Psychiatric Nursing Contemporary

Practice 5th Edition Boyd Test Bank

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1. Which of the following questions would be most helpful in beginning an initial
assessment interview for a patient who has just been admitted to a psychiatric inpatient
unit?
A) “Have you had any previous psychiatric admissions?”
B) “What brings you into the hospital today?”
C) “Have you had any thoughts about trying to harm yourself?
D) “How would you describe your relationship with your spouse?”

2. A patient is being admitted to the psychiatric unit. While explaining his reason for
seeking admission, he describes how his 32-year-old son recently died of a heart attack.
Which response by the nurse would enhance the effectiveness of this interview?
A) “How is your wife handling your son's death?”
B) “Do you have any other living children that can help you cope with this loss?”
C) “This must be a very difficult time for you.”
D) “I know exactly how you're feeling; my 23-year-old son died unexpectedly last
year.”

3. A patient was admitted to the hospital after a suicide attempt made after his daughter
was killed in an automobile accident during which he had been driving and survived
with only minor injuries. Even though the accident was unavoidable, he feels
responsible. During the assessment interview, the patient begins to describe the last
conversation he had with his daughter before he lost control of the automobile. As he
speaks about his daughter, his voice trembles, and a silent tear rolls down his face. He
makes a visible attempt to “straighten up” and smiles superficially at the nurse, stating,
“I'll get over this. I just need to keep a stiff upper lip. I think all I need to do is stay
overnight. I'll be as good as new by tomorrow.” Which response by the nurse would be
most appropriate?
A) “Tell me about your daughter. How would you describe the relationship you had
with her?”
B) “I'm sure you are right; a good night's rest should make a big difference.”
C) “As good as new?”
D) “You made a serious attempt on your life; you will not be ready go home by
tomorrow.”

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4. After assessing a patient, the nurse noted the following: he was tearful, he tried to kill
himself before coming into the hospital, he had no immediate plan for another suicide
attempt, he was unable to concentrate, and he reported having trouble sleeping and
having little or no appetite. The nurse also noted that the patient's appearance was
unkempt, that he spoke in a low monotone, and that he was unable to establish and
maintain eye contact. Based on this information, which nursing diagnoses would be the
most appropriate?
A) Ineffective Role Performance
B) Risk for Infection
C) Risk for Suicide
D) Risk for Self-Mutilation

5. A staff nurse on a psychiatric unit knows that patients often have trouble sleeping
because of their psychiatric conditions. Which of the following would reflect a
psychiatric nursing intervention to appropriately address this problem?
A) Limiting amounts of evening snacks and beverages
B) Involving patients in a volleyball game immediately before bedtime
C) Enforcing the rule that all patients be in bed with lights out by 10:30 PM
D) Encouraging patients to take short naps in the afternoons

6. The nurse is determining the success of a patient's plan of care by evaluating outcome
indicators. The nurse understands that these indicators are usually determined initially at
which time?
A) On the day of discharge
B) During the assessment process
C) At the initial interview
D) With goal-setting process

7. Based on assessment data, the nurse formulates the nursing diagnosis for a patient as
sleep pattern disturbance. After teaching the patient how to relax before bedtime, the
nurse determines that the teaching was effective by which outcome?
A) Discusses feelings about not being able to fall asleep
B) Reports feeling rested on awakening in the morning within 3 days
C) Requests sleeping medication each night before bedtime
D) Is able to sleep for short intervals throughout the night

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 8. A patient was brought to the emergency department for an injury he received while
working as a migrant worker. It soon becomes evident that the patient cannot speak
English. A nurse on duty offers to find an interpreter so the patient can communicate
with the medical staff. The nurse's offer is an example of which type of nursing
intervention?
A) Milieu therapy
B) Conflict resolution
C) Cultural brokering
D) Structured interaction

9. A home health nurse is making a home visit to a psychiatric patient who was recently
discharged from a mental health unit. During the visit, the nurse plans on clarifying with
the patient when she will return for the next home visit. During which stage would the
nurse discuss the next home visit with the patient?
A) Closure stage
B) Service implementation
C) Greeting stage
D) Focus establishment

10. The nurse is reviewing the assessment data of a patient diagnosed with a mental illness.
The patient is to be prescribed medication to treat the illness. The nurse would identify
changes in which laboratory values as being the least significant?
A) Hemoglobin
B) Alanine aminotransferase (ALT)
C) Blood urea nitrogen (BUN) level
D) Serum creatinine

11. A nurse is performing a biopsychosocial assessment of a patient with depression. Which

of the following would the nurse assess as part of the psychological domain? Select all
that apply.
A) Abstract reasoning
B) Medication use
C) Mood
D) Orientation
E) Self-care

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12. During assessment, the nurse asks a patient to explain what the following means: “A
penny saved is a penny earned.” The nurse is assessing which of the following?
A) Affect
B) Attention
C) Concentration
D) Abstract reasoning

13. The nurse is reviewing the drawing that a patient completed as a self-portrait. The nurse
observes that the drawing lacks arms and feet. The nurse interprets this as indicating
which of the following? Select all that apply.
A) Low self-esteem
B) Powerlessness
C) Insecurity
D) Inadequacy

14. A nurse identifies a nursing diagnosis of chronic low self-esteem. Which statement by a
patient would support this nursing diagnosis?
A) “I feel so ugly.'
B) “No one wants to date me.”
C) “I'm so fat, like a cow.”
D) “I never do anything right.”

15. A nurse is assessing a patient's spirituality. Which question would be most appropriate
to ask?
A) “Have you ever tried to harm yourself?”
B) “How important is your family to you?”
C) “How do you define good and evil?”
D) “What gives your life meaning?”

16. A nurse is assisting a patient in using simple relaxation techniques. Which of the
following would the nurse do first?
A) Have the patient assume a relaxed position.
B) Advise the patient to let the sensations happen.
C) Ensure a quiet, nondisrupting environment.
D) Instruct the patient to take an initial slow, deep breath.

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17. A group of nursing students are reviewing information about counseling interventions.
The students demonstrate a need for additional review when they identify counseling
interventions as involving which of the following?
A) Specific, time-limited intervention
B) Focus on coping improvement
C) Goal of regaining functional abilities
D) Prevention of disability

18. A patient is engaged in bibliotherapy and begins to express his feelings because he
closely associates his experience with that provided by the reading material. The nurse
interprets this as which of the following?
A) Insight
B) Catharsis
C) Anxiety reduction
D) Problem solving

19. After teaching a group of nursing students about milieu therapy, the instructor
determines that additional teaching is needed when the students identify which of the
following as a key concept of milieu therapy?
A) Structure interaction
B) Open communication
C) Validation
D) De-escalation

20. The nurse is assessing a patient's immediate and short-term memory. Which of the
following would be most appropriate?
A) Questioning the patient about an event that has occurred within the past several
months
B) Giving the patient a simple scenario and having him identify what would be the
best response
C) Giving the patient three words and asking him to recite them now and then in 5
minutes
D) Asking the patient to tell the nurse the date, time, and current location

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Answer Key
1. B
2. C
3. D
4. C
5. A
6. B
7. B
8. C
9. A
10. A
11. A, C, D
12. D
13. B, D
14. D
15. D
16. C
17. C
18. B
19. D
20. C

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