Test Bank for Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 11th Edition (Chapters 1-37)
Test Bank for Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 11th Edition (Chapters 1-37) makes exam preparation simple with structured and comprehensive questions.
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COMPLETE:KAPLAN AND SADOCK’S
SYNOPSIS OF PSYCHIATRY 11TH
EDITION SADOCK TEST BANK|ALL
CHAPTERS INCLUDED
Chapter 1: Neural Sciences
Test Bank MULTIPLE CHOICE
1. A patient with depression mentions to the nurse, My mother says depression is a chemical
disorder. What does she mean? The nurses response is based on the theory that depression
primarily involves which of the following neurotransmitters?
1. Cortisol and GABA
2. COMT and glutamate
3. Monamine and glycine
4. Serotonin and norepinephrine
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
damage to the Broca area. Which evaluation does the nurse conduct to reinforce this
diagnosis?
1. Observing the patient pick up a spoon
2. Asking the patient to recite the alphabet
3. Monitoring the patients blood pressure
4. Comparing the patients grip strength in both hands
3. The patient diagnosed with schizophrenia asks why psychotropic medications are always
prescribed by the doctor. The nurses answer will be based on information that the therapeutic
action of psychotropic drugs is the result of their effect on:
1. The temporal lobe; especially Wernickes area
2. Dendrites and their ability to transmit electrical impulses
3. The regulation of neurotransmitters especially dopamine
4. The peripheral nervous system sensitivity to the psychotropic medications
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with
understanding the anatomy and physiology of the neurologic system. The mentor would base a
response on the understanding that it is:
1. Necessary but generally for psychiatric nurses who focus primarily on behavioral
interventions
SYNOPSIS OF PSYCHIATRY 11TH
EDITION SADOCK TEST BANK|ALL
CHAPTERS INCLUDED
Chapter 1: Neural Sciences
Test Bank MULTIPLE CHOICE
1. A patient with depression mentions to the nurse, My mother says depression is a chemical
disorder. What does she mean? The nurses response is based on the theory that depression
primarily involves which of the following neurotransmitters?
1. Cortisol and GABA
2. COMT and glutamate
3. Monamine and glycine
4. Serotonin and norepinephrine
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
damage to the Broca area. Which evaluation does the nurse conduct to reinforce this
diagnosis?
1. Observing the patient pick up a spoon
2. Asking the patient to recite the alphabet
3. Monitoring the patients blood pressure
4. Comparing the patients grip strength in both hands
3. The patient diagnosed with schizophrenia asks why psychotropic medications are always
prescribed by the doctor. The nurses answer will be based on information that the therapeutic
action of psychotropic drugs is the result of their effect on:
1. The temporal lobe; especially Wernickes area
2. Dendrites and their ability to transmit electrical impulses
3. The regulation of neurotransmitters especially dopamine
4. The peripheral nervous system sensitivity to the psychotropic medications
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with
understanding the anatomy and physiology of the neurologic system. The mentor would base a
response on the understanding that it is:
1. Necessary but generally for psychiatric nurses who focus primarily on behavioral
interventions
COMPLETE:KAPLAN AND SADOCK’S
SYNOPSIS OF PSYCHIATRY 11TH
EDITION SADOCK TEST BANK|ALL
CHAPTERS INCLUDED
Chapter 1: Neural Sciences
Test Bank MULTIPLE CHOICE
1. A patient with depression mentions to the nurse, My mother says depression is a chemical
disorder. What does she mean? The nurses response is based on the theory that depression
primarily involves which of the following neurotransmitters?
1. Cortisol and GABA
2. COMT and glutamate
3. Monamine and glycine
4. Serotonin and norepinephrine
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
damage to the Broca area. Which evaluation does the nurse conduct to reinforce this
diagnosis?
1. Observing the patient pick up a spoon
2. Asking the patient to recite the alphabet
3. Monitoring the patients blood pressure
4. Comparing the patients grip strength in both hands
3. The patient diagnosed with schizophrenia asks why psychotropic medications are always
prescribed by the doctor. The nurses answer will be based on information that the therapeutic
action of psychotropic drugs is the result of their effect on:
1. The temporal lobe; especially Wernickes area
2. Dendrites and their ability to transmit electrical impulses
3. The regulation of neurotransmitters especially dopamine
4. The peripheral nervous system sensitivity to the psychotropic medications
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with
understanding the anatomy and physiology of the neurologic system. The mentor would base a
response on the understanding that it is:
1. Necessary but generally for psychiatric nurses who focus primarily on behavioral
interventions
SYNOPSIS OF PSYCHIATRY 11TH
EDITION SADOCK TEST BANK|ALL
CHAPTERS INCLUDED
Chapter 1: Neural Sciences
Test Bank MULTIPLE CHOICE
1. A patient with depression mentions to the nurse, My mother says depression is a chemical
disorder. What does she mean? The nurses response is based on the theory that depression
primarily involves which of the following neurotransmitters?
1. Cortisol and GABA
2. COMT and glutamate
3. Monamine and glycine
4. Serotonin and norepinephrine
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
damage to the Broca area. Which evaluation does the nurse conduct to reinforce this
diagnosis?
1. Observing the patient pick up a spoon
2. Asking the patient to recite the alphabet
3. Monitoring the patients blood pressure
4. Comparing the patients grip strength in both hands
3. The patient diagnosed with schizophrenia asks why psychotropic medications are always
prescribed by the doctor. The nurses answer will be based on information that the therapeutic
action of psychotropic drugs is the result of their effect on:
1. The temporal lobe; especially Wernickes area
2. Dendrites and their ability to transmit electrical impulses
3. The regulation of neurotransmitters especially dopamine
4. The peripheral nervous system sensitivity to the psychotropic medications
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with
understanding the anatomy and physiology of the neurologic system. The mentor would base a
response on the understanding that it is:
1. Necessary but generally for psychiatric nurses who focus primarily on behavioral
interventions
1. A complex undertaking that advance practice psychiatric nurses frequently use in their
practice
1. Important primarily for the nursing assessment of patients with brain traumacaused
cognitive symptoms
1. Necessary for planning psychiatric care for all patients especially those experiencing
psychiatric disorders
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by her chronic
depression? Which response is supported by research data? 1. Too much stress has been
proven to cause all kinds of cancer.
2. There have been no research studies done on stress and disease yet.
3. Stress does cause the release of factors that suppress the immune system.
4. There appears to be little connection between stress and diseases of the body
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitation
needs.
Of the aspects of functioning listed, which will the nurse identify as a focus of nursing
intervention?
1. Expression of emotion
2. Detecting auditory stimuli
3. Receiving visual images
4. Processing associations
7. At admission, the nurse learns that some time ago the patient had an infarct in the right
cerebral cortex. During assessment, the nurse would expect to find that the patient:
1. Demonstrates major deficiencies in speech
2. Is unable to effectively hold a spoon in the left hand
3. Has difficulty explaining how to go about using the telephone
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The
patient will be discharged on low doses of haloperidol. The nurse will need to individualize
the patients medication teaching by:
1. Including the patients caregiver in the education
2. Being careful to stress the importance of taking the medication as prescribed 3.
Providing the education at a time when the patient is emotionally calm
and relaxed
1. Encouraging the patient to crush or dissolve the medication to help with
swallowing
practice
1. Important primarily for the nursing assessment of patients with brain traumacaused
cognitive symptoms
1. Necessary for planning psychiatric care for all patients especially those experiencing
psychiatric disorders
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by her chronic
depression? Which response is supported by research data? 1. Too much stress has been
proven to cause all kinds of cancer.
2. There have been no research studies done on stress and disease yet.
3. Stress does cause the release of factors that suppress the immune system.
4. There appears to be little connection between stress and diseases of the body
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitation
needs.
Of the aspects of functioning listed, which will the nurse identify as a focus of nursing
intervention?
1. Expression of emotion
2. Detecting auditory stimuli
3. Receiving visual images
4. Processing associations
7. At admission, the nurse learns that some time ago the patient had an infarct in the right
cerebral cortex. During assessment, the nurse would expect to find that the patient:
1. Demonstrates major deficiencies in speech
2. Is unable to effectively hold a spoon in the left hand
3. Has difficulty explaining how to go about using the telephone
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The
patient will be discharged on low doses of haloperidol. The nurse will need to individualize
the patients medication teaching by:
1. Including the patients caregiver in the education
2. Being careful to stress the importance of taking the medication as prescribed 3.
Providing the education at a time when the patient is emotionally calm
and relaxed
1. Encouraging the patient to crush or dissolve the medication to help with
swallowing
9. The physician tells the nurse, The medication Im prescribing for the patient enhances the
gaminobutyric acid (GABA) system. Which patient behavior will provide evidence that the
medication therapy is successful?
1. The patient is actively involved in playing cards with other patients.
2. The patient reports that, I dont feel as anxious as I did a couple of days ago.
3. The patient reports that both auditory and visual hallucinations have decreased.
4. The patient says that, I am much happier than before I came to the hospital.
10. The patients family asks whether a diagnosis of Parkinsons disease creates an increased
risk for any mental health issues. What question would the nurse ask to assess for such a
comorbid condition?
1. Has your father exhibited any signs of depression?
2. Does your father seem to experience mood swings?
3. Have you noticed your father talking about seeing things you cant see?
4. Is your dad preoccupied with behaviors that he needs to repeat over and over?
11. Which explanation for the prescription of donepezil (Aricept) would the nurse provide for a
patient in the early stage of Alzheimers disease?
1. It will increase the metabolism of excess GABA.
2. Excess dopamine will be prevented from attaching to receptor sites.
3. Serotonin deficiency will be managed through a prolonged reuptake period.
4. The acetylcholine deficiency will be managed by inhibiting cholinesterase.
12. There remains a stigma attached to psychiatric illnesses. The psychiatric nurse makes the
greatest impact on this sociological problem when:
1. Providing educational programming for patients and the public
2. Arranging for adequate and appropriate social support for the patient
3. Assisting the patient to achieve the maximum level of independent functioning 4.
Regularly praising the patient for seeking and complying with
appropriate treatment
13. The wife of a patient with paranoid schizophrenia tells the nurse, Ive learned that my
husband has several close relatives with the same disorder. Does this problem run in families?
The response based on recent discoveries in the field of genetics would be:
1. Your children should
gaminobutyric acid (GABA) system. Which patient behavior will provide evidence that the
medication therapy is successful?
1. The patient is actively involved in playing cards with other patients.
2. The patient reports that, I dont feel as anxious as I did a couple of days ago.
3. The patient reports that both auditory and visual hallucinations have decreased.
4. The patient says that, I am much happier than before I came to the hospital.
10. The patients family asks whether a diagnosis of Parkinsons disease creates an increased
risk for any mental health issues. What question would the nurse ask to assess for such a
comorbid condition?
1. Has your father exhibited any signs of depression?
2. Does your father seem to experience mood swings?
3. Have you noticed your father talking about seeing things you cant see?
4. Is your dad preoccupied with behaviors that he needs to repeat over and over?
11. Which explanation for the prescription of donepezil (Aricept) would the nurse provide for a
patient in the early stage of Alzheimers disease?
1. It will increase the metabolism of excess GABA.
2. Excess dopamine will be prevented from attaching to receptor sites.
3. Serotonin deficiency will be managed through a prolonged reuptake period.
4. The acetylcholine deficiency will be managed by inhibiting cholinesterase.
12. There remains a stigma attached to psychiatric illnesses. The psychiatric nurse makes the
greatest impact on this sociological problem when:
1. Providing educational programming for patients and the public
2. Arranging for adequate and appropriate social support for the patient
3. Assisting the patient to achieve the maximum level of independent functioning 4.
Regularly praising the patient for seeking and complying with
appropriate treatment
13. The wife of a patient with paranoid schizophrenia tells the nurse, Ive learned that my
husband has several close relatives with the same disorder. Does this problem run in families?
The response based on recent discoveries in the field of genetics would be:
1. Your children should
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1. The connection between a new job and possible depression does exist.
2. The medication can be adjusted to manage any increase in depression.
3. The interruption in normal wake-sleep patterns can influence mood disorders. 4. The
change in sleep routine can be managed with a healthy sleep hygiene routine.
15. The nurse is discouraged because the patient exhibiting negative symptoms of
schizophrenia has shown no improvement with the planned interventions to reduce the
symptoms. The mentors remark that helps place the problem in perspective is:
1. You arent responsible for the behavior of any other person.
2. Patients can be perverse and cling to symptoms despite our efforts.
3. Negative symptoms have been associated with genetic pathology.
4. It will take several trail and error attempts to get the right combination care.
MULTIPLE RESPONSE
1. What assessment data would reinforce the diagnosis of temporal lobe injury in patient
who experienced head trauma? Select all that apply.
1. Inability to balance a checkbook
2. Uncharacteristically aggressive
3. Affect fluctuates dramatically
4. Increased interest in sexual behaviors
5. Difficulty remembering the names of family members
2. A patient has begun experiencing dysfunction of the hypothalamus. What nursing
interventions will the nurse include in the patients plan of care? Select all that apply.
1. Reinforcing clear physical boundaries
2. The medication can be adjusted to manage any increase in depression.
3. The interruption in normal wake-sleep patterns can influence mood disorders. 4. The
change in sleep routine can be managed with a healthy sleep hygiene routine.
15. The nurse is discouraged because the patient exhibiting negative symptoms of
schizophrenia has shown no improvement with the planned interventions to reduce the
symptoms. The mentors remark that helps place the problem in perspective is:
1. You arent responsible for the behavior of any other person.
2. Patients can be perverse and cling to symptoms despite our efforts.
3. Negative symptoms have been associated with genetic pathology.
4. It will take several trail and error attempts to get the right combination care.
MULTIPLE RESPONSE
1. What assessment data would reinforce the diagnosis of temporal lobe injury in patient
who experienced head trauma? Select all that apply.
1. Inability to balance a checkbook
2. Uncharacteristically aggressive
3. Affect fluctuates dramatically
4. Increased interest in sexual behaviors
5. Difficulty remembering the names of family members
2. A patient has begun experiencing dysfunction of the hypothalamus. What nursing
interventions will the nurse include in the patients plan of care? Select all that apply.
1. Reinforcing clear physical boundaries
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4. A patient with schizophrenia is described as having difficulty with executive functions. What
patient dysfunction can the nurse expect to assess behaviorally? Select all that apply.
1. Invades the personal space of others frequently
2. Consistently fails to bring money when going to buy snacks
3. Cannot remember the names of staff who often provide care
4. Requires repeated reinforcement on how to make a sandwich
5. Frequently speaks of hurting himself or of hurting other patients
5. The unit physicians have ordered magnetic resonance imaging (MRI) tests for the following
patients. For which patients would the nurse decline to make test arrangements without
further discussion with the physician? Select all that apply.
1. A patient who is claustrophobic
2. A patient who is breastfeeding
3. A patient who has an allergy to iodine
4. A patient who had a total knee replacement
5. A patient who is taking a neuroleptic medication
Chapter 2: Contributions of the Psychosocial Sciences
MULTIPLE CHOICE
1. Which understanding is the basis for the nursing actions focused on minimizing mental
health promotion of families with chronically mentally ill members?
1. Family members are at an increased risk for mental illness.
2. The mental health care system is not prepared to deal with family crises.
3. Family members are seldom prepared to cope with a chronically ill individual.
4. The chronically mentally ill receive care best when delivered in a formal setting.
2. Which nursing activity shows the nurse actively engaged in the primary prevention of
mental
disorders?
1. Providing a patient, whose depression is well managed, with medication on time 2.
Making regular follow-up
patient dysfunction can the nurse expect to assess behaviorally? Select all that apply.
1. Invades the personal space of others frequently
2. Consistently fails to bring money when going to buy snacks
3. Cannot remember the names of staff who often provide care
4. Requires repeated reinforcement on how to make a sandwich
5. Frequently speaks of hurting himself or of hurting other patients
5. The unit physicians have ordered magnetic resonance imaging (MRI) tests for the following
patients. For which patients would the nurse decline to make test arrangements without
further discussion with the physician? Select all that apply.
1. A patient who is claustrophobic
2. A patient who is breastfeeding
3. A patient who has an allergy to iodine
4. A patient who had a total knee replacement
5. A patient who is taking a neuroleptic medication
Chapter 2: Contributions of the Psychosocial Sciences
MULTIPLE CHOICE
1. Which understanding is the basis for the nursing actions focused on minimizing mental
health promotion of families with chronically mentally ill members?
1. Family members are at an increased risk for mental illness.
2. The mental health care system is not prepared to deal with family crises.
3. Family members are seldom prepared to cope with a chronically ill individual.
4. The chronically mentally ill receive care best when delivered in a formal setting.
2. Which nursing activity shows the nurse actively engaged in the primary prevention of
mental
disorders?
1. Providing a patient, whose depression is well managed, with medication on time 2.
Making regular follow-up
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3. Receiving a combination of medications to address his emotional needs
4. Being asked to decide where he will attend his prescribed therapy sessions
4. When a patients family asks why their chronically mentally ill adult child is being discharged
to a community-based living facility, the nurse responds:
1. It is a way to meet the need for social support.
2. It is too expensive to keep stabilized patients in acute care settings.
3. This type of facility will provide the specialized care that is needed.
4. Being out in the community will help provide hope and purpose for living.
5. What is the best explanation to offer when the mother of a chronically ill teenage
patient asks,
Under what circumstances would he be considered incompetent?
1. When you can provide the court with enough evidence to show that he is not able to
care for himself safely.
1. It is not likely that someone his age would be determined to be incompetent regardless
of his mental condition.
1. He would have to engage in behavior that would result in harm to himself or to someone
else; like you or his siblings.
1. If the illness becomes so severe that his judgment is impaired to the point where
the decisions he makes are harmful to himself or to others.
6. Which psychiatric nursing intervention shows an understanding of integrated care?
A chronically abused woman is assessed for anxiety.
A manic patient is taken to the gym to use the exercise equipment.
The older adult diagnosed with depression is monitored for suicidal ideations.
A teenager who refuses to obey the units rules is not allow to play video games.
7. What reason does the nurse give the patient for the emphasis and attention being paid to
the recovery phase of their treatment
4. Being asked to decide where he will attend his prescribed therapy sessions
4. When a patients family asks why their chronically mentally ill adult child is being discharged
to a community-based living facility, the nurse responds:
1. It is a way to meet the need for social support.
2. It is too expensive to keep stabilized patients in acute care settings.
3. This type of facility will provide the specialized care that is needed.
4. Being out in the community will help provide hope and purpose for living.
5. What is the best explanation to offer when the mother of a chronically ill teenage
patient asks,
Under what circumstances would he be considered incompetent?
1. When you can provide the court with enough evidence to show that he is not able to
care for himself safely.
1. It is not likely that someone his age would be determined to be incompetent regardless
of his mental condition.
1. He would have to engage in behavior that would result in harm to himself or to someone
else; like you or his siblings.
1. If the illness becomes so severe that his judgment is impaired to the point where
the decisions he makes are harmful to himself or to others.
6. Which psychiatric nursing intervention shows an understanding of integrated care?
A chronically abused woman is assessed for anxiety.
A manic patient is taken to the gym to use the exercise equipment.
The older adult diagnosed with depression is monitored for suicidal ideations.
A teenager who refuses to obey the units rules is not allow to play video games.
7. What reason does the nurse give the patient for the emphasis and attention being paid to
the recovery phase of their treatment
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the neighborhood when a member of the community states, We dont want the facility; we
especially dont want violent people living near us. The response by the nurse that best
addresses the publics concern is:
1. In truth, most individuals with psychiatric disorder are passive and withdrawn and
pose little threat to those around them.
1. The mentally ill seldom behave in the manner they are portrayed by movies; they are
people just like the rest of us.
1. Patients with psychiatric disorder are so well medicated that they do not display violent
behaviors.
1. The mentally ill deserve a safe, comfortable place to live among people who truly care
for them.
9. Which activity shows that a therapeutic alliance has been established between the nurse
and patient?
1. The nurse respects the patients right to privacy when visitors are spending time with the
patient.
1. The patient is eagerly attending all group sessions and working independently on
identifying their personal stressors.
1. The patient is freely describing their feelings related to the physical and emotional
trauma they experienced as a child with the nurse.
1. The nurse dutifully administers the patients medications on time and with appropriate
knowledge of the potential side effects.
10. Mental health care reform has called for parity between psychiatric and medical
diagnoses.
Which is an example of such parity?
1. Depression treatment is not paid for as readily as is treatment for asthma.
2. The mentally ill patient will be protected by law against social stigma.
3. Medical practitioners are trained to be proficient at treating mental disorders.
4. Psychiatric service reimbursement will be equivalent to that of medical services.
MULTIPLE RESPONSE
1. Which assessment findings suggest to the nurse that this patient has characteristics seen in an
individual who has reached self-actualization. Select all that apply.
Reports to have, found peace and security in my religious faith
Effectively changed occupations when a chronic vision problem worsened Has
consistently earned a six-figure salary as an architect for the last 10 years Has
been in a supportive, loving relationship with the same individual for 15 years
Provides free literacy tutoring help at the local homeless shelter 3 evenings a
week
especially dont want violent people living near us. The response by the nurse that best
addresses the publics concern is:
1. In truth, most individuals with psychiatric disorder are passive and withdrawn and
pose little threat to those around them.
1. The mentally ill seldom behave in the manner they are portrayed by movies; they are
people just like the rest of us.
1. Patients with psychiatric disorder are so well medicated that they do not display violent
behaviors.
1. The mentally ill deserve a safe, comfortable place to live among people who truly care
for them.
9. Which activity shows that a therapeutic alliance has been established between the nurse
and patient?
1. The nurse respects the patients right to privacy when visitors are spending time with the
patient.
1. The patient is eagerly attending all group sessions and working independently on
identifying their personal stressors.
1. The patient is freely describing their feelings related to the physical and emotional
trauma they experienced as a child with the nurse.
1. The nurse dutifully administers the patients medications on time and with appropriate
knowledge of the potential side effects.
10. Mental health care reform has called for parity between psychiatric and medical
diagnoses.
Which is an example of such parity?
1. Depression treatment is not paid for as readily as is treatment for asthma.
2. The mentally ill patient will be protected by law against social stigma.
3. Medical practitioners are trained to be proficient at treating mental disorders.
4. Psychiatric service reimbursement will be equivalent to that of medical services.
MULTIPLE RESPONSE
1. Which assessment findings suggest to the nurse that this patient has characteristics seen in an
individual who has reached self-actualization. Select all that apply.
Reports to have, found peace and security in my religious faith
Effectively changed occupations when a chronic vision problem worsened Has
consistently earned a six-figure salary as an architect for the last 10 years Has
been in a supportive, loving relationship with the same individual for 15 years
Provides free literacy tutoring help at the local homeless shelter 3 evenings a
week
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2. Which nursing activities represent the tertiary level of mental health care? Select all that apply.
Providing a depression screening at a local college
Helping a mental-challenged patient learn to make correct change
Reporting an incidence of possible elder abuse to the appropriate legal agency
Regularly assessing a patients understanding of their prescribed antidepressants
Providing a 6-week parenting class to teenage parents through a local high school
3. Which nursing actions indicate an understanding of the priority issues currently facing
psychiatric mental health nursing today? Select all that apply.
1. Working on the facilitys Safe Use of Restraints Policy revision committee 2. Advocating for
increased salaries for all levels of psychiatric mental health nurses
1. Attending a political rally for increased state funding for mental health service providers 1.
Offering an in-service to facility staff regarding the cultural implications of caring for the
Hispanic patient
1. Joining the state nursing committee working on the role and scope of practice of
the advanced practice psychiatric nurse
4. Which assessment findings describe risk factors that increase the potential risk for mental
illness? Select all that apply.
1. Possesses high tolerance for stress
2. Is very curious about how things work
3. Admits to being a member of an ethnic gang
4. Only practicing Jew among school classmates
5. Has a younger sibling who is mentally challenged
5. Which nursing actions show a focus on the fundamental goals that guide psychiatric
mental health nurses in providing patient care? Select all that apply.
1. Offering an informational session of identifying signs of depression at a local senior
center
1. Attending a workshop on evidence practice interventions for the chronically
depressed patient
1. Keeping strict but appropriate boundaries with a patient diagnosed with a personality
disorder
1. Asking a parent who has just experienced the death of a child if they could consider
Providing a depression screening at a local college
Helping a mental-challenged patient learn to make correct change
Reporting an incidence of possible elder abuse to the appropriate legal agency
Regularly assessing a patients understanding of their prescribed antidepressants
Providing a 6-week parenting class to teenage parents through a local high school
3. Which nursing actions indicate an understanding of the priority issues currently facing
psychiatric mental health nursing today? Select all that apply.
1. Working on the facilitys Safe Use of Restraints Policy revision committee 2. Advocating for
increased salaries for all levels of psychiatric mental health nurses
1. Attending a political rally for increased state funding for mental health service providers 1.
Offering an in-service to facility staff regarding the cultural implications of caring for the
Hispanic patient
1. Joining the state nursing committee working on the role and scope of practice of
the advanced practice psychiatric nurse
4. Which assessment findings describe risk factors that increase the potential risk for mental
illness? Select all that apply.
1. Possesses high tolerance for stress
2. Is very curious about how things work
3. Admits to being a member of an ethnic gang
4. Only practicing Jew among school classmates
5. Has a younger sibling who is mentally challenged
5. Which nursing actions show a focus on the fundamental goals that guide psychiatric
mental health nurses in providing patient care? Select all that apply.
1. Offering an informational session of identifying signs of depression at a local senior
center
1. Attending a workshop on evidence practice interventions for the chronically
depressed patient
1. Keeping strict but appropriate boundaries with a patient diagnosed with a personality
disorder
1. Asking a parent who has just experienced the death of a child if they could consider
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MULTIPLE CHOICE
1. Which nursing action is a reflection of Hildegard Peplaus theoretic framework regarding
psychiatric mental health nursing?
1. Basing patient outcomes on expected instinctual responses
2. Discussing a patients feelings regarding parents and siblings
3. Providing the patient with clean clothes and wholesome food
4. Centering professional practice in a state run psychiatric facility
2. The nurse is attempting to provide a safe environment for a patient at great risk for
selfharm. Which intervention shows an understanding of evidence-based practice (EBP)? 1.
Using physical restraints only after all other options have been proven ineffective 1.
Referring to the facilitys policies manual for guidelines for applying physical restraints
1. Collecting data regarding the short-term effects of using physical restraints on an
aggressive patient
1. Requiring constant monitoring of a patient whose inability to self-regulate anger has
required the use of physical restraints
3. Which statement by the patient reflects patient education that was based on the concept
of integrated patient care?
1. I know Im anxious when I get a tension headache.
2. My anxiety is a result of stressors I dont cope well with.
3. Medication has helped me tremendously with anxiety control.
4. Anxiety runs in my family; my entire family is trying to deal with it.
4. The nurse demonstrates objective patient care when:
5. Being sympathetic to the patients recent loss of a spouse
6. Protecting the anxious patient by eliminating stressors in the milieu
7. Responding to the patient by stating, I know exactly how you feel.
8. Facilitating the patients exploration of various stress reduction techniques
5. Which nursing intervention would be appropriately addressed during the orientation phase
of the nursepatient relationship?
1. Self reflection by the nurse regarding personal biases and prejudices regarding the patient
1. Patient works at prioritizing personal needs and develops realistic expected outcomes
1. Establishing the contract between the nurse and the patient regarding mutual needs
and expectations
1. Patient commits to the reinforcement of positive personal characteristics while working on
problems and concerns
6. Which action on the part of a novice psychiatric mental health nurse shows a need for
future development of altruism?
1. Which nursing action is a reflection of Hildegard Peplaus theoretic framework regarding
psychiatric mental health nursing?
1. Basing patient outcomes on expected instinctual responses
2. Discussing a patients feelings regarding parents and siblings
3. Providing the patient with clean clothes and wholesome food
4. Centering professional practice in a state run psychiatric facility
2. The nurse is attempting to provide a safe environment for a patient at great risk for
selfharm. Which intervention shows an understanding of evidence-based practice (EBP)? 1.
Using physical restraints only after all other options have been proven ineffective 1.
Referring to the facilitys policies manual for guidelines for applying physical restraints
1. Collecting data regarding the short-term effects of using physical restraints on an
aggressive patient
1. Requiring constant monitoring of a patient whose inability to self-regulate anger has
required the use of physical restraints
3. Which statement by the patient reflects patient education that was based on the concept
of integrated patient care?
1. I know Im anxious when I get a tension headache.
2. My anxiety is a result of stressors I dont cope well with.
3. Medication has helped me tremendously with anxiety control.
4. Anxiety runs in my family; my entire family is trying to deal with it.
4. The nurse demonstrates objective patient care when:
5. Being sympathetic to the patients recent loss of a spouse
6. Protecting the anxious patient by eliminating stressors in the milieu
7. Responding to the patient by stating, I know exactly how you feel.
8. Facilitating the patients exploration of various stress reduction techniques
5. Which nursing intervention would be appropriately addressed during the orientation phase
of the nursepatient relationship?
1. Self reflection by the nurse regarding personal biases and prejudices regarding the patient
1. Patient works at prioritizing personal needs and develops realistic expected outcomes
1. Establishing the contract between the nurse and the patient regarding mutual needs
and expectations
1. Patient commits to the reinforcement of positive personal characteristics while working on
problems and concerns
6. Which action on the part of a novice psychiatric mental health nurse shows a need for
future development of altruism?
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1. Excusing a patient from attending group because, all that talking makes me so
anxious
1. Not permitting two patients who are physically attracted to each other to engage in public
displays of affection
1. Placing a physically aggressive patient in restraints when they are unable to internally calm
their anger
1. Self-reflecting on why I continue to work with patients who are so emotionally damaged
they will never be normal
7. The greatest negative outcome resulting from a nurses fear of a mentally ill patient is
that the:
8. Nurse will reinforce negative stereotyping of the mentally ill.
9. Patient will experience increased bias against the nursing staff.
10. Publics fearfulness of the mentally ill will continue to be exaggerated.
11. Therapeutic alliance between the nurse and patient will not develop effectively.
8. Which action on the part of a novice mental health nurse will best minimize fear related to
effectively working with the psychotic patient?
1. Be knowledgeable about psychotropic medications and their affect on psychosis. 2. Always
arrange for staff support when working one-on-one with a psychotic patient.
1. Take advantage of opportunities to attend workshops devoted to the care of the
psychotic patient.
1. Recognize that the psychotic patient is not in control of their behaviors due to their altered
though processes.
9. Which response by the nurse manager to a novice mental health nurse is most effective
when the nurse asks, How do I justify not keeping a patients secret?
1. Never promise the patient that you will keep a secret for them.
2. Always stop the patient from telling you something as a secret.
3. Let the patient know that you will not keep a secret that could ultimately cause harm or
affect their treatment.
1. Keep reminding yourself that you are not the patients friend but rather a professional
mental health provider.
10. The nurse is effectively facilitating the nurse-patient relationship when:
11. Sharing with an angry patient who is verbally abusive that, Although I can accept that
you are angry, I cannot and will not accept your verbal abuse.
1. Focusing on the patients life experience without relating to the similarities of ones own
experiences
1. Objectively providing constructive criticism that is directed to helping the patient identify
inappropriate behaviors
anxious
1. Not permitting two patients who are physically attracted to each other to engage in public
displays of affection
1. Placing a physically aggressive patient in restraints when they are unable to internally calm
their anger
1. Self-reflecting on why I continue to work with patients who are so emotionally damaged
they will never be normal
7. The greatest negative outcome resulting from a nurses fear of a mentally ill patient is
that the:
8. Nurse will reinforce negative stereotyping of the mentally ill.
9. Patient will experience increased bias against the nursing staff.
10. Publics fearfulness of the mentally ill will continue to be exaggerated.
11. Therapeutic alliance between the nurse and patient will not develop effectively.
8. Which action on the part of a novice mental health nurse will best minimize fear related to
effectively working with the psychotic patient?
1. Be knowledgeable about psychotropic medications and their affect on psychosis. 2. Always
arrange for staff support when working one-on-one with a psychotic patient.
1. Take advantage of opportunities to attend workshops devoted to the care of the
psychotic patient.
1. Recognize that the psychotic patient is not in control of their behaviors due to their altered
though processes.
9. Which response by the nurse manager to a novice mental health nurse is most effective
when the nurse asks, How do I justify not keeping a patients secret?
1. Never promise the patient that you will keep a secret for them.
2. Always stop the patient from telling you something as a secret.
3. Let the patient know that you will not keep a secret that could ultimately cause harm or
affect their treatment.
1. Keep reminding yourself that you are not the patients friend but rather a professional
mental health provider.
10. The nurse is effectively facilitating the nurse-patient relationship when:
11. Sharing with an angry patient who is verbally abusive that, Although I can accept that
you are angry, I cannot and will not accept your verbal abuse.
1. Focusing on the patients life experience without relating to the similarities of ones own
experiences
1. Objectively providing constructive criticism that is directed to helping the patient identify
inappropriate behaviors
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1. Refraining from abandoning the patient regardless of the frustration the interaction causes
11. An often expressed intrinsic reward of psychiatric mental health nursing is:
12. Seeing the seriously ill recover their health
13. Working with patients of all ages and walks of life
14. Working with well-trained, caring health care providers
15. Having time to really focus on the human who is the patient
12. Which statement is an example of an inference?
13. He is an alcoholic because his wife nags a lot.
14. He states he binges after arguing with his wife.
15. You say your alcohol intake exceeds a quart a day.
16. So you are saying that you were drinking earlier today.
MULTIPLE RESPONSE
1. Which interactions are likely outcomes of a well-established therapeutic alliance? Select all
that apply.
1. The nurse states, Im not here to judge but rather to help.
2. The patient states, I really think I can handle this problem now.
3. The patient asks his abusive father to attend counseling with him.
4. The nurse sets boundaries for a patient who has few social skills.
5. The patient with anger issues voluntarily goes into the seclusion
11. An often expressed intrinsic reward of psychiatric mental health nursing is:
12. Seeing the seriously ill recover their health
13. Working with patients of all ages and walks of life
14. Working with well-trained, caring health care providers
15. Having time to really focus on the human who is the patient
12. Which statement is an example of an inference?
13. He is an alcoholic because his wife nags a lot.
14. He states he binges after arguing with his wife.
15. You say your alcohol intake exceeds a quart a day.
16. So you are saying that you were drinking earlier today.
MULTIPLE RESPONSE
1. Which interactions are likely outcomes of a well-established therapeutic alliance? Select all
that apply.
1. The nurse states, Im not here to judge but rather to help.
2. The patient states, I really think I can handle this problem now.
3. The patient asks his abusive father to attend counseling with him.
4. The nurse sets boundaries for a patient who has few social skills.
5. The patient with anger issues voluntarily goes into the seclusion
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Test Bank MULTIPLE CHOICE
1. The nurse leading parent education classes bases instruction on Eriksons developmental
stages. It follows that the nurse will plan to instruct the parents that a helpful strategy to foster
a childs initiative would be to:
1. Offer several different options for dressing and encourage the child to select one of them.
1. Allow the child to help wash the unbreakable dishes used to serve breakfast.
2. Provide one-on-one parentchild time each evening before bed.
3. Enroll the child in a weekend, age-appropriate sports program.
2. Which of the following responses would the nurse expect from a 12-year-old regarding
stealing?
1. You are never allowed to steal.
2. You go to jail is you steal someone elses things.
3. My parents would punish me if I was caught stealing.
4. Stealing food when you dont have anything to eat is alright.
3. A nursing diagnosis of hopelessness would be considered for an individual who:
4. Was consistently overprotected by family members
5. Was raised by parents who were strict disciplinarians
6. Had inconsistent, unpredictable physical care as an infant
7. As a teenager always felt unaccepted by his social peers
4. An adolescent has been a consistently, poor academic student due to a learning disorder.
Which statement overheard
1. The nurse leading parent education classes bases instruction on Eriksons developmental
stages. It follows that the nurse will plan to instruct the parents that a helpful strategy to foster
a childs initiative would be to:
1. Offer several different options for dressing and encourage the child to select one of them.
1. Allow the child to help wash the unbreakable dishes used to serve breakfast.
2. Provide one-on-one parentchild time each evening before bed.
3. Enroll the child in a weekend, age-appropriate sports program.
2. Which of the following responses would the nurse expect from a 12-year-old regarding
stealing?
1. You are never allowed to steal.
2. You go to jail is you steal someone elses things.
3. My parents would punish me if I was caught stealing.
4. Stealing food when you dont have anything to eat is alright.
3. A nursing diagnosis of hopelessness would be considered for an individual who:
4. Was consistently overprotected by family members
5. Was raised by parents who were strict disciplinarians
6. Had inconsistent, unpredictable physical care as an infant
7. As a teenager always felt unaccepted by his social peers
4. An adolescent has been a consistently, poor academic student due to a learning disorder.
Which statement overheard
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6. The parents of an 8-year-old are attempting to help their child comprehend new
information.
Which intervention suggested by the nurse shows an understanding of the cognitive
development theory for this age group?
1. The use of drawing and illustrations
2. Comparing the childs experiences to the new material
3. Encouraging the child to talk about this new information
4. Asking the child to give a reason for how they feel about new information
7. According to Piaget, which of the following would the nurse consider normal when
assessing a 6-year-old?
1. Playing with an imaginary friend
2. Talking about their best friend
3. Enjoying putting puzzles together
4. Knowing its wrong to tell a lie
8. Which developmental level would be characterized by a child being able to focus, to
coordinate, and to imagine a series of events?
1. Preoperational
2. Concrete operational
3. Formal operational
4. Postoperational
9. Which strategy will the nurse include in the plan of care for a 6-year-old child for whom
operant conditioning has been recommended?
1. Periodically asking the child to attempt to solve increasingly
information.
Which intervention suggested by the nurse shows an understanding of the cognitive
development theory for this age group?
1. The use of drawing and illustrations
2. Comparing the childs experiences to the new material
3. Encouraging the child to talk about this new information
4. Asking the child to give a reason for how they feel about new information
7. According to Piaget, which of the following would the nurse consider normal when
assessing a 6-year-old?
1. Playing with an imaginary friend
2. Talking about their best friend
3. Enjoying putting puzzles together
4. Knowing its wrong to tell a lie
8. Which developmental level would be characterized by a child being able to focus, to
coordinate, and to imagine a series of events?
1. Preoperational
2. Concrete operational
3. Formal operational
4. Postoperational
9. Which strategy will the nurse include in the plan of care for a 6-year-old child for whom
operant conditioning has been recommended?
1. Periodically asking the child to attempt to solve increasingly
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3. Questioning a patient regarding long-term exposure to environmental toxins
4. Assisting an adult patient is selecting foods that are high in vitamins A, C, and E
12. The nurse determines that a patient is showing a decline in explicit memory. Which
characterizes such a deficiency?
1. Inability to remember how to operate a common kitchen appliance
2. Difficulty remembering the name of a place visited 20 years ago
3. Being unsuccessful at retaining new information
4. Forgetting the ingredients of a favorite recipe
13. A patient is experiencing distress with midlife transition. Which statement provides support
that the patient is successfully managing this stressor?
1. I wont give up on my dream to be rich.
2. Being rich doesnt necessarily make a person happy.
3. Ill never be rich but I can save enough to live comfortably.
4. I wasnt being realistic when I set being rich as my lifes goal.
14. According to Maslows hierarchy of needs, the nursing strategies a psychiatric nurse would
use to assist in meeting self-esteem needs of elderly patients would include:
4. Assisting an adult patient is selecting foods that are high in vitamins A, C, and E
12. The nurse determines that a patient is showing a decline in explicit memory. Which
characterizes such a deficiency?
1. Inability to remember how to operate a common kitchen appliance
2. Difficulty remembering the name of a place visited 20 years ago
3. Being unsuccessful at retaining new information
4. Forgetting the ingredients of a favorite recipe
13. A patient is experiencing distress with midlife transition. Which statement provides support
that the patient is successfully managing this stressor?
1. I wont give up on my dream to be rich.
2. Being rich doesnt necessarily make a person happy.
3. Ill never be rich but I can save enough to live comfortably.
4. I wasnt being realistic when I set being rich as my lifes goal.
14. According to Maslows hierarchy of needs, the nursing strategies a psychiatric nurse would
use to assist in meeting self-esteem needs of elderly patients would include:
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17. The spouse of a patient recently diagnosed with early stage Alzheimers disease asks, Is
there anything I can do to help delay the progression of this disease? Which strategy has the
greatest potential for preserving the protective abilities of immune cells related to the disease?
1. Minimize contact with the public during cold and flu season.
2. Enroll the patient in an exercise program that meets regularly.
3. Provide supplements to enhance the patients immune system.
4. Identify creative ways to keep the patient mentally challenged.
MULTIPLE RESPONSE
1. A nurse is using Piagets model to assess a childs developmental stage. Which behaviors
would determine that a child is successfully achieving the skills required of the formal
operations level of development? Select all that apply.
1. Becomes sad when the family pet dies
2. Plans a trip to attend a basketball game
3. Identifies two different bowls that hold 1 cup
4. Selects the appropriate clothing for a ski trip
5. Enjoys solving what if types of word problems
2. The nurse is assessing a child according to Kohlbergs developmental theory. Which
statement would support the belief the child is showing appropriate behaviors of the
preconventional state? Select all that apply.
1. If I pick up my toys, can I get an ice cream cone?
2.
there anything I can do to help delay the progression of this disease? Which strategy has the
greatest potential for preserving the protective abilities of immune cells related to the disease?
1. Minimize contact with the public during cold and flu season.
2. Enroll the patient in an exercise program that meets regularly.
3. Provide supplements to enhance the patients immune system.
4. Identify creative ways to keep the patient mentally challenged.
MULTIPLE RESPONSE
1. A nurse is using Piagets model to assess a childs developmental stage. Which behaviors
would determine that a child is successfully achieving the skills required of the formal
operations level of development? Select all that apply.
1. Becomes sad when the family pet dies
2. Plans a trip to attend a basketball game
3. Identifies two different bowls that hold 1 cup
4. Selects the appropriate clothing for a ski trip
5. Enjoys solving what if types of word problems
2. The nurse is assessing a child according to Kohlbergs developmental theory. Which
statement would support the belief the child is showing appropriate behaviors of the
preconventional state? Select all that apply.
1. If I pick up my toys, can I get an ice cream cone?
2.
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4. Has begun to experience symptoms of rheumatoid arthritis
5. Is experiencing a flare up of celiac disease, which was diagnosed at age 26
5. The nurse manages the care for several older adult patients. Which strategies shows an
understanding of the effects of aging on cognitive function? Select all that apply.
1. Allowing ample time for completion of patient activities
2. Breaking complicated patient activities into single tasks
3. Planning patient activities that can be completed rather quickly
4. Excluding complex problem-solving patient activities in the daily routine
5. Planning for complex patient activities to be introduced early in the day
6. According to most biological theories of aging, predisposing factors create the
affects seen in aging. Which behaviors are considered predisposing factors
regarding aging? Select all that apply.
1. Diagnosis of a chronic genetic disease
2. Lack of healthy diet and regular exercise
3. Family history of several different cancers
4. Occupation that involved working with toxins
5.
5. Is experiencing a flare up of celiac disease, which was diagnosed at age 26
5. The nurse manages the care for several older adult patients. Which strategies shows an
understanding of the effects of aging on cognitive function? Select all that apply.
1. Allowing ample time for completion of patient activities
2. Breaking complicated patient activities into single tasks
3. Planning patient activities that can be completed rather quickly
4. Excluding complex problem-solving patient activities in the daily routine
5. Planning for complex patient activities to be introduced early in the day
6. According to most biological theories of aging, predisposing factors create the
affects seen in aging. Which behaviors are considered predisposing factors
regarding aging? Select all that apply.
1. Diagnosis of a chronic genetic disease
2. Lack of healthy diet and regular exercise
3. Family history of several different cancers
4. Occupation that involved working with toxins
5.
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MULTIPLE CHOICE
1. A new staff nurse completes an orientation to the psychiatric unit. This nurse will expect to
ask an advanced practice nurse to perform which action for patients?
1. Perform mental health assessment interviews.
2. Prescribe psychotropic medication.
3. Establish therapeutic relationships.
4. Individualize nursing care plans.
2. A newly admitted patient diagnosed with major depression has gained 20 pounds over a
few months and has suicidal ideation. The patient has taken an antidepressant medication for 1
week without remission of symptoms. Select the priority nursing diagnosis.
1. Imbalanced nutrition: more than body requirements
2. Chronic low self-esteem
3. Risk for suicide
4. Hopelessness
3. A patient diagnosed with major depression has lost 20 pounds in one month, has chronic
low self-esteem, and a plan for suicide. The patient has taken an antidepressant medication
for 1 week. Which nursing intervention has the highest priority?
1. Implement suicide precautions.
2. Offer high-calorie snacks and fluids frequently.
3. Assist the patient to identify three personal strengths.
4. Observe patient for therapeutic effects of antidepressant medication.
4. The desired outcome for a patient experiencing insomnia is, Patient will sleep for a
minimum
of 5 hours nightly within 7 days. At the end of 7 days, review of sleep data shows the patient
sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. The nurse will
document the outcome as:
1. consistently demonstrated. c. sometimes demonstrated.
2. often demonstrated.
3. d. never demonstrated.
5. The desired outcome for a patient experiencing insomnia is, Patient will sleep for a
minimum
of 5 hours nightly within 7 days. At the end of 7 days, review of sleep data shows the patient
sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurses next
action?
1. Continue the current plan without changes.
2. Remove this nursing diagnosis from the plan of care.
3. Write a new nursing diagnosis that better reflects
1. A new staff nurse completes an orientation to the psychiatric unit. This nurse will expect to
ask an advanced practice nurse to perform which action for patients?
1. Perform mental health assessment interviews.
2. Prescribe psychotropic medication.
3. Establish therapeutic relationships.
4. Individualize nursing care plans.
2. A newly admitted patient diagnosed with major depression has gained 20 pounds over a
few months and has suicidal ideation. The patient has taken an antidepressant medication for 1
week without remission of symptoms. Select the priority nursing diagnosis.
1. Imbalanced nutrition: more than body requirements
2. Chronic low self-esteem
3. Risk for suicide
4. Hopelessness
3. A patient diagnosed with major depression has lost 20 pounds in one month, has chronic
low self-esteem, and a plan for suicide. The patient has taken an antidepressant medication
for 1 week. Which nursing intervention has the highest priority?
1. Implement suicide precautions.
2. Offer high-calorie snacks and fluids frequently.
3. Assist the patient to identify three personal strengths.
4. Observe patient for therapeutic effects of antidepressant medication.
4. The desired outcome for a patient experiencing insomnia is, Patient will sleep for a
minimum
of 5 hours nightly within 7 days. At the end of 7 days, review of sleep data shows the patient
sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. The nurse will
document the outcome as:
1. consistently demonstrated. c. sometimes demonstrated.
2. often demonstrated.
3. d. never demonstrated.
5. The desired outcome for a patient experiencing insomnia is, Patient will sleep for a
minimum
of 5 hours nightly within 7 days. At the end of 7 days, review of sleep data shows the patient
sleeps an average of 4 hours nightly and takes a 2-hour afternoon nap. What is the nurses next
action?
1. Continue the current plan without changes.
2. Remove this nursing diagnosis from the plan of care.
3. Write a new nursing diagnosis that better reflects
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6. A patient begins a new program to assist with building social skills. In which part of the plan
of care should a nurse record the item, Encourage patient to attend one psychoeducational
group daily?
A. Assessment
B. Implementation
C. Analysis
D. Evaluation
7. Before assessing a new patient, a nurse is told by another health care worker, I know that
patient. No matter how hard we work, there isnt much improvement by the time of discharge.
The nurses responsibility is to:
1. document the other workers assessment of the patient.
2. assess the patient based on data collected from all sources.
3. validate the workers impression by contacting the patients significant other.
4. discuss the workers impression with the patient during the assessment interview.
8. A patient presents to the emergency department with mixed psychiatric symptoms. The
admission nurse suspects the symptoms may be the result of a medical problem. Lab results
show elevated BUN (blood urea nitrogen) and creatinine. What is the nurses next best action?
1. Report the findings to the health care provider.
2. Assess the patient for a history of renal problems.
3. Assess the patients family history for cardiac problems.
4. Arrange for the patients hospitalization on the psychiatric unit.
9. A patient states, Im not worth anything. I have negative thoughts about myself. I feel
anxious and shaky all the time. Sometimes I feel so sad that I want to go to sleep and never
wake up.
Which nursing intervention should have the highest priority?
1. Self-esteembuilding activities c. Sleep enhancement activities
2. Anxiety self-control measures d. Suicide precautions
10. Select the best outcome for a patient with the nursing diagnosis: Impaired social interaction
related to sociocultural dissonance as evidenced by stating, Although Id like to, I dont join in
because I dont speak the language very well. Patient will:
1. show improved use of language.
2. demonstrate improved social skills.
3. become more independent in decision making.
4. select and participate in one group activity per day.
of care should a nurse record the item, Encourage patient to attend one psychoeducational
group daily?
A. Assessment
B. Implementation
C. Analysis
D. Evaluation
7. Before assessing a new patient, a nurse is told by another health care worker, I know that
patient. No matter how hard we work, there isnt much improvement by the time of discharge.
The nurses responsibility is to:
1. document the other workers assessment of the patient.
2. assess the patient based on data collected from all sources.
3. validate the workers impression by contacting the patients significant other.
4. discuss the workers impression with the patient during the assessment interview.
8. A patient presents to the emergency department with mixed psychiatric symptoms. The
admission nurse suspects the symptoms may be the result of a medical problem. Lab results
show elevated BUN (blood urea nitrogen) and creatinine. What is the nurses next best action?
1. Report the findings to the health care provider.
2. Assess the patient for a history of renal problems.
3. Assess the patients family history for cardiac problems.
4. Arrange for the patients hospitalization on the psychiatric unit.
9. A patient states, Im not worth anything. I have negative thoughts about myself. I feel
anxious and shaky all the time. Sometimes I feel so sad that I want to go to sleep and never
wake up.
Which nursing intervention should have the highest priority?
1. Self-esteembuilding activities c. Sleep enhancement activities
2. Anxiety self-control measures d. Suicide precautions
10. Select the best outcome for a patient with the nursing diagnosis: Impaired social interaction
related to sociocultural dissonance as evidenced by stating, Although Id like to, I dont join in
because I dont speak the language very well. Patient will:
1. show improved use of language.
2. demonstrate improved social skills.
3. become more independent in decision making.
4. select and participate in one group activity per day.
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11. Nursing behaviors associated with the implementation phase of nursing process are
concerned with:
1. participating in mutual identification of patient outcomes.
2. gathering accurate and sufficient patient-centered data.
3. comparing patient responses and expected outcomes.
4. carrying out interventions and coordinating care.
12. Which statement made by a patient during an initial assessment interview should serve as
the priority focus for the plan of care?
1. I can always trust my family.
2. It seems like I always have bad luck.
3. You never know who will turn against you.
4. I hear evil voices that tell me to do bad things.
13. Which entry in the medical record best meets the requirement for problem-oriented
charting?
14. A: Pacing and muttering to self. P: Sensory perceptual alteration related to internal
auditory stimulation. I: Given fluphenazine HCL (Prolixin) 2.5 mg po at 0900 and went to
room to lie down. E: Calmer by 0930. Returned to lounge to watch TV.
1. S: States, I feel like Im ready to blow up. O: Pacing hall, mumbling to self. A:
Auditory hallucinations. P: Offer haloperidol (Haldol) 2 mg po. I: Haloperidol (Haldol)
concerned with:
1. participating in mutual identification of patient outcomes.
2. gathering accurate and sufficient patient-centered data.
3. comparing patient responses and expected outcomes.
4. carrying out interventions and coordinating care.
12. Which statement made by a patient during an initial assessment interview should serve as
the priority focus for the plan of care?
1. I can always trust my family.
2. It seems like I always have bad luck.
3. You never know who will turn against you.
4. I hear evil voices that tell me to do bad things.
13. Which entry in the medical record best meets the requirement for problem-oriented
charting?
14. A: Pacing and muttering to self. P: Sensory perceptual alteration related to internal
auditory stimulation. I: Given fluphenazine HCL (Prolixin) 2.5 mg po at 0900 and went to
room to lie down. E: Calmer by 0930. Returned to lounge to watch TV.
1. S: States, I feel like Im ready to blow up. O: Pacing hall, mumbling to self. A:
Auditory hallucinations. P: Offer haloperidol (Haldol) 2 mg po. I: Haloperidol (Haldol)
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16. An adolescent asks a nurse conducting an assessment interview, Why should I tell you
anything? Youll just tell my parents whatever you find out. Which response by the nurse is
appropriate?
1. That isnt true. What you tell us is private and held in strict confidence. Your parents have
no right to know.
1. Yes, your parents may find out what you say, but it is important that they know about your
problems.
1. What you say about feelings is private, but some things, like suicidal thinking, must
be reported to the treatment team.
1. It sounds as though you are not really ready to work on your problems and make changes.
17. A nurse wants to assess an adult patients recent memory. Which question would best yield
the desired information?
1. Where did you go to elementary school?
2. What did you have for breakfast this morning?
3. Can you
anything? Youll just tell my parents whatever you find out. Which response by the nurse is
appropriate?
1. That isnt true. What you tell us is private and held in strict confidence. Your parents have
no right to know.
1. Yes, your parents may find out what you say, but it is important that they know about your
problems.
1. What you say about feelings is private, but some things, like suicidal thinking, must
be reported to the treatment team.
1. It sounds as though you are not really ready to work on your problems and make changes.
17. A nurse wants to assess an adult patients recent memory. Which question would best yield
the desired information?
1. Where did you go to elementary school?
2. What did you have for breakfast this morning?
3. Can you
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22. Select the most appropriate label to complete this nursing diagnosis:
related to feelings of shyness and poorly developed social skills as evidenced by
watching television alone at home every evening. 1. Deficient knowledge c. Social
isolation
2. Ineffective coping d. Powerlessness
23. QSEN refers to:
24. Qualitative Standardized Excellence in Nursing
25. Quality and Safety Education for Nurses
26. Quantitative Effectiveness in Nursing
27. Quick Standards Essential for Nurses
24. A nurse documents: Patient is mute despite repeated efforts to elicit speech. Makes no eye
contact. Inattentive to staff. Gazes off to the side or looks upward rather than at speaker.
Which nursing diagnosis should be considered?
1. Defensive coping c. Risk for other-directed violence
2. Decisional conflict d. Impaired verbal communication
25. A nurse prepares to assess a new patient who moved to the United States from Central
America three years ago. After introductions, what is the nurses next comment?
1. How did you get to the United States?
2. Would you like for a family member to help you talk with me?
3. An interpreter is available. Would you like for me to make a request for these services?
1. Are you comfortable conversing in English, or would you prefer to have a translator
present?
26. The nurse records this entry in a patients progress notes:
Patient escorted to unit by ER nurse at 2130. Patients clothing was dirty. In interview room,
patient sat with hands over face, sobbing softly. Did not acknowledge nurse or reply to
questions. After several minutes, abruptly arose, ran to window, and pounded. Shouted
repeatedly, Let me out of here. Verbal intervention unsuccessful. Order for stat dose 2 mg
haloperidol PO obtained; medication administered at 2150. By 2215, patient stopped
shouting and returned to sit wordlessly in chair. Patient placed on one-to-one observation.
How should
related to feelings of shyness and poorly developed social skills as evidenced by
watching television alone at home every evening. 1. Deficient knowledge c. Social
isolation
2. Ineffective coping d. Powerlessness
23. QSEN refers to:
24. Qualitative Standardized Excellence in Nursing
25. Quality and Safety Education for Nurses
26. Quantitative Effectiveness in Nursing
27. Quick Standards Essential for Nurses
24. A nurse documents: Patient is mute despite repeated efforts to elicit speech. Makes no eye
contact. Inattentive to staff. Gazes off to the side or looks upward rather than at speaker.
Which nursing diagnosis should be considered?
1. Defensive coping c. Risk for other-directed violence
2. Decisional conflict d. Impaired verbal communication
25. A nurse prepares to assess a new patient who moved to the United States from Central
America three years ago. After introductions, what is the nurses next comment?
1. How did you get to the United States?
2. Would you like for a family member to help you talk with me?
3. An interpreter is available. Would you like for me to make a request for these services?
1. Are you comfortable conversing in English, or would you prefer to have a translator
present?
26. The nurse records this entry in a patients progress notes:
Patient escorted to unit by ER nurse at 2130. Patients clothing was dirty. In interview room,
patient sat with hands over face, sobbing softly. Did not acknowledge nurse or reply to
questions. After several minutes, abruptly arose, ran to window, and pounded. Shouted
repeatedly, Let me out of here. Verbal intervention unsuccessful. Order for stat dose 2 mg
haloperidol PO obtained; medication administered at 2150. By 2215, patient stopped
shouting and returned to sit wordlessly in chair. Patient placed on one-to-one observation.
How should
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MULTIPLE RESPONSE
1. A nurse assessed a patient who reluctantly participated in activities, answered questions
with minimal responses, and rarely made eye contact. What information should be included
when documenting the assessment? Select all that apply.
1. The patient was uncooperative
2. The patients subjective responses
3. Only data obtained from the patients verbal responses
4. A description of the patients behavior during the interview
5. Analysis of why the patient was unresponsive during the interview
2. A nurse performing an assessment interview for a patient with a substance use disorder
decides to use a standardized rating scale. Which scales are appropriate? Select all that apply.
1. Addiction Severity Index (ASI)
2. Brief Drug Abuse Screen Test (B-DAST)
3. Abnormal Involuntary Movement Scale (AIMS)
4.
1. A nurse assessed a patient who reluctantly participated in activities, answered questions
with minimal responses, and rarely made eye contact. What information should be included
when documenting the assessment? Select all that apply.
1. The patient was uncooperative
2. The patients subjective responses
3. Only data obtained from the patients verbal responses
4. A description of the patients behavior during the interview
5. Analysis of why the patient was unresponsive during the interview
2. A nurse performing an assessment interview for a patient with a substance use disorder
decides to use a standardized rating scale. Which scales are appropriate? Select all that apply.
1. Addiction Severity Index (ASI)
2. Brief Drug Abuse Screen Test (B-DAST)
3. Abnormal Involuntary Movement Scale (AIMS)
4.
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2. The nursing process is a systematic problem-solving method encompassing all
components necessary to care for patients.
1. Using the nursing process is a way of legitimizing our profession and placing us on an
equal footing with the pure sciences.
1. The nursing process is a unidimensional, static, linear approach used to guide nurses as
they make clinical judgments.
2. When preparing to conduct a nursing history and assessment on a patient transferred
from the emergency department (ED) whose family believes the patient to be a
questionable historian due to cognitive impairment, the nurse initially begins the
interview by:
1. Reviewing the ED chart
2. Contacting the admitting physician
3. Directing the questions to the family members
4. Establishing a line of communication with the patient
3. The nurse shows the ability to effectively state a nursing diagnosis reflective of the
implications of depression on a patients life processes when stating in the patients plan
of care that:
1. Patient outcomes were partially attained. Implementation of present plan to continue.
1. Patient will initiate and support conversation with nurse therapist by (date 3 weeks
in future).
1. Oral medication for anxiety should be administered when depression is assessed to be
at the moderate level.
1. Impaired verbal communication r/t impoverished
components necessary to care for patients.
1. Using the nursing process is a way of legitimizing our profession and placing us on an
equal footing with the pure sciences.
1. The nursing process is a unidimensional, static, linear approach used to guide nurses as
they make clinical judgments.
2. When preparing to conduct a nursing history and assessment on a patient transferred
from the emergency department (ED) whose family believes the patient to be a
questionable historian due to cognitive impairment, the nurse initially begins the
interview by:
1. Reviewing the ED chart
2. Contacting the admitting physician
3. Directing the questions to the family members
4. Establishing a line of communication with the patient
3. The nurse shows the ability to effectively state a nursing diagnosis reflective of the
implications of depression on a patients life processes when stating in the patients plan
of care that:
1. Patient outcomes were partially attained. Implementation of present plan to continue.
1. Patient will initiate and support conversation with nurse therapist by (date 3 weeks
in future).
1. Oral medication for anxiety should be administered when depression is assessed to be
at the moderate level.
1. Impaired verbal communication r/t impoverished
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Its possible that intuition about suicidality is generated by transfer of feelings
from the patient to the nurse.
1. Its been determined that intuition is nothing more that extrasensory perception, so
some folks have it, and some dont.
6. A nurse shows effective critical thinking skills directed towards
from the patient to the nurse.
1. Its been determined that intuition is nothing more that extrasensory perception, so
some folks have it, and some dont.
6. A nurse shows effective critical thinking skills directed towards
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1. Registering to attend a psychiatric workshop on newly developed psychotropic
medication therapies
1. Asking an experienced staff member to review the interventions being proposed
for a newly admitted patient
11. When caring for a patient admitted with a diagnosis if bipolar disorder, managed care
regulations is the driving
medication therapies
1. Asking an experienced staff member to review the interventions being proposed
for a newly admitted patient
11. When caring for a patient admitted with a diagnosis if bipolar disorder, managed care
regulations is the driving
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16. The nurse responsible for the care plan of a patient diagnosed with cognitive
impairment includes rationales for the nursing interventions primarily to:
1. Provide a means for outcome evaluation
2. Account for the reasoning that drives the nursing action
Support the patients success in achieving the expected outcome
4. Provide information to aide in the implementation of the nursing action
17. A patient who has a nursing diagnosis of ineffective coping related to ineffective
problem solving has been involved in treatment for 6 months. The nurse determines that the
planned interventions require revision when the patient states:
1. I really dont think my psychiatrist actually helps me.
2. I
impairment includes rationales for the nursing interventions primarily to:
1. Provide a means for outcome evaluation
2. Account for the reasoning that drives the nursing action
Support the patients success in achieving the expected outcome
4. Provide information to aide in the implementation of the nursing action
17. A patient who has a nursing diagnosis of ineffective coping related to ineffective
problem solving has been involved in treatment for 6 months. The nurse determines that the
planned interventions require revision when the patient states:
1. I really dont think my psychiatrist actually helps me.
2. I
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21. A well-stated outcome criteria for a patient with a nursing diagnosis of risk for
loneliness related to social isolation would include The patient will:
1. No longer experience loneliness by the end of the fifth day of hospitalization.
2. Agree to attend two on-unit, staff-directed group sessions daily.
3. Continue to maintain social solitude 50% of the time.
4. Interact with a peer on a daily basis by discharge.
22. Care planning for a patient diagnosed with paranoid schizophrenia will include:
23. Analyzing effectiveness of care provided
24. Determining the patients needs
loneliness related to social isolation would include The patient will:
1. No longer experience loneliness by the end of the fifth day of hospitalization.
2. Agree to attend two on-unit, staff-directed group sessions daily.
3. Continue to maintain social solitude 50% of the time.
4. Interact with a peer on a daily basis by discharge.
22. Care planning for a patient diagnosed with paranoid schizophrenia will include:
23. Analyzing effectiveness of care provided
24. Determining the patients needs
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6. Impaired social interaction
7. Risk for deficient fluid volume
4. Which nursing diagnosis is appropriate for a patient who insists being called Your
Highness and demonstrates loosely associated thoughts?
1. Risk for violence
2. Defensive coping
3. Impaired memory
4. Disturbed thought processes
Which initial short-term outcome would be appropriate for a patient who was admitted
expressing delusional thoughts?
1. Accept that delusion is illogical.
2. Distinguish external boundaries.
3. Explain the basis for the delusions.
4. Engage in reality-oriented conversation.
7. Risk for deficient fluid volume
4. Which nursing diagnosis is appropriate for a patient who insists being called Your
Highness and demonstrates loosely associated thoughts?
1. Risk for violence
2. Defensive coping
3. Impaired memory
4. Disturbed thought processes
Which initial short-term outcome would be appropriate for a patient who was admitted
expressing delusional thoughts?
1. Accept that delusion is illogical.
2. Distinguish external boundaries.
3. Explain the basis for the delusions.
4. Engage in reality-oriented conversation.
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2. Attempting to determine triggers to hallucinations
3. Engaging patient in activities designed to permit success
4. Encouraging verbalization of feelings in a safe environment
10. A 19-year-old patient is admitted for the second time in 9 months and is acutely
psychotic with a diagnosis of undifferentiated schizophrenia. The patient sits alone rubbing
her arms and smiling. She tells the nurse her thoughts cause earthquakes and that the world
is burning. The nurse assesses the primary deficit associated with the patients condition as:
1. Social isolation
2. Disturbed thinking
3. Altered mood states
4. Poor impulse control
11. A patient has been admitted with disorganized type schizophrenia. The nurse observes
blunted affect and social isolation. He occasionally curses or calls another patient a
3. Engaging patient in activities designed to permit success
4. Encouraging verbalization of feelings in a safe environment
10. A 19-year-old patient is admitted for the second time in 9 months and is acutely
psychotic with a diagnosis of undifferentiated schizophrenia. The patient sits alone rubbing
her arms and smiling. She tells the nurse her thoughts cause earthquakes and that the world
is burning. The nurse assesses the primary deficit associated with the patients condition as:
1. Social isolation
2. Disturbed thinking
3. Altered mood states
4. Poor impulse control
11. A patient has been admitted with disorganized type schizophrenia. The nurse observes
blunted affect and social isolation. He occasionally curses or calls another patient a
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Subject
Psychology