Answer Choices:
a. Acting out
Answer:
a. Acting out
Question: A patient attends group psychotherapy weekly for 3 years. The patient discusses the same childhood events every week and refuses to help the members of the group. The patient’s behavior is most indicative of what type of therapy?
Answer Choices:
a. Short-term dynamic therapy
b. Transactional analysis
c. Cognitive therapy
d. Psychoanalysis
Answer:
D. Psychoanalysis
Question: A patient is undergoing diagnostic tests. The patient says, “Nothing is wrong with me except a stubborn chest cold.” The spouse reports that the patient smokes, coughs daily, has recently lost 15 pounds, and is easily fatigued. Which defense mechanism is the patient using?
Answer Choices:
a. Displacement
b. Regression
c. Projection
d. Denial
Answer:
d. Denial
Question: A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states that a house fire is not likely. This counseling demonstrates the principles of which cognitive-based therapy?
Answer Choices:
a. Flooding
b. Desensitization
c. Controlled relaxation
d. Thought restructuring
Answer:
d. Thought restructuring
Question: A patient says, “I know I have a brain tumor despite the results of the magnetic resonance image (MRI). The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited all day.” Which response by the nurse fosters cognitive restructuring?
Answer Choices:
a. “You do not have a brain tumor. The more you talk about it, the more it reinforces your illogical thinking.”
b. “Let’s see whether any other explanations for your vomiting are possible.”
c. “You seem so worried. Let’s talk about how you’re feeling.”
d. “We should talk about something else.”
Answer:
b. “Let’s see whether any other explanations for your vomiting are possible.”
Question: In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy makeup. Which comment by the nurse who receives the report best demonstrates advocacy?
Answer Choices:
A. “This is a psychiatric hospital, so we expect our patients to behave bizarrely.”
B. “Let’s all show acceptance of this patient by wearing lots of makeup too.”
C. “Your comments are inconsiderate and inappropriate. Keep the report objective.”
D. “Our patients need our help to learn behaviors that will help them get along in society.”
Answer:
D. “Our patients need our help to learn behaviors that will help them get along in society.”
Question: A patient presents with anxiety, increased heart rate, and fear. The nurse would suspect the presence of a high concentration of which neurotransmitter?
Answer Choices:
a. GABA
b. Histamine
c. Acetylcholine
d. Norepinephrine
Answer:
D. Norepinephrine
Question: A patient cries as the nurse explores the patient’s relationship with a deceased parent. The patient says, “I shouldn’t be crying like this. It happened a long time ago.” Which responses by the nurse will facilitate communication? (Select all that apply.) a. “Why do you think you are so upset?” b. “I can see that you feel sad about this situation.” c. “The loss of your parent is very painful for you.” d. “Crying is a way of expressing the hurt you’re experiencing.” e. “Let’s talk about something else because this subject is upsetting you.”
Answer Choices:
a. “Why do you think you are so upset?”
b. “I can see that you feel sad about this situation.”
c. “The loss of your parent is very painful for you.”
d. “Crying is a way of expressing the hurt you’re experiencing.”
e. “Let’s talk about something else because this subject is upsetting you.”
Answer:
B, C, D
Question: A student says, “Before taking a test, I feel a heightened sense of awareness and restlessness.” The nurse can correctly assess that the student’s response is a result of what?
Answer Choices:
a. Cultural influence
b. Displacement
c. Trait anxiety
d. Mild anxiety
Answer:
d. Mild anxiety
Question: A nurse is caring for a patient with low self-esteem. Which nonverbal communication should the nurse anticipate?
Answer Choices:
a. Arms crossed
b. Staring at the nurse
c. Smiling inappropriately
d. Eyes casted downward
Answer:
D
Question: A community psychiatric nurse facilitates medication adherence for a patient by having the health care provider prescribe medications by injection every 3 weeks at the clinic. For this plan to be successful, which factor will be of critical importance?
Answer Choices:
a. Attitude of significant others toward the patient
b. Nutritional services in the patient’s neighborhood
c. Level of trust between the patient and the nurse
d. Availability of transportation to the clinic
Answer:
d. Availability of transportation to the clinic
Question: Which statements most clearly reflect the stigma of mental illness? (Select all that apply.)
Answer Choices:
A. “Many mental illnesses are hereditary.”
B. “Mental illness can be evidence of a brain disorder.”
C. “People claim mental illness, so they can qualify for disability.”
D. “If people with mental illness went to church, they would be fine.”
E. “Mental illness is a result of the breakdown of the American family.”
Answer:
C. “People claim mental illness, so they can qualify for disability.”
D. “If people with mental illness went to church, they would be fine.”
E. “Mental illness is a result of the breakdown of the American family.”
Question: Termination of a therapeutic nurse–patient relationship with a patient has been successful when nurse engages in what action? a. Avoids upsetting the patient by shifting focus to other patients before the discharge. b. Gives the patient a personal telephone number and permission to call after discharge. c. Discusses with the patient changes that have happened during the relationship and evaluates the outcomes. d. Offers to meet the patient for coffee and conversation three times a week after discharge.
Answer Choices:
a. Avoids upsetting the patient by shifting focus to other patients before the discharge.
b. Gives the patient a personal telephone number and permission to call after discharge.
c. Discusses with the patient changes that have happened during the relationship and evaluates the outcomes.
d. Offers to meet the patient for coffee and conversation three times a week after discharge.
Answer:
C
Part 39 – Nursing / Mental Health Foundations, Communication & Legal/Ethical Issues (10-15)
Question: A supervisor assigns a worker a new project. The worker initially agrees but feels resentful. The next day, when asked about the project, the worker says, “I’ve been working on other things.” When asked 4 hours later, the worker says, “Someone else was using the copier, so I couldn’t finish it.” The worker’s behavior demonstrates the use of what mechanism?
Answer Choices:
a. Acting out
Answer:
a. Acting out
Question: A patient attends group psychotherapy weekly for 3 years. The patient discusses the same childhood events every week and refuses to help the members of the group. The patient’s behavior is most indicative of what type of therapy?
Answer Choices:
a. Short-term dynamic therapy
b. Transactional analysis
c. Cognitive therapy
d. Psychoanalysis
Answer:
D. Psychoanalysis
Question: A patient is undergoing diagnostic tests. The patient says, “Nothing is wrong with me except a stubborn chest cold.” The spouse reports that the patient smokes, coughs daily, has recently lost 15 pounds, and is easily fatigued. Which defense mechanism is the patient using?
Answer Choices:
a. Displacement
b. Regression
c. Projection
d. Denial
Answer:
d. Denial
Question: A patient checks and rechecks electrical cords related to an obsessive thought that the house may burn down. The nurse and patient explore the likelihood of an actual fire. The patient states that a house fire is not likely. This counseling demonstrates the principles of which cognitive-based therapy?
Answer Choices:
a. Flooding
b. Desensitization
c. Controlled relaxation
d. Thought restructuring
Answer:
d. Thought restructuring
Question: A patient says, “I know I have a brain tumor despite the results of the magnetic resonance image (MRI). The radiologist is wrong. People who have brain tumors vomit, and yesterday I vomited all day.” Which response by the nurse fosters cognitive restructuring?
Answer Choices:
a. “You do not have a brain tumor. The more you talk about it, the more it reinforces your illogical thinking.”
b. “Let’s see whether any other explanations for your vomiting are possible.”
c. “You seem so worried. Let’s talk about how you’re feeling.”
d. “We should talk about something else.”
Answer:
b. “Let’s see whether any other explanations for your vomiting are possible.”
Question: In the shift-change report, an off-going nurse criticizes a patient who wears extremely heavy makeup. Which comment by the nurse who receives the report best demonstrates advocacy?
Answer Choices:
A. “This is a psychiatric hospital, so we expect our patients to behave bizarrely.”
B. “Let’s all show acceptance of this patient by wearing lots of makeup too.”
C. “Your comments are inconsiderate and inappropriate. Keep the report objective.”
D. “Our patients need our help to learn behaviors that will help them get along in society.”
Answer:
D. “Our patients need our help to learn behaviors that will help them get along in society.”
Question: A patient presents with anxiety, increased heart rate, and fear. The nurse would suspect the presence of a high concentration of which neurotransmitter?
Answer Choices:
a. GABA
b. Histamine
c. Acetylcholine
d. Norepinephrine
Answer:
D. Norepinephrine
Question: A patient cries as the nurse explores the patient’s relationship with a deceased parent. The patient says, “I shouldn’t be crying like this. It happened a long time ago.” Which responses by the nurse will facilitate communication? (Select all that apply.) a. “Why do you think you are so upset?” b. “I can see that you feel sad about this situation.” c. “The loss of your parent is very painful for you.” d. “Crying is a way of expressing the hurt you’re experiencing.” e. “Let’s talk about something else because this subject is upsetting you.”
Answer Choices:
a. “Why do you think you are so upset?”
b. “I can see that you feel sad about this situation.”
c. “The loss of your parent is very painful for you.”
d. “Crying is a way of expressing the hurt you’re experiencing.”
e. “Let’s talk about something else because this subject is upsetting you.”
Answer:
B, C, D
Question: A student says, “Before taking a test, I feel a heightened sense of awareness and restlessness.” The nurse can correctly assess that the student’s response is a result of what?
Answer Choices:
a. Cultural influence
b. Displacement
c. Trait anxiety
d. Mild anxiety
Answer:
d. Mild anxiety
Question: A nurse is caring for a patient with low self-esteem. Which nonverbal communication should the nurse anticipate?
Answer Choices:
a. Arms crossed
b. Staring at the nurse
c. Smiling inappropriately
d. Eyes casted downward
Answer:
D
Question: A community psychiatric nurse facilitates medication adherence for a patient by having the health care provider prescribe medications by injection every 3 weeks at the clinic. For this plan to be successful, which factor will be of critical importance?
Answer Choices:
a. Attitude of significant others toward the patient
b. Nutritional services in the patient’s neighborhood
c. Level of trust between the patient and the nurse
d. Availability of transportation to the clinic
Answer:
d. Availability of transportation to the clinic
Question: Which statements most clearly reflect the stigma of mental illness? (Select all that apply.)
Answer Choices:
A. “Many mental illnesses are hereditary.”
B. “Mental illness can be evidence of a brain disorder.”
C. “People claim mental illness, so they can qualify for disability.”
D. “If people with mental illness went to church, they would be fine.”
E. “Mental illness is a result of the breakdown of the American family.”
Answer:
C. “People claim mental illness, so they can qualify for disability.”
D. “If people with mental illness went to church, they would be fine.”
E. “Mental illness is a result of the breakdown of the American family.”
Question: Termination of a therapeutic nurse–patient relationship with a patient has been successful when nurse engages in what action? a. Avoids upsetting the patient by shifting focus to other patients before the discharge. b. Gives the patient a personal telephone number and permission to call after discharge. c. Discusses with the patient changes that have happened during the relationship and evaluates the outcomes. d. Offers to meet the patient for coffee and conversation three times a week after discharge.
Answer Choices:
a. Avoids upsetting the patient by shifting focus to other patients before the discharge.
b. Gives the patient a personal telephone number and permission to call after discharge.
c. Discusses with the patient changes that have happened during the relationship and evaluates the outcomes.
d. Offers to meet the patient for coffee and conversation three times a week after discharge.
Answer:
C