Impulse control is part of the care plan for a client with borderline personality disorder.
Which of the following is particularly important to include?
1. A no-harm contract
2. Identification of behavior patterns
3. Identification of support sources
4. Management of emotions
Answer:
Which of the following physical findings would lead the nurse to suspect that the client
has bulimia nervosa?
1. A skeletal appearance
2. Lanugo growth on face and extremities
3. Abrasions and calluses on the knuckles
4. Sunken eyes
Answer:
A nurse on a medical unit overhears a discussion about the failure of psychobiologic
interventions for clients with mental disorders. Which statement could be made to
counteract that supposition?
1. “There is a current moratorium on development of new drugs to correct biochemical
imbalances in the brain.”
2. “Contemporary research findings indicate that the field of psychobiology and
effective interventions is growing rapidly.”
3. “There are subjective reports that exposure to bright light and white noise provides
effective treatment for mental disorders.”
4. “Restriction of nutrients and non-nutrients is no longer believed to affect behavior.”
Answer:
A nursing student receiving D’s on quizzes decides to begin studying with a group of
students known to make A’s. The nursing instructor knows that the student is exhibiting
what type of behavior?
1. Modeling
2. Attributing
3. Self-efficacy
4. Assuming
Answer:
The nurse is working with a client who becomes upset and tells the nurse, “I”ve decided
to give up on finishing my bachelor’s degree.” Which response best reflects the nurse’s
belief that the client is able to find the solution to this concern?
1. “You don”t need to make a decision about this right now.”
2. “It is probably too much for you to handle right now.”
3. “If you put your mind to it, you could finish the program.”
4. “It sounds like you feel it is too much for you to finish now.”
Answer:
Which of the following interventions is most appropriate for the nurse to offer when
helping a client with gender dysphoria?
1. Focus on promoting comfort with the chosen gender role.
2. Encourage living as their assigned gender.
3. Avoid client discussions of hormonal treatment.
4. Discourage genital reassignment surgery.
Answer:
Which of the following neurotransmitters affect eating disorders?
Standard Text: Select all that apply.
1. Neuropeptide Y
2. Dopamine
3. Acetylcholine
4. Serotonin
5. Norepinephrine
Answer:
The nurse is caring for a client who has been diagnosed with dissociative disorder. The
nurse knows that an appropriate intervention to promote effective role performance is
to:
1. Encourage the client to have no contact with friends and family.
2. Ignore the client’s other personalities.
3. Help the client alienate family members who do not believe the client is sick.
4. Include family members is therapy.
Answer:
To work effectively with mood-disordered clients, it is most important that the nurse
have:
1. Self-awareness.
2. The ability to sympathize.
3. An extroverted personality.
4. Good recall.
Answer:
A client with generalized anxiety disorder frequently skips weekly scheduled
appointments with a primary nurse therapist in the managed care organization (MCO),
showing up only when the client is feeling severely stressed. Which of the following
statements best explains this behavior?
1. The client is aware that MCO’s frequently “double-book” appointments to balance
out the “no-shows.”
2. The client does not have transportation for scheduled appointments with the therapist.
3. MCO consumers do not have to make co-payments for missed appointments.
4. MCO consumers find it easier than non-MCO consumers to not keep scheduled
appointments, partly because services are prepaid.
Answer:
The nurse knows that family members of suicide victims rarely seek assistance from
mental health care professionals. One way to help survivors may be to:
1. Get families involved with the American Association of Suicidology.
2. Teach families how to bear the burden alone.
3. Talk to the physician about their case.
4. Assure the family they will soon feel better.
Answer:
A client is newly diagnosed with an anxiety disorder. To support this client, who is
struggling to accept the diagnosis, the nurse would:
1. Actively listen to the client and provide support.
2. Discourage the use of psychometric tests.
3. Flood the client with stressful stimuli.
4. Assess for secondary gain to confront the client.
Answer:
The nurse knows that a client who has panic attacks when she sees waterfalls because
she had been physically assaulted in a park with a waterfall, would benefit from the
feature of cognitive and behavioral treatment of:
1. Suggesting alternative behavior.
2. Seeking social support.
3. Reframing.
4. Expressing affection.
Answer:
A client is being admitted to the inpatient psychiatric unit. Which actions would be
appropriate for the nurse to assess the client’s risk of violence?
Standard Text: Select all that apply.
1. Wait to assess the client’s risk of violence once the psychiatric symptoms have
stabilized.
2. Assess history of psychotic illness as this is the most important predictor of violence
potential.
3. Ask the client, “What is the most violent thing you have ever done?”
4. Review the client’s past records and get information from the client’s family.
5. Avoid discussing the client’s past history of violence as this could provoke the client.
Answer:
A high school nurse is sharing the results of a national survey with school faculty and
staff. The nurse states that, if the students in their school are similar to those surveyed,
close to one out of five have seriously considered suicide in the:
1. Springtime.
2. Winter months.
3. Past year.
4. 3 months preceding the survey.
Answer:
The nurse is working with a client who has been diagnosed with a somatoform disorder.
The nurse knows it is important to include which of the following interventions in the
client’s plan of care?
Standard Text: Select all that apply.
1. Encourage verbalization of feelings.
2. Encourage the client to write in a journal
3. Establish a weekly routine
4. Establish a trusting relationship.
5. Encourage the discussion of physical symptoms
Answer:
A nurse is responding to a code on the unit which occurs during the nurse’s scheduled
lunch time. Racing to the code, the nurse cuts her hand on a sharp doorframe but
continues quickly down the hall and begins the code. The fight-flight response to stress
has allowed the nurse to do which of the following things?
Standard Text: Select all that apply.
1. Remember what needed to be done.
2. Not feel hungry during the code.
3. Notice getting cut in the arm in the rush to respond.
4. Resist germs that were trying to get into the cut.
5. Get to the scene quickly.
Answer:
The client on the psychiatric unit is asking questions about prevention of sexually
transmitted diseases. Given the Psychiatric”Mental Health Nursing Standards of
Practice, which action would be most appropriate for the nurse to take at this time?
1. Consult with the mental health care team.
2. Teach safer sexual practices.
3. Investigate the questions in individual psychotherapy.
4. Notify the attending psychiatrist.
Answer: