Question: A 12-year-old child has been the neighborhood bully for several years. The parents say, “We can’t believe anything our child says.” Recently, the child shot a dog with a pellet gun and set fire to a trash bin outside a store. The child’s behaviors are most consistent with which disorder? a. Conduct disorder (CD)
A 12-year-old child has been the neighborhood bully for several years. The parents say, “We can’t believe anything our child says.” Recently, the child shot a dog with a pellet gun and set fire to a trash bin outside a store. The child’s behaviors are most consistent with which disorder? a. Conduct disorder (CD) b. Defiance of authority c. Anxiety over separation from a parent d. Attention-deficit/hyperactivity disorder (ADHD) Correct Answer a. Conduct disorder (CD)
Question: The parent of a child diagnosed with Tourette’s disorder says to the nurse, “I think my child is faking the tics because they come and go.” Which response by the nurse is accurate? a. “Perhaps your child was misdiagnosed.” b. “Your observation indicates the medication is effective.” c. “Tics often change frequency or severity. That does not mean they aren’t real.”
The parent of a child diagnosed with Tourette’s disorder says to the nurse, “I think my child is faking the tics because they come and go.” Which response by the nurse is accurate? a. “Perhaps your child was misdiagnosed.” b. “Your observation indicates the medication is effective.” c. “Tics often change frequency or severity. That does not mean they aren’t real.” d. “This finding is unexpected. How have you been administering your child’s medication?” Correct Answer c. “Tics often change frequency or severity. That does not mean they aren’t real.”
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? a. Assign the child to a short time-out. b. Administer an antipsychotic medication.
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? 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 subdue the child. Correct 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? 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.
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? 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. Correct 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?
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? a. Resiliency b. Shy temperament c. Early posttraumatic stress disorder d. Uses intellectualization to deal with problems Correct Answer a. Resiliency
Question: A parent diagnosed with schizophrenia and 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? a. Suggest foster home placement.
A parent diagnosed with schizophrenia and 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? a. Suggest foster home placement. b. Seek assistance from an intimate partner violence program. c. Make referrals for existing and emerging developmental needs. d. Encourage healthy characteristics evidenced in relationships. Correct Answer d. Encourage healthy characteristics evidenced in relationships.
Question: Which behavior indicates that the treatment plan for a child diagnosed with autism spectrum disorder was effective? 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.
Which behavior indicates that the treatment plan for a child diagnosed with autism spectrum disorder was effective? 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. Correct 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)? (Select all that apply.) a. ODD relives traumatic events by acting them out. b. ODD tests limits and disobeys authority figures.
What are the primary distinguishing factors between the behavior of children diagnosed with oppositional defiant disorder (ODD) and those diagnosed with conduct disorder (CD)? (Select all that apply.) 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. ODD uses stereotypical or repetitive language. e. CD often violates the rights of others. Correct Answer b. ODD tests limits and disobeys authority figures. e. CD often violates the rights of others.
Question: 2. A nurse prepares the plan of care for a 15-year-old adolescent diagnosed with moderate intellectual developmental disorder (IDD) is believed capable of achieving which goal within 5 years? (Select all that apply.) a. Live in graded or flat that the government provides. b. Obtain employment in a local sheltered workshop.
2. A nurse prepares the plan of care for a 15-year-old adolescent diagnosed with moderate intellectual developmental disorder (IDD) is believed capable of achieving which goal within 5 years? (Select all that apply.) a. Live in graded or flat that the government provides. b. Obtain employment in a local sheltered workshop. c. Correctly use public buses to travel in the community. d. Independently perform his or her own personal hygiene. e. Complete high school or earn a general equivalency diploma (GED). Correct Answer b. Obtain employment in a local sheltered workshop. c. Correctly use public buses to travel in the community. d. Independently perform his or her own personal hygiene.
Question: 3. 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.) a. Mental retardation b. Asperger’s disorder c. Autism spectrum disorder
3. 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.) a. Mental retardation b. Asperger’s disorder c. Autism spectrum disorder d. Pervasive developmental disorder e. Intellectual development disorder Correct 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? 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
Health maintenance and promotion efforts for patients diagnosed with severe mental illness should include education about the importance of what regular intervention? 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 Correct Answer c. Screening for cancer, hypertension, and diabetes
Question: How is severe and persistent mental best characterized? a. Mental illness within person 2 weeks’ duration. b. Severe illness present longer than 2 years. c. Major ongoing mental illness marked by significant functional impairments. d. Major mental illness that cannot be treated to relieve symptoms.
How is severe and persistent mental best characterized? a. Mental illness within person 2 weeks’ duration. b. Severe illness present longer than 2 years. c. Major ongoing mental illness marked by significant functional impairments. d. Major mental illness that cannot be treated to relieve symptoms. Correct Answer b. Severe illness present longer than 2 years.
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? a. Denial b. Identification c. Displacement d. Rationalization
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? a. Denial b. Identification c. Displacement d. Rationalization Correct 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? a. Insomnia b. Substance abuse c. Chronic low self-esteem d. Impaired environmental interpretation syndrome
Which nursing diagnosis is likely to apply to the plan of care for a homeless individual diagnosed with severe and persistent mental illness? a. Insomnia b. Substance abuse c. Chronic low self-esteem d. Impaired environmental interpretation syndrome Correct 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? a. Inadequate discharge planning b. Poor therapeutic alliance with clinicians
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? 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 Correct 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?
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? a. Grief b. Stigmatization c. Recidivism d. Lack of insurance parity Correct 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? a. Develop a relationship. b. Find supported employment. c. Administer prescribed medication. d. Teach appropriate health care practices.
A person diagnosed with severe and persistent mental illness enters a shelter for the homeless. Which intervention should be the nurse’s initial priority? a. Develop a relationship. b. Find supported employment. c. Administer prescribed medication. d. Teach appropriate health care practices. Correct 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? a. Encourage mutual goal setting. b. Verbally communicate empathy. c. Reinforce participation in activities.
A patient diagnosed with severe and persistent mental illness lives in a homeless shelter. The priority nursing diagnosis for this patient is Powerlessness. Which intervention should be included in the plan of care? a. Encourage mutual goal setting. b. Verbally communicate empathy. c. Reinforce participation in activities. d. Demonstrate an accepting attitude. Correct 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? a. “I am feeling safe and comfortable here. Nobody bothers me.”
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? 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.” Correct Answer a. “I am feeling safe and comfortable here. Nobody bothers me.”