Psychosocial Nursing Solved Exam Questions
Course Introduction
Psychosocial Nursing focuses on the assessment, diagnosis, and treatment of individuals experiencing mental health challenges and emotional distress, integrating psychological, social, and behavioral theories into nursing practice. This course covers key concepts such as therapeutic communication, crisis intervention, coping mechanisms, psychiatric disorders, and the nurse-patient relationship. Emphasis is placed on holistic care, cultural sensitivity, and ethical considerations to support diverse patient populations. Students will develop skills to promote mental wellness, prevent mental illness, and collaborate effectively with other healthcare professionals for comprehensive patient care.
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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Page 2
Chapter 1: Mental Health and Mental Illness
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which finding best indicates that the goal "Demonstrates mentally healthy behaviour" was achieved?
A) A patient sees self as capable of achieving ideals and meeting demands.
B) A patient behaves without considering the consequences of personal actions.
C) A patient aggressively meets own needs without considering the rights of others.
D) A patient seeks help from others when assuming responsibility for major areas of own life.
Answer: A
Q2) A college student said, "Most of the time I'm happy and feel good about myself. I have learned that what I get out of something is proportional to the effort I put into it." According to the Epp classification, which quadrant outcome should the nurse select?
A) Optimal mental health with mental illness
B) Poor mental health with mental illness
C) Optimal mental health without mental illness
D) Poor mental health without mental illness
Answer: C
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3
Chapter 2: Historical Overview of Psychiatric Mental Health Nursing
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Which are historical approaches to caring for people with mental illness from an Aboriginal perspective? Select all that apply.
A) Sweat lodges
B) Restraint and confinement
C) Sundance
D) Potlatch
E) Abandonment
Answer: A, C, D
Q2) By the end of the nineteenth century, the new field of psychiatry was being challenged to provide a medical cure for mental illness. Which experimental treatments were used at that time? Select all that apply.
A) Leeching
B) Hydrotherapy
C) Electroconvulsive therapy
D) Insulin shock treatment
E) Milieu management therapy
Answer: A, B, D
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Page 4
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) Although ego defence mechanisms and security operations are mainly unconscious and designed to relieve anxiety, the major difference is which of the following?
A) Defence mechanisms are intrapsychic and not observable.
B) Defence mechanisms cause arrested personal development.
C) Security operations are masterminded by the id and superego.
D) Security operations address interpersonal relationship activities.
Answer: D
Q2) The parent of a 4-year-old rewards and praises the child for helping a younger sibling, being polite, and using good manners. The nurse supports this use of praise related to these behaviours. These qualities are likely to be internalized and become part of which system of the personality?
A) Id
B) Ego
C) Superego
D) Preconscious
Answer: C
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Chapter 4: Psychotropic Drugs
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A nurse prepares to administer a second-generation antipsychotic medication to a patient diagnosed with schizophrenia. Additional monitoring for adverse effects will be most important if the patient has which co-morbid health problems? Select all that apply.
A) Parkinson's disease
B) Grave's disease
C) Hyperlipidemia
D) Osteoarthritis
E) Diabetes
Q2) A professional football player is seen in the emergency department after losing consciousness from an illegal block. Prior to discharge, the nurse assists the patient to schedule an outpatient computed tomography (CT) scan for the next day. Which strategy should the nurse use to ensure the patient remembers the appointment?
A) Write the appointment day, time, and location on a piece of paper and give it to the player.
B) Log the appointment day, time, and location into the player's cell phone calendar feature.
C) Ask the health care provider to admit the patient to the hospital overnight.
D) Verbally inform the patient of the appointment day, time, and location.
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Page 6
Chapter 5: Psychiatric Mental Health Nursing in Acute Care Settings
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14 Verified Questions
14 Flashcards
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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.)
A) The right to vote
B) The right to confidentiality
C) The right to a private room
D) The right to complain about inadequate care
E) The right to select the nurse assigned to their care
Q2) A patient usually watches television all day, seldom going out in the community or socializing with others. The patient says, "I don't know what to do with my free time." Which member of the treatment team would be most helpful to this patient?
A) Psychologist
B) Social worker
C) Recreational therapist
D) Occupational therapist
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Chapter 6: Psychiatric Mental Health Nursing in Community Settings
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse should refer which of the following patients to a partial hospitalization program?
A) A patient who has a therapeutic lithium level and reports regularly for blood tests and clinic follow-up.
B) A patient who needs psychoeducation for relaxation therapy related to agoraphobia and panic episodes.
C) A patient who spent yesterday in a supervised crisis care centre and continues to have active suicidal ideation.
D) A patient who states, "I'm not sure I can avoid using alcohol when my spouse goes to work every morning."
Q2) Select the response that is an example of tertiary prevention.
A) Helping a person diagnosed with a serious mental illness learn to manage money
B) Restraining an agitated patient who has become aggressive and assaultive
C) Teaching school-age children about the dangers of drugs and alcohol
D) Genetic counselling with a young couple expecting their first child
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8
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 cares for a first-generation Canadian whose family emigrated from Germany. Which world view about the source of knowledge would this patient likely have?
A) Knowledge is acquired through use of affective or feeling senses.
B) Science is the foundation of knowledge and proves something exists.
C) Knowledge develops by striving for transcendence of the mind and body.
D) Knowledge evolves from an individual's relationship with a supreme being.
Q2) Which term refers to the sharing of common traits, customs, and race?
A) World view
B) Ethnicity
C) Ethnocentrism
D) Culture
Q3) Ghost sickness
A)Navajo
B)Korean
C)Latin American
D)Chinese
E)Vietnamese
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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) After leaving work, a nurse realizes documentation of administration of a PRN medication was omitted. This off-duty nurse phones the nurse on duty and says, "Please document administration of the medication for me. My password is alpha1." The nurse receiving the call should do which of the following?
A) Fulfill the request promptly.
B) Document the caller's password.
C) Refer the matter to the charge nurse to resolve.
D) Report the request to the patient's health care provider.
Q2) Which individual diagnosed with a mental illness may need involuntary hospitalization?
A) An individual who has a panic attack after her child gets lost in a shopping mall
B) An individual with visions of demons emerging from cemetery plots throughout the community
C) An individual who takes 38 acetaminophen tablets after his or her stock portfolio becomes worthless
D) An individual diagnosed with major depression who stops taking prescribed antidepressant medication
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Page 10
Chapter 9: The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing
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30 Verified Questions
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Sample Questions
Q1) A patient presents to the emergency department with mixed psychiatric symptoms. The admission nurse suspects the symptoms may be the result of a medical problem. Lab results show elevated BUN (blood urea nitrogen) and creatinine. What is the nurse's next best action?
A) Report the findings to the health care provider.
B) Assess the patient for a history of renal problems.
C) Assess the patient's family history for cardiac problems.
D) Arrange for the patient's hospitalization on the psychiatric unit.
Q2) 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."
Q3) What information is conveyed by nursing diagnoses? Select all that apply.
A) Medical judgements about the disorder
B) Unmet patient needs currently present
C) Goals and outcomes for the plan of care
D) Supporting data that validate the diagnoses
Page 11
E) Probable causes that will be targets for nursing interventions
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Chapter 10: Therapeutic Relationships
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of counter-transference?
A) The patient's reactions toward the nurse seem realistic and appropriate.
B) The patient states, "Talking to you feels like talking to my parents."
C) The nurse feels unusually happy when the patient's mood begins to lift.
D) The nurse develops a trusting relationship with the patient.
Q2) 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
Q3) Which descriptors exemplify consistency regarding nurse-patient relationships?
Select all that apply.
A) Encouraging a patient to share initial impressions of staff
B) Having the same nurse care for a patient on a daily basis
C) Providing a schedule of daily activities to a patient
D) Setting a time for regular sessions with a patient
E) Offering solutions to a patient's problems
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Chapter 11: Communication and the Clinical Interview
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nurse is interacting with patients in a psychiatric unit. Which statements reflect use of therapeutic communication? Select all that apply.
A) "Tell me more about that situation."
B) "Let's talk about something else."
C) "I notice you are pacing a lot."
D) "I'll stay with you a while."
E) "Why did you do that?"
Q2) 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."
Q3) A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?
A) "What are the common elements here?"
B) "Tell me again about your experiences."
C) "Am I correct in understanding that . . ."
D) "Tell me everything from the beginning."
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Page 13
Chapter 12: Understanding Responses to Stress
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A patient is brought to the emergency department after a motorcycle accident. The patient is alert and responsive and is diagnosed with a broken leg. The patient's vital signs are pulse (P) 72 and respiration (R) 16. After being informed surgery is required for the broken leg, which vital sign readings would be expected?
A) P 64, R 14
B) P 68, R 12
C) P 72, R 16
D) P 80, R 20
Q2) An individual says to the nurse, "I feel so stressed out lately. I think the stress is affecting my body, also." Which somatic complaints are most likely to accompany this feeling? Select all that apply.
A) Headache
B) Muscle flaccidity
C) Ulcer
D) Arthritis
E) Myopia
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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) A patient undergoing diagnostic tests says, "Nothing is wrong with me except a stubborn chest cold." The spouse reports the patient smokes, coughs daily, lost 15 pounds, and is easily fatigued. Which defence mechanism is the patient using?
A) Displacement
B) Regression
C) Projection
D) Denial
Q2) A child was placed in a foster home after being removed from abusive parents. The child is apprehensive and overreacts to environmental stimuli. The foster parents ask the nurse how to help the child. Which interventions should the nurse suggest? Select all that apply.
A) Use a calm manner and low voice.
B) Maintain simplicity in the environment.
C) Avoid repetition in what is said to the child.
D) Minimize opportunities for exercise and play.
E) Explain and reinforce reality to avoid distortions.
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15
Chapter 14: Depressive Disorders
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A nurse provided medication education for a patient diagnosed with major depression who began a new prescription for phenelzine (Nardil). Which behaviour indicates effective learning?
A) The patient monitors sodium intake and weight daily.
B) The patient wears support stockings and elevates the legs when sitting.
C) The patient can identify foods with high selenium content that should be avoided.
D) The patient confers with a pharmacist when selecting over-the-counter medications.
Q2) A patient diagnosed with major depression says, "No one cares about me anymore. I'm not worth anything." Today the patient is wearing a new shirt and has neat, clean hair. Which remark by the nurse supports building a positive self-esteem for this patient?
A) "You look nice this morning."
B) "You're wearing a new shirt."
C) "I like the shirt you are wearing."
D) "You must be feeling better today."
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Chapter 15: Bipolar Disorders
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective?
A) "Converses with few interruptions; clothing matches; participates in activities."
B) "Irritable, suggestible, distractible; napped for 10 minutes in afternoon."
C) "Attention span short; writing copious notes; intrudes in conversations."
D) "Heavy makeup; seductive toward staff; pressured speech."
Q2) An outpatient diagnosed with bipolar disorder takes lithium carbonate 300 mg three times daily. The patient reports nausea. To reduce the nausea most effectively, the nurse suggests that the lithium be taken with which of the following?
A) Meals
B) An antacid
C) An antiemetic
D) A large glass of juice
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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Chapter 16: Schizophrenia Spectrum and Other Psychotic Disorders
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40 Verified Questions
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Sample Questions
Q1) A community mental health nurse wants to establish a relationship with a very withdrawn patient diagnosed with schizophrenia. The patient lives at home with a supportive family. Select the nurse's best plan.
A) Visit daily for 4 days, then every other day for 1 week; stay with patient for 20 minutes, accept silence; state when the nurse will return.
B) Arrange to spend 1 hour each day with the patient; focus on asking questions about what the patient is thinking or experiencing; avoid silences.
C) Visit twice daily; sit beside the patient with a hand on the patient's arm; leave if the patient does not respond within 10 minutes.
D) Visit every other day; remind the patient of the nurse's identity; encourage the patient to talk while the nurse works on reports.
Q2) Which finding constitutes a negative symptom associated with schizophrenia?
A) Hostility
B) Bizarre behaviour
C) Poverty of thought
D) Auditory hallucinations
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18
Chapter 17: Eating Disorders
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Sample Questions
Q1) Which personality characteristic is a nurse most likely to assess in a patient diagnosed with anorexia nervosa?
A) Carefree flexibility
B) Rigidity, perfectionism
C) Open displays of emotion
D) High spirits and optimism
Q2) Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. This person wears layered loose clothing. Her current weight is 42 kg, a loss of 14 kg. Which medical diagnosis is most likely?
A) Binge eating
B) Bulimia nervosa
C) Anorexia nervosa
D) Eating disorder not otherwise specified
Q3) An appropriate intervention for a patient diagnosed with bulimia nervosa who binges and purges is to teach the patient which of the following?
A) To eat a small meal after purging
B) Not to skip meals or restrict food
C) To increase oral intake after 4 p.m. daily.
D) The value of reading journal entries aloud to others
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Page 19
Chapter 18: Cognitive Disorders
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) A nurse gives anticipatory guidance to the family of a patient diagnosed with stage 3, mild cognitive decline Alzheimer's disease. Which problem common to that stage should the nurse address?
A) Violent outbursts
B) Emotional disinhibition
C) Communication deficits
D) Inability to feed or bathe self
Q2) An older adult is prescribed digoxin (Lanoxin) and hydrochlorothiazide daily as well as lorazepam (Ativan) as needed for anxiety. Over 2 days, the patient developed confusion, slurred speech, an unsteady gait, and fluctuating levels of orientation. What is the most likely reason for the patient's change in mental status?
A) Drug actions and interactions
B) Benzodiazepine withdrawal
C) Hypotensive episodes
D) Renal failure
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Chapter 19: Substance Use and Addictive Disorders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) Family members of an individual undergoing a residential alcohol rehabilitation program ask, "How can we help?" Select the nurse's best response.
A) "Alcoholism is a lifelong disease. Relapses are expected."
B) "Use search and destroy tactics to keep the home alcohol-free."
C) "It's important that you visit your family member on a regular basis."
D) "Make your loved one responsible for the consequences of behaviour."
Q2) A patient has smoked two packs of cigarettes daily for many years. When the patient tries to reduce smoking, anxiety, craving, poor concentration, and headache occur. Which of the following does this scenario describe?
A) Cross-tolerance
B) Substance abuse
C) Substance addiction
D) Substance intoxication
Q3) A nurse cares for a patient diagnosed with an opioid overdose. Which focused assessment has the highest priority?
A) Cardiovascular
B) Respiratory
C) Neurologic
D) Hepatic
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Page 21
Chapter 20: 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 behaviour?
A) Narcissistic
B) Histrionic
C) Avoidant
D) Paranoid
Q2) Which personality dimension is reflective of the behaviours of absorption, dissociation, eccentricity, openness to experience, and perceptual cognitive distortion?
A) Emotional dysregulation versus emotional stability
B) Constraint versus impulsivity
C) Antagonism versus compliance
D) Unconventionality versus closedness to experience
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22
Chapter 21: Sleep Wake Disorders
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Sample Questions
Q1) A patient tells the nurse, "Everyone says we should sleep 8 hours a night. I can only sleep 6 hours, no matter how hard I try. Am I doing harm to my body?" Select the nurse's best response.
A) "Tell me about strategies you have tried to increase your total sleep hours."
B) "Lack of sleep acts as a stressor on the body and can cause physical changes."
C) "If you have really tried to sleep more, maybe you should consult your health care provider."
D) "If you function well with 6 hours of sleep, you are a short sleeper. That's normal for some people."
Q2) A patient needs diagnostic evaluation of sleep problems. Which test will evaluate the patient for possible sleep-related problems?
A) Skull X-rays
B) Electroencephalogram (EEG)
C) Positron emission tomography (PET)
D) Single-photon emission computed tomography (SPECT)
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Chapter 22: Sexual Dysfunction, Gender Dysphoria, and Paraphilias
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Sample Questions
Q1) Which nursing action should occur first regarding a patient who has a problem of sexual dysfunction or sexual disorder?
A) The nurse should develop an understanding of human sexual response.
B) The nurse should assess the patient's sexual functioning and needs.
C) The nurse should acquire knowledge of the patient's sexual roles.
D) The nurse should clarify his or her own personal values about sexuality.
Q2) A patient approaches the nurse in the clinic waiting room and says, "I want to talk to you about a sexual matter." The nurse can best facilitate the discussion by doing which of the following?
A) Saying, "Let's go to my office."
B) Responding, "I want to help. Go ahead; I'm listening."
C) Telling the patient, "Let's schedule another appointment."
D) Offering to sit in a corner of the waiting room with the patient.
Q3) A woman tells the nurse, "My partner is frustrated with me. I don't have any natural lubrication when we have sex." What type of sexual disorder is evident?
A) Genito-pelvic pain/penetration disorder
B) Female sexual interest/arousal disorder
C) Hypoactive sexual desire disorder
D) Female orgasmic disorder
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Chapter 23: Somatic Symptom Disorders and Dissociative Disorders
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Sample Questions
Q1) A patient who experienced a myocardial infarction was transferred from critical care to a step-down unit. The patient then used the call bell every 15 minutes for minor requests and complaints. Staff nurses reported feeling inadequate and unable to satisfy the patient's needs. When the nurse manager intervenes directly with this patient, which comment would be most therapeutic?
A) "I'm wondering if you're feeling anxious about your illness and being left alone."
B) "The staff are concerned that you are not satisfied with the care you are receiving."
C) "Let's talk about why you use your call bell so frequently. It is a problem."
D) "You frustrate the staff by calling them so often. Why are you doing that?"
Q2) 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.
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Chapter 24: Crisis and Disaster
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Sample Questions
Q1) A patient comes to the crisis clinic after an unexpected job termination. The patient paces around the room sobbing, cringes when approached, and responds to questions with only shrugs or monosyllables. Choose the nurse's best initial comment to this patient.
A) "Everything is going to be all right. You are here at the clinic, and the staff will keep you safe."
B) "I see you are feeling upset. I'm going to stay and talk with you to help you feel better."
C) "You need to try to stop crying and pacing so we can talk about your problems."
D) "Let's set some guidelines and goals for your visit here."
Q2) A woman said, "I can't take anymore! Last year my husband had an affair, and now we don't communicate. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college." What is the nurse's priority assessment?
A) Identify measures useful to help improve the couple's communication.
B) The patient's feelings about the possibility of having a mastectomy
C) Whether the husband is still engaged in an extramarital affair
D) Clarify what the patient means by "I can't take anymore."
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Chapter 25: Suicide
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Sample Questions
Q1) A college student who attempted suicide by overdose was hospitalized. When the parents were contacted, they responded, "We should have seen this coming. We did not do enough." The parents' reaction reflects which of the following?
A) Guilt
B) Denial
C) Shame
D) Rescue feelings
Q2) Which individual in the emergency department should be considered at highest risk for completing suicide?
A) An adolescent girl with superior athletic and academic skills who has asthma
B) A 38-year-old single female church member with fibrocystic breast disease
C) A 60-year-old married man with twelve grandchildren who has type 2 diabetes
D) A 79-year-old single, White male diagnosed recently with terminal cancer of the prostate
Q3) Which measure would be considered a form of primary intervention for suicide?
A) Psychiatric hospitalization of a suicidal patient
B) Referral of a formerly suicidal patient to a support group
C) Suicide precautions for 24 hours for newly admitted patients
D) Helping school children learn to manage stress and be resilient
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Page 27
Chapter 26: Anger, Aggression, and Violence
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Sample Questions
Q1) An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive and has refused to leave the day room. Which of the following should the nurse do?
A) Enter the day room and say, "Would you like to come to your room and take some medication your health care provider prescribed for you?"
B) Enter the day room accompanied by three staff members and say, "Please come to your room so I can give you some medication that will help you regain control."
C) Enter the day room and place the patient in a basket hold and then say, "I am going to take you to your room to give you an injection of medication to calm you."
D) Enter the day room accompanied by a male security guard and tell the patient, "Come to your room willingly so I can give you this medication, or the guard and I will take you there."
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Chapter 27: Interpersonal Violence: Child, Older Adult, and
Intimate Partner Abuse
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Sample Questions
Q1) A nurse assists a victim of intimate partner abuse to create a plan for escape if it becomes necessary. Which components should the plan include? Select all that apply.
A) Keep a cell phone fully charged.
B) Hide money with which to buy new clothes.
C) Have the phone number for the nearest shelter.
D) Take enough toys to amuse the children for 2 days.
E) Secure a supply of current medications for self and children.
F) Assemble birth certificates, passports, and other identification and licences.
G) Determine a code word to signal children when it is time to leave.
Q2) An 11-year-old says, "My parents don't like me. They call me stupid and say they wish I were never born. It doesn't matter what they think because I already know I'm dumb." Which nursing diagnosis applies to this child?
A) Chronic low self-esteem related to negative feedback from parents
B) Deficient knowledge related to interpersonal skills with parents
C) Disturbed personal identity related to negative self-evaluation
D) Complicated grieving related to poor academic performance
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Chapter 28: Sexual Assault
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/23110
Sample Questions
Q1) When an emergency department nurse teaches a victim of rape-trauma syndrome about reactions that may occur during the long-term phase of reorganization, which symptoms should be included? Select all that apply.
A) Development of fears and phobias
B) Decreased motor activity
C) Feelings of numbness
D) Flashbacks, dreams
E) Syncopal episodes
Q2) A patient was abducted and raped at gunpoint by an unknown assailant. Which nursing interventions are appropriate while caring for the patient in the emergency department? Select all that apply.
A) Allow the patient to talk at a comfortable pace.
B) Place the patient in a private room with a caregiver.
C) Pose questions in nonjudgemental, empathetic ways.
D) Invite the patient's family members to the examination room.
E) Put an arm around the patient to demonstrate support and compassion.
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Chapter 29: Disorders of Children and Adolescents
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Source URL: https://quizplus.com/quiz/23111
Sample Questions
Q1) 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 behaviour with others. Which finding indicates the plan of care was effective?
A) The child has an improved ability to identify anxiety and use self-control strategies.
B) The child has increased expressiveness in communication with others.
C) The child shows increased responsiveness to authority figures.
D) The child engages in cooperative play with other children.
Q2) A parent diagnosed with schizophrenia and a 13-year-old child live in a homeless shelter. The child formed a trusting relationship with a shelter volunteer. The child says, "My three friends and I got an A on our school science project." What does this allow the nurse to assess about the child?
A) That the child displays resiliency
B) That the child has a passive temperament
C) That the child is at risk for post-traumatic stress disorder
D) That the child uses intellectualization to deal with problems
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Chapter 30: Psychosocial Needs of the Older Adult
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34 Flashcards
Source URL: https://quizplus.com/quiz/23112
Sample Questions
Q1) A nurse plans a staff education program for employees of a senior living community. Which topic has priority?
A) Late-onset schizophrenia
B) Depression and suicide
C) Dementia
D) Delirium
Q2) A new nurse says, "My elderly patient has Lewy body disease. What should I do about assessing for pain?" Select the best response from the nurse manager.
A) "Ask the patient's family if they think the patient is experiencing pain."
B) "Use a visual analog scale to help the patient determine the presence and severity of pain."
C) "There are special scales for assessing patients with dementia. Let's review how to use them."
D) "The perception of pain is diminished by this type of dementia. Focus your assessment on the patient's mental status."
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32
Chapter 31: Living With Recurrent and Persistent Mental Illness
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Source URL: https://quizplus.com/quiz/23113
Sample Questions
Q1) 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 inpatient admission and begin discharge planning.
D) Explain that one must have active psychiatric symptoms to be admitted.
Q2) A patient diagnosed with schizophrenia tells the community mental health nurse, "I threw away my pills because they interfere with God's voice." The nurse identifies the etiology of the patient's ineffective management of the medication regime as which of the following?
A) Inadequate discharge planning
B) Poor therapeutic alliance with clinicians
C) Dislike of antipsychotic medication side effects
D) Lack of insight secondary to the schizophrenia
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Chapter 32: Psychological Needs of Patients With Medical Conditions
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Source URL: https://quizplus.com/quiz/23114
Sample Questions
Q1) A woman whose sister-in-law died of cancer is herself diagnosed with breast cancer after a mammogram. Her doctor has advised a lumpectomy followed by radiation and chemotherapy. The patient is awaiting surgery, oncology, and radiation consults and is scheduled for surgery the day after tomorrow. She tearfully tells the nurse, "I keep thinking about how there is something growing inside me that could kill me. It's like living with a bomb inside you, and you don't know if or when it's going to go off." Which observation noted in the patient's chart would most suggest that nursing interventions had been helpful?
A) "Less tearful today, denies having questions or concerns, pain rating = 0, up ad lib."
B) "Reading and talking with visitors, smiles readily, says she feels better since talking."
C) "States she is less worried after looking at her glass as half full instead of half empty."
D) "Met with oncologist, reports she is not going to think about it until they know more."
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Chapter 33: Care for the Dying and for Those Who Grieve
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34 Flashcards
Source URL: https://quizplus.com/quiz/23115
Sample Questions
Q1) The spouse of a patient being cared for at home by hospice angrily tells the nurse, "Care provided by the aide is inadequate, so I must do everything myself. Why is this happening? Can't someone help?" The hospice nurse should do which of the following?
A) Provide teaching about anticipatory grieving
B) Assign new hospice personnel to the case
C) Refer the spouse for crisis intervention
D) Arrange hospitalization for the patient
Q2) A patient with pancreatic cancer says, "I know I am dying, but I am still alive. I want to be in control as long as I can." Which reply by the nurse shows active listening?
A) "Our staff will do their best to manage your pain."
B) "Your mind and spirit are healthy, although your body is frail."
C) "Most people do not know how to help. Try not to be hard on them."
D) "Are you saying you want people to stop focusing on your diagnosis?"
Q3) Which is considered the hallmark of hospice palliative care?
A) Available in the patients' home.
B) Excellent symptom management.
C) Family-centred approach to health decisions.
D) Based on culturally sensitive nursing care.
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35
Chapter 34: Forensic Psychiatric Nursing
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21 Flashcards
Source URL: https://quizplus.com/quiz/23116
Sample Questions
Q1) Select the best question for a psychiatric forensic nurse examiner to ask when assessing the fitness to stand trial of an individual charged with a crime.
A) "Tell me about what you were thinking at the time of the alleged crime."
B) "What would you do if you heard a fire alarm going off where you live?"
C) "At this time, are you having any experiences that others might think strange?"
D) "Do you feel as though you would like to harm yourself or anyone else at the present time?"
Q2) What chronic condition is an individual that is incarcerated in a Canadian Federal Institutions more likely to have than someone in the general population?
A) COPD
B) Diabetes
C) Multiple sclerosis
D) Cystic fibrosis
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Chapter 35: Therapeutic Groups
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30 Verified Questions
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Source URL: https://quizplus.com/quiz/23117
Sample Questions
Q1) "We aren't getting much done; let's speed things up and make a decision."
A) Playboy
B) Energizer
C) Organizer
D) Follower
Q2) Which remark by a group participant would the nurse expect during the working phase of group therapy?
A) "My problems are very personal and private. How do I know people in this group will not tell others what you hear?"
B) "I have enjoyed this group. It's hard to believe that a few weeks ago I couldn't even bring myself to talk here."
C) "One thing everyone seems to have in common is that sometimes it's hard to be honest with those you love most."
D) "I don't think I agree with your action. It might help you, but it seems like it would upset your family."
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Chapter 36: Family Interventions
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Source URL: https://quizplus.com/quiz/23118
Sample Questions
Q1) Which example of behaviour in a family system demonstrates double-bind communication?
A) A mother tells her daughter, "You make me so mad that sometimes I wish I had never had you."
B) A teenager tells her father, "You are treating me like a baby when you tell me I must be home by 10 p.m. on a school night."
C) A son tells his mother, "You worry too much about what might happen. Nothing has happened yet, so why worry?"
D) A wife tells her husband, "You go ahead with your bowling trip. Try not to worry about me falling on my crutches while I'm alone at home."
Q2) Parents of a teenager recently diagnosed with a serious mental illness express dismay. One parent says, "Our child acts so strangely that we don't invite friends to our home. We quit taking vacations. Sometimes we don't get any sleep." Which nursing diagnosis best applies?
A) Impaired parenting
B) Dysfunctional grieving
C) Impaired social interaction
D) Interrupted family processes
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Chapter 37: Integrative Care
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Source URL: https://quizplus.com/quiz/23119
Sample Questions
Q1) A patient tells the nurse, "I've been having problems with my memory. I read some information on the Internet and started taking ginkgo." Select the nurse's best response.
A) "The Internet does not have reliable health information for consumers."
B) "More recent studies indicate ginkgo does not help memory problems."
C) "Valerian has been shown to have better effects for treating memory problems."
D) "Your memory problems are related to your circulation problems. Herbs will not help."
Q2) A patient has tried a variety of traditional, complementary, and alternative medicine (TCAM) approaches to manage health concerns. The nurse asks, "How is going to TCAM practitioners different from seeing your medical doctors?" How is the patient most likely to respond?
A) "The TCAM practitioners usually prescribe a course of invasive and sometimes painful treatments."
B) "The TCAM practitioners spend more time talking with me and not just about my symptoms."
C) "The TCAM practitioners say I need to become much more spiritual to be well."
D) "The TCAM practitioners order many tests to determine my diagnoses."
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