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 conclusions can the nurse draw?
1. The client is intoxicated.
2. The client’s blood alcohol level is dangerously high.
3. The client has a problem with alcohol dependence.
4. There is insufficient data to draw a conclusion.
Answer:
The nurse is serving on a committee charged with reviewing the roles and
responsibilities of the nurses on the psychiatric unit. Which publication should the nurse
bring to the first meeting?
1. Diagnostic and Statistical Manual of Mental Disorders
2. American Nurses Credentialing Center certification requirements
3. American Nurses Association, Code of Ethics
4. Psychiatric”Mental Health Nursing Standards of Practice
Answer:
An elderly client has presented to the clinic with multiple physical complaints. Biologic
assessment information must be obtained before any physical illnesses can be ruled out.
Which of the following objective measurements would be most helpful?
1. Electroencephalogram (EEG)
2. Standard diagnostic laboratory analyses
3. Lumbar puncture
4. Drug toxicology screening
Answer:
When focusing on psychobiology, what is most important for the client’s family to
understand?
1. The client’s symptoms
2. The underlying neurobiology of behavior
3. The client’s medication regimen
4. The client’s phenotype
Answer:
During the orientation phase of the nurse”client relationship, the client presents the
nurse with a framed picture that was painted during recreational therapy. What is the
best response by the nurse?
1. “I”m sorry but I”m not allowed to accept any gifts from clients.”
2. “How thoughtful; I”ll take this home with me so I will be reminded of you every time
I see it.”
3. “Let’s examine your motives for trying to “bribe” me with this picture.”
4. “That’s a lovely picture; let’s put it in the day room for everyone to enjoy.”
Answer:
The nurse case manager is participating in a treatment team meeting where members
are discussing treatment options for a client with a history of medication and treatment
nonadherence. The client’s health insurance plan does not cover the cost of expensive
atypical antipsychotic depot medications. Which of the following is not an appropriate
action by the nurse in this situation?
1. Suggesting affordable alternatives for treatment
2. Discussing possible treatment options with the client
3. Monitoring the client’s response to current medication treatment
4. Enrolling the client in another health insurance plan
Answer:
A female client disclosed to the nurse that she is in an abusive situation. This
information will be used to contribute to:
1. Axis IV.
2. Axis III.
3. Nothing, since this is confidential information and should not be shared.
4. Axis I.
Answer:
A client who is being treated for psychosis has begun exhibiting signs of increasing
agitation and has started repetitively opening and slamming the door to the client’s
room. Which of the following nursing interventions address and redirect the client’s
behavior?
Standard Text: Select all that apply.
1. “You need to stop slamming your door and go down the hall to the group meeting.”
2. “How about taking a walk with me so we can find a place for you to let go of some of
your nervous energy.”
3. “I can see that you have some excess energy that you need to get out, but you cannot
continue to slam this door.”
4. “You seem upset, would you like some medication to help you with your agitation?”
5. “If you don”t stop slamming the door, I will lock it for the rest of the day.”
Answer:
The nurse educator knows the approach that helps a client develop insight is aligned
with which of the following theories?
1. Cognitive behavioral theory
2. Psychoanalytic theory
3. Social”interpersonal theories
4. Medical”psychobiologic theory
Answer:
A client’s family member states, “I don”t understand the reason for the methadone
treatment. Why replace heroin with methadone?” What is the best explanation for this
family?
1. Methadone is safe even in large doses.
2. Methadone replaces a more potent drug.
3. Methadone is a deterrent to the use of drugs.
4. Methadone blocks the craving for and the action of opiates.
Answer:
A client is admitted to the medical surgical unit with a brain tumor. The nurse can
anticipate that a client with a tumor in the frontal lobes will have problems with:
1. Sensory functions.
2. The ability to think and plan.
3. Long-term memory.
4. Memory and judgment.
Answer:
The nurse is teaching a group of older adults about changes in sleep patterns due to the
aging process. Which statement by older adults indicates understanding of the nurse’s
teaching regarding the use of nonpharmacologic therapies for sleep?
1. “We should avoid coffee, tea, or other fluids in the evening hours.”
2. “An herbal remedy such as melatonin can help us sleep better.”
3. “Taking long naps during the day will help us sleep better at night.”
4. “Taking a sleeping pill every night will improve our total sleep time.”
Answer:
Which of the following behaviors indicate that family therapy has been effective and
can be terminated?
1. Family members are able to give feedback to others, telling them how they appear
2. Family members are able to identify faults and failures of others, telling them how to
act better
3. Family members are able to give praise and criticism in equal measure
4. Family members are able to identify problems with communication
Answer:
The nurse educator is teaching a group of students about psychiatric”mental health
nursing concepts. Which intervention best demonstrates practicing with the concept
known as detached concern?
1. Sharing personal beliefs and opinions in order to enhance connection with the client
2. Providing a critical perspective of the client’s feelings
3. Setting rigid boundaries to separate the nurse’s experience from the client’s
4. Sitting quietly with a client who is sobbing uncontrollably
Answer:
The psychiatric nurse is reflecting on the treatment and care of the mentally ill
throughout history. Which of the following philosophical beliefs most guided treatment
of the mentally ill during 17th century Europe?
1. The mentally ill were divinely inspired and should be treated with care and
benevolence.
2. The body’s humors were responsible; blood, bile, and phlegm must be balanced.
3. Madness was best overcome by discipline and brutality.
4. The mentally ill were possessed by evil spirits that inflicted emotional suffering.
Answer:
The nurse recognizes that some groups believe their sexual values and behaviors are
superior to others. This viewpoint is explained by:
1. Intrapersonal theory’s ethnocentrism.
2. Behavioral theory’s berdache.
3. Sociocultural theory’s ethnocentrism.
4. Biologic theory’s berdache.
Answer:
Which of the following are included when documenting client education?
Standard Text: Select all that apply.
1. The educational content discussed with the client
2. The client’s response
3. The purpose for the educational interaction
4. The assessment of the client
5. The nursing diagnosis
Answer:
Which of the following questions would the nurse ask the client when assessing for a
common condition thought to relate to the degree of stress that occurs with anorexia
nervosa?
1. Has your hair been falling out?
2. Do you exercise after eating?
3. Has your menstrual period stopped?
4. Are you purging after you eat?
Answer:
A nurse is meeting with a Cuban family in which the wife abuses alcohol. During the
family assessment meeting, the nurse observes that the husband speaks for the wife and
other family members when the nurse is directing questions towards them. The husband
says, “I am responsible for my family.” What cultural values should the nurse consider
when planning care for this client?
1. Health care decisions will involve the entire family.
2. Health care decisions may be made by the husband.
3. Health care decisions may have to be made when the client’s husband is not present.
4. Health care decisions will involve the wife only.
Answer: