Answer Choices:
a. “That is not true. What you tell us is private and held in strict confidence. Your parents have no right to know.”
b. “Yes, your parents may find out what you say, but it is important that they know about your problems.”
c. “What you say about feelings is private, but some things, like plans to hurt yourself, must be reported to the treatment team.”
d. “It sounds as though you are not really ready to work on your problems and make changes.”
Answer:
c. “What you say about feelings is private, but some things, like plans to hurt yourself, must be reported to the treatment team.”
Question: A nurse wishes to teach alternative coping strategies to a patient experiencing severe anxiety. The nurse will first need to:
Answer Choices:
a. verify the patient’s learning style.
b. create outcomes and a teaching plan.
c. lower the patient’s current anxiety level.
d. assess how the patient uses defense mechanisms.
Answer:
c. lower the patient’s current anxiety level.
Question: What is an example of a lack of parity in health care delivery today?
Answer Choices:
a. Payment for psychiatric health care is not equal to that of physical health care.
b. Medicare is provided for only those 65 years of age and older.
c. There is a sufficient need for mental health care providers.
d. Most psychiatric care is provided on an outpatient basis.
Answer:
a. Payment for psychiatric health care is not equal to that of physical health care.
Question: A patient is demonstrating signs of dementia. The health care provider wants to make a differential diagnosis between Alzheimer’s disease and multiple infarctions. Which diagnostic procedure should a nurse expect to prepare the patient for first?
Answer Choices:
a. Computed tomography (CT) scan
b. Positron emission tomography (PET) scan
c. Functional magnetic resonance imaging (fMRI)
d. Single-photon emission computed tomography (SPECT) scan
Answer:
A. Computed tomography (CT) scan
Question: Why is it important for a nurse to possess an appropriate degree of assertiveness? (Select all that apply.) a. Reduces interpersonal stress. b. Builds effective team relationships. c. Supports development of technical nursing skills. d. Reduces potential for the increased risk of client injury. e. Supports the delivery of effective, appropriate nursing care.
Answer Choices:
a. Reduces interpersonal stress.
b. Builds effective team relationships.
c. Supports development of technical nursing skills.
d. Reduces potential for the increased risk of client injury.
e. Supports the delivery of effective, appropriate nursing care.
Answer:
A, B, D, E
Question: Which outcome, focused on recovery, would be expected in the plan of care for a patient living in the community and diagnosed with serious and persistent mental illness? Within 3 months, the patient will demonstrate what behavior?
Answer Choices:
A. Denying suicidal ideation
B. Reporting a sense of well-being
C. Taking medications as prescribed
D. Attending clinic appointments on time
Answer:
B. Reporting a sense of well-being
Question: A school-age child tells the school nurse, “Other kids call me racial names and will not sit with me at lunch. Nobody likes me.” Select the nurse’s most therapeutic response. a. “Just ignore them and they will leave you alone.” b. “You should make friends with other children.” c. “Call them names if they do that to you.” d. “Tell me more about how you feel.”
Answer Choices:
a. “Just ignore them and they will leave you alone.”
b. “You should make friends with other children.”
c. “Call them names if they do that to you.”
d. “Tell me more about how you feel.”
Answer:
D
Question: What action by a nurse constitutes a breach of a patient’s right to privacy?
Answer Choices:
a. Asking a family to share information about a patient’s prehospitalization behavior.
b. Discussing the patient’s history with other staff members during care planning.
c. Documenting the patient’s daily behaviors during hospitalization.
d. Releasing unauthorized information to the patient’s employer.
Answer:
d. Releasing unauthorized information to the patient’s employer.
Question: A person consistently rationalizes their cruel and abusive behavior. Which comment is most characteristic of this person defense mechanism?
Answer Choices:
a. “I don’t know why it happens.”
b. “I have always had poor impulse control.”
c. “That person should not have provoked me.”
d. “Inside I am a coward who is afraid of being hurt.”
Answer:
c. “That person should not have provoked me.”
Question: A patient who is preparing for surgery has moderate anxiety and is unable to understand preoperative information. Which nursing intervention is appropriate?
Answer Choices:
a. Reassure the patient that all nurses are skilled in providing postoperative care.
b. Describe the procedure again in a calm manner, using simple language.
c. Tell the patient that the staff is prepared to promote recovery.
d. Encourage the patient to express feelings to his or her family.
Answer:
b. Describe the procedure again in a calm manner, using simple language.
Question: The following patients are seen in the emergency department. The psychiatric unit has one bed available. The patient demonstrating which problem should the admitting officer recommend for admission to the hospital?
Answer Choices:
a. Experiencing dry mouth and tremor related to side effects of haloperidol
b. Experiencing anxiety after divorcing a spouse after 10 years of marriage
c. Has a self-inflicted a superficial cut on the forearm after a family argument
d. Has begun hearing voices encouraging her to, “Smother your infant”
Answer:
d. Has begun hearing voices encouraging her to, “Smother your infant”