A patient for whom phenelzine (Nardil) is prescribed complains of a sudden headache and palpitations. The nurse observes dilated pupils and diaphoresis. The nurse's first action should be:
A) assess for cogwheel rigidity.
B) notify the health care provider.
C) assess the patient's blood pressure.
D) withhold the morning dose of phenelzine.
Q2) A patient with depression has taken an SSRI for 1 month. The nurse should use direct questions to evaluate which potential side effect?
A) Aggressive impulses
B) Sexual dysfunction
C) Paranoid delusions
D) Weight gain
Q3) When teaching about the MAOI tranylcypromine (Parnate), the nurse should consider it a priority to:
A) provide a list of tyramine-rich foods.
B) instruct the patient to avoid direct sunlight.
C) advise the patient to manage fever with acetaminophen.
D) direct the patient to report dry mouth and blurred vision.
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Page 17
Chapter 16: Antimanic Drugs
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Sample Questions
Q1) The spouse of a patient diagnosed with bipolar disorder tells the nurse, "Every time my partner recovers from a manic episode, depression follows soon. It's very discouraging." The nurse's reply should include what information?
A) As the partner ages, rapid cycling will decrease.
B) Combining lithium with haloperidol ( Haldol ) might prevent rapid cycling.
C) Depression associated with bipolar disorder is usually time-limited, so treatment is not indicated.
D) Recent addition of olanzapine ( Zyprexa ) to this patient's drug regime can be helpful as a mood stabilizer.
Q2) A patient has mild lithium toxicity with a serum level of 1.6 mEq/L. Which assessment findings are most likely?
A) Coarse hand tremor, coordination problems, and dizziness
B) Elevated white blood cell count, temperature, and blood pressure
C) Orthostatic hypotension, fainting, and nystagmus
D) Restlessness, shuffling gait, and tics
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18
Chapter 17: Antianxiety Drugs
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Sample Questions
Q1) A patient who has been taking a benzodiazepine for panic attacks is to be started on buspirone (BuSpar). Which instruction should the nurse provide?
A) "Take decreasing doses of the benzodiazepine for several days until the buspirone becomes effective."
B) "Stop taking the benzodiazepines immediately. Wait 2 days, and then start the buspirone."
C) "You should take buspirone only once a day. More frequent dosing can cause dependency."
D) "Tolerance to buspirone may develop in about a month, requiring larger doses to be prescribed."
Q2) A patient has taken diazepam (Valium) for 1 week for back spasms. The patient complains of "feeling sleepy all the time." The nurse should tell the patient:
A) "The dosage probably needs to be decreased."
B) "Drowsiness indicates a paradoxical reaction to the drug."
C) "Tolerance to the sedative effect of the drug will develop quickly."
D) "Sleepiness is an unavoidable side effect of non-benzodiazepine drugs."
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19
Chapter 18: Antidementia Drugs
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Sample Questions
Q1) Select the most realistic short-term goal for the care of a patient with mild AD who takes donepezil (Aricept). The patient will:
A) maintain present cognitive ability.
B) show improved cognitive ability.
C) engage in abstract thinking.
D) communicate clearly.
Q2) An adult tells the nurse, "I'm taking large doses of vitamin B. I read that it prevents AD, but I don't understand how it works." Which statements would be applicable as the nurse responds to the individual? Select all that apply.
A) "Research has not proven the effectiveness of B vitamins in Alzheimer's prevention."
B) "B vitamins lower the amino acid homocysteine, which is associated with a lower incidence of AD."
C) "A favorable response occurs when these vitamins block NMDA."
D) "B vitamins may reduce risk of AD by lowering cholesterol levels."
E) "B vitamins reduce the body's inflammatory response."
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Chapter 19: Over-the-Counter Drugs
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Sample Questions
Q1) A patient diagnosed with depression tells the nurse, "I've been supplementing my paroxetine (Paxil) with St. John's wort, and it has helped a great deal." What is the nurse's priority action?
A) Assess changes in the patient's level of depression.
B) Remind the patient to use a secondary form of birth control.
C) Educate the patient about the risks of serotonin syndrome.
D) Suggest adding valerian to the treatment regimen to further improve results.
Q2) A patient reports taking melatonin daily. Which aspect of the patient's health and function would be most important for the nurse to assess?
A) Urinary and bowel elimination
B) Energy and activity tolerance
C) Sleep hygiene and patterns
D) Memory and cognition
Q3) A nurse assesses four new patients. Which statement causes the nurse to suspect the patient may be self-medicating with an alternative therapy?
A) "I frequently have skin rashes that itch."
B) "Constipation is an everyday problem for me."
C) "My computed tomography scan shows that I have uterine fibroid tumors."
D) "I've been very depressed and anxious since I lost my job."
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Page 21
Chapter 20: Introduction to Milieu Management
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Sample Questions
Q1) Which adjective best characterizes custodial care?
A) Paternalistic
B) Beneficent
C) Essential
D) Safe
Q2) Which statements indicate that a patient understands the unit norms? Select all that apply.
A) "I need quiet time after art therapy today."
B) "I will not yell during the community meeting."
C) "I realize that I need help with my problems."
D) "I will show up on time to take my medication."
E) "I will talk to staff if I get angry instead of punching somebody."
Q3) Which nursing action best supports the maintenance of psychologic safety for a patient with mental illness?
A) Helping a depressed patient to inventory personal flaws
B) Assisting a patient to change clothes after an episode of incontinence
C) Allowing an anxious patient to pace in isolation and without interruptions
D) Requiring a restrained patient to remain silent until restraints are removed
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Chapter 21: Variables Affecting the Therapeutic
Environment: Violence and Suicide
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Q1) An experienced staff nurse describes feeling emotionally burdened and yet engages actively in gossip and spreading rumors about other staff members. The clinical nurse leader can assess these behaviors as consistent with:
A) antisocial personality disorder.
B) mild-to-moderate depression.
C) depersonalization.
D) burnout.
Q2) Which scenario presents a high risk for violence?
A) A nurse empathizes with a patient who dislikes attending exercise class.
B) A nurse enforces the rule that patients must attend all scheduled activities.
C) A patient spends free time with a group of other patients talking about issues in their lives.
D) A patient with high anxiety is allowed to remain in a quiet room instead of attending a community meeting.
Q3) Social-psychological models describe aggression as:
A) intentional harm toward others.
B) an unhealthy way of managing anxiety.
C) a conflict with others expressed aggressively.
D) a response to frustration in the social environment.
Page 23
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Chapter 22: Therapeutic Environment in Various Treatment Settings
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Q1) A nurse working in an intensive inpatient psychiatric unit should place emphasis on which area of care?
A) Behavior modification principles
B) Personality restructuring and insight
C) Improving interpersonal relationships
D) Symptom stabilization and daily living skills
Q2) A nurse works in a geropsychiatric unit. Which intervention will be most helpful for patients experiencing confusion and disorientation?
A) Door locks
B) Environmental cues
C) Community meetings
D) Psychoeducational groups
Q3) A patient says, "I'm like a wind-tossed leaf. My goal is to find meaning in life." The nurse should consider referring the patient to which group?
A) Self-help
B) Spirituality
C) Reality orientation
D) Psychoeducational
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Chapter 23: Introduction to Psychopathology
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Q1) A patient's areas of strength are documented in which part of the plan of care?
A) Assessment
B) Diagnosis
C) Outcome identification
D) Interventions
E) Evaluation
Q2) What is the most prevalent psychopathologic condition diagnosed in the United States?
A) Schizophrenia
B) Mood disorder
C) Anxiety disorder
D) Alcohol dependency
Q3) A patient who has taken antipsychotic medication for a year presents with these signs and symptoms: jaundice, headache, pruritus, and abdominal discomfort. Which finding should be documented as objective data?
A) Pruritus
B) Jaundice
C) Headache
D) Abdominal discomfort
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Page 25
Chapter 24: Schizophrenia Spectrum and Other Psychotic Disorders
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Q1) An initial short-term outcome for a withdrawn, socially isolated patient diagnosed with schizophrenia is that the patient will:
A) participate in scheduled activities.
B) identify barriers to social communication.
C) consistently interact with an assigned nurse.
D) share feelings of isolation with group members.
Q2) A newly admitted patient is mute, immobile, and holds a fixed body position for long periods. The nurse caring for this patient should:
A) assign unlicensed assistance personnel to feed the patient.
B) provide a stimulating, active environment.
C) encourage independent social behaviors.
D) forewarn the patient before touching.
Q3) A patient tells the nurse, "Air Force jets flying overhead are looking for me. They want to capture me." The patient has not previously verbalized this information. The nurse's initial interventions should:
A) set firm limits on disruptive behaviors.
B) forcefully refute all perceptual distortions.
C) encourage complete description of delusions.
D) voice doubt about delusions without arguing.
Page 26
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Chapter 25: Depressive Disorders
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Q1) During an interview with a depressed person, it is important for the nurse to assess social interactions to determine:
A) disruptions in relationships with others.
B) needs for diversional-activities therapy.
C) needs for implementation of a no-harm contract.
D) the patient's ability to make decisions about care.
Q2) Which nursing diagnosis is almost universally applicable to persons with depression?
A) Ineffective denial
B) Disturbed body image
C) Chronic low self-esteem
D) Risk for other-directed violence
Q3) The medical record notes that a newly admitted depressed patient has delusional thoughts. Which statement by this patient is most likely?
A) "I am a presidential advisor."
B) "Cancer is rotting my body."
C) "There are aliens chasing me."
D) "I discovered a cure for cancer."
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Chapter 26: Bipolar Disorders
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Q1) Which principle is most useful and effective when interacting with a patient experiencing a manic episode?
A) Encourage the patient to freely express feelings.
B) Use a calm, matter-of-fact approach.
C) Do not interrupt the patient.
D) Frequently use silence.
Q2) A patient is hospitalized with new onset of manic behavior. It would be important for the nurse to inspect and report results of which laboratory tests? Select all that apply.
A) Calcium
B) Creatinine
C) Potassium
D) Drug screens
E) Thyroid function
Q3) A medication teaching plan for a patient receiving lithium should include:
A) directions to eat one or two bananas daily.
B) dietary teaching to limit daily sodium intake.
C) the need to restrict daily fluid intake to 1000 ml.
D) the importance of laboratory testing to monitor the lithium level.
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Trauma- and Stressor-Related, Somatic, and Dissociative
Disorders
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Q1) A patient diagnosed with OCD paces up and down the corridor counting every tile. Select the nurse's best action.
A) Offer to play cards with the patient in the dayroom.
B) Ask the patient, "Why are you pacing and counting?"
C) Take the patient's arm and escort the patient to a quiet area.
D) Permit the patient to pace and count until feeling more comfortable.
Q2) Which intervention should the nurse use first when caring for a patient experiencing anxiety?
A) Assist the patient to problem solve.
B) Provide support and understanding.
C) Reorient the patient.
D) Provide privacy.
Q3) A patient with panic attacks awakens from sleep complaining of chest pain. The patient is diaphoretic and breathlessly says, "I feel like I'm going to die." Select the nurse's priority action.
A) Have the patient lie flat and relax.
B) Bring the crash cart to the patient's room.
C) Shake the patient and shout, "Are you okay?"
D) Instruct the patient to breathe into a paper bag.
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Chapter 28: Cognitive Disorders
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/10675
Sample Questions
Q1) An older adult patient diagnosed with delirium is anxious, agitated, and experiencing visual hallucinations. The nurse entering the room to assess vital signs should:
A) announce his or her name and title, and what is happening.
B) silently take the vital signs to minimize stimulation.
C) ask the patient to identify place, person, and time.
D) turn on all lights in the room.
Q2) Which aspects of assessment are most important for a patient with diffuse Lewy body disease who is agitated? Select all that apply.
A) Medications recently administered
B) Objective signs of pain
C) Sleep disturbances
D) Urinary output
E) Heart sounds
Q3) Which vector is associated with transmission of variant Creutzfeldt-Jakob disease?
A) Dog ticks
B) Mosquito bites
C) Airborne particles
D) Contaminated meat
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Chapter 29: Personality Disorders
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/10676
Sample Questions
Q1) Which nursing intervention is most likely to result in heightened self-awareness for a patient diagnosed with a personality disorder in the dramatic-erratic cluster?
A) Setting firm limits on behavior
B) Providing clear expectations for acceptable behavior
C) Using confrontational approaches to reduce self-mutilation
D) Encouraging the patient to keep a daily journal to be shared with the nurse
Q2) A clinic nurse encounters a new patient diagnosed with schizoid personality disorder. What is the best initial nursing intervention?
A) Set firm limits.
B) Engage in trust building.
C) Involve the patient in group activities.
D) Encourage identification of feelings.
Q3) A distinctive characteristic in a patient with antisocial personality disorder is:
A) feelings of guilt and remorse.
B) disregarding the rights of others.
C) responsiveness to antipsychotics.
D) responsiveness to kind suggestions.
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Chapter 30: Sexual Disorders
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/10677
Sample Questions
Q1) Paraphilia is defined as:
A)any homosexual act.
B)inhibition of the sexual response cycle.
C)discomfort with one's biologic gender.
D)an intense sexual urge with an abnormal focus.
Q2) A man tells the nurse, "I have trouble maintaining an erection." This comment indicates:
A) a sexual erectile disorder.
B) a sexual desire disorder.
C) a sexual pain disorder.
D) an orgasm disorder.
Q3) Which characteristic fits the profile of an individual who is a pedophile?
A) Homosexual
B) High self-esteem
C) Seeks access to children
D) Self-confident and expressive
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32
Chapter 31: Substance Abuse Disorders
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/10678
Sample Questions
Q1) A patient says, "I felt good from drinking a six-pack a few months ago. Now I need a few extra cans to get the same high." The nurse assesses this phenomenon as related to:
A) tolerance.
B) withdrawal.
C) co-dependency.
D) abstinence syndrome.
Q2) Substance dependence is defined by (select all that apply):
A) a compulsion to use a substance.
B) loss of control over use of a substance.
C) a physiologic need to use a substance.
D) continued use of a substance despite adverse consequences.
E) a substance-specific syndrome due to recent ingestion of a substance.
Q3) The nurse assesses a patient who abuses large quantities of amphetamines. Assessment findings are likely to be similar to which psychiatric disorder?
A) Wernicke-Korsakoff syndrome
B) Bipolar disorder, manic phase
C) Generalized anxiety disorder
D) Paranoid schizophrenia
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33
Chapter 32: Eating Disorders
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/10679
Sample Questions
Q1) A patient is 5 feet 4 inches tall and weighs 85 lb, a 20% loss of body weight over the past year. The patient reports amenorrhea for 9 months. Vital signs are temperature (T) 96.6°F; pulse (P) 38 beats/min; blood pressure (BP) 70/42 mm Hg; respirations (R) 20 breaths/min. Skin turgor is poor. Lanugo is present. She says, "I need to lose 10 more pounds." These assessment findings indicate which medical diagnosis?
A) Bulimia nervosa
B) Anorexia nervosa
C) Binge-eating disorder
D) Dissociative identity disorder
Q2) Which finding indicates that a patient diagnosed with anorexia nervosa has met a major objective of psychotherapeutic management?
A) The patient's residual volume is less than 30 ml before tube feedings.
B) The patient says, "I am no longer fearful of gaining weight."
C) The patient reads cookbooks and plans nutritious meals.
D) The patient weighs 90% of average body weight.
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Page 34
Chapter 33: Survivors of Violence and Trauma
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/10680
Sample Questions
Q1) A mother and two children are in the emergency department. She has just escaped from a severe beating by her husband. What is the nurse's priority intervention?
A) Appeal to her maternal instincts regarding child care.
B) Focus on physical safety and emotional security.
C) Provide a support group referral.
D) Disclose victims' legal rights.
Q2) When working with rape victims, immediate care focuses first on:
A) collecting evidence.
B) notifying law enforcement.
C) helping the victim feel safe.
D) documenting the victim's comments.
Q3) During the impact stage of response to a violent crime, which nursing interventions would be appropriate for a victim? Select all that apply.
A) Provide physical safety.
B) Use empathetic responses.
C) Distract the patient with humor.
D) Provide clear, simple directions.
E) Support expression of feelings.
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Chapter 34: Children and Adolescents
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/10681
Sample Questions
Q1) The parent of an 8-year-old says, "My child is in constant motion and talks all the time. My child isn't interested in toys, but is out of bed every morning before I am and into trouble." The child's problem is most consistent with:
A) anxiety disorder.
B) Asperger's disorder.
C) pervasive developmental disorder.
D) ADHD.
Q2) A child complains to the school nurse about painful verbal bullying by an aggressive classmate. What is the nurse's best first action?
A) Give notice to the chief administrator at the school regarding the events.
B) Support the victimized child to share feelings about the experience.
C) Encourage the victimized child to ignore the bullying behavior.
D) Discuss the events with the aggressive classmate.
Q3) Which factor presents the most imminent risk for a child to develop a psychiatric disorder?
A) Having an uncle with schizophrenia
B) Living in a middle-income family
C) Being the oldest child in a family
D) Living with an alcoholic parent
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Page 36
Chapter 35: Mental Disorders of Older Adults
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/10682
Sample Questions
Q1) Reducing aggressive outbursts on a unit for older adults with mental disorders can be best achieved by:
A) liberal use of antipsychotic medication.
B) practicing redirection and diversion.
C) restricting diversional activities.
D) limiting personal space.
Q2) A community health nurse assesses four patients between ages 70 and 80. Which patient has the highest risk for alcohol dependence?
A) Patient with no history of alcohol-related problems until retirement but now drinks alcohol daily to distract himself from arthritis pain
B) Patient who drank socially throughout adult life and continues this pattern, saying "I'm old enough to drink if I want to"
C) Patient who abused alcohol between ages 30 and 45 but now abstains and occasionally attends AA meetings.
D) Patient with intermittent problems of alcohol misuse early in life. Now drinks one glass of wine nightly with dinner.
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Chapter 36: Soldiers and Veterans
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/10683
Sample Questions
Q1) A combat veteran diagnosed with a mild TBI returned to college after discharge from the armed forces. The veteran began tutoring after scoring poorly in three courses. Which strategy can the tutor use to assist the veteran's academic achievement?
A) Decrease extraneous stimuli to improve attention span.
B) Practice deep breathing to increase the brain's oxygen supply.
C) Increase caffeine intake to counteract drowsiness and fatigue.
D) Play background music while studying to improve concentration.
Q2) A soldier was diagnosed with post-traumatic stress disorder ( PTSD ). The soldier's spouse reports that when a telephone rings during the night, the soldier rolls out of bed and assumes an aggressive stance. How will the nurse document this finding?
A) Flashback
B) Avoidance
C) Hyperarousal
D) Reexperiencing
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