1. A patient who was admitted yesterday with an adjustment disorderand depressed mood has not left h

1. A patient who was admitted yesterday with an adjustment disorderand depressed mood has not left his or her room. The psychiatric-mental health nurse’s most appropriate approach at meal time today is to respond:a, “I will bring your tray to your room, if it will make you more comfortable.”b, “I will walk with you to the dining room and sit with you while you eat.”c, “Where would you like to eat your meal this noon?”d, “You will feel better if you go to the dining room and eat with the others.” 2. A 17-year-old, female patient with anorexia nervosa has just been released from the hospital. To facilitate recovery at home, the psychiatric-mental health nurse instructs the family to:a, discourage the patient from sneaking food between meals, by unobtrusively reducing her access to the kitchen.b, encourage the patient’s interest in menu planning, food magazines, and cooking lessons, by leaving information and materials around the house.c, permit the patient to eat her meals privately in her bedroom to discourage family preoccupation with meals.d, recommend that the patient joins in routine family meals and clears the dishes after dinner, even if she does not eat. 3. A supervisor observes inconsistency in the psychiatric-mental health nurse’s behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:a, countertransference.b, empathic resonance.c, splitting behavior.d, transference. 4. The first step in the treatment of incest is to:a, believe the child who reports the activity.b, notify the proper authorities.c, objectively confront the accused family member.d, remove the child from the home. 5. A couple in counseling reports fighting with their son when they are angry with each other. This behavior typifies:a, coalition.b, indirect communication.c, transference.d, triangulation. 6. The severe feeling of restlessness produced by some psychotropic medications, which is often misinterpreted by patients as anxiety or a recurrence of psychiatric symptoms, is known as:a, akathisia.b, akinesia.c, bradykinesia.d, dystonia. 7. During an initial patient interview, the psychiatric and mental health nurse begins by asking the patient to describe his or her: a,current situation.b, feelings about the current situation.c, personal history.d, thoughts about the current situation. 8. A female patient reports an intense, overwhelming fear of driving a car. The fear has disrupted all elements of the patient’s life. The patient does not go to the grocery store unless someone transports her, has relinquished her job, and has few social contacts. The patient’s treatment plan includes:a, assertiveness training.b, biofeedback.c, stress management assistance.d, systematic desensitization. 9. A short-term goal for a patient with Alzheimer’s disease is:a, improved functioning in the least restrictive environment.b, improved problem solving in activities of daily living.c, increased self-esteem and improved self-concept.b, regained sensory perception and cognitive function. 10. Older adults have reached Erikson’s developmental stage of ego integrity when they:a, acknowledge that one cannot get everything one wants in life.b, assess their lives and identify actions that had value and purpose.c, express a wish that life could be relived differently.d, feel that they are being punished for things they did not do. 11. A patient states that unit staff members have been avoiding him or her since an attempt to self-mutilate. The psychiatric-mental health nurse’s most appropriate response is to: a,apologize for the staff’s behavior. b,explain that feelings of rejection are typical after self-mutilation. c,listen, redirect the patient to his or her feelings, and explore the issue with the staff.d, report the matter to the nurse manager. 12. When planning inpatient psychotherapeutic activities for a patient who has antisocial personality disorder, the psychiatric-mental health nurse:a, focuses on group, rather than individual, therapy.b, provides a permissive atmosphere, so the patient feels a sense of control.c, provides an organized, structured environment.d, recognizes that the disorder is characterized by social withdrawal. 13. Accompanied by many family members, a 16-year-old Chinese-American female patient is admitted to the unit with reports of sadness and suicidal ideation. The patient and her family emigrated from mainland China five years ago. Regarding the family, the psychiatric and mental health nurse: a,encourages the patient to communicate her need for privacy to her family.b, gently asks the family members to leave the room.c, privately asks the mother for her assistance in clearing the room. d,provides care for the patient while the family members are present. 14. According to family systems theory, removing the “identified patient” from the environment most likely causes the:a, patient to decompensate, due to the loss of his or her support system.b, patient to significantly improve, often with minimal or no additional therapy.c, remaining family members to decompensate, as evidenced by new dysfunctional behavior.d, remaining family members to lose motivation and withdraw from therapy. 15. A psychiatric-mental health nurse, who is teaching a couple how to use positive reinforcement techniques with their child, recommends: a,agreeing with the child’s statements, whether negative or positive, and simply restating the child’s statements without other comment.b,controlling the child’s behavior, so there is no chance of negative behavior. c,removing adverse consequences to produce positive results.d, rewarding positive behaviors to promote their recurrence.  16. Which of the following is NOT true about the epidemiology and risk factors of violent behavior?a. More than 50% of people who commit criminal homicides and who engage in assaultive behavior have imbibed significant amounts of alcohol immediately beforehand.b. For aggression classified as homicide, battery, assault with a weapon, or rape, the frequency among males clearly exceeds that among females.c. Most adults with and without mental disorders who commit aggressive acts do so against people they do not know, that is, strangers.d. For domestic violence, in which one partner hurts another, the frequency among men and women is about equal. 17. Your client is a 14-year-old girl brought in by her parents for evaluation because of episodes of defiance over curfews and of staying out late with friends. Your initial approach to her situation is which of the following?a. You meet with the family and tell the parents that such separation-individuation behavior is healthy and normal.b. You meet with the girl alone and explain that her behavior is exposing her to many high-risk behaviors, including substance abuse, delinquency, unprotected sex, pregnancy, and sexually transmitted diseases.c. You arrange for a separate therapist for the girl, a separate therapist for the parents, and yourself as the family counselor.d. You assess the family situation, assess the level of communication in the family, and attempt to identify specific stressors or situations that could be aggravating a normal development stage in order to address them. 18. You are working in a substance-abuse treatment clinic where the clients are subject to random, mandatory drug screening as a part of their probation for substance abuse-related offenses. If your client has a negative urine test result, you can be confident that the client has not abused any of the following drugs in the past 2 to 3 days EXCEPT:a. Heroinb. Toluenec. Cocained. Marijuana 19. Your client is a 34-year-old Hispanic-American farm worker who was diagnosed last year with bipolar disorder and who has been prescribed lithium carbonate. He came to the United States from Nicaragua 18 months ago. You are meeting him for the first time, after he has had 4 hospitalizations for his disorder and during which his lithium levels ranged from “undetectable” to 2.1 mEq/liter. What is the first step that you would take to assess his “health literacy” concerning his disorder?a. Determine whether he speaks English well enough to understand explanations and directions in English or whether he needs a translator.b. Ask him whether he was given information on bipolar disorder during and after his hospitalizations.c. Ask him to describe in his own words what his illness is and what he must do to manage it.d. Find out how much formal schooling he has had. 120. A client has experienced the death of a close family member and at the same time becomes unemployed. This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How shouldthe nurse evaluate this client data?. a,The client is experiencing severe distress and is at risk for physical and psychological illness.   b, A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat ofstress-related illness.    c,Susceptibility to stress-related physical or psychological illness cannot be estimated without knowledge ofcoping resources and available supports.    d,The client may view these losses as challenges and perceive them as opportunities. 21. A common nursing diagnosis for a patient with antisocial personality disorder is:a, chronic low self-esteem, related to poor self-image and excessive fear of failure.b, disturbed thought processes, related to sensory-perceptual alterations.c, impaired social interaction, related to manipulative behaviors.d, social isolation, related to anxiety in social situations.22.When screening families for post-traumatic stress disorder following a major natural disaster, psychiatric-mental health nurses are practicing which type of disease prevention?a, Primary.b, Secondary.c,Tertiary.d, Universal.   Health Science Science Nursing NURSING NU 664 Share QuestionEmailCopy link Comments (0)

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