Answer Choices:
a. Develop a relationship.
b. Find supported employment.
c. Administer prescribed medication.
d. Teach appropriate health care practices.
Answer:
a. Develop a relationship.
Question: A health care provider writes these new prescriptions for a resident in a skilled care facility: egg custodian diet; restraint as needed; limit fluids to 200 mL daily; 1 dose of milk of magnesia 30 mL orally if no bowel movement occurs for 3 days.” Which prescription should the nurse question?
Answer Choices:
a. Restraint
b. Fluid restriction
c. Milk of magnesia
d. Sodium restriction
Answer:
a. Restraint
Question: A student nurse visiting a senior center tells the instructor, “It’s so depressing to see all these old people. They are so weak and frail. They are probably all confused.” The student is expressing what attitude?
Answer Choices:
a. Reality
b. Ageism
c. Empathy
d. Distrust
Answer:
b. Ageism
Question: A patient diagnosed with severe and persistent mental illness lives in a homeless shelter. The priority nursing diagnosis for this patient is Powerlessness. Which intervention should be included in the plan of care?
Answer Choices:
a. Encourage mutual goal setting.
b. Verbally communicate empathy.
c. Reinforce participation in activities.
d. Demonstrate an accepting attitude.
Answer:
a. Encourage mutual goal setting.
Question: A 12-year-old child has been the neighborhood bully for several years. The parents say, “We can’t believe anything our child says.” Recently, the child shot a dog with a pellet gun and set fire to a trash bin outside a store. The child’s behaviors are most consistent with which disorder?
Answer Choices:
a. Conduct disorder (CD)
b. Defiance of authority
c. Anxiety over separation from a parent
d. Attention-deficit/hyperactivity disorder (ADHD)
Answer:
a. Conduct disorder (CD)
Question: Which finding would prompt the nurse to carefully assess an 8-year-old child for development of a psychiatric disorder?
Answer Choices:
a. Being raised by a parent with chronic major depressive disorder
b. Moving to three new homes over a 2-year period
c. Not being promoted to the next grade
d. Having an imaginary friend
Answer:
a. Being raised by a parent with chronic major depressive disorder
Question: A nurse and social worker co-lead a reminiscence group for six “baby boomer” adults. Which activity is appropriate to include in the group?
Answer Choices:
A. Post-World War II music
B. Learning to send and receive email
C. Discussing national leadership during the Vietnam War
D. Identifying the most troubling story in today’s newspaper
Answer:
C
Question: A 15-year-old adolescent has run away from home six times. After the adolescent was arrested for prostitution, the parents told the court, “We can’t manage our teenager.” The adolescent is physically abusive to the mother and defiant with the father. The adolescent’s problem is most consistent with criteria for which disorder?
Answer Choices:
a. Attention-deficit/hyperactivity disorder (ADHD)
b. Childhood depression
c. Conduct disorder (CD)
d. Autism spectrum disorder (ASD)
Answer:
c. Conduct disorder (CD)
Question: A patient tells the nurse, “My sexual functioning is normal when my partner wears lace. Without it, I’m not interested in sex.” This comment evidences which sexual disorder?
Answer Choices:
a. Exhibitionism
b. Voyeurism
c. Pedophilia
d. Fetishism
Answer:
d. Fetishism
Question: A man tells the nurse, “All my life, I have felt and acted like a woman while living in a man’s body. For the past year, I have lived and dressed as a woman. I changed jobs to protect my new identity.” Which request is the patient likely to make to the health care provider?
Answer Choices:
a. “Can you refer me for psychological testing?”
b. “Will you prescribe hormone therapy?”
c. “Will you alter my medical records?”
d. “What should I tell my parents?”
Answer:
b. “Will you prescribe hormone therapy?”
Question: A patient diagnosed with severe and persistent mental illness lives independently. This patient often has command hallucinations and shouts warnings to neighbors. After a short hospitalization, the patient’s landlord says, “You can’t come back here. You cause too much trouble.” What problem is the patient experiencing?
Answer Choices:
a. Grief
b. Stigmatization
c. Recidivism
d. Lack of insurance parity
Answer:
b. Stigmatization
Question: Which behavior indicates that the treatment plan for a child diagnosed with autism spectrum disorder was effective?
Answer Choices:
a. Plays with one toy for 90 minutes.
b. Repeats words spoken by a parent.
c. Holds the parent’s hand while walking.
d. Spins around and claps hands while walking.
Answer:
c. Holds the parent’s hand while walking.
Question: A 78-year-old nursing home resident diagnosed with hypertension and cardiac disease is usually alert and oriented. This morning, however, the resident says, “My family visited during the night. They stood by the bed and talked to me.” In reality, the patient’s family lives 200 miles away. The nurse should first suspect what as the trigger for the resident’s experience?
Answer Choices:
a. Side effects associated with medications.
b. Early Alzheimer’s disease associated with advanced age.
c. A transient ischemic attack and developed sensory perceptual alterations.
d. Previously unidentified alcohol abuse and is beginning alcohol withdrawal delirium.
Answer:
a. Side effects associated with medications.
Question: A patient says, “I often make careless mistakes and have trouble staying focused. Sometimes it’s hard to listen to what someone is saying. I have problems putting things in the right order and often lose equipment.” Which problem should the nurse document?
Answer Choices:
a. Inattention
b. Impulsivity
c. Hyperactivity
d. Social impairment
Answer:
a. Inattention
Question: A parent diagnosed with schizophrenia and 13-year-old child live in a homeless shelter. The child has formed a trusting relationship with a volunteer. The teen says, “I have three good friends at school. We talk and sit together at lunch.” What is the nurse’s best suggestion to the treatment team?
Answer Choices:
a. Suggest foster home placement.
b. Seek assistance from an intimate partner violence program.
c. Make referrals for existing and emerging developmental needs.
d. Encourage healthy characteristics evidenced in relationships.
Answer:
d. Encourage healthy characteristics evidenced in relationships.
Question: A nurse assessing an older adult patient for depression should include questions about mood as well as which other symptoms? (Select all that apply.)
Answer Choices:
A. Increased appetite
B. Sleep pattern changes
C. Anhedonia and anergia
D. Increased social isolation
E. Increased concern with bodily functions
Answer:
B, C, D, E
Question: A nurse prepares to lead a discussion at a community health center regarding children’s health. The nurse wants to use current terminology when teaching about these issues. Which terms are appropriate for the nurse to use? (Select all that apply.)
Answer Choices:
a. Mental retardation
b. Asperger’s disorder
c. Autism spectrum disorder
d. Pervasive developmental disorder
e. Intellectual development disorder
Answer:
c. Autism spectrum disorder
e. Intellectual development disorder
Question: A nurse prepares for an initial interview with a patient with suspected adult attention-deficit/hyperactivity disorder (ADHD). Questions should be focused to elicit information about which problem?
Answer Choices:
a. Headaches
b. Inattention
c. Sexual impulses
d. Trichotillomania
Answer:
b. Inattention
Question: Which nursing diagnosis is likely to apply to the plan of care for a homeless individual diagnosed with severe and persistent mental illness?
Answer Choices:
a. Insomnia
b. Substance abuse
c. Chronic low self-esteem
d. Impaired environmental interpretation syndrome
Answer:
c. Chronic low self-esteem
Question: A nurse counsels a patient diagnosed with serious and persistent mental illness. The patient lives at home with family. Which resource could the nurse suggest assisting the patient and family to cope with the stigma of mental illness as well as provide support and education?
Answer Choices:
a. American Psychiatric Association (APA)
b. National Alliance on Mental Illness (NAMI)
c. Community Mental Health Centers (CMHCs)
d. Programs of Assertive Community Treatment (PACT)
Answer:
b. National Alliance on Mental Illness (NAMI)
Question: A nurse prepares a plan of care for a patient diagnosed with adult attention-deficit/hyperactivity disorder (ADHD). Which intervention should be included?
Answer Choices:
a. Remind the patient of priorities and deadlines.
b. Teach work-related skills such as basic computer literacy.
c. Establish penalties for failing to organize and prioritize tasks.
d. Give encouragement and strategies for managing ongoing attention.
Answer:
d. Give encouragement and strategies for managing ongoing attention.