Behavioral Health Nursing: Exam 1 Practice Questions With
Complete Solutions
A 20-year-old woman is admitted to the psychiatric unit of the
hospital after ruling out a medical cause for her persistent
complaints of headache, fatigue, and difficulty in swallowing.
The patient says to the nurse, "The doctor doesn't believe me
when I say I am sick. He doesn't know that the tests don't show
everything." The nurse should use which of these approaches in
responding to the patient?
- Ask the patient to repeat her conversation with the physician
-Explain to the patient that her complaints are not symptoms of a
specific illness
-Inform the patient that an error in diagnostic test results is
unlikely
-Show acceptance of the patient's opinion correct answers Show
acceptance of the patient's opinion
A 3-year-old and her parents check in to the emergency room.
The parents are complaining that the babysitter is abusing their
child. What action should the nurse take?
- Assess the child
-Call child protective services
-Call the physician
-Notify the social worker correct answers assess the child
a 7 yr old w cystic fibrosis dies unexpectedly while in the
hospital. after the pt's death, the staff closest to the pt have been
,having trouble coping. who should be consulted to help the
nursing staff cope?
- the chaplain, they can provide strategies for handling death and
grief
- the nurse manager, seh can give out vacation
- the pt's fam, they can provide mutual comfort
- the physician, he can provide educational materials about
cystic fibrosis correct answers - the chaplain, they can provide
strategies for handling death and grief
A 7-year-old foster child is brought to the clinic. The child was
abused by her parents before going into foster care. As part of a
psychosocial assessment to rule out any chronic dissociative
pattern of coping, the nurse would ask about which of the
following? Select all that apply.
- 24 hour nutritional intake
-Ability to play or interact with other children
-Odd, contradictory displays of behavior
-Presence of auditory or visual hallucinations
-The presence of other siblings in the home correct answers - 24
hour nutritional intake
-Ability to play or interact with other children
-Odd, contradictory displays of behavior
a fam member of a pt on a psych unit informs a nurse that
another pt is being sexually inappropriate w other pts. the nurse
tells the fam member to locate the pt's nurse and inform her.
which of the following terms describe the nurse's actions
, - negligent
-organized
-practical
-prioritization correct answers negligent
a mental heath nurse answers the phone and the police office
asks if a pt is still being treated on the unit, and the nurse says
they were discharged. What is correct regarding the nurse's
response?
- was a breach of confidentiality
- response was correct, the nurse did not give out any pt info
- response was correct, nurse only released info regarding pt's
location
- response was illegal b/c nurse is withholding in about the pt
correct answers - response was breach of pt confidentiality
a nurse assesses an elderly pt who was found wandering the unit.
the nurse feels sympathetic and states, "she's like my
grandmother.... so helpless". Which term best applies to the
nurse's response?
- transference
- counter transference
- acceptance
- positive regard correct answers counter transference
A nurse conducts a community education program on child
abuse. A primary-prevention-strategy(ies) for child abuse would
include. Select all that apply.
Complete Solutions
A 20-year-old woman is admitted to the psychiatric unit of the
hospital after ruling out a medical cause for her persistent
complaints of headache, fatigue, and difficulty in swallowing.
The patient says to the nurse, "The doctor doesn't believe me
when I say I am sick. He doesn't know that the tests don't show
everything." The nurse should use which of these approaches in
responding to the patient?
- Ask the patient to repeat her conversation with the physician
-Explain to the patient that her complaints are not symptoms of a
specific illness
-Inform the patient that an error in diagnostic test results is
unlikely
-Show acceptance of the patient's opinion correct answers Show
acceptance of the patient's opinion
A 3-year-old and her parents check in to the emergency room.
The parents are complaining that the babysitter is abusing their
child. What action should the nurse take?
- Assess the child
-Call child protective services
-Call the physician
-Notify the social worker correct answers assess the child
a 7 yr old w cystic fibrosis dies unexpectedly while in the
hospital. after the pt's death, the staff closest to the pt have been
,having trouble coping. who should be consulted to help the
nursing staff cope?
- the chaplain, they can provide strategies for handling death and
grief
- the nurse manager, seh can give out vacation
- the pt's fam, they can provide mutual comfort
- the physician, he can provide educational materials about
cystic fibrosis correct answers - the chaplain, they can provide
strategies for handling death and grief
A 7-year-old foster child is brought to the clinic. The child was
abused by her parents before going into foster care. As part of a
psychosocial assessment to rule out any chronic dissociative
pattern of coping, the nurse would ask about which of the
following? Select all that apply.
- 24 hour nutritional intake
-Ability to play or interact with other children
-Odd, contradictory displays of behavior
-Presence of auditory or visual hallucinations
-The presence of other siblings in the home correct answers - 24
hour nutritional intake
-Ability to play or interact with other children
-Odd, contradictory displays of behavior
a fam member of a pt on a psych unit informs a nurse that
another pt is being sexually inappropriate w other pts. the nurse
tells the fam member to locate the pt's nurse and inform her.
which of the following terms describe the nurse's actions
, - negligent
-organized
-practical
-prioritization correct answers negligent
a mental heath nurse answers the phone and the police office
asks if a pt is still being treated on the unit, and the nurse says
they were discharged. What is correct regarding the nurse's
response?
- was a breach of confidentiality
- response was correct, the nurse did not give out any pt info
- response was correct, nurse only released info regarding pt's
location
- response was illegal b/c nurse is withholding in about the pt
correct answers - response was breach of pt confidentiality
a nurse assesses an elderly pt who was found wandering the unit.
the nurse feels sympathetic and states, "she's like my
grandmother.... so helpless". Which term best applies to the
nurse's response?
- transference
- counter transference
- acceptance
- positive regard correct answers counter transference
A nurse conducts a community education program on child
abuse. A primary-prevention-strategy(ies) for child abuse would
include. Select all that apply.
