Answer Choices:
a. “Don’t talk that way. Of course, you will leave here.”
b. “Keep up the good work and you certainly will.”
c. “You don’t think you’re making progress?”
d. “Everyone feels that way sometimes.”
Answer:
C
Question: A patient has taken trifluoperazine 30 mg/day orally for 3 years. The clinic nurse notes that the patient grimaces and constantly smacks both lips. The patient’s neck and shoulders twist in a slow, snakelike motion. Which problem would the nurse suspect? A. Agranulocytosis B. Tardive dyskinesia C. Tourette syndrome D. Anticholinergic effects
Answer Choices:
A) Agranulocytosis
B) Tardive dyskinesia
C) Tourette syndrome
D) Anticholinergic effects
Answer:
B
Question: Which technique will best communicate to a patient that the nurse is engaged in listening? a. Restate a feeling or thought the patient has expressed. b. Ask a direct question, such as, “Did you feel angry?” c. Make a judgment about the patient’s problem. d. Say, “I understand what you’re saying.”
Answer Choices:
a. Restate a feeling or thought the patient has expressed.
b. Ask a direct question, such as, “Did you feel angry?”
c. Make a judgment about the patient’s problem.
d. Say, “I understand what you’re saying.”
Answer:
A
Question: A patient tells the nurse at the clinic, “I haven’t been taking my antidepressant medication as directed. I leave out the midday dose. I have lunch with friends and don’t want them to ask me about the pills.” What is the nurse’s most appropriate intervention?
Answer Choices:
a. Investigate the possibility of once-daily dosing of the antidepressant.
b. Suggest to the patient to take the medication when no one is watching.
c. Explain how taking each dose of medication on time relates to health maintenance.
d. Add the following nursing diagnosis to the plan of care: ineffective therapeutic regimen management, related to lack of knowledge.
Answer:
a. Investigate the possibility of once-daily dosing of the antidepressant.
Question: A 26-month-old child displays negative behaviors. The parent says, “My child refuses toilet training and shouts, ‘No!’ when given direction. What do you think is wrong?” Select the nurse’s best reply.
Answer Choices:
a. “This is normal for your child’s age. The child is striving for independence.”
b. “The child needs firmer control. Punish the child for disobedience and say, ‘No.’”
c. “There may be developmental problems. Most children are toilet trained by age 2 years.”
d. “Some undesirable attitudes are developing. A child psychologist can help you develop a remedial plan.”
Answer:
A. “This is normal for your child’s age. The child is striving for independence.”
Question: Which patient would a nurse refer to partial hospitalization?
Answer Choices:
a. One who spent yesterday in the 24-hour supervised crisis care center and continues to be actively suicidal.
b. One who is experiencing agoraphobia and panic episodes and who would benefit from psychoeducation for relaxation therapy.
c. One who has a therapeutic lithium level and returns to the clinic for blood tests and clinic follow-up.
d. One who has been somnolent at work every morning from the sedative hypnotics given to work every morning.”
Answer:
d. One who has been somnolent at work every morning from the sedative hypnotics given to work every morning.”
Question: A person with a fear of heights drives across a high bridge. Which structure will stimulate a response from the autonomic nervous system? a. Thalamus b. Parietal lobe c. Hypothalamus d. Pituitary gland
Answer Choices:
a. Thalamus
b. Parietal lobe
c. Hypothalamus
d. Pituitary gland
Answer:
C
Question: A patient tells a nurse, “I have psychiatric problems and am in and out of hospitals all the time. Not one of my friends or relatives has these problems.” What is the nurse’s best response?
Answer Choices:
a. “Comparing yourself with others has no real advantages.”
b. “Why do you blame yourself for having a psychiatric illness?”
c. “Mental illness affects 50% of the adult population in any given year.”
d. “Are you are concerned that others don’t experience the same challenges as you.”
Answer:
D. “Are you are concerned that others don’t experience the same challenges as you.”
Question: A nurse says, “When I was in school, I learned to call upset patients by name to get their attention; however, I read a descriptive research study that says that this approach does not work. I plan to stop calling patients by name.” Which statement is the best appraisal of this nurse’s comment?
Answer Choices:
A. One descriptive research study rarely provides enough evidence to change practice.
Answer:
A. One descriptive research study rarely provides enough evidence to change practice.
Question: Two staff nurses applied for a charge nurse position. After the promotion was announced, the nurse who was not promoted said, “The nurse manager had a headache the day I was interviewed.” Which defense mechanism is evident?
Answer Choices:
a. Introjection
b. Conversion
c. Projection
d. Splitting
Answer:
c. Projection
Question: A nurse caring for a patient prescribed a selective serotonin reuptake inhibitor (SSRI) will develop outcome criteria related to what outcome?
Answer Choices:
a. Mood improvement
b. Logical thought processes
c. Reduced levels of motor activity
d. Decreased extrapyramidal symptoms
Answer:
a. Mood improvement
Question: A nurse finds a patient about to leave the patient’s room and go outside the unit. The nurse suggested to the patient it is not in the patient’s best interest. What is the nurse’s best action?
Answer Choices:
a. Remain silent.
b. Educate the patient that the outcome is not realistic.
c. Explore with the patient possible consequences of the outcome.
d. Formulate a more appropriate outcome without the patient’s input.
Answer:
c. Explore with the patient possible consequences of the outcome.
Question: A patient tells a nurse, “I have psychiatric problems and am in and out of hospitals all the time. Not one of my friends or relatives has these problems.” What is the nurse’s best response?
Answer Choices:
a. “Comparing yourself with others has no real advantages.”
b. “I’m afraid to let anyone really get to know me.”
c. “I am always right and confident about my decisions.”
d. “I’m ashamed that I didn’t do it correctly in the first place.”
Answer:
B. “I’m afraid to let anyone really get to know me.”
Question: Which action by the nurse is best associated with the demonstration of empathy? a. Observing the patient’s physical behavior and nonverbal communications b. Encouraging the patient time to express their concerns and physical needs c. Providing a therapeutic milieu where the patient is provided safety d. Encouraging the patient to communicate with their support system
Answer Choices:
a. Observing the patient’s physical behavior and nonverbal communications
b. Encouraging the patient time to express their concerns and physical needs
c. Providing a therapeutic milieu where the patient is provided safety
d. Encouraging the patient to communicate with their support system
Answer:
A
Question: An involuntarily hospitalized adolescent psychiatric outpatient tells the nurse, “I’m going to kill my father, but I know you can’t tell anyone.” What is the nurse’s best response?
Answer Choices:
a. “You’re right. Federal law requires me to keep this information private.”
b. “Those kinds of thoughts will make your hospitalization even longer.”
c. “I am required to share these kinds of thoughts with your treatment team.”
d. “You really should share these kinds of thoughts with your psychiatrist.”
Answer:
c. “I am required to share these kinds of thoughts with your treatment team.”
Question: Which principle takes priority for the psychiatric inpatient staff when addressing behavioral crises?
Answer Choices:
a. Resolve behavioral crises using the least restrictive intervention possible.
b. Rights of the majority of patients supersede the rights of individual patients.
c. Swift intervention is justified to maintain the integrity of the therapeutic milieu.
d. Allow patients opportunities to regain control without intervention if the safety of other patients is not compromised.
Answer:
a. Resolve behavioral crises using the least restrictive intervention possible.
Question: Two hospitalized patients resort to physical fighting when they are in the same room. During a team meeting, a nurse asserts that safety is of paramount importance and therefore the treatment plans should call for both patients to be secluded to prevent them from injuring each other. Which does this assertion indicate about the nurse who presented it?
Answer Choices:
a. Reveals that the nurse has a strong sense of justice.
b. Values the reinforcement of the autonomy of the two patients.
c. Has a poor understanding of the civil rights of the two patients.
d. Doesn’t understand the actions that constitute the intentional tort of battery.
Answer:
a. Reveals that the nurse has a strong sense of justice.
Question: A patient’s blindness is related to a functional neurological (conversion) disorder. To help the patient eat, the nurse should implement what intervention?
Answer Choices:
a. Establishing a “buddy” system with other patients who can feed the patient at each meal.
b. Expecting the patient to self-feed after explaining the arrangement of the food on the tray.
c. Directing the patient to locate items on the tray independently with feeding being unassisted.
d. Addressing the needs of other patients in the dining room, and then feeding this patient.
Answer:
b. Expecting the patient to self-feed after explaining the arrangement of the food on the tray.
Question: A person who has been unable to leave home for more than a week because of severe anxiety says, “I know it does not make sense, but I just can’t bring myself to leave my apartment alone.” Which nursing intervention is appropriate when implementing cognitive restructuring?
Answer Choices:
a. Teach the person to use positive self-talk.
b. Assist the person to apply for disability benefits.
c. Ask the person to explain why the fear is so disabling.
d. Advise the person to accept the situation and use a companion service.
Answer:
a. Teach the person to use positive self-talk.