Questions 9

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Psychiatry Test Bank Questions

Question 1 of 5

Which patient would the nurse determine to be at highest risk for dysfunctional grief? The patient:

Correct Answer: A

Rationale: The patient whose 16-year-old daughter was raped and killed while going on an errand for the patient would be determined to be at highest risk for dysfunctional grief. This traumatic event involves sudden and violent loss of a child, which can lead to complicated or dysfunctional grief reactions. The circumstances of the death, involving violence, unexpectedness, and the close relationship with the deceased, can significantly impact the grieving process. The patient may struggle with intense emotions, guilt, anger, and unresolved trauma, making them more vulnerable to experiencing dysfunctional grief. It is essential for healthcare professionals to provide appropriate support and interventions to help the patient navigate through this complex grieving process.

Question 2 of 5

In a sad voice, an elderly patient tells the nurse of the recent deaths of a spouse and close friend. The patient has no other family and only a few acquaintances in the community. The nurse’s priority is to determine whether which nursing diagnosis applies to this patient?

Correct Answer: A

Rationale: The patient’s sadness and recent significant losses (spouse and friend) put them at risk for depression and suicidal ideation. The nurse should assess for suicidal thoughts and behaviors.

Question 3 of 5

Which assessment finding should be considered a high risk factor for adolescent suicide?

Correct Answer: A

Rationale: Adolescents who have been sexually abused are at a higher risk for suicide. Trauma can significantly impact mental health, increasing the risk of depression, self-harm, and suicidal thoughts.

Question 4 of 5

A patient tries to gouge out their eye in response to auditory hallucinations. The nurse would analyze this behavior as indicating:

Correct Answer: C

Rationale: Self-harm in response to hallucinations reflects impaired ability to control impulses and respond safely to internal stimuli.

Question 5 of 5

An elderly patient brings a bag of medications to the clinic. The nurse finds a bottle labeled Ativan and one labeled lorazepam, both of which are to be taken BID. There are also bottles labeled hydrochlorothiazide, Inderal, and rofecoxib, each to be taken once daily. Which conclusion is accurate?

Correct Answer: B

Rationale: Ativan and lorazepam are the same drug, so the patient is taking an excessive dose of lorazepam. This requires intervention by the nurse to prevent harm.

Similar Questions

An elderly patient brings a bag of medications to the clinic. The nurse finds a bottle labeled Ativan and one labeled lorazepam, both of which are to be taken BID. There are also bottles labeled hydrochlorothiazide, Inderal, and rofecoxib, each to be taken once daily. Which conclusion is accurate?
In the ECT treatment preparation period the morning of treatment, the nurse should:
Before assessing a new patient, a nurse is told by another health care worker, "I know that patient. No matter how hard we work, there isn’t much improvement by the time of discharge." The nurse’s responsibility is to:
A patient is experiencing distress with midlife transition. Which statement provides support that the patient is successfully managing this stressor?
When a hospitalized patient dies, his wife stares blankly at the nurse and states, “It can’t be.” The nurse assesses this as indicating:

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