Psychology Final Exam

A new patient with a history of alcoholism is in the emergency department (ED) with agitation, vomiting, and tremors. He tells you he had his last drink 24 hours ago. Which medication would most likely be ordered?

Your patient has a long history of alcohol abuse. You know that denial is a frequently used defense mechanism. Which statement is indicative of denial?

Which of the following statements from an alcoholic patient reflects a good understanding of his or her condition?

A teenager admits to you that he has been smoking marijuana. The nurse knows that marijuana is a(n):

Which drug cannot be given if the patient reports alcohol intake in the past 24 hours?

Your patient tells you her husband has a serious drinking problem. Which statement tells you she may be in a codependent relationship?

What should be your response to the wife who says, “I should get out of this bad situation with his drinking”?

Your new patient is at risk for alcohol withdrawal. You know that alcohol withdrawal tends to develop within what period after the last drink?

The wife of your alcoholic patient has been attending Al-Anon meetings for the past 2 weeks. Which statement tells you the wife is benefitting from the meetings?

Which of the following are signs of withdrawal from heroin?

You are caring for a patient who has a long history of alcohol abuse. Recently, this patient went on a 5-day drinking binge, of which she has no memory. This is an example of:

Randi is a young model. She had been taking high doses of amphetamines to keep her weight down. She recently decided to cut back on the drugs and she is now experiencing amphetamine withdrawal. Which of the following sets of symptoms of amphetamine withdrawal is Randi likely experiencing?

A young adult arrives in the after-hours clinic with dilated pupils, an elevated heart rate, extreme sensitivity to sounds around him, sense of being outside of his body, and fine tremors of the hands. The patient admits to recent use of an illegal street drug. As the nurse collecting this data, you suspect:

You are completing the discharge plan for an alcoholic patient. Which support group for the patient should be included in the plan? _______________ _________________

You find out that your schizophrenic patient is also using opioids to counteract the frightening hallucinations. What terms are used to describe this (Select all that apply)?

Which statement is most true about anorexia nervosa?

Your patient with anorexia nervosa is in the bathroom running in place at a rapid rate. What is the most likely reason for this behavior?

Your patient with anorexia nervosa is in the bathroom running in place at a rapid rate. How should you respond to the patient?

Which of the following would NOT be a potential characteristic of a patient with anorexia nervosa?

Your first goal in the care of a patient with an eating disorder is:

An appropriate goal for a patient who is on behavior modification for anorexia nervosa is:

Mark is a male model who has been admitted for dehydration. Mark tells you, “I can eat anything I want and I don’t gain weight. Isn’t that great?” After dinner you hear a noise and you observe Mark vomiting in the bathroom. You document this and suspect:

Nurses know that the main difference between anorexia nervosa and bulimia nervosa is that the patient with bulimia nervosa:

Rob, a 15-year-old, has lost 30 pounds in 3 months. Rob is 6 feet tall and weighs 110 pounds. He tells you that he is fat: “Just look at how puffy my feet and arms still are. I have to get rid of the fat there.” The nursing diagnosis based on this information is:

Nurses realize the importance of family relationships in the life of a patient with anorexia nervosa. As a nurse, you would expect which of the following attitudes or behaviors in the parents of an adolescent with anorexia nervosa?

In addition to gastrointestinal disorders associated with eating disorders, nurses must be aware of and assess for other medical complications including:

As a nurse, you understand that anorexia nervosa in adolescents may be related to:

Morbid obesity is defined as:

Bariatric surgery is now an accepted treatment for people with which of the following?

Of the following observations, which is the most objective measure of improvement in your patient with anorexia nervosa?

A boy with a conduct disorder diagnosis would be most likely to have which symptom?

Suzanne is a 10-year-old girl who has been diagnosed as experiencing depression. What is likely to be the most effective way to help Suzanne express her feelings?

Which of the following is the most common childhood mental disorder?

Marty is a 15-year-old boy whose parents have brought him to a mental health clinic for evaluation. They are concerned because his grades have fallen and he has become angry and sometimes even violent. He spends long periods of time alone and does not want to see his friends. The parents report that he has never been a “bad” boy nor had problems in school. They are worried about the changes in his behavior. Which of the following is the most likely cause?

Joey is a 5-year-old who is causing his parents a lot of concern. His mother reports that “he bounces off the walls all the time” and can’t focus on any one thing for very long. He is impulsive and recently ran out into the street in front of the family’s home. His teacher has told his parents that he has done similar things at school. The nurse understands that:

Marie is 16 years old. She has been referred to the clinic by the nurse at her school because she started a fight with a younger girl and hurt her badly. The school nurse reports that Marie has been troublesome before—skipping school, bullying, and smoking on school grounds on several occasions. Of the following, which diagnosis is most likely?

The single most common symptom of autism spectrum disorder is:

Which of the following would be the first priority for nurses caring for autistic children?

Which of the following statements is true about the differences in mental health problems between children and adults?

The nurse knows that stimulant medication for attention-deficit/hyperactivity disorder (ADHD) should be administered:

Which of the following statements by your attention-deficit/hyperactivity disorder (ADHD) child’s parents indicate they need further teaching?

You are caring for a 13-year-old boy with a diagnosis of conduct disorder. Which of the following would you be most likely to expect given this diagnosis?

Which of the following statements about attention-deficit/hyperactivity disorder (ADHD) are true (select all that apply)?

Which symptoms are typical of depression in younger children (select all that apply)?

A girl with suicidal thoughts would be most likely to have which symptoms (select all that apply)?

You are caring for the patient who is 4 weeks postdelivery in the obstetrics follow-up clinic. She tells you she is sleeping for long hours, wants to avoid taking care of the baby, and wishes she had never had the baby. What would be your first response?

Which statement best describes postpartum blues?

Which is NOT a contributing factor to postpartum blues?

Which of the following combines the best treatments for postpartum blues?

Which statement by the nurse indicates a good understanding of postpartum blues?

In addition to antidepressants, which of the following is a common treatment for postpartum depression?

Your pregnant patient has a history of major depression. Which of the following is she most likely to be at risk for?

Which of the following is true about postpartum issues in mental health?

Marie is admitted with postpartum depression. Which symptom should the nurse expect to observe?

Which patient is most prone to postpartum depression (PPD)?

Ann has a diagnosis of postpartum psychosis. Which finding would you expect to find in her history?

What is a priority when caring for a patient with postpartum psychosis?

Which of the following are early signs of postpartum psychosis (select all that apply)?

Which information should the nurse consider when administering medications for patients with postpartum depression (PPD) and postpartum psychosis (select all that apply)?

Which of the following interventions would you contribute to the plan of care for a patient with postpartum mental disorders (select all that apply)?

An 85-year-old patient is admitted to the hospital with the diagnosis of cerebrovascular accident and depression. The symptom that is unrelated to depression would be?

The Omnibus Budget Reconciliation Act (OBRA) provides standards of care for which of the following?

In the elderly, administering medication is a great concern for the nurse because these patients are more prone to side effects. The primary cause of this is:

Which health-care team member is responsible for the initial assessment of elderly individuals?

Which elderly patient is most prone to suicide?

How should you address Carl Jones, the newly admitted elderly patient, to your mental health unit?

An elderly patient has aphasia from a cerebrovascular accident (CVA). Which need is priority?

You are caring for Eliza. She has dementia and is recovering from knee surgery. You are working with a nursing assistant and physical therapy to achieve optimal functioning for her. Which type of nursing care are you providing?

You are caring for Tom, an older adult, who has paranoid thinking. Which action should you take?

The federal act that establishes the standards of care for older adults residing in long-term facilities is known as the Omnibus Budget ______________ Act.

_______________, the study of older adults, is a specialty area within nursing.

A phenomenon called ______________ is discrimination against people based on how old they are.

When assessing the elderly for depression, the nurse may find that a depressed person over 70 years of age without a medical diagnosis may have the following symptoms of depression (select all that apply):

Which interventions should the nurse contribute to the plan of care for an elderly patient (select all that apply)?

You are monitoring for common drug side effects in an elderly patient. Which side effects are common (select all that apply)?

Your new patient in the emergency department states that she was been beaten and raped. What should you do first?

Who is the most likely perpetrator of child abuse?

Which of the following is NOT a risk factor for becoming a child abuser?

A 90-year-old patient is admitted with a broken wrist and multiple bruises. The caregiver reports the patient falls when she wanders. Which of the following would lead you to suspect elder abuse?

Because a woman who is being hurt by her partner may try to keep the abuse private, which of the following is known to be an indirect source to identify the abuse?

A battered woman in the women’s shelter states that she “is afraid to go home because he drinks. That’s when he gets violent and he beats me.” Which of the following reflects accurate knowledge about domestic violence and alcohol use?

You are caring for a middle-aged man who is under medical and psychiatric care for molesting a 7-year-old girl. You inform him that dinner is being served in the dining room. He tells you to leave and that he does not want anyone to see him or “know what I did.” You respond:

You are caring for a 6-year-old boy who allegedly has been abused by his mother. During his mother’s visits, which of the following is most associated with her being an abuser?

Your patient, who has reported domestic violence, now tells you she is going home with her husband because he has apologized and says he is taking her to Hawaii on a romantic vacation. Which statement best helps you understand her actions?

The difference between child abuse and child neglect is:

Annie is a 5-year-old who has been the victim of sexual abuse by a family member. Which of the following therapeutic techniques would be especially useful in helping Annie express her feelings?

Which of the following are actions the nurse can take to help adult victims of abuse (select all that apply)?

Which of the following statements about sexual abuse of children are true (select all that apply)?

Purposely hurting a family pet is a warning sign of other types of abuse in the home

_______________ abuse can include verbal abuse, humiliation, and excessive criticism.