Psychiatric Mental Health Nursing
Test Bank
Course Introduction
Psychiatric Mental Health Nursing is a comprehensive course that introduces students to the principles and practices essential for the care of individuals experiencing mental health disorders across the lifespan. The course explores theories of human behavior, psychiatric diagnoses, therapeutic communication, and evidence-based interventions in both acute and community settings. Emphasizing the nurse-patient relationship, cultural competence, crisis intervention, and ethical and legal considerations, students learn to assess, plan, implement, and evaluate care for patients with mental illness while collaborating with multidisciplinary teams to promote mental health and well-being.
Recommended Textbook
Essentials of Psychiatric Mental Health Nursing 3rd Edition by Varcarolis
Available Study Resources on Quizplus
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
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/2047
Sample Questions
Q1) 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
Q2) A patient shows the nurse an article from the Internet about a health problem. Which characteristic of the web site's address most alerts the nurse that the site may have biased and prejudiced information?
A) Address ends in ".org"
B) Address ends in ".com"
C) Address ends in ".gov"
D) Address ends in ".net"
Answer: B
To view all questions and flashcards with answers, click on the resource link above.
Page 3
Chapter 2: Mental Health and Mental Illness
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/2048
Sample Questions
Q1) A patient's history shows intense and unstable relationships with others. The patient initially idealizes an individual and then devalues the person when the patient's needs are not met. Which aspect of mental health is a problem?
A) Effectiveness in work
B) Communication skills
C) Productive activities
D) Fulfilling relationships
Answer: D
Q2) A nurse wants to find a description of diagnostic criteria for a person diagnosed with schizophrenia. Which resource should the nurse consult?
A) U.S. Department of Health and Human Services
B) Journal of the American Psychiatric Association
C) North American Nursing Diagnosis Association International (NANDA-I)
D) Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
4
Chapter 3: Theories and Therapies
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2049
Sample Questions
Q1) A patient underwent psychotherapy weekly for 3 years. The therapist used free association, dream analysis, and facilitated transference to help the patient understand unconscious processes and foster personality changes. Which type of therapy was used?
A) Short-term dynamic psychotherapy
B) Transactional analysis
C) Cognitive therapy
D) Psychoanalysis
Answer: D
Q2) A nurse listens to a group of recent retirees. One says, "I volunteer with Meals on Wheels, coach teen sports, and do church visitation." Another laughs and says, "I'm too busy taking care of myself to volunteer. I don't have time to help others." These comments contrast which developmental tasks?
A) Trust versus Mistrust
B) Industry versus Inferiority
C) Intimacy versus Isolation
D) Generativity versus Self-Absorption
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
5
Chapter 4: Biological Basis for Understanding
Psychopharmacology
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2050
Sample Questions
Q1) A patient has dementia. The health care provider wants to make a differential diagnosis between Alzheimer disease and multiple infarctions. Which diagnostic procedure should a nurse expect to prepare the patient for first?
A) Computed tomography (CT) scan
B) Positron emission tomography (PET) scan
C) Functional magnetic resonance imaging (fMRI)
D) Single-photon emission computed tomography (SPECT) scan
Q2) The laboratory report for a patient taking clozapine (Clozaril) shows a white blood cell count of 3000 mm³ and a granulocyte count of 1500 mm³. The nurse should:
A) report the laboratory results to the health care provider.
B) give the next dose of the medication as prescribed.
C) administer aspirin and force fluids.
D) repeat the laboratory tests.
Q3) Priority teaching for a patient taking clozapine (Clozaril) should include which instruction?
A) Report sore throat and fever immediately.
B) Avoid foods high in polyunsaturated fat.
C) Use water-based lotions for rashes.
D) Avoid unprotected sex.
Page 6
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Settings for Psychiatric Care
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2051
Sample Questions
Q1) A community mental health nurse has worked for 6 months to establish a relationship with a delusional, suspicious patient. The patient recently lost employment and stopped taking medications because of inadequate money. The patient says, "Only a traitor would make me go to the hospital." Which solution is best?
A) Arrange a bed in a local homeless shelter with nightly onsite supervision.
B) Negotiate a way to provide medication so the patient can remain at home.
C) Hospitalize the patient until the symptoms have stabilized.
D) Seek inpatient hospitalization for up to 1 week.
Q2) The relapse of a patient diagnosed with schizophrenia is related to medication nonadherence. The patient is hospitalized for 5 days, medication is restarted, and the patient's thoughts are now more organized. The patient's family members are upset and say, "It's too soon for discharge. Hospitalization is needed for at least a month." The nurse should:
A) call the psychiatrist to come explain the discharge rationale.
B) explain that health insurance will not pay for a longer stay for the patient.
C) call security to handle the disturbance and escort the family off the unit.
D) explain that the patient will continue to improve if medication is taken regularly.
To view all questions and flashcards with answers, click on the resource link above. Page 7
Chapter 6: Legal and Ethical Basis for Practice
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2052
Sample Questions
Q1) Which individual with a mental illness may need emergency or involuntary hospitalization for mental illness? The individual who:
A) resumes using heroin while still taking methadone.
B) reports hearing angels playing harps during thunderstorms.
C) throws a heavy plate at a waiter at the direction of command hallucinations.
D) does not show up for an outpatient appointment with the mental health nurse.
Q2) A psychiatric nurse best implements the ethical principle of autonomy when he or she:
A) intervenes when a self-mutilating patient attempts to harm self.
B) stays with a patient who is demonstrating a high level of anxiety.
C) suggests that two patients who are fighting be restricted to the unit.
D) explores alternative solutions with a patient, who then makes a choice.
Q3) A patient diagnosed with mental illness asks a psychiatric technician, "What's the matter with me?" The technician replies, "Your wing nuts need tightening." The nurse who overheard the exchange should take action based on:
A) violation of the patient's right to be treated with dignity and respect.
B) the nurse's obligation to report caregiver negligence.
C) preventing defamation of the patient's character.
D) supervisory liability.
To view all questions and flashcards with answers, click on the resource link above.
Page 8
Chapter 7: Nursing Process and QSEN: The Foundation for Safe and Effective Care
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2053
Sample Questions
Q1) Which entry in the medical record best meets the requirement for problem-oriented charting?
A) "A: Pacing and muttering to self. P: Sensory perceptual alteration, related to internal auditory stimulation. I: Given fluphenazine (Prolixin) 2.5 mg at 0900, and went to room to lie down. E: Calmer by 0930. Returned to lounge to watch TV."
B) "S: States, 'I feel like I'm ready to blow up.' O: Pacing hall, mumbling to self. A: Auditory hallucinations. P: Offer haloperidol (Haldol) 2 mg. I: (Haldol) 2 mg at 0900. E: Returned to lounge at 0930 and quietly watched TV."
C) "Agitated behavior. D: Patient muttering to self as though answering an unseen person. A: Given haloperidol (Haldol) 2 mg and went to room to lie down. E: Patient calmer. Returned to lounge to watch TV."
D) "Pacing hall and muttering to self as though answering an unseen person. haloperidol (Haldol) 2 mg administered at 0900 with calming effect in 30 minutes. Stated, 'I'm no longer bothered by the voices.'"
To view all questions and flashcards with answers, click on the resource link above.
9
Chapter 8: Communication Skills: Medium for All Nursing Practice
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2054
Sample Questions
Q1) A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse will facilitate communication? (Select all that apply.)
A) "Why do you think you are so upset?"
B) "I can see that you feel sad about this situation."
C) "The loss of your parent is very painful for you."
D) "Crying is a way of expressing the hurt you're experiencing."
E) "Let's talk about something else because this subject is upsetting you."
Q2) A patient diagnosed with schizophrenia tells the nurse, "The CIA is monitoring us through the fluorescent lights in this room. Be careful what you say." Which response by the nurse would be most therapeutic?
A) "Let's talk about something other than the CIA."
B) "It sounds like you're concerned about your privacy."
C) "The CIA is prohibited from operating in health care facilities."
D) "You have lost touch with reality, which is a symptom of your illness."
To view all questions and flashcards with answers, click on the resource link above.
Page 10
Chapter 9: Therapeutic Relationships and the Clinical
Interview
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2055
Sample Questions
Q1) During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?
A) Preorientation
B) Orientation
C) Working
D) Termination
Q2) A nurse is talking with a patient, and 5 minutes remain in the session. The patient has been silent for most of the session. Another patient comes to the door of the room, interrupts, and says to the nurse, "I really need to talk to you right now." The nurse should:
A) say to the interrupting patient, "I am not available to talk with you at the present time."
B) end the unproductive session with the current patient and spend time with the patient who has just interrupted.
C) invite the interrupting patient to join in the session with the current patient.
D) tell the patient who interrupted, "This session is 5 more minutes; then, I will talk with you."
To view all questions and flashcards with answers, click on the resource link above. Page 11
Chapter 10: Trauma and Stress-Related Disorders
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2056
Sample Questions
Q1) A nurse designs a plan of exercise for a patient experiencing stress. The rationale the nurse should explain when presenting this plan to the treatment team is that exercise:
A) will stimulate endorphins and improve the patient's feelings of well-being.
B) prevents damage from overstimulation of the sympathetic nervous system.
C) detoxifies the body by removing metabolic wastes and other toxins.
D) will prevent exacerbation of the stress by the limbic system.
Q2) A soldier returned one year ago from Afghanistan and was diagnosed with posttraumatic stress disorder (PTSD). Which social event would most likely be disturbing for this soldier?
A) Halloween festival with neighborhood children
B) Singing carols around a Christmas tree
C) Family outing to the seashore
D) Fireworks display on July 4th
Q3) As part of the stress response, the HPA axis is stimulated. Which structures make up this system?
A) Hippocampus, parietal lobe, and amygdala
B) Hypothalamus, pituitary gland, and adrenal glands
C) Hind brain, pyramidal nervous system, and anterior cerebrum
D) Hepatic artery, parasympathetic nervous system, and acoustic nerve
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: Anxiety, Anxiety Disorders, and
Obsessive-Compulsive and Related Disorders
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/2057
Sample Questions
Q1) A patient who is preparing for surgery has moderate anxiety and is unable to understand preoperative information. Which nursing intervention is appropriate?
A) Reassure the patient that all nurses are skilled in providing postoperative care.
B) Describe the procedure again in a calm manner, using simple language.
C) Tell the patient that the staff is prepared to promote recovery.
D) Encourage the patient to express feelings to his or her family.
Q2) A patient has a fear of public speaking. The nurse should be aware that social anxiety disorders (social phobias) are often treated with which type of medication?
A) Beta blockers
B) Antipsychotic medications
C) Tricyclic antidepressant agents
D) Monoamine oxidase inhibitors
To view all questions and flashcards with answers, click on the resource link above.
13
Chapter 12: Somatic Symptom Disorders and Dissociative Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2058
Sample Questions
Q1) A patient diagnosed with depersonalization disorder tells the nurse, "It's starting again. I feel as though I'm going to float away." The nurse should help the patient by:
A) encouraging meditation.
B) administering an anxiolytic medication.
C) helping the patient visualize a pleasant scene.
D) helping the patient focus on the here and now.
Q2) 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.
Q3) Which assessment finding best supports the diagnosis of dissociative amnesia with fugue? The patient states:
A) "I cannot recall why I'm living in this town."
B) "I feel as if I'm living in a fuzzy dream state."
C) "I feel like different parts of my body are at war."
D) "I feel very anxious and worried about my problems."
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 13: Personality Disorders
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2059
Sample Questions
Q1) Consider these comments made to three different nurses by a patient diagnosed with an antisocial personality disorder: "You're a better nurse than the day shift nurse said you were"; "Another nurse said you don't do your job right"; "You think you're perfect, but I've seen you make three mistakes." Collectively, these interactions can be assessed as:
A) seductive.
B) detached.
C) manipulative.
D) guilt producing.
Q2) A patient diagnosed with borderline personality disorder has self-inflicted wrist lacerations. The health care provider prescribes daily dressing changes. The nurse performing this care should:
A) encourage the patient to express anger.
B) provide care in a kind but matter-of-fact manner.
C) demonstrate sympathy and concern.
D) offer to listen to the patient's feelings about cutting.
To view all questions and flashcards with answers, click on the resource link above.
15
Chapter 14: Eating Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2060
Sample Questions
Q1) A patient diagnosed with anorexia nervosa is resistant to weight gain. What is the rationale for establishing a contract with the patient to participate in measures designed to produce a specified weekly weight gain?
A) Because severe anxiety concerning eating is expected, objective and subjective data must be routinely collected.
B) Patient involvement in decision making increases a sense of control and promotes compliance with the treatment.
C) A team approach to planning the diet ensures that physical and emotional needs of the patient are met.
D) Because of increased risk for physical problems with refeeding, obtaining patient permission is required.
Q2) Which statement is a nurse most likely to hear from a patient diagnosed with anorexia nervosa?
A) "I would be happy if I could lose 20 more pounds."
B) "My parents don't pay much attention to me."
C) "I'm thin for my height."
D) "I have nice eyes."
To view all questions and flashcards with answers, click on the resource link above.
16
Chapter 15: Mood Disorders: Depression
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/2061
Sample Questions
Q1) A patient's employment is terminated and major depressive disorder develops shortly afterward. The patient says to the nurse, "I'm not worth the time you spend with me. I'm the most useless person in the world." Which nursing diagnosis applies?
A) Powerlessness
B) Defensive coping
C) Situational low self-esteem
D) Disturbed personal identity
Q2) A patient diagnosed with major depressive disorder does not interact with others except when addressed and then only in monosyllables. The nurse wants to show nonjudgmental acceptance and support for the patient. Select the nurse's most effective approach to communication.
A) Make observations.
B) Ask the patient direct questions.
C) Phrase questions to require "yes" or "no" answers.
D) Frequently reassure the patient to reduce guilt feelings.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Bipolar Spectrum Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/2062
Sample Questions
Q1) A person is directing traffic on a busy street while shouting and making obscene gestures at passing cars. The person has not slept or eaten for 3 days. What features of mania are evident?
A) Increased muscle tension and anxiety
B) Vegetative signs and poor grooming
C) Poor judgment and hyperactivity
D) Cognitive deficit and sad mood
Q2) A patient diagnosed with bipolar disorder has rapid cycles. The health care provider prescribes an anticonvulsant medication. To prepare teaching materials, which drug should the nurse anticipate will be prescribed?
A) Phenytoin (Dilantin)
B) Clonidine (Catapres)
C) Carbamazepine (Tegretol)
D) Chlorpromazine (Thorazine)
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.
To view all questions and flashcards with answers, click on the resource link above.
Page 18
Chapter 17: Schizophrenia Spectrum Disorders and Other
Psychotic Disorders
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/2063
Sample Questions
Q1) A person diagnosed with schizophrenia has had difficulty keeping a job because of arguing with coworkers and accusing them of conspiracy. Today the person shouts, "They're all plotting to destroy me." Select the nurse's most therapeutic response.
A) "Everyone here is trying to help you. No one wants to harm you."
B) "Feeling that people want to destroy you must be very frightening."
C) "That is not true. People here are trying to help if you will let them."
D) "Staff members are health care professionals who are qualified to help you."
Q2) A patient diagnosed with schizophrenia has catatonia. The patient has little spontaneous movement and waxy flexibility. Which patient needs are of priority importance?
A) Psychosocial
B) Physiologic
C) Self-actualization
D) Safety and security
Q3) Patients diagnosed with schizophrenia who are suspicious and withdrawn:
A) universally fear sexual involvement with therapists.
B) are socially disabled by the positive symptoms of schizophrenia.
C) exhibit a high degree of hostility as evidenced by rejecting behavior.
D) avoid relationships because they become anxious with emotional closeness.
Page 19
To view all questions and flashcards with answers, click on the resource link above.
Chapter 18: Neurocognitive Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2064
Sample Questions
Q1) 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.
Q2) What is the priority nursing diagnosis for a patient experiencing fluctuating levels of consciousness, disturbed orientation, and visual and tactile hallucinations?
A) Bathing/hygiene self-care deficit related to altered cerebral function as evidenced by confusion and inability to perform personal hygiene tasks
B) Risk for injury related to altered cerebral function, misperception of the environment, and unsteady gait
C) Disturbed thought processes related to medication intoxication as evidenced by confusion, disorientation, and hallucinations
D) Fear related to sensory perceptual alterations as evidenced by hiding from imagined ferocious dogs
To view all questions and flashcards with answers, click on the resource link above.
20
Chapter 19: Substance-Related and Addictive Disorders
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/2065
Sample Questions
Q1) A hospitalized patient, injured in a fall while intoxicated, believes spiders are spinning entrapping webs in the room. The patient is anxious, agitated, and diaphoretic. Which nursing intervention has priority?
A) Check the patient every 15 minutes.
B) Rigorously encourage fluid intake.
C) Provide one-on-one supervision.
D) Keep the room dimly lit.
Q2) Which medication is the nurse most likely to see prescribed as part of the treatment plan for both a patient in an alcoholism treatment program and a patient in a program for the treatment of opioid addiction?
A) Methadone (Dolophine)
B) Bromocriptine (Parlodel)
C) Disulfiram (Antabuse)
D) Naltrexone (Revia)
To view all questions and flashcards with answers, click on the resource link above.
Chapter 20: Crisis and Mass Disaster
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2066
Sample Questions
Q1) An adult comes to the crisis clinic after being terminated from a job of 15 years. The patient says, "I don't know what to do. How can I get another job? Who will pay the bills? How will I feed my family?" Which nursing diagnosis applies?
A) Hopelessness
B) Powerlessness
C) Chronic low self-esteem
D) Disturbed thought processes
Q2) An adult seeks counseling after the spouse is murdered. The adult angrily says, "I hate the monster that did this. It has ruined my life. During the trial, I don't know what I'll do if the jury doesn't return a guilty verdict." What is the nurse's highest priority question?
A) "What do you mean when you say 'monster'?"
B) "What resources do you need to help you cope with this situation?"
C) "Do you have enough support from your family and friends?"
D) "Are you having thoughts of hurting yourself or others?"
To view all questions and flashcards with answers, click on the resource link above.
Chapter 21: Child, Partner, and Elder Violence
Available Study Resources on Quizplus for this Chatper
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) An adult has recently been absent from work for 3-day periods on several occasions. Each time, the individual returns to work wearing dark glasses. Facial and body bruises are apparent. What is the occupational health nurse's priority assessment?
A) Interpersonal relationships
B) Work responsibilities
C) Socialization skills
D) Physical injuries
To view all questions and flashcards with answers, click on the resource link above.
Chapter 22: Sexual Violence
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2068
Sample Questions
Q1) A nurse cares for a rape victim who was given flunitrazepam (Rohypnol) by the assailant. Which intervention has priority? Monitoring for:
A) coma.
B) seizures.
C) hypotonia.
D) respiratory depression.
Q2) The nursing diagnosis rape trauma syndrome applies to a rape victim in the emergency department. Which outcome should occur before the patient's discharge?
A) Patient states, "I feel safe and entirely relaxed."
B) Memory of the rape is less vivid and frightening.
C) Physical symptoms of pain and discomfort are no longer present.
D) Patient agrees to keep a follow-up appointment with the rape crisis center.
Q3) When a victim of sexual assault is discharged from the emergency department, the nurse should:
A) arrange support from the victim's family.
B) provide referral information verbally and in writing.
C) advise the victim to try not to think about the assault.
D) offer to stay with the victim until stability is regained.
To view all questions and flashcards with answers, click on the resource link above. Page 24
Chapter 23: Suicidal Thoughts and Behavior
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2069
Sample Questions
Q1) The parents of identical twins ask a nurse for advice. One twin committed suicide a month ago. Now the parents are concerned that the other twin may also have suicidal tendencies. Which comment by the nurse is accurate?
A) "Genetics are associated with suicide risk. Monitoring and support are important."
B) "Apathy underlies suicide. Instilling motivation is the key to health maintenance."
C) "Your child is unlikely to act out suicide when identifying with a suicide victim."
D) "Fraternal twins are at higher risk for suicide than identical twins."
Q2) An adolescent tells the school nurse, "My friend threatened to take an overdose of pills." The nurse talks to the friend who verbalized the suicide threat. The most critical question for the nurse to ask would be:
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?"
To view all questions and flashcards with answers, click on the resource link above.
25
Chapter 24: Anger, Aggression, and Violence
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2070
Sample Questions
Q1) Because an intervention is required to control a patient's aggressive behavior, a critical incident debriefing takes place. Which topics should be the focus of the discussion? (Select all that apply.)
A) Patient behavior associated with the incident
B) Genetic factors associated with aggression
C) Intervention techniques used by staff
D) Effect of environmental factors
E) Review of theories of aggression
Q2) An emergency department nurse realizes that the spouse of a patient is becoming increasingly irritable while waiting. Which intervention should the nurse use to prevent escalation of anger?
A) Explain that the patient's condition is not life threatening.
B) Periodically provide an update and progress report on the patient.
C) Explain that all patients are treated in order, based on their medical needs.
D) Suggest that the spouse return home until the patient's treatment is completed.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 25: Care for the Dying and Those Who Grieve
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2071
Sample Questions
Q1) A terminally ill patient says, "I know I'm not going to get well, but still." and the patient's voice trails off. Which response by the nurse is therapeutic?
A) "What do you hope for?"
B) "No, you're not going to get well."
C) "Do you have questions about what is happening?"
D) "I'm happy you are being realistic about your future."
Q2) A nurse cared for a terminally ill patient for over a month and always looked forward to spending time with the patient. When the patient died, the nurse experienced sadness and felt mildly depressed. Eventually, the nurse explains these feelings to a mentor. The mentor should counsel the nurse:
A) about stress-reduction strategies.
B) to seek therapy for dysfunctional grief.
C) about the experience of disenfranchised grief.
D) to consider taking a leave of absence to pursue healing.
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.
To view all questions and flashcards with answers, click on the resource link above.
Page 27
Chapter 26: Children and Adolescents
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2072
Sample Questions
Q1) What are the primary distinguishing factors between the behavior of children diagnosed with oppositional defiant disorder (ODD) and those diagnosed with conduct disorder (CD)? (Select all that apply.) The child diagnosed with:
A) ODD relives traumatic events by acting them out.
B) ODD tests limits and disobeys authority figures.
C) ODD has difficulty separating from the parents.
D) CD uses stereotypical or repetitive language.
E) CD often violates the rights of others.
Q2) A 4-year-old child cries and screams from the time the parents leave the child at preschool until the child is picked up 4 hours later. The child is calm and relaxed when the parents are present. The parents ask, "What should we do?" What is the nurse's best recommendation?
A) "Send a picture of yourself to school to keep with the child."
B) "Arrange with the teacher to let the child call home at playtime."
C) "Talk with the school about withdrawing the child until maturity increases."
D) "Talk with your health care provider about a referral to a mental health professional."
To view all questions and flashcards with answers, click on the resource link above.
28
Chapter 27: Adults
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2073
Sample Questions
Q1) The manager of a health club put a hidden camera in the women's locker room and videotaped women as they showered and dressed. Which sexual dysfunction is evident?
A) Frotteurism
B) Exhibitionism
C) Pedophilia
D) Voyeurism
Q2) Which nursing action should occur first when preparing to work with a patient who has a problem of sexual functioning?
A) Acquire knowledge of the patient's sexual roles and preferences
B) Develop an understanding of human sexual responses
C) Assess the patient's sexual functioning
D) Clarify the nurse's own personal values
Q3) A patient tells the nurse, "My sexual functioning is normal when my partner wears lace. Without it, I'm not interested in sex." This comment evidences:
A) exhibitionism.
B) voyeurism.
C) pedophilia.
D) fetishism.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: Older Adults
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2074
Sample Questions
Q1) When making a distinction as to whether a patient is experiencing confusion related to depression or dementia, what information would be most important for the nurse to consider?
A) The patient with dementia is persistently angry and hostile.
B) Early morning agitation and hyperactivity occur in dementia.
C) Confusion seems to worsen at night when dementia is present.
D) A patient who is depressed is preoccupied with somatic symptoms.
Q2) A student nurse visiting a senior center tells the instructor, "It's so depressing to see all these old people. They are so weak and frail. They are probably all confused." The student is expressing:
A) reality.
B) ageism.
C) empathy.
D) advocacy.
Q3) An advance directive gives valid direction to health care providers when a patient is:
A) aggressive.
B) dehydrated.
C) unable to verbally communicate.
D) unable to make health care decisions.
To view all questions and flashcards with answers, click on the resource link above.
Page 30