Therapeutic Interventions in Mental Health Nursing Exam Practice Tests
Course Introduction
This course explores various evidence-based therapeutic interventions utilized in mental health nursing to support individuals experiencing psychiatric disorders. Students will examine the theoretical foundations, practical applications, and outcomes of interventions such as cognitive-behavioral therapy, motivational interviewing, group therapy, crisis intervention, and psychoeducation. Emphasis is placed on developing effective therapeutic communication, understanding the nurse-client relationship, and applying ethical considerations in diverse mental health settings. The course prepares students to assess needs, implement appropriate interventions, and evaluate treatment effectiveness to enhance mental health and well-being across the lifespan.
Recommended Textbook
Foundations of Psychiatric Mental Health Nursing A Clinical Approach 6th Edition by Elizabeth M.
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36 Chapters
1052 Verified Questions
1052 Flashcards
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Chapter 1: Mental Health and Mental Illness
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) The spouse of a patient with schizophrenia says,"I don't understand how nurturing or toilet training in childhood has anything to do with this incredibly disabling illness." Which response by the nurse will best help the spouse understand this disorder?
A) "This illness is the result of genetic factors."
B) "Psychological stress is at the root of most mental disorders."
C) "It must be frustrating for you that your spouse is sick so much of the time."
D) "New findings show that this condition more likely has biological rather than psychological origins."
Answer: D
Q2) A nurse participating in a community health fair is asked,"What is the most prevalent mental disorder in the United States?" Select the nurse's best response.
A) Schizophrenia
B) "Why do you ask?"
C) Bipolar disorder
D) Alzheimer's disease
Answer: D
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3
Chapter 2: Relevant Theories and Therapies for Nursing Practice
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Sample Questions
Q1) A single parent who is employed full time complains of feelings of inadequacy related to work and family.The parent seeks help from a therapist who specializes in cognitive behavioral therapy.The therapist will treat the parent by:
A) discussing ego states the parent experiences.
B) negatively reinforcing undesirable behaviors.
C) promoting assertive behavior at home and work.
D) helping the parent identify and change faulty thinking.
Answer: D
Q2) Consider a therapist's statement: "The patient is homosexual but has kept this preference secret.Severe anxiety and depression occur when the patient anticipates family reactions to this sexual orientation." Which perspective is evident in the speaker?
A) Theory of interpersonal relationships
B) Classical conditioning theory
C) Psychosexual theory
D) Behaviorism theory
Answer: A
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4
Chapter 3: Biological Basis for Understanding Psychotropic Drugs
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A patient tells the nurse,"My doctor prescribed Paxil (paroxetine)for my depression.I assume I'll have side effects like I had when I was taking Tofranil (imipramine)." The nurse's reply should be based on the knowledge that paroxetine is a:
A) selective norepinephrine reuptake inhibitor.
B) tricyclic antidepressant.
C) MAO inhibitor.
D) SSRI.
Answer: A
Q2) The nurse administers a medication that potentiates the action of GABA.Which effect would be expected?
A) Reduced anxiety
B) Improved memory
C) More organized thinking
D) Fewer sensory perceptual alterations
Answer: A
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Chapter 4: Psychiatric Mental Health Nursing in Acute Care Settings
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Planning for patients 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 medication at home.
C) have limited support systems in the community.
D) develop new symptoms during the course of an illness.
Q2) A student nurse prepares to administer oral medication to a patient with major depression,but the patient refuses.The student nurse should:
A) tell the patient,"Refusing medication is not permitted.You are required to take it."
B) tell the patient,"I'll get an unsatisfactory grade if I don't give you the medication."
C) ask the patient's reason for refusing the medication,and report to the staff nurse.
D) document the patient's refusal of the medication without further comment.
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Chapter 5: Psychiatric Mental Health Nursing in Community Settings
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Sample Questions
Q1) A patient with schizophrenia lives in the community.On a home visit,the community psychiatric nurse case manager learns that the patient:
· Will begin attending an activities group at the mental health outreach center.
· Is worried about being able to pay for the therapy.
· Does not know how to get from home to the outreach center.
· Has an appointment to have blood work at the same time the activities group meets.
· Wants to attend services at a church that is a half mile from the patient's home. Which task(s)would be part of the role of a community mental health nurse? (Select all that apply. )
A) Rearranging conflicting care appointments
B) Negotiating the cost of therapy for the patient
C) Arranging transportation to the outreach center
D) Accompanying the patient to church services weekly
E) Monitoring to ensure the patient's basic needs are met
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Chapter 6: Cultural Implications for Psychiatric Mental
Health Nursing
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37 Flashcards
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Sample Questions
Q1) A Hispanic patient whose only child died over a year ago says,"I cannot do my usual home duties or go out in my community because of my headaches and backaches." The patient is diagnosed with major depression.The staff nurse says in the team meeting,"I can't help her.All she talks about is pain in her body." Which feedback from the team will be most helpful to this nurse?
A) "You should take the lead and focus on reasons for her resistance to therapy."
B) "In her culture,physical symptoms are expressions of distress and emotional pain."
C) "Ask the patient why she has chosen to grieve her child's death in this particular way."
D) "It will take the antidepressant medication about 3 weeks to reach therapeutic levels.Be patient."
Q2) Ghost sickness
A)Navajo
B)Korean
C)Latin American
D)Chinese
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Chapter 7: Legal and Ethical Guidelines for Safe Practice
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A newly admitted acutely psychotic patient is a private patient of the chief of staff and a private-pay patient.To whom does the psychiatric nurse assigned to the patient owe the duty of care?
A) Health care provider
B) Hospital
C) Profession
D) Patient
Q2) A patient in alcohol rehabilitation reveals to the nurse,"I feel terrible guilt for sexually abusing my 6-year-old before I was admitted." Select the nurse's most important action.
A) Anonymously report the abuse by phone to the local child protection agency.
B) Reply,"I'm glad you feel comfortable talking to me about it."
C) Respect nurse-patient relationship confidentiality.
D) File a written report on agency letterhead.
Q3) Which patient meets criteria for involuntary commitment for psychiatric treatment?
The patient who:
A) is noncompliant with the treatment regimen.
B) fraudulently files for bankruptcy.
C) sold and distributed illegal drugs.
D) threatens to harm self and others.
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Page 9
Chapter 8: The Nursing Process and Standards of Care for Psychiatric Mental
Health Nursing
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Sample Questions
Q1) Nursing behaviors associated with the implementation phase of the nursing process are concerned with:
A) carrying out interventions and coordinating care.
B) comparing patient responses and expected outcomes.
C) gathering accurate and sufficient patient-centered data.
D) participating in mutual identification of patient outcomes.
Q2) When a new patient is hospitalized,a nurse takes the patient on a tour,explains rules of the unit,and explains the daily schedule.The nurse has fulfilled which aspect of care coordination?
A) Counseling
B) Health teaching
C) Milieu management
D) Integrative therapy
Q3) Which statement made by a patient 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've been hearing the voices of my dead parents."
Page 10
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Chapter 9: Therapeutic Relationships
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Sample Questions
Q1) Which remark by a patient indicates movement from orientation to the working phase of a nurse-patient relationship?
A) "I don't have any problems."
B) "It is so difficult for me to talk about problems."
C) "I don't know how talking about things twice a week can help."
D) "I want to find ways to deal with my anger without blowing up."
Q2) A patient frequently asks the nurse for extra snacks,implying more willingness to talk if these items are provided.The nurse should assess this behavior as:
A) typical of transference reactions.
B) indicative of feelings of insecurity.
C) reflecting resistance to involvement.
D) testing the nurse's clinical competence.
Q3) Which statement shows a nurse has empathy for a patient who made a suicide attempt?
A) "You must have been very upset to do what you did today."
B) "It makes me sad to see you going through such a difficult experience."
C) "If you tell me what is troubling you,I can help you solve your problems."
D) "Suicide is a drastic solution to a problem that may not be such a serious matter."
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Chapter 10: Communication and the Clinical Interview
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A patient tells the nurse,"I don't think I'll ever get out of here." Select the nurse's most therapeutic response.
A) "Everyone feels that way sometimes."
B) "Don't talk that way.Of course you will leave here!"
C) "Keep up the good work and you will be discharged."
D) "It sounds like you don't feel like you're making progress."
Q2) A nurse can best communicate to a patient an interest in listening by:
A) restating the feeling or thought the patient has expressed.
B) asking a direct question,such as "Do you feel guilty?"
C) expressing an opinion about the patient's problem.
D) saying "I understand what you're saying."
Q3) A nurse documents: "Patient mute despite repeated efforts to elicit speech.No eye contact.Short attention span;less than 1 minute." Which nursing diagnosis should be considered?
A) Defensive coping
B) Risk for violence
C) Decisional conflict
D) Impaired verbal communication
Q4) "I'd like to hear more about your difficult relationships at work."
Q5) "There are people with problems much worse than yours."
Page 12
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Chapter 11: Understanding Responses to Stress
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) According to the Life Changing Event Questionnaire,which situation would most merit a complete assessment of a person's stress status and coping abilities?
A) A person returning to college after his employer ceased operations.
B) A man who whose job is requiring him to relocate to a different city.
C) A person who has been assigned more responsibilities at work.
D) A man who recently separated from his wife because of marital problems.
Q2) A patient reports that he is overwhelmed by stress.Which question would be most important to use in assessing the patient during your first meeting?
A) "Tell me about the kinds of things you do to reduce or cope with your stress."
B) "Tell me about your family history-do any relatives have problems with stress?"
C) "Tell me about exercise-how far do you typically run when you go jogging?"
D) "Stress can interfere with sleep.How much did you sleep last night?"
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Chapter 12: Anxiety and Anxiety Disorders
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) A patient tells the nurse that she wants her physician to prescribe diazepam (Valium)for anxiety reduction.The physician has prescribed buspirone (BuSpar).The nurse's reply should be based on the knowledge that buspirone:
A) can be administered as a PRN medication.
B) does not increase the risk of blood dyscrasias.
C) is not habituating or likely to be abused.
D) is faster acting than benzodiazepine drugs.
Q2) The nurse interviewing a patient with suspected posttraumatic stress disorder should be alert to findings indicating the patient: Select all that apply.
A) experiences flashbacks or re-experiences trauma.
B) demonstrates hypervigilance or distrusts.
C) feels detached,estranged,or empty inside.
D) feels driven to repeat ritualistic behaviors.
E) avoids people and places that arouse painful memories.
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Chapter 13: Depressive Disorders
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) A patient who became severely depressed after losing her job tells the nurse that she is not worth the time the nurse spends with her.The patient often mentions that she is "the worst person in the world." On the basis of this data,which nursing diagnosis is most appropriate?
A) Powerlessness
B) Defensive coping
C) Low self-esteem
D) Disturbed identity
Q2) A severely depressed patient with psychomotor retardation has begun activities therapy.His schedule is: 9 AM,ceramics;10 AM,exercise group;11 AM to noon,open;noon,lunch.The nurse creating the patient's schedule should opt to fill the hour block from 11 AM to noon with:
A) group therapy.
B) a rest period.
C) reminiscence group.
D) individual counseling.
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15
Chapter 14: Bipolar Disorders
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Sample Questions
Q1) A patient with bipolar disorder commands another patient,"Change the television channel.Get me something to drink ," and so forth.The nurse wants to interrupt this behavior without entering into a power struggle with the patient.Select the nurse's best approach.
A) Distraction: "Let's go to the dining room for a snack."
B) Humor: "How much are you paying servants these days?"
C) Limit setting: "You must stop ordering other patients around."
D) Honest feedback: "Your behavior is annoying other patients."
Q2) Treatment planning for a patient with grandiose thinking associated with acute mania will focus on:
A) developing an optimistic outlook.
B) distorted thought self-control.
C) interest in the environment.
D) body image.
Q3) Which assessment findings would be expected for a patient diagnosed with bipolar I disorder?
A) Rapid cycling
B) Major depression and acute mania
C) Major depression and/or hypomania
D) Hypomania and/or minor depression
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Chapter 15: Schizophrenia
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Sample Questions
Q1) A male patient diagnosed with paranoid schizophrenia typically relates effectively with female staff but angrily tells the male nurse,"You act like a homosexual.None of the men trust you or want to be around you." The nurse,who is heterosexual,is perplexed by the patient's statements and discusses the event with his mentor.Which explanation most likely underlies the patient's behavior?
A) The patient was unleashing unconscious,hostile feelings toward the nurse.
B) The patient feared the nurse would reject him,so he coped by rejecting the nurse first.
C) It was the patient's way of distancing himself from potential emotional intimacy.
D) The patient was coping with homosexual urges by projecting them onto the nurse.
Q2) A patient with schizophrenia tells the nurse "I don't know,it's just all the same.You never know.It comes,it goes,it blows away.Get it?" The best response for the nurse to make would be:
A) "Nothing you are saying is clear;you are not making sense."
B) "Yes,life can be like that sometimes,very confusing."
C) "Try to organize your thoughts and then tell me again."
D) "I am having difficulty understanding what you are saying."
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Chapter 16: Eating Disorders
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Sample Questions
Q1) A patient with anorexia nervosa in outpatient treatment has begun refeeding.Between the first and second appointment,the patient gained 8 pounds.The nurse should:
A) praise the weight gain.
B) assess lung sounds and extremities.
C) suggest implementation of an exercise program.
D) establish a higher target for weight gain for the next week.
Q2) When teaching a patient with binge-purge bulimia,the nurse should give priority to information about:
A) self-monitoring of daily food and fluid intake.
B) establishing the desired daily weight gain.
C) symptoms of hypokalemia.
D) self-esteem maintenance.
Q3) Appropriate teaching for a patient with bulimia nervosa who binges and purges is:
A) not to skip meals or restrict food.
B) to eat a small meal after purging.
C) eat a large breakfast but no lunch.
D) increase nutritional intake after 4 PM.
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Chapter 17: Cognitive Disorders
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Sample Questions
Q1) A patient with stage 1 Alzheimer's disease complains of low energy.She prefers to remain at home rather than attend club meetings and church.Her husband has been doing the grocery shopping because his wife cannot remember what to purchase and is unable to find her way around the store unassisted.Which nursing diagnosis would be most appropriate for this patient?
A) Risk for injury
B) Impaired memory
C) Self-care deficit
D) Caregiver role strain
Q2) What should the priority nursing diagnosis be for a patient with fluctuating levels of consciousness,disorientation,and visual and tactile hallucinations?
A) Self-care deficit
B) Risk for injury
C) Disturbed thought processes
D) Fear
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19
Chapter 18: Addictive Disorders
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Sample Questions
Q1) A nurse prepares for an initial interaction with a patient with a long history of methamphetamine abuse.Which is the nurse's best first action?
A) Perform a thorough assessment of the patient.
B) Verify that security services are immediately available.
C) Self-assess personal attitude,values,and beliefs about this health problem.
D) Obtain a face shield.Oral hygiene is poor in methamphetamine abusers.
Q2) A new patient beginning an alcoholism rehabilitation program says,"I'm just a social drinker.I usually have one drink at lunch,two in the afternoon,wine at dinner,and a few drinks during the evening." Select the nurse's most therapeutic responses.Select all that apply.
A) "I see," and use interested silence.
B) "I think you are drinking more than you report."
C) "Social drinkers have one or two drinks,once or twice a week."
D) "You describe drinking steadily throughout the day and evening."
E) "Your comments show denial of the seriousness of your problem."
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Chapter 19: Personality Disorders
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Sample Questions
Q1) A patient with borderline personality disorder has cut her wrists.The physician orders daily dressing changes for the lacerations.The nurse performing this care should:
A) encourage the patient to vent anger and aggression.
B) provide care in a matter-of-fact manner.
C) be kindly,sympathetic,and concerned.
D) offer to listen to the patient's feelings about cutting.
Q2) A worker is characterized by her co-workers as "painfully shy" and lacking in self-confidence.Her co-workers say she stays in her cubicle all day,never coming out for breaks or lunch.One day after falling on the ice in the parking lot,she goes to the nurse's office,where she apologizes for falling and mentions that she hopes the company will not fire her for being so clumsy.With which diagnosis is this presentation most consistent?
A) Avoidant
B) Dependent
C) Histrionic
D) Paranoid
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Chapter 20: Sleep Disorders
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Sample Questions
Q1) Which sleep disturbance would be most likely for a patient with bipolar I disorder?
A) Early morning awakening
B) Fragmentation of sleep
C) Decreased REM sleep
D) Hypersomnia
Q2) A patient reports,"The medication prescribed to help me get to sleep worked well for about a month,but now it's gone and my insomnia is worse than ever.I had nightmares the last 2 nights." Which type of medication did the health care provider most likely prescribe?
A) Hypnotic
B) Tricyclic antidepressant
C) Conventional antipsychotic
D) Central nervous system stimulant
Q3) Normally,most people sleep at night.What is the physiological rationale?
A) The master biological clock responds to darkness with sleep.
B) Darkness stimulates histamine release,which promotes sleep.
C) Cooler environmental temperatures stimulate retinal messages.
D) Stimulation of the sympathetic nervous system promotes sleep.
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Chapter 21: Sexual Dysfunction and Sexual Disorders
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Sample Questions
Q1) A man is admitted to an inpatient mental health unit after arrest for attempting sexual contact with a minor.Which medication would the nurse most expect to be prescribed? Select all that apply.
A) Haloperidol (Haldol),a first generation antipsychotic drug
B) Medroxyprogesterone acetate (MPA),an analog of progesterone
C) Clonazepam (Klonopin),a benzodiazepine antianxiety drug
D) Cyproterone acetate (CPA),an inhibitor of testosterone
E) Serotonergic antidepressants such as fluoxetine (Prozac)
Q2) A woman consults the nurse practitioner because she has not been able to have an orgasm,despite having been sexually active for 2 years.This is an example of:
A) anorgasmia.
B) dyspareunia.
C) diminished desire.
D) low libido.
Q3) Which of these statements about erectile dysfunction is accurate?
A) When present in young men,the cause is usually physical.
B) It can be caused by medication,anxiety,or depression.
C) Acquired erectile dysfunction affects about 40% of males.
D) It is usually treated via individual and couples counseling.
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Page 23
Chapter 22: Somatoform, Factitious, and Dissociative Disorders
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Q1) The husband of a patient who has been diagnosed with severe dissociative disorder asks the nurse if he is in any way at fault for his wife's illness.He states their relationship is mutually supportive,and no trauma has recently occurred.Which response would be most therapeutic and best illustrates our current understanding of the etiology of such disorders?
A) "We think the disorder is caused by trauma or abuse early in life.You seem very concerned about your wife;we could talk about your concerns if you like."
B) "I doubt there is anything you could have done that made it worse or could do to make it better,because we think it is primarily a genetic disorder you are born with."
C) "These disorders arise from within the person;they are just something the rest of us have to be supportive about until they get better on their own."
D) "These conditions are understandably frustrating;it's hard to imagine why a person would put their loved ones through what they do."
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Chapter 23: Crisis and Disaster
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Sample Questions
Q1) A factory abruptly closes.An office worker initially tries to take it in stride,begins the job search,and networks with peers.Five weeks later,he has not received a single call-back from a prospective employer.He cannot sleep,is irritable,does not want to interact with his family or peers,paces,and spends several hours most days alone in a local bar.He has given up applying for jobs.Which three nursing diagnoses would be the highest priority at this time? Select all that apply.
A) Risk for self-injury
B) Risk for compromised resilience
C) Ineffective denial
D) Ineffective coping
E) Chronic low self-esteem
Q2) The crisis that occurs as an individual moves from young adulthood to middle age and becomes concerned with loss of his youthful appearance would be assessed by the nurse as a(n)____ crisis.
A) situational
B) maturational
C) reactive
D) adventitious
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Chapter 24: Suicide
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Q1) A patient who has been depressed for the past several months presents in the clinic stating,"I'm at the end of my rope." Which of the following inquiries would be most effective to use for assessing suicide risk?
A) "You seem very depressed and stressed.What is that like for you? What sort of feelings are you having when you say that?"
B) "Tell me more about what you mean when you say you're at the end of your rope-are you thinking about killing yourself?"
C) "Tell me about your family history.Do you have relatives or ancestors who suffered from depression?"
D) "Tell me about your depression and being at the end of your rope;what are you thinking and feeling?"
Q2) When suicidal patients are admitted to a hospital,objects that can easily be used for self-harm are removed from their possession.The rationale for this intervention is that:
A) the patient's environment must be made completely safe.
B) psychiatric patients cannot be trusted with dangerous objects.
C) it shows staff are alert,so the patient won't even try suicide.
D) removing harmful objects conveys concern and reduces risk.
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Chapter 25: Anger, Aggression, and Violence
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Sample Questions
Q1) Which statement about aggression would accurately serve as a basis for care planning?
A) Brain injury or disorders are often blamed for,but rarely contribute to,violence.
B) Some people are biologically predisposed to become irritated or angry more easily.
C) Aggression is an innate behavior rather than a learned response to frustration.
D) Mature persons with patterns of effective coping almost never behave violently.
Q2) An elderly patient with multi-infarct dementia is striking out with her arms and kicking at people who walk past in the hall.The nurse determines that the patient believes she is at home and that the other patients have broken into her home.The clinical nurse specialist suggests that staff use validation.Which of the following responses reflect this intervention?
A) "I'm a nurse who has come to check on you.Tell me about your home."
B) "You are in a nursing home.The others here are patients,just like you are."
C) "I wish you could be home,but you have been sick and are in a nursing home."
D) "You are not at home.This is a nursing home.It is September 10th,2010."
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Chapter 26: Child, Older Adult, and Intimate Partner Abuse
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Q1) An 11-year-old boy stays home from school to care for his siblings while his mother works,because the family cannot afford a babysitter.During the community mental health nurse's visit,he reveals that he thinks his father does not like him because he calls him "stupid" all the time.He states he is too dumb to learn much and has no friends at school because he does not deserve them.Which nursing diagnosis should be the priority for the child?
A) Helplessness
B) Knowledge deficit
C) Ineffective coping
D) Chronic low self-esteem
Q2) A woman has been severely beaten by her husband,has no relatives or friends in the community,is afraid to return home,has no financial resources of her own,and has no job skills.Which would be the most important referral for the nurse to make?
A) Community food cupboard
B) Vocational counseling
C) Law enforcement
D) Safe house or shelter
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Chapter 27: Sexual Assault
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Sample Questions
Q1) A woman,abducted and raped at gunpoint by an unknown assailant,was found confused and disoriented.The nurse makes these observations about the patient:
O talking rapidly in disjointed phrases
O unable to concentrate
O indecisive when asked to make simple decisions
What is the patient's level of anxiety?
A) Weak
B) Mild
C) Moderate
D) Severe
Q2) A woman was bound,taken to a remote location,and raped at gunpoint.When found,she was examined and treated in the emergency department.Which aspect of this crisis produced the greatest amount of psychological trauma?
A) The threat to her life
B) Collection of evidence
C) Physical pain experienced
D) Being in a remote location
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Chapter 28: Disorders of Children and Adolescents
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) Sustained release methylphenidate (Concerta)was administered to a child with ADHD.Which finding best indicates the medication was effective?
A) Increased expressiveness in communication with others.
B) Improved ability to participate in play with other children.
C) Ability to identify anxiety and implement self-control strategies.
D) Improved socialization skills with other children and authority figures.
Q2) The child most likely to receive risperidone (Risperdal)to manage symptoms is one diagnosed with:
A) attention deficit hyperactivity disorder.
B) pervasive developmental disorder.
C) obsessive-compulsive disorder.
D) posttraumatic stress disorder.
Q3) Which health problems are likely to have familial patterns? Select all that apply.
A) Posttraumatic stress disorder
B) Separation anxiety disorder
C) Adjustment disorder
D) Asperger's disorder
E) Tourette's disorder
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Chapter 29: Psychosocial Needs of the Older Adult
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Sample Questions
Q1) Discharge planning begins for an elderly patient hospitalized for 2 weeks with major depression.The patient needs ongoing assessment,socialization opportunities,and education about medication and relapse prevention.The patient lives with a daughter,who works during the week.Select the best referral for this patient.
A) Behavioral health home care
B) A skilled nursing facility
C) Partial hospitalization
D) A halfway house
Q2) Which risk factors predispose a patient to development of geriatric alcohol abuse?
Select all that apply.
A) Stopped attending school in the eighth grade
B) Mild recent memory impairment
C) Death of spouse
D) Retirement
E) Loneliness
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Chapter 30: Serious Mental Illness
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Sample Questions
Q1) A judge notices that many of the persons brought before her criminal court are mentally ill people who have committed minor offenses,are off their medications,and who probably offended because of their illness.She consults the nurse director of the local community mental health center for guidance about how to most helpfully respond when handling such cases.Which advice from the nurse would be most appropriate?
A) "Sometimes a little time in jail makes a person rethink what they've been doing and puts them back on the right track."
B) "Sentencing such persons to participate in treatment instead of incarcerating them has been shown to reduce repeat offenses."
C) "Actually,police arresting these people helps them in the long run;sometimes I can't hospitalize them,but in jail they'll at least get their meds."
D) "Research suggests that special 'mental health courts' aren't making much of a difference so far,but outpatient commitment does seem to help."
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Chapter 31: Psychological Needs of Patients With Medical Conditions
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Q1) A staff nurse tells the clinical nurse leader,"I am at a total loss as to how to deal with this patient.He has so many physical needs since his head and neck surgery! Those needs have to be my primary focus,but sometimes it seems he's crying and in emotional pain too,and I don't know how to help with that." Which resource would likely be the best choice to help this nurse?
A) Psychiatric liaison nurse
B) On-call psychiatrist
C) Unit social worker
D) Hospital chaplain
Q2) A patient hospitalized after an MI is restlessly moving about in bed.Her pulse,blood pressure,and respiratory rate are elevated.In a shaky voice,she tells the nurse,"I think I am going to die.The pain is gone,but it could come back anytime.Where is the doctor? Why isn't the doctor here with me?" The nurse should analyze this behavior as suggesting the nursing diagnosis of:
A) Spiritual distress.
B) Ineffective breathing pattern.
C) Nonadherence.
D) Anxiety.
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Sample Questions
Q1) The grieving process is more difficult when a person:
A) has experienced many previous losses in life.
B) was emotionally independent of the deceased.
C) had few unresolved conflicts with the deceased.
D) recognizes the deceased was an elderly person,so it was time for death.
Q2) A woman just received notification that her husband died.She approaches the nurse who cared for him during his last hours and says angrily,"If you had given him your undivided attention,he would still be alive." Which analysis applies?
A) The comment warns of a malpractice suit.
B) Anger is a phenomenon experienced during grieving.
C) The patient had ambivalent feelings about her husband.
D) In some cultures,grief is expressed solely through anger.
Q3) A woman grieving her husband's sudden death tells the nurse,"Yesterday,I saw my husband walk through the door,smile at me,but then he just faded away." Select the nurse's most appropriate action.
A) Assess for substance use and abuse.
B) Assess the patient's psychiatric history.
C) Refer the patient to the mental health center.
D) Counsel that visualizations are a normal part of grieving.
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Page 34
Chapter 33: Forensic Psychiatric Nursing
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Q1) The psychiatric forensic nurse describes her work as follows: "I apply my knowledge of psychopathology as I investigate and reconstruct the crime and attempt to understand the criminal's reasoning process.This allows me to compile information on the type of individual who most likely would have committed the crime." The work the nurse describes is that of the:
A) forensic examiner.
B) competency therapist.
C) hostage negotiator.
D) criminal profiler.
Q2) The psychiatric forensic nurse examiner has been asked by the defendant's lawyer to determine the patient's legal sanity.The priority task of the nurse will be to:
A) determine if the defendant understands the charges and can assist in his own defense.
B) reconstruct the defendant's mental state and motives at the time of the crime.
C) complete a risk assessment to determine if he is a danger to self or others.
D) collect and compile evidence to determine whether a crime was committed.
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Chapter 34: Therapeutic Groups
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Sample Questions
Q1) The nurse is co-leader of a group.The guidelines followed by the leaders include focusing on recognizing dysfunctional behavior and thinking patterns,then identifying and practicing alternate behaviors and thinking that are more adaptive.What theory is represented by this group approach?
A) Behavioral
B) Interpersonal
C) Psychodynamic
D) Cognitive-behavioral
Q2) "We aren't getting much done;let's speed things up and make our decision."
A) Playboy
B) Energizer
C) Organizer
D) Gatekeeper
E) Follower
Q3) "Last week we finished our first goal,and today we are starting on our second."
A) Playboy
B) Energizer
C) Organizer
D) Gatekeeper
E) Follower
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Chapter 35: Family Interventions
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Sample Questions
Q1) Since the death of their youngest son,Mr.and Mrs.Jones have been missing work and leaving their surviving children,aged 8 and 10 years,to make their own dinners as best they can.The children are wearing dirty clothes and are sometimes inadequately clothed.Which outcome would be most appropriate to identify for this family?
A) Children will demonstrate improved self-sufficiency.
B) Family will demonstrate effective problem-solving skills.
C) Parents will demonstrate effective parental role function.
D) Family will display understanding of each others' emotional needs.
Q2) A 16-year-old girl is old enough to drive,but her parents do not want her to,although they will not explain why.Her 14-year-old sister has been invited to several sleepovers,but her parents find reasons not to grant permission.Both children are also annoyed because the parents buy them clothes that are more suitable for younger children,resulting in teasing at school.The parents explain to the nurse that they just don't want their kids "growing up too fast." The nurse would recognize that family boundaries are:
A) enmeshed.
B) clear.
C) differentiated.
D) rigid.
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Page 37
Chapter 36: Integrative Care
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Q1) When a patient wishes to learn more about alternative or complementary treatments,the nurse should refer the patient to the:
A) American Medical Association.
B) American Nurses Association.
C) National League for Nursing.
D) National Center for Complementary and Alternative Medicine.
Q2) A patient tells the nurse,"I prefer to try to treat my physical problems with CAM remedies.After all,they are natural substances,and natural products are safe." Which response by the nurse would be most appropriate?
A) "Natural substances do tend to be safer than conventional medical remedies."
B) "The word natural can be a marketing term used to imply that a product is healthy,but it's not always true."
C) "Most natural substances have more side effects than conventional remedies."
D) "Natural remedies give you the idea that you are controlling your treatment."
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