Psychiatric Mental Health Nursing
Question Bank
Course Introduction
Psychiatric Mental Health Nursing focuses on the principles and practices essential for providing holistic, evidence-based care to individuals, families, and groups affected by mental health disorders. The course explores psychiatric nursing theories, therapeutic communication, assessment techniques, and contemporary treatment modalities, including pharmacological and psychosocial interventions. Students develop skills to promote mental wellness, prevent mental illness, and support recovery while considering ethical, legal, and cultural factors. Emphasis is placed on the nurses role in interdisciplinary teams, crisis intervention, and advocacy for mental health awareness and stigma reduction within diverse populations.
Recommended Textbook
Varcarolis Foundations of Psychiatric Mental Health Nursing A Clinical Approach 7th Edition by
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35 Chapters
1040 Verified Questions
1040 Flashcards
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Chapter 1: Mental Health and Mental Illness
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/13714
Sample Questions
Q1) Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?
A) All mental illnesses are culturally determined.
B) Schizophrenia and bipolar disorder are cross-cultural disorders.
C) Symptoms of mental disorders are unchanged from culture to culture.
D) Assessment findings in mental disorders reflect a person's cultural patterns.
Answer: D
Q2) A category 5 tornado occurred in a community of 400 people resulting in destruction of many homes and businesses.In the 2 years after this disaster,140 individuals were diagnosed with posttraumatic stress disorder (PTSD).Which term best applies to these newly diagnosed cases?
A) Prevalence
B) Co-morbidity
C) Incidence
D) Parity
Answer: C
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3
Chapter 2: Relevant Theories and Therapies for Nursing Practice
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) A nurse and patient discuss a problem the patient has kept secret for many years.Afterward the patient says,"I feel so relieved that I finally told somebody." Which term best describes the patient's feeling?
A) Catharsis
B) Superego
C) Cognitive distortion
D) Counter-transference
Answer: A
Q2) A person says,"I was the only survivor in a small plane crash.Three business associates died.I got depressed and saw a counselor twice a week for 4 weeks.We talked about my feelings related to being a survivor,and I'm better now." Which type of therapy was used?
A) Milieu therapy
B) Psychoanalysis
C) Behavior modification
D) Interpersonal psychotherapy
Answer: D
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Chapter 3: Biological Basis for Understanding Psychiatric
Disorders and Treatments
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A patient is hospitalized for severe depression.Of the medications listed below,the nurse can expect to provide the patient with teaching about:
A) chlordiazepoxide (Librium).
B) clozapine (Clozaril).
C) sertraline (Zoloft).
D) tacrine (Cognex).
Answer: C
Q2) A nurse cares for four patients who are receiving clozapine,lithium,fluoxetine,and venlafaxine,respectively.With which patient should the nurse be most alert for problems associated with fluid and electrolyte imbalance? The patient receiving:
A) lithium (Lithobid).
B) clozapine (Clozaril).
C) fluoxetine (Prozac).
D) venlafaxine (Effexor).
Answer: A
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5
Chapter 4: Settings for Psychiatric Care
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37 Flashcards
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Sample Questions
Q1) A Category V tornado hits a community,destroying many homes and businesses.Which nursing intervention would best demonstrate compassion and caring?
A) Encouraging persons to describe their memories and feelings about the event
B) Arranging transportation to the local community mental health center
C) Referring a local resident to a community food bank
D) Coordinating psychiatric home care services
Q2) Clinical pathways are used in managed care settings to:
A) stabilize aggressive patients.
B) identify obstacles to effective care.
C) relieve nurses of planning responsibilities.
D) streamline the care process and reduce costs.
Q3) Inpatient hospitalization for persons with mental illness is generally reserved for patients who:
A) present a clear danger to self or others.
B) are noncompliant with medication at home.
C) have limited support systems in the community.
D) develop new symptoms during the course of an illness.
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6
Chapter 5: Cultural Implications for Psychiatric Mental
Health Nursing
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36 Flashcards
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Sample Questions
Q1) A Native American patient describes a difficult childhood and dropping out of high school.The patient abused alcohol as a teenager to escape feelings of isolation but stopped 10 years ago.The patient now says,"I feel stupid.I've never had a good job.I don't help my people." Which nursing diagnosis applies?
A) Risk for other-directed violence
B) Chronic low self-esteem
C) Deficient knowledge
D) Social isolation
Q2) An experienced psychiatric nurse plans to begin a new job in a community-based medication clinic.The clinic sees culturally diverse patients.Which action should the nurse take first to prepare for this position?
A) Investigate cultural differences in patients' responses to psychotropic medications.
B) Contact the clinical nurse specialist for guidelines regarding cultural competence.
C) Examine the literature on various health beliefs of members of diverse cultures.
D) Complete an online continuing education offering about psychopharmacology.
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Chapter 6: Legal and Ethical Guidelines for Safe Practice
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30 Flashcards
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Sample Questions
Q1) A patient with psychosis became aggressive,struck another patient,and required seclusion.Select the best documentation.
A) Patient struck another patient who attempted to leave day room to go to bathroom. Seclusion necessary at 1415. Plan: Maintain seclusion for 8 hours and keep these two patients away from each other for 24 hours.
B) Seclusion ordered by physician at 1415 after command hallucinations told the patient to hit another patient. Careful monitoring of patient maintained during period of seclusion.
C) Seclusion ordered by MD for aggressive behavior. Begun at 1415. Maintained for 2 hours without incident.
D) Patient pacing, shouting. Haloperidol 5 mg given PO at 1300. No effect by 1315. At 1415 patient yelled, Ill punch anyone who gets near me, and struck another patient with fist. Physically placed in seclusion at 1420. Seclusion order obtained from MD at 1430.
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8
Chapter 7: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) At what point in an assessment interview would a nurse ask,"How does your faith help you in stressful situations?" During the assessment of:
A) childhood growth and development
B) substance use and abuse
C) educational background
D) coping strategies
Q2) A nurse asks a patient,"If you had fever and vomiting for 3 days,what would you do?" Which aspect of the mental status examination is the nurse assessing?
A) Behavior
B) Cognition
C) Affect and mood
D) Perceptual disturbances
Q3) When a new patient is hospitalized,a nurse takes the patient on a tour,explains rules of the unit,and discusses the daily schedule.The nurse is engaged in:
A) counseling.
B) health teaching.
C) milieu management.
D) psychobiological intervention.
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Chapter 8: Therapeutic Relationships
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Sample Questions
Q1) A nurse says,"I am the only one who truly understands this patient.Other staff members are too critical." The nurse's statement indicates:
A) boundary blurring.
B) sexual harassment.
C) positive regard.
D) advocacy.
Q2) Which issues should a nurse address during the first interview with a patient 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
Q3) A patient says,"People should be allowed to commit suicide without interference from others." A nurse replies,"You're wrong.Nothing is bad enough to justify death." What is the best analysis of this interchange?
A) The patient is correct.
B) The nurse is correct.
C) Neither person is correct.
D) Differing values are reflected in the two statements.
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Page 10
Chapter 9: Communication and the Clinical Interview
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Sample Questions
Q1) The patient says,"My marriage is just great.My spouse and I always agree." The nurse observes the patient's foot moving continuously as the patient twirls a shirt button.The conclusion the nurse can draw is that the patient's communication is:
A) clear.
B) mixed.
C) precise.
D) inadequate.
Q2) A patient tells the nurse,"I don't think I'll ever get out of here." Select the nurse's most therapeutic response.
A) "Don't talk that way. Of course you will leave here!"
B) "Keep up the good work, and you certainly will."
C) "You don't think you're making progress?"
D) "Everyone feels that way sometimes."
Q3) Which technique will best communicate to a patient that the nurse is interested in listening?
A) Restating a feeling or thought the patient has expressed.
B) Asking a direct question, such as "Did you feel angry?"
C) Making a judgment about the patient's problem.
D) Saying, "I understand what you're saying."
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Page 11
Chapter 10: Understanding and Managing Responses to Stress
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A person with a fear of heights drives across a high bridge.Which division of the autonomic nervous system will be stimulated in response to this experience?
A) Limbic system
B) Peripheral nervous system
C) Sympathetic nervous system
D) Parasympathetic nervous system
Q2) A patient who had been experiencing significant stress learned to use progressive muscle relaxation and deep breathing exercises.When the patient returns to the clinic 2 weeks later,which finding most clearly shows the patient is coping more effectively with stress?
A) The patient's systolic blood pressure has changed from the 140s to the 120s mm Hg.
B) The patient reports, "I feel better, and that things are not bothering me as much."
C) The patient reports, "I spend more time napping or sitting quietly at home."
D) The patient's weight decreased by 3 pounds.
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Chapter 11: Childhood and Neurodevelopmental Disorders
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The parent of a 6-year-old says,"My child is in constant motion and talks all the time.My child isn't interested in toys but is out of bed every morning before me." The child's behavior is most consistent with diagnostic criteria for:
A) communication disorder.
B) stereotypic movement disorder.
C) intellectual development disorder.
D) attention deficit hyperactivity disorder.
Q2) A nurse prepares to lead a discussion at a community health center regarding children's health problems.The nurse wants to use current terminology when discussing these issues.Which terms are appropriate for the nurse to use? Select all that apply.
A) Autism
B) Bullying
C) Mental retardation
D) Autism spectrum disorder
E) Intellectual development disorder
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13
Chapter 12: Schizophrenia and Schizophrenia Spectrum Disorders
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) A nurse asks a patient diagnosed with schizophrenia,"What is meant by the old saying 'You can't judge a book by looking at the cover.'?" Which response by the patient indicates concrete thinking?
A) "The table of contents tells what a book is about."
B) "You can't judge a book by looking at the cover."
C) "Things are not always as they first appear."
D) "Why are you asking me about books?"
Q2) A patient diagnosed with schizophrenia begins to talks about "macnabs" hiding in the warehouse at work.The term "macnabs" should be documented as:
A) a neologism.
B) concrete thinking.
C) thought insertion.
D) an idea of reference.
Q3) Withdrawn patients diagnosed with schizophrenia:
A) are usually violent toward caregivers.
B) universally fear sexual involvement with therapists.
C) exhibit a high degree of hostility as evidenced by rejecting behavior.
D) avoid relationships because they become anxious with emotional closeness.
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Chapter 13: Bipolar and Related Disorders
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) The spouse of a patient diagnosed with bipolar disorder asks what evidence supports the possibility of genetic transmission of bipolar disorders.Which response should the nurse provide?
A) "A high proportion of patients with bipolar disorders are found among creative writers."
B) "A higher rate of relatives with bipolar disorder is found among patients with bipolar disorder."
C) "Patients with bipolar disorder have higher rates of relatives who respond in an exaggerated way to daily stress."
D) "More individuals with bipolar disorder come from high socioeconomic and educational backgrounds."
Q2) An outpatient diagnosed with bipolar disorder takes lithium carbonate 300 mg three times daily.The patient reports nausea.To reduce the nausea most effectively,the nurse suggests that the lithium be taken with:
A) meals.
B) an antacid.
C) an antiemetic.
D) a large glass of juice.
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Chapter 14: Depressive Disorders
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A patient being treated for depression has taken 300 mg amitriptyline (Elavil)daily for a year.The patient calls the case manager at the clinic and says,"I stopped taking my antidepressant 2 days ago.Now I am having cold sweats,nausea,a rapid heartbeat,and nightmares." The nurse will advise the patient to:
A) "Go to the nearest emergency department immediately."
B) "Do not to be alarmed. Take two aspirin and drink plenty of fluids."
C) "Take a dose of your antidepressant now and come to the clinic to see the health care provider."
D) "Resume taking your antidepressants for 2 more weeks and then discontinue them again."
Q2) A patient diagnosed with major depression says,"No one cares about me anymore.I'm not worth anything." Today the patient is wearing a new shirt and has neat,clean hair.Which remark by the nurse supports building a positive self-esteem for this patient?
A) "You look nice this morning."
B) "You're wearing a new shirt."
C) "I like the shirt you are wearing."
D) "You must be feeling better today."
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Page 16
Chapter 15: Anxiety and Obsessive Compulsive Related Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) Which assessment questions would be most appropriate for the nurse to ask a patient with possible obsessive-compulsive disorder? Select all that apply.
A) "Are there certain social situations that cause you to feel especially uncomfortable?"
B) "Are there others in your family who must do things in a certain way to feel comfortable?"
C) "Have you been a victim of a crime or seen someone badly injured or killed?"
D) "Is it difficult to keep certain thoughts out of your awareness?"
E) "Do you do certain things over and over again?"
Q2) An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromantic.Which defense mechanism is evident?
A) Rationalization
B) Compensation
C) Introjection
D) Regression
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Chapter 16: Trauma, Stressor-Related, and Dissociative Disorders
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30 Verified Questions
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Sample Questions
Q1) Which experiences are most likely to precipitate posttraumatic stress disorder (PTSD)? Select all that apply.
A) A young adult bungee jumped from a bridge with a best friend.
B) An 8-year-old child watched an R-rated movie with both parents.
C) An adolescent was kidnapped and held for 2 years in the home of a sexual predator.
D) A passenger was in a bus that overturned on a sharp curve and tumbled down an embankment.
E) An adult was trapped for 3 hours at an angle in an elevator after a portion of the supporting cable breaks.
Q2) A soldier returned home from active duty in a combat zone in Afghanistan and was diagnosed with posttraumatic stress disorder (PTSD).The soldier says,"If there's a loud noise at night,I get under my bed because I think we're getting bombed." What type of experience has the soldier described?
A) Illusion
B) Flashback
C) Nightmare
D) Auditory hallucination
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Page 18
Chapter 17: Somatic Symptom Disorders
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26 Flashcards
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Sample Questions
Q1) To plan effective care for patients diagnosed with somatic symptom disorders,the nurse should understand that patients have difficulty giving up the symptoms because the symptoms:
A) are generally chronic.
B) have a physiological basis.
C) can be voluntarily controlled.
D) provide relief from health anxiety.
Q2) Which comment by a patient who recently experienced a myocardial infarction indicates use of maladaptive,ineffective coping strategies?
A) "My employer should have paid for a health club membership for me."
B) "My family will see me through this. It won't be easy, but I will never be alone."
C) "My heart attack was no fun, but it showed me up the importance of a good diet and more exercise."
D) "I accept that I have heart disease. Now I need to decide if I will be able to continue my work daily."
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Chapter 18: Feeding, Eating, and Elimination Disorders
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Sample Questions
Q1) Which assessment finding for a patient diagnosed with an eating disorder meets criteria for hospitalization?
A) Urine output 40 mL/hr
B) Pulse rate 58 beats/min
C) Serum potassium 3.4 mEq/L
D) Systolic blood pressure 62 mm Hg
Q2) A nurse provides care for an adolescent patient diagnosed with an eating disorder.Which behavior by this nurse indicates that additional clinical supervision is needed?
A) The nurse interacts with the patient in a protective fashion.
B) The nurse's comments to the patient are compassionate and nonjudgmental.
C) The nurse teaches the patient to recognize signs of increasing anxiety and ways to intervene.
D) The nurse refers the patient to a self-help group for individuals with eating disorders.
Q3) Physical assessment of a patient diagnosed with bulimia often reveals:
A) prominent parotid glands.
B) peripheral edema.
C) thin, brittle hair.
D) 25% underweight.
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Page 20
Chapter 19: Sleep-Wake Disorders
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A patient tells the nurse,"Everyone says we should sleep 8 hours a night.I can only sleep 6 hours,no matter how hard I try.Am I doing harm to my body?" Select the nurse's best response.
A) "Tell me about strategies you have tried to increase your total sleep hours."
B) "Lack of sleep acts as a stressor on the body and can cause physical changes."
C) "If you have really tried to sleep more, maybe you should consult your health care provider."
D) "If you function well with 6 hours of sleep, you are a short sleeper. That's normal for some people."
Q2) A patient with rheumatoid arthritis reports,"For the past month I've been having a lot of trouble falling asleep.When I finally get to sleep,I wake up several times during the night." Which information should the nurse seek initially?
A) "What have you done to try to improve your sleep?"
B) "What would be a good sleep pattern for you?"
C) "How much exercise are you getting?"
D) "Do you have pain at night?"
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21
Chapter 20: Sexual Dysfunctions, Gender Dysphoria, and Paraphilias
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Sample Questions
Q1) A woman consults the nurse practitioner because she has not achieved orgasm for 2 years,despite having been sexually active.This is an example of:
A) Paraphilic Disorder.
B) Female Orgasmic Disorder.
C) Genito-Pelvic Pain/Penetration Disorder.
D) Female Sexual Interest/Arousal Disorder.
Q2) An adult consulted a nurse practitioner because of an inability to achieve orgasm for 2 years,despite having been sexually active.This adult was frustrated and expressed concerns about the relationship with the sexual partner.Which documentation best indicates the treatment was successful?
A) "No complaints related to sexual function; to return next week."
B) "Patient reports achieving orgasm last week; seems very happy."
C) "Reports satisfaction with sexual encounters; feels partner is supportive."
D) "Reports achieving orgasm occasionally; relationship with partner is adequate."
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Chapter 21: Impulse Control Disorders
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Sample Questions
Q1) Shortly after the parents announced that they were divorcing,a 15-year-old became truant from school and assaulted a friend.The adolescent told the school nurse,"I'd rather stay in my room and listen to music.It's easier than thinking about what is happening in my family." Which nursing diagnosis is most applicable?
A) Chronic low self-esteem related to role within the family
B) Decisional conflict related to compliance with school requirements
C) Ineffective coping related to adjustment to changes in family relationships
D) Disturbed personal identity related to self-perceptions of changing family dynamics
Q2) A 15-year-old ran away from home six times and was arrested for shoplifting.The parents told the court,"We can't manage our teenager." The adolescent is physically abusive to the mother and defiant with the father.Which diagnosis is supported by this adolescent's behavior?
A) Attention deficit hyperactivity disorder (ADHD)
B) Posttraumatic stress disorder (PTSD)
C) Intermittent explosive disorder
D) Conduct disorder
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23
Chapter 22: Substance Related and Addictive Disorders
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Sample Questions
Q1) In the emergency department,a patient's vital signs are BP 66/40 mm Hg; pulse 140 beats/min; respirations 8 breaths/min and shallow.The nursing diagnosis is Ineffective breathing pattern related to depression of respiratory center secondary to narcotic intoxication.Select the priority outcome.
A) The patient will demonstrate effective coping skills and identify community resources for treatment of substance abuse within 1 week of hospitalization.
B) Within 4 hours, vital signs will stabilize, with BP above 90/60 mm Hg, pulse less than 100 beats/min, and respirations at or above 12 breaths/min.
C) The patient will correctly describe a plan for home care and achieving a drug-free state before release from the emergency department.
D) Within 6 hours, the patient's breath sounds will be clear bilaterally and throughout lung fields.
Q2) Symptoms of withdrawal from opioids for which the nurse should assess include:
A) dilated pupils, tachycardia, elevated blood pressure, and elation.
B) nausea, vomiting, diaphoresis, anxiety, and hyperreflexia.
C) mood lability, incoordination, fever, and drowsiness.
D) excessive eating, constipation, and headache.
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Chapter 23: Neurocognitive Disorders
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Sample Questions
Q1) Consider these diagnostic findings: apolipoprotein E (apoE)malfunction,neurofibrillary tangles,neuronal degeneration in the hippocampus,and brain atrophy.Which health problem corresponds to these diagnostic findings?
A) Huntington's disease
B) Alzheimer's disease
C) Parkinson's disease
D) Vascular dementia
Q2) Which assessment findings would the nurse expect in a patient experiencing delirium? Select all that apply.
A) Impaired level of consciousness
B) Disorientation to place, time
C) Wandering attention
D) Apathy
E) Agnosia
Q3) What is the priority need for a patient with late-stage dementia?
A) Promotion of self-care activities
B) Meaningful verbal communication
C) Preventing the patient from wandering
D) Maintenance of nutrition and hydration
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Chapter 24: Personality Disorders
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Sample Questions
Q1) The history shows that a newly admitted patient is impulsive.The nurse would expect behavior characterized by:
A) adherence to a strict moral code.
B) manipulative, controlling strategies.
C) acting without thought on urges or desires.
D) postponing gratification to an appropriate time.
Q2) As a nurse prepares to administer medication to a patient diagnosed with a borderline personality disorder,the patient says,"Just leave it on the table.I'll take it when I finish combing my hair." What is the nurse's best response?
A) Reinforce this assertive action by the patient. Leave the medication on the table as requested.
B) Respond to the patient, "I'm worried that you might not take it. I'll come back later."
C) Say to the patient, "I must watch you take the medication. Please take it now."
D) Ask the patient, "Why don't you want to take your medication now?"
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Chapter 25: Suicide and Non-Suicidal Self-Injury
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Sample Questions
Q1) Which individual in the emergency department should be considered at highest risk for completing suicide?
A) An adolescent Asian American girl with superior athletic and academic skills who has asthma
B) A 38-year-old single, African American female church member with fibrocystic breast disease
C) A 60-year-old married Hispanic man with twelve grandchildren who has type 2 diabetes
D) A 79-year-old single, white male diagnosed recently with terminal cancer of the prostate
Q2) Which nursing interventions will be implemented for a patient who is actively suicidal? Select all that apply.
A) Maintain arm's-length, one-on-one direct observation at all times.
B) Check all items brought by visitors and remove risk items.
C) Use plastic eating utensils; count utensils upon collection.
D) Remove the patient's eyeglasses to prevent self-injury.
E) Interact with the patient every 15 minutes.
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Chapter 26: Crisis and Disaster
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Sample Questions
Q1) An adolescent comes to the crisis clinic and reports sexual abuse by an uncle.The adolescent told both parents about the uncle's behavior,but the parents did not believe the adolescent.What type of crisis exists?
A) Maturational
B) Adventitious
C) Situational
D) Organic
Q2) A patient who is visiting the crisis clinic for the first time asks,"How long will I be coming here?" The nurse's reply should consider that the usual duration of crisis intervention is:
A) 1 to 2 weeks.
B) 3 to 4 weeks.
C) 4 to 8 weeks.
D) 8 to 12 weeks.
Q3) Which scenario is an example of an adventitious crisis?
A) The 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 person
D) A riot at a rock concert
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28
Chapter 27: Anger, Aggression, and Violence
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Sample Questions
Q1) An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive and refused to leave the dayroom.The nurse should enter the day room:
A) and say, "Would you like to come to your room and take some medication your health care provider prescribed for you?"
B) accompanied by 3 staff members and say, "Please come to your room so I can give you some medication that will help you regain control."
C) and place the patient in a basket-hold and then say, "I am going to take you to your room to give you an injection of medication to calm you."
D) accompanied by a male security guard and tell the patient, "Come to your room willingly so I can give you this medication, or the guard and I will take you there."
Q2) Which scenario predicts the highest risk for directing violent behavior toward others?
A) Major depression with delusions of worthlessness
B) Obsessive-compulsive disorder; performs many rituals
C) Paranoid delusions of being followed by alien monsters
D) Completed alcohol withdrawal; beginning a rehabilitation program
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Chapter 28: Child, Older Adult, and Intimate Partner Violence
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23 Verified Questions
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Source URL: https://quizplus.com/quiz/13741
Sample Questions
Q1) The parents of a 15-year-old seek to have this teen declared a delinquent because of excessive drinking,habitually running away,and prostitution.The nurse interviewing the patient should recognize these behaviors often occur in adolescents who:
A) have been abused.
B) are attention seeking.
C) have eating disorders.
D) are developmentally delayed.
Q2) Which rationale best explains why a nurse should be aware of personal feelings while working with a family experiencing family violence?
A) Self-awareness enhances the nurse's advocacy role.
B) Strong negative feelings interfere with assessment and judgment.
C) Strong positive feelings lead to healthy transference with the victim.
D) Positive feelings promote the development of sympathy for patients.
Q3) What is a nurse's legal responsibility if child abuse or neglect is suspected?
A) Discuss the findings with the child's parent and health care provider.
B) Document the observation and suspicion in the medical record.
C) Report the suspicion according to state regulations.
D) Continue the assessment.
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Chapter 29: Sexual Assault
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/13742
Sample Questions
Q1) A nurse cares for a rape victim who was given a drink that contained flunitrazepam (Rohypnol)by an assailant.Which intervention has priority? Monitoring for:
A) coma.
B) seizures.
C) hypotonia.
D) respiratory depression.
Q2) Before a victim of sexual assault is discharged from the emergency department,the nurse should:
A) notify the victim's family to provide emotional support.
B) offer to stay with the patient until stability is regained.
C) advise the patient to try not to think about the assault.
D) provide referral information verbally and in writing.
Q3) A rape victim visited a rape crisis counselor weekly for 8 weeks.At the end of this counseling period,which comment by the victim best demonstrates that reorganization was successful?
A) "I have a rash on my buttocks. It itches all the time."
B) "Now I know what I did that triggered the attack on me."
C) "I'm sleeping better although I still have an occasional nightmare."
D) "I have lost 8 pounds since the attack, but I needed to lose some weight."
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Page 31
Chapter 30: Psychosocial Needs of the Older Adult
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34 Flashcards
Source URL: https://quizplus.com/quiz/13743
Sample Questions
Q1) A health care provider writes these new prescriptions for a resident in a skilled nursing facility: 2 G sodium diet,Restraint as needed,Limit fluids to 1800 mL daily,Continue antihypertensive medication,Milk of magnesia 30 mL PO once if no bowel movement for 3 days.The nurse should:
A) question the fluid restriction.
B) question the order for restraint.
C) transcribe the prescriptions as written.
D) assess the resident's bowel elimination.
Q2) Which information is most important to obtain during assessment of an older adult diagnosed with a mental disorder?
A) Functional ability and emotional status
B) Chronological age and sexual function
C) Economic status and sources of income
D) Developmental history, interests, and activities
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Chapter 31: Serious Mental Illness
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Sample Questions
Q1) Which service would be expected to provide resources 24 hours a day,7 days a week if needed for persons with serious mental illness?
A) Clubhouse model
B) Cognitive Behavioral Therapy (CBT)
C) Assertive Community Treatment (ACT)
D) Cognitive Enhancement Therapy (CET)
Q2) An adult patient tells the case manager,"I don't have bipolar disorder anymore,so I don't need medicine.After I was in the hospital last year,you helped me get an apartment and disability checks.Now I'm bored and don't have any friends." Where should the nurse refer the patient? Select all that apply.
A) Psychoeducational classes
B) Vocational rehabilitation
C) Social skills training
D) A homeless shelter
E) Crisis intervention
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33
Chapter 32: Forensic Psychiatric Nursing
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Sample Questions
Q1) A psychiatric forensic nurse assigned to a hostage negotiation tactical team is deployed when an individual takes several hostages.Which tasks apply to the nurse's role on the team? Select all that apply.
A) Assess released hostages.
B) Negotiate with the perpetrator.
C) Direct strategies for police deployment.
D) Assess the mental status of the perpetrator.
E) Suggest communication techniques to a negotiator.
Q2) Which statement about the practice of correctional nursing is accurate?
A) Because the majority of inmates are younger than 40 years of age, most have lower rates of chronic illnesses than the general population.
B) Correctional nurses work primarily with medically ill persons rather than persons with psychiatric or substance abuse disorders.
C) More persons diagnosed with mental illness receive treatment services in prisons than in inpatient psychiatric facilities.
D) Correctional nurses commonly provide holistic and comprehensive care for the incarcerated population.
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34
Chapter 33: Therapeutic Groups
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Sample Questions
Q1) A nurse leads a psychoeducational group for patients in the community diagnosed with schizophrenia.A realistic outcome for group members is that they will:
A) discuss ways to manage their illness.
B) develop a high level of trust and cohesiveness.
C) understand unconscious motivation for behavior.
D) demonstrate insight about development of their illness.
Q2) Three members of a therapy group share covert glances as other members of the group describe problems.When one makes a statement that subtly criticizes another speaker,the others nod in agreement.Which group dynamic should the leader suspect?
A) Some members are acting as a subgroup instead of as members of the main group.
B) Some of the members have become bored and are disregarding others.
C) Three members are showing their frustration with slower members.
D) The leadership of the group has been ineffective.
Q3) "Everyone has had good ideas so far; so,whatever you say is fine with me."
A) Playboy
B) Energizer
C) Organizer
D) Follower
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Chapter 34: Family Interventions
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Sample Questions
Q1) A parent says,"My son and I argue constantly since he started using drugs.When I talk to him about not using drugs,he tells me to stay out of his business." What is the nurse's first most appropriate action?
A) Educate the parent about stages of family development.
B) Report the son to law enforcement authorities.
C) Refer the son for substance abuse treatment.
D) Make a referral for family therapy.
Q2) When a nurse assesses a family,which family task has the highest priority for healthy family functioning?
A) Allocation of family resources
B) Physical maintenance and safety
C) Maintenance of order and authority
D) Reproduction of new family members
Q3) A nurse interviews a homeless parent with two teenage children.To best assess the family's use of resources,the nurse should ask:
A) "Can you describe a problem your family has successfully resolved?"
B) "What community agencies have you found helpful in the past?"
C) "What aspect of being homeless is most frightening for you?"
D) "Do you feel you have adequate resources to survive?"
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Page 36
Chapter 35: Integrative Care
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28 Verified Questions
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Source URL: https://quizplus.com/quiz/13748
Sample Questions
Q1) A patient who emigrated from India is hospitalized.The patient and family use ayurvedic medicine.The nurse wants to alter this patient's care so that it is more comfortable and familiar.What changes from usual Western practice should be considered? Select all that apply.
A) In preparation for discharge, include a significant focus on preventive practices.
B) Spend time exploring the patient's life overall, focusing on broader issues than health.
C) Involve the patient's entire family and treatment team in decisions about treatment options.
D) Anticipate that because the patient's traditions are steeped in history, there may be distrust in high-tech interventions.
E) Provide relevant health-related information and then allow the patient to determine which course of action to pursue.
Q2) Acupuncture is a traditional Chinese medical treatment based on the belief that:
A) insertion of needles in key locations will drain toxic energies.
B) pressure on meridian points will correct problems in energy flow.
C) insertion of needles modulates the flow of energy along body meridians.
D) taking small doses of noxious substances will alleviate specific symptoms.
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