Therapeutic Communication in Psychiatric Nursing Review Questions
Course Introduction
This course explores the principles, techniques, and application of therapeutic communication within the context of psychiatric nursing. Students will learn how to establish rapport, build trust, and foster a therapeutic nurse-client relationship through effective verbal and nonverbal communication. Topics include understanding mental health disorders, overcoming barriers to communication, and handling challenging patient behaviors. The course emphasizes active listening, empathy, crisis intervention, and culturally competent communication to promote patient safety, collaboration, and recovery in mental health settings. Through case studies and role-playing, students will gain practical skills in supporting patients with diverse psychiatric needs.
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) In the 1960s,the psychiatric nurse began to shift to primary prevention and psychiatric nursing practice began to focus more on community care.This focus was initiated by which act?
A) The Primary Prevention Act of 1960
B) The Deinstitutionalization Act of 1961
C) The Therapeutic Community Act of 1962
D) The Community Mental Health Centers Act of 1963
Answer: D
Q2) The primary opportunity provided by psychiatric clinical rotations for nursing students is an opportunity to:
A) become familiar with patients who have chronic psychiatric mental health issues.
B) work with patients who have psychiatric as well as physical health issues.
C) learn to work with patients with various psychiatric mental health issues.
D) learn to care for patients who have emotional disorders.
Answer: C
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Chapter 2: Therapeutic Nurse-Patient Relationship
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) When the nurse suggests the patient communicate to her employer how overwhelmed she is by the workload,the patient responds,"Yes but I'll get fired if I do that."
According to transactional analysis theory,this is an example of a(n) _____ transaction.
A) ulterior
B) crossed
C) congruous
D) complementary
Answer: A
Q2) Which task would be most appropriate to focus on during the introductory phase of work with a teenage patient with low self-esteem?
A) Mutual formulation of a contract
B) Nurse's self-analysis of strengths
C) Promotion of patient use of constructive coping mechanisms
D) Review of progress of therapy and goal attainment with patient
Answer: A
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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) Nursing diagnoses:
A) provide a way for all health professionals to view a patient holistically and to combat the problem of mind-body dualism.
B) complement medical diagnoses and are best described as the patient's behavioral response to stress.
C) offer an alternative to health professionals who wish to use complementary treatment modalities in lieu of traditional medical treatment.
D) contribute little in the everyday clinical setting but do provide nurses with a common language to use for research on outcomes of standard nursing interventions.
Answer: B
Q2) A comparison of the nursing and medical models of care shows that:
A) nurses assess disease states and causes.
B) physicians assess risk factors and vulnerability.
C) nursing intervention focuses on curative treatments.
D) nursing diagnoses focus on the effectiveness of coping responses.
Answer: D
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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) Which statement could a nurse use in an argument to support evidence-based psychiatric nursing practice?
A) "Licensing helps ensure effective clinicians."
B) "Clinical supervision results in more effective clinicians."
C) "It is unreliable to make generalized assumptions of patients based on only a small sample."
D) "Information gathered by clinical means tends to be in the form of systematic observations."
Q2) A nurse working at a facility that has just introduced the use of clinical pathways must understand that clinical pathways:
A) do not require quality monitoring.
B) are more specific than clinical algorithms.
C) do not depend on an interdisciplinary approach.
D) are maps with timetables for patient care delivery.
Q3) For psychiatric nurses,an essential part of outcome measurement is the:
A) development of practice guidelines.
B) systematic review of research literature.
C) systematic use of reliable patient-rating scales.
D) identification of the core knowledge and skills of psychiatric nurses.
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Page 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) When a patient asks the nurse,"What are neurotransmitters?" The nurse replies that neurotransmitters are:
A) "the chemical messengers that cause brain cells to turn on or off."
B) "small clumps of cells that alert the other brain cells to receive messages."
C) "tiny areas of the brain that are responsible for controlling our emotions."
D) "weblike structures that provide connections among various parts of the brain."
Q2) A patient tells a nurse,"My doctor says my problem may be with the neurotransmitters in my brain but I don't understand what that means." The nurse responds:
A) "Let's begin with exploring what your doctor has told you about your problem."
B) "We should start with a discussion about any concerns you have about having a neurotransmitter disorder."
C) "First let me say that neurotransmitter problems can usually be treated or cured with medication therapy."
D) "What you need to understand is that neurotransmitters are chemical messengers in the brain responsible for brain communication."
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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) Asking a patient to give the meaning of the proverb "people who live in glass houses shouldn't throw stones" will assist a nurse in assessing the patient's:
A) short-term memory.
B) orientation to reality.
C) emotional intelligence.
D) ability to think abstractly.
Q2) Which clinical skills used to conduct a mental status examination are most relevant to establishing rapport?
A) Clarification and restatement
B) Information giving and feedback
C) Systematic inquiry and organization of data
D) Attentive listening, observation, and focused questions
Q3) A nurse assessing a patient's emotional intelligence will focus on the patient's:
A) linguistic and musical abilities.
B) body kinesthetic and spatial abilities.
C) interpersonal and intrapersonal skills.
D) logical mathematics and linguistic abilities.
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Page 8
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) 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
Q2) Which intervention will the nurse consider to be a central responsibility when planning for culturally competent treatment?
A) Learn what the illness means to the patient and how the patient's beliefs can help mediate the stressors.
B) Learn as much as possible regarding the beliefs of both the patient and the patient's extended family.
C) Ask the patient about beliefs in a formal organized religion and daily or weekly religious practices that can be factored into treatment.
D) Tell the patient that it will be important to examine together the belief systems of both the nurse and patient to be sure that they are congruent.
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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) What is the new staff nurse's immediate duty when a patient discloses a plan to kill a family member upon release from the hospital?
A) Discuss the statement with the patient's mental health team but otherwise keep the information confidential.
B) Immediately contact the family member and provide a verbal warning concerning his or her physical safety.
C) Inform the patient that the local police department will be called and that oral and written reports will be filed.
D) Document the information in the patient's medical record, and notify the nursing supervisor of the statement.
Q2) The staff members notify the police that a court-committed patient has eloped.What is the initial action for the staff to take when the patient is returned to the hospital?
A) Discuss with the patient the reason for the elopement.
B) Ask the patient to sign an "against medical advice" release.
C) Request that the patient give written notice of intent to leave.
D) Readmit the patient under the original court-ordered commitment.
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Page 10
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) Which nurse in a managed care setting has the greatest responsibility for allocating resources to an individual patient?
A) Treatment nurse
B) Case manager
C) Risk manager
D) Patient educator
Q2) A patient tells a nurse,"I belong to a health maintenance organization (HMO) that advertises being a capitated system.What does that mean?" The nurse replies:
A) "It's complicated but if you like I'll have the payments office discuss it with you."
B) "You pay a sliding fee for each illness based on your monthly take-home income."
C) "You pay a fixed fee per month while the HMO provides all medically necessary care."
D) "The HMO pays your physician a flat fee for a particular episode of illness regardless of the number of office visits you make."
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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) A patient accompanied by a sibling has returned to the hospital because of a recurrence of bipolar disorder.The admitting nurse notes that the sibling seems disinterested in the admitting process.The nurse should act on the thought that the sibling:
A) may be quiet by nature.
B) is probably thankful for the admission.
C) may be feeling hurt, anger, or resentment.
D) may not fully understand the admission process.
Q2) Which finding is a positive indicator of family functioning?
A) A patient's child occasionally has an asthma attack when the patient and the patient's spouse argue.
B) A patient's spouse leaves for a few days and gambles after a serious fight with the patient.
C) A patient's 12-year-old child has one daily and one weekly household chore to complete.
D) A patient calls a parent daily concerning decisions such as what to prepare for dinner.
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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
Source URL: https://quizplus.com/quiz/6385
Sample Questions
Q1) The goal of the nursing care plan is to answer which question regarding the achievement of patient wellness? (Select all that apply.)
A) Why
B) When
C) How
D) Where
E) Who
Q2) A staff nurse is told at orientation that the department has a clinical advancement program in place.On what criterion is advancement usually based?
A) Desire for professional growth
B) Acceptance of peer feedback
C) Advanced application of nursing skills
D) Attainment of an advanced degree in nursing
Q3) Which action best demonstrates a nurse displaying accountability?
A) Volunteering to serve on a hospital committee
B) Notifying the nurse manager when a medication error occurs
C) Planning patient care strategies for a newly admitted adult patient
D) Coordinating a patient-centered conference for the health care team
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Chapter 12: Prevention and Mental Health Promotion
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The identification of intervention strategies designed to increase self-efficacy among members of a minority neighborhood group would occur in which phase of the nursing process?
A) Assessment
B) Analysis
C) Planning
D) Implementation
E) Evaluation
Q2) Which person is most vulnerable to the development of psychiatric illness based on sociocultural factors?
A) A 16-year-old who has a parent with bipolar disorder
B) A 55-year-old who has retired with full pay from a job as a high school teacher
C) A 24-year-old who was raised by a grandparent after both parents died in a plane crash
D) A 67-year-old from a minority group who is poor and has no social support system
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14
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 was the driver of a car that struck and killed a child.The patient tells a nurse,"I killed a child! I'm haunted by the sight of the body being thrown into the air.If I hadn't been drinking I might have been able to stop.I don't know how I can go on living with myself!" The crisis nurse should give priority to assessing the patient's:
A) suicidal risk.
B) physical condition.
C) recent drug dependency.
D) current alcohol consumption.
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Chapter 14: Recovery and Psychiatric Rehabilitation
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) 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."
Q2) When asked to explain how psychiatric rehabilitation under the tertiary prevention model differs from the traditional medical model,the nurse's response should stress that the focus of tertiary prevention is on:
A) disease as opposed to the coping continuum.
B) learning to receive treatment in institutional settings.
C) health and wellness and not just symptoms of disease.
D) proper diagnosis and appropriate medications to treat disorders.
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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 calls the community mental health center and shares,"For the past 6 months,whenever I even think about leaving my house,my heart pounds,my body shakes,and I cry and feel dizzy.There's no reason for me to feel this way,but I do." These symptoms can be assessed as being most consistent with:
A) panic disorder with agoraphobia.
B) obsessive-compulsive disorder.
C) posttraumatic stress disorder.
D) generalized anxiety disorder.
Q2) A patient experiences double approach-avoidance conflicts associated with the need to replace maladaptive behaviors with more adaptive behaviors.This tendency is exhibited when the patient:
A) wishes to both pursue and avoid the same goal.
B) is required to choose between two undesirable goals.
C) seeks to pursue two equally desirable but incompatible goals.
D) sees both desirable and undesirable aspects of two alternatives.
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Chapter 16: Psychophysiological Responses and Somatoform and
Sleep
Disorders
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nurse is working with a patient exhibiting psychophysiological symptoms.It is important that the nurse understand that the patient's symptoms are:
A) feigned.
B) psychosomatic.
C) serious and require treatment.
D) only serious if associated with actual pathology.
Q2) A patient with a history of insomnia has been taking 15 mg of chlordiazepoxide (Librium) at bedtime for the past year.The patient reports having difficulty falling asleep and wakes up frequently during the night.The most appropriate nursing diagnosis to consider is:
A) disturbed sleep pattern related to anxiety.
B) moderate anxiety related to disturbed sleep pattern.
C) insomnia related to tolerance to chlordiazepoxide (Librium).
D) thought disorder related to intolerance of chlordiazepoxide (Librium).
Q3) Which patient is most likely exhibiting a conversion disorder?
A) A toddler with frequent ear infections
B) An athlete with exercise-induced asthma
C) A night guard who suddenly goes blind
D) An older adult whose fractured foot is not healing well
Page 18
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Chapter 17: Self-Concept Responses and Dissociative Disorders
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24 Verified Questions
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Sample Questions
Q1) Select the best goal when working with a patient who has an alteration in self-concept.
A) The patient will develop insight into his or her problems and current life situation.
B) The patient will clarify his or her concept of self in relation to relationships with others.
C) The patient will attain the maximum level of self-actualization to realize his or her potential.
D) The patient will effectively evaluate coping choices made in the past and their consequences.
Q2) When working with a patient with self-concept disturbance,which type of communication would initially be most useful?
A) Probing
B) Empathic
C) Confrontational
D) Sympathetic
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Chapter 18: Emotional Responses and Mood Disorders
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The initial response of a steelworker who was fired from a job was disbelief.At home the steelworker told family members about the firing but retreated to the bedroom,saying,"I'm too choked up to talk about it right now." These behaviors are characteristic of:
A) disbelief.
B) depression.
C) normal grief reaction.
D) delayed grief reaction.
Q2) The emergency department calls to say a patient experiencing symptoms of mania is being admitted.Which room placement should a nurse choose for the patient?
A) A single room near the unit entrance
B) A single room near the nurse's station
C) A double room shared with a patient with depression
D) A double room shared with a patient with schizophrenia
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Chapter 19: Self-Protective Responses and Suicidal Behavior
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23 Verified Questions
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Sample Questions
Q1) A patient with depression tells a nurse,"I hope someone will make sure my family gets my jewelry when I'm gone." This statement can be assessed as a suicide:
A) attempt.
B) gesture.
C) threat.
D) plan.
Q2) A nurse assessing a patient who has been noncompliant with the prescribed diabetic diet and exercise regimen should consider planning strategies to overcome patient use of:
A) denial.
B) projection.
C) dissociation.
D) displacement.
Q3) When evaluating the effectiveness of the care provided for a self-destructive patient,the best approach is to:
A) identify maladaptive coping behaviors.
B) involve the patient in the process of evaluation.
C) make sure the staff has followed the original care plan.
D) modify the plan as little as possible to avoid confusing the patient.
Page 21
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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 is standing naked after showering and appears dazed and indecisive.The nursing intervention that will be most helpful to promote dressing would be:
A) saying, "These are your clothes. Please get dressed."
B) saying, "These are your underpants. I'll help you put them on."
C) asking, "Which of these two outfits would you like to wear now?"
D) asking, "Is something the matter with your clothes that makes you not want to dress?"
Q2) An appropriate short-term goal for a withdrawn,isolated patient diagnosed with schizophrenia is,"The patient will:
A) participate in all therapeutic activities."
B) define major barriers to communication."
C) talk about feelings of withdrawal in group."
D) consistently interact with an assigned nurse."
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22
Chapter 21: Social Responses and Personality Disorders
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Sample Questions
Q1) Which comment about relationships would be most characteristic of a patient with antisocial personality disorder?
A) "The only reason for interacting is to take advantage of others."
B) "'Live and let live' is as good a philosophy as any to live by."
C) "I've always found that 'help one another' is a good policy."
D) "I'll be your doormat. Feel free to take advantage of me."
Q2) Which statement best describes persons with personality disorders?
A) The patient's coping skills are severely impaired by cognitive impairment.
B) The patient's maladaptive behaviors involve only a single aspect of personality.
C) The patient has enduring ways of relating that often provoke negative reactions.
D) The patient has considerable resilience when faced with stressful life situations.
Q3) 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.
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Chapter 22: Cognitive Responses and Organic Mental Disorders
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25 Verified Questions
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Sample Questions
Q1) A 72-year-old female patient has delirium secondary to anticholinergic medication toxicity.The nurse planning discharge care teaches the family to be alert for maladaptive cognitive symptoms because:
A) delirium is a hypersensitivity reaction.
B) the elderly often deny changes in cognition.
C) elderly females are more prone to delirium than elderly males.
D) slower metabolism in the elderly predisposes to medication toxicity.
Q2) Which nursing diagnosis would be appropriate for a patient with Alzheimer disease?
A) Disorientation related to hyperthermia
B) Anxiety (moderate) related to dementia
C) Disturbed sensory perception (visual) related to normal aging
D) Disturbed thought processes related to irreversible brain disorder
Q3) A nurse caring for a patient with Alzheimer disease can anticipate that the family will most likely need information about:
A) antimetabolites.
B) benzodiazepines.
C) immunosuppressants.
D) acetylcholinesterase inhibitors.
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Chapter 23: Chemically Mediated Responses and
Substance-Related Disorders
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27 Verified Questions
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Source URL: https://quizplus.com/quiz/6397
Sample Questions
Q1) The spouse of a patient with alcoholism asks,"How do I respond in a helpful way even though this abuse is so harmful to my family?" The nurse's best response would be:
A) "Search the house regularly for hidden alcohol."
B) "Include your spouse in family activities whether or not drinking has occurred."
C) "Make your spouse responsible for the consequences of the disruptive behavior."
D) "Refuse to be supportive when your spouse is under the influence of alcohol."
Q2) A nurse suspects that a patient being admitted for outpatient surgery may have a history of alcohol abuse.To further assess this issue,the nurse should consider:
A) using a screening tool, such as AUDIT-C to assess the extent of the abuse.
B) asking directly if the patient has ever had problems with abusing alcohol.
C) interviewing the family because the patient is likely to deny having a problem.
D) addressing the suspicion before discharge since it has no direct effect on the patient's surgery.
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25
Chapter 24: Eating Regulation Responses and Eating Disorders
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Sample Questions
Q1) A nurse has completed the assessment for a patient who has a maladaptive response to eating regulation.Findings include: height,5 feet 3 inches; current weight,80 pounds with weight loss of 30% of body weight; poor skin turgor; lanugo; amenorrhea of 6 months' duration; and admits to restricting intake to 350 calories daily.These assessment findings are most consistent with the medical diagnosis of:
A) bulimia nervosa.
B) anorexia nervosa.
C) binge-eating disorder.
D) disturbed body image.
Q2) Which statement would help the nurse conclude that a patient with an eating disorder is exhibiting cognitive distortion?
A) "I see now that I need to establish my own preferences and routines."
B) "Bingeing makes my feelings of both isolation and loneliness go away."
C) "Controlling what I eat has been a way for me to exert control over my life."
D) "I need to watch for hunger and fatigue as triggers for my eating disorder."
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Chapter 25: Sexual Responses and Sexual Disorders
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23 Verified Questions
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Sample Questions
Q1) Which statement made by a patient shows a correct understanding of human sexuality?
A) "Oral intercourse is dangerous."
B) "Sex during menstruation should be avoided."
C) "Advanced age is not by itself a deterrent to sexual function."
D) "Alcohol ingestion enhances sexual pleasure and performance."
Q2) A nurse shares with a mentor,"When my patient brought up the subject of resuming sexual relations after surgery,I felt flustered.While I realized I wasn't letting the patient express concerns,I couldn't stop monopolizing the conversation." The nurse describes experiencing the stage of the self-awareness process called:
A) anger.
B) action.
C) anxiety.
D) cognitive dissonance.
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Chapter 26: Psychopharmacology
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Sample Questions
Q1) A patient who is taking psychotropic medication is experiencing constipation.Which intervention would the nurse plan for the patient?
A) Drinking six to eight glasses of water daily and eating green vegetables and bran
B) Drinking 10 to 12 glasses of water daily and eating a serving of beef liver weekly
C) Taking a laxative and stool softener daily in addition to eating prunes and dates
D) Using a retention enema weekly and adding bran and vegetables in the daily diet
Q2) A patient will be starting on fluoxetine hydrochloride (Prozac) therapy and taking 20 mg PO every morning.Which information should the nurse provide to the patient?
A) "Make sure that you take your pulse before getting out of bed in the morning."
B) "Try taking your medication with breakfast if you begin experiencing nausea."
C) "You may need to reduce your fluids at night because of nocturnal urination."
D) "Remember to avoid red wine, nuts, and any cheese except cottage and cream."
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Chapter 27: Behavior Change and Cognitive Interventions
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Sample Questions
Q1) 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
Q2) A patient says,"There aren't many things in life that I'm really afraid of,but I'm so afraid that I'll have another panic attack when I least expect it." Which question indicates the nurse is using decatastrophizing?
A) "Okay, let's talk about the worst case scenario. What if you're driving in a snow storm with your children in the car and you have an attack?"
B) "I can understand your concern. But keep telling yourself not to worry because panic attacks go away as quickly as they appear."
C) "I can understand that your anxiety over the possibility of experiencing another panic attack could paralyze you with fear."
D) "Let me understand this. You're not afraid of much, but these attacks cause you to be fearful?"
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29
Chapter 28: Preventing and Managing Aggressive Behavior
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Sample Questions
Q1) A unit has experienced several violent outbursts that have resulted in the forcible restraint of patients.On review,each violent event and all crisis management strategies were appropriately followed.To maximize staff efficiency the nurse manager should:
A) determine the institution's policies regarding the management of crisis situations should be reviewed in mandatory staff education sessions.
B) schedule staff breaks at intervals that allow staff members to leave the unit and relax while discussing the problems in the current milieu.
C) invite a team of experts to evaluate crisis management on the unit for 1 month to determine whether any procedures are being unintentionally omitted.
D) schedule a multidisciplinary team education meeting and invite a distinguished expert who can help staff members understand that they managed each crisis appropriately.
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Chapter 29: Somatic Therapies
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Sample Questions
Q1) A nurse should plan to implement which action as part of the routine morning care for a hospitalized patient who has just returned from having ECT (electroconvulsive therapy) therapy?
A) Have a walker available for use if the patient is unsteady on their feet.
B) Measure and record all vital signs, including orientation, once per shift.
C) Check the gag reflex before administering medications and offering breakfast.
D) Wake the patient up every 30 minutes to assess and document neurological status.
Q2) What equipment should be available to the staff caring for a patient after receiving an ECT (electroconvulsive therapy) treatment?
A) Spirometer
B) Suctioning equipment
C) Tympanic thermometer
D) Padded wrist and ankle restraints
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Chapter 30: Complementary and Alternative Therapies
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Q1) A nurse knows that the patient has an understanding of complementary and alternative medicine (CAM) therapies when the patient states: (Select all that apply.)
A) "I'm going to begin meditating since I've read that it may help my chronic depression."
B) "I want to use reflexology because I want to improve my focus and ability to concentrate."
C) "I want to try working with a chiropractor to see if I can experience better flexibility in my lower back."
D) "I think I will try the herbal medication that the clinic nurse is recommending for the management of mild depression."
E) "Massage therapy appears to have a similar long-term affect on chronic anxiety Disorders as does medication therapy."
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Chapter 31: Therapeutic Groups
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Q1) Which statement by the nurse reflects the best understanding of the issues that are addressed when establishing the contract for a therapeutic group?
A) "What is said in this group is confidential and will not be discussed outside the meeting."
B) "The group contract cannot be broken and will not be altered once it is agreed on by the entire group."
C) "You may bring food and beverages to the meeting, but we will be responsible for cleaning up the room when we are finished."
D) "In order to best think about what we learn in this group each of you will be asked to write your thoughts in a personal journal."
Q2) What outcome would be most important for a nurse facilitator to include in a plan of care for a support group for parents of children with attention-deficit/hyperactivity disorder (ADHD)? Parents will be able to:
A) parent all children in the family with equality.
B) share feelings with other members of the group.
C) assist hyperactive children to modify their behavior.
D) discipline all children with equal negative reinforcement.
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Chapter 32: Family Interventions
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Sample Questions
Q1) A nurse is planning a mental health-oriented training session for high school guidance counselors.Considering the counselors' target population,which type of program should the nurse focus on in the training in-service?
A) Comprehension skills
B) Parenting skills
C) Coping skills
D) Social skills
Q2) A fundamental component of family therapy is: (Select all that apply.)
A) attendance at all sessions by all family members.
B) agreement on when the therapeutic sessions will terminate.
C) consensus among all parties regarding the amount of needed therapy.
D) understanding related to the target behaviors identified for therapeutic change.
E) willingness on the part of all family members to actively participate in sessions.
Q3) It is useful initially for a therapist who is completing a family assessment to:
A) have members also attend individual therapy.
B) interview members individually.
C) consider cultural influences.
D) visit the family home.
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Chapter 33: Hospital-Based Psychiatric Nursing Care
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Q1) A young adult patient is alienated by others who are offended by the patient's poor hygiene and body odor.Which nursing intervention should occur first for this patient?
A) Assessing the patient's understanding of good hygiene practices
B) Assigning the patient a scheduled shower and personal grooming time
C) Instructing the patient regarding the need for daily showering and shampooing
D) Having two mental health workers shower and dress the patient every morning
Q2) Which intervention by the nurse is most therapeutic when a patient loses a pool game on the unit and begins acting aggressively?
A) Having the other unit staff present to demonstrate both a unified presence as well as a show of force
B) Saying to the patient, "Accompany me to your room so we can talk about what triggered your anger."
C) Stating, "The rules here are for everyone. If you cannot control your temper, you may need to leave the dayroom."
D) Setting limits on the behavior immediately, in front of other patients, to help communicate that the unit rules apply to everyone
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35
Chapter 34: Community-Based Psychiatric Nursing Care
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Sample Questions
Q1) Forensic nursing has two very different and sometimes conflicting goals.These goals are:
A) ensuring easy identification of psychiatrically impaired inmates and protecting their right to privacy.
B) implementing effective individualized patient care and providing protection for the community.
C) acting as a patient advocate while remaining a representative of the judicial system.
D) facilitating patient treatment while minimizing cost to the community.
Q2) Individuals may seek treatment for mental health disorders from their primary care provider.Which assessment questions are directed towards identifying the most common of these conditions? (Select all that apply.)
A) "Do you see yourself as a depressed individual?"
B) "What is your opinion of recreational drug use?"
C) "Would you consider yourself an anxious person?"
D) "Is your daily routine controlled by ritual behaviors?"
E) "Have you ever been told you drink too much alcohol?"
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Chapter 35: Child Psychiatric Nursing
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Sample Questions
Q1) When a 14-year-old child reports feeling "like I just want to blow that person's head off," the school nurse's initial reaction is to:
A) report the statement to parents, police, and school authorities.
B) say to the child, "Tell me what you mean when you say that."
C) restate, "You're feeling really angry with this person right now, aren't you?"
D) confer with other staff by asking, "What do you think the child meant by that?"
Q2) When assisting a child to learn to express personal feelings verbally without hurting a playmate's feeling,the nurse encourages the child to first:
A) play with imaginary friends.
B) play the role of the other child.
C) avoid competitive games like baseball.
D) use nonverbal mannerisms like frowning.
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Chapter 36: Adolescent Psychiatric Nursing
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Source URL: https://quizplus.com/quiz/6410
Sample Questions
Q1) Since the divorce of parents 6 months ago,an adolescent has been absent from school nearly every Friday and gives vague complaints of various illnesses.Which nursing intervention would be most therapeutic in this situation?
A) Ask the student to discuss what is happening on Fridays.
B) Call the student's parents to determine their view concerning the behavior.
C) Request that the school counselor invite the student's parents for a family meeting.
D) Arrange for an examination including diagnostic testing to rule out any medical illnesses.
Q2) Which response by an adolescent during the termination of outpatient substance abuse therapy indicates the need to reevaluate the treatment plan? The adolescent:
A) says, "I'm ready to get started, but I'm just a little worried."
B) becomes tearful, and the voice quivers while saying, "goodbye."
C) says, "I never thought I'd be sorry to stop coming here!"
D) writes a note sharing fears of relapsing once independent.
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Chapter 37: Geropsychiatric Nursing
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Sample Questions
Q1) When planning discharge care for an older adult who is divorced,recently retired,and diagnosed with situational depression,the nurse learns that the patient's only child has moved 300 miles away.What is the nurse's best initial action?
A) Contact the child to discuss the parent's care needs.
B) Arrange for live-in help to provide for the patient's care needs.
C) Discuss the possibility of relocating to an assisted living center a reasonable distance from the child.
D) Assess availability of other family members and social support systems to assist the patient in meeting care needs.
Q2) A person who is the primary caregiver for a mother with Alzheimer disease says,"Sometimes I hate my mother for living this long and Dad for dying and not caring for her." Which response is most therapeutic?
A) "What do you do to cope with these negative feelings?"
B) "It's fairly common for a caregiver to feel such negative emotions."
C) "Have you ever felt angry enough to be abusive toward your mother?"
D) "Please consider discussing these feelings with other members of your family."
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Chapter 38: Care of Survivors of Abuse and Violence
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Source URL: https://quizplus.com/quiz/6412
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Q1) Which intervention would be the best initial approach for a nurse to take when a young adult patient is verbally abusive?
A) Ask the patient to define "verbally abusive language."
B) Provide the patient with examples of assertive communication.
C) Identify the patient's verbal abuse in order to set standards for future dialogue.
D) Remove privileges from the patient until communications show less aggression.
Q2) A nursing colleague says,"This patient was admitted claiming to have been raped by her boyfriend,but just look at the sexy clothes she's wearing." Which response reflects an understanding of the most likely source of the colleague's comment?
A) "Have you ever cared for other sexual assault victims?"
B) "Your sister was raped when she was in college, wasn't she?"
C) "You have three unmarried brothers about the patient's age, don't you?"
D) "Are you saying that wearing sexy clothes caused her to be sexually assaulted?"
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Chapter 39: The Military and Their Families
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Q1) Which statement by a military veteran being treated for posttraumatic stress disorder (PTSD) is the strongest evidence that the condition is being managed?
A) "My mother said that I am much more like my old self."
B) "I hope my buddies get the type of professional help I'm getting."
C) "I didn't think my nightmares would ever stop but now I'm not so sure."
D) "My children and I went to the fireworks display and we all really enjoyed it."
Q2) Which intervention will best establish a military personnel's mental health fitness for deployment to a war zone?
A) Conducting a predeployment mental health screening as part of the general physical examination
B) Reviewing the military performance records prior to deployment for identification of possible risk factors
C) Providing each military personnel with the opportunity to confidentially discuss their individual concerns with a mental health professional
D) Asking the military personnel to identify in writing any history of mental illness including depression, anxiety, or substance dependency issues
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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 diagnosed with amyotrophic lateral sclerosis says to the nurse,"I've been looking on the Internet to get more information about this disease.Which of the sites has the most reliable information?" Which site would the nurse recommend?
A) National Institutes of Health (NIH)
B) Food and Drug Administration (FDA)
C) Centers for Disease Control and Prevention (CDC)
D) Occupational Safety and Health Administration (OSHA)
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