1 (CH 1-3, 5-6) 2024
Aznewzstaffznursezcompleteszorientationztozazpsychiatriczunit.zThisznursezmayzexpectzanzadvancedzpractice
znurseztozperformzwhichzadditionalzinterventions?z
a.zConductzmentalzhealthzassessments
b.zEstablishztherapeuticzrelationships
c.zIndividualizeznursingzcarezplans
d.zPrescribezpsychotropiczmedicationz-zCORRECTzANSWER-d.zPrescribezpsychotropiczmedication
Twoznursingzstudentszdiscussztheirzcareerzplanszafterzgraduation.zOnezstudentzwantsztozenterzpsychiatricz
nursing.zThezotherzasks,z"Whyzwouldzyouzwantztozbezazpsychiatricznurse?zThezonlyzthingztheyzdozisztalk.zYo
u'llzlosezallzyourzskills."zSelectzthezbestzresponse.
a.z"Psychiatricznurseszpracticezinzsaferzenvironmentszthanzotherzspecialties.zNurse-to-
patientzratioszmustzbezbetterzbecausezofztheznaturezofzthezpatients'zproblems."
b.z"Psychiatricznurseszusezcomplexzcommunicationzskillszaszwellzaszcriticalzthinkingztozsolvezmultidimensio
nalzproblems.zIzamzchallengedzbyzthosezsituations."
c.z"IzthinkzIzwillzbezgoodzinzthezmentalzhealthzfield.zIzdidznotzlikezclinicalzrotationszinzschool,zsozIzdoznotzwan
tztozcontinuezthemzafterzIzgraduate."
d.z"Psychiatricznurseszdoznotzhaveztozdealzwithzaszmuchzpainzandzsufferingzaszmedical-
surgicalznurseszdo.zThatzappealsztozme."z-zCORRECTzANSWER-
b.z"Psychiatricznurseszusezcomplexzcommunicationzskillszaszwellzaszcriticalzthinkingztozsolvezmultidimensio
nalzproblems.zIzamzchallengedzbyzthosezsituations."
AznewzbillzintroducedzinzCongresszwouldzreducezfundingzforzcarezofzpersonszwithzmentalzillness.zGroupszof
znurseszwritezlettersztoztheirzelectedzrepresentativeszinzoppositionztozthezlegislation.zWhichzrolezhavezthez
nurseszfulfilled?
a.zAdvocacy
b.zAttending
c.zRecovery
d.zEvidence-basedzpracticez-zCORRECTzANSWER-a.zAdvocacy
,Anzinformalzgroupzofzpatientszdiscussesztheirzperceptionszofznursingzcare.zWhichzcommentzbestzindicatesz
azpatientzperceivedztheznursezwaszcaring?z"Myznurse:
a.zalwayszaskszmezwhichztypezofzjuicezIzwantztozhelpzmezswallowzmyzmedication."
b.zexplainedzmyztreatmentzplanztozmezandzaskedzforzmyzideaszaboutzhowztozmakezitzbetter."
c.ztoldzmezthatzifzIztakezallzthezmedicineszthezdoctorzprescribes,zthenzIzwillzgetzdischargedzsoon."
d.zspendsztimezlisteningztozmeztalkzaboutzmyzproblems.zThatzhelpszmezfeelzlikezI'mznotzalone."z-
zCORRECTzANSWER-
d.zspendsztimezlisteningztozmeztalkzaboutzmyzproblems.zThatzhelpszmezfeelzlikezI'mznotzalone."
Whichzfindingzbestzindicateszthatzazpatientzhaszazmentalzillness?zThezpatient:
a.respondsztozrules,zroutines,zandzcustomszofzazgroup.
b.zreportszmoodziszconsistentlyzsad,zdiscouraged,zandzhopeless.
c.zperformsztaskszattemptedzwithinzthezlimitszsetzbyzownzabilities.
d.ziszableztozseezthezdifferencezbetweenzthez"aszif"zandzthez"forzreal."z-zCORRECTzANSWER-
b.zreportszmoodziszconsistentlyzsad,zdiscouraged,zandzhopeless.
Whichzfindingzbestzindicateszthatzthezgoalz"Demonstratezmentallyzhealthyzbehavior"zwaszachieved?zAzpati
ent:
a.zseeszselfzaszapproachingzidealszandzcapablezofzmeetingzdemands.
b.zseekszothersztozassumezresponsibilityzforzmajorzareaszofzownzlife.
c.zbehaveszwithoutzconsideringzthezconsequenceszofzpersonalzactions.
d.zaggressivelyzmeetszownzneedszwithoutzconsideringzthezrightszofzothers.z-zCORRECTzANSWER-
a.zseeszselfzaszapproachingzidealszandzcapablezofzmeetingzdemands.
Aznursezencounterszanzunfamiliarzpsychiatriczdisorderzonzaznewzpatient'szadmissionzform.zTozdeterminezcr
iteriazusedztozestablishzthiszdiagnosis,ztheznursezshouldzconsultzwhichzresource?
a.zDiagnosticzandzStatisticalzManualzofzMentalzDisorders
b.zAznursingzdiagnosiszhandbook
c.zAzpsychiatricznursingztextbook
d.zAzbehavioralzhealthzreferencezmanualz-zCORRECTzANSWER-
a.zDiagnosticzandzStatisticalzManualzofzMentalzDisorders
,Whichzdocumentationzofzdiagnosiszwouldzaznursezexpectzinzazpsychiatricztreatmentzsetting?
a.zIzAcutezrenalzfailure
z z II 75
z IIIzBipolarzdisorderzI,zmixed
z IVzLosszofzdisabilityzbenefitsz2zmonthszago
z VzNonez
b.zIzSchizophrenia,zparanoidztype
z z II Deathzofzspousezlastzyear
z IIIz60
z IVzNone
z VzDiabetes,ztypez2
c.zIzPolysubstancezdependence
z z II NarcissisticzPersonalityzDisorder
z IIIz90
z IVzHyperlipidemia
z VzChargeszpendingzforzassault
d.zIzMajorzDepression
z z II AvoidantzPersonalityzDisorder
z IIIzHypertension
z IVzHomezdestroyedzbyzhurricanezlastzyear
z Vz80z-zCORRECTzANSWER-d.zIzMajorzDepression
z z II AvoidantzPersonalityzDisorder
z IIIzHypertension
z IVzHomezdestroyedzbyzhurricanezlastzyear
z Vz80
AznursezexplainszthezmultiaxialzDSM-IV-TRztozazpsychiatricztechnicianzandzincludeszinformationzthatzit:
a.zfocuseszonzplanszforztreatment.
b.zincludesznursingzandzmedicalzdiagnoses.
, c.zclassifieszproblemszinzmultiplezareaszofzfunctioning.
d.zuseszthezframeworkzofzazspecificzbiopsychosocialztheory.z-zCORRECTzANSWER-
c.zclassifieszproblemszinzmultiplezareaszofzfunctioning.
Aznursezwantsztozfindzazdescriptionzofzdiagnosticzcriteriazforzanxietyzdisorders.zWhichzresourcezwouldzhav
ezthezmostzcompletezinformation?
a.zThezICD-10
b.zNursingzOutcomeszClassification
c.zDiagnosticzandzStatisticalzManualzofzMentalzDisorders
d.zThezANAzPsychiatric-MentalzHealthzNursingzScopezandzStandardszofzPracticez-zCORRECTzANSWER-
c.zDiagnosticzandzStatisticalzManualzofzMentalzDisorders
Whichzcommentzmostzclearlyzshowszazspeakerzviewszmentalzillnesszwithzstigma?
a.z"Somezmentalzillnesseszarezinherited."
b.z"Mostzpeoplezwithzmentalzillnesszarezunmotivated."
c.z"Severezenvironmentalzstresszsometimeszcauseszmentalzillness."
d.z"Somezmentalzillnesseszarezbrainzdisorderszresultingzfromzchangeszinzhowzimpulseszareztransmitted."z-
zCORRECTzANSWER-b.z"Mostzpeoplezwithzmentalzillnesszarezunmotivated."
Aznewlyzadmittedzpatientziszuncommunicativezaboutzrecentzlifezevents.zTheznursezsuspectszmaritalzandzec
onomiczproblems,zbutzthezsocialzworker'szassessmentzisznotzyetzavailable.zSelectztheznurse'szbestzaction.
a.zFocuszassessmentzquestionszonztheseztwoztopics.
b.zAskzanotherzpatientzwhozshareszazroomzwithzthiszpatient.
c.zAvoidzseekingzinformationzonztheseztopicszatzthisztime.
d.zReferztozaxiszIVzofzthezDSM-IV-TRzinzthezmedicalzrecord.z-zCORRECTzANSWER-
d.zReferztozaxiszIVzofzthezDSM-IV-TRzinzthezmedicalzrecord.
ThezDiagnosticzandzStatisticalzManualzofzMentalzDisorderszclassifies:
a.zdeviantzbehaviors.
b.zpeoplezwithzmentalzdisorders.
c.zpresentzdisabilityzorzdistress.