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 likely to make to the health care provider? a. “Can you refer me for psychological testing?” b. “Will you assist me before hormonal therapy?” c. “Will you alter my medical records?” d. “What should I tell my parents?”
Answer Choices:
Answer: B
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
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
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. Voyeurism
B. Frotteurism
C. Exhibitionism
D. Sexual masochism
Answer: C
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
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
Question: (Multiple Response): Which interventions should a nurse consider for a patient diagnosed with adult attention-deficit/hyperactivity disorder (ADHD)? (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, B, E
Question: (Multiple Response): 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. Vocational rehabilitation
C. Social skills training
D. Homeless shelter
E. Crisis intervention
Answer: A, B, C
Question: (Multiple Response): Which economic factors are most critical to the success of discharge planning for a patient diagnosed with severe and persistent mental illness? (Select all that apply.)
Answer Choices:
A. Access to housing
B. Individual psychotherapy
C. Income to meet basic needs
D. Availability of health insurance
E. Ongoing interdisciplinary evaluation
Answer: A, C, D
Question: (Multiple Response): Which statements most clearly indicate that the speaker views mental illness with stigma? (Select all that apply.)
Answer Choices:
A. “Everyone is a little bit crazy.”
B. “If people with mental illness would go to church, their problems would be solved with faith.”
C. “Many mental illnesses are genetically transmitted. It is no one’s fault that the illness occurs.”
D. “Anyone can have a mental illness. War or natural disasters can be too stressful for healthy people.”
E. “People with mental illness are lazy. They expect the government to take care of everything they need.”
Answer: A, B, E
Question: A student nurse visiting a senior center tells the instructor, “It’s so depressing to see all these old people. They are so weak and frail. They are probably all confused.” The student is expressing what attitude? a. Reality b. Ageism c. Empathy d. Distrust
Answer Choices:
Answer: B
Question: A community mental health nurse plans an educational program for staff members at a home health agency that specializes in the care of older adults. What topic is of high priority? a. Identifying depression in older adults b. Providing cost-effective foot care for older adults c. Identifying nutritional deficiencies in older adults d. Psychosocial stimulation for those who live alone
Answer Choices:
Answer: A
Question: Which is the best statement for a nurse to use when beginning an interview with an older adult patient? a. “Hello, [call patient by first name]. I am going to ask you some questions to get to know you better.” b. “Hello. My name is [nurse’s name]. I am a nurse. Please tell me how you would like to be addressed by the staff.” c. “I am going to ask you some questions about yourself. I would like to call you by your first name if you don’t mind.” d. “You look as though you are comfortable and ready to participate in an admission interview. Shall we get started?”
Answer Choices:
Answer: B
Question: A loss incurred by a corporation
Answer Choices:
A. Must be carried forward unless the company has had 2 loss years in a row.
B. Can be carried back 2 years, then carried forward up to 20 years following the loss.
C. Can be carried back 5 years and forward 3 years.
D. Cannot be used to reduce taxes in other years except with special permission from the IRS.
E. Can be carried back 3 years or forward 10 years, whichever is more advantageous to the firm.
Answer: b
Question: Which of the following statements is CORRECT?
Answer Choices:
A. Since companies can deduct dividends paid but not interest paid, our tax system favors the use of equity financing over debt financing, and this causes companies’ debt ratios to be lower than they would be if interest and dividends were both deductible.
B. Interest paid to an individual is counted as income for federal tax purposes and taxed at the individual’s regular tax rate, which in 2014 could go up to 39.6%, but qualified dividends received were taxed at a maximum tax rate of 15% for individuals earning less than $400,000 and married taxpayers filing jointly earning less than $450,000.
C. The maximum federal tax rate on corporate income in 2014 was 50%.
D. Corporations obtain capital for use in their operations by borrowing and by raising equity capital, either by selling new common stock or by retaining earnings. The cost of debt capital is the interest paid on the debt, and the cost of the equity is the dividends paid on the stock. Both of these costs are deductible from income when calculating income for tax purposes.
E. The maximum federal tax rate on personal income in 2014 was 50%.
Answer: b