Mental health questions

An older adult drove to a nearby store but was unable to remember how to get home or state an address. When police took the person home, the spouse reported frequent wandering into neighbors' homes. Which stage of Alzheimer disease is evident?

2 moderate

Alcohol dependent pt was hospitalized at 4 am on Saturday; last drink was at 2am; when would nurse expect withdrawal symptoms to peak then disappear or progress to delirium?

24-48 hours after drinking stops

A client with claustrophobia is undergoing therapy in which the therapist instructs the client to imagine anxiety-provoking situations in each session, and then a healthy response to that anxiety. Which response by the client indicates that the therapy is effective?

"I'm not having any discomfort while watching a movie in a theater."

a patient with borderline personality disorder impulsively self mutilates and has severe mood lability with explosive outburts, poor interpersonal relations and inability to sustian employment. Which referrals should the nurse consider

dialectical behavior therapy

During the initial interview at the crisis center, a patient says, "I've been served with divorce papers. I'm so upset and anxious that I can't think clearly." What could the nurse say to assess personal coping skills?

"In the past, how did you handle difficult or stressful situations?"

A client on medication for generalized anxiety disorder developed physical dependence and tolerance. Which medication would the primary health-care provider replace?

diazepam

A client with somatic symptom disorder says, "I always feel this crushing pain in my abdomen. I think I have appendicitis." How should the nurse respond to this client?

"It must be causing a lot of discomfort to you."

A patient experiencing acute mania has exhausted the staff members by noon. The patient has joked, manipulated, insulted, and fought all morning. Staff members are feeling defensive and fatigued. Which is the best action?

Hold a staff meeting to discuss consistency and limit setting approaches.

Which statement of the client is compatible with illness anxiety disorder?

I have a sore on my arm. I think I have skin cancer."

The nurse is educating about necessary precautions to a client on disulfiram therapy. Which statement of the client would most likely indicate effective learning?

I should avoid alcohol

A patient who fears serious heart disease was referred to the mental health center by a cardiologist after diagnostic evaluation showed no physical illness. The patient says, "My heart misses beats. I'm frequently absent from work. I don't go out much because I need to rest." Which health problem is most likely?

Illness anxiety disorder (hypochondriasis)

Which nursing diagnosis is more applicable for a patient diagnosed with anorexia nervosa who restricts intake and is 20% below normal weight than for a 130-pound patient diagnosed with bulimia nervosa who purges?

Imbalanced nutrition: less than body requirements

What is the priority nursing diagnosis for a patient experiencing fluctuating levels of consciousness, disturbed orientation, and visual and tactile hallucinations?

Risk for injury related to altered cerebral function, misperception of the environment, and unsteady gait

A patient is hospitalized after an arrest for breaking windows in the home of a former intimate partner. The history reveals childhood abuse by a punitive parent, torturing family pets, and an arrest for disorderly conduct. Which nursing diagnosis has priority?

Risk for other-directed violence

what is the primary difference between somatic system disorders and dissociative disorders?

dissociative disorders entail stress related disruptions of memory, consciousness or identity where as somatic system involves expression of stress through somatic symptoms

A client has been feeling "down in the dumps" because of the loss of a pet two years ago. Which condition would the nurse suspect in the client?

dysthymia

A patient has taken trifluoperazine (Stelazine) 30 mg/day orally for 3 years. The clinic nurse notes that the patient grimaces and constantly smacks both lips. The patient's neck and shoulders twist in a slow, snakelike motion. Which problem would the nurse suspect?

Tardive dyskinesia

A nurse is caring for a client with suicidal tendencies. Which client outcome would be the best indicator of the effectiveness of the nursing interventions?

The client has avoided self-harm

Which condition in a client who is on antipsychotic therapy requires the administration of Cogentin (benztropine mesylate)?

dystonia

A highly suspicious patient tells the nurse, "When I sit in the dayroom I can see other people whispering about me and laughing. It makes me want to punch them." The direction that the nurse should give staff is:

"Be direct. Do not whisper, laugh, or look sideways at the patient."

The spouse of a patient diagnosed with bipolar disorder asks what evidence supports the possibility of genetic transmission of bipolar disorders. Select the nurse's best response.

"A higher rate of relatives diagnosed with bipolar disorder is found among patients with bipolar disorder."

A patient treated for symptoms of PTSD following a shooting incident at a local elementary school reports, "I feel like there's no reason to go on living when so many others died." Which is the most appropriate response by the nurse now?

"Are you having thoughts of hurting or killing yourself?"

A client with schizophrenia says to the nurse, "A divine voice coming from space is always telling me to go to New York." What is the best response of the nurse in this situation?

"Even though the voices are real to you, I am unable to hear any voices speaking."

A patient diagnosed with anorexia nervosa virtually stopped eating 5 months ago and has lost 25% of body weight. A nurse asks, "Describe what you think about your present weight and how you look." Which response by the patient is most consistent with the diagnosis?

"I am fat and ugly."

Which assessment finding best supports the diagnosis of dissociative amnesia with fugue? The patient states:

"I cannot recall why I'm living in this town."

A patient experiencing fluctuating levels of consciousness, disturbed orientation, and perceptual alteration begs, "Someone get these bugs off me." What is the nurse's best response?

"I don't see any bugs, but I know you are frightened so I will stay with you."

Which statement of the client supports the nurse's suspicion that the client has obsessive-compulsive disorder?

"I have to wash my hands every 15 minutes."

After assessing a client with a psychiatric illness, the nurse concludes that the client is experiencing paranoia. Which client response is most consistent with paranoia?

"I won't eat this food. I know it is poisoned."

A patient is pacing the hall near the nurses' station and swearing loudly. An appropriate initial intervention for the nurse would be to address the patient by name and say:

"I'd like to talk with you about how you're feeling right now.

Lucia's 8-year-old son went missing 1 year ago. The police have few leads and have lost interest in the case. Lucia visits an outpatient mental health clinic to determine the treatment options available to help her cope with her grief. As Lucia begins speaking with the nurse, she begins sobbing uncontrollably. Which statement made by the nurse demonstrates support of Lucia?

"I'll be right back with some tissues and a glass of water."

When an extremely anxious client asks the nurse for help, what initial response reflects the nurse's role in crisis intervention?

"I'm here to help you figure things out."

An adult patient assaulted another patient and was restrained. One hour later, which statement by this restrained patient necessitates the nurse's immediate attention?

"My fingers are tingly"

While taking the blood pressure of a client with schizophrenia, the nurse positions the client's arm outward. After 2 hours, the nurse finds that the client is still sitting in the same position with the arm extended. What does this behavior indicate?

waxy flexibility

A female with anorexia is is malnourished and severely underweight. Which statement indicates that she is experiencing secondary gains from her behavior?

"My mother keeps trying to get me to eat."

A patient comes to the clinic with superficial cuts on the left wrist. The patient is pacing and sobbing. After a few minutes with the nurse, the patient is calmer. What should the nurse ask to determine the patient's perception of the precipitating event?

"What was happening just before you started feeling this way?"

One bed is available on the inpatient eating disorders unit. Which patient should be admitted? The patient whose weight dropped from:

150 to 100 pounds over a 4-month period. Vital signs: temperature, 35.9° C; pulse, 38 beats/min; blood pressure, 60/40 mm Hg.

Which actions would the nurse take to assist a client in deescalating agitated behavior? Select all that apply. One, some, or all responses may be correct.

- encourage the client to express perceived needs - provide the client with clear options to the unacceptable behavior

pt asks for info about AA; select nurse's best response "AA is a?

-self help group that focuses on sobriety"

A patient experiencing acute mania has disrobed in the hall three times in 2 hours. The nurse should:

1 on 1 supervision

The primary health-care provider prescribes lithium carbonate therapy to a client with mania. Which instruction should the nurse provide to the client to prevent adverse effects associated with the medication?

6 to 8 glasses 9of water each day

An older adult was stopped by police for driving through a red light. When asked for a driver's license, the adult hands the police officer a pair of sunglasses. What sign of dementia is evident?

Agnosia

Consider these problems: apolipoprotein E (apoE) malfunction, neuritic plaques, neurofibrillary tangles, granulovascular degeneration, and brain atrophy. Which condition corresponds to this group?

Alzheimer disease

Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. She wears layered, loose clothing and now has amenorrhea. Her current weight is 95 pounds, a loss of 35 pounds. Which medical diagnosis is most likely?

Anorexia nervosa

Which nursing intervention has the highest priority for a patient diagnosed with bulimia nervosa?

Assist the patient to identify triggers to binge eating.

Which action is most essential for the nurse to effectively respond to victims who call the rape crisis center for help?

Be aware of personal bias about sexual assault.

The nurse notifies the primary health-care provider that a client has developed severe parkinsonian muscle rigidity, very high fever, and tachycardia 3 hours after administration of thioridazine (Mellaril). Which medication is beneficial for the client in this situation?

Bromocriptine (Parlodel)

A college student observes a roommate going out wearing uncharacteristically seductive clothing, returning 12 to 24 hours later, and then sleeping for 8 to 12 hours. At other times, the roommate sits on the floor speaking like a young child. Which health problem should be considered?

Dissociative identity disorder

The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention "Monitor for complications of refeeding." Which body system should a nurse closely monitor for dysfunction?

Cardiovascular

which drug would the nurse expect to be used in substitution therapy for a client withdrawing from alcohol?

Chlordiazepoxide

which is an important nursing intervention when giving care to a patient withdrawing from a CNS stimulant

Correct answer: Observe for depression and suicidal ideation.

A patient diagnosed with bipolar disorder commands other patients, "Get me a book. Take this stuff out of here," and other similar demands. The nurse wants to interrupt this behavior without entering into a power struggle. Select the best initial approach by the nurse.

Distraction: "Let's go to the dining room for a snack."

for a patient diagnoses with dissociative amnesia, complete this outcome: "Within 4 weeks, the patient will demonstrate an ability to execute complex mental processes by:

Describing previously forgotten experiences

What therapy would have the highest success rate for people with phobias?

Desensitization with relaxation techniques.

Which drug does the nurse expect the primary health-care provider will prescribe for a client with symptoms of cocaine withdrawal?

Desipramine

The nurse is caring for a client with depression. What is be the primary nursing intervention in this client?

Develop a trusting relationship with the client.

Which symptom would be a manifestation of hoarding disorder?

Difficulty in parting with possessions

While communicating with a client, the nurse finds that the client spends more than 1 hour folding and arranging clothes five times a day. Which nursing intervention would be beneficial to the client in this situation?

Discuss the triggers provoking this behavior.

Which intervention should the nurse perform while caring for the client with schizophrenia who has an altered thought process and extreme suspiciousness?

Document suspicious behavior in the client.

A geriatric client who has developed tolerance to antidepressants was brought to the hospital after attempting suicide. What would be the best treatment approach for such a client?

ECT

During the initial assessment phase which parameter would the nurse focus on for a client with panic disorder and agoraphobia?

Easing the client's anxiety so further interviewing may be done.

Brandy is an 18-year-old being treated in the Community Mental Health Clinic for an adjustment disorder after receiving news of her parents' impending divorce. While talking about her feelings, she becomes angry and starts shouting and crying. She screams, "I wish they would both die!" Which of these is the most appropriate nursing response?

Encourage Brandy to talk more about her anger.

Client with alcohol addiction says, "My spouse and children think I am an alcoholic. I do not have a drinking problem. I can quit drinking any time. What is the first step in decreasing the use of denial?

Explaining the relationship between substance abuse and personal problems

Which intervention would nurse use during the initial interaction with a 76-year-old client who is terminally ill, very quiet and unwilling to have visitors.

Explore what he understands about his situation and what the implications mean to him

A veteran of the war in Afghanistan was diagnosed with posttraumatic stress disorder (PTSD). The veteran says, "If there's a loud noise at night, I get under my bed because I think we're getting bombed." What type of experience has the veteran described?

Flashback

Which outcome is a mother most likely to experience if she perceives that her child's accidental death was preventable?

Grief grows in intensity and duration

Which food item is safe to be consumed by a client who is on monoamine oxidase inhibitor (MAOI) therapy?

Grilled chicken (avoid tyramine = fermented food)

When working with rape victims, what is the focus of initial care?

Helping the victim feel safe

Jane presents in the emergency department with a friend, who reports that Jane has been sitting in her apartment "staring off into space" and doesn't seem interested in doing anything. During the assessment, Jane reveals, with little emotion, that she was raped 4 months ago. Which of these is the most appropriate interpretation of Jane's lack of emotion?

Jane is experiencing a numbing of emotional response, which is a common symptom of PTSD.

An older adult patient in an intensive care unit is experiencing visual and auditory illusions. Which nursing intervention will be most helpful?

Keep the room brightly lit at all times.

a patient is hospitalized with blindness and sudden onset. According to the spouse, the patient entered a room and found the spouse in a romantic embrace with a neighbor. The patient is unconcerned about the blindness and says, "I'm sure things will turn out all right." Which term best describes this reaction?

La belle indifference

Which behavior is most likely to indicate that a client is experiencing grief associated with the loss of the husband?

Lack of sleep and loss of appetite

A client is diagnosed with PTSD. Which treatment modality exposes the client to repeated and prolonged mental recounting of the traumatic event?

Prolonged exposure therapy

A patient has blindness related to a functional neurological (conversion) disorder but is unconcerned about this problem. Which understanding should guide the nurse's planning for this patient? The patient is:

Relieving anxiety through the physical symptom.

Sammy is diagnosed with a trauma disorder and is being treated at an inpatient psychiatric unit. Which nursing short-term goal is most appropriate for Sammy?

Sammy demonstrates three relaxation techniques upon discharge.

A soldier served in combat zones in Iraq in 2010 and was deployed to Afghanistan in 2014. When is it most important for the nurse to screen for signs and symptoms of posttraumatic stress disorder (PTSD)?

Screening should be ongoing

A client with a schizophrenia tells the nurse, "It is very cold. I am cold and bold. The gold has been sold." What intervention should the nurse implement in this situation?

Seek clarification from the client.

Two patients in a residential care facility are diagnosed with dementia. One shouts to the other, "Move along, you're blocking the road." The other patient turns, shakes a fist, and shouts, "I know what you're up to; you're trying to steal my car." What is the nurse's best action?

Separate and distract the patients. Take one to the day room and the other to an activities area.

Which behavior best demonstrates aggression?

Stomping away from the nurses' station, going to the hallway, and grabbing a tray from the meal cart.

The nurse is caring for a client who has suicidal thoughts. What should be the primary intervention by the nurse?

The nurse should create a safe environment for the client.

Disturbed body image is the nursing diagnosis for a patient diagnosed with an eating disorder. Which outcome indicator is most appropriate to monitor?

The patient expresses satisfaction with body appearance.

While caring for a client with somatic symptom disorder, the nurse gradually minimizes the time given to responding to physical complaints. What is the rationale behind this nursing intervention?

To avoid further reinforcement of the somatic complaints

What is meant by "off-label use" of medications?

Use of medication for a purpose other than what is approved by the FDA

A nurse reports to the interdisciplinary team that a patient diagnosed with an antisocial personality disorder lies to other patients, verbally abuses a patient diagnosed with dementia, and flatters the primary nurse. This patient is detached and superficial during counseling sessions. Which behavior most clearly warrants limit setting?

Verbal abuse of another patient

A client with major depressive disorder is hospitalized due to severe suicidal tendencies and is on antidepressant drugs. One day the nurse observes the client to be peaceful and confident. What might this dramatic clinical change indicate to the nurse? Correct answer:

client may have a set suicidal plan

A nurse assesses a patient suspected of having somatic symptom disorder. Which assessment findings regarding this patient support the suspected diagnosis? Select all that apply.

a. Female b. Reports frequent syncope. C. Reports insomnia often results from back pain

Which of the following does the catatonia specifier stupor most likely refer to?

absensce of psychomotor activity

An intramuscular dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive. The patient is in the day room where there are other patients. The nurse should enter the day room:

accompanied by three staff members and say, "Please come to your room so I can give you some medication that will help you feel more comfortable."

Which of these statements by the patient are indications of complicated grieving? - I feel like I should have been the one to die in that hurricane. - Last year, several of my coworkers died in a hurricane and I still can't go back to work - I've been having incapacitating migraines ever since the memorial services - All of the above

all of the above

Which is most likely to be used as a form of self-medication to alleviate depression?

amphetamine

Others describe a worker as very shy and lacking in self-confidence. This worker stays in an office cubicle all day and never comes out for breaks or lunch. Which term best describes this behavior?

avoidant

A med surg nurse works with a patient diagnosed with a somatic symptom disorder. Care planning is facilitated by understanding that the patient will probably:

be resistant to accepting psychiatric help

A client is admitted into the psychiatric unit with symptoms of hypomania. The client's history indicates that the client has never experienced a full manic episode. What should the nurse infer from these findings?

bipolar II disorder

A patient develops mania after discontinuing lithium. New prescriptions are written to resume lithium twice daily and begin olanzapine (Zyprexa). The addition of olanzapine to the medication regimen will:

bring hyperactivity under control

Which dinner menu is best suited for the patient diagnosed with bipolar disorder experiencing acute mania?

broiled chicken breast on a roll, ear of corn, apple

A client with depression tells the nurse, "I am a looser and have not achieved anything big in life. My family and friends think that I am worthless." Which therapy will the nurse anticipate from the primary health-care provider to help in changing the mood of the client?

cognitive therapy - helpful in changing the mood of the client by altering the way he or she thinks; will help the client to think positively about the environment

As a nurse prepares to administer medication to a patient diagnosed with a borderline personality disorder, the patient says, "Just leave it on the table. I'll take it when I finish combing my hair." What is the nurse's best response? a. Reinforce this assertive action by the patient. Leave the medication on the table as requested. b. Respond to the patient, "I'm worried that you might not take it. I'll come back later." c. Say to the patient, "I must watch you take the medication. Please take it now." d. Ask the patient, "Why don't you want to take your medication now?"

c. Say to the patient, "I must watch you take the medication. Please take it now."

What is an appropriate initial outcome for a patient diagnosed with a personality disorder who frequently manipulates others? The patient will:

c. acknowledge manipulative behavior when it is called to his or her attention.

Parents of a 17-year-old patient diagnosed with schizophrenia ask the nurse what the future will be like for their child. The nurse's answer should be based on knowledge that the usual course of illness is:

characterized by alternating acute and stable phases.

which statement most accurately describes substance addiction

chronic relapsing brain disease associated with craving and a lack of control over a use of substance

Which finding in the client in the psychiatric ward enables the nurse to reach the conclusion that the client is in the premorbid phase of schizophrenia?

client is shy and withdrawn

A patient diagnosed with a somatic symptom disorder has the nursing diagnosis: Interrupted family processes, related to patient's disabling symptoms as evidenced by the spouse and children assuming roles and tasks that previously belonged to patient. An appropriate outcome is that the patient will:

demonstrate a resumption of former roles and tasks.

A nurse in the emergency department tells an adult, "Your mother had a serious stroke." The adult tearfully says, "Who will take care of me now? My mother always told me what to do, what to wear, and what to eat. I need someone to reassure me when I get anxious." Which term best describes this behavior?

dependent

a patient says, "I feel detached and weird all the time, like im looking at life though a cloudy window. Everything seems unreal. It messes things up at work and school."

depersonalization disorder

A therapist recently convicted of multiple counts of Medicare fraud says, Sure I overbilled. Why not? Everyone takes advantage of the government, so I did too. These statements show: a. shame. b. suspiciousness. c. superficial remorse. d. lack of guilt feelings.

d. lack of guilt feelings

An older adult takes digoxin and hydrochlorothiazide daily, as well as lorazepam (Ativan) as needed for anxiety. Over 2 days, this adult developed confusion, slurred speech, an unsteady gait, and fluctuating levels of orientation. These findings are most characteristic of:

delerium

Consider these health problems: Lewy body disease, Pick disease, and Korsakoff syndrome. Which term unifies these problems?

dementia

Which intervention should the nurse perform while caring for the client with a psychiatric illness who is reluctant to be with friends and expresses a fear of rejection?

encourage verbalization of fears

A client tells the nurse, "Brad Pitt is in love with me and often sends me flowers." Which type of delusion does the nurse document for the client based on this statement?

erotomanic

A patient who is disheveled and agitated demands, "Do something to make these feelings stop!" What clinical manifestation is the client most likely experiencing?

feelings of panic

"still feel like im on drug"

flashback

Which patient would be diagnosed with schizophrenia? One who had experienced delusions, hallucinations, and social-occupational dysfunction:

for a least 6 months

Outpatient treatment is planned for a patient diagnosed with anorexia nervosa. Select the most important outcome related to the nursing diagnosis: imbalanced nutrition: less than body requirements. Within 1 week, the patient will:

gain 1 to 2 pounds

Which communication technique is used more in crisis intervention than traditional counseling?

giving direction

Which behaviors create interpersonal relationship problems for an individual with narcissistic personality disorder? a. grandiose self importance b. sense of entitlement c. lack of empathy d. risk taking e. shyness

grandiose sense of entitlement lack of empathy

When preparing to interview a patient diagnosed with narcissistic personality disorder, a nurse can anticipate the assessment findings will include:

grandiosity, attention seeking, arrogance

A client with schizophrenia says, "Something is always crawling inside my wrist. Can you please take it out?" Which symptom does this behavior of the client indicate?

hallucination

While caring for a client with ineffective coping, the nurse maintains consistency in administering the consequences for a violation of limits. Which outcome does the nurse expect in the client after this intervention?

he client will demonstrate no manipulative behaviors.

A person loves being the center of attention. Recently this person sustained a paper cut on a finger and called an ambulance. The patient says, "I can't believe my supervisor denied my sick leave request." This individual most clearly displays traits of:

histrionic personality disorer

The mother of an adolescent client says, "My child keeps talking about calling the U.S. President to give him suggestions." The nurse also finds that the client has increased libido. What does the nurse interpret from these findings?

hypomania

A nursing diagnosis for a patient diagnosed with bulimia nervosa is: ineffective coping, related to feelings of loneliness as evidenced by overeating to comfort self, followed by self-induced vomiting. The best outcome related to this diagnosis is, "Within 2 weeks the patient will:

identify two alternative methods of coping with loneliness."

The nurse is conveying the news of a family member's death to a client with schizophrenia. The nurse finds that the client is laughing after listening to the news. What does the nurse infer from the client's behavior?

inappropriate effect

A patient diagnosed with bipolar disorder is dressed in a red leotard and brightly colored scarves. The patient sings while twirling and shadowboxing. Then the patient says gaily, "Do you like my scarves? Here...they are my gift to you." How should the nurse document the patient's mood?

labile and euphoric

While caring for a client with psychotic disorder, the nurse infers that he is at risk of being violent with other individuals. Which symptom enabled the nurse to reach this conclusion?

manic excitement

After celebrating a 40th birthday, an individual becomes concerned with the loss of youthful appearance. What type of crisis has occurred?

maturational

A client reports to the psychiatrist, "I feel very confident in the morning, but I get worse as the day progresses. I am unable to sleep at night due to headache, backache, chest pain, and abdominal pain. It all started after I broke up with my girlfriend." Which type of depression is the client experiencing?

moderate - change in confidence levels from morning through the day

The nurse working with a patient with borderline personality disorder expects:

mood shifts, impulsivity, manipulation

While caring for a client who is on tricyclic antidepressant therapy, the nurse instructs the client to avoid taking long, hot showers. Which side effect of the medication is the nurse trying to minimize in the client?

orthostatic hypertension

A client has symptoms of unexpected and unspecified palpitations, sweating, trembling, and fear of losing control. What type of disorder is the client experiencing?

panic

A patient has had long-term conflicts with two siblings over their parents' wills. The patient reacts quickly with anger, suspicious that the siblings are plotting to take all the inheritance. These characteristics are most consistent with which personality disorder?

paranoid

a client who is chronic alcoholic says, " My fingers are aching. I can feel a burning pain and prickling sensation, Which disorder will the nurse suspect in the client?"

peripheral neuropathy

Which signs does the nurse expect to appear in the client whose serum concentration of lithium is 1.8 mEq/L?

persistent vomiting

A person is directing traffic on a busy street while shouting and making obscene gestures at passing cars. The person has not slept or eaten for 3 days. What features of mania are evident?

poor judgement and hyperactivity

A patient diagnosed with borderline personality disorder has self-inflicted wrist lacerations. The health care provider prescribes daily dressing changes. The nurse performing this care should:

provide care in a kind but manner of fact matter

an adult diagnosed with conversion disorder says "Our family has gotten along over the years by working together. My parents cook and children clean" Nursing interventions should recognize that the patient is likely

receiving secondary gains form the symptoms

While providing health teaching for a patient diagnosed with bulimia nervosa, a nurse should emphasize information about:

recognizing symptoms of hypokalemia.

While caring for a postpartum client, the nurse suspects the client to have postpartum melancholia. Which symptom in the client made the nurse suspect this condition?

rejection of the baby

which treatment modality should a nurse recommend to help a patient diagnosed with somatic symptom disorder cope more effectively?

relaxation techniques

What is the priority intervention for a nurse beginning a therapeutic relationship with a patient diagnosed with a schizotypal personality disorder?

respect the patients need for periods of social isolation

When a hyperactive patient experiencing acute mania is hospitalized, what initial nursing intervention is a priority?

set limits on patients behavior as necessary

To assist a patient diagnosed with a somatic system disorder, a nursing intervention of high priority is to:

shift the focus from somatic symptoms to feelings.

Which therapeutic activity would be most important in helping a patient with residual schizophrenia remain in the workforce?

social skills training

The medical history of a client who reports heartburn shows that the client has visited five different health-care providers in the same week complaining of the same symptoms, and is undergoing therapy with analgesics and antianxiety drugs. Which disorder will the nurse suspect in the client?

somatic symptom disorder

A nurse set limits for a patient diagnosed with a borderline personality disorder. The patient tells the nurse, "You used to care about me. I thought you were wonderful. Now I can see I was mistaken. You're terrible." This outburst can be assessed as:

splitting

A victim of intimate partner violence comes to the crisis center seeking help. The nurse uses crisis intervention strategies that focus on:

supporting emotional security and re-establishing equilibrium.