Exam Review
- An adult says, "I have no answers," and "My opinion does not count." Which psychosocial crisis was unsuccessfully resolved for this adult?A)Trust versus mistrustB)Autonomy versus shame and doubtC)Initiative versus guiltD)Identity versus role confusion
- Which finding best indicates that the goal "demonstrate a healthy self-concept" has been achieved for an adult?A)Describes the consequences of personal actionsB)Sees self as always capable of achieving goalsC)Seeks help from others when neededD)Meets own needs without considering the rights of others
- Which patient meets criteria for involuntary hospitalization for psychiatric treatment?A)A patient that fraudulently files for bankruptcyB)A patient that threatens harm to self and othersC)A patient involved in selling and distributing illegal drugsD)A patient noncompliant with their treatment regimen
- A nurse is caring for a client who states, "I don’t belong here." Which response is most appropriate?A)Were you feeling this way before this hospitalization?B)You don’t think this is the right place for your care?C)Suggest you discuss your concerns with the doctor in the morningD)This is an inappropriate statement for you to make
Exam Review
- What is an important nursing consideration for patients taking a nonbenzodiazepine such as zolpidem?A)May lead to falls in the elderlyB)Daytime drowsiness requires additional precautionsC)Will eventually develop dependence on this drugD)Must be taken for at least 4 weeks before inducing sedation
- A nurse instructs a patient taking a monoamine oxidase inhibitor (MAOI) drug to avoid certain foods and drugs because of the risk of which condition?A)Hypertensive crisisB)HypoglycemiaC)Hypotensive shockD)Cardiac dysrhythmias
- Applying a bitter substance to the nails for people who tend to bite their nails is a form of which type of therapy?A)Role modelingB)Aversion therapyC)Milieu therapyD)Desensitization therapy
- A nurse is caring for a group of clients in an acute mental health facility. Which of the following clients has the legal right to refuse treatment?A)A 16-year-old client admitted for voluntary treatmentB)A 20-year-old client with a court-ordered treatmentC)A 35-year-old client involuntarily admitted for treatmentD)An adult client refusing life-threatening treatment
Exam Review
- A nurse uses Maslow's hierarchy of needs to plan care for a patient diagnosed with mental illness. Which problem will receive priority?A)Reports feelings of alienation from familyB)Refuses to eat or batheC)Is reluctant to participate in group therapyD)Expresses anxiety about social situations
- Which assessment finding most clearly indicates that a patient may be experiencing a mental illness?A)Reports occasional sleeplessness and anxietyB)Cannot distinguish between "what is real" and "not real"C)Expresses uncertainty about whether to change jobsD)Reports sadness and low mood
- A patient tells the nurse, "I don’t think I’ll ever get out of here." Select the nurse’s most therapeutic response.A)Don’t speak that way. Of course, you will leave here!B)Keep up the good work and you will leave soonC)Everyone feels that way sometimesD)It sounds as though you don’t think you’re making progress?
- In which situations would a nurse have the duty to intervene and report? (Select all that apply)A)A health care provider gives a telephone orderB)A peer fails to provide patient care due to being under the influence of alcoholC)A team member violates relationship boundaries with a patientD)A medication is prescribed by a licensed health care provider
Exam Review
- A nurse is caring for a patient with a mental health disorder. Which approach best supports therapeutic care?A)Adopt a neutral attitude when providing careB)Check on the patient throughout the day for brief interactionsC)Discuss the patient’s feelings with an authorized individualD)Share personal mental health information with the patient
- The plan of care for a patient is not completed within 24 hours of the patient’s admission due to the unit being short-staffed. Which action should the nurse prioritize?A)Administer an as-needed dose of an antipsychotic drugB)Complete the plan of care as soon as possibleC)Transfer the patient to another unitD)Document the staffing issue in the patient’s chart
- A patient has acute anxiety related to a car accident. The nurse knows the patient will need teaching about which medication category?A)Mood stabilizersB)AntidepressantsC)AntipsychoticsD)Anxiolytics
- Which therapeutic technique best communicates to a patient that the nurse is interested in listening?A)Asking a direct question, such as "Did you feel angry?"B)Asking the patient, "Why did you do that?"C)Maintaining eye contact and noddingD)Offering advice based on personal experience
Exam Review
- A nurse is assessing a newly hospitalized patient. Select the best example of the communication technique of "offering self."A)I’d like to sit with you for a while to help you get comfortable talking to meB)I’ve also had traumatic life experiences; maybe it would help to share themC)Why do you think you had so much difficulty adjusting to this change in your life?D)Let’s discuss your treatment plan and how we can make it work for you
- Which individual diagnosed with a mental illness may require an emergency or involuntary admission?A)Throws a heavy plate at a waiter due to command hallucinationsB)Stays in their room during outpatient therapy sessionsC)Requests to speak with a mental health nurseD)Plays cards alone during group therapy
- Which action by a nurse indicates a breach of a patient’s right to privacy?A)Discussing the patient’s history with other staff during care planningB)Documenting the patient’s daily behavior during hospitalizationC)Releasing information to the patient’s employer without their consentD)Asking family to share information about a patient’s pre-hospitalization behavior
- Which of the following are examples of a nurse using non-therapeutic communication techniques? (Select all that apply)A)Focusing on the nurse rather than the clientB)Making value judgmentsC)Giving adviceD)Using active listening
Exam Review
- Which comment indicates the patient perceived the nurse was caring?A)My nurse spends time listening to me talk about my problems. That helps me feel like I am not aloneB)My nurse told me that if I take all the medicines the doctor prescribes, then I will get discharged soonerC)My nurse explained my treatment plan to me and asked for my ideas about how to make the treatment betterD)My nurse always asks me which type of juice I want to help me swallow my medication
- Which statements are true about bupropion? (Select all that apply)A)This medication is commonly prescribed to help people sleepB)This is a great alternative for clients experiencing sexual dysfunction due to other medications used to treat depressionC)Some clients take this medication for treatment of depressionD)This medication can be used to help clients stop smoking
- Which term best describes a nurse who can examine their own beliefs, values, and cultural practices?A)Cultural skillB)Cultural knowledgeC)Cultural awarenessD)Cultural competence
- A 52-year-old woman says to the nurse, "I should have accomplished more in life, what was I thinking?" Which psychosocial crisis is she experiencing?A)Trust versus mistrustB)Generativity versus stagnationC)Integrity versus despairD)Industry versus inferiority