Medical, Pharmaceutical & Health Sciences
NursingOtherEssentials of Psychiatric Mental Health NursingPractice Set 3
NursingOtherEssentials of Psychiatric Mental Health NursingPractice Set 3Adults
This question bank verified by Studydeets
Questions Bank
- Practicing the Science and Art of Psychiatric NursingMental Health and Mental IllnessTheories and TherapiesBiological Basis for Understanding PsychopharmacologySettings for Psychiatric CareLegal and Ethical Basis for PracticeNursing Process and QSEN: The Foundation for Safe and Effective CareCommunication Skills: Medium for All Nursing PracticeTherapeutic Relationships and the Clinical InterviewTrauma and Stress-Related DisordersAnxiety, Anxiety Disorders, and Obsessive-Compulsive and Related DisordersSomatic Symptom Disorders and Dissociative DisordersPersonality DisordersEating DisordersMood Disorders: DepressionBipolar Spectrum DisordersSchizophrenia Spectrum Disorders and Other Psychotic DisordersNeurocognitive DisordersSubstance-Related and Addictive DisordersCrisis and Mass DisasterChild, Partner, and Elder ViolenceSexual ViolenceSuicidal Thoughts and BehaviorAnger, Aggression, and ViolenceCare for the Dying and Those Who GrieveChildren and AdolescentsAdultsOlder Adults
Question 1
Free
Multiple Choice
Health maintenance and promotion efforts for patients diagnosed with severe and persistent mental illness should include education about the importance of regular:
Choose correct answer/s
home safety inspections.
monitoring of self-care abilities.
screening for cancer, hypertension, and diabetes.
determination of adequacy of a patient's support system.
Check answer
Question 2
Free
Multiple Choice
Severe and persistent mental illness is best characterized as a:
Choose correct answer/s
mental illness with longer than 2 weeks' duration.
major ongoing mental illness marked by significant functional impairments.
mental illness accompanied by physical impairment and severe social problems.
major mental illness that cannot be treated to prevent deterioration of cognitive and social abilities.
Check answer
Question 3
Free
Multiple Choice
A 37-year-old is involuntarily committed to outpatient treatment after sexually molesting a 12-year-old child. The patient says, "That girl looked like she was 19 years old." Which defense mechanism is this patient using?
Choose correct answer/s
Denial
Identification
Displacement
Rationalization
Check answer
Question 4
Free
Multiple Choice
Which nursing diagnosis is likely to apply to the plan of care for a homeless individual diagnosed with severe and persistent mental illness?
Choose correct answer/s
Insomnia
Substance abuse
Chronic low self-esteem
Impaired environmental interpretation syndrome
Check answer
Question 5
Free
Multiple Choice
A patient diagnosed with schizophrenia tells the community mental health nurse, "I threw away my pills because they interfere with God's voice." The nurse identifies the cause of the patient's ineffective management of the medication regimen as:
Choose correct answer/s
inadequate discharge planning.
poor therapeutic alliance with clinicians.
impaired reasoning secondary to schizophrenia.
dislike of the side effects of antipsychotic medications.
Check answer
Question 6
Multiple Choice
A patient diagnosed with severe and persistent mental illness lives independently. This patient often has command hallucinations and shouts warnings to neighbors. After a short hospitalization, the patient's landlord says, "You can't come back here. You cause too much trouble." What problem is the patient experiencing?
Choose correct answer/s
Grief
Stigma
Recidivism
Lack of insurance parity
To unlock the question
Question 7
Multiple Choice
A person diagnosed with severe and persistent mental illness enters a shelter for the homeless. Which intervention should be the nurse's initial priority?
Choose correct answer/s
Develop a relationship
Find supported employment
Administer prescribed medication
Teach appropriate health care practices
To unlock the question
Question 8
Multiple Choice
A patient diagnosed with severe and persistent mental illness lives in a homeless shelter. The priority nursing diagnosis for this patient is Powerlessness. Which intervention should be included in the plan of care?
Choose correct answer/s
Encourage mutual goal setting.
Verbally communicate empathy.
Reinforce participation in activities.
Demonstrate an accepting attitude.
To unlock the question
Question 9
Multiple Choice
A homeless patient diagnosed with severe and persistent mental illness became suspicious and delusional. The patient was given depot antipsychotic medication and housing was arranged at a local shelter. After 2 weeks, which statement by the patient indicates significant improvement?
Choose correct answer/s
"I am feeling safe and comfortable here. Nobody bothers me."
"They will not let me drink. They have many rules in the shelter."
"Those guys are always watching me. I think someone stole my shoes."
"That shot made my arm sore. I'm not going to take any more of them."
To unlock the question
Question 10
Multiple Choice
For patients diagnosed with severe and persistent mental illness, what is the major advantage of case management? A case manager can:
Choose correct answer/s
modify traditional psychotherapy.
efficiently access and use resources.
focus on social skills training and self-esteem building.
bring groups of patients together to discuss common problems.
To unlock the question
Question 11
Multiple Choice
The father of a child diagnosed with schizophrenia says, "I lost my job, so we have no health insurance." The mother says, "I must watch this child all the time. Without supervision, our child becomes violent and destructive." A sibling says, "My parents don't pay attention to me." These comments signify:
Choose correct answer/s
life-cycle stressors.
psychobiologic issues.
family burden of mental illness.
stigma associated with mental illness.
To unlock the question
Question 12
Multiple Choice
The parent of an adult diagnosed with severe and persistent mental illness asks the nurse, "Why are you making a referral to that vocational rehabilitation program? My child won't ever be able to hold a job." Which is the nurse's best reply?
Choose correct answer/s
"We made this referral to maintain eligibility for federal funding."
"Are you concerned that we're trying to make your child too independent?"
"If you think the program would be detrimental, we can postpone it for a time."
"Most patients are capable of employment at some level, competitive or supported."
To unlock the question
Question 13
Multiple Choice
An adult says, "When I was a child, I took medication because I couldn't follow my teachers' directions. I stopped taking it when I was about 13. I still have trouble getting organized, which causes difficulty at my job." Which disorder is most likely?
Choose correct answer/s
Stress intolerance disorder
Generalized anxiety disorder (GAD)
Borderline personality disorder
Adult attention deficit hyperactivity disorder (ADHD)
To unlock the question
Question 14
Multiple Choice
A patient says, "I often make careless mistakes and have trouble staying focused. Sometimes it's hard to listen to what someone is saying. I have problems putting things in the right order and often lose equipment." Which problem should the nurse document?
Choose correct answer/s
Inattention
Impulsivity
Hyperactivity
Social impairment
To unlock the question
Question 15
Multiple Choice
A nurse prepares for an initial interview with a patient with suspected adult attention deficit hyperactivity disorder (ADHD). Questions should be focused to elicit information about which problem?
Choose correct answer/s
Headaches
Inattention
Sexual impulses
Trichotillomania
To unlock the question
Question 16
Multiple Choice
A nurse prepares a plan of care for a patient diagnosed with adult attention deficit hyperactivity disorder (ADHD). Which intervention should be included?
Choose correct answer/s
Remind the patient of priorities and deadlines.
Teach work-related skills such as basic computer literacy.
Establish penalties for failing to organize and prioritize tasks.
Give encouragement and strategies for managing and organizing.
To unlock the question
Question 17
Multiple Choice
The treatment team believes medication will help a patient diagnosed with adult attention deficit hyperactivity disorder (ADHD). Which class of medications does the nurse expect will be prescribed?
Choose correct answer/s
Benzodiazepines
Psychostimulants
Antipsychotics
Anxiolytics
To unlock the question
Question 18
Multiple Choice
An adult diagnosed with attention deficit hyperactivity disorder (ADHD) says, "I've always been stupid. I never had friends when I was a child. My parents often punished me because I made mistakes. Now, I can't keep a job." The nurse managing care should consider:
Choose correct answer/s
aversive therapy to extinguish negative behaviors.
cognitive therapy to help address internalized beliefs.
group therapy to allow comparison of feelings with others.
vocational counseling to identify needed occupational skills.
To unlock the question
Question 19
Multiple Choice
A nurse counsels a patient diagnosed with serious and persistent mental illness. The patient lives at home with family. Which resource could the nurse suggest to assist the patient and family to cope with the stigma of mental illness as well as provide support and education?
Choose correct answer/s
American Psychiatric Association (APA)
National Alliance on Mental Illness (NAMI)
Community Mental Health Centers (CMHCs)
Programs of Assertive Community Treatment (PACT)
To unlock the question
Question 20
Multiple Choice
Which nursing action should occur first when preparing to work with a patient who has a problem of sexual functioning?
Choose correct answer/s
Acquire knowledge of the patient's sexual roles and preferences
Develop an understanding of human sexual responses
Assess the patient's sexual functioning
Clarify the nurse's own personal values
To unlock the question