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Friday, January 8, 2010

Foundation of Psychiatric - Mental Health Nursing:10 items

Foundation of Psychiatric - Mental Health Nursing:10 items
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1. Approximately how many Americans have a diagnosable mental illness?
a. 10%
b. 19%
c. 26%
d. %

2. The Department of Health and Human Services estimates that of the 200,000 chronically homeless persons in the United States, the prevalence of mental illness and substance abuse is:
a. 25%
b. 40%
c. 70%
d. 85%

3. Hospitals established by Dorothea Dix were designed to provide which of the fllowing?
a. Asylum
b. Confinement
c. Therapeutic Mileu
d. Public Safety

4. Hildegard Peplau is best known for her writing about which of the following?
a. Community - Based Care
b. Humane treatment
c. Psychopharmacology
d. Therapeutic nurse-clint relationship

5. How many adults in the United States who need mental health services actually receive care?
a. 1 in 2
b. 1 in 3
c. 1 in 4
d. 1 in 5

Fill in the Blanks:
Axis 1 ________________
Axis 2 ________________
Axis 3 ________________
Axis 4 ________________
Axis 5 ________________

Congratulations!!!
You have finished the 10 items Questions Chapter 1 of Psychiatric - Mental Health Nursing by Videbeck

Neurobiologic Theories and Psychopharmacology: 16 items

Neurobiologic Theories and Psychopharmacology: 16 items

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1. The nurse is teaching a client tng an MAOI about foods with tyramine that he or she should avoid. Which of the following statements indicates that the client needs further teaching?
a. "Ï'm so glad I can have pizza as long as I don't order pepperoni."
b. "I will be able to eat cottage cheese without worrying."
c. "I will have to avoid drinking nonalcoholic beer."
d. "Ï can eat green beans on this diet."

2. A client who has been depressed and suicidal started taking a tricyclic antidepressant 2 weeks ago and is now ready to leave the hospital to go home. Which of the following is a concern for the nurse as discharge plans are finalized?
a. The client may need a prescription for diphenhydramine (Benadryl) to use for side effects.
b. The nurse will evaluate the risk for suicide by overdose of tricyclic antidepressant.
c. The nurse will need to include teaching regarding the signs of neuroleptic malignant syndrome.
d. The client will need regular laboratory work to monitor therapeutic drug levels.

3. The signs of lithium toxicity include which of the following?
a. Sedation, Fever, Restlessness
b. Psychomotor, Agitation, Insomia, Increased Thirst
c. Elevated white blood cell count, Sweating, Confusion
d. Severe vomiting, Diarrhea, Weakness

4. Which of the following is a concern for children taking stimulants for ADHD for several years?
a. Dependence on the drug
b. Insomia
c. Growth Suppression
d. Weight Gain

5. The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). The client complains of restlessness, cannot sit still, and has muscle stiffeness. Of the following PRN medications, whch would the nurse administer?
a. Haloperidol (Haldol), 5 mg PO
b. Benztropine (Cogentin), 2 mg PO
c. Propanolol (Inderal), 20 mg PO
d. Trazodone, 50 mg PO

6. Client teaching for lamotrigine (Lamictal) should include which of the following?
a. Eat a well-balance diet to avoid weight gain
b. Report any rashes to your doctor immediately
c. Take each dose with food to avoid nausea
d. This drug may cause psychological dependence

7. Which of the following physician orders would the nurse question for a client who has stated "I'm allergic to phenothiazines"?
a. Haldol, 5 mg O bid
b. Navane, 10 mg PO bid
c. Proxilin, 5 mg PO tid
d. Risperidal, 2 mg bid

8. Clients taking which of the following types of psychotropic medications need close monitoring of their cardiac status?
a. Antidepressant
b. Antipsychotics
c. Mood Stabilizers
d. Stimulants

Fill in the Blanks:
Identify the drug classification for each of the following medications.

1. Clozapine (Clozaril)
2. Fluoxetine (Prozac)
3. Amitriptyline (Elavil)
4. Benztropine (Cogentin)
5. Methylphenidate (Ritalin)
6. Carbamazepine (Tegretol)
7. Clonazepam (Klonopin)
8. Quetiapine (Seroquel)

Congratulations! You have finished Chapter 2 of Psychiatric - Mental Health Nursing by Videbeck

Psychosocial Theories and Practice: 9 items

Psychosocial Theories and Practice: 9 items
filipinonurserocks.blogspot



1. Which of the following theorists believed that a corrective interpersonal relationship with the therapist was the primary mode of treatment?
a. Sigmund Freud
b. William Glasser
c. Hildegard Peplau
d. Harry Stack Sullivan

2. Dream analysis and free association are techniques in which of the following?
a. Client-centered therapy
b. Gestalt therapy
c. Logotherapy
d. Psychoanalysis

3. Four levels of anxiety were described by
a. Erik Erikson
b. Sigmund Freud
c. Hildegard Peplau
d. Carl Rogers

4. Correcting how one thinks about the world and oneself is the focus of
a. Behaviorism
b. Cognitive therapy
c. Psychoanalysis
d. Reality therapy

5. The personality structures of id, ego, and superego were described by
a. Sigmund Freud
b. Hildegard Peplau
c. Frederick Peris
d. Harry Stack Sullivan

6. The nursing role that involves being a substitute for another, such as parent, is called
a. Counselor
b. Resource Person
c. Surrogate
d. Teacher

7. Psychiatric rehabilitation focuses on
a. Client's strengths
b. Medication Compliance
c. Social skills deficits
d. Symptoms Reduction

8. When a nurse develops feeling toward a client that are based on the nurse's pask experience, it is called
a. Countertransference
b. Role Reversal
c. Tansference
d. Unconditional regard

9. A group that was designed to meet weekly for 10 sessions to deal with feelings of depression would be a(n)
a. Closed group
b. Educational group
c. Open group
d. Support group


Congratulations!! You have finished Chapter 3 of Mental Health Nursng by Videbeck.

Treatment Settings and Therapeutic Programs: 8 items

Treatment Settings and Therapeutic Programs: 8 items
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1. All the following are characteristics of ACT except
a. Services are provided in the home or community
b. Services are provided by the client's case manager
c. There are no time limitations on ACT services
d. All needed support systems are invoved in ACT

2. Research shows that scheduled intermittent hospital admissions result in which of the following?
a. Fewer inpatient hospital stays
b. Increased sense of control for the client
c. Feelings of failure when hospitalized
d. Shorter hospital stays

3. Inpatient psychiatric care focuses on all the following except
a. Brief Interventions
b. Discharge Planning
c. Independent living skills
d. Symptom management

4. How many persons in the state prison population have severe mental illness?
a. Less than 9%
b. 16%
c. 33%
d. More than 45%

5. Which of the following interventions is an example of primary prevention implemented by a public health nurse?
a. Reporting suspectedchild abuse
b. Monitoring compliance with medications for a client with schizophrenia
c. Teaching effective problem-solving skills tohigh school students
d. Helping a client to apply for disability benefits

6. The primary purpose of psychiatric rehabilitation is to
a. Control psychiatric symptoms
b. Manage clients' medication
c. Promote the recovery process
d. Reduce hospital readmission

7. Managed care provides funding for psychiatric rehabilitation programs to
a. Develop vocational skills
b. Improve medication compliance
c. Provide community skills training
d. Teach social skills

8. The mentally ill homeless population benefits most from
a. Case management services
b. Outpatient psychiatric care to manage psychiatric symptoms
c. Stable housing in a residential neighborhood
d.A combination of housing, rehabilitation services and community support

Therapeutic Relationships: 4 items

Therapeutic Relationships: 4 items

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Bringing the Best in YOU!

1. Building trust is important in
a. The orientation phase of the relationship
b. The problem identification subphase of the relationship
c. All phases of the relationship
d. The exploitation subphase of the relationship

2. Abstract standards that provide a person with his or her code of conduct are
a. Values
b. Attudes
c. Beliefs
d. Personal Philosophy

3. Ideas that one holds as true are
a. Values
b. Attudes
c. Beliefs
d. Personal Philosophy

4. The emotional frame of reference by which one sees the world is created by
a. Values
b. Attudes
c. Beliefs
d. Personal Philosophy

Congratulations!! You have finished Chapter 5 of Mental Health Nursing!!

Therapeutic Communications: 7 items

Therapeutic Communications: 7 items
1. Client: "I had an accident"

Nurse: "Tell me about your accident"



This is an example of which therapeutic communication technique?
a. Making observation
b. Offering self
c. General Lead
d. Reflection



2. "Earlier today you said you were concerned that your son was still upset with you. Whstopped by your room aobut an hour ago, you and your son seemed relaxed and smiling as you spoke to each other. How did things go between the two of you?"

This is an example of which therapeutic communication techniques?
a. Consensual Validation
b. Encouraging Comparison
c. Accepting
d. General Lead

3. "Why do you always complain about the night nurse? She is a nice woman and a fine nurse and has five kids to support. You're wrong when you say she is noisy and uncaring."

This example reflects which non-therapeutic technique?
a. Requesting an explaination
b. Defending
c. Disagreeing
d. Advising

4. "How does Jerry make you upset?"is a nontherapeutic communication technique because it
a. Gives a literal response
b. Indicates an external source of the emotion
c. Interprets what the client is saying
d. Is just another steroetyped comment

5. Client: "I was so upset about my sister ignoring my pain when I broke my leg."

Nurse: "When are you going to your next diabetes education program?

This is a nontherapeutic response because the nurse has
a. Used testing to evaluate the client's insight
b. Changed the topic
c. Exhibited an egocentric focus
d. Advised the client what to do

6. When the client says, "I met Joe at the dance last week," what was the best way for the nurse to ask the client to describe her relationship with Joe?
a. "Joe who?"
b. "Tell me about Joe."
c. "Tell me about you and Joe."
d. "Joe, you mean that blond guy with the dark blue eyes?"

7. Which of the following is a concrete message?
a. "Help me put this pile of books on Marsha's desk."
b. "Get this out here."
c. "When is she coming home?"
d. "They said it is too early to get in."

Congratulations!! You have finished Chapter 6!!

Client's Response to Illness:8 items

Client's Response to Illness:8 items
filipinonurserocks.blogspot.com

1. Which of the following is important for nurse to remember when administering psychotropic drugs to nonwhites?
a. Lower doses may be used to produced desired effects
b. Fewer side effects occur with nonwhite clients
c. Response to the drug is similar to that in whites
d. No gemeralization can be made

2. Which of the following states the naturalistic view of what causes illness?
a. Illness is a natural part of life and therefor unavoidable
b. Illness is caused by cold, heat, wind, and dampness
c. Only natural agents are effective in treating illness
d. Outside agents, such as evil spirits, upset the body's natural balance

3. Which of the following is most influential in determining health beliefs and practices?
a. Cultural factors
b. Individual factors
c. Interpersonal factors
d. All the above are equally influential

4. Which of the following groups considers a firm handshake a sign of a strengths?
a. White European Americans
b. Filipinos
c. Mexican Americans
d. NAtive Americans

5. Which of the following group considers direct eye contact a lack of respects?
a. African Americans
b. Arab Americans
c. Russians
d. Vietnamese

6. Which of the following assessments indicates positive growth and development for a 30-year-old adult?
a. Is dissatisfied with body image
b. Enjoys social activities wit three or more close friends
c. Frequently changes jobs to "find the right one"
d. Plans to move from parental home in near future

7. Which of the following statements would cause concern for achievement of development tasks of a 55-year old woman?
a. "I feel like I'm taking care of my parents now."
b. "I really enjoy just sitting around visiting my friends."
c. "My children need me now just as much as when they were small."
d. "When I retire, I want a smaller house to take care of."

8. Which of the following client statements would indicate self-efficacy?
a. "I like to get several opinions before deciding a course of action."
b. "I know if I can learn to relax, I will feel better."
c. "I'm never sure if I'm making the right decision."
d. "No matter how hard I try to relax, something always comes up."
You have finished Chapter 7!

Assessment: 8 items


Assessment: 8 items
1. Which of the following is an example of an open-ended question?
a. Who is the current president of the United States?
b. What concerns you most about your health?
c. What is your address?
d. Have you lost any weight recently?

2. Which of the following is an example of a closed-ended question?
a. How have you been feeling lately?
b. How is your relationship with your wife?
c. Have you had any health problems recently?
d. Where are you employed?

3. Which of the following is not included in the assessment of sensorium and intellectual processes?
a. Concentration
b. Memory
c. Judgement
d. Orientation

4. Assessment data about the client's speech patterns are categorized in which of the following areas?
a. History
b. General appearance and motor behavior
c. Sensorium and intellectual processes
d. Self - concept

5. When the nurse is assessing whether or not the client's ideas are logical and make sense, the nurse is examining which of the following?
a, Thought content
b. Thought process
c. Memory
d, sensorium

6. The client's belief that a news broadcast has special meaning for him or her is an example of
a. Abstract thinking
b. Flight of ideas
c. Ideas of reference
d. Loose association

7. The client who believes everyone is out to get him or her is experiencing a(n)
a. delusion
b. Hallucination
c. Ideas of reference
d. Loose association

8. To assess the client's ability to concentrate, the nurse would instruct the client to do which of the following?
a. Explain what "a rolling stone gathers no moss" means
b. Name the last three presidents
c. Repeat the days of the week backward
d. Tell what a typical day is like

Finished Chapter 8!