Nursing Care of Patients with Psychiatric Disorders
Midterm Exam
Course Introduction
This course explores the principles and practices of nursing care for individuals experiencing psychiatric disorders across the lifespan. Emphasis is placed on understanding the biological, psychological, and social factors influencing mental health and illness. Students will learn to assess, diagnose, and implement evidence-based interventions for a variety of psychiatric conditions, while fostering therapeutic nurse-patient relationships and promoting patient safety. The course also covers concepts of crisis intervention, medication management, interdisciplinary collaboration, and ethical and legal considerations in psychiatric nursing. Through theoretical instruction and case studies, students build the knowledge and skills essential for providing holistic, compassionate care to patients with mental health needs.
Recommended Textbook
Foundations of Psychiatric Mental Health Nursing A Clinical Approach 6th Edition by Elizabeth M.
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36 Chapters
1052 Verified Questions
1052 Flashcards
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Page 2
Chapter 1: Mental Health and Mental Illness
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28 Verified Questions
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Sample Questions
Q1) A new staff nurse completes orientation to a psychiatric unit.This nurse may expect an advanced practice nurse to perform which additional interventions?
A) Conduct mental health assessments
B) Establish therapeutic relationships
C) Individualize nursing care plans
D) Prescribe psychotropic medication
Answer: D
Q2) A 40-year-old who lives with parents and works at an unchallenging job says,"I'm as happy as anyone else,even though I don't socialize much outside of work.My work is routine,but when new things come up,my boss explains things a few times to make sure I catch on.At home,my parents make decisions for me,and I go along with their ideas." The 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
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3
Chapter 2: Relevant Theories and Therapies for Nursing Practice
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Sample Questions
Q1) A cognitive strategy the nurse could use to help a dependent patient would be:
A) avoidance training.
B) filling the patient's pill minder.
C) interpreting the patient's dream content.
D) examining the patient's fears related to being independent.
Answer: D
Q2) A 26-month-old displays negative behavior,refuses toilet training,and often says,"No!" Which stage of psychosexual development is evident?
A) Oral
B) Anal
C) Phallic
D) Genital
Answer: B
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4
Chapter 3: Biological Basis for Understanding Psychotropic Drugs
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Sample Questions
Q1) A nurse prepares to administer antipsychotic medication to a patient with schizophrenia.Additional monitoring for adverse effects will be most important if the patient is also has which health problem? Select all that apply.
A) Diabetes
B) Parkinson's disease
C) Osteoarthritis
D) Grave's disease
E) Epilepsy
Answer: A,B,E
Q2) SSRIs improve depression by which action? SSRIs:
A) destroy increased amounts of serotonin.
B) block muscarinic and a1 norepinephrine receptors.
C) make more serotonin available at the synaptic gap.
D) increase production of acetylcholine and dopamine.
Answer: C
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Page 5
Chapter 4: Psychiatric Mental Health Nursing in Acute Care Settings
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25 Flashcards
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Sample Questions
Q1) A nurse inspects an inpatient psychiatric unit and finds that exits are free from obstruction,no one is smoking,the janitor's closet is locked,and sharp objects are used under staff supervision.These observations relate to:
A) management of milieu safety.
B) coordinating care of patients.
C) management of the interpersonal climate.
D) use of therapeutic intervention strategies.
Q2) The health care team at an inpatient psychiatric facility drafts these criteria for admission.Which criteria should be included in the final version of the admission policy? (Select all that apply. )
A) Clear risk of danger to self or others.
B) Adjustment needed for doses of psychotropic medication.
C) Detoxification from long-term heavy alcohol consumption needed.
D) Respite for caregivers of persons with serious and persistent mental illness.
E) Failure of community-based treatment,demonstrating need for intensive treatment.
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Chapter 5: Psychiatric Mental Health Nursing in Community Settings
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Sample Questions
Q1) Which patient would be most appropriate to refer for assertive community treatment (ACT)? A patient diagnosed with:
A) a phobic fear of crowded places.
B) a single episode of major depression.
C) a catastrophic reaction to a tornado in the community.
D) paranoid schizophrenia and four hospitalizations in the past year.
Q2) A patient with serious mental illness lives alone in a neighborhood.The patient receives monthly depot medication injections but lately has missed regular clinic appointments,saying,"My life is so busy I couldn't find time to come in." To prevent decompensation and hospitalization,the community mental health nurse should arrange for:
A) a psychosocial rehabilitation program.
B) assertive community treatment (ACT).
C) an appointment with a nurse in private practice.
D) insurance authorization to change to daily oral medication.
Q3) Sequence the intensity of these psychiatric treatments from highest to lowest:
A) Clinic visits at a community mental health center
B) Psychosocial rehabilitation program
C) Partial hospitalization
D) Crisis stabilization
Page 7
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Chapter 6: Cultural Implications for Psychiatric Mental
Health Nursing
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37 Flashcards
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Sample Questions
Q1) A Native American patient describes difficulty learning as a child,living on a reservation,and being sent away to a Native American boarding school.The patient began using alcohol as a teenager to escape feelings of isolation but stopped 10 years ago when gastritis developed.The patient now says,"I feel stupid and good for nothing.I don't help my people." How should the treatment team focus planning for this patient?
A) Group therapy for treatment of posttraumatic stress disorder
B) Simultaneous treatment of depression and alcohol abuse
C) Psychoanalytic approach
D) Holistic approach
Q2) A Russian immigrant created a disturbance while at a funeral.This person was loud,mixed English and Russian phrases,and made dramatic gestures.Police take the person to the emergency department.The nurse assessing this person should:
A) defer the nursing assessment interview until after the person has calmed down.
B) say,"I am going to ask you some questions.Try to answer in English."
C) request a security guard be available during the assessment.
D) request assistance by an interpreter.
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Chapter 7: Legal and Ethical Guidelines for Safe Practice
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Sample Questions
Q1) A patient with psychosis asks a psychiatric technician,"What's the matter with me?"
The technician replies,"Your wing nuts need tightening." The nurse who overheard the exchange will need to take action based on:
A) violation of the patient's right to be treated with dignity and respect.
B) the nurse's obligation to report caregiver negligence.
C) preventing defamation of the patient's character.
D) supervisory liability.
Q2) Which intervention by a psychiatric nurse best applies the ethical principle of autonomy? The nurse:
A) explores alternative solutions with a patient,who than makes a choice.
B) suggests that two patients who were fighting be restricted to the unit.
C) intervenes when a self-mutilating patient attempts to harm self.
D) stays with a patient demonstrating a high level of anxiety.
Q3) A new antidepressant is prescribed for an elderly patient with major depression,but the dose is more than the usual geriatric dose.The nurse should:
A) consult a drug reference.
B) teach the patient about possible side effects and adverse effects.
C) withhold the medication and confer with the health care provider.
D) encourage the patient to increase oral fluids to reduce drug concentration.
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Page 9
Chapter 8: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
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Sample Questions
Q1) A nurse asks a patient,"If you had fever and vomiting for 3 days,what would you do?" Which aspect of the mental status examination is the nurse assessing?
A) Behavior
B) Cognition
C) Affect and mood
D) Perceptual disturbances
Q2) A nurse assessing a new patient asks,"What is meant by the old saying,'You can't judge a book by looking at the cover'?" Which aspect of cognition is the nurse assessing?
A) Memory
B) Orientation
C) Attention
D) Abstraction
Q3) After formulating the nursing diagnoses for a new patient,what is the nurse's next action?
A) Implement the nursing plan of care.
B) Complete the spiritual assessment.
C) Determine the goals and outcome criteria.
D) Design interventions to include in the plan of care.
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Chapter 9: Therapeutic Relationships
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Sample Questions
Q1) As a patient with mental illness is discharged from a facility,the nurse invites the patient to the annual staff holiday party.Select the best analysis of this scenario.
A) The invitation facilitates dependency on the nurse.
B) The nurse's action blurs the boundaries of the therapeutic relationship.
C) The invitation is therapeutic for the patient's diversional activity deficit.
D) The nurse's action assists the patient's integration into community living.
Q2) The nurse tells a peer,"I feel very uncomfortable with a patient and find myself wanting to avoid both informal contacts and scheduled sessions." Without supervision,which outcome is likely?
A) Growing interest and mutuality
B) Mutual withdrawal
C) Positive regard
D) Trust
Q3) Which issues should a nurse address during the first interview with a patient with a psychiatric disorder?
A) Trust,congruence,attitudes,and boundaries.
B) Goals,resistance,unconscious motivations,and diversion.
C) Relationship parameters,the contract,confidentiality,and termination.
D) Transference,countertransference,intimacy,and developing resources.
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Page 11
Chapter 10: Communication and the Clinical Interview
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Sample Questions
Q1) Documentation in a patient's record shows: During 5-minute interaction,patient fidgeted,tapped foot,periodically covered face with hands,looked under chair.Stated,"I enjoy spending time with you." Which assessment is most accurate?
A) The patient gave positive feedback about the nurse's communication techniques.
B) The nurse is viewing the patient's behavior through a cultural filter.
C) The patient's verbal and nonverbal messages were incongruent.
D) Psychotic thought processes are likely.
Q2) A patient with paranoid schizophrenia tells the nurse,"The FBI is listening through 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 FBI."
B) "It sounds like you're concerned about your privacy."
C) "The FBI is prohibited from operating in health care facilities."
D) "You have lost touch with reality,which is a symptom of your illness."
Q3) "I'm glad you were able to tell me how you felt about your loss."
Q4) "You look very nice today.I'm proud you took more time with your appearance."
Q5) "I'd like to hear more about your difficult relationships at work."
Q6) "There are people with problems much worse than yours."
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Chapter 11: Understanding Responses to Stress
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19 Flashcards
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Sample Questions
Q1) The nurse wishes to use guided imagery to help her patient relax.Which comment would be appropriate to include in the guided imagery script? Select all that apply.
A) "Imagine others treating you the way they should,the way you want to be treated "
B) "With each breath,you are feeling calmer,more relaxed,almost as if you are floating "
C) "You are alone on a beach,the sun is warm,and you hear only the sound of the surf "
D) "You have taken control,nothing can hurt you now,everything is going your way "
E) "You have grown calm,your mind is still,there is nothing to disturb your well-being "
Q2) According to the Life Changing Event Questionnaire,which situation would most merit a complete assessment of a person's stress status and coping abilities?
A) A person returning to college after his employer ceased operations.
B) A man who whose job is requiring him to relocate to a different city.
C) A person who has been assigned more responsibilities at work.
D) A man who recently separated from his wife because of marital problems.
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13
Chapter 12: Anxiety and Anxiety Disorders
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Sample Questions
Q1) A patient who is a recovering alcoholic has been diagnosed as having panic attacks.The psychiatrist mentions plans to treat the patient with daily doses of medication.Of the medications listed below,for which drug should the nurse plan patient teaching?
A) Paroxetine (Paxil)
B) Alprazolam (Xanax)
C) Chlorpromazine (Thorazine)
D) Propranolol (Inderal)
Q2) Which assessment question would be highly appropriate to ask a patient with possible generalized anxiety disorder ?
A) "Have you been a victim of a crime or seen someone badly injured or killed?"
B) "How do you feel when others are watching,such as at dances or giving speeches?"
C) "Do you do certain things over and over again,things you feel you must do?"
D) "Do you find yourself worrying so much that it causes problems for you?"
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Chapter 13: Depressive Disorders
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36 Flashcards
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Sample Questions
Q1) A student nurse working with a depressed patient finds herself becoming angry with the patient when he responds slowly or not at all to her efforts to improve his mood.Which explanation most likely explains her emotional response?
A) The majority of depressed persons respond only partially to treatment interventions.
B) This depressed patient is responding more slowly than most,leading to frustration.
C) Depressed patients are often resistant to treatment and a source of frustration to staff.
D) Staff can have unrealistic expectations,believing depressed people should "cheer up."
Q2) The priority nursing focus for the period immediately after electroconvulsive therapy treatment should be on:
A) monitoring for the return of the capacity for full range of motion.
B) assessing the degree of accumulating memory impairment.
C) making positive comments while the patient is more receptive.
D) assessing the level of consciousness and normal body functions.
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15
Chapter 14: Bipolar Disorders
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Sample Questions
Q1) A patient with acute mania approaches the nurse,waves a newspaper,and says,"I want the phone right now.I need to call this store while their sale is going on.I need ten dresses and four pairs of shoes." Select the nurse's best intervention.
A) Suggest the patient ask a friend do the shopping and bring purchases to the unit.
B) Invite the patient to sit with the nurse and look at new fashion magazines.
C) Tell the patient phone use is not allowed until self-control is improved.
D) Ask whether the patient has enough money to pay for the purchases.
Q2) A patient with mania dances around the unit,seldom sits or sleeps,and monopolizes conversations.Which nursing intervention will best assist the patient with energy conservation?
A) Monitor physiological functioning.
B) Provide a subdued environment.
C) Observe for mood changes.
D) Supervise personal hygiene.
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Chapter 15: Schizophrenia
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Sample Questions
Q1) A patient with the diagnosis of schizophrenia,disorganized type,approaches the nurse and says,"It's beat,it's eat.No room for doom." The nurse can correctly assess this verbalization as:
A) neologisms.
B) clanging.
C) ideas of reference.
D) associative looseness.
Q2) A patient with schizophrenia begins to talk about creatures called "volmers" hiding in the warehouse where he works and undoing his work each night.The term "volmers" most likely represents:
A) a neologism.
B) clanging.
C) anhedonia.
D) alogia.
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Chapter 16: Eating Disorders
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Sample Questions
Q1) Prioritize these nursing diagnoses for a patient with bulimia nervosa.
A) Imbalanced nutrition: less than body requirements
B) Chronic low self-esteem
C) Loneliness
D) Risk for imbalanced fluid volume
Q2) Appropriate teaching for a patient with bulimia nervosa who binges and purges is:
A) not to skip meals or restrict food.
B) to eat a small meal after purging.
C) eat a large breakfast but no lunch.
D) increase nutritional intake after 4 PM.
Q3) Which personality characteristic is most likely in a patient with anorexia nervosa?
A) Open displays of emotion
B) Perfectionism
C) Optimism
D) Flexibility
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18
Chapter 17: Cognitive Disorders
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Sample Questions
Q1) The patient need that assumes priority when planning care for a patient with late-stage dementia is:
A) meaningful verbal communication.
B) promotion of self-care activities.
C) maintenance of nutrition and hydration.
D) preventing the patient from wandering.
Q2) What environmental conditions should the nurse arrange for a patient with delirium and altered perceptions of her environment?
A) Provide a quiet,well-lit room without glare or shadows.
B) Have the patient sit by the nurse's desk while awake.
C) Reduce room lighting to minimize overstimulation.
D) Keep a radio on continuously to reduce isolation.
Q3) As Alzheimer's disease progresses to the late stage (stage 4),impairment of functioning is pervasive.Which symptom does not usually appear until this final stage of the disorder?
A) Agnosia
B) Social withdrawal
C) Confabulation
D) Hypermetamorphosis
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Chapter 18: Addictive Disorders
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Sample Questions
Q1) Select the most accurate description of substance dependence.
A) Symptoms occur when two or more drugs affecting the central nervous system are used for their additive effects.
B) Lack of control over use.Tolerance exists.Withdrawal symptoms occur when intake is reduced or stopped.
C) Psychoactive drug use interferes with the action of competing neurotransmitters.
D) Taking a combination of drugs to weaken or inhibit the effect of another drug.
Q2) A patient was admitted last night with a hip fracture sustained while intoxicated.The patient points to the Buck's traction and screams,"Why did you tie me up? Please let me go." The patient is experiencing:
A) a delusion.
B) an illusion.
C) hallucinations.
D) codependence.
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Chapter 19: Personality Disorders
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Sample Questions
Q1) Which intervention would be appropriate for a patient with a nursing diagnosis of Ineffective coping as evidenced by manipulation of others?
A) Refer patient requests and questions about care to the primary nurse.
B) Provide negative reinforcement for any acting-out behavior.
C) Ignore rather than confront inappropriate interpersonal behavior.
D) Encourage the patient to discuss feelings of fear and inferiority.
Q2) A patient tells the nurse that he is planning to hire a private detective to follow his wife,who he believes is having an extramarital affair.The patient looks behind the door to be sure no one is eavesdropping and asks the nurse what she did with his medical record after he left.The patient's behaviors are most consistent with a diagnosis of:
A) antisocial personality disorder.
B) schizoid personality disorder.
C) paranoid personality disorder.
D) obsessive-compulsive personality disorder.
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21
Chapter 20: Sleep Disorders
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Sample Questions
Q1) Which comment is most likely from a patient with chronic sleep deprivation?
A) "I turn on the television every night to get to sleep.I set the timer so it goes off in 30 minutes."
B) "I have diarrhea frequently and not much energy,so I stay at home most of the time."
C) "I only sleep about 7 hours a night,but I know I should sleep 8 or 9 hours."
D) "When my alarm clock goes off every morning,it seems like I was dreaming."
Q2) The nurse provides health education for an adult with sleep deprivation.Which instruction has the highest priority?
A) "It's important to limit your driving to short periods.Sleep deprivation increases your risks for serious accidents."
B) "Sleep deprivation is usually a self-limiting health problem.See your doctor if it lasts more than a year."
C) "Turn the radio on with a soft volume as you prepare for bed each evening.It will help you relax."
D) "Three glasses of wine each evening helps many patients who suffer from sleep deprivation."
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22
Chapter 21: Sexual Dysfunction and Sexual Disorders
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Sample Questions
Q1) Which statement about paraphilias is accurate?
A) Pedophiles prey primarily on female children between the ages of 12 and 15 years.
B) Persons with paraphilias rarely experience shame and are not distressed by their acts.
C) Paraphilic behavior is controllable by willpower,but most with the disorder fail to do so.
D) Paraphilias are uncommon,but paraphilic acts are common because they are committed repeatedly by persons with the disorder.
Q2) A 55-year-old patient is recuperating from a myocardial infarction.At a follow-up visit to his physician's office,he tells the nurse practitioner,"I haven't had much interest in sex since my heart attack.My wife is wondering if something's wrong with me.The truth is,I know having sex puts a strain on my heart,and I don't know if my heart is strong enough." The nursing diagnosis for this patient would be:
A) Sexual dysfunction related to self-esteem disturbance.
B) Sexual dysfunction related to knowledge deficit.
C) Disturbed body image related to lifestyle changes.
D) Disturbed body image related to treatment side effects.
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23
Chapter 22: Somatoform, Factitious, and Dissociative Disorders
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Sample Questions
Q1) The patient lives with her roommate in a condominium.The roommate has observed her leaving the condo wearing seductive clothing quite different from her usual wardrobe and returning 12 to 24 hours later,after which she sleeps for 8 to 12 hours.Episodes have also occurred in which the patient and her roommate have argued about household matters,and the patient has gone to sit on the floor in the corner of the kitchen.While seated there,she has spoken like a young child.The patient's problem can be assessed as being consistent with DSM-IV-TR criteria for:
A) dissociative fugue state.
B) dissociative identity disorder.
C) body dysmorphic disorder.
D) depersonalization disorder.
Q2) The nurse who is counseling a patient with dissociative identity disorder should understand that the assessment of highest priority is:
A) risk for self-harm.
B) cognitive functioning.
C) memory impairment.
D) treatment motivation.
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Page 24
Chapter 23: Crisis and Disaster
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Sample Questions
Q1) The priority assessment the nurse must make during the initial crisis intervention interview is the:
A) need for external controls.
B) adequacy of social supports.
C) patient's perception of the precipitating event.
D) patient's preferred coping mechanism.
Q2) A factory abruptly closes.An office worker tries to take it in stride and begins the job search.Three weeks later,he has not received a single call-back from a prospective employer despite submitting over 30 applications.He is having trouble sleeping,is irritable,does not want to interact with his family,paces,and spends several hours most days in a local bar.He is now applying for minimum-wage service jobs.Which phase of the crisis is he experiencing?
A) Phase 1
B) Phase 2
C) Phase 3
D) Phase 4
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25
Chapter 24: Suicide
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Q1) A tearful,anxious man comes to the clinic with the chief complaint,"I should be dead."
The first task of the nurse conducting the assessment interview is to:
A) assess the lethality of his suicide plan.
B) establish initial rapport with the patient.
C) encourage the expression of anger.
D) determine risk factors for suicide.
Q2) The most helpful response for the nurse to make when a patient being treated as an outpatient states,"I am considering committing suicide" is:
A) "I am glad you shared this.There is nothing to worry about.We will work it out."
B) "We need to talk more about the things you have to live for,the good in life."
C) "I think you should admit yourself to the hospital to get help with this."
D) "Bringing this up is a very positive action on your part.Tell me more."
Q3) Every person who thinks about suicide should be considered to be:
A) intending to kill himself.
B) demonstrating impaired cognition.
C) experiencing a mental illness.
D) experiencing pain and hopelessness.
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Page 26
Chapter 25: Anger, Aggression, and Violence
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Q1) A patient has sat in stony silence in the day room for 20 minutes after her appointment with her psychiatrist.She appears tense and vigilant.The nurse sees the patient abruptly stand up and pace back and forth across the day room,clenching and unclenching her fists.She then stops and stares intently into the face of the psychiatric technician seated at a table.The priority assessment that should be made is that the patient is:
A) working off the energy of angry feelings.
B) attempting to use relaxation strategies.
C) exhibiting clues to potential aggression.
D) trying to work through her anger.
Q2) A patient who has been seen responding to auditory hallucinations earlier in the morning approaches the nurse and shakes his fist,saying,"Back off,bitch!" and then goes into the day room.Which intervention would be most important to undertake before the nurse follows the patient into the day room?
A) Contact the patient's physician to obtain an order for seclusion.
B) Review the patient's history for clues about his risk of violence.
C) Assure that adequate staff are available and nearby for backup.
D) Check for orders for PRN medication and prepare a sedative.
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Chapter 26: Child, Older Adult, and Intimate Partner Abuse
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Sample Questions
Q1) Several children a day are seen in the emergency department for treatment of illnesses and injuries.The situation that would create a high index of suspicion of child abuse is a child who:
A) has repeated middle ear infections.
B) complains of abdominal cramps and upset stomach.
C) has perineal bruises and urinary tract infections.
D) displays reduced functioning at school.
Q2) A victim of partner abuse,parent of one child,describes the partner as someone who is easily frustrated and more likely to be abusive after a experiencing an event in which self-esteem is challenged.The most recent episodes of violence were related to feeling "upset" over a job loss.What type of therapy would provide the greatest help to the victim?
A) Individual therapy
B) Group therapy
C) Couples therapy
D) Family therapy
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Chapter 27: Sexual Assault
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Sample Questions
Q1) A rape victim tells the nurse,"I should not have been out on the street alone." Select the nurse's most helpful response.
A) "Rape can happen anywhere."
B) "Blaming yourself increases your anxiety and discomfort."
C) "You are right.You should not have been alone on the street at night."
D) "You feel as though this would not have happened if you had not been alone."
Q2) A nurse works a rape telephone hotline.Communication should focus on:
A) explaining immediate steps victims should take.
B) providing callers with a sympathetic listener.
C) obtaining information for law enforcement.
D) arranging long-term counseling.
Q3) The nursing diagnosis Rape-trauma syndrome is established for a rape victim in the emergency department.Select the most important outcome to achieve before discharging the patient.
A) The patient will describe feelings of safety and relaxation.
B) The memory of the rape will be less vivid and less frightening.
C) Physical symptoms of pain and discomfort are no longer present.
D) The patient will agree to keep a follow-up appointment with a rape victim advocate.
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29
Chapter 28: Disorders of Children and Adolescents
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/51651
Sample Questions
Q1) When a 5-year-old is disruptive,the nurse says,"You must take a time-out." The expectation is that the child will:
A) go to a quiet room until called for the next meal.
B) slowly count to 20 before returning to the milieu.
C) sit on the edge of the activity until able to regain self-control.
D) sit quietly with a staff member until able to apologize for the behavior.
Q2) Which mental health problems for children and adolescents may respond favorably to atypical antipsychotic medications? Select all that apply.
A) ADHD
B) Tic disorders
C) Generalized anxiety disorder
D) Posttraumatic stress disorder
E) Pervasive developmental disorder
Q3) The child most likely to receive risperidone (Risperdal)to manage symptoms is one diagnosed with:
A) attention deficit hyperactivity disorder.
B) pervasive developmental disorder.
C) obsessive-compulsive disorder.
D) posttraumatic stress disorder.
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Page 30
Chapter 29: Psychosocial Needs of the Older Adult
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/51652
Sample Questions
Q1) A homebound patient drinks a six-pack of beer daily.The patient tells the nurse,"I've been having pain from my arthritis lately,so I take acetaminophen four times a day." The nurse's priority interventions include: (Select all that apply. )
A) determining the safety of the dose the patient is ingesting daily.
B) inquiring about sleep disturbances caused by mixing alcohol and analgesics.
C) advising the patient of the harmful effect of alcohol and acetaminophen on the liver.
D) suggesting increasing the acetaminophen dose,since alcohol causes faster excretion.
E) assessing for declining functional status associated with medication-induced dementia.
Q2) A nurse is asked to explain why ageism is a problem among health care workers.The nurse should cite that ageism results in: (Select all that apply. )
A) failure of the elderly to receive necessary medical information.
B) development of public policy that discriminates against the elderly.
C) staff shortages because caregivers prefer working with younger adults.
D) the perception that elderly consume a smaller share of medical resources.
E) more ancillary than professional personnel discriminate with regard to age.
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Chapter 30: Serious Mental Illness
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/51653
Sample Questions
Q1) The brother of a patient who is seriously mentally ill asks why the patient has been assigned a case manager.The nurse's reply should cite the major advantage of the use of case management as:
A) "The case manager can modify traditional psychotherapy for homeless patients so that it is more flexible."
B) "Case managers coordinate services and help with accessing them,making sure the patient gets what he needs."
C) "The case manager can focus on social skills training and esteem building out in the real world where he lives."
D) "Having a case manager has been shown to reduce hospitalizations,which prevents disruption and saves money."
Q2) A seriously mentally ill patient who lives in a homeless shelter has a nursing diagnosis of Powerlessness.Which intervention would best address this nursing diagnosis?
A) Reinforce participation in social activity.
B) Help the patient set long-term goals.
C) Role-play assertive communication skills.
D) Role-model effective conflict resolution.
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Chapter 31: Psychological Needs of Patients With Medical Conditions
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/51654
Sample Questions
Q1) A patient is recovering from a severe myocardial infarction.He tells his nurse,to whom he is very close,"I will be fine once I get home.All that 'watch your cholesterol,watch your calories,watch your stress' stuff is bull;if your time is up,your time is up." Which response would be most therapeutic?
A) "You've had a very serious heart attack and are lucky to be getting a second chance that many don't get;what you do with it is up to you."
B) "It sounds as if you would be just as happy with dying sooner as later.I wonder if those cute grandkids would feel the same way."
C) "Well,when you are home you can do as you wish,but until then you are on a low-sodium,low-fat diet and will be walking 30 minutes per shift."
D) "Research has shown that diet changes and stress control can at least double how long a person lives after a heart attack like yours."
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33
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/51655
Sample Questions
Q1) Nursing staff spend minimal time with a patient terminally ill with AIDS.The patient confides in the nurse leader,"I am having many confusing emotions.Sometimes I feel angry,sometimes afraid,sometimes abandoned." What is the most likely reason for the staff's avoidance of this patient?
A) The need to use extra infection control precautions
B) Disapproval of the patient's former high-risk lifestyle
C) Feelings of inadequacy in dealing with complex emotional needs
D) Wisdom that the patient needs time alone with significant others and for meditation
Q2) Which event is most likely to precipitate grief across a community?
A) A local bank is robbed twice in a single month
B) An adolescent shoots the principal of a local high school
C) The elderly pastor of the town's largest church dies of heart failure
D) Concrete pilings crumble in a bridge important to movement of local traffic
Q3) The grieving process is more difficult when a person:
A) has experienced many previous losses in life.
B) was emotionally independent of the deceased.
C) had few unresolved conflicts with the deceased.
D) recognizes the deceased was an elderly person,so it was time for death.
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34
Chapter 33: Forensic Psychiatric Nursing
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/51656
Sample Questions
Q1) Which of the following statements about corrections and correctional nursing is accurate?
A) The majority of inmates are younger than 40 years of age and as a result have lower rates of chronic illnesses than the general population.
B) There are more mentally ill persons incarcerated in state prisons than being treated in state hospitals.
C) Correctional nurses work primarily with medically ill persons rather than with psychiatric or substance abuse disorders.
D) If one is a correctional nurse working with mentally ill persons,he/she is also a forensic psychiatric nurse.
Q2) In which case would the psychiatric forensic nurse examiner assess the alleged perpetrator as competent to proceed with trial?
A) The defendant believes the FBI had paid assassins to kill him.
B) The accused hears voices commanding him to kill the president.
C) The defendant is developmentally disabled with an IQ of 70.
D) The accused understands the charges and the trial procedures.
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35
Chapter 34: Therapeutic Groups
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/51657
Sample Questions
Q1) The nurse is planning a new sexuality group.Which location would best enhance the effectiveness of this group?
A) A unit conference room
B) The hospital's auditorium
C) The unit day (living)room
D) A corner of the music therapy room
Q2) A nurse assigned to the well child clinic realizes that a number of the mothers have misconceptions about the most effective ways of disciplining their children.The nurse decides that forming a group to resolve this problem would be an effective strategy.The focus of the group should be:
A) support.
B) socialization.
C) health education.
D) symptom management.
Q3) "We aren't getting much done;let's speed things up and make our decision."
A) Playboy
B) Energizer
C) Organizer
D) Gatekeeper
E) Follower
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Chapter 35: Family Interventions
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/51658
Sample Questions
Q1) The nurse performing a family assessment determines that the parents jointly make decisions regarding family rules and apportion the family resources in ways that serve the interests of all members.Plans for the future exist but are flexible and allow for changing circumstances.The three teenage children participate in discussions but do not have responsibility for decisions.The assessment the nurse should document is:
A) family management function is appropriate and adequate.
B) boundary function makes a distinction between individuals.
C) communication function of the family is healthy.
D) emotional-supportive function is dominated by conflict.
Q2) A 16-year-old girl obtains her driver's license and begins to socialize independently with her friends.Her older sister has just left for college.Her mother is moving from a part-time position to a full-time position,and her father is worried that he may be laid off because of the tight economy.These events illustrate:
A) unpredictable structural changes.
B) the family life cycle.
C) enmeshment.
D) multigenerational issues.
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Page 37
Chapter 36: Integrative Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/51659
Sample Questions
Q1) A patient states she has taken megadoses of vitamin E for 3 months to improve her circulation but thinks she feels somewhat worse.Which action should the nurse take first?
A) Assess the patient for symptoms and signs of toxicity from excess vitamin exposure.
B) Note that research has not shown that vitamin megadoses produce any benefits.
C) Explain to the patient that megadoses may actually be harmful and advise caution.
D) Assess for signs of circulatory impairment to determine whether improvement has occurred.
Q2) When a patient wishes to learn more about alternative or complementary treatments,the nurse should refer the patient to the:
A) American Medical Association.
B) American Nurses Association.
C) National League for Nursing.
D) National Center for Complementary and Alternative Medicine.
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