Nursing Fundamentals: Mental Health Final
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Course Introduction
This course offers a comprehensive introduction to the foundational principles of mental health nursing, focusing on the development of knowledge, skills, and attitudes necessary for effective mental health care delivery. Students will explore the basic concepts of mental health and illness, communication techniques, therapeutic relationships, and the impact of cultural, ethical, and legal considerations on mental health practice. The course emphasizes assessment methods, patient advocacy, and evidence-based interventions for individuals experiencing mental health challenges across the lifespan. Through theoretical instruction and practical applications, learners will gain the essential competencies required to support mental well-being and promote recovery in diverse healthcare settings.
Recommended Textbook
Principles and Practice of Psychiatric Nursing 10th Edition by Gail Wiscarz Stuart
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40 Chapters
943 Verified Questions
943 Flashcards
Source URL: https://quizplus.com/study-set/374
Page 2
Chapter 1: Roles and Functions of Psychiatric-Mental Health
Nurses: Competent Caring
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A psychiatric aide says,"I don't know why that patient does all that silly giggling and posturing.It's senseless!" The best reply to this comment would address the psychiatric nursing principle that states:
A) every individual has the potential to change.
B) illness can be a growth-producing experience for the individual.
C) all behavior is meaningful, arising from personal needs and goals.
D) everyone has the right to self-determination that includes the pursuit of health.
Answer: C
Q2) It is essential that psychiatric nurses become aware of their ability in the area of positive political action.The nurse can best achieve this goal by:
A) raising donations for a local community health center.
B) becoming involved in an election campaign for a local sheriff.
C) becoming an active volunteer working regularly at a crisis center.
D) working on a city committee to help register local voters.
Answer: D
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3
Chapter 2: Therapeutic Nurse-Patient Relationship
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A novice nurse states,"Psychiatric nursing can't be very difficult.After all,I believe in showing care and in mutual exchange with my friends." The experienced nurse's understanding of the difference between a social and a therapeutic relationship is primarily based on the:
A) kind of information given.
B) amount of emotion invested.
C) degree of satisfaction obtained.
D) type of responsibility involved.
Answer: A
Q2) Which strategy can the nursing student use to foster authenticity in therapeutic relationships with patients?
A) Reading and discussing textbook assignments with a study group
B) Modeling behaviors with patients on the behaviors of a clinically competent staff nurse
C) Attending patient-centered clinical conferences on the assigned psychiatric inpatient unit
D) Analyzing feelings associated with psychiatric clinical experience with the help of instructors and peers
Answer: D
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4
Chapter 3: The Stuart Stress Adaptation Model of Psychiatric Nursing Care
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A nurse caring for a patient suspects that the patient has a personality disorder in addition to presenting with maladaptive stress response.To confirm this,the nurse would look in the patient's medical record on the DSM-IV-TR Axis:
A) I.
B) II.
C) IV.
D) V.
Answer: B
Q2) A patient became acutely anxious and hysterical in response to the stress of the patient's home being destroyed by fire the previous evening.A nurse assesses the patient's treatment stage as:
A) crisis.
B) acute.
C) maintenance.
D) health promotion.
Answer: A
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Chapter 4: Evidence-Based Psychiatric Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Nurses are easily oriented to the use of algorithms because they are familiar with the format of:
A) tables.
B) free text.
C) flow charts.
D) nursing notes.
Q2) A patient is scheduled to be discharged from the locked inpatient psychiatric unit.In order to best evaluate the appropriateness of the patient's care the nurse:
A) brings the care plan and ongoing documentation to an interdisciplinary team meeting, where the patient's progression towards discharge will be discussed.
B) gathers evidence from the chart that shows progression in the patient's medical condition to prepare for the evaluation of the outcomes.
C) asks the patient's family to discuss the discharge because they have visited daily since the patient's admission.
D) asks the patient to meet with you to discuss any feelings about discharge and returning home.
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Chapter 5: Biological Context of Psychiatric Nursing Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) When a patient asks the nurse,"What are neurotransmitters?" The nurse replies that neurotransmitters are:
A) "the chemical messengers that cause brain cells to turn on or off."
B) "small clumps of cells that alert the other brain cells to receive messages."
C) "tiny areas of the brain that are responsible for controlling our emotions."
D) "weblike structures that provide connections among various parts of the brain."
Q2) What part of the brain is responsible for regulating pituitary hormones and is known to regulate the body's temperature?
A) Thalamus
B) Cerebellum
C) Limbic system
D) Hypothalamus
Q3) A nurse explains to a patient undergoing diagnostic testing which brain imaging technique measures brain structure?
A) Computed tomography (CT)
B) Positron emission tomography (PET)
C) Brain electrical activity mapping (BEAM)
D) Single-photon emission computed tomography (SPECT)
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Chapter 6: Psychological Context of Psychiatric Nursing Care
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The patient believes that the CIA is "plotting to kill me." The report is given with the patient exhibiting little emotion.The nurse documents the patient's affect as:
A) flat.
B) elated.
C) labile.
D) congruent.
Q2) A nurse managing the care of a depressed patient will use the Beck Depression Inventory Scale at admission and during the course of treatment.The nurse expects to obtain assessment data that would: (Select all that apply.)
A) confirm the patient's diagnosis.
B) measure the extent of the patient's problem.
C) identify co-morbid physiological disorders.
D) track the patient's progress over the hospitalization.
E) predict the patient's likelihood of experiencing a relapse.
Q3) A nurse conducting a mental status examination should plan to:
A) compare results with at least one other nurse.
B) perform the examination without the patient knowing.
C) integrate the examination into the nursing assessment.
D) perform the examination as the first communication with the patient.
Page 8
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Chapter 7: Social, Cultural, and Spiritual Context of Psychiatric Nursing Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Asian patients prescribed psychiatric medications:
A) exhibit better response to antidepressants and phenothiazine than do African-American patients.
B) have less tendency to abuse alcohol with their medications than do white patients. C) have extrapyramidal side effects at lower dosage levels than do other ethnic groups.
D) experience fewer side effects when taking anticholinergic medications than do white patients taking the same dosage.
Q2) A nurse working with individuals from ethnic minority groups recognizes which as a factor that affects mental health care?
A) They often delay seeking help until problems become intense or chronic.
B) They characteristically do not engage in early termination from care.
C) They tend to dislike using community support systems.
D) They tend to avoid using family support systems.
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9
Chapter 8: Legal and Ethical Context of Psychiatric Nursing Care
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A patient was admitted voluntarily to the psychiatric unit.A nurse must understand that voluntary status confers the right of the patient to:
A) have visitors at any desired time.
B) come and go from the unit at will.
C) choose the nursing staff assigned to the patient's care.
D) accept or refuse any recommended treatment modalities.
Q2) A patient,who is homeless and known to be schizophrenic,was arrested after vandalizing parked cars while naked.Which behaviors will be considered when determining if the patient should be involuntarily committed for care? Select all that apply.
A) The patient is a possible danger to others.
B) The patient is a diagnosed schizophrenic.
C) The patient is a disruptive factor to the community.
D) The patient is unable to provide for his or her own basic needs.
E) The patient is in need of either physical or mental health treatment.
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Chapter 9: Policy and Advocacy in Mental Health Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Which is a suitable goal and expected outcome for a patient who is admitted for the recurrence of psychotic symptoms related to noncompliance with medication therapy?
A) Goal, safety; outcome, no risk for violence
B) Goal, remission; outcome, symptom relief
C) Goal, recovery; outcome, improved functioning
D) Goal, rehabilitation; outcome, attain optimal quality of life
Q2) A health provider study group should explore which option as a means to improve access to care in rural areas servicing a scattered population?
A) Installation of telehealth services
B) An increased number of satellite centers
C) Implementation of mobile mental health clinics
D) Federal grants to supplement the agency budget for personnel
Q3) A nurse works in an organization that provides an integrated behavioral continuum of care.The goal of treatment in the crisis clinic is:
A) remission.
B) recovery.
C) stabilization.
D) optimal level of wellness.
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Chapter 10: Families as Resources, Caregivers, and Collaborators
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A psychiatric nurse is helping to plan an educational program for families of mentally ill patients.The title of the program is Enhancing Personal and Family Effectiveness.Which topic should the nurse include in developing this program?
A) Legal issues
B) Conflict resolution
C) Hygiene and appearance
D) Prescribed medications
Q2) Which component would be part of a comprehensive program for working with families of mentally ill patients? (Select all that apply.)
A) Skill
B) Social
C) Debate
D) Emotional
E) Family process
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Chapter 11: Implementing the Nursing Process: Standards of Practice
and Professional Performance
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) To obtain the clearest clinical information about a patient,a nurse who used several secondary sources,including the patient's spouse and the report of the admitting psychiatrist,will seek validation from:
A) the patient.
B) psychiatric nursing textbooks.
C) the patient's extended family.
D) the use of psychiatric behavioral rating scales.
Q2) Which goal should be given the highest priority?
A) Reduction of anxiety
B) Alleviation of depression
C) Enhancement of self-esteem
D) Protection from self-destructive impulses
Q3) The goal of the nursing care plan is to answer which question regarding the achievement of patient wellness? (Select all that apply.)
A) Why
B) When
C) How
D) Where
E) Who
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Chapter 12: Prevention and Mental Health Promotion
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which person is most vulnerable to the development of psychiatric illness based on sociocultural factors?
A) A 16-year-old who has a parent with bipolar disorder
B) A 55-year-old who has retired with full pay from a job as a high school teacher
C) A 24-year-old who was raised by a grandparent after both parents died in a plane crash
D) A 67-year-old from a minority group who is poor and has no social support system
Q2) A nurse assessing a person who is deemed to be at high risk for mental disorders will find that,as suggested by the nursing primary prevention model,the person has:
A) fewer stressors.
B) more protective factors.
C) unusual developmental tasks.
D) inadequate coping mechanisms.
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Chapter 13: Crisis Intervention
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A patient comes to the mental health center and relates feeling very anxious since graduating from high school 1 week ago.The patient is having difficulty concentrating and feels shaky.This typifies:
A) a situational crisis.
B) a maturational crisis.
C) psychological equilibrium.
D) a pseudopsychological crisis.
Q2) A patient is being seen for crisis intervention as a result of receiving a poor job evaluation.The self-esteem need that nursing assessment will most likely reveal a problem with:
A) dependency.
B) role mastery.
C) biological functioning.
D) unmet financial responsibility.
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15
Chapter 14: Recovery and Psychiatric Rehabilitation
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A patient who dropped out of college when diagnosed with schizophrenia repeatedly states,"I want to get a job.I can work." Which statement made by the nurse would be the most therapeutic in facilitating the patient's need to be more productive?
A) "If you return to school and get a degree you can graduate from college and get a better job in 5 or 6 years."
B) "School will be stressful. Let's just look at the classified ads and find something you are capable of doing right now."
C) "You could return to school by taking courses where class size is small; this would help your self-esteem and allow you to be more independent."
D) "Work part-time and go back to school part-time; you'll get a good job when you finish a degree."
Q2) Which daily stressors would an unemployed 24-year-old diagnosed with chronic depression who lives on a family farm most likely experience?
A) Housing, school, and work problems
B) Money problems, loneliness, and boredom
C) Florid symptoms, odd dress, and bizarre behavior
D) Sexual, anger management, and medication problems
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Page 16
Chapter 15: Anxiety Responses and Anxiety Disorders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A police officer who uses reaction formation to deal with fears of acting cowardly is most likely to:
A) call others cowards.
B) develop paralysis of the leg.
C) volunteer for perilous duty.
D) have nightmares about running from an assailant.
Q2) Which nursing intervention would be most therapeutic for a newly admitted patient diagnosed with obsessive-compulsive disorder (OCD) who is busily cleaning and straightening a bedroom?
A) "I've inspected the room, and it's very clean."
B) "Tell me why your clothes and room need to be cleaned."
C) "You will not be allowed in your room if you cannot control your cleaning behaviors."
D) "I can see how uncomfortable you are, but I would like you to take a short walk so I can show you the unit."
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17
Chapter 16: Psychophysiological Responses and Somatoform and Sleep Disorders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse is working with a patient who has been diagnosed with a somatoform disorder.The patient asks,"My last tests didn't show anything.When will I have more diagnostic testing?" Which nursing response would be most therapeutic?
A) "You are resisting the idea that you do not have a physical illness."
B) "No more tests will be ordered. Your health maintenance organization (HMO) won't pay for repeating any tests."
C) "We think you need a rest from all the testing. We'll consider more tests at a later time."
D) "Since the tests were all negative, we will focus next on evaluating the role of stress in your life."
Q2) A patient diagnosed with essential hypertension reports feeling pressured by the demands made by family,friends,and an employer.Which role-play situation,as part of a patient education plan for coping with stress,would most likely help the patient develop effective stress-reduction skills?
A) Patient offering to help a friend organize a church group activity
B) Patient saying "no" to a request made by the employer to work overtime
C) Patient accepting a verbal demonstration of caring and concern from spouse
D) Patient asking a work subordinate to be prepared to come to work on time
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Chapter 17: Self-Concept Responses and Dissociative Disorders
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A patient who is acutely psychotic and withdrawn claims to be a robot.An early intervention designed to help this patient expand self-awareness would be to:
A) confirm the patient's identity.
B) set up a daily schedule for the patient.
C) introduce the patient to two other withdrawn patients.
D) explain to the patient the need to express feelings more openly.
Q2) A patient states,"Ever since I was a kid,I knew I should study,get good grades,and go to medical school.I wanted to be helpful and do good for others." From this statement,the nurse obtains information to assess this patient's:
A) self-ideal.
B) self-esteem.
C) self-concept.
D) self-actualization.
Q3) Which individual would be at greatest risk for self-esteem disturbance?
A) A 5-year-old starting school
B) A 16-year-old high school junior
C) A 26-year-old licensed practical nurse (LPN) entering a college nursing program
D) A 45-year-old working toward a master's degree in business administration
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Chapter 18: Emotional Responses and Mood Disorders
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A patient shares,"My mood is really low,and even though I get plenty of sleep,I'm tired all the time.It seems like it happens every fall and winter." This patient is most likely experiencing:
A) poor REM sleep.
B) acute depression.
C) chronic depression.
D) seasonal affective disorder.
Q2) A patient with mania is displaying elation,hyperactivity,grandiosity,verbosity,disturbed sleep pattern,and poor judgment.The plan of care should take into consideration the need to:
A) maintain physiological equilibrium.
B) provide a permissive, unstructured environment.
C) show good humor when interacting with the patient.
D) provide large amounts of appropriate sensory stimulation.
Q3) Which coping mechanism should a nurse expect to see a patient initially use to mourn the death of a spouse?
A) Denial
B) Introjection
C) Suppression
D) Dissociation
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Chapter 19: Self-Protective Responses and Suicidal Behavior
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A person who has been fired from a job calls the mental health clinic and tells a nurse,"I feel so overwhelmed that I don't see any other answer but to die." Another voice can be heard in the background.Which action should the nurse take?
A) Convince the caller to drive to the hospital.
B) Get the caller's address, go to the home, and take the caller to the hospital.
C) Stay on the telephone and send the police to bring the caller to the hospital.
D) Ask to speak to the other person and alert them to the caller's suicide threat.
Q2) Patients of which demographic group have the highest suicide rate in the United States?
A) Female between the ages of 13 and 19 years
B) Male between the ages of 19 and 27 years
C) Female age 65 years or older
D) Male age 50 years or older
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Chapter 20: Neurobiological Responses and Schizophrenia and Psychotic Disorders
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Sample Questions
Q1) A patient who has been hospitalized for 2 days remains anxious and continues to be preoccupied with paranoid delusions.What intervention will best help the patient focus less on the delusions?
A) Schedule time for the patient to read and listen to music.
B) Plan activities that require physical skills and constructive use of time.
C) Begin planning for discharge by engaging the patient in psychoeducation.
D) Discuss personal goals related to improved socialization with the patient.
Q2) A patient displays positive symptoms of schizophrenia as evidenced by psychotic disorders of thinking.The nurse can expect the patient to evidence:
A) delusions and hallucinations.
B) grimacing and mannerisms.
C) echopraxia and echolalia.
D) avolition and anhedonia.
Q3) A most useful strategy for helping a patient with schizophrenia prevent a potential relapse is to:
A) have the patient attend group therapy.
B) educate the patient on the need to take prescribed medication daily.
C) teach the patient and family about behaviors that indicate impending relapse.
D) schedule appointments for blood tests to determine serum medication levels.
Page 22
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Chapter 21: Social Responses and Personality Disorders
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26 Verified Questions
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Sample Questions
Q1) A goal for a patient with impulsive behavior is "The patient will explore the causes and consequences of impulsive behavior." A strategy that will best assist the patient in achieving this goal is:
A) using rewards for appropriate behavior.
B) using relaxation exercises to reduce interpersonal anxiety.
C) keeping a diary to describe events before and after the behavior.
D) frequent clinical supervision for the nurse providing therapy for the patient.
Q2) A patient with borderline personality disorder tells the nurse,"When my sister got married and had a baby,she ignored me and I got so angry with her because she is so inattentive to my needs." The patient's sense of entitlement to her sister's attention is consistent with:
A) impulsivity.
B) narcissism.
C) magical thinking.
D) passive aggression.
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23
Chapter 22: Cognitive Responses and Organic Mental Disorders
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Sample Questions
Q1) An individual was brought to the emergency room with impaired cognitive function.The patient's aggressive behavior and attempts to get out of bed present a safety issue.The nurse should first:
A) apply four-point restraints.
B) use a calm tone to orient the patient.
C) assign staff to stay in the room with the patient.
D) call for security guards to assist with controlling the patient.
Q2) An adult was brought to the emergency room.The patient's sensorium alternates between clouded and clear,and the patient becomes agitated both physically and verbally when approached.The patient's roommate states,"The patient was fine after getting up this morning but started talking crazy about 3 hours ago." The patient's cognitive impairment is most consistent with:
A) delirium.
B) dementia.
C) sundown syndrome.
D) early-onset Alzheimer disease.
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24
Chapter 23: Chemically Mediated Responses and
Substance-Related Disorders
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Sample Questions
Q1) A patient asks a nurse,"What is the primary aim of self-help groups for alcohol abusers?" The nurse should reply,"The goal is first to:
A) always be available to help others with an addiction."
B) commit to always strive for total abstinence."
C) find and rely on the help of the member's sponsor."
D) admit powerlessness over the addiction."
Q2) It will be most helpful for a nurse to describe a relapse to a recovering substance abuser as a(n):
A) error from which to learn.
B) indicator of treatment failure.
C) event with a physiological cause.
D) need for additional environmental support.
Q3) A nurse using cognitive behavioral therapy to treat a patient with substance abuse problems will:
A) help the patient to develop self-control and social skills.
B) support the use of emotion-focused coping mechanisms.
C) focus on addiction as a disease requiring confrontational tactics.
D) help the patient see that society shares responsibility for the problem.
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Chapter 24: Eating Regulation Responses and Eating Disorders
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Sample Questions
Q1) A patient is diagnosed with anorexia nervosa.A nurse who is assessing for co-morbid psychiatric disorders should begin by looking for signs of which common,concurrent diagnosis?
A) Phobias
B) Depression
C) Schizophrenia
D) Personality disorder
Q2) The first step in the creation of a therapeutic alliance between a nurse and a patient with a maladaptive response to eating regulation is:
A) formulation of a nurse-patient contract.
B) resolution of conflicts with family members.
C) nurse and patient will agree on perception of patient's body.
D) the means of stabilizing the patient's nutritional status will be specified.
Q3) Which statement would help the nurse conclude that a patient with an eating disorder is exhibiting cognitive distortion?
A) "I see now that I need to establish my own preferences and routines."
B) "Bingeing makes my feelings of both isolation and loneliness go away."
C) "Controlling what I eat has been a way for me to exert control over my life."
D) "I need to watch for hunger and fatigue as triggers for my eating disorder."
Page 26
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Chapter 25: Sexual Responses and Sexual Disorders
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Sample Questions
Q1) Which nursing diagnosis could be applied to both a patient who is upset that she has developed vaginismus associated with fear of pregnancy as well as a patient with diabetes who is concerned that he cannot attain an erection?
A) Sexual dysfunction
B) Sexual arousal disorder
C) Sexual aversion disorder
D) Ineffective sexuality pattern
Q2) Which statement made by a patient shows a correct understanding of human sexuality?
A) "Oral intercourse is dangerous."
B) "Sex during menstruation should be avoided."
C) "Advanced age is not by itself a deterrent to sexual function."
D) "Alcohol ingestion enhances sexual pleasure and performance."
Q3) Which classification of drugs has the greatest potential for causing sexual dysfunction?
A) Diuretics
B) Antihypertensives
C) Appetite suppressants
D) Gastrointestinal (GI) antiinflammatory agents
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Page 27
Chapter 26: Psychopharmacology
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Sample Questions
Q1) A patient who is prescribed an antidepressant medication says,"I've been getting dizzy in the morning when I wake up ever since I started this drug.Do you think I should stop taking it?" Which communication would reflect the most therapeutic nursing intervention on the basis of the patient's problem?
A) "It's important to change positions slowly and dangle your feet at the side of the bed before getting up."
B) "You'll have to stop driving your car while you're taking your medicine, and napping during the day should help."
C) "This medication does not usually cause dizziness unless it's being taken along with alcohol, wine, or beer."
D) "This should not be happening. Stop taking this medicine, and I'll notify your doctor to prescribe something else."
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Chapter 27: Behavior Change and Cognitive Interventions
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Sample Questions
Q1) A nurse teaches a group of parents about positive and negative reinforcement in shaping behavior.Which is an example of a positive reinforcer?
A) A parent who kisses a child who is crying to make the crying stop
B) An adolescent who runs away from home because of trouble in school
C) A parent who praises a child for putting toys away after playtime
D) An adolescent who drives within the speed limit to avoid getting a ticket
Q2) Which strategy for assisting patients to learn new behavior is considered by some to be questionable?
A) Shaping
B) Token economy
C) Aversion therapy
D) Contingency training
Q3) A nurse instructing a group of patients in the sequence of progressive muscle relaxation tells the group to tense and relax which area first?
A) Eyes
B) Toes
C) Hands
D) Mouth
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Chapter 28: Preventing and Managing Aggressive Behavior
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Sample Questions
Q1) A nurse working in a walk-in clinic is approached by a person with a history of violent behavior.The person states,"I want to go to the hospital for a rest.You better get me in or I'll do something bad.I can get a gun." An appropriate response from the nurse would be:
A) "If I get you admitted, will you promise to behave yourself?"
B) "You seem very anxious to be hospitalized. What do you think will happen if you aren't hospitalized?"
C) "Do you have a gun? I'm not sure I believe you. Are you really threatening to kill yourself or someone else?"
D) "Do you really want to go to the hospital? Would you be satisfied if I were able to find you someplace safe to rest?"
Q2) Which medication would a nurse expect to be prescribed to an adolescent patient diagnosed with a conduct disorder who has a history of physically abusing younger siblings?
A) Propranolol (Inderal)
B) Propranolol (Ritalin)
C) Clozapine (Clozaril)
D) Phenytoin (Dilantin)
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Chapter 29: Somatic Therapies
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24 Verified Questions
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Sample Questions
Q1) During the ECT (electroconvulsive therapy) stimulus,the nurse supports the patient's chin firmly against the bite-block positioned between the upper and lower teeth.The rationale for this intervention is to prevent:
A) involuntary biting of the lips.
B) tooth damage or gum laceration.
C) involuntary swallowing of the tongue.
D) development of TMJD (temporomandibular joint disorder).
Q2) Which data would a nurse document as being an adverse event after ECT (electroconvulsive therapy) treatment?
A) Systolic pressure 30 points above baseline at 30 minutes posttreatment
B) Complaints of muscle weakness continuing for 2 hours posttreatment
C) Disorientation to time and place lasting 45 minutes posttreatment
D) Complaints of nausea continuing for 4 hours posttreatment
Q3) What equipment should be available to the staff caring for a patient after receiving an ECT (electroconvulsive therapy) treatment?
A) Spirometer
B) Suctioning equipment
C) Tympanic thermometer
D) Padded wrist and ankle restraints
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Chapter 30: Complementary and Alternative Therapies
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Sample Questions
Q1) A patient states,"My nurse practitioner performs therapeutic touch (TT) on me and it relaxes me but my partner said it's just the power of suggestion." Which response would be most therapeutic?
A) "Recent studies have demonstrated that TT promotes healing and well-being, so it's reasonable to believe it relaxes you."
B) "I agree with your partner. The power of suggestion is a very powerful tool, so TT may make you feel more relaxed."
C) "TT cannot hurt you, so if you feel it helps relax you, I see no reason why you should not continue with the treatment."
D) "Your partner may not be very knowledgeable about current therapeutic nursing interventions. If you find TT helpful, that is what is important."
Q2) A nurse should advise a patient taking the herb kava-kava in conjunction with central nervous system medications that it may:
A) have addictive properties.
B) trigger asthmatic attacks.
C) cause fatal arrhythmias.
D) exacerbate depression.
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Chapter 31: Therapeutic Groups
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Sample Questions
Q1) What outcome would be most important for a nurse facilitator to include in a plan of care for a support group for parents of children with attention-deficit/hyperactivity disorder (ADHD)? Parents will be able to:
A) parent all children in the family with equality.
B) share feelings with other members of the group.
C) assist hyperactive children to modify their behavior.
D) discipline all children with equal negative reinforcement.
Q2) Which statement by the nurse reflects the best understanding of the issues that are addressed when establishing the contract for a therapeutic group?
A) "What is said in this group is confidential and will not be discussed outside the meeting."
B) "The group contract cannot be broken and will not be altered once it is agreed on by the entire group."
C) "You may bring food and beverages to the meeting, but we will be responsible for cleaning up the room when we are finished."
D) "In order to best think about what we learn in this group each of you will be asked to write your thoughts in a personal journal."
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Page 33
Chapter 32: Family Interventions
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Sample Questions
Q1) Skill building may include relapse-prevention drills and disorder-related conflict skills for adult patients diagnosed with schizophrenia or a mood disorder.Along with skill building,the patient typically receives individualized:
A) pharmacotherapy.
B) subsidized housing.
C) occupational therapy.
D) health care treatment.
Q2) To conduct research based on family intervention,the researcher would focus on the family as a unit or system to better understand family: A) roles.
B) economics.
C) ethnicity.
D) functioning.
Q3) It is useful initially for a therapist who is completing a family assessment to: A) have members also attend individual therapy.
B) interview members individually.
C) consider cultural influences.
D) visit the family home.
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Chapter 33: Hospital-Based Psychiatric Nursing Care
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Sample Questions
Q1) Which nursing intervention has priority when assisting a patient who has been transported to the hospital admissions unit by police for wandering barefoot and naked on the street in freezing weather?
A) Establishing trust in the one-to-one, nurse-patient relationship
B) Performing a rapid multidisciplinary physical assessment
C) Contacting family for permission to treat the patient
D) Determining why the patient removed all clothing
Q2) Which is the initial nursing care intervention for a nurse admitting a patient recently discharged from an inpatient unit into a partial-hospitalization program?
A) Confirming the telephone numbers of all family members listed as approved contacts
B) Identifying the patient's food preferences to best ensure proper nutrition as well as adequate intake
C) Asking the patient to identify any sources of anxiety they are experiencing related to the program
D) Educating the patient to the time and place of the unit activities included in their therapeutic plan of care
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Chapter 34: Community-Based Psychiatric Nursing Care
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Q1) Which intervention demonstrates effective management of two contradictory goals of case management?
A) Arranging for outpatient patients to car pool to group meetings
B) Assessing patients to determine who is able to shower independently
C) Scheduling a patient to have in-home help with cooking and cleaning
D) Helping a patient appropriately fill a personal 5-day medication container
Q2) Which patient meets the criteria for psychiatric homebound care? (Select all that apply.)
A) A 68-year-old whose moderate Alzheimer disease (AD) symptoms are progressing
B) A 19-year-old who refuses to leave his room because of paranoid delusions
C) A 45-year-old who is so persistently depressed she rarely gets out of bed
D) A 50-year-old alcoholic who has developed cirrhosis of the liver
E) A 35-year-old who washes his hands 25 to 35 times a day
Q3) A community mental health center is adjusting to severe budget cuts.Which service is most likely to be considered for elimination?
A) Toll-free suicide prevention telephone hotline services
B) Community education regarding the risk factors of depression
C) Transitional housing for a parent diagnosed with chronic depression
D) Follow-up laboratory testing regarding therapeutic medication levels
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Page 36
Chapter 35: Child Psychiatric Nursing
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Sample Questions
Q1) When planning care for a school-age child who has been diagnosed with an anxiety disorder,which measure would the nurse include initially in the treatment plan?
A) Securing the support of the child's teacher
B) Identifying any mental illness in the family history
C) Providing the child with individual relaxation training
D) Exploring the possible admission of the child to a residential facility
Q2) When assisting a 5-year-old child to develop the ability to delay gratification,it is most valuable for the nurse to:
A) teach parents to assign a point system for expected daily activities.
B) develop the nurse-patient relationship during unstructured playtime.
C) encourage the child to express feelings when feeling frustrated.
D) model the ability to delay gratification.
Q3) Nursing care for a child with attention-deficit/hyperactivity disorder (ADHD) usually includes which therapeutic component?
A) Foster care
B) Institutionalization
C) Stimulant drug therapy
D) Cognitive processing games
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Chapter 36: Adolescent Psychiatric Nursing
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Sample Questions
Q1) A parent shares with a nurse a concern that an adolescent "constantly reads about Hitler and watches history television programs that show concentration camp footage." Which statement would be the most therapeutic response?
A) "Are there any other behavior changes that concern you?"
B) "Being interested in Hitler isn't necessarily something to be worried about."
C) "Have you ever talked with your child about how this interest in Hitler concerns you?"
D) "I'll be happy to talk with your child, but anything I learn is considered confidential."
Q2) Which statement would be the most therapeutic initially when interviewing an adolescent who attempted suicide in the school bathroom?
A) "Can you tell me what you were thinking that caused you to attempt suicide?"
B) "It appears that you were really interested in letting your classmates know you were angry."
C) "If you are willing to discuss the reasons you wanted to die, I'm certainly willing to listen to you."
D) "How do you feel I can help you, since most suicide attempts are really cries for help?"
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38
Chapter 37: Geropsychiatric Nursing
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Sample Questions
Q1) A person who is the primary caregiver for a mother with Alzheimer disease says,"Sometimes I hate my mother for living this long and Dad for dying and not caring for her." Which response is most therapeutic?
A) "What do you do to cope with these negative feelings?"
B) "It's fairly common for a caregiver to feel such negative emotions."
C) "Have you ever felt angry enough to be abusive toward your mother?"
D) "Please consider discussing these feelings with other members of your family."
Q2) When the nurse asks an older adult,"Can you describe the events that led you to move to this assisted living center?" the patient looks perplexed and does not respond.Which response would the nurse make initially in order to be most therapeutic?
A) "Did you want to sell your house and move here?"
B) "We can talk about this at a later time if you wish."
C) "I can get this information from your medical record."
D) "Do you like living here at the assisted living center?"
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Chapter 38: Care of Survivors of Abuse and Violence
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21 Verified Questions
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Sample Questions
Q1) Which comment best reflects the nurse's use of an empowerment model with an individual who has been abused?
A) "Let me share with you my knowledge of what happens psychologically to individuals who have been abused."
B) "I know that you feel that your partner will change, but the current research does not validate your thinking."
C) "It's up to you to end the violence. You are the only one who can set limits on how your partner is allowed to treat you."
D) "Let's consider what you believe your options are in terms of your relationship with your partner in light of the behavior toward you."
Q2) Which behavior would the nurse expect in a person who commits psychic rape? The perpetrator:
A) gives money to the victim after the rape.
B) seduces the victim by providing wine, flowers, and music.
C) threatens the victim to submit or else be severely beaten.
D) always mentions including violent bondage in sexual activities.
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Chapter 39: The Military and Their Families
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Sample Questions
Q1) A military veteran being treated for substance abuse shares that the family is experiencing financial problems since being discharged.In order to assess the individual's coping skills,the nurse asks:
A) "Do you have any idea about how your finances got out of your control?"
B) "How well were you at managing your finances before leaving the military?"
C) "Can you give me some idea of the kind of financial help you feel you need?"
D) "Have your financial expenses increased dramatically since being discharged?"
Q2) A military veteran is being evaluated for traumatic brain injury (TBI).Which nursing assessment data supports such a diagnosis? (Select all that apply.)
A) Baseline blood pressure is 148/96
B) Has been treated for bronchitis twice in the last 8 months
C) Patient reports experiencing an average of 3 headaches per week
D) Petit mall seizure activity well controlled with antiseizure medication therapy
E) Patient reports a weight gain of 15 pounds since returning from deployment 12 months ago.
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Chapter 40: Psychological Care of Patients with Life-Threatening Illness
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Sample Questions
Q1) A nurse enters the room of a patient newly diagnosed with multiple sclerosis and notes that the patient is crying quietly while lying in bed.Which communication by the nurse would be most appropriate?
A) "You are crying. What are you feeling that's making you so sad?"
B) "Do you want me to call the health care provider to order some antidepressant medication for you?"
C) "I can understand why you would cry. I imagine most people would feel sad after being given your diagnosis."
D) "Crying is a normal response to a diagnosis such as yours. You'll feel better after your plan of care has been fully developed."
Q2) A nurse is working with the family of a terminally ill child with leukemia.The nurse shares with the parents that which sibling will likely have a more factual than emotional response to the sibling's death?
A) 16-year-old
B) 12-year-old
C) 8-year-old
D) 3-year-old
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