Foundations of Psychiatric Mental Health Nursing

MULTIPLE CHOICE 1. A nurse is anxious about assessing the sexual history of a client who is considerably older than the nurse is. Which statement would be most appropriate for obtaining information about the client’s sexual practices? a. “Some people are not sexually active, others have a partner, and some have several partners. What has been your pattern?” b. “Sexual health can reflect a number of medical problems, so I’d like to ask if you have any sexual problems you think we s...

MULTIPLE CHOICE 1. A nurse talks with a woman who recently learned that her husband died while jogging. What is the appropriate statement for the nurse to provide in response? a. “At least your husband did not suffer.” b. “It’s better to go quickly as your husband did.” c. “Your husband’s loss must be very painful for you.” d. “You will begin to feel better after you get over the shock.” ANS: C The most helpful responses by others validate the bereaved person’s...

MULTIPLE CHOICE 1. For which client would it be most important for the nurse to urge immediate discontinuation of kava? a. A client with a comorbid diagnosis of cirrhosis. b. A client with a comorbid diagnosis of osteoarthritis. c. A client with a comorbid diagnosis of multiple sclerosis. d. A client with a comorbid diagnosis of chronic back pain. ANS: A Kava should be used with caution in clients with liver disease because of its potentially hepatotoxic effects. The other health pr...

MULTIPLE CHOICE 1. A 79-year-old adult tells a nurse, “I have felt very sad lately. I do not have much to live for. My family and friends are all dead, and my own health is failing.” The nurse should analyze this comment as suggestive of what? a. normal pessimism of the elderly. b. evidence of risks for suicide. c. a call for sympathy. d. normal grieving. ANS: B The client describes loss of significant others, economic security, and health. He describes mood alteration and voice...

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. In which circumstance would a psychiatric forensic nurse examiner determine it appropriate for a defendant and attorney to consider the insanity defense? a. The defendant shot a drug dealer who tried to overcharge for cocaine. b. The defendant acted on auditory hallucinations of the voice of God commanding, c. “Kill the children.” d. The defendant tampered with the brakes on his wife’s car after discovering she had an extramarital affair. The defendant was fright...

Halter Varcarolis A Clinical Approach 9th Edition MULTIPLE CHOICE 1. Which situation demonstrates use of primary intervention related to crisis? a. Implementation of suicide precautions for a depressed client b. Teaching stress-reduction techniques to a first-year college student c. Assessing coping strategies used by a client who attempted suicide d. Referring a client diagnosed with schizophrenia to a partial hospitalization program ANS: B Primary care-related crisis intervent...

MULTIPLE CHOICE 1. A rape victim visited a rape crisis counselor weekly for 8 weeks. At the end of this counseling period, which comment by the victim best demonstrates that reorganization was successful, and the victim is now in recovery? a. “I have a rash on my buttocks. It itches all the time.” b. “Now I know what I did that triggered the attack on me.” c. “I’m sleeping better although I still have an occasional nightmare.” d. “I have lost 8 pounds since the attack, but...

MULTIPLE CHOICE 1. An emergency code was called after a client pulled a dinner knife from a pocket and threatened, “I will kill anyone who tries to get near me.” The client was safely disarmed and placed in seclusion. What is the justification for this use of seclusion? a. The client was threatening to others. b. The client was experiencing psychosis. c. The client presented an undeniable escape risk. d. The client presented a clear and present danger to others. ANS: D The clien...