Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach Study guides, Class notes & Summaries

MULTIPLE CHOICE 1. The nurse at a university health center leads a dialogue with female freshmen about rape and sexual assault. One student says, ―If I avoid strangers or situations where I am alone outside at night, I‘ll be safe from sexual attacks.‖ Choose the nurse‘s best response. a. Your plan is not adequate. You could still be raped or sexually assaulted.‖ b. I am glad you have this excellent safety plan. Would others like to comment?‖ c. It‘s better to walk with s...

MULTIPLE CHOICE 1. A nurse assesses a confused older adult. The nurse experiences sadness and reflects, ―This patient is like one of my grandparents … so helpless.‖ Which response is the nurse demonstrating? a. Transference b. Countertransference c. Catastrophic reaction d. Defensive coping reaction ANS: B Countertransference is the nurse‘s transference or response to a patient that is based on the nurse‘s unconscious needs, conflicts, problems, or view of the world....

MULTIPLE CHOICE 1. A new staff nurse tells the clinical nurse specialist, ―I am unsure about my role when patients bring up sexual problems.‖ The clinical nurse specialist should give clarification by saying, ―All nurses a. qualify as sexual counselors. Nurses have knowledge about the biopsychosocial aspects of sexuality throughout the life cycle.‖ b. should be able to screen for sexual dysfunction and give basic information about sexual feelings, behaviors, and myths.‖ c. s...

MULTIPLE CHOICE 1. A nurse wants to teach alternative coping strategies to a patient experiencing severe anxiety. Which action should the nurse perform first? a. Verify the patient‘s learning style. b. Lower the patient‘s current anxiety. c. Create outcomes and a teaching plan. d. Assess how the patient uses defense mechanisms. ANS: B A patient experiencing severe anxiety has a markedly narrowed perceptual field and difficulty attending to events in the environment. A pati...

MULTIPLE CHOICE 1. A person was online continuously for over 24 hours, posting rhymes on official government websites and inviting politicians to join social networks. The person has not slept or eaten for 3 days. What features of mania are evident? a. Increased muscle tension and anxiety b. Vegetative signs and poor grooming c. Poor judgment and hyperactivity d. Cognitive deficits and paranoia ANS: C Hyperactivity (activity without sleep) and poor judgment (posting rhymes on ...

Chapter 11: Childhood and Neurodevelopmental Disorders Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition

MULTIPLE CHOICE 1. An adult outpatient diagnosed with major depressive disorder has a history of several suicide attempts by overdose. Given this patient‘s history and diagnosis, which antidepressant medication would the nurse expect to be prescribed? a. Amitriptyline b. Fluoxetine c. Desipramine d. Tranylcypromine sulfate ANS: B Selective serotonin reuptake inhibitor antidepressants are very safe in overdosage situations, which is not true of the other medications listed. G...

Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition Test Bank

MULTIPLE CHOICE 1. An adult says to the nurse, ―The cancer in my neck spread in only 2 months. I‘ve been cursed my whole life. Maybe if I had been more generous with others …‖ Considering the stages of grief described by Kübler-Ross, which stage is evident? a. Anger b. Denial c. Depression d. Bargaining ANS: D The patient‘s comment demonstrates an attempt to regain control. Bargaining is evidenced by people reviewing what could have been done differently. While the ...

MULTIPLE CHOICE 1. A patient asks, ―What are neurotransmitters? My doctor said mine are imbalanced.‖ Select the nurse‘s best response. a. How do you feel about having imbalanced neurotransmitters?‖ b. Neurotransmitters protect us from harmful effects of free radicals.‖ c. Neurotransmitters are substances we consume that influence memory and mood.‖ d. Neurotransmitters are natural chemicals that pass messages between brain cells.‖ ANS: D The patient asked for infor...