Mental Health exam 3 NCLEX questions
Which statement concerning syndromes seen in other cultures but not seen in our own, such as amok should be considered true? A. Dissociative disorders such as dissociative identify disorders B. Physical disorders, not mental disorders C. Culture-bound syndromes that are not dissociative disorders D. Myths, or rumors, because they have not been sufficiently studied to be classified as real.
C
Which statement made by a client would support the diagnosis of Illness anxiety disorder? A. "I feel confused and disoriented." B. "I feel as though I'm outside my body watching what is happening." C. "I know I have cancer, but the doctors just cannot find it." D. "I woke up one morning, and my left leg was paralyzed from the knee down."
C
Which statement provides accurate information regarding transvestic disorder? A. Most people with this disorder are homosexual. B. Only men are diagnosed with transvestic disorder. C. Sexual orientation has no bearing on transvestic disorder. D. Transvestic behavior develops in middle adulthood.
C
A woman suddenly finds she cannot see but seems unconcerned about her symptom and tells her husband, "Don't worry, dear. Things will all work out." Her attitude is an example of what process? A. Regression B. Depersonalization C. La belle indifference D. Dissociative amnesia
C La belle indifference is an attitude of unconcern about a symptom that is unconsciously used to lower anxiety
When providing possible interventions to promote the safety of a client reporting symptoms of somnambulism, the nurse should include which intervention? A. Gating the stairways B. Sleeping on a mattress placed on the floor C. Regular bedtime dose of a benzodiazepine D. Avoiding the use of serotonergic medications
A
Which child is at greatest risk for developing attachment problems as a result of a neurobiological development? A. A 13-year-old male B. A 10-year-old female C. A 7-year-old male D. A 4-year-old female
A
Which coping mechanism is used excessively by clients diagnosed with bulimia nervosa to cope with their obsession with their body image? A. Denial B. Humor C. Altruism D. Projection
A
Which of the following classifications of medication may be prescribed in intermittent explosive disorder? A. Anticonvulsants B. Psychostimulants C. Antianxiety agents such as benzodiazepines D. Monoamine oxidase (MAO) inhibitors
A
Which statement about structural dissociation of the personality is true? A. Trauma is the basis for this type of disorder. B. Nurses perceive clients with this disorder as easy to care for. C. No known link exists between this disorder and early childhood loss or trauma. D. This disorder results in a split in the personality causing a lack of integration.
A
Which statement accurately applies to exhibitionism? A. Seldom a precursor to sexual assault or rape. B. Generally viewed as a victimless crime. C. Rarely prosecuted. D. Generally viewed as an illness by the courts.
A
Which statement is true of the eating disorder referred to as bulimia? A. Patients with bulimia often appear at a normal weight. B. Patients with bulimia binge eat but do not engage in compensatory measures. C. Patients with bulimia severely restrict their food intake. D. One sign of bulimia is lanugo.
A
When educating a client diagnosed with bulimia nervosa about the medication fluoxetine, the nurse should include what information about this medication? A. It will reduce the need for cognitive therapy. B. It will be prescribed at a higher than typical dose. C. There are a variety of medications to prescribe if fluoxetine proves to be ineffective. D. Long-term management of symptoms is best achieved with tricyclic antidepressants.
B
Which behavior best supports the diagnosis of posttraumatic stress disorder (PTSD) in a 4-year-old child? A. Overeating B. Hypervigilance C. A drive to be perfect D. Passivity
B
Which client is most likely to initially demonstrate behaviors suggesting a somatic disorder? A. 13-year-old male B. 23-year-old female C. 33-year-old male D. 43-year-old female
B
Which intervention would be least useful for accurate assessment of the weight of a client diagnosed with anorexia nervosa? A. Weigh 2 times daily first week, then three times weekly. B. Weigh fully clothed before breakfast. C. Do not reweigh client when client requests. D. Permit no oral intake before weighing.
B
Which nursing intervention is appropriate for the management of intermittent explosive disorder? A. Providing intensive family therapy B. Establishing a trusting relationship with the client C. Setting up loose boundaries so the client will feel relaxed D. Limiting decision-making opportunities to avoid frustration
B
Which of the following statements about dissociative disorders is true? A. Dissociative symptoms are under the person's conscious control. B. Dissociative symptoms are not under the person's conscious control. C. Dissociative symptoms are usually a cry for attention. D. Dissociative symptoms are usually always negative.
B
Which statement, made by a client diagnosed with dissociative identity disorder, demonstrates effective understanding in response to the question, "What exactly are the 'alters'? your provider told you about?" illustrates that the education provided has been effective? A. "So, alters are based in mysticism and religiosity, such as demons." B. "So, alters are separate personalities with their own characteristics that take over during stress." C. "So, alters are never aware of each other." D. "So, alters are just like me, but they have no memory of the trauma I went through."
B
A child who was physically and sexually abused is at great risk for demonstrating which characteristic? A. Depression B. Suicide attempts C. Bullying, abusive behavior D. Becoming active in a gang
C
A client reports insomnia and shares that a friend has recommended a nonprescription hormone product that can be purchased at the local health food store. The nurse suspects that the medication contains which component? A. A benzodiazepine B. A tranquilizer C. Melatonin D. Lithium
C
A client tells the nurse, "I just don't sleep more than 5 hours at night." The nurse assesses the client best for individual sleep requirements by asking which question? A. "Are you aware that some people require less sleep than others?" B. "When did this pattern of sleep start for you?" C. "Do you usually feel rested and alert when you get up?" D. "Are you taking any medication that could affect your sleep?"
C
A client with paraphilia tendencies tells the nurse that "I'm disgusted with my lifestyle." What is the nurse's initial intervention? A. Assuring the client that this condition responds well to treatment. B. Telling the client that the first step to managing this behavior is recognizing it as unhealthy. C. Assessing the client for the existence of suicidal ideations. D. Recommending inpatient behavioral modification therapy.
C
A client has been diagnosed with gender identity disorder. The nurse can expect that the client will evidence which characteristic? A. Intense sexual urges focused on an object B. Discomfort with biological gender C. Self-humiliation during the sexual act D. Inability to maintain sexual arousal
B
A client reports symptomatology that supports the diagnosis of sleep paralysis. The nurse effectively assesses the client by asking which question? A. "Do you ever have nightmares?" B. "Have you ever fallen asleep while driving?" C. "Do you have a history of obsessive-compulsive behavior?" D. "Is it difficult for you to fall asleep?"
B
A client reveals that she induces vomiting as often as a dozen times a day. The nurse would expect assessment findings to support which electrolyte imbalance? A. Hypernatremia B. Hypokalemia C. Hypercalcemia D. Hypolipidemia
B
A slightly obese client reports falling asleep during the daytime even though she has slept all night. Her husband says she snores, and her blood pressure is noted to be in the low hypertensive range. The nurse anticipates that the client will be scheduled for which diagnostic test? A. Hypertension screening B. Polysomnography C. Glycosylated hemoglobin D. Positron emission tomography
B
A student nurse in the emergency department is assigned to care for a client convicted of the sexual abuse of a child. The student is repulsed by the client because of the nature of his crime and doesn't know how to care for the client under these circumstances. What action should the student nurse take? A. Refuse the assignment because personal feelings will prevent the student from providing good care. B. Talk with a faculty member or an experienced nurse in the emergency department. C. Perform the activities of care but not engage in conversation with the client. D. Suggest to the client that he request a different nurse.
B
An individual who is able to regain mental stability after a traumatic event is said to be demonstrating what trait? A. Autonomy B. Resilience C. Maturity D. Independence
B
Disorders that involve sexual behaviors associated with nonhuman objects are identified by which term? A. Pedophilias B. Paraphilias C. Frotteurism D. Sadomasochism
B
Empathic listening is therapeutic because it focuses on what form of action? A. Enhancing self-esteem B. Lessening feelings of isolation C. Reducing anxiety D. Encouraging resilience
B
Ever since participating in a village raid where explosives were used, a military veteran has been unable to walk. After all diagnostic testing were negative for any physical abnormalities, the client was diagnosed with conversion disorder. What is the nurse's best response when asked by the client, "Why can't I walk?" A. "Your legs don't work because your brain is screwed up." B. "Your emotional distress is being expressed as a physical symptom." C. "You are making up your symptoms as a cry for help." D. "You are overly anxious about having a severe illness."
B
The primary difference between a factitious disorder and other somatic disorders is described in which statement? A. Factitious disorders respond well to confrontation as a primary therapeutic technique. B. Factitious disorders have a symptomatology that is actually controlled by the client. C. Factitious disorders have their origins in depression and anxiety. D. Factitious disorders are always self-directed.
B
What is the most beneficial nursing intervention directed toward minimizing the discomfort associated with conducting a sexually focused assessment? A. Assure the client that the responses will be kept confidential. B. Provide the client with a rationale for asking the questions. C. Begin with the most relevant, non-personal question. D. Project a relaxed, causal demeanor when questioning the client.
B
What non-habit-forming melatonin receptor agonist is often prescribed for insomnia? A. Zolpidem B. Ramelteon C. Eszopiclone D. Zaleplon
B
What symptom can the nurse expect a client diagnosed with depersonalization disorder to manifest? A. Aimless wandering with confusion and disorientation B. A feeling of detachment from one's body or mental processes C. Existence of two or more personalities that take control of behavior D. Worry about having a serious disease based on symptom misinterpretation
B
A 23 years old is admitted with reports of abdominal pain, dizziness, and headache. When told that all the results of a physical workup have been negative, the client shares, "Now I am having back pain." Which notation in the client's medical record may alert the nurse to the possibility of malingering? A. A court date this week for drunk driving B. Was adopted at the age of 5 years C. A history of physical abuse by his stepfather D. A history of oppositional-defiant disorder
A
When attempting to determine the cause of low sexual drive in either a male or female client, the nurse can expect evaluation of the client's serum level of which hormone? A. Testosterone B. Estrogen C. Thyroxin D. Insulin
A
When discussing the symptoms of post-traumatic stress disorder (PTSD), the nurse should make which statement? A. "The symptoms can neither occur almost immediately or even take years to manifest." B. "PTSD causes agitation and hypervigilance but rarely chronic depression." C. "When experiencing a flashback, the client generally experiences a slowing of responses." D. "PTSD is an emotional response that does not cause significant changes in brain chemistry."
A
A client confides to the nurse that she is sexually excited by dominating her partner and achieves orgasm only when she humiliates her partner. This admission supports which sexual disorder? A. Sexual sadism B. Orgasmic disorder C. Sexual pain disorder D. Immature sexual gratification
A
A client hospitalized with anorexia nervosa has a weight that is 65% of normal. For this client, what is a realistic short-term goal for the first week of hospitalization regarding the physical impact of his/her weight? A. Gain a maximum of 3 lb. B. Develop a pattern of normal eating behavior. C. Discuss fears and feelings about gaining weight. D. Verbalize awareness of the sensation of hunger.
A
A client reports to the nurse that falling asleep can often take hours. Which intervention should the nurse implement? A. Teach the client how to do progressive relaxation. B. Advise the client to drink an ounce or two of brandy at bedtime. C. Suggest that the client seek a referral for polysomnography. D. Point out that reducing stress at work would be advisable.
A
A depressed client is likely to report a sleep disorder that includes which characteristics? A. Frequent awakenings during the night B. Nightmares C. Difficulty falling asleep D. Sleepwalking
A
A primary health provider describes a client as "malingering." The nurse knows this means that the client is demonstrating which behavior? A. Falsely claiming to have symptoms. B. Experiencing symptoms that cannot be explained medically. C. Experiencing symptoms that have a physiological basis. D. Seeking medication to ease pain of psychological origin.
A
After stabilization of symptoms, what is the primary focus of treatment for a client diagnosed with anorexia nervosa? A. Weight restoration B. Improving interpersonal skills C. Learning effective coping methods D. Changing family interaction patterns
A
As an adult, a client who has been diagnosed with childhood-onset conduct disorder is at high risk for developing which comorbid disorder? A. Antipersonality disorder B. Obsessive-compulsive disorder C. Kleptomania D. Depression
A
One criterion for the diagnosis of primary insomnia is met when the client makes which statement? A. "I've actually missed work because I'm too tired to go." B. "I was diagnosed with depression 2 months ago." C. "I've had problems falling asleep for 3 weeks now." D. "I have these terrible nightmares when I fall asleep."
A
Providing care to a client diagnosed with a somatization disorder can be frustrating owing to the client's lack of an organic illness. In order to best manage this barrier to care the staff should implement which personal intervention? A. Regularly discuss their feelings about the client during the unit's interprofessional care meetings. B. Attend in-services that focus on the various aspects of somatic disorders. C. Rotate care of the client among the entire nursing department staff to minimize the frustration. D. Provide a unified approach to the client's behavior so as to manage and lessen the barrier itself.
A
The client experiencing bulimia differs from the client diagnosed with anorexia nervosa by exhibiting which characteristic? A. Maintaining a normal weight B. Holding a distorted body image C. Doing more rigorous exercising D. Purging to keep weight down
A
The client who will most likely respond well to drug therapy for the management of compulsive deviant sexual behavior is one with which diagnosis? A. Exhibitionism B. Antisocial personality disorder C. Low sexual drive D. Fetishism
A
The nurse working with clients diagnosed with eating disorders can help families develop effective coping mechanisms by implementing which intervention? A. Teaching the family about the disorder and the client's behaviors B. Stressing the need to suppress overt conflict within the family C. Urging the family to demonstrate greater caring for the client D. Encouraging the family to use their usual social behaviors at meals
A
What information should the nurse give to the family of a client who has had a dissociative episode? A. Dissociation is a method for coping with severe stress. B. Dissociation suggests the possibility of early dementia. C. Brief periods of psychotic behavior may occur. D. Ways to intervene to prevent self-mutilation and suicide attempts.
A
What is the initial task of an outpatient clinic nurse who is working with a client experiencing a sexual disorder? A. Establish trust with the client B. Assess the client's physical health C. Explain that the nurse is a therapeutic agent D. Orient the client to the clinic's programs, use as part of therapy
A
What is the most effective nursing intervention regarding the accurate assessment of sleep disorders? A. A sleep diary B. Information regarding sleep cycles C. Client description of the symptomatology D. Assessment for substance abuse
A
The symptoms of an adjustment disorder can include which characteristics? (Select all that apply.) A. Guilt B. Social withdrawal C. Overachieving D. Anger E. Depression
A B D E
Which of the following statements are true regarding childhood-onset conduct disorder? (Select all that apply.) A. It is more commonly diagnosed in males. B. It is characterized by feelings of remorse and regret. C. It is usually diagnosed in late teen years. D. It is characterized by disregard for the rights of others. E. Those with conduct disorder rationalize their aggressive behaviors. F. It is usually outgrown by early adulthood.
A D E
What therapeutic intervention should be prescribed for a client diagnosed with a somatoform disorder? A. Steering conversation away from the client's feelings B. Conveying an interest in the client rather than in the symptoms C. Encouraging the client to use benzodiazepines liberally D. Encouraging the client to rely on the nurse to meet the client's needs
B
When discussing somatic disorders from a cultural perspective, which statement is true? A. Somatic disorders are rarely observed in males. B. Somatic symptoms vary widely from culture to culture. C. Underdeveloped countries rarely tolerate somatic disorders. D. Secondary gain is seldom a factor in somatic disorders.
B
A 16-year-old patient being treated for anorexia, has been prescribed medication to reduce compulsive behaviors regarding food now that ideal weight has been reached. Which class of medication is prescribed for this specific issue associated with eating disorders? A. Mood stabilizers B. Antidepressants C. Anxiolytics D. Atypical antipsychotics
B
A 17-year-old client is admitted to the psychiatric unit after threatening his mother during an argument and is diagnosed with conduct disorder. Which of the following would be an appropriate short-term outcome for this client? A. Engages in appropriate coping skills to manage stressors B. Expresses feelings C. Maintains self-control during hospitalization D. Mother will improve communication skills to interact with Eli.
B
A 31-year-old patient who has been referred to the sexual disorders clinic by a primary care provider. The client describing his problem states, "I can have an orgasm, no problem. It just happens way too soon." This description support what form of sexual dysfunction? A. Erectile disorder B. Premature ejaculation C. Delayed ejaculation D. Male hypoactive sexual desire disorder
B
A client asks the nurse to explain what basal sleep requirement is. What is the nurse's best response? A. The basal temperature of your body needed to induce the best sleep. B. The sleep time by your body needed to repair cellular damage. C. The amount of sleep needed to be fully awake and perform well in the daytime. D. The amount of sleep needed to transition to rapid eye movement (REM) sleep.
B
A client diagnosed with bulimia nervosa uses enemas and laxatives to purge to maintain weight. What is the likely physiological outcome of this practice? A. Increase in the red blood cell count B. Disruption of the fluid and electrolyte balance C. Elevated serum potassium level D. Elevated serum sodium level
B
According to current theory, which statement regarding eating disorders is accurate? A. Eating disorders are psychotic disorders in which patients experience body dysmorphic disorder. B. Eating disorders are frequently misdiagnosed. C. Eating disorders are possibly influenced by sociocultural factors. D. Eating disorders are rarely comorbid with other mental health disorders.
C
A 38-year-old patient referred for sleep studies reports frequent daytime lethargy, unintended lapses into sleep, and never feeling rested on awakening in the morning. These symptoms support which sleep-related diagnosis? A. Circadian rhythm disorder B. Hypersomnolence C. REM sleep behavior disorder D. Breathing-related sleep disorder
C
A 4 years old is referred to the outpatient mental health clinic after being in a severe car accident during which the child's mother died. The father states that the child is withdrawn, not sleeping, having nightmares, and acts out the car accident over and over again when playing. The child states, "It's my fault because I'm bad." What trauma induced disorder does this data support? A. Adjustment disorder B. Dissociative identity disorder C. Posttraumatic stress disorder (PTSD) D. Acute stress disorder (ASD)
C
Ali is a 17-year-old patient diagnosed with bulimia coming to the outpatient mental health clinic for counseling. Which of the following statements by Ali indicates that an appropriate outcome for treatment has been met? A. "I purge only once a day now instead of twice." B. "I feel a lot calmer lately, just like when I used to eat four or five cheeseburgers." C. "I am a hard worker and I am very compassionate toward others." D. "I always purge when I'm alone so that I'm not a bad role model for my younger sister."
C
Assessment for oppositional defiant disorder should include which interventions? A. Assessing the history, frequency, and triggers for violent outbursts B. Assessing moral development, belief system, and spirituality for the ability to understand the impact of hurtful behavior on others, to empathize with others, and to feel remorse C. Assessing issues that result in power struggles and triggers for outbursts D. Assessing sibling birth order to understand the dynamics of family interaction
C
Biological theorists suggest that the cause of eating disorders may be related to which factor? A. Normal weight phobia B. Body image disturbance C. Serotonin imbalance D. Dopamine excess
C
Effective care of a client suspected of experiencing bulimia nervosa calls for the nurse to perform which assessment? A. a range of motion assessment. B. inspection of body cavities. C. inspection of the oral cavity. D. body fat analysis.
C
Hormone therapy for the purpose of surgical gender reassignment is initiated when the client has demonstrated what behavior? A. successfully demonstrated a genuine intent to change genders. B. taken on the dress and manners of the preferred gender. C. successfully lived the cross-gender role in all aspects of life. D. taken all legal steps to change name and legal status.
C
The client reveals to the nurse that, "I'm turned on by little girls, not adult women." This statement supports which possible diagnosis? A. Exhibitionism B. Hedonism C. Pedophilia D. Voyeurism
C
The nurse feels uncomfortable talking with a young male client about his sexual problem. Which action should the nurse take? A. Ask another nurse to take over the interview, so you don't project your feelings onto the patient. B. Pause the interview and take time to gather your thoughts and do positive self-talk. C. Continue the interview using an appropriate professional tone and matter-of-fact approach. D. Ask Lance whether he would feel more comfortable speaking with a physician about his problem.
C
What class of medications is commonly prescribed for somatic disorders? A. mood stabilizers. B. antidepressants. C. anxiolytics. D> antipsychotics.
C
What factors are consistently observed to increase the risk for sleep disturbances? A. Gender and race B. Diet and exercise C. alcohol and caffeine D. income and education
C
What would be an appropriate expected outcome of the treatment plan for a client diagnosed with a conversion disorder that interferes with the ability to walk effective? A. Client will walk unassisted within 1 week. B. Client will return to a pre-illness level of functioning within 2 weeks. C. Client will be able to state two new effective coping skills within 2 weeks. D. Client will assume full self-care within 3 weeks.
C
Which diagnosis from the list below would be given priority for a client diagnosed with bulimia nervosa? A. Disturbed body image B. Chronic low self-esteem C. Risk for injury: electrolyte imbalance D. Ineffective coping: impulsive responses to problems
C
Which disorder is characterized by the client's misinterpretation of physical sensations or feelings? A. Somatic disorder B. Factitious disorder C. illness anxiety disorder D. Conversion disorder
C
Which item of data should be routinely gathered during assessment of a client with a somatoform disorder? A. Potential for violence B Level of confusion C. Dependence on medication D. Personal identity disturbance
C
Which mental health disorder is an example of a somatoform disorder? A. Depersonalization B. Dissociative fugue C. Conversion disorder D. Dissociative identity disorder
C
Which nursing diagnosis should be investigated for clients with somatoform disorders? A. Deficient fluid volume B. Self-care deficit C. Ineffective coping D. Delayed growth and development
C
Which statement by a patient who was educated about the importance of acquiring adequate sleep indicates a need for further teaching? A. "I will be sure to try to get 8 hours of sleep every night, and 9 or 10 hours of sleep if I can." B. "Getting less than 6 hours of sleep at night may increase my risk for medical problems." C. "Getting enough sleep will increase my productivity at work." D. "Since I have to drive for my job, getting enough sleep will help me avoid accidents."
C
A client diagnosed with post-traumatic stress disorder (PTSD) shows little symptom improvement after being prescribed a selective serotonin reuptake inhibitor (SSRI). The nurse expects that which medication will be prescribed next? A. Topiramate B. Amitriptyline C. Imipramine D. Citalopram
C The tricyclic antidepressant imipramine may be prescribed if SSRIs or SNRIs are not tolerated or do not work
Which of the following symptoms would lead a provider to suspect that a client is experiencing PTSD? (Select all that apply.) A. Visiting the scene of the accident over and over B. Talking with strangers about the events of the accident C. Flashbacks of the accident D. Hypervigilance E. Irritability F. Difficulty concentrating G. Mania
C D E F
A client asks the nurse what kind of therapy will help. Based on current knowledge, what form of therapy is most appropriate for a client diagnosed with a conversion disorder? A. "A combination of antianxiety and antidepressant therapy is the most effective therapy." B. "Aversion therapy is often used because in effect you are punishing yourself by not being able to walk." C. "Modeling will be used; as you see desired behaviors modeled by the therapist you will be able to also achieve the expected outcome." D. "Cognitive-behavioral therapy (CBT) has been shown to consistently provide the best outcome for these types of disorders."
D
Which subjective symptom should the nurse expect to note during assessment of a client diagnosed with anorexia nervosa? A. Lanugo B. Hypotension C. 25-lb weight loss D. Fear of gaining weight
D
A client diagnosed with a chronic sleep disorders begins to cry and states, "I can't keep going like this! I work in a bank and if I can't function correctly I'll lose my job. I just don't think I'll get better." Which statement provides a therapeutic response to the client's concerns? A. "Don't worry! I'm sure with treatment everything will get better." B. "You are not alone. Many people who come for sleep studies are going through the same thing." C. "You seem so sad. May I ask if something else is troubling you?" D. "There is much hope for improvement through treatment. Let's talk about some strategies for your problems at work."
D
A client explains that he is heterosexual but prefers to dress in feminine clothing. This characteristic behavior is suggestive of which sexual disorder? A. Fetishism B. Exhibitionism C. Voyeurism D. Transvestism
D
A client, prescribed which class of antidepressant medication should be monitored for the development of premature ejaculation? A. Monoamine oxidase (MAO) inhibitors B. Tricyclic antidepressants C. Atypical antipsychotics D. selective serotonin reuptake inhibitor (SSRI) antidepressants
D
A client, who is 16 years old, 5 foot, 3 inches tall, and weighs 80 pounds, eats one tiny meal daily and engages in a rigorous exercise program. Which nursing diagnosis addresses this assessment data? A. Death anxiety B. Ineffective denial C. Disturbed sensory perception D. Imbalanced nutrition: less than body requirements
D
An older adult client is reporting symptomatology that suggests rapid eye movement (REM) sleep behavior disorder (RSBD). Which comorbid condition should the nurse assess for? A. Lymphoma B. Hypertension C. Acute renal failure D. Parkinson's disease
D
Dissociative identity disorder is characterized by what event? A. The inability to recall important information B. Sudden, unexpected travel away from home and inability to remember the past C. The existence of two or more subpersonalities, each with its own patterns of thinking D. Recurring feelings of detachment from one's body or mental processes
D
It is most important for the nurse to employ which holistic strategy when managing clients diagnosed with a somatization disorder? A. Utilizing many different therapeutic strategies or modalities for enhanced coping B. Involving every member of the family as well as the patient in treatment C. Incorporating spirituality and religion into treatment D. Considering all dimensions of the patient, including biological, psychological, and sociocultural
D
Parents express concern when their 5-year-old child, who is receiving treatment for cancer, keeps referring to an imaginary friend, Candy. Which response should the nurse provide to best address the parent's concerns? A. Children of this age usually have imaginary friends. B. It is nothing to worry about unless the child starts to socially isolate. C. The child needs more of their one-on-one attention. D. The imaginary friend is a coping mechanism the child is using
D
Studies have shown a correlation between mental disorders and which medical condition? A. Psoriasis B. Asthma C. Chronic renal failure D. Cardiovascular disease
D
The nurse appropriately assesses an obese, hypertensive, Type 2 diabetic client when asking which question? A. "Do you regularly have nightmares?" B. "Is getting to sleep a problem for you?" C. "Do you snooze when you sleep?" D. "How much sleep do you usually get each night?"
D
The nurse can determine that inpatient treatment for a client diagnosed with an eating disorder would be warranted when which assessment data is observed? A. Weighs 10% below ideal body weight. B. Has serum potassium level of 3 mEq/L or greater. C. Has a heart rate less than 60 beats/min. D. Has systolic blood pressure less than 90 mm Hg.
D
What is the usual time period that medications to treat insomnia are usually prescribed? A. 1 to 2 days B. 1 to 2 months C. 3 weeks D. 2 weeks
D
What statement by a client would indicate that goals for treatment for a somatization disorder are being achieved? A. "I feel less anxiety than before." B. "My memory is better than it was a month ago." C. "I take my medications just as the physician prescribed." D. "I don't think about my symptoms all the time as I used to be."
D
Which behavior consistently demonstrated by a child is a predictor of future antisocial personality disorder in adults? A. Sadness B. Remorse C. Guilt D. Callousness
D
Which statement about somatoform disorders is true? A. An organic basis exists for each group of disorders. B. Nurses perceive clients with these disorders as easy to care for. C. No relation exists between these disorders and early childhood loss or trauma. D. Clients lack awareness of the relations among symptoms, anxiety, and conflicts.
D