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MULTIPLE CHOICE 1. A patient diagnosed with metastatic brain cancer says, I'm dying, but I'm still living. I want to be in control as long as I can. Which reply shows the nurse was actively listening? a. Our staff will do their best to help you feel comfortable. b. Most people do not know how to help and are afraid of death. c. Your mind and spirit are healthy, although your body is frail. d. You want people to stop focusing on your weaknesses. ANS: C The patient is asking for...

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CHAPTER 29: SEXUAL ASSAULT {Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: 8th Edition}

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MULTIPLE CHOICE 1. A nurse interviews a 17-year-old male victim of sexual assault. The victim is reluctant to talk about the experience. Which comment should the nurse offer to this victim? a. Male victims of sexual assault are usually better equipped than women to deal with the emotional pain that occurs. b. Male victims of sexual assault often experience physical injuries and are assaulted by more than one person. c. Do you have any male friends who have also been victims of sexual assau...

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CHAPTER 28: CHILD, OLDER ADULT, AND INTIMATE PARTNER VIOLENCE {Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: 8th Edition}

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MULTIPLE CHOICE 1. A patient tells the nurse, My husband lost his job. Hes abusive only when he drinks too much. His family was like that when he was growing up. He always apologizes and regrets hurting me. What risk factor was most predictive for the husband to become abusive? a. History of family violence b. Loss of employment c. Abuse of alcohol d. Poverty ANS: A An abuse-prone individual is an individual who has experienced family violence and was often abused as a child. This ...

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Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing (8th Edition) {Chapters 21-25}

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Chapter 21: Impulse Control Disorders Chapter 22: Substance Related and Addictive Disorders Chapter 23: Neurocognitive Disorders Chapter 24: Personality Disorders Chapter 25: Suicide and Non-suicidal Self-Injury

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CHAPTER 22: SUBSTANCE RELATED AND ADDICTIVE DISORDERS {Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: 8th Edition}

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MULTIPLE CHOICE 1. Which features should be present in a therapeutic milieu for a patient with 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 than a...

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CHAPTER 21: IMPULSE CONTROL DISORDERS {Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: 8th Edition}

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MULTIPLE CHOICE 1. Shortly after the parents announced that they were divorcing, a 15-year-old became truant from school and assaulted a friend. The adolescent told the school nurse, Id rather stay in my room and listen to music. Its easie than thinking about what is happening in my family. Which nursing diagnosis is most applicable? a. Chronic low self-esteem related to role within the family b. Decisional conflict related to compliance with school requirements c. Ineffective coping relat...

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CHAPTER 25: SUICIDE AND NON-SUICIDAL SELF-INJURY {Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: 8th Edition}

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MULTIPLE CHOICE 1. A tearful, anxious patient at the outpatient clinic reports, I should be dead. The initial task of the nurse conducting the assessment interview is to: a. assess lethality of suicide plan. b. encourage expression of anger. c. establish rapport with the patient. d. determine risk factors for suicide. ANS: C This scenario presents a potential crisis. Establishing rapport facilitates a therapeutic alliance that will allow the nurse to obtain relevant assessment d...

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CHAPTER 24: PERSONALITY DISORDERS {Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: 8th Edition}

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MULTIPLE CHOICE 1. Which statement made by a patient diagnosed with borderline personality disorder indicates the treatment plan is effective? a. I think you are the best nurse on the unit. b. Im 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 wasnt home. ANS: C Seeking a staff member instead of impulsively self-mutilating shows an adaptive coping strategy. The incorrec responses dem...

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CHAPTER 23: NEUROCOGNITIVE DISORDERS {Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: 8th Edition}

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MULTIPLE CHOICE 1. An older adult patient in the intensive care unit has visual and auditory illusions. Which intervention will be most helpful? a. Using the patients glasses and hearing aids b. Placing personally meaningful objects in view c. Placing large clocks and calendars on the wall d. Assuring 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, clock...

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Test Bank - Varcarolis' Foundations of Psychiatric Mental Health Nursing (8th Edition) {Chapters 16-20}

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Chapter 16: Trauma, Stressor-Related, and Dissociative Disorders Chapter 17: Somatic Symptom Disorders Chapter 18: Eating and Feeding Disorders Chapter 19: Sleep-Wake Disorders Chapter 20: Sexual Dysfunctions, Gender Dysphoria, and Paraphilias