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NURS 325 Psychiatric and Mental Health Nursing Questions With Complete solutions
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NURS 325 Psychiatric and Mental Health Nursing Questions With Complete solutions
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NURS 325 Psychiatric and Mental Health Nursing QuestionsWith Complete solutions
A 15-year-old is admitted to the unit with anorexia. You have
completed a physical assessment. What are some important
biopsychosocial areas to assess? Correct Answer Eating habits,
history of dieting, pre-occupations and values with weight,
psychological parameters, and psychosocial aspects
A bulimic patient had a goal to throw up twice today. What do
you do? Correct Answer (1) Monitor patient for 90 minutes
after they eat
(2) "I know it is important for to feel in control, but I plan to
monitor you after you eat for at least 90 mins"
A child diagnosed with autism will demonstrate impaired
development in which of the following?
a. Adhering to routines
b. Playing with other children
c. Swallowing and chewing
d. Eye-hand coordination Correct Answer b. Playing with other
children
A client has a diagnosis of bulimia nervosa. What is the focus of
nursing care? Correct Answer - Interrupting the binging-
compensatory behaviour cycle
- Stabilizing weight and weight maintenance
- Addressing distorted cognitive patterns and underlying
family/social issues
- Not recognizing hunger and satiety cues
,A cognitive therapist would help a patient restructure the
thought "I am stupid!" to...
a. "What I did was stupid."
b. "I am not as smart as others."
c. "Things usually go wrong for me."
d. "Things like this should not happen to anyone. Correct
Answer a. "What I did was stupid."
A man continues to speak of his wife as though she were still
alive, 3 years after her death. This behaviour suggests the use of
which of the following defence mechanisms?
a. Altruism
b. Denial
c. Undoing
d. Suppression Correct Answer b. Denial
A mental health nurse assess a newly admitted patient diagnosed
with Alzheimer's disease and a urinary tract infection. The nurse
asks the patient's son for information about the home
environment, ADLs, and medications. What type of information
source is the son?
a. Primary
b. Secondary
c. Private
d. Informed Correct Answer b. Secondary
,A new psychiatric nursing assistant mentions to the nurse,
"Depression seems to be a disorder of old people. All the
depressed patients on the unit are older than 60 years." Which of
the following replies by the nurse clarifies the prevalence of this
disorder?
a. "That is a good observation. Depression does mostly strike
people older than 50 years."
b. "Depression is seen in people of all ages, from childhood to
old age."
c. "Depression is most often seen among the middle adult age
group."
d. "The age of onset for most depressive episodes is given as 18
years." Correct Answer b. "Depression is seen in people of all
ages, from childhood to old age."
A nurse taught a patient about important precautions associated
with a new prescription. Afterward, the patient accurately
summarized specific self-management strategies associated with
this drug. Which step of the nursing process applies to the
patient's summary?
a. Assessment
b. Analysis
c. Planning/outcomes identification
d. Intervention
e. Evaluation Correct Answer e. Evaluation
A patient diagnosed with Alzheimer's disease looks confused
when the phone rings and cannot recall many common
, household objects by name, such as a pencil or glass. The nurse
can document this loss of function as which of the following?
a. Apraxia
b. Agnosia
c. Aphasia
d. Anhedonia Correct Answer b. Agnosia
A patient is hospitalized with major depression and suicidal
ideation. He has a history of several suicide attempts. For the
first 2 days of hospitalization, the patient eats 20% of meals and
stays in his room between groups. By the fourth day, the nurse
observes that the patient is more sociable, is eating meals, and
has a bright affect. Which factor should the nurse consider?
a. The patient is showing improvement and may be ready for
discharge.
b. The patient may have decided to commit suicide; the nurse
should reassess suicidality.
c. The patient is feeling rested, supported by the therapeutic
milieu, and less depressed.
d. The patient is benefiting from the antidepressant he has been
taking for 4 days. Correct Answer b. The patient may have
decided to commit suicide; the nurse should reassess suicidality.
A person who has numerous hypomanic and dysthymic episodes
can be assessed as demonstrating characteristics of which of the
following?
a. Bipolar II disorder
b. Bipolar I disorder
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