Answer Choices:
a. Discussing ego states
b. Focusing on unconscious mental processes
c. Negatively reinforcing an undesirable behavior
d. Helping the patient identify and change faulty thinking
Answer:
D. Helping the patient identify and change faulty thinking
Question: A patient performs ritualistic hand washing. What should the nurse do to help the patient develop more effective coping strategies?
Answer Choices:
a. Allow the patient to set a hand-washing schedule.
b. Encourage the patient to participate in social activities.
Answer:
b. Encourage the patient to participate in social activities.
Question: A nurse ends a relationship with a patient. Which actions by the nurse should be included in the termination phase? (Select all that apply.) a. Focus dialog with the patient on problems that may occur in the future. b. Help the patient express feelings about the relationship with the nurse. c. Help the patient prioritize and modify socially unacceptable behaviors. d. Reinforce expectations regarding the parameters of the relationship. e. Help the patient identify strengths, limitations, and problems.
Answer Choices:
a. Focus dialog with the patient on problems that may occur in the future.
b. Help the patient express feelings about the relationship with the nurse.
c. Help the patient prioritize and modify socially unacceptable behaviors.
d. Reinforce expectations regarding the parameters of the relationship.
e. Help the patient identify strengths, limitations, and problems.
Answer:
A, B
Question: A patient should be considered for involuntary commitment for psychiatric care when demonstrating what behavior?
Answer Choices:
a. Nonadherent with the treatment regimen.
b. Sells and distributes illegal drugs.
c. Threatens to harm self and others.
d. Fraudulently files for bankruptcy.
Answer:
c. Threatens to harm self and others.
Question: A nurse listens to a group of recent retirees. One says, “I volunteer with Meals on Wheels, coach teen sports, and do church visitation.” Another laughs and says, “I’m too busy taking care of myself to volunteer. I don’t have time to help others.” These comments contrast which developmental tasks?
Answer Choices:
a. Trust versus Mistrust
b. Industry versus Inferiority
c. Intimacy versus Isolation
d. Generativity versus Self-Absorption
Answer:
D. Generativity versus Self-Absorption
Question: A voluntarily hospitalized patient tells the nurse, “Get me the forms I need to sign so I can leave this place now.” What is the nurse’s best initial response?
Answer Choices:
a. “I can’t give you those forms without your health care provider’s knowledge.”
b. “I will get them for you, but let’s talk about your decision to leave treatment.”
c. “Since you signed your consent for treatment, you may leave if you desire.”
d. “I’ll get the forms for you right now and bring them to your room.”
Answer:
b. “I will get them for you, but let’s talk about your decision to leave treatment.”
Question: An individual is experiencing problems associated with memory. Which cerebral structures are most likely to be involved in this deficit? (Select all that apply.)
Answer Choices:
a. Prefrontal cortex
b. Occipital lobe
c. Temporal lobe
d. Parietal lobe
e. Basal ganglia
Answer:
a. Prefrontal cortex, c. Temporal lobe, d. Parietal lobe
Question: A patient’s history shows intense and unstable relationships with others. The patient initially idealizes an individual and then devalues the person when the patient’s needs are not met. Which aspect of mental health is a problem for this patient?
Answer Choices:
A. Effectiveness in work
B. Communication skills
C. Productive activities
D. Maintaining relationships
Answer:
D. Maintaining relationships
Question: A patient receiving lithium should be assessed for which evidence of early toxicity?
Answer Choices:
a. Pharyngitis, mydriasis, and dystonia
b. Alopecia, purpura, and drowsiness
c. Diarrhea, thirst, and vomiting
d. Ascites, dyspnea, and edema
Answer:
C
Question: A patient experiences an episode of severe anxiety. Of these medications in the patient’s medical record, which is most appropriate to administer as a short-term therapy?
Answer Choices:
a. Buspirone
b. Lorazepam
c. Amitriptyline
d. Desipramine
Answer:
b. Lorazepam