

Psychiatric-Mental Health Nurse Practitioner
Mock Exam
Course Introduction
The Psychiatric-Mental Health Nurse Practitioner course is designed to prepare advanced practice nurses to provide comprehensive mental health care across the lifespan. This course emphasizes the assessment, diagnosis, and management of psychiatric disorders, integrating psychopharmacology and psychotherapy interventions within ethical and evidence-based practice frameworks. Students will develop the skills necessary to collaborate with interdisciplinary teams, address the mental health needs of diverse populations, and advocate for individuals, families, and communities affected by mental illness. Clinical experiences and simulations support the development of advanced therapeutic communication, diagnostic reasoning, and treatment planning abilities essential to the role of a psychiatric-mental health nurse practitioner.
Recommended Textbook
Essentials of Psychiatric Mental Health Nursing 3rd Edition by Varcarolis
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28 Chapters
803 Verified Questions
803 Flashcards
Source URL: https://quizplus.com/study-set/165

Page 2

Chapter 1: Practicing the Science and Art of Psychiatric Nursing
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/2047
Sample Questions
Q1) An informal group of patients discuss their perceptions of nursing care. Which comment best indicates a patient's perception that his or her nurse is caring?
A) "My nurse always asks me which type of juice I want to help me swallow my medication."
B) "My nurse explained my treatment plan to me and asked for my ideas about how to make it better."
C) "My nurse told me that if I take all the medicines the doctor prescribes I will get discharged soon."
D) "My nurse spends time listening to me talk about my problems. That helps me feel like I'm not alone."
Answer: D
Q2) A team of nurses wants to integrate evidence-based practice into a facility's clinical pathways. Which step should the team implement first?
A) Acquire findings from published literature.
B) Apply the research findings to clinical practice.
C) Assess the outcomes of using new research findings.
D) Ask questions to identify clinical problems that should be changed.
Answer: D
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Chapter 2: Mental Health and Mental Illness
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/2048
Sample Questions
Q1) An 86-year-old, previously healthy and independent, falls after an episode of vertigo. Which behavior by this patient best demonstrates resilience? The patient:
A) says, "I knew this would happen eventually."
B) stops attending her weekly water aerobics class.
C) refuses to use a walker and says, "I don't need that silly thing."
D) says, "Maybe some physical therapy will help me with my balance."
Answer: D
Q2) A nurse must assess several new patients at a community mental health center. Conclusions concerning current functioning should be made on the basis of:
A) the degree of conformity of the individual to society's norms.
B) the degree to which an individual is logical and rational.
C) a continuum from mentally healthy to unhealthy.
D) the rate of intellectual and emotional growth.
Answer: C
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4

Chapter 3: Theories and Therapies
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2049
Sample Questions
Q1) A patient underwent psychotherapy weekly for 3 years. The therapist used free association, dream analysis, and facilitated transference to help the patient understand unconscious processes and foster personality changes. Which type of therapy was used?
A) Short-term dynamic psychotherapy
B) Transactional analysis
C) Cognitive therapy
D) Psychoanalysis
Answer: D
Q2) A nurse assesses that a patient is suspicious and frequently manipulates others. Using the Freudian theory, these traits are related to which psychosexual stage?
A) Oral
B) Anal
C) Phallic
D) Genital
Answer: A
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Chapter 4: Biological Basis for Understanding
Psychopharmacology
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2050
Sample Questions
Q1) A patient asks a nurse, "What are neurotransmitters? My doctor says mine are out of balance." The best reply would be:
A) "You must feel relieved to know that your problem has a physical basis."
B) "Neurotransmitters are chemicals that pass messages between brain cells."
C) "It is a high-level concept to explain. You should ask the doctor to tell you more."
D) "Neurotransmitters are substances we eat daily that influence memory and mood."
Q2) A drug causes muscarinic-receptor blockade. A nurse will assess the patient for:
A) dry mouth.
B) gynecomastia.
C) pseudoparkinsonism.
D) orthostatic hypotension.
Q3) A patient's spouse, who is a chemist, asks a nurse how serotonin reuptake inhibitors (SSRIs) lift depression. The nurse should explain that SSRIs:
A) destroy increased amounts of neurotransmitters.
B) make more serotonin available at the synaptic gap.
C) increase production of acetylcholine and dopamine.
D) block muscarinic and alpha1-norepinephrine receptors.
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Page 6

Chapter 5: Settings for Psychiatric Care
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A patient diagnosed with schizophrenia has been stable in the community. Today, the spouse reports the patient is expressing delusional thoughts. The patient says, "I'm willing to take my medicine, but I forgot to get my prescription refilled." Which outcome should the nurse add to the plan of care?
A) Nurse will obtain prescription refills every 90 days and deliver them to the patient.
B) Patient's spouse will mark dates for prescription refills on the family calendar.
C) Patient will report to the hospital for medication follow-up every week.
D) Patient will call the nurse weekly to discuss medication-related issues.
Q2) A nurse assesses an inpatient psychiatric unit, noting that exits are free from obstruction, no one is smoking, the janitor's closet is locked, and all sharp objects are being used under staff supervision. These observations relate to:
A) management of milieu safety.
B) coordinating care of patients.
C) management of the interpersonal climate.
D) use of therapeutic intervention strategies.
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Chapter 6: Legal and Ethical Basis for Practice
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2052
Sample Questions
Q1) A voluntarily hospitalized patient tells the nurse, "Get me the forms for discharge against medical advice so I can leave now." What is the nurse's best initial response?
A) "I can't give you those forms without your health care provider's knowledge."
B) "I will get them for you, but let's talk about your decision to leave treatment."
C) "Since you signed your consent for treatment, you may leave if you desire."
D) "I'll get the forms for you right now and bring them to your room."
Q2) A psychiatric nurse best implements the ethical principle of autonomy when he or she:
A) intervenes when a self-mutilating patient attempts to harm self.
B) stays with a patient who is demonstrating a high level of anxiety.
C) suggests that two patients who are fighting be restricted to the unit.
D) explores alternative solutions with a patient, who then makes a choice.
Q3) Which individual with a mental illness may need emergency or involuntary hospitalization for mental illness? The individual who:
A) resumes using heroin while still taking methadone.
B) reports hearing angels playing harps during thunderstorms.
C) throws a heavy plate at a waiter at the direction of command hallucinations.
D) does not show up for an outpatient appointment with the mental health nurse.
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8

Chapter
7: Nursing Process and QSEN: The Foundation for
and Effective Care
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2053
Sample Questions
Q1) An adolescent asks a nurse conducting an assessment interview, "Why should I tell you anything? You'll just tell my parents whatever you find out." Select the nurse's best reply.
A) "That is not true. What you tell us is private and held in strict confidence. Your parents have no right to know."
B) "Yes, your parents may find out what you say, but it is important that they know about your problems."
C) "What you say about feelings is private, but some things, like suicidal thinking, must be reported to the treatment team."
D) "It sounds as though you are not really ready to work on your problems and make changes."
Q2) Select the best outcome for a patient with this nursing diagnosis: impaired social interaction, related to sociocultural dissonance as evidenced by stating, "Although I'd like to, I don't join in because I don't speak the language very well." The patient will:
A) demonstrate improved social skills.
B) express a desire to interact with others.
C) become more independent in decision making.
D) select and participate in one group activity per day.
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Chapter 8: Communication Skills: Medium for All Nursing Practice
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2054
Sample Questions
Q1) A patient is having difficulty making a decision. The nurse has mixed feelings about whether to provide advice. Which principle usually applies? Giving advice:
A) is rarely helpful.
B) fosters independence.
C) lifts the burden of personal decision making.
D) helps the patient develop feelings of personal adequacy.
Q2) The relationship between a nurse and patient as it relates to status and power is best described by which term?
A) Symmetric
B) Complementary
C) Incongruent
D) Paralinguistic
Q3) A patient with severe depression states, "God is punishing me for my past sins." What is the nurse's best response?
A) "Why do you think that?"
B) "You sound very upset about this."
C) "You believe God is punishing you for your sins?"
D) "If you feel this way, you should talk to a member of your clergy."
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Chapter 9: Therapeutic Relationships and the Clinical Interview
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2055
Sample Questions
Q1) Which issues should a nurse address during the first interview with a patient diagnosed with a psychiatric disorder?
A) Trust, congruence, attitudes, and boundaries
B) Goals, resistance, unconscious motivations, and diversion
C) Relationship parameters, the contract, confidentiality, and termination
D) Transference, countertransference, intimacy, and developing resources
Q2) A nurse wants to enhance the growth of a patient by showing positive regard. The action consistent with this wish is:
A) making rounds daily.
B) staying with a tearful patient.
C) administering daily medication as prescribed.
D) examining personal feelings about a patient.
Q3) What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviors that indicate:
A) great sense of independence.
B) rapport and trust with the nurse.
C) self-responsibility and autonomy.
D) resolution of feelings of transference.
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Chapter 10: Trauma and Stress-Related Disorders
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2056
Sample Questions
Q1) Which scenario best demonstrates an example of eustress? An individual:
A) loses a beloved family pet.
B) prepares to take a 1-week vacation to a tropical island with a group of close friends.
C) receives a bank notice there were insufficient funds in their account for a recent rent payment.
D) receives notification that their current employer is experiencing financial problems and some workers will be terminated.
Q2) Cortisol is released in response to a patient's prolonged stress. Which initial effect would the nurse expect to result from the increased cortisol level?
A) Diuresis and electrolyte imbalance
B) Focused and alert mental status
C) Drowsiness and lethargy
D) Restlessness and anxiety
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12

Chapter 11: Anxiety, Anxiety Disorders, and
Obsessive-Compulsive and Related Disorders
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/2057
Sample Questions
Q1) Which comment by a person experiencing severe anxiety indicates the possibility of obsessive-compulsive disorder?
A) "I check where my car keys are eight times."
B) "My legs often feel weak and spastic."
C) "I'm embarrassed to go out in public."
D) "I keep reliving the car accident."
Q2) A person who has been unable to leave home for more than a week because of severe anxiety says, "I know it does not make sense, but I just can't bring myself to leave my apartment alone." Which nursing intervention is appropriate?
A) Teach the person to use positive self-talk.
B) Assist the person to apply for disability benefits.
C) Ask the person to explain why the fear is so disabling.
D) Advise the person to accept the situation and use a companion.
Q3) Which statement is mostly likely to be made by a patient diagnosed with agoraphobia?
A) "Being afraid to go out seems ridiculous, but I can't go out the door."
B) "I'm sure I'll get over not wanting to leave home soon. It takes time."
C) "When I have a good incentive to go out, I can do it."
D) "My family says they like it now that I stay home."
Page 13
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Chapter 12: Somatic Symptom Disorders and Dissociative Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2058
Sample Questions
Q1) For a patient diagnosed with dissociative amnesia, complete this outcome: "Within 4 weeks, the patient will demonstrate an ability to execute complex mental processes by:
A) functioning independently."
B) verbalizing feelings of safety."
C) regularly attending diversional activities."
D) describing previously forgotten experiences."
Q2) A patient has blindness related to a functional neurological (conversion) disorder. To help the patient eat, the nurse should:
A) establish a "buddy" system with other patients who can feed the patient at each meal.
B) expect the patient to feed himself or herself after explaining the arrangement of the food on the tray.
C) direct the patient to locate items on the tray independently and feed himself or herself unassisted.
D) address the needs of other patients in the dining room, and then feed this patient.
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14

Chapter 13: Personality Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2059
Sample Questions
Q1) The most challenging nursing intervention for patients diagnosed with personality disorders who use manipulation to get their needs met is:
A) supporting behavioral change.
B) monitoring suicide attempts.
C) maintaining consistent limits.
D) using aversive therapy.
Q2) Which intervention is appropriate for a patient diagnosed with an antisocial personality disorder who frequently manipulates others?
A) Refer the patient's requests and questions to the case manager.
B) Explore the patient's feelings of fear and inferiority.
C) Provide negative reinforcement for acting-out behavior.
D) Ignore, rather than confront, inappropriate behavior.
Q3) A person's spouse filed charges of battery. The person has a long history of acting-out behaviors and several arrests. Which statement by the person suggests an antisocial personality disorder?
A) "I have a quick temper, but I can usually keep it under control."
B) "I've done some stupid things in my life, but I've learned a lesson."
C) "I'm feeling terrible about the way my behavior has hurt my family."
D) "I get tired of being nagged. My spouse deserved the beating."
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Page 15
Chapter 14: Eating Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2060
Sample Questions
Q1) When a nurse finds a patient diagnosed with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight, the nurse should state:
A) "You and I will have to sit down and discuss this problem."
B) "It bothers me to see you exercising. You'll lose more weight."
C) "Let's discuss the relationship between exercise and weight loss and how that affects your body."
D) "According to our agreement, no exercising is permitted until you have gained a specific amount of weight."
Q2) A patient who was referred to the eating disorders clinic has lost 35 pounds in the past 3 months. To assess the patient's oral intake, the nurse should ask:
A) "Do you often feel fat?"
B) "Who plans the family meals?"
C) "What do you eat in a typical day?"
D) "What do you think about your present weight?"
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16

Chapter 15: Mood Disorders: Depression
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/2061
Sample Questions
Q1) A nurse teaching a patient about a tyramine-restricted diet would approve which meal?
A) Mashed potatoes, ground beef patty, corn, green beans, apple pie
B) Avocado salad, ham, creamed potatoes, asparagus, chocolate cake
C) Macaroni and cheese, hot dogs, banana bread, caffeinated coffee
D) Noodles with cheddar cheese sauce, smoked sausage, lettuce salad, yeast rolls
Q2) A student nurse caring for a patient diagnosed with major depressive disorder reads in the patient's medical record, "This patient shows vegetative signs of depression." Which nursing diagnoses most clearly relate to the vegetative signs? (Select all that apply.)
A) Imbalanced nutrition: less than body requirements
B) Chronic low self-esteem
C) Sexual dysfunction
D) Self-care deficit
E) Powerlessness
F) Insomnia
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Chapter 16: Bipolar Spectrum Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/2062
Sample Questions
Q1) A patient diagnosed with bipolar disorder has been hospitalized for 7 days and has taken lithium 600 mg three times daily. Staff members observe increased agitation, pressured speech, poor personal hygiene, hyperactivity, and bizarre clothing. What is the nurse's best intervention?
A) Educate the patient about the proper ways to perform personal hygiene and coordinate clothing.
B) Continue to monitor and document the patient's speech patterns and motor activity.
C) Ask the health care provider to prescribe an increased dose and frequency of lithium.
D) Consider the need to check the lithium level. The patient may not be swallowing medications.
Q2) A patient diagnosed with bipolar disorder has rapid cycles. The health care provider prescribes an anticonvulsant medication. To prepare teaching materials, which drug should the nurse anticipate will be prescribed?
A) Phenytoin (Dilantin)
B) Clonidine (Catapres)
C) Carbamazepine (Tegretol)
D) Chlorpromazine (Thorazine)
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Page 18

Chapter 17: Schizophrenia Spectrum Disorders and Other
Psychotic Disorders
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/2063
Sample Questions
Q1) A nurse sits with a patient diagnosed with schizophrenia. The patient starts to laugh uncontrollably, although the nurse has not said anything funny. Select the nurse's best response.
A) "Why are you laughing?"
B) "Please share the joke with me."
C) "I don't think I said anything funny."
D) "You are laughing. Tell me what's happening."
Q2) A newly admitted patient diagnosed with schizophrenia says, "The voices are bothering me. They yell and tell me I'm bad. I have got to get away from them." Select the nurse's most helpful reply.
A) "Do you hear the voices often?"
B) "Do you have a plan for getting away from the voices?"
C) "I will stay with you. Focus on what we are talking about, not the voices."
D) "Forget about the voices. Ask some other patients to sit and talk with you."
Q3) Patients diagnosed with schizophrenia who are suspicious and withdrawn:
A) universally fear sexual involvement with therapists.
B) are socially disabled by the positive symptoms of schizophrenia.
C) exhibit a high degree of hostility as evidenced by rejecting behavior.
D) avoid relationships because they become anxious with emotional closeness.
Page 19
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Chapter 18: Neurocognitive Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2064
Sample Questions
Q1) An older adult diagnosed with moderate-stage Alzheimer disease forgets where the bathroom is and has episodes of incontinence. Which intervention should the nurse suggest to the patient's family?
A) Label the bathroom door.
B) Take the older adult to the bathroom hourly.
C) Place the older adult in disposable adult diapers.
D) Make sure the older adult does not eat nonfood items.
Q2) A patient diagnosed with stage 1 mild Alzheimer disease tires easily and prefers to stay home rather than attend social activities. The spouse does the grocery shopping because the patient cannot remember what to buy. Which nursing diagnosis applies at this time?
A) Complicated grieving
B) Impaired memory
C) Self-care deficit
D) Caregiver role strain
Q3) Which description best applies to a hallucination? A patient:
A) looks at shadows on a wall and says, "I see scary faces."
B) states, "I feel bugs crawling on my legs and biting me."
C) becomes anxious when the nurse leaves his or her bedside.
D) tries to hit the nurse when vital signs are taken.
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Chapter 19: Substance-Related and Addictive Disorders
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/2065
Sample Questions
Q1) A patient is admitted in a comatose state after ingesting five capsules of lorazepam. A friend of the patient says, "Often my friend drinks, along with taking more of the drug than is prescribed." What is the effect of the use of alcohol with this drug?
A) The drug's metabolism is stimulated.
B) The drug's effect is diminished.
C) A synergistic effect occurs.
D) There is no effect.
Q2) A hospitalized patient, injured in a fall while intoxicated, believes spiders are spinning entrapping webs in the room. The patient is anxious, agitated, and diaphoretic. Which nursing intervention has priority?
A) Check the patient every 15 minutes.
B) Rigorously encourage fluid intake.
C) Provide one-on-one supervision.
D) Keep the room dimly lit.
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Chapter 20: Crisis and Mass Disaster
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2066
Sample Questions
Q1) While conducting the initial interview with a patient in crisis, the nurse should:
A) speak in short, concise sentences.
B) convey a sense of urgency to the patient.
C) be forthright about time limits of the interview.
D) let the patient know that the nurse is in control.
Q2) An adult comes to the crisis clinic after being terminated from a job of 15 years. The patient says, "I don't know what to do. How can I get another job? Who will pay the bills? How will I feed my family?" Which nursing diagnosis applies?
A) Hopelessness
B) Powerlessness
C) Chronic low self-esteem
D) Disturbed thought processes
Q3) Which scenario is an example of an adventitious crisis?
A) Death of a child from sudden infant death syndrome
B) Being fired from a job because of company downsizing
C) Retirement of a 55-year-old
D) A riot at a rock concert
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22
Chapter 21: Child, Partner, and Elder Violence
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2067
Sample Questions
Q1) A patient has a history of physical violence against family members when frustrated and then experiences periods of remorse after each outburst. The patient attends anger management classes. Which finding indicates success in this plan of care? The patient:
A) expresses frustration verbally instead of physically.
B) explains the rationale for behaviors to the victim.
C) identifies three personal strengths.
D) agrees to seek counseling.
Q2) An older adult diagnosed with dementia lives with family and attends an adult day care center. A nurse at the center notices the adult has a disheveled appearance, a strong odor of urine, and bruises on the limbs and back. What type of abuse might be occurring?
A) Psychological
B) Financial
C) Physical
D) Sexual
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23
Chapter 22: Sexual Violence
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2068
Sample Questions
Q1) After assessing a victim of sexual assault, which terms could the nurse use in the documentation? (Select all that apply.)
A) Alleged
B) Reported
C) Penetration
D) Intercourse
E) Refused
F) Declined
Q2) A person was abducted and raped at gunpoint by an unknown assailant. Which interventions should the nurse use while caring for this person in the emergency department? (Select all that apply.)
A) Allow the person to talk at a comfortable pace.
B) Pose questions in nonjudgmental, empathic ways.
C) Place the person in a private room with a caregiver.
D) Reassure the person that a family member will arrive as soon as possible.
E) Invite family members to the examination room and involve them in taking the history.
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24

Chapter 23: Suicidal Thoughts and Behavior
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2069
Sample Questions
Q1) An adolescent tells the school nurse, "My friend threatened to take an overdose of pills." The nurse talks to the friend who verbalized the suicide threat. The most critical question for the nurse to ask would be:
A) "Why do you want to kill yourself?"
B) "Do you have access to medications?"
C) "Have you been taking drugs and alcohol?"
D) "Did something happen with your parents?"
Q2) A person attempts suicide by overdose, is treated in the emergency department, and then hospitalized. What is the best initial outcome? The patient will:
A) verbalize a will to live by the end of the second hospital day.
B) describe two new coping mechanisms by the end of the third hospital day.
C) accurately delineate personal strengths by the end of first week of hospitalization.
D) exercise suicide self-restraint by refraining from gestures or attempts to kill self for 24 hours.
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Chapter 24: Anger, Aggression, and Violence
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2070
Sample Questions
Q1) A nurse directs the intervention team who must take an aggressive patient to seclusion. Other patients were removed from the area. Before approaching the patient, the nurse should ensure that which actions are taken by staff? (Select all that apply.)
A) Remove jewelry, glasses, and harmful items from the patient and staff members.
B) Appoint a person to clear a path and open, close, or lock doors.
C) Quickly approach the patient, and grab the closest extremity.
D) Select the person who will communicate with the patient.
E) Move behind the patient to use the element of surprise.
Q2) Which medication should a nurse administer to provide immediate intervention for a psychotic patient whose aggressive behavior continues to escalate despite verbal intervention?
A) Lithium (Eskalith)
B) Trazodone (Desyrel)
C) Olanzapine (Zyprexa)
D) Valproic acid (Depakene)
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Chapter 25: Care for the Dying and Those Who Grieve
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2071
Sample Questions
Q1) A patient newly diagnosed with pancreatic cancer says, "My father also died of pancreatic cancer. I took care of him during his illness. I can't go through that." Select the highest priority nursing diagnosis.
A) Anticipatory grieving
B) Ineffective coping
C) Ineffective denial
D) Risk for suicide
Q2) A grieving patient tells a nurse, "It's been eight months since my spouse died. I thought I would feel better by now, but lately I feel worse. I have no energy. I am lonely, but I don't want to be around people. What should I do?" What is the nurse's best counsel?
A) Seek psychotherapy.
B) Become active in a church.
C) Go to the spouse's grave every day.
D) Understand this is a normal response.
Q3) The mourning process is more difficult when the bereaved:
A) was relatively independent of the deceased.
B) has experienced many previous losses.
C) accepts that death is expected for everyone.
D) had resolved conflicts with the deceased.
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Chapter 26: Children and Adolescents
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2072
Sample Questions
Q1) A 5-year-old child moves and talks constantly. The child awakens before the parents every morning. The child attends kindergarten, but the teacher reports difficulty handling the behavior. What is this child's most likely problem?
A) Tic disorder
B) Oppositional defiant disorder (ODD)
C) Intellectual development disorder (IDD)
D) Attention deficit hyperactivity disorder (ADHD)
Q2) Which finding would prompt the nurse to carefully assess an 8-year-old child for development of a psychiatric disorder?
A) Being raised by a parent with chronic major depressive disorder
B) Moving to three new homes over a 2-year period
C) Not being promoted to the next grade
D) Having an imaginary friend
Q3) When assessing a 2-year-old diagnosed with autism spectrum disorder, a nurse expects:
A) hyperactivity and attention deficits.
B) failure to develop interpersonal skills.
C) history of disobedience and destructive acts.
D) high levels of anxiety when separated from a parent.
To view all questions and flashcards with answers, click on the resource link above.
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Chapter 27: Adults
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2073
Sample Questions
Q1) Health maintenance and promotion efforts for patients diagnosed with severe and persistent mental illness should include education about the importance of regular:
A) home safety inspections.
B) monitoring of self-care abilities.
C) screening for cancer, hypertension, and diabetes.
D) determination of adequacy of a patient's support system.
Q2) A nurse prepares a plan of care for a patient diagnosed with adult attention deficit hyperactivity disorder (ADHD). Which intervention should be included?
A) Remind the patient of priorities and deadlines.
B) Teach work-related skills such as basic computer literacy.
C) Establish penalties for failing to organize and prioritize tasks.
D) Give encouragement and strategies for managing and organizing.
Q3) Severe and persistent mental illness is best characterized as a:
A) mental illness with longer than 2 weeks' duration.
B) major ongoing mental illness marked by significant functional impairments.
C) mental illness accompanied by physical impairment and severe social problems.
D) major mental illness that cannot be treated to prevent deterioration of cognitive and social abilities.
To view all questions and flashcards with answers, click on the resource link above.
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Chapter 28: Older Adults
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2074
Sample Questions
Q1) A 74-year-old patient is regressed and apathetic. This patient responds to others only when they initiate the interaction. Which therapy would be most useful to promote resocialization?
A) Medication
B) Re-motivation
C) Group psychotherapy
D) Individual psychotherapy
Q2) An 80-year-old patient has difficulty walking because of arthritis and says, "It's awful to be old. Every day is a struggle. No one cares about old people." Which is the nurse's most therapeutic response?
A) "Everyone here cares about old people. That's why we work here."
B) "It sounds like you're having a difficult time. Tell me about it."
C) "Let's not focus on the negative. Tell me something good."
D) "You are still able to get around, and your mind is alert."
Q3) An advance directive gives valid direction to health care providers when a patient is:
A) aggressive.
B) dehydrated.
C) unable to verbally communicate.
D) unable to make health care decisions.
To view all questions and flashcards with answers, click on the resource link above.
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