NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. The individual with PTSD would experience which following features?
      A)
      Adaptively coping through an event that is outside the range of usual experience
      B)
      Persistent avoidance of stimuli associated with the trauma
      C)
      Talking openly about the trauma and expressing self to others
      D)
      Physically visiting the location where the trauma occurred in the individual's life
    2. Priority interventions for a patient diagnosed with major depression and feelings of worthlessness should include which of the following?
      A)
      Allowing the patient to spend long periods alone in meditation
      B)
      Distracting the patient from self-absorption
      C)
      Opportunities to assume a leadership role in the therapeutic milieu
      D)
      Careful, unobtrusive observation around the clock
    3. A patient diagnosed with paranoid schizophrenia refuses food, stating the voices are saying the food is contaminated and deadly. Which of the following would be a therapeutic response for the nurse?
      A)
      "Other people are eating the food, and nothing is happening to them."
      B)
      "I understand that the voices are very real to you, but I do not hear them."
      C)
      "You are safe here in the hospital; nothing bad will happen to you."
      D)
      "The voices are wrong about the hospital food. It is not contaminated."
    4. A patient admitted with a diagnosis of Schizophrenia. The report states patient is experiencing positive symptoms. As the nurse what do you understand about positive symptoms?
      A)
      Patient is demonstrating a positive attitude about his future.
      B)
      Patient is positive the diagnosis is incorrect, and they do not have Schizophrenia.
      C)
      Patient is reporting low energy, apathy and loss of interest in his usual hobbies.
      D)
      Patient is experiencing one or more of the following: hallucinations, delusions, paranoia.
      E)
      The correct answer is: d) Patient is experiencing one or more of the following: hallucinations, delusions, paranoia.
    Page 1 of 12

    Exam Review

    1. The nurse is finding it difficult to provide structure and set limits for a patient. The nurse should self-evaluate for which of the following?
      A)
      Covert anger
      B)
      Boundary blurring
      C)
      Value dissonance
      D)
      Empathy
    2. A nurse teaches a patient a technique for examining negative thoughts and restating them in positive ways. What is this technique called?
      A)
      Cognitive reframing
      B)
      Wishful thinking
      C)
      Guided imagery
      D)
      Confrontational assertion
    3. A patient tells the nurse, "My doctor thinks my problems with stress relate to the negative way I think about things and suggested I learn new ways of thinking." Which response by the nurse would support the recommendation?
      A)
      Encourage the patient to imagine being in calm circumstances.
      B)
      Teach the patient to recognize, reconsider, and reframe irrational thoughts.
      C)
      Provide the patient with a blank journal and guidance about journaling.
      D)
      Teach the patient to use instruments that give feedback about bodily functions.
    4. During an interview, a patient attempts to shift the focus from self to the student nurse by asking personal questions. The student nurse should respond by saying:
      A)
      "Do not ask questions about my personal life."
      B)
      "Why do you keep asking about me?"
      C)
      "Nurses direct the interviews with patients."
      D)
      "The time we spend together is to discuss your concerns."
    Page 2 of 12

    Exam Review

    1. ________ level of anxiety can be clinically manifested by erratic and uncoordinated movements, impulsive behavior, unable to process the environment and may lose touch with reality.
      A)
      Moderate Anxiety
      B)
      Panic
      C)
      Manic Anxiety
      D)
      Severe Anxiety
    2. As a nursing student in clinical placement the nurse asks you to complete the hourly rounding. (Select all that apply)
      (SATA)
      A)
      You will be aware of safety exits for your safety.
      B)
      You refuse to do the task and tell the nurse "I am a student nurse and not here to do your job."
      C)
      You will wear a personal safety device to access help if needed.
      D)
      You will ask a student colleague to complete the rounding with you.
      E)
      You will ensure you have identified the patient correctly before providing care.
    3. Developing a therapeutic relationship between the healthcare team and the patient requires 5 dynamic components. Identify the one of the 5 dynamic components.
      A)
      Active listening
      B)
      Education to the patient
      C)
      Telling the patient to follow the doctors recommendations.
      D)
      Trust
    4. A patient who has been receiving antipsychotic medication for 6 weeks tells the nurse that the hallucinations are nearly gone and that concentration has improved. When the patient reports flulike symptoms including a fever and a very sore throat, what should the nurse do?
      A)
      Arrange for the patient to have blood drawn for a white blood cell count
      B)
      Suggest that the patient take something for her fever and get extra rest
      C)
      Advise the physician that the patient should be admitted to the hospital
      D)
      Consider recommending a change of antipsychotic medication
    Page 3 of 12

    Exam Review

    1. The individual initially thinks, "I'll never get through this huge assignment," but then amends the thought to "I can get through the assignment by breaking it into small portions and doing them one by one." What is this thought process an example of?
      A)
      Simple assertion
      B)
      Wishful thinking
      C)
      Rationalization
      D)
      Cognitive reframing
    2. A patient is diagnosed with generalized anxiety disorder (GAD). The nursing assessment supports this diagnosis when the patient reports which of the following?
      A)
      That his symptoms started right after he was robbed at gunpoint
      B)
      Being so worried he hasn't been able to work for the last 12 months
      C)
      Repeatedly verbalizing his prayers helps him feel relaxed
      D)
      That eating in public makes him extremely uncomfortable
    3. A patient diagnosed with a severe and persistent mental illness tells the case manager, ”I think people are laughing at me behind my back. I get real upset and anxious when I have to be around others in the group home. It's better when I just stay by myself.” The nurse should consider which of the following nursing diagnoses?
      A)
      Impaired comfort
      B)
      Social isolation
      C)
      Risk for activity intolerance
      D)
      Acute confusion
    4. Which of the following is a nursing intervention designed to help a patient with schizophrenia manage relapse?
      A)
      Teach the patient and family about behaviors associated with relapse.
      B)
      Schedule the patient to attend group therapy that includes those who have relapsed.
      C)
      Help the patient and family adapt to the stigma of chronic mental illness and periodic relapses.
      D)
      Remind the patient of the need to return for periodic blood draws to minimize the risk for relapse.
    Page 4 of 12

    Exam Review

    1. A patient admitted on an involuntary status is seen by the rights advisor. The patient states they wish to "challenge the form". Select all appropriate answers in this situation (Select all that apply)
      A)
      The patient has the right to refuse medication.
      B)
      The staff can force the patient to take the medication.
      C)
      The patient is entitled to a lawyer to represent their case.
      D)
      The staff can ignore the patient's request as they are psychotic.
      E)
      The review board must be held within 7 days.
    2. The mental health status of a particular patient can best be assessed by considering which of the following?
      A)
      The degree of conformity of the individual to society’s norms
      B)
      The rate of intellectual and emotional growth
      C)
      The degree to which an individual is logical and rational
      D)
      Placement on a continuum from health to illness
    3. Self-help groups are useful for reducing stress because they provide the individual with which of the following stress mediators?
      A)
      Life satisfaction
      B)
      Cognitive reframing
      C)
      Cultural support
      D)
      Social support
    4. A nurse explains to the family of a mentally ill patient how a nurse-patient relationship differ from social relationships. Which is the best explanation?
      A)
      "The focus is creation of a partnership in which each member is concerned with growth and satisfaction of the other."
      B)
      "The focus shifts from nurse to patient as the relationship develops. Advice is given by both, and solutions are implemented."
      C)
      "The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient."
      D)
      "The focus of the relationship is socialization. Mutual needs are met, and feelings are shared openly."
    Page 5 of 12

    Exam Review

    1. A patient diagnosed with schizophrenia experiencing disorganization would have greatest difficulty with the nurse doing which of the following?
      A)
      Using concrete language
      B)
      Providing nutritional supplements
      C)
      Interacting with a neutral attitude
      D)
      Giving multistep directions
    2. A patient in your clinic who has social anxiety disorder is attending your 12 week group therapy. You know the patient is showing progress when they make the following statement:
      A)
      If I get nervous, I will avoid the social event and stay home.
      B)
      I smoke marijuana before leaving the house so I can relax at the social event.
      C)
      I will go to the event but if I get nervous I will ask my friend to take me home.
      D)
      I know how to use my deep breathing exercises to help calm me when I am anxious.
    3. What assumption can be made about the patient who has been admitted on an involuntary basis?
      A)
      The patient has agreed to fully participate in treatment and care planning
      B)
      The patient can be discharged from the unit on demand
      C)
      For the first 48 hours, the patient can be given medication over objection
      D)
      The patient is a danger to self or others or unable to meet basic needs
    4. Practicing with a least restraint philosophy, put the order from "least to most restraint use".
      A)
      Locked unit, physical restraint, seclusion, chemical restraint
      B)
      Physical restraints, chemical restraint, seclusion, locked unit
      C)
      Locked unit, seclusion, chemical restraint, physical restraint
      D)
      Seclusion, chemical restraint, locked unit, physical restraint
    Page 6 of 12