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 24 hours after admission.
4. Be disinterested in a nurse”client relationship.
Answer:
Which of the following statements regarding the impact of managed health care on the
delivery of psychiatric services is true?
1. Managed mental health care has resulted in shorter, more intense psychiatric hospital
stays to keep costs down.
2. Clients are admitted to hospitals in earlier stages of psychiatric illnesses.
3. Cost containment has created an entire range of ambulatory care services that are
considered ineffective.
4. Shorter models for psychiatric services and outpatient treatment do not meet the
lifestyle needs of clients and their employers.
Answer:
Which of the following statements should the nurse include in a presentation to the
community regarding mental health care resources for elders?
1. “Better pharmacological treatments have increased the normal life span of
individuals afflicted with mental illness.”
2. “Medicare coverage will pay for most mental health services provided to elders.”
3. “Most elders require frequent hospitalization due to chronic illness and mental
disability.”
4. “More long-term care facilities are admitting geropsychiatric clients.”
Answer:
The psychiatric”mental health nurse is asked to prepare an educational conference for
unlicensed staff working in a day treatment program for hyperactive children with
borderline intelligence. Using fundamental concepts of cognitive behaviorist theory,
which of the following conference exercises would the nurse include?
1. Have a contest to choose the best staff-designed time-out room where children can
comfortably spend significant periods alone.
2. Include sessions for staff to practice talking with parents about the benefits of having
their child transferred to an institutional setting where he or she would have access to
highly trained experts.
3. Ask staff to work in teams to develop a token economy program that uses a
prescribed daily routine and reinforcers for the children.
4. Show a brief movie that demonstrates the simplicity of using behavior modification.
Answer:
Which of the following statements that address the typical age of onset for
schizophrenia is true?
1. The typical age of onset for schizophrenia is early adolescence in both males and
females.
2. The typical age of onset for late-onset schizophrenia is age 60.
3. The typical age of onset for schizophrenia is late adolescence to mid-thirties.
4. The typical age of onset for schizophrenia is late thirties to early forties.
Answer:
A manic client is pacing the halls of the inpatient unit and making disruptive comments
to the other clients. The nurse overhears the client say, “I know people, so you better
treat me with respect!” Which of the following therapeutic nursing interventions would
the nurse implement first?
1. Notify security that this client is escalating out of control and the client needs to be
escorted to the client’s room.
2. Tell the client that the nurse would like to give a PRN injection because the behavior
is disrupting others.
3. Approach the client and say in firm voice, “That was inappropriate. Go to your room
immediately.”
4. Address the client and say in a calm voice, “The staff will work hard to make sure
you receive proper respect here. Let’s go over here and talk.”
Answer:
A client who presents in the psychiatric unit tells the admitting nurse that he or she is
very depressed and is having a hard time staying clean and sober. Which of the
following describes the psychobiology of his or her illness?
1. Depression or other mental illness should be treated with compatible medications.
2. Depression or other mental illnesses are symptoms of the substance abuse.
3. There is heritability and predisposition to alcohol dependence as well as complex
environmental influences.
4. Depression or other mental illnesses is an expected outcome of substance abuse
recovery.
Answer:
The nurse observes that an adolescent admitted to the inpatient unit for “failed
outpatient treatment for depression” is very shy about interacting with peers. In
planning care for this client, the nurse will integrate which of the following to help the
client become more comfortable in the milieu?
1. Limit choices
2. Establish a trusting relationship
3. Establish concrete boundaries
4. Provide physical activity
Answer:
The nurse is caring for a client with schizoid personality disorder. Which nursing
diagnosis is most appropriate for this client with a cluster A personality disorder?
1. Fear related to feelings of abandonment
2. High Risk for Violence, Self-Directed, related to poor impulse control
3. Social Isolation related to inadequate social skills, craving of solitude
4. Ineffective Individual Coping related to high dependency needs
Answer:
A victim of sexual abuse expresses the belief to the nurse that the abuse is a punishment
for not having lived a spiritually pure life prior to the event. The nurse:
1. Indicates to the victim that this is an incorrect view.
2. Makes it clear to the client that the rape was not a punishment for the client’s own
behavior.
3. Acknowledges the client’s spiritual frustration and invites the client to express these
feelings.
4. Explains that rape can happen even to the most religious people.
Answer:
Taking into consideration the client’s level of motivation and ability to manage complex
instructions, a nurse counsels a client seen for repeated episodes of anxiety to consider
adding the use of complementary and/or alternative modalities to help manage the
anxiety. The nurse may suggest which of the following CAM modalities?
1. Kudzu
2. Running
3. Acupressure
4. Ginkgo
Answer:
An inpatient group has decided to focus on developing better communication skills.
Each member will practice initiating a conversation with a partner while a third member
observes the interaction and provide feedback. Which stage of group development best
describes these actions?
1. Performing
2. Forming
3. Norming
4. Storming
Answer:
The nurse has just received a report on a new client admitted for depression. The client
has severe cerebral palsy, communicates only with a computer, and is quadriplegic.
Which of the following statements best demonstrates that the nurse has the ability to
respond to this client?
1. “I will read the record and talk with the physician to understand the client’s
disabilities.”
2. “It is important to interview the client’s family before I meet the client.”
3. “This assignment may be a challenge for me and I will need to be aware of my
feelings and any potential fears related to caring for this client.”
4. “The first thing I will do is thoroughly assess the client’s needs and abilities.”
Answer:
The client tells the nurse that the medications are so expensive and says that there is a
website that sells the medications at quite a reduction. What education is warranted by
the nurse?
1. The client should try the medications for a while and note if they seem to have the
same effect.
2. There are no legitimate sources for psychiatric medications on the internet.
3. Legitimate internet pharmacies carry accreditation that can be verified.
4. Less expensive medications will not work as well as those that cost more.
Answer:
A nurse is working with a client who was admitted for treatment of bipolar disorder.
The client asks the nurse if it is “OK” to pray for recovery. Which response best
conveys the nurse’s ability to be a spiritual activist for the client?
1. “Clients in psychiatric hospitals often experience spiritual crises that require prayer.”
2. “It’s acceptable for clients to pray in the hospital chapel.”
3. “Spiritual practices, such as praying, can nurture one’s spirit and enhance healing.”
4. “It’s not advisable to focus only on prayer as a means to recovery.”
Answer:
A family member caring for a relative with dementia complains of exhaustion. Which
of the following responses best conveys respect for this family member’s situation?
1. “It sounds like your home situation is too demanding. What about seeking individual
therapy to cope with your issues?”
2. “I experienced the same thing with my mother. What about getting a housekeeper?”
3. “Caring for a person with dementia is too much for one person. You should place
your relative in a nursing home.”
4. “It sounds like you are overwhelmed. You may benefit from respite care services.”
Answer:
Clients require stress management when they are easily frustrated, feel hopeless, cry
easily, and are reluctant to leave home. An action that would not lead to a healthy
decrease in the stress is to:
1. Utilize all familiar coping strategies.
2. Spend time with family and friends.
3. Not hold themselves directly responsible.
4. Maintain a daily routine.
Answer: