Question 1

A home health nurse has a patient who is taking lithium.What should be included in the teaching plan?

Accepted Answer

A) Examine her skin closely for eruptions 
B) Take her blood pressure twice a day to check for hypertension 
C) Have her drug blood level checked every month 
D) Avoid aged cheese and red wine 
A) Examine her skin closely for eruptions 
B) Take her blood pressure twice a day to check for hypertension 
C) Have her drug blood level checked every month 
D) Avoid aged cheese and red wine C

Question 2

The nurse explains that an alternative therapy that uses essential oils and scented candles to help a patient relax and focuses on the atmosphere of the moment is ______________.

Accepted Answer

aromatherapy
Aromatherapy uses essential oils and scented candles to soothe the senses and make people aware of the here and now of the pleasant environment.

Question 3

What is the prognosis for a schizophrenic patient who is exhibiting positive behaviors?

Accepted Answer

A) Guarded 
B) Poor 
C) Good 
D) Repeatable 
A) Guarded 
B) Poor 
C) Good 
D) Repeatable C

Question 4

The nurse asks a patient with schizophrenia if he had any visitors on Sunday.Which response indicates loose association?

Accepted Answer

A) "No." 
B) "Yes! I had 90 visitors who came from every state in the union." 
C) "Sunday is the Sabbath. Do we have visitors on the Sabbath?" 
D) "We visited Yellowstone Park last summer." 
A) "No." 
B) "Yes! I had 90 visitors who came from every state in the union." 
C) "Sunday is the Sabbath. Do we have visitors on the Sabbath?" 
D) "We visited Yellowstone Park last summer."

Question 5

What is the term used for the beginning stage of schizophrenia,characterized by a lack of energy and complaints of multiple physical problems?

Accepted Answer

A) Prepsychotic 
B) Residual 
C) Acute 
D) Prodromal 
A) Prepsychotic 
B) Residual 
C) Acute 
D) Prodromal

Question 6

For the past 3 weeks,the nurse has observed a patient interacting with staff and other patients,helping decorate the dining room for a party,and leading the singing in the activity room.Today,the patient tearfully refuses to dress or get out of bed.The nurse recognizes these behaviors as evidence of which psychiatric disorder?

Accepted Answer

A) Unipolar depression 
B) Dysthymic disorder 
C) Hypomanic episode 
D) Bipolar disorder 
A) Unipolar depression 
B) Dysthymic disorder 
C) Hypomanic episode 
D) Bipolar disorder

Question 7

What is the term for a long-term and intense form of psychotherapy developed by Sigmund Freud that allows a patient's unconscious thoughts to be brought to the surface?

Accepted Answer

A) Adjunctive 
B) Behavior 
C) Psychoanalysis 
D) Cognitive 
A) Adjunctive 
B) Behavior 
C) Psychoanalysis 
D) Cognitive

Question 8

The nurse alters the care plan for a patient with depression to include what type of activity?

Accepted Answer

A) Domino game with three other patients 
B) Ping-Pong game with one other patient 
C) Group outing to view wildflowers 
D) Magazine to read alone 
A) Domino game with three other patients 
B) Ping-Pong game with one other patient 
C) Group outing to view wildflowers 
D) Magazine to read alone

Question 9

The nurse recognizes that researchers have identified that hereditary factors account for what percentage of mood disorders?

Accepted Answer

A) 10% to 15% 
B) 20% to 30% 
C) 35% to 50% 
D) 60% to 80% 
A) 10% to 15% 
B) 20% to 30% 
C) 35% to 50% 
D) 60% to 80%

Question 10

A patient admitted for delirium demonstrates increased disorientation and agitation only during the evening and nighttime.What is the term applied to this type of delirium?

Accepted Answer

A) Disordered thinking 
B) Schizophrenia 
C) Dementia 
D) Sundowning syndrome 
A) Disordered thinking 
B) Schizophrenia 
C) Dementia 
D) Sundowning syndrome

Question 11

A patient is frequently late for appointments because he goes back to his room numerous times to assure himself that none of his belongings have been stolen.What does this behavior represent?

Accepted Answer

A) Senseless behavior 
B) Controlled repetition 
C) Obsessive-compulsive 
D) Anxiety tension 
A) Senseless behavior 
B) Controlled repetition 
C) Obsessive-compulsive 
D) Anxiety tension

Question 12

What are considered warning signs of suicide? (Select all that apply.)

Accepted Answer

A) Talking about suicide 
B) Increased interactions with friends and family 
C) Drug or alcohol abuse 
D) Difficulty concentrating on work or school 
E) Personality changes 
A) Talking about suicide 
B) Increased interactions with friends and family 
C) Drug or alcohol abuse 
D) Difficulty concentrating on work or school 
E) Personality changes

Question 13

What is the typical schedule for electroconvulsive therapy (ECT)?

Accepted Answer

A) 3 treatments over 2 weeks 
B) 6 treatments over 2 months 
C) 8 treatments over several weeks 
D) 10 treatments over several weeks 
A) 3 treatments over 2 weeks 
B) 6 treatments over 2 months 
C) 8 treatments over several weeks 
D) 10 treatments over several weeks

Question 14

The patient complains of recurrent,multiple physical ailments for which there is no organic cause.How should the nurse assess this?

Accepted Answer

A) Obsessive-compulsive disorder 
B) Phobia anxiety disorder 
C) Somatoform disorder 
D) Delusional disorder 
A) Obsessive-compulsive disorder 
B) Phobia anxiety disorder 
C) Somatoform disorder 
D) Delusional disorder

Question 15

The nurse instructs a patient who has just been prescribed a protocol of fluoxetine HCl (Prozac)that the drug takes ____ to ____ weeks to take effect.

Accepted Answer

2,4
two,four
Antidepressants o

Question 16

The nurse is assessing a female patient who has become rapidly and exceedingly anxious because her fingernail polish is chipped.What type of anxiety should the nurse conclude that the patient is exhibiting?

Accepted Answer

A) Signal anxiety 
B) General anxiety 
C) Anxiety traits 
D) Panic disorder 
A) Signal anxiety 
B) General anxiety 
C) Anxiety traits 
D) Panic disorder

Question 17

The nurse recognizes that stress can cause an ulcer,which is classified as a _______________ illness.

Accepted Answer

psychophysical
Psychophysical illness ad

Question 18

The nurse cautions a patient to watch his step.What response indicates concrete thinking?

Accepted Answer

A) The patient fixedly begins to watch his feet. 
B) The patient immediately examines his watch. 
C) The patient begins to watch the nurse's feet. 
D) The patient stands rigidly in one place without moving. 
A) The patient fixedly begins to watch his feet. 
B) The patient immediately examines his watch. 
C) The patient begins to watch the nurse's feet. 
D) The patient stands rigidly in one place without moving.

Question 19

A 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off.What does this behavior represent?

Accepted Answer

A) Phobia 
B) Post-traumatic stress disorder 
C) Obsessive-compulsive disorder 
D) Disordered thinking 
A) Phobia 
B) Post-traumatic stress disorder 
C) Obsessive-compulsive disorder 
D) Disordered thinking

Question 20

A young man with malaria spikes a temperature of 105° F and begins to hallucinate.How should the nurse assess this?

Accepted Answer

A) Delirium 
B) Psychotic break 
C) Possible stroke 
D) Anxiety disorder 
A) Delirium 
B) Psychotic break 
C) Possible stroke 
D) Anxiety disorder

Exam 34: Care of the Patient with a Psychiatric Disorder

A home health nurse has a patient who is taking lithium.What should be included in the teaching plan?

The nurse explains that an alternative therapy that uses essential oils and scented candles to help a patient relax and focuses on the atmosphere of the moment is ______________.

What is the prognosis for a schizophrenic patient who is exhibiting positive behaviors?

The nurse asks a patient with schizophrenia if he had any visitors on Sunday.Which response indicates loose association?

What is the term used for the beginning stage of schizophrenia,characterized by a lack of energy and complaints of multiple physical problems?

What is the term for a long-term and intense form of psychotherapy developed by Sigmund Freud that allows a patient's unconscious thoughts to be brought to the surface?

The nurse alters the care plan for a patient with depression to include what type of activity?

The nurse recognizes that researchers have identified that hereditary factors account for what percentage of mood disorders?

A patient admitted for delirium demonstrates increased disorientation and agitation only during the evening and nighttime.What is the term applied to this type of delirium?

A patient is frequently late for appointments because he goes back to his room numerous times to assure himself that none of his belongings have been stolen.What does this behavior represent?

What are considered warning signs of suicide? (Select all that apply.)

What is the typical schedule for electroconvulsive therapy (ECT)?

The patient complains of recurrent,multiple physical ailments for which there is no organic cause.How should the nurse assess this?

The nurse instructs a patient who has just been prescribed a protocol of fluoxetine HCl (Prozac)that the drug takes ____ to ____ weeks to take effect.

The nurse is assessing a female patient who has become rapidly and exceedingly anxious because her fingernail polish is chipped.What type of anxiety should the nurse conclude that the patient is exhibiting?

The nurse recognizes that stress can cause an ulcer,which is classified as a _______________ illness.

The nurse cautions a patient to watch his step.What response indicates concrete thinking?

A 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off.What does this behavior represent?

A young man with malaria spikes a temperature of 105° F and begins to hallucinate.How should the nurse assess this?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Professional Roles and Leadership

Filters

The nurse instructs a patient who has just been prescribed a protocol of fluoxetine HCl (Prozac)that the drug takes to weeks to take effect.