C HAPTER 35: C ARE OF THE P ATIENT WITH A
P SYCHIATRIC D ISORDER
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. A home health nurse has a patient who is taking lithium. What should be
included in the teaching plan?
a. Examine her skin closel y for eruptions.
b. Take her blood pressure twice a day to check for hypertension.
c. Have her drug blood level checked every month.
d. Avoid aged cheese and red wine.
ANS: C
Lithium has a very narrow therapeutic wind ow. The drug blood levels
should be closel y monitored.
DIF: Cognitive Level: Application REF: p. 1122 OBJ: 6
TOP: Mental illness KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y
2. The nurse alters the care plan for a pa tient with depression to include
what t ype of activit y?
a. Domino game with three other patients
b. Ping-Pong game with one other patient
c. Group outing to view wildflowers
, d. Magazine to read alone
ANS: C
The quiet, noncompetitive trip to view wildflowers would be the best
option. Depressed people should not be put in situations where they
must concentrate or compete.
DIF: Cognitive Level: Anal ysis REF: p. 1121 OBJ: 5
TOP: Mental illness KEY: Nursing Process Step:
Planning MSC: NC LEX: Psychosocial Integrit y
3. The nurse is assessing a female patient who has become rapidly and
exceedingl y anxious because her fingernail polish is chipped. What t ype
of anxiet y should the nurse conclude that the patient is exhibiting?
a. Signal anxiet y
b. General anxiet y
c. Anxiet y traits
d. Panic disorder
ANS: C
An individual with anxiet y traits has anxious reactions to relativel y
nonstressful events. Signal anxiet y is a learned response to an event
such as test taking. An individual with general anxiet y worries over
many things. A panic attack occurs suddenl y and t ypicall y peaks within
10 minutes.
, DIF: Cognitive Level: Application REF: p. 1122 OBJ: 2
TOP: Mental illness KEY: Nursing Process Step:
Assessment MSC: NC LEX: Psychosocial Integrit y
4. The home health nurse assesses a patie nt who creates elaborate excuses
for not leaving home. Further questioning reveals the patient had not left
home for 6 months. How should this be documented?
a. Mania
b. Depression
c. Agoraphobia
d. Anxiet y
ANS: C
Agoraphobia is a high level of anxiet y in which an a nxiet y attack could
occur in individuals who avoid other people, places, or events.
DIF: Cognitive Level: Application REF: p. 1125 OBJ: 2
TOP: Mental illness KEY: Nursing Process Step:
Assessment MSC: NC LEX: Psychosocial Integrit y
5. When a patient demonstrates accelerated heart rate, trembling, choking,
and chest pain along with acute, intense, and overwhelming anxiet y, the
nurse should recognize that the patient is most likel y experiencing what
condition?
a. Terror
b. Fright
c. Fear
d. Panic
P SYCHIATRIC D ISORDER
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. A home health nurse has a patient who is taking lithium. What should be
included in the teaching plan?
a. Examine her skin closel y for eruptions.
b. Take her blood pressure twice a day to check for hypertension.
c. Have her drug blood level checked every month.
d. Avoid aged cheese and red wine.
ANS: C
Lithium has a very narrow therapeutic wind ow. The drug blood levels
should be closel y monitored.
DIF: Cognitive Level: Application REF: p. 1122 OBJ: 6
TOP: Mental illness KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y
2. The nurse alters the care plan for a pa tient with depression to include
what t ype of activit y?
a. Domino game with three other patients
b. Ping-Pong game with one other patient
c. Group outing to view wildflowers
, d. Magazine to read alone
ANS: C
The quiet, noncompetitive trip to view wildflowers would be the best
option. Depressed people should not be put in situations where they
must concentrate or compete.
DIF: Cognitive Level: Anal ysis REF: p. 1121 OBJ: 5
TOP: Mental illness KEY: Nursing Process Step:
Planning MSC: NC LEX: Psychosocial Integrit y
3. The nurse is assessing a female patient who has become rapidly and
exceedingl y anxious because her fingernail polish is chipped. What t ype
of anxiet y should the nurse conclude that the patient is exhibiting?
a. Signal anxiet y
b. General anxiet y
c. Anxiet y traits
d. Panic disorder
ANS: C
An individual with anxiet y traits has anxious reactions to relativel y
nonstressful events. Signal anxiet y is a learned response to an event
such as test taking. An individual with general anxiet y worries over
many things. A panic attack occurs suddenl y and t ypicall y peaks within
10 minutes.
, DIF: Cognitive Level: Application REF: p. 1122 OBJ: 2
TOP: Mental illness KEY: Nursing Process Step:
Assessment MSC: NC LEX: Psychosocial Integrit y
4. The home health nurse assesses a patie nt who creates elaborate excuses
for not leaving home. Further questioning reveals the patient had not left
home for 6 months. How should this be documented?
a. Mania
b. Depression
c. Agoraphobia
d. Anxiet y
ANS: C
Agoraphobia is a high level of anxiet y in which an a nxiet y attack could
occur in individuals who avoid other people, places, or events.
DIF: Cognitive Level: Application REF: p. 1125 OBJ: 2
TOP: Mental illness KEY: Nursing Process Step:
Assessment MSC: NC LEX: Psychosocial Integrit y
5. When a patient demonstrates accelerated heart rate, trembling, choking,
and chest pain along with acute, intense, and overwhelming anxiet y, the
nurse should recognize that the patient is most likel y experiencing what
condition?
a. Terror
b. Fright
c. Fear
d. Panic
