Course Introduction
Psychiatric Nursing
Pre-Test Questions
Psychiatric Nursing is a specialized field within nursing that focuses on the care of individuals experiencing mental health disorders, emotional disturbances, and psychiatric illnesses. This course covers principles of mental health nursing, therapeutic communication techniques, psychosocial assessment, and intervention strategies for patients across the lifespan. Students learn to collaborate with interdisciplinary healthcare teams while developing competencies in empathetic patient care, crisis intervention, medication management, and the promotion of mental health and well-being. Emphasis is placed on ethical and legal aspects, cultural sensitivity, and evidence-based practices to support recovery and resilience in diverse patient populations.
Recommended Textbook
Principles and Practice of Psychiatric Nursing 10th Edition by Gail Wiscarz Stuart
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40 Chapters
943 Verified Questions
943 Flashcards
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Page 2
Chapter 1: Roles and Functions of Psychiatric-Mental Health
Nurses: Competent Caring
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) For psychiatric nurses in the 1980s and 1990s,the scope of practice began to change to include:
A) psychiatric care and medical care given by the home care nurse.
B) new advances in the fields of psychobiology and technology.
C) psychoanalytical therapy provided by the psychiatric nurse in the outpatient setting.
D) new advances in the psychodynamic model of therapy made by the psychiatric nurse in the inpatient setting.
Answer: B
Q2) The contribution of Linda Richards that remains a part of contemporary psychiatric nursing practice is the idea that:
A) psychiatric nurses should have advanced preparation.
B) nurses should assess both the physical and the emotional needs of patients.
C) psychotic behavior must be controlled before serious psychotherapy begins.
D) basic physical needs must always be met before emotional needs are addressed.
Answer: B
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3
Chapter 2: Therapeutic Nurse-Patient Relationship
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A patient is admitted to the unit and complains of being depressed.The patient says,"I want to feel like my old self again." Which nursing response will be most therapeutic?
A) "How long have you felt this way?"
B) "We're all here to help you get better."
C) "What do you think the hospital can do for you?"
D) "Tell me more so that I can better understand."
Answer: D
Q2) A nurse tells the unit supervisor,"I'm having a difficult time empathizing with my patient especially since he is so unwilling to change.Talking with him makes me feel both frustrated and depressed." The supervisor may suspect that the cause of the barrier in this nurse-client relation is the:
A) existence of countertransference on the part of the nurse.
B) patient's demonstration of resistance to the prescribed plan of care.
C) violation of a therapeutic boundary by either the nurse or the patient.
D) nurse's ineffective use of therapeutic verbal communication techniques.
Answer: A
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Page 4
Chapter 3: The Stuart Stress Adaptation Model of Psychiatric Nursing Care
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A comparison of the nursing and medical models of care shows that:
A) nurses assess disease states and causes.
B) physicians assess risk factors and vulnerability.
C) nursing intervention focuses on curative treatments.
D) nursing diagnoses focus on the effectiveness of coping responses.
Answer: D
Q2) Nursing diagnoses:
A) provide a way for all health professionals to view a patient holistically and to combat the problem of mind-body dualism.
B) complement medical diagnoses and are best described as the patient's behavioral response to stress.
C) offer an alternative to health professionals who wish to use complementary treatment modalities in lieu of traditional medical treatment.
D) contribute little in the everyday clinical setting but do provide nurses with a common language to use for research on outcomes of standard nursing interventions.
Answer: B
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Chapter 4: Evidence-Based Psychiatric Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The reason for routinely using the behavioral rating scale is to assess the: (Select all that apply.)
A) changes in the patient's condition related to treatment.
B) effectiveness of the unit's patient behavior scales.
C) strength of the behavioral scale's reliability.
D) patient's state at the time of admission.
E) patient's status to support discharge.
Q2) To focus a patient's treatment or medication regimen in a very specific format,which tool would be used?
A) Patient satisfaction survey
B) Clinical pathway
C) Algorithm
D) Graph
Q3) To what extent is outcome measurement important to the delivery of psychiatric nursing care?
A) It is more "nice" than it is necessary.
B) It will support the legitimacy of psychiatric nursing.
C) It will promote descriptive and correlational nursing research.
D) It gives information about the appropriate settings for treatment.
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Chapter 5: Biological Context of Psychiatric Nursing Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A couple tells a nurse that they are concerned about having children because there is bipolar disorder in first-degree relatives of each of them.What advice should the nurse give?
A) "Do not have children."
B) "Seek genetic counseling."
C) "Do as your conscience dictates."
D) "Bipolar disorder is not hereditary."
Q2) A patient's spouse asks a nurse,"Why are they wasting money doing all these tests on my spouse? The hallucinations and delusions make the mental illness obvious!" The best reply would be:
A) "Don't be upset. We are using the most modern approach to caring for your spouse."
B) "I know you must be worried about costs, but having these tests is very necessary."
C) "Physical illnesses can cause psychiatric symptoms. We must be sure of what we are treating."
D) "I think that you are upset about your spouse's illness and not thinking clearly. To avoid harm, physical illness must be ruled out."
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Chapter 6: Psychological Context of Psychiatric Nursing Care
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) During a mental status examination,a patient shouts angrily at the nurse,"You are too nosy for your own good!" Then,almost immediately,happily says,"Well,let's let bygones be bygones and be buddies." The nurse assesses this emotional display as:
A) labile affect.
B) hallucinations.
C) magical thinking.
D) ideas of reference.
Q2) A nurse conducting a mental status examination should plan to:
A) compare results with at least one other nurse.
B) perform the examination without the patient knowing.
C) integrate the examination into the nursing assessment.
D) perform the examination as the first communication with the patient.
Q3) A nurse plans to engage in participant observation while conducting a mental status examination.This will require the nurse to:
A) increase verbalization with the patient.
B) listen attentively to the patient's response.
C) engage in communication and observation simultaneously.
D) advise the patient on what to do about data obtained during the interview.
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Chapter 7: Social, Cultural, and Spiritual Context of Psychiatric Nursing Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which factor is most likely to delay a member of a minority group from seeking needed medical care? (Select all that apply.)
A) Access to medical insurance
B) Ability to speak English as a second language
C) Availability of primary physicians for referrals
D) Amount of support provided by ethnic community
E) Familiarity of the community where care is being offered
Q2) A culturally competent nurse possesses which characteristics? (Select all that apply.)
A) Flexibility
B) An unbiased nature
C) Sensitivity to diversity
D) Willingness to learn
E) Mastery of nursing skills
Q3) Sociocultural risk factors are identified by assessing which patient characteristic?
A) Belief system
B) Daily health habits
C) Stress management habits
D) Restfulness of the home environment
Page 9
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Chapter 8: Legal and Ethical Context of Psychiatric Nursing Care
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A patient tells a nurse,"My children had me ruled incompetent.I'm going to ask the doctor to reverse that ruling." The nurse's reply should be based on the fact that:
A) incompetency may only be reversed by a court.
B) competency is automatically restored upon discharge from the hospital.
C) being declared incompetent is associated with specific medical diagnoses.
D) competency is not a major issue since it does not interfere with the right to vote, marry, and divorce.
Q2) When a patient who immigrated to the United States tells a nurse that consent to electroconvulsive therapy (ECT) was only given because the patient's spouse said,"They will deport you if you didn't do what they said to do," the nurse should initially:
A) reassure the patient that the decision is sound.
B) discuss the reasons the spouse believed they must consent.
C) explain that consenting to treatment will not stop deportation.
D) document the comment and notify the health care provider immediately.
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Chapter 9: Policy and Advocacy in Mental Health Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A health provider study group should explore which option as a means to improve access to care in rural areas servicing a scattered population?
A) Installation of telehealth services
B) An increased number of satellite centers
C) Implementation of mobile mental health clinics
D) Federal grants to supplement the agency budget for personnel
Q2) A psychiatric nurse notes that the expected outcome of treatment for a patient with depression is the relief of symptoms.The nurse determines that this patient is in which stage of treatment in an integrated behavioral continuum of care?
A) Crisis
B) Acute
C) Maintenance
D) Health promotion
Q3) Which disorder is the leading psychiatric cause of disability in the world?
A) Depression
B) Schizophrenia
C) Bipolar disorder
D) Obsessive-compulsive disorder
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Chapter 10: Families as Resources, Caregivers, and Collaborators
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23 Verified Questions
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Sample Questions
Q1) Which item would not be included by a nurse when using the family APGAR tool as an assessment measure of family roles and relationships? (Select all that apply.)
A) Nurturing
B) Decision making
C) Recreational activities
D) Emotional experiences
E) Allocation of earned income
Q2) A patient experiences frequent recurring bouts of bipolar illness.Which member of the patient's family is likely to be most profoundly and negatively affected by the patient's illness?
A) Her mother
B) Her child
C) Her husband
D) Her adult sister
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Chapter 11: Implementing the Nursing Process: Standards of Practice
and Professional Performance
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse who is new to the mental health setting is having difficulty writing meaningful outcome criteria.The nurse's mentor should suggest which source to best assist the nurse?
A) Nursing Outcomes Classification (NOC)
B) Nursing Interventions Classification (NIC)
C) North American Nursing Diagnosis Association International (NANDA-I)
D) Diagnostic and Statistical Manual of Mental Disorders, ed 4, text revision(DSM-IV-TR)
Q2) A nurse is working with a patient with depression.To best help the patient translate insight into action,a major nursing challenge will be to:
A) promote self-care activities.
B) consult appropriate resources.
C) build adequate incentives to change.
D) identify ineffective behavior patterns.
Q3) Which goal should be given the highest priority?
A) Reduction of anxiety
B) Alleviation of depression
C) Enhancement of self-esteem
D) Protection from self-destructive impulses
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Chapter 12: Prevention and Mental Health Promotion
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The identification of intervention strategies designed to increase self-efficacy among members of a minority neighborhood group would occur in which phase of the nursing process?
A) Assessment
B) Analysis
C) Planning
D) Implementation
E) Evaluation
Q2) Which interventions would be helpful in achieving the goal of improving the social support system of an individual at risk for developing maladaptive coping responses? (Select all that apply.)
A) Hospitalization in a mental health facility
B) Encouraging participation in a self-help group
C) Explaining to concerned others how they can help
D) Providing services in a caring and supportive manner
E) Identifying consequences for ineffective coping strategies
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14
Chapter 13: Crisis Intervention
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24 Verified Questions
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Sample Questions
Q1) A teenaged new mother reports she has felt apathetic,fatigued,and helpless since giving birth.She states,"I don't know what's expected of me." The nurse believes the patient will benefit from:
A) crisis intervention.
B) short hospitalization.
C) neuroleptic medication.
D) antidepressant medication.
Q2) A crisis intervention clinic nurse responds to a patient who has many concerns about marriage by saying,"You seem to be very committed to the success of your marriage.I think you have the ability to work through these issues and end up with a stronger relationship." This is an example of which technique?
A) Clarification
B) Support of defenses
C) Raising self-esteem
D) Exploration of solutions
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Chapter 14: Recovery and Psychiatric Rehabilitation
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Effective programs are essential for families of patients with severe mental illness.Which components should be included to enhance a program's effectiveness?
A) Education and empowerment
B) Political support and education
C) Financial support and a large membership
D) Empowerment and the participation of political figures
Q2) A psychiatric nurse is assessing the family and home of a patient who is being discharged within the next few days from an inpatient unit.The assessment component with the highest priority is:
A) how the family members will make changes to meet the needs of the patient.
B) the attitudes and feelings of family members toward the mentally ill member.
C) how family members will cope with the responsibility of caring for the patient.
D) who will be responsible for helping the client with his or her activities of daily living (ADLs).
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16
Chapter 15: Anxiety Responses and Anxiety Disorders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A patient has significant non-goal-directed motor activity,seems terror stricken,and experiences both distorted perceptions and disordered thoughts.When the nurse attempts to calm the patient,the patient does not respond.The level of patient anxiety can be assessed as:
A) mild.
B) moderate.
C) severe.
D) panic.
Q2) Several months after being trapped in a collapsed building for several hours before being rescued,a patient admits to currently feeling "numb" and being unable to relate well with people.The patient sometimes re-experiences the terror associated with being trapped.The data collected about the patient are consistent with the symptoms of which problem?
A) Agoraphobia
B) Panic attacks
C) Posttraumatic stress disorder
D) Obsessive-compulsive disorder
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Chapter 16: Psychophysiological Responses and Somatoform and Sleep Disorders
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Sample Questions
Q1) Which patient is most likely exhibiting a conversion disorder?
A) A toddler with frequent ear infections
B) An athlete with exercise-induced asthma
C) A night guard who suddenly goes blind
D) An older adult whose fractured foot is not healing well
Q2) A patient with a history of insomnia has been taking 15 mg of chlordiazepoxide (Librium) at bedtime for the past year.The patient reports having difficulty falling asleep and wakes up frequently during the night.The most appropriate nursing diagnosis to consider is:
A) disturbed sleep pattern related to anxiety.
B) moderate anxiety related to disturbed sleep pattern.
C) insomnia related to tolerance to chlordiazepoxide (Librium).
D) thought disorder related to intolerance of chlordiazepoxide (Librium).
Q3) A nurse planning care for a patient who has somatoform disorder needs to be aware that these patients often have relationship problems associated with:
A) anger.
B) dependency.
C) detachment.
D) misplaced objectivity.
Page 18
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Chapter 17: Self-Concept Responses and Dissociative Disorders
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Sample Questions
Q1) When working with a patient with self-concept disturbance,which type of communication would initially be most useful?
A) Probing
B) Empathic
C) Confrontational
D) Sympathetic
Q2) A patient states,"Ever since I was a kid,I knew I should study,get good grades,and go to medical school.I wanted to be helpful and do good for others." From this statement,the nurse obtains information to assess this patient's:
A) self-ideal.
B) self-esteem.
C) self-concept.
D) self-actualization.
Q3) A nurse is working with a patient to improve self-concept by expanding self-awareness.Which intervention is best?
A) Encouraging the patient to examine feelings related to a stressor
B) Creating a climate of acceptance toward the patient
C) Discussing all possible alternatives and solutions
D) Challenging the patient's faulty beliefs
Page 19
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Chapter 18: Emotional Responses and Mood Disorders
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Sample Questions
Q1) A patient with depression recently lost 8 pounds.After only a few bites the patient refuses to eat more,saying,"I'm full.All that food makes me sick just to look at it." The most effective way for the nurse to help increase the patient's dietary intake would be to:
A) provide a high-calorie liquid diet.
B) serve six small, calorie-dense meals daily.
C) take the patient to the hospital cafeteria for meals.
D) have the patient's family bring some favorite foods from home.
Q2) Which findings indicate that the goal of returning to appropriate emotional responsiveness has been attained by a patient with mania?
A) The patient interacts superficially with staff but refuses involvement in a therapeutic alliance.
B) The patient manipulates another patient to create a disturbance and laughs at the outcome.
C) The patient identifies two attainable personal goals and offers a realistic (nongrandiose) self-appraisal.
D) The patient maintains aloof relationships with other patients and advises others based on personal preferences.
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Chapter 19: Self-Protective Responses and Suicidal Behavior
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Sample Questions
Q1) A nurse assessing a patient who has been noncompliant with the prescribed diabetic diet and exercise regimen should consider planning strategies to overcome patient use of:
A) denial.
B) projection.
C) dissociation.
D) displacement.
Q2) The nursing diagnosis for a patient who is depressed and suicidal at admission is "risk for suicide." The most appropriate outcome for this diagnosis at discharge from the hospital is,"The patient will:
A) increase feelings of self-worth."
B) not harm self while hospitalized."
C) be able to problem solve effectively."
D) develop a trusting relationship with one staff member."
Q3) A patient who _____ should be assessed as using indirect self-destructive behavior.
A) scratches both wrists with safety pins
B) drinks nearly 1 quart of whiskey per day
C) took an overdose of sedative-hypnotic drugs
D) calls a friend when contemplating suicide
Page 21
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Chapter 20: Neurobiological Responses and Schizophrenia and Psychotic Disorders
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26 Verified Questions
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Sample Questions
Q1) During occupational therapy a patient diagnosed with schizophrenia sits staring at a piece of paper.Which response is most therapeutic at this time?
A) "If you prefer to sit and stare for a time, it is acceptable for you to leave."
B) "You seem immobilized by anxiety. Is there anything I can do to help?"
C) "Are you having trouble deciding where you want to glue that piece?"
D) "Rub the glue stick on the back of the paper."
Q2) A patient diagnosed with schizophrenia has difficulty completing tasks and seems forgetful and disinterested in activities.A nurse can best select successful strategies by understanding that these behaviors are due to:
A) a lack of self-esteem.
B) manipulative tendencies.
C) shyness and embarrassment.
D) problems in cognitive functioning.
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22
Chapter 21: Social Responses and Personality Disorders
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Sample Questions
Q1) Which comment about relationships would be most characteristic of a patient with antisocial personality disorder?
A) "The only reason for interacting is to take advantage of others."
B) "'Live and let live' is as good a philosophy as any to live by."
C) "I've always found that 'help one another' is a good policy."
D) "I'll be your doormat. Feel free to take advantage of me."
Q2) Which behavior would be most characteristic of an individual with narcissistic personality disorder?
A) A lifelong pattern of social withdrawal
B) Refusal to enter into relationships for fear of rejection
C) Belief in entitlement to special privileges that others may not have
D) Belief in possessing the ability to know what others are thinking
Q3) Milieu work with patients with personality disorders is most effective when it:
A) focuses on interactional behaviors in the here and now.
B) facilitates a process of delving into the patient's early childhood.
C) provides strict structure to compensate for a lack of personal boundaries.
D) promotes regression to help the patient work through earlier conflicts.
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Page 23
Chapter 22: Cognitive Responses and Organic Mental Disorders
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Sample Questions
Q1) An elderly patient with dementia paces the hallway and often wanders.The nurse documents that the patient is exhibiting which type of behavior characteristic of dementia?
A) Passive behavior
B) Functionally impaired behavior
C) Involuntary psychomotor behavior
D) Nonaggressive psychomotor behavior
Q2) Which intervention would likely be most useful when attempting to prevent or lessen the symptoms associated with sundown syndrome?
A) Keeping the patient's room quiet and dimly lit at night
B) Interacting frequently with the patient during evening hours
C) Providing the patient with a large protein-based bedtime snack
D) Giving the patient a soft stuffed animal to provide a source of security
Q3) Which nursing diagnosis would be appropriate for a patient with Alzheimer disease?
A) Disorientation related to hyperthermia
B) Anxiety (moderate) related to dementia
C) Disturbed sensory perception (visual) related to normal aging
D) Disturbed thought processes related to irreversible brain disorder
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Chapter 23: Chemically Mediated Responses and
Substance-Related Disorders
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Sample Questions
Q1) A patient sustained a fractured femur while driving under the influence of drugs.Family members indicate that the patient has "dabbled in drugs" for years.When the patient obtains little relief from the prescribed dose of narcotic analgesic,the nurse suspects the ineffective pain relief is related to:
A) drug tolerance to the narcotic prescribed.
B) the predictable onset of withdrawal symptoms.
C) insufficient analgesic dosage to manage the pain.
D) the strong likelihood of a history of substance abuse.
Q2) The nursing intervention of highest priority relative to alcohol withdrawal delirium is:
A) application of restraints.
B) reorientation of the patient to reality.
C) identification of existing social supports.
D) maintenance of fluid and electrolyte balance.
Q3) A nurse should specifically assess a patient opiate withdrawal for:
A) lacrimation, rhinorrhea, dilated pupils, and muscle pain.
B) somnolence, constipation, normal pupils, and hypothermia.
C) tremors, hypertension, constricted pupils, and deep sleep.
D) visual and tactile hallucinations, agitation, and generalized seizures.
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Chapter 24: Eating Regulation Responses and Eating Disorders
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Q1) Which goal has priority for a patient with anorexia nervosa undergoing nutritional stabilization?
A) Schedules meals appropriately
B) Eats 100% of each meal served
C) Selects food items from a menu
D) Prepares food under supervision
Q2) A patient with an eating disorder states,"Now that I've gained 4 pounds,I can't wear shorts until I lose it again." The patient is exhibiting which cognitive distortion related to maladaptive eating regulation responses?
A) Magnification
B) Personalization
C) Superstitious thinking
D) Dichotomous thinking
Q3) A nurse assesses that which individual is most likely to engage in binge-eating behaviors characteristic of bulimia? A person who:
A) weighs 225 pounds and is 5 feet 4 inches tall.
B) is 5 pounds overweight and cannot stick to a diet.
C) lost 40 pounds but gained it back within 1 year.
D) monitors caloric intake in order to fit into a small suit.
Page 26
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Chapter 25: Sexual Responses and Sexual Disorders
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Sample Questions
Q1) What is the rationale for seeking information about the effects of prescribed medications on a patient's sexual function?
A) Sexual dysfunction may result from use of prescription medications.
B) The question eases the transition to questioning about sexual practices.
C) Patients are more comfortable talking about medications than about sex.
D) The question provides an opening to question about nonprescription drug use.
Q2) The best expected outcome for a patient with maladaptive sexual response is,"The patient will
A) identify sexual questions and problems."
B) implement one new behavior to improve sexual functioning."
C) state comfort and satisfaction with gender identity and sexual orientation."
D) achieve a mutually acceptable level of sexual response with a consenting partner."
Q3) A nurse assesses a patient who reports that she is unable to have intercourse because of involuntary contractions at the vaginal opening.The nurse can correctly assess this as:
A) vaginismus.
B) dyspareunia.
C) arousal disorder.
D) orgasmic dysfunction.
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Page 27
Chapter 26: Psychopharmacology
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Sample Questions
Q1) During a home visit with a patient diagnosed with schizophrenia the patient tells the nurse,"I'm going to stop going to the clinic for my fluphenazine decanoate (Prolixin) shots because I think I'm okay now." Which statement represents the best understanding of the effect of the patient's decision on the prognosis?
A) "So you think you're better now. Let's discuss why you've decided to stop taking your medication."
B) "Your doctor knows what's best for you. Just look at how well you're feeling now so don't stop taking the medication."
C) "Our philosophy is to use the least amount of medicine that is needed to treat a problem. Tell me why you think that you are okay now."
D) "I'm afraid that you'll be sick again very soon if you aren't taking your medication, but you are an adult and entitled to make your own decisions."
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Chapter 27: Behavior Change and Cognitive Interventions
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Sample Questions
Q1) An important characteristic of cognitive behavioral therapy is its focus on the:
A) authoritarian role assumed by the therapist.
B) consistent collaboration with the patient.
C) subjective experiences of the patient.
D) approach to treatment.
Q2) A nurse instructing a group of patients in the sequence of progressive muscle relaxation tells the group to tense and relax which area first?
A) Eyes
B) Toes
C) Hands
D) Mouth
Q3) Which behavior would a nurse focus upon when using a token economy as a method of positive reinforcement?
A) Altering cognitive perceptions
B) Reinforcing cognitive congruence
C) Performing assigned tasks in a cooperative manner
D) Pairing desired behaviors with undesired behaviors
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29
Chapter 28: Preventing and Managing Aggressive Behavior
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Q1) A nurse working in a walk-in clinic is approached by a person with a history of violent behavior.The person states,"I want to go to the hospital for a rest.You better get me in or I'll do something bad.I can get a gun." An appropriate response from the nurse would be:
A) "If I get you admitted, will you promise to behave yourself?"
B) "You seem very anxious to be hospitalized. What do you think will happen if you aren't hospitalized?"
C) "Do you have a gun? I'm not sure I believe you. Are you really threatening to kill yourself or someone else?"
D) "Do you really want to go to the hospital? Would you be satisfied if I were able to find you someplace safe to rest?"
Q2) Which medication would a nurse expect to be prescribed to an adolescent patient diagnosed with a conduct disorder who has a history of physically abusing younger siblings?
A) Propranolol (Inderal)
B) Propranolol (Ritalin)
C) Clozapine (Clozaril)
D) Phenytoin (Dilantin)
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Page 30
Chapter 29: Somatic Therapies
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Sample Questions
Q1) Which statement should be included during the educational preparation of a patient who will undergo ECT (electroconvulsive therapy) in 1 week?
A) "The induced seizure will last approximately 2 minutes and will be very mild."
B) "We encourage a family member to stay with the patient during the treatment."
C) "I'd be happy to arrange for you to speak with a patient who has experienced ECT."
D) "There may be a small amount of permanent memory loss, but it is usually related to the time of the seizure itself."
Q2) A patient who has received three ECT (electroconvulsive therapy) treatments with no ill effects displays confusion and memory loss after the fourth treatment.Which nursing intervention would be most therapeutic based on a nurse's knowledge of ECT effects?
A) Administer a benzodiazepine by IM injection immediately.
B) Call the health care provider and report this sudden alteration immediately.
C) Inform the family that the short-term memory loss may be permanent.
D) Orient the patient periodically, emphasizing that the memory loss is temporary.
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Chapter 30: Complementary and Alternative Therapies
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Q1) A patient states,"My nurse practitioner performs therapeutic touch (TT) on me and it relaxes me but my partner said it's just the power of suggestion." Which response would be most therapeutic?
A) "Recent studies have demonstrated that TT promotes healing and well-being, so it's reasonable to believe it relaxes you."
B) "I agree with your partner. The power of suggestion is a very powerful tool, so TT may make you feel more relaxed."
C) "TT cannot hurt you, so if you feel it helps relax you, I see no reason why you should not continue with the treatment."
D) "Your partner may not be very knowledgeable about current therapeutic nursing interventions. If you find TT helpful, that is what is important."
Q2) A nurse should advise a patient taking the herb kava-kava in conjunction with central nervous system medications that it may:
A) have addictive properties.
B) trigger asthmatic attacks.
C) cause fatal arrhythmias.
D) exacerbate depression.
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Chapter 31: Therapeutic Groups
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Sample Questions
Q1) Which nursing intervention would the nurse employ to help reduce group resistance?
A) Review accepted guidelines in the group's orientation stage.
B) Make group acceptance criteria as nonrestricting as possible.
C) Employ pretesting and posttesting regarding each session topic.
D) Avoid personal consequences for member absenteeism and tardiness.
Q2) Which of these observations would indicate to the nurse facilitator that some members of a therapeutic anger management group are demonstrating resistance?
A) Four of the group members share that the discussion is making them sad.
B) Three members claim, "We don't have problems controlling our tempers."
C) Two of the members are overheard discussing their fear of "disappointing the nurse."
D) Several members share that they have physically and verbally abused their significant others in the past.
Q3) Which goal applies to a brief therapy group?
A) Determine the underlying cause of the chief problem.
B) Identify maladaptive behaviors that hinder recovery.
C) Substitute ineffective strategies with effective ones.
D) Facilitate members' abilities to effectively manage self-care.
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Page 33
Chapter 32: Family Interventions
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Sample Questions
Q1) Skill building may include relapse-prevention drills and disorder-related conflict skills for adult patients diagnosed with schizophrenia or a mood disorder.Along with skill building,the patient typically receives individualized:
A) pharmacotherapy.
B) subsidized housing.
C) occupational therapy.
D) health care treatment.
Q2) It is useful initially for a therapist who is completing a family assessment to: A) have members also attend individual therapy.
B) interview members individually.
C) consider cultural influences.
D) visit the family home.
Q3) An essential outcome of family therapy is: A) change.
B) acceptance.
C) accountability.
D) participation.
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Chapter 33: Hospital-Based Psychiatric Nursing Care
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Q1) A young adult patient is alienated by others who are offended by the patient's poor hygiene and body odor.Which nursing intervention should occur first for this patient?
A) Assessing the patient's understanding of good hygiene practices
B) Assigning the patient a scheduled shower and personal grooming time
C) Instructing the patient regarding the need for daily showering and shampooing
D) Having two mental health workers shower and dress the patient every morning
Q2) Which of these patients is the most appropriate candidate for assignment to a crisis bed? A patient who:
A) is found inebriated and claims to be "king of the universe."
B) shows a store clerk a knife after being refused use of the store's restroom.
C) has a history of violent outbursts and has been recently evicted from his or her home. D) is known to have bipolar disorder who expresses a need to be hospitalized "for the winter."
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Chapter 34: Community-Based Psychiatric Nursing Care
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Sample Questions
Q1) A community mental health nurse is often a member of a multidisciplinary Assertive Community Treatment (ACT) team.An example of a nursing intervention that focuses on the primary concentration of care for such a team is:
A) providing medication education to all patients.
B) volunteering to counsel homeless abused women.
C) involving a patient in the various aspects of his or her discharge planning.
D) conducting a support group for patients recovering from depression.
Q2) A psychiatric nurse is focusing on the fifth area of service,based on the Community Mental Health Centers Act of 1963,when:
A) assisting with electroconvulsive therapy (ECT) treatments.
B) providing stress management technique classes to new mothers.
C) assessing patients for admission into an outpatient group program.
D) providing emergency psychiatric care to a rape victim demonstrating psychoses.
Q3) Rural suicide rates:
A) have surpassed urban suicide rates over the past 20 years.
B) are not tracked as effectively as urban rates.
C) cannot be determined with accuracy.
D) are very low in the United States.
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Chapter 35: Child Psychiatric Nursing
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Sample Questions
Q1) Which assessment finding most clearly indicates an adolescent has a conduct disorder?
A) Misses at least one day of school a month
B) Admits to pulling the dog's ears and tail for "fun"
C) Told the teacher that he is usually "sad and confused"
D) Consistently awakens during the night and has difficulty falling asleep again
Q2) The parents of a 7-year-old child recently adopted from another country report that their child has frequent headaches,a poor appetite,and isn't doing well in school.The nurse should initially:
A) draw a family genogram.
B) talk with the child about the symptoms.
C) hold an intervention that includes all involved parties.
D) perform a culturally congruent comprehensive assessment.
Q3) A group of 10-year-old children are playing a board game.Which of these patient outcomes would the nurse evaluate as evidence of a favorable response to the frustration of losing?
A) The child congratulates the winner.
B) The child walks away to read a book.
C) The child invites another child to join.
D) The child wants an immediate rematch.
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Chapter 36: Adolescent Psychiatric Nursing
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Sample Questions
Q1) An adolescent is just beginning individual therapy.The nurse suspects the adolescent is demonstrating resistance when stating:
A) "There isn't anything so wonderful about this kind of therapy."
B) "I'm really busy and may miss some of our meetings because of things I have to do."
C) "I don't really need to be here. It's my parents who have the real problems, not me."
D) "It is so embarrassing to have to come here and talk with someone I hardly know about my problems."
Q2) A nurse would be most concerned about the risk of suicide in which adolescent?
A) A 13-year-old girl with poor school performance
B) A 14-year-old male exhibiting hostile behavior
C) A 17-year-old female with alcohol abuse issues
D) An 18-year-old male with relationship problems
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Chapter 37: Geropsychiatric Nursing
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Q1) Which nursing technique would be most effective when assessing an older adult patient's nutritional status?
A) Interact with the patient during meals.
B) Perform a comprehensive health assessment.
C) Supplement the patient's diet with preferred, nutritious snacks.
D) Ask the patient to complete a 7-day inclusive nutritional recall.
Q2) Which observation would be of greatest concern for an older adult patient who is taking several prescribed medications?
A) Experiencing early-morning confusion
B) Taking sugarless hard candy for dry mouth
C) Dangling feet at the bedside to avoid dizziness
D) Reporting frequent awakenings during the night
Q3) An older adult patient will be moved from a psychiatric inpatient unit to a nursing home.Which action should be given priority by the nurse to best facilitate the move?
A) Have the patient visit the nursing home before actually moving.
B) Administer a sedative-hypnotic to the patient before the patient moves.
C) Place the patient's belongings in the new room after they are inventoried.
D) Hold all of the patient's medications until after the move to minimize confusion.
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Chapter 38: Care of Survivors of Abuse and Violence
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Q1) Which intervention would be the best initial approach for a nurse to take when a young adult patient is verbally abusive?
A) Ask the patient to define "verbally abusive language."
B) Provide the patient with examples of assertive communication.
C) Identify the patient's verbal abuse in order to set standards for future dialogue.
D) Remove privileges from the patient until communications show less aggression.
Q2) Which is the most appropriate initial action for a nurse when attempting to overcome personal negative attitudes about a patient who has a history of returning to an abusive spouse?
A) Exploring own attitudes and values toward survivors of violence
B) Identifying the dysfunctional behaviors exhibited by the violent family
C) Concentrating on identifying any possible personal abusive relationships
D) Attending seminars on the psychological impact of being the victim of abuse
Q3) Which behavior would the nurse expect in a person who commits psychic rape? The perpetrator:
A) gives money to the victim after the rape.
B) seduces the victim by providing wine, flowers, and music.
C) threatens the victim to submit or else be severely beaten.
D) always mentions including violent bondage in sexual activities.
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Page 40
Chapter 39: The Military and Their Families
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Source URL: https://quizplus.com/quiz/6413
Sample Questions
Q1) A military veteran is being evaluated for traumatic brain injury (TBI).Which nursing assessment data supports such a diagnosis? (Select all that apply.)
A) Baseline blood pressure is 148/96
B) Has been treated for bronchitis twice in the last 8 months
C) Patient reports experiencing an average of 3 headaches per week
D) Petit mall seizure activity well controlled with antiseizure medication therapy
E) Patient reports a weight gain of 15 pounds since returning from deployment 12 months ago.
Q2) A member of the military shares that he has been a victim of sexual trauma during his enlistment.Which question will the nurse ask to best assess the individual's degree of self-blame?
A) "Were you physically hurt as a result of sexual abuse?"
B) "Have you confided this information with family or a trusted friend?"
C) "What occurred when you reported the attack to your military superior?"
D) "Have you been tested for sexually transmitted diseases since the attack?"
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Chapter 40: Psychological Care of Patients with Life-Threatening Illness
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Source URL: https://quizplus.com/quiz/6414
Sample Questions
Q1) The adult child of a terminally ill patient tells a nurse,"The doctor recommended considering end-of-life care." The nurse interprets that this most likely means that the patient will not live more than _____ month(s).
A) 1
B) 3
C) 6
D) 24
Q2) An older adult patient diagnosed with Parkinson-induced dementia becomes critically ill with severe pneumonia.No family is available.After repeated failed attempts to contact the patient's agent designated by the Health Care Power of Attorney,which standard should the health care team use as the best method for decision making in planning care for this patient?
A) Informed consent
B) Best interests standard
C) Patient's Bill of Rights
D) Substituted judgment standard
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