Mental Health Book Q’s Ch 7-22

Ch 7
1. Nurse Mary has been providing care for Tom during his hospital stay. On Tom’s day of discharge, his wife brings a bouquet of flowers and box of chocolates to his room. He presents
these gifts to Nurse Mary saying, “Thank you for taking care of me.” What is a correct response
by the nurse?
a. “I don’t accept gifts from patients.”
b. “Thank you so much! It is so nice to be appreciated.”
c. “Thank you. I will share these with the rest of the staff.”
d. “Hospital policy forbids me to accept gifts from patients.”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 145). F.A. Davis Company. Kindle Edition.

c
2. Nancy says to the nurse, “I worked as a secretary to put my husband through college, and as
soon as he graduated, he left me. I hate him! I hate all men!” Which is an empathetic response
by the nurse?
a. “You are very angry now. This is a normal response to your loss.”
b. “I know what you mean. Men can be very insensitive.”
c. “I understand completely. My husband divorced me, too.”
d. “You are depressed now, but you will feel better in time.”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 145). F.A. Davis Company. Kindle Edition.

a
3. Which of the following behaviors suggest a possible breach of professional boundaries? (Select
all that apply.)
a. The nurse repeatedly requests to be assigned to a specific client.
b. The nurse shares the details of her divorce with the client.
c. The nurse makes arrangements to meet the client outside of the therapeutic environment.
d. The nurse shares how she dealt with a similar difficult situation.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 145). F.A. Davis Company. Kindle Edition.

abc
4. Which of the following tasks are associated with the orientation phase of relationship
development? (Select all that apply.)
a. Promoting the client’s insight and perception of reality.
b. Creating an environment for the establishment of trust and rapport.
c. Using the problem-solving model toward goal fulfillment.
d. Obtaining available information about the client from various sources.
e. Formulating nursing diagnoses and setting goals.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 146). F.A. Davis Company. Kindle Edition.

b,e
5. Nurse Carol, who is the adult child of an alcoholic, is working with John, a client who abuses
alcohol. John has experienced a successful detoxification process and is beginning a program of
rehabilitation. He says to Carol, “I’m not going to go to those stupid AA meetings. They don’t
help anything.” Carol, whose father died of complications from alcoholism, responds with
anger: “Don’t you even care what happens to your children?” Carol’s response is an example of
which of the following?
a. Transference.
b. Countertransference.
c. Self-disclosure.
d. A breach of professional boundaries.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 146). F.A. Davis Company. Kindle Edition.

b
6. Nurse Jones is working with Kim, a client in the anger-management program. Which of the following identifies actions associated with the working phase of the therapeutic relationship?
a. Kim tells Nurse Jones she wants to learn more adaptive ways to handle her anger. Together,
they set some goals.
b. The goals of therapy have been met, but Kim cries and says she has to keep coming to therapy
in order to be able to handle her anger appropriately.
c. Nurse Jones reads Kim’s previous medical records. She explores her feelings about working
with a woman who has abused her child.
d. Nurse Jones helps Kim practice various techniques to control her angry outbursts. She gives
Kim positive feedback for attempting to improve maladaptive behaviors.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 146). F.A. Davis Company. Kindle Edition.

d
7. When there is congruence between what is felt and what is being expressed, the nurse is
exhibiting which of the following characteristics?
a. Trust.
b. Respect.
c. Genuineness.
d. Empathy.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 146). F.A. Davis Company. Kindle Edition.

c
8. When the nurse shows unconditional acceptance of an individual as a worthwhile and unique
human being, he or she is exhibiting which of the following characteristics?
a. Trust.
b. Respect.
c. Genuineness.
d. Empathy.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 146). F.A. Davis Company. Kindle Edition.

b
9. Hildegard Peplau identified six subroles within the role of the nurse. She believed the emphasis
in psychiatric nursing was on which of the subroles?
a. The resource person.
b. The teacher.
c. The surrogate.
d. The counselor.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 146). F.A. Davis Company. Kindle Edition.

d
10. Which of the following behaviors are associated with the phenomenon of transference?
(Select all that apply.)
a. The client attributes toward the nurse feelings associated with a person from the client’s past.
b. The nurse attributes toward the client feelings associated with a person from the nurse’s past.
c. The client forms an overwhelming affection for the nurse.
d. The client becomes excessively dependent on the nurse and forms unrealistic expectations
of him or her.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 147). F.A. Davis Company. Kindle Edition.

a,c,d
Ch 8
1. A client states: “I refuse to shower in this room. I must be very cautious. The FBI has placed a
camera in here to monitor my every move.” Which of the following is the therapeutic response?
a. “That’s not true.”
b. “I have a hard time believing that is true.”
c. “Surely you don’t really believe that.”
d. “I will help you search this room so that you can see there is no camera.”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 161). F.A. Davis Company. Kindle Edition.

b
2. Nancy, a depressed client who has been unkept and untidy for weeks, today comes to group
therapy wearing makeup and a clean dress and having washed and combed her hair. Which of
the following responses by the nurse is most appropriate?
a. “Nancy, I see you have put on a clean dress and combed your hair.”
b. “Nancy, you look wonderful today!”
c. “Nancy, I’m sure everyone will appreciate that you have cleaned up for the group today.”
d. “Now that you see how important it is, I hope you will do this every day.”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 162). F.A. Davis Company. Kindle Edition.

a
3. Dorothy was involved in an automobile accident while under the influence of alcohol. She
swerved her car into a tree and narrowly missed hitting a child on a bicycle. She is in the hospital with multiple abrasions and contusions. She is talking about the accident with the nurse.
Which of the following statements by the nurse is most appropriate?
a. “Now that you know what can happen when you drink and drive, I’m sure you won’t let it
happen again.”
b. “You know that was a terrible thing you did. That child could have been killed.”
c. “I’m sure everything is going to be okay now that you understand the possible consequence
of such behavior.”
d. “How are you feeling about what happened?”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 162). F.A. Davis Company. Kindle Edition.

d
4. Judy has been in the hospital for 3 weeks. She has used Valium “to settle my nerves” for the
past 15 years. She was admitted by her psychiatrist for safe withdrawal from the drug. She has
passed the physical symptoms of withdrawal at this time, but states to the nurse, “I don’t know
if I will be able to make it without Valium after I go home. I’m already starting to feel nervous.
I have so many personal problems.” Which is the most appropriate response by the nurse?
a. “Why do you think you have to have drugs to deal with your problems?”
b. “Everybody has problems, but not everybody uses drugs to deal with them. You’ll just have
to do the best that you can.”
c. “We will just have to think about some things that you can do to decrease your anxiety without resorting to drugs.”
d. “Just hang in there. I’m sure everything is going to be okay.”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 162). F.A. Davis Company. Kindle Edition.

c
5. Mrs. S. asks the nurse, “Do you think I should tell my husband about my affair with my boss?”
Which is the most appropriate response by the nurse?
a. “What do you think would be best for you to do?”
b. “Of course you should. Marriage has to be based on truth.”
c. “Of course not. That would only make things worse.”
d. “I can’t tell you what to do. You have to decide for yourself.”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 162). F.A. Davis Company. Kindle Edition.

a
6. Carol, an adolescent, just returned from group therapy and is crying. She says to the nurse,
“All the other kids laughed at me! I try to fit in, but I always seem to say the wrong thing.
I’ve never had a close friend. I guess I never will.” Which is the most appropriate response by
the nurse?
a. “What makes you think you will never have any friends?”
b. “You’re feeling pretty down on yourself right now.”
c. “I’m sure they didn’t mean to hurt your feelings.”
d. “Why do you feel this way about yourself?”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 162). F.A. Davis Company. Kindle Edition.

b
7. Walter is angry with his psychiatrist and says to the nurse, “He doesn’t know what he is doing.
That medication isn’t helping a thing!” The nurse responds, “He has been a doctor for many
years and has helped many people.” This is an example of what nontheraputic technique?
a. Rejecting.
b. Disapproving.
c. Probing.
d. Defending.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 163). F.A. Davis Company. Kindle Edition.

d
8. The client says to the nurse, “I’ve been offered a promotion, but I don’t know if I can handle
it.” The nurse replies, “You’re afraid you may fail in the new position.” This is an example of
which therapeutic technique?
a. Restating.
b. Making observations.
c. Focusing.
d. Verbalizing the implied.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 163). F.A. Davis Company. Kindle Edition.

a
9. The environment in which the communication takes place influences the outcome of the interaction. Which of the following are aspects of the environment that influence communication?
(Select all that apply.)
a. Territoriality.
b. Density.
c. Dimension.
d. Distance.
e. Intensity.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 163). F.A. Davis Company. Kindle Edition.

a,b,d
10. The nurse says to a client, “You are being readmitted to the hospital. Why did you stop taking
your medication?” What communication technique does this represent?
a. Disapproving.
b. Requesting an explanation.
c. Disagreeing.
d. Probing.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 163). F.A. Davis Company. Kindle Edition.

b
Ch 9
1. The nurse is using the nursing process to care for a suicidal client. Which of the following
nursing actions is a part of the assessment step of the nursing process?
a. Identifies nursing diagnosis: Risk for suicide.
b. Notes client’s family reports recent suicide attempt.
c. Prioritizes the necessity for maintaining a safe environment for the client.
d. Obtains a short-term contract from the client to seek out staff if feeling suicidal.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 186). F.A. Davis Company. Kindle Edition.

b
2. The nurse is using the nursing process to care for a suicidal client. Which of the following
nursing actions is a part of the diagnosis step of the nursing process?
a. Identifies nursing diagnosis: Risk for suicide.
b. Notes client’s family reports recent suicide attempt.
c. Prioritizes the necessity for maintaining a safe environment for the client.
d. Obtains a short-term contract from the client to seek out staff if feeling suicidal.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 186). F.A. Davis Company. Kindle Edition.

a
3. The nurse is using the nursing process to care for a suicidal client. Which of the following
nursing actions is a part of the outcome identification step of the nursing process?
a. Prioritizes the necessity for maintaining a safe environment for the client.
b. Determines if nursing interventions have been appropriate to achieve desired results.
c. Obtains a short-term contract from the client to seek out staff if feeling suicidal.
d. Establishes goal of care: Client will not harm self during hospitalization.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 186). F.A. Davis Company. Kindle Edition.

d
4. The nurse is using the nursing process to care for a suicidal client. Which of the following
nursing actions is a part of the planning step of the nursing process?
a. Prioritizes the necessity for maintaining a safe environment for the client.
b. Determines if nursing interventions have been appropriate to achieve desired results.
c. Obtains a short-term contract from the client to seek out staff if feeling suicidal.
d. Establishes goal of care: Client will not harm self during hospitalization.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 186). F.A. Davis Company. Kindle Edition.

a
5. The nurse is using the nursing process to care for a suicidal client. Which of the following
nursing actions is a part of the implementation step of the nursing process?
a. Prioritizes the necessity for maintaining a safe environment for the client.
b. Determines if nursing interventions have been appropriate to achieve desired results.
c. Obtains a short-term contract from the client to seek out staff if feeling suicidal.
d. Establishes goal of care: Client will not harm self during hospitalization.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 186). F.A. Davis Company. Kindle Edition.

c
6. The nurse is using the nursing process to care for a suicidal client. Which of the following
nursing actions is a part of the evaluation step of the nursing process?
a. Prioritizes the necessity for maintaining a safe environment for the client.
b. Determines if nursing interventions have been appropriate to achieve desired results.
c. Obtains a short-term contract from the client to seek out staff if feeling suicidal.
d. Establishes goal of care: Client will not harm self during hospitalization.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 187). F.A. Davis Company. Kindle Edition.

b
7. S.T. is a 15-year-old girl who has just been admitted to the adolescent psychiatric unit with a
diagnosis of anorexia nervosa. She is 55 tall and weighs 82 lb. She was elected to the cheerleading squad for the fall but states that she is not as good as the others on the squad. The
treatment team has identified the following problems: refusal to eat, occasional purging, refusing to interact with staff and peers, and fear of failure. Which of the following nursing diagnoses would be appropriate for S.T.? (Select all that apply.)
a. Social Isolation.
b. Disturbed Body Image.
c. Low Self-Esteem.
d. Imbalanced Nutrition: Less than body requirements.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 187). F.A. Davis Company. Kindle Edition.

a,b,c,d
8. S.T. is a 15-year-old girl who has just been admitted to the adolescent psychiatric unit with a
diagnosis of anorexia nervosa. She is 55 tall and weighs 82 lb. She was elected to the cheerleading squad for the fall but states that she is not as good as the others on the squad. The
treatment team has identified the following problems: refusal to eat, occasional purging, refusing to interact with staff and peers, and fear of failure. Which of the following nursing diagnoses would be the priority diagnosis for S.T.?
a. Social Isolation.
b. Disturbed Body Image.
c. Low Self-Esteem.
d. Imbalanced Nutrition: Less than body requirements.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 187). F.A. Davis Company. Kindle Edition.

d
9. Nursing diagnoses are prioritized according to:
a. Degree of potential for resolution.
b. Legal implications associated with nursing intervention.
c. Life-threatening potential.
d. Client and family requests.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 187). F.A. Davis Company. Kindle Edition.

c
10. Which of the following describe advantages to electronic health records (EHRs)? (Select all
that apply.)
a. They reduce redundancy of information.
b. They reduce issues regarding privacy.
c. They decrease charting time.
d. They facilitate communication between disciplines.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 187). F.A. Davis Company. Kindle Edition.

a,c,d
Ch 10
1. N.J. is the nurse leader of a childbirth preparation group. Each week she shows various films
and sets out various reading materials. She expects the participants to utilize their time on a
topic of their choice or practice skills they have observed on the films. Two couples have
dropped out of the group, stating, “This is a big waste of time.” Which type of group and style
of leadership is described in this situation?
a. Task, democratic.
b. Teaching, laissez-faire.
c. Self-help, democratic.
d. Supportive/therapeutic, autocratic.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 197). F.A. Davis Company. Kindle Edition.

b
2. M.K. is a psychiatric nurse who has been selected to lead a group for women who desire to
lose weight. The criterion for membership is that they must be at least 20 pounds overweight.
All have tried to lose weight on their own many times in the past without success. At their first
meeting, M.K. provides suggestions as the members determine what their goals will be and
how they plan to go about achieving those goals. They decided how often they wanted to meet,
and what they planned to do at each meeting. Which type of group and style of leadership is
described in this situation?
a. Task, autocratic.
b. Teaching, democratic.
c. Self-help, laissez-faire.
d. Supportive/therapeutic, democratic.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 197). F.A. Davis Company. Kindle Edition.

d
3. J.J. is a staff nurse on a surgical unit. He has been selected as leader of a newly established
group of staff nurses organized to determine ways to decrease the number of medication errors
occurring on the unit. J.J. has definite ideas about how to bring this about. He has also applied
for the position of Head Nurse on the unit and believes that, if he is successful in leading the
group toward achievement of its goals, he can also facilitate his chances for promotion. At each
meeting he addresses the group in an effort to convince the members to adopt his ideas. Which
type of group and style of leadership is described in this situation?
a. Task, autocratic.
b. Teaching, autocratic.
c. Self-help, democratic.
d. Supportive/therapeutic, laissez-faire.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 198). F.A. Davis Company. Kindle Edition.

a
4. The nurse leader is explaining about group “curative factors” to members of the group. She tells
the group that group situations are beneficial because members can see that they are not alone
in their experiences. This is an example of which curative factor?
a. Altruism.
b. Imitative behavior.
c. Universality.
d. Imparting of information.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 198). F.A. Davis Company. Kindle Edition.

c
5. Nurse Jones is the leader of a bereavement group for widows. Nancy is a new member. She listens to the group and sees that Jane has been a widow for 5 years now. Jane has adjusted well
and Nancy thinks maybe she can too. This is an example of which curative factor?
a. Universality.
b. Imitative behavior.
c. Installation of hope.
d. Imparting of information.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 198). F.A. Davis Company. Kindle Edition.

c
6. Paul is a member of an anger management group. He knew that people did not want to be his
friend because of his violent temper. In the group, he has learned to control his temper and form
satisfactory interpersonal relationships with others. This is an example of which curative factor?
a. Catharsis.
b. Altruism.
c. Imparting of information.
d. Development of socializing techniques.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 198). F.A. Davis Company. Kindle Edition.

d
7. Henry is a member of an Alcoholics Anonymous group. He learned about the effects of alcohol
on the body when a nurse from the chemical dependency unit spoke to the group. This is an
example of which curative factor?
a. Catharsis.
b. Altruism.
c. Imparting of information.
d. Universality.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 198). F.A. Davis Company. Kindle Edition.

c
8. Sandra is the nurse leader of a supportive/therapeutic group for individuals with anxiety disorders. In this group, Nancy talks incessantly. When someone else tries to make a comment, she
refuses to allow him or her to speak. What type of member role is Nancy assuming in this group?
a. Aggressor.
b. Monopolizer.
c. Blocker.
d. Seducer.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 198). F.A. Davis Company. Kindle Edition.

b
9. Sandra is the nurse leader of a supportive/therapeutic group for individuals with anxiety disorders. On the first day the group meets, Valerie speaks first and begins by sharing the intimate
details of her incestuous relationship with her father. What type of member role is Nancy
assuming in this group?
a. Aggressor.
b. Monopolizer.
c. Blocker.
d. Seducer.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 199). F.A. Davis Company. Kindle Edition.

d
10. Sandra is the nurse leader of a supportive/therapeutic group for individuals with anxiety disorders. Violet, who is beautiful but lacks self-confidence, states to the group, “Maybe if I became
a blond my boyfriend would love me more.” Larry responds, “Listen, dummy, you need more
than blond hair to keep the guy around. A bit more in the brains department would help!”
What type of member role is Larry assuming in this group?
a. Aggressor.
b. Monopolizer.
c. Blocker.
d. Seducer.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 199). F.A. Davis Company. Kindle Edition.

a
Ch 11
1. The nurse-therapist is counseling the Smith family: Mr. and Mrs. Smith, 10-year-old Rob, and
8-year-old Lisa. When Mr. and Mrs. Smith start to argue, Rob hits Lisa and Lisa starts to cry. The
Smiths then turn their attention to comforting Lisa and scolding Rob, complaining that he is “out
of control and we don’t know what to do about his behavior.” These dynamics are an example of
a. Double-bind messages.
b. Triangulation.
c. Pseudohostility.
d. Multigenerational transmission.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 222). F.A. Davis Company. Kindle Edition.

b
2. Using Bowen’s systems approach with a family in therapy, the therapist would:
a. Try to change family principles that may be promoting dysfunctional behavior patterns.
b. Strive to create change in destructive behavior through improvement in communication
and interaction patterns.
c. Encourage increase in the differentiation of individual family members.
d. Promote change in dysfunctional behavior by encouraging the formation of more diffuse
boundaries between family members.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 223). F.A. Davis Company. Kindle Edition.

c
3. Using the structural approach with a family in therapy, the therapist would:
a. Try to change family principles that may be promoting dysfunctional behavior patterns.
b. Strive to create change in destructive behavior through improvement in communications
and interaction patterns.
c. Encourage increase in the differentiation of individual family members.
d. Promote change in dysfunctional behavior by encouraging the formation of more diffuse
boundaries between family members.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 223). F.A. Davis Company. Kindle Edition.

a
4. Using the strategic approach with a family in therapy, the therapist would:
a. Try to change family principles that may be promoting dysfunctional behavior patterns.
b. Strive to create change in destructive behavior through improvement in communication
and interaction patterns.
c. Encourage increase in the differentiation of individual family members.
d. Promote change in dysfunctional behavior by encouraging the formation of more diffuse
boundaries between family members.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 223). F.A. Davis Company. Kindle Edition.

b
5. Carol, a nurse in a family medicine outpatient clinic, conducts initial interviews when new families are referred. She has just finished interviewing a mother who has come to the clinic with
her three children, ages 5, 7, and 11. The mother says to the oldest child, “You have been such
a help to me, playing with your brothers while I talk to the nurse.” In assessing family interaction, the nurse recognizes this statement as a direct indicator of
a. Family climate.
b. Family members’ expectations.
c. Handling differences.
d. Self-concept reinforcement.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 223). F.A. Davis Company. Kindle Edition.

d
6. The intermittent exiting and entering of various family members and reestablishing of the bond
of the dyadic couple relationship are characteristics associated with which stage of family development:
a. The family joined through marriage/union.
b. The family with adolescents.
c. The family launching grown children.
d. The family in later life.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 223). F.A. Davis Company. Kindle Edition.

c
7. The nurse psychotherapist is working with the Jones family in the outpatient mental health
clinic. The husband says, “We can’t agree on anything! And it seems like every time we disagree
on something it ends up in a screaming match.” Which of the following prescriptions by the
nurse represents a paradoxical intervention for the Jones family?
a. Mr. and Mrs. Jones must not have a disagreement for one full day.
b. Mr. and Mrs. Jones will yell at each other on Tuesdays and Thursdays from 8:00 p.m. until
8:10 p.m.
c. Mr. and Mrs. Jones must refrain from yelling at each other until the next counseling session.
d. Mr. and Mrs. Jones must not discuss serious issues until they can do so without yelling at
each other.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 223). F.A. Davis Company. Kindle Edition.

b
8. Mr. and Mrs. Jones have been married for 21 years. Mr. Jones is the family breadwinner, and
Mrs. Jones has never worked outside the home. Mr. Jones has always made all the decisions
for the family and Mrs. Jones has always been compliant. According to the strategic model
of family therapy, this is an example of which of the following?
a. Marital schism.
b. Pseudomutuality.
c. Marital skew.
d. Pseudohostility.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 224). F.A. Davis Company. Kindle Edition.

c
9. Jack and Ann have come to the clinic for family therapy. They have been married for 18 years.
Jack had an affair with his secretary 5 years ago. He fired the secretary and assures Ann and
the nurse that he has been faithful ever since. Jack tells the nurse, “We have never been able
to get along with each other. We can’t talk about anything…all we do is shout at each other.
And every time she gets angry with me, she brings up my infidelity. I can’t even imagine how
many times each of us has threatened divorce over the years. Our kids don’t have any idea
what it is like to have parents who get along with each other. I’ve really had enough!” The
nurse would most likely document which of the following in her assessment of this couple?
a. Marital skew.
b. Pseudohostility.
c. Double-bind communication.
d. Marital schism.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 224). F.A. Davis Company. Kindle Edition.

d
10. Mr. and Mrs. Smith and their 3 children (ages 5, 8, and 10) are in therapy with the nurse
psychotherapist. Mrs. Smith tells the nurse that their marriage has been “falling apart” since
the birth of their youngest child, Tom. She explains that they “did not want a third child, and I
became pregnant even after my husband had undergone a vasectomy. We were very angry,
the pregnancy was a problematic one, and the child has been difficult since birth. We had
problems before he was born, but since Tom was born, things have gone from bad to worse.
No one can control him, and he is wrecking our family!” The nurse assesses that which of the
following may be occurring in this family?
a. Scapegoating.
b. Triangling.
c. Disengagement.
d. Enmeshment.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 224). F.A. Davis Company. Kindle Edition.

a
Ch 12
1. Which of the following are basic assumptions of milieu therapy? (Select all that apply.)
a. The client owns his or her own environment.
b. Each client owns his or her behavior.
c. Peer pressure is a useful and powerful tool.
d. Inappropriate behaviors are punished immediately.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 234). F.A. Davis Company. Kindle Edition.

a,b,c
2. John tells the nurse, “I think lights out at 10 o’clock on a weekend is stupid. We should be able
to watch TV until midnight!” Which of the following is the most appropriate response from the
nurse on the milieu unit?
a. “John, you were told the rules when you were admitted.”
b. “You may bring it up before the others at the community meeting, John.”
c. “Some people want to go to bed early, John.”
d. “You are not the only person on this unit, John. You must think of the others.”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 234). F.A. Davis Company. Kindle Edition.

b
3. In prioritizing care within the therapeutic environment, which of the following nursing interventions would receive the highest priority?
a. Ensuring that the physical facilities are conducive to achievement of the goals of therapy.
b. Scheduling a community meeting for 8:30 each morning.
c. Attending to the nutritional and comfort needs of all clients.
d. Establishing contacts with community resources.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 234). F.A. Davis Company. Kindle Edition.

c
4. In the community meeting, which of the following actions is most important for reinforcing the
democratic posture of the therapy setting?
a. Allowing each person a specific and equal amount of time to talk.
b. Reviewing group rules and behavioral limits that apply to all clients.
c. Reading the minutes from yesterday’s meeting.
d. Waiting until all clients are present before initiating the meeting.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 234). F.A. Davis Company. Kindle Edition.

b
5. One of the goals of a therapeutic community is for clients to become more independent and
accept self-responsibility. Which of the following approaches by staff best encourages fulfillment of this goal?
a. Including client input and decisions into the treatment plan.
b. Insisting that each client take a turn as “president” of the community meeting.
c. Making decisions for the client regarding plans for treatment.
d. Requiring that the client be bathed, be dressed, and attend breakfast on time each morning.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 234). F.A. Davis Company. Kindle Edition.

a
6. Client teaching is an important nursing function in milieu therapy. Which of the following
statements by the client indicates the need for knowledge and a readiness to learn?
a. “Get away from me with that medicine! I’m not sick!”
b. “I don’t need psychiatric treatment. It’s my migraine headaches that I need help with.”
c. “I’ve taken Valium every day of my life for the last 20 years. I’ll stop when I’m good and
ready!”
d. “The doctor says I have bipolar disorder. What does that really mean?”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 235). F.A. Davis Company. Kindle Edition.

d
7. Which of the following activities would be a responsibility of the clinical psychologist member
of the IDT team?
a. Locates halfway house and arranges living conditions for client being discharged from the
hospital.
b. Manages the therapeutic milieu on a 24-hour basis.
c. Administers and evaluates psychological tests that assist in diagnosis.
d. Conducts psychotherapy and administers electroconvulsive therapy treatments.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 235). F.A. Davis Company. Kindle Edition.

c
8. Which of the following activities would be a responsibility of the psychiatric clinical nurse
specialist on the IDT team?
a. Manages the therapeutic milieu on a 24-hour basis.
b. Conducts group therapies and provides consultation and education to staff nurses.
c. Directs a group of clients in acting out a situation that is otherwise too painful for a client
to discuss openly.
d. Locates halfway house and arranges living conditions for client being discharged from the
hospital.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 235). F.A. Davis Company. Kindle Edition.

b
9. On the milieu unit, duties of the staff psychiatric nurse include which of the following? (Select
all that apply.)
a. Medication administration.
b. Client teaching.
c. Medical diagnosis.
d. Reality orientation.
e. Relationship development.
f. Group therapy.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 235). F.A. Davis Company. Kindle Edition.

a,b,d,e
10. Sally was sexually abused as a child. She is a client on the milieu unit with a diagnosis of
Borderline Personality Disorder. She has refused to talk to anyone. Which of the following
therapies might the IDT team choose for Sally? (Select all that apply.)
a. Music therapy.
b. Art therapy.
c. Psychodrama.
d. Electroconvulsive therapy.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 235). F.A. Davis Company. Kindle Edition.

a,b,c
Ch 13
1. Which of the following is a correct assumption regarding the concept of crisis?
a. Crises occur only in individuals with psychopathology.
b. The stressful event that precipitates crisis is seldom identifiable.
c. A crisis situation contains the potential for psychological growth or deterioration.
d. Crises are chronic situations that recur many times during an individual’s life.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 252). F.A. Davis Company. Kindle Edition.

c
2. Crises occur when an individual:
a. Is exposed to a precipitating stressor.
b. Perceives a stressor to be threatening.
c. Has no support systems.
d. Experiences a stressor and perceives coping strategies to be ineffective.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 252). F.A. Davis Company. Kindle Edition.

d
3. Amanda’s mobile home was destroyed by a tornado. Amanda received only minor injuries, but
is experiencing disabling anxiety in the aftermath of the event. This type of crisis is called:
a. Crisis resulting from traumatic stress.
b. Maturational/developmental crisis.
c. Dispositional crisis.
d. Crisis of anticipated life transitions.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 252). F.A. Davis Company. Kindle Edition.

a
4. The most appropriate crisis intervention with Amanda (from question 3) would be to:
a. Encourage her to recognize how lucky she is to be alive.
b. Discuss stages of grief and feelings associated with each.
c. Identify community resources that can help Amanda.
d. Suggest that she find a place to live that provides a storm shelter.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 252). F.A. Davis Company. Kindle Edition.

b
5. Jenny reported to the high school nurse that her mother drinks too much. She is drunk every
afternoon when Jenny gets home from school. Jenny is afraid to invite friends over because of
her mother’s behavior. This type of crisis is called:
a. Crisis resulting from traumatic stress.
b. Maturational/developmental crisis.
c. Dispositional crisis.
d. Crisis reflecting psychopathology.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 253). F.A. Davis Company. Kindle Edition.

c
6. The most appropriate nursing intervention with Jenny (from question 5) would be to:
a. Make arrangements for her to start attending Alateen meetings.
b. Help her identify the positive things in her life and recognize that her situation could be a
lot worse than it is.
c. Teach her about the effects of alcohol on the body and that it can be hereditary.
d. Refer her to a psychiatrist for private therapy to learn to deal with her home situation.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 253). F.A. Davis Company. Kindle Edition.

a
7. Ginger, age 19 and an only child, left 3 months ago to attend a college of her choice 500 miles
away from her parents. It is Ginger’s first time away from home. She has difficulty making
decisions and will not undertake anything new without first consulting her mother. They talk
on the phone almost every day. Ginger has recently started having anxiety attacks. She consults the nurse practitioner in the student health center. This type of crisis is called:
a. Crisis resulting from traumatic stress.
b. Dispositional crisis.
c. Psychiatric emergency.
d. Maturational/developmental crisis.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 253). F.A. Davis Company. Kindle Edition.

d
8. The most appropriate nursing intervention with Ginger (from question 7) would be to:
a. Suggest she move to a college closer to home.
b. Work with Ginger on unresolved dependency issues.
c. Help her find someone in the college town from whom she could seek assistance rather
than calling her mother regularly.
d. Recommend that the college physician prescribe an antianxiety medication for Ginger.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 253). F.A. Davis Company. Kindle Edition.

b
9. Marie, age 56, is the mother of five children. Her youngest child, who had been living at home
and attending the local college, recently graduated and accepted a job in another state. Marie
has never worked outside the home and has devoted her life to satisfying the needs of her
husband and children. Since the departure of her last child from home, Marie has become
more and more despondent. Her husband has become very concerned, and takes her to the
local mental health center. This type of crisis is called:
a. Dispositional crisis.
b. Crisis of anticipated life transitions.
c. Psychiatric emergency.
d. Crisis resulting from traumatic stress.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 253). F.A. Davis Company. Kindle Edition.

b
10. The most appropriate nursing intervention with Marie (from question 9) would be to:
a. Refer her to her family physician for a complete physical examination.
b. Suggest she seek outside employment now that her children have left home.
c. Identify convenient support systems for times when she is feeling particularly despondent.
d. Begin grief work and assist her to recognize areas of self-worth separate and apart from her
children.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 253). F.A. Davis Company. Kindle Edition.

d
Ch 14
1. Which of the following are considered good forms of aerobic exercise? (Select all that apply.)
a. Swimming.
b. Cycling.
c. Shopping.
d. Housecleaning.
e. Running.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 264). F.A. Davis Company. Kindle Edition.

a,b,e
2. Which of the following are cognitive manifestations of stress? (Select all that apply.)
a. Inability to concentrate.
b. Obsessive thoughts.
c. Alpha brain waves predominate.
d. Anxiety increases.
e. Creativity is enhanced.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 265). F.A. Davis Company. Kindle Edition.

a,b,d
3. John tells the nurse that he suffers from test anxiety, and gets very stressed prior to and during
exams. The nurse suggests to John that he take short breaks during the exam to de-stress.
Which of the following relaxation exercises would be most appropriate for the nurse to suggest
to John under these circumstances?
a. Deep-breathing exercises.
b. Progressive relaxation exercises.
c. Meditation.
d. Mental imagery.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 265). F.A. Davis Company. Kindle Edition.

a
4. Linda has just been promoted from the typing pool to a position as personal secretary to the
CEO of a large corporation. She is now expected to attend and take minutes of all board meetings, screen calls and visitors for her boss, keep track of his schedule and remind him of important appointments, and make decisions for him in his absence. She tells the nurse that she is
fearful of making mistakes and is constantly “nervous.” She is having trouble sleeping and has
lost 10 pounds since taking over the job. Which of the following nursing diagnoses would be a
priority for Linda?
a. Decisional conflict.
b. Powerlessness.
c. Anxiety (severe).
d. Low self-esteem.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 265). F.A. Davis Company. Kindle Edition.

c
5. Based on the answer in question 4, which of the following would be appropriate outcome
criteria for Linda?
a. Linda will verbalize choices in a plan to maintain control over her life.
b. Linda verbalizes a positive perception about herself.
c. Linda will make a decision about whether to stay in her current position.
d. Linda will demonstrate ability to maintain anxiety at manageable level.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 265). F.A. Davis Company. Kindle Edition.

d
Ch 15
1. Your husband says, “You’re crazy to think about going to college! You’re not smart enough to
handle the studies and the housework, too.” Which of the following is an example of a
nonassertive response?
a. “I will do what I can, and the best that I can.”
b. (Thinking to yourself): “We’ll see how HE likes cooking dinner for a change.”
c. “You’re probably right. Maybe I should reconsider.”
d. “I’m going to do what I want to do, when I want to do it, and you can’t stop me!”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 277). F.A. Davis Company. Kindle Edition.

c
2. You are having company for dinner and they are due to arrive in 20 minutes. You are about to
finish cooking and still have to shower and dress. The doorbell rings and it is a man selling a
new product for cleaning windows. Which of the following is an example of an aggressive
response?
a. “I don’t do windows!” and slam the door in his face.
b. “I’ll take a case,” and write him a check.
c. “Sure, I’ll take three bottles.” Then to yourself you think: “I’m calling this company tomorrow
and complaining to the manager about their salespeople coming around at dinnertime!”
d. “I’m very busy at the moment. I don’t wish to purchase any of your product. Thank you.”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 277). F.A. Davis Company. Kindle Edition.

a
3. You are in a movie theater that prohibits smoking. The person in the seat next to you just lit a
cigarette and the smoke is very irritating. Which of the following is an example of an assertive
response?
a. You say nothing.
b. “Please put your cigarette out. Smoking is prohibited.”
c. You say nothing, but begin to frantically fan the air in front of you and cough loudly and
convulsively.
d. “Put your cigarette out, you slob! Can’t you read the ‘no smoking’ sign?”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 277). F.A. Davis Company. Kindle Edition.

b
4. You have been studying for a nursing exam all afternoon and lost track of time. Your husband
expects dinner on the table when he gets home from work. You have not started cooking yet
when he walks in the door and shouts, “Why the heck isn’t dinner ready?” Which of the following is an example of a passive-aggressive response?
a. “I’m sorry. I’ll have it done in no time, honey.” But then you move very slowly and take a
long time to cook the meal.
b. “I’m tired from studying all afternoon. Make your own dinner, you bum! I’m tired of being
your slave!”
c. “I haven’t started dinner yet. I’d like some help from you.”
d. “I’m so sorry. I know you’re tired and hungry. It’s all my fault. I’m such a terrible wife!”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 277). F.A. Davis Company. Kindle Edition.

a
5. You and your best friend, Jill, have had plans for 6 months to go on vacation together to
Hawaii. You have saved your money and have plane tickets to leave in 3 weeks. She has just
called you and reported that she is not going. She has a new boyfriend, they are moving in
together, and she does not want to leave him. You are very angry with Jill for changing your
plans. Which of the following is an example of an assertive response?
a. “I’m very disappointed and very angry. I’d like to talk to you about this later. I’ll call you.”
b. “I’m very happy for you, Jill. I think it’s wonderful that you and Jack are moving in together.”
c. You tell Jill that you are very happy for her, but then say to another friend, “Well, that’s the
end of my friendship with Jill!”
d. “What? You can’t do that to me! We’ve had plans! You’re acting like a real slut!”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 277). F.A. Davis Company. Kindle Edition.

a
6. A typewritten report for your psychiatric nursing class is due tomorrow at 8:00 a.m. The
assignment was made 4 weeks ago and, and yours is ready to turn in. Your roommate says, “I
finally finished writing my report, but now I have to go to work, and I don’t have time to type
it. Please be a dear and type it for me, otherwise I’ll fail!” You have a date with your
boyfriend. Which of the following is an example of an aggressive response?
a. “Okay, I’ll call Ken and cancel our date.”
b. “I don’t want to stay here and type your report. I’m going out with Ken.”
c. “You’ve got to be kidding! What kind of a fool do you take me for, anyway?”
d. “Okay, I’ll do it.” However, when your roommate returns from work at midnight, you are
asleep and the report has not been typed.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 278). F.A. Davis Company. Kindle Edition.

c
7. You are asked to serve on a committee on which you do not wish to serve. Which of the
following is an example of a nonassertive response?
a. “Thank you, but I don’t wish to be a member of that committee.”
b. “I’ll be happy to serve.” But then you don’t show up for any of the meetings.
c. “I’d rather have my teeth pulled!”
d. “Okay, if I’m really needed, I’ll serve.”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 278). F.A. Davis Company. Kindle Edition.

d
8. You’re on your way to the laundry room when you encounter a fellow dorm tenant who often
asks you to “throw a few of my things in with yours.” You view this as an imposition. He asks
you where you’re going. Which of the following is an example of a passive-aggressive
response?
a. “I’m on my way to the Celtics game. Where do you think I’m going?”
b. “I’m on my way to do some laundry. Do you have anything you want me to wash with mine?”
c. “It’s none of your damn business!”
d. “I’m going to the laundry room. Please don’t ask me to do some of yours. I resent being
taken advantage of in that way.”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 278). F.A. Davis Company. Kindle Edition.

a
9. At a hospital committee meeting, a fellow nurse who is the chairperson has interrupted you
each time you have tried to make a statement. The next time it happens, you intend to respond
assertively. Which of the following is an example of an assertive response?
a. “You make a lousy leader! You won’t even let me finish what I’m trying to say!”
b. You say nothing.
c. “Excuse me. I would like to finish my statement.”
d. You say nothing, but you fail to complete your assignment and do not show up for the next
meeting.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 278). F.A. Davis Company. Kindle Edition.

c
10. A fellow worker often borrows small amounts of money from you with the promise that she
will pay you back “tomorrow.” She currently owes you $15.00, and has not yet paid back any
of the money that she has borrowed. She asks if she can borrow a couple of dollars for lunch.
Which of the following is an example of a nonassertive response?
a. “I’ve decided not to loan you any more money until you pay me back what you already
borrowed.”
b. “I’m so sorry. I only have enough to pay for my own lunch today.”
c. “Get a life, will you? I’m tired of you sponging off me all the time!”
d. “Sure, here’s two dollars.” Then to the other workers in the office: “Be sure you never lend
Cindy any money. She never pays her debts. I’d be sure never to go to lunch with her if I
were you!”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 278). F.A. Davis Company. Kindle Edition.

b
Ch 17
1. John, age 27, was brought to the emergency department by two police officers. He smelled
strongly of alcohol and was combative. His blood alcohol level was measured at 293 mg/dl. His
girlfriend reports that he drinks excessively every day and is verbally and physically abusive.
The nurses give John the nursing diagnosis of Risk for Other-directed Violence. What would be
appropriate outcome objectives for this diagnosis? (Select all that apply.)
a. The client will not verbalize anger or hit anyone.
b. The client will verbalize anger rather than hit others.
c. The client will not harm self or others.
d. The client will be restrained if he becomes verbally or physically abusive.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 303). F.A. Davis Company. Kindle Edition.

b,c
2. John, who was hospitalized with alcohol intoxication and violent behavior, is sitting in the dayroom watching TV with the other clients when the nurse approaches with his 5:00 p.m. dose of
haloperidol. John says, “I feel in control now. I don’t need any drugs.” The nurse’s best response
is based on which of the following statements?
a. John must have the medication, or he will become violent.
b. John knows that if he will not take the medication orally, he will be restrained and given an
intramuscular injection.
c. John has the right to refuse the medication provided there is no immediate danger to self or
others.
d. John must take the medication at this time in order to maintain adequate blood levels.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 304). F.A. Davis Company. Kindle Edition.

c
3. The nurse hears John, a client with a history of violence, yelling in the dayroom. The nurse
observes his increased agitation, clenched fists, and loud, demanding voice. He is challenging
and threatening staff and the other clients. The nurse’s priority intervention would be to:
a. Call for assistance.
b. Draw up a syringe of prn haloperidol.
c. Ask John if he would like to talk about his anger.
d. Tell John if he does not calm down he will have to be restrained.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 304). F.A. Davis Company. Kindle Edition.

a
4. John, a client with a history of violence, has been hospitalized on the psychiatric unit. He
becomes agitated and begins to threaten the staff and other clients. When all other interventions fail, John is placed in restraints in the seclusion room for his and others’ protection.
Which of the following are interventions for the client in restraints? (Select all that apply.)
a. Check temperature and pulse of extremities.
b. Document all observations.
c. Explain to the client that restraint is his punishment for violent behavior.
d. Provide ongoing assessment and observation.
e. Withhold food and fluid until client is calm and can be released from restraints.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 304). F.A. Davis Company. Kindle Edition.

a,b,d
5. When it has been assessed that a client is in control and no longer requires restraining, how
does the nurse proceed?
a. The nurse removes the restraints.
b. The nurse calls for assistance to remove the restraints.
c. With assistance, the nurse removes one restraint.
d. The nurse tells the client he will have to wait until the doctor comes in.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 304). F.A. Davis Company. Kindle Edition.

c
6. Which of these procedures is important in following up an episode of violence on the unit?
(Select all that apply.)
a. Document all observations and occurrences.
b. Conduct a debriefing with staff.
c. Discuss what occurred with other clients who witnessed the incident.
d. Warn the client that it could happen again if he becomes violent.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 304). F.A. Davis Company. Kindle Edition.

a,b,c
7. A client who has been in restraints is now calm. He apologizes to the nurse and says, “I hope I
didn’t hurt anyone.” The nurse’s best response is:
a. “This is our job. We know how to handle violent clients.”
b. “We understand you were out of control and didn’t really mean to hurt anyone.”
c. “It is fortunate that no one was hurt. You will not be placed in restraints as long as you can
control your behavior.”
d. “It is an unpleasant situation to have to restrain someone, but we have to think of the other
clients. We can’t have you causing injury to others. I just hope it won’t happen again.”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 304). F.A. Davis Company. Kindle Edition.

c
8. John and his girlfriend had an argument during her visit. Which behavior by John would indicate he is learning to adaptively problem-solve his frustrations?
a. John says to the nurse, “Give me some of that medication before I end up in restraints!”
b. When his girlfriend leaves, John goes to the exercise room and punches on the punching bag.
c. John says to the nurse, “I guess I’m going to have to dump that broad!”
d. John says to his girlfriend, “You’d better leave before I do something I’m sorry for.”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 305). F.A. Davis Company. Kindle Edition.

b
9. Which of the following assessment data would the nurse consider as risk factors for possible
violence in a client? (Select all that apply.)
a. A diagnosis of somatization disorder.
b. A diagnosis of bipolar disorder.
c. Substance intoxication.
d. Argumentative and demanding behavior.
e. Past history of violence.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 305). F.A. Davis Company. Kindle Edition.

b,c,d,e
10. Which of the following is true about aggression? (Select all that apply.)
a. It is goal directed.
b. Its aim is to do harm to a person or object.
c. It has a requisite of intent.
d. It energizes and mobilizes the body for self-defense.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 305). F.A. Davis Company. Kindle Edition.

a,b,c
Ch 18
1. Which of the following individuals is at highest risk for suicide?
a. Nancy, age 33, Asian American, Catholic, middle socioeconomic group, alcoholic.
b. John, age 72, white, Methodist, low socioeconomic group, diagnosis of metastatic cancer of
the pancreas.
c. Carol, age 15, African American, Baptist, high socioeconomic group, no physical or mental
health problems.
d. Mike, age 55, Jewish, middle socioeconomic group, suffered myocardial infarction a year ago.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 319). F.A. Davis Company. Kindle Edition.

b
2. Some biological factors may be associated with the predisposition to suicide. Which of the
following biological factors have been implicated?
a. Genetics and decreased levels of serotonin.
b. Heredity and increased levels of norepinephrine.
c. Temporal lobe atrophy and decreased levels of acetylcholine.
d. Structural alterations of the brain and increased levels of dopamine.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 319). F.A. Davis Company. Kindle Edition.

a
3. Theresa, age 27, was admitted to the psychiatric unit from the medical intensive care unit,
where she was treated for taking a deliberate overdose of her antidepressant medication, trazodone (Desyrel). She says to the nurse, “My boyfriend broke up with me. We had been together
for 6 years. I love him so much. I know I’ll never get over him.” Which is the best response by
the nurse?
a. “You’ll get over him in time, Theresa.”
b. “Forget him. There are other fish in the sea.”
c. “You must be feeling very sad about your loss.”
d. “Why do you think he broke up with you, Theresa?”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 319). F.A. Davis Company. Kindle Edition.

c
4. The nurse identifies the primary nursing diagnosis for Theresa as Risk for Suicide related to
feelings of hopelessness from loss of relationship. Which is the outcome criterion that would
most accurately measure achievement of this diagnosis?
a. The client has experienced no physical harm to herself.
b. The client sets realistic goals for herself.
c. The client expresses some optimism and hope for the future.
d. The client has reached a stage of acceptance in the loss of the relationship with her boyfriend.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 319). F.A. Davis Company. Kindle Edition.

a
5. Theresa is hospitalized following a suicide attempt after breaking up with her boyfriend. Freudian
psychoanalytic theory would explain Theresa’s suicide attempt in which of the following ways?
a. She feels hopeless about her future without her boyfriend.
b. Without her boyfriend, she feels like an outsider with her peers.
c. She is feeling intense guilt because her boyfriend broke up with her.
d. She is angry at her boyfriend for breaking up with her and has turned the anger inward
on herself.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 319). F.A. Davis Company. Kindle Edition.

d
6. Theresa is hospitalized following a suicide attempt after breaking up with her boyfriend.
Theresa says to the nurse, “When I get out of here, I’m going to try this again, and next time
I’ll choose a no-fail method.” Which is the best response by the nurse?
a. “You are safe here. We will make sure nothing happens to you.”
b. “You’re just lucky your roommate came home when she did.”
c. “What exactly do you plan to do?”
d. “I don’t understand. You have so much to live for.”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 319). F.A. Davis Company. Kindle Edition.

c
7. In determining degree of suicide risk with a suicidal client, the nurse assesses the following
behavioral manifestations: severely depressed, withdrawn, statements of worthlessness, difficulty
accomplishing activities of daily living, no close support systems. The nurse identifies the
client’s risk for suicide as:
a. Low.
b. Moderate.
c. High.
d. Unable to determine.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 320). F.A. Davis Company. Kindle Edition.

c
8. Theresa, who has been hospitalized following a suicide attempt, is placed on suicide
precautions on the psychiatric unit. She admits that she is still feeling suicidal. Which of
the following interventions is most appropriate in this instance?
a. Obtain an order from the physician to place Theresa in restraints to prevent any attempts
to harm herself.
b. Check on Theresa every 15 minutes or assign a staff person to stay with her on a
one-to-one basis.
c. Obtain an order from the physician to give Theresa a sedative to calm her and reduce
suicide ideas.
d. Do not allow Theresa to participate in any unit activities while she is on suicide
precautions.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 320). F.A. Davis Company. Kindle Edition.

b
9. Which of the following interventions are appropriate for a client on suicide precautions?
(Select all that apply.)
a. Remove all sharp objects, belts, and other potentially dangerous articles from the client’s
environment.
b. Accompany the client to off-unit activities.
c. Obtain a promise from the client that she will not do anything to harm herself for the next
12 hours.
d. Put all of the client’s possessions in storage and explain to her that she may have them
back when she is off suicide precautions.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 320). F.A. Davis Company. Kindle Edition.

a,b,c
10. Success of long-term psychotherapy with Theresa (who attempted suicide following a break-up
with her boyfriend) could be measured by which of the following behaviors?
a. Theresa has a new boyfriend.
b. Theresa has an increased sense of self-worth.
c. Theresa does not take antidepressants anymore.
d. Theresa told her old boyfriend how angry she was with him for breaking up with her.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 320). F.A. Davis Company. Kindle Edition.

b
Ch 19
1. A positive reinforcer:
a. Increases the probability that a behavior will recur.
b. Decreases the probability that a behavior will recur.
c. Has nothing to do with modifying behavior.
d. Always results in positive behavior.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 329). F.A. Davis Company. Kindle Edition.

a
2. A negative reinforcer:
a. Increases the probability that a behavior will recur.
b. Decreases the probability that a behavior will recur.
c. Has nothing to do with modifying behavior.
d. Always results in unacceptable behavior.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 329). F.A. Davis Company. Kindle Edition.

a
3. An aversive stimulus or punisher:
a. Increases the probability that a behavior will recur.
b. Decreases the probability that a behavior will recur.
c. Has nothing to do with modifying behavior.
d. Always results in unacceptable behavior.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 330). F.A. Davis Company. Kindle Edition.

b
Situation: B.J. has been out with his friends. He is late getting home. He knows his wife will be
angry and will yell at him for being late. He stops at the florist’s shop and buys a dozen red roses
for her. Questions 4, 5, and 6 are related to this situation.
4. Which of the following behaviors represents positive reinforcement on the part of the wife?
a. She meets him at the door, accepts the roses, and says nothing further about his being late.
b. She meets him at the door, yelling that he is late, and makes him spend the night on the couch.
c. She meets him at the door, expresses delight with the roses, and kisses him on the cheek.
d. She meets him at the door and says, “How could you? You know I’m allergic to roses!”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 330). F.A. Davis Company. Kindle Edition.

c
5. Which of the following behaviors represents negative reinforcement on the part of the wife?
a. She meets him at the door, accepts the roses, and says nothing further about his being late.
b. She meets him at the door, yelling that he is late, and makes him spend the night on the couch.
c. She meets him at the door, expresses delight with the roses, and kisses him on the cheek.
d. She meets him at the door and says, “How could you? You know I’m allergic to roses!”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 330). F.A. Davis Company. Kindle Edition.

a
6. Which of the following behaviors represents an aversive stimulus on the part of the wife?
a. She meets him at the door, accepts the roses, and says nothing further about his being late.
b. She meets him at the door, yelling that he is late, and makes him spend the night on the couch.
c. She meets him at the door, expresses delight with the roses, and kisses him on the cheek.
d. She meets him at the door and says, “How could you? You know I’m allergic to roses!”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 330). F.A. Davis Company. Kindle Edition.

b
7. Fourteen-year-old Sally has been spending many hours after school watching TV. She has virtually stopped practicing her piano lessons. Sally’s parents ask for advice about how to encourage
Sally to practice more. The nurse believes the Premack principle may be helpful. Which of the
following does she suggest to Sally’s parents?
a. She tells Sally’s parents to reward Sally each time she practices the piano, even if it is only
for 5 minutes.
b. She tells Sally’s parents to ignore this behavior and eventually she will start practicing
on her own.
c. She tells Sally’s parents to draw up a contract with Sally stating what the consequences
will be if she doesn’t practice the piano.
d. She tells Sally’s parents to explain to Sally that she may watch TV only after she has
practiced the piano for 1 hour.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 330). F.A. Davis Company. Kindle Edition.

d
8. Nancy has a fear of dogs. In helping her overcome this fear, the therapist is using systematic
desensitization. List the following steps in the order in which the therapist would proceed.
Having Nancy:
a. Look at a real dog.
b. Look at a stuffed toy dog.
c. Pet a real dog.
d. Pet the stuffed toy dog.
e. Walk past a real dog.
f. Look at a picture of a dog.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 330). F.A. Davis Company. Kindle Edition.

f,b,d,a,e,c
Ch 20
1. Janet failed her first test in nursing school. She thinks, “Well, that’s it! I’ll never be a nurse. What
automatic thought does this statement represent?
a. Overgeneralization.
b. Magnification.
c. Catastrophic thinking.
d. Personalization.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 342). F.A. Davis Company. Kindle Edition.

c
2. When Jack is not accepted at the law school of his choice, he thinks, “I’m so stupid. No law
school will ever accept me.” What automatic thought does this statement represent?
a. Overgeneralization.
b. Magnification.
c. Selective abstraction.
d. Minimization.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 342). F.A. Davis Company. Kindle Edition.

a
3. Nancy’s new in-laws came to dinner for the first time. When Nancy’s mother-in-law left some
food on her plate, Nancy thought, “I must be a lousy cook.” What automatic thought does this
statement represent?
a. Dichotomous thinking.
b. Overgeneralization.
c. Minimization.
d. Personalization.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 342). F.A. Davis Company. Kindle Edition.

d
4. Barbara burned the toast. She thinks, “I’m a totally incompetent person.” What automatic
thought does this statement represent?
a. Selective abstraction.
b. Magnification.
c. Minimization.
d. Personalization.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 342). F.A. Davis Company. Kindle Edition.

b
5. Opal is a 43-year-old woman who is suffering from depression and suicidal ideation. Opal says,
“I’m such a worthless person. I don’t deserve to live.” The therapist responds, “I would like for
you to think about what problems committing suicide would solve.” The therapist is using
which of the following cognitive therapy techniques?
a. Imagery.
b. Role-play.
c. Problem solving.
d. Thought recording.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 342). F.A. Davis Company. Kindle Edition.

c
6. The thought recording (2-column and 3-column) cognitive therapy techniques help clients:
a. Identify automatic thoughts.
b. Modify automatic thoughts.
c. Identify rational alternatives.
d. All of the above.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 342). F.A. Davis Company. Kindle Edition.

a
7. The purpose of the Daily Record of Dysfunctional Thoughts (DRDT) is used in cognitive therapy
to help clients:
a. Identify automatic thoughts.
b. Modify automatic thoughts.
c. Identify rational alternatives.
d. All of the above.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 342). F.A. Davis Company. Kindle Edition.

d
8. A client tells the therapist, “I thought I would just die when my husband told me he was leaving me. If I had been a better wife, he wouldn’t have fallen in love with another woman. It’s
all my fault.” The therapist asks the client to think back to the day her husband told her he
was leaving and to describe the situation and her feelings. What cognitive therapy technique is
the therapist using?
a. Imagery.
b. Role-play.
c. Problem solving.
d. Thought recording.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 343). F.A. Davis Company. Kindle Edition.

a
9. A client tells the therapist, “I thought I would just die when my husband told me he was leaving me. If I had been a better wife, he wouldn’t have fallen in love with another woman. It’s
all my fault.” The therapist wants to use the technique of “examining the evidence.” Which of
the following statements reflects this technique:
a. “How do you think you could have been a better wife?”
b. “Okay, you say it’s all your fault. Let’s discuss why it might be your fault and then we will
look at why it may not be.”
c. “Let’s talk about what would make you a happier person.”
d. “Would you have wanted him to stay if he didn’t really want to?”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 343). F.A. Davis Company. Kindle Edition.

b
10. The therapist teaches a client that, when the idea of herself as a worthless person starts to
form in her mind, she should immediately start to whistle the tune of “Dixie.” This is an
example of the cognitive therapy technique of:
a. Behavioral rehearsal.
b. Social skills training.
c. Distraction.
d. Generating alternatives.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 343). F.A. Davis Company. Kindle Edition.

c
Ch 22
1. Which of the following herbs is thought to be helpful in cases of nervousness, anxiety, and/or
insomnia? (Select all that apply.)
a. Chamomile.
b. Echinacea.
c. Kava kava.
d. Ginseng.
e. Valerian.
f. Hops.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 371). F.A. Davis Company. Kindle Edition.

a,c,e,f
2. Which of the following food groups do the USDA/USDHHS food guidelines recommend using
in moderation? (Select all that apply.)
a. Refined carbohydrates.
b. Fats.
c. Milk and milk products.
d. Sodium chloride.
e. Whole grains.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 372). F.A. Davis Company. Kindle Edition.

a,b,d
3. Which of the following herbs is thought to be helpful in relieving menstrual cramping? (Select
all that apply.)
a. Feverfew.
b. Ginger.
c. Chamomile.
d. Black cohosh.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 372). F.A. Davis Company. Kindle Edition.

c,d
4. With which of the following conditions should massage not be performed? (Select all that apply.)
a. High blood pressure.
b. Neck pain.
c. Arthritis.
d. Phlebitis.
e. Osteoporosis.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 372). F.A. Davis Company. Kindle Edition.

a,d,e
5. Which of the following applies to vitamin C?
a. Coenzyme in protein metabolism; found in meat and dairy products.
b. Necessary in formation of DNA; found in beans and other legumes.
c. A powerful antioxidant; found in tomatoes and strawberries.
d. Necessary for blood clotting; found in whole grains and bananas.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 372). F.A. Davis Company. Kindle Edition.

c
6. Which of the following applies to calcium?
a. Coenzyme in carbohydrate metabolism; found in whole grains and citrus fruits.
b. Facilitates iron absorption; found in vegetable oils and liver.
c. Prevents night blindness; found in egg yolk and cantaloupe.
d. Important for nerve and muscle functioning; found in dairy products and oysters.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 372). F.A. Davis Company. Kindle Edition.

d
7. Subluxation is a term used by chiropractic medicine to describe:
a. Displacement of vertebrae in the spine.
b. Adjustment of displaced vertebrae in the spine.
c. Interference with the flow of energy from the brain.
d. Pathways along which energy flows throughout the body.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 372). F.A. Davis Company. Kindle Edition.

a
8. Nancy has been diagnosed with Dysthymic Disorder. The physician has just prescribed fluoxetine 20 mg/day. Nancy tells the nurse that she has been taking St. John’s wort, but still feels
depressed. Which of the following is the appropriate response by the nurse?
a. “St. John’s wort is not effective for depression.”
b. “Do not take fluoxetine and St. John’s wort together.”
c. “You probably just need to increase your dose of St. John’s wort.”
d. “Go ahead and take the St. John’s wort with the fluoxetine. Maybe both of them together will
be more helpful.”Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 372). F.A. Davis Company. Kindle Edition.

b
9. Joann tells the nurse that she has painful menstrual periods and would like to try an alternative therapy to see if she can get some relief. Which of the following might the nurse suggest
for Joann? (Select all that apply.)
a. Chiropractic.
b. Black cohosh.
c. Accupuncture.
d. Ginkgo biloba.Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 373). F.A. Davis Company. Kindle Edition.

a,b,c
10. Large doses of which of the following vitamins has been shown to be effective in some people
for migraine prophylaxis?
a. Vitamin D.
b. Vitamin K.
c. Vitamin B2
(riboflavin).
d. Vitamin B3
(niacin).Townsend, Mary C (2011-10-06). Psychiatric Mental Health Nursing Concepts of Care in Evidence-Based Practice (Page 373). F.A. Davis Company. Kindle Edition.

c

The nurse receives report on 4 clients. Which client should the nurse see first? 1. Client admitted 12 hours ago with acute asthma exacerbation who needs a dose of IV methylprednisolone [21%] 2. Client admitted 2 days ago with congestive …

A plan of care is created for a term small-for-gestational-age (SGA) neonate who was admitted to the neonatal intensive care unit (NICU). The goal was for the newborn to reach 5 pounds by a specified date. On the specified date …

1. You are the charge nurse. A client with chronic pain reports to you that the nurses have not been responding to requests for pain medication. What is your initial action? 1. Check the medication administration records (MARs) for the …

1. Which item below correctly describes the U.S. Bureau of Labor Statistics predictions by 2020? a. Positions that historically required registered nurses will be filled by unlicensed personnel. b. The job growth rate for RNs will surpass job growth in …

David from ajethno:

Hi there, would you like to get such a paper? How about receiving a customized one? Check it out https://goo.gl/chNgQy