Psychosocial Nursing Exam
Answer Key
Course Introduction
Psychosocial Nursing explores the integration of psychological, emotional, social, and cultural factors in the care of individuals experiencing mental health challenges. This course equips students with an understanding of theories related to human behavior, psychosocial development, and common psychiatric disorders. Emphasis is placed on therapeutic communication, patient-centered care, and evidence-based interventions to promote mental well-being. Students also learn approaches to crisis intervention, community resources, and the impact of stigma on mental health. Through case studies and practical experiences, learners develop critical thinking skills and empathy essential for supporting patients and their families in a variety of clinical settings.
Recommended Textbook
Varcarolis Foundations of Psychiatric Mental Health Nursing A Clinical Approach 7th Edition by
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1040 Verified Questions
1040 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) A patient's relationships are intense and unstable.The patient initially idealizes the significant other and then devalues him or her,resulting in frequent feelings of emptiness.This patient will benefit from interventions to develop which aspect of mental health?
A) Effectiveness in work
B) Communication skills
C) Productive activities
D) Fulfilling relationships
Answer: D
Q2) A nurse encounters an unfamiliar psychiatric disorder on a new patient's admission form.Which resource should the nurse consult to determine criteria used to establish this diagnosis?
A) International Statistical Classification of Diseases and Related Health Problems (ICD-10)
B) Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
C) A behavioral health reference manual
D) Wikipedia
Answer: B
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Chapter 2: Relevant Theories and Therapies for Nursing Practice
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37 Flashcards
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Sample Questions
Q1) An adult says,"I never know the answers," and "My opinion doesn't count." Which psychosocial crisis was unsuccessfully resolved for this adult?
A) Initiative versus guilt
B) Trust versus mistrust
C) Autonomy versus shame and doubt
D) Generativity versus self-absorption
Answer: C
Q2) A parent says,"My 2-year-old child refuses toilet training and shouts 'No!' when given directions.What do you think is wrong?" Select the nurse's best reply.
A) "Your child needs firmer control. It is important to set limits now."
B) "This is normal for your child's age. The child is striving for independence."
C) "There may be developmental problems. Most children are toilet trained by age 2."
D) "Some undesirable attitudes are developing. A child psychologist can help you develop a plan."
Answer: B
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4
Chapter 3: Biological Basis for Understanding Psychiatric
Disorders and Treatments
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A nurse cares for four patients who are receiving clozapine,lithium,fluoxetine,and venlafaxine,respectively.With which patient should the nurse be most alert for problems associated with fluid and electrolyte imbalance? The patient receiving:
A) lithium (Lithobid).
B) clozapine (Clozaril).
C) fluoxetine (Prozac).
D) venlafaxine (Effexor).
Answer: A
Q2) Consider these medications: carbamazepine (Tegretol),lamotrigine (Lamictal),gabapentin (Neurontin).Which medication below also belongs with this group?
A) Galantamine (Reminyl)
B) Valproate (Depakote)
C) Buspirone (BuSpar)
D) Tacrine (Cognex)
Answer: B
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Chapter 4: Settings for Psychiatric Care
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Sample Questions
Q1) A psychiatric nurse discusses rules of the therapeutic milieu and patients' rights with a newly admitted patient.Which rights should be included? (Select all that apply.)
The right to:
A) have visitors
B) confidentiality
C) a private room
D) complain about inadequate care
E) select the nurse assigned to their care
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) Which scenario best depicts a behavioral crisis? A patient is:
A) waving fists, cursing, and shouting threats at a nurse.
B) curled up in a corner of the bathroom, wrapped in a towel.
C) crying hysterically after receiving a phone call from a family member.
D) performing push-ups in the middle of the hall, forcing others to walk around.
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Page 6
Chapter 5: Cultural Implications for Psychiatric Mental
Health Nursing
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Sample Questions
Q1) A psychoeducational session will discuss medication management for a culturally diverse group of patients.Group participants are predominantly members of minority cultures.Of the four staff nurses below,which nurse should lead this group?
A) Very young registered nurse
B) Older, mature registered nurse
C) Newly licensed registered nurse
D) A registered nurse who is very thin
Q2) An experienced psychiatric nurse plans to begin a new job in a community-based medication clinic.The clinic sees culturally diverse patients.Which action should the nurse take first to prepare for this position?
A) Investigate cultural differences in patients' responses to psychotropic medications.
B) Contact the clinical nurse specialist for guidelines regarding cultural competence.
C) Examine the literature on various health beliefs of members of diverse cultures.
D) Complete an online continuing education offering about psychopharmacology.
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Chapter 6: Legal and Ethical Guidelines for Safe Practice
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30 Flashcards
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Sample Questions
Q1) In which situations would a nurse have the duty to intervene and report? Select all that apply.
A) A peer has difficulty writing measurable outcomes.
B) A health care provider gives a telephone order for medication.
C) A peer tries to provide patient care in an alcohol-impaired state.
D) A team member violates relationship boundaries with a patient.
E) A patient refuses medication prescribed by a licensed health care provider.
Q2) A patient in alcohol rehabilitation reveals to the nurse,"I feel terrible guilt for sexually abusing my 6-year-old before I was admitted." Select the nurse's most important action.
A) Anonymously report the abuse by phone to the local child protection agency.
B) Reply, "I'm glad you feel comfortable talking to me about it."
C) File a written report with the agency's ethics committee.
D) Respect nurse-patient relationship confidentiality.
Q3) Which action by a nurse constitutes a breach of a patient's right to privacy?
A) Documenting the patient's daily behavior during hospitalization
B) Releasing information to the patient's employer without consent
C) Discussing the patient's history with other staff during care planning
D) Asking family to share information about a patient's pre-hospitalization behavior
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8
Chapter 7: The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing
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Sample Questions
Q1) A nurse assessed a patient who reluctantly participated in activities,answered questions with minimal responses,and rarely made eye contact.What information should be included when documenting the assessment? Select all that apply.
A) The patient was uncooperative
B) The patient's subjective responses
C) Only data obtained from the patient's verbal responses
D) A description of the patient's behavior during the interview
E) Analysis of why the patient was unresponsive during the interview
Q2) A new staff nurse completes an orientation to the psychiatric unit.This nurse will expect to ask an advanced practice nurse to perform which action for patients?
A) Perform mental health assessment interviews.
B) Prescribe psychotropic medication.
C) Establish therapeutic relationships.
D) Individualize nursing care plans.
Q3) What is the nurse's next action?
A) Continue the current plan without changes.
B) Remove this nursing diagnosis from the plan of care.
C) Write a new nursing diagnosis that better reflects the problem.
D) Examine interventions for possible revision of the target date.
Page 9
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Chapter 8: Therapeutic Relationships
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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 patient says,"People should be allowed to commit suicide without interference from others." A nurse replies,"You're wrong.Nothing is bad enough to justify death." What is the best analysis of this interchange?
A) The patient is correct.
B) The nurse is correct.
C) Neither person is correct.
D) Differing values are reflected in the two statements.
Q3) Which issues should a nurse address during the first interview with a patient with a psychiatric disorder?
A) Trust, congruence, attitudes, and boundaries
B) Goals, resistance, unconscious motivations, and diversion
C) Relationship parameters, the contract, confidentiality, and termination
D) Transference, countertransference, intimacy, and developing resources
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Page 10
Chapter 9: Communication and the Clinical Interview
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24 Flashcards
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Sample Questions
Q1) A patient tells the nurse,"I don't think I'll ever get out of here." Select the nurse's most therapeutic response.
A) "Don't talk that way. Of course you will leave here!"
B) "Keep up the good work, and you certainly will."
C) "You don't think you're making progress?"
D) "Everyone feels that way sometimes."
Q2) Which benefits are most associated with use of telehealth technologies? Select all that apply.
A) Cost savings for patients
B) Maximize care management
C) Access to services for patients in rural areas
D) Prompt reimbursement by third party payers
E) Rapid development of trusting relationships with patients
Q3) A black patient says to a white nurse,"There's no sense talking.You wouldn't understand because you live in a white world." The nurse's best action would be to:
A) explain, "Yes, I do understand. Everyone goes through the same experiences."
B) say, "Please give an example of something you think I wouldn't understand."
C) reassure the patient that nurses interact with people from all cultures.
D) change the subject to one that is less emotionally disturbing.
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Page 11
Chapter 10: Understanding and Managing Responses to Stress
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Sample Questions
Q1) A patient tells the nurse,"I will never be happy until I'm as successful as my older sister." The nurse asks the patient to reassess this statement and reframe it.Which reframed statement by the patient is most likely to promote coping?
A) "People should treat me as well as they treat my sister."
B) "I can find contentment in succeeding at my own job level."
C) "I won't be happy until I make as much money as my sister."
D) "Being as smart or clever as my sister isn't really important."
Q2) A patient experiencing significant stress associated with a disturbing new medical diagnosis asks the nurse,"Do you think saying a prayer would help?" Select the nurse's best answer.
A) "It could be that prayer is your only hope."
B) "You may find prayer gives comfort and lowers your stress."
C) "I can help you feel calmer by teaching you meditation exercises."
D) "We do not have evidence that prayer helps, but it wouldn't hurt."
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Chapter 11: Childhood and Neurodevelopmental Disorders
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Which behavior indicates that the treatment plan for a child diagnosed with an autism spectrum disorder was effective? The child:
A) plays with one toy for 30 minutes.
B) repeats words spoken by a parent.
C) holds the parent's hand while walking.
D) spins around and claps hands while walking.
Q2) A child diagnosed with attention deficit hyperactivity disorder had this nursing diagnosis: impaired social interaction related to excessive neuronal activity as evidenced by aggression and demanding behavior with others.Which finding indicates the plan of care was effective? The child:
A) has an improved ability to identify anxiety and use self-control strategies.
B) has increased expressiveness in communication with others.
C) shows increased responsiveness to authority figures.
D) engages in cooperative play with other children.
Q3) Which child demonstrates behaviors indicative of a neurodevelopmental disorder?
A) A 4-year-old who stuttered for 3 weeks after the birth of a sibling
B) A 9-month-old who does not eat vegetables and likes to be rocked
C) A 3-month-old who cries after feeding until burped and sucks a thumb
D) A 3-year-old who is mute, passive toward adults, and twirls while walking
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Page 13
Chapter 12: Schizophrenia and Schizophrenia Spectrum Disorders
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) Which hallucination necessitates the nurse to implement safety measures? The patient says,
A) "I hear angels playing harps."
B) "The voices say everyone is trying to kill me."
C) "My dead father tells me I am a good person."
D) "The voices talk only at night when I'm trying to sleep."
Q2) A patient diagnosed with schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility.Which patient needs are of priority importance?
A) Self-esteem
B) Psychosocial
C) Physiological
D) Self-actualization
Q3) A person has had difficulty keeping a job because of arguing with co-workers and accusing them of conspiracy.Today the person shouts,"They're all plotting to destroy me.Isn't that true?" 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 you if you will let them."
D) "Staff members are health care professionals who are qualified to help you."
Page 14
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Chapter 13: Bipolar and Related Disorders
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38 Verified Questions
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Sample Questions
Q1) 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 behavior
B) Pressured speech and grandiosity
C) Hyperactivity; not eating and sleeping
D) Poor concentration and decision making
Q2) A patient waves a newspaper and says,"I must have my credit card and use the computer right now.A store is having a big sale,and I need to order 10 dresses and four pairs of shoes." Select the nurse's appropriate intervention.The nurse:
A) suggests the patient have a friend do the shopping and bring purchases to the unit.
B) invites the patient to sit together and look at new fashion magazines.
C) tells the patient computer use is not allowed until self-control improves.
D) asks whether the patient has enough money to pay for the purchases.
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15
Chapter 14: Depressive Disorders
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Sample Questions
Q1) A disheveled patient with severe depression and psychomotor retardation has not showered for several days.The nurse will:
A) bring up the issue at the community meeting.
B) calmly tell the patient, "You must bathe daily."
C) avoid forcing the issue in order to minimize stress.
D) firmly and neutrally assist the patient with showering.
Q2) When counseling patients diagnosed with major depression,an advanced practice nurse will address the negative thought patterns by using: A) psychoanalytic therapy.
B) desensitization therapy.
C) cognitive behavioral therapy.
D) alternative and complementary therapies.
Q3) A patient says to the nurse,"My life doesn't have any happiness in it anymore.I once enjoyed holidays,but now they're just another day." The nurse documents this report as an example of:
A) dysthymia.
B) anhedonia.
C) euphoria.
D) anergia.
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Page 16
Chapter 15: Anxiety and Obsessive Compulsive Related Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A person who has been unable to leave home for more than a week because of severe anxiety says,"I know it does not make sense,but I just can't bring myself to leave my apartment alone." Which nursing intervention is appropriate?
A) Help the person use online video calls to provide interaction with others.
B) Advise the person to accept the situation and use a companion.
C) Ask the person to explain why the fear is so disabling.
D) Teach the person to use positive self-talk techniques.
Q2) A patient in the emergency department shows disorganized behavior and incoherence after a friend suggested a homosexual encounter.In which room should the nurse place the patient?
A) An interview room furnished with a desk and two chairs
B) A small, empty storage room with no windows or furniture
C) A room with an examining table, instrument cabinets, desk, and chair
D) The nurse's office, furnished with chairs, files, magazines, and bookcases
Q3) The nurse can correctly assess the student's experience as:
A) culturally influenced.
B) displacement.
C) trait anxiety.
D) mild anxiety.
Page 17
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Chapter 16: Trauma, Stressor-Related, and Dissociative Disorders
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Sample Questions
Q1) A patient states,"I feel detached and weird all the time.It is as though I am looking at life through a cloudy window.Everything seems unreal.It really messes up things at work and school." This scenario is most suggestive of which health problem?
A) Acute stress disorder
B) Dissociative amnesia
C) Depersonalization disorder
D) Disinhibited social engagement disorder
Q2) Which scenario demonstrates a dissociative fugue?
A) After being caught in an extramarital affair, a man disappeared but then reappeared months later with no memory of what occurred while he was missing.
B) A man is extremely anxious about his problems and sometimes experiences dazed periods of several minutes passing without conscious awareness of them.
C) A woman finds unfamiliar clothes in her closet, is recognized when she goes to new restaurants, and complains of "blackouts" despite not drinking.
D) A woman reports that when she feels tired or stressed, it seems like her body is not real and is somehow growing smaller.
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Chapter 17: Somatic Symptom Disorders
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Sample Questions
Q1) A nurse assesses a patient suspected of having somatic symptom disorder.Which assessment findings regarding this patient support the suspected diagnosis? Select all that apply.
A) Female
B) Reports frequent syncope
C) Rates pain as "1" on a scale of "10"
D) First diagnosed with psoriasis at age 12
E) Reports insomnia often results from back pain
Q2) A patient has blindness related to conversion (functional neurological)disorder.To help the patient eat,the nurse should:
A) establish a "buddy" system with other patients who can feed the patient at each meal.
B) expect the patient to feed self after explaining arrangement of the food on the tray.
C) direct the patient to locate items on the tray independently and feed self.
D) address needs of other patients in the dining room, then feed this patient.
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19
Chapter 18: Feeding, Eating, and Elimination Disorders
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Sample Questions
Q1) 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
F) Privileges correlated with emotional expression
Q2) A patient diagnosed with anorexia nervosa virtually stopped eating 5 months ago and lost 25% of body weight.A nurse asks,"Describe what you think about your present weight and how you look." Which response by the patient is most consistent with the diagnosis?
A) "I am fat and ugly."
B) "What I think about myself is my business."
C) "I'm grossly underweight, but that's what I want."
D) "I'm a few pounds overweight, but I can live with it."
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Chapter 19: Sleep-Wake Disorders
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Sample Questions
Q1) A nurse provides health education for an adult with sleep deprivation.It is most important for the nurse to encourage caution when the patient engages in:
A) using a vacuum cleaner.
B) cooking a meal.
C) driving a car.
D) bathing.
Q2) A nurse who works night shift says,"I am exhausted most of the time.I sleep through my alarm.Sometimes my brain does not seem to work right.I am worried that I might make a practice error." Which question should the nursing supervisor ask first?
A) "What stress are you experiencing in your life?"
B) "How much sleep do you get in a 24-hour period?"
C) "Would it help if you do some exercises just before going to bed?"
D) "Have you considered using a hypnotic medication to help you sleep?"
Q3) Normally,most people sleep at night.What is the physiological rationale?
A) The master biological clock responds to darkness with sleep.
B) Darkness stimulates histamine release, which promotes sleep.
C) Cooler environmental temperatures stimulate retinal messages.
D) Stimulation of the sympathetic nervous system promotes sleep.
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Chapter 20: Sexual Dysfunctions, Gender Dysphoria, and Paraphilias
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Sample Questions
Q1) 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:
A) Paraphilic Disorder.
B) Female Orgasmic Disorder.
C) Genito-Pelvic Pain/Penetration Disorder.
D) Female Sexual Interest/Arousal Disorder.
Q2) A patient's medical record documents sexual masochism.This patient derives sexual pleasure:
A) from inanimate objects.
B) by inflicting pain on a partner.
C) when sexually humiliated by a partner.
D) from touching a non-consenting person.
Q3) A man who regularly experiences premature ejaculation tells the nurse,"I feel like such a failure.It's so awful for both me and my partner." Select the nurse's most therapeutic response.
A) "I sense you are feeling frustrated and upset."
B) "Tell me more about feeling like a failure."
C) "You are too hard on yourself."
D) "What do you mean by awful?"
Page 22
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Chapter 21: Impulse Control Disorders
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Sample Questions
Q1) A nurse on an adolescent psychiatric unit assesses a newly admitted 14-year-old.An impulse control disorder is suspected.Which aspects of the patient's history support the suspected diagnosis? Select all that apply.
A) Family history of mental illness
B) Allergies to multiple antibiotics
C) Long history of severe facial acne
D) Father with history of alcohol abuse
E) History of an abusive relationship with one parent
Q2) What are the primary distinguishing factors between the behavior of persons diagnosed with oppositional defiant disorder (ODD)and those with conduct disorder (CD)? Select all that apply.The person 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 loved ones.
D) CD uses stereotypical or repetitive language.
E) CD often violates the rights of others.
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Chapter 22: Substance Related and Addictive Disorders
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Sample Questions
Q1) At a meeting for family members of alcoholics,a spouse says,"I did everything I could to help.I even requested sick leave when my partner was too drunk to go to work." The nurse assesses these comments as:
A) codependence.
B) assertiveness.
C) role reversal.
D) homeostasis.
Q2) Select the most therapeutic manner for a nurse working with a patient beginning treatment for alcohol addiction.
A) Empathetic, supportive
B) Skeptical, guarded
C) Cool, distant
D) Confrontational
Q3) Which features should be present in a therapeutic milieu for a patient with a hallucinogen overdose?
A) Simple and safe
B) Active and bright
C) Stimulating and colorful
D) Confrontational and challenging
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Page 24
Chapter 23: Neurocognitive Disorders
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Sample Questions
Q1) 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.
Q2) During morning care,a nurse asks a patient diagnosed with dementia,"How was your night?" The patient replies,"It was lovely.I went out to dinner and a movie with my friend." Which term applies to the patient's response?
A) Sundown syndrome
B) Confabulation
C) Perseveration
D) Delirium
Q3) Which assessment finding would be likely for a patient experiencing a hallucination?
The 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) reports telepathic messages from the television.
D) speaks in rhymes.
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Page 25
Chapter 24: Personality Disorders
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Sample Questions
Q1) Others describe a worker as very shy and lacking in self-confidence.This worker stays in an office cubicle all day,never coming out for breaks or lunch.Which term best describes this behavior?
A) Narcissistic
B) Histrionic
C) Avoidant
D) Paranoid
Q2) A new psychiatric technician says,"Schizophrenia schizotypal! What's the difference?" The nurse's response should include which information?
A) A patient diagnosed with schizophrenia is not usually overtly psychotic.
B) In schizotypal personality disorder, the patient remains psychotic much longer.
C) With schizotypal personality disorder, the person can be made aware of misinterpretations of reality.
D) Schizotypal personality disorder causes more frequent and more prolonged hospitalizations than schizophrenia.
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Chapter 25: Suicide and Non-Suicidal Self-Injury
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Sample Questions
Q1) A depressed patient says,"Nothing matters anymore." What is the most appropriate response by the nurse?
A) "Are you having thoughts of suicide?"
B) "I am not sure I understand what you are trying to say."
C) "Try to stay hopeful. Things have a way of working out."
D) "Tell me more about what interested you before you became depressed."
Q2) A tearful,anxious patient at the outpatient clinic reports,"I should be dead." The initial task of the nurse conducting the assessment interview is to:
A) assess lethality of suicide plan.
B) encourage expression of anger.
C) establish rapport with the patient.
D) determine risk factors for suicide.
Q3) A nurse assesses five newly hospitalized patients.Which patients have the highest suicide risk? Select all that apply.
A) 82-year-old white male
B) 17-year-old white female
C) 22-year-old Hispanic male
D) 19-year-old Native American male
E) 39-year-old African American male
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Page 27
Chapter 26: Crisis and Disaster
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Sample Questions
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) At the last contracted visit in the crisis intervention clinic,an adult says,"I've emerged from this a stronger person.You helped me get my life back in balance." The nurse responds,"I think we should have two more sessions to explore why your reactions were so intense." Which analysis applies?
A) The patient is experiencing transference.
B) The patient demonstrates need for continuing support.
C) The nurse is having difficulty terminating the relationship.
D) The nurse is empathizing with the patient's feelings of dependency.
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Chapter 27: Anger, Aggression, and Violence
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/13740
Sample Questions
Q1) An adult patient assaulted another patient and was then restrained.One hour later,which statement by the restrained patient requires 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) "The other patient started the fight."
Q2) A patient sat in silence for 20 minutes after a therapy appointment,appearing tense and vigilant.The patient abruptly stood,paced back and forth,clenched and unclenched fists,and then stopped and stared in the face of a staff member.The patient is:
A) demonstrating withdrawal.
B) working though angry feelings.
C) attempting to use relaxation strategies.
D) exhibiting clues to potential aggression.
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29
Chapter 28: Child, Older Adult, and Intimate Partner Violence
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23 Verified Questions
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Source URL: https://quizplus.com/quiz/13741
Sample Questions
Q1) A 10-year-old cares for siblings while the parents work because the family cannot afford a babysitter.This child says,"My father doesn't like me.He calls me stupid all the time." The mother says the father is easily frustrated and has trouble disciplining the children.The community health nurse should consider which resources as priorities to stabilize the home situation? Select all that apply.
A) Parental sessions to teach childrearing practices
B) Anger management counseling for the father
C) Continuing home visits to give support
D) A safety plan for the wife and children
E) Placing the children in foster care
Q2) An older adult with Alzheimer's disease lives with family in a rural area.During the week,the person attends a day care center while the family is at work.In the evenings,members of the family provide care.Which factor makes this patient most vulnerable to abuse?
A) Multiple caregivers
B) Alzheimer's disease
C) Living in a rural area
D) Being part of a busy family
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Chapter 29: Sexual Assault
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/13742
Sample Questions
Q1) Which aspects of assessment have priority when a nurse interviews a rape victim in an acute setting? Select all that apply.
A) Coping mechanisms the patient is using
B) The patient's previous sexual experiences
C) The patient's history of sexually transmitted diseases
D) Signs and symptoms of emotional and physical trauma
E) Adequacy and availability of the patient's support system
Q2) A rape victim tells the emergency nurse,"I feel so dirty.Help me take a shower before I get examined." The nurse should: (select all that apply)
A) arrange for the victim to shower.
B) explain that bathing destroys evidence.
C) give the victim a basin of water and towels.
D) offer the victim a shower after evidence is collected.
E) explain that bathing facilities are not available in the emergency department.
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Chapter 30: Psychosocial Needs of the Older Adult
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Sample Questions
Q1) A 79-year-old white male tells a nurse,"I have felt very sad lately.I do not have much to live for.My family and friends are all dead,and my own health is failing." The nurse should analyze this comment as:
A) normal pessimism of the elderly.
B) evidence of risks for suicide.
C) a call for sympathy.
D) normal grieving.
Q2) Select the best comment for a nurse to begin an interview with an elderly patient.
A) "I am a nurse. Are you familiar with what nurses do?"
B) "Hello. I am going to ask you some questions to get to know you better."
C) "You look comfortable and ready to participate in an admission interview. Shall we get started?"
D) "Hello. My name is _______ and I am a nurse. How you would like to be addressed by staff?"
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Chapter 31: Serious Mental Illness
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Sample Questions
Q1) After 5 years in a state hospital,an adult diagnosed with schizophrenia was discharged to the community.This patient now requires persistent direction to accomplish activities of daily living and expects others to provide meals and do laundry.The nurse assesses this behavior as the probable result of:
A) side effects of antipsychotic medications.
B) dependency caused by institutionalization.
C) cognitive deterioration from schizophrenia.
D) stress associated with acclimation to the community.
Q2) A patient diagnosed with a serious mental illness lives independently and attends a psychosocial rehabilitation program.The patient presents at the emergency department seeking hospitalization.The patient has no acute symptoms but says,"I have no money to pay my rent or refill my prescription." Select the nurse's best action.
A) Involve the patient's case manager to provide crisis intervention.
B) Send the patient to a homeless shelter until housing can be arranged.
C) Arrange for a short in-patient admission and begin discharge planning.
D) Explain that one must have active psychiatric symptoms to be admitted.
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33
Chapter 32: Forensic Psychiatric Nursing
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21 Flashcards
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Sample Questions
Q1) The highest degree of credibility is required by a nurse who provides testimony before the court as a(n):
A) fact witness.
B) expert witness.
C) correctional nurse.
D) critical care nurse.
Q2) 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 behavior as well as interventions performed and documented during the shift.In what capacity was this nurse testifying?
A) Forensic nurse examiner
B) Expert witness
C) Fact witness
D) Consultant
Q3) Health problems most commonly encountered by correctional nurses are:
A) routine infections and minor trauma.
B) chronic medical and psychiatric disorders.
C) similar to the non-incarcerated population.
D) injuries acquired during arrest or incarceration.
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Page 34
Chapter 33: Therapeutic Groups
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Sample Questions
Q1) During a support group,a patient diagnosed with schizophrenia says,"Sometimes I feel sad that I will never have a good job like my brother.Then I dwell on it and maybe I should not." Select the nurse leader's best comment to facilitate discussion of this issue.
A) "It is often better to focus on our successes rather than our failures."
B) "How have others in the group handled painful feelings like these?"
C) "Grieving for what is lost is a normal part of having a mental disorder."
D) "I wonder if you might also experience feelings of anger and helplessness."
Q2) A therapy group adds new members as others leave.What type of group is evident?
A) Open
B) Closed
C) Homogeneous
D) Heterogeneous
Q3) "Last week we finished our first goal and today we are starting on our second."
A) Playboy
B) Energizer
C) Organizer
D) Follower
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Chapter 34: Family Interventions
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Sample Questions
Q1) Which information is the nurse most likely to find when assessing the family of a patient with a serious mental illness?
A) The family exhibits many characteristics of dysfunctional families.
B) Several family members have serious problems with their physical health.
C) Power in the family is maintained in the parental dyad and rarely delegated.
D) Stress from living with a mentally ill member has challenged the family's function.
Q2) A married couple has two biologic children who live with them as well as a child from the wife's first marriage.What type of family is evident?
A) Homogeneous
B) Extended
C) Blended
D) Nuclear
Q3) Select the best question for the nurse to ask to assess a family's ability to cope.
A) "What strengths does your family have?"
B) "Do you think your family copes effectively?"
C) "Describe how you successfully handled one family problem."
D) "How do you think the current family problem should be resolved?"
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Chapter 35: Integrative Care
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Source URL: https://quizplus.com/quiz/13748
Sample Questions
Q1) For which patient would it be most important for the nurse to urge immediate discontinuation of kava? A patient with a comorbid diagnosis of:
A) cirrhosis.
B) osteoarthritis.
C) multiple sclerosis.
D) chronic back pain.
Q2) An immigrant from China needs a colonic resection but is anxious and reluctant about surgery.This patient usually follows traditional Chinese health practices.Which comment by the nurse would most likely reduce the patient's anxiety and reluctance?
A) "Surgery will help rebalance the yin and yang forces and return you to harmony."
B) "The surgery we are recommending will help you achieve final transformation."
C) "I know this is new to you, but you can trust us to take very good care of you."
D) "If you would like, we could investigate using acupuncture to help control pain."
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