Psychiatric & Mental Health Nursing - Shiela Videbeck Test Bank Questions And Answers, Exams of Nursing

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Shiela Videbeck Test Bank Questions

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Which is the best action for the nurse to take when assessing a child who might be abused? a. Confront the parents with the facts, and ask them what happened. b. Consult with a professional member of the health team about making a report. c. Ask the child which parent caused this injury. d. Say or do nothing; the nurse has only suspicions, not evidence. - correct answer B. Consult with a professional member of the health team about making a report. Which is true about domestic violence between same-sex partners? a. Such violence is less common than that between heterosexual partners. b. The frequency and intensity of violence are greater than between heterosexual partners. c. Rates of violence are about the same as between heterosexual partners. d. None of the above. - correct answer C. Rates of violence are about the same as between heterosexual partners.

Shiela Videbeck Test Bank Questions

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Which assessment finding might indicate elder self- neglect? a. Hesitancy to talk openly with nurse b. Inability to manage personal finances c. Missing valuables that are not misplaced d. Unusual explanations for injuries - correct answer B. Inability to manage personal finances Which type of child abuse can be most difficult to treat effectively? a. Emotional b. Neglect c. Physical d. Sexual - correct answer a. Emotional Women in battering relationships often remain in those relationships as a result of faulty or incorrect beliefs. Which belief is valid? a. If she tried to leave, she would be at increased risk for violence. b. If she would do a better job of meeting his needs, the violence would stop.

Shiela Videbeck Test Bank Questions

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c. No one else would put up with her dependent clinging behavior. d. She often does things that provoke the violent episodes. - correct answer a. If she tried to leave, she would be at increased risk for violence. SATA: Examples of child maltreatment include: a. calling the child stupid for climbing on a fence and getting injured. b. giving the child a time-out for misbehaving by hitting a sibling c. failing to buy a desired toy for Christmas. d. spanking an infant who won't stop crying. e. watching pornographic movies in a child's presence. f. withholding meals as punishment for disobedience. - correct answer a d e f SATA: A female client comes to an urgent care clinic and says, "I've just been raped." What should the nurse do? a. Allow the client to express whatever she wants. b. Ask the client if staff can call a friend or family member for her.

Shiela Videbeck Test Bank Questions

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c. Offer the client coffee, tea, or whatever she likes to drink d. Get the examination completed quickly to decrease trauma to the client. e. Provide the client privacy; let her go to a room to make phone calls. f. Stay with the client until someone else arrives to be with her. - correct answer a b f Which statement would indicate that teaching about naltrexone (ReVia) has been effective? a. "I'll get sick if I use heroin while taking this medication." b. "This medication will block the effects of any opioid substance take." c. "If I use opioids while taking naltrexone, I'll become extremely ill." d. "Using naltrexone may make me dizzy." - correct answer b. "This medication will block the effects of any opioid substance take."

Shiela Videbeck Test Bank Questions

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Clonidine (Catapres) is prescribed for symptoms of opioid withdrawal. Which nursing assessment is essential before giving a dose of the medication? a. Assessing the client's blood pressure b. Determining when the client last used an opiate c. Monitoring the client for tremors d. Completing a thorough physical assessment - correct answer a. Assessing the client's blood pressure Which behaviors would indicate stimulant intoxication? a. Slurred speech, unsteady gait, impaired concentration b. Hyperactivity, talkativeness, euphoria c. Relaxed inhibitions, increased appetite, distorted perceptions d. Depersonalization, dilated pupils, visual hallucinations - correct answer b. Hyperactivity, talkativeness, euphoria The 12 steps of AA teach that a. acceptance of being an alcoholic will prevent urges to drink. b. a higher power will protect individuals if they feel like drinking.

Shiela Videbeck Test Bank Questions

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c. once a person has learned to be sober, he or she can graduate and a. leave AA. d. once a person is sober, he or she remains at risk for drinking. - correct answer d. once a person is sober, he or she remains at risk for drinking. The nurse has provided an in-service program on impaired professionals. She knows that teaching has been effective when staff identify which as the highest risk for substance abuse among professionals? a. Most nurses are codependent in their personal and professional relationships. b. Most nurses come from dysfunctional families and are at risk for developing addiction. c. Most nurses are exposed to various substances and believe they are not at risk of developing the disease. d. Most nurses have preconceived ideas about what kind of people become addicted. - correct answer c. Most nurses are exposed to various substances and believe they are not at risk of developing the disease.

Shiela Videbeck Test Bank Questions

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A client comes to day treatment intoxicated but says he is not. The nurse identifies that the client is exhibiting symptoms of a. denial. b. reaction formation. c. projection. d. transference. - correct answer a. denial. The client tells the nurse that she has a drink every morning to calm her nerves and stop her tremors. The nurse realizes the client is at risk for a. an anxiety disorder. b. a neurologic disorder. c. physical dependence. d. psychological addiction. - correct answer c. physical dependence. SATA: Which conditions would the nurse recognize as signs of alcohol withdrawal? a. Blackouts b. Diaphoresis c. Elevated blood pressure

Shiela Videbeck Test Bank Questions

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d. Lethargy e. Nausea f. Tremulousness - correct answer b c e f SATA: The nurse would recognize which drugs as central nervous system depressants? a. Cannabis b. Diazepam (Valium) c. Heroin d. Meperidine (Demerol) e. Phenobarbital f. Whiskey - correct answer b e f Treating clients with anorexia nervosa with a selective serotonin reuptake inhibitor antidepressant such as fluoxetine (Prozac) may present which problem? a. Clients object to the side effect of weight gain. b. Fluoxetine can cause appetite suppression and weight loss.

Shiela Videbeck Test Bank Questions

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c. Fluoxetine can cause clients to become giddy and silly. Clients with anorexia get no benefit from fluoxetine - correct answer b. Fluoxetine can cause appetite suppression and weight loss. Which is an example of a cognitive-behavioral technique? a. Distraction b. Relaxation c. Self-monitoring d. Verbalization of emotions - correct answer c. Self-monitoring The nurse is working with a client with anorexia nervosa. Even though the client has been eating all her meals and snacks, her weight has remained unchanged for 1 week. Which intervention is indicated? a. Supervise the client closely for 2 hours after meals and snacks. b. Increase the daily caloric intake from 1,500 to 2, calories. c. Increase the client's fluid intake. d. Request an order from the physician for fluoxetine. - correct answer a. Supervise the client closely for 2 hours after meals and snacks.

Shiela Videbeck Test Bank Questions

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Which statement is true? a. Anorexia nervosa was not recognized as an illness until the 1960s. b. Cultures in which beauty is linked to thinness have an increased risk for eating disorders. c. Eating disorders are a major health problem only in the United States and Europe. d. Individuals with anorexia nervosa are popular with their peers as a result of their thinness. - correct answer b. Cultures in which beauty is linked to thinness have an increased risk for eating disorders. Which is not a goal for treating the severely malnourished client with anorexia nervosa? a. Correction of body image disturbance b. Correction of electrolyte imbalances c. Nutritional rehabilitation d. Weight restoration - correct answer a. Correction of body image disturbance The nurse is evaluating the progress of a client with bulimia. Which behavior would indicate that the client is making positive progress?

Shiela Videbeck Test Bank Questions

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a. The client can identify calorie content for each meal. b. The client identifies healthy ways of coping with anxiety. c. The client spends time resting in her room after meals. The client verbalizes knowledge of former eating patterns as unhealthy - correct answer b. The client identifies healthy ways of coping with anxiety. A teenager is being evaluated for an eating disorder. Which finding would suggest anorexia nervosa? a. Guilt and shame about eating patterns b. Lack of knowledge about food and nutrition c. Refusal to talk about food-related topics d. Unrealistic perception of body size - correct answer d. Unrealistic perception of body size A client with bulimia is learning to use the technique of self monitoring. Which intervention by the nurse would be most beneficial for this client? a. Ask the client to write about all feelings and experiences related to food. b. Assist the client in making daily meal plans for 1 week.

Shiela Videbeck Test Bank Questions

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c. Encourage the client to ignore feelings and impulses related to food. d. Teach the client about nutrition content and calories of various foods. - correct answer a. Ask the client to write about all feelings and experiences related to food. SATA: A nurse doing an assessment with a client with anorexia nervosa would expect which findings? a. Belief that dieting behavior is not a problem b. Feelings of guilt and shame about eating behavior c. History of dieting at a young age d. Performance of rituals or compulsive behavior e. Strong desire to get treatment f. View of self as overweight or obese - correct answer a c d f SATA: A nurse doing an assessment with a client with bulimia would expect which findings? a. Compensatory behaviors limited to purging b. Dissatisfaction with body shape and size c. Feelings of guilt and shame about eating behavior

Shiela Videbeck Test Bank Questions

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d. Near-normal body weight for height and age e. Performance of rituals or compulsive behavior f. Strong desire to please others - correct answer b c d f A child is taking pemoline (Cylert) for ADHD. The nurse must be aware of which side effect? a. Decreased thyroid-stimulating hormone b. Decreased red blood cell count c. Elevated white blood cell count d. Elevated liver function tests - correct answer d. Elevated liver function tests Teaching for methylphenidate (Ritalin) should include which information? a. Give the medication after meals. b. Give the medication when the child becomes overactive. c. Increase the child's fluid intake when he or she is taking the medication. d. Check the child's temperature daily. - correct answer a. Give the medication after meals.

Shiela Videbeck Test Bank Questions

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The nurse would expect to see all the following symptoms in a child with ADHD, except a. distractibility and forgetfulness. b. excessive running, climbing, and fidgeting. c. moody, sullen, and pouting behavior. d. interrupting others and inability to take turns. - correct answer c. moody, sullen, and pouting behavior. The nurse is teaching a 12-year-old with intellectual disability about medications. Which intervention is essential? a. Speak slowly and distinctly. b. Teach the information to the parents only. c. Use pictures rather than printed words. d. Validate client understanding of teaching. - correct answer d. Validate client understanding of teaching. Which is used to treat enuresis? a. Imipramine (Tofranil) b. Methylphenidate (Ritalin) c. Olanzapine (Zyprexa)

Shiela Videbeck Test Bank Questions

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d. Risperidone (Risperdal) - correct answer a. Imipramine (Tofranil) The nurse is assessing an adult client with ADHD. The nurse expects which to be present? a. Difficulty remembering appointments b. Falling asleep at work c. Problems getting started on a project d. Lack of motivation to do tasks - correct answer a. Difficulty remembering appointments The nurse recognizes which as a common behavioral sign of autism? a. Clinging behavior toward parents b. Creative imaginative play with peers c. Early language development d. Indifference to being hugged or held - correct answer d. Indifference to being hugged or held SATA: A 7-year-old child with ADHD is taking clonidine (Kapvay). Common side effects include a. appetite suppression.

Shiela Videbeck Test Bank Questions

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b. dizziness. c. dry mouth. d. hypotension. e. insomnia. f. nausea. - correct answer b c d SATA: A teaching plan for the parents of a child with ADHD should include a. allowing as much time as needed to complete any task. b. allowing the child to decide when to do homework. c. giving instructions in short simple steps. d. keeping track of positive comments that the child is given. e. providing a reward system for completion of daily tasks. f. spending time at the end of the day reviewing the child's behavior. - correct answer c d e A nurse assessing a client with IED would expect which finding?

Shiela Videbeck Test Bank Questions

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a. Blaming others for provoking angry outbursts b. Difficulty coping with ordinary life stressors c. Lack of remorse for aggressive behavior d. Premeditated aggressive outbursts to get what the client wants - correct answer b. Difficulty coping with ordinary life stressors Parents of a child with ODD are referred to a parent management training program. The parents ask the nurse what to expect from these sessions. The best response by the nurse is a. "This is a method of parenting that involves negotiation of responsibilities with your child." b. "This is a support group for parents to discuss the difficulties they are having with their children." c. "You will have a chance to learn how to manage all of your child's negative behaviors." d. "You will learn behavior management techniques to use at home with your child." - correct answer d. "You will learn behavior management techniques to use at home with your child."

Shiela Videbeck Test Bank Questions

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The nurse has completed teaching sessions for parents about conduct disorder. Which statement indicates a need for further teaching? a. "Being consistent with rules at home will probably be a real challenge for me and my child." b. "It helps to know that these problems will get better as my child gets older." c. "Real progress for our child is likely to take several weeks or even 10-12 months." d. "We need to set up a system of rewards and consequences for our child's behaviors." - correct answer b. "It helps to know that these problems will get better as my child gets older." Which behavior is normal adolescent behavior? a. Being critical of self and others b. Defiant, negative, and depressed behavior c. Frequent hypochondriacal complaints d. Unwillingness to assume greater autonomy - correct answer a. Being critical of self and others An effective nursing intervention for the impulsive and aggressive behaviors that accompany conduct disorder is a. assertiveness training.

Shiela Videbeck Test Bank Questions

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b. consistent limit setting. c. negotiation of rules. d. open expression of feelings. - correct answer b. consistent limit setting. SATA: The nurse understands that effective limit setting for children includes a. allowing the child to participate in defining limits. b. consistent enforcement of limit by entire team. c. explaining the consequences of exceeding limits. d. informing the child of the rule or limit. e. negotiation of reasonable requests for change in limits. f. providing three or four cues or prompts to follow the established limit. - correct answer b c d SATA: A 16-year-old with ODD is most likely to have difficulty in relationships with a. family friends. b. law enforcement. c. parents—mother or father or both. d. peers of the same age group.

Shiela Videbeck Test Bank Questions

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e. school superintendent. f. store manager at work - correct answer b c e f The nurse is talking with a woman who is worried that her mother has Alzheimer disease. The nurse knows that the first sign of dementia is a. disorientation to person, place, or time. b. memory loss that is more than ordinary forgetfulness. c. inability to perform self-care tasks without assistance. variable with different people. - correct answer b. memory loss that is more than ordinary forgetfulness. The nurse has been teaching a caregiver about donepezil (Aricept). The nurse knows that teaching has been effective when the caregiver makes which statement? a. "Let's hope this medication will stop the Alzheimer disease from progressing any further." b. "It is important to take this medication on an empty stomach." c. "I'll be eager to see if this medication makes any improvement in concentration."

Shiela Videbeck Test Bank Questions

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d. "This medication will slow the progress of Alzheimer disease temporarily." - correct answer d. "This medication will slow the progress of Alzheimer disease temporarily." When teaching a client about memantine (Namenda), the nurse will include which information? a. Lab tests to monitor the client's liver function are needed. b. Namenda can cause elevated blood pressure. c. Taking Namenda will improve the client's cognitive functioning. d. The most common side effect of Namenda is gastrointestinal bleeding. - correct answer b. Namenda can cause elevated blood pressure. Which statement by the caregiver of a client newly diagnosed with dementia requires further intervention by the nurse? a. "I will remind Mother of things she has forgotten." b. "I will keep Mother busy with favorite activities as long as she can participate."

Shiela Videbeck Test Bank Questions

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c. "I will try to find new and different things to do every day." d. "I will encourage Mother to talk about her friends and family." - correct answer c. "I will try to find new and different things to do every day." A client with delirium is attempting to remove the IV tubing from his arm, saying to the nurse, "Get off me! Go away!" What is the client experiencing? a. Delusions b. Hallucinations c. Illusions d. Disorientation - correct answer b. Hallucinations Which statement indicates the caregiver's accurate knowledge about the needs of a parent at the onset of the moderate stage of dementia? a. "I need to give my parent a bath at the same time every day." b. "I need to postpone any vacations for 5 years." c. "I need to spend time with my parent doing things we both enjoy."

Shiela Videbeck Test Bank Questions

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d. "I need to stay with my parent 24 hours a day for supervision." - correct answer c. "I need to spend time with my parent doing things we both enjoy." Which of the following interventions is most appropriate in helping a client with early-stage dementia complete ADLs? a. Allow enough time for the client to complete ADLs as independently as possible. b. Provide the client with a written list of all the steps needed to complete ADLs. c. Plan to provide step-by-step prompting to complete the ADLs. d. Tell the client to finish ADLs before breakfast or the nursing assistant will do them. - correct answer a. Allow enough time for the client to complete ADLs as independently as possible. A client with late moderate-stage dementia has been admitted to a long-term care facility. Which nursing intervention will help the client maintain optimal cognitive function? a. Discuss pictures of children and grandchildren with the client.

Shiela Videbeck Test Bank Questions

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b. Do word games or crossword puzzles with the client. c. Provide the client with a written list of daily activities. d. Watch and discuss the evening news with the client. - correct answer a. Discuss pictures of children and grandchildren with the client. SATA: When assessing a client with delirium, the nurse will expect to see a. aphasia. b. confusion. c. impaired level of consciousness. d. long-term memory impairment. e. mood fluctuations. f. rapid onset of symptoms. - correct answer b c f SATA: Interventions for clients with dementia that follow the psychosocial model of care include a. asking the clients about the places where they were born. b. correcting the any misperceptions or delusion. c. finding activities that engage the clients' attention.

Shiela Videbeck Test Bank Questions

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d. introducing new topics of discussion at dinner. e. processing behavioral problems to improve coping skills. f. providing unrelated distractions when clients are agitated. - correct answer a f