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PSYCH NURSING EXAM QUESTIONS WITH ANSWERS PERFECTLY SOLVED
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PSYCH NURSING EXAM QUESTIONS WITH ANSWERS PERFECTLY SOLVED
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PSYCH NURSING EXAM QUESTIONS WITH ANSWERS PERFECTLY SOLVED1.A patient's history shows intense and unstable relationships with others. The patient initially idealizes an individual and then devalues the person when the patient's needs are not met. Which aspect of mental health is a problem?
a.Effectiveness in work
b.Communication skills
c.Productive activities
d.Fulfilling relationships: D. Fulfilling relationships
2.Which nursing response is an example of the nontherapeutic communica- tion block of requesting an explanation?
A.Can you tell me why you said that?
B.Keep your chin up. Ill explain the procedure to you.
C.There is always an explanation for both good and bad behaviors.
D.Are you not understanding the explanation I provided?: A. Can you tell me why you said that?
3.A client on an inpatient psychiatric unit tells the nurse, I should have died, because I am totally worthless. In order to encourage the client to continue talking about feelings, which should be the nursing initial response?
A.How would your family feel if you died?
B.You feel worthless now, but that can change with time.
C.Youve been feeling sad and alone for some time now?
D.It is great that you have come in for help.: C. You've been feeling sad and alone for some time now?
4.A supervisor observes inconsistency in the psychiatric and 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:
A)countertransference.
B)empathic resonance. C)negative transference.
D)splitting behavior.: A) countertransference.
5.Which historical nursing leader helped focus practice to recognize the importance of science in psychiatric nursing?
a.Abraham Maslow
b.Hildegard Peplau
c.Kris Martinsen
d.Harriet Bailey: B.
Although all these leaders included science as an important component of practice, Hildegard Peplau most influenced its development in psychiatric nursing. Maslow was not a nurse, but his theories influence how nurses prioritize problems and
care. Bailey wrote a textbook in the 1930s on psychiatric nursing interventions. Kris Martinsen emphasized the importance of caring in nursing practice.
6.Which action by a psychiatric nurse best supports patients' rights to be treated with dignity and respect?
a.Consistently addressing each patient by title and surname.
b.Strongly encouraging a patient to participate in the unit milieu.
c.Discussing a patient's condition with another health care provider in the elevator.
d.Informing a treatment team that a patient is too drowsy to participate in care planning.: a. Consistently addressing each patient by title and surname.
7.A patient should be considered for involuntary commitment for psychiatric care when he or she:
a.is noncompliant with the treatment regimen.
b.sold sells and distributes illegal drugs.
c.threatens to harm self and others.
d.fraudulently files for bankruptcy.: c. threatens to harm self and others.
8.What is the desirable outcome for the orientation stage of a nurse-patient relationship? The
patient will demonstrate behaviours that indicate which of the following?: Rapport and trust with
the nurse .At what point in the nurse-patient relationship should a nurse plan to first address
termination?
a.In the orientation phase
b.During the working phase
c.In the termination phase
d.When the patient initially brings up the topic: ANS:A
The patient has a right to know the conditions of the nurse-patient relationship. If the relationship is to be time limited, then the patient should be informed of the number of sessions.
If it is open ended, then the termination date will not be known at the outset and the patient will
know that the issue will be negotiated at a later date. The nurse is responsible for bringing up the topic of termination early in the relationship, usually during the orientation phase.
10.3. After several therapeutic encounters with a patient who recently at- tempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?
a.The patient's reactions toward the nurse seem realistic and appropriate.
b.The patient states, "Talking to you feels like talking to my parents."
c.The nurse feels unusually happy when the patient's mood begins to lift.
d.The nurse develops a trusting relationship with the patient.: ANS:C Strong positive or negative
reactions toward a patient or an overidentification with
a patient signals possible countertransference. Nurses must carefully monitor their own feelings
and reactions to detect countertransference and then seek supervision. Realistic and appropriate
reactions from a patient toward a nurse are desirable. One incorrect response suggests
transference. A trusting relationship with the patient is desirable
11.During which phase of the nurse-patient relationship can the nurse antic- ipate that identified patient issues will be explored and resolved?
a.Preorientation
b.Orientation
c.Working
d.Termination: ANS:C
During the working phase, the nurse strives to assist the patient in making con- nections among dysfunctional behaviors, thinking, and emotions and offers support while alternative coping behaviors are tried.
12.A nurse at a behavioral health clinic sees an unfamiliar psychiatric diag- nosis on a patient's insurance form. Which resource should the nurse consult to discern the criteria used to establish this
diagnosis?
a.DSM-IV-TR
b.Nursing Diagnosis Manual
c.A psychiatric nursing textbook
d.A behavioral health reference manual: a. DSM-IV-TR
The DSM-IV-TR gives the criteria used to diagnose each mental disorder. The Nursing
Diagnosis Manual focuses on nursing diagnoses. A psychiatric nursing textbook or behavioral health reference manual may not contain diagnostic criteria.
13.A nurse is assessing a client diagnosed with schizophrenia for the pres- ence of hallucinations. Which therapeutic communication technique used by the nurse is an example of making observations?
A."You appear to be talking to someone I do not see."
B."Please describe what you are seeing."
C."Why do you continually look in the corner of this room?"
D."If you hum a tune, the voices may not be so distracting.": ANS: A
The nurse is making an observation when stating, "You appear to be talking to someone I do not see." Making observations involves verbalizing what is observed or perceived. This encourages the client to recognize specific behaviors and make comparisons with the nurse's perceptions.
KEY: Cognitive Level: Application | Integrated Processes: Nursing Process: Imple- mentation | Client Need: Psychosocial Integrity
14.Which nursing statement is a good example of the therapeutic communi- cation technique of focusing?
A."Describe one of the best things that happened to you this week."
B."I'm having a difficult time understanding what you mean."
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