Psychiatry Questions

Which best outcome would the nurse plan for a 45-year-old patient with nonassertive behavior who speaks poorly about themself and consistently seeks the nurse's reassurance?Verbalizes positive sense of self; maintains strong decision-making abilitiesDisplays ability to stand up for oneself; finds more positive coping patternsFinds more positive social system to support sense of self; describes self as successfulIdentifies support system to assist with self-esteem issues; recognizes ways of being more successful

A woman suddenly finds she cannot see. She seems unconcerned about her symptom and tells her spouse, "Don't worry, dear. Things will all work out." Which term reflects her attitude?RegressionDepersonalizationLa belle indifferenceDissociative amnesia

Which problem is frequently found in patients with somatoform disorders?Inability to feed selfCoping ineffectivelyDiminished urine outputNot meeting developmental milestones

Which condition would the nurse consider to be most associated with a feeling of hopelessness when assessing a group of patients suffering from stress-related medical conditions?CancerPeptic ulcerEssential hypertensionCoronary heart disease

Which intervention strategy should be avoided by staff working with a patient who is shouting and flailing their arms?Striving to speak a little louder than the patientSaying "Let's go to your room to talk about this"Moving a few staff close together as a group to provide a show of forceAllowing one staff person to speak to the patient while others provide support

Which definition describes anger?A normal human emotionEvidence of ineffective copingAn indication of mental illnessUsually accompanied by aggression

Which behavior by a 10-year-old child most clearly predicts violent behavior in adulthood?Playing team sportsFrequent arguments with other childrenPlaying video games that involve aliens from other planetsRepeatedly rubbing petroleum jelly in the eyes of the family pet

Which source of dissatisfaction, aggression, and violence in humans did Freud assert in Civilization and Its Discontents?Inability to cope with stress resulting from responsibilitiesWide gap between the rich and the poor in societyThe conflict between sexual needs and societal normsAbnormal development of the limbic system in the brain

Which somatization disorder would the nurse consider highly treatment resistant?Factitious disorderConversion disorderIllness anxiety disorderSomatic symptom disorder

The nurse is performing an assessment on a patient who engaged in a recent act of violence. Which patient behavior would the nurse recognize as an indicator for the patient to be violent again?Slow speechStands close to othersFixed facial expressionFumbles words when speaking

Which drug is used for the management of aggression in children with attention-deficit/hyperactivity disorder (ADHD)?LithiumGabapentinBenzodiazepinePsychostimulants

A patient diagnosed with Alzheimer's disease fretfully says, "School is out, and I must pick up my children now. I'm going to be late." The patient's children are now adults. The nurse replies, "It sounds like you are feeling the responsibility of caring for young children." Which technique has the nurse used?DistractionReassuranceReorientationValidation therapy

Which type of drug best treats aggression, impulsivity, and hyperactivity resulting from the diagnosis of conduct disorder?Beta blockerAntipsychoticAnticonvulsantBenzodiazepine

Which impulsive disorder is represented by a history of immature coping skills and poor problem-solving abilities?Intermittent explosive disorderOppositional deficient disorderAttention-deficit/hyperactivity disorder (ADHD)Conduct disorder

Which assessment finding is the best predictor of violence in a newly admitted patient?Family history of bipolar disorderRecent assault on a drinking companionChildhood history of being bullied at schoolThe nurse's subjective feeling that the patient is uncooperative

Which assessment would lead to the conclusion that a patient may have aggressive behavior?Makes vague statementsHas restricted movementsTalks indistinctly and quietlyUnable to make decisions

Which method for dealing with an aggressive patient who is out of control is the most restrictive?SeclusionA show of forceVerbal interventionAntipsychotic medication

Which statement identifies a patient having a catastrophic reaction?Assaulting someone in the psychiatric unitScreaming out of overwhelming fear resulting from impaired cognitionSuddenly showing aggressive behavior with no history of mental illnessNot calming down after being counseled by the nurse and hurried need for restraint

Which definition applies to anger?Doing intentional harm to othersAn expression of conflict with othersAn unhealthy way of releasing anxietyA normal response to a perceived threat

Which drug class may be prescribed for intermittent explosive disorder?AnticonvulsantsBenzodiazepinesPsychostimulantsMonoamine oxidase inhibitors (MAOIs)