Psychiatric Nursing
Final Exam Questions
Course Introduction
Psychiatric Nursing is a specialized course that introduces students to the principles, theories, and practices involved in the care of individuals with mental health disorders. The course covers foundational knowledge in psychiatric assessment, therapeutic communication, crisis intervention, and psychopharmacology, with a strong emphasis on holistic, patient-centered care. Students will learn to apply nursing processes in diverse mental health settings, address ethical and legal issues, and collaborate within multidisciplinary teams to promote the recovery and well-being of patients across the lifespan. Practical experiences and case studies are integrated to develop critical thinking, cultural sensitivity, and effective management skills in real-world psychiatric nursing scenarios.
Recommended Textbook
Psychiatric Nursing 7th Edition by Keltner
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Chapter 1: Me, Meds, Milieu
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Sample Questions
Q1) Referral to a psychiatric extended-care facility would be most appropriate for which of the following patients?
A) An adult with generalized anxiety disorder
B) A severely depressed 70-year-old retiree
C) A patient with personality disorder who frequently self-mutilates
D) A severely ill person with schizophrenia who is regressed and withdrawn
Answer: D
Q2) The spouse of a patient with panic attacks tells the nurse, "I am afraid my husband has a permanent disorder and will have many hospitalizations in the future. I wonder how I will be able to raise our children alone." The nurse's reply should be based on knowledge of:
A) psychopathology.
B) milieu management.
C) psychopharmacology.
D) nursing relationship therapy.
Answer: A
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3
Chapter 2: Historical Issues
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Q1) A community mental health nurse works in a mental health services system that is undergoing change to become a seamless system. To promote integrity of the new system, the nurse should focus on (select all that apply)
A) psychopathology.
B) symptom stabilization.
C) medication management.
D) patient and family psychoeducation.
E) patient reintegration into the community.
F) holistic issues relating to patient care.
Answer: D, E, F
Q2) A former pediatric nurse begins working in a clinic housed in a homeless shelter. The nurse asks the clinic director, "What topic should I review to improve my effectiveness as I begin my new job?" Which topic should the clinic director suggest?
A) Care of school-age children
B) Psychiatric and substance abuse assessment
C) Communicable disease prevention strategies
D) Sexually transmitted disease signs and symptoms
Answer: B
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4
Chapter 3: Legal Issues
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Sample Questions
Q1) A patient tells the nurse, "I still have suicidal thoughts, but don't tell anyone because I am supposed to be discharged today." Select the nurse's best course of action.
A) Have the patient sign a "no suicide" contract.
B) Respect the patient's request related to confidentiality.
C) Inform the health care provider and other team members.
D) Search the patient's belongings for potentially hazardous items.
Answer: C
Q2) Which individual would be the most likely candidate to have a guardian appointed?
A) A patient with panic attacks
B) A bipolar patient who refuses medication
C) A patient with frequent admissions for drug abuse
D) A gravely disabled patient with paranoid schizophrenia
Answer: D
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5
Chapter 4: Psychobiologic Bases of Behavior
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Sample Questions
Q1) When a nurse administers an anticholinergic drug, it is important to assess for symptoms associated with inhibition of:
A) spinal nerve function.
B) the central nervous system.
C) the sympathetic nervous system.
D) the parasympathetic nervous system.
Q2) Dysfunction in which structure should lead the nurse to consider institution of fall precautions?
A) Wernicke's area
B) Hippocampus
C) Amygdala
D) Cerebellum
Q3) The nurse plans discharge teaching for a patient who experienced a stroke involving the hippocampus. The nurse should adapt the teaching plan to account for possible problems with:
A) visual acuity.
B) expressive aphasia.
C) short-term memory.
D) balance and coordination.
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Page 6
Chapter 5: Cultural Issues
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Sample Questions
Q1) A psychiatric nurse leads a medication education group for Hispanic outpatients. This nurse holds an analytic worldview and uses pamphlets as teaching tools. Group sessions are short and concise. After the group session, the patients are most likely to believe that:
A) the nurse was uncaring.
B) the session was effective.
C) the teaching was efficient.
D) they were treated respectfully.
Q2) Which questions should the nurse ask to determine an individual's worldview? Select all that apply.
A) "What is more important: the needs of an individual or the needs of a community?"
B) "How would you describe an ideal relationship between individuals?"
C) "How long have you lived at your present residence?"
D) "Of what importance are possessions in your life?"
E) "Do you speak any foreign languages?"
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Chapter 6: Spiritual Issues
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Q1) A patient diagnosed with schizophrenia complains of demon voices coming through the television. Which statement by the nurse providing spiritual care would be most comforting to the patient?
A) "Rest assured that God will fill your heart with peace."
B) "I am concerned about your spiritual distress."
C) "God will hold you in the palm of His hand."
D) "God knows your every thought."
Q2) A patient diagnosed with schizophrenia says, "I am a reincarnation of Jesus. I can raise the dead." The most qualified person for the nurse to refer the patient would be a:
A) psychiatric nurse clinician.
B) professional chaplain.
C) clinical psychologist.
D) community minister.
Q3) Which statement by a mentally ill patient best exemplifies sick religiosity?
A) "Suicide will result in eternal damnation for your soul."
B) "Your illness has nothing to do with insufficient faith."
C) "Questioning God is a common reaction to illness."
D) "Your illness is not related to sin."
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8
Chapter 7: Models for Working with Psychiatric Patients
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Q1) When interacting with patients, it is important for the nurse to recognize that defense mechanisms:
A) keep id impulses from gaining control.
B) protect the ego from excessive anxiety.
C) access unconscious feelings and memories.
D) prevent conflict among the id, ego, and superego.
Q2) A patient is mute, curled in a fetal position, and incontinent of urine. The patient eats small amounts only if spoon-fed. The nurse assesses this behavior as most indicative of: A) displacement.
B) compensation.
C) conversion.
D) regression.
Q3) A patient experiences severe panic attacks and uses denial, repression, and displacement. Nursing interventions should be directed toward:
A) teaching more effective coping strategies.
B) setting limits on use of the defense mechanisms.
C) assisting the patient to change values and beliefs.
D) helping the patient uncover unconscious conflicts.
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Chapter 8: Learning to Communicate Professionally
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Sample Questions
Q1) A common mistake nurses make when developing therapeutic communication techniques is:
A) using too many different techniques during an interaction.
B) allowing patients to become too anxious before responding.
C) giving advice rather than encouraging patients to solve problems.
D) focusing on what patients say rather than on communication techniques.
Q2) Which skill is most important for a nurse preparing to work in the psychiatric setting?
A) Helpful transference
B) Sympathetic listening
C) Supportive confrontation
D) Therapeutic communication
Q3) A patient is withdrawn, suspicious, and maintains physical distance from staff and other patients. Which intervention demonstrates appropriate use of touch with this patient?
A) Refraining from touch
B) Patting the patient's arm when fear is expressed
C) Reaching out to shake the patient's hand as an initial greeting
D) Placing an arm around the patient's shoulders while walking down the hall
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Chapter 9: Working with an Individual Patient
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Sample Questions
Q1) A patient tells the nurse, "I want to have sex with you." Which nursing responses are appropriate? Select all that apply.
A) "I will forget you said that."
B) "Your suggestion frightens me."
C) "You must keep your distance."
D) "Sex is not part of our relationship."
E) "We are here to work on your problems."
Q2) A patient is hospitalized for severe depression. Knowing that the patient will be discharged after a short stay, what is the nurse's first priority?
A) Maximize the benefits of milieu management.
B) Immediately begin to explore acute patient issues.
C) Develop a goal-directed, problem-centered relationship.
D) Choose a specific theoretical model as the basis for care.
Q3) A patient with suicidal ideation is hospitalized. What is the priority intervention?
A) Negotiating a no-harm contract
B) Facilitating attendance at groups
C) Administering a psychotropic drug
D) Determining the precipitating situation
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11
Chapter 10: Working with Groups of Patients
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Q1) What is the primary purpose of referring a patient to an activity group?
A) Assess the patient's social skills.
B) Provide cognitive and sensory stimulation.
C) Encourage socialization and communication.
D) Educate the patient about use of leisure time.
Q2) A nurse prepares to lead an anger management group, which is what type of group?
A) Psychoeducational
B) Self-help
C) Activity
D) Support
Q3) After attending a group, which statement by a patient shows evidence of benefits associated with universality?
A) "I've learned to identify my anxious feelings."
B) "The group really gave me the support to change."
C) "I've learned that I can be helpful to others."
D) "My problems are not unique. I'm not alone."
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Chapter 11: Working with the Family
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Sample Questions
Q1) Select the best question to assess a family's ability to cope.
A) "What strengths does your family have?"
B) "Do you think your family copes effectively?"
C) "Describe how you successfully handled one family problem."
D) "How do you think the current family problem should be resolved?"
Q2) A parent was recently hospitalized with severe depression. Family members say, "We're falling apart. Nobody knows what to expect, who should make decisions, or what to do to keep the family together." Which interventions should the nurse use when working with this family? Select all that apply.
A) Help the family set realistic expectations.
B) Provide empathy, acceptance, and support.
C) Empower the family by teaching problem solving.
D) Negotiate role flexibility among family members.
E) Focus on the family rather than on the patient in planning.
Q3) Which documentation of family assessment indicates a healthy and functional family?
A) Members provide mutual support.
B) Power is distributed equally among all members.
C) Members believe that there are specific causes for events.
D) Under stress, members turn inward and become enmeshed.
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Chapter 12: Introduction to Psychotropic Drugs
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Q1) A patient taking clozapine (Clozaril) says, "I get plenty of vitamin C by drinking 8 ounces of grapefruit juice each morning." Select the nurse's best response.
A) "High doses of Vitamin C support the immune system and general good health."
B) "Name another juice you would drink, because grapefruit juice can cause a bad reaction while taking clozapine."
C) "Grapefruit juice lessens the effectiveness of your medication. You might need higher doses."
D) "New research shows papaya juice is a better source of vitamin C than grapefruit juice."
Q2) The primary mechanisms of action of certain antidepressants result from neurotransmitter inactivation by enzyme-based metabolism and:
A) electrochemical stimulation.
B) stimulation of natural precursors.
C) extraction of precursors from the bloodstream.
D) reuptake into the presynaptic storage vesicles.
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Chapter 13: Antiparkinsonian Drugs
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Sample Questions
Q1) A patient began trihexyphenidyl (Artane) for treatment of drug-induced parkinsonism. Which finding demonstrates a positive response to the medication?
A) Blood pressure returns to patient's normal range.
B) Gait is steady with decreased rigidity.
C) Patient reports fewer feelings of depression.
D) Patient has tremors with voluntary movement.
Q2) A patient who takes haloperidol (Haldol) for a diagnosis of schizophrenia has a dystonic reaction. Benztropine (Cogentin) 2 mg is given intramuscularly and then continued orally twice daily. Three days later, the patient has fever, disorientation, and tachycardia. Select the best analysis of this scenario.
A) Tardive dyskinesia has emerged.
B) Benztropine toxicity has developed.
C) Extrapyramidal symptoms have returned.
D) Dopaminergic benztropine effects have exacerbated the psychosis.
Q3) Patient teaching for a patient beginning an anticholinergic drug should include:
A) limiting fluid intake to 1000 ml/day.
B) limiting strenuous activity on hot days.
C) eating small, frequent meals to decrease nausea.
D) wearing adequate clothing to prevent hypothermia.
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Page 15
Chapter 14: Antipsychotic Drugs
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Sample Questions
Q1) A patient who takes a traditional antipsychotic medication says, "I feel shaky and very warm." The patient is diaphoretic. What is the nurse's best first action?
A) Take the patient's vital signs.
B) Position the patient in the semi-Fowler's position.
C) Begin oxygen by nasal cannula at 2 L/min.
D) Place the patient on one-to-one supervision.
Q2) A patient who takes haloperidol (Haldol) 10 mg/day orally developed restlessness, agitation, and an inability to sit still. The nurse then administered a PRN dose of haloperidol 5 mg intramuscularly. One hour later the patient's symptoms were worse.
What is the most likely explanation?
A) The PRN medication has not yet taken effect.
B) The patient needs an additional PRN dose of haloperidol to control the rising agitation.
C) The patient was experiencing akathisia, which worsened after receiving the PRN medication.
D) The nurse should consider an adjunctive dose of an antianxiety drug such as lorazepam (Ativan).
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16
Chapter 15: Antidepressant Drugs
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Sample Questions
Q1) A patient for whom phenelzine (Nardil) is prescribed complains of a sudden headache and palpitations. The nurse observes dilated pupils and diaphoresis. The nurse's first action should be:
A) assess for cogwheel rigidity.
B) notify the health care provider.
C) assess the patient's blood pressure.
D) withhold the morning dose of phenelzine.
Q2) A depressed patient prepares for discharge. The patient is prescribed desipramine (Norpramin) and will have outpatient visits. The patient reports, "They gave me only a 1-week supply of my medicine." Select the nurse's best reply.
A) "Federal law limits the amount you may be given at any one time."
B) "It will save you money if the drug doesn't work well for your symptoms."
C) "This is a way of ensuring that you will come in for your follow-up appointment."
D) "Prescribing a small amount of drug addresses our concerns for your continuing safety."
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Chapter 16: Antimanic Drugs
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Sample Questions
Q1) A patient with rapid-cycling bipolar disorder is not responding to lithium therapy. At the next multidisciplinary team meeting, the nurse should point out that many rapid-cycling patients have been effectively treated using:
A) sertraline (Zoloft).
B) phenytoin (Dilantin).
C) benztropine (Cogentin).
D) divalproex (Depakote).
Q2) Which patient would require careful assessment for toxic effects of lithium? The individual taking lithium and:
A) hydrochlorothiazide (HCTZ).
B) lorazepam (Ativan).
C) clozapine (Clozaril).
D) oxazepam (Serax).
Q3) Before beginning lithium therapy, the nurse should educate a patient about laboratory tests to assess for adequate function of which system?
A) Peripheral vascular
B) Reproductive
C) Respiratory
D) Renal
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Page 18
Chapter 17: Antianxiety Drugs
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Q1) A patient in the emergency room has status epilepticus. The nurse should anticipate administration of:
A) diazepam (Valium).
B) buspirone (BuSpar).
C) clorazepate (Tranxene).
D) chlordiazepoxide (Librium).
Q2) A patient started diazepam (Valium) 5 mg twice daily 6 months ago. Now, the patient requires 10 mg to achieve the same effect. This phenomenon results from:
A) addiction.
B) tolerance.
C) dependence.
D) disinhibition.
Q3) The teaching plan for a patient beginning buspirone (BuSpar) should include information identifying this drug as a:
A) norepinephrine inhibitor.
B) serotonergic antagonist.
C) serotonin agonist.
D) GABA inhibitor.
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19
Chapter 18: Antidementia Drugs
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Q1) A nurse explains galantamine ( Razadyne ) therapy to family members of a patient who is to begin treatment with the drug. What information should be included? Select all that apply.
A) Facial flushing and leg cramps might worsen.
B) It acts by making more dopamine available.
C) Report slow heartbeat immediately.
D) Restrict fluid intake to 1500 ml/day.
E) Side effects include GI symptoms.
Q2) A nursing assistant reports to the nurse that a patient diagnosed with AD is experiencing severe diarrhea. Administration of which classification of medication is most associated with this problem?
A) ChE inhibitor
B) Secretase inhibitor
C) NDMA antagonist
D) Nonsteroidal antiinflammatory drug
Q3) Most drugs used to treat AD affect:
A) monoamine oxidase reuptake systems.
B) serotonin and norepinephrine production.
C) cholinergic pathways, enzymes, and receptors.
D) the Krebs cycle and GABA neuronal inhibition.
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Chapter 19: Over-the-Counter Drugs
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Sample Questions
Q1) A patient takes valerian. Which instruction should the nurse provide?
A) Store the herb in a cool place.
B) Store the herb in a dry, dark place.
C) This herb loses potency after 30 days.
D) Avoid crushing the herb before taking it.
Q2) A patient asks, "I want to consult an herbalist. What should I do to make sure I don't get some impostor?" The nurse should advise the patient to first ask the provider:
A) "How much will treatments cost?"
B) "Have you treated this condition before?"
C) "Do the treatments pose any dangers to me?"
D) "What group has certified you in this practice?"
Q3) Which intervention is an example of a complementary and alternative medicine therapy?
A) Acupuncture
B) Bright-light therapy
C) Electroconvulsive therapy
D) Repetitive transcranial magnetic stimulation
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Chapter 20: Introduction to Milieu Management
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Q1) A psychiatric facility is "accredited by JCAHO." Which asset would be expected?
A) A 4:1 patient-to-staff ratio
B) Private rooms for all patients
C) Use of a therapeutic milieu treatment model
D) Telephones for private patient conversations
Q2) During a community meeting, a patient reports about having only two patient-accessible phones on the unit. Many other patients join in, all talking at the same time. The nurse requests that only one person talk at a time. The nurse's request seeks to maintain:
A) norms.
B) safety.
C) balance.
D) structure.
Q3) Which statement about balance provides a basis for a nurse's management of the therapeutic environment?
A) Independence is best gained in increments.
B) Independence is a fundamental right of all patients.
C) Independence jeopardizes safety in an inpatient setting.
D) Dependence is a characteristic of most persons with mental illness.
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Page 22
Chapter 21: Variables Affecting the Therapeutic
Environment: Violence and Suicide
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Q1) A suicide crisis line caller states, "I called to say goodbye to someone." Select the nurse's best response.
A) "You seem ambivalent about committing suicide. Let's talk about that."
B) "You must be feeling a lot of pain. What are you planning to do?"
C) "I hope you realize how much you have to live for."
D) "I think I can help you, if you'll let me."
Q2) A student tells the school nurse, "My friend threatened to take an overdose of pills." The nurse talks to the friend who verbalized the suicidal threat. Select the most critical question for the nurse to ask.
A) "Why do you want to kill yourself?"
B) "Do you have access to medications?"
C) "Have you been taking drugs and alcohol?"
D) "Did something happen with your parents?"
Q3) Which nursing intervention for an angry, hostile patient would best contribute to prevention and management of aggression?
A) Loudly calling the patient by name
B) Conveying personal interest in the patient
C) Positioning oneself directly in front of the patient
D) Firmly directing the patient to discontinue the behavior
Page 23
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Chapter 22: Therapeutic Environment in Various Treatment Settings
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Q1) Which outcome of hospital-based psychiatric care should the nurse consider a priority for a patient to achieve before discharge?
A) Referral for vocational rehabilitation
B) Safe level of functioning
C) Medication stabilization
D) Problem resolution
Q2) A patient says, "I'm like a wind-tossed leaf. My goal is to find meaning in life." The nurse should consider referring the patient to which group?
A) Self-help
B) Spirituality
C) Reality orientation
D) Psychoeducational
Q3) A nurse working in an intensive inpatient psychiatric unit should place emphasis on which area of care?
A) Behavior modification principles
B) Personality restructuring and insight
C) Improving interpersonal relationships
D) Symptom stabilization and daily living skills
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Chapter 23: Introduction to Psychopathology
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Q1) A patient's areas of strength are documented in which part of the plan of care?
A) Assessment
B) Diagnosis
C) Outcome identification
D) Interventions
E) Evaluation
Q2) Which principle is applicable to nursing care of patients with all types of psychopathology?
A) Avoid competitive situations.
B) Treat patients as individuals.
C) Confront patients with consequences of behavior.
D) Assume that patients will make self-enhancing decisions.
Q3) Which assessment finding should be documented as subjective information?
A) Flushed face
B) White blood cell ( WBC ) count 12,000 cells/mL
C) Lithium level 1.2 mEq/L
D) Reports of abdominal pain
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25
Chapter 24: Schizophrenia Spectrum and Other Psychotic Disorders
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Q1) When a patient experiencing a first episode of type I schizophrenia is hospitalized, the nurse can expect to administer:
A) a typical antipsychotic drug.
B) an atypical antipsychotic drug.
C) a mood-stabilizing anticonvulsant.
D) a selective serotonin reuptake inhibitor.
Q2) A patient displays disorganized speech and behavior as well as a flat affect. The patient prefers to sit alone and often appears to be listening and responding to unseen stimuli. To begin a therapeutic relationship, the nurse should:
A) take the patient to a medication education class.
B) offer a simple activity, and sit with the patient.
C) ask the patient what the voices are saying.
D) quietly watch television with the patient.
Q3) Research on neurostructural theories of schizophrenia indicates that pathoanatomic findings often include:
A) ventricular enlargement, brain atrophy, and diminished cerebral blood flow.
B) ventricular blocking, brain swelling, and enhanced cerebral blood flow.
C) decreased cortical thickness and hippocampal hyperplasia.
D) increased cortical thickness and temporal lobe scarring.
Page 26
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Chapter 25: Depressive Disorders
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Q1) A depressed patient has just responded to the nurse in an overtly angry manner. Select the nurse's best response.
A) "I seem to have hit a raw nerve. I'm sorry."
B) "You are angry. Let's talk about the issue."
C) "Please watch your tone of voice when you speak to me."
D) "I don't think I deserved to be shouted at. What's really the matter?"
Q2) Which account of history and symptoms is most consistent with dysthymia?
A) Depressed mood for 2 weeks; anhedonia; feelings of worthlessness
B) Delusions of guilt and poverty; weight loss; agitation beginning 3 weeks ago
C) Depressed mood for 3 months; suicidal ruminations; hypersomnia; sullen affect
D) Depressed for 3 years; poor concentration; anhedonia; low self-esteem; indecision
Q3) Which nursing diagnosis is almost universally applicable to persons with depression?
A) Ineffective denial
B) Disturbed body image
C) Chronic low self-esteem
D) Risk for other-directed violence
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Chapter 26: Bipolar Disorders
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Q1) A patient at the clinic describes periods of sadness and depression as well as episodes of elation over the past 3 years. The patient adds, "Fortunately, I have been able to keep my job despite these mood changes." These findings are most consistent with which disorder?
A) Bipolar I
B) Bipolar II
C) Cyclothymic
D) Seasonal affective
Q2) Within a 15-minute period, a patient having a manic episode voices these complaints. "Dinner was cold. The bath towels are rough. The solarium is too hot. I have a sore throat. Another patient needs a shower. The medication nurse is too slow." The nurse should:
A) listen but ignore the patient's complaints.
B) tell the patient to use the suggestion box.
C) assess the patient's throat, and take vital signs.
D) invite the patient to share the concerns at the community meeting.
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Trauma- and Stressor-Related, Somatic, and Dissociative
Disorders
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Q1) The nurse would expect which comment from a patient diagnosed with depersonalization disorder?
A) "I feel like I'm outside my body, watching what's happening."
B) "I feel as though someone is reading thoughts in my mind."
C) "I know I have cancer, but the doctors can't find it."
D) "When I woke up, my legs were paralyzed."
Q2) A patient is hospitalized with blindness of sudden onset. According to the spouse, the patient entered a room and found the spouse in a romantic embrace with a neighbor. The patient is unconcerned about the blindness and says, "I'm sure things will turn out all right." Which term best describes this reaction?
A) La belle indifference
B) Agoraphobia
C) Dissociation
D) Fugue
Q3) What is the nurse's initial action when working with a patient with PTSD?
A) Develop trust.
B) Promote problem solving.
C) Encourage verbalization of anger.
D) Have the patient evaluate past behaviors.
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Chapter 28: Cognitive Disorders
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/10675
Sample Questions
Q1) What is the nursing care priority for a patient diagnosed with Stage 7 Alzheimer's disease?
A) Nutrition and hydration
B) Promoting self-care activities
C) Supporting attempts to communicate
D) Preserving problem-solving abilities
Q2) An older adult presents with symptoms of delirium. The family says, "Everything was fine until yesterday." The most important assessment information to gather is:
A) a list of medications the patient currently takes.
B) whether or not the patient has experienced any recent losses.
C) whether or not the patient has ingested aged or fermented foods.
D) the patient's recent personality characteristics and changes.
Q3) An older adult with dementia describes a pencil as "that thing that writes" and a water faucet as "the thing you turn." The nurse documents which problem?
A) Echolalia
B) Apraxia
C) Agnosia
D) Amnesia
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Chapter 29: Personality Disorders
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24 Verified Questions
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Source URL: https://quizplus.com/quiz/10676
Sample Questions
Q1) Select the best outcome for a patient with schizotypal personality disorder. The patient will:
A) adhere willingly to program norms.
B) introduce himself or herself to a stranger in a social situation.
C) report decreased incidence of impulses to self-mutilate.
D) demonstrate fewer attempts at splitting or manipulating staff.
Q2) Which characteristic of individuals diagnosed with personality disorders in the dramatic-erratic cluster makes it advisable for staff to have frequent patient-centered meetings?
A) Manipulating others to avoid limits
B) Behaving responsibly in the peer group
C) Withdrawing from interactions with others
D) Depending excessively on others for support
Q3) Which statement accurately applies to personality disorders?
A) One aspect of personality is usually involved.
B) Personality traits are dysfunctional and inflexible.
C) Patients have subjective distress, but not impaired functioning.
D) Symptoms have a short duration and are responsive to treatment.
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Chapter 30: Sexual Disorders
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/10677
Sample Questions
Q1) Which characteristic fits the profile of an individual who is a pedophile?
A) Homosexual
B) High self-esteem
C) Seeks access to children
D) Self-confident and expressive
Q2) A nurse assesses a patient recently diagnosed with pedophilia. Which findings are most likely? Select all that apply.
A) History of childhood sexual abuse
B) Antisocial personality traits
C) Limbic system abnormalities
D) An endocrine disorder
E) Grandiosity
Q3) The clinic nurse sees a patient with a long-standing diagnosis of pedophilia who was recently arrested and released on bail. Which perspective about pedophilia would the nurse expect from this patient?
A) Extreme remorse for traumatizing a child to meet his/her own needs.
B) Desire to be placed in jail to prevent acting on the sexual impulses.
C) The belief that the child was given valuable knowledge and pleasure.
D) A feeling of victimization related to genetic and environmental factors.
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Page 32
Chapter 31: Substance Abuse Disorders
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Source URL: https://quizplus.com/quiz/10678
Sample Questions
Q1) Family members of an individual undergoing a 30-day alcohol rehabilitation program ask, "How can we help?" Select the nurse's best response.
A) "Alcoholism is a lifelong disease. Relapses are expected."
B) "Use search-and-destroy tactics to keep the home alcohol free."
C) "Prevent embarrassment by covering for your loved one's lapses."
D) "Make your loved one responsible for the consequences of his or her behavior."
Q2) Substance dependence is defined by (select all that apply):
A) a compulsion to use a substance.
B) loss of control over use of a substance.
C) a physiologic need to use a substance.
D) continued use of a substance despite adverse consequences.
E) a substance-specific syndrome due to recent ingestion of a substance.
Q3) The milieu for a patient with a hallucinogen overdose should have which features?
A) Simple and safe
B) Active and bright
C) Stimulating and colorful
D) Confrontational and challenging
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Chapter 32: Eating Disorders
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Source URL: https://quizplus.com/quiz/10679
Sample Questions
Q1) The nurse interviews a patient who restricts food and is 25% underweight. The patient says, "I still need to lose weight. I'm not thin enough." The patient is using which defense mechanism?
A) Rationalization
B) Projection
C) Splitting
D) Denial
Q2) A patient diagnosed with an eating disorder refuses to be weighed and says, "I just drank a big glass of water." Select the nurse's best response.
A) "Call me after you have emptied your bladder."
B) "This is weight day. Please step on the scale."
C) "I will weigh you tomorrow."
D) "You know the rules."
Q3) Which information about a patient diagnosed with bulimia nervosa should the nurse document as subjective data?
A) Scarred fingers
B) Sores around mouth
C) Loss of tooth enamel
D) Feeling out of control
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Page 34
Chapter 33: Survivors of Violence and Trauma
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24 Verified Questions
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Sample Questions
Q1) In preparing a care plan for an abuse victim, it is most important to include a long-term outcome that addresses the need to:
A) move the individual from victim to survivor status.
B) provide support groups for long-term assistance.
C) use empathy to establish rapport and build trust.
D) shift blame for the incident from patient to perpetrator.
Q2) The nurse cares for a victim of a violent assault and battery. What is the most therapeutic intervention?
A) Discourage expression of feelings until the victim enters the recoil stage.
B) Use accepting, nurturing, and empathetic communication techniques.
C) Educate the victim about strategies to avoid attacks in the future.
D) Maintain a matter-of-fact manner, and remain objective.
Q3) What is the difference between incest and sexual abuse?
A) The two terms are interchangeable.
B) Incest is committed by relatives. Sexual abuse can apply to anyone.
C) Incest includes rape. Sexual abuse applies to voyeurism and molestation.
D) Incest occurs between a parent and child. Sexual abuse involves any other person.
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Chapter 34: Children and Adolescents
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/10681
Sample Questions
Q1) A child complains to the school nurse about painful verbal bullying by an aggressive classmate. What is the nurse's best first action?
A) Give notice to the chief administrator at the school regarding the events.
B) Support the victimized child to share feelings about the experience.
C) Encourage the victimized child to ignore the bullying behavior.
D) Discuss the events with the aggressive classmate.
Q2) An adolescent in a residential program threatens to throw a pool ball at another adolescent. Which comment by the nurse would set limits?
A) "You will be taken to seclusion if you throw that ball."
B) "Do not throw the ball. Put it back on the pool table."
C) "Attention everyone: We're all going to the gym."
D) "Please do not lose control of your behavior."
Q3) Which behaviors are indicative of bullying by a child? Select all that apply.
A) Recruits other children to avoid a child who wears glasses
B) Consistently calls another child "fat" and "stupid"
C) Accidentally trips another child, resulting in a fall
D) Repeatedly steals another child's lunch money
E) Plays a practical joke on another child
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Chapter 35: Mental Disorders of Older Adults
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Source URL: https://quizplus.com/quiz/10682
Sample Questions
Q1) A high priority for assessment by nurses caring for older adults who self-administer medications is:
A) use of stimulants.
B) overuse of benzodiazepines.
C) misuse of antihypertensive medications.
D) trading medications with acquaintances.
Q2) Which assessment findings related to a 68-year-old patient should be identified as risk factors for late-onset alcohol abuse and dependence? Select all that apply.
A) Chronic obstructive pulmonary disease
B) Insomnia
C) Male gender
D) Boredom and loneliness
E) Recent loss of spouse
Q3) Reducing aggressive outbursts on a unit for older adults with mental disorders can be best achieved by:
A) liberal use of antipsychotic medication.
B) practicing redirection and diversion.
C) restricting diversional activities.
D) limiting personal space.
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Page 37
Chapter 36: Soldiers and Veterans
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21 Verified Questions
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Source URL: https://quizplus.com/quiz/10683
Sample Questions
Q1) A combat veteran diagnosed with moderate traumatic brain injuries is agitated and aggressive. Which pharmacologic intervention would the nurse expect to be effective?
A) Bupropion (Wellbutrin)
B) Benztropine (Cogentin)
C) Propranolol (Inderal)
D) Buspirone (BuSpar)
Q2) General George Patton led U.S. troops in Europe and Africa during World War II. His career was marred by an incident of scolding a distressed, frightened soldier as "a coward" and "yellow." Patton's behavior embodied which phenomenon associated with symptom delay in PTSD?
A) Stigma
B) Lag time
C) Obscuration
D) Co-morbidity
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