Answer Choices:
a. Use a calm manner and low voice.
b. Maintain simplicity in the environment.
c. Avoid repetition in what is said to the child.
d. Minimize opportunities for exercise and play.
e. Explain and reinforce reality to avoid distortions.
Answer:
A, B, E
Question: The patient says, “My marriage is just great. My spouse and I usually agree on everything.” The nurse observes the patient’s foot moving continuously as the patient twirls a shirt button. What type of communication is the patient presenting? a. Clear b. Mixed c. Precise d. Inadequate
Answer Choices:
a. Clear
b. Mixed
c. Precise
d. Inadequate
Answer:
B
Question: Which comment by a person experiencing severe anxiety indicates the possibility of obsessive-compulsive disorder?
Answer Choices:
a. “I check where my car keys are eight times.”
b. “My legs often feel weak and spastic.”
c. “I’m embarrassed to go out in public.”
d. “I keep reliving the car accident.”
Answer:
a. “I check where my car keys are eight times.”
Question: In the majority culture of the United States, which individual is at greatest risk to be incorrectly labeled mentally ill?
Answer Choices:
A. Person who is usually pessimistic but strives to meet personal goals.
B. Wealthy person who gives $20 bills to needy individuals in the community.
C. Person with an optimistic viewpoint about giving his or her own needs met.
D. Person who expresses strong beliefs about the existence of alien abductions.
Answer:
D. Person who expresses strong beliefs about the existence of alien abductions.
Question: Two staff nurses applied for promotion to nurse manager. Initially, the nurse not promoted had feelings of loss but then became supportive of the new manager by helping make the transition smooth and encouraging others. Which term best describes the nurse’s response?
Answer Choices:
a. Altruism
b. Sublimation
c. Suppression
d. Passive aggression
Answer:
a. Altruism
Question: Which action by a psychiatric nurse best supports a patient’s right to participate in care planning?
Answer Choices:
a. Consistently addressing a patient by title and surname.
b. Strongly encouraging a patient to participate in the unit milieu activities.
c. Discussing a patient’s condition with the patient in the presence of another patient.
d. Informing a treatment team that the patient is too drowsy to participate in care planning.
Answer:
a. Consistently addressing a patient by title and surname.
Question: A nurse asks a patient, “If you had fever and vomiting for 3 days, what would you do?” Which aspect of the mental status examination is the nurse assessing?
Answer Choices:
a. Behavior
b. Cognition
c. Affect and mood
d. Perceptual disturbances
Answer:
b. Cognition
Question: As a nurse escorts a patient being discharged after treatment for severe anxiety disorder, the patient gives the nurse a gold necklace with a heart pendant and says, “Thank you for helping mend my broken heart.” Which is the nurse’s best response? a. “Accepting gifts violates the policies and procedures of the facility.” b. “I’m glad you feel so much better now. Thank you for the beautiful necklace.” c. “I’m glad I could help you, but I can’t accept the gift. My reward is seeing your renewed sense of hope.” d. “Helping people is what nursing is all about. It’s rewarding to me when patients recognize how hard we work.”
Answer Choices:
a. “Accepting gifts violates the policies and procedures of the facility.”
b. “I’m glad you feel so much better now. Thank you for the beautiful necklace.”
c. “I’m glad I could help you, but I can’t accept the gift. My reward is seeing your renewed sense of hope.”
d. “Helping people is what nursing is all about. It’s rewarding to me when patients recognize how hard we work.”
Answer:
C
Question: Priority teaching for a patient taking clozapine should include which instruction?
Answer Choices:
a. Report sore throat and fever immediately.
b. Avoid foods high in polyunsaturated fat.
c. Use water-based lotions for rashes.
d. Avoid unprotected sex.
Answer:
a. Report sore throat and fever immediately.
Question: Actions by an officer that are considered reasonable include which of the following descriptors? Reasonable Rational All of the above
Answer:
All of the above
Question: A nurse consistently strives to demonstrate caring behaviors during interactions with patients. Which reaction reported by a patient indicates this nurse is most effective?
Answer Choices:
A. Feeling less distrustful of others
B. Sensing a connection with others
C. Experiencing only minimal uneasiness about the future
D. Being somewhat encouraged with efforts to improve
Answer:
B. Sensing a connection with others
Question: The policies do not absolve an individual nurse of the responsibility to practice according to the professional standard in rendering care. This statement is most closely associated with which concept?
Answer Choices:
a. Agency policies are the legal standard by which a professional nurse must act and therefore override other standards of care.
b. Interpretation of policies by the judicial system is rendered on an individual basis and therefore cannot be predicted.
c. In an institution with substandard policies, the nurse has a responsibility to inform the supervisor and leave the premises.
d. Nurses are professionally bound to uphold the American Nurses Association (ANA) standards of practice, regardless of lesser standards established by a health care agency or state.
Answer:
d. Nurses are professionally bound to uphold the American Nurses Association (ANA) standards of practice, regardless of lesser standards established by a health care agency or state.
Question: A nurse is caring for a patient with low self-esteem. Which nonverbal communication should the nurse anticipate?
Answer Choices:
a. Arms crossed
b. Staring at the nurse
c. Smiling inappropriately
d. Eyes casted downward
Answer:
D
Question: Planning for patients diagnosed with mental illness is facilitated by understanding that inpatient hospitalization is generally reserved for a patient presenting with what characteristic?
Answer Choices:
a. Presents a clear danger to self or others.
b. Consistently noncompliant with medications at home.
c. Has no reliable support systems in the local community.
d. Develops new symptoms during the course of an illness.
Answer:
a. Presents a clear danger to self or others.
Question: Cognitive behavioral therapy was provided for a patient who frequently said, “I’m stupid.” Which statement by the patient indicates the therapy was effective?
Answer Choices:
a. “I’m disappointed in my lack of ability.”
b. “I always fail when I try new things.”
c. “Things always go wrong for me.”
d. “Sometimes I do stupid things.”
Answer:
D. “Sometimes I do stupid things.”