Varcarolis, Psychiatric Nursing: Exam
Questions And Correct Answers Latest
Version
A patient in the long-term reorganization phase of the rape trauma syndrome
has experienced intrusive thoughts of the rape and developed a fear of being
alone. Which finding demonstrates the patient has made improvement? The
patient:
a. temporarily withdraws from social situations.
b. plans coping strategies for fearful situations.
c. uses increased activity to reduce fear.
d. expresses a desire to be with others. -Answer:-B
A patient comes to the hospital for treatment of injuries sustained during a
rape. The patient abruptly decides to decline treatment and return home.
Before the patient leaves, the nurse should:
a. tell the patient, "You may not leave until you receive prophylactic treatment
for sexually transmitted diseases."
b. provide written information concerning the physical and emotional
reactions that may be experienced.
,c. explain the need and importance of human immunodeficiency virus (HIV)
testing.
d. offer verbal information about legal resources. -Answer:-B
An unconscious person is brought to the emergency department by a friend.
The friend found the person in a bedroom at a college fraternity party. Semen
is observed on the person's underclothes. The priority actions of staff
members should focus on:
a. maintaining the airway.
b. preserving rape evidence.
c. obtaining a description of the rape.
d. determining what drug was ingested. -Answer:-A
A victim of a violent rape has been in the emergency department for 3 hours.
Evidence collection is complete. As discharge counseling begins, the patient
says softly, "I will never be the same again. I can't face my friends. There is no
sense of trying to go on." Select the nurse's most important response.
a. "Are you thinking of suicide?"
b. "It will take time, but you will feel the same as before."
,c. "Your friends will understand when you tell them."
d. "You will be able to find meaning in this experience as time goes on." -
Answer:-A
Which patient would a nurse refer to partial hospitalization? An individual
who:
a.
spent yesterday in the 24-hour supervised crisis care center and continues to
be actively suicidal.
b.
because of agoraphobia and panic episodes needs psychoeducation for
relaxation therapy
c.
has a therapeutic lithium level and reports regularly for blood tests and clinic
follow-up.
d.
states, "I'm not sure I can avoid using alcohol when my spouse goes to work
every morning." -Answer:-D
Which employer's health plan is required to include parity provisions related
to mental illnesses?
a.
Employer with more than 50 employees
b.
Cancer thrift shop staffed by volunteers
, c.
Daycare center that employs 7 teachers
d.
Church that employs 15 people -Answer:-A
A nurse can best address factors of critical importance to successful
community treatment for persons with mental illness by including
assessments related to which of the following? Select all that apply.
a.
housing adequacy and stability
b.
income adequacy and stability
c.
family and other support systems
d.
early psychosocial development
e.
substance abuse history and current use -Answer:-A B C E
A community member asks a nurse, "People with mental illnesses used to go
to a state hospital. Why has that changed?" Select the nurse's accurate
responses. Select all that apply.
a.
"Science has made significant improvements in drugs for mental illness, so
now many people may live in their communities."
b.
Questions And Correct Answers Latest
Version
A patient in the long-term reorganization phase of the rape trauma syndrome
has experienced intrusive thoughts of the rape and developed a fear of being
alone. Which finding demonstrates the patient has made improvement? The
patient:
a. temporarily withdraws from social situations.
b. plans coping strategies for fearful situations.
c. uses increased activity to reduce fear.
d. expresses a desire to be with others. -Answer:-B
A patient comes to the hospital for treatment of injuries sustained during a
rape. The patient abruptly decides to decline treatment and return home.
Before the patient leaves, the nurse should:
a. tell the patient, "You may not leave until you receive prophylactic treatment
for sexually transmitted diseases."
b. provide written information concerning the physical and emotional
reactions that may be experienced.
,c. explain the need and importance of human immunodeficiency virus (HIV)
testing.
d. offer verbal information about legal resources. -Answer:-B
An unconscious person is brought to the emergency department by a friend.
The friend found the person in a bedroom at a college fraternity party. Semen
is observed on the person's underclothes. The priority actions of staff
members should focus on:
a. maintaining the airway.
b. preserving rape evidence.
c. obtaining a description of the rape.
d. determining what drug was ingested. -Answer:-A
A victim of a violent rape has been in the emergency department for 3 hours.
Evidence collection is complete. As discharge counseling begins, the patient
says softly, "I will never be the same again. I can't face my friends. There is no
sense of trying to go on." Select the nurse's most important response.
a. "Are you thinking of suicide?"
b. "It will take time, but you will feel the same as before."
,c. "Your friends will understand when you tell them."
d. "You will be able to find meaning in this experience as time goes on." -
Answer:-A
Which patient would a nurse refer to partial hospitalization? An individual
who:
a.
spent yesterday in the 24-hour supervised crisis care center and continues to
be actively suicidal.
b.
because of agoraphobia and panic episodes needs psychoeducation for
relaxation therapy
c.
has a therapeutic lithium level and reports regularly for blood tests and clinic
follow-up.
d.
states, "I'm not sure I can avoid using alcohol when my spouse goes to work
every morning." -Answer:-D
Which employer's health plan is required to include parity provisions related
to mental illnesses?
a.
Employer with more than 50 employees
b.
Cancer thrift shop staffed by volunteers
, c.
Daycare center that employs 7 teachers
d.
Church that employs 15 people -Answer:-A
A nurse can best address factors of critical importance to successful
community treatment for persons with mental illness by including
assessments related to which of the following? Select all that apply.
a.
housing adequacy and stability
b.
income adequacy and stability
c.
family and other support systems
d.
early psychosocial development
e.
substance abuse history and current use -Answer:-A B C E
A community member asks a nurse, "People with mental illnesses used to go
to a state hospital. Why has that changed?" Select the nurse's accurate
responses. Select all that apply.
a.
"Science has made significant improvements in drugs for mental illness, so
now many people may live in their communities."
b.
