Nursing Practice in Mental Health Settings Practice
Questions
Course Introduction
This course explores the principles and practices of nursing care in mental health settings, emphasizing the role of the nurse in assessing, planning, implementing, and evaluating care for individuals experiencing mental health challenges. Students will develop a foundational understanding of psychiatric disorders, therapeutic communication techniques, and psychosocial interventions, while also examining legal, ethical, and cultural considerations in mental health nursing. The course integrates theory with practical application through case studies and clinical placement opportunities, preparing students to provide person-centered, evidence-based care within multi-disciplinary teams in a variety of mental health care environments.
Recommended Textbook
Canadian Psychiatric Mental Health Nursing Canadian Edition 1st Edition by Jordan Halter
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37 Chapters
1052 Verified Questions
1052 Flashcards
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Chapter 1: Mental Health and Mental Illness
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Select the best response for the nurse who receives a question from another health professional seeking to understand the difference between a Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnosis and a nursing diagnosis.
A) "There is no functional difference between the two. Both identify human disorders."
B) "The DSM-5 diagnosis disregards culture, whereas the nursing diagnosis takes culture into account."
C) "The DSM-5 diagnosis describes causes of disorders, whereas a nursing diagnosis does not explore etiology."
D) "The DSM-5 diagnosis guides medical treatment, whereas the nursing diagnosis offers a framework for identifying interventions for issues a patient is experiencing."
Answer: D
Q2) Complete this analogy. NANDA: clinical judgement: NIC: _________________
A) Patient outcomes
B) Nursing actions
C) Diagnoses
D) Symptoms
Answer: B
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Chapter 2: Historical Overview of Psychiatric Mental Health
Nursing
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12 Flashcards
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Sample Questions
Q1) The exclusion of males from attending psychiatric nurse training programs hindered which of the following?
A) The availability of students to enter the training program
B) The ability of institutions to maintain enough trained nursing staff
C) The recognition of the importance of nursing knowledge and skills
D) The status of female nurses by lowering their status
Answer: C
Q2) Who was instrumental in lobbying for the first mental health hospital in the United States and for reform in British and Canadian institutions?
A) Michel Foucault
B) Dorothea Dix
C) The Grey Nuns
D) Philippe Pinel
Answer: B
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Chapter 3: Relevant Theories and Therapies for Nursing Practice
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) A parent says, "My 2-year-old child refuses toilet training and shouts "No!" when given directions. What do you think is wrong?" Select the nurse's best reply.
A) "Your child needs firmer control. It is important to set limits now."
B) "This is normal for your child's age. The child is striving for independence."
C) "There may be developmental problems. Most children are toilet trained by age 2."
D) "Some undesirable attitudes are developing. A child psychologist can help you develop a plan."
Answer: B
Q2) A patient is suspicious and frequently manipulates others. To which psychosexual stage do these traits relate?
A) Oral
B) Anal
C) Phallic
D) Genital
Answer: A
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Chapter 4: Psychotropic Drugs
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35 Flashcards
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Sample Questions
Q1) The nurse should assess a patient taking a drug with anticholinergic properties for inhibited function of which of the following?
A) Parasympathetic nervous system
B) Sympathetic nervous system
C) Reticular activating system
D) Medulla oblongata
Q2) A patient taking medication for mental illness develops restlessness and an uncontrollable need to be in motion. Which drug action causes these symptoms to develop?
A) Anticholinergic effects
B) Dopamine-blocking effects
C) Endocrine-stimulating effects
D) Ability to stimulate spinal nerves
Q3) A patient begins therapy with a phenothiazine medication. What teaching should the nurse provide related to the drug's strong dopaminergic effect?
A) Chew sugarless gum.
B) Increase dietary fiber.
C) Arise slowly from bed.
D) Report changes in muscle movement.
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Page 6
Chapter 5: Psychiatric Mental Health Nursing in Acute Care Settings
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14 Flashcards
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Sample Questions
Q1) A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the nurse learned that the patient received a notice of eviction immediately prior to admission. Select the nurse's most appropriate action.
A) Postpone the patient's discharge from the hospital.
B) Contact the landlord who evicted the patient to further discuss the situation.
C) Arrange a temporary place for the patient to stay until new housing can be arranged.
D) Determine whether the adverse medication reaction was genuine because the patient had nowhere to live.
Q2) Clinical pathways are used in managed care settings to do which of the following?
A) Stabilize aggressive patients
B) Identify obstacles to effective care
C) Relieve nurses of planning responsibilities
D) Streamline the care process and improve outcomes
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Chapter 6: Psychiatric Mental Health Nursing in Community Settings
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22 Flashcards
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Sample Questions
Q1) A person in the community asks, "People with mental illnesses went to isolated hospitals in earlier times. Why has that changed?" Select the nurse's accurate responses. Select all that apply.
A) "Science has made significant improvements in drugs for mental illness, so now many people may live in their communities."
B) "There's now a better selection of less restrictive treatment options available in communities to care for people with mental illness."
C) "National rates of mental illness have declined significantly. There actually is not a need for state institutions anymore."
D) "Most psychiatric institutions were closed because of serious violations of patients' rights and unsafe conditions."
E) "Federal legislation and payment for treatment of mental illness has shifted the focus to community rather than institutional settings."
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Chapter 7: Cultural Implications for Psychiatric Mental
Health Nursing
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) Which communication techniques would be most effective for a nurse to use during an assessment interview with an adult Aboriginal patient?
A) Open and friendly; ask direct questions; touch the patient's arm or hand occasionally for reassurance.
B) Frequent nonverbal behaviours, such as gestures and smiles; make an unemotional face to express negatives.
C) Soft voice; break eye contact occasionally; general leads and reflective techniques.
D) Stern voice; unbroken eye contact; minimal gestures; direct questions.
Q2) A nurse prepares to assess a newly hospitalized patient who moved to Canada 6 months ago from Somalia. The nurse should first determine which of the following?
A) If the patient's immunizations are current
B) The patient's religious preferences
C) The patient's specific ethnic group
D) Whether a translator is needed
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9
Chapter 8: Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) In order to release information to another health care facility or third party regarding a patient diagnosed with a mental illness, the nurse must obtain which of the following?
A) A signed consent by the patient for release of information stating specific information to be released.
B) A verbal consent for information release from the patient and the patient's guardian or next of kin.
C) Permission from members of the health care team who participate in treatment planning.
D) Approval from the attending psychiatrist to authorize the release of information.
Q2) Which action by a nurse constitutes a breach of a patient's right to privacy?
A) Documenting the patient's daily behaviour during hospitalization
B) Releasing information to the patient's employer without consent
C) Discussing the patient's history with other staff during care planning
D) Asking family to share information about a patient's pre-hospitalization behaviour
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Chapter 9: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
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Sample Questions
Q1) After formulating the nursing diagnoses for a new patient, what is a nurse's next action?
A) Designing interventions to include in the plan of care
B) Determining the goals and outcome criteria
C) Implementing the nursing plan of care
D) Completing the spiritual assessment
Q2) A patient diagnosed with major depression has lost 9 kilograms in one month, has chronic low self-esteem, and a plan for suicide. The patient has taken an antidepressant medication for 1 week. Which nursing intervention has the highest priority?
A) Implement suicide precautions.
B) Offer high-calorie snacks and fluids frequently.
C) Assist the patient to identify three personal strengths.
D) Observe patient for therapeutic effects of antidepressant medication.
Q3) At what point in an assessment interview would a nurse ask, "How does your faith help you in stressful situations?"
A) During the assessment of childhood growth and development
B) During the assessment of substance use and abuse
C) During the assessment of educational background
D) During the assessment of coping strategies
Page 11
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Chapter 10: Therapeutic Relationships
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Sample Questions
Q1) A nurse assesses a confused older adult. The nurse experiences sadness and reflects, "The patient is like one of my grandparents-so helpless." Which response is the nurse demonstrating?
A) Transference
B) Counter-transference
C) Catastrophic reaction
D) Defensive coping reaction
Q2) A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. Which of the following should the nurse do?
A) Restate what the patient says.
B) Use congruent communication strategies.
C) Use self-revelation in patient interactions.
D) Consistently interpret the patient's behaviours.
Q3) During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?
A) Preorientation
B) Orientation
C) Working
D) Termination
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Page 12
Chapter 11: Communication and the Clinical Interview
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24 Flashcards
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Sample Questions
Q1) An Italian Canadian patient uses dramatic body language when describing emotional discomfort. Which analysis most likely explains the patient's behaviour?
A) The patient has a histrionic personality disorder.
B) The patient believes dramatic body language is sexually appealing.
C) The patient wishes to impress staff with the degree of emotional pain.
D) The patient belongs to a culture in which dramatic body language is the norm.
Q2) A school-age child tells the school nurse, "Other kids call me mean names and will not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic response.
A) "Just ignore them and they will leave you alone."
B) "You should make friends with other children."
C) "Call them names if they do that to you."
D) "Tell me more about how you feel."
Q3) A patient is having difficulty making a decision. The nurse has mixed feelings about whether to provide advice. Which principle usually applies?
A) Giving advice is rarely helpful.
B) Giving advice fosters independence.
C) Giving advice lifts the burden of personal decision making.
D) Giving advice helps the patient develop feelings of personal adequacy.
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Chapter 12: Understanding Responses to Stress
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Sample Questions
Q1) A person with a fear of heights drives across a high bridge. Which division of the autonomic nervous system will be stimulated in response to this experience?
A) Limbic system
B) Peripheral nervous system
C) Sympathetic nervous system
D) Parasympathetic nervous system
Q2) A patient reports, "I am overwhelmed by stress." Which question by the nurse would be most important to use in the initial assessment of this the patient?
A) "Tell me about your family history. Do you have any relatives who have problems with stress?"
B) "Tell me about your exercise. How much activity do you typically get in a day?"
C) "Tell me about the kinds of things you do to reduce or cope with your stress."
D) "Stress can interfere with sleep. How much did you sleep last night?"
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Chapter 13: Anxiety, Obsessive-Compulsive, and Related Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A cruel and abusive person often uses rationalization to explain the behaviour. Which comment demonstrates use of this defence mechanism?
A) "I don't know why I do mean things."
B) "I have always had poor impulse control."
C) "That person should not have provoked me."
D) "I'm really a coward who is afraid of being hurt."
Q2) A patient experiencing panic suddenly began running and shouting, "I'm going to explode!" Select the nurse's best action.
A) Ask, "I'm not sure what you mean. Give me an example."
B) Capture the patient in a basket-hold to increase feelings of control.
C) Tell the patient, "Stop running and take a deep breath. I will help you."
D) Assemble several staff members and say, "We will take you to seclusion to help you regain control."
Q3) For a patient experiencing panic, which nursing intervention should be implemented first?
A) Teach relaxation techniques.
B) Administer an anxiolytic medication.
C) Prepare to implement physical controls.
D) Provide calm, brief, directive communication.
Page 15
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Chapter 14: Depressive Disorders
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33 Verified Questions
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Sample Questions
Q1) Priority interventions for a patient diagnosed with major depression and feelings of worthlessness should include which of the following?
A) Distracting the patient from self-absorption
B) Careful, unobtrusive observation around the clock
C) Allowing the patient to spend long periods alone in meditation
D) Opportunities to assume a leadership role in the therapeutic milieu
Q2) The admission note indicates a patient diagnosed with major depression has anergia and anhedonia. For which measures should the nurse plan? Select all that apply.
A) Channeling excessive energy
B) Reducing guilty ruminations
C) Instilling a sense of hopefulness
D) Assisting with self-care activities
E) Accommodating psychomotor retardation
Q3) Which falls within the parameters of the normal course of treatment of depression with ECT?
A) Daily for 7 days
B) Three times per week for 10 weeks
C) Once a week for 8 weeks
D) Twice a week for 4 weeks
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Page 16
Chapter 15: Bipolar Disorders
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) A person was directing traffic on a busy street, rapidly shouting, "To work, you jerk, for perks" and making obscene gestures at cars. The person has not slept or eaten for 3 days. Which assessment findings will have priority concern for this patient's plan of care?
A) Insulting, aggressive behaviour
B) Pressured speech and grandiosity
C) Hyperactivity; not eating and sleeping
D) Poor concentration and decision making
Q2) A nurse prepares the plan of care for a patient experiencing an acute manic episode. Which nursing diagnoses are most likely? Select all that apply.
A) Imbalanced nutrition: more than body requirements
B) Disturbed thought processes
C) Sleep deprivation
D) Chronic confusion
E) Social isolation
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Chapter 16: Schizophrenia Spectrum and Other Psychotic Disorders
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Sample Questions
Q1) A patient diagnosed with schizophrenia demonstrates little spontaneous movement and has waxy flexibility. The patient's activities of daily living are severely compromised. An appropriate outcome would be which of the following?
A) The patient demonstrates increased interest in the environment by the end of week 1.
B) The patient performs self-care activities with coaching by the end of day 3.
C) The patient gradually takes the initiative for self-care by the end of week 2.
D) The patient accepts tube feeding without objection by day 2.
Q2) A patient diagnosed with schizophrenia begins to talks about "macnabs" hiding in the warehouse at work. The term macnabs should be documented as which of the following?
A) A neologism
B) Concrete thinking
C) Thought insertion
D) An idea of reference
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18
Chapter 17: Eating Disorders
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Sample Questions
Q1) An outpatient diagnosed with anorexia nervosa has begun refeeding. Between the first and second appointments, the patient gained 3.5 kg. The nurse should do which of the following?
A) Assess lung sounds and extremities
B) Suggest use of an aerobic exercise program
C) Positively reinforce the patient for the weight gain
D) Establish a higher goal for weight gain the next week
Q2) As a patient admitted to the eating disorders unit undresses, a nurse observes that the patient's body is covered by fine, downy hair. The patient weighs 32 kg and is 162 cm. Which term should be documented?
A) Amenorrhea
B) Alopecia
C) Lanugo
D) Stupor
Q3) Which of the following is a complication of bulimia nervosa?
A) Tachycardia
B) Hyperchloremia
C) Hyperkalemia
D) Esophageal tears
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Page 19
Chapter 18: Cognitive Disorders
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Sample Questions
Q1) An older patient diagnosed with severe, late-stage dementia no longer recognizes family members. The family asks how long it will be before this patient recognizes them when they visit. What is the nurse's best reply?
A) "Your family member will never again be able to identify you."
B) "I think that is a question the health care provider should answer."
C) "One never knows. Consciousness fluctuates in persons with dementia."
D) "It is disappointing when someone you love no longer recognizes you."
Q2) Consider these health problems: Lewy body disease, frontal-temporal lobar degeneration, and Huntington's disease. Which term unifies these problems?
A) Cyclothymia
B) Dementia
C) Delirium
D) Amnesia
Q3) Which assessment finding would be likely for a patient experiencing a hallucination?
A) The patient looks at shadows on a wall and says, "I see scary faces."
B) The patient states, "I feel bugs crawling on my legs and biting me."
C) The patient reports telepathic messages from the television.
D) The patient speaks in rhymes.
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Page 20
Chapter 19: Substance Use and Addictive Disorders
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35 Verified Questions
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Sample Questions
Q1) A patient asks for information about Alcoholics Anonymous. Select the nurse's best response.
A) "Alcoholics Anonymous is a form of group therapy led by a psychiatrist."
B) "Alcoholics Anonymous is a self-help group for which the goal is sobriety."
C) "Alcoholics Anonymous is a group that learns about drinking from a group leader."
D) "Alcoholics Anonymous is a network that advocates strong punishment for drunk drivers."
Q2) A patient admitted yesterday for injuries sustained while intoxicated believes bugs are crawling on the bed. The patient is anxious, agitated, and diaphoretic. What is the priority nursing diagnosis?
A) Disturbed sensory perception
B) Ineffective coping
C) Ineffective denial
D) Risk for injury
Q3) Which goal for treatment of alcoholism should the nurse address first?
A) Learn about addiction and recovery.
B) Develop alternate coping strategies.
C) Develop a peer support system.
D) Achieve physiologic stability.
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Page 21
Chapter 20: Personality Disorders
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Sample Questions
Q1) A new psychiatric technician says, "Schizophrenia . . . schizotypal! What's the difference?" The nurse's response should include which information?
A) A patient diagnosed with schizophrenia is not usually overtly psychotic.
B) In schizotypal personality disorder, the patient remains psychotic much longer.
C) With schizotypal personality disorder, the person can be made aware of misinterpretations of reality.
D) Schizotypal personality disorder causes more frequent and more prolonged hospitalizations than schizophrenia.
Q2) The nurse caring for an individual demonstrating symptoms of schizotypal personality disorder would expect assessment findings to include which of the following?
A) Arrogant, grandiose, and a sense of self-importance
B) Attention-seeking, melodramatic, and flirtatious
C) Impulsive, restless, socially aggressive behaviour
D) Socially anxious, rambling stories, peculiar ideas
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Chapter 21: Sleep Wake Disorders
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Sample Questions
Q1) A nurse counsels a patient on ways to determine the person's total sleep requirement. Which instruction would produce the most accurate results?
A) "For 1 full week, record what you remember about your dream content and related feelings as soon as you wake up. Bring the record to your next appointment."
B) "While off work for 1 week, go to bed at your usual time and wake up without an alarm. Record how many hours you sleep and then average the findings."
C) "For 2 full weeks, record how much time you sleep each night and rate your daytime alertness on a scale of 1 to 10. Calculate your average alertness score."
D) "All adults need 7 or 8 hours of sleep to function properly. Let's design ways to help you reach that goal."
Q2) A patient needs diagnostic evaluation of sleep problems. Which test will evaluate the patient for possible sleep-related problems?
A) Skull X-rays
B) Electroencephalogram (EEG)
C) Positron emission tomography (PET)
D) Single-photon emission computed tomography (SPECT)
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Page 23
Chapter 22: Sexual Dysfunction, Gender Dysphoria, and Paraphilias
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Sample Questions
Q1) A patient's medical record documents sexual masochism. This patient derives sexual pleasure in which of the following ways?
A) From inanimate objects
B) By inflicting pain on a partner
C) When sexually humiliated by a partner
D) From touching a nonconsenting person
Q2) A man who regularly experiences premature ejaculation tells the nurse, "I feel like such a failure. It's so awful for both me and my partner." Select the nurse's most therapeutic response.
A) "I sense you are feeling frustrated and upset."
B) "Tell me more about feeling like a failure."
C) "You are too hard on yourself."
D) "What do you mean by awful?"
Q3) A 10-year-old boy is diagnosed with gender dysphoria. Which assessment finding would the nurse expect?
A) Having tea parties with dolls
B) A compromised sexual response cycle
C) Identifying with boys who are athletic
D) Intense urges to watch his parents have sex
Page 24
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Chapter 23: Somatic Symptom Disorders and Dissociative Disorders
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Sample Questions
Q1) A patient who experienced a myocardial infarction was transferred from critical care to a step-down unit. The patient then used the call bell every 15 minutes for minor requests and complaints. Staff nurses reported feeling inadequate and unable to satisfy the patient's needs. When the nurse manager intervenes directly with this patient, which comment would be most therapeutic?
A) "I'm wondering if you're feeling anxious about your illness and being left alone."
B) "The staff are concerned that you are not satisfied with the care you are receiving."
C) "Let's talk about why you use your call bell so frequently. It is a problem."
D) "You frustrate the staff by calling them so often. Why are you doing that?"
Q2) To assist patients diagnosed with somatic symptom disorders, nursing interventions of high priority do which of the following?
A) Explain the pathophysiology of symptoms
B) Help these patients suppress feelings of anger
C) Shift focus from somatic symptoms to feelings
D) Investigate each physical symptom as it is reported
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Chapter 24: Crisis and Disaster
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Sample Questions
Q1) Which communication technique will the nurse use more in crisis intervention than in traditional counselling?
A) Role modeling
B) Giving direction
C) Information giving
D) Empathic listening
Q2) Which are characteristics of a mental health emergency? Select all that apply.
A) Self-care limitations
B) Depression
C) Effective coping strategies
D) Behavioural disturbances
E) Collective self-efficacy
Q3) The principle most useful to a nurse planning crisis intervention for any patient is which of the following?
A) That the patient is experiencing a state of disequilibrium
B) That the patient is experiencing a type of mental illness
C) That the patient poses a threat of violence to others
D) That the patient has high potential for self-injury
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26
Chapter 25: Suicide
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Sample Questions
Q1) A college student who failed two tests cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate and asked to be left alone for a few hours. Which behaviour provides the strongest clue of an impending suicide attempt?
A) Calling parents
B) Excessive crying
C) Remaining in a dorm room alone
D) Giving away sweaters to her roommate.
Q2) A nurse interacts with an outpatient who has a history of multiple suicide attempts. Select the most helpful response for a nurse to make when the patient states, "I am considering committing suicide."
A) "I'm glad you shared this. Please do not worry. We will handle it together."
B) "I think you should admit yourself to the hospital to keep you safe."
C) "Bringing up these feelings is a very positive action on your part."
D) "We need to talk about the good things you have to live for."
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Chapter 26: Anger, Aggression, and Violence
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Sample Questions
Q1) A patient with multi-infarct dementia lashes out and kicks at people who walk past in the hall of a nursing home. Intervention by the nurse should begin by which of the following?
A) Gently touching the patient's arm
B) Asking the patient, "What do you need?"
C) Saying to the patient, "This is a safe place."
D) Directing the patient to cease the behaviour
Q2) A patient with severe injuries is irritable and angry, and belittles the nurses. As a nurse changes a dressing, the patient screams, "Don't touch me! You are so stupid. You will make it worse!" Which intervention uses a cognitive technique to help the patient?
A) Wordlessly discontinue the dressing change and then leave the room.
B) Stop the dressing change, saying, "Perhaps you would like to change your own dressing."
C) Continue the dressing change, saying, "This dressing change is needed so your wound will not get infected."
D) Continue the dressing change, saying, "Unfortunately, you have no choice in this because your health care provider ordered this dressing change."
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Chapter 27: Interpersonal Violence: Child, Older Adult, and
Intimate Partner Abuse
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Sample Questions
Q1) An adult has recently been absent from work for 3-day periods on several occasions. Each time, the individual returned wearing dark glasses. Facial and body bruises were apparent. What is the occupational health nurse's priority assessment?
A) Interpersonal relationships
B) Work responsibilities
C) Socialization skills
D) Physical injuries
Q2) Which rationale best explains why a nurse should be aware of personal feelings while working with a family experiencing family violence?
A) Self-awareness enhances the nurse's advocacy role.
B) Strong negative feelings interfere with assessment and judgement.
C) Strong positive feelings lead to healthy transference with the victim.
D) Positive feelings promote the development of sympathy for patients.
Q3) What feelings are most commonly experienced by nurses working with abusive families?
A) Outrage toward the victim and discouragement regarding the abuser
B) Helplessness regarding the victim and anger toward the abuser
C) Unconcern for the victim and dislike for the abuser
D) Vulnerability for self and empathy with the abuser
Page 29
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Chapter 28: Sexual Assault
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Source URL: https://quizplus.com/quiz/23110
Sample Questions
Q1) A nurse interviews a patient who was abducted and raped at gunpoint by an unknown assailant. The patient says, "I can't talk about it. Nothing happened. I have to forget." What is the patient's present coping strategy?
A) Compensation
B) Somatization
C) Projection
D) Denial
Q2) A rape victim tells the emergency nurse, "I feel so dirty. Help me take a shower before I get examined." Which of the following should the nurse do? Select all that apply.
A) Arrange for the victim to shower.
B) Explain that bathing destroys evidence.
C) Give the victim a basin of water and towels.
D) Offer the victim a shower after evidence is collected.
E) Explain that bathing facilities are not available in the emergency department.
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Chapter 29: Disorders of Children and Adolescents
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Source URL: https://quizplus.com/quiz/23111
Sample Questions
Q1) Which child demonstrates behaviours indicative of a neurodevelopmental disorder?
A) A 4-year-old who stuttered for 3 weeks after the birth of a sibling
B) A 9-month-old who does not eat vegetables and likes to be rocked
C) A 3-month-old who cries after feeding until burped and sucks a thumb
D) A 3-year-old who is mute, passive toward adults, and twirls while walking
Q2) A nurse prepares the plan of care for a 15-year-old diagnosed with moderate intellectual developmental disorder. What are the highest outcomes that are realistic for this patient? Within 5 years, the patient will be able to do which of the following? Select all that apply.
A) Graduate from high school
B) Live independently in an apartment
C) Independently perform own personal hygiene
D) Obtain employment in a local sheltered workshop
E) Correctly use public buses to travel in the community
Q3) Which behaviour indicates that the treatment plan for a child diagnosed with an autism spectrum disorder was effective?
A) The child plays with one toy for 30 minutes.
B) The child repeats words spoken by a parent.
C) The child holds the parent's hand while walking.
D) The child spins around and claps hands while walking.
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Chapter 30: Psychosocial Needs of the Older Adult
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Source URL: https://quizplus.com/quiz/23112
Sample Questions
Q1) A nurse and social worker co-lead a reminiscence group for eight elite-old adults. Which activity is appropriate to include in the group?
A) Mild aerobic exercise
B) Singing a song from World War II
C) Discussing national leadership during the Vietnam War
D) Identifying the most troubling story in today's newspaper
Q2) A new nurse says, "My elderly patient has Lewy body disease. What should I do about assessing for pain?" Select the best response from the nurse manager.
A) "Ask the patient's family if they think the patient is experiencing pain."
B) "Use a visual analog scale to help the patient determine the presence and severity of pain."
C) "There are special scales for assessing patients with dementia. Let's review how to use them."
D) "The perception of pain is diminished by this type of dementia. Focus your assessment on the patient's mental status."
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Chapter 31: Living With Recurrent and Persistent Mental Illness
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Source URL: https://quizplus.com/quiz/23113
Sample Questions
Q1) A patient diagnosed with a serious mental illness died suddenly at age 52. The patient lived in the community for 5 years without relapse and held supported employment the past 6 months. The distressed family asks, "How could this happen?" Which response by the nurse accurately reflects research and addresses the family's question?
A) "A certain number of people die young from undetected diseases, and it's just one of those sad things that sometimes happen."
B) "Mentally ill people tend to die much younger than others, perhaps because they do not take as good care of their health, smoke more, or are overweight."
C) "We will have to wait for the autopsy to know what happened. There were some medical problems, but we were not expecting death."
D) "We are all surprised. The patient had been doing so well and saw the nurse every other week."
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Chapter 32: Psychological Needs of Patients With Medical Conditions
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Source URL: https://quizplus.com/quiz/23114
Sample Questions
Q1) A 32-year-old patient experiences an intestinal perforation and requires emergency surgery. The surgeon first meets the patient just before anesthesia is to be given and explains that peritonitis and intestinal inflammation may make a colostomy necessary. The patient is still quite groggy when stepped down to a postoperative unit and does not yet know that he does have a colostomy. Which initial response(s) should his nurse anticipate when the patient discovers that this procedure has been necessary? Select all that apply.
A) Distress that he has been disfigured and will be repugnant to others
B) Thankfulness that the surgery was successful and that he will live
C) Concerns about how he will do all the things he is used to doing
D) Anger that this has happened to him and that it has ruined his life
E) Depression related to changes in body image and perceived losses
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Chapter 33: Care for the Dying and for Those Who Grieve
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Source URL: https://quizplus.com/quiz/23115
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) As death approaches, a patient with AIDS says, "I do not have enough energy for many visitors anymore, and I am embarrassed about how I look. I only want to see my parents and sister." What action should the nurse take?
A) Support the patient to share the request with the parents and sister. Suggest that they inform the patient's friends of the request.
B) Encourage the patient to reconsider this decision. Interested and caring friends can be sources of support.
C) Suggest that the patient discuss these wishes with the health care provider.
D) Place a "No Visitors" sign on the patient's door.
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35
Chapter 34: Forensic Psychiatric Nursing
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Source URL: https://quizplus.com/quiz/23116
Sample Questions
Q1) An inmate was diagnosed with post-traumatic stress disorder (PTSD) caused by severe sexual abuse. One day this inmate sees a person with similar characteristics to the perpetrator, has a flashback, and then attacks the person. Correctional officers place the inmate in restraint. Which action by the correctional nurse is most appropriate?
A) Plan to meet with the inmate for debriefing after release from the required period of restraint.
B) Support the use of restraints as needed to control violent outbursts and assure the safety of all inmates.
C) Contact a supervisor authorized to make an exception to the restraint policy and explain why an alternate response is needed.
D) Confront the correctional officers who initiated the restraint, explain the inappropriateness of this action, and request the inmate's release.
Q2) Which credential would be expected of forensic psychiatric nursing?
A) Three years of experience in an inpatient psychiatric facility
B) Ten years of experience in community health nursing
C) Educational preparation in theories of violence and victimology
D) Publication of five articles in peer-reviewed psychiatric nursing journals
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Page 36
Chapter 35: Therapeutic Groups
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Source URL: https://quizplus.com/quiz/23117
Sample Questions
Q1) A patient has talked constantly throughout the group therapy session, often repeating the same comments. Other members were initially attentive but then became bored, inattentive, and finally sullen. Which comment by the nurse leader would be most effective?
A) Say to everyone, "Most of you have become quiet. I wonder if it might be related to concerns you may have about how the group is progressing today."
B) Say to everyone, "One person has done most of the talking. I think it would be helpful for everyone to say how that has affected your experience of the group."
C) Say to everyone, "I noticed that as our group progressed, most members became quiet and then disinterested, and now seem almost angry. What is going on?"
D) Say to the talkative patient, "You have been doing most of the talking, and others have not had a chance to speak as a result. Could you please yield to others now?"
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Chapter 36: Family Interventions
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Source URL: https://quizplus.com/quiz/23118
Sample Questions
Q1) Which scenario best demonstrates a healthy family?
A) One parent takes care of the children. The other parent earns income and maintains the home.
B) A family has strict boundaries that require members to address problems within the family.
C) A couple requires their adolescent children to attend church services three times a week.
D) A couple renews their marital relationship after their children become adults.
Q2) Parents of a mentally ill teenager say, "We have never known anyone who was mentally ill. We have no one to talk to because none of our friends understand the problems we are facing." Select the nurse's most helpful intervention.
A) Refer the parents to a support group.
B) Build the parents' self-concept as coping parents.
C) Teach the parents techniques of therapeutic communication.
D) Facilitate achievement of normal developmental tasks of the family.
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Chapter 37: Integrative Care
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Source URL: https://quizplus.com/quiz/23119
Sample Questions
Q1) A patient in good health and without any major health needs says, "I want to try some nutritional supplements I read about on the Internet." What information would be appropriate for the nurse to include in a response? Select all that apply.
A) "Most healthy people who eat a balanced diet do not need nutritional supplements."
B) "Research has not supported claims that various nutritional supplements create significant benefits in healthy people."
C) "Some nutritional supplements are proven to significantly delay aging and reduce the incidence of age-related diseases like cancer."
D) "I am glad you are actively engaged in managing your health by trusting information from the Internet."
E) "Researchers are still studying the benefits and side effects of many supplements. We should know more in the years to come."
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