L3-1 An operating room nurse asks a psychiatric nurse, "How can you work with the mentally ill day in and day out?" The psychiatric nurse replies, "It's just the right thing to do." The psychiatric nurse is operating from which ethical framework?
A. Kantianism
B. Christian ethics
C. Ethical egoi...
L3-1 An operating room nurse asks a psychiatric nurse, "How can you work with the mentally ill
day in and day out?" The psychiatric nurse replies, "It's just the right thing to do." The psychiatric
nurse is operating from which ethical framework?
A. Kantianism
B. Christian ethics
C. Ethical egoism
D. Utilitarianism - ANS A. Kantianism
L3-2 As a last resort, an agitated, physically aggressive client is placed in four-point restraints.
The client yells, "I'll sue you for assault and battery." The unit manager determines that the
nurses are protected under which condition?
A. The client is voluntarily committed and poses a danger to others on the unit.
B. The client is voluntarily committed and has a history of being a danger to others.
C. The client is involuntarily committed because of a history of violent behavior.
D. The client is involuntarily committed and is refusing treatment. - ANS A. The client is
voluntarily committed and poses a danger to others on the unit.
L3-3 A nurse gave a client 5 mg of haloperidol
(Haldol) for agitation. The client's chart was clearly stamped "Allergic HALDOL." The client
suffered anaphylactic shock and died. How would the nurse's actions be labeled?
A. Intentional tort
B. Negligence
C. Battery
D. Assault - ANS B. Negligence
L7-1 Which of the following best describes the
role of the psychiatric social worker as a member of the interdisciplinary treatment team?
A. Provides ongoing assessment of client's mental and physical condition
B. Functions under the supervision of the psychiatric nurse
C. Serves as the leader of the treatment team
D. Conducts individual, group, and family therapy - ANS D. Conducts individual, group, and
family therapy
,L7-2 A client, diagnosed with borderline personality disorder, approaches the nursing station
often with various requests. The nurse intervenes by stating, "You may approach the nurse's
station only once an hour." Which nursing intervention has been employed?
A. Providing reality orientation
B. Ensuring physical need fulfillment
C. Setting limits on behavior
D. Providing client education - ANS C. Setting limits on behavior
L8-1 A client expresses a desire to begin attending the self-help group Alcoholics Anonymous.
Which nursing response gives the client pertinent information about this type of group?
A. "In this type of group, membership is always within a fixed timeframe."
B. "Group members receive comfort and advice from others undergoing similar experiences."
C. "The purpose of this type of group is to convey information to a number of individuals."
D. "The function of this type of group is to accomplish a specific outcome." - ANS B.
"Group members receive comfort and advice from others undergoing similar experiences."
L8-2 After a supportive-therapeutic group, a nurse hears one client say to another, "I never
thought that other people had the same problems I have." The nurse ascertains that this
statement represents which curative factors described by Yalom?
A. Catharsis
B. Group cohesiveness
C. Universality
D. Imitative behavior - ANS C. Universality
L8-3 During a group meeting, a client raises the
concern that noise at the nurses' station keeps him awake at night. The nurse, present in the
meeting, interrupts, stating, "I'll handle this matter. We need to move on." The nurse is
demonstrating which type of leadership style?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Surrogate - ANS B. Autocratic
L10-1 The nurse is assisting a client with mental illness recovery using the W R A P model.
Which of the following interventions would be included?
A. Assisting the individual to tell his personal story
B. Helping the client examine his philosophy of life in search of meaning and purpose
C. Taking control of the recovery process for the client
D. Helping the client craft a psychiatric advanced directive for when the client can no longer
care for him/herself - ANS D. Helping the client craft a psychiatric advanced directive for
when the client can no longer care for him/herself
L11-1. Which is a misconception about suicide?
A. Eight out of ten individuals who commit suicide give warnings about their intentions.
, B. Most suicidal individuals are ambivalent about their feelings regarding suicide.
C. Most individuals commit suicide by taking an overdose of drugs.
D. Initial mood improvement can precipitate suicide. - ANS C. Most individuals commit
suicide by taking an overdose of drugs.
L11-2 The nurse is caring for an actively suicidal client on the psychiatric unit. What is the
nurse's priority intervention? Place client on suicide precautions with one-to-one observation.
A. Discuss strategies for the management of anxiety, anger, and frustration.
B. Provide opportunities for increasing the client's self-worth, morale, and control.
C. Place client on suicide precautions with one-to-one observation.
D. Explore experiences that affirm self-worth and self-efficacy. - ANS C. Place client on
suicide precautions with one-to-one observation.
L11-3 A client with a history of a suicide attempt has been discharged and is being followed in
an outpatient clinic. At this time, which is the most appropriate nursing intervention for this
client?
A. Provide the client with a safe and structured environment.
B. Isolate the client from all stressful situations that may precipitate a suicide attempt.
C. Observe the client continuously to prevent self-harm.
D. Assist the client to develop more effective coping mechanisms. - ANS D. Assist the
client to develop more effective coping mechanisms.
L21-1 Which is characteristic of the diagnosis of anorexia nervosa?
A. Obsession with weight gain
B. Body image disturbance
C. Disregard for the feelings of others
D. Healthy family relationships - ANS B. Body image disturbance
L21-2 Which assessment finding would the nurse expect in clients diagnosed with bulimia?
A. They are below normal weight.
B. They binge when they experience hunger.
C. They will be highly motivated to seek help.
D. They are within their normal weight range. - ANS D. They are within their normal weight
range.
L21-3 A client is 5 feet 8 inches tall and weighs 105 pounds. The client has been taking
laxatives daily, and self-induces vomiting after eating. Which is the priority nursing diagnosis for
this client?
A. Ineffective denial
B. Disturbed body image
C. Low self-esteem
D. Imbalanced nutrition, less than body requirements - ANS D. Imbalanced nutrition, less
than body requirements
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