Answer Choices:
a. Assign the child to a short time-out.
b. Administer an antipsychotic medication.
c. Place the child in a therapeutic hold.
d. Call a staff member to subdue the child.
Answer:
a. Assign the child to a short time-out.
Question: The parent of an adult diagnosed with severe and persistent mental illness asks the nurse, “Why are you making a referral to that vocational rehabilitation program? My child won’t ever be able to hold a job.” Which is the nurse’s best reply?
Answer Choices:
a. “We made this referral to maintain eligibility for federal funding.”
b. “Are you concerned that we’re trying to make your child too independent?”
c. “If you think the program would be detrimental, we can postpone it for a time.”
d. “Most patients are capable of employment at some level, competitive or supported.”
Answer:
d. “Most patients are capable of employment at some level, competitive or supported.”
Question: Which beliefs facilitate provision of safe, effective care for older adult patients? (Select all that apply.)
Answer Choices:
A. Sexual interest declines with aging.
B. Older adults are able to learn new tasks.
C. Aging results in a decline in restorative sleep.
D. Older adults are prone to become crime victims.
E. Older adults are usually lonely and socially isolated.
Answer:
B, C, D
Question: A 74-year-old patient is regressed and apathetic. This patient responds to others only when they initiate the interaction. Which therapy would be most useful to promote resocialization?
Answer Choices:
A. Medication
B. Re-motivation
C. Group psychotherapy
D. Individual psychotherapy
Answer:
B
Question: An adult diagnosed with attention-deficit/hyperactivity disorder (ADHD) says, “I’ve always been stupid. I never had friends when I was a child. My parents often punished me because I made mistakes. Now, I can’t keep a job.” The nurse managing care should consider suggesting what intervention?
Answer Choices:
a. Aversive therapy to extinguish negative behaviors.
b. Cognitive therapy to help address internalized beliefs.
c. Group therapy to allow comparison of feelings with others.
d. Vocational counseling to identify needed occupational skills.
Answer:
b. Cognitive therapy to help address internalized beliefs.
Question: A nurse assesses a 3-year-old diagnosed with autism spectrum disorder. Which finding is most associated with the child’s disorder?
Answer Choices:
a. Has occasional toileting accidents.
b. Is unable to recite numbers.
c. Cries when separated from a parent.
d. Continuously rocks in place for 30 minutes.
Answer:
d. Continuously rocks in place for 30 minutes.
Question: Which statements most clearly indicate that the speaker views mental illness with stigma? (Select all that apply.)
Answer Choices:
a. “Everyone is a little bit crazy.”
b. “If people with mental illness would go to church, their problems would be solved with faith.”
c. “Many mental illnesses are genetically transmitted. It is no one’s fault that the illness occurs.”
d. “Anyone can have a mental illness. War or natural disasters can be too stressful for healthy people.”
e. “People with mental illness are lazy. They expect the government to take care of everything they need.”
Answer:
a. “Everyone is a little bit crazy.”
b. “If people with mental illness would go to church, their problems would be solved with faith.”
e. “People with mental illness are lazy. They expect the government to take care of everything they need.”
Question: A 37 year old is involuntarily committed to outpatient treatment after sexually molesting a 12-year-old child. The patient says, “That girl looked like she was 19 years old.” Which defense mechanism is this patient using?
Answer Choices:
a. Denial
b. Identification
c. Displacement
d. Rationalization
Answer:
d. Rationalization
Question: Which nursing action should occur first when preparing to work with a patient who has a problem of sexual functioning?
Answer Choices:
a. Acquire knowledge of the patient’s sexual roles and preferences.
b. Develop an understanding of human sexual responses.
c. Assess the patient’s sexual functioning.
d. Clarify the nurse’s own personal values.
Answer:
d. Clarify the nurse’s own personal values.
Question: A nurse asks the following questions while assessing an older adult. The nurse will add the Geriatric Depression Scale as part of the assessment if the patient answers “yes” to which question?
Answer Choices:
a. “Would you say your mood is often sad?”
b. “Are you having any trouble with your memory?”
c. “Have you noticed an increase in your alcohol use?”
d. “Do you often experience moderate-to-severe pain?”
Answer:
a. “Would you say your mood is often sad?”