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    Exam Review

    1. A patient diagnosed with alcoholism says. "Drinking helps me cope with being a single parent." Which therapeutic response by the nurse would help the patient conceptualize the drinking objectively?
      A)"Sooner or later, alcohol will kill you. Then what will happen to your children?"
      B)"I hear a lot of defensiveness in your voice. Do you really believe this?"
      C)"Tell me what happened the last time you drank."
      D)"If you were coping so well, why were you hospitalized again?"
    2. In a team meeting a nurse says. "I'm concerned about whether we are behaving ethically by using restraints to prevent one patient from self-mutilation, while the care plan for another self-mutilating patient requires one-on-one supervision." Which ethical principle most clearly applies to this situation?
      A)Justice
      B)Fidelity
      C)Beneficence
      D)Autonomy
    3. Which assessment finding would the nurse expect to see in a patient experiencing delirium? (Select all that apply)(SATA)
      A)Agnosia
      B)Impaired level of consciousness
      C)Disorientation to place, and time
      D)Apathy
      E)Wandering attention
    4. An outpatient diagnosed with anorexia nervosa has begun refeeding. Between the first and second appointments (one week between first and second appointment), the patient gained B pounds. The nurse should
      A)assess lung sounds and extremities.
      B)positively reinforce the patient for the weight gain.
      C)establish a higher goal for weight gain the next week.
      D)suggest use of an aerobic exercise program.
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    Exam Review

    1. Which measure would be considered a form of primary prevention for suicide?
      A)Referral of a formerly suicidal patient to a support group.
      B)Psychiatric hospitalization of a suicidal patient
      C)Suicide precautions for 24 hours for newly admitted patients.
      D)Helping school children learn to manage stress and be resilient.
    2. A patient experiences a sudden episode of severe anxiety. Which medication would be the expected drug to be given to help with the sudden episode of severe anxiety?
      A)Lorazepam (Ativan)
      B)Amitriptyline (Elavil)
      C)Buspirone (Buspar)
      D)Desipramine (Norpramin)
    3. A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?
      A)Make positive statements about improvement in body image.
      B)Attain a weight that is greater than the 75th percentile for age and height.
      C)Feel in control of her behavior.
      D)Identify changes within the family unit that promote the client's autonomy.
    4. The feeling experienced by a patient that should be assessed by the nurse as most predictive of elevated suicide risk is
      A)anger.
      B)elation.
      C)hopelessness.
      D)sadness.
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    Exam Review

    1. Which action by a psychiatric nurse best applies the ethical principle of autonomy?
      A)Intervening when a self-mutilating patient attempts to harm self.
      B)Exploring alternative solutions with the patient, who then makes a choice.
      C)Staying with a patient demonstrating a high level of anxiety.
      D)Suggesting that two patients who were fighting be restricted to the unit.
    2. A patient discloses several concerns and associated feelings. If the nurse wants to seek clarification, which comment would be appropriate?
      A)"Am I correct in understanding that."
      B)"Tell me everything from the beginning."
      C)Tell me again about your experiences."
      D)"What are the common elements here?"
    3. A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client al t about the use of this medication?
      A)Thyroid function tests should be performed every 6 months.
      B)A pretreatment electroencephalogram (EEG) will be done.
      C)Liver function tests must be monitored.
      D)High serum sodium levels can cause toxic levels of valproate.
    4. A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling. "You are all making fun of me!" The nurse should identify this behavior as which of the following characteristics of schizophrenia?
      A)Magical Thinking
      B)Associative looseness
      C)Ideas of Reference
      D)Delusions of Grandeur
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    Exam Review

    1. An adult outpatient diagnosed with major depressive disorder has a history of several suicide attempts by overdose. Given this patient's history and diagnosis, which antidepressant medication would the nurse expect to be prescribed to this patient?
      A)Tranylcypromine sulfate (Parnate)
      B)Amitriptyline (Elavil)
      C)Desipramine (Norpramin)
      D)Fluoxetine (Prozac)
    2. A patient in alcohol rehabilitation reveals to the nurse. "I feel terrible guilt for sexually abusing my 6-year-old before I was admitted." Select the nurse's most important action.
      A)Respect nurse-patient relationship confidentiality.
      B)File a written report with the agency's ethics committee.
      C)Anonymously report the abuse by phone to the local child protection agency.
      D)Reply, I'm glad you feel comfortable talking to me about it."
    3. A health care provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory hallucinations and poor social function. The patient is also overweight and hypertensive. Which drug should the nurse advocate?
      A)Aripiprazole (Abilify)
      B)Olanzapine (Zyprexa)
      C)Clozapine (Clozaril)
      D)Ziprasidone (Geodon)
    4. What assessment findings mark the prodromal stage of schizophrenia?
      A)Stereotyped behavior, echopraxia, echolalia, and waxy flexibility.
      B)Auditory hallucinations, ideas of reference, thought insertion, and broadcasting,
      C)Loose associations, concrete thinking, and echolalia neologisms.
      D)Withdrawal, misinterpreting, poor concentration, and preoccupation with religion.
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    Exam Review

    1. Which scenario demonstrates a dissociative fugue?
      A)A man is extremely anxious about his problems and sometimes experiences dazed periods of several minutes passing without conscious awareness of them,
      B)A woman reports that when she feels tired or stressed, it seems like her body is not real and is somehow growing smaller.
      C)A woman finds unfamiliar clothes in her closet, is recognized when she goes to new restaurants, and complains of "blackouts" despite not drinking
      D)After being caught in an extramarital affair, a man disappeared but then reappeared months later with no memory of what occurred while he was missing
    2. A nurse can anticipate teaching a patient to expect anticholinergic side effects such as dry mouth, blurred vision, mydriasis, constipation, and urinary retention when they are prescribed which medication?
      A)buspirone
      B)lithium
      C)imipramine
      D)risperidone
    3. The nurse expects which medication to be prescribed to maintain abstinence to a patient with an addiction to either alcohol or opioids?
      A)Methadone (Methadose)
      B)Naltrexone (Vivitrol)
      C)Disulfiram (Antabuse)
      D)Bromocriptine (Parlodel)
    4. What is the nurse's priority focused assessment for side effects in a child taking methylphenidate (Ritalin) for ADHD?
      A)Neuroleptic malignant syndrome
      B)Dystonia, akinesia, and extrapyramidal symptoms
      C)Bradycardia and hypotensive episodes
      D)Sleep disturbances and weight loss
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