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Varcarolis, Psychiatric Nursing: Exam
1 Application Latest 2025-2026.
Questions & Correct Answers. Graded
A
- Which individuals are most at risk for displaying aggressive behavior? Select all that apply. a. An adolescent embarrassed in front of friends. b. A young male who feels rejected by the social group. c. A young adult depressed after the death of a friend. d. A middle-aged adult who feels that concerns are going unheard. e. A patient who was discovered telling a lie. - ANSA,B,D,E
- Which patient statement does not demonstrate an understanding of a suicide safety plan? a. "I know that when I start thinking about my dad, I'm going to start thinking about killing myself." b. "Going for a really long, hard run helps clear my mind and stops the suicidal thoughts." c. "My sister is always there for me when I start getting suicidal." d. "I keep the suicide prevention phone number in my wallet." - ANSB
- Which response by a 15-year-old demonstrates a common symptom observed in patients diagnosed with major depressive disorder? a. "I'm so restless. I can't seem to sit still."
b. "I spend most of my time studying. I have to get into a good college." c. "I'm not trying to diet, but I've lost about 5 pounds in the past 5 months." d. "I go to sleep around 11 p.m. but I'm always up by 3 a.m. and can't go back to sleep." - ANSD
- Chronic obstructive pulmonary disease, spinal injury, seizure disorder, and pregnancy are conditions that: a. Frequently result in out of control behavior. b. Respond well to therapeutic holding. c. Necessitate the use of only two-point restraint. d. Contraindicate restraint and seclusion. - ANSD
- Kara is a 23-year-old patient admitted with depression and suicidal ideation. Which intervention(s) would be therapeutic for Kara? Select all that apply. a. Focus primarily on developing solutions to the problems leading the patient to feel suicidal. b. Assess the patient thoroughly and reassess the patient at regular intervals as levels of risk fluctuate. c. Avoid talking about the suicidal ideation as this may increase the patient's risk for suicidal behavior. d. Meet regularly with the patient to provide opportunities for the patient to express and explore feelings. e. Administer antidepressant medications cautiously and conservatively because of their potential to increase the suicide risk in Kara's age group. f. Help the patient to identify positive self-attributes and to question negative self-perceptions that are unrealistic. - ANSB,D,E,F
c. "Do you have a history of disordered eating?" d. "Do you think that you drink too much?" e. "Have you ever been arrested for committing a crime?" - ANSB,C,D
- Which interventions will help make the environment on the unit safer for suicidal patients? Select all that apply. a. All windows are kept locked. b. Every shower has a breakaway shower rod. c. Eating utensils are counted when trays are collected. d. Patient doors are kept open. e. Staying within listening distance of the patient. - ANSA,B,C,D
- What are the nursing responsibilities to a patient expressing suicidal thoughts? Select all that apply. a. Instituting one-to-one observation. b. Documenting the patient's whereabouts and mood every 15 to 30 minutes. c. Ensuring that the patient has no contact with glass or metal utensils. d. Ensuring that patient has swallowed each individual dose of medication. e. Discussing triggers of depression. - ANSA,B,C,D
- Which intervention(s) should the nurse implement when helping a patient expresses anger in an inappropriate manner? Select all that apply. a. Approach the patient in a calm, reassuring manner. b. Provide suggestions regarding acceptable ways of communicating anger. c. Warn the patient that being angry is not a healthy emotional state.
d. Set limits on the angry behavior that will be tolerated. e. Allow any expression of anger as long as no one is hurt. - ANSA,B,D
- Which nursing intervention focuses on managing a common characteristic of major depressive disorder associated with the older population? a. Conducting routine suicide screenings at a senior center. b. Identifying depression as a natural, but treatable result of aging. c. Identifying males as being at a greater risk for developing depression. d. Stressing that most individuals experience just a single episode of major depression in a lifetime. - ANSA
- When considering community suicide prevention programs, what population should the nurse plan to service with regular suicide screenings? Select all that apply. a. 10- to 34-year-olds b. Males c. College-educated adults d. Rural population e. Native American - ANSA,B,E
- Which characteristic identified during an assessment serves to support a diagnosis of disruptive mood dysregulation disorder? Select all that apply. a. Female b. 7 years old c. Comorbid autism diagnosis d. Outbursts occur at least once a week
- Which comorbid condition would result in cautious use of a selective serotonin reuptake inhibitors for a patient with chronic aggression? a. Asthma b. Anxiety disorder c. Glaucoma d. Bipolar disorder - ANSD
- Gladys is seeing a therapist because her husband committed suicide 6 months ago. Gladys tells her therapist, "I know he was in pain, but why didn't he leave me a note?" The therapist's best response would be: a. "He probably acted quickly on his impulse to kill himself." b. "He did not want to think about the pain he would cause you." c. "He was not able to think clearly due to his emotional pain." d. "He thought you may think it was an accident if there was no note." - ANSC
- John Patrick is a widower with four daughters. He has enjoyed a healthy relationship with all of them until they reached puberty. As each girl began to mature physically, he acted in an aggressive manner, beating her without provocation. John Patrick is most likely acting on: a. Self-protective measures b. Stress of raising four daughters c. Frustration of unhealthy desire d. Motivating his daughters to be chaste - ANSC
- Tammy, a 28-year-old with major depressive disorder and bulimia nervosa, is ready for discharge from the county hospital after 2 weeks of
inpatient therapy. Tammy is taking citalopram (Celexa) and reports that it has made her feel more hopeful. With a secondary diagnosis of bulimia nervosa, what is an alternative antidepressant to consider? a. Fluoxetine (Prozac) b. Isocarboxazid (Marplan) c. Amitriptyline d. Duloxetine (Cymbalta) - ANSA
- A nurse named Darryl has been hired to work in a psychiatric intensive care unit. He has undergone training on recognizing escalating anger. Which statement indicates that he understands danger signs in regard to aggression? a. "I need to be aware of patients who are withdrawn and sitting alone." b. "An obvious change in behavior is a risk factor for aggression." c. "Patients who seek constant attention are more likely to be violent." d. "Patients who talk to themselves are the most dangerous." - ANSB
- Cabot has multiple symptoms of depression including mood reactivity, social phobia, anxiety, and overeating. With a history of mild hypertension, which classification of antidepressants dispensed as a transdermal patch would be a safe medication? a. Tricyclic antidepressants b. Selective serotonin reuptake inhibitors c. Serotonin and norepinephrine reuptake inhibitors d. Monoamine oxidase inhibitor - ANSD
a. Meditate in the quiet environment b. Ask simple questions even if the patient will not answer c. Use the technique of making observations d. Simply sit quietly and leave when the patient falls asleep - ANSC
- The biological approach to treating depression with electrodes surgically implanted into specific areas of the brain to stimulate the regions identified to be underactive in depression is: a. Transcranial magnetic stimulation b. Deep brain stimulation c. Vagus nerve stimulation d. Electroconvulsive therapy - ANSB
- Twenty-four-hour observation is a good choice for restraint in which of the following patients? a. An inmate with suicidal ideation on hospice care b. A sex offender in the psychiatric intensive care unit c. An aggressive female with antisocial personality disorder d. An inmate diagnosed with paranoid schizophrenia - ANSA
- Which person is at the highest risk for suicide? a. A 50-year-old married white male with depression who has a plan to overdose if circumstances at work do not improve. b. A 45-year-old married white female who recently lost her parents, suffers from bipolar disorder, and attempted suicide once as a teenager.
c. A young single white male who is alcohol dependent, hopeless, impulsive, has just been rejected by his girlfriend, and has ready access to a gun he has hidden. d. An older Hispanic male who is Catholic, is living with a debilitating chronic illness, is recently widowed, and who states, "I wish that God would take me too." - ANSC A 13-year-old boy is undergoing a mental health assessment. The nurse practitioner assures him that his medical records are protected and private. The nurse recognizes that this promise cannot be kept when the youth divulges: a. "I lost my virginity last year." b. "I am angry with my parents most of the time." c. "I have thoughts of being in love with boys." d. "My parents do not know that I hit my grandpa." (Halter 122) Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file. The citation provided is a guideline. Please check each citation for accuracy before use. - ANSd
self-inflicted cuts on her forearms and inner thighs. What is the most important patient outcome for this nursing diagnosis? a. Identify triggers to self-mutilation b. Demonstrate a decrease in frequency and intensity of cutting c. Describe strategies in increase socialization on the unit d. Describe two strategies to increase self-care (Halter 122) Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file. The citation provided is a guideline. Please check each citation for accuracy before use. - ANSa A nurse makes a post on a social media page about his peer taking care of a patient with a crime-related gunshot wound in the emergency department. He does not use the name of the patient. The nurse: a. Has not violated confidentiality laws because he did not use the patient's name.
b. Cannot be held liable for violating confidentiality laws because he was not the primary nurse for the patient. c. Has violated confidentiality laws and can be held liable. d. Cannot be held liable because postings on a social media site are excluded from confidentiality laws. (Halter 106) Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file. The citation provided is a guideline. Please check each citation for accuracy before use. - ANSc A nurse practitioner is interviewing a female patient from Southeast Asia. She complains of stomach pain and chest discomfort. Knowing that the patient's adult son died in a car accident last month, the nurse suspects: a. Vulnerability b. Acid reflux c. Somatization d. Transference
A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be: a. Nursing Interventions Classification (NIC) b. Nursing Outcomes Classification (NOC) c. NANDA-I nursing diagnoses d. DSM- (Halter 16) Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file. The citation provided is a guideline. Please check each citation for accuracy before use. - ANSD A patient being treated for insomnia is prescribed ramel-teon (Rozerem). Which comorbid mental health condition would make this medication the hypnotic of choice for this particular patient? a. Obsessive-compulsive disorder
b. Generalized anxiety disorder c. Persistent depressive disorder d. Substance use disorder (Halter 61) Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file. The citation provided is a guideline. Please check each citation for accuracy before use. - ANSd A psychiatric nurse is reviewing prescriptions for a patient with major depression at the county clinic. Since the patient has a mild intellectual disability, the nurse would question which classification of antidepressant drugs: a. Selective serotonin reuptake inhibitors b. Monoamine oxidase inhibitors c. Serotonin and norepinephrine reuptake inhibitors d. All of the above
The citation provided is a guideline. Please check each citation for accuracy before use. - ANSa, b, d Based on Maslow's hierarchy of needs, physiological needs for a restrained patient include: Select all that apply. a. Private toileting, oral hydration b. Checking the tightness of the restraints c. Therapeutic communication d. Maintaining a patent airway (Halter 106) Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file. The citation provided is a guideline. Please check each citation for accuracy before use. - ANSa, b, d Besides antianxiety agents, which classification of drugs is also commonly given to treat anxiety and anxiety disorders?
a. Antipsychotics b. Mood stabilizers c. Antidepressants d. Cholinesterase inhibitors (Halter 60) Halter, Margaret. Varcarolis' Foundations of Psychiatric Mental Health Nursing, 8th Edition. Elsevier (HS-US), 9-1-2017. VitalBook file. The citation provided is a guideline. Please check each citation for accuracy before use. - ANSc Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, "I don't need to come see you anymore. I have found a therapy app on my phone that I love." How should Carolina respond to this news? a. "That sounds exciting, would you be willing to visit and show me the app?" b. "At this time, there is no real evidence that the app can replace our therapy."
