Answer Choices:
a. provide for patient safety.
b. increase environmental stimuli.
c. respect the patient’s personal space.
d. encourage the clarification of feelings.
Answer:
a. provide for patient safety.
Question: Which of the following is the nurse’s best technical approach to use during patient interview sessions? a. Nurses are responsible for breaking silences. b. Patients withdraw if silences are prolonged. c. Silence can provide meaningful moments for reflection. d. Silence helps patients know that what they said is understood.
Answer Choices:
a. Nurses are responsible for breaking silences.
b. Patients withdraw if silences are prolonged.
c. Silence can provide meaningful moments for reflection.
d. Silence helps patients know that what they said is understood.
Answer:
C
Question: A person who feels unattractive repeatedly says, “Although I’m not beautiful, I am smart.” This is an example of which defense mechanism?
Answer Choices:
a. Repression
Answer:
a. Repression
Question: Which assessment finding for a patient living in the community requires priority intervention by the nurse?
Answer Choices:
a. Receives Social Security disability income plus a small check from a trust fund.
b. Lives in an apartment with two patients who attend day hospital programs.
c. Has a sibling who is interested and active in care planning.
d. Purchases and uses marijuana on a frequent basis.
Answer:
d. Purchases and uses marijuana on a frequent basis.
Question: A patient says, “Please don’t share information about me with the other people.” How should the nurse respond? a. “I won’t share information with others without your permission, but I will share information about you with other staff members.” b. “A therapeutic relationship is just between the nurse and the patient. It’s up to you to tell others what you want them to know.” c. “It really depends on what you choose to tell me. I will be glad to disclose at the end of each session what I will report to others.” d. “I cannot tell anyone about you. It will be as though I am talking about my own problems, and we can help each other by keeping it between us.”
Answer Choices:
a. “I won’t share information with others without your permission, but I will share information about you with other staff members.”
b. “A therapeutic relationship is just between the nurse and the patient. It’s up to you to tell others what you want them to know.”
c. “It really depends on what you choose to tell me. I will be glad to disclose at the end of each session what I will report to others.”
d. “I cannot tell anyone about you. It will be as though I am talking about my own problems, and we can help each other by keeping it between us.”
Answer:
A
Question: Drugs that are designated scheduled 2 by the department of drug enforcement agencies Are known teratogens during pregnancy May not be refilled a new prescription must be written Have lower abuse potential May be dispensed without a prescription unless regulated by the state
Answer:
May not be refilled a new prescription must be written
Question: A patient with blindness related to a functional neurological (conversion) disorder states, “All the doctors and nurses in this hospital stop by often to check on me. Too bad people outside the hospital don’t find me interesting.” Which nursing diagnosis is most relevant?
Answer Choices:
a. Social isolation
b. Chronic low self-esteem
c. Interrupted family processes
d. Ineffective health maintenance
Answer:
b. Chronic low self-esteem
Question: A patient in the emergency department reports, “I hear voices saying someone is stalking me. They want to kill me because I found the cure for cancer. I will stab anyone that threatens me.” Which aspects of mental health have the greatest immediate concern to a nurse? (Select all that apply.)
Answer Choices:
A. Happiness
B. Appraisal of reality
C. Control over behavior
D. Effectiveness in work
E. Healthy self-concept
Answer:
B. Appraisal of reality
C. Control over behavior
Question: A nurse assessing a new patient asks, “What is meant by the saying, ‘You can’t judge a book by looking at the cover’?” Which aspect of cognition is the nurse assessing?
Answer Choices:
a. Mood
b. Attention
c. Orientation
d. Abstraction
Answer:
d. Abstraction
Question: A person who is speaking about a contender for a significant other’s affection says in a gushy, syrupy voice, “What a lovely person. That’s someone I simply adore.” The individual is demonstrating what defense mechanism?
Answer Choices:
a. Reaction formation
b. Repression
c. Projection
d. Denial
Answer:
a. Reaction formation
Question: A psychiatric technician says, “Little of what takes place on the behavioral health unit seems to be theory based.” A nurse educates the technician by identifying which common use of Sullivan’s theory?
Answer Choices:
a. Structure of the therapeutic milieu of most behavioral health units
b. Frequent use of restraint and seclusion for behavior modification
c. Assessment tools based on age-appropriate versus arrested behaviors
d. Use of the nursing process to determine the best sequence for nursing actions
Answer:
A. Structure of the therapeutic milieu of most behavioral health units
Question: A critical care nurse asks a psychiatric nurse about the difference between a diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and a nursing diagnosis. What is the psychiatric nurse’s best response?
Answer Choices:
a. “No functional difference exists between the two diagnoses. Both serve to identify a human deviance.”
b. “The DSM-5 diagnosis disregards culture, whereas the nursing diagnosis includes cultural variables.”
c. “The DSM-5 diagnosis profiles present distress or disability, whereas a nursing diagnosis considers past and present responses to actual mental health problems.”
d. “The DSM-5 diagnosis influences the medical treatment; the nursing diagnosis offers a framework to identify interventions for problems a patient has or may experience.”
Answer:
D. “The DSM-5 diagnosis influences the medical treatment; the nursing diagnosis offers a framework to identify interventions for problems a patient has or may experience.”
Question: A nurse explains to the family of a patient who is mentally ill how the nurse–patient relationship differs from social relationships. Which is the best explanation? a. “The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient.” b. “The focus shifts from nurse to patient as the relationship develops. Advice is given by both, and solutions are implemented.” c. “The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared.” d. “The focus is the creation of a partnership in which each member is committed, with the growth and satisfaction of the other.”
Answer Choices:
a. “The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient.”
b. “The focus shifts from nurse to patient as the relationship develops. Advice is given by both, and solutions are implemented.”
c. “The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared.”
d. “The focus is the creation of a partnership in which each member is committed, with the growth and satisfaction of the other.”
Answer:
A