Answer Choices:
A. Failure of older adults to receive necessary medical information
B. Development of public policy that favors programs for older adults
C. Staff shortages because caregivers prefer working with younger adults
Answer:
A, C
Question: A patient diagnosed with schizophrenia tells the community mental health nurse, “I threw away my pills because they interfere with God’s voice.” The nurse identifies what as the likely cause of the patient’s ineffective management of the medication regimen?
Answer Choices:
a. Inadequate discharge planning
b. Poor therapeutic alliance with clinicians
c. Impaired reasoning secondary to schizophrenia
d. Dislike of the side effects of antipsychotic medications
Answer:
c. Impaired reasoning secondary to schizophrenia
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 Choices:
a. Benzodiazepines
b. Stimulants
c. Antipsychotics
d. Anxiolytics
Answer:
b. Stimulants
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.)
Answer Choices:
A. Physical abuse
B. Emotional abuse
C. Autonomy decision
D. Economic abuse
E. Need for medication therapy
Answer:
A, C
Question: For patients diagnosed with severe and persistent mental illness, which approach is the major advantage of case management?
Answer Choices:
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: The manager of a health club put a hidden camera in the women’s locker room and videotaped women as they showered and dressed. Which sexual dysfunction is evident?
Answer Choices:
a. Frotteurism
b. Exhibitionism
c. Pedophilia
d. Voyeurism
Answer:
d. Voyeurism
Question: When assessing a 2-year-old diagnosed with autism spectrum disorder, what should a nurse expects?
Answer Choices:
a. Hyperactivity and attention deficits
b. Failure to develop interpersonal social skills
c. History of disobedience and destructive acts
d. High levels of anxiety when separated from a parent
Answer:
b. Failure to develop interpersonal social skills
Question: An adolescent diagnosed with generalized anxiety disorder says, “My parents focus all their attention on my brother instead of me. He’s perfect in their eyes.” Which type of therapy might promote the greatest change in this adolescent’s behavior?
Answer Choices:
a. Bibliotherapy
b. Play therapy
c. Family therapy
d. Behavior modification therapy
Answer:
c. Family therapy
Question: A nurse wants to perform a preliminary assessment for suicidal ideation in an older adult patient. Which question would obtain the desired data?
Answer Choices:
A. “What thoughts do you have about a person’s right to take his or her own life?”
B. “If you felt suicidal, would you communicate your feelings to anyone?”
C. “Do you have any risk factors that potentially contribute to suicide?”
D. “Do you think you are vulnerable to developing a depressed mood?”
Answer:
A
Question: A nurse is screening the following individuals for age-related changes. Which activity would be most important to recommend to a “young-old” adult aged 65 to 70. Which activity is most appropriate?
Answer Choices:
A. Using a magnifying glass to read
B. Learning how to join an online social network
C. Discussing national leadership during the Vietnam War
D. Identifying the most troubling story in today’s newspaper
Answer:
B
Question: A nurse will prepare teaching materials regarding which medication for the parents of a child diagnosed with enuresis?
Answer Choices:
a. Haloperidol
b. Desmopressin
c. Methylphenidate
d. Carbamazepine
Answer:
b. Desmopressin
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 Choices:
a. Bibliotherapy
b. Music therapy
c. Social skills groups
d. Behavior modification
Answer:
c. Social skills groups
Question: An adult says, “When I was a child, I took medication because I couldn’t sit still. 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 Choices:
a. Stress intolerance disorder
b. Generalized anxiety disorder (GAD)
c. Borderline personality disorder
d. Adult attention-deficit/hyperactivity disorder (ADHD)
Answer:
d. Adult attention-deficit/hyperactivity disorder (ADHD)