H- Practice test questions- psych and mental

Which child should the nurse assess as demonstrating behaviors that need further evaluation? a) Joey, age 2, who refuses to be toilet-trained and talks to himself b) Adrienne, age 6, who sucks her thumb when tired and has never spent the night with a friend c) Stephen, age 2, who is indifferent to other children and adults and is mute d) Curt, age 10, who frequently tells his mother that he is going to run away whenever they argue

) Stephen, age 2, who is indifferent to other children and adults and is mute

A nurse has been caring for an adolescent client in a residential facility. the child has been through a series of foster placements since infancy with no success in any placement until the age of 7 when placed with a middle-aged single woman. the client thrived there until the woman was killed in a car accident. the client attempted suicide after her foster mother died in response to the loss and the child was placed in the residential facility. the nurse has become close to this client and wants to help her address her issues and move on with her life. which comment to the manager demonstrates that the nurse understands the client's issues and is able to respond appropriately to the client's needs? A: it is difficult for her to love and trust again after her losses. in this facility, she can learn to deal with her loss in a less emotionally charged environment than a foster home." B: she just needs someone who will love her and give her the things she has missed out on in life. an adoptive family needs to be found for her as soon as possible. C: i am not sure she can get past all the loss and rejection she has experienced. i do not think adoption will ever be a viable option for her." D: i know her well and am familiar with her issues. i think the best chance for success for her would be if she was adopted into my family.

A "It's difficult for her to love and trust again after her losses. In this facility, she can learn to deal with her loss in a less emotionally charged environment than a foster home.

a young female who was admitted to the psychiatric hospital 2 months ago with an eating disorder is being discharge. which action indicates the client understands discharge instruction. A The client returns to the same living situation as she had prior to hospitalization B The client attends a social club at her local church C: The client returns to the lab for routine lab test D: The client enrolls in a health club

C: The client returns to the lab for routine lab test

A teenage client is admitted to the psychiatric unit with both bulimia nervosa and anorexia nervosa. Which initial interventions are appropriate for this client? Select all that apply. a. Assign a staff member to accompany the client when using the bathroom. b. Have the client keep a self-monitoring journal as a coping strategy. c. Weigh the client in same amount of clothing and facing away from scale readout at daily scheduled intervals (e.g., 0645 on Tuesdays and Fridays). d. Inform the client that parenteral nutrition will be necessary if the client does not gain weight .e. Assign a staff member to sit with client during meals and for 1½ hour after meals. f. Provide liquid protein supplements when client is unable to eat meals.

a. Assign a staff member to accompany the client when using the bathroom. b. Have the client keep a self-monitoring journal as a coping strategy. c. Weigh the client in same amount of clothing and facing away from scale readout at daily scheduled intervals (e.g., 0645 on Tuesdays and Fridays). .e. Assign a staff member to sit with client during meals and for 1½ hour after meals. f. Provide liquid protein supplements when client is unable to eat meals.

A staff nurse on the mental health unit tells the nurse manager that k'ids with conduct disorders might as well be jailed because they all end up as adults with antisocial personality disorder anyway." which of the following would be the best reply by the nurse manager? a: You really sound burned out. Do you have a vacation coming up soon. b: These children are more likely to have problems with depression and anxiety disorder as adults c: You sound really frustrated. Lets talk about the meaning of their behavior d: My experience hasn't been that negative. Lets see what the other staff members think; maybe i'm wrong.

c: You sound really frustrated. Lets talk about the meaning of their behavior

A new client has just been admitted to an adolescent psychiatric inpatient unit. The charge nurse and an unlicensed assistive personnel (UAP) are discussing the client's needs. The UAP says, "She is just showing off to try and get our sympathy. There is no need for her to cut herself. Why would adolescents want to do such a thing to themselves?" What response by the charge nurse would most help the UAP understand the client and her illness? A: Shes not doing the cutting for attention since she always wears clothing that covers up her injuries, and further, she's not willing to talk about it B: "It's hard to see a young person harm herself as she does, but she has serious family issues and doesn't know better ways to handle them, so we have to help her with that." C: You don't understand her problems and don't take them seriously so you shouldn't be allowed to work with her during her hospitalization D: Perhaps you should transfer to another unit where you are able to have empathy for the clients.

B: "It's hard to see a young person harm herself as she does, but she has serious family issues and doesn't know better ways to handle them, so we have to help her with that."

Which adolescent would the nurse determine needs further evaluation? A: A young adolescent girl whose mood changes when upset with her parents though she has never been in trouble in school or the community B: A young adolescent boy who coughs for 5 minutes after trying his marijuana cigarette and declares he does not want to do it again C:a young adolescent boy who restricts his food and fluid intake to be able to box in a lower weight class D: A young adolescent girl who reads dark novels and questions why god allows innocent people to be harmed.

C:a young adolescent boy who restricts his food and fluid intake to be able to box in a lower weight class

Which child would the nurse identify as being most at risk for an episode of major depression? A: A 16 year old male who has been struggling in school, earning onlys C's and D's B: A 13 year old female who was upset over not being chosen as a cheerleader C: A 10 year old male who has never likes school and has few friends D: A 14 year old female who recently moved to a new school after parents divorce

D: A 14 year old female who recently moved to a new school after parents divorce