Book Title
Contemporary Psychiatric-Mental Health Nursing 3rd Edition

NUR 33606

August 21, 2017
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 see you are feeling upset. Do you want to talk?"
2. "Schizophrenia does have a strong genetic link, but at present there is no specific
genetic test for it."
3. "Your grandchild has nothing to worry about."
4. "You and your child should volunteer for genetic research."
The nurse works with both the child and parents to help the child develop interpersonal
skills. Which of the following general outcomes facilitates engaging the parents in the
1. Increasing knowledge of the child's psychopathology
2. Understanding the child's unique temperament and needs
3. Responding to separation anxiety
4. Administering PRN medications effectively
The nurse addressing gender identity issues instructs the client that there are gradations
called transgender. Which of the following teaching would include information on
transgender biologic gradations?
Standard Text: Select all that apply.
1. Abnormal gender
2. No gender
3. Unclear gender
4. Blending of gender
5. Clear gender
Which of the following psychosocial approaches for treating schizophrenia have been
found to have lower relapse rates?
1. Learning is often affected negatively in schizophrenia, so there is not a need to
educate clients about schizophrenia and relapse.
2. Setting high goals for clients serves as an incentive for clients to avoid relapse.
3. Weekly individual monitoring can help to identify and intervene with clients who are
at risk for relapse.
4. Antipsychotic medications are effective in lowering relapse rates for all clients.
The nurse is teaching a client with social phobia about anxiety medications. The nurse
knows the teaching has been effective when the client states, "I know I:
1. Can use other medications."
2. Can"t consume alcohol."
3. Can stop the medication any time."
4. Can"t drink decaffeinated beverages."
In order to plan for the care of a client on an acetylcholinesterase inhibitor, the nurse
should assess for which of the following?
1. Level of depression
2. Memory impairment
3. Blood pressure
4. Mania
The nurse is teaching a seminar for health professionals on the differences between the
normal aging process and Alzheimer's disease. Which of the following biopsychosocial
theories of normal aging should be discussed regarding cellular changes?
Standard Text: Select all that apply.
1. Genetic theory
2. Immunology theory
3. Wear-and-tear theory
4. Environmental theory
5. Disengagement theory
The nurse is working with a client who has been diagnosed with a personality disorder.
Which situation best describes the client's external response to stress?
1. The client attends group therapy.
2. The client uses meditation when upset.
3. The client tries to change the environment instead of changing him- or herself.
4. The client engages in self-awareness exercises.
When doing the morning medication count for the past two weeks, the nurse noticed
several drugs that had been "wasted" or "re-ordered." Which of the following is the
most appropriate intervention when suspecting drug diversion?
1. Set up a "sting" operation
2. Obtain definitive evidence
3. Stay out of the situation
4. Document findings
The nurse is working with the client to identify self-defeating thoughts, feelings, and
behaviors. Which behavior by the client does the nurse identify as resistance to the
therapeutic process?
1. Changing the subject when asked to explore a specific topic
2. Becoming silent when asked to identify unhealthy behaviors
3. Sharing feelings, fantasies and motives with the nurse
4. Changing behavior outside of the one-to-one therapeutic relationship
The psychiatric nurse is asked to explain the primary focus in the assessment and
treatment of mental illnesses during the mid-20th century. Given this request, the nurse
would emphasize beliefs and actions related to which of the following?
1. Faulty life habits and interactions
2. Decay of intellect or of the nervous system
3. Classification of symptoms
4. Social dimension and drug treatment
The nurse knows that any group moves through three interpersonal phases in a
particular order, which includes:
1. Inclusion, control, and affection.
2. Reasoning, inclusion, and self-confidence.
3. Control, love, and affection.
4. Reasoning, self-confidence, and religion.
After a nurse addresses an agitated client by setting limits in a calm, direct manner, the
client begins pacing, exhibiting a clenched jaw and fists. The nurse would evaluate the
approach as ineffective because:
1. The nurse lacks rapport with the client.
2. The nurse lacks adequate de-escalation and limit setting skills.
3. Some clients have limited control, so verbal interventions may not work, but this is
not reflective of the nurse's skill.
4. In some cases verbal de-escalation and limit setting will not work and the nurse
should start with a more restrictive measure.
Identify which of the following would be detrimental for the nurse desiring to manage
stress when working with a client/family in crisis.
1. Drink plenty of water and eat a balanced and healthy diet
2. Participate in memorials and rituals
3. Talk about your emotions
4. Maintain a consistent work assignment
Communication intervention strategies are significant for the nurse to utilize. These
techniques include:
Standard Text: Select all that apply.
1. Personal revelations about the nurse's feelings to "break the ice."
2. Reflecting statements that encourage the client to express feelings.
3. Paraphrasing client statements using clinical terms.
4. Statements that promote expression of the client's emotions.
5. Clarifying statements the client has made.
The nurse's friend is taking a benzodiazepine to help with anxiety. The friend tells the
nurse about reading that kava is good for anxiety too, and says, "I bought some at the
local health store. After all, it's "natural". I"d rather use natural products than a
medication to help my anxiety."
The nurse's response should be which of the following?
1. "It's a medicine too and should not be mixed with your other meds."
2. "Have you told your doctor about this? Benzo's can be addictive."
3. "That's great, I"m glad you"re going natural."
4. "Kava is harmless. Good for you to take such initiative."
A client states that she is unhappy and miserable in her marriage and has been for
several years. Which of the following responses indicates the nurse is tuning in to the
process of the client's interaction rather than the content?
1. "Do you have any children from this marriage?"
2. "How long have you been married?"
3. "It sounds like you have been miserable for quite some time."
4. "Has your husband ever cheated on you?"
Which of the following community support programs are uniquely suited to meet the
needs of clients with severe and persistent mental illness (SPMI)?
Standard Text: Select all that apply.
1. Partial hospitalization programs
2. Nursing homes
3. Depot medication therapy
4. Vocational training programs
5. Residential group homes
The first step in crisis intervention is to achieve contact. When initiating contact with a
client after a crisis, the nurse should not:
1. Collect information regarding health conditions.
2. Provide for emotional and physical safety of client.
3. Discuss the nurse's personal experiences with crises.
4. Identify feelings, reactions, and perceptions of client.
An adolescent female client who had lived on the street for at least a year dresses
provocatively, wears heavy make-up, and is flirtatious in her interactions with adults.
The nurse:
1. Directs her to wash her face and put on appropriate clothing.
2. Recognizes the client may be acting out her life script.
3. Restricts the client to her room.
4. Encourages her to seek spiritual guidance.