Answer Choices:
a. Mild
b. Moderate
c. Severe
d. Panic
Answer:
b. Moderate
Question: Which nursing intervention demonstrates false imprisonment?
Answer Choices:
a. A confused and combative patient says, “I’m getting out of here and no one can stop me.” The nurse restrains this patient without a health care provider’s order and then promptly obtains an order.
b. A patient has been imitating, seeking the attention of nurses most of the day. Now a nurse escorts the patient down the hall, saying, “Stay in your room or you’ll be put in seclusion.”
c. An involuntarily hospitalized patient with suicidal ideation runs out of the psychiatric unit. A nurse rushes after the patient and convinces the patient to return to the unit.
d. An involuntarily hospitalized patient with suicidal ideation attempts to leave the unit. A nurse calls the security team and uses established protocols to prevent the patient from leaving.
Answer:
a. A confused and combative patient says, “I’m getting out of here and no one can stop me.” The nurse restrains this patient without a health care provider’s order and then promptly obtains an order.
Question: A nurse uses Peplau’s interpersonal therapy while working with an anxious, withdrawn patient. What should the focus of the interventions be?
Answer Choices:
a. Changing the patient’s perceptions about self
b. Improving the patient’s interactional skills
c. Using medications to relieve anxiety
d. Reinforcing specific behaviors
Answer:
B. Improving the patient’s interactional skills
Question: A patient hospitalized with a mood disorder has demonstrated aggression, agitation, talkativeness, and irritability. A nurse begins the care plan based on the expectation that the health care provider is most likely to prescribe a medication from what classification?
Answer Choices:
a. Anticholinergic
b. Mood stabilizer
c. Psychostimulant
d. Tricyclic antidepressant
Answer:
B. Mood stabilizer
Question: A woman gave birth to a healthy newborn 1 month ago. The patient now reports she cannot cope and is unable to sleep or eat. She says, “I feel like a failure. This baby is the root of my problems.” What is the priority nursing diagnosis?
Answer Choices:
a. Insomnia
b. Ineffective coping
c. Situational low self-esteem
d. Risk for other-directed violence
Answer:
D
Question: An armed group of citizens who defend their community as emergency arises is known as: Militia Posse Mob Deputies
Answer:
Militia
Question: A health teaching plan for a patient taking Lithium should include which instructions?
Answer Choices:
a. Maintain normal salt and fluids in the diet.
b. Drink twice the usual daily amount of fluids.
c. Double the Lithium dose if diarrhea or vomiting occurs.
d. Avoid eating aged cheese, processed meats, and red wine.
Answer:
A
Question: How does a psychiatric nurse best implement the ethical principle of autonomy?
Answer Choices:
a. By intervening when a self-mutilating patient attempts to harm self.
b. Staying with a patient who is demonstrating a high level of anxiety.
c. Suggesting that two patients who are fighting be restricted to the unit.
d. Exploring alternative options with a patient, regarding medications.
Answer:
d. Exploring alternative options with a patient, regarding medications.
Question: A patient is taking a non-selective beta blocker with a history of alcohol abuse the NP teaches the patient that the use of the non-selective beta blocker and alcohol create serious drug interactions with insulin because they Increase blood glucose levels Produce unexplained diaphoresis Interfere with the ability of the body to metabolize glucose Mask the signs and symptoms of altered glucose
Answer:
Mask the signs and symptoms of altered glucose
Question: For a patient experiencing panic, which nursing intervention should be implemented first?
Answer Choices:
a. Teaching relaxation techniques
b. Administering an anxiolytic medication
c. Providing calm, brief, directive communication
d. Gathering a show of force for in preparation for gaining physical control
Answer:
c. Providing calm, brief, directive communication
Question: A patient asks a nurse, “What are neurotransmitters? My doctor says mine are out of balance.” What is the nurse’s best response?
Answer Choices:
a. “You must feel relieved to know that your problem has a physical basis.”
b. “Neurotransmitters are chemicals that pass messages between brain cells.”
c. “It is a high-level concept to explain. You should ask the doctor to tell you more.”
d. “Neurotransmitters are substances we eat daily that influence memory and mood.”
Answer:
B. “Neurotransmitters are chemicals that pass messages between brain cells.”
Question: A patient experiencing severe anxiety suddenly begins running and shouting, “I’m going to explode!” The nurse should implement which intervention to best maximize the patient’s safety?
Answer Choices:
a. State, “I’m not sure what you mean. Give me an example.”
b. Chase after the patient while giving instructions to stop running.
Answer:
b. Chase after the patient while giving instructions to stop running.
Question: Which behavior shows that a nurse values autonomy? a. Setting limits on a patient’s romantic overtures toward the nurse b. Suggesting one-on-one supervision for a patient who is suicidal c. Informing a patient that the spouse will not be in during visiting hours d. Helping the patient weigh the consequences of their behaviors and decisions
Answer Choices:
a. Setting limits on a patient’s romantic overtures toward the nurse
b. Suggesting one-on-one supervision for a patient who is suicidal
c. Informing a patient that the spouse will not be in during visiting hours
d. Helping the patient weigh the consequences of their behaviors and decisions
Answer:
D
Question: Which characteristic of the website’s address most alerts the consumer that they may have biased and prejudiced information?
Answer Choices:
A. Address ends in “.org.”
B. Address ends in “.com.”
C. Address ends in “.gov.”
D. Address ends in “.net.”
Answer:
B. Address ends in “.com.”
Question: A nurse caring for a withdrawn, suspicious patient recognizes the development of feelings of anger toward the patient. How should the nurse respond? a. By suppressing the angry feelings. b. By expressing the anger openly and directly with the patient. c. By telling the nurse manager to assign the patient to another nurse. d. By discussing the anger with a clinician during a supervisory session.
Answer Choices:
a. By suppressing the angry feelings.
b. By expressing the anger openly and directly with the patient.
c. By telling the nurse manager to assign the patient to another nurse.
d. By discussing the anger with a clinician during a supervisory session.
Answer:
D
Question: During which phase of the nurse–patient relationship can the nurse anticipate that identified patient issues will be explored and resolved? a. Preorientation b. Orientation c. Working d. Termination
Answer Choices:
a. Preorientation
b. Orientation
c. Working
d. Termination
Answer:
C
Question: Lithium is prescribed for a new patient. Which information from the patient’s history indicates that monitoring serum concentrations of the drug will be especially challenging and critical?
Answer Choices:
a. Arthritis
b. Epilepsy
c. Exercise-induced asthma
d. Congestive heart failure
Answer:
D
Question: A nurse plans health teaching for a patient diagnosed with generalized anxiety disorder (GAD) who takes lorazepam. What information should be included? (Select all that apply.)
Answer Choices:
a. Use caution when operating machinery.
b. Allow only tyramine-free foods in diet.
c. Restrict intake of caffeine.
d. Avoid using alcohol and other sedatives.
e. Take the medication on an empty stomach.
Answer:
A, C, D
Question: Which statement made by a patient during an initial assessment interview should serve as the priority focus for the plan of care?
Answer Choices:
a. “I can always trust my family.”
b. “It seems like I always have bad luck.”
c. “You never know who will turn against you.”
d. “I hear evil voices that tell me to do bad things.”
Answer:
d. “I hear evil voices that tell me to do bad things.”
Question: The relationship between a nurse and patient as it relates to status and power is best described by which term? a. Symmetric b. Complementary c. Incongruent d. Paralinguistic
Answer Choices:
a. Symmetric
b. Complementary
c. Incongruent
d. Paralinguistic
Answer:
B
Question: Select the most appropriate label to complete this nursing diagnosis: ____________, related to feelings of shyness and poorly developed social skills as evidenced by watching television alone at home every evening.
Answer Choices:
a. Deficient knowledge
b. Ineffective coping
c. Powerlessness
d. Social isolation
Answer:
d. Social isolation
Question: A nurse can anticipate anticholinergic side effects are likely to occur when a patient is prescribed what medication?
Answer Choices:
a. Lithium
b. Buspirone
c. Risperidone
d. Fluphenazine
Answer:
D. Fluphenazine
Question: A patient begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item “Encourage patient to attend one psychoeducational group daily”?
Answer Choices:
a. Assessment
b. Analysis
c. Implementation
d. Evaluation
Answer:
c. Implementation