Answer Choices:
a. Increased concentration of neurotransmitters in the synaptic gap
b. Decreased concentration of neurotransmitters in serum
c. Destruction of receptor sites
d. Limbic system stimulation
Answer:
A. Increased concentration of neurotransmitters in the synaptic gap
Question: A person received an invitation to be in the wedding of a friend who lives across the country. The individual is afraid of flying. What type of therapy should the nurse recommend?
Answer Choices:
a. Psychoanalysis
b. Milieu therapy
c. Systematic desensitization
d. Short-term dynamic therapy
Answer:
C. Systematic desensitization
Question: The nurse is monitoring a patient closely for signs and symptoms of Stevens-Johnson syndrome. Which medication is likely the trigger for such a syndrome?
Answer Choices:
a. Clonazepam
b. Risperidone
c. Lamotrigine
d. Aripiprazole
Answer:
C
Question: A patient in the emergency department has no physical injuries but exhibits disorganized behavior and incoherence after a minor traffic accident. In which room should the nurse place the patient?
Answer Choices:
a. Interview room furnished with a desk and two chairs.
b. Small, empty storage room with no windows or furniture.
c. Room with an examining table, instrument cabinets, desk, and chair.
d. Nurse’s office, furnished with chairs, files, magazines, and bookcases.
Answer:
c. Room with an examining table, instrument cabinets, desk, and chair.
Question: A person with a fear of closed spaces enters into an elevator. Which division of the autonomic nervous system is stimulated in response to this experience? a. Limbic system b. Peripheral nervous system c. Sympathetic nervous system d. Parasympathetic nervous system
Answer Choices:
a. Limbic system
b. Peripheral nervous system
c. Sympathetic nervous system
d. Parasympathetic nervous system
Answer:
C
Question: A patient tells a nurse, “I sometimes get into trouble because I make quick decisions and act on them.” Which response by the nurse would be most therapeutic?
Answer Choices:
a. “Let’s consider the benefits of stopping to think the consequences.”
b. “It sounds as though you’ve developed some insight into your situation.”
c. “I’ll bet you have some interesting stories to share about overreacting.”
d. “It’s good that you’re showing readiness for behavioral change.”
Answer:
a. “Let’s consider the benefits of stopping to think the consequences.”
Question: Which benefits are most associated with the use of telehealth? (Select all that apply.) a. Cost savings for patients b. Maximization of care management c. Access to services for patients in rural areas d. Prompt reimbursement by third-party payers e. Rapid development of trusting relationships with patients
Answer Choices:
a. Cost savings for patients
b. Maximization of care management
c. Access to services for patients in rural areas
d. Prompt reimbursement by third-party payers
e. Rapid development of trusting relationships with patients
Answer:
A, B, C
Question: A basic level registered nurse works with patients in a community setting. Which groups should this nurse expect to lead? (Select all that apply.)
Answer Choices:
a. Symptom management
b. Medication education
c. Family therapy
d. Psychotherapy
e. Self-care
Answer:
A. Symptom management
B. Medication education
E. Self-care
Question: Alprazolam is prescribed for a patient experiencing acute anxiety. Health teaching should include which instructions?
Answer Choices:
a. Report drowsiness.
b. Eat a tyramine-free diet.
c. Avoid alcoholic beverages.
d. Adjust dose and frequency based on anxiety level.
Answer:
c. Avoid alcoholic beverages.
Question: A patient is hospitalized for a reaction to a psychotropic medication and receives an eviction notice on the day of admission. What is the most appropriate action for the case manager to implement?
Answer Choices:
a. Cancel the patient’s discharge from the hospital.
b. Arrange the delivery of the patient’s belongings to the street.
c. Arrange a temporary place for the patient to stay until new housing can be secured.
d. Document that the patient’s recovery will be hampered because of homelessness.
Answer:
c. Arrange a temporary place for the patient to stay until new housing can be secured.
Question: A nurse psychotherapist works with an anxious, dependent patient. What therapeutic strategy is most consistent with the framework of psychoanalytic psychotherapy?
Answer Choices:
a. Emphasizing medication compliance
b. Identifying the patient’s strengths and assets
c. Offering psychoeducational materials and groups
d. Focusing on feelings developed by the patient toward the nurse
Answer:
D. Focusing on feelings developed by the patient toward the nurse