DAY 2 PPTs Practice Questions / Case Studies

Question 1

A college student is experiencing stress in her life
as she tries to manage her schoolwork, job
responsibilities, and single parenting.
 What attributes can this student develop to
manage the stress?

Answer 1

Coping Styles, Health Sustaining Habits, Life Satisfaction, Engagement, Spirituality, Social Support, Healthy Responses to Stress

Question 2

One effect of stress can be
attributed to the
stimulation of the
hypothalamus-pituitary-
adrenal cortex, causing a
short-term increase in
which of the following
a) Heart rate
b) Triglycerides
c) Gluconeogenesis
d) Brain norepinephrine

Answer 2

c) Gluconeogenesis

Question 3

Stress reduction is not likely
a result in which of the
following?
a) Reduced pain
b) Lower blood pressure
c) Decreased cognitive
functions
d) Decreased
gastrointestinal
problems

Answer 3

c) Decreased cognitive
functions

Question 4

Which factor exerts the
greatest influence on the
degree to which various
life events upset a specific
individual?
a) The individual’s
perception of the
event
b) The individual’s
degree of spirituality
c) The effect of the
individual’s health-
sustaining behaviours
d) The amount of social
support available to
the individual

Answer 4

a) The individual’s
perception of the
event

Question 5

You are worried about a close friend who recently
broke up with a boyfriend. She is taking the breakup
very hard and seems depressed.
* What are some questions you could ask to assess
for suicide ideation?

Answer 5

Have you been thinking about death recently? Have you ever felt that life is worth living? what is your plan? have you ever thought of suicide?

Question 6

Which is the greatest
protective factor against
the risk of suicide?
a) One or more previous
suicide attempts
b) A sense of
responsibility to family,
including spouse and
children
c) Fear of dying
d) A cultural belief that
suicide is a shameful
resolution for a
dilemma

Answer 6

b) A sense of
responsibility to family,
including spouse and
children

Question 7

Which of the following is a
useful assessment tool for
nurses in rating suicide risk?
a) AIMS scale
b) SAD PERSONS scale
c) CAGE questionnaire
d) Mini-mental Status
Examination

Answer 7

b) SAD PERSONS scale

Question 8

Which statement is a fact
about suicide?
a) More women than men
die by suicide
b) Suicide is the tenth
leading cause of death
in Canada
c) First Nations and Inuit
Canadians have lower
suicide rates than the
rest of the Canadian
population
d) A patient with
schizophrenia is at
great risk for
attempting suicide

Answer 8

d) A patient with
schizophrenia is at
great risk for
attempting suicide

Question 9

An individual calls a crisis
line expressing suicidal
ideation. This represents
which level of
intervention?
a) Primary
b) Secondary
c) Tertiary
d) Quaternary

Answer 9

b) Secondary

Question 10

When working with a patient
who may have made a
covert reference to suicide,
the nurse should do which
of the following?
a) Be careful not to mention
the idea of suicide
b) Listen carefully to see
whether the patient
mentions it a second
time
c) Ask about the possibility
of suicidal thoughts in a
covert way
d) Ask the patient directly if
he or she is thinking of
killing themselves

Answer 10

d) Ask the patient directly if
he or she is thinking of
killing themselves

Question 11

What is the most
successful strategy to
reduce suicidal ideation?
a) Set firm limits
b) Develop self-esteem
c) Discover motive for
wanting to die
d) Treat underlying
psychiatric disorder

Answer 11

d) Treat underlying
psychiatric disorder

Question 12

What action should the
nurse take on learning that
a manic patient’s serum
lithium level is 1.8 mEq/L?
a) Withhold medication
and notify the
physician
b) Continue to administer
medication as ordered
c) Advise the patient to
limit fluids for 12 hours
d) Advise the patient to
curtail sale intake for
24 hours

Answer 12

a) Withhold medication
and notify the
physician

Question 13

Which adverse effects of
lithium can be expected at
therapeutic levels?
a) Fine hand tremor and
polyuria
b) Nausea and thirst
c) Coarse hand tremor and
GI upset
d) Ataxia and hypotension

Answer 13

a) Fine hand tremor and
polyuria

Question 14

A patient taking lithium
carbonate therapy states ‘I
think I will stop taking my
lithium and only do the
CBT therapy. Which
factors would the nurse
expect to be contributing to
the patients decision?
Select al that apply
a) The adverse effects
are unpleasant
b) The voices tell the
patient to stop taking it
c) The patient prefers to
feel high and energetic
d) The patient feels well
and denies the
possibility of
recurrence

Answer 14

a) The adverse effects
are unpleasant
c) The patient prefers to
feel high and energetic

Question 15

Ms. B is admitted to your unit. In your assessment
you identify some cultural patterns that may
support or interfere with her health and recovery
process
● What can you do?