Question: The parent of an adult diagnosed with severe and persistent mental illness asks the nurse, “Why are you making a referral to that vocational rehabilitation program? My child won’t ever be able to hold a job.” Which is the nurse’s best reply?
Answer Choices: a. “We made this referral to maintain eligibility for federal funding.” b. “Are you concerned that we’re trying to make your child too independent?” c. “If you think the program would be detrimental, we can postpone it for a time.” d. “Most patients are capable of employment at some level, competitive or supported.”
Answer: d. “Most patients are capable of employment at some level, competitive or supported.”
Question: 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?
Answer Choices: a. Stress intolerance disorder b. Generalized anxiety disorder (GAD) c. Borderline personality disorder d. Adult attention-deficit/hyperactivity disorder (ADHD)
Answer: d. Adult attention-deficit/hyperactivity disorder (ADHD)
Question: A patient says, “I often make careless mistakes and have trouble staying focused. Sometimes it’s hard to listen to what someone is saying. I have problems putting things in the right order and often lose equipment.” Which problem should the nurse document?
Answer Choices: a. Inattention b. Impulsivity c. Hyperactivity d. Social impairment
Answer: a. Inattention
Question: A nurse prepares for an initial interview with a patient with suspected adult attention-deficit/hyperactivity disorder (ADHD). Questions should be focused to elicit information about which problem?
Answer Choices: a. Headaches b. Inattention c. Sexual impulses d. Trichotillomania
Answer: b. Inattention
Question: A nurse prepares a plan of care for a patient diagnosed with adult attention-deficit/hyperactivity disorder (ADHD). Which intervention should be included?
Answer Choices: a. Remind the patient of priorities and deadlines. b. Teach work-related skills, such as basic computer literacy. c. Establish penalties for failing to organize and prioritize tasks. d. Encourage dependency by performing tasks for the patient.
Answer: a. Remind the patient of priorities and deadlines.
Question: The treatment team believes medication will help a patient diagnosed with adult attention-deficit/hyperactivity disorder (ADHD). Which class of medications does the nurse expect will be prescribed?
Answer Choices: a. Benzodiazepines b. Stimulants c. Antipsychotics d. Anxiolytics
Answer: b. Stimulants
Question: An adult diagnosed with attention-deficit/hyperactivity disorder (ADHD) says, “I’ve always been stupid. I never had friends when I was a child. My parents often punished me because I made mistakes. Now, I can’t keep a job.” The nurse managing care should consider suggesting what intervention?
Answer Choices: a. Aversive therapy to extinguish negative behaviors. b. Cognitive therapy to help address internalized beliefs. c. Group therapy to allow comparison of feelings with others. d. Vocational counseling to identify needed occupational skills.
Answer: b. Cognitive therapy to help address internalized beliefs.
Question: A nurse counsels a patient diagnosed with serious and persistent mental illness. The patient lives at home with family. Which resource could the nurse suggest assisting the patient and family to cope with the stigma of mental illness as well as provide support and education?
Answer Choices: a. American Psychiatric Association (APA) b. National Alliance on Mental Illness (NAMI) c. Community Mental Health Centers (CMHCs) d. Programs of Assertive Community Treatment (PACT)
Answer: b. National Alliance on Mental Illness (NAMI)
Question: Which nursing action should occur first when preparing to work with a patient who has a problem of sexual functioning?
Answer Choices: a. Acquire knowledge of the patient’s sexual roles and preferences. b. Develop an understanding of human sexual responses. c. Assess the patient’s sexual functioning. d. Clarify the nurse’s own personal values.
Answer: d. Clarify the nurse’s own personal values.
Question: A patient tells the nurse, “My sexual functioning is normal when my partner wears lace. Without it, I’m not interested in sex.” This comment evidences which sexual disorder?
Answer Choices: a. Exhibitionism b. Voyeurism c. Pedophilia d. Fetishism
Answer: d. Fetishism
Question: A man tells the nurse, “All my life, I have felt and acted like a woman while living in a man’s body. For the past year, I have lived and dressed as a woman. I changed jobs to protect my new identity. Which request is the patient most likely to make to the health care provider?
Answer Choices: a. “Can you refer me for psychological testing?” b. “Will you prescribe hormone therapy?” c. “Will you alter my medical records?” d. “What should I tell my parents?”
Answer: b. “Will you prescribe hormone therapy?”
Question: The manager of a health club put a hidden camera in the women’s locker room and videotaped women as they showered and dressed. Which sexual dysfunction is evident?
Answer Choices: a. Frotteurism b. Exhibitionism c. Pedophilia d. Voyeurism
Answer: d. Voyeurism
Question: Before working with patients regarding sexual concerns, what is a prerequisite for providing nonjudgmental care?
Answer Choices: a. Sympathy b. Assertiveness training c. Sexual self-awareness d. Effective communication
Answer: c. Sexual self-awareness
Question: An adult has been feeling significant tension since losing a home through foreclosure. This person goes to a park, feeds the birds, and then impulsively exposes himself to a group of parents and children. Which term applies to this behavior?
Answer Choices: a. Frotteurism b. Voyeurism c. Exhibitionism d. Sexual masochism
Answer: c. Exhibitionism
Question: A nurse cares for a patient diagnosed with paraphilia. The nurse expects the health care provider may prescribe which type of medication to reduce paraphilic behaviors?
Answer Choices: a. Stimulants b. Erectile dysfunction medication c. Atypical antipsychotic medication d. Mood stabilizer
Answer: d. Mood stabilizer
Question: A patient diagnosed with severe and persistent mental illness who recently moved to a homeless shelter says, “My life is out of control. I’m like a leaf at the mercy of the wind.” The nurse formulates the diagnosis Powerlessness. Outcomes will focus on which goal?
Answer Choices: a. Instilling hope b. Controlling anxiety c. Planning social activities d. Developing personal autonomy
Answer: d. Developing personal autonomy
Question: What information should a nurse include in health teaching for adults diagnosed with attention-deficit/hyperactivity disorder (ADHD) and their significant others? (Select all that apply.)
Answer Choices: a. Tendency for genetic transmission b. Prevention strategies related to substance abuse c. Negative reinforcement strategies to help modify behaviors d. Selective serotonin reuptake inhibitors (SSRIs) are usually prescribed for hyperactivity e. Cognitive therapy may help resolve internalized negative beliefs about self
Answer: a. Tendency for genetic transmission b. Prevention strategies related to substance abuse e. Cognitive therapy may help resolve internalized negative beliefs about self
Question: An adult patient tells the case manager, “I don’t have bipolar disorder anymore, so I don’t need medicine. After I was in the hospital last year, you helped me get an apartment and disability checks. Now I’m bored and don’t have any friends.” Which resources should the nurse suggest for the patient? (Select all that apply.)
Answer Choices: a. Psychoeducation classes b. Social skills training c. Family therapy d. Cognitive behavioral therapy group e. Vocational rehabilitation
Answer: a. Psychoeducation classes b. Social skills training d. Cognitive behavioral therapy group