Chapter 1/7 content
When providing respectful, appropriate nursing care, how should the nurse identify the patient and his or her observable characteristics?
a. The manic patient in room 234
b. The patient in room 234 is a manic
c. The patient in room 234 is possibly a manic
d. The patient in room 234 is displaying manic behavior
d. The patient in room 234 is displaying manic behavior
A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be:
a. Nursing Interventions Classification (NIC)
b. Nursing Outcomes Classification (NOC)
c. NANDA-I nursing diagnoses
d. DSM-5
d. DSM-5
. A patient needs supportive care for the maintenance treatment of bipolar disorder. The new nurse demonstrates an understanding of the services provided by the various members of the patient’s mental healthcare team when he makes which statement:
a. “Your social worker will help you learn to budget your money effectively.”
b. “Your counselor asked me to remind you of the group session on critical thinking at 2:00 today.”
c. “The mental health technician on staff today will administer the medication that you require.”
d. “Remember to ask the occupational therapist about sources of financial help that you are qualified for.”
b. “Your counselor asked me to remind you of the group session on critical thinking at 2:00 today.”
Which intervention demonstrates the nurse’s understanding of what guides effective nursing care with a diverse patient population?
a. Treating all patients the same to avoid prejudicial actions.
b. Identifying the cultural norms of the population being served.
c. Recognizing that race and ethnicity result in specific illness management views.
d. Addressing the physical and emotional needs that originate from genetic factors.
b. Identifying the cultural norms of the population being served.
Which nursing intervention demonstrates the ethical principle of beneficence?
a. Refusing to administer a placebo to a patient.
b. Attending an in-service on the operation of the new IV infusion pumps
c. Providing frequent updates to the family of a patient currently in surgery
d. Respecting the right of the patient to make decisions about whether or not to have electroconvulsive therapy
c. Providing frequent updates to the family of a patient currently in surgery
Recognizing the frequency of depression among the American population, the nurse should advocate for which mental health promotion intervention?
a. Including discussions on depression as part of school health classes
b. Providing regular depression screening for adolescent and teenage students
c. Increasing the number of community-based depression hotlines available to the public
d. Encouraging senior centers to provide information on accessing community depression resources
b. Providing regular depression screening for adolescent and teenage students
7. Epidemiological studies contribute to improvements in care for individuals with mental disorders by:
a. Providing information about effective nursing techniques.
b. Identifying risk factors that contribute to the development of a disorder.
c. Identifying individuals in the general population who will develop a specific disorder.
d. Identifying which individuals will respond favorably to a specific treatment.
b. Identifying risk factors that contribute to the development of a disorder.
d. Identifying which individuals will respond
2. A patient has been voluntarily admitted to a mental health facility after an unsuccessful attempt to harm himself. Which statement demonstrates a need to better educate the patient on his patient’s rights?
a. “I understand why I was restrained when I was out of control.”
b. “You can’t tell my boss about the suicide attempt without my permission.”
c. “I have a right to know what all of you are planning to do to me.”
d. “I can hurt myself if I want too. It’s none of your business.”
d. “I can hurt myself if I want too. It’s none of your business.”
10. Which nursing actions demonstrate cultural competence? Select all that apply.
a. Planning mealtime around the patient’s prayer schedule
b. Helping a patient to visit with the hospital chaplain
c. Researching foods that a lacto-ovo-vegetarian patient will eat
d. Providing time for a patient’s spiritual healer to visit
e. Ordering standard meal trays to be delivered three times daily
a. Planning mealtime around the patient’s prayer schedule
b. Helping a patient to visit with the hospital chaplain
c. Researching foods that a lacto-ovo-vegetarian patient will eat
d. Providing time for a patient’s spiritual healer to visit
Based on Maslow’s hierarchy of needs, physiological needs for a restrained patient include:
Select all that apply.
a. Private toileting, oral hydration
b. Checking the tightness of the restraints
c. Therapeutic communication
d. Maintaining a patent airway
Based on Maslow’s hierarchy of needs, physiological needs for a restrained patient include:
Select all that apply.
a. Private toileting, oral hydration
b. Checking the tightness of the restraints
d. Maintaining a patent airway
1. What is the purpose of the Health Insurance Portability and Accountability Act (HIPAA)? Select all that apply.
a. Ensuring that an individual’s health information is protected
b. Providing third-party players with access to patient’s medical records
c. Facilitating the movement of a patient’s medical information to the interested parties
d. Guaranteeing that all those in need of healthcare coverage have options to obtain it
e. Allowing healthcare providers to obtain personal health to provide high-quality healthcare.
1. What is the purpose of the Health Insurance Portability and Accountability Act (HIPAA)? Select all that apply.
a. Ensuring that an individual’s health information is protected
e. Allowing healthcare providers to obtain personal health to provide high-quality healthcare.
Which of the following activities would be considered nursing care and appropriate to be performed by a basic level nurse for a patient suffering from mental illness?
a. Treating major depression
b. Teaching coping skills for a specific family dynamic
c. Conducting psychotherapy
d. Prescribing antidepressant medication
b. Teaching coping skills for a specific family dynamic
Which intervention demonstrates an attempt by nursing staff to meet the goals identified by the Joint Commission as National Patient Safety Goals? Select all that apply.
a. Identifying patients using both name and date of birth before drawing blood.
b. Sitting with the patient diagnosed with an eating disorder during meals.
c. Administering the Beck Scale on each patient at the time of admission.
d. Performing a medication history assessment on each new patient.
e. Using appropriate hand washing technique at all times
Which intervention demonstrates an attempt by nursing staff to meet the goals identified by the Joint Commission as National Patient Safety Goals? Select all that apply.
a. Identifying patients using both name and date of birth before drawing blood.
c. Administering the Beck Scale on each patient at the time of admission.
d. Performing a medication history assessment on each new patient.
e. Using appropriate hand washing technique at all times
Which nursing intervention can assist a Hindu patient in maintaining his religious practice?
a. Assisting the patient to choose his own food from the menu
b. Contacting the hospital pastor for a visit
c. Showing him which side of the room faces east
d. Offering a Torah to the patient
a. Assisting the patient to choose his own food from the menu
Implied consent occurs when no verbal or written agreement takes place prior to a caregiver delivering treatment. Which of the following examples represents implied consent?
a. The mother of an unconscious patient saying okay to surgery
b. Care given to a heroin overdose victim
c. Immobilizing a patient who has refused to take medication
d. Signing general intake paperwork with specific parameters
b. Care given to a heroin overdose victim
Which statement demonstrates the nurse’s understanding of the effect of environmental factors on a patient’s mental health?
a. “I’ll need to assess how the patient’s family views mental illness.”
b. “There is a history of depression in the patient’s extended family.”
c. “I’m not familiar with the patient’s Japanese’s cultural view on suicide.”
d. “The patient’s ability to pay for mental health services needs to be assessed.”
c. “I’m not familiar with the patient’s Japanese’s cultural view on suicide.”
Which statement about mental illness is true?
a. Mental illness is a matter of individual nonconformity with societal norms.
b. Mental illness is present when irrational and illogical behavior occurs.
c. Mental illness changes with culture, time in history, political systems, and the groups defining it.
d. Mental illness is evaluated solely by considering individual control over behavior and appraisal of reality.
c. Mental illness changes with culture, time in history, political systems, and the groups defining it.
The nurse frequently includes daily sessions involving relaxation techniques. Which assessment data would most indicate a need for this intervention to be included in the initial plan of care for a patient?
a. Family history of anxiety and symptoms of anxiety
b. Significant other has a chronic health issue
c. Hopes to retire in 6 months
d. Recently adopted infant twins
a. Family history of anxiety and symptoms of anxiety
A nurse practitioner is interviewing a female patient from Southeast Asia. She complains of stomach pain and chest discomfort. Knowing that the patient’s adult son died in a car accident last month, the nurse suspects:
a. Vulnerability
b. Acid reflux
c. Somatization
d. Transference
c. Somatization
Lucas has completed his inpatient psychiatric treatment, which was ordered by the court system. Which statement reveals that Lucas does not understand the concept of conditional release?
a. “I will continue treatment in an outpatient treatment center.”
b. “My nurse practitioner has recommended group therapy.”
c. “I am finally free, no more therapy.”
d. “Attending therapy and taking my meds are a part of this conditional release
c. “I am finally free, no more therapy.”
A nurse identified a nursing diagnosis of self-mutilation for a female diagnosed with borderline personality disorder. The patient has multiple self-inflicted cuts on her forearms and inner thighs. What is the most important patient outcome for this nursing diagnosis?
a. Identify triggers to self-mutilation
b. Demonstrate a decrease in frequency and intensity of cutting
c. Describe strategies in increase socialization on the unit
d. Describe two strategies to increase self-care
b. Demonstrate a decrease in frequency and intensity of cutting
The World Health Organization describes health as “a state of complete physical, mental, and social wellbeing and not merely the absence of disease or infirmity.” Which statement is true in regards to overall health? Select all that apply.
a. There is no relationship between physical and mental health.
b. Poor physical health can lead to mental distress and disorders.
c. Poor mental health does not lead to physical illness.
d. There is a strong relationship between physical health and mental health.
e. Mental health needs take precedence over physical health needs
b. Poor physical health can lead to mental distress and disorders.
E. Mental health needs take precedence over physical health needs.
A newly divorced 36-year-old mother of three has difficulty sleeping. When she shares this information to her gynecologist, she suggests which of the following services as appropriate for her patient’s needs?
a. Assertive community treatment
b. Patients-centered medical home
c. Psychiatric home care
d. Primary care provider
d. Primary care provider
Intergenerational conflict may arise in immigrant families because the process of acculturation may be:
a. Ignored due to cultural beliefs
b. Filled with traumatic experiences
c. Easier for children
d. A function of assimilation
c. Easier for children
Which situations demonstrate liable behavior on the part of the staff? Select all that apply.
a. Forgetting to obtain consent for electroconvulsive therapy for a cognitively impaired patient
b. Leaving a patient with suicidal thoughts alone in the bathroom to shower
c. Promising to restrain a patient who stole from another patient on the unit
d. Reassuring a patient with paranoia that his antipsychotic medication was not tampered with
e. Placing a patient who has repeatedly threatened to assault staff in seclusion
Which situations demonstrate liable behavior on the part of the staff? Select all that apply.
a. Forgetting to obtain consent for electroconvulsive therapy for a cognitively impaired patient
b. Leaving a patient with suicidal thoughts alone in the bathroom to shower
c. Promising to restrain a patient who stole from another patient on the unit