Answer Options:
a. Access to housing
b. Individual psychotherapy
c. Income to meet basic needs
d. Availability of health insurance
e. Ongoing interdisciplinary evaluation
Answer: s:
A, C, D
Question: An older adult patient in an intensive care unit is experiencing visual and auditory illusions. Which nursing intervention will be most helpful?
Answer Options:
a. Keep the room brightly lit at all times.
b. Place personally meaningful objects in view.
c. Place large clocks and calendars on the wall.
d. Assess the patient’s for use of glasses and hearing aids.
Answer: d. Assess the patient’s for use of glasses and hearing aids.
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 Options:
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
Question: A 4-year-old child cries and screams from the time the parents leave the child at preschool until the child is picked up 4 hours later. The child is calm and relaxed when the parents are present. The parents ask, “What should we do?” What is the nurse’s best recommendation?
Answer Options:
a. “Send a picture of yourself to school to keep with the child.”
b. “Arrange with the teacher to let the child call home at playtime.”
c. “Talk with the school about withdrawing the child until maturity increases.”
d. “Talk with your health care provider about a referral to a mental health professional.”
Answer: D
Question: (Multiple Response):
A nurse assessing an older adult patient for depression should include questions about mood as well as which other symptoms? (Select all that apply.)
a. Increased appetite
b. Sleep pattern changes
c. Anhedonia and anergia
d. Increased social isolation
e. Increased concern with bodily functions
Answer: s:
B, C, D, E
Question: Health maintenance and promotion efforts for patients diagnosed with severe mental illness should include education about the importance of what regular intervention?
Answer Options:
a. Home safety inspections
b. Monitoring of self-care abilities
c. Screening for cancer, hypertension, and diabetes
d. Determination of adequacy of a patient’s support system
Answer: C
Question: An adolescent diagnosed with generalized anxiety disorder says, “My parents focus all their attention on my brother instead of me. He’s perfect in their eyes.” Which type of therapy might promote the greatest change in this adolescent’s behavior?
Answer Options:
a. Bibliotherapy
b. Play therapy
c. Family therapy
d. Behavior modification therapy
Answer: C
Question: Which is the best statement for a nurse to use when beginning an interview with an older adult patient?
a. “Hello, [call patient by first name]. I am going to ask you some questions to get to know you better.”
b. “Hello. My name is [nurse’s name]. I am a nurse. Please tell me how you would like to be addressed by the staff.”
c. “I am going to ask you some questions about yourself. I would like to call you by your first name if you don’t mind.”
d. “You look as though you are comfortable and ready to participate in an admission interview. Shall we get started?”
Answer: B
Question: An 11-year-old child is absent from school to care for siblings while the parents work. The family cannot afford a babysitter. When asked about their feelings, the child reluctantly says, “My parents don’t like me. They call me stupid and say I never do anything right.” Which type of abuse is likely?
Answer Options:
a. Sexual
b. Physical
c. Emotional
d. Economic
Answer: c. Emotional
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 Options:
a. Mental retardation
b. Asperger’s disorder
c. Autism spectrum disorder
d. Pervasive developmental disorder
e. Intellectual development disorder
Answer: C, E
Question: A child diagnosed with attention-deficit/hyperactivity disorder (ADHD) is going to begin medication therapy. The nurse should plan to teach the family about which combination of medications?
a. Central nervous system stimulants and nonstimulants
b. Antihypertensive agents
c. Monoamine oxidase inhibitors (MAOIs)
d. Anxiolytic medications
Answer: a. Central nervous system stimulants and nonstimulants
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 Options:
a. Inattention
b. Impulsivity
c. Hyperactivity
d. Social impairment
Answer: A
Question: (Multiple Response):
A nurse leads a staff development session about ageism among health care workers. What information should the nurse include about the consequences of ageism? (Select all that apply.)
a. Failure of older adults to receive necessary medical information
b. Development of public policy that favors programs for older adults
c. Staff shortages because caregivers prefer working with younger adults
d. Perception that older adults consume a small share of medical resources
e. More ancillary than professional personnel discriminate with regard to age
Answer: s:
A, C
Question: How is severe and persistent mental best characterized?
Answer Options:
a. Mental illness which last 2 weeks’ duration
b. Severe mental illness with a rapid onset of symptoms
c. Major ongoing mental illness marked by significant functional impairments
d. Major mental illness that cannot be treated to remission
Answer: C
Question: A 75-year-old patient comes to the clinic reporting frequent headaches. After an introduction at the beginning of the interview, what should the nurse address?
a. Initiate a neurological assessment.
b. Assess if the patient can hear the spoken word clearly.
c. Suggest that the patient lie down in a darkened room to rest.
d. Administer medication to relieve the patient’s pain prior to the assessment.
Answer: B
Question: Recognizing the risk for acquired immunodeficiency syndrome (AIDS) among older adults, nurses should provide health teaching focused on what?
a. Discouraging sexual expression
b. Using birth control measures
c. Avoiding blood transfusions
d. Encouraging condom use
Answer: D
Question: An older adult resident at a long-term care facility says to the nurse, “Life is hard and every day is a struggle. No one cares about old people. Which is the nurse’s most appropriate response?
a. “Everyone here cares about old people. That’s why we work here.”
b. “It sounds like you’re having a difficult time. Tell me about it.”
c. “Let’s not focus on the negative. Tell me something good.”
d. “You are still able to get around, and your mind is alert.”
Answer: B
Question: The parent of a child diagnosed with Tourette’s disorder says to the nurse, “I think my child is faking the tics because they come and go.” Which response by the nurse is accurate?
Answer Options:
a. “Perhaps your child was misdiagnosed.”
b. “Your observation indicates the medication is effective.”
c. “Tics often change frequency or severity. That does not mean they aren’t real.”
d. “This finding is unexpected. How have you been administering your child’s medication?”
Answer: C
Question: What is the highest priority for assessment by nurses caring for older adults who self-administer medications?
a. Misuse of antihypertensive medications
b. Trading medications with others
c. Overuse of medications for erectile dysfunction
d. Anticholinergic effects and the patient’s hydration status
Answer: D
Question: A nurse assesses a 3-year-old diagnosed with autism spectrum disorder. Which finding is most associated with the child’s disorder?
Answer Options:
a. Has occasional toileting accidents.
b. Is unable to recite ABC’s.
c. Cries when separated from a parent.
d. Continuously rocks in place for 30 minutes.
Answer: D
Question: The manager of a health club put a hidden camera in the women’s locker room and videotaped women as they showered and dressed. Which sexual dysfunction is evident?
Answer Options:
a. Frotteurism
b. Exhibitionism
c. Pedophilia
d. Voyeurism
Answer: D
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 Options:
a. Conduct disorder (CD)
b. Defiance of authority
c. Anxiety over separation from a parent
d. Attention-deficit/hyperactivity disorder (ADHD)
Answer: A