Your patient, whose wife died a few months ago, appears to be very unkempt and apathetic.
Although several months have passed since his wife's death he h... [Show More] as not progressed at all through
his grieving. You assess this condition as which of the following?
disenfranchised grief
panic disorder
complicated grief
physiologic grief ✔✔Correct Answer:
complicated grief
A person has uncomplicated grief when he or she has normal physical, psychological, cognitive
and spiritual responses to the death of a significant other. But when the person shows persistent
maladaptive behaviors such as not taking care of personal hygiene and/or appearance and does not
progress through the mourning process, this is complicated grief.
If a patient has had a myocardial infarction, which of the following atypical antidepressants should
not be prescribed within the recovery phase?
Trazodone
Duloxetine
Bupropion
Desvenlafaxine ✔✔Correct Answer:
Trazodone
If a patient has had a myocardial infarction, during the recovery phase, the patient should not be
prescribed this medication. Trazodone (Desyrel) can cause the patient to develop orthostatic
hypotension and priapism.
To get your teaching ideas and concepts across to a poor reader which of the following would be
most appropriate?
Use longer sentences.
Use abstract concepts.
Discourage questioning.
Use examples and review. ✔✔Correct Answer:
Use examples and review.
To get the idea across to a poor reader use examples and review. The other choices are not helpful.
You should use short sentences and easy to read layouts; be concrete rather than abstract; and teach
them how to ask questions about their health. Also, tell context first and use visual, use common
words and examples, and explain meaning.
A 21-year old woman presents with complaints of milky discharge from her breasts. She doesn't
have any other symptoms and is not pregnant, nor has been before. She tells the nurse about each
medication that she takes. Which of these drugs may be implicated as the cause of the symptom?
aspirin
Lamotrigine
Risperidone
sertraline ✔✔Correct Answer:
Risperidone
Risperidone can cause the greatest prolactin elevation among atypical psychotics. A milky white
discharge known as galactorrhea could be a sign of an underlying condition. The fact that the
woman takes Risperidone, an atypical antipsychotic, would likely point to the cause and should be
switched with one less likely to have that same side effect.
Which of the following would be considered one of the main things that is responsible for about
2/3 of psychiatric hospital readmissions?
Not sufficient care.
Medication noncompliance
Biophysical assessments
None of the above ✔✔Correct Answer:
Medication noncompliance
Medication noncompliance is a major problem with the psychiatric mental health patients. The
home health nurses assists by helping the patients
to see the relationship between their compliance with their medication regimen and control of their
symptoms.
Which of the following would be considered an important form of communication that can help to
promote consistency in the care of the patient at the
same time that it justifies their stay in the hospital?
Review of care.
Documentation
Verbal reporting
None of the above ✔✔Correct Answer:
Documentation
The other 3 options above are incorrect.
One of the most important aspects of nursing is documentation. Documentation can promote
consistency in the care of the patient and is also used to help justify the patient remaining in the
hospital.
Effects of an overdose of LSD (Lysergic acid diethylamide) can include all of the following
except?
Vomiting
Respiratory failure
Hypertensive crisis
Seizures ✔✔Correct Answer:
Hypertensive crisis
Hypertensive crisis would be considered a symptom of PCP overdose. Vomiting, respiratory
failure and seizures would be considered an effect
of LSD overdose.
Symptoms of serotonin syndrome include all of the following EXCEPT:
insomnia
nausea
loss of coordination
sweating or shivering with goose bumps ✔✔Correct Answer:
nausea
Symptoms of serotonin syndrome can present in patients that have drug combinations that are
contraindicated. They can vary from restlessness and agitation to tremors, chills, headaches, and
insomnia as well as loss of coordination. Nausea has not been implicated in serotonin syndrome.
What is the rate of suicide attempts for patients having dissociative identity disorder?
30%
45%
70%
60% ✔✔Correct Answer:
70%
People with dissociative identity disorder have one of the highest risks for suicide. According to
the Diagnostic and Statistical Manual of Mental Disorders (DSM-5),more than 70% of outpatients
with DID have attempted suicide, and multiple suicide attempts are common.
Of the following, which would not be considered a phase of schizophrenia treatment?
Maintenance
Acute
Cognitive
Stabilization ✔✔Correct Answer:
Cognitive
Cognitive is not one of the three phases of schizophrenia treatment.
The three phases are:
Phase 1: acute
Phase 2: stabilization
Phase 3: maintenance
The patient should be monitored for effects of psychotropic medications which can impact cardiac
rhythms. Which of the following could be a potential
cardiac side effect?
A prolonged QT interval
Narrowing of the QRS
Both A and B
None of the above ✔✔Correct Answer:
A prolonged QT interval
With antipsychotic drugs, the triclyclic action can cause problems. These medications can cause a
widening of the QRS or a prolonged QT interval.
This is a measure of the ventricular repolarization.
Sullivan described three developmental cognitive modes of experience and believed that mental
disorders are related to the persistence of one of the early modes. The mode that begins in early
childhood as the child begins to connect experiences in sequence is which of the following?
prototaxic mode
parataxic mode
syntaxic mode
composite mode ✔✔Correct Answer:
parataxic mode
The parataxic mode begins in early childhood. The child may not make logical sense of the
experiences and may see them as coincidence or chance events. The child seeks to relieve anxiety
by repeating familiar experiences, although he or she may not understand what he or she is doing.
Which of the following acts have provided the greatest protection for the
individual not to lose or be denied health insurance coverage?
Patient Protection and Affordable Care Act
OSHA
ISPN
None of the above ✔✔Correct Answer:
Patient Protection and Affordable Care Act
The other 3 options above are incorrect.
For several decades now, the ANA (American Nurses Association) has been
working and advocating for reforms that will help to guarantee the access
of high-quality health care. This act has helped millions of people, but
ANA recognizes the fact that this debate is far from being over. The ANA
is dedicated to educating the nursing public about the changing systems
and their impacts on people's lives and the nursing profession.
Which of the following is an example of Western alternative medical systems?
TCM (traditional Chinese medicine)
naturopathy
ayurveda
acupuncture ✔✔Correct answer:
naturopathy
Naturopathy and homeopathy are examples of Western alternative medical systems. Naturopathy
emphasizes health restoration rather than disease treatment and combines nutrition, homeopathy,
therapeutic counseling and other therapies. The underlying belief is that the individual assumes
responsibility for his or her recovery.
What is NOT a sign of alcohol intoxication?
Nystagmus
Mood lability
The face has pale skin.
Aggressive impulses ✔✔Correct Answer:
The face has pale skin.
A flushed face is a sign of alcohol intoxication. Other signs include disinhibition of sexual
impulses, impaired judgment, and impaired occupational functioning.
In terms of styles of leadership in therapeutic groups, which type of leader encourages individual
creativity and group cohesiveness?
autocratic
democratic
laissez-faire
psychotherapeutic ✔✔Correct Answer:
democratic
There are three main styles of group leadership: autocratic, democratic, and laissez-faire. A
democratic leadership style focuses on the members of the group. Members are encouraged to
participate fully in problem-solving of issues that relate to the group. This type of leader
encourages individual creativity and group cohesiveness.
All of the following are considered to be types of family structures except?
Nuclear family
Behavioral family
Blended family
Extended family ✔✔Correct Answer:
Behavioral family
The major types of family structures are:
Nuclear family
Blended family
Extended family
Single-parent family
Other familial systems
What would NOT be an appropriate way to deal with a patient in the psychiatric unit who is prone
to protracted angry outbursts?
Using reassuring touch
Determining the source of the patient's anger
Remaining calm
Setting verbal limits on behavior ✔✔Correct answer: Using reassuring touch
This would not be appropriate for interacting with an angry patient. When coping with an angry
patient, don't shout or argue with the client and avoid touching the client or invading the client's
space. This can escalate the anger. Touching the client can be threatening and make them feel
cornered. This may result in retaliation.
N-STAT is an ANA program that does which of the following?
unifies nurses' political voices
recommends nursing health policies
assures a safe workplace for nurses
evaluates Medicare and Medicaid reforms ✔✔Correct Answer:
unifies nurses' political voices [Show Less]
