Mental Health Hardest Test! Trivia Quiz

196 Questions | Total Attempts: 136

SettingsSettingsSettings
Please wait...
Mental Health Hardest Test! Trivia Quiz

.


Questions and Answers
  • 1. 
    16.    A patient, aged 82 years, has Alzheimer’s disease. She lives with her daughter’s family and goes to a day care facility on weekdays. The nurse at the day care center noticed the patient was unkempt and had multiple bruises. When the daughter arrived to pick her up, the nurse discussed her observations. The daughter became defensive and said that her mother was very difficult to manage. She stated, “My mother is not my mother anymore. She is confused, and she wanders all night. We have to watch her constantly. Last night I fell asleep, and she fell down the stairs. Sometimes I just cannot bear to care for her.” Which nursing diagnosis would be most important to address for this patient?
    • A. 

      Risk for injury related to impaired cognition, judgment, and coordination and lack of caregiver supervision

    • B. 

      Nonadherence related to confusion and disorientation, as evidenced by lack of cooperation

    • C. 

      Anxiety related to increasing disorientation, as evidenced by the patient wandering at night Anxiety related to increasing disorientation, as evidenced by the patient wandering at night

    • D. 

      Impaired verbal communication related to brain impairment, as evidenced by the patient's confusion

  • 2. 
    18.    A nurse is working with a perpetrator of family violence who has a long history of violent rages when frustrated, with periods of remorse after each outburst. The nurse is most likely to establish the nursing diagnosis of:
    • A. 

      Risk for injury related to victim reprisal.

    • B. 

      Risk for other-directed violence related to stress.

    • C. 

      Ineffective coping related to poor anger management.

    • D. 

      Caregiver role strain related to feelings of being overwhelmed.

  • 3. 
    13.    A victim of partner abuse, parent of one child, describes the partner as someone who is easily frustrated and more likely to be abusive after a experiencing an event in which self-esteem is challenged. The most recent episodes of violence were related to feeling “upset” over a job loss. What type of therapy would provide the greatest help to the victim?
    • A. 

      Individual therapy

    • B. 

      Group therapy

    • C. 

      Couples therapy

    • D. 

      Family therapy

  • 4. 
    21.    Several children a day are seen in the emergency department for treatment of illnesses and injuries. The situation that would create a high index of suspicion of child abuse is a child who:
    • A. 

      Has repeated middle ear infections.

    • B. 

      Complains of abdominal cramps and upset stomach.

    • C. 

      Has perineal bruises and urinary tract infections.

    • D. 

      Displays reduced functioning at school.

  • 5. 
    22.    The nurse at the clinic is interviewing a patient who offers a number of vague somatic complaints that might not ordinarily prompt a visit to a caregiver: fatigue, back pain, headaches, and sleep disturbance. The patient seems tense, and after having spoken of the symptoms, seems reluctant to provide more information and is in a hurry to leave. The nurse can best serve the patient by:
    • A. 

      Asking if the patient has ever had psychiatric counseling.

    • B. 

      Completing a structured abuse assessment protocol.

    • C. 

      Exploring the possibility of patient social isolation.

    • D. 

      Asking the patient to disrobe to check for signs of abuse.

  • 6. 
    23.    A woman has concerns about a man she recently began to date. She confides to her friend, a nurse in the clinic, that she recently discovered that he had been charged with domestic violence in a previous relationship. She asks if this means he will also hurt her and what signs would indicate that he is likely to be abusive. What should the nurse tell her friend?
    • A. 

      “If he hasn’t been abusive or controlling so far. chances are he won’t be abusive later.”

    • B. 

      “Abuse occurs within dysfunctional relationships, so it may not occur in your situation.”

    • C. 

      “Danger signs include pathological jealousy and controlling the partner’s activities.”

    • D. 

      “Because you are not masochistic or provocative, it is unlikely you will be abused.”

  • 7. 
    1.    A woman was bound, taken to a remote location, and raped at gunpoint. When found, she was examined and treated in the emergency department. Which aspect of this crisis produced the greatest amount of psychological trauma?
    • A. 

      The threat to her life

    • B. 

      Collection of evidence

    • C. 

      Physical pain experienced

    • D. 

      Being in a remote location

  • 8. 
    2.    A woman, abducted and raped at gunpoint by an unknown assailant, was found confused and disoriented. The nurse makes these observations about the patient: o   talking rapidly in disjointed phrases o   unable to concentrate o   indecisive when asked to make simple decisions What is the patient’s level of anxiety?
    • A. 

      Weak

    • B. 

      Mild

    • C. 

      Moderate

    • D. 

      Severe

  • 9. 
    3.    After a person was abducted and raped at gunpoint by an unknown assailant, which assessment finding best indicates the acute phase of the rape-trauma syndrome?
    • A. 

      Decreased motor activity

    • B. 

      Confusion and disbelief

    • C. 

      Flashbacks and dreams

    • D. 

      Fears and phobias

  • 10. 
    4.    A nurse interviews a patient abducted and raped at gunpoint by an unknown assailant. The patient says, “I can’t talk about it. Nothing happened. I have to forget.” What is the patient’s present coping strategy?
    • A. 

      Somatization

    • B. 

      Repression

    • C. 

      Projection

    • D. 

      Denial

  • 11. 
    5.    An emergency department nurse prepares to assist with evidence collection for a sexual assault victim. Prior to photographs and pelvic examination, what documentation is important?
    • A. 

      The patient’s vital signs

    • B. 

      Consent signed by the patient

    • C. 

      Supervision and credentials of the examiner

    • D. 

      Storage location of the patient’s personal effects

  • 12. 
    6.    Which aspect of assessment has priority when a nurse interviews a rape victim?
    • A. 

      Coping mechanisms the patient is using

    • B. 

      The patient’s previous sexual experiences

    • C. 

      Adequacy of the patient’s interpersonal relationships

    • D. 

      Whether the patient has ever had a sexually transmitted disease

  • 13. 
    8.    A rape victim tells the nurse, “I should not have been out on the street alone.” Select the nurse’s most helpful response.
    • A. 

      “Rape can happen anywhere.”

    • B. 

      “Blaming yourself increases your anxiety and discomfort.”

    • C. 

      “You are right. You should not have been alone on the street at night.”

    • D. 

      “You feel as though this would not have happened if you had not been alone.”

  • 14. 
    11.    A victim of rape says, “My family is not very supportive.” Which belief contributes to a negative family response?
    • A. 

      No one asks to be raped.

    • B. 

      Rape is an act of aggression.

    • C. 

      Rape should not be discussed.

    • D. 

      Anyone is a potential rape victim.

  • 15. 
    12.    A nurse works a rape telephone hotline. Communication should focus on:
    • A. 

      Explaining immediate steps victims should take.

    • B. 

      Providing callers with a sympathetic listener.

    • C. 

      Obtaining information for law enforcement.

    • D. 

      Arranging long-term counseling.

  • 16. 
    15.    When a victim of sexual assault is discharged from the emergency department, the nurse should:
    • A. 

      Notify the patient’s family of the event to ensure support for the patient.

    • B. 

      Offer to stay with the patient until stability is regained.

    • C. 

      Advise the patient to try not to think about the assault.

    • D. 

      Provide referral information verbally and in writing.

  • 17. 
    17.    A patient in the long-term phase of the rape-trauma syndrome had intrusive thoughts of the attack and developed fears of being alone. Which finding best demonstrates the patient has improved? The patient:
    • A. 

      Uses increased activity to reduce fear.

    • B. 

      Plans coping strategies for fearful situations.

    • C. 

      Temporarily withdraws from social situations.

    • D. 

      Expresses willingness to engage in sexual activity.

  • 18. 
    19.    A friend brings a teenager to the emergency department. The friend found the patient unconscious in a bedroom at a party. Semen is observed on the patient’s underclothes. Priority actions by the nurse should focus on:
    • A. 

      Preserving rape evidence.

    • B. 

      Maintaining the patient’s airway.

    • C. 

      Obtaining a description of the rape.

    • D. 

      Determining what drugs were ingested.

  • 19. 
    20.    A victim of a violent rape was treated in the emergency department. As discharge preparation begins, the victim says softly, “I will never be the same again. I can’t face my friends. There is no reason to go on.” Select the nurse’s most appropriate response.
    • A. 

      “Are you thinking of harming yourself?”

    • B. 

      “It will take time, but you will feel the same.”

    • C. 

      “Your friends will understand when you explain it was not your fault.”

    • D. 

      “You will be able to find meaning in this experience as time goes on.”

  • 20. 
    21.    A nurse cares for a rape victim who was given flunitrazepam (Rohypnol) by the assailant. Which intervention has priority? Monitoring for:
    • A. 

      Coma

    • B. 

      Seizures

    • C. 

      Hypotonia

    • D. 

      Respiratory depression

  • 21. 
    1.    An adult confides to a nurse, “The cancer in my neck spread in only 2 months. That is how my whole life has been. No matter what I do, I am sabotaged.” As this patient faces the prospect of dying, which motif is evident?
    • A. 

      Quest: seeking meaning in dying

    • B. 

      Volatile: unresolved and unresigned

    • C. 

      Endurance: triumph of inner strength

    • D. 

      Incorporation: belief system accommodates death

  • 22. 
    2.    Four teenagers died in an automobile accident. One week later, which behavior by parents indicates adaptive mourning? The parents who:
    • A. 

      Isolate themselves at home.

    • B. 

      Return immediately to employment.

    • C. 

      Forbid other teens in the household to drive a car.

    • D. 

      Create a scholarship fund at their child’s high school.

  • 23. 
    8.    A patient who was widowed 18 months ago says, “I can remember good times we had without getting upset. Sometimes I even think about the disappointments. I am still trying to become accustomed to sleeping in the bed all alone.” The work of mourning:
    • A. 

      Is beginning.

    • B. 

      Has not begun.

    • C. 

      Is at or near completion.

    • D. 

      Is progressing abnormally.

  • 24. 
    13.    Which finding indicates successful completion of an individual’s grieving process?
    • A. 

      For 2 years after her husband’s death, a widow has kept her husband’s belongings in their usual places.

    • B. 

      After 15 months, a widower realistically remembers both the pleasures and disappointments of his relationship with his wife.

    • C. 

      Three years after her husband’s death, a widow talks about her husband as if he is alive and weeps when others mention his name.

    • D. 

      Eighteen months after a spouse’s death, a person says, “I have never cried or had feelings of loss, even though we were very close.”

  • 25. 
    14.    A child drowned while swimming in a local lake 2 years ago. Which behavior indicates the child’s parents are mourning in an effective way? The parents who:
    • A. 

      Forbid their other children from going swimming.

    • B. 

      Keep a place set for the dead child at the family dinner table.

    • C. 

      Sealed their child’s room exactly as the child left it 2 years ago.

    • D. 

      Throw flowers on the lake at each anniversary date of the accident.

Back to Top Back to top