Answer Options:
a. Milieu therapy
b. Cognitive therapy
c. Short-term dynamic therapy
d. Systematic desensitization
Answer: a. Milieu therapy
Question: During an interview, a patient attempts to shift the focus from self to the nurse by asking personal questions. How should the nurse respond?
Answer Options:
a. “You’ve turned the tables on me.”
b. “Nurses direct the interviews with patients.”
c. “Do not ask questions about my personal life.”
d. “The time we spend together is to discuss your concerns.”
Answer: D. “The time we spend together is to discuss your concerns.”
Question: A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. Priority information given to the patient and family should include a directive to do what?
Answer Options:
a. Avoid exposure to bright sunlight.
b. Report increased suicidal thoughts.
c. Restrict sodium intake to 1 g daily.
d. Maintain a tyramine-free diet.
Answer: B. Report increased suicidal thoughts.
Question: Which of the following statements is CORRECT?
Answer Options:
a. An advantage of the residual dividend model is that it leads to a stable dividend payout, which investors like.
b. One disadvantage of dividend reinvestment plans is that they increase transactions costs for investors who want to reinvest their investment in the company.
c. Dividends credited to investors’ accounts on a quarterly basis are not taxable until the investor actually sells the stock.
d. If the “clientele effect” is correct, then for a company whose earnings are increasing, a policy of paying a constant percentage of net income will probably maximize its stock price.
e. Stock repurchases make the most sense at times when a company believes its stock is undervalued.
Answer: E. Stock repurchases make the most sense at times when a company believes its stock is undervalued.
Question: For patients diagnosed with severe and persistent mental illness, which approach is the major advantage of case management?
Answer Options:
a. Modification of traditional psychotherapy
b. Enhanced access and use of resources
c. Focus on social skills training and self-esteem building
d. Bringing groups of patients together to discuss common problems
Answer: b. Enhanced access and use of resources
Question: Select the best outcome for a patient with this nursing diagnosis: impaired social interaction, related to sociocultural dissonance as evidenced by stating, “Although I’d like to, I don’t join in because I don’t speak the language very well.” What should the focus of an appropriate outcome be?
Answer Options:
a. Demonstrating improved social skills
b. Expressing a desire to interact with others
c. Becoming more independent in decision making
d. Selecting and participating in one group activity per day
Answer: D. Selecting and participating in one group activity per day
Question: A student nurse prepares to administer oral medication to a patient diagnosed with major depressive disorder. What should the student nurse do when the patient refuses the medication?
Answer Options:
a. Share with the patient, “I’ll get an unsatisfactory grade if I don’t give you the medication.”
b. Tell the patient, “Refusing your medication is not permitted. You are required to take it.”
c. Attempt to discuss the patient’s concerns about the medication, and report to the staff nurse.
d. Document the patient’s refusal of the medication without further comment.
Answer: c. Attempt to discuss the patient’s concerns about the medication, and report to the staff nurse.
Question: A child is placed in a foster home after being removed from parental contact because of both physical and verbal abuse. The child is apprehensive and overreacts to environmental stimuli. The foster parents ask the nurse how to help minimize the child’s anxious behaviors. What should the nurse recommend? (Select all that apply.)
Answer Options:
a. Use a calm manner and low voice.
b. Maintain simplicity in the environment.
c. Avoid repetition in what is said to the child.
d. Minimize opportunities for exercise and play.
e. Explain and reinforce reality to avoid distortions.
Answer: A. Use a calm manner and low voice.
B. Maintain simplicity in the environment.
E. Explain and reinforce reality to avoid distortions.
Question: A patient diagnosed with major depressive disorder tells the nurse, “Bad things that happen are always my fault.” To assist the patient in reframing this overgeneralization, how should the nurse respond?
Answer Options:
a. “I really doubt that one person can be blamed for all the bad things that happen.”
b. “Let’s look at one bad thing that happened to see if another explanation exists.”
c. “You are being exceptionally hard on yourself when you say those things.”
d. “How does your belief in fate relate to your cultural heritage?”
Answer: B. “Let’s look at one bad thing that happened to see if another explanation exists.”
Question: A nurse assesses a 3-year-old diagnosed with autism spectrum disorder. Which finding is most associated with the child’s disorder?
Answer Options:
a. Has occasional toileting accidents.
b. Is unable to recite numbers.
c. Cries when separated from a parent.
d. Continuously rocks in place for 30 minutes.
Answer: d. Continuously rocks in place for 30 minutes.
Question: A team of nurses wants to integrate evidence-based practice into a facility’s clinical pathways. Which step should the team implement first?
Answer Options:
a. Acquire findings from published literature.
b. Apply the research findings to clinical practice.
c. Assess the outcomes of using new research findings.
d. Ask questions to identify clinical problems that should be changed.
Answer: D. Ask questions to identify clinical problems that should be changed.
Question: When counseling patients diagnosed with major depressive disorder, how will an advanced practice nurse likely address the negative thought patterns?
Answer Options:
a. Psychoanalytic therapy
b. Desensitization therapy
c. Cognitive behavioral therapy
d. Alternative and complementary therapies
Answer: C. Cognitive behavioral therapy
Question: During a psychiatric assessment, the nurse observes a patient’s facial expressions that are without emotion. The patient says, “Life feels so hopeless to me. I’ve been feeling sad for several months.” How should the nurse document the patient’s affect and mood?
Answer Options:
a. Affect depressed; mood flat
b. Affect flat; mood depressed
c. Affect labile; mood euphoric
d. Affect and mood are incongruent
Answer: B. Affect flat; mood depressed
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. Sexual self-awareness
Question: Which beverage should the nurse offer to a patient diagnosed with major depressive disorder who refuses solid food?
Answer Options:
a. Tomato juice
b. Orange juice
c. Hot tea
d. Milk
Answer: D. Milk
Question: A patient’s employment is terminated, and major depressive disorder develops shortly afterward. The patient says to the nurse, “I’m not worth the time you spend with me. I’m the most useless person in the world.” Which nursing diagnosis applies?
Answer Options:
a. Powerlessness
b. Defensive coping
c. Situational low self-esteem
d. Disturbed personal identity
Answer: C. Situational low self-esteem
Question: What do the Q and S relate to in the acronym QSEN?
Answer Options:
a. Qualitative Standardization
b. Quality and Safety
c. Quantitative Statements
d. Quick Standards
Answer: B. Quality and Safety
Question: During the first interview with a parent whose child died in a car accident, the nurse feels empathic and reaches out to take the patient’s hand. Select the correct analysis of the nurse’s behavior.
Answer Options:
a. It shows empathy and compassion. It will encourage the patient to continue to express feelings.
b. The gesture is premature. The patient’s cultural and individual interpretation of touch is unknown.
c. The patient will perceive the gesture as intrusive and overstepping boundaries.
d. The action is inappropriate. Patients in a psychiatric setting should not be touched.
Answer: B. The gesture is premature. The patient’s cultural and individual interpretation of touch is unknown.