NUR 326 Psych/MH Exam 1
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1. A: 1. A suicidal patient is found by the nurse as he tries to hang
himself from the shower in the bathroom. What nursing intervention
would address the patient's need for safety while maintaining his self-
esteem?
a. Assign a staff member to remain with him at all times.
b.Place him in the seclusion room with 15 minute checks
c. Request that he remain with the patient group at all times.
d.Tell him he may use the bathroom only with staff supervision.
2. a: 1. The nursing student learned of a high school classmate who
recently com- mitted suicide. The classmate's death surprised the
student, because the classmate had always seemed very confident and
popular. The student knows, however, that suicide is usually:
a. An act with a message and purpose
b.An impulsive act without meaning
c. A random act of selfishness
d. A random act without meaning or purpose
3. a: 1. A voluntary patient mutilates herself whenever she leaves the
unit. The nurse suggests use of four-point restraint to prevent the
patient from further harming herself. What question should be
considered before this measure is undertaken?
a. Is this the least restrictive measure possible?
b.Can four-point restraint be used for voluntary patients?
c.What litigation is likely to follow from this action?
d.What documentation will be necessary after restraint application?
4. c: 1. A patient, who has recently lost a spouse, calls the crisis line
stating the occurrence of suicidal ideations that involve jumping off a
bridge over the river when no one is around. What level of lethality
would a nurse assess for this plan?
a. Low
b.Moderate
c. High
d. Lethality cannot be determined from this data
5. b: 1. Which of the following symptoms indicates Neuroleptic Malignant
Syndrome (NMS), a potentially fatal side effect of an antipsychotic
medication such as Haldol (haloperidol)?
a) Photosensitivity and an itchy rash on face, neck, chest and extremities
b) Hyperthermia and muscle rigidity
c) Blurred vision, constipation, and urinary retention
, NUR 326 Psych/MH Exam 1
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d)Tongue protrusion, lip smacking, and grimacing
6. a: 1. The nurse using cognitive behavior techniques when working
with patients knows that attributions are meanings the patient gives to
events or circumstances that:
, NUR 326 Psych/MH Exam 1
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a. may or may not be objectively accurate
b.support a sense of autonomy
c. promote rigidity and chaos
d. isolate family members from each other
7. a: 1. A patient was the driver of a car that struck and killed a child.
The patient tells a nurse, "I killed a child! I'm haunted by the sight of
the body being thrown into the air. If I hadn't been drinking I might have
been able to stop. I don't know how I can go on living with myself!" The
crisis nurse should give priority to assessing the patient's:
a. suicidal risk.
b.physical condition.
c. recent drug dependency.
d. current alcohol consumption.
8. c
Defense mechanisms are used unconsciously to protect us from threats to
the physical, mental, and social aspects of ourselves. The memory of the
event may or may not come back but this is not generally related to the
patients ability to handle the memories. Memory may be lost or impaired as
a result of brain trauma but not as likely from a chemical alteration.: 1. A
patient who was savagely attacked by a bear has no memory of the
event. Which statement best explains the patients inability to
remember the attack?
a.
The woman lost consciousness and was not cognitively aware of what
happened during the attack
b.
The brain has produced a chemical anemia that will repress the
memories of the attack indefinitely.
c.
The patient is unconsciously using a defense mechanism to protect
against the repeated memory of the attack.
d.
It is a temporary suppression of the attack; her memory will return
when she is physically and emotionally ready to handle the
memories.
9. c
One defining behavior that is seen when an individual has PTSD is that the
, NUR 326 Psych/MH Exam 1
Study online at
person re-experiences the traumatic event. This takes place by having recur-
rent and intrusive disturbing recollections of the trauma, including
thoughts, images, or perceptions about the incident. The person sometimes
experiences
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1. A: 1. A suicidal patient is found by the nurse as he tries to hang
himself from the shower in the bathroom. What nursing intervention
would address the patient's need for safety while maintaining his self-
esteem?
a. Assign a staff member to remain with him at all times.
b.Place him in the seclusion room with 15 minute checks
c. Request that he remain with the patient group at all times.
d.Tell him he may use the bathroom only with staff supervision.
2. a: 1. The nursing student learned of a high school classmate who
recently com- mitted suicide. The classmate's death surprised the
student, because the classmate had always seemed very confident and
popular. The student knows, however, that suicide is usually:
a. An act with a message and purpose
b.An impulsive act without meaning
c. A random act of selfishness
d. A random act without meaning or purpose
3. a: 1. A voluntary patient mutilates herself whenever she leaves the
unit. The nurse suggests use of four-point restraint to prevent the
patient from further harming herself. What question should be
considered before this measure is undertaken?
a. Is this the least restrictive measure possible?
b.Can four-point restraint be used for voluntary patients?
c.What litigation is likely to follow from this action?
d.What documentation will be necessary after restraint application?
4. c: 1. A patient, who has recently lost a spouse, calls the crisis line
stating the occurrence of suicidal ideations that involve jumping off a
bridge over the river when no one is around. What level of lethality
would a nurse assess for this plan?
a. Low
b.Moderate
c. High
d. Lethality cannot be determined from this data
5. b: 1. Which of the following symptoms indicates Neuroleptic Malignant
Syndrome (NMS), a potentially fatal side effect of an antipsychotic
medication such as Haldol (haloperidol)?
a) Photosensitivity and an itchy rash on face, neck, chest and extremities
b) Hyperthermia and muscle rigidity
c) Blurred vision, constipation, and urinary retention
, NUR 326 Psych/MH Exam 1
Study online at
d)Tongue protrusion, lip smacking, and grimacing
6. a: 1. The nurse using cognitive behavior techniques when working
with patients knows that attributions are meanings the patient gives to
events or circumstances that:
, NUR 326 Psych/MH Exam 1
Study online at
a. may or may not be objectively accurate
b.support a sense of autonomy
c. promote rigidity and chaos
d. isolate family members from each other
7. a: 1. A patient was the driver of a car that struck and killed a child.
The patient tells a nurse, "I killed a child! I'm haunted by the sight of
the body being thrown into the air. If I hadn't been drinking I might have
been able to stop. I don't know how I can go on living with myself!" The
crisis nurse should give priority to assessing the patient's:
a. suicidal risk.
b.physical condition.
c. recent drug dependency.
d. current alcohol consumption.
8. c
Defense mechanisms are used unconsciously to protect us from threats to
the physical, mental, and social aspects of ourselves. The memory of the
event may or may not come back but this is not generally related to the
patients ability to handle the memories. Memory may be lost or impaired as
a result of brain trauma but not as likely from a chemical alteration.: 1. A
patient who was savagely attacked by a bear has no memory of the
event. Which statement best explains the patients inability to
remember the attack?
a.
The woman lost consciousness and was not cognitively aware of what
happened during the attack
b.
The brain has produced a chemical anemia that will repress the
memories of the attack indefinitely.
c.
The patient is unconsciously using a defense mechanism to protect
against the repeated memory of the attack.
d.
It is a temporary suppression of the attack; her memory will return
when she is physically and emotionally ready to handle the
memories.
9. c
One defining behavior that is seen when an individual has PTSD is that the
, NUR 326 Psych/MH Exam 1
Study online at
person re-experiences the traumatic event. This takes place by having recur-
rent and intrusive disturbing recollections of the trauma, including
thoughts, images, or perceptions about the incident. The person sometimes
experiences
