Term
1. A client with depression has not been attending group therapy sessions but has been able to meet with visitors, eat meals, and watch television. He states, “I have a brain illness—a chemical imbalance. I have no control over my behavior. I'll just have to wait until the medications kick in.” Which is the appropriate nursing response to this client's comments?
A) “In addition to biological factors, a complex interplay of environmental and interpersonal events contributes to the onset and maintenance of depression.”
B) “Given this is the 'decade of the brain,' you are correct in saying that biological factors cause depression.”
C) “Biological factors have been shown to exert the most influence in the development of mental illness.”
D) “Researchers have been unable to adequately demonstrate the link between nature (biology and genetics) and nurture (environment).” |
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Definition
| 1. A client with depression has not been attending group therapy sessions but has been able to meet with visitors, eat meals, and watch television. He states, “I have a brain illness—a chemical imbalance. I have no control over my behavior. I'll just have to wait until the medications kick in.” Which is the appropriate nursing response to this client's comments? |
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Term
2. A client with depression asks, “So, where in my head is the depression?” What is the appropriate nursing response?
A) “The occipital lobe governs perceptions of events, judging them as positive or negative.”
B) “The parietal lobe has been linked to depression.”
C) “The medulla regulates key biological and psychological activities.”
D) “The limbic system is largely responsible for one's experience of emotion.” |
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Definition
| D) “The limbic system is largely responsible for one's experience of emotion.” |
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Term
3. A client with an anxiety disorder may have a disruption in which brain centers?
A) Parietal lobes
B) Cerebellum
C) Occipital lobes
D) Autonomic nervous system |
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Definition
| D) Autonomic nervous system |
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Term
4. Which are the competing biological theories regarding the development of depression? Select all that apply.
A) Dysregulation of the limbic system
B) Imbalance of neurotransmitters such as serotonin, dopamine, and norepinephrine
C) Excessive amounts of inhibitory amino acids such as GABA (gamma-aminobutyric acid)
D) Thyroid dysfunction |
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Definition
A) Dysregulation of the limbic system
B) Imbalance of neurotransmitters such as serotonin, dopamine, and norepinephrine
D) Thyroid dysfunction |
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Term
5. A nursing student on a psychiatric unit questions how circadian rhythms and psychopathology are related. What is the most appropriate response by an experienced nurse?
A) “Circadian rhythms have little effect on and are affected little by psychopathology.”
B) “External manipulation of the light–dark cycle has little effect on mood disorders.”
C) “Because biological rhythms are genetically determined and unchangeable, it is of little value to study its effects on psychopathology.”
D) “The common finding of sleep disturbance in depression suggests circadian rhythms may be affected by or are affecting psychopathology.” |
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Definition
| D) “The common finding of sleep disturbance in depression suggests circadian rhythms may be affected by or are affecting psychopathology.” |
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Term
6. A nursing student on a psychiatric unit asks a nursing instructor about the difference between a phenotype and a genotype. The nursing instructor explains that phenotypes are:
A) Manifestations of particular genotypes.
B) Determined solely by the environment.
C) Not as useful as genotypes in the study of psychopathology.
D) Determined solely by genotypes. |
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Definition
| A) Manifestations of particular genotypes. |
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Term
7. A clinical nurse specialist is conducting an in-service on the effects of stress on the human body. Which statement by the clinical nurse specialist regarding psychoimmunology is true?
A) Growth hormone inhibits immune functioning.
B) Psychosocial stress is correlated with physical illness.
C) Serotonin acts solely to increase immune functioning.
D) Schizophrenia is clearly correlated with inhibited immune functioning. |
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Definition
| B) Psychosocial stress is correlated with physical illness. |
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Term
8. A nurse is caring for a client who will undergo multiple diagnostic procedures to detect altered brain function. Which test, if ordered, should the nurse question?
A) Magnetic resonance imaging
B) Electroencephalogram
C) Positron emission tomography
D) Endoscopy |
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Definition
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Term
9. A female client develops depression months after giving birth and is given a prescription for fluoxetine (Prozac). A nurse explains to the client that her depression may be due to an imbalance in the “chemical messengers” in the brain. Which are considered to be the “chemical messengers” of the brain?
A) Dendrites
B) Axons
C) Neurotransmitters
D) Synapses |
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Definition
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Term
10. A client asks a nurse what the limbic system does. What is the most appropriate nursing response?
A) “Regulates emotional behavior.”
B) “Performs abstract reasoning and higher-order thinking.”
C) “Performs critical decision-making, planning, and movement.”
D) “Regulates muscle tone and coordination.” |
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Definition
| A) “Regulates emotional behavior.” |
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Term
11. A nursing student asks a nursing instructor about the function of neurotransmitters in the brain. The nursing instructor explains to the student that neurotransmitters released in the synaptic cleft may return to the presynaptic neuron in a process called:
A) Regeneration.
B) Reuptake.
C) Recycling.
D) Retransmission. |
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Definition
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Term
12. A client is diagnosed with a terminal illness. Upon receiving this information, the client abruptly rises and runs out of the room. A nurse understands that the client is exhibiting a “fight-or-flight” response. Which neurotransmitter is associated with the “fight-or-flight” response?
A) Acetylcholine
B) Dopamine
C) Serotonin
D) Norepinephrine |
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Definition
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Term
13. A client is admitted to an outpatient facility for diagnostic testing related to insomnia. A nurse understands that sleep is induced by inhibitory neurotransmitters in the brain. Which neurotransmitter is inhibitory?
A) Gamma-aminobutyric acid (GABA)
B) Norepinephrine
C) Acetylcholine
D) Dopamine |
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Definition
| A) Gamma-aminobutyric acid (GABA) |
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Term
14. A nurse is caring for a client who is suspected of having a decreased thyroid-stimulating hormone (TSH). Which symptom(s) should the nurse expect to see? Select all that apply.
A) Depression
B) Fatigue
C) Decreased libido
D) Bulging eyes
E) Diarrhea |
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Definition
A) Depression
B) Fatigue
C) Decreased libido |
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Term
15. A psychiatric nurse is caring for a client with depression. With which conditions is depression often associated? Select all that apply.
A) Elevated serum cortisol
B) Decreased thyroid-stimulating hormone
C) Elevated melatonin
D) Increased thyroid-stimulating hormone |
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Definition
A) Elevated serum cortisol
B) Decreased thyroid-stimulating hormone
C) Elevated melatonin |
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Term
16. A client's wife of 34 years died unexpectedly 2 months ago. He is very depressed and receives weekly home visits from a community mental health nurse. The nurse encourages the client to talk about his wife, their life together, and what he has lost since her death. At each visit, the nurse strongly reinforces the need for the client to eat properly and to get daily exercise and adequate rest. Why does the nurse emphasize these self-care activities?
A) The nurse is substituting for the client's wife.
B) The client has developed bad habits since his wife's death.
C) It is routine practice to remind clients about nutrition, exercise, and rest.
D) The client is more susceptible to physical illness because of his emotional condition. |
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Definition
| D) The client is more susceptible to physical illness because of his emotional condition. |
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Term
17. A clinical nurse specialist conducts an in-service regarding the effects of various hormones on the body. The nurse specialist informs the in-service participants that increased levels of the hormone prolactin may play a role in the development of:
A) Acute mania.
B) Depression.
C) Anorexia nervosa.
D) Alzheimer disease. |
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Definition
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Term
18. A nurse enters a client's room just as the client is drifting off to sleep. The client is initially startled by the nurse's presence and involuntarily “jumps,” grabbing the side rails of the bed. Then, seeing that it is the nurse who is in the room, the client's brain “turns off” the stress response and the client calms. Which cerebral structure, sometimes referred to as the “emotional brain,” is the source of this reaction?
A) The cerebellum
B) The limbic system
C) The cerebral cortex
D) The left temporal lobe |
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Definition
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Term
19. A nurse is caring for an athlete who has been using steroids to enhance his sports performance. The steroids have caused the client's pituitary gland to release large amounts of adrenocorticotropic hormone (ACTH) into the client's bloodstream. Which psychological condition is associated with elevated levels of ACTH?
A) Alzheimer's disease
B) Apathy
C) Psychosis
D) Fatigue |
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Definition
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Term
20. A nurse is administering donepezil HCl (Aricept) to a client to inhibit the breakdown of acetylcholine in the client's brain and to slow the progression of the client's illness. The nurse administers the medication knowing that a decrease in acetylcholine may play a significant role in:
A) Alzheimer disease.
B) Schizophrenia.
C) Anxiety disorders.
D) Depression. |
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Definition
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Term
21. A nurse is caring for a client with Graves disease. A health care provider prescribes oral propylthiouracil (PTU) 100 mg three times daily. The nurse administers the medication knowing that elevated levels of thyroid hormone may play a role in:
A) Anxiety.
B) Depression.
C) Anorexia nervosa.
D) Alzheimer disease. |
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Definition
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Term
22. A nurse is administering medications to a client. A health-care provider has ordered bupropion (Wellbutrin XL) to increase the client's brain levels of dopamine and norepinephrine. The nurse administers the medication with the understanding that a decrease in norepinephrine may play a significant role in:
A) Bipolar disorder.
B) Schizophrenia.
C) Anxiety disorders.
D) Depression. |
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Definition
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Term
23. A psychiatric nurse is administering alprazolam (Xanax) to a client. A health-care provider ordered this medication for the client because it enhances the actions of the neurotransmitter gamma-aminobutyric acid (GABA), which decreases brain activity. The nurse administers this medication knowing that gamma-aminobutyric acid (GABA) levels may play a significant role in:
A) Alzheimer disease.
B) Schizophrenia.
C) Panic disorder.
D) Depression. |
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Definition
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Term
24. A health-care provider orders quetiapine fumarate (Seroquel) for a client to diminish the action of dopamine and serotonin, two of the brain's chief chemical messengers. A nurse administers the medication because an increase in dopamine activity may play a significant role in which illness?
A) Alzheimer disease
B) Schizophrenia
C) Anxiety disorders
D) Depression |
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Definition
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Term
25. A nurse is caring for a client with an injury to the temporal lobe of the brain. Which symptom should the nurse anticipate as a result of this injury?
A) Anosmia
B) Impaired visual perception
C) Language impairment
D) Taste disturbances |
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Definition
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Term
26. A nurse is caring for a client with frontal lobe disturbances. Which nursing assessment is most appropriate following this particular injury?
A) Assessing for fear and aggression
B) Assessing for ability to feel touch
C) Assessing for ability to smell
D) Assessing for ability to see clearly |
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Definition
| A) Assessing for fear and aggression |
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Term
27. A nurse is caring for a client who is unable to block any incoming sensory stimuli. When the client attempts to read a book, he states that all he can hear is a ticking clock. When he is watching television, he has to stop and look at every person who walks by. Based on this information, the nurse would anticipate a disturbance in which portion of the brain?
A) Hypothalamus
B) Amygdala
C) Thalamus
D) Pituitary gland |
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Definition
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Term
1. A husband questions his wife on her decision to become a psychiatric nurse. He states, “How can you work with the mentally ill day in and day out?” His wife replies, “It's just the right thing to do.” From which ethical framework is the wife operating?
A) Kantianism
B) Christian ethics
C) Ethical egoism
D) Utilitarianism |
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Definition
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Term
2. A client with severe schizophrenia is hospitalized when he becomes agitated, physically aggressive, and uncooperative. He is put in leather restraints for safety purposes. The nurse states, “Well, I know the client is against us putting him in restraints, but if I ever get in this condition, I hope people would do the same for me.” This statement by the nurse is an example of which ethical philosophy?
A) Kantianism
B) Utilitarianism
C) Christian ethics
D) Natural law ethics |
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Definition
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Term
3. Without obtaining proper authorization by a physician, a nurse administers an extra dose of narcotic tranquilizer to an agitated elderly client who cursed at her. A coworker recognizes that an ethical/legal infraction has occurred but fears repercussions if he gets involved. Which is the correct ethical interpretation of the coworker's lack of involvement?
A) Taking no action is still considered an action taken by the coworker.
B) Taking no action releases the coworker from ethical responsibility.
C) Taking no action is advised when potential adverse consequences are foreseen for the coworker.
D) Taking no action is acceptable since the coworker is only a bystander. |
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Definition
| A) Taking no action is still considered an action taken by the coworker. |
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Term
4. Group therapy is strongly encouraged, but not mandated, in an inpatient psychiatric unit. A client tells a nurse that he is not going to group therapy. The nurse recognizes that the client has exercised which ethical principle?
A) Justice
B) Autonomy
C) Veracity
D) Beneficence |
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Definition
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Term
5. A nursing staff in an inpatient psychiatric unit fails to conduct the regularly scheduled group meetings because of staffing problems. Which client right does this impact?
A) Right to refuse treatment
B) Right to receive treatment
C) Right to confidentiality
D) Right to review the treatment plan |
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Definition
| B) Right to receive treatment |
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Term
6. A nursing staff in an inpatient psychiatric unit fails to conduct the regularly scheduled group meetings because of staffing problems. Which ethical principle was not upheld?
A) Veracity
B) Autonomy
C) Justice
D) Beneficence |
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Definition
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Term
7. An involuntarily committed client is angry and verbally abusive to the staff. The client repeatedly threatens to sue various staff members. He frequently records staff members' full names and phone numbers. Which nursing action will most likely decrease the possibility of a lawsuit?
A) Verbally redirecting the client and refusing to interact with him on a one-to-one basis
B) Consulting the hospital's legal advisor as soon as possible
C) Warning the client that threats of legal action are inappropriate and unwelcome
D) Continuing to establish a good working relationship with the client and his family, if appropriate |
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Definition
| D) Continuing to establish a good working relationship with the client and his family, if appropriate |
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Term
8. To which ethical codes or ethical guidelines are psychiatric nurses accountable? Select all that apply.
A) American Nurses' Association Code of Ethics
B) American Hospital Association's Patient's Bill of Rights
C) Bill of Rights for Psychiatric Patients
D) Guidelines of the Joint Commission |
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Definition
A) American Nurses' Association Code of Ethics
B) American Hospital Association's Patient's Bill of Rights
C) Bill of Rights for Psychiatric Patients |
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Term
9. A client tells a nurse that she wants to know what treatments she can refuse. Which is the most appropriate response by the nurse?
A) “Clients can refuse pharmacological but not psychological treatment.”
B) “Clients can refuse any treatment at any time.”
C) “Clients can refuse only electroconvulsive therapy.”
D) “Clients can refuse treatment, but professionals can override this right when clients are a danger to themselves or others.” |
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Definition
| D) “Clients can refuse treatment, but professionals can override this right when clients are a danger to themselves or others.” |
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Term
10. A nurse plans for the involuntary commitment of a new client. The nurse understands that a state has the right to commit a mentally ill citizen if:
A) The person lives under a bridge in a cardboard box.
B) The person eats remains out of a garbage can.
C) The person does not bathe and wears a wool hat in the summer.
D) The person threatens to shoot himself. |
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Definition
| D) The person threatens to shoot himself. |
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Term
11. A client with major depressive disorder is admitted to a hospital. The client refuses to take medication and states the right to refuse it. Under which circumstance would a registered nurse have the right to medicate the client against his will?
A) If the client's physician refuses to treat the client if the client does not take the prescribed medication
B) If the client demands attention from the nurse constantly by begging, “Help me get better.”
C) If the client physically attacks another client after being confronted in a group therapy session
D) If the client refuses to bathe or perform hygiene activities |
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Definition
| C) If the client physically attacks another client after being confronted in a group therapy session |
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Term
12. A psychiatric nurse who is working in an inpatient unit receives a call asking if an individual has ever been a client in the facility. Which response by the nurse is most appropriate based on legal and ethical obligations?
A) Confirm that the person has been seen at the facility but give no further information.
B) Hang up on the caller.
C) Refuse to give any information at all to the caller, citing rules of confidentiality.
D) Suggest that the caller speak to the client's therapist. |
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Definition
| C) Refuse to give any information at all to the caller, citing rules of confidentiality. |
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Term
13. A client arrives at a state psychiatric hospital escorted by a police officer, who reports that the client was “disturbing the peace.” The police officer reports that while being questioned, the belligerent client appeared confused and disoriented. The staff member on call is considering involuntarily committing the client to the hospital. The staff member is aware that the criteria for involuntary commitment to a psychiatric hospital include:
Select all that apply.
A) Posing a danger to others.
B) Being mentally ill and hearing voices.
C) Disrupting the community.
D) Having the severe inability to care for personal needs because of mental illness that leads to harming of self. |
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Definition
A) Posing a danger to others.
B) Being mentally ill and hearing voices.
D) Having the severe inability to care for personal needs because of mental illness that leads to harming of self. |
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Term
14. A client asks for information about various antidepressant medications so that the client can make an informed choice about the management of depression. A nurse provides the client with the requested information. In doing so, which ethical principle is the nurse practicing?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice |
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Definition
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Term
15. Administrators of an inpatient psychiatric unit refuse to treat clients without insurance and prematurely discharge those whose insurance benefits expire. Which ethical principle is being breached?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice |
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Definition
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Term
16. A 17-year-old client is admitted to an inpatient unit after experiencing his first psychotic break of a schizophrenic illness. His parents plead with a nurse to reveal his diagnosis and prognosis. The treatment team is refraining from discussing the client's condition with the parents; stating the client's condition is “a reaction to stress.” Which ethical principle is being compromised?
A) Autonomy
B) Beneficence
C) Nonmaleficence
D) Justice
E) Veracity |
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Definition
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Term
17. A client who will be receiving electroconvulsive therapy (ECT) must provide informed consent. Which situation should cause a nurse to question the validity of the informed consent?
A) The client has macular degeneration and is legally blind.
B) The client is 87 years old.
C) The client incorrectly reports the day, date, and year.
D) The client wishes to review the information with his or her spouse. |
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Definition
| C) The client incorrectly reports the day, date, and year. |
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Term
18. A client with severe schizophrenia is seen monthly by a community mental health nurse for administration of fluphenazine decanoate (Prolixin Decanoate). During one monthly visit, the client refuses the medication. Which nursing intervention is ethically appropriate?
A) Telling the client it is his right not to take the medication
B) Informing the client that if he does not take his medication he will have to be hospitalized
C) Arranging with a relative to add medication to the client's morning orange juice
D) Calling for help to hold the client down while the medication is administered |
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Definition
| A) Telling the client it is his right not to take the medication |
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Term
19. A client with severe schizophrenia is hospitalized when he becomes agitated, physically aggressive, and uncooperative. The client is put in leather restraints for safety purposes. The client yells that he is going to sue the staff for assault and battery. Under which condition is the staff protected?
A) The client is a voluntary commitment and poses no danger to himself or others.
B) The client is a voluntary commitment and poses a danger to himself or others.
C) The client is an involuntary commitment but poses no danger to himself or others.
D) The client is an involuntary commitment and poses a danger to himself or others. |
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Definition
| D) The client is an involuntary commitment and poses a danger to himself or others. |
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Term
20. A client with severe schizophrenia is hospitalized when he becomes agitated, physically aggressive, and uncooperative. He is put in leather restraints for safety purposes. The client yells that he is going to sue the staff for assault and battery. Which action describes the criterion for assault and battery (outside an emergency situation)?
A) The staff becomes angry with the client and calls him offensive names.
B) The client is touched (or fears being touched) without his consent.
C) The nurse hides the client's clothes so he cannot leave.
D) The nurse puts the client in restraints against his wishes. |
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Definition
| B) The client is touched (or fears being touched) without his consent. |
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Term
21. A husband questions his wife on her decision to become a psychiatric nurse. He states, “How can you work with the mentally ill day in and day out?” His wife replies, “Well, if I was in that situation and needed help, I'd want a caring nurse to assist me, too.” From which ethical framework is the wife operating?
A) Kantianism
B) Christian ethics
C) Ethical egoism
D) Utilitarianism |
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Definition
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Term
22. A nurse is caring for a client who asks if chemotherapy could cause him or her any harm. Which nursing response demonstrates the use of veracity?
A) “No, chemotherapy should not cause you any harm.”
B) “Yes, chemotherapy can have serious side effects.”
C) “Chemotherapy can cause a few problems, but nothing to be worried about.”
D) “The physician will need to tell you more about this.” |
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Definition
| B) “Yes, chemotherapy can have serious side effects.” |
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Term
23. A nurse is preparing to make an ethical decision. Which action should be taken by the nurse before making an ethical decision?
A) Explore the benefits and consequences of each plan.
B) Act on the decision made and communicate the decision to others.
C) Gather subjective and objective data.
D) Identify any conflict between two or more actions. |
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Definition
| C) Gather subjective and objective data. |
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Term
24. A husband questions his wife on her decision to become a psychiatric nurse. He states, “How can you work with the mentally ill day in and day out?” His wife replies, “I don't necessarily care for the clients, and I don't think they necessarily care for me, but it pays the bills. It's the best job for me at this point in my career.” From which ethical framework is the wife operating?
A) Kantianism
B) Christian ethics
C) Ethical egoism
D) Utilitarianism |
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Definition
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Term
25. A client with severe schizophrenia is hospitalized when he becomes agitated, physically aggressive, and uncooperative. He is put in leather restraints for safety purposes. Which statement is correct regarding the use of restraints?
A) The client should be allowed to participate in the choice of treatment.
B) The nurse should base the decision on staff preferences.
C) The nurse should put the client in soft Posey restraints rather than in leather restraints.
D) The degree of restrictiveness of any form of restraint is a subjective determination. |
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Definition
| D) The degree of restrictiveness of any form of restraint is a subjective determination. |
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Term
1. When used in combination with anxiolytic medication, alcohol leads to a(n) _____________ effect and caffeine leads to a(n) ____________ effect.
A) increased; increased
B) increased; decreased
C) decreased; decreased
D) decreased; increased |
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Definition
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Term
2. A client was recently admitted to an inpatient unit after a suicide attempt. The client is placed on a tricyclic antidepressant. In terms of medication, which action should be taken to maintain the client's safety when the client is discharged?
A) Provide a 6-month supply to ensure long-term compliance.
B) Provide a 1-week supply of medication with refills authorized only after the client visits his health-care provider.
C) Encourage the client to increase fluid intake to counteract the common side effect of diarrhea.
D) Educate the client not to eat foods that contain tyramine. |
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Definition
| B) Provide a 1-week supply of medication with refills authorized only after the client visits his health-care provider. |
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Term
3. A male client is admitted to an inpatient unit after a suicide attempt and is prescribed a selective serotonin reuptake inhibitor (SSRI). Before the client is discharged, a nurse should teach the client about serotonin syndrome, which includes:
Select all that apply.
A) Change in mental status.
B) Myoclonus.
C) Blood pressure lability.
D) Priapism. |
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Definition
A) Change in mental status.
B) Myoclonus.
C) Blood pressure lability. |
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Term
4. A client is admitted to an inpatient unit after a suicide attempt and has not responded to SSRI or tricyclic antidepressants. The client asks a nurse, “I heard about MAOIs (monoamine oxidase inhibitors). Why can't they be added to what I am on now? Wouldn't adding one help?” Which is the most appropriate nursing response?
A) “Electroconvulsive therapy is your best option at this point.”
B) “Combined use can lead to a life-threatening condition called a hypertensive crisis.”
C) “There is no reason why an MAOI couldn't be added to your therapy.”
D) “They can't be used together because their mechanisms of action are very different.” |
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Definition
| B) “Combined use can lead to a life-threatening condition called a hypertensive crisis.” |
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Term
5. A client began taking lithium for the treatment of bipolar disorder approximately 1 month ago and asks a nurse why he has gained 12 pounds since then. Which is the most appropriate nursing response?
A) “I'm surprised you have gained; weight loss is the typical pattern when taking lithium.”
B) “Your weight gain is more likely related to food intake than medication.”
C) “Weight gain is a common, but troubling, side effect. Let's talk about some strategies for safely improving your nutrition and exercise habits.”
D) “There's not much you can do about the weight gain. It's better than being emotionally unstable though.” |
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Definition
| C) “Weight gain is a common, but troubling, side effect. Let's talk about some strategies for safely improving your nutrition and exercise habits.” |
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Term
6. A nurse is assessing a client who has a diagnosis of schizophrenia and takes an antipsychotic agent daily. Which finding requires further nursing assessment?
A) Respirations of 22 beats per minute
B) Weight gain of 8 pounds in 2 months
C) Temperature of 101°F (38.3°C)
D) Excess salivation |
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Definition
| C) Temperature of 101°F (38.3°C) |
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Term
7. An aging client with severe schizophrenia takes a beta-adrenergic blocking agent (propranolol) for hypertension as well as an antipsychotic. Given the combined side effects of these drugs, what teaching should the nurse provide?
A) Make sure you concentrate on taking slow, deep, cleansing breaths.
B) Watch your diet and try to engage in some regular physical activity.
C) Rise slowly when you change position from lying to sitting or sitting to standing.
D) Wear sunscreen and try to avoid midday sun exposure. |
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Definition
| C) Rise slowly when you change position from lying to sitting or sitting to standing. |
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Term
8. A client with depression and substance abuse has an interrupted sleep pattern. The client demands that her psychiatrist prescribe her a sedative. What teaching should a nurse provide regarding the rationale for the use of nonpharmacologic interventions instead?
A) Sedative-hypnotics are potentially addictive and gradually lose their effectiveness as one builds up tolerance to them.
B) Sedative-hypnotics work best in combination with other techniques.
C) Sedative-hypnotics are not permitted for use in patients with substance abuse disorders.
D) Sedative-hypnotics are not as effective as the antidepressant medications for treating sleep disturbances. |
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Definition
| A) Sedative-hypnotics are potentially addictive and gradually lose their effectiveness as one builds up tolerance to them. |
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Term
9. A nurse is administering a tricyclic antidepressant to a client. Which statement about the tricyclic group of antidepressant medications is accurate?
A) Strong or aged cheese should not be eaten while taking them.
B) Their full therapeutic potential may not be reached until 4 weeks.
C) They may cause hypomania or recent memory impairment.
D) They should not be given with antianxiety agents. |
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Definition
| B) Their full therapeutic potential may not be reached until 4 weeks. |
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Term
10. A client is admitted to a psychiatric unit with major depression that was a single episode and moderate. During the client's stay, the client is prescribed fluoxetine (Prozac) at 40 mg by mouth daily. Which statements should be included in the nurse's discharge teaching for this client? Select all that apply.
A) “Continue taking Prozac as prescribed. You will continue to see improvement over the next few weeks.”
B) “Make sure that you follow up with outpatient psychotherapy as you and the social worker have arranged.”
C) “You may be able to discontinue the medication within 6 months to 1 year, but only under a doctor's supervision. However, there is a chance of recurring episodes.”
D) “You should avoid foods with tyramine, including beer, beans, processed meats, and red wine.” |
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Definition
A) “Continue taking Prozac as prescribed. You will continue to see improvement over the next few weeks.”
B) “Make sure that you follow up with outpatient psychotherapy as you and the social worker have arranged.”
C) “You may be able to discontinue the medication within 6 months to 1 year, but only under a doctor's supervision. However, there is a chance of recurring episodes.” |
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Term
11. In the treatment of anxiety disorders, benzodiazepines (such as Ativan and Xanax) are indicated for_________ use and have__________ abuse potential.
A) short-term; high
B) long-term; high
C) short-term; low
D) long-term; low |
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Definition
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Term
12. Which medication does not require periodic blood-level monitoring?
A) Lithium carbonate (Eskalith)
B) Valproic acid (Depakote)
C) Clozapine (Clozaril)
D) Paroxetine (Paxil) |
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Definition
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Term
13. As part of discharge teaching, which guideline regarding lithium therapy should a nurse plan to include? Select all that apply.
A) Avoid excessive use of beverages containing caffeine.
B) Maintain a consistent sodium intake.
C) Consume at least 2500 to 3000 mL of fluid per day.
D) Monitor blood pressure daily. |
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Definition
A) Avoid excessive use of beverages containing caffeine.
B) Maintain a consistent sodium intake.
C) Consume at least 2500 to 3000 mL of fluid per day. |
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Term
14. A client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Of which potentially fatal side effect should a nurse teach the client?
A) Agranulocytosis
B) Akathisia
C) Dystonia
D) Akinesia |
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Definition
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Term
15. A client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Of which signs and symptoms of a potentially fatal side effect should a nurse teach the client?
A) Blurring vision and muscular weakness
B) Sore throat, fever, and malaise
C) Tremor, shuffling gait, and rigidity
D) Fine tremor, tinnitus, and nausea |
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Definition
| B) Sore throat, fever, and malaise |
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Term
16. A client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Blood tests demonstrating a potentially fatal side effect of this medication would reveal:
A) WBC count >3500 mm3 and absolute neutrophil count (ANC) >2000 mm3.
B) WBC count <3500 mm3 and ANC >2000 mm3.
C) WBC count >3500 mm3 and ANC <2000 mm3.
D) WBC count <3500 mm3 and ANC <2000 mm3. |
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Definition
| D) WBC count <3500 mm3 and ANC <2000 mm3. |
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Term
17. A psychiatrist prescribes a monoamine oxidase inhibitor (MAOI) for a client. When teaching the client about the effects of tyramine, which foods should a nurse caution the client to avoid?
A) Pepperoni pizza and red wine
B) Bagels with cream cheese and tea
C) Apple pie and coffee
D) Potato chips and diet cola |
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Definition
| A) Pepperoni pizza and red wine |
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Term
18. A client receives a diagnosis of major depression and is prescribed imipramine (Tofranil). What information specifically related to this class of antidepressants should a nurse plan to include in client and family education?
A) The medication may cause dry mouth.
B) The medication may cause nausea.
C) The medication should not be discontinued abruptly.
D) The medication may cause photosensitivity. |
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Definition
| D) The medication may cause photosensitivity. |
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Term
19. Which information suggests that caution is necessary when a health-care provider is prescribing a benzodiazepine to an anxious client?
A) The client has a history of alcohol dependence.
B) The client has a history of diabetes mellitus.
C) The client has a history of schizophrenia.
D) The client has a history of hypertension. |
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Definition
| A) The client has a history of alcohol dependence. |
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Term
20. A psychiatric nurse is caring for a client who is experiencing extrapyramidal side effects (EPS) of an antipsychotic medication. Which medication is most likely to be prescribed for this client to treat these symptoms?
A) Diazepam (Valium)
B) Amitriptyline (Elavil)
C) Benztropine (Cogentin)
D) Methylphenidate (Ritalin) |
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Definition
| C) Benztropine (Cogentin) |
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Term
21. A client takes a maintenance dosage of lithium carbonate for bipolar disorder. The client has come to a community health clinic stating that she “has had the flu for over a week.” She describes her symptoms as coughing, runny nose, chest congestion, fever, and gastrointestinal upset. Her temperature is 100.9°F (38.8°C). The client also reports blurred vision and “ringing in the ears.” What situation should a nurse anticipate?
A) She has consumed some foods high in tyramine.
B) She has stopped taking her lithium carbonate.
C) She has probably developed a tolerance to the lithium carbonate.
D) The lithium carbonate may be producing symptoms of toxicity. |
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Definition
| D) The lithium carbonate may be producing symptoms of toxicity. |
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Term
22. An 8 year-old male client takes methylphenidate (Ritalin) for attention-deficit/hyperactivity disorder (ADHD). His mother reports to a nurse that her son has a very poor appetite, and she struggles to help him gain weight. What teaching should the nurse provide?
A) Administer the client's medication immediately after meals.
B) Administer the client's medication at bedtime.
C) Skip a dose of the medication when the client does not eat anything.
D) Assure the client's mother that her son will eat when he is hungry. |
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Definition
| A) Administer the client's medication immediately after meals. |
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Term
23. A client is experiencing a psychotic episode. The client is in good physical health but has allergies to penicillin, prochlorperazine (Compazine), and bee stings. Which antipsychotic medication would be contraindicated for this client?
A) Haloperidol (Haldol) because it is used only in elderly patients
B) Clozapine (Clozaril) because it is incompatible with desipramine
C) Risperidone (Risperdal) because it exacerbates symptoms of depression
D) Thioridazine because of cross-sensitivity among phenothiazines |
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Definition
| D) Thioridazine because of cross-sensitivity among phenothiazines |
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Term
24. A physician prescribes an additional medication for a client taking an antipsychotic agent. The medication is to be administered “prn for EPS.” When should a nurse plan to administer this medication?
A) When the client's white blood cell count falls below 3000 mm3
B) When the client exhibits tremors and a shuffling gait
C) When the client complains of dry mouth
D) When the client experiences a seizure |
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Definition
| B) When the client exhibits tremors and a shuffling gait |
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Term
25. A client has an anxiety disorder. Which medication should a nurse anticipate being prescribed for this client's anxiety?
A) Chlorpromazine (Thorazine)
B) Clozapine (Clozaril)
C) Diazepam (Valium)
D) Methylphenidate (Ritalin) |
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Definition
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Term
26. A nurse is preparing to assess a client before a physician prescribes a regimen of psychopharmacological therapy. Which components should the nurse assess prior to the initiation of therapy? Select all that apply.
A) Medical history
B) Physical examination
C) Ethnocultural assessment
D) Current medication
E) Client response to medication |
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Definition
A) Medical history
B) Physical examination
C) Ethnocultural assessment
D) Current medication |
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Term
1. Which statement best describes the cause of substance dependence?
A) An individual's social and cultural environment is the most critical factor because behaviors are patterned accordingly.
B) Multiple factors may be at work, including biological, psychological, and sociocultural factors.
C) Evidence of a genetic link accounts for most cases of the disorder.
D) Reinforcing properties of the substance encourage the progression from use to abuse. |
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Definition
| B) Multiple factors may be at work, including biological, psychological, and sociocultural factors. |
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Term
2. The nurse is planning care for a client in alcohol withdrawal. What is the priority nursing diagnosis?
A) Risk for suicide or injury
B) Disturbed thought processes
C) Ineffective coping
D) Ineffective denial |
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Definition
| A) Risk for suicide or injury |
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Term
3. A client who requires intervention for pain management should be assessed for a history of substance abuse for what reason?
A) Narcotic pain medication is not permitted for clients with active substance-abuse problems.
B) Clients with certain substance addictions may have developed a higher tolerance to certain substances, including pain medications, so they may require increased doses to achieve effective pain control.
C) Clients with an active substance-abuse disorder have a higher tolerance for pain, so they require less medication to achieve effective pain control.
D) Clients who abuse substances should be encouraged to use alternative nonpharmacologic pain-management options because they are not permitted to take narcotic pain medications. |
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Definition
| B) Clients with certain substance addictions may have developed a higher tolerance to certain substances, including pain medications, so they may require increased doses to achieve effective pain control. |
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Term
4. The nurse is preparing to teach a client with alcohol dependence. Which is the appropriate nutritional recommendation?
A) Encourage a high-protein, low-carbohydrate diet to promote lean body mass.
B) Increase sodium-rich foods to increase iodine levels.
C) Provide multivitamin supplementation, including thiamine and folate.
D) Restrict fluid intake to decrease renal load. |
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Definition
| C) Provide multivitamin supplementation, including thiamine and folate. |
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Term
5. Which nursing intervention is most appropriate on the first day of alcohol detoxification?
A) Strongly encourage the client to attend two AA meetings.
B) Educate the client about the biopsychosocial consequences of alcohol abuse.
C) Monitor the client's vital signs every 4 hours, or more frequently if necessary.
D) Ensure that the client consumes 95% of his or her meals. |
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Definition
| C) Monitor the client's vital signs every 4 hours, or more frequently if necessary. |
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Term
6. A nurse who works with substance-abuse clients recognizes that which client statement requires further teaching?
A) “Although it's legal, alcohol is one of the most widely abused drugs in our society.”
B) “Tolerance to heroin develops quickly, leaving the addict searching to achieve that first-time high.”
C) “The effects of LSD, including flashbacks and hallucinations, may recur spontaneously weeks or months afterward.”
D) “Marijuana is like smoking cigarettes. Everyone does it. It's essentially harmless.” |
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Definition
| D) “Marijuana is like smoking cigarettes. Everyone does it. It's essentially harmless.” |
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Term
7. Which constitutes dual diagnosis?
A) Cannabis abuse and heroin dependence
B) Alcohol dependence and type I bipolar disorder
C) Major depressive disorder and dysthymia
D) Generalized anxiety disorder and dependent personality disorder |
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Definition
| B) Alcohol dependence and type I bipolar disorder |
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Term
8. The nurse is preparing to give a controlled administration of a chemically similar substance to thwart the effects of substance withdrawal in a client. Which term will the nurse use to chart this intervention?
A) Antagonist therapy
B) Detoxification therapy
C) Codependency therapy
D) Substitution therapy |
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Definition
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Term
9. A 53-year-old man was recently admitted to an inpatient substance-abuse unit. Since forced retirement 3 years ago, he has developed a problem with alcohol. At first, he took a drink to relax and forget, but now he's at a point in which he needs to drink daily to get through the day. He has tried but cannot cut down his alcohol consumption. In fact, he needs to drink more to get the same effect he used to get with only two or three drinks. It has also caused problems with his wife, and he has stopped interviewing for new jobs. He was stopped once for driving all over the road but only received a warning. Given the above information, his behaviors indicate that he meets the requirements for which of the following DSM-IV-TR diagnostic categories?
A) Psychoactive substance abuse
B) Psychoactive substance dependence
C) Psychoactive substance delirium
D) Psychoactive substance intoxication |
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Definition
| B) Psychoactive substance dependence |
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Term
10. After a client receives treatment for the acute stage of alcohol abuse and is discharged from the hospital, which method would the nurse teach the client that is likely to be of the most value in terms of her recovery?
A) Aversion therapy
B) Controlled drinking
C) Detoxification
D) Alcoholics Anonymous |
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Definition
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Term
11. Which term is one of the four elements of the CAGE Questionnaire?
A) Caring
B) Anxious
C) Guilty
D) Enmeshed |
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Definition
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Term
12. A syndrome that occurs after stopping the use of a drug to which one is addicted is:
A) Codependence.
B) Tolerance.
C) Guilt.
D) Withdrawal. |
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Definition
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Term
13. Which statement made by a client who has abused drugs would the nurse evaluate as showing positive progress?
A) “I'm ready for discharge.”
B) “I don't need to be here with these crazy people.”
C) “I only used the pills to be able to sleep.”
D) “Taking those pills got out of control. It cost me my job, my marriage, and my children.” |
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Definition
| D) “Taking those pills got out of control. It cost me my job, my marriage, and my children.” |
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Term
14. Which signs and symptoms would the nurse assess for in a client who is experiencing alcohol withdrawal?
A) Bradycardia and hypertension
B) Bradycardia and hypotension
C) Tachycardia and hypertension
D) Tachycardia and hypotension |
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Definition
| C) Tachycardia and hypertension |
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Term
15. A client tells the nurse that she's not afraid to quit drinking because nothing bad will happen to her. Which condition, taught by the nurse, describes a serious and potentially fatal complication of alcohol withdrawal of which the client should be aware?
A) Withdrawal delirium
B) Neuroleptic malignant syndrome
C) Tardive dyskinesia
D) Cirrhosis |
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Definition
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Term
16. A patient was admitted to the emergency department in a grossly intoxicated state. The nurse has been monitoring him for withdrawal symptoms and has been medicating him with prn medications. Four days after admission, he appears much more comfortable and less tremulous. His vital signs are only slightly elevated. Which is the appropriate nursing intervention at this time?
A) Withhold prn medications because they are potentially addictive.
B) Increase the amount of prn medications because potentially fatal complications can occur up to 1 week after the last drink.
C) Ask the doctor to prescribe a less potent medication to lower the chances of substitute addiction.
D) Remain vigilant for withdrawal complications and continue to administer medications on an as-needed basis. |
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Definition
| D) Remain vigilant for withdrawal complications and continue to administer medications on an as-needed basis. |
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Term
17. When caring for clients with substance-abuse disorders, which is the appropriate nursing action?
A) Recognize that they are at low risk for their own problems with addiction.
B) First process their own attitudes and perceptions regarding substance abusers.
C) Avoid being confrontational with clients.
D) Encourage clients to identify the role that each family member plays in creating and perpetuating substance abuse. |
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Definition
| B) First process their own attitudes and perceptions regarding substance abusers. |
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Term
18. The nurse is caring for a 28-year-old client who has been a heroin addict for 8 years. She has lost custody of her first two children because of abuse and neglect secondary to her addiction. She is currently 4 months' pregnant with her third child. She was admitted to the inpatient substance-abuse program 3 days ago. Which client statement would indicate to the nurse that she is working on her substance abuse issues?
A) “I'm not going to use heroin ever again. I know I've got the willpower to do it this time.”
B) “I cannot control my use of heroin. It's stronger than I am. I'm here to find out how to get started on the road to recovery.”
C) “I'm going to get all my children back. They need their mother.”
D) “My father abused me as a child, and my mother walked out on us. If anyone's got a right to use heroin, it's me.” |
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Definition
| B) “I cannot control my use of heroin. It's stronger than I am. I'm here to find out how to get started on the road to recovery.” |
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Term
19. Which assessment data supports symptoms of Wernicke encephalopathy?
A) Peripheral neuropathy and pain
B) Epigastric pain and nausea or vomiting
C) Diplopia, ataxia, and somnolence
D) Inflammation and necrosis of the liver |
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Definition
| C) Diplopia, ataxia, and somnolence |
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Term
20. Which treatment does the nurse anticipate for a client who is withdrawing from alcohol?
A) Tricyclic antidepressants
B) A long-acting barbiturate such as phenobarbital (Ancalixir)
C) Alcohol deterrent therapy such as disulfiram (Antabuse)
D) Substitution therapy with chlordiazepoxide (Librium) |
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Definition
| D) Substitution therapy with chlordiazepoxide (Librium) |
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Term
21. Which assessment data indicates to the nurse that a client is undergoing alcohol withdrawal?
A) Suicidal ideation and increased appetite
B) Lacrimation, rhinorrhea, and piloerection
C) Tremors, tachycardia, and sweating
D) Belligerence and assaultiveness |
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Definition
| C) Tremors, tachycardia, and sweating |
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Term
22. The nurse is caring for a client who denies he is an alcoholic. The nurse understands that for this client to be successful in treatment, he must first:
A) Identify someone to whom he can go for support.
B) Give up all his old drinking buddies.
C) Understand the dynamics of alcohol on the body.
D) Correlate the problems in his life to his use of alcohol. |
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Definition
| D) Correlate the problems in his life to his use of alcohol. |
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Term
23. A client's blood alcohol level is 347 mg/dL. He is admitted to the alcohol and drug treatment unit for detoxification. The nurse recognizes that the minimum blood-alcohol level for intoxication is:
A) 50 mg/dL.
B) 100 mg/dL.
C) 200 mg/dL.
D) 300 mg/dL. |
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Definition
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Term
24. The physician orders daily administration of thiamine for a chronic alcoholic who has been hospitalized for alcohol withdrawal. When the client asks the nurse what thiamine is for, which is the appropriate nursing response?
A) “To restore nutritional balance.”
B) “To prevent pancreatitis.”
C) “To prevent alcoholic hepatitis.”
D) “To prevent Wernicke encephalopathy.” |
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Definition
| D) “To prevent Wernicke encephalopathy.” |
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Term
25. A 47-year-old salesperson is brought to the emergency department at midnight by the police because of aggressive, uninhibited behavior; slurred speech; and impaired motor coordination. His blood alcohol level is 347 mg/dL. He has been drinking 1 pint of bourbon a day. His wife reports that he “started drinking in the early afternoon and drank continuously into the night.” She did not know what time he left the house. It is now 2 A.M. When will the nurse anticipate that withdrawal symptoms will begin?
A) Between 4 A.M. and noon
B) Around midnight
C) In 2 to 3 days
D) Around 4 to 6 P.M. |
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Definition
| A) Between 4 A.M. and noon |
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Term
26. A nurse is working with a client who says she drinks one to two glasses of wine at the end of every workday to “unwind” and “de-stress.” Which phase of abuse does the nurse identify?
A) Prealcoholic
B) Early alcoholic
C) Crucial phase
D) Chronic phase |
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Definition
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Term
27. A nurse is working with a client who says he is only a social drinker. On further questioning, he admits to occasional blackouts after drinking. Which phase of abuse does the nurse identify?
A) Prealcoholic
B) Early alcoholic
C) Crucial phase
D) Chronic phase |
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Definition
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Term
28. A nurse is working with a client who admits to binge drinking that sometimes lasts a week or more. Which phase of abuse does the nurse identify?
A) Prealcoholic
B) Early alcoholic
C) Crucial phase
D) Chronic phase |
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Definition
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Term
29. A nurse is working with a client who admits to being intoxicated more often than being sober. Which phase of abuse does the nurse identify?
A) Prealcoholic
B) Early alcoholic
C) Crucial phase
D) Chronic phase |
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Definition
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Term
1. A nurse recognizes that clients who used to be admitted for treatment are now being treated in outpatient settings. What terminology should the nurse use to describe the movement of mental health care from inpatient facilities to outpatient mental health agencies?
A) Desegregation
B) Demoralization
C) Deinstitutionalization
D) Decommitment |
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Definition
| C) Deinstitutionalization |
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Term
2. A client has been institutionalized for 18 years with severe schizophrenia. His symptoms are under good control and the hospital is considering transitioning the client to a group home. The client has no idea how to manage meals, shopping, finances, or health care. What frame of reference should a nurse use to teach the client these skills?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Primary intervention |
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Definition
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Term
3. Which statements regarding case management should a nurse recognize as accurate? Select all that apply.
A) Case management is the method used to achieve managed care.
B) Case management provides the coordination of services required to meet the needs of the client.
C) One goal of case management is to improve client access and coordinate care within the fragmented health care delivery system.
D) One responsibility of a case manager is to provide direct care to the client. |
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Definition
A) Case management is the method used to achieve managed care.
B) Case management provides the coordination of services required to meet the needs of the client.
C) One goal of case management is to improve client access and coordinate care within the fragmented health care delivery system. |
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Term
4. Which nursing intervention is an example of primary prevention?
A) Providing a workshop on sex education class for teenagers
B) Medicating an acutely agitated client
C) Conducting a couples counseling session
D) Training a severely mentally ill client how to write a check |
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Definition
| A) Providing a workshop on sex education class for teenagers |
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Term
5. A nurse is assessing four clients. Which clients should the nurse recommend to attend a structured day program?
A) An acutely suicidal teenager
B) A severely mentally ill woman with history of medication noncompliance
C) A socially isolated elderly individual
D) A depressed individual who is able to contract for safety |
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Definition
B) A severely mentally ill woman with history of medication noncompliance
C) A socially isolated elderly individual
D) A depressed individual who is able to contract for safety |
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Term
6. A community health nurse observes that the number of homeless individuals in the area has increased over the past year. Which factors most likely led to the increase in the number of homeless individuals? Select all that apply.
A) Poverty
B) Deinstitutionalization
C) Fragmented health care system
D) Addiction
E) Lack of affordable housing |
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Definition
A) Poverty
B) Deinstitutionalization
C) Fragmented health care system
D) Addiction
E) Lack of affordable housing |
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Term
7. An educational offering about sexuality, pregnancy, contraception, and sexually transmitted diseases (STDs) is a primary prevention program most appropriate for which group?
A) Adolescents
B) Young adults
C) Middle adults
D) The elderly |
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Definition
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Term
8. When planning care, which action reflects a nursing intervention at the secondary level of prevention for a married couple?
A) Encouraging honest and open communication
B) Determining marital expectations
C) Encouraging discussion of values and beliefs relating to marriage
D) Referring the couple to a sex therapist |
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Definition
| D) Referring the couple to a sex therapist |
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Term
9. Providing education on drug abuse to a high school class is an example of which type of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Primary intervention |
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Definition
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Term
10. A group of nurses are discussing a newly admitted client with schizophrenia. One of the nurses states, “I should have known, he's homeless! They should have never closed up all the state mental facilities.” Which is the most appropriate response by an informed nurse?
A) “Most schizophrenics are homeless.”
B) “Because they don't conform well to society, they prefer the freedom of being homeless.”
C) “The concept of deinstitutionalization is based on firm principles; the resources just haven't been allocated to make it a success.”
D) “It's unfortunate his family isn't helping him. They should feel ashamed.” |
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Definition
| C) “The concept of deinstitutionalization is based on firm principles; the resources just haven't been allocated to make it a success.” |
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Term
11. A client is recommended for partial hospitalization. He asks a nurse, “How is this different from regular inpatient hospitalization?” Which is the most appropriate nursing response?
A) “Partial hospitalization does not provide medication administration and monitoring.”
B) “Partial hospitalization does not use an interdisciplinary team.”
C) “Partial hospitalization does not offer a comprehensive treatment plan.”
D) “Partial hospitalization does not provide supervision 24 hours a day.” |
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Definition
| D) “Partial hospitalization does not provide supervision 24 hours a day.” |
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Term
12. A client is referred for nursing case management. Which statement best describes case management?
A) Reducing residual defects associated with severe mental illness
B) Providing cost-effective care based on need
C) Providing long-term coordination of needed services by multiple providers
D) Recognizing symptoms and provision of treatment |
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Definition
| C) Providing long-term coordination of needed services by multiple providers |
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Term
13. A client is 47 years old and has schizophrenia. He lives with his 67-year-old mother, who has always managed his affairs. He has never been employed. Recently, his mother required emergency surgery and the client suffered an exacerbation of his psychosis and was hospitalized. On discharge from the hospital, the client's physician refers him for nursing case management. Once a month, the home health nurse administers the client's injection of haloperidol (Haldol). Which type of prevention is the nurse practicing?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Not practicing prevention |
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Definition
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Term
14. A client suffers an exacerbation of his psychosis and is hospitalized. Which type of prevention does the client's hospitalization reflect?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Not a preventative action |
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Definition
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Term
15. In planning care, which intervention would be considered primary prevention for a homeless individual who lives at a shelter?
A) Job training
B) A place to eat and sleep
C) Clean clothing
D) Nursing care |
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Definition
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Term
16. A community health nurse attempts to provide care to homeless clients at a local shelter. One of the major problems in attempting to provide health care services to the homeless is:
A) Most of them do not want help.
B) They are suspicious of anyone who offers help.
C) Most are proud and will refuse charity.
D) They have a penchant for mobility. |
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Definition
| A) Most of them do not want help. |
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Term
17. A public health nurse provides care to homeless clients in the community. The nurse observes a recent increase in which disease among the homeless?
A) Meningitis
B) Tuberculosis
C) Encephalopathy
D) Mononucleosis |
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Definition
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Term
18. A community health nurse cares for homeless clients weekly at a local shelter. The nurse recognizes that which are ongoing problems for many homeless individuals? Select all that apply.
A) Alcoholism and thermoregulation
B) Sexually transmitted diseases (STDs), including HIV disease
C) Conditions related to dietary deficiencies
D) Excess vitamin D from sun overexposure |
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Definition
A) Alcoholism and thermoregulation
B) Sexually transmitted diseases (STDs), including HIV disease
C) Conditions related to dietary deficiencies |
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Term
19. Public health nurses serve their communities in a variety of ways. Which is an example of primary prevention for a community?
A) Implementation of a psychiatric home health care program
B) Further development of a partial hospitalization program
C) Money-management counseling for couples with compulsions to spend
D) Intervening with a high-risk population to decrease incidence of conduct disorder |
|
Definition
| D) Intervening with a high-risk population to decrease incidence of conduct disorder |
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Term
20. Public health nurses serve their communities in a variety of ways. Which is an example of secondary prevention for a community?
A) Implementation of a psychiatric home health care program
B) Further development of a partial hospitalization program
C) Money-management counseling for couples with compulsions to spend
D) Intervening with a high-risk population to decrease incidence of conduct disorder |
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Definition
| C) Money-management counseling for couples with compulsions to spend |
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Term
21. Public health nurses serve their communities in a variety of ways. Which is an example of tertiary prevention for a community?
A) Implementation of a psychiatric home health care program
B) Teaching parenting skills to prospective new parents
C) Money-management counseling for couples with compulsions to spend
D) Intervening with a high-risk population to decrease incidence of conduct disorder |
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Definition
| A) Implementation of a psychiatric home health care program |
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Term
22. A nurse is working on a primary prevention program for a community. On which program is the nurse most likely working?
A) Teaching stress management techniques for anyone interested
B) Staffing a rape crisis center
C) Working in a women's shelter
D) Designing a rehabilitation program |
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Definition
| A) Teaching stress management techniques for anyone interested |
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