Answer Options:
a. Neologism
b. Idea of reference
c. Thought broadcasting
d. Associative looseness
Answer: d. Associative looseness
Question: A newly admitted patient who is acutely psychotic is a private patient of the senior psychiatrist. To whom does the psychiatric nurse who is assigned to this patient owe the duty of care?
Answer Options:
a. Health care provider
b. Profession
c. Hospital
d. Patient
Answer: d. Patient
Question: A patient reports symptoms of acute anxiety related to the death of a parent in an automobile accident 2 hours earlier. The nurse should anticipate administering a medication from which group for a short-term therapy?
Answer Options:
a. Tricyclic antidepressants
b. Atypical antipsychotics
c. Anticonvulsants
d. Benzodiazepines
Answer: d. Benzodiazepines
Question: What is the priority nursing diagnosis for a patient experiencing fluctuating levels of consciousness, disturbed orientation, and visual and tactile hallucinations?
Answer Options:
a. Bathing/hygiene self-care deficit related to altered cerebral function as evidenced by confusion and inability to perform personal hygiene tasks
b. Risk for injury related to altered cerebral function, misperception of the environment, and unsteady gait
c. Disturbed thought processes related to medication intoxication as evidenced by confusion, disorientation, and hallucinations
d. Fear related to sensory perceptual alterations as evidenced by the fear from imagined ferocious dogs
Answer: b. Risk for injury related to altered cerebral function, misperception of the environment, and unsteady gait
Question: A patient has delusions and hallucinations. Before beginning treatment with a psychotropic medication, the health care provider wants to rule out the presence of a brain tumor. For which test will a nurse need to prepare the patient?
Answer Options:
a. Cerebral arteriogram
b. Functional magnetic resonance imaging (fMRI)
c. Computed tomography (CT) scan or magnetic resonance imaging (MRI)
d. Positron emission tomography (PET) or single-photon emission computed tomography (SPECT)
Answer: c. Computed tomography (CT) scan or magnetic resonance imaging (MRI)
Question: A community mental health nurse has worked for 6 months to establish a relationship with a delusional, suspicious patient. The patient recently lost employment and stopped taking medications because of inadequate money. The patient says, “Only a traitor would make me go to the hospital.” Which solution is best?
Answer Options:
a. Arrange a bed in a local homeless shelter with nightly onsite supervision.
b. Negotiate a way to provide medication so the patient can remain at home.
c. Hospitalize the patient until the symptoms have stabilized.
d. Seek inpatient hospitalization for up to 1 week.
Answer: b. Negotiate a way to provide medication so the patient can remain at home.
Question: A nurse will prepare teaching materials regarding which medication for the parents of a child diagnosed with enuresis?
Answer Options:
a. Haloperidol
b. Desmopressin
c. Methylphenidate
d. Carbamazepine
Answer: b. Desmopressin
Question: Patients diagnosed with schizophrenia who are suspicious and withdrawn generally present with what additional characteristic?
Answer Options:
a. Universally fear sexual involvement with therapists.
b. Are socially disabled by the positive symptoms of schizophrenia.
c. Exhibit a high degree of hostility as evidenced by rejecting behavior.
d. Avoid relationships because they become anxious with emotional closeness.
Answer: D. Avoid relationships because they become anxious with emotional closeness.
Question: A patient’s care plan includes monitoring for auditory hallucinations. Which assessment findings suggest the patient may be hallucinating?
Answer Options:
a. Aloofness, haughtiness, suspicion
b. Darting eyes, tilted head, mumbling to self
c. Elevated mood, hyperactivity, distractibility
d. Performing rituals, avoiding open places
Answer: B. Darting eyes, tilted head, mumbling to self
Question: The following patients are seen in the emergency department. The psychiatric unit has one bed available. The patient demonstrating which problem should the admitting officer recommend for admission to the hospital?
Answer Options:
a. Experiencing dry mouth and tremor related to side effects of haloperidol
b. Experiencing anxiety after divorcing a spouse after 10 years of marriage
c. Has a self-inflicted a superficial cut on the forearm after a family argument
d. Has begun hearing voices encouraging her to, “Smother your infant”
Answer: d. Has begun hearing voices encouraging her to, “Smother your infant”
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 Options:
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
Question: A patient who immigrated to the United States from Honduras was diagnosed with schizophrenia. The patient took an antipsychotic medication for 3 weeks but showed no improvement. Which resource should the treatment team consult for information on more effective medications for this patient?
Answer Options:
a. Clinical algorithm
b. Clinical pathway
c. Clinical practice guideline
d. International Statistical Classification of Diseases and Related Health Problems (ICD)
Answer: A. Clinical algorithm
Question: Which medication would the nurse expect to be prescribed for a patient diagnosed with a somatic symptom disorder?
Answer Options:
a. Narcotic analgesics for use as needed for acute pain.
b. Antidepressant medications to treat underlying depression.
c. Long-term use of benzodiazepines to support coping with anxiety.
d. Conventional antipsychotic medications to correct cognitive deficits.
Answer: B. Antidepressant medications to treat underlying depression.
Question: A patient diagnosed with schizophrenia says, “Everyone has germs that jump on you and contaminate everything.” Which term best identifies the patient’s expression of thought?
Answer Options:
a. Loose association
b. Concrete thinking
c. Neologisms
d. Paranoia
Answer: D. Paranoia
Question: A patient has taken many conventional antipsychotic drugs over the years. The health care provider, who is concerned about early signs of tardive dyskinesia, prescribes risperidone. A nurse planning care for this patient understands what fact about second-generation antipsychotics?
Answer Options:
a. They are less costly.
b. They have a higher potency.
c. They are more readily available.
d. They produce fewer motor side effects.
Answer: d. They produce fewer motor side effects.
Question: A patient diagnosed with schizophrenia has auditory hallucinations, delusions of grandeur, poor personal hygiene, and motor agitation. Which assessment finding would the nurse regard as a negative symptom of schizophrenia?
Answer Options:
a. Auditory hallucinations
b. Delusions of grandeur
c. Poor personal hygiene
d. Motor agitation
Answer: c. Poor personal hygiene
Multiple Response Question 1010
The family members of a patient newly diagnosed with schizophrenia state that they do not understand what has caused the illness. The nurse’s response should be based on which models? (Select all that apply.)
Answer Options
a. Neurobiological
b. Environmental
c. Family theory
d. Genetic
e. Stress
a. Neurobiological
d. Genetic
Question: A patient diagnosed with schizophrenia has been stable for a year; however, the family now reports the patient is tense, sleeps 3 to 4 hours per night, and has difficulty concentrating. The patient says, “Demons are in the basement and they can come through the floor.” The nurse can correctly assess this information as what?
Answer Options:
a. Need for psychoeducation
b. Medication nonadherence
c. Chronic deterioration
d. Relapse
Answer: d. Relapse
Question: A health care provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory hallucinations and poor social functioning. The patient is also overweight. Which drug should the nurse advocate?
Answer Options:
a. Clozapine
b. Ziprasidone
c. Olanzapine
d. Aripiprazole
Answer: D. Aripiprazole