Psychiatry Test Bank

Psychiatry Test Bank Related

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The patient and the nurse have agreed on problems to be addressed during a short course of outpatient therapy. At the beginning of the appointment, the patient states, “I’d like to work on the issue of relationships today.” Which assessment can be made?

  • A. The nurse should suggest several alternative behaviors.
  • B. The patient must be able to manage emotions before continuing.
  • C. The relationship is moving from orientation to working phase.
Correct Answer: C

Rationale: The correct assessment to be made in this scenario is that the relationship is moving from the orientation phase to the working phase. In the orientation phase of the nurse-patient therapeutic relationship, the focus is on building rapport, establishing trust, and determining the patient's needs and goals. As the patient voluntarily expresses a desire to work on the issue of relationships, it indicates a transition to the working phase where the patient actively identifies problems to address and goals to achieve. This shift demonstrates progress in the therapeutic relationship as the patient is engaging in the therapeutic process and contributing to the agenda set for the appointment. It signifies a readiness for collaborative problem solving and intervention planning, emphasizing the importance of the patient's involvement in decision-making and goal-setting in the therapeutic process.

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Which statement would the nurse use to describe the primary purpose of boundaries?

  • A. Boundaries define responsibilities and duties to one’s self in relation to others.
  • B. Boundaries determine objectives of the various working stage of the relationship.
  • C. Boundaries differentiate the assumed roles of both the nurse and of the patient.
  • D. Boundaries prevent undesired material from emerging during the interaction.
Correct Answer: A

Rationale: Boundaries define responsibilities and duties to one’s self in relation to others. Setting boundaries is essential in establishing a safe and professional therapeutic relationship between a nurse and a patient. These boundaries help to create a clear understanding of each person's roles and responsibilities within the relationship. Boundaries also help protect both the nurse and the patient from potential harm, maintain professionalism, and ensure effective communication and focus on the therapeutic goals. By defining these boundaries, the nurse can better maintain appropriate relationships with patients and avoid conflicts of interest or ethical dilemmas.

Which statement made by a teenage male hospitalized after a failed suicide attempt is most concerning to the nurse?

  • A. The gun I got for my birthday is my most prized possession.
  • B. I don’t know why I get so depressed and want to die.
  • C. "I don’t feel like I can talk to anyone about my feelings."
  • D. The gun I got for my birthday is my most prized possession.
Correct Answer: D

Rationale: This statement is concerning because it suggests the teenager may still have access to dangerous means (in this case, a gun) and may not fully understand or take responsibility for the gravity of his previous suicidal attempt. The attachment to the gun is alarming.

An elderly patient must be physically restrained. Who is responsible for the patient's safety?

  • A. Unlicensed assistive personnel who apply the restraint
  • B. Family member who agrees to the application of the restraint
  • C. The nurse assigned to care for the patient.
  • D. Health care provider who prescribed the application of restraint
Correct Answer: C

Rationale: The nurse is responsible for the patient’s safety, including the appropriate use of restraints and ensuring the patient is monitored appropriately. The nurse is accountable for assessing the need for restraints, their proper application, and ongoing evaluation of the patient’s condition while restrained

A nurse, leading an inpatient group dealing with women’s issues, identifies a patient who is assuming the role of aggressor. Which behavior characterizes this role?

  • A. Mediating conflicts and disagreements
  • B. Criticizing the contributions of others
  • C. Seeking a position between contending sides
  • D. Remaining quiet and refraining from participating in group discussions
Correct Answer: B

Rationale: In a group setting, a patient assuming the role of aggressor typically exhibits behaviors such as criticizing the contributions of others, being hostile, confrontational, and attempting to assert dominance. This behavior can create a negative and hostile environment in the group, undermining the therapeutic process. It is important for the nurse to recognize and address this behavior in order to promote a safe and supportive atmosphere for all group members to participate and benefit from the sessions.

When differentiating between bereavement symptoms and depression, the nurse will base the formulation on knowledge that in bereavement:

  • A. Suicide thoughts are common.
  • B. Symptoms remit and exacerbate.
  • C. Guilt feelings are overwhelming.
  • D. Psychomotor retardation is obvious.
Correct Answer: B

Rationale: Bereavement involves waves of emotional pain, often triggered by reminders of the loss, whereas depression typically causes persistent symptoms such as guilt or hopelessness.

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