Answer Options:
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. Give encouragement and strategies for managing ongoing attention and focus.
Answer: D
Question: A desired outcome for a 12-year-old diagnosed with oppositional defiant disorder (ODD) is to improve relationships with other children. Which treatment modality should the nurse suggest for the plan of care?
a. Bibliotherapy
b. Music therapy
c. Social skills groups
d. Behavior modification
Answer: c. Social skills groups
Question: A 5-year-old child moves and talks constantly. The child awakens before the parents every morning. The child attends kindergarten, but the teacher reports difficulty handling the behavior. What is this child’s most likely problem?
a. Tic disorder
b. Oppositional defiant disorder (ODD)
c. Intellectual development disorder (IDD)
d. Attention-deficit/hyperactivity disorder (ADHD)
Answer: d. Attention-deficit/hyperactivity disorder (ADHD)
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: A
Question: A nurse will prepare teaching materials regarding which medication for the parents of a child diagnosed with enuresis?
a. Haloperidol
b. Desmopressin
c. Methylphenidate
d. Carbamazepine
Answer: b. Desmopressin
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: B
Question: An individual with moderate intellectual developmental disorder progresses academically to about a second-grade level. What are the highest outcomes achievable for this person to demonstrate within 5 years? (Select all that apply.)
Answer Options:
a. Live in a general apartment.
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).
Answer: B, C, D
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 Options:
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
Question: A patient has been responding to auditory hallucinations throughout the day. The patient approaches the nurse, shaking a fist and shouting, “Back off!” and then goes into the day room. As the nurse follows the patient into the day room, the nurse should take what precaution?
Answer Options:
a. Making sure adequate physical space exists between the nurse and the patient
b. Moving into a position that allows the patient to be close to the door
c. Maintaining one arm’s length distance from the patient
d. Sitting down in a chair near the patient
Answer: a. Making sure adequate physical space exists between the nurse and the patient
Question: (Multiple Response):
Which statements most clearly indicate that the speaker views mental illness with stigma? (Select all that apply.)
Answer Options:
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: s:
A, B, E
Question: A 5-year-old child diagnosed with attention-deficit/hyperactivity disorder (ADHD) bounces out of a chair in the waiting room, runs across the room, and begins to slap another child. What is the nurse’s best action?
a. Call for emergency assistance from another staff member.
b. Instruct the parents to take the child home immediately.
c. Direct this child to stop, and then comfort the other child.
d. Take the child into another room with toys to act out feelings.
Answer: d. Take the child into another room with toys to act out feelings.
Question: (Multiple Response):
Which beliefs facilitate provision of safe, effective care for older adult patients? (Select all that apply.)
a. Sexual interest declines with aging.
b. Older adults are able to learn new tasks.
c. Aging results in a decline in restorative sleep.
d. Older adults are prone to become crime victims.
e. Older adults are usually lonely and socially isolated.
Answer: s:
B, C, D
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 Options:
a. Insomnia
b. Substance abuse
c. Chronic low self-esteem
d. Impaired environmental interpretation syndrome
Answer: C
Question: When group therapy is to be used as a treatment modality, the nurse should suggest placing a 9-year-old in a group that focuses on what?
Answer Options:
a. Play activities exclusively.
b. Group discussion exclusively.
c. Talk focused on a specific issue.
d. Play and then talk about the play.
Answer: D
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 Options:
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
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 accessing that can help family to cope with the stigma of mental illness as well as provide support and education?
Answer Options:
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
Question: Which finding would prompt the nurse to carefully assess an 8-year-old child for development of a psychiatric disorder?
Answer Options:
a. Being raised by a parent with chronic major depressive disorder
b. Moving to three new homes over a 2-year period
c. Not being promoted to the next grade
d. Having an imaginary friend
Answer: A
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 Options:
a. Encourage mutual goal setting.
b. Verbally communicate empathy.
c. Reinforce participation in activities.
d. Demonstrate an accepting attitude.
Answer: A
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 Options:
a. Instilling hope
b. Controlling anxiety
c. Planning social activities
d. Developing personal autonomy
Answer: D