Answer Choices:
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
Question: A patient diagnosed with bipolar disorder commands other patients, “Get me a book. Take this stuff out of here,” and other similar demands. What is the best initial approach by the nurse to interrupt this behavior without entering into a power struggle?
Answer Choices:
a. Distraction: “Let’s go to the dining room for a snack.”
b. Humor: “How much are you paying servants these days?”
c. Limit setting: “You must stop ordering other patients around.”
d. Honest feedback: “Your controlling behavior is annoying others.”
Answer:
A
Question: A nurse assesses a patient during a psychiatric admission interview. Which question is most relevant to assessing thought disorders in a patient admitted for major depression with psychotic features?
Answer Choices:
a. “Do you have problems with short-term memory?”
b. “Do you ever see or hear things that others do not?”
c. “How would you describe your sleep pattern?”
d. “How would you describe your thinking?”
Answer:
B. “Do you ever see or hear things that others do not?”
Question: Which dinner menu is best suited for the patient diagnosed with bipolar disorder experiencing acute mania?
Answer Choices:
a. Spaghetti and meatballs, salad, a banana
b. Beef and vegetable stew, a roll, chocolate pudding
c. Broiled chicken breast on a roll, an ear of corn, apple
d. Chicken casserole, green beans, flavored gelatin with whipped cream
Answer:
C
Question: A patient became depressed after the last of six children moved out of the home 4 months ago. The patient has been self-neglectful, slept poorly, lost weight, and repeatedly says, “No one cares about me anymore. I’m not worth anything.” Select an appropriate initial outcome.
Answer Choices:
a. The patient will verbalize realistic positive characteristics about self by (date).
b. The patient will consent to take antidepressant medication regularly by (date).
c. The patient will initiate social interaction with another person daily by (date).
d. The patient will identify two personal behaviors that alienate others by (date).
Answer:
A
Question: A patient experiencing acute mania undresses in the group room and dances. What should be the nurse’s first intervention?
Answer Choices:
a. Quietly ask the patient, “Why don’t you put on your clothes?”
b. Firmly tell the patient, “Stop dancing, and put on your clothing.”
c. Put a blanket around the patient and walk with the patient to a quiet room.
d. Allow the patient stay in the group room while moving the other patients to a different area.
Answer:
C
Question: A patient diagnosed with bipolar disorder is dressed in a red leotard and brightly colored scarves. The patient uses whistle twirling and shadowboxing. Then the patient says, “Do you like my scarves? Here…they are my gift to you.” How should the nurse document the patient’s mood?
Answer Choices:
a. Labile and euphoric
b. Imitative and belligerent
c. Highly suspicious and arrogant
d. Excessively happy and confident
Answer:
A
Question: A patient says, “People should be allowed to commit suicide without interference from others.” A nurse replies, “You’re wrong. Nothing is bad enough to justify death.” What is the best analysis of this interchange? a. The patient is correct. b. The nurse is correct. c. Neither person is totally correct. d. Differing values are reflected in the two statements.
Answer Choices:
a. The patient is correct.
b. The nurse is correct.
c. Neither person is totally correct.
d. Differing values are reflected in the two statements.
Answer:
D
Question: The staff and patient members discuss the decor for a special care unit for patients experiencing mania. Which set is the best for a patient experiencing mania?
Answer Choices:
a. Neutral-tone walls, simple furnishings, and no wall decorations
b. Extra-large window with a view of the street
c. Brightly colored walls and print drapes
d. Deep colors for walls and upholstery
Answer:
A
Question: A patient’s partner, who is a chemist, asks a nurse how serotonin reuptake inhibitors (SSRIs) lift depression. What response will the nurse provide?
Answer Choices:
a. Destroys increased amounts of neurotransmitters.
b. Makes more serotonin available at the synaptic gap.
c. Increases production of acetylcholine and dopamine.
d. Blocks muscarinic and α1-norepinephrine receptors.
Answer:
b. Makes more serotonin available at the synaptic gap.
Question: A nurse wants to reinforce positive self-esteem for a patient diagnosed with major depressive disorder. Today, the patient is wearing a new shirt and has neat, clean hair. Which remark is most appropriate?
Answer Choices:
a. “I’m glad to see you’re taking an interest in your appearance again.”
b. “You look nice in that shirt.”
c. “It’s good to see you looking well-groomed.”
d. “You must be feeling better about yourself today.”
Answer:
A
Question: A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which statement is an example of “attending”?
Answer Choices:
A. “We all have stress in life. Being in a psychiatric hospital is not the end of the world.”
B. “Tell me why you felt you had to be hospitalized to receive treatment for your depression.”
C. “You will feel better after we get some antidepressant medication started for you.”
D. “I’d like to sit with you for a while, so you may feel more comfortable talking with me.”
Answer:
D. “I’d like to sit with you for a while, so you may feel more comfortable talking with me.”
Question: After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference? a. The patient’s reactions toward the nurse seem realistic and appropriate. b. The patient states, “Talking to you feels like talking to my parents.” c. The nurse feels unusually happy when the patient’s mood begins to lift. d. The nurse develops a trusting relationship with the patient.
Answer Choices:
a. The patient’s reactions toward the nurse seem realistic and appropriate.
b. The patient states, “Talking to you feels like talking to my parents.”
c. The nurse feels unusually happy when the patient’s mood begins to lift.
d. The nurse develops a trusting relationship with the patient.
Answer:
C
Question: A patient diagnosed with major depressive disorder has lost 20 pounds in 1 month. The patient has chronic low self-esteem and a plan for suicide. The patient has taken an antidepressant medication for 1 week. Which nursing intervention is most directly related to this priority: “Patient will refrain from gestures and attempts to harm self”?
Answer Choices:
a. Implement suicide prevention interventions.
b. Frequently offer high-calorie snacks and fluids.
c. Assist the patient to identify three personal strengths.
d. Observe patient for therapeutic effects of antidepressant medication.
Answer:
a. Implement suicide prevention interventions.