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The nursing assistant asks the psychiatric nurse the location of the first asylum for the mentally ill. Which response by the nurse is most appropriate? 1. “The first asylum for the mentally ill was in Morocco.” 2. “This is not […]

The nurse observes a client on an antipsychotic medication and notes a pill-rolling movement of the fingers and a tremor of the extremities. The nurse documents this as what type of side effect? 1. Drug-induced parkinsonism 2. Dystonia 3. Anticholinergic […]

The nurse is caring for a client with a personality disorder. The client feels as if she is not accomplishing any of her goals. Which of the following is the most appropriate response by the nurse? 1. “Would you like […]

The nurse case manager has become concerned that an older adult confused client is no longer safe at home due to wandering outside when the caregiver is not watching. Which of the following community-based programs would be most appropriate for […]

In reviewing the history of a client on risperidone (Risperdal), the nurse notes that no previous diagnosis is available. The nurse knows that the newer atypical antipsychotic medications are commonly given for which of the following syndromes? Standard Text: Select […]

Which action should the nurse take to prevent emotional contagion when working with hospitalized depressed clients? Expect the clients to: 1. Be appreciative of a daily one-to-one session. 2. Be open to working on their problems. 3. Show improvement within […]

The student nurse asks why the nurse is documenting the client’s nonverbal responses in addition to verbal responses during the initial assessment. Which of the following statements made by the nurse reflects the rationale for documenting both verbal and nonverbal […]

The family of a client with a diagnosis of dementia of the Alzheimer’s type (DAT) has expressed concern that they may inherit the disorder. The nurse tells the family which of the following? 1. There appear to be genetic links […]

The student nurse is comparing the essential characteristics of each cluster of personality disorders. The student correctly identifies the essential characteristics of cluster C disorders as: 1. Anxiety. 2. Pervasive distrust. 3. Impulsivity. 4. Openness. Answer: 1 Rationale 1: Cluster […]

A young nurse charted that a 70-year-old client was “unable to perform ADL’s due to old age.” What should the nursing supervisor do in response to this attitude? 1. Reassign the nurse to another unit with younger clients 2. Explain […]

A client asks the nurse about the doctor’s comment that he may have problems due to “delayed synaptic transmission” in his brain. The nurse explains that the best way to describe a synaptic transmission is which of the following? 1. […]

A client has received some bad news about a prognosis from the physician. When the nurse comes in with medications, the client states in an angry tone, “You”re late; I was just about to call the hospital administrator to complain.” […]

The nurse instructs the client about addiction. The nurse determines that the client understands the instructions given when the client says: 1. “Addiction is a biopsychosocial problem.” 2. “Addiction is an emotional attachment.” 3. “Addiction is a behavioral habit.” 4. […]

Stress-related symptoms account for 60% of all primary care visits. What are the implications for practice? 1. An understanding of how stress influences disease will allow us to identify appropriate treatments. 2. An understanding of stress will allow us to […]

The nurse is interacting with a client. The client states, “I am from the planet Shoz, so I am a Shozoid.” The client is manifesting which type of communication? 1. Echolalia 2. Neologism 3. Clang association 4. Blocking Answer: A […]

An inpatient psychiatric unit has been operating at an unusually high acuity level over the past week resulting in numerous incidents of seclusion or restraint. A review of each violent event reveals that appropriate crisis management strategies were implemented and […]

Which of the following statements made by the nurse displays a positive attitude about client autonomy and self-determination? 1. “I comfortable with clients deciding what the programs, schedule, activities, or rules will be.” 2. “Clients should not be permitted to […]

The mother of a client diagnosed with schizophrenia is tearful and wonders aloud if she passed the illness on to her child, and if her grandchild will also develop the disease. The nurse should reply with which statement? 1. “I […]

NCCAM has identified five major domains of complementary and alternative therapies. The fifth domain of energy therapies does not include: 1. Healing touch. 2. Reiki. 3. Bioelectromagnetic-based therapies. 4. Ayurveda. Answer: When providing orientation to a group of students, the […]

Upon the client’s arrival on the patient care unit, the nurse begins implementation of the nursing process. Of which nursing theorist should the nurse’s practice be most reflective? 1. Ida Jean Orlando 2. Jean Watson 3. Dorothea Orem 4. Hildegard […]

The nurse is asked to provide traits of a mentally healthy individual at a hospital in-service. The nurse knows that mentally healthy individuals are: 1. Physically healthy and dependent. 2. Middle-aged and physically ill. 3. Dependent and needy. 4. Independent […]

A 10-year-old is brought to the clinic for assessment. During the interview, the nurse learns that the child has been the victim of domestic violence. Which of the following messages would the nurse expect to hear in the assessment of […]

The nurse instructs the clients to take the medications that are prescribed because the psychiatrist knows what is best for the client. How would the nurse’s supervisor evaluate the effectiveness of the nurse’s teaching? 1. The nurse is demonstrating a […]

In preparing for the treatment of a client only on carbamazepine (Tegretol), the nurse plans for which of the following? 1. A client with auditory hallucinations 2. A client with mood instability or convulsions 3. A client with memory deficits […]

The wife of a man with early stage Parkinson’s disease expresses frustration and despair while caring for him at home because she is unable to leave him while she plays bridge with her friends twice a week. Which of the […]

A nursing student learns that group therapy reveals distortions in interpersonal relationships in an effort to: 1. Learn how to stifle emotions. 2. Examine and resolve issues. 3. Process and examine emotions. 4. Effectively handle emotions. Answer: The nurse is […]

A client brought to the emergency room after a motor vehicle accident tells the nurse that she attended a party and drank four drinks over the last hour. Her blood alcohol level is 0.15g/dl. She states she is “buzzed.” What […]

The nurse is working with a client who is striving to meet the goal of psychiatric rehabilitation. The nurse knows the client is most likely to meet goals when: 1. Strengths and needs are acknowledged. 2. The nurse takes care […]

A group leader states that he respects the competence and responsibility of members of the group but gets annoyed when one of the group members “takes over” a group meeting. The group leader is demonstrating the interpersonal need for: 1. […]

The nurse planning a brief presentation about the “first American psychiatric nurse” will research which of the following? 1. Hildegard Peplau 2. Harriet Bailey 3. Linda Richards 4. Gwen Tudor (Will) Answer: 3 Rationale 1: Linda Richards, “the first American […]

A parent brings an adolescent child to the doctor’s office. The nurse will be assessing both physical and psychosocial concerns. Which of the following actions by the nurse demonstrates a developmental approach to interviewing the adolescent? 1. Interview the adolescent […]

The nurse is working with a mentally ill client who has just recently been diagnosed with HIV. The client lost her job and has been living in different shelters each night. Which of the following is a priority goal for […]

Creutzfeldt”Jakob disease is thought to be caused by: 1. A response to multiple medications. 2. A rare genetic disorder. 3. An infection caused by a prion. 4. Ischemic vascular disease. Answer: Which of the following client behaviors would indicate a […]

A nurse is teaching a group of students about the stigma that is often associated with mental illness. The nurse tells the group that stigma associated with mental illness is about which of the following? 1. Disrespect 2. Intelligence 3. […]

A nurse has completed orientation to a locked psychiatric unit. Which statement best demonstrates that the nurse is prepared to fulfill the professional role? 1. “I took a course in self-defense so I can take care of myself.” 2. “I […]

A middle-aged parent goes to the emergency room for symptoms of dizziness, headache, and suicidal ideation. The nurse assesses the patient for substance use, employment, child-rearing stressors, relationships with coworkers, recurring physical symptoms, and marital problems. The nurse is: 1. […]

The client is experiencing an episode of anxiety. The nurse will expect to observe which common coping behaviors? Standard Text: Select all that apply. 1. Problem solving 2. Indulgence 3. Somatization 4. Acting out 5. Withdrawal Answer: A client’s progress […]

Nurses who wish to use hypnosis in their practice: 1. Recognize that hypnosis is an advanced intervention that requires specialized training in hypnotherapy. 2. Are qualified to do so if they can effectively use guided meditation. 3. Do not need […]

A nurse who is admitting a client to the inpatient unit conducts a comprehensive assessment. How does the nurse use the data gathered from the assessment? Standard Text: Select all that apply. 1. To support nursing diagnoses 2. To determine […]

The client states that she has been ill and in pain since childhood. Her many symptoms are not caused intentionally, nor are they feigned. She has seen many doctors. Consistent with this client’s disorder, the nurse believes the pain the […]

The client describes being uncomfortable as a male since kindergarten. “I liked playing with dolls and playing dress-up in my mom’s prom dress and high heels.” The client is relating an example of: 1. Cross-dressing. 2. Fetishism. 3. Gender dysphoria. […]

Impulse control is part of the care plan for a client with borderline personality disorder. Which of the following is particularly important to include? 1. A no-harm contract 2. Identification of behavior patterns 3. Identification of support sources 4. Management […]

The nurse is caring for a client with a history of admissions to several hospitals over the last several years. Each hospitalization was for a different disorder in which there was no physical evidence. The medical record indicates the client […]

The nurse knows that nursing diagnoses for cognitive behavioral assessment include: 1. Pseudohostility and Ineffective Coping. 2. Knowledge Deficit and Effective Coping. 3. Interrupted Family Processes and Hopelessness. 4. Hopelessness and Functional Family Processes. Answer: Which of the following aspects […]

A psychiatric nurse is providing an educational session to the emergency room staff to raise awareness on the topic of elder abuse. Which client is most at risk for elder abuse? 1. An 82-year-old woman with middle-stage dementia 2. A […]

Which statement would have the best potential to obtain assessment data from a client about possible use of complementary and alternative practices or products? 1. “Tell me everything you takeprescription medicines, over-the-counter medicines, vitamins, dietary supplements, herbs, as well as […]

The unit manager is consistently advocating for self-awareness among the psychiatric”mental health nursing staff in order to promote quality care. From which theoretical base is the unit manager operating? 1. Jean Watson’s theory of human caring 2. Dorothea Orem’s theory […]

A client with a history of alcohol dependence is discharged with nutritional recommendations to increase the intake of vitamin B foods and thiamine. The client states, “I can”t eat this stuff. This food isn”t fit for real people.” Which factor […]

A client with a history of epilepsy has recently experienced more frequent seizures, often followed immediately by episodes of aggressive behavior. Which biological abnormality is likely to be present in this client? 1. A mutation on the genes that encode […]