Mental Health Exam 2 Practice Questions
The nurse is caring for a client with schizophrenia who is taking haloperidol (Haldol). The client complains of restlessness, cannot sit still, and has muscle stiffness. Of the following PRN medications, which would the nurse administer? a. Haloperidol (Haldol), 5 mg PO b. Benztropine (Cogentin), 2 mg PO c. Propranolol (Inderal), 20 mg PO d. Trazodone, 50 mg PO
b
The nurse is evaluating the progress of a client with bulimia. Which of the following behaviors would indicate that the client is making positive progress? a. The client can identify calorie content for each meal. b. The client identifies healthy ways of coping with anxiety. c. The client spends time resting in her room after meals. d. The client verbalizes knowledge of former eating patterns as unhealthy.
b
The nurse is providing discharge teaching for a client who was informed of the need for emergency surgery. The client has a respiratory rate 30/min, and says, "This is difficult to comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing which of the following levels of anxiety? a. Mild b. Moderate c. Severe D. Panic
b
Which of the following would be an appropriate intervention for a client with OCD who has a ritual of excessive, constant cleaning? a. A structured schedule of activities throughout the day b. Intense psychotherapy sessions daily c. Interruption of rituals with distracting activities d. Negative consequences for ritual performance
a
A nurse working on an acute mental health unit is caring for a client who has posttraumatic stress disorder (PTSD). Which of the following finding should the nurse expect? (select all that apply) a. Difficulty concentrating on tasks b. Obsessive need to talk about the traumatic event c. negative self-image d. recurring nightmares e. diminished reflexes
a c d
A client with OCD is admitted to the hospital due to ritualistic hand washing that occupies several hours each day. The skin on the client's hands is red and cracked, with evidence of minor bleeding. The goal for this client is a. decreasing the time spent washing hands. b. eliminating the hand washing rituals. c. providing milder soap for hand washing. d. providing good skin care.
a
A client with bipolar disorder begins taking lithium carbonate (lithium), 300 mg four times a day. After 3 days of therapy, the client says, "My hands are shaking." The best response by the nurse is which of the following? a. "Fine motor tremors are an early effect of lithium therapy that usually subsides in a few weeks." b. "It is nothing to worry about unless it continues for the next month." c. "Tremors can be an early sign of toxicity, but we'll keep monitoring your lithium level to make sure you're okay." d. "You can expect tremors with lithium. You seem very concerned about such a small tremor."
a
A client with bulimia is learning to use the technique of self-monitoring. Which of the following interventions by the nurse would be most beneficial for this client? a. Ask the client to write about all feelings and experiences related to food. b. Assist the client to make out daily meal plans for 1 week. c. Encourage the client to ignore feelings and impulses related to food. d. Teach the client about nutrition content and calories of various foods.
a
A client with mania begins dancing around the day room. When she twirled her skirt in front of the male clients, it was obvious she had no underpants on. The nurse distracts her and takes her to her room to put on underpants. The nurse acted as she did to a. minimize the client's embarrassment about her present behavior. b. keep her from dancing with other clients. c. avoid embarrassing the male clients who are watching. d. teach her about proper attire and hygiene.
a
A client with somatic symptom disorder has been attending group therapy. Which of the following statements indicates that therapy is having a positive outcome for this client? a. "I feel better physically just from getting a chance to talk." b. "I haven't said much, but I get a lot from listening to others." c. "I shouldn't complain too much; my problems aren't as bad as others'." d. "The other people in this group have emotional problems."
a
A nurse is caring for a client who has generalized anxiety disorder and is experiencing severe anxiety. Which of the following statement actions should the nurse make? a. "Tell me about how you are feeling right now." b. "You should focus on the positive things in your life to decrease your anxiety." c. "Why do you believe you are experiencing this anxiety?" d. "Let's discuss the medications your provider is prescribing to decrease your anxiety."
a
A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? a. "Life isn't worth living if I gain weight." b. "Don't pretend like you don't know how fat I am." c. "If I could be skinny, I know I'd be popular." d. "When I look in the mirror, I see myself as obese."
a
A nurse is planning care for a client who has body dysmorphic disorder. Which of the following actions should the nurse plan to take first? a. Assess the client's risk for self-harm b. Instill hope for positive outcomes c. Encourage the client to participate in group therapy sessions d. Assist the client to participate in treatment decisions
a
A nurse is preparing an educational seminar on stress for other nursing staff. Which of the following information should the nurse include in the discussion? a. Excessive stressors cause the client to experience distress b. The body's initial adaptive response to stress is denial c. Absence of stressors results in homeostasis d. Negative, rather than positive, stressors produce a biological response
a
A nurse is teaching a client about stress-reduction techniques. Which of the following client statements indicates understanding of the teaching? a. "Cognitive reframing will help me change my irrational thoughts to something positive." b. "Progressive muscle relaxation uses a mechanical device to help me gain control over my pulse rate." c. Biofeedback causes my body to release endorphins so that I feel less stress and anxiety." d. "Mindfulness allows me to prioritize the stressors that I have in my life so that I have less anxiety."
a
A nurse working on an acute mental health unit is admitting a client who has major depressive disorder and comorbid anxiety disorder. Which of the following actions is the nurse's priority? a. placing the client on one-to-one observation b. assisting the client to perform ADLs c. encouraging the client to participate in counseling d. teaching the client about medication adverse effects
a
All but which of the following are initial goals for treating the severely malnourished client with anorexia nervosa? a. Correction of body image disturbance b. Correction of electrolyte imbalances c. Nutritional rehabilitation d. Weight restoration
a
Clients from other countries who suffered traumatic oppression in their native country may develop PTSD. Which of the following is least helpful in dealing with their PTSD? a. Assimilating quickly into the culture of their current country of residence. b. Engaging in their native religious practices. c. Maintaining a strong cultural identity. d. Social support from an interpreter or fellow countryman.
a
Teaching for methylphenidate (Ritalin) should include which of the following? a. Give the medication after meals. b. Give the medication when the child becomes overactive. c. Increase the child's fluid intake when he or she is taking the medication. d. Take the child's temperature daily.
a
The client with OCD has counting and checking rituals that prolong attempts to perform ADLs and get ready for activities of the day. The nurse knows that interrupting the client's ritual to assist in faster task completion will likely result in a. a burst of increased anxiety. b. gratitude for the nurse's assistance. c. relief from stopping the ritual. d. symptoms of depression or suicidality.
a
The client's family asks the nurse, "What is illness anxiety disorder?" The best response by the nurse is, "Illness anxiety disorder is a. a persistent preoccupation with getting a serious disease." b. an illness not fully explained by a diagnosed medical condition." c. characterized by a variety of symptoms over a number of years." d. the eventual result of excessive worrying about diseases."
a
The nurse is assessing an adult client with ADD. The nurse expects which of the following to be present? a. Difficulty remembering appointments b. Falling asleep at work c. Problems getting started on a project d. Lack of motivation to do tasks
a
The nurse is teaching a client taking an MAOI about foods with tyramine that he or she should avoid. Which of the following statement indicates that the client needs further teaching? a. "I'm so glad I can have pizza as long as I don't order pepperoni." b. "I will be able to eat cottage cheese without worrying." c. "I will have to avoid drinking nonalcoholic beer." d. "I can eat green beans on this diet."
a
The nurse is working with a client with anorexia nervosa. Even though the client has been eating all her meals and snacks, her weight has remained unchanged for 1 week. Which of the following interventions is indicated? a. Supervise the client closely for 2 hours after meals and snacks. b. Increase the daily caloric intake from 1500 to 2000 calories. c. Increase the client's fluid intake. d. Request an order from the physician for fluoxetine.
a
What are the most common types of side effects from SSRIs? a. Dizziness, drowsiness, and dry mouth b. Convulsions and respiratory difficulties c. Diarrhea and weight gain d. Jaundice and agranulocytosis
a
Which of the following is most influential in determining health beliefs and practices? a. Cultural factors b. Individual factors c. Interpersonal factors d. All the above are equally influential.
a
Which of the following is normal adolescent behavior? a. Being critical of self and others b. Defiant, negative, and depressed behavior c. Frequent hypochondriacal complaints d. Unwillingness to assume greater autonomy
a
Which of the following is true about clients with illness anxiety disorder? a. They may interpret normal body sensations as signs of disease. b. They often exaggerate or fabricate physical symptoms for attention. c. They do not show signs of distress about their physical symptoms. d. All the above are true statements.
a
Which of the following is used to treat enuresis? a. Imipramine (Tofranil) b. Methylphenidate (Ritalin) c. Olanzapine (Zyprexa) d. Risperidone (Risperdal)
a
Which of the following typifies the speech of a person in the acute phase of mania? a. Flight of ideas b. Psychomotor retardation c. Hesitant d. Mutism
a
A nurse is obtaining a nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the following questions should the nurse include in the assessment? (select all that apply) a. "what is your relationship like with your family?" b. "Why do you want to lose weight?" c. "Would you describe your current eating habits?" d. "At what weight do you believe you will look better?" e. "Can you discuss your feelings about your appearance?
a c e
A nurse is assessing a client who has generalized anxiety disorder. Which of the following finding should the nurse expect? (select all that apply) a. Excessive worry for 6 months b. Impulsive decision making c. Delayed reflexes d. Restlessness e. Sleep disturbance
a d e
A client who has been depressed and suicidal started taking a tricyclic antidepressant 2 weeks ago and is now ready to leave the hospital to go home. Which of the following is a concern for the nurse as discharge plans are finalized? a. The client may need a prescription for diphenhydramine (Benadryl) to use for side effects. b. The nurse will evaluate the risk for suicide by overdose of the tricyclic antidepressant. c. The nurse will need to include teaching regarding the signs of neuroleptic malignant syndrome. d. The client will need regular laboratory work to monitor therapeutic drug levels.
b
A nurse assessing a client with IED would expect which of the following? a. Blaming others for provoking angry outbursts b. Difficulty coping with ordinary life stressors c. Lack of remorse for aggressive behavior d. Premeditated aggressive outbursts to get what the client wants
b
A nurse is caring for a client who has bipolar disorder. The client states, "I am very rich, and I feel I must give my money to you." Which of the following responses should the nurse make? a. "Why do you think you feel the need to give money away?" b. "I am here to provide care and cannot accept this from you." c. "I can request that your case manager discuss appropriate charity options with you." d. "You should know that giving away your money is inappropriate."
b
A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm coughing because I have that cold that everyone has been getting." The nurse should identify that the client is using which of the following defense mechanisms? a. Reaction formation b. Denial c. Displacement D. Sublimation
b
A nurse is talking with a client who reports experiencing increased stress because a new partner is "pressuring me and my kids to go live with him. I love him, but I'm not ready to do that." Which of the following recommendations should the nurse make to promote a change in the client's situation? a. Learn to practice mindfulness b. Use assertiveness techniques c. Exercise regularly d. Rely on the support of a close friend
b
An effective nursing intervention for the impulsive and aggressive behaviors that accompany conduct disorder is a. assertiveness training. b. consistent limit setting. c. negotiation of rules. d. open expression of feelings.
b
Client teaching for lamotrigine (Lamictal) should include which of the following? a. Eat a well-balanced diet to avoid weight gain. b. Report any rashes to your doctor immediately. c. Take each dose with food to avoid nausea. d. This drug may cause psychological dependence.
b
Clients taking which of the following types of psychotropic medications need close monitoring of their cardiac status? a. Antidepressants b. Antipsychotics c. Mood stabilizers d. Stimulants
b
Clients with OCD often have exposure/response prevention therapy. Which of the following statements by the client would indicate positive outcomes for this therapy? a. "I am able to avoid obsessive thinking." b. "I can tolerate the anxiety caused by obsessive thinking." c. "I no longer have any anxiety when I have obsessive thoughts." d. "I no longer feel a compulsion to perform rituals."
b
Emotion-focused coping strategies are designed to accomplish which of the following outcomes? a. Helping the client manage difficult situations more effectively. b. Helping the client manage the intensity of symptoms. c. Teaching the client the relationship between stress and physical symptoms. d. Relieving the client's physical symptoms.
b
Identify the serum lithium level for maintenance and safety. a. 0.1 to 1 mEq/L b. 0.5 to 1.5 mEq/L c. 10 to 50 mEq/L d. 50 to 100 mEq/L
b
The best goal for a client learning a relaxation technique is that the client will a. confront the source of anxiety directly. b. experience anxiety without feeling overwhelmed. c. report no episodes of anxiety. d. suppress anxious feelings.
b
The nurse has completed teaching sessions for parents about conduct disorder. Which of the following statements indicates a need for further teaching? a. "Being consistent with rules at home will probably be a real challenge for me and my child." b. "It helps to know that these problems will get better as my child gets older." c. "Real progress for our child is likely to take several weeks or even months." d. "We need to set up a system of rewards and consequences for our child's behaviors."
b
The nurse is caring for a client with a conversion disorder. Which of the following assessments will the nurse expect to see? a. Extreme distress over the physical symptom b. Indifference about the physical symptom c. Labile mood d. Multiple physical complaints
b
Treating clients with anorexia nervosa with a selective serotonin reuptake inhibitor antidepressant such as fluoxetine (Prozac) may present which of the following problems? a. Clients object to the side effect of weight gain. b. Fluoxetine can cause appetite suppression and weight loss. c. Fluoxetine can cause clients to become giddy and silly. d. Clients with anorexia get no benefit from fluoxetine.
b
Which of the following assessments indicates positive growth and development for a 30-year-old adult? a. Is dissatisfied with body image b. Enjoys social activities with three or four close friends c. Frequently changes jobs to "find the right one" d. Plans to move from parental home in near future
b
Which of the following client statements would indicate self-efficacy? a. "I like to get several opinions before deciding a course of action." b. "I know if I can learn to relax, I will feel better." c. "I'm never sure if I'm making the right decision." d. "No matter how hard I try to relax, something always comes up."
b
Which of the following statements is true? a. Anorexia nervosa was not recognized as an illness until the 1960s. b. Cultures where beauty is linked to thinness have an increased risk for eating disorders. c. Eating disorders are a major health problem only in the United States and Europe. d. Persons with anorexia nervosa are popular with their peers as a result of their thinness.
b
Which of the following states the naturalistic view of what causes illness? a. Illness is a natural part of life and therefore unavoidable. b. Illness is caused by cold, heat, wind, and dampness. c. Only natural agents are effective in treating illness. d. Outside agents, such as evil spirits, upset the body's natural balance.
b
A nurse is caring for a client who has major depressive disorder Which of the following should the nurse identify as a risk factor for depression? (select all that apply) a. Male sex b. History of chronic bronchitis c. recent death in client's family d. family history of depression e. personal history of panic disorder
b c d e
A nurse is discussing acute vs. prolonged stress with a client. Which of the following effects should the nurse identify as an acute stress response? (select all that apply) a. Chronic pain b. Depressed immune system c. increased blood pressure d. panic attacks e. unhappiness
b c e
A nurse is involved in a serious and prolonged mass casualty incident in the emergency department. Which of the following strategies should the nurse use to help prevent developing a trauma-related disorder? (select all that apply) a. avoid thinking about the incident when it is over b. take breaks during the incident for food and water c. debrief with others following the incident d. avoid displays of emotion int he days following the incident e. take advantage of offered counseling
b c e
A nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode. Which of the following interventions should the nurse include in the plan of care? (select all that apply) a. provide flexible client behavior expectations b. offer concise explanations c. establish consistent limits d. disregard client concerns e. use a firm approach with communication
b c e
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to give necessary information to the client? (select all that apply) a. Reassure the client that everything will be okay b. Discuss prior use of coping mechanisms with the client c. ignore the client's anxiety so that she will not be embarrassed. d. demonstrate a calm manner while using simple and clear directions e. Gather information from the client using close-ended questions.
b d
A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. Which of the following is an expected finding? (select all that apply) a. amenorrhea b. hypokalemia c. yellowing of the skin d. slightly elevated body weight e. presence of lanugo on the face
b d
A nurse is discussing relapse prevention witha client who has bipolar disorder. Which of the following information should the nurse include in the teaching? (Select all that apply) a. Use caffeine in moderation to prevent relapse. b. difficulty sleeping can indicate a relapse c. begin taking your medications as soon as a relapse begins d. participating in psychotherapy can help prevent a relapse e. anhedonia is a clinical manifestation of a depressive relapse
b d e
A charge nurse is discussing the care of a client who has major depressive disorder (MDD) witha newly licensed nurse. Which of the following statement by the newly licensed nurse indicates an understanding of the teaching? a. "Care during the continuation phase focuses on treating continued manifestations of MDD" b. "The treatment of MDD during the maintenance phase lasts for 6 to 12 weeks." c. "The client is at greatest risk for suicide during the first weeks of an MDD episode." d. "Medication and psychotherapy are most effective during the acute phase of MDD"
c
A client who developed numbness in the right hand could not play the piano at a scheduled recital. The consequence of the symptom, not having to perform, is best described as a. emotion-focused coping b. phobia c. primary gain d. secondary gain
c
A client with GAD states, "I have learned that the best thing I can do is to forget my worries." How would the nurse evaluate this statement? a. The client is developing insight. b. The client's coping skills have improved. c. The client needs encouragement to verbalize feelings. d. The client's treatment has been successful.
c
A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior. The client tells the nurse about fears of gaining weight. Which of the following responses should the nurse make? a. "Many clients are concerned about their weight. However, the dietitian will ensure that you don't get too many calories in your diet." b. "Instead of worrying about your weight, try to focus on other problems at this time." c. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments." d. "You are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. We know that is important to you."
c
A nurse is caring for a client who has derealization disorder. Which of the following findings should the nurse identify as an indication of derealization? a. the client describes a feeling of floating above the ground b. the client has suspicions of being targeted in order to be killed and robbed. c. the client states that the furniture in the room seems to be small and far away d. the client cannot recall anything that happened during the past 2 weeks.
c
A nurse is interviewing a client who has a new diagnosis of persistent depressive disorder. Which of the following findings should the nurse expect? a. wide fluctuations in mood b. report of a minimum of five clinical findings of depression c. presence of manifestations for at least 2 years d. inflated sense of self-esteem
c
A nurse is teaching a client who has a new diagnosis of prementrual dysphoric disorder (PMDD). Which of the following statements by the client indicates understanding of the teaching? a. "I can expect my problems with PMDD to be worst when I'm menstruating." b. "I should avoid exercising when I am feeling depressed." c. "I am aware that my PMDD causes me to have rapid mood swings." d. "I should increase my caloric intake with a nutritional supplement when my PMDD is active."
c
A nurse is teaching a newly licensed nurse about the use of electroconvulsive therapy (ECT) for the treatment of bipolar disorder. Which of the following statements by the newly licensed nurse indicates understanding? a. "ECT is the recommended initial treatment for bipolar disorder." b. "ECT is contraindicated for clients who have suicidal ideation." c. "ECT is effective for clients who are experiencing severe mania." d. "ECT is prescribed to prevent relapse of bipolar disorder."
c
A nurse observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following underlying reasons? a. Narcissistic behavior b. Fear of rejection from staff c. Attempt to reduce anxiety d. Adverse effect of antidepressant medication
c
The nurse observes a client who is becoming increasingly upset. He is rapidly pacing, hyperventilating, clenching his jaw, wringing his hands, and trembling. His speech is high-pitched and random; he seems preoccupied with his thoughts. He is pounding his fist into his other hand. The nurse identifies his anxiety level as a. Mild b. Moderate c. Severe d. Panic
c
The nurse observes that a client with depression sat at a table with two other clients during lunch. The best feedback the nurse could give the client is which of the following? a. "Do you feel better after talking with others during lunch?" b. "I'm so happy to see you interacting with other clients." c. "I see you were sitting with others at lunch today." d. "You must feel much better than you were a few days ago."
c
The nurse would expect to see all the following symptoms in a child with ADHD, except a. easily distracted and forgetful. b. excessive running, climbing, and fidgeting. c. moody, sullen, and pouting behavior. d. interrupts others and can't take turns.
c
Which of the following interventions would be most helpful for a client with dissociative disorder having difficulty expressing feelings? a. Distraction b. Reality orientation c. Journaling d. Grounding techniques
c
Which of the following is a concern for children taking stimulants for ADHD for several years? a. Dependence on the drug b. Insomnia c. Growth suppression d. Weight gain
c
Which of the following is an example of a cognitive-behavioral technique? a. Distraction b. Relaxation c. Self-monitoring d. Verbalization of emotions
c
Which of the following is true about touching a client who is experiencing a flashback? a. The nurse should stand in front of the client before touching. b. The nurse should never touch a client who is having a flashback. c. The nurse should touch the client only after receiving permission to do so. d. The nurse should touch the client to increase feelings of security.
c
Which of the following might the nurse assess in a 3-year-old child with RAD? a. Choosing the mother to provide comfort. b. Crying when the parents leave the room. c. Extreme resistance to social contact with parents and staff. d. Seeking comfort from holding a favorite stuffed animal.
c
Which of the following physician orders would the nurse question for a client who has stated "I'm allergic to phenothiazines?" a. Haldol, 5 mg PO bid b. Navane, 10 mg PO bid c. Prolixin, 5 mg PO tid d. Risperdal, 2 mg bid
c
Which of the following statements would cause concern for achievement of developmental tasks of a 55-year-old woman? a. "I feel like I'm taking care of my parents now." b. "I really enjoy just sitting around visiting with friends." c. "My children need me now just as much as when they were small." d. "When I retire, I want a smaller house to take care of."
c
Which of the following statements would indicate that teaching about somatic symptom disorder has been effective? a. "The doctor believes I am faking my symptoms." b. "If I try harder to control my symptoms, I will feel better." c. "I will feel better when I begin handling stress more effectively." d. "Nothing will help me feel better physically."
c
Which of the following would be the best intervention for a client having a panic attack? a. Involve the client in a physical activity. b. Offer a distraction such as music. c. Remain with the client. d. Teach the client a relaxation technique.
c
A child is taking pemoline (Cylert) for ADHD. The nurse must be aware of which of the following side effects? a. Decreased thyroid-stimulating hormone b. Decreased red blood cell count c. Elevated white blood cell count d. Elevated liver function tests
d
A client says to the nurse, "You are the best nurse I've ever met. I want you to remember me." What is an appropriate response by the nurse? a. "Thank you. I think you are special too." b. "I suspect you want something from me. What is it?" c. "You probably say that to all your nurses." d. "Are you thinking of suicide?"
d
A client with anxiety is beginning treatment with lorazepam (Ativan). It is most important for the nurse to assess the client's a. motivation for treatment. b. family and social support. c. use of coping mechanisms. d. use of alcohol.
d
A nurse in an acute mental health facility is planning care for a client who has dissociative fugue. Which of the following interventions should the nurse add to the plan of care? a. teach the client to recognize how stress brings on a personality change in the client b. repeatedly present the client with information about past events. c. make decisions for the client regarding routine daily activities. d. work with the client on grounding techniques
d
A nurse is caring for a client who has bipolar disorder. Which of the following is the priority nursing action? a. Set consistent limits for expected client behavior b. Administer prescribed medications as scheduled c. provide the client with step-by-step instructions during hygiene activities d. monitor the client for escalating behavior
d
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? a. Discuss new relaxation techniques b. Show the client how to change the behavior c. Distract the client with a television show d. Stay with the client and remain quiet
d
A nurse is caring for a client who states, "I'm so stressed at work because of my coworker. I am expected to finish others' work because of their laziness!" When discussing effective communication, which of the following statements by the client to the coworker indicates client understanding? a. "You really should complete your own work. I don't think it's right to expect me to complete your responsibilities." b. "Why do you expect me to finish your work? You must realize that I have my own responsibilities." c. It is not fair to expect me to complete your work. If you continue, then I will report your behavior to our supervisor." d. "When I have to pick up extra work, I feel very overwhelmed. I need to focus on my own responsibilities."
d
A nurse is collecting an admission history for a client who has acute stress disorder (ASD). Which of the following client behaviors should the nurse expect? a. the client remembers many details about the traumatic incident b. the client expresses heightened elation about what is happening c. the client remembers first noticing manifestations of the disorder 6 weeks after the traumatic incident occured d. the client expresses a sense of unreality about the traumatic incident.
d
A nurse is planning care for a client who has anorexia nervosa with binge-eating and purging behavior. Which of the following actions should the nurse include in the client's plan of care? a. allow the client to select preferred meal times. b. establish consequences for purging behavior c. provide the client with a high-fat diet at the start of treatment d. implement one-to-one observation during meal times
d
A teenaged girl is being evaluated for an eating disorder. Which of the following would suggest anorexia nervosa? a. Guilt and shame about eating patterns b. Lack of knowledge about food and nutrition c. Refusal to talk about food-related topics d. Unrealistic perception of body size
d
Nursing interventions for hospitalized clients with PTSD include a. Encouraging a thorough discussion of the original trauma. b. Providing private solitary time for reflection. c. Time-out during flashbacks to regain self-control. d. Use of deep breathing and relaxation techniques.
d
Parents of a child with ODD are referred to a parent management training program. The parents ask the nurse what to expect from these sessions. The best response by the nurse is a. "This is a method of parenting that involves negotiation of responsibilities with your child." b. "This is a support group for parents to discuss the difficulties they are having with their children." c. "You will have a chance to learn how to manage all of your child's negative behaviors." d. "You will learn behavior management techniques to use at home with your child."
d
Paroxetine (Paxil) has been prescribed for a client with a somatic symptom illness. The nurse instructs the client to watch out for which of the following side effects? a. Constipation b. Increased appetite c. Increased flatulence d. Nausea
d
The nurse is teaching a 12-year-old with intellectual disability about medications. Which of the following interventions is essential? a. Speak slowly and distinctly. b. Teach the information to the parents only. c. Use pictures rather than printed words. d. Validate client understanding of teaching.
d
The nurse observes that a client with bipolar disorder is pacing in the hall, talking loudly and rapidly, and using elaborate hand gestures. The nurse concludes that the client is demonstrating which of the following? a. Aggression b. Anger c. Anxiety d. Psychomotor agitation
d
The nurse recognizes which of the following as a common behavioral sign of autism? a. Clinging behavior toward parents b. Creative imaginative play with peers c. Early language development d. Indifference to being hugged or held
d
The nurse working with a client during a flashback says, "I know you're scared, but you're in a safe place. Do you see the bed in your room? Do you feel the chair you're sitting on?" The nurse is using which of the following techniques? a. Distraction b. Reality orientation c. Relaxation d. Grounding
d
The signs of lithium toxicity include which of the following? a. Sedation, fever, restlessness b. Psychomotor agitation, insomnia, increased thirst c. Elevated WBC count, sweating, confusion d. Severe vomiting, diarrhea, weakness
d
What is the rationale for a person taking lithium to have enough water and salt in his or her diet? a. Salt and water are necessary to dilute lithium to avoid toxicity. b. Water and salt convert lithium into a usable solute. c. Lithium is metabolized in the liver, necessitating increased water and salt. d. Lithium is a salt that has greater affinity for receptor sites than sodium chloride.
d
When assessing a client with anxiety, the nurse's questions should be a. avoided until the anxiety is gone. b. open ended. c. postponed until the client volunteers information. d. specific and direct.
d
Which of the four classes of medications used for panic disorder is considered the safest because of low incidence of side effects and lack of physiologic dependence? a. Benzodiazepines b. Tricyclics c. Monoamine oxidase inhibitors d. Selective serotonin reuptake inhibitors
d
