Psychiatry Test Bank

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What milieu factor would need most attention from the nurse who is caring for a patient who has received six ECT treatments and has two more sc\

  • A. Therapeutic activities
  • B. Boundary maintenance
  • C. Safety
  • D. Trust attainment
Correct Answer: C

Rationale: When caring for a patient who has received multiple electroconvulsive therapy (ECT) treatments and has more scheduled, the most critical milieu factor that needs attention is safety. ECT is a medical procedure that involves inducing seizures through electrical stimulation, and patients may be at risk of physical harm during or after the treatments. The nurse should prioritize ensuring the patient's safety during and after the ECT sessions, including monitoring for any adverse effects, providing support, and taking necessary precautions to prevent accidents. Safety measures, such as fall prevention protocols and close observation, are essential in the care of patients undergoing ECT to ensure their well-being. Therefore, safety is the milieu factor that requires the most attention in this situation.

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Which statement best explains how a mother of several children should prepare to help them cope with the loss of a dear aunt?

  • A. Children are resilient and simply need love as they grieve.
  • B. People regardless of age or gender experience stages of grief.
  • C. Each child will grieve in a unique way and on their own timetable
  • D. .Extreme reactions are more commonly observed in the young griever.
Correct Answer: C

Rationale: Each child will grieve in a unique way and on their own timetable. It is essential for the mother to acknowledge and understand that each of her children will process the loss of their dear aunt differently. Some children might show their emotions openly and seek comfort, while others might prefer to process their feelings more privately. By recognizing and respecting these individual differences, the mother can provide the necessary support tailored to each child's specific needs. This approach helps create a supportive environment where each child feels understood and cared for as they navigate their grief journey.

A patient is experiencing distress with midlife transition. Which statement provides support that the patient is successfully managing this stressor?


  • A. “I won’t give up on my dream to be rich.”
  • B. “I wasn’t being realistic when I set being rich as my life’s goal.”
  • C. “I’ll never be rich, but I can save enough to live comfortably.”
  • D. “Being rich doesn’t necessarily make a person happy.”
Correct Answer: C

Rationale: Successfully managing midlife transitions involves finding realistic and satisfying alternatives to earlier, unmet goals, demonstrating emotional growth and adaptability.

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.

During a grief-processing group, an elderly patient stated, For the first time since my husband died, Im having more good days than bad. This statement suggests that the patient has:

  • A. Replaced old memories with new ones
  • B. Reached the phase of reestablishment
  • C. Completed her grief work successfully
  • D. Determined she is ready to terminate the support group
Correct Answer: B

Rationale: Reestablishment is a phase of grief characterized by finding balance, experiencing positive moments, and reduced intensity of sadness.

Which intervention will the nurse planning care for a patient with acute grief implement?

  • A. Encouraging dependence on the nurse for support
  • B. Providing information about the grief process
  • C. Suggesting utilization of community resources in a few weeks
  • D. Advising the patient to minimize contact with nonfamily members
Correct Answer: B

Rationale: Providing information about grief is an important intervention for individuals experiencing acute grief. It helps the patient understand their emotional reactions and the natural process of grieving, reducing feelings of isolation or confusion.

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