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Submission: On June 20 via manual from PH — Scanned from DE
Submission: On June 20 via manual from PH — Scanned from DE
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</form>Name: WapForm —
<form name="WapForm">
<p><small>First name: <input name="Quiz.UserData.First_Name" size="20" type="text"></small> <small>Last name: <input name="Quiz.UserData.Last_Name" size="20" type="text"></small></p>
<script language="javascript">
<!--
{
doTest();
} //
-->
</script><a name="Question 1"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">1. A 17-year-old patient with anorexia nervosa has just been released from the hospital. To facilitate recovery at home, the psychiatric-mental health nurse instructs the family to:
</font>
</small></p>
<input type="radio" name="Question 1" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">discourage the patient from sneaking food between meals, by unobtrusively reducing access to the kitchen.</font>
</small><br>
<input type="radio" name="Question 1" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">encourage the patient's interest in menu planning, food magazines, and cooking lessons, by leaving information and materials around the house.</font>
</small><br>
<input type="radio" name="Question 1" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">permit the patient to eat her meals privately to discourage family preoccupation with meals.</font>
</small><br>
<input type="radio" name="Question 1" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">recommend that the patient joins in routine family meals and clears the dishes after dinner, even if they do not eat.</font>
</small><br>
<a name="Question 2"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">2. A patient is admitted to the inpatient unit with a diagnosis of schizophrenia. The patient has had episodes of school absenteeism, withdrawal from friends, and bizarre behavior,
including talking to his or her "keeper." The psychiatric-mental health nurse's most appropriate response is to: </font>
</small></p>
<input type="radio" name="Question 2" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">acknowledge that the patient's perceptions seem real to him or her, and refocus the patient's attention on a task or activity.</font>
</small><br>
<input type="radio" name="Question 2" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">encourage the patient to express his or her thoughts, to determine the meaning they have for the patient.</font>
</small><br>
<input type="radio" name="Question 2" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">ignore the patient's bizarre behavior, because it will diminish after he or she has been given the correct medication.</font>
</small><br>
<input type="radio" name="Question 2" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">inform the patient that his or her perceptions of reality have become distorted because of the illness.</font>
</small><br>
<a name="Question 3"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">3. A supervisor observes inconsistency in the psychiatric-mental health nurse's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The
most appropriate explanation is that the nurse is displaying: </font>
</small></p>
<input type="radio" name="Question 3" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">countertransference.</font>
</small><br>
<input type="radio" name="Question 3" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">empathic resonance.</font>
</small><br>
<input type="radio" name="Question 3" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">splitting behavior.</font>
</small><br>
<input type="radio" name="Question 3" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">transference.</font>
</small><br>
<a name="Question 4"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">4. The first step in the treatment of incest is to: </font>
</small></p>
<input type="radio" name="Question 4" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">believe the child who reports the activity.</font>
</small><br>
<input type="radio" name="Question 4" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">notify the proper authorities.</font>
</small><br>
<input type="radio" name="Question 4" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">objectively confront the accused family member.</font>
</small><br>
<input type="radio" name="Question 4" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">remove the child from the home.</font>
</small><br>
<a name="Question 5"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">5. A couple in counseling reports fighting with their child when they are angry with each other. This behavior typifies: </font>
</small></p>
<input type="radio" name="Question 5" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">coalition.</font>
</small><br>
<input type="radio" name="Question 5" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">indirect communication.</font>
</small><br>
<input type="radio" name="Question 5" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">transference.</font>
</small><br>
<input type="radio" name="Question 5" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">triangulation.</font>
</small><br>
<a name="Question 6"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">6. The severe feeling of restlessness produced by some psychotropic medications, which is often misinterpreted by patients as anxiety or a recurrence of psychiatric symptoms, is known as:
</font>
</small></p>
<input type="radio" name="Question 6" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">akathisia.</font>
</small><br>
<input type="radio" name="Question 6" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">akinesia.</font>
</small><br>
<input type="radio" name="Question 6" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">bradykinesia.</font>
</small><br>
<input type="radio" name="Question 6" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">dystonia.</font>
</small><br>
<a name="Question 7"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">7. During an initial patient interview, the psychiatric-mental health nurse begins by asking the patient to describe their: </font>
</small></p>
<input type="radio" name="Question 7" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">current situation.</font>
</small><br>
<input type="radio" name="Question 7" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">feelings about the current situation.</font>
</small><br>
<input type="radio" name="Question 7" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">personal history.</font>
</small><br>
<input type="radio" name="Question 7" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">thoughts about the current situation.</font>
</small><br>
<a name="Question 8"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">8. The management of nausea as a side effect of lithium carbonate (Eskalith) includes instructing the patient to take the medication: </font>
</small></p>
<input type="radio" name="Question 8" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">after meals.</font>
</small><br>
<input type="radio" name="Question 8" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">between meals.</font>
</small><br>
<input type="radio" name="Question 8" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">with a carbonated beverage.</font>
</small><br>
<input type="radio" name="Question 8" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">with a large glass of water.</font>
</small><br>
<a name="Question 9"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">9. A patient reports an intense, overwhelming fear of driving a car. The fear has disrupted all elements of the patient's life. The patient does not go to the grocery store unless driven
by someone else, has relinquished their job, and has few social contacts. The patient's treatment plan includes: </font>
</small></p>
<input type="radio" name="Question 9" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">assertiveness training.</font>
</small><br>
<input type="radio" name="Question 9" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">biofeedback.</font>
</small><br>
<input type="radio" name="Question 9" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">stress management assistance.</font>
</small><br>
<input type="radio" name="Question 9" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">systematic desensitization.</font>
</small><br>
<a name="Question 10"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">10. When coping with a patient's inappropriate expression of anger, a psychiatric-mental health nurse's initial action is to identify the: </font>
</small></p>
<input type="radio" name="Question 10" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">appropriate limit-setting techniques.</font>
</small><br>
<input type="radio" name="Question 10" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">nurse's own response to the anger.</font>
</small><br>
<input type="radio" name="Question 10" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">patient's specific defense mechanisms.</font>
</small><br>
<input type="radio" name="Question 10" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">systems theory for effecting change.</font>
</small><br>
<a name="Question 11"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">11. A short-term goal for a patient with Alzheimer disease is: </font>
</small></p>
<input type="radio" name="Question 11" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">improved functioning in the least restrictive environment.</font>
</small><br>
<input type="radio" name="Question 11" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">improved problem solving in activities of daily living.</font>
</small><br>
<input type="radio" name="Question 11" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">increased self-esteem and improved self-concept.</font>
</small><br>
<input type="radio" name="Question 11" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">regained sensory perception and cognitive function.</font>
</small><br>
<a name="Question 12"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">12. Older adults have reached Erikson's developmental stage of ego integrity when they: </font>
</small></p>
<input type="radio" name="Question 12" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">acknowledge that one cannot get everything one wants in life.</font>
</small><br>
<input type="radio" name="Question 12" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">assess their lives and identify actions that had value and purpose.</font>
</small><br>
<input type="radio" name="Question 12" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">express a wish that life could be relived differently.</font>
</small><br>
<input type="radio" name="Question 12" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">feel that they are being punished for things they did not do.</font>
</small><br>
<a name="Question 13"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">13. A patient states that unit staff members have been avoiding them since an attempt to self-mutilate. The psychiatric-mental health nurse's most appropriate response is to: </font>
</small></p>
<input type="radio" name="Question 13" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">apologize for the staff's behavior.</font>
</small><br>
<input type="radio" name="Question 13" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">explain that feelings of rejection are typical after self-mutilation.</font>
</small><br>
<input type="radio" name="Question 13" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">listen, redirect the patient to their feelings, and explore the issue with the staff.</font>
</small><br>
<input type="radio" name="Question 13" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">report the matter to the nurse manager.</font>
</small><br>
<a name="Question 14"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">14. When planning inpatient psychotherapeutic activities for a patient who has antisocial personality disorder, the psychiatric-mental health nurse: </font>
</small></p>
<input type="radio" name="Question 14" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">focuses on group, rather than individual, therapy.</font>
</small><br>
<input type="radio" name="Question 14" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">provides a permissive atmosphere, so the patient feels a sense of control.</font>
</small><br>
<input type="radio" name="Question 14" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">provides an organized, structured environment.</font>
</small><br>
<input type="radio" name="Question 14" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">recognizes that the disorder is characterized by social withdrawal.</font>
</small><br>
<a name="Question 15"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">15. A 16-year-old female patient who is Chinese American is admitted to the unit with reports of sadness and suicidal ideation. The patient is accompanied by many family members, including
her mother and father. The patient and her family emigrated from mainland China five years ago. Regarding the family, the psychiatric-mental health nurse: </font>
</small></p>
<input type="radio" name="Question 15" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">encourages the patient to communicate her need for privacy to her family.</font>
</small><br>
<input type="radio" name="Question 15" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">gently asks the family members to leave the room.</font>
</small><br>
<input type="radio" name="Question 15" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">privately asks the mother for her assistance in clearing the room.</font>
</small><br>
<input type="radio" name="Question 15" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">provides care for the patient while the family members are present.</font>
</small><br>
<a name="Question 16"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">16. According to family systems theory, removing the "identified patient" from the environment most likely causes the: </font>
</small></p>
<input type="radio" name="Question 16" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">patient to decompensate, due to the loss of their support system.</font>
</small><br>
<input type="radio" name="Question 16" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">patient to significantly improve, often with minimal or no additional therapy.</font>
</small><br>
<input type="radio" name="Question 16" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">remaining family members to decompensate, as evidenced by new dysfunctional behavior.</font>
</small><br>
<input type="radio" name="Question 16" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">remaining family members to lose motivation and withdraw from therapy.</font>
</small><br>
<a name="Question 17"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">17. The psychiatric-mental health nurse, who is teaching a patient's parents how to use positive reinforcement techniques with the patient, recommends: </font>
</small></p>
<input type="radio" name="Question 17" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">agreeing with the child's statements, whether negative or positive, and simply restating the child's statements without other comment.</font>
</small><br>
<input type="radio" name="Question 17" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">controlling the child's behavior, so there is no chance of negative behavior.</font>
</small><br>
<input type="radio" name="Question 17" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">removing adverse consequences to produce positive results.</font>
</small><br>
<input type="radio" name="Question 17" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">rewarding positive behaviors to promote their recurrence.</font>
</small><br>
<a name="Question 18"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">18. A common nursing diagnosis for a patient with antisocial personality disorder is: </font>
</small></p>
<input type="radio" name="Question 18" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">chronic low self-esteem, related to poor self-image and excessive fear of failure.</font>
</small><br>
<input type="radio" name="Question 18" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">disturbed thought processes, related to sensory-perceptual alterations.</font>
</small><br>
<input type="radio" name="Question 18" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">impaired social interaction, related to manipulative behaviors.</font>
</small><br>
<input type="radio" name="Question 18" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">social isolation, related to anxiety in social situations.</font>
</small><br>
<a name="Question 19"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">19. A patient who is admitted to the psychiatric unit with a diagnosis of obsessive-compulsive disorder spends a significant amount of time during the day and night washing their hands. On
the third hospital day, the patient reports feeling better and more comfortable with the staff and other patients. The psychiatric-mental health nurse knows that the most appropriate nursing intervention is to: </font>
</small></p>
<input type="radio" name="Question 19" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">acknowledge the ritualistic behavior each time and point out that it is inappropriate.</font>
</small><br>
<input type="radio" name="Question 19" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">allow the patient to carry out the ritualistic behavior, since it is helping them.</font>
</small><br>
<input type="radio" name="Question 19" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">collaborate with the patient to reduce the amount of time they engage in ritualistic behavior.</font>
</small><br>
<input type="radio" name="Question 19" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">ignore the ritualistic behaviors, and the behaviors will be eliminated due to lack of reinforcement.</font>
</small><br>
<a name="Question 20"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">20. To evaluate whether patient teaching for coping skills has been effective, the psychiatric-mental health nurse asks an adolescent patient to: </font>
</small></p>
<input type="radio" name="Question 20" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">consider the outcomes objectively.</font>
</small><br>
<input type="radio" name="Question 20" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">keep a written journal.</font>
</small><br>
<input type="radio" name="Question 20" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">perform a return demonstration.</font>
</small><br>
<input type="radio" name="Question 20" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">set measurable goals.</font>
</small><br>
<a name="Question 21"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">21. The psychiatric-mental health nurse knows that the patient's spouse clearly understands the adverse effects of lithium carbonate (Eskalith), when they say,: </font>
</small></p>
<input type="radio" name="Question 21" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">"I should call the doctor if my spouse shakes badly."</font>
</small><br>
<input type="radio" name="Question 21" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">"I should make sure my spouse drinks as much water as possible."</font>
</small><br>
<input type="radio" name="Question 21" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">"My spouse must remain on a salt-free diet."</font>
</small><br>
<input type="radio" name="Question 21" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">"When the lithium level is 1.6 mEq/L, my spouse can go back to work."</font>
</small><br>
<a name="Question 22"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">22. A school-aged patient with attention-deficit hyperactivity disorder (ADHD) is displaying disruptive behaviors at home. The psychiatric-mental health nurse modifies the treatment plan
for the social domain, by advising the patient's parents to: </font>
</small></p>
<input type="radio" name="Question 22" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">establish eye contact before giving directions.</font>
</small><br>
<input type="radio" name="Question 22" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">initiate a point system, to reward the patient for appropriate behavior.</font>
</small><br>
<input type="radio" name="Question 22" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">instruct the patient to work on one homework assignment at a time.</font>
</small><br>
<input type="radio" name="Question 22" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">maintain a predictable environment in the home.</font>
</small><br>
<a name="Question 23"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">23. After taking an antidepressant for about a week, a patient reports constipation and blurred vision, with no improvement in mood. The psychiatric-mental health nurse informs the
patient,: </font>
</small></p>
<input type="radio" name="Question 23" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">"It takes approximately two to four weeks for depression to lessen, and side effects usually diminish over time."</font>
</small><br>
<input type="radio" name="Question 23" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">"Stop the medication immediately and contact your primary care physician."</font>
</small><br>
<input type="radio" name="Question 23" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">"You should contact your doctor. The doctor may need to change your medication."</font>
</small><br>
<input type="radio" name="Question 23" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">"You should schedule an appointment with your ophthalmologist."</font>
</small><br>
<a name="Question 24"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">24. A patient is being discharged after spending six days in the hospital due to depression with suicidal ideation. The psychiatric-mental health nurse knows that an important outcome has
been met when the patient states,: </font>
</small></p>
<input type="radio" name="Question 24" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">"I can't wait to get home and forget that this ever happened."</font>
</small><br>
<input type="radio" name="Question 24" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">"I feel so much better. If I continue to feel this way, I can probably stop taking my medications soon."</font>
</small><br>
<input type="radio" name="Question 24" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">"I have a list of support groups and a crisis line that I can call, if I feel suicidal."</font>
</small><br>
<input type="radio" name="Question 24" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">"I have to leave here soon, if I want to catch the next bus home."</font>
</small><br>
<a name="Question 25"></a>
<p><br><small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">25. When screening families for post-traumatic stress disorder following a major natural disaster, psychiatric-mental health nurses are practicing which type of disease prevention? </font>
</small></p>
<input type="radio" name="Question 25" value="0">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">Primary.</font>
</small><br>
<input type="radio" name="Question 25" value="1">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">Secondary.</font>
</small><br>
<input type="radio" name="Question 25" value="2">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">Tertiary.</font>
</small><br>
<input type="radio" name="Question 25" value="3">
<small>
<font face="MontserratLight,Arial,Helvetica,sans-serif">Universal.</font>
</small><br>
<p> </p>
<p>
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SAMPLE TEST QUESTIONS
PSYCHIATRIC-MENTAL HEALTH NURSING SAMPLE QUESTIONS
These sample questions apply to all exams taken on or after October 25, 2014.
The following sample questions are similar to those on the examination but do
not represent the full range of content or levels of difficulty. The answers to
the sample questions are provided after the last question. Please note: Taking
these or any sample question(s) is not a requirement to sit for an actual
certification examination. Completion of these or any other sample question(s)
does not imply eligibility for certification or successful performance on any
certification examination.
To respond to the sample questions, first enter your first and last names in the
boxes below (this information will not be recorded; it is strictly for purposes
of identifying your results). Then click the button corresponding to the best
answer for each question. When you are finished, click the "Evaluate" button at
the bottom of the page. A new browser window will open, displaying your results,
which you may print, if you wish.
This practice exam is not timed, and you may take it as many times as you wish.
Good luck!
First name: Last name:
1. A 17-year-old patient with anorexia nervosa has just been released from the
hospital. To facilitate recovery at home, the psychiatric-mental health nurse
instructs the family to:
discourage the patient from sneaking food between meals, by unobtrusively
reducing access to the kitchen.
encourage the patient's interest in menu planning, food magazines, and cooking
lessons, by leaving information and materials around the house.
permit the patient to eat her meals privately to discourage family preoccupation
with meals.
recommend that the patient joins in routine family meals and clears the dishes
after dinner, even if they do not eat.
2. A patient is admitted to the inpatient unit with a diagnosis of
schizophrenia. The patient has had episodes of school absenteeism, withdrawal
from friends, and bizarre behavior, including talking to his or her "keeper."
The psychiatric-mental health nurse's most appropriate response is to:
acknowledge that the patient's perceptions seem real to him or her, and refocus
the patient's attention on a task or activity.
encourage the patient to express his or her thoughts, to determine the meaning
they have for the patient.
ignore the patient's bizarre behavior, because it will diminish after he or she
has been given the correct medication.
inform the patient that his or her perceptions of reality have become distorted
because of the illness.
3. A supervisor observes inconsistency in the psychiatric-mental health nurse's
behavior toward a patient; the nurse is unreasonably concerned, overly kind, or
irrationally hostile. The most appropriate explanation is that the nurse is
displaying:
countertransference.
empathic resonance.
splitting behavior.
transference.
4. The first step in the treatment of incest is to:
believe the child who reports the activity.
notify the proper authorities.
objectively confront the accused family member.
remove the child from the home.
5. A couple in counseling reports fighting with their child when they are angry
with each other. This behavior typifies:
coalition.
indirect communication.
transference.
triangulation.
6. The severe feeling of restlessness produced by some psychotropic medications,
which is often misinterpreted by patients as anxiety or a recurrence of
psychiatric symptoms, is known as:
akathisia.
akinesia.
bradykinesia.
dystonia.
7. During an initial patient interview, the psychiatric-mental health nurse
begins by asking the patient to describe their:
current situation.
feelings about the current situation.
personal history.
thoughts about the current situation.
8. The management of nausea as a side effect of lithium carbonate (Eskalith)
includes instructing the patient to take the medication:
after meals.
between meals.
with a carbonated beverage.
with a large glass of water.
9. A patient reports an intense, overwhelming fear of driving a car. The fear
has disrupted all elements of the patient's life. The patient does not go to the
grocery store unless driven by someone else, has relinquished their job, and has
few social contacts. The patient's treatment plan includes:
assertiveness training.
biofeedback.
stress management assistance.
systematic desensitization.
10. When coping with a patient's inappropriate expression of anger, a
psychiatric-mental health nurse's initial action is to identify the:
appropriate limit-setting techniques.
nurse's own response to the anger.
patient's specific defense mechanisms.
systems theory for effecting change.
11. A short-term goal for a patient with Alzheimer disease is:
improved functioning in the least restrictive environment.
improved problem solving in activities of daily living.
increased self-esteem and improved self-concept.
regained sensory perception and cognitive function.
12. Older adults have reached Erikson's developmental stage of ego integrity
when they:
acknowledge that one cannot get everything one wants in life.
assess their lives and identify actions that had value and purpose.
express a wish that life could be relived differently.
feel that they are being punished for things they did not do.
13. A patient states that unit staff members have been avoiding them since an
attempt to self-mutilate. The psychiatric-mental health nurse's most appropriate
response is to:
apologize for the staff's behavior.
explain that feelings of rejection are typical after self-mutilation.
listen, redirect the patient to their feelings, and explore the issue with the
staff.
report the matter to the nurse manager.
14. When planning inpatient psychotherapeutic activities for a patient who has
antisocial personality disorder, the psychiatric-mental health nurse:
focuses on group, rather than individual, therapy.
provides a permissive atmosphere, so the patient feels a sense of control.
provides an organized, structured environment.
recognizes that the disorder is characterized by social withdrawal.
15. A 16-year-old female patient who is Chinese American is admitted to the unit
with reports of sadness and suicidal ideation. The patient is accompanied by
many family members, including her mother and father. The patient and her family
emigrated from mainland China five years ago. Regarding the family, the
psychiatric-mental health nurse:
encourages the patient to communicate her need for privacy to her family.
gently asks the family members to leave the room.
privately asks the mother for her assistance in clearing the room.
provides care for the patient while the family members are present.
16. According to family systems theory, removing the "identified patient" from
the environment most likely causes the:
patient to decompensate, due to the loss of their support system.
patient to significantly improve, often with minimal or no additional therapy.
remaining family members to decompensate, as evidenced by new dysfunctional
behavior.
remaining family members to lose motivation and withdraw from therapy.
17. The psychiatric-mental health nurse, who is teaching a patient's parents how
to use positive reinforcement techniques with the patient, recommends:
agreeing with the child's statements, whether negative or positive, and simply
restating the child's statements without other comment.
controlling the child's behavior, so there is no chance of negative behavior.
removing adverse consequences to produce positive results.
rewarding positive behaviors to promote their recurrence.
18. A common nursing diagnosis for a patient with antisocial personality
disorder is:
chronic low self-esteem, related to poor self-image and excessive fear of
failure.
disturbed thought processes, related to sensory-perceptual alterations.
impaired social interaction, related to manipulative behaviors.
social isolation, related to anxiety in social situations.
19. A patient who is admitted to the psychiatric unit with a diagnosis of
obsessive-compulsive disorder spends a significant amount of time during the day
and night washing their hands. On the third hospital day, the patient reports
feeling better and more comfortable with the staff and other patients. The
psychiatric-mental health nurse knows that the most appropriate nursing
intervention is to:
acknowledge the ritualistic behavior each time and point out that it is
inappropriate.
allow the patient to carry out the ritualistic behavior, since it is helping
them.
collaborate with the patient to reduce the amount of time they engage in
ritualistic behavior.
ignore the ritualistic behaviors, and the behaviors will be eliminated due to
lack of reinforcement.
20. To evaluate whether patient teaching for coping skills has been effective,
the psychiatric-mental health nurse asks an adolescent patient to:
consider the outcomes objectively.
keep a written journal.
perform a return demonstration.
set measurable goals.
21. The psychiatric-mental health nurse knows that the patient's spouse clearly
understands the adverse effects of lithium carbonate (Eskalith), when they say,:
"I should call the doctor if my spouse shakes badly."
"I should make sure my spouse drinks as much water as possible."
"My spouse must remain on a salt-free diet."
"When the lithium level is 1.6 mEq/L, my spouse can go back to work."
22. A school-aged patient with attention-deficit hyperactivity disorder (ADHD)
is displaying disruptive behaviors at home. The psychiatric-mental health nurse
modifies the treatment plan for the social domain, by advising the patient's
parents to:
establish eye contact before giving directions.
initiate a point system, to reward the patient for appropriate behavior.
instruct the patient to work on one homework assignment at a time.
maintain a predictable environment in the home.
23. After taking an antidepressant for about a week, a patient reports
constipation and blurred vision, with no improvement in mood. The
psychiatric-mental health nurse informs the patient,:
"It takes approximately two to four weeks for depression to lessen, and side
effects usually diminish over time."
"Stop the medication immediately and contact your primary care physician."
"You should contact your doctor. The doctor may need to change your medication."
"You should schedule an appointment with your ophthalmologist."
24. A patient is being discharged after spending six days in the hospital due to
depression with suicidal ideation. The psychiatric-mental health nurse knows
that an important outcome has been met when the patient states,:
"I can't wait to get home and forget that this ever happened."
"I feel so much better. If I continue to feel this way, I can probably stop
taking my medications soon."
"I have a list of support groups and a crisis line that I can call, if I feel
suicidal."
"I have to leave here soon, if I want to catch the next bus home."
25. When screening families for post-traumatic stress disorder following a major
natural disaster, psychiatric-mental health nurses are practicing which type of
disease prevention?
Primary.
Secondary.
Tertiary.
Universal.
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