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 part of your role on this unit.”
3. “The first asylum for the mentally ill was St. Mary of Bethlehem (Bedlam).”
4. “Why do you want to know this?”
Answer:
After administering medication for an anxiety disorder, it is important for the nurse to
record whether the client:
1. Uses caffeine.
2. Takes other medications.
3. Exhibits drowsiness.
4. Uses alcohol.
Answer:
The nursing student knows that in order to avoid conflict with cultural diverse
populations:
1. Open discussion is necessary to actively address suspicions and distortions.
2. Exclude the offending party so communication flows better.
3. Take into account most minorities are working people.
4. Become a certified transcultural nurse.
Answer:
What would the nurse expect to find when assessing a client with obsessive-compulsive
personality disorder?
1. Difficulty completing projects
2. A sense of spontaneity
3. Open expression of feelings
4. Ability to tolerate mistakes
Answer:
The charge nurse is assigned a “float” nurse to help on the children’s unit. The nurse
normally works with adults and says she feels “out of place” working with the children.
In making the assignments, which of the following activities would the charge nurse
NOT assign to the “float” nurse?
Standard Text: Select all that apply.
1. Administering daily medications
2. Administering PRN medications
3. Obtaining vital signs
4. Making rounds with the psychiatrist
5. Monitoring the children under “close observation”
Answer:
The humanistic perspective on mental disorders implies that psychiatric”mental health
nurses function in expanded roles. Which statement does not reflect this perspective?
1. Psychiatric”mental health nurses are prepared to work for change within social and
political systems.
2. Psychiatric”mental health nursing focuses on the client and does not deal with social
or political consequences.
3. Psychiatric”mental health nurses develop philosophic and ethical frameworks to
guide and evaluate the political outcomes of therapeutic intervention.
4. Psychiatric”mental health nursing is involved in social goals that advance health
holistically.
Answer:
What is the most therapeutic approach when caring for a client who has been the victim
of domestic violence?
1. Acknowledge the client’s inability to change the situation.
2. Do not ask direct questions about abuse as this will intimidate the client.
3. Invite the abuser to the assessment session.
4. Avoid pressuring the client to leave the abuser.
Answer:
The nurse is working with a client who has a fear of driving a car. An intervention
strategy planned to help this client face the fear is to teach:
1. Goal-oriented contracting.
2. Meditation.
3. Cognitive behavioral therapy.
4. Physical exercise.
Answer:
Which statement describes the benefits of integrating psychobiology into nursing care?
1. A psychobiologic approach enables the nurse to modify assessments, diagnoses,
interventions, and evaluations of clients’ response patterns.
2. A psychobiologic approach is not compatible with the nursing process.
3. A psychobiologic approach will provide a theoretical framework from which to
practice.
4. A psychobiologic approach is utilized only by physicians.
Answer:
The nurse observes an 8-year-old child regressing to behavior that is characteristic of a
toddler when faced with new situations. The child has been in several foster care
families over the past three years. Which of the following interventions is appropriate
for this child?
1. Providing for unmet needs
2. Providing consistency and continuity of caregivers
3. Ignoring the regressive behavior
4. Ignoring the negative behavior and reinforcing the positive behavior
Answer:
The nurse is caring for a newly admitted client who has not showered in several days
and emits an offensive odor. Which of the following actions best conveys respect for the
client?
1. Assess the client’s abilities and needs related to performing self-care.
2. Be honest with the client about how his or her appearance affects others.
3. Explain unit expectations regarding activities of daily living to the client.
4. Ignore the client’s body odor to minimize causing humiliation.
Answer:
Due to a staff member’s absence, the nurse is reviewing staff assignments for the day.
Which task can the nurse delegate to the psychosocial rehabilitation worker?
1. Conflict resolution teaching to a small group of clients
2. Comparison of physician’s orders with the medication records
3. Routine medication administration to a stable client
4. Assessment of a long-term client
Answer:
Which of the following statements by the nurse may prevent successful separation
between client and nurse at the end of a therapeutic one-to-one relationship?
1. “I”m going to miss our sessions together, but I think you”re ready to handle difficult
situations on your own.”
2. “I think two or three more sessions are necessary for you to develop more confidence
in using this new coping skill effectively.”
3. “I”m skeptical of your ability to assert yourself when new conflicts occur in future
relationships, so be careful.”
4. “I suggest you contact me if you experience any new crisis that you feel unprepared
to deal with on your own.”
Answer:
The nurse knows that being a competent provider of cognitive behavioral interventions
involves understanding and being aware of cultural considerations. Characteristics that
nurses must be aware of during assessment include:
1. Gender, sexual orientation, and age.
2. Illness prevention, disability, and gender.
3. Group expression, self-awareness, and religion.
4. Family matters, self-awareness, and age.
Answer:
The nurse evaluates which of the following client statements as validation that the
teaching on lithium was effective?
1. I will restrict fluids to 100 ml per eight hours.
2. I will quit taking lithium if I get depressed.
3. I will have my blood levels checked every two to three months.
4. I will have liver function tests every six months.
Answer:
The nursing student working on a group project brings healthy snacks to the meeting so
he and his fellow classmates will not gain unwanted pounds as they did on a previous
massive assignment. The student has employed:
1. Unobserved behaviors tracked in subjective measurable terms.
2. Behavior modification.
3. Process illumination.
4. Interactional group therapy.
Answer:
The nurse facilitating a group session is concerned that the members are hesitant about
sharing feelings and experiences. The nurse knows that there is a low level of trust
among the group members, which will also determine the level of:
1. Cohesion.
2. Family history.
3. Risk-taking.
4. Uniqueness.
Answer: