Psychiatric nursing Exam 2/ final exam
1. A nurse leads a staff development session about a. Failure of older adults to
ageism among health care workers. What information receive necessary medical
should the nurse include about the consequences of information
ageism? (Select all that apply.) c. Staff shortages because
a. Failure of older adults to receive necessary medical caregivers prefer working
information with younger adults
b. Development of public policy that favors programs
for older adults
c. Staff shortages because caregivers prefer working
with younger adults
d. Perception that older adults consume a small share
of medical resources
e. More ancillary than professional personnel discrim-
inate with regard to age
2. A patient diagnosed with moderate to severe a. Provide clothing with
Alzheimer's disease has a dressing and grooming elastic and hook-and-loop
self-care deficit. Designate the appropriate interven- closures
tions to include in the patient's plan of care. (Select all b. Label clothing with the
that apply.) patient's name and name
a. Provide clothing with elastic and hook-and-loop clo- of the item.
sures e. If the patient resists,
b. Label clothing with the patient's name and name of use distraction and then
the item. try again after a short in-
c. Administer antianxiety medication before bathing terval.
and dressing.
d. Provide necessary items and direct the patient to
proceed independently.
e. If the patient resists, use distraction and then try
again after a short interval.
3.
, Psychiatric nursing Exam 2/ final exam
A medical-surgical nurse works with a patient diag- b. Being resistant to ac-
nosed with a somatic system disorder. Care planning cepting psychiatric help.
is facilitated by understanding that the patient will
probably present what behavior?
a. Readily seek psychiatric counseling.
b. Being resistant to accepting psychiatric help.
c. Attending psychotherapy sessions without encour-
agement.
d. Being eager to discover the true reasons for physi-
cal symptoms.
4. A patient whose blindness is related to a functional b. Anxiety is relieved
neurological (conversion) disorder appears to be un- through the physical
concerned about this problem. Which understanding symptom.
should guide the nurse's planning for this patient?
a. Suppressing accurate feelings regarding the prob-
lem.
b. Anxiety is relieved through the physical symptom.
c. Emotional needs are met through hospitalization.
d. The patient refuses to disclose genuine fears.
5. A patient's blindness is related to a functional neuro- b. Expecting the patient to
logical (conversion) disorder. To help the patient eat, self-feed after explaining
the nurse should implement what intervention? the arrangement of the
a. Establishing a "buddy" system with other patients food on the tray
who can feed the patient at each meal
b. Expecting the patient to self-feed after explaining
the arrangement of the food on the tray
c. Directing the patient to locate items on the tray
independently with feeding being unassisted
d. Addressing the needs of other patients in the dining
room, and then feeding this patient
, Psychiatric nursing Exam 2/ final exam
6. A patient with blindness related to a functional neu- b. Chronic low self-esteem
rological (conversion) disorder states, "All the doctors
and nurses in this hospital stop by often to check on
me. Too bad people outside the hospital don't find
me interesting." Which nursing diagnosis is most rel-
evant?
a. Social isolation
b. Chronic low self-esteem
c. Interrupted family processes
d. Ineffective health maintenance
7. To assist a patient diagnosed with a somatic system c. Shifting the focus from
disorder, which nursing intervention is of highest pri- somatic symptoms to feel-
ority? ings
a. Implying that somatic symptoms are not real
b. Helping the patient suppress feelings of anger
c. Shifting the focus from somatic symptoms to feel-
ings
d. Investigating each physical symptom as soon as it
is reported
8. A patient who fears serious heart disease was referred c. Illness anxiety disorder
to the mental health center by a cardiologist after
diagnostic evaluation showed no physical illness. The
patient says, "My heart misses beats. I'm frequently
absent from work. I don't go out much because I need
to rest." Which health problem is most likely?
a. Depersonalization disorder
b. Antisocial personality disorder
c. Illness anxiety disorder
d. Persistent depressive disorder
, Psychiatric nursing Exam 2/ final exam
9. A nurse assessing a patient diagnosed with a somatic d. Has unmet needs relat-
system disorder is most likely to note what patient ed to comfort and activity.
characteristic?
a. Readily sees a relationship between symptoms and
interpersonal conflicts. b. Rarely derives personal ben-
efit from the symptoms.
c. Has little difficulty communicating emotional
needs.
d. Has unmet needs related to comfort and activity
10. To plan effective care for patients diagnosed with so- d. They provide relief from
matic system disorders, the nurse should understand health anxiety.
that patients have difficulty giving up the symptoms
because of what characteristic?
a. They are generally chronic in nature.
b. They have a physiological basis.
c. They can be voluntarily controlled.
d. They provide relief from health anxiety
11. A patient diagnosed with a somatic symptom dis- b. Demonstrate a resump-
order has the nursing diagnosis: Interrupted family tion of former roles and
processes, related to patient's disabling symptoms as tasks.
evidenced by the spouse and children assuming roles
and tasks that previously belonged to patient. What is
an appropriate outcome for this patient?
a. Assumes roles and functions of the other family
members.
b. Demonstrate a resumption of former roles and
tasks.
c. Focuses energy on problems occurring in the fami-
ly.
d. Relies on family members to meet personal needs.
1. A nurse leads a staff development session about a. Failure of older adults to
ageism among health care workers. What information receive necessary medical
should the nurse include about the consequences of information
ageism? (Select all that apply.) c. Staff shortages because
a. Failure of older adults to receive necessary medical caregivers prefer working
information with younger adults
b. Development of public policy that favors programs
for older adults
c. Staff shortages because caregivers prefer working
with younger adults
d. Perception that older adults consume a small share
of medical resources
e. More ancillary than professional personnel discrim-
inate with regard to age
2. A patient diagnosed with moderate to severe a. Provide clothing with
Alzheimer's disease has a dressing and grooming elastic and hook-and-loop
self-care deficit. Designate the appropriate interven- closures
tions to include in the patient's plan of care. (Select all b. Label clothing with the
that apply.) patient's name and name
a. Provide clothing with elastic and hook-and-loop clo- of the item.
sures e. If the patient resists,
b. Label clothing with the patient's name and name of use distraction and then
the item. try again after a short in-
c. Administer antianxiety medication before bathing terval.
and dressing.
d. Provide necessary items and direct the patient to
proceed independently.
e. If the patient resists, use distraction and then try
again after a short interval.
3.
, Psychiatric nursing Exam 2/ final exam
A medical-surgical nurse works with a patient diag- b. Being resistant to ac-
nosed with a somatic system disorder. Care planning cepting psychiatric help.
is facilitated by understanding that the patient will
probably present what behavior?
a. Readily seek psychiatric counseling.
b. Being resistant to accepting psychiatric help.
c. Attending psychotherapy sessions without encour-
agement.
d. Being eager to discover the true reasons for physi-
cal symptoms.
4. A patient whose blindness is related to a functional b. Anxiety is relieved
neurological (conversion) disorder appears to be un- through the physical
concerned about this problem. Which understanding symptom.
should guide the nurse's planning for this patient?
a. Suppressing accurate feelings regarding the prob-
lem.
b. Anxiety is relieved through the physical symptom.
c. Emotional needs are met through hospitalization.
d. The patient refuses to disclose genuine fears.
5. A patient's blindness is related to a functional neuro- b. Expecting the patient to
logical (conversion) disorder. To help the patient eat, self-feed after explaining
the nurse should implement what intervention? the arrangement of the
a. Establishing a "buddy" system with other patients food on the tray
who can feed the patient at each meal
b. Expecting the patient to self-feed after explaining
the arrangement of the food on the tray
c. Directing the patient to locate items on the tray
independently with feeding being unassisted
d. Addressing the needs of other patients in the dining
room, and then feeding this patient
, Psychiatric nursing Exam 2/ final exam
6. A patient with blindness related to a functional neu- b. Chronic low self-esteem
rological (conversion) disorder states, "All the doctors
and nurses in this hospital stop by often to check on
me. Too bad people outside the hospital don't find
me interesting." Which nursing diagnosis is most rel-
evant?
a. Social isolation
b. Chronic low self-esteem
c. Interrupted family processes
d. Ineffective health maintenance
7. To assist a patient diagnosed with a somatic system c. Shifting the focus from
disorder, which nursing intervention is of highest pri- somatic symptoms to feel-
ority? ings
a. Implying that somatic symptoms are not real
b. Helping the patient suppress feelings of anger
c. Shifting the focus from somatic symptoms to feel-
ings
d. Investigating each physical symptom as soon as it
is reported
8. A patient who fears serious heart disease was referred c. Illness anxiety disorder
to the mental health center by a cardiologist after
diagnostic evaluation showed no physical illness. The
patient says, "My heart misses beats. I'm frequently
absent from work. I don't go out much because I need
to rest." Which health problem is most likely?
a. Depersonalization disorder
b. Antisocial personality disorder
c. Illness anxiety disorder
d. Persistent depressive disorder
, Psychiatric nursing Exam 2/ final exam
9. A nurse assessing a patient diagnosed with a somatic d. Has unmet needs relat-
system disorder is most likely to note what patient ed to comfort and activity.
characteristic?
a. Readily sees a relationship between symptoms and
interpersonal conflicts. b. Rarely derives personal ben-
efit from the symptoms.
c. Has little difficulty communicating emotional
needs.
d. Has unmet needs related to comfort and activity
10. To plan effective care for patients diagnosed with so- d. They provide relief from
matic system disorders, the nurse should understand health anxiety.
that patients have difficulty giving up the symptoms
because of what characteristic?
a. They are generally chronic in nature.
b. They have a physiological basis.
c. They can be voluntarily controlled.
d. They provide relief from health anxiety
11. A patient diagnosed with a somatic symptom dis- b. Demonstrate a resump-
order has the nursing diagnosis: Interrupted family tion of former roles and
processes, related to patient's disabling symptoms as tasks.
evidenced by the spouse and children assuming roles
and tasks that previously belonged to patient. What is
an appropriate outcome for this patient?
a. Assumes roles and functions of the other family
members.
b. Demonstrate a resumption of former roles and
tasks.
c. Focuses energy on problems occurring in the fami-
ly.
d. Relies on family members to meet personal needs.
