PSYCHIATRIC NURSING EXAM 2
QUESTION PAPER AND WORKED
SOLUTIONS [VERIFIED]
A child was abducted and raped. Which
personal reaction by the nurse could interfere
with the childs care?
a. Anger
b. Concern
c. Empathy
d. Compassion - correct answer - a
A cognitively impaired patient has been a
widow for 30 years. This patient is frantically
trying to leave the unit, saying, I have to go
home to cook dinner before my husband
arrives from work. To intervene with validation
therapy, the nurse should first say:
a. You must come away from the door.
b. You have been a widow for many years.
,c. You want to go home to prepare your
husbands dinner?
d. Was your husband angry if you did not
have dinner ready on time? - correct answer
- c
A community mental health nurse wants to
establish a relationship with a very withdrawn
patient diagnosed with schizophrenia. The
patient lives at home with a supportive family.
Select the nurses best plan.
a. Visit daily for 4 days, then visit every other
day for 1 week; stay with the patient for 20
minutes; accept silence; state when the nurse
will return.
b. Arrange to spend 1 hour each day with the
patient; focus on asking questions about what
the patient is thinking or experiencing; avoid
silences.
c. Visit twice daily; sit beside the patient with
a hand on the patients arm; leave if the
patient does not respond within 10 minutes.
,d. Visit every other day; remind the patient of
the nurses identity; encourage the patient to
talk while the nurse works on reports. -
correct answer - a
A confused older adult patient in a skilled care
facility is sleeping. The nurse enters the room
quietly and touches the bed to see if it is wet.
The patient awakens and hits the nurse in the
face. Which statement best explains the
patients action?
a. Older adult patients often demonstrate
exaggerations of behaviors used earlier in life.
b. Crowding in skilled care facilities increases
individual tendencies toward violence.
c. The patient interpreted the health care
workers behavior as potentially harmful.
d. This patient learned violent behavior by
watching other patients act out. - correct
answer - c
, A disheveled patient with severe depression
and psychomotor retardation has not bathed
for several days. The nurse should:
a. avoid forcing the issue.
b. bring up the issue at the community
meeting.
c. calmly tell the patient, You must bathe
daily.
d. firmly and neutrally assist the patient with
showering. - correct answer - d
A health care provider considers which
antipsychotic medication to prescribe for a
patient diagnosed with schizophrenia who has
auditory hallucinations and poor social
functioning. The patient is also overweight
and has hypertension. Which drug should the
nurse advocate?
a. clozapine (Clozaril)
b. ziprasidone (Geodon)
c. olanzapine (Zyprexa)
QUESTION PAPER AND WORKED
SOLUTIONS [VERIFIED]
A child was abducted and raped. Which
personal reaction by the nurse could interfere
with the childs care?
a. Anger
b. Concern
c. Empathy
d. Compassion - correct answer - a
A cognitively impaired patient has been a
widow for 30 years. This patient is frantically
trying to leave the unit, saying, I have to go
home to cook dinner before my husband
arrives from work. To intervene with validation
therapy, the nurse should first say:
a. You must come away from the door.
b. You have been a widow for many years.
,c. You want to go home to prepare your
husbands dinner?
d. Was your husband angry if you did not
have dinner ready on time? - correct answer
- c
A community mental health nurse wants to
establish a relationship with a very withdrawn
patient diagnosed with schizophrenia. The
patient lives at home with a supportive family.
Select the nurses best plan.
a. Visit daily for 4 days, then visit every other
day for 1 week; stay with the patient for 20
minutes; accept silence; state when the nurse
will return.
b. Arrange to spend 1 hour each day with the
patient; focus on asking questions about what
the patient is thinking or experiencing; avoid
silences.
c. Visit twice daily; sit beside the patient with
a hand on the patients arm; leave if the
patient does not respond within 10 minutes.
,d. Visit every other day; remind the patient of
the nurses identity; encourage the patient to
talk while the nurse works on reports. -
correct answer - a
A confused older adult patient in a skilled care
facility is sleeping. The nurse enters the room
quietly and touches the bed to see if it is wet.
The patient awakens and hits the nurse in the
face. Which statement best explains the
patients action?
a. Older adult patients often demonstrate
exaggerations of behaviors used earlier in life.
b. Crowding in skilled care facilities increases
individual tendencies toward violence.
c. The patient interpreted the health care
workers behavior as potentially harmful.
d. This patient learned violent behavior by
watching other patients act out. - correct
answer - c
, A disheveled patient with severe depression
and psychomotor retardation has not bathed
for several days. The nurse should:
a. avoid forcing the issue.
b. bring up the issue at the community
meeting.
c. calmly tell the patient, You must bathe
daily.
d. firmly and neutrally assist the patient with
showering. - correct answer - d
A health care provider considers which
antipsychotic medication to prescribe for a
patient diagnosed with schizophrenia who has
auditory hallucinations and poor social
functioning. The patient is also overweight
and has hypertension. Which drug should the
nurse advocate?
a. clozapine (Clozaril)
b. ziprasidone (Geodon)
c. olanzapine (Zyprexa)
