Question: An individual was killed during a store robbery 2 weeks ago. The widowed spouse, who was diagnosed 6 years ago with schizoaffective disorder, cries spontaneously when talking about the death. Which is the nurse’s most therapeutic comment? a. “I’m worried about how much you’re crying. You grief over your spouse’s death has gone on too long.”
An individual was killed during a store robbery 2 weeks ago. The widowed spouse, who was diagnosed 6 years ago with schizoaffective disorder, cries spontaneously when talking about the death. Which is the nurse’s most therapeutic comment? a. “I’m worried about how much you’re crying. You grief over your spouse’s death has gone on too long.” b. “The unexpected death of your spouse must be painful. I’m glad you’re able to talk to me about your feelings.” c. “This loss is harder to accept because of your mental illness. Let’s refer you for a partial hospitalization program.” d. “Your crying shows you aren’t coping well. I made an appointment for you to see the psychiatrist for medication adjustment.” Correct Answer b. “The unexpected death of your spouse must be painful. I’m glad you’re able to talk to me about your feelings.”
Question: Children of a widowed parent confer with the nurse; their surviving parent repeatedly relates the details of finding the deceased parent not breathing, performing cardiopulmonary resuscitation, going to the hospital by ambulance, and seeing the pronouncement of death. The family asks, “What can we do?” How should the nurse best counsel the family?
Children of a widowed parent confer with the nurse; their surviving parent repeatedly relates the details of finding the deceased parent not breathing, performing cardiopulmonary resuscitation, going to the hospital by ambulance, and seeing the pronouncement of death. The family asks, “What can we do?” How should the nurse best counsel the family? a. Encouraging them to share their own feelings with the surviving parent and ask for the retelling to stop b. Support the ideas that retelling the story should be limited to once daily to avoid unnecessary stimulation c. Share with them that retelling memories is to be expected as part of the aging process d. Reassure them that repeating the story is a helpful and a necessary part of grieving Correct Answer d. Reassure them that repeating the story is a helpful and a necessary part of grieving
Question: A widow grieving her husband’s sudden and unexpected death tells the nurse, “I’m not feeling well. Yesterday, I saw my husband walk through the door, stop, and smile at me. Then he just faded away.” Which is the nurse’s most appropriate action? a. Assess for recent substance abuse. b. Suggest a referral to the mental health clinic.
A widow grieving her husband’s sudden and unexpected death tells the nurse, “I’m not feeling well. Yesterday, I saw my husband walk through the door, stop, and smile at me. Then he just faded away.” Which is the nurse’s most appropriate action? a. Assess for recent substance abuse. b. Suggest a referral to the mental health clinic. c. Arrange for an evaluation for antidepressant medication. d. Counsel the widow that visualizations are a normal part of grieving. Correct Answer d. Counsel the widow that visualizations are a normal part of grieving
Question: A woman says to the nurse, “It’s been 8 months since my husband died. I’m not feeling any better. I cry when I see his chair, when I have to make decisions alone, and sometimes just for no reason at all. What should I do?” What is the most therapeutic response? a. “Give yourself a time frame to stop grieving.”
A woman says to the nurse, “It’s been 8 months since my husband died. I’m not feeling any better. I cry when I see his chair, when I have to make decisions alone, and sometimes just for no reason at all. What should I do?” What is the most therapeutic response? a. “Give yourself a time frame to stop grieving.” b. “Become active in a church.” c. Go to the spouse’s grave every day. d. Understand this is a normal response. Correct Answer d. Understand this is a normal response.
Question: A nurse cared for a terminally ill patient for over a month and always looked forward to spending time with the patient. When the patient died, the nurse experienced sadness and felt mildly depressed. Eventually, the nurse explains these feelings to a mentor. What should be the mentor’s focus should counseling the nurse?
A nurse cared for a terminally ill patient for over a month and always looked forward to spending time with the patient. When the patient died, the nurse experienced sadness and felt mildly depressed. Eventually, the nurse explains these feelings to a mentor. What should be the mentor’s focus should counseling the nurse? a. Implementing stress-reduction strategies b. Seeking therapy for dysfunctional grief c. Discussing the experience of disenfranchised grief d. Considering taking a leave of absence to pursue healing Correct Answer c. Discussing the experience of disenfranchised grief
Question: A desired outcome for a 12-year-old diagnosed with oppositional defiant disorder (ODD) is to improve relationships with other children. Which treatment modality should the nurse suggest for the plan of care? a. Bibliotherapy b. Music therapy c. Social skills groups d. Behavior modification
A desired outcome for a 12-year-old diagnosed with oppositional defiant disorder (ODD) is to improve relationships with other children. Which treatment modality should the nurse suggest for the plan of care? a. Bibliotherapy b. Music therapy c. Social skills groups d. Behavior modification Correct Answer c. Social skills groups
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 classification of medications? a. Central nervous system stimulants and nonstimulants b. Monamine oxidase inhibitors (MAOIs) c. Antipsychotic medications
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 classification of medications? a. Central nervous system stimulants and nonstimulants b. Monamine oxidase inhibitors (MAOIs) c. Antipsychotic medications d. Anxiolytic medications Correct Answer a. Central nervous system stimulants and nonstimulants
Question: A nurse will prepare teaching materials regarding which medication for the parents of a child diagnosed with enuresis? a. Haloperidol b. Desmopressin c. Methylphenidate d. Carbamazepine
A nurse will prepare teaching materials regarding which medication for the parents of a child diagnosed with enuresis? a. Haloperidol b. Desmopressin c. Methylphenidate d. Carbamazepine Correct Answer b. Desmopressin
Question: Shortly after a 15-year-old’s parents announce a plan to divorce, the adolescent stops participating in sports, sits alone at lunch, and avoids former friends. The adolescent says, “All the other kids have families. If my parents loved me, then they would stay together.” Which nursing intervention is most appropriate?
Shortly after a 15-year-old’s parents announce a plan to divorce, the adolescent stops participating in sports, sits alone at lunch, and avoids former friends. The adolescent says, “All the other kids have families. If my parents loved me, then they would stay together.” Which nursing intervention is most appropriate? a. Develop a plan for activities of daily living. b. Communicate disbelief relative to the adolescent’s feelings. c. Assist the adolescent to differentiate reality from perceptions. d. Assess and document the adolescent’s level of depression daily. Correct Answer c. Assist the adolescent to differentiate reality from perceptions.
Question: When group therapy is to be used as a treatment modality, the nurse should suggest placing a 9-year-old in a group that focuses on what? a. Play activities exclusively. b. Group discussion exclusively. c. Talk focused on a specific issue. d. Play and then talk about the play.
When group therapy is to be used as a treatment modality, the nurse should suggest placing a 9-year-old in a group that focuses on what? a. Play activities exclusively. b. Group discussion exclusively. c. Talk focused on a specific issue. d. Play and then talk about the play. Correct Answer d. Play and then talk about the play.
Question: When assessing a 2-year-old diagnosed with autism spectrum disorder, what should a nurse expects? a. Hyperactivity and attention deficits b. Failure to develop interpersonal social skills c. History of disobedience and destructive acts d. High levels of anxiety when separated from a parent
When assessing a 2-year-old diagnosed with autism spectrum disorder, what should a nurse expects? a. Hyperactivity and attention deficits b. Failure to develop interpersonal social skills c. History of disobedience and destructive acts d. High levels of anxiety when separated from a parent Correct Answer b. Failure to develop interpersonal social skills
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? a. “Send a picture of yourself to school to keep with the child.”
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? 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.” Correct Answer d. “Talk with your health care provider about a referral to a mental health professional.”
Question: A 15-year-old adolescent has run away from home six times. After the adolescent was arrested for prostitution, the parents told the court, “We can’t manage our teenager.” The adolescent is physically abusive to the mother and defiant with the father. The adolescent’s problem is most consistent with criteria for which disorder?
A 15-year-old adolescent has run away from home six times. After the adolescent was arrested for prostitution, the parents told the court, “We can’t manage our teenager.” The adolescent is physically abusive to the mother and defiant with the father. The adolescent’s problem is most consistent with criteria for which disorder? a. Attention-deficit/hyperactivity disorder (ADHD) b. Childhood depression c. Conduct disorder (CD) d. Autism spectrum disorder (ASD) Correct Answer c. Conduct disorder (CD)
Question: A 15-year-old adolescent is referred to a residential program after an arrest for theft and running away from home. At the program, the adolescent refuses to participate in scheduled activities and pushes a staff member, causing a fall. Which approach by the nursing staff would be most therapeutic? a. Neutrally permit refusals.
A 15-year-old adolescent is referred to a residential program after an arrest for theft and running away from home. At the program, the adolescent refuses to participate in scheduled activities and pushes a staff member, causing a fall. Which approach by the nursing staff would be most therapeutic? a. Neutrally permit refusals. b. Coax to gain compliance. c. Offer rewards in advance. d. Establish firm limits. Correct Answer d. Establish firm limits.
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? a. Bibliotherapy b. Play therapy c. Family therapy d. Behavior modification therapy
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? a. Bibliotherapy b. Play therapy c. Family therapy d. Behavior modification therapy Correct Answer c. Family therapy
Question: A nurse assesses a 3-year-old diagnosed with autism spectrum disorder. Which finding is most associated with the child’s disorder? a. Has occasional toileting accidents. b. Is unable to recite numbers. c. Cries when separated from a parent. d. Continuously rocks in place for 30 minutes.
A nurse assesses a 3-year-old diagnosed with autism spectrum disorder. Which finding is most associated with the child’s disorder? a. Has occasional toileting accidents. b. Is unable to recite numbers. c. Cries when separated from a parent. d. Continuously rocks in place for 30 minutes. Correct Answer d. Continuously rocks in place for 30 minutes.
Question: Which finding would prompt the nurse to carefully assess an 8-year-old child for development of a psychiatric disorder? a. Being raised by a parent with chronic major depressive disorder b. Moving to three new homes over a 2-year period c. Not being promoted to the next grade d. Having an imaginary friend
Which finding would prompt the nurse to carefully assess an 8-year-old child for development of a psychiatric disorder? a. Being raised by a parent with chronic major depressive disorder b. Moving to three new homes over a 2-year period c. Not being promoted to the next grade d. Having an imaginary friend Correct Answer a. Being raised by a parent with chronic major depressive disorder
Question: A nurse assesses the four children below. Which assessment findings should prompt the nurse to refer the child for further evaluation? a. A 4-year-old who stuttered for 3 weeks after the birth of a sibling. b. A 9-month-old who does not eat vegetables and likes to be rocked. c. A 3-month-old who cries after feeding until burped and sucks a thumb.
A nurse assesses the four children below. Which assessment findings should prompt the nurse to refer the child for further evaluation? a. A 4-year-old who stuttered for 3 weeks after the birth of a sibling. b. A 9-month-old who does not eat vegetables and likes to be rocked. c. A 3-month-old who cries after feeding until burped and sucks a thumb. d. A 3-year-old who is mute, passive toward adults, and twirls while walking. Correct Answer d. A 3-year-old who is mute, passive toward adults, and twirls while walking.
Question: The child most likely to receive propranolol to manage tremors is one diagnosed with which disorder? a. Attention-deficit/hyperactivity disorder (ADHD) b. Posttraumatic stress disorder (PTSD) c. A motor disorder d. Separation anxiety
The child most likely to receive propranolol to manage tremors is one diagnosed with which disorder? a. Attention-deficit/hyperactivity disorder (ADHD) b. Posttraumatic stress disorder (PTSD) c. A motor disorder d. Separation anxiety Correct Answer c. A motor disorder