Psychosocial Nursing Care Final Exam
Course Introduction
Psychosocial Nursing Care explores the integration of psychological and social factors into nursing practice to promote holistic care for individuals, families, and communities experiencing mental health and psychosocial challenges. This course emphasizes assessment, therapeutic communication, and evidence-based interventions to address the emotional, cognitive, and behavioral responses to health and illness. Through case studies and clinical scenarios, students develop strategies to support coping, adaptive functioning, and recovery while considering cultural, ethical, and legal aspects of care. The course prepares nursing students to collaborate with interdisciplinary teams and advocate for mental health promotion in diverse healthcare settings.
Recommended Textbook
Canadian Psychiatric Mental Health Nursing Canadian Edition 1st Edition by Jordan Halter
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37 Chapters
1052 Verified Questions
1052 Flashcards
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Chapter 1: Mental Health and Mental Illness
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?
A) All mental illnesses are culturally determined.
B) Schizophrenia and bipolar disorder are cross-cultural disorders.
C) Symptoms of mental disorders are unchanged from culture to culture.
D) Assessment findings in mental disorders reflect a person's cultural patterns.
Answer: D
Q2) A staff nurse completes orientation to a psychiatric unit. Which of the following would the nurse expect as an advanced practice intervention?
A) Conduct mental health assessments
B) Prescribe psychotropic medication
C) Establish therapeutic relationships
D) Individualize nursing care plans
Answer: B
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3
Chapter 2: Historical Overview of Psychiatric Mental Health
Nursing
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12 Flashcards
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Sample Questions
Q1) Which of the following represented a seventeenth- to eighteenth-century societal view of people with mental illness?
A) Restraints were not to be used on mentally ill patients.
B) Those with mental illness were immune to human discomforts.
C) Informed consent was required prior to admission to an asylum.
D) Patient neglect rarely if ever occurred in asylums.
Answer: B
Q2) Who was instrumental in lobbying for the first mental health hospital in the United States and for reform in British and Canadian institutions?
A) Michel Foucault
B) Dorothea Dix
C) The Grey Nuns
D) Philippe Pinel
Answer: B
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Chapter 3: Relevant Theories and Therapies for Nursing Practice
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) A nurse and patient discuss a problem the patient has kept secret for many years. Afterward, the patient says, "I feel so relieved that I finally told somebody." Which term best describes the patient's feeling?
A) Catharsis
B) Superego
C) Cognitive distortion
D) Counter-transference
Answer: A
Q2) A 26-month-old displays negative behaviour, refuses toilet training, and often says, "No!" Which stage of psychosexual development is evident?
A) Oral
B) Anal
C) Phallic
D) Genital
Answer: B
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Page 5
Chapter 4: Psychotropic Drugs
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A drug blocks the attachment of norepinephrine to a<sub>1</sub> receptors. The patient may experience which of the following?
A) Hypertensive crisis
B) Orthostatic hypotension
C) Severe appetite disturbance
D) An increase in psychotic symptoms
Q2) By which mechanism do selective serotonin reuptake inhibitors (SSRI) improve depression?
A) Destroying increased amounts of serotonin
B) Making more serotonin available at the synaptic gap
C) Increasing production of acetylcholine and dopamine
D) Blocking muscarinic and ?1 norepinephrine receptors
Q3) The laboratory report for a patient taking clozapine (Clozaril) shows a white blood cell count of 3000 mm³. Select the nurse's best action.
A) Report the results to the health care provider immediately.
B) Administer the next dose as prescribed.
C) Give aspirin and force fluids.
D) Repeat the laboratory test.
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Chapter 5: Psychiatric Mental Health Nursing in Acute Care Settings
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14 Flashcards
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Q1) A nurse surveys medical records. Which finding signals a violation of patients' rights?
A) A patient was not allowed to send letters to family.
B) A patient's belongings were searched at admission.
C) A patient with suicidal ideation was placed on continuous observation.
D) Physical restraint was used after a patient was assaultive toward a staff member.
Q2) A nurse performed these actions while caring for patients in an inpatient psychiatric setting. Which action violated patients' rights?
A) Prohibited a patient from using the telephone
B) In patient's presence, opened a package mailed to patient
C) Remained within arm's length of patient with homicidal ideation
D) Permitted a patient with psychosis to refuse oral psychotropic medication
Q3) Inpatient hospitalization for persons with mental illness is generally reserved for which of the following patients?
A) Patients who present a clear danger to self or others
B) Patients who are noncompliant with medication at home
C) Patients who have limited support systems in the community
D) Patients who develop new symptoms during the course of an illness
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Page 7
Chapter 6: Psychiatric Mental Health Nursing in Community Settings
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22 Verified Questions
22 Flashcards
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Q1) A nurse can best address factors of critical importance to successful community treatment by including making assessments relative to which of the following: Select all that apply.
A) Source of income
B) Family and support systems
C) Housing adequacy and stability
D) Early psychosocial development
E) Substance abuse history and current use
Q2) Which characteristic would be more applicable to a community mental health nurse than to a nurse working in an operating room?
A) Kindness
B) Autonomy
C) Compassion
D) Professionalism
Q3) Select the response that is an example of primary prevention.
A) Assisting a person diagnosed with a serious mental illness to fill a pill-minder
B) Helping school-age children identify and describe normal emotions
C) Leading a psychoeducational group in a community care home
D) Medicating an acutely ill patient who assaulted a staff person
Page 8
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Chapter 7: Cultural Implications for Psychiatric Mental
Health Nursing
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A nurse prepares to assess a newly hospitalized patient who moved to Canada 6 months ago from Somalia. The nurse should first determine which of the following?
A) If the patient's immunizations are current
B) The patient's religious preferences
C) The patient's specific ethnic group
D) Whether a translator is needed
Q2) The nurse should be particularly alert to somatization of psychological distress among patients whose cultural beliefs include which of the following? (select all that apply)
A) Mental illness reflects badly on the family.
B) Mental illness shows moral weakness.
C) Intergenerational conflict is common.
D) The mind and body are merged.
E) Food choices influence one's health.
Q3) Which term refers to the sharing of common traits, customs, and race?
A) World view
B) Ethnicity
C) Ethnocentrism
D) Culture
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Chapter 8: Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which individual with mental illness may need emergency or involuntary admission?
A) An individual who resumes using heroin while still taking naltrexone (ReVia).
B) An individual who reports hearing angels playing harps during thunderstorms.
C) An individual who does not keep an outpatient appointment with the mental health nurse.
D) An individual who throws a heavy plate at a waiter at the direction of command hallucinations.
Q2) An adolescent hospitalized after a violent physical outburst tells the nurse, "I'm going to kill my father, but you can't tell anyone." Select the nurse's best response.
A) "You are right. Federal law requires me to keep clinical information private."
B) "I am obligated to share that information with the treatment team."
C) "Those kinds of thoughts will make your hospitalization longer."
D) "You should share this thought with your psychiatrist."
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Chapter 9: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
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Sample Questions
Q1) At what point in an assessment interview would a nurse ask, "How does your faith help you in stressful situations?"
A) During the assessment of childhood growth and development
B) During the assessment of substance use and abuse
C) During the assessment of educational background
D) During the assessment of coping strategies
Q2) What does the nurse assess when completing the final "S" of the HEADSSS Psychosocial Interview Technique?
A) Suicide risk
B) Savagery
C) Sexuality
D) Social support
Q3) Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care?
A) "I can always trust my family."
B) "It seems like I always have bad luck."
C) "You never know who will turn against you."
D) "I hear evil voices that tell me to do bad things."
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Chapter 10: Therapeutic Relationships
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Sample Questions
Q1) A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. Which of the following should the nurse do?
A) Restate what the patient says.
B) Use congruent communication strategies.
C) Use self-revelation in patient interactions.
D) Consistently interpret the patient's behaviours.
Q2) An advanced-practice nurse observes a novice nurse expressing irritability regarding a patient with a long history of alcoholism and suspects the new nurse is experiencing counter-transference. Which comment by the new nurse confirms this suspicion?
A) "This patient continues to deny problems resulting from drinking."
B) "My parents were alcoholics and often neglected our family."
C) "The patient cannot identify any goals for improvement."
D) "The patient said I have many traits like her mother."
Q3) At what point in the nurse-patient relationship should a nurse plan to first address termination?
A) During the orientation phase
B) At the end of the working phase
C) Near the beginning of the termination phase
D) When the patient initially brings up the topic
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Chapter 11: Communication and the Clinical Interview
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Sample Questions
Q1) A nurse interacts with a newly hospitalized patient. Select the nurse's comment that applies the communication technique of "offering self."
A) "I've also had traumatic life experiences. Maybe it would help if I told you about them."
B) "Why do you think you had so much difficulty adjusting to this change in your life?"
C) "I hope you will feel better after getting accustomed to how this unit operates."
D) "I'd like to sit with you for a while to help you get comfortable talking to me."
Q2) During a one-on-one interaction with the nurse, a patient frequently looks nervously at the door. Select the best comment by the nurse regarding this nonverbal communication.
A) "I notice you keep looking toward the door."
B) "This is our time together. No one is going to interrupt us."
C) "It looks as if you are eager to end our discussion for today."
D) "If you are uncomfortable in this room, we can move someplace else."
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13
Chapter 12: Understanding Responses to Stress
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Sample Questions
Q1) Which nursing comments are likely to help a patient to cope, by addressing the mediators of stress? Select all that apply.
A) "A divorce, while stressful, can be the beginning of a new, better phase of life."
B) "You said you used to jog; getting back to aerobic exercise could be helpful."
C) "Journaling often promotes awareness of how experiences have affected people."
D) "Slowing your breathing by counting to three between breaths will calm you."
E) "Would a short-term loan make your finances less stressful?"
F) "There is a support group for newly divorced persons in your neighborhood."
Q2) According to the Recent Life Changes Questionnaire, which situation would most necessitate a complete assessment of a person's stress status and coping abilities?
A) A person who has been assigned more responsibility at work
B) A parent whose job required relocation to a different city
C) A person returning to college after an employer ceased operations
D) A man who recently separated from his wife because of marital problems
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14
Chapter 13: Anxiety, Obsessive-Compulsive, and Related Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The nurse assesses an adult who is socially withdrawn and hoards. Which nursing diagnoses most likely apply to this individual? Select all that apply.
A) Ineffective home maintenance
B) Situational low self-esteem
C) Chronic low self-esteem
D) Disturbed body image
E) Risk for injury
Q2) An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromantic. Which defence mechanism is evident?
A) Rationalization
B) Compensation
C) Introjection
D) Regression
Q3) For a patient experiencing panic, which nursing intervention should be implemented first?
A) Teach relaxation techniques.
B) Administer an anxiolytic medication.
C) Prepare to implement physical controls.
D) Provide calm, brief, directive communication.
Page 15
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Chapter 14: Depressive Disorders
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A patient being treated with paroxetine (Paxil) 50 mg po daily for depression reports to the clinic nurse, "I took a few extra tablets earlier today and now I feel bad." Which assessments are most critical? Select all that apply.
A) Vital signs
B) Urinary frequency
C) Psychomotor retardation
D) Presence of abdominal pain and diarrhea
E) Hyperactivity or feelings of restlessness
Q2) A patient diagnosed with depression is receiving amitriptylin (Elavil) 50 mg qhs. Which assessment finding would prompt the nurse to collaborate with the health care provider regarding potentially hazardous side effects of this drug?
A) Dry mouth
B) Blurred vision
C) Nasal congestion
D) Urinary retention
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16
Chapter 15: Bipolar Disorders
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) The exact cause of bipolar disorder has not been determined; however, for most patients, which of the following is true?
A) Several factors, including genetics, are implicated.
B) Brain structures were altered by stress early in life.
C) Excess sensitivity in dopamine receptors may trigger episodes.
D) Inadequate norepinephrine reuptake disturbs circadian rhythms.
Q2) A person was directing traffic on a busy street, rapidly shouting, "To work, you jerk, for perks" and making obscene gestures at cars. The person has not slept or eaten for 3 days. Which assessment findings will have priority concern for this patient's plan of care?
A) Insulting, aggressive behaviour
B) Pressured speech and grandiosity
C) Hyperactivity; not eating and sleeping
D) Poor concentration and decision making
Q3) Which dinner menu is best suited for a patient with acute mania?
A) Spaghetti and meatballs, salad, and a banana
B) Beef and vegetable stew, a roll, and chocolate pudding
C) Broiled chicken breast on a roll, an ear of corn, and an apple
D) Chicken casserole, green beans, and flavoured gelatin with whipped cream
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17
Chapter 16: Schizophrenia Spectrum and Other Psychotic Disorders
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40 Verified Questions
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Sample Questions
Q1) A patient took trifluoperazine 30 mg po daily for 3 years. The clinic nurse notes that the patient grimaces and constantly smacks both lips. The patient's neck and shoulders twist in a slow, snakelike motion. Which problem would the nurse suspect?
A) Agranulocytosis
B) Tardive dyskinesia
C) Tourette's syndrome
D) Anticholinergic effects
Q2) A nurse asks a patient diagnosed with schizophrenia, "What is meant by the old saying 'You can't judge a book by its cover'?" Which response by the patient indicates concrete thinking?
A) "The table of contents tells what a book is about."
B) "You can't judge a book by looking at the cover."
C) "Things are not always as they first appear."
D) "Why are you asking me about books?"
Q3) Which finding constitutes a negative symptom associated with schizophrenia?
A) Hostility
B) Bizarre behaviour
C) Poverty of thought
D) Auditory hallucinations
Page 18
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Chapter 17: Eating Disorders
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Sample Questions
Q1) Which nursing diagnosis is more appropriate for a patient diagnosed with anorexia nervosa who restricts intake and is 20% below normal weight than for a patient diagnosed with bulimia nervosa who weighs 60 kg and who purges?
A) Powerlessness
B) Ineffective coping
C) Disturbed body image
D) Imbalanced nutrition: less than body requirements
Q2) A patient diagnosed with anorexia nervosa is hospitalized for treatment. What features should the milieu provide? Select all that apply.
A) Flexible mealtimes
B) Unscheduled weight checks
C) Adherence to a selected menu
D) Observation during and after meals
E) Monitoring during bathroom trips
Q3) Which of the following is a complication of bulimia nervosa?
A) Tachycardia
B) Hyperchloremia
C) Hyperkalemia
D) Esophageal tears
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Page 19
Chapter 18: Cognitive Disorders
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Sample Questions
Q1) An elderly patient is admitted with delirium secondary to a urinary tract infection. The family asks whether the patient will ever recover. Select the nurse's best response.
A) "The health care provider is the best person to answer your question."
B) "The confusion will probably get better as we treat the infection."
C) "Unfortunately, delirium is a progressively disabling disorder."
D) "I will be glad to contact the chaplain to talk with you."
Q2) A patient has progressive memory deficits associated with dementia. Which nursing intervention would best help the individual function in the environment?
A) Assist the patient to perform simple tasks by giving step-by-step directions.
B) Reduce frustration by performing activities of daily living for the patient.
C) Stimulate intellectual function by discussing new topics with the patient.
D) Read one story from the newspaper to the patient every day.
Q3) Which medication prescribed to patients diagnosed with Alzheimer's disease normalizes levels of glutamate rather than antagonizes cholinesterase?
A) Donepezil (Aricept)
B) Rivastigmine (Exelon)
C) Memantine (Ebixa)
D) Galantamine (Reminyl)
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Chapter 19: Substance Use and Addictive Disorders
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Sample Questions
Q1) What behaviours would the nurse expect to assess in a nontolerant drinker with a blood alcohol level of 0.20 mg%? Select all that apply.
A) Ataxia
B) Staggering
C) Confusion
D) Stupor
E) Emotional liability
Q2) Which of the following would be part of the treatment plan for a person experiencing alcohol overdose? Select all that apply.
A) Monitor vital signs every 5 minutes
B) Monitor for respiratory depression
C) Maintain hydration with IV fluids
D) Administer antipsychotic medication
E) Administer oxygen
Q3) Which goal for treatment of alcoholism should the nurse address first?
A) Learn about addiction and recovery.
B) Develop alternate coping strategies.
C) Develop a peer support system.
D) Achieve physiologic stability.
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Page 21
Chapter 20: Personality Disorders
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Sample Questions
Q1) For which behaviour would limit setting be most essential?
A) The patient who clings to the nurse and asks for advice about inconsequential matters
B) The patient who is flirtatious and provocative with staff members of the opposite sex
C) The patient who is hypervigilant and refuses to attend unit activities
D) The patient who urges a suspicious patient to hit anyone who stares
Q2) What is the priority nursing diagnosis for a patient diagnosed with antisocial personality disorder who has made threats against staff, ripped art off the walls, and thrown objects?
A) Risk for other-directed violence
B) Risk for self-directed violence
C) Impaired social interaction
D) Ineffective denial
Q3) What is the most challenging nursing intervention with patients diagnosed with personality disorders who use manipulation?
A) Supporting behavioural change
B) Maintaining consistent limits
C) Monitoring suicide attempts
D) Using aversive therapy
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Page 22
Chapter 21: Sleep Wake Disorders
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Sample Questions
Q1) A new patient at the sleep disorders clinic tells the nurse, "I have not slept well in a year, so I never feel good. I do not expect things will ever improve or be any different." Which of the following interventions should the nurse consider doing? Select all that apply.
A) Suggest using alcohol as a sedative
B) Provide instruction in relaxation techniques
C) Counsel the patient to address cognitive distortions
D) Teach the patient about factors that influence sleep
E) Teach fatigue-producing activities to become overtired
Q2) A person is prescribed lorazepam (Ativan) 2 mg po bid prn for anxiety. When the person takes this medication, which change in sleep is anticipated?
A) The patient will have fewer dreams.
B) The patient will have less slow-wave sleep.
C) The patient will experience extended sleep latency.
D) The patient will enter sleep through rapid eye movement (REM) sleep.
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Chapter 22: Sexual Dysfunction, Gender Dysphoria, and Paraphilias
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Sample Questions
Q1) While performing an assessment, the nurse says to a patient, "While growing up, most of us heard some half-truths about sexual matters that continue to puzzle us as adults. Do any come to your mind now?" What is the purpose of this question?
A) To identify areas of sexual dysfunction for treatment
B) To determine possible homosexual urges
C) To introduce the topic of masturbation
D) To identify sexual misinformation
Q2) A woman consults the nurse practitioner because she has not achieved orgasm for 2 years, despite having been sexually active. This is an example of which of the following?
A) Paraphilic disorder
B) Female orgasmic disorder
C) Genito-pelvic pain/penetration disorder
D) Female sexual interest/arousal disorder
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Chapter 23: Somatic Symptom Disorders and Dissociative Disorders
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Q1) A nurse assessing a patient diagnosed with a somatic symptom disorder is most likely to note which of the following?
A) The patient sees a relationship between symptoms and interpersonal conflicts.
B) The patient has little difficulty communicating emotional needs to others.
C) The patient rarely derives personal benefit from the symptoms.
D) The patient has altered comfort and activity needs.
Q2) A patient diagnosed with a factitious 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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Chapter 24: Crisis and Disaster
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Q1) A student falsely accused a college professor of sexual intimidation. The professor tells the nurse, "I cannot teach nor do any research. My mind is totally preoccupied with these false accusations." What is the priority nursing diagnosis?
A) Ineffective denial related to threats to professional identity
B) Deficient knowledge related to sexual harassment protocols
C) Impaired social interaction related to loss of teaching abilities
D) Ineffective role performance related to distress from false accusations
Q2) Which scenario is an example of an adventitious crisis?
A) The 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 person
D) A riot at a rock concert
Q3) Which communication technique will the nurse use more in crisis intervention than in traditional counselling?
A) Role modeling
B) Giving direction
C) Information giving
D) Empathic listening
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Chapter 25: Suicide
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Q1) Which statement provides the best rationale for closely monitoring a severely depressed patient during antidepressant medication therapy?
A) As depression lifts, physical energy becomes available to carry out suicide.
B) Patients who previously had suicidal thoughts need to discuss their feelings.
C) For most patients, antidepressant medication results in increased suicidal thinking.
D) Suicide is an impulsive act. Antidepressant medication does not alter impulsivity.
Q2) A person who attempted suicide by overdose was treated in the emergency department and then hospitalized. The initial outcome is that the patient will do which of the following?
A) Verbalize a will to live by the end of the second hospital day
B) Describe two new coping mechanisms by the end of the third hospital day
C) Accurately delineate personal strengths by the end of the first week of hospitalization
D) Refrain from attempts to harm self for 24 hours
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Chapter 26: Anger, Aggression, and Violence
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Sample Questions
Q1) After an assault by a patient, a nurse has difficulty sleeping, startles easily, and is preoccupied with the incident. The nurse says, "That patient should not be allowed to get away with that behaviour." Which of the following responses poses the greatest barrier to the nurse's ability to provide therapeutic care?
A) Startle reactions
B) Difficulty sleeping
C) A wish for revenge
D) Preoccupation with the incident
Q2) Which medication from the medication administration record should a nurse administer to provide immediate intervention for a psychotic patient whose aggressive behaviour continues to escalate despite verbal intervention?
A) Lithium
B) Lorazepam (Ativan)
C) Olanzapine (Zyprexa)
D) Alprazolam (Xanax)
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28
Chapter 27: Interpersonal Violence: Child, Older Adult, and
Intimate Partner Abuse
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Sample Questions
Q1) A community health nurse visits a family with four children. The father behaves angrily, finds fault with the oldest child, and asks twice, "Why are you such a stupid kid?"
The wife says, "I have difficulty disciplining the children. It's so frustrating." Which comments by the nurse will facilitate an interview with these parents? Select all that apply.
A) "Tell me how you discipline your children."
B) "How do you stop your baby from crying?"
C) "Caring for four small children must be difficult."
D) "Do you or your husband ever spank your children?"
E) "Calling children 'stupid' injures their self-esteem."
Q2) Several children are seen in the emergency department for treatment of various illnesses and injuries. Which assessment finding would create the most suspicion for child abuse?
A) The child with complaints of abdominal pain
B) The child who has repeated middle ear infections
C) The child with bruises on extremities
D) The child with diarrhea
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Page 29
Chapter 28: Sexual Assault
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Q1) A nurse cares for a rape victim who was given a drink that contained GHB (?-hydroxybutyric acid) by an assailant. Which intervention has priority?
A) Monitoring for coma
B) Monitoring for seizures
C) Monitoring for hypotonia
D) Monitoring for respiratory depression
Q2) An emergency department nurse prepares to assist with evidence collection for a sexual assault victim. Prior to photographs and pelvic examination, what documentation is important?
A) The patient's vital signs
B) Consent signed by the patient
C) Supervision and credentials of the examiner
D) Storage location of the patient's personal effects
Q3) A rape victim tells the nurse, "I should not have been out on the street alone." Select the nurse's most therapeutic response.
A) "Rape can happen anywhere."
B) "Blaming yourself increases your anxiety and discomfort."
C) "You are right. You should not have been alone on the street at night."
D) "You feel as though this would not have happened if you had not been alone."
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Page 30
Chapter 29: Disorders of Children and Adolescents
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28 Flashcards
Source URL: https://quizplus.com/quiz/23111
Sample Questions
Q1) When group therapy is prescribed as a treatment modality, the nurse would suggest placement of a 9-year-old in a group that uses which of the following?
A) Guided imagery
B) Talk focused on a specific issue
C) Play and talk about a play activity
D) Group discussion about selected topics
Q2) A nurse works with a child who is sad and irritable because the child's parents are divorcing. Why is establishing a therapeutic alliance with this child a priority?
A) Therapeutic relationships provide an outlet for tension.
B) Focusing on the strengths increases a person's self-esteem.
C) Acceptance and trust convey feelings of security to the child.
D) The child should express feelings rather than internalize them.
Q3) Which factor presents the highest risk for a child to develop a psychiatric disorder?
A) Having an uncle with schizophrenia
B) Being the oldest child in a family
C) Living with a depressed parent
D) Being an only child
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Chapter 30: Psychosocial Needs of the Older Adult
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/23112
Sample Questions
Q1) A nurse assesses an elderly patient. The nurse should complete the Geriatric Depression Scale if the patient answers which question affirmatively?
A) "Would you say your mood is often sad"
B) "Are you having any trouble with your memory?"
C) "Have you noticed an increase in your alcohol use?"
D) "Do you often experience moderate to severe pain?"
Q2) A nurse leads a staff development session about ageism among health care workers. What information should the nurse include about the consequences of ageism? Select all that apply.
A) Failure of the elderly to receive necessary medical information
B) Development of public policy that discriminates against the elderly
C) Staff shortages because caregivers prefer working with younger adults
D) The perception that elderly consume a smaller share of medical resources
E) More ancillary than professional personnel discriminate with regard to age
Q3) What is considered the Silent Geriatric Giant?
A) Depression
B) Anxiety
C) Chronic pain
D) Sleep disorders
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Page 32
Chapter 31: Living With Recurrent and Persistent Mental Illness
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29 Verified Questions
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Sample Questions
Q1) An adult patient tells the case manager, "I don't have bipolar disorder anymore, so I don't need medicine. After I was in the hospital last year, you helped me get an apartment and disability cheques. Now I'm bored and don't have any friends." Where should the nurse refer the patient? Select all that apply.
A) Psychoeducational classes
B) Vocational rehabilitation
C) Social skills training
D) A homeless shelter
E) Crisis intervention
Q2) A homeless individual diagnosed with serious mental illness, anosognosia, and a history of persistent treatment nonadherence is persuaded to come to the day program at a community mental health centre. Which intervention should be the team's initial focus?
A) Teach appropriate health maintenance and prevention practices.
B) Educate the patient about the importance of treatment adherence.
C) Help the patient obtain employment in a local sheltered workshop.
D) Interact regularly and supportively without trying to change the patient.
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Chapter 32: Psychological Needs of Patients With Medical Conditions
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Sample Questions
Q1) A man was brought to the emergency room for treatment of minor injuries after an accident in which his life partner, a transvestite, was killed. He refuses care, paces, screams, "Why, why, why!" repeatedly, and scratches at his arms as if trying to tear the flesh. A nurse says, "Geez, he's going to hurt himself. We'd better admit him to psych." Which explanation for the nurse's response is most likely?
A) The nurse's experience tells her that the patient is developing a psychotic reaction to the stress of the accident and death.
B) She is stigmatizing the patient due to his sexuality, dramatic grief response, and connection to a transvestite person.
C) The nurse is unsure how to handle a person presenting in this manner, is anxious as a result, and copes by wanting to shift the patient to another unit.
D) Medical nurses usually have less skill in managing emotional problems, and psychiatric staff are more appropriate to deal with people who are grieving.
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Chapter 33: Care for the Dying and for Those Who Grieve
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Q1) Children of a widow confer with the nurse because their mother is depressed and lonely. Her days are filled with aimless activities. Family members are concerned about her and ask, "What can we do? It`s been over 6 months since Dad died." What should the nurse counsel the family?
A) That they should offer to move in with their mother to help with loneliness
B) That they should encourage their mother to talk about her life as a widow with other women who have had the same experience
C) That loneliness and aimlessness are most pronounced 6 to 9 months after the death
D) That retelling of negative memories is expected as part of the aging process
Q2) A recently widowed patient tells the nurse, "I am having epigastric discomfort. I think I have developed an ulcer." Diagnostic tests are negative. Which phenomenon of bereavement is evident?
A) Preoccupation with the image of the deceased
B) Disorganization, depression, and restlessness
C) Sensations of somatic distress
D) Reorganization of behaviour
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Chapter 34: Forensic Psychiatric Nursing
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Q1) A nurse testifies about care provided to a patient in the 8 hours before a successful suicide. The nurse responds to questions about observations regarding the patient's behaviour. In what capacity was this nurse testifying?
A) Forensic nurse examiner
B) Expert witness
C) Hostile witness
D) Consultant
Q2) The highest degree of credibility is required by a nurse who provides testimony before the court as which of the following?
A) Hostile witness
B) Expert witness
C) Correctional nurse
D) Critical care nurse
Q3) Which Correctional Service Canada treatment setting would necessitate the most restrictive care environment?
A) Institutional health unit
B) Reception centre
C) Regional treatment centre
D) Regional hospital
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Page 36
Chapter 35: Therapeutic Groups
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Sample Questions
Q1) The nurse has been working with a large group of patients and has noticed that there are six members that have experienced sexual abuse and tend to talk only amongst themselves. Which type of group does this reflect?
A) Subgroup
B) Open group
C) Closed group
D) Heterogeneous group
Q2) A patient in a support group says, "I'm tired of being sick. Everyone always helps me, but I will be glad when I can help someone else." This statement reflects which of the following?
A) Altruism
B) Universality
C) Cohesiveness
D) Corrective recapitulation
Q3) A therapy group adds new members as others leave. What type of group is evident?
A) Open
B) Closed
C) Homogeneous
D) Heterogeneous
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Page 37
Chapter 36: Family Interventions
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Sample Questions
Q1) A 16-year-old wants to drive, but the parents will not allow it. The 14-year-old sibling was invited to several sleepovers, but the parents found reasons to deny permission. Both teens are annoyed because the parents buy clothes for them that are more suitable for younger children. The parents say, "We don't want our kids to grow up too fast." Which term best describes this family's boundaries?
A) Rigid
B) Clear
C) Enmeshed
D) Differentiated
Q2) A 15-year-old is hospitalized after a suicide attempt. This adolescent lives with her mother, stepfather, and several siblings. When performing a family assessment, which of the following must the nurse first determine?
A) How the family expresses and manages emotion
B) Names and relationships of the family's members
C) The communication patterns between the patient and parents
D) The meaning that the patient's suicide attempt has for family members
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Chapter 37: Integrative Care
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Source URL: https://quizplus.com/quiz/23119
Sample Questions
Q1) Which important points should the nurse teach a patient about using herbal preparations? Select all that apply.
A) Check active and inactive ingredients.
B) Discontinue use if adverse effects occur.
C) Avoid herbals during pregnancy and breastfeeding.
D) Buying from online sources is preferable and cheaper.
E) Inform your health care provider about the use of herbals.
Q2) A patient tells the nurse, "I prefer to treat my physical problems with herbs and vitamins. They are natural substances, and natural products are safe." Which response by the nurse would be most appropriate?
A) "Natural substances tend to be safer than conventional medical remedies."
B) "Natural remedies give you the idea that you are controlling your treatment."
C) "The word natural can be a marketing term used to imply a product is healthy, but that's not always true."
D) "You should not treat your own physical problems. You should see your health care provider for these problems."
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