Psychiatric and Mental Health Nursing Practice
Pre-Test Questions
Course Introduction
Psychiatric and Mental Health Nursing Practice introduces students to the principles and skills necessary for providing holistic nursing care to individuals, families, and groups experiencing mental health challenges. The course covers foundational theories in psychiatric nursing, therapeutic communication, assessment techniques, and the development of individualized care plans. Students will explore various mental health disorders, psychosocial interventions, crisis management, and the use of psychopharmacological agents. Emphasis is placed on evidence-based practice, ethical considerations, the recovery model, cultural competence, and the promotion of mental wellness across the lifespan. Through clinical experiences and case studies, students gain practical skills in building therapeutic relationships and supporting patients in diverse mental health settings.
Recommended Textbook
Principles and Practice of Psychiatric Nursing 10th Edition by Gail Wiscarz Stuart
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Page 2
Chapter 1: Roles and Functions of Psychiatric-Mental Health
Nurses: Competent Caring
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Sample Questions
Q1) When one considers the roles and functions of psychiatric nursing,the overlap of communication and management roles is seen in the function of:
A) teaching.
B) delegation.
C) direct care.
D) collaboration.
Answer: D
Q2) In 1952,Hildegard Peplau defined the psychiatric nurse's role as a:
A) professional who helps patients with attitude adjustment.
B) nurse who is extensively trained to care for psychiatric patients.
C) resource person, a teacher, a leader, and a counselor to patients.
D) professional who is certified to conduct psychosocial therapy sessions.
Answer: C
Q3) A psychiatric nurse uses leadership skills to strengthen the profession by:
A) working as a change agent advocating for patients, families, and communities.
B) volunteering time each week to outpatient clinics in poor neighborhoods.
C) voting for candidates in local elections who will advocate for nurses.
D) working for state government representatives at local voting sites.
Answer: A
Page 3
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Chapter 2: Therapeutic Nurse-Patient Relationship
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Sample Questions
Q1) A nurse makes observations that a depressed patient is more energetic and is smiling much more.Still,the nurse shares with the unit manager that when thinking about the patient a sense of hopelessness surfaces.The nurse manager replies:
A) "Sometimes it's best to disregard subjective perceptions like that and focus on the objective signs."
B) "Pay attention to your feelings. They can provide valuable clues about the patient's feelings."
C) "You should share your perceptions with the patient and seek an explanation."
D) "Confrontation can be a useful tool in situations like this."
Answer: B
Q2) A person who has always wished to care for "special children" adopts a biracial child and another child who has spina bifida.What is the highest step of the value clarification process that this person has achieved?
A) Doing something with the choice in a pattern of life
B) Choosing freely from alternatives
C) Being happy with the choice
D) Affirming the choice publicly
Answer: A
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Chapter 3: The Stuart Stress Adaptation Model of Psychiatric Nursing Care
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Sample Questions
Q1) The spouse of a patient diagnosed with schizophrenia asks a nurse,"How will I know if my spouse becomes psychotic?" The nurse replies:
A) "His behavior will become very unpredictable."
B) "Speech becomes very disorganized and inappropriate."
C) "Social skills are greatly impaired resulting in the tendency to isolate."
D) "He will demonstrate thinking and behaviors that are based in reality."
Answer: C
Q2) On the basis of predictions from the Global Burden of Disease Study,mental health professionals should be most concerned with increasing primary prevention efforts for: A) alcohol abuse.
B) schizophrenia.
C) bipolar disorder.
D) major depressive disorder.
Answer: D
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Chapter 4: Evidence-Based Psychiatric Nursing Practice
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Sample Questions
Q1) The reason for routinely using the behavioral rating scale is to assess the: (Select all that apply.)
A) changes in the patient's condition related to treatment.
B) effectiveness of the unit's patient behavior scales.
C) strength of the behavioral scale's reliability.
D) patient's state at the time of admission.
E) patient's status to support discharge.
Q2) 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.
Q3) For psychiatric nurses,an essential part of outcome measurement is the:
A) development of practice guidelines.
B) systematic review of research literature.
C) systematic use of reliable patient-rating scales.
D) identification of the core knowledge and skills of psychiatric nurses.
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Chapter 5: Biological Context of Psychiatric Nursing Care
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Sample Questions
Q1) A family member asks a mental health nurse,"I am reading a lot of information about gene therapy in the news lately.Will gene therapy be able to help my spouse,who has schizophrenia?" Which response by the nurse is best?
A) "Gene therapy for schizophrenia is common in Europe but has not yet become popular in the United States."
B) "Gene therapy for schizophrenia is available, but the high cost prohibits most people from taking advantage of it."
C) "Gene therapy is still an experimental field and is not likely to be used to treat mental health disorders in the near future."
D) "Gene therapy has already shown promise in treating schizophrenia, but not enough large-scale studies have been carried out to date."
Q2) Which part of the brain is responsible for fine motor coordination?
A) Medulla
B) Thalamus
C) Cerebellum
D) Temporal lobe
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Chapter 6: Psychological Context of Psychiatric Nursing Care
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Sample Questions
Q1) The Mini-Mental State Examination would be used by a nurse who is interested in obtaining information about:
A) affect changes.
B) cognitive processes.
C) thought content and processes.
D) abnormal psychological experiences.
Q2) When asked what a mental status examination is intended to reveal about the patient,the nurse answers:
A) "It gives us a more complete family history."
B) "It reflects the patient's current state of function."
C) "It reveals a lot about the patient's past experiences."
D) "It helps us determine the patient's future prognosis."
Q3) While being interviewed,a patient expresses the belief that other people can place beliefs in her mind.This statement can be assessed as evidence of:
A) thought insertion.
B) nihilistic delusions.
C) somatic delusions.
D) ideas of reference.
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Chapter 7: Social, Cultural, and Spiritual Context of Psychiatric Nursing Care
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Sample Questions
Q1) When conducting an admission interview,a mental health nurse asks a patient a series of questions related to personal beliefs.When the patient asks why these questions are being asked,how should the nurse respond?
A) "These questions are routine and are a mandatory part of the admission process."
B) "The prime reason is that these questions help the staff to identify any specific health care practices that would conflict with your religious beliefs."
C) "Mental health can be affected by personal belief systems, so it is important that your treatment plan be developed to be compatible with your beliefs."
D) "These questions are asked of every patient and are confidential, but if you are not comfortable answering them I will simply note that in your chart."
Q2) Sociocultural risk factors are identified by assessing which patient characteristic?
A) Belief system
B) Daily health habits
C) Stress management habits
D) Restfulness of the home environment
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Page 9
Chapter 8: Legal and Ethical Context of Psychiatric Nursing Care
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Q1) Which action by a nurse violates the rights of a psychiatric patient?
A) Arranging for a patient to work in the hospital kitchen for minimum wage
B) Refusing to mail letters to the local newspaper written by a committed patient
C) Placing the wristwatch of a patient with delusions in the hospital's main safe
D) Discouraging a patient with paranoid delusions to sign a contract to sell a home
Q2) A patient in the process of being involuntarily committed demands to be evaluated by his own private psychiatrist.To preserve the patient's rights,the treatment team must:
A) stop the commitment process.
B) notify the unit psychiatrist immediately.
C) provide access to the private psychiatrist.
D) determine why the patient is resisting staff care.
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Chapter 9: Policy and Advocacy in Mental Health Care
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Q1) 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.
Q2) Which disorder is the leading psychiatric cause of disability in the world?
A) Depression
B) Schizophrenia
C) Bipolar disorder
D) Obsessive-compulsive disorder
Q3) A psychiatric nurse notes that the expected outcome of treatment for a patient with depression is the relief of symptoms.The nurse determines that this patient is in which stage of treatment in an integrated behavioral continuum of care?
A) Crisis
B) Acute
C) Maintenance
D) Health promotion
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11
Chapter 10: Families as Resources, Caregivers, and Collaborators
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Q1) Which observation best demonstrates that a patient is a member of a well functioning family?
A) Family members openly discuss the patient's needs and how to meet them effectively.
B) The patient looks forward to family members' visits and is less stressed after they spend time together.
C) The patient asks for his family members' input when making a decision and generally seeks their approval.
D) Family members are likely to provide the patient with suggestions on what should be done and when it should be done.
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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Q1) 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
Q2) A nurse clinician is attempting to explain the evaluation phase of the nursing process to a student.Which statement would help the student grasp the essentials?
A) "It is a continuous, active process."
B) "Patient and family participation is optional."
C) "It takes place at the time of termination of services."
D) "It is optional since it is based on the patient's readiness."
Q3) Nursing interventions that have the greatest validity are those that:
A) are used by nurse clinicians.
B) are prescribed by physicians.
C) have been investigated by nurse researchers.
D) are based on evidence of the efficacy of the intended treatment.
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Chapter 12: Prevention and Mental Health Promotion
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Sample Questions
Q1) A nurse focuses on increasing gang members' problem-solving and coping skills.This is an example of:
A) crime reduction.
B) community service.
C) competency building.
D) environmental manipulation.
Q2) People with low self-efficacy:
A) are often found to engage in antisocial and/or criminal behavior.
B) usually require an inordinately large percentage of the available community health resources.
C) are usually well motivated and handle stress well and typically have low vulnerability to depression.
D) give up in the face of difficulty, recover slowly from setbacks, and easily fall victim to depression.
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Chapter 13: Crisis Intervention
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Q1) Which statement made by a person in a crisis state indicates the presence of a balancing factor?
A) "I've been drinking more than usual."
B) "I've always been a loner. I don't need other people."
C) "I pray when things get tough. It's always helped me survive trouble."
D) "My spouse just went to the store. I don't believe it when they tell me my spouse is dead."
Q2) While working with a patient in crisis,a nurse attempts to help the patient identify the relationship between the event precipitating the crisis and the patient's subsequent feelings and behaviors.This is an example of:
A) clarification.
B) support of defenses.
C) reinforcement of behavior.
D) raising the patient's self-esteem.
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Chapter 14: Recovery and Psychiatric Rehabilitation
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Sample Questions
Q1) In addition to the psychiatric nurse,which professional would be considered a multidisciplinary rehabilitative treatment team member in a community mental health center? (Select all that apply.)
A) Psychologist
B) Pharmacist
C) Social worker
D) Psychiatrist
E) Employment specialist
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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Chapter 15: Anxiety Responses and Anxiety Disorders
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Q1) A patient has significant non-goal-directed motor activity,seems terror stricken,and experiences both distorted perceptions and disordered thoughts.When the nurse attempts to calm the patient,the patient does not respond.The level of patient anxiety can be assessed as:
A) mild.
B) moderate.
C) severe.
D) panic.
Q2) Several months after being trapped in a collapsed building for several hours before being rescued,a patient admits to currently feeling "numb" and being unable to relate well with people.The patient sometimes re-experiences the terror associated with being trapped.The data collected about the patient are consistent with the symptoms of which problem?
A) Agoraphobia
B) Panic attacks
C) Posttraumatic stress disorder
D) Obsessive-compulsive disorder
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Chapter 16: Psychophysiological Responses and Somatoform and Sleep Disorders
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Q1) A nurse is working with a patient exhibiting psychophysiological symptoms.It is important that the nurse understand that the patient's symptoms are:
A) feigned.
B) psychosomatic.
C) serious and require treatment.
D) only serious if associated with actual pathology.
Q2) A patient is diagnosed with conversion disorder that is evidenced by paralysis of the right hand.Which nursing intervention should be implemented?
A) Focus discussions on the patient's inability to fulfill usual roles.
B) Focus discussions on the patient's unusual and unexplainable physical symptom.
C) Spend time with the patient to give recognition for positive qualities and strengths.
D) Spend time with the patient when the patient is helpless to perform self-care activities because of paralysis.
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18
Chapter 17: Self-Concept Responses and Dissociative Disorders
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Q1) A patient tells a nurse,"I am a weak person." The patient feels inadequate and vulnerable and states often feeling helpless and frightened.The nursing diagnosis most likely to fit this situation is:
A) personal identity disturbance.
B) chronic low self-esteem.
C) personality fusion.
D) depersonalization.
Q2) A patient with low self-esteem has begun making behavior changes.A nurse positively reinforces these changes during a therapy session.The patient and nurse are actively engaged in which level of intervention?
A) Commitment to action
B) Expanded self-awareness
C) Realistic planning
D) Self-evaluation
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19
Chapter 18: Emotional Responses and Mood Disorders
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Q1) According to the Stuart Stress Adaptation Model,which person can be assessed as being the closest to the maladaptive responses end of the continuum of emotional responses?
A) A patient whose child died of sudden infant death syndrome (SIDS) 2 weeks ago, who states, "I can't believe I'll never hold my baby in my arms again."
B) A patient whose spouse died 2 years ago, who states, "Strong people don't mourn. I've kept busy and focused on supporting the kids."
C) A patient whose spouse died 6 months ago, who states, "I hate the fact that my spouse died and left me alone after all the years we shared."
D) A patient whose fiancée died 6 weeks ago, who tells the nurse, "My life will never be the same. I find myself crying every day when I think of my fiancée."
Q2) Select the most appropriate goal for a patient with depression.The patient will be:
A) experiencing less severe signs of being depressed.
B) physically recovered and able to take on new responsibilities.
C) emotionally responsive and functioning at the pre-illness level.
D) able to tolerate high levels of stress and exceeding pre-illness hardiness.
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Chapter 19: Self-Protective Responses and Suicidal Behavior
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Q1) A patient who _____ should be assessed as using indirect self-destructive behavior.
A) scratches both wrists with safety pins
B) drinks nearly 1 quart of whiskey per day
C) took an overdose of sedative-hypnotic drugs
D) calls a friend when contemplating suicide
Q2) During an admission a nurse suspects a patient is having suicidal ideations.The best course of action is to:
A) ask the patient if thoughts of suicide have occurred.
B) ask the patient's significant other if the patient is suicidal.
C) arrange for involuntary commitment to avoid harm to self or others.
D) avoid the subject to avoid pushing the patient into further thoughts of self-harm.
Q3) A nurse is caring for a patient who has been noncompliant with the prescribed diabetic diet and exercise regimen.The nurse promotes compliance by enhancing the patient's:
A) sense of control.
B) sense of well-being.
C) fear of the sequelae of illness.
D) dependence on health care workers.
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Chapter 20: Neurobiological Responses and Schizophrenia and Psychotic Disorders
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Q1) A patient reports,"The government has implanted a device in my head." What outcome would the nurse identify as being appropriate for the patient to achieve within 1 week of admission?
A) Taking antipsychotic medication as prescribed without objection
B) Giving coherent data to support beliefs that a device has been implanted
C) Interpreting reality correctly by stating that no implantation has occurred
D) Reporting feeling less anxious about having the government listening to interior thoughts
Q2) 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.
Q3) What part of the brain is dysfunctional in persons with schizophrenia? Research has implicated the:
A) medulla and cortex.
B) cerebellum and cerebrum.
C) hypothalamus and medulla.
D) prefrontal and limbic cortices.
Page 22
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Chapter 21: Social Responses and Personality Disorders
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Q1) An admission note describes a patient as being "lively,excessively emotional,attention seeking,and superficial." The patient's history reveals stormy relationships with friends and lovers.The patient only seems comfortable when the focus of attention and becomes anxious when the focus changes.The nurse anticipates that the DSM-IV-TR diagnosis that is being considered is _____ personality disorder.
A) paranoid
B) antisocial
C) histrionic
D) obsessive-compulsive
Q2) To assist in diagnosing a patient suspected of being impulsive,the nurse would have to see behavior that:
A) exhibits self-depreciation.
B) inflexibly adheres to a strict moral code.
C) uses manipulative, controlling strategies.
D) shows an inability to formulate realistic plans.
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23
Chapter 22: Cognitive Responses and Organic Mental Disorders
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Q1) A patient has sundown syndrome.The nurse can expect that the patient will:
A) exhibit chronic fatigue.
B) evidence extreme lethargy at night.
C) manifest confusion and agitation at night.
D) be more alert between 6 PM and 11 PM.
Q2) Family members of a delirious elderly patient are very anxious and express their concerns about placing the patient in a nursing home.What information should serve as a basis for the nurse's reply?
A) Delirium is reversible, and the patient will likely recover.
B) The symptoms are related to depression, which can be treated.
C) Delirium usually progresses to dementia, which is usually permanent.
D) Home care should be attempted; a nursing home should be the last resort.
Q3) Which intervention would likely be most useful when attempting to prevent or lessen the symptoms associated with sundown syndrome?
A) Keeping the patient's room quiet and dimly lit at night
B) Interacting frequently with the patient during evening hours
C) Providing the patient with a large protein-based bedtime snack
D) Giving the patient a soft stuffed animal to provide a source of security
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Chapter 23: Chemically Mediated Responses and
Substance-Related Disorders
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Q1) The spouse of a patient with alcoholism asks,"How do I respond in a helpful way even though this abuse is so harmful to my family?" The nurse's best response would be:
A) "Search the house regularly for hidden alcohol."
B) "Include your spouse in family activities whether or not drinking has occurred."
C) "Make your spouse responsible for the consequences of the disruptive behavior."
D) "Refuse to be supportive when your spouse is under the influence of alcohol."
Q2) A nurse suspects that a patient being admitted for outpatient surgery may have a history of alcohol abuse.To further assess this issue,the nurse should consider:
A) using a screening tool, such as AUDIT-C to assess the extent of the abuse.
B) asking directly if the patient has ever had problems with abusing alcohol.
C) interviewing the family because the patient is likely to deny having a problem.
D) addressing the suspicion before discharge since it has no direct effect on the patient's surgery.
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25
Chapter 24: Eating Regulation Responses and Eating Disorders
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Q1) Which therapy is shown through evidence to be most effective for a patient with an eating disorder?
A) Supportive therapy
B) Behavioral therapy
C) Cognitive behavioral therapy
D) Psychoanalytical group therapy
Q2) A nurse has completed the assessment for a patient who has a maladaptive response to eating regulation.Findings include: height,5 feet 3 inches; current weight,80 pounds with weight loss of 30% of body weight; poor skin turgor; lanugo; amenorrhea of 6 months' duration; and admits to restricting intake to 350 calories daily.These assessment findings are most consistent with the medical diagnosis of:
A) bulimia nervosa.
B) anorexia nervosa.
C) binge-eating disorder.
D) disturbed body image.
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Chapter 25: Sexual Responses and Sexual Disorders
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Q1) A patient is hospitalized for an acute episode of schizophrenia.A nurse finds the patient in the lounge nude and telling everyone,"I am the body beautiful." The most appropriate intervention for the nurse would be to:
A) tell the patient to put on clothes immediately and to not undress in public again.
B) take the patient back to the assigned room and then assist the patient with getting appropriately dressed.
C) ignore the behavior and share with the other patients that the patient has no control over it.
D) seclude the patient until control can be regained and clearly define why the behavior is unacceptable.
Q2) When a patient tells a nurse,"I think I'm impotent," which response by the nurse would be most therapeutic?
A) "That must be very scary for you."
B) "How is your overall health?"
C) "What medications are you currently taking?"
D) "Please tell me what you mean by 'impotent.'"
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Chapter 26: Psychopharmacology
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Q1) A patient who is taking lithium shares with the nurse,"I'm planning to breast-feed my baby who is due to be born in 2 months." Which statement shows the best understanding of the effect of lithium on breast-feeding?
A) "Your medication would be excreted in your breast milk, so let's discuss a safer option for your baby."
B) "Your medication will cause the breast milk to have an unpleasant taste and will likely cause your infant to be gassy."
C) "This medication will likely affect your ability to lactate, resulting in a marked decrease in breast milk production."
D) "This medication can cause extreme mood fluctuations, which can have a negative effect on your ability to produce breast milk."
Q2) A nurse is assessing a patient who was recently prescribed an antipsychotic medication.Which side effects could the nurse expect to observe?
A) Constipation, decreased sweating, and increased sensitivity to heat
B) Increased moisture around the eyes, vomiting, and frontal headache
C) Slurred speech, hand tremors, and severe occipital headache
D) Sleeplessness, irritability, and muscle weakness
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Chapter 27: Behavior Change and Cognitive Interventions
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Q1) A patient says,"There aren't many things in life that I'm really afraid of,but I'm so afraid that I'll have another panic attack when I least expect it." Which question indicates the nurse is using decatastrophizing?
A) "Okay, let's talk about the worst case scenario. What if you're driving in a snow storm with your children in the car and you have an attack?"
B) "I can understand your concern. But keep telling yourself not to worry because panic attacks go away as quickly as they appear."
C) "I can understand that your anxiety over the possibility of experiencing another panic attack could paralyze you with fear."
D) "Let me understand this. You're not afraid of much, but these attacks cause you to be fearful?"
Q2) A nurse determines that a patient with a fear of insects has mastered the first step in a systematic desensitization process when the patient is able to:
A) relax the muscles of the body.
B) look at a picture of an insect in a book.
C) rate anxiety produced by various insects.
D) touch a clear glass bottle containing an insect.
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Page 29
Chapter 28: Preventing and Managing Aggressive Behavior
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Q1) Which statement by a nurse new to the unit best reflects an understanding that staff attitudes and actions have a powerful effect on both patient behavior and milieu management?
A) "I understand that there are going to be days where the unit will be short-staffed or really busy. As new members of the team, how can we contribute to keeping the stress level on the unit from escalating?"
B) "What are the administration's expectations of us as new employees related to the management of the milieu in general and of individual patient behavior?"
C) "I'm new, so I will learn best by observing while one of the more experienced staff members manages control over the patients."
D) "How do I best involve the health care providers in the management of the milieu when a patient begins to escalate?"
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Chapter 29: Somatic Therapies
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Sample Questions
Q1) A patient tells a nurse,"I've been having excellent results with phototherapy,but as soon as I stop,my mood gets worse." The nurse responds:
A) "That is a strange reaction, but we know so little about light therapy that you may need to increase the dose."
B) "That is one of the drawbacks with light therapy; depression may come back rapidly once the therapy is stopped."
C) "I cannot account for your response to phototherapy. It is idiosyncratic, and you may need to take medication for your depression."
D) "I think your response to phototherapy is unusual, but your health care provider will be best able to advise you regarding what to do next."
Q2) 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) Which activity should a nurse suggest to a patient who asks,"What kind of exercise should I do to raise my mood?"
A) Horseback riding four times per week
B) A game of softball three times per week
C) Weight lifting for 15 minutes twice per week
D) 30 minutes on the stationary bike four times per week
Q2) A patient states,"One of my friends says it's possible to cure the fear of flying by using relaxation techniques.Do you think relaxation techniques would help my chronic depression?" What is a nurse's best response?
A) "Let's discuss what research has proven concerning relaxation and its role in the management of chronic depression."
B) "Holistic therapies such as relaxation have been known to cure several types of phobias and anxiety-based disorders."
C) "You must realize that while phobias may respond well to relaxation therapy, it is not necessarily going to have the same effect on chronic depression."
D) "Holistic therapies such as relaxation have been found to be as effective as conventional treatments in treating a wide variety of anxiety disorders."
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Chapter 31: Therapeutic Groups
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22 Flashcards
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Sample Questions
Q1) After facilitating a therapeutic group,the nurse leader separately documents both individual and group data.Which observation would the nurse leader include in an individual note?
A) Group focused on results of medication noncompliance.
B) Member successfully identified the likely causes for recent relapse.
C) Three group members asked to change the time of scheduled sessions.
D) Decision was made to discuss reasons for acceptable absenteeism at next session.
Q2) Which statement should a nurse make in the orientation stage of the initial phase of a therapeutic group?
A) "I'd like to take this opportunity to review the goals for this group."
B) "You all are experiencing similar challenges, and this group will help you develop a support network."
C) "The group is about sharing both your challenges and your successes with each other."
D) "Please be sure to attend as many meetings as possible; it is important that you be here for yourself and the group."
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Chapter 32: Family Interventions
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Sample Questions
Q1) A family participating in family therapy has identified the middle child as being the source of the family's conflict.What will the family therapist most likely suggest?
A) The parents should provide extra time and support to the middle child in order to facilitate necessary changes in behavior.
B) All members should participate in therapy sessions by identifying the daily difficulties that the individual member is experiencing.
C) The middle child should attend an educational group especially designed to address the special needs of this birth order position.
D) All members should be active participants in suggested activities between therapy sessions that focus on improving their coping skills.
Q2) 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) A nurse is facilitating a teaching group for family members of patients with schizophrenia.A focus of the group will be the monitoring of medication administration and side effects.Priority teaching for this focus will concentrate on:
A) minimizing the physical complications related to medication side effects.
B) identifying methods to manage and control the patient's psychotic behavior.
C) using tactics proven to be effective in the prevention of patient noncompliance.
D) recognizing the signs and symptoms of potential medication-related side effects.
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Chapter 34: Community-Based Psychiatric Nursing Care
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Sample Questions
Q1) A psychiatric nurse is focusing on the fifth area of service,based on the Community Mental Health Centers Act of 1963,when:
A) assisting with electroconvulsive therapy (ECT) treatments.
B) providing stress management technique classes to new mothers.
C) assessing patients for admission into an outpatient group program.
D) providing emergency psychiatric care to a rape victim demonstrating psychoses.
Q2) Forensic nursing has two very different and sometimes conflicting goals.These goals are:
A) ensuring easy identification of psychiatrically impaired inmates and protecting their right to privacy.
B) implementing effective individualized patient care and providing protection for the community.
C) acting as a patient advocate while remaining a representative of the judicial system.
D) facilitating patient treatment while minimizing cost to the community.
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Chapter 35: Child Psychiatric Nursing
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Sample Questions
Q1) 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
Q2) Which medication would the nurse expect to include in a care plan for an adolescent with a history of conduct disorder and violent behaviors?
A) Antianxiety agents
B) Antipsychotic medications
C) Antihistamine medications
D) Antidepressant medications
Q3) Which assessment finding most clearly indicates an adolescent has a conduct disorder?
A) Misses at least one day of school a month
B) Admits to pulling the dog's ears and tail for "fun"
C) Told the teacher that he is usually "sad and confused"
D) Consistently awakens during the night and has difficulty falling asleep again
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Chapter 36: Adolescent Psychiatric Nursing
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Sample Questions
Q1) Which nursing intervention would be most effective when assisting an adolescent whose best friend recently committed suicide?
A) Arrange for crisis intervention therapy for the adolescent lasting at least 1 year.
B) Establish a trusting relationship while periodically assessing the adolescent for depression.
C) Encourage the adolescent to meet weekly for lunch and discussion regarding the feelings of loss.
D) Perform an ongoing mental status and lethality assessment every month for a period of no less than 6 months.
Q2) A parent reports,"My adolescent sometimes acts like an adult and at other times like a child." The nurse reassures the parent,explaining that this represents an expected attempt to cope with changes in which developmental area?
A) Sexual behavior
B) Peer pressure
C) Social role
D) Identity
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Chapter 37: Geropsychiatric Nursing
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Sample Questions
Q1) 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?"
Q2) Which scenario indicates to the nurse that an older adult is at risk for falls?
A) A 68-year-old retiree who moves in with family members to babysit their 3-year-old
B) A 75-year-old who lives alone and uses a cane at night and when going outside
C) An 80-year-old who marries and moves into the spouse's home after selling his home
D) A 92-year-old who moves to a retirement community after hip replacement surgery
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39
Chapter 38: Care of Survivors of Abuse and Violence
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Source URL: https://quizplus.com/quiz/6412
Sample Questions
Q1) An individual whose boyfriend raped her tells the nurse,"It's no use reporting it.Everyone knows I've been sexually intimate with him many times before." The nurse's initial response should be:
A) "It's not your fault. He needs to get help controlling his anger."
B) "You will need to talk to someone. Do you have a best friend to talk to?"
C) "The police need to be aware that your boyfriend is willing to act this way when he's angry."
D) "If you said 'no,' your boyfriend needs to respect your wishes. He needs help so this will never happen again."
Q2) What is the best initial approach for a nurse when managing the care of an individual with two children who works full-time and has been abused by a partner?
A) Teach the individual how to avoid provoking the abuser.
B) Assist the individual in filing a police report describing the abuse.
C) Help the individual identify needs to best obtain the appropriate support.
D) Facilitate the individual's move into a safe house located near the current workplace.
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Chapter 39: The Military and Their Families
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Source URL: https://quizplus.com/quiz/6413
Sample Questions
Q1) Several nurses are newly assigned to a hospital unit that focuses on the care of military personnel who have sustained severe brain injuries and their families.The nurse manager would initially suggest that they:
A) focus on honing their therapeutic communication and assessment skills.
B) self-reflect concerning their feelings about working with the disabled.
C) learn to recognize and act upon the emotional needs of the family.
D) review the physical needs of the traumatic brain injured client.
Q2) Which assessment question is particularly important to ask of a veteran of the Iraq conflict?
A) "Have you ever experienced a migraine headache?"
B) "Could you ever see yourself considering suicide?"
C) "Do you feel anxious when you find yourself in a confined space like an elevator?"
D) "Would you say that your sleep patterns provide you with sufficient amounts of recuperative rest?"
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Chapter 40: Psychological Care of Patients with Life-Threatening Illness
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Source URL: https://quizplus.com/quiz/6414
Sample Questions
Q1) A patient undergoing chemotherapy is experiencing anxiety-induced anticipatory nausea and vomiting.A nurse could assist this patient by requesting a prescription for which preferred medication?
A) Lorazepam (Ativan)
B) Hydroxyzine (Vistaril)
C) Promethazine (Phenergan)
D) Chlorpromazine (Thorazine)
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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