Welcome to the Psychiatric Nursing Degree Questions - Foundations of Psychiatric Nursing. Before you begin answering this questions, I recommend that you read this special offer that will surely help you to pass your NCLEX Licensure Examination:
1. The nurse can use self-disclosure with a patient if:
a) she has experienced the same situation as the patient
b) the patient asks her directly about his experience
c) it helps the patient to talk more easily
d) it achieve a specific therapeutic goal
2. The nurse who uses self-disclosure should:
a) refocuses on the patient's experience as quickly as possible
b) allow the patient to ask questions about her experience
c) discuss her experience in detail
d) have the patient explain his perception of what the nurse has revealed
3. During the mental status examination a patient may be asked to explain several proverbs, such as "Don't cry over spilled milk." The purpose is to evaluate the patient's ability to think:
a) rationally
b) concretely
c) abstractly
d) tangentially
4. The terms judgment and insight sometimes are used incorrectly. Insight is the ability to:
a) make appropriate choices
b) control inappropriate impulses
c) explain one's psychiatric diagnosis
d) understand the nature of one's problem or situation
5. The nurse documents, "The patient described her husband's abuse in an emotionless tone and with a flat facial expression. "This statement describes the patient's:
a) feelings
b) blocking
c) mood
d) affect
6. Although a patient changes topics quickly while relating his past psychiatric history, the nurse is able to follow his thoughts. The patient's pattern of thinking is called:
a) looseness of association
b) flight of ideas
c) tangential thinking
d) circumstantial thinking
7. The nurse who suspects that a patient's behavior has a cultural basis should:
a) read several articles about the patient's culture
b) ask staff members of a similar culture about the patient's behavior
c) observe the patient and his family and friends interacting with each other and other staff members
d) accept the patient's behavior because it is probably culturally based
8. Which contribution of the psychoanalytic model is particularly useful to psychiatric nurses?
a) all behavior has meaning
b) behavior that is reinforced will be perpetuated
c) the first 6 years of a person's life determine his personality
d) behavioral deviations result from an incongruence between verbal and non-verbal communication
9. According to Freud's psychosexual theory, the ego has several functions, one of which is to:
a) serve as the source of instinctual drives
b) stimulate psychic energy
c) operate as a conscience that controls unacceptable drives
d) test reality and direct behavior
10. Erikson described the psychosocial tasks of the developing person in his theoretical model. The primary developmental task of the young adult (age 18 to 25) is:
a) intimacy versus isolation
b) industry versus inferiority
c) generativity versus stagnation
d) trust versus mistrust
Try to read the latest type of cancer, it might be included in the exam --> Mesothelioma Cancer
Psychiatric Nursing Degree Questions:
ANSWERS AND RATIONALE
1) D
- Rationale: self-disclosure, making personal statements about oneself, can be a useful tool for the nurse. However, the nurse should use self-disclosure judiciously and with a specific therapeutic purpose in mind. The nurse should listen to the patient closely and remember that experiences are sometimes similar but never the same for different people. Too many self-disclosures can shift the focus from the patient to the nurse. Self-disclosure that distracts the patient from treatment issues does not benefit the patient and may alienate him from the nurse.
2) A
- Rationale: the nurse's self-disclosure should be brief and to the point so that the interaction can be refocused on the patient's experience. Because the patient is the focus of the nurse-patient relationship, the nurse should not dwell upon her experience.
3) C
- Rationale: Abstract thinking is the ability to conceptualize and interpret meaning. It is a higher level of intellectual functioning than a concrete thinking, in which the patient would explain the proverb by its literal meaning. Rational thinking involves the ability to think logically, make judgments, and be goal directed. Tangential thinking is scattered, non-goal-directed, and difficult to swallow. Patients with such conditions as organic brain disease and schizophrenia typically are unable to conceptualize and comprehend abstract meaning. They interpret such statements as "Don't cry over spilled milk" in a literal sense, such as "Even if you spill your milk, you shouldn't cry about it."
4) D
- Rationale: Insight is the degree to which the patient understands a situation or problem and its effect on his life. Judgment is the ability to make decisions and behave in an appropriate manner. Although a patient may be able to explain his psychiatric diagnosis, he may not have enough insight to understand the underlying problem and how it is affecting his life.
5) D
- Rationale: Affect refers to one's emotional expression, in this case the manner in which the patient talks about her experiences. feelings are emotional states or perceptions. Blocking describes the interruption of thoughts. Moods are prolonged emotional states expressed by the affect.
6) B
- Rationale: Flight of ideas describes a thought pattern in which a patient moves rapidly from one topic to the next with some connection. Looseness of association describes a pattern in which no logical connection between ideas is apparent. Tangential thoughts seem to be related but miss the point. A circumstantial thought pattern is exhibited when a patient talks around the subject and includes much unnecessary information
7) C
- Rationale: Assessing the patient's interactions with others helps to determine whether the behavior is part of his usual pattern. It also may help the nurse to understand the meaning of the behavior for this particular patient. Reading about a different culture, consulting other staff members, and talking with the patient also are helpful once the nurse has observed the patient's interaction with others. Although the nurse must be able to accept the patient as an individual, she need not accept behaviors that are unhealthy or inappropriate. The nurse should work with the patient to better understand the cultural differences and to help him change any unhealthy or unacceptable behaviors, such as unwarranted sexual advances.
8) A
- Rationale: The principle that all behavior has meaning is of particular importance to the psychiatric nurse. It is the basis for the nurse's assessment and analysis of the patient's behavior, which reflects his needs. Psychoanalytic theory also proposes that the first 6 years of a person's life determine his later personality. These early influences are difficult if not impossible to counteract. However, this assumption is less useful to the nurse in planning interventions that meet the patient's current needs. Reinforcement as a means of perpetuating behavior is associated with behavioral theory, not the psychoanalytic model. Similarly, incongruence between verbal and nonverbal communications is apart of communications theory.
9) D
- Rationale: The ego tests reality and directs behavior by mediating between the pleasure-seeking instinctual drives of the id and the restrictiveness of the super ego. The super ego also is called the conscience. The id is the source of psychic energy.
10) A
- Rationale: the primary developmental task of the young adult is to develop intimacy with another person while making choices about relationships and career. Industry, a task associated with 6 to 12 year old, involves active socialization as the child moves from family into society; much of the child's energy is focused on acquiring competency. Generativity is associated with middle age and is characterized by parental responsibility and concern for future generations. The task of trust is typical of infancy. It is accomplished when the infant receives adequate mothering and his oral needs are met.
After you reviewed your answers through its rationale, you can now proceed to the next set of questions:
Psychiatric Nursing Degree Questions (11-20)
You can also check our main page for the different Compilation of NCLEX Practice Questions
Posts
0 comments:
Post a Comment