Psychiatric Mental Health Nursing Exam Bank
Course Introduction
Psychiatric Mental Health Nursing is a comprehensive course that explores the principles and practices of mental health care across the lifespan. The course examines the assessment, diagnosis, and treatment of individuals with psychiatric disorders, emphasizing therapeutic communication, ethical considerations, and evidence-based interventions. Students learn to collaborate within interdisciplinary teams, provide holistic care, and promote mental health advocacy while managing acute and chronic mental illness. Through lectures, case studies, and clinical experiences, learners develop critical thinking, empathy, and culturally competent approaches to support diverse populations facing mental health challenges.
Recommended Textbook
Essentials of Psychiatric Mental Health Nursing 3rd Edition by Varcarolis
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28 Chapters
803 Verified Questions
803 Flashcards
Source URL: https://quizplus.com/study-set/165
Page 2
Chapter 1: Practicing the Science and Art of Psychiatric Nursing
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/2047
Sample Questions
Q1) In the shift-change report, an off-going nurse criticizes a patient who wears heavy makeup. Which comment by the nurse who receives the report best demonstrates advocacy?
A) "This is a psychiatric hospital, so we expect our patients to behave bizarrely."
B) "Let's all show acceptance of this patient by wearing lots of makeup too."
C) "Your comments are inconsiderate and inappropriate. Keep the report objective."
D) "Our patients need our help to learn behaviors that will help them get along in society."
Answer: D
Q2) Which research evidence would most influence a group of nurses to change their practice?
A) Expert committee report of recommendations for practice
B) Systematic review of randomized controlled trials
C) Non-experimental descriptive study
D) Critical pathway
Answer: B
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Chapter 2: Mental Health and Mental Illness
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/2048
Sample Questions
Q1) A participant at a community education conference asks, "What is the most prevalent type of mental disorder in the United States?" Select the nurse's best response.
A) "Why do you ask?"
B) "Schizophrenia"
C) "Affective disorders"
D) "Anxiety disorders"
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) The parent of a child diagnosed with schizophrenia tearfully asks a nurse, "What could I have done differently to prevent this illness?" Select the nurse's most caring response.
A) "Although schizophrenia is caused by impaired family relationships, try not to feel guilty. No one can predict how a child will respond to parental guidance."
B) "Most of the damage is done, but there is still hope. Changing your parenting style can help your child learn to cope more effectively with the environment."
C) "Schizophrenia is a biological illness with similarities to diabetes and heart disease. You are not to blame for your child's illness."
D) "Most mental illnesses result from genetic inheritance. Your genes are more at fault than your parenting."
Answer: C
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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 drug causes muscarinic-receptor blockade. A nurse will assess the patient for:
A) dry mouth.
B) gynecomastia.
C) pseudoparkinsonism.
D) orthostatic hypotension.
Q2) A patient asks a nurse, "What are neurotransmitters? My doctor says mine are out of balance." The best reply would be:
A) "You must feel relieved to know that your problem has a physical basis."
B) "Neurotransmitters are chemicals that pass messages between brain cells."
C) "It is a high-level concept to explain. You should ask the doctor to tell you more."
D) "Neurotransmitters are substances we eat daily that influence memory and mood."
Q3) A nurse can anticipate anticholinergic side effects are likely to occur when a patient is taking:
A) lithium (Lithobid).
B) buspirone (BuSpar).
C) risperidone (Risperdal).
D) fluphenazine (Prolixin).
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Page 6
Chapter 5: Settings for Psychiatric Care
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2051
Sample Questions
Q1) The following patients are seen in the emergency department. The psychiatric unit has one bed available. Which patient should the admitting officer recommend for admission to the hospital? The patient who:
A) is experiencing dry mouth and tremor related to side effects of haloperidol (Haldol).
B) is experiencing anxiety and a sad mood after a separation from a spouse of 10 years.
C) self-inflicted a superficial cut on the forearm after a family argument.
D) is a single parent and hears voices saying, "Smother your infant."
Q2) Planning for patients diagnosed with mental illness is facilitated by understanding that inpatient hospitalization is generally reserved for patients who:
A) present a clear danger to self or others.
B) are noncompliant with medications at home.
C) have no support systems in the community.
D) develop new symptoms during the course of an illness.
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Chapter 6: Legal and Ethical Basis for Practice
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2052
Sample Questions
Q1) After leaving work, a staff nurse realizes that documentation of the administration of a medication to a patient was omitted. This off-duty nurse telephones the unit and tells the nurse, "Please document the administration of the medication I forgot to do. My password is alpha1." The nurse should:
A) fulfill the request.
B) refer the matter to the charge nurse to resolve.
C) access the record and document the information.
D) report the request to the patient's health care provider.
Q2) A patient being treated in an alcohol rehabilitation unit reveals to the nurse, "I feel terrible guilt for sexually abusing my 6-year-old child before I was admitted." Based on state and federal law, the best action for the nurse to take is to:
A) anonymously report the abuse by telephone to the local child abuse hotline.
B) reply, "I'm glad you feel comfortable talking to me about it."
C) respect the nurse-patient relationship of confidentiality.
D) file a written report on the agency letterhead.
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8
Chapter
7: Nursing Process and QSEN: The Foundation for
and Effective Care
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2053
Sample Questions
Q1) Before assessing a new patient, a nurse is told by another health care worker, "I know that patient. No matter how hard we work, there isn't much improvement by the time of discharge." The nurse's responsibility is to:
A) document the other worker's assessment of the patient.
B) assess the patient based on data collected from all sources.
C) validate the worker's impression by contacting the patient's significant other.
D) discuss the worker's impression with the patient during the assessment interview.
Q2) A nurse works with a patient to establish outcomes. The nurse believes that one outcome suggested by the patient is not in the patient's best interest. What is the nurse's best action?
A) Remain silent.
B) Educate the patient that the outcome is not realistic.
C) Explore with the patient possible consequences of the outcome.
D) Formulate a more appropriate outcome without the patient's input.
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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) The relationship between a nurse and patient as it relates to status and power is best described by which term?
A) Symmetric
B) Complementary
C) Incongruent
D) Paralinguistic
Q2) Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?
A) Nurses are responsible for breaking silences.
B) Patients withdraw if silences are prolonged.
C) Silence can provide meaningful moments for reflection.
D) Silence helps patients know that what they said is understood.
Q3) A school-age child tells the school nurse, "Other kids call me mean names and will not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic response.
A) "Just ignore them and they will leave you alone."
B) "You should make friends with other children."
C) "Call them names if they do that to you."
D) "Tell me more about how you feel."
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Chapter 9: Therapeutic Relationships and the Clinical Interview
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2055
Sample Questions
Q1) A patient says, "I'm still on restriction, but I want to attend some off-unit activities. Would you ask the doctor to change my privileges?" What is the nurse's best response?
A) "Why are you asking me when you're able to speak for yourself?"
B) "I will be glad to address it when I see your doctor later today."
C) "That's a good topic for you to take up with your doctor."
D) "Do you think you can't speak to a doctor?"
Q2) During the first interview, a nurse notices that the patient does not make eye contact. The nurse can correctly analyze that:
A) the patient is not truthful.
B) the patient is feeling sad.
C) the patient has a poor self-concept.
D) more information is needed to draw a conclusion.
Q3) Which remark by a patient indicates passage from the orientation phase to the working phase of a nurse-patient relationship?
A) "I don't have any problems."
B) "It is so difficult for me to talk about my problems."
C) "I don't know how talking about things twice a week can help."
D) "I want to find a way to deal with my anger without becoming violent."
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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 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."
Q2) Cortisol is released in response to a patient's prolonged stress. Which initial effect would the nurse expect to result from the increased cortisol level?
A) Diuresis and electrolyte imbalance
B) Focused and alert mental status
C) Drowsiness and lethargy
D) Restlessness and anxiety
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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 child is placed in a foster home after being removed from parental contact because of abuse. The child is apprehensive and overreacts to environmental stimuli. The foster parents ask the nurse how to help the child. What should the nurse recommend? (Select all that apply.)
A) Use a calm manner and low voice.
B) Maintain simplicity in the environment.
C) Avoid repetition in what is said to the child.
D) Minimize opportunities for exercise and play.
E) Explain and reinforce reality to avoid distortions.
Q2) A student says, "Before taking a test, I feel a heightened sense of awareness and restlessness." The nursing intervention most suitable for assisting the student is to:
A) explain that the symptoms are the result of mild anxiety, and discuss the helpful aspects.
B) advise the student to discuss this experience with a health care provider.
C) encourage the student to begin antioxidant vitamin supplements.
D) listen without comment.
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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) A patient diagnosed with somatic symptom disorder says, "Why has God chosen me to be sick all the time and unable to provide for my family? The burden on my family is worse than the pain I bear." Which nursing diagnoses apply to this patient? (Select all that apply.)
A) Spiritual distress
B) Decisional conflict
C) Adult failure to thrive
D) Impaired social interaction
E) Ineffective role performance
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14
Chapter 13: Personality Disorders
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2059
Sample Questions
Q1) For which patients diagnosed with personality disorders would a family history of similar problems be most likely? (Select all that apply.)
A) Obsessive-compulsive
B) Antisocial
C) Dependent
D) Schizotypal
E) Narcissistic
Q2) What is an appropriate initial outcome for a patient diagnosed with a personality disorder who frequently manipulates others? The patient will:
A) identify when feeling angry.
B) use manipulation only to get legitimate needs met.
C) acknowledge manipulative behavior when it is called to his or her attention.
D) accept fulfillment of his or her requests within an hour rather than immediately.
Q3) 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.
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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) Physical assessment of a patient diagnosed with bulimia nervosa often reveals:
A) prominent parotid glands.
B) peripheral edema.
C) thin, brittle hair.
D) amenorrhea.
Q3) When a nurse finds a patient diagnosed with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight, the nurse should state:
A) "You and I will have to sit down and discuss this problem."
B) "It bothers me to see you exercising. You'll lose more weight."
C) "Let's discuss the relationship between exercise and weight loss and how that affects your body."
D) "According to our agreement, no exercising is permitted until you have gained a specific amount of weight."
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Page 16
Chapter 15: Mood Disorders: Depression
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/2061
Sample Questions
Q1) A patient says to the nurse, "My life does not have any happiness in it anymore. I once enjoyed holidays, but now they're just another day." How would the nurse document the complaint?
A) Vegetative
B) Anhedonia
C) Euphoria
D) Anergia
Q2) A patient diagnosed with major depressive disorder shows vegetative signs of depression. Which nursing actions should be implemented? (Select all that apply.)
A) Offer laxatives, if needed.
B) Monitor food and fluid intake.
C) Provide a quiet sleep environment.
D) Eliminate all daily caffeine intake.
E) Restrict the intake of processed foods.
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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 develops mania after discontinuing lithium. New prescriptions are written to resume lithium twice daily and begin olanzapine (Zyprexa). The addition of olanzapine to the medication regimen will:
A) minimize the side effects of lithium.
B) bring hyperactivity under rapid control.
C) enhance the antimanic actions of lithium.
D) provide long-term control of hyperactivity.
Q2) After hospital discharge, what is the priority intervention for a patient diagnosed with bipolar disorder who is taking antimanic medication, as well as for the patient's family?
A) Decreasing physical activity
B) Increasing food and fluids
C) Meeting self-care needs
D) Psychoeducation
Q3) The cause of bipolar disorder has not been determined, but:
A) several factors, including genetics, are implicated.
B) brain structures were altered by trauma early in life.
C) excess norepinephrine is probably a major factor.
D) excess sensitivity in dopamine receptors may exist.
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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 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
Q2) A health care provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory hallucinations and poor social functioning. The patient is also overweight and has hypertension. Which drug should the nurse advocate?
A) Clozapine (Clozaril)
B) Ziprasidone (Geodon)
C) Olanzapine (Zyprexa)
D) Aripiprazole (Abilify)
Q3) Patients diagnosed with schizophrenia who are suspicious and withdrawn:
A) universally fear sexual involvement with therapists.
B) are socially disabled by the positive symptoms of schizophrenia.
C) exhibit a high degree of hostility as evidenced by rejecting behavior.
Page 19
D) avoid relationships because they become anxious with emotional closeness.
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Chapter 18: Neurocognitive Disorders
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2064
Sample Questions
Q1) A patient diagnosed with stage 2 moderate Alzheimer disease calls the police saying, "An intruder is in my home." Police investigate and discover the patient misinterpreted a reflection in the mirror as an intruder. This phenomenon can be assessed as:
A) hyperorality.
B) aphasia.
C) apraxia.
D) agnosia.
Q2) A hospitalized patient experiencing delirium misinterprets reality and a patient diagnosed with dementia wanders about the home. Which outcome is the priority in both scenarios? Each patient will:
A) remain safe in the environment.
B) participate actively in self-care.
C) communicate verbally.
D) acknowledge reality.
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) The treatment team plans care for a person diagnosed with schizophrenia and cannabis abuse. The person has recently used cannabis daily and is experiencing increased hallucinations and delusions. Which principle applies to care planning?
A) Consider each disorder primary and provide simultaneous treatment.
B) The person will benefit from treatment in a residential treatment facility.
C) Withdraw the person from cannabis, and then treat the schizophrenia.
D) Treat the schizophrenia first, and then establish the goals for the treatment of substance abuse.
Q2) A woman in the last trimester of pregnancy drinks 8 to 12 ounces of alcohol daily. The nurse plans for the delivery of an infant who is:
A) jaundiced.
B) dependent on alcohol.
C) healthy but underweight.
D) microcephalic and cognitively impaired.
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21
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) Which agency provides coordination in the event of a terrorist attack?
A) U.S. Food and Drug Administration (FDA)
B) Environmental Protection Agency (EPA)
C) National Incident Management System (NIMS)
D) Federal Emergency Management Agency (FEMA)
Q2) 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
Q3) A nurse driving home after work comes upon a serious automobile accident. The driver gets out of the car with no apparent physical injuries. Which assessment findings would be expected from the driver immediately after this event? (Select all that apply.)
A) Difficulty using a cell phone
B) Long-term memory losses
C) Fecal incontinence
D) Rapid speech
E) Trembling
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Chapter 21: Child, Partner, and Elder Violence
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2067
Sample Questions
Q1) An employee has recently been absent from work on several occasions. Each time, this employee returns to work wearing dark glasses. Facial and body bruises are apparent. During the occupational health nurse's interview, the employee says, "My partner beat me, but it was because there are problems at work." What should the nurse's next action be?
A) Notify the police.
B) Refer the employee to a shelter.
C) Notify the adult protective agency.
D) Document injuries with a body map.
Q2) A nurse visits the home of an 11-year-old child and finds the child caring for three younger siblings. Both parents are at work. The child says, "I want to go to school but we can't afford a babysitter. It doesn't matter; I'm too dumb to learn." What preliminary assessment is evident?
A) Insufficient data are present to make an assessment.
B) Child and siblings are experiencing neglect.
C) Children are at high risk for sexual abuse.
D) Children are experiencing physical abuse.
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Chapter 22: Sexual Violence
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2068
Sample Questions
Q1) When an emergency department nurse teaches a victim of rape about reactions that may occur during the long-term organization (delayed) phase, which symptoms should be included? (Select all that apply.)
A) Development of fears and phobias
B) Decreased motor activity
C) Feelings of numbness
D) Flashbacks, dreams
E) Syncopal episodes
F) Put an arm around the person to offer reassurance that the nurse is caring and compassionate.
Q2) A rape victim tells the nurse, "I should not have been out on the street alone." Which is the nurse's most therapeutic response?
A) "Rape can happen anywhere."
B) "Blaming yourself only increases your anxiety and discomfort."
C) "You believe this would not have happened if you had not been alone?"
D) "You are right. You should not have been alone on the street at night."
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Chapter 23: Suicidal Thoughts and Behavior
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32 Verified Questions
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Source URL: https://quizplus.com/quiz/2069
Sample Questions
Q1) Which change in brain biochemical function is most associated with suicidal behavior?
A) Dopamine excess
B) Serotonin deficiency
C) Acetylcholine excess
D) Gamma-aminobutyric acid deficiency
Q2) Select the most helpful response for a nurse to make when a patient being treated as an outpatient states, "I am considering suicide."
A) "I'm glad you shared this. Please do not worry. We will handle it together."
B) "I think you should admit yourself to the hospital to get help."
C) "We need to talk about the good things you have to live for."
D) "Bringing this up is a very positive action on your part."
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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Chapter 24: Anger, Aggression, and Violence
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2070
Sample Questions
Q1) An adult patient assaulted another patient and was restrained. One hour later, which statement by this restrained patient necessitates the nurse's immediate attention?
A) "I hate all of you!"
B) "My fingers are tingly."
C) "You wait until I tell my lawyer."
D) "It was not my fault. The other patient started it."
Q2) A patient with burn injuries has had good coping skills for several weeks. Today, a new nurse is poorly organized and does not follow the patient's usual schedule. By mid-afternoon, the patient is angry and loudly complains to the nurse manager. Which is the nurse manager's best response?
A) Explain the reasons for the disorganization, and take over the patient's care for the rest of the shift.
B) Acknowledge and validate the patient's distress and ask, "What would you like to have happen?"
C) Apologize and explain that the patient will have to accept the situation for the rest of the shift.
D) Ask the patient to control the anger and explain that allowances must be made for new staff members.
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26
Chapter 25: Care for the Dying and Those Who Grieve
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2071
Sample Questions
Q1) Shortly after a man's wife dies, the man approaches the nurse who cared for his wife during her final hours of life and says angrily, "If you had given your undivided attention, she would still be alive." Which analysis applies?
A) The husband will pursue legal action regarding the nurse's negligence.
B) Anger is a phenomenon experienced during grieving.
C) The husband had ambivalent feelings about his wife.
D) In some cultures, grief is expressed exclusively by anger.
Q2) A recently widowed patient tells the health care provider, "I have so much epigastric discomfort. I wonder if I have an ulcer." Diagnostic tests are negative. The symptom demonstrates:
A) early reorganization behavior.
B) disorganization and depression.
C) preoccupation with the deceased.
D) normal phenomenon of mourning.
Q3) The mourning process is more difficult when the bereaved:
A) was relatively independent of the deceased.
B) has experienced many previous losses.
C) accepts that death is expected for everyone.
D) had resolved conflicts with the deceased.
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Page 27
Chapter 26: Children and Adolescents
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2072
Sample Questions
Q1) A nurse will prepare teaching materials regarding which medication for the parents of a child diagnosed with enuresis?
A) Haloperidol (Haldol)
B) Desmopressin (DDAVP)
C) Methylphenidate (Ritalin)
D) Carbamazepine (Tegretol)
Q2) A 5-year-old child moves and talks constantly. The child awakens before the parents every morning. The child attends kindergarten, but the teacher reports difficulty handling the behavior. What is this child's most likely problem?
A) Tic disorder
B) Oppositional defiant disorder (ODD)
C) Intellectual development disorder (IDD)
D) Attention deficit hyperactivity disorder (ADHD)
Q3) When group therapy is to be used as a treatment modality, the nurse should suggest placing a 9-year-old in a group that uses:
A) play activities exclusively.
B) group discussion exclusively.
C) talk focused on a specific issue.
D) play and then talk about the play activity.
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Page 28
Chapter 27: Adults
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2073
Sample Questions
Q1) A patient says, "I often make careless mistakes and have trouble staying focused. Sometimes it's hard to listen to what someone is saying. I have problems putting things in the right order and often lose equipment." Which problem should the nurse document?
A) Inattention
B) Impulsivity
C) Hyperactivity
D) Social impairment
Q2) A patient diagnosed with severe and persistent mental illness lives independently. This patient often has command hallucinations and shouts warnings to neighbors. After a short hospitalization, the patient's landlord says, "You can't come back here. You cause too much trouble." What problem is the patient experiencing?
A) Grief
B) Stigma
C) Recidivism
D) Lack of insurance parity
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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 patient brings a bag of medication to the clinic. The nurse finds one bottle labeled "Ativan" and one labeled "lorazepam," and both are labeled "Take two times daily." Bottles of hydrochlorothiazide, Inderal, and rofecoxib, each labeled "Take one daily," are also included. Which conclusion is accurate?
A) Rofecoxib should not be taken with Ativan.
B) The patient's blood pressure is likely to be very high.
C) This patient should not self-administer any medication.
D) Lorazepam and Ativan are the same drug; consequently, the dose is excessive.
Q2) A health care provider decided that the emotional distress in an older adult patient warranted the prescription of risperidone (Risperdal). Which interventions should the nurse add to the patient's plan of care? (Select all that apply.)
A) Monitor for signs and symptoms of diabetes.
B) Use disposable briefs for incontinence.
C) Monitor for cerebrovascular changes.
D) Implement a tyramine-free diet.
E) Monitor for dehydration.
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