Foundations of Psychiatric Mental Health Nursing

MULTIPLE CHOICE 1. Parents of a teenager recently diagnosed with serious mental illness express dismay. One parent says, Our hopes for our childs future are ruined. We probably wont ever have grandchildren. The nurse will use interventions to assist with: a. denial. b. grieving. c. acting out. d. manipulation. ANS: B Grief is a common reaction to having a family member diagnosed with mental illness. The grief stems from actual or potential losses, such as the familys ability to func...

MULTIPLE CHOICE 1. Three members of a therapy group share covert glances as other members of the group describe problems. When one makes a statement that subtly criticizes another speaker, the others nod in agreement. Which group dynamic should the leader suspect? a. Some members are acting as a subgroup instead of as members of the main group. b. Some of the members have become bored and are disregarding others. c. Three members are showing their frustration with slower members. d. The l...

MULTIPLE CHOICE 1. A nurse testifies about care provided to a patient in the 8 hours before a successful suicide. The nurse responds to questions about observations regarding the patients behavior as well as interventions performed and documented during the shift. In what capacity was this nurse testifying? a. Forensic nurse examiner b. Expert witness c. Fact witness d. Consultant ANS: C A fact witness testifies regarding first-hand experience only; that is, the facts the witness ...

MULTIPLE CHOICE 1. An emergency code was called after a patient pulled a knife from a pocket and threatened, I will kill anyone who tries to get near me. The patient was safely disarmed and placed in seclusion. Justification for use of seclusion was that the patient: a. was threatening to others. b. was experiencing psychosis. c. presented an undeniable escape risk. d. presented a clear and present danger to others. ANS: D The patients threat to kill self or others with the knife he...

MULTIPLE CHOICE 1. Which situation demonstrates use of primary care related to crisis intervention? a. Implementation of suicide precautions for a depressed patient b. Teaching stress reduction techniques to a first-year college student c. Assessing coping strategies used by a patient who attempted suicide d. Referring a patient with schizophrenia to a partial hospitalization program ANS: B Primary care-related crisis intervention promotes mental health and reduces mental illness. T...

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...

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...

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 ...

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...

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...