Psychiatric Mental Health Nursing Exam Review
Course Introduction
Psychiatric Mental Health Nursing focuses on the principles and practices essential for the care of individuals with mental health disorders. The course emphasizes the development of therapeutic relationships, communication skills, and clinical reasoning in diverse mental health settings. Topics include the assessment, diagnosis, and management of common psychiatric disorders, psychopharmacology, crisis intervention, and culturally competent care. Students explore evidence-based interventions for individuals, families, and groups, while also addressing ethical, legal, and policy considerations in mental health. The course prepares students to advocate for and empower persons facing mental health challenges, promoting recovery, resilience, and holistic well-being.
Recommended Textbook
Psychiatric Mental Health Nursing Concepts of Care in Evidence Based Practice 7th Edition by Mary
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39 Chapters
857 Verified Questions
857 Flashcards
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Chapter 1: The Concept of Stress Adaptation
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A client has experienced the death of a close family member and at the same time becomes unemployed. This situation has resulted in a 6-month score of 110 on the Miller and Rahe Recent Life Changes Questionnaire. How should the nurse evaluate this client data?
A)The client is experiencing severe distress and is at risk for physical and psychological illness.
B)A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of stress-related illness.
C)Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge of coping resources and available supports.
D)The client may view these losses as challenges and perceive them as opportunities. Answer: C
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Chapter 2: Mental Healthmental Illness: Historical and Theoretical Concepts
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Sample Questions
Q1) How is the DSM-IV-TR useful in the practice of psychiatric nursing? (Select all that apply.)
A)It considers level of functioning as well as problems.
B)It represents progress toward a more holistic view of mind-body.
C)It provides a framework for interdisciplinary communication.
D)It provides a template for nursing care plans.
E)It provides a framework for communication with the client.
Answer: A, B, C
Q2) A nurse should recognize that the diagnostic and statistical manual of mental disorders (DSM-IV-TR) is based on which model of health-care delivery?
A)The holistic nursing model
B)The eclectic model
C)Freud's psychoanalytic model
D)The medical model
Answer: D
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Chapter 3: Theoretical Models of Personality Development
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Sample Questions
Q1) A 10-year-old child wins the science fair competition and is chosen as a cheerleader for the basketball team. A nurse should recognize that this child is in the process of successfully accomplishing which stage of Erikson's developmental theory?
A)Industry versus inferiority
B)Identity versus role confusion
C)Intimacy versus isolation
D)Generativity versus stagnation
Answer: A
Q2) According to Peplau, a nurse who provides an abandoned child with parental guidance and praise following small accomplishments is serving which therapeutic role?
A)The role of technical expert
B)The role of resource person
C)The role of surrogate
D)The role of leader
Answer: C
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Chapter 4: Concepts of Psychobiology
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Sample Questions
Q1) During a sleep study, a delta rhythm has been recorded for a client experiencing sleep apnea. The nurse recognizes the characteristic that is associated with this rhythm. What stage of sleep activity would be documented?
A)Delta rhythm is a period of dozing occurring in stage 1 of sleep activity.
B)Delta rhythm is a period of deep and restful sleep occurring in stage 3 of sleep activity.
C)Delta rhythm is a period of relaxed waking occurring in stage 0 of sleep activity.
D)Delta rhythm is a period of dreaming occurring in stage 2 of sleep activity.
Q2) A client's wife of 34 years dies unexpectedly. The client cries often and becomes socially isolated. The client's therapist encourages open discussion of feelings, proper nutrition, and exercise. What is the best rationale for the therapist's advice?
A)The therapist is using an interpersonal approach.
B)The client has an alteration in neurotransmitters.
C)It is routine practice to remind clients about nutrition, exercise, and rest.
D)The client is susceptible to illness due to effects of stress on the immune system.
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Chapter 5: Ethical and Legal Issues in Psychiatricmental
Health Nursing
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28 Flashcards
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Sample Questions
Q1) Which situation reflects the ethical principle of veracity?
A)A nurse provides a client with outpatient resources to benefit recovery.
B)A nurse refuses to give information to a physician who is not responsible for the client's care.
C)A nurse tricks a client into seclusion by asking the client to carry linen to the seclusion room.
D)A nurse treats all of the clients equally regardless of illness severity.
Q2) A psychiatric nurse working on an inpatient unit receives a call asking if an individual has been a client in the facility. Which nursing response reflects appropriate legal and ethical obligations?
A)Refusing to give any information to the caller, citing rules of confidentiality
B)Refusing to give any information to the caller by hanging up
C)Affirming that the person has been seen at the facility but providing no further information
D)Suggesting that the caller speak to the client's therapist
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Chapter 6: Cultural and Spiritual Concepts Relevant to Psychiatricmental Health Nursing
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Sample Questions
Q1) A female nurse is caring for an Arab American male client. When planning effective care for this client, the nurse should be aware of which of the following cultural considerations? (Select all that apply.)
A)Limited touch is acceptable only between members of the same sex.
B)Conversing individuals of this culture stand far apart and do not make eye contact.
C)Devout Muslim men may not shake hands with women.
D)The man is the head of the household and women take on a subordinate role.
E)Men of this culture are responsible for the education of their children.
Q2) A community health nurse is planning a health fair at a local shopping mall. Which middle-class socioeconomic cultural group should the nurse anticipate would most value preventive medicine and primary health care?
A)Northern European Americans
B)Native Americans
C)Latino Americans
D)African Americans
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8
Chapter 7: Relationship Development
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) As the client and nurse move from the orientation stage to the working stage of the therapeutic relationship, which is the nurse's most therapeutic statement?
A)"I want to assure you that I will maintain your confidentiality."
B)"A long-term goal for someone your age would be to develop better job skills."
C)"Which identified problems would you like for us to initially address?"
D)"I think first we need to focus on your relationship issues."
Q2) According to Peplau, which nursing action demonstrates the nurse's role as a resource person?
A)The nurse balances a safe therapeutic environment to increase the client's sense of belonging.
B)The nurse holds a group meeting with the clients on the unit to discuss common feelings about mental illness.
C)The nurse monitors the administration of medications and watches for signs of "cheeking."
D)The nurse explains, in language the client can understand, information related to the client's health care.
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Chapter 8: Therapeutic Communication
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Sample Questions
Q1) A client is struggling to explore and solve a problem. Which nursing statement would verbalize the implication of the client's actions?
A)"You seem to be motivated to change your behavior."
B)"How will these changes affect your family relationships?"
C)"Why don't you make a list of the behaviors you need to change."
D)"The team recommends that you make only one behavioral change at a time."
Q2) A client diagnosed with dependant personality disorder states, "Do you think I should move from my parent's house and get a job?" Which nursing response is most appropriate?
A)"It would be best to do that in order to increase independence."
B)"Why would you want to leave a secure home?"
C)"Let's discuss and explore all of your options."
D)"I'm afraid you would feel very guilty leaving your parents."
Q3) What is the purpose of a nurse providing appropriate feedback?
A)To give the client good advice
B)To advise the client on appropriate behaviors
C)To evaluate the client's behavior
D)To give the client critical information
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Chapter 9: The Nursing Process in Psychiatricmental Health
Nursing
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Sample Questions
Q1) Which statement is most accurate regarding the assessment of clients diagnosed with psychiatric problems?
A)Medical history is of little significance and can be eliminated from the nursing assessment.
B)Assessment provides a holistic view of the client including biopsychosocial aspects.
C)Comprehensive assessments can be performed only by advanced practice nurses.
D)Psychosocial evaluations are gained by subjective reports rather than objective observations.
Q2) What is being assessed when a nurse asks a client to identify name, date, residential address, and situation?
A)Mood
B)Perception
C)Orientation
D)Affect
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11
Chapter 10: Therapeutic Groups
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Sample Questions
Q1) A man diagnosed with alcohol dependence experiences his first relapse. During his AA meeting, another group member states, "I relapsed three times, but now have been sober for 15 years." Which of Yalom's curative group factors does this illustrate?
A)Imparting of information
B)Instillation of hope
C)Catharsis
D)Universality
Q2) The nurse should utilize which group function to help an extremely withdrawn, paranoid client increase feelings of security?
A)Socialization
B)Support
C)Empowerment
D)Governance
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12
Chapter 11: Intervention With Families
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Sample Questions
Q1) During family counseling, a husband tells his wife to spend more time with the family, and she responds by stating, "Okay, I'll turn in my resignation tomorrow." The husband replies, "I knew it! You've always been a quitter!" How should the nurse interpret the husband's statement?
A)The husband is expressing an emotional cutoff.
B)The husband is expressing double-bind communication.
C)The husband is expressing indirect messages.
D)The husband is expressing avoidance behaviors.
Q2) A 30-year-old client seeking therapy states, "My mom cries when she is not included in all my social activities and thinks of my friends as her own." How would the nurse describe the boundaries between this family's parent and child subsystems?
A)The boundaries are rigid.
B)The boundaries are restructured.
C)The boundaries are enmeshed.
D)The boundaries are disengaged.
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13
Chapter 12: Milieu Therapy - the Therapeutic Community
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Sample Questions
Q1) A nurse working on an inpatient psychiatric unit is assigned to conduct a 45-minute education group. What should the nurse identify as an appropriate group topic?
A)Dream analysis
B)Creative cooking
C)Paint by number
D)Stress management
Q2) How does a democratic form of self-government in the milieu contribute to client therapy?
A)By setting punishments for clients who violate the community rules
B)By dealing with inappropriate behaviors as they occur
C)By setting community expectations wherein all clients are treated on an equal basis
D)By interacting with professional staff members to learn about therapeutic interventions
Q3) In the role of milieu manager, which activity should the nurse prioritize?
A)Setting the schedule for the daily unit activities
B)Evaluating clients for medication effectiveness
C)Conducting therapeutic group sessions
D)Searching newly admitted clients for hazardous objects
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Chapter 13: Crisis Intervention
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Sample Questions
Q1) After threatening to jump off a bridge, a client is brought to an emergency department by police. To assess for suicide potential, which question should a nurse ask first?
A)"Are you currently thinking about harming yourself?"
B)"Why do you want to harm yourself?"
C)"Have you thought about the consequences of your actions?"
D)"Who is your emergency contact person?"
Q2) An inpatient client with a known history of violence suddenly begins to pace. Which client behavior should alert a nurse to escalating anger and aggression?
A)The client requests prn medications.
B)The client has a tense facial expression and body language.
C)The client refuses to eat lunch.
D)The client sits in group therapy with back to peers.
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15
Chapter 14: Relaxation Therapy
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Sample Questions
Q1) A client diagnosed with major depressive disorder refuses to get out of bed. Which nursing statement appropriately educates the client about the benefits of physical activity?
A)"Depression is caused by the lack of certain brain chemicals that can increase with exercise."
B)"Physical activity is good for everyone regardless of their diagnosis."
C)"Low-intensity exercise is more beneficial than high-impact exercise."
D)"When you are physically active, it helps to lower your beta endorphins."
Q2) Which should a nurse recognize as the reason that physical exercise is an effective relaxation technique?
A)Physical exercise stresses and strengthens the cardiovascular system.
B)Physical exercise decreases the metabolic rate.
C)Physical exercise decreases levels of norepinephrine in the brain.
D)Physical exercise provides a natural outlet for releasing muscle tension.
Q3) Which response is known to be a physiological manifestation of relaxation?
A)Increased levels of norepinephrine
B)Pupil dilation
C)Reduced metabolic rate
D)Increased levels of blood sugar
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Page 16
Chapter 15: Assertiveness Training
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23 Verified Questions
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Sample Questions
Q1) Two clients get into a heated argument regarding TV program selections. The nurse turns off the TV and asks the clients to go to their rooms to cool off, after which they will discuss and attempt to resolve the problem. The nurse's action is an example of which assertive technique?
A)Defusing
B)Clouding or fogging
C)Responding as a broken record
D)Shifting from content to process
Q2) A nurse is caring for four clients. Which of the following clients should the nurse identify as most likely to experience difficulty in being assertive? (Select all that apply.)
A)A 20-year-old woman who was recently raped
B)A 69-year-old widow who is socially isolated
C)A 17-year-old boy with conduct disorder
D)A 45-year-old successful executive
E)A 50-year-old diagnosed with narcissistic personality disorder
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Chapter 16: Promoting Self Esteem
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Sample Questions
Q1) A nurse is running a group on self-esteem. A client asks, "Where does self-esteem come from?" Which is the most appropriate nursing reply?
A)"Many factors, over the life span, influence development and maintenance of self-esteem."
B)"Self-esteem is determined by factors outside of an individual's control."
C)"Self-esteem is established in childhood and remains relatively fixed throughout life."
D)"Genetics are the single largest contributor to an individual's self-esteem."
Q2) A home health nurse visits an 18-year-old client who lives with his mother. The client has been assessed as having low self-esteem. The nurse refers the client for individual counseling. During the next home visit, which assessed client behavior clearly indicates treatment success?
A)The client wants to buy a dog but has not yet asked his mother's permission.
B)The client asks his mother for permission to buy a dog.
C)The client tells his mother he plans to buy a dog.
D)The client buys a dog and hides it in the garage.
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18
Chapter 17: Angeraggression Management
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Sample Questions
Q1) Which nursing approach is likely to be most therapeutic when dealing with a newly admitted, hostile, suspicious client?
A)Places hand on the client's shoulder and states, "I will help you to your room."
B)Slowly and matter-of-factly state, "I am your nurse and I will show you to your room."
C)Firmly set limits by stating, "If your behavior does not improve you will be secluded."
D)Smiles and states, "I am your nurse.When do you want to go to your room?"
Q2) For select clients, physical restraint is considered to be a beneficial intervention. This is based on which premise?
A)Clients with poor boundaries do not respond to verbal redirection, and they need firm and consistent limit setting.
B)Clients with limited internal control over their behavior need external controls to prevent harm to themselves and others.
C)Clients with antisocial tendencies need to submit to authority.
D)Clients with behavioral dysfunction need behavioral interventions.
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19
Chapter 18: Intervention With a Suicidal Client
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Sample Questions
Q1) A nursing instructor is teaching about suicide. Which student statement indicates that learning has occurred?
A)"Suicidal threats and gestures should be considered manipulative and/or attention-seeking."
B)"Suicide is the act of a psychotic person."
C)"All suicidal individuals are mentally ill."
D)"50% to 80% of all people who kill themselves have a history of a previous attempt."
Q2) A new nursing graduate asks the psychiatric nurse manager how to best classify suicide. Which is the nurse manager's best reply?
A)"Suicide is a DSM-IV-TR diagnosis."
B)"Suicide is a mental disorder."
C)"Suicide is a behavior."
D)"Suicide is an antisocial affliction."
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20
Chapter 19: Behavior Therapy
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Sample Questions
Q1) A 2-year-old engages in frequent temper tantrums that usually result in the parents giving in to demands. During family therapy, how should a nurse counsel the parents?
A)"You are shaping your child's behavior."
B)"Your child has modeled your behavior."
C)"You are positively reinforcing your child's behavior."
D)"You are negatively reinforcing your child's behavior."
Q2) A client is in therapy with a nurse practitioner for the treatment of arachnophobia. The nurse practitioner decides to use the technique of "flooding." Which intervention best exemplifies this technique?
A)Giving rewards for demonstrating a decrease in fear of spiders
B)Encouraging the client to sit through the movie "Spiderman"
C)Accompanying the client to a 1-hour visit to the local zoo's spider room
D)Offering a computer program that progressively presents anxiety-producing spider scenarios
Q3) Which assumption is most reflective of a behavioral theory model?
A)Mental illness is characterized by structural and biochemical alterations.
B)Thought processes influence behaviors.
C)All personality development has a social context.
D)There is a basic relationship between stimulus and response.
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Page 21
Chapter 20: Cognitive Therapy
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Sample Questions
Q1) When a client's husband comes home late from work, the wife immediately fears infidelity. The advanced practice nurse therapist encourages the wife to consider other explanations for her husband's tardiness. What technique is the nurse using?
A)Examination of the evidence
B)Decatastrophizing
C)Generating alternatives
D)Reattribution
Q2) An advanced practice nurse is counseling a client diagnosed with generalized anxiety disorder. The nurse plans to use activity scheduling to address this client's concerns. What is the purpose of this nursing intervention?
A)To identify important areas needing concentration during therapy
B)To increase self-esteem and decrease feelings of helplessness
C)To modify maladaptive behaviors by the use of role-play
D)To divert away from intrusive thoughts and depressive ruminations
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Chapter 21: Electroconvolusive Therapy
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Sample Questions
Q1) A nursing instructor is teaching about the medications given prior to and during electroconvulsive therapy (ECT) treatments. Which student statement indicates that learning has occurred?
A)"Atropine (Atro-Pen) is administered to paralyze skeletal muscles during ECT."
B)"Succinylcholine chloride (Anectine) decreases secretions to prevent aspiration."
C)"Thiopental sodium (Pentothal) is a short-acting anesthesia to render the client unconscious."
D)"Glycopyrrolate (Robinul) is given to prevent severe muscle contractions during seizure."
Q2) Which assessment test results should a nurse evaluate and report in the process of clearing a client for electroconvulsive therapy (ECT)? (Select all that apply.)
A)Electrocardiogram graphic records
B)Pulmonary function study results
C)Electroencephalogram analysis
D)Complete blood count values
E)Urinalysis results
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Chapter 22: Complementary Therapies
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Sample Questions
Q1) A client diagnosed with chronic migraine headaches is considering acupuncture. The client asks a clinic nurse, "How does this treatment work?" Which is the best response by the nurse?
A)"Western medicine believes that acupuncture stimulates the body's release of pain-fighting chemicals called endorphins."
B)"I'm not sure why he suggested acupuncture.There are a lot of risks, including HIV."
C)"Acupuncture works by encouraging the body to increase its development of serotonin and norepinephrine."
D)"Your acupuncturist is your best resource for answering your specific questions."
Q2) Herbs and plants can be useful in treating a variety of conditions. Which herbal treatment should a nurse determine as appropriate for a client experiencing frequent migraine headaches?
A)Saint John's wort combined with an antidepressant
B)Ginger root combined with a beta-blocker
C)Feverfew, used according to directions
D)Kava-kava added to a regular diet
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Chapter 23: Disorders Usually First Diagnosed in Infancy,
Childhood, or Adolescence
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Sample Questions
Q1) A nurse has taken report for the evening shift on an adolescent inpatient unit. Which client should the nurse address first?
A)A client diagnosed with oppositional defiant disorder being sexually inappropriate with staff
B)A client diagnosed with conduct disorder who is verbally abusing a peer in the milieu
C)A client diagnosed with conduct disorder who is demanding special attention from staff
D)A client diagnosed with attention deficit disorder who has a history of self-mutilation
Q2) In planning care for a child diagnosed with autistic disorder, which would be a realistic client outcome?
A)The client will communicate all needs verbally by discharge.
B)The client will participate with peers in a team sport by day 4.
C)The client will establish trust with at least one caregiver by day 5.
D)The client will perform most self-care tasks independently.
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Chapter 24: Delirium, Dementia, and Amnestic Disorders
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Sample Questions
Q1) At what time during a 24-hour period should a nurse expect clients diagnosed with Alzheimer's dementia to exhibit more pronounced symptoms?
A)When they first awaken
B)In the middle of the night
C)At twilight
D)After taking medications
Q2) A client diagnosed with Alzheimer's dementia has impairments of memory and judgment and is incapable of performing activities of daily living. Which nursing intervention should take priority?
A)Present evidence of objective reality to improve cognition
B)Design a bulletin board to represent the current season
C)Label the client's room with name and number
D)Assist with bathing and toileting
Q3) Which symptom should a nurse identify that would differentiate clients diagnosed with dementia from clients diagnosed with mood disorders?
A)Altered sleep
B)Altered concentration
C)Impaired memory
D)Impaired psychomotor activity
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Chapter 25: Substance-Related Disorders
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Sample Questions
Q1) A nurse is reviewing STAT laboratory data of a client presenting in the emergency department. At what minimum blood alcohol level should a nurse expect intoxication to occur?
A)50 mg/dL
B)100 mg/dL
C)250 mg/dL
D)300 mg/dL
Q2) Which client statement indicates a knowledge deficit related to substance abuse?
A)"Although it's legal, alcohol is one of the most widely abused drugs in our society."
B)"Tolerance to heroin develops quickly."
C)"Flashbacks from LSD use may reoccur spontaneously."
D)"Marijuana is like smoking cigarettes.Everyone does it.It's essentially harmless."
Q3) Which term should a nurse use to describe the administration of a central nervous system (CNS) depressant during alcohol withdrawal?
A)Antagonist therapy
B)Deterrent therapy
C)Codependency therapy
D)Substitution therapy
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Chapter 26: Schizophrenia and Other Psychotic Disorders
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Sample Questions
Q1) Which nursing behavior will enhance the establishment of a trusting relationship with a client diagnosed with schizophrenia?
A)Establishing personal contact with family members.
B)Being reliable, honest, and consistent during interactions.
C)Sharing limited personal information.
D)Sitting close to the client to establish rapport.
Q2) A client diagnosed with schizophrenia is prescribed clozapine (Clozaril). Which client symptoms related to the side effects of this medication should prompt a nurse to intervene immediately?
A)Sore throat, fever, and malaise
B)Akathisia and hypersalivation
C)Akinesia and insomnia
D)Dry mouth and urinary retention
Q3) A client diagnosed with schizoaffective disorder is admitted for social skills training. Which information should be taught by the nurse?
A)The side effects of medications
B)Deep breathing techniques to decrease stress
C)How to make eye contact when communicating
D)How to be a leader
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Page 28
Chapter 27: Mood Diorders: Depression
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Sample Questions
Q1) What is the rationale for a nurse to perform a full physical health assessment on a client admitted with a diagnosis of major depressive disorder?
A)The attention during the assessment is beneficial in decreasing social isolation.
B)Depression can generate somatic symptoms that can mask actual physical disorders.
C)Physical health complications are likely to arise from antidepressant therapy.
D)Depressed clients avoid addressing physical health and ignore medical problems.
Q2) What client information does a nurse need to assess prior to initiating medication therapy with phenelzine (Nardil)?
A)The client's understanding of the need for regular blood work
B)The client's mood and affect score, using the facility's mood scale
C)The client's cognitive ability to understand information about the medication
D)The client's access to a support network willing to participate in treatment
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Chapter 28: Mood Disorders: Bipolar Disorder
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Sample Questions
Q1) The inpatient psychiatric unit is being redecorated. At a unit meeting, staff discuss bedroom décor for clients experiencing mania. The nurse manager evaluates which suggestion as most appropriate?
A)Rooms should contain extra-large windows with views of the street.
B)Rooms should contain brightly colored walls with printed drapes.
C)Rooms should be painted deep colors and located close to the nurse's station.
D)Rooms should be painted with neutral colors and contain pale-colored accessories.
Q2) A client diagnosed with bipolar disorder states, "I hate oatmeal. Let's get everybody together to do exercises. I'm thirsty and I'm burning up. Get out of my way; I have to see that guy." What should be the priority nursing action?
A)Assess the client's vital signs.
B)Offer to have the dietitian discuss food preferences.
C)Encourage the client to lead the exercise program in the community meeting.
D)Acknowledge the client briefly and then walk away.
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Chapter 29: Anxiety Disorders
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Sample Questions
Q1) A nurse is providing discharge teaching to a client taking a benzodiazepine. Which client statement would indicate a need for further follow-up instructions?
A)"I will need scheduled blood work in order to monitor for toxic levels of this drug."
B)"I won't stop taking this medication abruptly because there could be serious complications."
C)"I will not drink alcohol while taking this medication."
D)"I won't take extra doses of this drug because I can become addicted."
Q2) How would a nurse differentiate a client diagnosed with panic disorder from a client diagnosed with generalized anxiety disorder (GAD)?
A)GAD is acute in nature, and panic disorder is chronic.
B)Chest pain is a common GAD symptom, whereas this symptom is absent in panic disorders.
C)Hyperventilation is a common symptom in GAD and rare in panic disorder.
D)Depersonalization is commonly seen in panic disorder and absent in GAD.
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Chapter 30: Somatoform and Disassociative Disorders
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Sample Questions
Q1) What symptom differentiates dissociative fugue from dissociative amnesia?
A)Clients diagnosed with dissociative fugue experience symptoms that are precipitated by extreme stress, and clients diagnosed with dissociative amnesia do not.
B)Clients diagnosed with dissociative fugue are unaware of their memory loss, whereas clients diagnosed with dissociative amnesia are aware of their forgetfulness.
C)Clients diagnosed with dissociative amnesia assume a new identity, and clients diagnosed with dissociative fugue do not.
D)Clients diagnosed with dissociative amnesia usually recover completely, whereas clients diagnosed with dissociative fugue display residual effects.
Q2) Which should the nurse recognize as an example of systematized amnesia?
A)A client cannot relate any lifetime memories, including personal identity.
B)A client can relate family memories but has no recollection of a particular brother.
C)A client cannot remember events surrounding a fatal car accident.
D)A client whose home was destroyed by a tornado only remembers waking up in the hospital.
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32
Chapter 31: Issues Related to Human Sexuality and Gender
Identity
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Sample Questions
Q1) Which of the following characteristics should a nurse identify as "normal" in the development of human sexuality for an 11-year-old child? (Select all that apply.)
A)The child experiments with masturbation.
B)The child may experience homosexual play.
C)The child shows little interest in the opposite sex.
D)The child shows little concern about physical attractiveness.
E)The child is unlikely to want to undress in front of others.
Q2) A 52-year-old client states, "My husband is upset because I don't enjoy sex as much as I used to." Which priority client data should a nurse initially collect?
A)History of hysterectomy
B)Date of last menstrual cycle
C)Use of birth control methods
D)History of thought disorder
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33
Chapter 32: Eating Disorders
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Sample Questions
Q1) A nursing instructor is teaching students about the differences between the symptoms of anorexia nervosa and the symptoms of bulimia nervosa. Which student statement indicates that learning has occurred?
A)"Clients diagnosed with anorexia nervosa experience extreme nutritional deficits, whereas clients diagnosed with bulimia nervosa do not."
B)"Clients diagnosed with bulimia nervosa experience amenorrhea, whereas clients diagnosed with anorexia nervosa do not."
C)"Clients diagnosed with bulimia nervosa experience hypotension, edema, and lanugo, whereas clients diagnosed with anorexia nervosa do not."
D)"Clients diagnosed with anorexia nervosa have eroded tooth enamel, whereas clients diagnosed with bulimia nervosa do not."
Q2) A nurse observes dental deterioration when assessing a client diagnosed with bulimia nervosa. What explains this assessment finding?
A)The emesis produced during purging is acidic and corrodes the tooth enamel.
B)Purging causes the depletion of dietary calcium.
C)Food is rapidly ingested without proper mastication.
D)Poor dental and oral hygiene leads to dental caries.
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Page 34
Chapter 33: Adjustment and Impulse Control Disorders
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Q1) A 20-year-old client and a 60-year-old client have had drunk driving accidents and are both experiencing extreme anxiety. From a psychosocial theory perspective, which of these clients would be predisposed to the diagnosis of adjustment disorder?
A)The 60-year-old because of memory deficits
B)The 60-year-old because of decreased cognitive processing ability
C)The 20-year-old because of limited cognitive experiences
D)The 20-year-old because of lack of developmental maturity
Q2) In evaluating nursing interventions, which of the following types of questions would a nurse use to gather information from a client diagnosed with an impulse control disorder? (Select all that apply.)
A)Can the client demonstrate the ability to delay gratification?
B)Does the client demonstrate evidence of progression along the grief response?
C)Can the client accomplish activities of daily living independently?
D)Does the client verbalize symptoms of tension preceding unacceptable behavior?
E)Does the client verbalize the unacceptability of maladaptive behaviors?
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35
Chapter 34: Personality Disorders
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Sample Questions
Q1) When planning care for a client diagnosed with borderline personality disorder, which self-harm behavior should a nurse expect the client to exhibit?
A)The use of highly lethal methods to commit suicide
B)The use of suicidal gestures to evoke a rescue response from others
C)The use of isolation and starvation as suicidal methods
D)The use of self-mutilation to decrease endorphins in the body
Q2) A pessimistic client expresses low self-worth, has much difficulty making decisions, avoids positions of responsibility, and has a behavioral pattern of "suffering" in silence. Which underlying cause of this client's personality disorder should a nurse recognize?
A)"Nurturance was provided from many sources, and independent behaviors were encouraged."
B)"Nurturance was provided exclusively from one source, and independent behaviors were discouraged."
C)"Nurturance was provided exclusively from one source, and independent behaviors were encouraged."
D)"Nurturance was provided from many sources, and independent behaviors were discouraged."
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Chapter 35: The Aging Individual
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Sample Questions
Q1) An elderly client has met the criteria for a diagnosis of major depressive disorder. The client does not respond to antidepressant medications. Which treatment should a nurse anticipate that the physician would prescribe for this client?
A)Electroconvulsive therapy (ECT)
B)Neuroleptic therapy
C)An antiparkinsonian agent
D)An anxiolytic agent
Q2) An elderly client who lives with a caregiver is admitted to an emergency department for a fractured arm. The client is soaked in urine and has dried fecal matter on lower extremities. The client is 6 feet tall and weighs 120 pounds. Which condition should the nurse suspect?
A)Inability for the client to meet self-care needs
B)Alzheimer's dementia
C)Abuse, neglect, or both
D)Caregiver role strain
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Chapter 36: Victims of Abuse or Neglect
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Sample Questions
Q1) In the emergency department, a raped client appears calm and exhibits a blunt affect. The client answers a nurse's questions in a monotone using single words. How should the nurse interpret this client's responses?
A)The client may be lying about the incident.
B)The client may be experiencing a silent rape reaction.
C)The client may be demonstrating a controlled response pattern.
D)The client may be having a compounded rape reaction.
Q2) A college student was sexually assaulted when out on a date. After several weeks of crisis intervention therapy, which client statement should indicate to a nurse that the student is handling this situation in a healthy manner?
A)"I know that it was not my fault."
B)"My boyfriend has trouble controlling his sexual urges."
C)"If I don't put myself in a dating situation, I won't be at risk."
D)"Next time I will think twice about wearing a sexy dress."
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Chapter 37: Community Mental Health Nursing
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Sample Questions
Q1) A community health nurse is teaching a class to expectant parents. All participants lack infant care knowledge. A student nurse asks, "If you had to assign a nursing diagnosis to this group, what would it be?" What is the best nursing reply?
A)"I would assign the nursing diagnosis of cognitive deficit."
B)"I would assign the nursing diagnosis of knowledge deficit."
C)"I would assign the nursing diagnosis of altered family processes."
D)"I would assign the nursing diagnosis of risk for caregiver role strain."
Q2) Which nursing statement best describes the current nature of mental health care in the community?
A)"All homeless people have a history of institutionalization and are frequently admitted to acute care settings."
B)"In the United States, the rate of serious mental illness in the prison population is the same as the general population."
C)"The deinstitutionalization movement in the United States was successful in transitioning clients into the community."
D)"Today, the majority of clients admitted to psychiatric hospitals are in a crisis stage, and the treatment goal is stabilization."
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Page 39
Chapter 38: Forensic Nursing
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Sample Questions
Q1) A forensic nurse collects a semen sample from a rape victim. Which nursing action would maintain the proper chain of evidence?
A)A collected sample is labeled, sealed, and kept in a locked refrigerator until given to police.
B)The sample is locked in a special container and given to the pathologist.
C)The sample is placed in the medication room refrigerator prior to police collection.
D)The sample is sealed and immediately given to police to avoid contamination.
Q2) A prison nurse overhears an inmate state, "Hey man, can I catch a ride?" How should the nurse interpret this prison slang?
A)The inmate wants to get high and asks a friend to provide drugs.
B)The inmate wants to elope and asks a friend to provide transportation.
C)The inmate wants to play basketball and needs a friend for the team.
D)The inmate wants to bum a cigarette.
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Chapter 39: The Bereaved Individual
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Sample Questions
Q1) A teenager has recently lost a parent. Which grieving behavior should a school nurse expect when assessing this client?
A)Denial of personal mortality
B)Preoccupation with the loss
C)Clinging behaviors and personal insecurity
D)Acting-out behaviors, exhibited in aggression and defiance
Q2) A client is diagnosed with terminal cancer. Which situation would the nurse assess as reflecting Kübler-Ross's grief stage of "anger"?
A)The client registers for an iron-man marathon to be held in 9 months.
B)The client is a devoted Catholic but refuses to attend church and states that his faith has failed him.
C)The client promises God to give up smoking if allowed to live long enough to witness a grandchild's birth.
D)The client gathers family in order to plan a funeral and make last wishes known.
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