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 teach clients stress reduction techniques.
3. An understanding of stress will allow us to identify integrative treatments.
4. An understanding of stress will allow us to identify clients at risk of mental illness.
Answer:
A client with a long history of schizophrenia is being switched from a conventional
antipsychotic medication to a newer antipsychotic. The client asks, “I wonder why I am
being switched since I have not had hallucinations for years. The psychiatrist said
something about negative symptoms.” Which response by the nurse is correct?
1. Negative symptoms are those that interrupt your life, such as hearing voices or
thinking that people are out to get you.
2. The conventional antipsychotic medications do not work well with positive
symptoms, such as hallucinations.
3. You must have heard wrong because medications would not be switched due to
negative symptoms.
4. Newer antipsychotic medications work on hallucinations as well as negative
symptoms, such as lack of motivation.
Answer:
The nurse is assessing a male client who is suspected of having an eating disorder. What
additional information should the nurse include in her assessment of this client?
1. Use of anabolic steroids
2. Relationship with family
3. Ethnic origin
4. History of illegal substance use
Answer:
During the first interaction with a client, the nurse makes an introduction and identifies
the purpose of the interaction. This serves to accomplish which of the following in
developing a trusting relationship?
1. Setting goals
2. Building
3. Initiating
4. Maintaining
Answer:
When assessing the client with dramatic weight loss or gain, the nurse should consider:
1. The focus of the assessment must be on the psychological findings.
2. There is usually a direct cause and effect.
3. The focus of the assessment must be on the physical findings.
4. Both can be caused by physical or mental conditions.
Answer:
An abused client in the inpatient unit recovering from injuries asks to attend Mass at the
hospital chapel. The nurse understands that it is important for the client to:
1. Attend to spiritual needs in order to deal with what has happened.
2. Get back to a normal routine as soon as possible.
3. Find a distraction from the injuries.
4. Show an interest in what is going on in the world.
Answer:
The nurse therapist skilled in rational emotive therapy (RET) helps clients identify:
1. Cognitive causes for rational beliefs.
2. Health-damaging beliefs and practices.
3. Rational thoughts and healthy emotions.
4. Irrational thoughts and develop more rational life philosophies.
Answer:
Different types of crises arise from different causes. Maturational crises can involve:
Standard Text: Select all that apply.
1. Transition from student to worker.
2. Normal transitions of human development.
3. Life cycle changes.
4. Changes such as marriage or retirement.
5. Life changes from a flood.
Answer:
A nurse new to psychiatry asks her colleague why the newer antipsychotic medications
do not cause as many EPSEs as do the conventional antipsychotic medications. Which
response, if made by the nurse, is correct?
1. The newer antipsychotics also have a muscle relaxing effect that masks the EPSEs.
2. The newer antipsychotics do not impact dopamine.
3. The newer antipsychotics only act in the lower extrapyramidal dopamine pathways.
4. The newer antipsychotics have less affinity for dopamine receptors and also bind to
serotonin receptors.
Answer:
For a nurse studying bioethics, which of the following statements would indicate that
learning has occurred regarding autonomy?
1. “All clients should be given their due.”
2. “Part of our profession is doing good things for others.”
3. “We must always be honest with clients.”
4. “After I provide information, I will respect my client’s right to make a decision.”
Answer:
The nurse manager of an inpatient psychiatric unit is providing an orientation session
for new staff. Which of the following statements reflect strategies used to promote a
safe, therapeutic milieu?
Standard Text: Select all that apply.
1. Staff should provide frequent, short, individualized contacts with clients.
2. Management of potentially dangerous items such as belts, shoelaces, and electrical
appliances is based on unit policy and clinical judgment.
3. A nurse:client ratio of at least one nurse for every four clients is required at all times.
4. Staff should take their breaks during client mealtimes because there is a lower risk of
behavioral problems at this time.
5. When a client is becoming disruptive, staff should intervene by engaging the client in
a structured group activity.
Answer:
A client with high blood pressure is concerned about medication side effects and wants
to try “natural” strategies to treat it. The nurse suggests:
1. Using a combination of visual imagery and music.
2. Doing nothing.
3. Sleeping.
4. Receiving massage.
Answer:
A growing role of the child psychiatric”mental health nurse is:
1. Scrutinizing the public.
2. Promoting infant mental health.
3. Monitoring adult inpatient psychiatric clients.
4. Preventing mental health problems.
Answer:
The night nurse at the mental health clinic is designing a behavioral contract for a client
diagnosed with panic attacks. During the assessment phase, the client is negative and
exhibits low self-esteem. However, the nurse knows that in order to develop an
effective contract, the focus must be on:
1. Specific social weaknesses.
2. The client’s abilities and strengths.
3. The client’s family.
4. The goals of discharge.
Answer:
During group, the adolescents are asked to identify their role models. One of the teens
responds, “My parents.” The nurse recognizes this response as:
1. Developmentally appropriate.
2. Grammatically incorrect.
3. Regressive behavior.
4. Inappropriate for the situation.
Answer:
Your client with a mood disorder states, “My husband never calls to tell me he will be
late for dinner, and then dinner is always ruined.” The nurse knows that a priority
teaching for this client would be:
1. Cognitive theory
2. Psychoanalytic Theory
3. Object loss theory
4. Genetic theory
Answer:
A nurse case manager is assigned to a client with recurring substance abuse issues.
Which of the following strategies would be most important in providing care to this
client?
1. Assessment and problem identification
2. Ordering psychological testing
3. Arranging for inpatient hospital care
4. Administering medications
Answer: