Psychiatric Mental Health Nursing Review
Questions
Course Introduction
Psychiatric Mental Health Nursing focuses on the care of individuals, families, and groups experiencing mental health challenges or psychiatric disorders across the lifespan. The course introduces students to foundational concepts in psychiatric nursing, therapeutic communication, biopsychosocial assessment, and evidence-based interventions for a wide range of mental health conditions. Emphasis is placed on understanding the biological, psychological, and social factors that influence mental health, as well as developing skills in patient advocacy, crisis intervention, and collaborative care within interdisciplinary teams. Ethical and legal considerations, cultural competence, and stigma reduction are also explored to prepare students for compassionate, holistic, and effective mental health nursing practice.
Recommended Textbook
Psychiatric Mental Health Nursing 5th Edition by Katherine
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30 Chapters
754 Verified Questions
754 Flashcards
Source URL: https://quizplus.com/study-set/832
Page 2
M. Fortinash
Chapter 1: Psychiatric Nursing: Theory, Principles, and Trends
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/16518
Sample Questions
Q1) The nurse is attending a neighborhood meeting where a half-way house is being proposed for the neighborhood when a member of the community states,"We don't want the facility; we especially don't want violent people living near us." The response by the nurse that best addresses the public's concern is:
A) "In truth, most individuals with psychiatric disorder are passive and withdrawn and pose little threat to those around them."
B) "The mentally ill seldom behave in the manner they are portrayed by movies; they are people just like the rest of us."
C) "Patients with psychiatric disorder are so well medicated that they do not display violent behaviors."
D) "The mentally ill deserve a safe, comfortable place to live among people who truly care for them."
Answer: A
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Chapter 2: Nursing Practice in the Clinical Setting
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/16519
Sample Questions
Q1) Which nursing interventions are directly related to the principles on which a therapeutic alliance is based? Select all that apply.
A) Graciously declining to, "Come visit when I get discharged."
B) Establishing the topic to be discussed at each group session
C) Explaining to the patient the purpose of terminating the alliance
D) Sharing how the nurse also has experienced the same problems
E) Providing subjective feedback to the patient's efforts at therapy
Answer: A,B,C
Q2) The greatest negative outcome resulting from a nurse's fear of a mentally ill patient is that the:
A) Nurse will reinforce negative stereotyping of the mentally ill.
B) Patient will experience increased bias against the nursing staff.
C) Public's fearfulness of the mentally ill will continue to be exaggerated.
D) Therapeutic alliance between the nurse and patient will not develop effectively.
Answer: D
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Chapter 3: The Nursing Process and Standards of Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A depressed patient shares with the nurse that he,"has been thinking about ending it all".Based on NANDA recommendations,the nurse:
A) Implements suicide precautions for this patient
B) Includes 'Risk for Self Harm' to the patient's care plan
C) Documents regarding the patient's safety every 15 minutes
D) Reviews the patient's chart for references to past incidences of hopeless
Answer: B
Q2) A patient who has a nursing diagnosis of ineffective coping related to ineffective problem solving has been involved in treatment for 6 months.The nurse determines that the planned interventions require revision when the patient states:
A) "I really don't think my psychiatrist actually helps me."
B) "I can't decide if I should get my own apartment or not."
C) "I can't accept that I will never be able to comfortably make decisions."
D) "I don't think I'm liked well enough to seek election as a committee chairperson."
Answer: B
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Chapter 4: Therapeutic Communication: Interviews and Interventions
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse is considering the need for both effective means of communication and safety when caring for a patient with impulse control issues and poor social skills.Which nursing intervention is most appropriate to address these needs?
A) Reminding the patient with each interaction what space boundaries are considered safe and desired
B) Asking the patient to describe and set space boundaries that feel safe and facilitate effective communication
C) Clearly setting space boundaries for the patient so both patient and staff feel safe and can communicate more effectively
D) Discussing the need for space boundaries and how they help both the patient and the staff feel safe and aide in communicating effectively
Q2) Which nursing response would indicate an empathetic approach to a patient who is depressed over recent losses in her life?
A) "Losing a job isn't always a bad thing."
B) "I lost my parents last year and still feel sad."
C) "Please tell me more about what you are feeling."
D) "Let's not focus on what's sad but rather what is good about life."
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Page 6
Chapter 5: Adaptation to Stress
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11 Verified Questions
11 Flashcards
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Sample Questions
Q1) The nurse suggests that a patient help manage the stressors that are triggering generalized anxiety by implementing compartmentalization.Which activity provides proof that the patient is employing this healthy defense mechanism?
A) Attends a meditation class 3 times a week right after work
B) Uses chocolate as a reward when keeping stress under control
C) Counts to 10 before responding to a coworker who is a source of stress
D) Shares with the office manager the situations that regularly cause increased stress
Q2) Nursing interventions appropriate to the generalized adaptation syndrome (GAS)exhaustion state include which of the following? Select all that apply.
A) Planning care to best conserve the patient's energy
B) Assessment for respiratory disorders such as asthma
C) Monitoring of exacerbation of compulsive ritual behaviors
D) Frequent assessment of pain management related to headaches
E) Planned periods to reinforce effective relaxation techniques
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Chapter 6: Neurobiology in Mental Health and Mental Disorder
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The wife of a patient with paranoid schizophrenia tells the nurse,"I've learned that my husband has several close relatives with the same disorder.Does this problem run in families?" The response based on recent discoveries in the field of genetics would be:
A) "Your children should be monitored closely for the disorder."
B) "Research tends to support a familiar tendency to schizophrenia."
C) "There is no concrete evidence; it is just as likely a coincidence."
D) "Only bipolar disorder has been identified to have a genetic component."
Q2) The nurse is discouraged because the patient exhibiting negative symptoms of schizophrenia has shown no improvement with the planned interventions to reduce the symptoms.The mentor's remark that helps place the problem in perspective is:
A) "You aren't responsible for the behavior of any other person."
B) "Patients can be perverse and cling to symptoms despite our efforts."
C) "Negative symptoms have been associated with genetic pathology."
D) "It will take several 'trail and error' attempts to get the right combination care."
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Chapter 7: Human Development Across the Life Span
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A 70-year-old male has the nursing diagnosis situational low self-esteem related to forced retirement.Using Maslow's hierarchy of human needs,the nurse is confident the patient is meeting the outcome of experiencing self-worth when the patient:
A) Moves to a secure apartment building
B) Exercises regularly with friends at the gym
C) Attends his grandchildren's school functions
D) Volunteers at the local homeless shelter each week
Q2) Which activities should the nurse evaluate in an assessment of an older patient's functional status? Select all that apply.
A) Possessing the ability to prepare nutritious meals independently
B) Having the financial resources available to live independently
C) Performing regular, simple maintenance on their primary residence
D) Effectively toileting themselves for both bowel and bladder elimination
E) Safely moving around their residence without an increased risk for falls
Q3) A nursing diagnosis of hopelessness would be considered for an individual who:
A) Was consistently overprotected by family members
B) Was raised by parents who were strict disciplinarians
C) Had inconsistent, unpredictable physical care as an infant
D) As a teenager always felt unaccepted by his social peers
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Page 9
Chapter 8: Culture, Ethnicity, and Spirituality
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/16525
Sample Questions
Q1) As a nurse assesses culture factors with patients,the subculture that poses the greatest risk to a patient's mental health is:
A) Poverty
B) Female gender
C) Advanced age
D) Cultural ethnicity
Q2) To include a cultural focus in patient care planning,which belief about faith will the nurse incorporate? Faith is a:
A) Belief of body and mind
B) Manner of expressing spirituality
C) Use of spiritual resources without empiric proof
D) Search for the sacred, transcendent, or universal
Q3) A culturally diverse patient refuses to participate in a group because of the presence of a person who "can put spells on." The nurse recognizes a priority need to explore this patient's:
A) Economic status
B) Home environment
C) Health-illness beliefs
D) Educational background
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Page 10
Chapter 9: Legal and Ethical Aspects in Clinical Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A patient diagnosed with schizophrenia is hospitalized under an emergency commitment.Which nursing explanation is most effective when the patient asks,"Why am I being kept here?"
A) "The court believed you needed mental health care."
B) "Your mental condition became unstable and you relapsed."
C) "You couldn't stop doing things that could likely have hurt you."
D) "I'd suggest that you exercise your patient right to speak to a lawyer."
Q2) A patient diagnosed with paranoid schizophrenia has been charged with murder.The patient's mother asks,"What will happen if my son is found not guilty by reason of insanity?" Which response shows that the nurse understands the outcome of this plea?
A) "Your son will not receive the death penalty."
B) "He will receive the mental treatment he deserves."
C) "The court will order that he be involuntary committed for treatment."
D) "He is considered innocent and will be released to the care of his physician."
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11
Chapter 10: Anxiety and Anxiety Disorders
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/16527
Sample Questions
Q1) What is the basis for assessing a male patient who is agoraphobic for panic attacks?
A) Men are more likely to experience panic attacks.
B) An overwhelming number of agoraphobic patients also have panic attacks.
C) Patients are often unaware that the symptoms they are experiencing are those of panic.
D) Panic attacks are generally the cause of a patient developing phobias like agoraphobia.
Q2) A patient comes to the ED exhibiting severe physical and emotional symptomology.When no physical cause can be found for the symptoms,the patient is diagnosed with severe anxiety with panic attack symptoms.Which assessment data supports this diagnosis? Select all that apply.
A) Blood pressure 158/90; 15 minutes later 130/80
B) Claims that she feels like she going to die
C) Random but controlled thoughts
D) Unable to follow instructions
E) Dry, flushed skin
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12
Chapter 11: Somatoform, Factitious, and Dissociative Disorders
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/16528
Sample Questions
Q1) A patient is being evaluated for the diagnosis of hypochondriasis.Which assessment observation of the patient would serve to confirm this diagnosis?
A) Reports, "Pain in my back is certainly from a spinal tumor."
B) Patient expresses no concern over her sudden loss of hearing.
C) Patient shows insight into the role stress plays in the illness.
D) Reports, "I don't like doctors and so I haven't been to one in years."
Q2) A patient is diagnosed with body dysmorphic disorder.Which question assesses for the presence of a common co-morbid mental disorder?
A) "Do you every have suicidal thoughts?"
B) "Do you worry about being terminally ill?"
C) "Do you see yourself as having problems controlling your anger?"
D) "Do you engage in repetitive, ritualistic behaviors to help control anxiety?"
Q3) The ED nurse is caring for a patient with a dissociative fugue.Which assessment finding would support this diagnosis?
A) Reports of pain in both legs and abdomen
B) An inability to recall how and when he arrived in this city
C) Change in voice and attitude suggesting two distinct personality states
D) Inability to see since witnessing an accident that resulted in two deaths
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Chapter 12: Mood Disorders: Depression, Bipolar, and Adjustment Disorders
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/16529
Sample Questions
Q1) What information concerning amitriptyline (Elavil)50 mg tid would the nurse give the patient regarding the expected outcome of this medication therapy?
A) "Complying with this therapy will cure your depression."
B) "This medication is expected to improve brain chemical imbalance."
C) "Amitriptyline will help re-establish your ability to think clearly again."
D) "Elavil will be particularly effective at assisting you in regaining your independence."
Q2) The major rationale for careful ongoing assessment of a patient with adjustment disorder is:
A) Characteristic symptoms abate but take at least 6 months to do so.
B) The disorder may be a precursor to a more serious mental health problem.
C) Practitioners become less discerning as they become more familiar with the patient.
D) Patients with adjustment disorders have a high risk for self-harm, especially suicide.
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14
Chapter 13: Schizophrenia and Other Psychotic Disorders
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) During a treatment team meeting,the point is made that a patient with schizophrenia has recovered from the acute psychosis but continues to demonstrate apathy,avolition,and blunted affect.The nurse who relates these symptoms to serotonin (5HT?)excess will suggest that the patient receive:
A) Haloperidol (Haldol)
B) Chlorpromazine (Thorazine)
C) Olanzapine (Zyprexa)
D) Phenelzine (Nardil)
Q2) A patient with schizophrenia is medication compliant and has well-controlled symptoms.He has,however,never been successful in holding a job because of poor social skills and lack of understanding of basic job skills.The nurse case manager should consider referring the patient:
A) For cognitive therapy
B) To assertiveness training
C) To a day hospital program
D) For psychosocial rehabilitation
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Chapter 14: Personality Disorders
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) When facilitating change in the behavior of a patient diagnosed with a personality disorder,which intervention will have the greatest impact on success?
A) Collaborating with the patient when establishing treatment goals
B) Educating the patient to the importance of complying with treatment interventions
C) Evaluating the patient's understanding of the etiology of the prescribed medications
D) Conducting regular assessments so the treatment can be changed when necessary
Q2) The nurse counsels a mother to allow her 2-year-old child to keep a blanket that he uses to comfort himself.The basis for this counseling is:
A) Sullivan's theory of "good me"
B) Freud's developmental theory
C) Mahler's theory of object relations
D) Kernberg's conceptualization object constancy
Q3) Which statement correctly describes the schizotypal personality disorder?
A) Psychotic behavior will require a long hospitalization.
B) There may be misinterpretation of events but not psychosis.
C) There is greater personality disorganization than in schizophrenia.
D) The patient will be outgoing, actively seeking interactions with others.
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Page 16
Chapter 15: Substance Related Disorders and Addictive Behaviors
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/16532
Sample Questions
Q1) Which question is most appropriate when assessing a patient who is exhibiting symptoms of a systemic infection including a fever of unknown origin?
A) "Are you an intravenous drug user?"
B) "Have you been told that you drink too much alcohol?"
C) "Have you been diagnosed with an acute bacterial infection before?"
D) "Are you familiar with an infection of the heart called endocarditis?"
Q2) Which assessment data would bring into question a patient's statement that,"I have only a few drinks on special occasions."?
A) History of treatment for glaucoma
B) Fasting serum blood glucose level of 182 mg/dL
C) Patient reports numbness in hands and feet bilaterally
D) Red rash observed over neck, shoulders, and upper chest
Q3) Which assessment observation is the best support for a patient's diagnosis of alcoholism?
A) Reporting, "I messed up three marriages."
B) Testing positive for hepatitis B virus (HBV)
C) Admission that, "I drink more than I should."
D) A positive response to three items on the CAGE test
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Chapter 16: Cognitive Disorders: Delirium, Dementia, and
Amnestic Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/16533
Sample Questions
Q1) The nurse is to perform a complete assessment of a patient in her home,using the Mini-Mental State Examination (MMSE)as one component.When the nurse arrives,the patient is seated at the table with her husband,the TV is on,and several grandchildren are visiting.The patient is quiet,but her hands are gripped tightly,and she is staring at the ceiling.The best action for the nurse to take would be which of the following?
A) Ask the husband to make an appointment to bring his wife to the clinic for testing.
B) Explain to the husband that accurate data will be sought, and ask him to stay with the grandchildren in another room.
C) Do not perform the test during the assessment (because it will not be valid) and rely on observations and reports from the family.
D) Explain the importance of the testing process and make an appointment for another day when the environment can be better controlled.
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Chapter 17: Disorders of Infancy, Childhood, and Adolescence
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) Which behaviors would support a diagnosis of oppositional-defiant disorder?
A) Exhibits involuntary facial twitching and blinking and makes barking sounds
B) Negative, hostile, and spiteful toward parents and blames others for misbehavior
C) Displays high anxiety when away from parents, has nightmares, and fears being kidnapped
D) Violates others rights, is cruel to people or animals, lies and steals, and is truant from school
Q2) Which child's history is a risk for developing a reactive attachment disorder?
A) Father is a chronic alcoholic
B) Was born with a congenital cardiac disorder
C) Experienced head trauma at age 7 months of age
D) Spent first 12 months of life in an Asian orphanage
Q3) Which behavior is most characteristic of a conduct disorder?
A) Frequently getting up and interrupting while being read to
B) Only apologizes for hitting a friend to avoid being punished
C) Finds it difficult to spend the night away from family members
D) Becomes extremely agitated when the television is turned off
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Page 19
Chapter 18: Eating Disorders: Anorexia Nervosa and Bulimia
Nervosa
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A nursing intervention that will be planned to occur early in the nurse-patient relationship with a patient with an eating disorder is:
A) Using confrontation to attack denial
B) Placing the patient in a therapeutic group
C) Formulating a therapeutic nurse-patient alliance
D) Attacking enmeshment by separating patient and family
Q2) The mother of a teenager is concerned that the child may be anorexic.Which report of the teenager's behavior is support of such a diagnosis?
A) Insists she likes "really baggy clothes"
B) Will eat only lean protein, fruits, and vegetables
C) Has had one menstrual period in the last 2 years
D) Although she has grown 3 inches, she has gained no weight
E) Regularly claims that she will "eat later" but seldom does
Q3) Which patient statement demonstrates the expected emotional response to bingeing?
A) "I know it's bad but I can't help bingeing."
B) "Everyone indulges in bingeing some times."
C) "After I binge I feel happy for a little while."
D) "Bingeing isn't bad if I do it only when I'm stressed."
Page 20
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Chapter 19: Sleep Disorders: Dyssomnias and Parasomnias
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) When the family of a child diagnosed with a nightmare disorder asks the nurse about prognosis,the nurse replies with the knowledge that:
A) The disorder is frequently self-limiting in children.
B) If the child is obese, it is likely the nightmares will continue.
C) High doses of diazepam (Valium) are needed to cure the disorder.
D) With the use of antipsychotic medication, the disorder will not worsen.
Q2) A 10-year-old is diagnosed with somnambulism as a result of frequent episodes of sleepwalking.Which topic should be included when considering patient and family education?
A) Medication therapy seldom prescribed for this disorder
B) Safety issues such as sleeping in the ground level bedroom
C) The likely connection between sleepwalking and narcolepsy
D) The need for short-term cognitive and behavioral therapy
Q3) Which assessment observation would not support a diagnosis of narcolepsy?
A) Sleep study reports excessive, loud snoring.
B) Sleep study shows evidence of sleep paralysis.
C) Patient reports "needing to drink pots of coffee to stay awake at work."
D) Patient reports, "When I get sleepy I actually see things that aren't really there."
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21
Chapter 20: Sexual Disorders: Sexual Dysfunctions and Paraphilias
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of these individuals is experiencing a symptom of the DSM-IV-TR diagnosis sexual aversion disorder?
A) The patient who has genital pain associated with intercourse
B) The patient who avoids genital sexual contact with a partner
C) The patient who has absence of desire to engage in sexual activity
D) The patient who has delayed orgasm following sexual excitement
Q2) A patient who has a sexual disorder mentions to the nurse,"I don't know why I bother looking for help.They don't know much about sex problems." Which statement best describes the evolution of research on sexuality and should serve as the basis for the nurse's response?
A) Increased knowledge about sexual dysfunction has been available since the late 1960s.
B) Masters and Johnson were the first persons to explore the area of sexual dysfunction. C) Kaplan was instrumental in identifying the need for psychoanalysis in treating sexual dysfunction.
D) Sigmund Freud, a sexologist, based his work on scientific data from studying human sexual behavior.
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Page 22
Chapter 21: Crisis: Theory and Intervention
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/16538
Sample Questions
Q1) Several school-age children injured in a school bus accident were brought to the ED.Family members and friends paced back and forth in the waiting room.Members of the crisis team were called in for the primary purpose of:
A) Waiting with the families and friends
B) Facilitating understanding and providing support
C) Determining the level of individual family coping
D) Assisting the medical team with the physical injuries
Q2) Which nursing intervention is vital to the effective management of a psychiatric emergency resulting from a patient's experience of extreme despair?
A) Suicide precautions
B) Introduction to a support group
C) Introducing new coping mechanisms
D) Assessment for obsessive-compulsive rituals
Q3) To plan effectively for an individual who is in crisis,the nurse must have an understanding of:
A) Methods to establish rapport
B) Family counseling techniques
C) The meaning of the crisis event to the individual
D) Posttraumatic stress disorder treatment modalities
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Page 23
Chapter 22: Suicide: Prevention and Intervention
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) A patient has been displaying advanced thought of suicide.Which action reflects this behavior?
A) Acknowledging thoughts of dying
B) Expresses verbal expressions of 'severe sadness'
C) Wrists are bleeding from cuts with a butter knife
D) Found unconscious with empty pills bottles nearby
Q2) The nurse administering an antidepressant to a suicidal patient understands that the brain abnormality the medication addresses is:
A) Atrophy of the brain
B) Enlarged lateral ventricles
C) Irregularities in the serotonin system
D) Abnormal electroencephalogram (EEG) readings
Q3) Which finding related to a teenager who has been diagnosed with depression is most significant when planning care?
A) Her father recently remarried.
B) Her mother died from suicide 1 year ago.
C) She has expressed a dislike for her new stepmother.
D) She ran away from home twice during the past month.
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Chapter 23: Violence: Anger, Abuse, and Aggression
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) The nurse in the Emergency Department is taking a history from a family accompanying a child with suspicious traumatic injuries.The nurse should:
A) Be open, concerned, and honest.
B) Obtain information as covertly as possible.
C) Avoid responding to hints that abuse has occurred.
D) Separate the family from the child during the interview.
Q2) An elderly patient who lives with her daughter,son-in-law,and their three children reveals that her daughter sometimes slaps her when she does not move fast enough or spills things.The daughter states,"I have so much to do that I become frustrated when my mother can't move fast enough or causes me extra work." The nurse caring for the mother could appropriately suggest:
A) Moving the mother to an adult ambulatory care facility
B) Employing an aide to provide care and stimulation for the mother
C) Enrolling in a therapeutic group that addresses stress management
D) Reading the elder law of the state to learn the penalties for elder abuse
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25
Chapter 24: Forensic Nursing
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Sample Questions
Q1) Which intervention demonstrates the SANE nurse's unique attention to the assessment of a sexual assault?
A) Conducting the assessment in the most private exam room
B) Not directly questioning the patient about the attack or the attacker
C) Identifying that the patient is showing signs of anxiety by withdrawing
D) Meticulously assessing the patient for signs of any resulting physical trauma
Q2) Based on the importance of recognizing all the important elements for their role as part of the assaulted patient's context or environment of care,the nurse will:
A) Keep the family well informed of the patient's status and plan of care.
B) Document the patient's statement for the purpose of future legal proceedings.
C) Provide the staff with a detailed shift change report including the patient's state of mind.
D) Notify the local police with updates concerning the patient's health status and verbal statements.
Q3) When providing care to an assault victim,the forensic nurse will initially:
A) Notify the police that an assault has occurred.
B) Assess the individual for any resulting physical trauma.
C) Bag all clothing to preserve any relevant evidence.
D) Determine whether the victim as been sexually assaulted as well.
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Page 26
Chapter 25: Psychopharmacology
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) When the nurse realizes that a patient diagnosed with schizophrenia is not taking the prescribed oral haloperidol (Haldol),which intervention would promote medication compliance?
A) Instructing the patient to have friends monitor his medications
B) Beginning administration of haloperidol (Haldol) decanoate
C) Writing instructions in detail for the patient to follow
D) Changing haloperidol to an atypical antipsychotic
Q2) Which person with mania is the least likely candidate to receive lithium? The patient who is:
A) Six weeks pregnant
B) Recovering from a hysterectomy
C) Taking hormone replacement therapy
D) Displaying symptoms of postpartum depression
Q3) A patient has been taking chlorpromazine (Thorazine)for the past 2 weeks.He drools,has hand tremors,and walks with a shuffling gait.The nurse would correctly attribute these behaviors to:
A) Akinesia
B) Tardive dyskinesia
C) Pseudoparkinsonism
D) Neuroleptic malignant syndrome
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Chapter 26: Therapies: Theory and Clinical Practice
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) When another patient serves as "alter ego" during an outpatient group session,the nurse documents that the group had been engaged in:
A) Role-playing
B) Psychodrama
C) Cognitive therapy
D) Consensus building
Q2) A patient is scheduled to attend an occupational therapy group to work on the identified goal of "recognizing and using more effective coping techniques." What measure can the nurse use to continue to support the patient's attainment of this goal after he returns to the unit?
A) Isolating him from more seriously ill patients
B) Praising him for positive behavioral changes
C) Avoiding setting limits that would increase his anxiety level
D) Permitting him to make mistakes prior to intervening on his behalf
To view all questions and flashcards with answers, click on the resource link above.
Chapter 27: Complementary and Alternative Therapies
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/16544
Sample Questions
Q1) When a patient asks for an example of an alternative or complementary therapy,the nurse would correctly identify:
A) ECT
B) Acupuncture
C) Response prevention
D) Classic conditioning
Q2) A desired outcome for a patient who uses ginkgo biloba for improved cerebral circulation would be that the patient will:
A) Experience elevated mood.
B) Recall information accurately.
C) Remain relaxed under stress.
D) Eat smaller helpings at meals.
Q3) The nurse asked by a patient to contrast conventional Western medicine with alternative therapy would correctly respond,"Conventional medicine focuses on curing symptoms,whereas alternative therapy is concerned with:
A) culture-bound illnesses."
B) building healer prestige."
C) healing the total person."
D) the importance of science."
To view all questions and flashcards with answers, click on the resource link above.
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Chapter 28: Grief: In Loss and Death
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/16545
Sample Questions
Q1) Which person has the greatest potential for developing dysfunctional grief?
A) A teen who has always been one of the 'popular kids'
B) A widow who regularly states, "I really loved my deceased wife"
C) A woman whose husband died as a result of a sudden, traumatic injury
D) An adult who has dealt with the loss of several family members over the years
Q2) When a hospitalized patient dies,his wife stares blankly at the nurse and states,"It can't be." The nurse assesses this as indicating:
A) Despair and protest
B) Shock and disbelief
C) Anger and hostility
D) Disorganization and confusion
Q3) During a grief-processing group,an elderly patient stated,"For the first time since my husband died,I'm having more good days than bad." This statement suggests that the patient has:
A) Replaced old memories with new ones
B) Reached the phase of reestablishment
C) Completed her "grief work" successfully
D) Determined she is ready to terminate the support group
To view all questions and flashcards with answers, click on the resource link above.
Chapter 29: Mental and Emotional Responses to Medical Illness
Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/16546
Sample Questions
Q1) Which statement made by a patient with AIDS indicates that the patient is exhibiting symptoms associated with acute psychotic-type dementia?
A) "I move more slowly than I used to."
B) "I don't enjoy being with other people anymore."
C) "I'd like to stop the voices I hear in my head."
D) "I can't always remember where I put things."
Q2) A teen is concerned that she may have been exposed to the HIV virus by her sexual partner but has resisted being tested.The nurse can hypothesize that the primary reason she has not been tested is because she:
A) Distrusts the confidentiality of the health care system
B) Is concerned about possibly losing her current partner
C) Is waiting to see whether symptoms would develop
D) Fears she might test seropositive
Q3) Which intervention addresses a strategy identified by the federal government to achieve an HIV-free generation?
A) Nutritional programs that deliver meals
B) Free medications for the uninsured patient
C) Screening programs directed towards women
D) Home health personnel available to deliver care
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To view all questions and flashcards with answers, click on the resource link above.
Chapter 30: Community Mental Health Nursing for Patients
with Severe and Persistent Mental Illness
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/16547
Sample Questions
Q1) Which activity best reflects the role of the mental health nurse case manager?
A) Advocating for the patient in all aspects of care
B) Attending to the patient's physical and emotional needs
C) Acting as the leader of a patient's multidisciplinary care team
D) Assuming responsibility for maintaining the patient's mental health records
Q2) What factor had the greatest impact on the limited success of the deinstitutionalization of the mentally ill population?
A) The initiative was never funded by the federal government.
B) The mentally ill population found it too difficult to function autonomously.
C) Community support systems were unprepared to provide the required services.
D) The communities were biased against having the mentally ill living among them.
Q3) Which interview question demonstrates cultural competency when conducting an admission interview for a Jewish patient being admitted for severe depression?
A) "Is there a history of depression in your family?"
B) "Do you find comfort in your religious beliefs?"
C) "Has been being Jewish contributed to your depression?"
D) "How has your family responded to you since you have been depressed?"
To view all questions and flashcards with answers, click on the resource link above.
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