Psychosocial Nursing Exam Solutions
Course Introduction
Psychosocial Nursing explores the dynamic relationship between psychological well-being and social factors in the context of health and illness. This course introduces nursing students to key theories and principles underpinning psychosocial care, focusing on holistic assessment, therapeutic communication, and culturally competent interventions for individuals experiencing mental health challenges. Students will develop the skills necessary to support patients coping with stress, trauma, chronic illness, and psychiatric disorders, while addressing the impact of family, culture, and community. Emphasis is placed on collaboration within interdisciplinary teams and the development of therapeutic nurse-patient relationships to facilitate recovery and promote optimal mental health outcomes.
Recommended Textbook
Principles and Practice of Psychiatric Nursing 10th Edition by Gail Wiscarz Stuart
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40 Chapters
943 Verified Questions
943 Flashcards
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Chapter 1: Roles and Functions of Psychiatric-Mental Health
Nurses: Competent Caring
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) During orientation to the inpatient psychiatric unit,new staff members are told,"Address all patients by their title and surname unless you are directed by the patient to do otherwise." The belief that underlies this directive is that:
A) every person is worthy of respect.
B) every individual has the potential to change.
C) the goals of the individual are growth, health, autonomy, and self-actualization.
D) the person functions as a holistic being who reacts to the environment as a whole person.
Answer: A
Q2) For psychiatric nurses in the 1980s and 1990s,the scope of practice began to change to include:
A) psychiatric care and medical care given by the home care nurse.
B) new advances in the fields of psychobiology and technology.
C) psychoanalytical therapy provided by the psychiatric nurse in the outpatient setting. D) new advances in the psychodynamic model of therapy made by the psychiatric nurse in the inpatient setting.
Answer: B
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Page 3
Chapter 2: Therapeutic Nurse-Patient Relationship
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A psychiatric nurse will recognize which action as demonstration of resistance behavior?
A) Regularly referring to himself as a "loser"
B) Becoming tearful during every therapy session about abuse
C) Asking to postpone a therapy session until after visiting hours
D) Consistently describing his drug use as starting "a little while ago"
Answer: D
Q2) A patient reports seeing a "frightening" face on the wall of the dayroom.A nurse attempts to calm her by providing an explanation for the flawed perception of what she saw.The nurse would implement this strategy by stating:
A) "Let's see if anyone else has seen those frightening faces on the walls of the dayroom."
B) "The shadows of the tree outside the window make strange shapes on the dayroom walls."
C) "Have you ever seen frightening faces like that on the dayroom walls before today?"
D) "Did someone in the dayroom tell you there were frightening faces on the walls?"
Answer: B
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4
Chapter 3: The Stuart Stress Adaptation Model of Psychiatric Nursing Care
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A nurse documents that a patient is appropriately emotionally responsive,in control,and expresses a unified philosophy of life.This implies that the patient has met the mental health criterion of:
A) autonomy.
B) integration.
C) reality perception.
D) environmental mastery.
Answer: B
Q2) A patient became acutely anxious and hysterical in response to the stress of the patient's home being destroyed by fire the previous evening.A nurse assesses the patient's treatment stage as:
A) crisis.
B) acute.
C) maintenance.
D) health promotion.
Answer: A
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Chapter 4: Evidence-Based Psychiatric Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Most often,clinical pathways are used in:
A) inpatient units.
B) outpatient settings.
C) home-care settings.
D) mental health clinics.
Q2) To focus a patient's treatment or medication regimen in a very specific format,which tool would be used?
A) Patient satisfaction survey
B) Clinical pathway
C) Algorithm
D) Graph
Q3) To substantiate clinical practice the psychiatric nurse should place the greatest reliance on the _____ basis.
A) traditional
B) regulatory
C) evidence
D) philosophical/conceptual
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6
Chapter 5: Biological Context of Psychiatric Nursing Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A depressed patient scheduled for an MRI asks about the purpose of the test and whether it will hurt.The response would include that the test: (Select all that apply.)
A) takes a picture of the brain.
B) is used to diagnose mental illness.
C) should not produce any physical pain.
D) may be uncomfortable if tight spaces bother you.
E) machinery produces loud noises while the test is being conducted.
Q2) The objective information that has helped mental health professionals understand that schizophrenia has a biological component has been obtained primarily from which of the following?
A) Genetic studies
B) Patient histories
C) Comparisons of blood chemistries
D) Magnetic resonance imaging (MRI) studies
Q3) The function of the limbic system is to:
A) regulate emotional behavior.
B) perform abstract reasoning.
C) facilitate critical decision making.
D) coordinate stress-related responses.
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Chapter 6: Psychological Context of Psychiatric Nursing Care
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) A patient tells a nurse,"God has given me special powers to heal the sick and raise the dead.I can cast out demons and cure cancer." The nurse assesses the patient's statements as indicating:
A) a phobia.
B) depersonalization.
C) grandiose delusions.
D) an idea of reference.
Q2) A patient admitted for treatment of uncontrolled diabetes mellitus is withdrawn and tearful.The patient says,"I just want to be normal again." The nurse determines there is a need for a psychiatric evaluation primarily to assist:
A) the patient in verbalizing distress about the disease.
B) in assessing the emotional factors affecting the patient's present condition.
C) in assessing priorities to be set for the patient's overall nursing plan of care.
D) the patient in emotionally accepting the chronic nature of the disease.
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Chapter 7: Social, Cultural, and Spiritual Context of Psychiatric Nursing Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) When conducting an admission interview,a mental health nurse asks a patient a series of questions related to personal beliefs.When the patient asks why these questions are being asked,how should the nurse respond?
A) "These questions are routine and are a mandatory part of the admission process."
B) "The prime reason is that these questions help the staff to identify any specific health care practices that would conflict with your religious beliefs."
C) "Mental health can be affected by personal belief systems, so it is important that your treatment plan be developed to be compatible with your beliefs."
D) "These questions are asked of every patient and are confidential, but if you are not comfortable answering them I will simply note that in your chart."
Q2) Sociocultural risk factors are identified by assessing which patient characteristic?
A) Belief system
B) Daily health habits
C) Stress management habits
D) Restfulness of the home environment
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Page 9
Chapter 8: Legal and Ethical Context of Psychiatric Nursing Care
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Although not assessed to be dangerous to self or others,a patient diagnosed with borderline personality disorder has created many problems on the unit and consistently refuses to accept prescribed medication.Nursing actions must be guided by the realization that legally this patient may:
A) refuse any type of treatment.
B) receive forced treatment if the treatment team concurs.
C) be medicated if family members sign permission for treatment.
D) be made to accept treatment recommendations through the loss of privileges.
Q2) While making a home visit,a community health nurse sees evidence that the child of a patient has been abused.What rationale should be the basis for the nurse's nursing action?
A) Privileged patient communication prevents the nurse from reporting the abuse.
B) Documenting the evidence in the medical record supports the observation.
C) A federal ruling requires that the nurse report the suspected abuse.
D) A signed patient release is needed before action can be taken.
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Chapter 9: Policy and Advocacy in Mental Health Care
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) In many rural communities the ratio of consumers to doctors is higher than it is in cities.This is an example of:
A) a health access problem in rural areas.
B) a lack of compassion among physicians.
C) reimbursement barriers in rural states.
D) appropriate distribution of health care providers.
Q2) Which type of managed care plan allows the most flexibility in choosing health services and providers?
A) Health maintenance organization (HMO)
B) Independent practice organization (IPO)
C) Preferred provider organization (PPO)
D) Point of service plan (POS)
Q3) A psychiatric nurse notes that the expected outcome of treatment for a patient with depression is the relief of symptoms.The nurse determines that this patient is in which stage of treatment in an integrated behavioral continuum of care?
A) Crisis
B) Acute
C) Maintenance
D) Health promotion
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Chapter 10: Families as Resources, Caregivers, and Collaborators
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Which observation best demonstrates that a patient is a member of a well functioning family?
A) Family members openly discuss the patient's needs and how to meet them effectively.
B) The patient looks forward to family members' visits and is less stressed after they spend time together.
C) The patient asks for his family members' input when making a decision and generally seeks their approval.
D) Family members are likely to provide the patient with suggestions on what should be done and when it should be done.
Q2) A nurse is educating a patient's family about becoming involved in the patient's treatment plan.Which belief held by the nurse would be a barrier to such education?
A) The family system perpetuates the patient's illness.
B) Alliance with the family will not interfere with patient confidentiality.
C) Services provided to families are as important as those provided to patients.
D) An alliance with the family supports the nurse's relationship with the patient.
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Chapter 11: Implementing the Nursing Process: Standards of Practice
and Professional Performance
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Nursing interventions that have the greatest validity are those that:
A) are used by nurse clinicians.
B) are prescribed by physicians.
C) have been investigated by nurse researchers.
D) are based on evidence of the efficacy of the intended treatment.
Q2) A nurse clinician is attempting to explain the evaluation phase of the nursing process to a student.Which statement would help the student grasp the essentials?
A) "It is a continuous, active process."
B) "Patient and family participation is optional."
C) "It takes place at the time of termination of services."
D) "It is optional since it is based on the patient's readiness."
Q3) What is the major difference between supervision and therapy?
A) Therapy is more intensive; supervision is less structured in its focus.
B) Supervision extends to all aspects of life, whereas therapy is limited to problem areas.
C) Supervision teaches psychotherapeutic skills, whereas therapy changes personal coping patterns.
D) Therapy uses transference, whereas supervision focuses on only personal limitations.
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Page 13
Chapter 12: Prevention and Mental Health Promotion
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse working in a community health agency wishes to implement a primary preventive program in mental health for the elderly.Which action should occur first?
A) Elaboration of specific preventive strategies
B) Identification of stressors that precipitate maladaptive responses
C) Application of selected nursing interventions to enhance adaptation
D) Determination of the effectiveness of the existing nursing activities
Q2) Primary prevention in mental health is based on the assumption that many maladaptive responses result from: (Select all that apply.)
A) a lack of ability to manage one's own life.
B) ineffective coping strategies.
C) ineffective health education.
D) environmental change.
E) poor self-esteem.
Q3) A nurse focuses on increasing gang members' problem-solving and coping skills.This is an example of:
A) crime reduction.
B) community service.
C) competency building.
D) environmental manipulation.
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Chapter 13: Crisis Intervention
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) When a crisis clinic nurse asks a patient,"Who takes care of you when you are sick?" the nurse is exploring the balancing factors of:
A) situational support.
B) problem resolution.
C) coping mechanisms.
D) perception of the event.
Q2) A patient comes to the clinic and states,"I've just lost my job,and I'm afraid that I'm at an age where I'll no longer be able to find work in my career field." Which approach will be most appropriate for this patient?
A) Environmental manipulation
B) Individual approach
C) Generic approach
D) General support
Q3) A nurse working with a patient in individual crisis intervention would characterize the approaches used as:
A) open-ended.
B) passive and indirect.
C) active, focused, and explorative.
D) psychoanalytic-based techniques.
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Page 15
Chapter 14: Recovery and Psychiatric Rehabilitation
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) At a community meeting,a homeowner states,"I don't want mentally ill people in the neighborhood.They're dangerous!" The community mental health nurse should respond:
A) "Former patients need care and concern, not stigmatization."
B) "I sincerely believe your fears and concerns are really unfounded."
C) "The way you act toward former patients will determine how they act toward you."
D) "Our residents are more apt to be withdrawn and timid than aggressive or violent."
Q2) A patient in a psychiatric rehabilitation program says,"I feel so guilty because my family gives me so much and I have so little to give in return." What is the nurse's most therapeutic reply?
A) "Your family feels good about giving to you."
B) "Remember that, and show them you are grateful."
C) "Following your treatment plan and helping with household tasks are ways you can give back."
D) "You can help most by keeping your feelings to yourself and not burdening the family when you feel upset."
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16
Chapter 15: Anxiety Responses and Anxiety Disorders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A patient has significant non-goal-directed motor activity,seems terror stricken,and experiences both distorted perceptions and disordered thoughts.When the nurse attempts to calm the patient,the patient does not respond.The level of patient anxiety can be assessed as:
A) mild.
B) moderate.
C) severe.
D) panic.
Q2) A nurse determines that a patient is able to follow directions but appears to experience a narrowed perceptual field and focus on immediate concerns.The nurse determines that the patient is experiencing anxiety at which level?
A) Mild
B) Moderate
C) Severe
D) Panic
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17
Chapter 16: Psychophysiological Responses and Somatoform and Sleep Disorders
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25 Verified Questions
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Sample Questions
Q1) "Doctor shopping," which is common among patients with somatoform disorders,suggests to a nurse that a patient:
A) is denying the psychological component of the illness.
B) cannot be successfully treated on an outpatient basis.
C) uses rationalization to cope with anxiety aroused by the physical symptoms. D) has chosen to display symptoms of a physical illness to avoid responsibilities.
Q2) A patient is diagnosed with conversion disorder that is evidenced by paralysis of the right hand.Which nursing intervention should be implemented?
A) Focus discussions on the patient's inability to fulfill usual roles.
B) Focus discussions on the patient's unusual and unexplainable physical symptom.
C) Spend time with the patient to give recognition for positive qualities and strengths.
D) Spend time with the patient when the patient is helpless to perform self-care activities because of paralysis.
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18
Chapter 17: Self-Concept Responses and Dissociative Disorders
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A patient who is acutely psychotic and withdrawn claims to be a robot.An early intervention designed to help this patient expand self-awareness would be to:
A) confirm the patient's identity.
B) set up a daily schedule for the patient.
C) introduce the patient to two other withdrawn patients.
D) explain to the patient the need to express feelings more openly.
Q2) A nurse is working with a patient to improve self-concept using an intervention directed toward self-evaluation.Which intervention is best?
A) Providing support measures to reduce the patient's anxiety
B) Clarifying that the patient's beliefs affect the patient's feelings and behaviors
C) Documenting the patient's use of both logical and illogical thinking
D) Helping the patient understand that the patient alone can bring about personal change
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19
Chapter 18: Emotional Responses and Mood Disorders
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27 Verified Questions
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Sample Questions
Q1) A patient with mania is displaying elation,hyperactivity,grandiosity,verbosity,disturbed sleep pattern,and poor judgment.The plan of care should take into consideration the need to:
A) maintain physiological equilibrium.
B) provide a permissive, unstructured environment.
C) show good humor when interacting with the patient.
D) provide large amounts of appropriate sensory stimulation.
Q2) A patient with severe depression and suicidal ideation has not improved after trials with selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants.Which treatment option can a nurse expect the health care provider will now consider?
A) Light therapy
B) Benzodiazepines
C) Electroconvulsive therapy
D) Antipsychotic medication
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Chapter 19: Self-Protective Responses and Suicidal Behavior
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A suicidal patient was found attempting to hang himself in the bathroom shower.What nursing intervention would best address the patient's current need for safety while maintaining his self-esteem?
A) Assign a staff member to remain with the patient at all times.
B) Place the patient in the seclusion room with 15-minute checks.
C) Request that the patient remain with the patient group at all times.
D) Tell the patient that he may use the bathroom only with staff supervision.
Q2) A patient was admitted after an unsuccessful suicide attempt.The patient is overheard saying,"Next time,I'll make sure no one interrupts me." Which level of suicide precautions should be ordered?
A) Occasional safety checks
B) Verbal contract for safety
C) Every-15-minute safety checks
D) One-to-one supervision for safety
Q3) The major difference between self-injury and suicide lies in whether the patient has:
A) a need to control or a need to be controlled.
B) the wish to relieve tension or the wish to die.
C) been diagnosed with a developmental disorder or psychosis.
D) a tendency toward indirect or direct expression of self-destructive urges.
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Chapter 20: Neurobiological Responses and Schizophrenia and Psychotic Disorders
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A patient diagnosed with schizophrenia was rehospitalized after a relapse.A priority intervention in designing a discharge plan to prevent relapses will be:
A) helping the patient's family develop tolerance for the cognitive symptoms.
B) mobilizing the family to provide structure to reduce social dysfunction.
C) working on self-concept to reduce avolition, anhedonia, and dysphoria.
D) early identification of signs of impending relapse and coping strategies.
Q2) During occupational therapy a patient diagnosed with schizophrenia sits staring at a piece of paper.Which response is most therapeutic at this time?
A) "If you prefer to sit and stare for a time, it is acceptable for you to leave."
B) "You seem immobilized by anxiety. Is there anything I can do to help?"
C) "Are you having trouble deciding where you want to glue that piece?"
D) "Rub the glue stick on the back of the paper."
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Chapter 21: Social Responses and Personality Disorders
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26 Verified Questions
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Sample Questions
Q1) A nursing diagnosis that would be appropriate to consider for any patient with a personality disorder is:
A) anxiety.
B) risk for self-mutilation.
C) disturbed thought processes.
D) impaired social interaction.
Q2) After caring for a patient with a personality disorder the nurse states,"At first I thought this was such a nice person.Now I realize it's like working with the devil." The two different views held by the nurse are most likely the result of:
A) countertransference.
B) lack of emotional self-control.
C) objective assessment of the patient.
D) inability of the patient to profit from therapy.
Q3) To assist in diagnosing a patient suspected of being impulsive,the nurse would have to see behavior that:
A) exhibits self-depreciation.
B) inflexibly adheres to a strict moral code.
C) uses manipulative, controlling strategies.
D) shows an inability to formulate realistic plans.
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Page 23
Chapter 22: Cognitive Responses and Organic Mental Disorders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) An elderly patient with dementia paces the hallway and often wanders.The nurse documents that the patient is exhibiting which type of behavior characteristic of dementia?
A) Passive behavior
B) Functionally impaired behavior
C) Involuntary psychomotor behavior
D) Nonaggressive psychomotor behavior
Q2) A nurse is working with a family with an elderly member who is in the prediagnostic phase of Alzheimer disease.The most important nursing intervention at this time would be to provide:
A) family consultation to facilitate communication.
B) information about support groups and counseling.
C) options directed toward the reduction of caregiver stress.
D) education that helps them understand their situation.
Q3) A nurse would attempt to reduce nighttime agitation for a patient with either delirium or dementia by:
A) giving warm milk as a snack at bedtime.
B) keeping a soft light on in the patient's room.
C) placing a large-faced lighted alarm clock opposite the bed.
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D) hanging family pictures near enough to the bed to be easily seen.
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Chapter 23: Chemically Mediated Responses and
Substance-Related Disorders
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27 Verified Questions
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Sample Questions
Q1) A patient sustained a fractured femur while driving under the influence of drugs.Family members indicate that the patient has "dabbled in drugs" for years.When the patient obtains little relief from the prescribed dose of narcotic analgesic,the nurse suspects the ineffective pain relief is related to:
A) drug tolerance to the narcotic prescribed.
B) the predictable onset of withdrawal symptoms.
C) insufficient analgesic dosage to manage the pain.
D) the strong likelihood of a history of substance abuse.
Q2) An appropriate short-term goal related to abstinence for a drug abuser would be "The patient will:
A) verbalize details of the addiction to significant others."
B) declaratively state an intention to abstain from drug use of any sort."
C) be able to identify the underlying causes that resulted in an addiction to drugs."
D) contact a supportive person if experiencing an urge to use an addictive substance."
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Chapter 24: Eating Regulation Responses and Eating Disorders
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Sample Questions
Q1) A nurse would assess for which behavior to substantiate a diagnosis of bulimia nervosa?
A) Abuse of diuretics and laxatives
B) Introverted personality traits
C) Disinterest in sexual activity
D) Denial of hunger at all times
Q2) A patient who has a maladaptive response to eating regulation says,"I know my parents are already upset about me losing so much weight,but I need to lose a lot more to be at a weight that doesn't make me feel fat." This statement suggests that the best treatment setting for this patient would be:
A) the hospital.
B) an outpatient program.
C) a day treatment program.
D) at home with weekly nursing visits.
Q3) The coping mechanism patients with anorexia nervosa use maladaptively is:
A) denial.
B) projection.
C) introjection.
D) rationalization.
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Chapter 25: Sexual Responses and Sexual Disorders
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Sample Questions
Q1) Parents are upset after learning that their child is homosexual.They ask the nurse,"What causes homosexuality; was it something we did?" The nurse responds best when stating:
A) "The cause of homosexuality has not been determined as of yet."
B) "It's thought that homosexuality is transmitted via the X chromosome."
C) "Many people consider homosexuality to be an expression of normal sexual behavior."
D) "You sound as though you are expressing concern about both your child and yourself."
Q2) When a patient tells a nurse,"I think I'm impotent," which response by the nurse would be most therapeutic?
A) "That must be very scary for you."
B) "How is your overall health?"
C) "What medications are you currently taking?"
D) "Please tell me what you mean by 'impotent.'"
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Chapter 26: Psychopharmacology
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Sample Questions
Q1) A patient who has been taking an antidepressant for 2 months shares with the nurse,"Since my depression is over,I've stopped the Prozac and I won't need to see you any longer." Which response by a nurse would be most therapeutic?
A) "Do you recall that we discussed the need for you to take the medication for up to 1 year before trying to taper off the drug? Let's discuss why it's not advisable to stop your medication abruptly."
B) "It is not recommended that you stop the antidepressants abruptly. I strongly suggest that you continue seeing me regularly to ensure that any change in your condition will be treated immediately."
C) "You should not discontinue your medication without consulting your psychiatrist. You will very likely experience withdrawal symptoms and become more depressed than you were before."
D) "Although it isn't wise to stop the medication as you have, you seem to be handling things very well. Call me if you have any questions and follow-up with your psychiatrist in a year."
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Chapter 27: Behavior Change and Cognitive Interventions
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Sample Questions
Q1) A nurse determines that a patient with a fear of insects has mastered the first step in a systematic desensitization process when the patient is able to:
A) relax the muscles of the body.
B) look at a picture of an insect in a book.
C) rate anxiety produced by various insects.
D) touch a clear glass bottle containing an insect.
Q2) A nurse teaches a group of parents about positive and negative reinforcement in shaping behavior.Which is an example of a positive reinforcer?
A) A parent who kisses a child who is crying to make the crying stop
B) An adolescent who runs away from home because of trouble in school
C) A parent who praises a child for putting toys away after playtime
D) An adolescent who drives within the speed limit to avoid getting a ticket
Q3) Which strategy will help evoke relaxation when using meditation?
A) Playing soft background music
B) Ten-second deep breathing and exhaling
C) Ten-second tensing and relaxing of muscle groups
D) Providing a word or scene on which the patient can focus
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Chapter 28: Preventing and Managing Aggressive Behavior
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Sample Questions
Q1) One morning,the nurse manager asks a nurse to work overtime for the fourth week in a row,saying "I know you've done a lot of overtime,but I'm in a bind.Can you help me out?"
The nurse had planned to attend a child's recital that evening.Which would be the most appropriate assertive response the nurse could give?
A) "I cannot work tonight. I'm sure you will agree I've worked more than my share of overtime."
B) "This isn't a good time for me to help you. It's my child's recital and the family has plans."
C) "Well, my child's recital is tonight. If I work for you this evening you'd have to give me three weekends off on this schedule."
D) "For goodness sake! Am I the only one working for you? Get someone else. You are not going to take advantage of me anymore!"
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Chapter 29: Somatic Therapies
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Sample Questions
Q1) A nurse reviewing the medical records of inpatients on the psychiatric unit would conclude that which patient may gain the most benefit from transcranial magnetic stimulation (TMS)?
A) A patient with anorexia nervosa
B) A patient with a personality disorder
C) A patient with generalized anxiety disorder
D) A patient with a chronic severe mood disorder
Q2) A nurse is discussing ECT (electroconvulsive therapy) treatments with a patient with chronic depression and the patient's parents.Which is the first therapeutic comment appropriate for this situation?
A) "What do you know about ECT treatment?"
B) "ECT treatment is used very successfully in treating your disorder."
C) "The risks most often associated with ECT treatment are both minor and rare."
D) "Do you have any questions about ECT treatment that I can answer for you now?"
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Chapter 30: Complementary and Alternative Therapies
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Sample Questions
Q1) Which activity should a nurse suggest to a patient who asks,"What kind of exercise should I do to raise my mood?"
A) Horseback riding four times per week
B) A game of softball three times per week
C) Weight lifting for 15 minutes twice per week
D) 30 minutes on the stationary bike four times per week
Q2) A patient states,"My nurse practitioner performs therapeutic touch (TT) on me and it relaxes me but my partner said it's just the power of suggestion." Which response would be most therapeutic?
A) "Recent studies have demonstrated that TT promotes healing and well-being, so it's reasonable to believe it relaxes you."
B) "I agree with your partner. The power of suggestion is a very powerful tool, so TT may make you feel more relaxed."
C) "TT cannot hurt you, so if you feel it helps relax you, I see no reason why you should not continue with the treatment."
D) "Your partner may not be very knowledgeable about current therapeutic nursing interventions. If you find TT helpful, that is what is important."
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Page 32
Chapter 31: Therapeutic Groups
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Sample Questions
Q1) Which is an appropriate nurse-led educational group?
A) Smoking cessation group
B) Parents without partners
C) A medication group
D) Grieving a loss
Q2) Which goal applies to a brief therapy group?
A) Determine the underlying cause of the chief problem.
B) Identify maladaptive behaviors that hinder recovery.
C) Substitute ineffective strategies with effective ones.
D) Facilitate members' abilities to effectively manage self-care.
Q3) Which nursing intervention would the nurse employ to help reduce group resistance?
A) Review accepted guidelines in the group's orientation stage.
B) Make group acceptance criteria as nonrestricting as possible.
C) Employ pretesting and posttesting regarding each session topic.
D) Avoid personal consequences for member absenteeism and tardiness.
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Chapter 32: Family Interventions
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Sample Questions
Q1) To conduct research based on family intervention,the researcher would focus on the family as a unit or system to better understand family:
A) roles.
B) economics.
C) ethnicity.
D) functioning.
Q2) An adolescent has been hospitalized after telling the mother,"I can't stand all the arguing between Dad and me; I just want to die and be away from all the yelling." The unit nurse manager expects the patient's psychiatric health provider will recommend _____ therapy.
A) group
B) family
C) social skills
D) short-term individual
Q3) One of the primary goals identified in marital therapy is:
A) support from families of origin.
B) consensus in all decisions related to the marriage.
C) the preservation of good interpersonal communication skills.
D) the maintenance of a support system comprised of mutual friends.
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Page 34
Chapter 33: Hospital-Based Psychiatric Nursing Care
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Q1) Which of these patients is the most appropriate candidate for assignment to a crisis bed? A patient who:
A) is found inebriated and claims to be "king of the universe."
B) shows a store clerk a knife after being refused use of the store's restroom.
C) has a history of violent outbursts and has been recently evicted from his or her home.
D) is known to have bipolar disorder who expresses a need to be hospitalized "for the winter."
Q2) Which nursing intervention has priority when assisting a patient who has been transported to the hospital admissions unit by police for wandering barefoot and naked on the street in freezing weather?
A) Establishing trust in the one-to-one, nurse-patient relationship
B) Performing a rapid multidisciplinary physical assessment
C) Contacting family for permission to treat the patient
D) Determining why the patient removed all clothing
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Chapter 34: Community-Based Psychiatric Nursing Care
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Sample Questions
Q1) A community mental health nurse is conducting a home visit when the patient states,"I never want to go back to that hospital again." Which response has the greatest therapeutic value in terms of appropriate assurance for the patient's concerns?
A) "It's likely that you won't need to go to the hospital again if you are compliant with the plan of care we have created for you."
B) "I can't promise that you will never need to go back to the hospital, but I will work to provide the care you need here in the community."
C) "Any inpatient hospitalization that you need in the future will be very brief now that you are receiving such effective home psychiatric care."
D) "Sometimes you will need to be re-hospitalized because of your mental health disorder, but I will work with you throughout your stay in the inpatient setting."
Q2) A psychiatric home care nurse's greatest patient care challenge is:
A) effectively assessing the home care needs of the patient.
B) documenting care to reflect the skilled service given.
C) providing all the attention each patient wants.
D) evaluating family situations accurately.
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36
Chapter 35: Child Psychiatric Nursing
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Sample Questions
Q1) Which assessment finding most clearly indicates an adolescent has a conduct disorder?
A) Misses at least one day of school a month
B) Admits to pulling the dog's ears and tail for "fun"
C) Told the teacher that he is usually "sad and confused"
D) Consistently awakens during the night and has difficulty falling asleep again
Q2) A child has a history of anxiety disorder.Which statement by the child supports this diagnosis?
A) "I don't need to go to school like some other kids.
B) "School is really boring so I don't like to go there."
C) "My stomach aches in the morning so I can't go to school."
D) "My parents can't make me go to school if I don't want to."
Q3) The parents of a 7-year-old child recently adopted from another country report that their child has frequent headaches,a poor appetite,and isn't doing well in school.The nurse should initially:
A) draw a family genogram.
B) talk with the child about the symptoms.
C) hold an intervention that includes all involved parties.
D) perform a culturally congruent comprehensive assessment.
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Page 37
Chapter 36: Adolescent Psychiatric Nursing
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Sample Questions
Q1) A parent reports,"My adolescent sometimes acts like an adult and at other times like a child." The nurse reassures the parent,explaining that this represents an expected attempt to cope with changes in which developmental area?
A) Sexual behavior
B) Peer pressure
C) Social role
D) Identity
Q2) Which nursing intervention would be most effective when assisting an adolescent whose best friend recently committed suicide?
A) Arrange for crisis intervention therapy for the adolescent lasting at least 1 year.
B) Establish a trusting relationship while periodically assessing the adolescent for depression.
C) Encourage the adolescent to meet weekly for lunch and discussion regarding the feelings of loss.
D) Perform an ongoing mental status and lethality assessment every month for a period of no less than 6 months.
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Chapter 37: Geropsychiatric Nursing
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Sample Questions
Q1) Which scenario indicates to the nurse that an older adult is at risk for falls?
A) A 68-year-old retiree who moves in with family members to babysit their 3-year-old
B) A 75-year-old who lives alone and uses a cane at night and when going outside
C) An 80-year-old who marries and moves into the spouse's home after selling his home
D) A 92-year-old who moves to a retirement community after hip replacement surgery
Q2) Based on a biological programming framework,which statement about aging is accurate?
A) "So you see, it's a matter of adding free radicals to your system through diet and supplements in order to stop the aging process."
B) "Although DNA programming isn't reversible, a healthy lifestyle and preventive health care can maximize cell function."
C) "Collagen delays aging. By increasing the collagen levels in the body, you improve flexibility and delay aging."
D) "The key is in the immune system, and once we solve the problem by gradually eliminating error cells, we extend youth."
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Chapter 38: Care of Survivors of Abuse and Violence
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Sample Questions
Q1) Which is the most appropriate initial action for a nurse when attempting to overcome personal negative attitudes about a patient who has a history of returning to an abusive spouse?
A) Exploring own attitudes and values toward survivors of violence
B) Identifying the dysfunctional behaviors exhibited by the violent family
C) Concentrating on identifying any possible personal abusive relationships
D) Attending seminars on the psychological impact of being the victim of abuse
Q2) A young,newly married adult says,"My spouse never lets me out of sight.I'm not allowed to do anything on my own,and I'm constantly accused of cheating." Which nursing comment is most therapeutic for this individual?
A) "Have you discussed the behavior with your spouse?"
B) "How does your spouse's behavior make you feel?"
C) "Are there other examples of controlling behaviors on your spouse's part?"
D) "Do you feel that your spouse has anything to be upset or suspicious about?"
Q3) Which patient is at greatest risk for physical abuse by a family member?
A) A 15-year-old who lives with a single parent in an inner city apartment complex
B) An 8-year-old who is mentally challenged and living with a foster family
C) A 30-year-old adult who shares a home with a homosexual partner
D) A 79-year-old with chronic depression who lives with a grandchild
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Page 40
Chapter 39: The Military and Their Families
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Sample Questions
Q1) The nurse is about to assess the possible incidence of sexual abuse.Based on an understanding of how males and females experience and internalize sexual trauma differently,the nurse would ask the male soldier:
A) "Have you ever been sexually abused?"
B) "Have you ever felt victimized sexually by anyone?"
C) "Has an unwanted sexual advance by anyone ever made you feel harassed or confused?"
D) "Has a superior officer ever made an unwanted sexual advancement that you felt you had to agree to?"
Q2) A military veteran is being evaluated for traumatic brain injury (TBI).Which nursing assessment data supports such a diagnosis? (Select all that apply.)
A) Baseline blood pressure is 148/96
B) Has been treated for bronchitis twice in the last 8 months
C) Patient reports experiencing an average of 3 headaches per week
D) Petit mall seizure activity well controlled with antiseizure medication therapy
E) Patient reports a weight gain of 15 pounds since returning from deployment 12 months ago.
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Chapter 40: Psychological Care of Patients with Life-Threatening Illness
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Sample Questions
Q1) A patient with end-stage renal disease does not want further aggressive treatment but is reluctant to withdraw life-sustaining treatment.The nurse would help the patient to understand that life-sustaining treatment includes maintaining:
A) full code status.
B) comfort measures only.
C) nutrition, hydration, and dialysis.
D) nutrition and hydration but removal of dialysis.
Q2) A patient who is terminally ill expresses a wish to "hurry up and end it all." In exploring reasons for this wish,which should the nurse assess first?
A) Guilt and fatigue
B) Pain and depression
C) Self-esteem and hope
D) Competency and pain.
Q3) Palliative care includes: (Select all that apply.)
A) comfort measures.
B) fluid-volume replacement.
C) range-of-motion exercises.
D) nasogastric tube feedings.
E) pain medication therapies.
Page 42
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