Which statement demonstrates a well-structured attempt at limit setting?
a. "Hitting me when you are angry is unacceptable."
b. "I expect you to behave yourself during dinner."
c. "Come here, right now!"
d. "Good boys don't bite.
a. "Hitting me when you are angry is unacceptable.
Which activity is most appropriate for a child with ADHD?
a. Reading an adventure novel
b. Monopoly
c. Checkers
d. Tennis
d. Tennis
What assessment question should the nurse ask when attempting to determine a teenager's mental health resilience? Select all that apply.
a. "How did you cope when your father deployed with the Army for a year in Iraq?"
b. "Who did you go to for advice whi
a. "How did you cope when your father deployed with the Army for a year in Iraq?"
b. "Who did you go to for advice while your father was away for a year in Iraq?"
d. "Where do you see yourself in 10 years?
Which factors tend to increase the difficulty of diagnosing young children who demonstrate behaviors associated with mental illness? Select all that apply.
a. Limited language skills
b. Level of cognitive development
c. Level of emotional development
d. P
a. Limited language skills
b. Level of cognitive development
c. Level of emotional development
In pediatric mental health there is a lack of sufficient numbers of community-based resources and providers, and there are long waiting lists for services. This has resulted in: Select all that apply.
a. Children of color and poor economic conditions bein
a. Children of color and poor economic conditions being underserved
b. Increased stress in the family unit
d. Premature termination of services
Child protective services have removed 10-year-old Christopher from his parents' home due to neglect. Christopher reveals to the nurse that he considers the woman next door his "nice" mom, that he loves school, and gets above average grades. The strongest
c. Resilience
April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April's mother admits t
b. Time-out is no longer an effective therapeutic measure.
Adolescents often display fluctuations in mood along with undeveloped emotional regulation and poor tolerance for frustration. Emotional and behavioral control usually increases over the course of adolescence due to:
a. Limited executive function
b. Cereb
b. Cerebellum maturation
A patient with a history of alcohol use disorder has been prescribed disulfiram (Antabuse). Which physical effects support the suspicion that the patient has relapsed? Select all that apply.
a. Intense nausea
b. Diaphoresis
c. Acute paranoia
d. Confusion
a. Intense nausea
b. Diaphoresis
d. Confusion
e. Dyspnea
Which assessment data confirm the suspicion that a patient is experiencing opioid withdrawal? Select all that apply.
a. Pupils are dilated
b. Pulse rate is 62 beats/min
c. Slow movements
d. Extreme anxiety
e. Sleepy
a. Pupils are dilated
d. Extreme anxiety
The nursing diagnosis ineffective denial is especially useful when working with substance use disorders and gambling. Which statements describe this diagnosis? Select all that apply.
a. Reports inability to cope
b. Does not perceive danger of substance us
b. Does not perceive danger of substance use or gambling
c. Minimizes symptoms
d. Refuses healthcare attention
e. Unable to admit impact of disease on life pattern
What action should you take when a female staff member is demonstrating behaviors associated with a substance use disorder?
a. Accompany the staff member when she is giving patient care.
b. Offer to attend rehabilitation counseling with her.
c. Refer her
d. Confront her about your concerns and/or report your concerns to a supervisor immediately.
A patient diagnosed with opioid use disorder has expressed a desire to enter into a rehabilitation program. What initial nursing intervention during the early days after admission will help ensure the patient's success?
a. Restrict visitors to family memb
b. Manage the patient's withdrawal symptoms well.
Lester and Eileen have always enjoyed gambling. Lately, Eileen has discovered that their savings account is down by $50,000. Eileen insists that Lester undergo therapy for his gambling behavior. The nurse recognizes that Lester is making progress when he
b. "Gambling activates the reward pathways in my brain.
Opioid use disorder is characterized by:
a. Lack of withdrawal symptoms
b. Intoxication symptoms of pupillary dilation, agitation, and insomnia
c. Tolerance
d. Requiring smaller amounts of the drug to achieve a high over time
c. Tolerance
Terry is a young male in a chemical dependency program. Recently he has become increasingly distracted and disengaged. The nurse concludes that Terry is:
a. Bored
b. Depressed
c. Bipolar
d. Not ready to change
d. Not ready to change
Maxwell is a 30-year-old male who arrives at the emergency department stating, "I feel like I am having a stroke." During the intake assessment, the nurse discovers that Maxwell has been working for 36 hours straight without eating and has consumed eight
b. Dehydration and caffeine overdose
Donald, a 49-year-old male, is admitted for inpatient alcohol detoxification. He is cachexic, has multiple scabs on his arms and legs, and has lower extremity edema. An appropriate nursing diagnosis for Donald along with an expected outcome is:
a. Risk fo
c. Nutrition: Less than body requirements/Maintains nutrient intake for metabolic needs
Which statement made by the primary caregiver of a patient diagnosed with dementia demonstrates accurate understanding of providing the patient with a safe environment?
a. "The local police know that he has wandered off before."
b. "I keep the noise level
c. "We've installed locks on all the outside doors.
Which statement made by a family member tends to support a diagnosis of delirium rather than dementia?
a. "She was fine last night but this morning she was confused."
b. "Dad doesn't seem to recognize us anymore."
c. "She's convinced that snakes come into
a. "She was fine last night but this morning she was confused.
When considering the pathophysiology responsible for both delirium and dementia, which intervention is appropriate for delirium specifically?
a. Assist with needs related to nutrition, elimination, hydration, and personal hygiene.
b. Monitor neurological
b. Monitor neurological status on an ongoing basis.
What side effects should the nurse monitor for when caring for a patient prescribed donepezil (Aricept)? Select all that apply.
a. Insomnia
b. Constipation
c. Bradycardia
d. Signs of dizziness
e. Reports of headache
a. Insomnia
c. Bradycardia
d. Signs of dizziness
e. Reports of headache
What is the rationale for providing a patient diagnosed with dementia easily accessible finger foods thorough the day?
a. Increases input throughout the day
b. The person may be anorexic
c. Assists with monitoring food intake
d. Helps prevent constipation
a. Increases input throughout the day
Ophelia, a 69-year-old retired nurse, attends a reunion of her former coworkers. Ophelia is concerned because she usually knows everyone, and she cannot recognize faces today. A registered nurse colleague recognizes Ophelia's distress and "introduces" Oph
d. Social cognition
Nancy is a nurse. After talking with her mother, she became concerned enough to drive over and check on her. Her mother's appearance is disheveled, words are nonsensical, smells strongly of urine, and there is a stain on her dressing gown. Nancy recognize
c. A urinary tract infection
Darnell is an 84-year-old widower who has lived alone since his wife died 6 years ago. A neighbor called Darnell's son to tell him that Darnell was trying to start his car from the passenger's side. He became angry and aggressive when the car would not st
d. "With person-centered care, my father will be able to remain in his home.
In the 2 months after his wife's death, Aaron, aged 90 and in good health, has begun to pay less attention to his hygiene and seems less alert to his surroundings. He complains of difficulty concentrating and sleeping and reports that he lacks energy. His
d. Arrange for an appointment with a therapist for evaluation and treatment of suspected depression.
Nurses caring for patients who have neurocognitive disorders are exposed to stress on many levels. Specialized skills training and continuing education are helpful to diffuse nursing stress, as well as: Select all that apply.
a. Expressing emotions by jou
a. Expressing emotions by journaling
c. Engage in exercise and relaxation activities
d. Having realistic patient expectations
Which statement made by the psychiatric nurse demonstrates an accurate understanding of the factors that affect an individual's personality?
a. "Therapy will help her identify that her problems are personality related."
b. "I'll need to learn more about t
b. "I'll need to learn more about this patient's cultural beliefs.
When assessing a patient diagnosed with a borderline personality disorder, which statement by the patient warrants immediate attention?
a. "My mother died ten years ago."
b. "I haven't needed medication in weeks."
c. "My dad never loved me."
d. "I'd reall
d. "I'd really like to hurt her for hurting me.
What is the current accepted professional view of the effect of culture on the development of a personality disorder?
a. There aren't sufficient studies to confirm the role that ethnicity and race have on the prevalence of personality disorders.
b. The No
a. There aren't sufficient studies to confirm the role that ethnicity and race have on the prevalence of personality disorders.
Which personality disorders are generally associated with behaviors described as "odd or eccentric"? Select all that apply.
a. Paranoid
b. Schizoid
c. Histrionic
d. Obsessive-compulsive
e. Avoidant
a. Paranoid
b. Schizoid
Which behaviors are examples of a primitive defense mechanism often relied upon by those diagnosed with a personality disorder? Select all that apply.
a. Regularly attempts to split the staff
b. Attempts to undo feelings of anger by offering to do favors
a. Regularly attempts to split the staff
b. Attempts to undo feelings of anger by offering to do favors
c. Regresses to rocking and humming to sooth themselves when fearful
Personality disorders often co-occur with mood and eating disorders. A young woman is undergoing treatment at an eating disorders clinic and her nurse suspects the patient may also have a Cluster B personality disorder due to the young woman's:
a. Desire
b. Dramatic response to frustration
Larry is from a small town and began displaying aggressive and manipulative traits while still a teenager. Now at 40 years old, Larry is serving a life sentence for the murders of his wife and her brother. John, the prison psychiatric nurse practitioner,
d. Manifest as small incremental changes
Connor is a 28-year-old student, referred by his university for a psychiatric evaluation. He reports that he has no friends at the university and people call him a loner. Recently, Connor has been giving lectures to pigeons at the university fountains. Co
a. Can be made aware of their delusions
Garret's wife of 8 years is divorcing him because the marriage never developed a warm or loving atmosphere. Garrett states in therapy, "I have always been a loner," and was never concerned about what others think. The nurse practitioner suggests that Garr
c. Increase the pleasure of living
Josie, a 27-year-old patient, complains that most of the staff do not like her. She says she can tell that you are a caring person. Josie is unsure of what she wants to do with her life and her "mixed-up feelings" about relationships. When you tell her th
b. Borderline
During an interview with a patient, which question asked of an older adult is associated with the Patient Self-Determination Act?
a. "Who besides yourself may have access to your medical information?"
b. "Have you discussed your end-of-life choices with y
b. "Have you discussed your end-of-life choices with your family or designated surrogate?
Which statement made by a nurse requires immediate correction by the supervisor?
a. "Many older patients are depressed."
b. "Retirement is a difficult time for older patients."
c. "Cognitive decline is normal in patients who are 65 and older."
d. "Sleep-r
c. "Cognitive decline is normal in patients who are 65 and older.
Considering psychosocial role theory, which patient demonstrates healthy adjustment to aging?
a. The 70-year-old who is training for a 5-mile running race
b. The older adult who controls diabetes with diet and exercise
c. The retiree who volunteers 3 days
c. The retiree who volunteers 3 days a week at the local library
The older patient is discussing chronic pain and asks the primary care provider for a prescription. Which medication should the nurse anticipate being ordered rather than an opioid?
a. Gabapentin
b. Acetaminophen
c. Morphine
d. Fentanyl
a. Gabapentin
Which statement by an older patient with a mild neurocognitive disorder demonstrates a safe response to beginning a new medication?
a. "I read the information the pharmacist gave me when I got the prescription filled."
b. "My daughter comes with me to app
b. "My daughter comes with me to appointments so that we get all the information we need.
Anxiety problems in older adults can manifest as a fear of falling, greatly influencing an older adult's personal freedom. A home health nurse checking on a patient with mild dementia and anxiety related to falling should question which new order?
a. Yoga
b. Xanax
Fred is an older adult with spinal stenosis and who is being treated with a short-term prescription of opioids for an acute episode of back pain. His nurse recognizes additional teaching is necessary when Fred states:
a. "Sitting up straight seems to redu
d. "My wife and I share my Norco for our aches and pains.
Ling works as a registered nurse in an Alzheimer's care home. Ling has a specialized rapport-building technique she uses called reminiscence. She uses this technique by:
a. Telling the residents stories about her grandparents' lives.
b. Playing music from
d. Encouraging the residents to talk about pleasurable past events.
Marco, age 83, has dementia and difficulty feeding himself despite the fact that there is nothing wrong with his motor functions. Which term should the nurse use to document this finding?
a. Aphasia
b. Apraxia
c. Agnosia
d. Disinhibition anergia
b. Apraxia
You are caring for Ellie, age 91, whose provider has written a "DNR-CCO" order. Which nursing action would be appropriate if Ellie were to go into cardiac arrest?
a. Immediately call for the code team
b. Notify the attending physician and family of the ch
b. Notify the attending physician and family of the change in status