Answer Options:
a. Attention-deficit/hyperactivity disorder (ADHD)
b. Childhood depression
c. Conduct disorder (CD)
d. Autism spectrum disorder (ASD)
Answer: C
Question: A patient asks the nurse, “I already have a living will. Why should I have a durable power of attorney for health care also?” The nurse should provide what as the truth related to a durable power of attorney for health care?
a. It gives your agent the authority to make decisions about your care if you are unable to during any illness.
b. It can be given only to a relative, usually the next of kin, who has your best interests at heart.
c. It authorizes your physician to make decisions about your care that are in your best interest.
Answer: A
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 Options:
a. Exhibitionism
b. Voyeurism
c. Pedophilia
d. Fetishism
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 Options:
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: s:
A, B, E
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 Options:
a. Voyeurism
b. Frotteurism
c. Exhibitionism
d. Sexual masochism
Answer: C
Question: Before working with patients regarding sexual concerns, what is a prerequisite for providing nonjudgmental care?
Answer Options:
a. Sympathy
b. Assertiveness training
c. Sexual self-awareness
d. Effective communication
Answer: C
Question: An older adult with a history of major depressive disorder has taken an antidepressant daily for 3 years. The patient tells the nurse, “I want to stop taking this medication. I don’t think I need it anymore.” What is the nurse’s best response to assure safety the patient’s safety?
a. “Why do you think you don’t need this medication anymore?”
b. “Have you talked with your family members about this decision?”
c. “If you stop the medication, your depression will return worse than ever.”
d. “This medication should be gradually stopped. Let’s talk to your health care provider about a plan.”
Answer: D
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 Options:
a. Headaches
b. Inattention
c. Sexual impulses
d. Trichotillomania
Answer: B
Question: Which description of patient behavior best applies to a hallucination?
Answer Options:
a. Looking at shadows on a wall and says, “I see scary faces”
b. Stating, “I feel bugs crawling on my legs and biting me”
c. Becoming anxious when the nurse leaves his or her bedside
d. Trying to hit the nurse when vital signs are taken
Answer: b. Stating, “I feel bugs crawling on my legs and biting me”
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 Options:
a. Stress intolerance disorder
b. Generalized anxiety disorder (GAD)
c. Borderline personality disorder
d. Adult attention-deficit/hyperactivity disorder (ADHD)
Answer: D
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 Options:
a. Stimulants
b. Erectile dysfunction medication
c. Atypical antipsychotic medication
d. Mood stabilizer
Answer: D
Question: Which nursing diagnosis would likely apply both to a patient diagnosed with schizophrenia as well as a patient diagnosed with amphetamine-induced psychosis?
Answer Options:
a. Powerlessness
b. Disturbed thought processes
c. Ineffective thermoregulation
d. Impaired oral mucous membrane
Answer: b. Disturbed thought processes
Question: A
74-year-old patient is regressed and apathetic. This patient responds to others only when they initiate the interaction. Which therapy would be most useful to promote resocialization?
a. Medication
b. Re-motivation
c. Group psychotherapy
d. Individual psychotherapy
Answer: B
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 Options:
a. Benzodiazepines
b. Stimulants
c. Antipsychotics
d. Anxiolytics
Answer: B
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.)
Answer Options:
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, E
Question: A nurse caring for an older adult patient population should be familiar with which legal and ethical issues that are common concerns for this group? (Select all that apply.)
a. Physical abuse
b. Emotional abuse
c. Autonomous decision making
d. Financial abuse
e. Need for medication therapy
Answer: A, C