Psychiatric Mental Health Nursing Test Preparation
Course Introduction
Psychiatric Mental Health Nursing is a course designed to equip students with the foundational knowledge and skills necessary for assessing, diagnosing, and caring for individuals experiencing mental health disorders across the lifespan. Emphasizing a holistic approach, the course covers concepts such as therapeutic communication, mental health assessment, psychopharmacology, crisis intervention, and evidence-based therapeutic modalities. Students will explore the biological, psychological, social, and cultural factors influencing mental health, as well as legal and ethical considerations in psychiatric nursing practice. Integration of theory with clinical practicum prepares students to collaborate effectively within interdisciplinary teams and advocate for effective mental health care in diverse practice settings.
Recommended Textbook
Essentials of Psychiatric Mental Health Nursing 3rd Edition by Varcarolis
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28 Chapters
803 Verified Questions
803 Flashcards
Source URL: https://quizplus.com/study-set/165
Page 2
Chapter 1: Practicing the Science and Art of Psychiatric Nursing
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/2047
Sample Questions
Q1) A patient shows the nurse an article from the Internet about a health problem. Which characteristic of the web site's address most alerts the nurse that the site may have biased and prejudiced information?
A) Address ends in ".org"
B) Address ends in ".com"
C) Address ends in ".gov"
D) Address ends in ".net"
Answer: B
Q2) A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which statement is an example of "attending"?
A) "We all have stress in life. Being in a psychiatric hospital is not the end of the world."
B) "Tell me why you felt you had to be hospitalized to receive treatment for your depression."
C) "You will feel better after we get some antidepressant medication started for you."
D) "I'd like to sit with you a while so you may feel more comfortable talking with me."
Answer: D
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Chapter 2: Mental Health and Mental Illness
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/2048
Sample Questions
Q1) In the majority culture of the United States, which individual is at greatest risk to be incorrectly labeled mentally ill?
A) Person who is usually pessimistic but strives to meet personal goals
B) Wealthy person who gives $20 bills to needy individuals in the community
C) Person with an optimistic viewpoint about getting his or her own needs met
D) Person who attends a charismatic church and describes hearing God's voice
Answer: D
Q2) The goal for a patient is to increase resiliency. Which outcome should a nurse add to the plan of care? Within 3 days, the patient will:
A) describe feelings associated with loss and stress.
B) meet own needs without considering the rights of others.
C) identify healthy coping behaviors in response to stressful events.
D) allow others to assume responsibility for major areas of own life.
Answer: C
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4
Chapter 3: Theories and Therapies
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2049
Sample Questions
Q1) A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, "No!" when given directions. Using Freud's stages of psychosexual development, a nurse would assess the child's behavior is based on which stage?
A) Oral
B) Anal
C) Phallic
D) Genital
Answer: B
Q2) A person tells a nurse, "I was the only survivor in a small plane crash, but three business associates died. I got anxious and depressed and saw a counselor three times a week for a month. We talked about my feelings related to being a survivor, and now I'm fine, back to my old self." Which type of therapy was used?
A) Milieu therapy
B) Psychoanalysis
C) Behavior modification
D) Interpersonal therapy
Answer: D
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Chapter 4: Biological Basis for Understanding
Psychopharmacology
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2050
Sample Questions
Q1) A patient has dementia. The health care provider wants to make a differential diagnosis between Alzheimer disease and multiple infarctions. Which diagnostic procedure should a nurse expect to prepare the patient for first?
A) Computed tomography (CT) scan
B) Positron emission tomography (PET) scan
C) Functional magnetic resonance imaging (fMRI)
D) Single-photon emission computed tomography (SPECT) scan
Q2) An individual is experiencing problems associated with memory. Which cerebral structures are most likely to be involved in this deficit? (Select all that apply.)
A) Prefrontal cortex
B) Occipital lobe
C) Temporal lobe
D) Parietal lobe
E) Basal ganglia
Q3) A drug causes muscarinic-receptor blockade. A nurse will assess the patient for:
A) dry mouth.
B) gynecomastia.
C) pseudoparkinsonism.
D) orthostatic hypotension.
Page 6
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Chapter 5: Settings for Psychiatric Care
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2051
Sample Questions
Q1) To provide comprehensive care to patients, which competency is more important for a nurse who works in a community mental health center than a psychiatric nurse who works in an inpatient unit?
A) Problem-solving skills
B) Calm and caring manner
C) Ability to cross service systems
D) Knowledge of psychopharmacology
Q2) A multidisciplinary health care team meets 12 hours after an adolescent is hospitalized after a suicide attempt. Members of the team report their assessments. What outcome can be expected from this meeting?
A) A treatment plan will be formulated.
B) The health care provider will order neuroimaging studies.
C) The team will request a court-appointed advocate for the patient.
D) Assessment of the patient's need for placement outside the home will be undertaken.
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Chapter 6: Legal and Ethical Basis for Practice
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2052
Sample Questions
Q1) A psychiatric nurse best implements the ethical principle of autonomy when he or she:
A) intervenes when a self-mutilating patient attempts to harm self.
B) stays with a patient who is demonstrating a high level of anxiety.
C) suggests that two patients who are fighting be restricted to the unit.
D) explores alternative solutions with a patient, who then makes a choice.
Q2) A patient being treated in an alcohol rehabilitation unit reveals to the nurse, "I feel terrible guilt for sexually abusing my 6-year-old child before I was admitted." Based on state and federal law, the best action for the nurse to take is to:
A) anonymously report the abuse by telephone to the local child abuse hotline.
B) reply, "I'm glad you feel comfortable talking to me about it."
C) respect the nurse-patient relationship of confidentiality.
D) file a written report on the agency letterhead.
Q3) Which individual with a mental illness may need emergency or involuntary hospitalization for mental illness? The individual who:
A) resumes using heroin while still taking methadone.
B) reports hearing angels playing harps during thunderstorms.
C) throws a heavy plate at a waiter at the direction of command hallucinations.
D) does not show up for an outpatient appointment with the mental health nurse.
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Page 8
Chapter 7:
Nursing Process and QSEN: The Foundation for Safe and Effective Care
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2053
Sample Questions
Q1) 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
Q2) A patient's nursing diagnosis is insomnia. The desired outcome is: "Patient will sleep for a minimum of 5 hours nightly by October 31." On November 1, a review of the sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse's next action?
A) Continue the current plan without changes.
B) Remove this nursing diagnosis from the plan of care.
C) Write a new nursing diagnosis that better reflects the problem.
D) Revise the outcome target date and interventions.
Q3) The acronym QSEN refers to:
A) Qualitative Standardized Excellence in Nursing.
B) Quality and Safety Education for Nurses.
C) Quantitative Effectiveness in Nursing.
D) Quick Standards Essential for Nurses.
Page 9
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Chapter 8: Communication Skills: Medium for All Nursing Practice
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2054
Sample Questions
Q1) A Filipino-American patient avoided eye contact when interacting with the nurse. The nurse concluded that the patient had low self-esteem. Interventions were used to raise the patient's self-esteem; however, after 3 weeks, the patient's eye contact did not improve. What is the most accurate analysis of this scenario?
A) The patient's eye contact should have been directly addressed by role-playing to increase comfort with eye contact.
B) The nurse should not have independently embarked on treatment planning for this patient.
C) The patient's poor eye contact is indicative of anger and hostility that remain unaddressed.
D) The nurse should have assessed the patient's culture before concluding the patient had low self-esteem.
Q2) The relationship between a nurse and patient as it relates to status and power is best described by which term?
A) Symmetric
B) Complementary
C) Incongruent
D) Paralinguistic
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Chapter 9: Therapeutic Relationships and the Clinical
Interview
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2055
Sample Questions
Q1) 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 totally correct.
D) Differing values are reflected in the two statements.
Q2) A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. The nurse should:
A) restate what the patient says.
B) use congruent communication strategies.
C) use self-disclosure in patient interactions.
D) consistently interpret the patient's behaviors.
Q3) What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviors that indicate:
A) great sense of independence.
B) rapport and trust with the nurse.
C) self-responsibility and autonomy.
D) resolution of feelings of transference.
Page 11
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Chapter 10: Trauma and Stress-Related Disorders
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2056
Sample Questions
Q1) A soldier who served in a combat zone returned to the United States. The soldier's spouse complains to the nurse, "We had planned to start a family, but now he won't talk about it. He won't even look at children." The spouse is describing which symptom associated with posttraumatic stress disorder (PTSD)?
A) Re-experiencing
B) Hyperarousal
C) Avoidance
D) Psychosis
Q2) A veteran of military combat tells the nurse, "I saw a child get blown up over a year ago, and now I keep seeing bits of flesh everywhere. I see something red and the visions race back to my mind." Which phenomenon associated with posttraumatic stress disorder (PTSD) is this veteran describing?
A) Re-experiencing
B) Hyperarousal
C) Avoidance
D) Psychosis
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Chapter 11: Anxiety, Anxiety Disorders, and
Obsessive-Compulsive and Related Disorders
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/2057
Sample Questions
Q1) If a cruel and abusive person rationalizes this behavior, which comment is most characteristic of this person?
A) "I don't know why it happens."
B) "I have always had poor impulse control."
C) "That person should not have provoked me."
D) "Inside I am a coward who is afraid of being hurt."
Q2) Which comment by a person experiencing severe anxiety indicates the possibility of obsessive-compulsive disorder?
A) "I check where my car keys are eight times."
B) "My legs often feel weak and spastic."
C) "I'm embarrassed to go out in public."
D) "I keep reliving the car accident."
Q3) A person who feels unattractive repeatedly says, "Although I'm not beautiful, I am smart." This is an example of:
A) repression.
B) devaluation.
C) identification.
D) compensation.
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Chapter 12: Somatic Symptom Disorders and Dissociative Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2058
Sample Questions
Q1) To assist a patient diagnosed with a somatic system disorder, a nursing intervention of high priority is to:
A) imply that somatic symptoms are not real.
B) help the patient suppress feelings of anger.
C) shift the focus from somatic symptoms to feelings.
D) investigate each physical symptom as soon as it is reported.
Q2) A patient has blindness related to a functional neurological (conversion) disorder. To help the patient eat, the nurse should:
A) establish a "buddy" system with other patients who can feed the patient at each meal.
B) expect the patient to feed himself or herself after explaining the arrangement of the food on the tray.
C) direct the patient to locate items on the tray independently and feed himself or herself unassisted.
D) address the needs of other patients in the dining room, and then feed this patient.
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14
Chapter 13: Personality Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2059
Sample Questions
Q1) For which patients diagnosed with personality disorders would a family history of similar problems be most likely? (Select all that apply.)
A) Obsessive-compulsive
B) Antisocial
C) Dependent
D) Schizotypal
E) Narcissistic
Q2) The most challenging nursing intervention for patients diagnosed with personality disorders who use manipulation to get their needs met is:
A) supporting behavioral change.
B) monitoring suicide attempts.
C) maintaining consistent limits.
D) using aversive therapy.
Q3) The history shows that a newly admitted patient has impulsivity. The nurse would expect behavior characterized by:
A) adherence to a strict moral code.
B) manipulative, controlling strategies.
C) postponing gratification to an appropriate time.
D) little time elapsed between thought and action.
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Page 15
Chapter 14: Eating Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2060
Sample Questions
Q1) An appropriate intervention for a patient diagnosed with bulimia nervosa who binges and purges is to teach the patient to:
A) eat a small meal after purging.
B) avoid skipping meals or restricting food.
C) concentrate oral intake after 4 PM daily.
D) understand the value of reading journal entries aloud to others.
Q2) The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention "Monitor for complications of refeeding." Which body system should a nurse closely monitor for dysfunction?
A) Renal
B) Endocrine
C) Central nervous
D) Cardiovascular
Q3) Disturbed body image is the nursing diagnosis for a patient diagnosed with an eating disorder. Which outcome indicator is most appropriate to monitor?
A) Weight, muscle, and fat are congruent with height, frame, age, and sex.
B) Calorie intake is within the required parameters of the treatment plan.
C) Weight reaches the established normal range for the patient.
D) The patient expresses satisfaction with body appearance.
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Page 16
Chapter 15: Mood Disorders: Depression
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/2061
Sample Questions
Q1) A patient diagnosed with major depressive disorder is taking a tricyclic antidepressant. The patient says, "I don't think I can keep taking these pills. They make me so dizzy, especially when I stand up." The nurse should:
A) explain how to manage postural hypotension, and educate the patient that side effects go away after several weeks.
B) tell the patient that the side effects are a minor inconvenience compared with the feelings of depression.
C) withhold the drug, force oral fluids, and notify the health care provider to examine the patient.
D) teach the patient how to use pursed-lip breathing.
Q2) When counseling patients diagnosed with major depressive disorder, an advanced practice nurse will address the negative thought patterns by using:
A) psychoanalytic therapy.
B) desensitization therapy.
C) cognitive behavioral therapy.
D) alternative and complementary therapies.
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Chapter 16: Bipolar Spectrum Disorders
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/2062
Sample Questions
Q1) A patient experiencing mania dances around the unit, seldom sits, monopolizes conversations, interrupts, and intrudes. Which nursing intervention will best assist the patient with energy conservation?
A) Monitor physiologic functioning
B) Provide a subdued environment
C) Supervise personal hygiene
D) Observe for mood changes
Q2) A patient receiving lithium should be assessed for which evidence of complications?
A) Pharyngitis, mydriasis, and dystonia
B) Alopecia, purpura, and drowsiness
C) Diaphoresis, weakness, and nausea
D) Ascites, dyspnea, and edema
Q3) A patient experiencing mania has not eaten or slept for 3 days. Which nursing diagnosis has priority?
A) Risk for injury
B) Ineffective coping
C) Impaired social interaction
D) Ineffective therapeutic regimen management
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18
Chapter 17: Schizophrenia Spectrum Disorders and Other
Psychotic Disorders
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/2063
Sample Questions
Q1) A patient diagnosed with schizophrenia begins to talks about "cracklomers" in the local shopping mall. The term "cracklomers" should be documented as:
A) neologism.
B) concrete thinking.
C) thought insertion.
D) an idea of reference.
Q2) When a patient diagnosed with schizophrenia was discharged 6 months ago, haloperidol (Haldol) was prescribed. The patient now says, "I stopped taking those pills. They made me feel like a robot." What likely side effects did the patient experience?
A) Sedation and muscle stiffness
B) Sweating, nausea, and diarrhea
C) Mild fever, sore throat, and skin rash
D) Headache, watery eyes, and runny nose
Q3) Patients diagnosed with schizophrenia who are suspicious and withdrawn:
A) universally fear sexual involvement with therapists.
B) are socially disabled by the positive symptoms of schizophrenia.
C) exhibit a high degree of hostility as evidenced by rejecting behavior.
D) avoid relationships because they become anxious with emotional closeness.
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Chapter 18: Neurocognitive Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2064
Sample Questions
Q1) What is the priority nursing diagnosis for a patient experiencing fluctuating levels of consciousness, disturbed orientation, and visual and tactile hallucinations?
A) Bathing/hygiene self-care deficit related to altered cerebral function as evidenced by confusion and inability to perform personal hygiene tasks
B) Risk for injury related to altered cerebral function, misperception of the environment, and unsteady gait
C) Disturbed thought processes related to medication intoxication as evidenced by confusion, disorientation, and hallucinations
D) Fear related to sensory perceptual alterations as evidenced by hiding from imagined ferocious dogs
Q2) An older adult diagnosed with moderate-stage Alzheimer disease forgets where the bathroom is and has episodes of incontinence. Which intervention should the nurse suggest to the patient's family?
A) Label the bathroom door.
B) Take the older adult to the bathroom hourly.
C) Place the older adult in disposable adult diapers.
D) Make sure the older adult does not eat nonfood items.
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Chapter 19: Substance-Related and Addictive Disorders
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/2065
Sample Questions
Q1) In what significant ways is the therapeutic environment different for a patient who has ingested D-lysergic acid diethylamide (LSD) than for a patient who has ingested phencyclidine (PCP)?
A) For LSD ingestion, one person stays with the patient and provides verbal support. For PCP ingestion, a regimen of limited contact with staff members is maintained, and continual visual monitoring is provided.
B) For PCP ingestion, the patient is placed on one-on-one intensive supervision. For LSD ingestion, a regimen of limited interaction and minimal verbal stimulation is maintained.
C) For LSD ingestion, continual moderate sensory stimulation is provided. For PCP ingestion, continual high-level stimulation is provided.
D) For LSD ingestion, the patient is placed in restraints. For PCP ingestion, seizure precautions are implemented.
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Chapter 20: Crisis and Mass Disaster
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2066
Sample Questions
Q1) A woman says, "I can't take anymore! Last year my husband divorced me. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college and moving in with her boyfriend." Which issue should be the focus for crisis intervention?
A) Possible mastectomy
B) Disordered family communication
C) Effects of the divorce
D) Coping with the reaction to the daughter's events
Q2) A patient comes to the clinic with superficial cuts on the left wrist. The patient is pacing and sobbing. After a few minutes with the nurse, the patient is calmer. What should the nurse ask to determine the patient's perception of the precipitating event?
A) "Tell me why you were crying."
B) "How did your wrist get injured?"
C) "How can I help you feel more comfortable?"
D) "What was happening just before you started feeling this way?"
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Chapter 21: Child, Partner, and Elder Violence
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2067
Sample Questions
Q1) A nurse assists a victim of intimate partner violence to create a plan for escape if it becomes necessary. The plan should include which components? (Select all that apply.)
A) Keep a cell phone fully charged.
B) Hide money with which to buy new clothes.
C) Have the telephone number for the nearest shelter.
D) Take enough toys to amuse the children for 2 days.
E) Secure a supply of current medications for self and children.
Q2) A victim of physical abuse by an intimate partner is treated for a broken wrist. The patient has considered leaving but says, "You stay together, no matter what happens." Which outcome should be met before the patient leaves the emergency department? The patient will:
A) limit contact with the abuser by obtaining a restraining (protective) order.
B) name two community resources that can be contacted.
C) demonstrate insight into the abusive relationship.
D) facilitate counseling for the abuser.
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Chapter 22: Sexual Violence
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2068
Sample Questions
Q1) When a victim of sexual assault is discharged from the emergency department, the nurse should:
A) arrange support from the victim's family.
B) provide referral information verbally and in writing.
C) advise the victim to try not to think about the assault.
D) offer to stay with the victim until stability is regained.
Q2) An unconscious person is brought to the emergency department by a friend. The friend found the person in a bedroom at a college fraternity party. Semen is observed on the person's underclothes. The priority actions of staff members should focus on:
A) maintaining gas exchange.
B) preserving rape evidence.
C) obtaining a description of the rape.
D) determining what drug was ingested.
Q3) A nurse cares for a rape victim who was given flunitrazepam (Rohypnol) by the assailant. Which intervention has priority? Monitoring for:
A) coma.
B) seizures.
C) hypotonia.
D) respiratory depression.
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Page 24
Chapter 23: Suicidal Thoughts and Behavior
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2069
Sample Questions
Q1) A depressed patient says, "Nothing matters anymore." What is the most appropriate response by the nurse?
A) "Are you having thoughts of suicide?"
B) "I am not sure I understand what you are trying to say."
C) "Try to stay hopeful. Things have a way of working out."
D) "Tell me more about what interested you before you began feeling depressed."
Q2) A nurse and patient construct a no-suicide contract. Select the preferable wording for the contract.
A) "I will not try to harm myself during the next 24 hours."
B) "I will not make a suicide attempt while I am hospitalized."
C) "For the next 24 hours, I will not kill or harm myself in any way."
D) "I will not kill myself until I call my primary nurse or a member of the staff."
Q3) A person intentionally overdoses on antidepressant drugs. Which nursing diagnosis has the highest priority?
A) Powerlessness
B) Social isolation
C) Risk for suicide
D) Ineffective management of the therapeutic regimen
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Chapter 24: Anger, Aggression, and Violence
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2070
Sample Questions
Q1) A new patient immediately requires seclusion on admission. The assessment is incomplete, and the health care provider has not examined the patient. Immediately after safely secluding the patient, which action has priority?
A) Provide an opportunity for the patient to go to the bathroom.
B) Notify the health care provider and obtain a seclusion order.
C) Notify the hospital risk manager.
D) Debrief the staff.
Q2) When a patient's aggression quickly escalates, which principle applies to the selection of nursing interventions?
A) Staff members should match the patient's affective level and tone of voice.
B) Ask the patient what intervention would be most helpful.
C) Immediately use physical containment measures.
D) Begin with the least restrictive measure possible.
Q3) Which scenario predicts the highest risk for directing violent behavior toward others?
A) Major depressive disorder with delusions of worthlessness
B) Obsessive-compulsive disorder; performing many rituals
C) Paranoid delusions of being followed by a military attack team
D) Completion of alcohol withdrawal and beginning a rehabilitation program
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Chapter 25: Care for the Dying and Those Who Grieve
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2071
Sample Questions
Q1) A grieving patient tells a nurse, "It's been eight months since my spouse died. I thought I would feel better by now, but lately I feel worse. I have no energy. I am lonely, but I don't want to be around people. What should I do?" What is the nurse's best counsel?
A) Seek psychotherapy.
B) Become active in a church.
C) Go to the spouse's grave every day.
D) Understand this is a normal response.
Q2) A patient newly diagnosed with pancreatic cancer says, "My father also died of pancreatic cancer. I took care of him during his illness. I can't go through that." Select the highest priority nursing diagnosis.
A) Anticipatory grieving
B) Ineffective coping
C) Ineffective denial
D) Risk for suicide
Q3) The mourning process is more difficult when the bereaved:
A) was relatively independent of the deceased.
B) has experienced many previous losses.
C) accepts that death is expected for everyone.
D) had resolved conflicts with the deceased.
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Chapter 26: Children and Adolescents
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2072
Sample Questions
Q1) The parent of a child diagnosed with Tourette's disorder says to the nurse, "I think my child is faking the tics because they come and go." Which response by the nurse is accurate?
A) "Perhaps your child was misdiagnosed."
B) "Your observation indicates the medication is effective."
C) "Tics often change frequency or severity. That does not mean they aren't real."
D) "This finding is unexpected. How have you been administering your child's medication?"
Q2) A 4-year-old child cries and screams from the time the parents leave the child at preschool until the child is picked up 4 hours later. The child is calm and relaxed when the parents are present. The parents ask, "What should we do?" What is the nurse's best recommendation?
A) "Send a picture of yourself to school to keep with the child."
B) "Arrange with the teacher to let the child call home at playtime."
C) "Talk with the school about withdrawing the child until maturity increases."
D) "Talk with your health care provider about a referral to a mental health professional."
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Chapter 27: Adults
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2073
Sample Questions
Q1) A nurse counsels a patient diagnosed with serious and persistent mental illness. The patient lives at home with family. Which resource could the nurse suggest to assist the patient and family to cope with the stigma of mental illness as well as provide support and education?
A) American Psychiatric Association (APA)
B) National Alliance on Mental Illness (NAMI)
C) Community Mental Health Centers (CMHCs)
D) Programs of Assertive Community Treatment (PACT)
Q2) Which nursing diagnosis is likely to apply to the plan of care for a homeless individual diagnosed with severe and persistent mental illness?
A) Insomnia
B) Substance abuse
C) Chronic low self-esteem
D) Impaired environmental interpretation syndrome
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29
Chapter 28: Older Adults
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2074
Sample Questions
Q1) When admitting older adult patients, health care agencies receiving federal funds must provide written information about:
A) advance health care directives.
B) the financial status of the institution.
C) how to sign out against medical advice.
D) the institution's policy on the use of restraints.
Q2) A 78-year-old nursing home resident diagnosed with hypertension and cardiac disease is usually alert and oriented. This morning, however, the resident says, "My family visited during the night. They stood by the bed and talked to me." In reality, the patient's family lives 200 miles away. The nurse should first suspect that the resident:
A) may be experiencing side effects associated with medications.
B) may be developing Alzheimer disease associated with advanced age.
C) had a transient ischemic attack and developed sensory perceptual alterations. D) has previously unidentified alcohol abuse and is beginning alcohol withdrawal delirium.
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