Question: An 11-year-old child, who has been diagnosed with oppositional defiant disorder (ODD), becomes angry over the rules at a residential treatment program and begins shouting at the nurse. What is the best method to defuse the situation?
Answer Choices: a. Assign the child to a short time-out. b. Administer an antipsychotic medication. c. Place the child in a therapeutic hold. d. Call a staff member to the scene for support.
Answer: a. Assign the child to a short time-out.
Question: When a 5-year-old child is disruptive, the nurse says, “You must take a time-out.” The expectation is that the child will demonstrate what behavior?
Answer Choices: a. Go to a quiet room until called for the next meal. b. Slowly count to 20 before returning to the group activity. c. Sit on the edge of the activity until able to regain self-control. d. Sit quietly on the lap of a staff member until able to apologize for the behavior.
Answer: c. Sit on the edge of the activity until able to regain self-control.
Question: A parent diagnosed with schizophrenia and her 13-year-old child live in a homeless shelter. The child has formed a trusting relationship with a shelter volunteer. The child says, “My three friends and I got an A on our school science project.” The nurse can assess that the child is demonstrating what characteristic?
Answer Choices: a. Resiliency b. Shy temperament c. Early posttraumatic stress disorder d. Uses intellectualization to deal with problems
Answer: a. Resiliency
Question: A parent diagnosed with schizophrenia and a 13-year-old child live in a homeless shelter. The child has formed a trusting relationship with a volunteer. The teen says, “I have three good friends at school. We talk and sit together at lunch.” What is the nurse’s best suggestion to the treatment team?
Answer Choices: a. Suggest foster home placement. b. Seek assistance from an intimate partner violence program. c. Make referrals for existing and emerging developmental problems. d. Encourage healthy characteristics and existing environmental supports.
Answer: d. Encourage healthy characteristics and existing environmental supports.
Question: Which behavior indicates that the treatment plan for a child diagnosed with autism spectrum disorder was effective?
Answer Choices: a. Plays with one toy for 90 minutes. b. Repeats words spoken by a parent. c. Holds the parent’s hand while walking. d. Spins around and claps hands while walking.
Answer: c. Holds the parent’s hand while walking.
Question: What are the primary distinguishing factors between the behavior of children diagnosed with oppositional defiant disorder (ODD) and those diagnosed with conduct disorder (CD)? The child diagnosed with: (Select all that apply.)
Answer Choices: a. ODD relives traumatic events by acting them out. b. ODD tests limits and disobeys authority figures. c. ODD has difficulty separating from the parents. d. CD uses stereotypical or repetitive language. e. CD often violates the rights of others.
Answer: b. ODD tests limits and disobeys authority figures. e. CD often violates the rights of others.
Question: A nurse prepares the plan of care for a 15-year-old adolescent diagnosed with moderate intellectual developmental disorder (IDD) who is believed capable of ultimately functioning at a second-grade level. What are the highest outcomes realistic for this person to demonstrate within 3 years? (Select all that apply.)
Answer Choices: a. Obtain employment in a local sheltered workshop. b. Correctly use public buses to travel in the community. c. Independently perform his or her own personal hygiene. d. Complete high school or earn a general equivalency diploma (GED).
Answer: b. Correctly use public buses to travel in the community. c. Independently perform his or her own personal hygiene. d. Complete high school or earn a general equivalency diploma (GED).
Question: A nurse prepares to lead a discussion at a community health center regarding children’s health. The nurse wants to use current terminology when teaching about these issues. Which terms are appropriate for the nurse to use? (Select all that apply.)
Answer Choices: a. Mental retardation b. Asperger’s disorder c. Autism spectrum disorder d. Pervasive developmental disorder e. Intellectual development disorder
Answer: c. Autism spectrum disorder e. Intellectual development disorder
Question: Health maintenance and promotion efforts for patients diagnosed with severe mental illness should include education about the importance of what regular intervention?
Answer Choices: a. Home safety inspections b. Monitoring of self-care abilities c. Screening for cancer, hypertension, and diabetes d. Determination of adequacy of a patient’s support system
Answer: c. Screening for cancer, hypertension, and diabetes
Question: How is severe and persistent mental best characterized?
Answer Choices: a. Mental illness unresponsive to treatment over 2 weeks’ duration. b. Mental illness accompanied by physical impairment and severe social problems. c. Mental illness accompanied by physical impairment without social impairment. d. Major mental illness that cannot be treated to prevent deterioration of cognitive and social abilities.
Answer: b. Mental illness accompanied by physical impairment and severe social problems.
Question: A 37 year old is involuntarily committed to outpatient treatment after sexually molesting a 12-year-old child. The patient says, “That girl looked like she was 19 years old.” Which defense mechanism is this patient using?
Answer Choices: a. Denial b. Identification c. Displacement d. Rationalization
Answer: d. Rationalization
Question: Which nursing diagnosis is likely to apply to the plan of care for a homeless individual diagnosed with severe and persistent mental illness?
Answer Choices: a. Insomnia b. Substance abuse c. Chronic low self-esteem d. Impaired environmental interpretation syndrome
Answer: c. Chronic low self-esteem
Question: A patient diagnosed with schizophrenia tells the community mental health nurse, “I threw away my pills because they interfere with God’s voice.” The nurse identifies what as the likely cause of the patient’s ineffective management of the medication regimen?
Answer Choices: a. Inadequate discharge planning b. Poor therapeutic alliance with clinicians c. Impaired reasoning secondary to schizophrenia d. Dislike of the side effects of antipsychotic medications
Answer: c. Impaired reasoning secondary to schizophrenia
Question: A patient diagnosed with severe and persistent mental illness lives independently. This patient often has command hallucinations and shouts warnings to neighbors. After a short hospitalization, the patient’s landlord says, “You can’t come back here. You cause too much trouble.” What problem is the patient experiencing?
Answer Choices: a. Grief b. Stigmatization c. Recidivism d. Lack of insurance parity
Answer: b. Stigmatization
Question: A person diagnosed with severe and persistent mental illness enters a shelter for the homeless. Which intervention should be the nurse’s initial priority?
Answer Choices: a. Develop a relationship. b. Find supported employment. c. Administer prescribed medication. d. Teach appropriate health care practices.
Answer: a. Develop a relationship.
Question: A patient diagnosed with severe and persistent mental illness lives in a homeless shelter. The priority nursing diagnosis for this patient is Powerlessness. Which intervention should be included in the plan of care?
Answer Choices: a. Encourage mutual goal setting. b. Verbally communicate empathy. c. Reinforce participation in activities. d. Demonstrate an accepting attitude.
Answer: a. Encourage mutual goal setting.
Question: A homeless patient diagnosed with severe and persistent mental illness became suspicious and delusional. The patient was given depot antipsychotic medication and housing was arranged at a local shelter. After 2 weeks, which statement by the patient indicates significant improvement?
Answer Choices: a. “I am feeling safe and comfortable here. Nobody bothers me.” b. “They will not let me drink. They have many rules in the shelter.” c. “Those guys are always watching me. I think someone stole my shoes.” d. “That shot made my arm sore. I’m not going to take any more of them.”
Answer: a. “I am feeling safe and comfortable here. Nobody bothers me.”
Question: For patients diagnosed with severe and persistent mental illness, what is the major advantage of case management?
Answer Choices: a. Modification of traditional psychotherapy b. Efficient access and use of resources c. Focus on social skills training and self-esteem building d. Encouraging groups of patients to discuss common problems
Answer: b. Efficient access and use of resources
Question: The father of a child diagnosed with schizophrenia says, “I lost my job, so we have no health insurance.” The mother says, “I must watch this child all the time. Without supervision, our child becomes violent and destructive.” A sibling says, “My parents don’t pay attention to me.” These comments signify what related stress?
Answer Choices: a. Life-cycle stressors b. Psychobiological issues c. Family burden of mental illness d. Stigma associated with mental illness
Answer: c. Family burden of mental illness