Psychiatric Nursing Exam Practice Tests
Course Introduction
Psychiatric Nursing focuses on the principles and practices involved in caring for individuals experiencing mental health disorders. The course explores the assessment, diagnosis, and management of psychiatric conditions, emphasizing therapeutic communication, evidence-based interventions, and ethical considerations. Students learn to develop therapeutic relationships, deliver patient-centered care, and collaborate effectively with multidisciplinary teams. Key topics include psychiatric-mental health assessment, psychopharmacology, crisis management, and strategies for promoting mental wellness and recovery. This course equips nursing students with the knowledge and skills necessary to support patients and families across diverse settings, fostering holistic and compassionate approaches to mental health care.
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
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 who immigrated to the United States from Honduras was diagnosed with schizophrenia. The patient took an antipsychotic medication for 3 weeks but showed no improvement. Which resource should the treatment team consult for information on more effective medications for this patient?
A) Clinical algorithm
B) Clinical pathway
C) Clinical practice guideline
D) International Statistical Classification of Diseases and Related Health Problems (ICD)
Answer: A
Q2) A bill introduced in Congress would reduce funding for the care of people diagnosed with mental illnesses. A group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?
A) Advocacy
B) Attending
C) Recovery
D) Evidence-based practice
Answer: A
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3
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) The spouse of a patient diagnosed with schizophrenia says, "I don't understand why childhood experiences have anything to do with this disabling illness." Select the nurse's response that will best help the spouse understand this condition.
A) "Psychological stress is actually at the root of most mental disorders."
B) "We now know that all mental illnesses are the result of genetic factors."
C) "It must be frustrating for you that your spouse is sick so much of the time."
D) "Although this disorder more likely has a biological rather than psychological origin, the support and involvement of caregivers is very important."
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 cognitive strategy a nurse could use to assist a very dependent patient would be to help the patient:
A) reveal dream content.
B) take prescribed medications.
C) examine thoughts about being autonomous.
D) role model ways to ask for help from others.
Answer: C
Q2) A nurse uses Maslow's hierarchy of needs to plan care for a psychotic patient. Which problem will receive priority? The patient:
A) refuses to eat or bathe.
B) reports feelings of alienation from family.
C) is reluctant to participate in unit social activities.
D) needs to be taught about medication action and side effects.
Answer: A
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Chapter 4: Biological Basis for Understanding
Psychopharmacology
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2050
Sample Questions
Q1) A patient begins therapy with a first generation antipsychotic medication. What teaching should a nurse provide related to the drug's strong dopaminergic effect?
A) Chew sugarless gum.
B) Increase dietary fiber.
C) Arise slowly from bed.
D) Report muscle stiffness.
Q2) A patient's spouse, who is a chemist, asks a nurse how serotonin reuptake inhibitors (SSRIs) lift depression. The nurse should explain that SSRIs:
A) destroy increased amounts of neurotransmitters.
B) make more serotonin available at the synaptic gap.
C) increase production of acetylcholine and dopamine.
D) block muscarinic and alpha1-norepinephrine receptors.
Q3) A nurse caring for a patient taking a selective serotonin reuptake inhibitor (SSRI) will develop outcome criteria related to:
A) mood improvement.
B) logical thought processes.
C) reduced levels of motor activity.
D) decreased extrapyramidal symptoms.
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Chapter 5: Settings for Psychiatric Care
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A community psychiatric nurse assesses that a patient diagnosed with a mood disorder is more depressed than on the previous visit a month ago; however, the patient says, "I feel the same." Which intervention supports the nurse's assessment while preserving the patient's autonomy?
A) Arrange for a short hospitalization.
B) Schedule weekly clinic appointments.
C) Refer the patient to the crisis intervention clinic.
D) Call the family and ask them to observe the patient closely.
Q2) A patient hurriedly tells the community mental health nurse, "Everything's a disaster! I can't concentrate. My disability check didn't come. My roommate moved out, and I can't afford the rent. My therapist is moving away. I feel like I'm coming apart." Nursing interventions should be focused on which problem?
A) Assisting the patient to clarify personal values
B) Coping with feelings of abandonment
C) Coping with anxiety that may lead to psychological disequilibrium
D) Clarifying misperceptions of the environment,
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Chapter 6: Legal and Ethical Basis for Practice
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Several nurses are concerned that agency policies related to restraint and seclusion are inadequate. Which statement about the relationship of substandard institutional policies and individual nursing practice should guide nursing practice?
A) The policies do not absolve an individual nurse of the responsibility to practice according to the professional standards of nursing care.
B) Agency policies are the legal standard by which a professional nurse must act and therefore override other standards of care.
C) In an institution with substandard policies, the nurse has a responsibility to inform the supervisor and leave the premises.
D) Interpretation of policies by the judicial system is rendered on an individual basis and therefore cannot be predicted.
Q2) A patient should be considered for involuntary commitment for psychiatric care when he or she:
A) is noncompliant with the treatment regimen.
B) sells and distributes illegal drugs.
C) threatens to harm self and others.
D) fraudulently files for bankruptcy.
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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 patient is very suspicious and states, "The FBI has me under surveillance." Which strategies should a nurse use when gathering initial assessment data about this patient? (Select all that apply.)
A) Tell the patient that medication will help this type of thinking.
B) Ask the patient, "Tell me about the problem as you see it."
C) Seek information about when the problem began.
D) Tell the patient, "Your ideas are not realistic."
E) Reassure the patient, "You are safe here."
Q2) A patient states, "I'm not worth anything. I have negative thoughts about myself. I feel anxious and shaky all the time. Sometimes I feel so sad that I want to go to sleep and never wake up." Which nursing intervention should have the highest priority?
A) Self-esteem-building activities
B) Anxiety self-control measures
C) Sleep enhancement activities
D) Suicide precautions
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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 Puerto Rican-American patient uses dramatic body language when describing emotional discomfort. Which analysis most likely explains the patient's behavior? The patient:
A) likely has a histrionic personality disorder.
B) believes dramatic body language is sexually appealing.
C) wishes to impress staff with the degree of emotional pain.
D) belongs to a culture in which dramatic body language is the norm.
Q2) During the first interview with a parent whose child died in a car accident, the nurse feels empathic and reaches out to take the patient's hand. Select the correct analysis of the nurse's behavior.
A) It shows empathy and compassion. It will encourage the patient to continue to express feelings.
B) The gesture is premature. The patient's cultural and individual interpretation of touch is unknown.
C) The patient will perceive the gesture as intrusive and overstepping boundaries.
D) The action is inappropriate. Patients in a psychiatric setting should not be touched.
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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 nurse explains to the family of a patient who is mentally ill how the nurse-patient relationship differs from social relationships. Which is the best explanation?
A) "The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient."
B) "The focus shifts from nurse to patient as the relationship develops. Advice is given by both, and solutions are implemented."
C) "The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared."
D) "The focus is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other."
Q2) A nurse assesses a confused older adult. The nurse experiences sadness and reflects, "The patient is like one of my grandparents, so helpless." What feelings does the nurse describe?
A) Transference
B) Countertransference
C) Catastrophic reaction
D) Defensive coping reaction
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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 served in combat zones in Iraq in 2010 and was deployed to Afghanistan in 2014. When is it most important for the nurse to screen for signs and symptoms of posttraumatic stress disorder (PTSD)?
A) Immediately upon return to the United States from Afghanistan
B) Before departing Afghanistan to return to the United States
C) Two years after returning from Afghanistan
D) Screening should be ongoing
Q2) A soldier returned home last year after deployment to a war zone. The soldier's spouse complains, "We were going to start a family but now he won't talk about it. He will not look at children. I wonder if we're going to make it as a couple." Select the nurse's best response.
A) "Posttraumatic stress disorder often changes a person's sexual functioning."
B) "I encourage you to continue to participate in social activities where children are present."
C) "Have you talked with your spouse about these reactions? Sometimes we just need to confront behavior."
D) "Posttraumatic stress disorder often strains relationships. I will suggest some community resources for help and support."
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Page 12
Chapter 11: Anxiety, Anxiety Disorders, and
Obsessive-Compulsive and Related Disorders
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/2057
Sample Questions
Q1) A patient experiencing moderate anxiety says, "I feel undone." An appropriate response for the nurse would be:
A) "Why do you suppose you are feeling anxious?"
B) "What would you like me to do to help you?"
C) "I'm not sure I understand. Give me an example."
D) "You must get your feelings under control before we can continue."
Q2) A patient tells the nurse, "I wanted my health care provider to prescribe diazepam (Valium) for my anxiety disorder, but buspirone (BuSpar) was prescribed instead. Why?" The nurse's reply should be based on the knowledge that buspirone:
A) does not produce blood dyscrasias.
B) does not cause dependence.
C) can be administered as needed.
D) is faster acting than diazepam.
Q3) Which statement is mostly likely to be made by a patient diagnosed with agoraphobia?
A) "Being afraid to go out seems ridiculous, but I can't go out the door."
B) "I'm sure I'll get over not wanting to leave home soon. It takes time."
C) "When I have a good incentive to go out, I can do it."
D) "My family says they like it now that I stay home."
Page 13
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Chapter 12: Somatic Symptom Disorders and Dissociative Disorders
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2058
Sample Questions
Q1) A nurse counseling a patient diagnosed with dissociative identity disorder (DID) should understand that the assessment of highest priority is:
A) risk for self-harm.
B) cognitive functioning.
C) identification of drug abuse.
D) readiness to reestablish identity or memory.
Q2) What is the primary difference between somatic system disorders and dissociative disorders?
A) Somatic system disorders are under voluntary control, whereas dissociative disorders are unconscious and automatic.
B) Dissociative disorders are precipitated by psychological factors, whereas somatic system disorders are related to stress.
C) Dissociative disorders are individually determined and related to childhood sexual abuse, whereas somatic system disorders are culture bound.
D) Dissociative disorders entail stress-related disruptions of memory, consciousness, or identity, whereas somatic system disorders involve the expression of psychological stress through somatic symptoms.
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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) A patient who has been diagnosed with schizoid personality disorder is newly admitted to the unit. The best initial nursing intervention is to:
A) set firm limits.
B) engage in trust building.
C) involve in milieu and group activities.
D) encourage identification and expression of feelings.
Q2) For which behavior would limit setting be most essential? The patient:
A) clings to the nurse and asks for advice about inconsequential matters.
B) is flirtatious and provocative with staff members of the opposite sex.
C) is hypervigilant and refuses to attend unit activities.
D) urges a suspicious patient to hit anyone who stares.
Q3) 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
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15
Chapter 14: Eating Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2060
Sample Questions
Q1) Which assessment finding for a patient diagnosed with an eating disorder meets a criterion 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 patient diagnosed with anorexia nervosa has a body mass index (BMI) of 14.8 kg/m². Which assessment finding is most likely to accompany this value?
A) Cachexia
B) Leukocytosis
C) Hyperthermia
D) Hypertension
Q3) Which nursing intervention has priority as a patient diagnosed with anorexia nervosa begins to gain weight?
A) Assess for depression and anxiety.
B) Observe for adverse effects of refeeding.
C) Communicate empathy for the patient's feelings.
D) Help the patient balance energy expenditure and caloric intake.
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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 begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to:
A) avoid exposure to bright sunlight.
B) report increased suicidal thoughts.
C) restrict sodium intake to 1 g daily.
D) maintain a tyramine-free diet.
Q2) A nurse worked with a patient diagnosed with major depressive disorder who was severely withdrawn and dependent on others. After 3 weeks, the patient did not improve. The nurse is at risk for feelings of:
A) overinvolvement.
B) guilt and despair.
C) interest and pleasure.
D) ineffectiveness and frustration.
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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 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
Q2) A person is directing traffic on a busy street while shouting and making obscene gestures at passing cars. The person has not slept or eaten for 3 days. What features of mania are evident?
A) Increased muscle tension and anxiety
B) Vegetative signs and poor grooming
C) Poor judgment and hyperactivity
D) Cognitive deficit and sad mood
Q3) Which dinner menu is best suited for the patient diagnosed with bipolar disorder experiencing acute mania?
A) Spaghetti and meatballs, salad, a banana
B) Beef and vegetable stew, a roll, chocolate pudding
C) Broiled chicken breast on a roll, an ear of corn, apple
D) Chicken casserole, green beans, flavored gelatin with whipped cream
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Chapter 17: Schizophrenia Spectrum Disorders and Other
Psychotic Disorders
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38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/2063
Sample Questions
Q1) A nurse sits with a patient diagnosed with schizophrenia. The patient starts to laugh uncontrollably, although the nurse has not said anything funny. Select the nurse's best response.
A) "Why are you laughing?"
B) "Please share the joke with me."
C) "I don't think I said anything funny."
D) "You are laughing. Tell me what's happening."
Q2) A patient diagnosed with schizophrenia says, "My coworkers are out to get me. I also saw two doctors plotting to overdose me." How does this patient perceive the environment?
A) Disorganized
B) Unpredictable
C) Dangerous
D) Bizarre
Q3) Which symptoms are expected for a patient diagnosed with schizophrenia who has disorganization?
A) Extremes of motor activity, from excitement to stupor
B) Socially withdrawal and ineffective communication
C) Severe anxiety with ritualistic behavior
D) Highly suspicious, delusional behavior
Page 19
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Chapter 18: Neurocognitive Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2064
Sample Questions
Q1) An older adult patient in an intensive care unit is experiencing visual and auditory illusions. Which nursing intervention will be most helpful?
A) Place large clocks and calendars on the wall.
B) Place personally meaningful objects in view.
C) Use the patient's glasses and hearing aids.
D) Keep the room brightly lit at all times.
Q2) A patient experiencing fluctuating levels of consciousness, disturbed orientation, and perceptual alteration begs, "Someone get these bugs off me." What is the nurse's best response?
A) "There are no bugs on your legs. Your imagination is playing tricks on you."
B) "Try to relax. The crawling sensation will go away sooner if you can relax."
C) "Don't worry. I will have someone stay here and brush off the bugs for you."
D) "I don't see any bugs, but I know you are frightened so I will stay with you."
Q3) Which description best applies to a hallucination? A patient:
A) looks at shadows on a wall and says, "I see scary faces."
B) states, "I feel bugs crawling on my legs and biting me."
C) becomes anxious when the nurse leaves his or her bedside.
D) tries to hit the nurse when vital signs are taken.
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Chapter 19: Substance-Related and Addictive Disorders
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/2065
Sample Questions
Q1) In the emergency department, a patient's vital signs are: blood pressure (BP), 66/40 mm Hg; pulse (P), 140 beats per minute (bpm); and respirations (R), 8 breaths per minute and shallow. The patient overdosed on illegally obtained hydromorphone (Dilaudid). Select the priority outcome.
A) Within 8 hours, vital signs will stabilize as evidenced by BP greater than 90/60 mm Hg, P less than 100 bpm, and respirations at or above 12 breaths per minute.
B) The patient will be able to describe a plan for home care and achieve a drug-free state before being released from the emergency department.
C) The patient will attend daily meetings of Narcotics Anonymous within 1 week of beginning treatment.
D) The patient will identify two community resources for the treatment of substance abuse by discharge.
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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 victim of intimate partner violence comes to the crisis center seeking help. The nurse uses crisis intervention strategies that focus on:
A) supporting emotional security and re-establishing equilibrium.
B) offering long-term resolution of issues precipitating the crisis.
C) promoting growth of the individual.
D) providing legal assistance.
Q2) At the last contracted visit in the crisis intervention clinic, an adult says, "I've emerged from this a stronger person. You helped me feel like my life is back in balance." The nurse responds, "I think it would be worthwhile to have two more sessions to explore why your reactions were so intense." Which analysis applies?
A) The patient is experiencing transference.
B) The patient demonstrates a need for continuing support.
C) The nurse is having difficulty terminating the relationship.
D) The nurse is empathizing with the patient's feelings of dependency.
Q3) Which scenario is an example of an adventitious crisis?
A) Death of a child from sudden infant death syndrome
B) Being fired from a job because of company downsizing
C) Retirement of a 55-year-old
D) A riot at a rock concert
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Page 22
Chapter 21: Child, Partner, and Elder Violence
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2067
Sample Questions
Q1) Several children are seen in the emergency department for treatment of illnesses and injuries. Which finding would create a high index of suspicion for child abuse? The child who has:
A) repeated middle ear infections.
B) severe colic.
C) bite marks.
D) croup.
Q2) An adult tells the nurse, "My partner abuses me only when drinking. The drinking has increased lately, but I always get an apology afterward and a box of candy. I've considered leaving but haven't been able to bring myself to actually do it." Which phase in the cycle of violence prevents the patient from leaving?
A) Tension building
B) Acute battering
C) Honeymoon
D) Recovery
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23
Chapter 22: Sexual Violence
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26 Verified Questions
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Sample Questions
Q1) Which situation constitutes consensual sex rather than rape?
A) After coming home intoxicated from a party, a person forces the spouse to have sex. The spouse objects.
B) A person's lover pleads to have oral sex. The person gives in but then regrets the decision.
C) A person is beaten, robbed, and forcibly subjected to anal penetration by an assailant.
D) A physician gives anesthesia for a procedure and has intercourse with an unconscious patient.
Q2) After assessing a victim of sexual assault, which terms could the nurse use in the documentation? (Select all that apply.)
A) Alleged
B) Reported
C) Penetration
D) Intercourse
E) Refused
F) Declined
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Page 24
Chapter 23: Suicidal Thoughts and Behavior
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32 Verified Questions
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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 severely depressed patient who has been on suicide precautions tells the nurse, "I am feeling a lot better, so you can stop watching me. I have taken too much of your time already." Which is the nurse's best response?
A) "I wonder what this sudden change is all about. Please tell me more."
B) "I am glad you are feeling better. The team will consider your request."
C) "You should not try to direct your care. Leave that to the treatment team."
D) "Because we are concerned about your safety, we will continue with our plan."
Q3) When assessing a patient's plan for suicide, what aspect has priority?
A) Patient's financial and educational status
B) Patient's insight into suicidal motivation
C) Availability of means and lethality of method
D) Quality and availability of patient's social support
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25
Chapter 24: Anger, Aggression, and Violence
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Sample Questions
Q1) Because an intervention is required to control a patient's aggressive behavior, a critical incident debriefing takes place. Which topics should be the focus of the discussion? (Select all that apply.)
A) Patient behavior associated with the incident
B) Genetic factors associated with aggression
C) Intervention techniques used by staff
D) Effect of environmental factors
E) Review of theories of aggression
Q2) A cognitively impaired patient has been a widow for 30 years. This patient is frantically trying to leave the unit, saying, "I have to go home to cook dinner before my husband arrives from work." To intervene with validation therapy, the nurse should first say:
A) "You must come away from the door."
B) "You have been a widow for many years."
C) "You want to go home to prepare your husband's dinner?"
D) "Was your husband angry if you did not have dinner ready on time?"
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Chapter 25: Care for the Dying and Those Who Grieve
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30 Verified Questions
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Source URL: https://quizplus.com/quiz/2071
Sample Questions
Q1) Which statements by a patient who is terminally ill give the nurse information relevant to spiritual assessment? (Select all that apply.)
A) "I feel an inner peace with my decision to use hospice services."
B) "I trust my health care provider to prescribe enough medication to keep me free of pain."
C) "I have prepared advance directives to spare my children the need to make difficult decisions."
D) "I plan to use these last weeks to experience the process of dying as fully as I experienced the richness of living."
E) "Listening to hymns helps deepen my relaxation and the relief I get from my pain medication."
Q2) A nurse talks with a person whose spouse died suddenly while jogging. Which is the appropriate statement for the nurse?
A) "At least your spouse did not suffer."
B) "It's better to go quickly as your spouse did."
C) "The loss of your spouse must be very painful for you."
D) "You'll begin to feel better after you get over the shock."
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Chapter 26: Children and Adolescents
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Sample Questions
Q1) A parent diagnosed with schizophrenia and her 13-year-old child live in a homeless shelter. The child has formed a trusting relationship with a shelter volunteer. The child says, "My three friends and I got an A on our school science project." The nurse can assess that the child:
A) displays resiliency.
B) has a difficult temperament.
C) is at risk for posttraumatic stress disorder.
D) uses intellectualization to deal with problems.
Q2) A 5-year-old child diagnosed with attention deficit hyperactivity disorder (ADHD) bounces out of a chair in the waiting room, runs across the room, and begins to slap another child. What is the nurse's best action?
A) Call for emergency assistance from another staff member.
B) Instruct the parents to take the child home immediately.
C) Direct this child to stop, and then comfort the other child.
D) Take the child into another room with toys to act out feelings.
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Chapter 27: Adults
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31 Verified Questions
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Source URL: https://quizplus.com/quiz/2073
Sample Questions
Q1) Which information should a nurse include in health teaching for adults diagnosed with attention deficit hyperactivity disorder (ADHD) and their significant others? (Select all that apply.)
A) Tendency for genetic transmission
B) Prevention strategies related to substance abuse
C) Negative reinforcement strategies to help modify behaviors
D) Selective serotonin reuptake inhibitors (SSRIs) are usually prescribed for hyperactivity
E) Cognitive therapy may help resolve internalized negative beliefs about self
Q2) A patient diagnosed with severe and persistent mental illness who recently moved to a homeless shelter says, "My life is out of control. I'm like a leaf at the mercy of the wind." The nurse formulates the diagnosis Powerlessness. Outcomes will focus on:
A) instilling hope.
B) controlling anxiety.
C) planning social activities.
D) developing personal autonomy.
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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) An older adult with a history of major depressive disorder has taken sertraline (Zoloft) daily for three years. The patient tells the nurse, "I want to stop taking this medication. I don't think I need it anymore." Select the nurse's best response.
A) "Why do you think you don't need this medication anymore?"
B) "Have you talked with your family members about this decision?"
C) "If you stop the medication, your depression will return worse than ever."
D) "This medication should be gradually stopped. Let's talk to your health care provider about a plan."
Q2) When making a distinction as to whether a patient is experiencing confusion related to depression or dementia, what information would be most important for the nurse to consider?
A) The patient with dementia is persistently angry and hostile.
B) Early morning agitation and hyperactivity occur in dementia.
C) Confusion seems to worsen at night when dementia is present.
D) A patient who is depressed is preoccupied with somatic symptoms.
To view all questions and flashcards with answers, click on the resource link above.