Answer Options:
a. Accept the card while recognizing the effectiveness of the relationship and the patient’s thoughtfulness.
b. Inform the patient that accepting gifts violates the policies of the facility. Decline the card regretfully.
Answer: A. Accept the card while recognizing the effectiveness of the relationship and the patient’s thoughtfulness.
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?
Answer Options:
A. Medication
B. Re-motivation
C. Group psychotherapy
D. Individual psychotherapy
Answer: B. Re-motivation
Question: A person received an invitation to be in the wedding of a friend who lives across the country. The individual is afraid of flying. What type of therapy should the nurse recommend?
Answer Options:
a. Psychoanalysis
b. Milieu therapy
c. Systematic desensitization
d. Short-term dynamic therapy
Answer: c. Systematic desensitization
Question: A patient diagnosed with major depressive disorder does not interact with others except when addressed and then only in monosyllables. The nurse wants to show nonjudgmental acceptance and support for the patient. Select the nurse’s most effective approach to communication.
Answer Options:
a. Make observations on neutral topics.
b. Ask the patient direct questions.
c. Phrase questions to require “yes” or “no” answers.
d. Frequently reassure the patient to reduce guilt feelings.
Answer: A. Make observations on neutral topics.
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?
Answer Options:
a. Bibliotherapy
b. Music therapy
c. Social skills groups
d. Behavior modification
Answer: c. Social skills groups
Question: Health maintenance and promotion efforts for patients diagnosed with severe mental illness should include education about the importance of what regular intervention?
Answer Options:
a. Home safety inspections
b. Monitoring of self-care abilities
c. Screening for cancer, hypertension, and diabetes
d. Determination of adequacy of a patient’s support system
Answer: c. Screening for cancer, hypertension, and diabetes
Question: A patient’s nursing diagnosis is Insomnia. The desired outcome is “Patient will sleep for a minimum of 5 hours nightly by October 31.” On November 1, a review of the sleep data shows the patient sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurse’s next action?
Answer Options:
a. Continue the current plan
b. Remove this nursing diagnosis from the plan of care
c. Write a new nursing diagnosis that better reflects the problem
d. Revise the outcome target date and interventions
Answer: D. Revise the outcome target date and interventions
Question: A nurse in the emergency department tells an adult, “Your mother had a serious stroke.” The adult tearfully says, “Who will take care of me now?” Which term best describes this behavior?
Answer Options:
a. Histrionic
b. Dependent
c. Narcissistic
d. Borderline
Answer: B. Dependent
Question: A new nurse tells a mentor, “I want to convey to my patients that I am interested in them and that I want to listen to what they have to say.” Which behaviors are helpful in meeting the nurse’s goal? (Select all that apply.)
Answer Options:
a. Sitting behind a desk, facing the patient
b. Introducing self to a patient and identifying own role
c. Using facial expressions that convey interest and encouragement
d. Assuming an open body posture and sometimes mirror imaging
e. Maintaining control of the topic under discussion by asking direct questions
Answer: B. Introducing self to a patient and identifying own role
C. Using facial expressions that convey interest and encouragement
D. Assuming an open body posture and sometimes mirror imaging
Question: A patient prescribed a muscarinic-receptor blocker, will require assess for what side effect?
Answer Options:
a. Dry mouth
b. Gynecomastia
c. Pseudoparkinsonism
d. Orthostatic hypotension
Answer: a. Dry mouth
Question: Which behaviors are most consistent with the clinical picture of a patient who is becoming increasingly aggressive? (Select all that apply.)
Answer Options:
a. Pacing
b. Crying
c. Withdrawn affect
d. Rigid posture with clenched jaw
e. Staring with narrowed eyes into the eyes of another
Answer: a. Pacing
d. Rigid posture with clenched jaw
e. Staring with narrowed eyes into the eyes of another
Question: A nurse consistently strives to demonstrate caring behaviors during interactions with patients. Which reaction reported by a patient indicates this nurse is most effective?
Answer Options:
a. Feeling less distrustful of others
b. Sensing a connection with others
c. Experiencing only minimal uneasiness about the future
d. Being somewhat encouraged with efforts to improve
Answer: B. Sensing a connection with others