Psychosocial Nursing
Textbook Exam Questions
Course Introduction
Psychosocial Nursing explores the dynamic relationship between psychological, social, and cultural factors and their impact on an individual's mental health and wellbeing. This course focuses on the role of nurses in assessing, planning, and providing holistic care for patients experiencing mental health issues, emotional distress, or psychological trauma. Students learn therapeutic communication techniques, crisis intervention strategies, and evidence-based nursing interventions to support clients across the lifespan in a variety of healthcare settings. Emphasis is placed on fostering therapeutic nurse-client relationships, reducing stigma, promoting mental health, and collaborating with interdisciplinary teams to ensure comprehensive care and recovery.
Recommended Textbook
Essentials of Psychiatric Mental Health Nursing 3rd Edition by Varcarolis
Available Study Resources on Quizplus
28 Chapters
803 Verified Questions
803 Flashcards
Source URL: https://quizplus.com/study-set/165 Page 2
Chapter 1: Practicing the Science and Art of Psychiatric Nursing
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/2047
Sample Questions
Q1) A patient shows the nurse an article from the Internet about a health problem. Which characteristic of the web site's address most alerts the nurse that the site may have biased and prejudiced information?
A) Address ends in ".org"
B) Address ends in ".com"
C) Address ends in ".gov"
D) Address ends in ".net"
Answer: B
Q2) Which patient statements identify qualities of nursing practice with high therapeutic value? (Select all that apply.) "My nurse:
A) talks in language I can understand."
B) helps me keep track of my medications."
C) is willing to go to social activities with me."
D) lets me do whatever I choose without interfering."
E) looks at me as a whole person with different needs."
Answer: A, B, E
To view all questions and flashcards with answers, click on the resource link above. Page 3
Chapter 2: Mental Health and Mental Illness
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/2048
Sample Questions
Q1) Which statements most clearly reflect the stigma of mental illness? (Select all that apply.)
A) "Many mental illnesses are hereditary."
B) "Mental illness can be evidence of a brain disorder."
C) "People claim mental illness so they can qualify for disability."
D) "If people with mental illness went to church, they would be fine."
E) "Mental illness is a result of the breakdown of the American family."
Answer: C, D, E
Q2) A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patient's insurance form. Which resource should the nurse consult to discern the criteria used to establish this diagnosis?
A) A psychiatric nursing textbook
B) NANDA International (NANDA-I)
C) A behavioral health reference manual
D) Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Answer: D
To view all questions and flashcards with answers, click on the resource link above.
4
Chapter 3: Theories and Therapies
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2049
Sample Questions
Q1) A single parent is experiencing feelings of inadequacy related to work and family since one teenaged child ran away several weeks ago. The parent seeks the help of a therapist specializing in cognitive therapy. The psychotherapist who uses cognitive therapy will treat the patient by:
A) discussing ego states.
B) focusing on unconscious mental processes.
C) negatively reinforcing an undesirable behavior.
D) helping the patient identify and change faulty thinking.
Answer: D
Q2) A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, "No!" when given directions. Using Freud's stages of psychosexual development, a nurse would assess the child's behavior is based on which stage?
A) Oral
B) Anal
C) Phallic
D) Genital
Answer: B
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Biological Basis for Understanding
Psychopharmacology
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2050
Sample Questions
Q1) A patient has symptoms of acute anxiety related to the death of a parent in an automobile accident 2 hours earlier. The nurse should anticipate administering a medication from which group?
A) Tricyclic antidepressants
B) Atypical antipsychotics
C) Anticonvulsants
D) Benzodiazepines
Q2) Priority teaching for a patient taking clozapine (Clozaril) should include which instruction?
A) Report sore throat and fever immediately.
B) Avoid foods high in polyunsaturated fat.
C) Use water-based lotions for rashes.
D) Avoid unprotected sex.
Q3) A nurse should assess a patient taking a medication with anticholinergic properties for inhibited function of the:
A) parasympathetic nervous system.
B) sympathetic nervous system.
C) reticular activating system.
D) medulla oblongata.
6
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Settings for Psychiatric Care
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2051
Sample Questions
Q1) A patient is hospitalized for a reaction to a psychotropic medication and then is closely monitored for 24 hours. During a predischarge visit, the case manager learns the patient received a notice of eviction on the day of admission. The most appropriate intervention for the case manager is to:
A) cancel the patient's discharge from the hospital.
B) contact the landlord who evicted the patient to discuss the situation.
C) arrange a temporary place for the patient to stay until new housing can be arranged.
D) document that the adverse medication reaction was feigned because the patient had nowhere to live.
Q2) Planning for patients diagnosed with mental illness is facilitated by understanding that inpatient hospitalization is generally reserved for patients who:
A) present a clear danger to self or others.
B) are noncompliant with medications at home.
C) have no support systems in the community.
D) develop new symptoms during the course of an illness.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: Legal and Ethical Basis for Practice
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2052
Sample Questions
Q1) A patient diagnosed with schizophrenia believes evil spirits are being summoned by a local minister and verbally threatens to bomb a local church. The psychiatrist notifies the minister. The psychiatrist has: A) released information without proper authorization. B) demonstrated the duty to warn and protect. C) violated the patient's confidentiality. D) avoided charges of malpractice.
Q2) In a team meeting, a nurse says, "I'm concerned whether we are behaving ethically by using restraint to prevent one patient from self-mutilation while the care plan for another patient who has also self-mutilated calls for one-on-one supervision." Which ethical principle most clearly applies to this situation?
A) Beneficence
B) Autonomy
C) Fidelity
D) Justice
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7:
Nursing Process and QSEN: The Foundation for Safe and Effective Care
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2053
Sample Questions
Q1) After formulating the nursing diagnoses for a new patient, what is the next action a nurse should take?
A) Design interventions to include in the plan of care.
B) Determine the goals and outcome criteria.
C) Implement the nursing plan of care.
D) Complete the spiritual assessment.
Q2) A patient diagnosed with major depressive disorder has lost 20 pounds in one month. The patient has chronic low self-esteem and a plan for suicide. The patient has taken an antidepressant medication for 1 week. Which nursing intervention is most directly related to this priority: "Patient will refrain from gestures and attempts to harm self"?
A) Implement suicide precautions.
B) Frequently offer high-calorie snacks and fluids.
C) Assist the patient to identify three personal strengths.
D) Observe patient for therapeutic effects of antidepressant medication.
Q3) The acronym QSEN refers to:
A) Qualitative Standardized Excellence in Nursing.
B) Quality and Safety Education for Nurses.
C) Quantitative Effectiveness in Nursing.
D) Quick Standards Essential for Nurses.
Page 9
To view all questions and flashcards with answers, click on the resource link above.
Chapter 8: Communication Skills: Medium for All Nursing Practice
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2054
Sample Questions
Q1) The relationship between a nurse and patient as it relates to status and power is best described by which term?
A) Symmetric
B) Complementary
C) Incongruent
D) Paralinguistic
Q2) A patient with severe depression states, "God is punishing me for my past sins." What is the nurse's best response?
A) "Why do you think that?"
B) "You sound very upset about this."
C) "You believe God is punishing you for your sins?"
D) "If you feel this way, you should talk to a member of your clergy."
Q3) A patient diagnosed with schizophrenia tells the nurse, "The CIA is monitoring us through the fluorescent lights in this room. Be careful what you say." Which response by the nurse would be most therapeutic?
A) "Let's talk about something other than the CIA."
B) "It sounds like you're concerned about your privacy."
C) "The CIA is prohibited from operating in health care facilities."
D) "You have lost touch with reality, which is a symptom of your illness."
Page 10
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: Therapeutic Relationships and the Clinical
Interview
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2055
Sample Questions
Q1) A nurse assesses a confused older adult. The nurse experiences sadness and reflects, "The patient is like one of my grandparents, so helpless." What feelings does the nurse describe?
A) Transference
B) Countertransference
C) Catastrophic reaction
D) Defensive coping reaction
Q2) At what point in the nurse-patient relationship should a nurse plan to first address termination?
A) In the orientation phase
B) During the working phase
C) In the termination phase
D) When the patient initially brings up the topic
Q3) As a patient diagnosed with mental illness is being discharged from a facility, a nurse invites the patient to the annual staff picnic. What is the best analysis of this scenario?
A) The invitation facilitates dependency on the nurse.
B) The nurse's action blurs the boundaries of the therapeutic relationship.
C) The invitation is therapeutic for the patient's diversional activity deficit.
Page 11
D) The nurse's action assists the patient's integration into community living.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 10: Trauma and Stress-Related Disorders
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/2056
Sample Questions
Q1) A veteran of military combat tells the nurse, "I saw a child get blown up over a year ago, and now I keep seeing bits of flesh everywhere. I see something red and the visions race back to my mind." Which phenomenon associated with posttraumatic stress disorder (PTSD) is this veteran describing?
A) Re-experiencing
B) Hyperarousal
C) Avoidance
D) Psychosis
Q2) A nurse talks with the caregiver of a combat veteran diagnosed with severe traumatic brain injuries. The caregiver says, "I don't know how much longer I can do it. My whole life is consumed with taking care of my partner." Select the nurse's best response.
A) "How are you taking care of yourself?"
B) "Let's review your partner's diagnostic results."
C) "I have some web-based programs for you to visit."
D) "Your partner is lucky to have someone so devoted."
To view all questions and flashcards with answers, click on the resource link above.
Chapter 11: Anxiety, Anxiety Disorders, and
Obsessive-Compulsive and Related Disorders
Available Study Resources on Quizplus for this Chatper
39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/2057
Sample Questions
Q1) An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromantic. Which defense mechanism is evident?
A) Rationalization
B) Compensation
C) Introjection
D) Regression
Q2) A nurse encourages an anxious patient to talk about feelings and concerns. What is the rationale for this intervention?
A) Offering hope allays and defuses the patient's anxiety.
B) Concerns stated aloud become less overwhelming and help problem solving to begin.
C) Anxiety is reduced by focusing on and validating what is occurring in the environment.
D) Encouraging patients to explore alternatives increases the sense of control and lessens anxiety.
To view all questions and flashcards with answers, click on the resource link above.
13
Chapter 12: Somatic Symptom Disorders and Dissociative Disorders
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2058
Sample Questions
Q1) A patient has blindness related to a functional neurological (conversion) disorder but is unconcerned about this problem. Which understanding should guide the nurse's planning for this patient? The patient is:
A) suppressing accurate feelings regarding the problem.
B) relieving anxiety through the physical symptom.
C) meeting needs through hospitalization.
D) refusing to disclose genuine fears.
Q2) A patient says, "I know I have a brain tumor despite the results of the magnetic resonance image (MRI). The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited all day." Which response by the nurse fosters cognitive restructuring?
A) "You do not have a brain tumor. The more you talk about it, the more it reinforces your illogical thinking."
B) "Let's see whether any other explanations for your vomiting are possible."
C) "You seem so worried. Let's talk about how you're feeling."
D) "We should talk about something else."
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 13: Personality Disorders
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2059
Sample Questions
Q1) The history shows that a newly admitted patient has impulsivity. The nurse would expect behavior characterized by:
A) adherence to a strict moral code.
B) manipulative, controlling strategies.
C) postponing gratification to an appropriate time.
D) little time elapsed between thought and action.
Q2) A nurse in the emergency department tells an adult, "Your mother had a serious stroke." The adult tearfully says, "Who will take care of me now? My mother always told me what to do, what to wear, and what to eat. I need someone to reassure me when I get anxious." Which term best describes this behavior?
A) Histrionic
B) Dependent
C) Narcissistic
D) Borderline
Q3) For which behavior would limit setting be most essential? The patient:
A) clings to the nurse and asks for advice about inconsequential matters.
B) is flirtatious and provocative with staff members of the opposite sex.
C) is hypervigilant and refuses to attend unit activities.
D) urges a suspicious patient to hit anyone who stares.
To view all questions and flashcards with answers, click on the resource link above.
Page 15
Chapter 14: Eating Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2060
Sample Questions
Q1) 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) One bed is available on the inpatient eating disorders unit. Which patient should be admitted? The patient whose weight dropped from:
A) 150 to 100 pounds over a 4-month period. Vital signs: temperature, 35.9° C; pulse, 38 beats/min; blood pressure, 60/40 mm Hg.
B) 120 to 90 pounds over a 3-month period. Vital signs: temperature, 36° C; pulse, 50 beats/min; blood pressure, 70/50 mm Hg.
C) 110 to 70 pounds over a 4-month period. Vital signs: temperature, 36.5° C; pulse, 60 beats/min; blood pressure, 80/66 mm Hg.
D) 90 to 78 pounds over a 5-month period. Vital signs: temperature, 36.7° C; pulse, 62 beats/min; blood pressure, 74/48 mm Hg.
To view all questions and flashcards with answers, click on the resource link above.
Page 16
Chapter 15: Mood Disorders: Depression
Available Study Resources on Quizplus for this Chatper
33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/2061
Sample Questions
Q1) A patient became depressed after the last of six children moved out of the home 4 months ago. The patient has been self-neglectful, slept poorly, lost weight, and repeatedly says, "No one cares about me anymore. I'm not worth anything." Select an appropriate initial outcome. The patient will:
A) verbalize realistic positive characteristics about self by (date).
B) consent to take antidepressant medication regularly by (date).
C) initiate social interaction with another person daily by (date).
D) identify two personal behaviors that alienate others by (date).
Q2) A nurse instructs a patient taking a drug that inhibits the action of monoamine oxidase (MAO) to avoid certain foods and drugs because of the risk of:
A) hypotensive shock.
B) hypertensive crisis.
C) cardiac dysrhythmia.
D) cardiogenic shock.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 16: Bipolar Spectrum Disorders
Available Study Resources on Quizplus for this Chatper
35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/2062
Sample Questions
Q1) When a hyperactive patient experiencing acute mania is hospitalized, what initial nursing intervention is a priority?
A) Allow the patient to act out his or her feelings.
B) Set limits on the patient's behavior as necessary.
C) Provide verbal instructions to the patient to remain calm.
D) Restrain the patient to reduce hyperactivity and aggression.
Q2) A patient diagnosed with bipolar disorder is hyperactive and manic after discontinuing lithium. The patient threatens to hit another patient. Which comment by the nurse is appropriate?
A) "Stop that! No one did anything to provoke an attack by you."
B) "If you do that one more time, you will be secluded immediately."
C) "Do not hit anyone. If you are unable to control yourself, we will help you."
D) "You know we will not let you hit anyone. Why do you continue this behavior?"
Q3) A health teaching plan for a patient taking lithium should include instructions to:
A) maintain normal salt and fluids in the diet.
B) drink twice the usual daily amount of fluids.
C) double the lithium dose if diarrhea or vomiting occurs.
D) avoid eating aged cheese, processed meats, and red wine.
To view all questions and flashcards with answers, click on the resource link above. Page 18
Chapter 17: Schizophrenia Spectrum Disorders and Other
Psychotic Disorders
Available Study Resources on Quizplus for this Chatper
38 Verified Questions
38 Flashcards
Source URL: https://quizplus.com/quiz/2063
Sample Questions
Q1) A patient's care plan includes monitoring for auditory hallucinations. Which assessment findings suggest the patient may be hallucinating?
A) Aloofness, haughtiness, suspicion
B) Darting eyes, tilted head, mumbling to self
C) Elevated mood, hyperactivity, distractibility
D) Performing rituals, avoiding open places
Q2) A patient diagnosed with schizophrenia tells the nurse, "I eat skiller. Tend to end. Easter. It blows away. Get it?" Select the nurse's best response.
A) "Nothing you are saying is clear."
B) "Your thoughts are very disconnected."
C) "Try to organize your thoughts, and then tell me again."
D) "I am having difficulty understanding what you are saying."
Q3) A patient diagnosed with schizophrenia says, "Everyone has skin lice that jump on you and contaminate your blood." Which problem is evident?
A) Poverty of content
B) Concrete thinking
C) Neologisms
D) Paranoia
To view all questions and flashcards with answers, click on the resource link above. Page 19
Chapter 18: Neurocognitive Disorders
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/2064
Sample Questions
Q1) A patient diagnosed with stage 1 mild Alzheimer disease tires easily and prefers to stay home rather than attend social activities. The spouse does the grocery shopping because the patient cannot remember what to buy. Which nursing diagnosis applies at this time?
A) Complicated grieving
B) Impaired memory
C) Self-care deficit
D) Caregiver role strain
Q2) An older adult drove to a nearby store but was unable to remember how to get home or state an address. When police took the person home, the spouse reported frequent wandering into neighbors' homes. Which stage of Alzheimer disease is evident?
A) 1 (mild)
B) 2 (moderate)
C) 3 (moderate to severe)
D) 4 (late)
To view all questions and flashcards with answers, click on the resource link above.
20
Chapter 19: Substance-Related and Addictive Disorders
Available Study Resources on Quizplus for this Chatper
44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/2065
Sample Questions
Q1) Which documentation indicates that the treatment plan for a patient in an alcohol treatment program was effective?
A) Is abstinent for 10 days and states, "I can maintain sobriety one day at a time." Spoke with employer, who is willing to allow the patient to return to work in 3 weeks.
B) Is abstinent for 15 days and states, "My problems are under control." Plans to seek a new job where coworkers will not know history.
C) Attends AA daily; states many of the members are "real" alcoholics and says, "I may be able to help some of them find jobs at my company."
D) Is abstinent for 21 days and says, "I know I can't handle more than one or two drinks in a social setting."
Q2) When assessing a patient who has ingested flunitrazepam (Rohypnol), the nurse would expect:
A) acrophobia.
B) hypothermia.
C) hallucinations.
D) anterograde amnesia.
To view all questions and flashcards with answers, click on the resource link above.
21
Chapter 20: Crisis and Mass Disaster
Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/2066
Sample Questions
Q1) A patient visiting the crisis clinic for the first time asks, "How long will I be coming here?" The nurse's reply should consider that the usual duration of crisis intervention is ____________ weeks.
A) 1 to 2
B) 3 to 4
C) 4 to 6
D) 6 to 12
Q2) Which scenario is an example of an adventitious crisis?
A) Death of a child from sudden infant death syndrome
B) Being fired from a job because of company downsizing
C) Retirement of a 55-year-old
D) A riot at a rock concert
Q3) An adolescent comes to the crisis clinic and reports sexual abuse by an uncle. The patient told the parents about the uncle's behavior, but the parents did not believe the adolescent. What type of crisis exists?
A) Maturational
B) Adventitious
C) Situational
D) Organic
To view all questions and flashcards with answers, click on the resource link above.
Page 22
Chapter 21: Child, Partner, and Elder Violence
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2067
Sample Questions
Q1) An older adult diagnosed with dementia lives with family and attends an adult day care center. A nurse at the center notices the adult has a disheveled appearance, a strong odor of urine, and bruises on the limbs and back. What type of abuse might be occurring?
A) Psychological
B) Financial
C) Physical
D) Sexual
Q2) A patient has a history of physical violence against family members when frustrated and then experiences periods of remorse after each outburst. The patient attends anger management classes. Which finding indicates success in this plan of care? The patient:
A) expresses frustration verbally instead of physically.
B) explains the rationale for behaviors to the victim.
C) identifies three personal strengths.
D) agrees to seek counseling.
To view all questions and flashcards with answers, click on the resource link above.
23
Chapter 22: Sexual Violence
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/2068
Sample Questions
Q1) A rape victim asks an emergency department nurse, "Maybe I did something to cause this attack. Was it my fault?" Which response by the nurse is the most therapeutic?
A) Pose questions about the rape, helping the patient explore why it happened.
B) Reassure the victim that the outcome of the situation will be positive.
C) Make decisions for the victim because of the temporary confusion.
D) Support the victim to separate issues of vulnerability from blame.
Q2) A rape victim tells the nurse, "I should not have been out on the street alone." Which is the nurse's most therapeutic response?
A) "Rape can happen anywhere."
B) "Blaming yourself only increases your anxiety and discomfort."
C) "You believe this would not have happened if you had not been alone?"
D) "You are right. You should not have been alone on the street at night."
Q3) A nurse cares for a rape victim who was given flunitrazepam (Rohypnol) by the assailant. Which intervention has priority? Monitoring for:
A) coma.
B) seizures.
C) hypotonia.
D) respiratory depression.
To view all questions and flashcards with answers, click on the resource link above. Page 24
Chapter 23: Suicidal Thoughts and Behavior
Available Study Resources on Quizplus for this Chatper
32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/2069
Sample Questions
Q1) A nurse uses the modified SAD PERSONS scale to interview a patient. This tool provides data relevant to:
A) current stress level.
B) mood disturbance.
C) suicide potential.
D) level of anxiety.
Q2) Which intervention should a nurse recommend for the distressed family and friends of someone who has committed suicide?
A) Participating in reminiscence therapy
B) Attending a self-help group for survivors
C) Contracting for two sessions of group therapy
D) Completing a psychological postmortem assessment
Q3) Which change in brain biochemical function is most associated with suicidal behavior?
A) Dopamine excess
B) Serotonin deficiency
C) Acetylcholine excess
D) Gamma-aminobutyric acid deficiency
To view all questions and flashcards with answers, click on the resource link above.
25
Chapter 24: Anger, Aggression, and Violence
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2070
Sample Questions
Q1) A patient is hospitalized after an arrest for breaking windows in the home of a former intimate partner. The history reveals childhood abuse by a punitive parent, torturing family pets, and an arrest for disorderly conduct. Which nursing diagnosis has priority?
A) Risk for injury
B) Post-trauma response
C) Disturbed thought processes
D) Risk for other-directed violence
Q2) A patient sits in silence for 20 minutes after a therapy appointment, appearing tense and vigilant. The patient abruptly stands and paces back and forth, clenching and unclenching fists, and then stops and stares in the face of a staff member. The patient is: A) demonstrating withdrawal.
B) working through angry feelings.
C) attempting to use relaxation strategies.
D) exhibiting clues to potential aggression.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 25: Care for the Dying and Those Who Grieve
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/2071
Sample Questions
Q1) A nurse manager notices that a staff member spends minimal time with a patient diagnosed with AIDS who is terminally ill. The patient says, "I'm having intense emotional reactions to this illness. Sometimes I feel angry, but other times I feel afraid or abandoned." The nurse manager can correctly hypothesize that the most likely reason for the staff member's avoidance is:
A) fear of infection transmission.
B) feelings of inadequacy in dealing with complex emotional needs.
C) knowledge that the patient needs time alone with family and friends.
D) belief that the patient's former lifestyle included high-risk behaviors.
Q2) As death approaches, a patient diagnosed with acquired immunodeficiency syndrome (AIDS) says, "I don't want to see a lot of visitors anymore. Just my parents and my sibling can come in for a while each day." What action should the nurse take?
A) Ask the patient to reconsider the decision because many interested and caring friends can be sources of support.
B) Discuss the request with the parents and sibling. Suggest that they explain the patient's decision to friends.
C) Suggest that the patient discuss these wishes with the health care provider.
D) Place a "no visitors" sign on the patient's door.
To view all questions and flashcards with answers, click on the resource link above. Page 27
Chapter 26: Children and Adolescents
Available Study Resources on Quizplus for this Chatper
27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/2072
Sample Questions
Q1) What are the primary distinguishing factors between the behavior of children diagnosed with oppositional defiant disorder (ODD) and those diagnosed with conduct disorder (CD)? (Select all that apply.) The child diagnosed with:
A) ODD relives traumatic events by acting them out.
B) ODD tests limits and disobeys authority figures.
C) ODD has difficulty separating from the parents.
D) CD uses stereotypical or repetitive language.
E) CD often violates the rights of others.
Q2) A 15-year-old adolescent has run away from home six times. After the adolescent was arrested for prostitution, the parents told the court, "We can't manage our teenager." The adolescent is physically abusive to the mother and defiant with the father. The adolescent's problem is most consistent with criteria for:
A) attention deficit hyperactivity disorder (ADHD).
B) childhood depression.
C) conduct disorder (CD).
D) autism spectrum disorder (ASD).
To view all questions and flashcards with answers, click on the resource link above.
Chapter 27: Adults
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2073
Sample Questions
Q1) A patient diagnosed with severe and persistent mental illness lives in a homeless shelter. The priority nursing diagnosis for this patient is Powerlessness. Which intervention should be included in the plan of care?
A) Encourage mutual goal setting.
B) Verbally communicate empathy.
C) Reinforce participation in activities.
D) Demonstrate an accepting attitude.
Q2) An adult says, "When I was a child, I took medication because I couldn't follow my teachers' directions. I stopped taking it when I was about 13. I still have trouble getting organized, which causes difficulty at my job." Which disorder is most likely?
A) Stress intolerance disorder
B) Generalized anxiety disorder (GAD)
C) Borderline personality disorder
D) Adult attention deficit hyperactivity disorder (ADHD)
To view all questions and flashcards with answers, click on the resource link above.
Chapter 28: Older Adults
Available Study Resources on Quizplus for this Chatper
31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/2074
Sample Questions
Q1) A community mental health nurse plans an educational program for staff members at a home health agency that specializes in the care of older adults. A topic of high priority should be:
A) identifying depression in older adults.
B) providing cost-effective foot care for older adults.
C) identifying nutritional deficiencies in older adults.
D) psychosocial stimulation for those who live alone.
Q2) A health care provider writes these new prescriptions for a resident in a skilled care facility: "2 g sodium diet; restraint as needed; limit fluids to 2000 ml daily; 1 dose milk of magnesia 30 ml orally if no bowel movement occurs for 3 days." Which prescription should the nurse question?
A) Restraint
B) Fluid restriction
C) Milk of magnesia
D) Sodium restriction
To view all questions and flashcards with answers, click on the resource link above. Page 30