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CHAPTER 33: FORENSIC NURSING {Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition}

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MULTIPLE CHOICE 1. In which circumstance would a psychiatric forensic nurse examiner determine it appropriate for a defendant and attorney to consider the insanity defense? a. The defendant shot a drug dealer who tried to overcharge for cocaine. b. The defendant acted on auditory hallucinations of the voice of God commanding, c. “Kill the children.” d. The defendant tampered with the brakes on his wife’s car after discovering she had an extramarital affair. The defendant was fright...

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CHAPTER 32: SERIOUS MENTAL ILLNESS {Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition}

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CHAPTER 26: CRISIS AND DISASTER {Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition}

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Halter Varcarolis A Clinical Approach 9th Edition MULTIPLE CHOICE 1. Which situation demonstrates use of primary intervention related to crisis? a. Implementation of suicide precautions for a depressed client b. Teaching stress-reduction techniques to a first-year college student c. Assessing coping strategies used by a client who attempted suicide d. Referring a client diagnosed with schizophrenia to a partial hospitalization program ANS: B Primary care-related crisis intervent...

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CHAPTER 29: SEXUAL ASSAULT {Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition}

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MULTIPLE CHOICE 1. A rape victim visited a rape crisis counselor weekly for 8 weeks. At the end of this counseling period, which comment by the victim best demonstrates that reorganization was successful, and the victim is now in recovery? a. “I have a rash on my buttocks. It itches all the time.” b. “Now I know what I did that triggered the attack on me.” c. “I’m sleeping better although I still have an occasional nightmare.” d. “I have lost 8 pounds since the attack, but...

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CHAPTER 27: ANGER, AGGRESSION, AND VIOLENCE {Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition}

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MULTIPLE CHOICE 1. An emergency code was called after a client pulled a dinner knife from a pocket and threatened, “I will kill anyone who tries to get near me.” The client was safely disarmed and placed in seclusion. What is the justification for this use of seclusion? a. The client was threatening to others. b. The client was experiencing psychosis. c. The client presented an undeniable escape risk. d. The client presented a clear and present danger to others. ANS: D The clien...

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CHAPTER 22: SUBSTANCE-RELATED AND ADDICTIVE DISORDERS {Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition}

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MULTIPLE CHOICE 1. Which features should be present in a therapeutic milieu for a client experiencing a hallucinogen overdose? a. Simple and safe b. Active and bright c. Stimulating and colorful d. Confrontational and challenging ANS: A Because the individual who has ingested a hallucinogen is probably experiencing feelings of unreality and altered sensory perceptions, the best environment is one that does not add to the stimulation. A simple, safe environment is a better choice tha...

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CHAPTER 21: IMPULSE CONTROL DISORDERS {Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 9th Edition}

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MULTIPLE CHOICE 1. The family of a child diagnosed with an impulse control disorder needs help to function more adaptively. Which aspect of the child‘s plan of care will be provided by an advanced practice nurse rather than a staff nurse? a. Leading an activity group b. Providing positive feedback c. Formulating nursing diagnoses d. Dialectical behavioral therapy (DBT) ANS: D The advanced practice nurse role includes individual, group, and family psychotherapist; educator of nurs...

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CHAPTER 24: PERSONALITY DISORDERS {Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition}

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MULTIPLE CHOICE 1. Which statement made by a client diagnosed with borderline personality disorder indicates the treatment plan is effective? a. “I think you are the best nurse on the unit.” b. “I’m never going to get high on drugs again.” c. “I felt empty and wanted to hurt myself, so I called you.” d. “I hate my mother. I called her today, and she wasn’t home.” ANS: C Seeking a staff member instead of impulsively self-mutilating shows an adaptive coping strateg...

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CHAPTER 23: NEUROCOGNITIVE DISORDERS {Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition}

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MULTIPLE CHOICE 1. An older adult client in the intensive care unit is experiencing visual illusions. Which intervention will be most helpful? a. Apply the client’s glasses. b. Place personally meaningful objects in view. c. Position large clocks and calendars on the wall. d. Assure that the room is brightly lit but very quiet at all times. ANS: A Illusions are sensory misperceptions. Glasses and hearing aids help clarify sensory perceptions. Without glasses, clocks, calendars, an...

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CHAPTER 17: SOMATIC SYMPTOM DISORDERS {Halter: Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th Edition}

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MULTIPLE CHOICE 1. Which comment by a client who recently experienced a myocardial infarction indicates use of maladaptive, ineffective coping strategies? a. “My employer should have paid for a health club membership for me.” b. “My family will see me through this. It won’t be easy, but I will never be alone.” c. “My heart attack was no fun, but it showed me up the importance of a good diet and more exercise.” d. “I accept that I have heart disease. Now I need to decide if...

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