Examsrevision

MULTIPLE CHOICE 1. A person diagnosed with bipolar disorder ran out of money, did not refill a lithium prescription, and then relapsed. After assaulting several people in the community, this person was convicted and sentenced. Prior to parole, which outcome has priority for the correctional nurse to achieve? The person a. agrees in writing to continue lithium therapy. b. is reestablished on an appropriate dose of lithium. c. lists community resources for prescription assistance. d. ...

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. Which comment by the nurse would best support relationship building with a survivor of intimate partner abuse? a. You are feeling violated because you thought you could trust your partner.‖ b. I‘m here for you. I want you to tell me about the bad things that happened to you.‖ c. I was very worried about you. I knew you were living in a potentially violent situation.‖ d. Abusers often target people who are passive. I will refer you to an assertiveness class...

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. Which behavior best demonstrates aggression? a. Stomping away from the nurses‘ station, going to the hallway, and grabbing a tray from the meal cart. b. Bursting into tears, leaving the community meeting, and sitting on a bed hugging a pillow and sobbing. c. Telling the primary nurse, ―I felt angry when you said I could not have a second helping at lunch.‖ d. Telling the medication nurse, ―I am not going to take that, or any other, medication you try to gi...

MULTIPLE CHOICE 1. A student nurse visiting a senior center says, ―It‘s depressing to see these old people. They are weak and frail. I doubt any of them can engage in a discussion.‖ The student is expressing a. reality. b. ageism. c. empathy. d. vulnerability. ANS: B Ageism is a bias against older people because of their age. None of the other options applies to the ideas expressed by the student. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: P...

MULTIPLE CHOICE 1. A patient comes to the crisis clinic after an unexpected job termination. The patient paces, sobs, cringes when approached, and responds to questions with only shrugs or monosyllables. Choose the nurse‘s best initial comment to this patient. a. Everything is going to be all right. You are here at the clinic and the staff will keep you safe.‖ b. I see you are feeling upset. I‘m going to stay and talk with you to help you feel better.‖ c. You need to try to st...

Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition Chapters_11_12_13_15_16_18_19_20_

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...

MULTIPLE CHOICE 1. A health care provider recently convicted of Medicare fraud says to a nurse, ―Sure I overbilled. Everyone takes advantage of the government. There are too many rules to follow and I deserve the money.‖ These statements show a. shame. b. suspiciousness. c. superficial remorse. d. lack of guilt feelings. ANS: D Rationalization is being used to explain behavior and deny wrongdoing. The individual who does not believe he or she has done anything wrong will n...

MULTIPLE CHOICE 1. An older adult patient takes multiple medications daily. Over 2 days, the patient developed confusion, slurred speech, an unsteady gait, and fluctuating levels of orientation. These findings are most characteristic of a. delirium. b. dementia. c. amnestic syndrome. d. Alzheimer‘s disease. ANS: A Delirium is characterized by an abrupt onset of fluctuating levels of awareness, clouded consciousness, perceptual disturbances, and disturbed memory and orientati...

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 patient diagnosed with alcohol use disorder asks, ―How will Alcoholics Anonymous (AA) help me?‖ Select the nurse‘s best response. a. The goal of AA is for members to learn controlled drinking with the support of a higher power.‖ b. An individual is supported by peers while striving for abstinence one day at a time.‖ c. You must make a commitment to permanently abstain from alcohol and other drugs.‖ d. You will be assigned a sponsor who will plan your...

MULTIPLE CHOICE 1. A 16-year-old diagnosed with a conduct disorder (CD) has been in a residential program for 3 months. Which outcome should occur before discharge? a. The adolescent and parents create and agree to a behavioral contract with rules, rewards, and consequences. b. The adolescent identifies friends in the home community who are a positive influence. c. Temporary placement is arranged with a foster family until the parents complete a parenting skills class. d. The adoles...

MULTIPLE CHOICE 1. A nurse cares for these four patients. Which patient has the highest risk for problems with sleep physiology? a. Retiree who volunteers twice a week at Habitat for Humanity b. Corporate accountant who travels frequently c. Parent with three teenagers d. Lawn care worker ANS: B The corporate accountant is likely to work long hours and have significant stress associated with work demands. Compounded by travel, these factors are likely to precipitate unstable s...

MULTIPLE CHOICE 1. A nurse works with a patient diagnosed with posttraumatic stress disorder (PTSD) who has frequent flashbacks as well as persistent symptoms of arousal. Which intervention should be included in the plan of care? a. Trigger flashbacks intentionally in order to help the patient learn to cope with them. b. Explain that the physical symptoms are related to the psychological state. c. Encourage repression of memories associated with the traumatic event. d. Support ―nu...

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...

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

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 ...

MULTIPLE CHOICE 1. Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. This person wears layered loose clothing. Her current weight is 95 pounds, a loss of 35 pounds. Which medical diagnosis is most likely? a. Binge eating b. Bulimia nervosa c. Anorexia nervosa d. Eating disorder not otherwise specified ANS: C Overly controlled eating behaviors, extreme weight loss, preoccupation with food, and wearing several layers of loose clothi...