ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 18 Questions
Question 1 of 5
A nurse has completed an assessment of a patient who is experiencing significant stress. The assessment revealed intense anger and acting out behaviors along with statements of negative emotions. Which nursing diagnosis would be most appropriate?
Correct Answer: D
Rationale: Intense anger, acting out, and negative emotions indicate ineffective coping, as the patient struggles to manage stress adaptively. Disturbed thought processes, low self-esteem, and hopelessness may be present but are less directly tied to the described behaviors.
Question 2 of 5
A patient is talking to the nurse about her friendship with another person. She comments, 'That person is always there for me, and I am always there for her. We help each other out; sometimes she?s helping me, and sometimes I am helping her.' The nurse interprets the patient?s statements about her social network as reflecting which of the following?
Correct Answer: B
Rationale: The patient?s description of mutual help reflects reciprocity, a core feature of social networks where support is exchanged. Denseness refers to interconnectedness, social support is broader, and constraints involve limitations, not mutual aid.
Question 3 of 5
A group of nursing students is reviewing information about emotional responses to stress and the themes associated with them. The students demonstrate understanding of the information when they identify which emotion as associated with being moved by another?s suffering and wanting to help?
Correct Answer: C
Rationale: Compassion is the emotion associated with being moved by another?s suffering and desiring to help. Relief involves stress reduction, hope anticipates positive outcomes, and love is a broader emotional bond, not specific to suffering.
Question 4 of 5
During an interview, a patient states, 'I feel so guilty, and I?m so ashamed of what I did.' The nurse interprets this as which of the following?
Correct Answer: A
Rationale: Guilt and shame are negative emotions, reflecting distress or self-criticism. Positive emotions involve joy or pride, borderline emotion is not a standard term, and nonemotion implies no emotional response, which does not apply.
Question 5 of 5
A group of students are reviewing the events associated with the fight-or-flight response. They demonstrate understanding of the information when they identify which of the following results from sympathetic nervous stimulation?
Correct Answer: B
Rationale: The fight-or-flight response, driven by sympathetic nervous stimulation, causes tachycardia (increased heart rate) to prepare for action. Hypoglycemia, hypotension, and hypercoagulability are not primary outcomes of this response.