N465 EXAM 1 WITH COMPLETE QUESTIONS AND
ANSWERS RATED A+
A nurse who leads group therapy for a group of depressed patients plans to implement a
plan of exercise for each patient. The rationale to use when presenting this plan to the
treatment team is that exercise:
A. has an antidepressant effect comparable to selective serotonin reuptake inhibitors.
B. prevents damage from overstimulation of the sympathetic nervous system.
C. improves circulation and oxygenation to the brain and other organs.
D. allows patients to socialize during the exercise. - ANSWER A. has an antidepressant
effect comparable to selective serotonin reuptake inhibitors.
A patient who is experiencing great stress associated with a disturbing new diagnosis
asks the nurse, "Do you think saying a prayer would help?" The answer the nurse should
give is:
A. "To be honest, it could be that prayer may be your only hope."
B. "You may find prayer gives comfort and lowers your stress."
C. "I could help you feel calmer by teaching you to meditate."
D. "We don't have evidence that prayer helps, but it wouldn't hurt." - ANSWER B. "You
may find prayer gives comfort and lowers your stress."
Who is attributed with establishing the foundation of psychiatric-mental health nursing?
- ANSWER Peplau
The health care team at an inpatient psychiatric facility drafts these criteria for
admission. Which criteria should be included in the final version of the admission policy?
Select all that apply.
Clear risk of danger to self or others
Adjustment needed for doses of psychotropic medication
Detox from long-term heavy alcohol consumption needed due to serious effects on
,health
Respite for caregivers of persons with serious and persistent mental illness
Failure of community-based treatment, demonstrating need for intensive in-patient
treatment - ANSWER Clear risk of danger to self or others
Detox from long-term heavy alcohol consumption needed due to serious effects on
health
Failure of community-based treatment, demonstrating need for intensive in-patient
treatment
Which principle has the highest priority when addressing a behavioral crisis in an
inpatient setting?
A. Resolve the crisis with the least restrictive intervention possible.
B. Swift intervention is justified to maintain the integrity of a therapeutic milieu.
C. Rights of an individual patient are superseded by the rights of the majority of patients.
D. Patients should have opportunities to regain control without intervention if the safety
of others is not compromised. - ANSWER A. Resolve the crisis with the least restrictive
intervention possible.
Which patient would be most appropriate to refer for assertive community treatment
(ACT)? A patient diagnosed with:
A. a phobic fear of crowded places.
B. a single episode of major depression.
C. a stress reaction to a tornado in the community.
D. schizophrenia and four hospitalizations in the past year. - ANSWER D. schizophrenia
and four hospitalizations in the past year.
A patient reports that he is overwhelmed by stress. Which question would be most
important to use in assessing the patient during your first meeting?
A. "Tell me about the kinds of things you do to reduce or cope with your stress."
B. "Tell me about your family history-do any relatives have problems with stress?"
C. "Stress can interfere with sleep. How much did you sleep last night?"
, D. "Tell me about exercise-how far do you typically run when you go jogging?" -
ANSWER A. "Tell me about the kinds of things you do to reduce or cope with your
stress."
During an inpatient therapy group that uses existential/Gestalt theory*, feelings
experienced by patients at the time of their admission to the unit are discussed. As a
silence falls, one member mentions, "We have heard from several people who describe
feeling angry -thank you. I would like to hear from some people who experienced other
feelings." The nurse identifies this comment as an example of the group role of:
A. energizer.
B. compromiser.
C. encourager.
D. self-confessor.
*Existential: Search for meaning, self-determination. Gestalt: Be here now
& accept responsibility for self. - ANSWER C. encourager.
A patient tells the nurse "My doctor thinks my problems with stress relate to the
negative way I think about things, and he wants me to learn a new way of thinking."
Which response would be in keeping with the doctor's recommendations?
A. Teaching the patient to recognize, reconsider, and cognitively restructure irrational
thoughts.
B. Encouraging the patient to imagine being in calming circumstances.
C. Teaching the patient to use instruments that give feedback about bodily functions.
D. Provide the patient with a blank journal and guidance about journaling. - ANSWER A.
Teaching the patient to recognize, reconsider, and cognitively restructure irrational
thoughts.
The nurse should refer which of the following patients to a partial hospitalization
program? A patient who:
A. has a therapeutic lithium level and reports regularly for blood tests and clinic
follow-up.
B. needs psychoeducation for relaxation therapy related to agoraphobia and panic
episodes.
ANSWERS RATED A+
A nurse who leads group therapy for a group of depressed patients plans to implement a
plan of exercise for each patient. The rationale to use when presenting this plan to the
treatment team is that exercise:
A. has an antidepressant effect comparable to selective serotonin reuptake inhibitors.
B. prevents damage from overstimulation of the sympathetic nervous system.
C. improves circulation and oxygenation to the brain and other organs.
D. allows patients to socialize during the exercise. - ANSWER A. has an antidepressant
effect comparable to selective serotonin reuptake inhibitors.
A patient who is experiencing great stress associated with a disturbing new diagnosis
asks the nurse, "Do you think saying a prayer would help?" The answer the nurse should
give is:
A. "To be honest, it could be that prayer may be your only hope."
B. "You may find prayer gives comfort and lowers your stress."
C. "I could help you feel calmer by teaching you to meditate."
D. "We don't have evidence that prayer helps, but it wouldn't hurt." - ANSWER B. "You
may find prayer gives comfort and lowers your stress."
Who is attributed with establishing the foundation of psychiatric-mental health nursing?
- ANSWER Peplau
The health care team at an inpatient psychiatric facility drafts these criteria for
admission. Which criteria should be included in the final version of the admission policy?
Select all that apply.
Clear risk of danger to self or others
Adjustment needed for doses of psychotropic medication
Detox from long-term heavy alcohol consumption needed due to serious effects on
,health
Respite for caregivers of persons with serious and persistent mental illness
Failure of community-based treatment, demonstrating need for intensive in-patient
treatment - ANSWER Clear risk of danger to self or others
Detox from long-term heavy alcohol consumption needed due to serious effects on
health
Failure of community-based treatment, demonstrating need for intensive in-patient
treatment
Which principle has the highest priority when addressing a behavioral crisis in an
inpatient setting?
A. Resolve the crisis with the least restrictive intervention possible.
B. Swift intervention is justified to maintain the integrity of a therapeutic milieu.
C. Rights of an individual patient are superseded by the rights of the majority of patients.
D. Patients should have opportunities to regain control without intervention if the safety
of others is not compromised. - ANSWER A. Resolve the crisis with the least restrictive
intervention possible.
Which patient would be most appropriate to refer for assertive community treatment
(ACT)? A patient diagnosed with:
A. a phobic fear of crowded places.
B. a single episode of major depression.
C. a stress reaction to a tornado in the community.
D. schizophrenia and four hospitalizations in the past year. - ANSWER D. schizophrenia
and four hospitalizations in the past year.
A patient reports that he is overwhelmed by stress. Which question would be most
important to use in assessing the patient during your first meeting?
A. "Tell me about the kinds of things you do to reduce or cope with your stress."
B. "Tell me about your family history-do any relatives have problems with stress?"
C. "Stress can interfere with sleep. How much did you sleep last night?"
, D. "Tell me about exercise-how far do you typically run when you go jogging?" -
ANSWER A. "Tell me about the kinds of things you do to reduce or cope with your
stress."
During an inpatient therapy group that uses existential/Gestalt theory*, feelings
experienced by patients at the time of their admission to the unit are discussed. As a
silence falls, one member mentions, "We have heard from several people who describe
feeling angry -thank you. I would like to hear from some people who experienced other
feelings." The nurse identifies this comment as an example of the group role of:
A. energizer.
B. compromiser.
C. encourager.
D. self-confessor.
*Existential: Search for meaning, self-determination. Gestalt: Be here now
& accept responsibility for self. - ANSWER C. encourager.
A patient tells the nurse "My doctor thinks my problems with stress relate to the
negative way I think about things, and he wants me to learn a new way of thinking."
Which response would be in keeping with the doctor's recommendations?
A. Teaching the patient to recognize, reconsider, and cognitively restructure irrational
thoughts.
B. Encouraging the patient to imagine being in calming circumstances.
C. Teaching the patient to use instruments that give feedback about bodily functions.
D. Provide the patient with a blank journal and guidance about journaling. - ANSWER A.
Teaching the patient to recognize, reconsider, and cognitively restructure irrational
thoughts.
The nurse should refer which of the following patients to a partial hospitalization
program? A patient who:
A. has a therapeutic lithium level and reports regularly for blood tests and clinic
follow-up.
B. needs psychoeducation for relaxation therapy related to agoraphobia and panic
episodes.
