NUR 222 PSYCH FINAL QUESTIONS
A nurse is discussing the three clusters of personality disorders. Which of the following personality disorders is part of cluster C? A. Dependent personality disorder B. Paranoid personality disorder C. Antisocial personality disorder D. Borderline personality disorder
A. Dependent personality disorder Dependent personality disorder is in cluster C, along with avoidant personality disorder and obsessive-compulsive personality disorder.
Session 1: Client A states they are fearful at times. Client B is sobbing and states they can't go a day without their partner. Client C remains silent during the session. Client D wears boots 24 hr per day. Client E continuously twists their hair. Session 4: Client A admits to having an extreme fear of mice, among other things. Client B brings a picture of their partner to the session and cries when looking at the photo. Client C has yet to speak during a group session. Client D tells the group they wear boots all the time because they have the world's ugliest feet and don't want anyone to see them. Client E is now pulling out hair after they have twisted it. 1. Client A is exhibiting manifestations of 2.Client B is experiencing manifestations of 3. Client C continues to exhibit manifestations of 4. Client D is displaying manifestations of 5. Client E has worsening manifestations that have now progressed to
1. Client A is exhibiting manifestations of mutism 2.Client B is experiencing manifestations of separation anxiety 3. Client C continues to exhibit manifestations of trichotillomania 4. Client D is displaying manifestations of body dysmorphia 5. Client E has worsening manifestations that have now progressed to murophobia
History and Physical History of childhood emotional and physical neglect by parents. Mother has schizophrenia. Client diagnosed with paranoid personality disorder last year but has not followed outpatient treatment plan. Reports smoking 8 to 10 cigarettes a day and drinking vodka when available. Currently unemployed; was terminated from job after having altercations with other employees due to paranoid thoughts. The nurse is continuing to care for the client. Select the four actions the nurse should take. A. Establish clear limits for expected behaviors. B. Administer diazepam when the client exhibits anxiousness. C. Place the client in a room near the nurse's station. D. Determine if the client is experiencing command hallucinations. E. Ask the provider for a PRN prescription for restraints.
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A nurse is providing care to a client who is aggressive and demonstrating self-injurious behaviors. Which of the following disorders does the nurse identify as being consistent with this behavior? A. Autism spectrum disorder B. Obstructed sleep apnea C. Narcolepsy D. Insomnia
A. Autism spectrum disorder The nurse should recognize that clients who have autism spectrum disorder (ASD) might demonstrate self-injurious acts, such as scratching, slapping, or biting themselves. Clients with ASD are more likely to demonstrate aggressive behavior when they feel they are threatened.
A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client? A. Begins to discuss how their partner and children are important to them B. Discusses reasons for making a behavior change C. Requests more information about treatment options D. Asks to change the topic during the interview process
A. Begins to discuss how their partner and children are important to them A client who is engaged discusses topics that are important in their life.
History and Physical Week 1: Client had open heart surgery 1 month ago. Had multiple cardiac surgeries prior to recent surgery. History of: Coronary artery disease Hypertension Hyperlipidemia Type 2 diabetes mellitus Anxiety Somatic symptom disorder Chronic back pain for 10 years Select the 3 interventions the nurse should plan to take. A. Encourage the client to think positive thoughts. B. Assist the client in distinguishing between anxiety and physical manifestations. C. Provide relief measures for manifestations the client is experiencing. D. Inform the client that nothing is medically wrong with them. E. Suggest to the client's provider that multiple tests need to be performed. F. Perform a lengthy exam of client's condition.
A. Encourage the client to think positive thoughts. B. Assist the client in distinguishing between anxiety and physical manifestations. C. Provide relief measures for manifestations the client is experiencing.
A nurse in an outpatient facility is teaching a client about the development of mental illness. Which of the following statements by the nurse describes the role of a vulnerability gene? A. "It is a gene variant that is responsible for an individual's resilience to stress." B. "It is a gene variant that increases the risk for development of a specific mental illness." C. "It is a gene variant that determines an individual's likelihood of recovering from mental illness." D. "It is a gene variant that is responsible for the development of a specific mental illness."
B. "It is a gene variant that increases the risk for development of a specific mental illness." Research over the past decade has illuminated several vulnerability genes that appear to be associated with an increased risk for developing mental illness.
A nurse is reviewing a client's medical record. The nurse should anticipate which of the following as a classification within the Diagnostic and Statistical Manual of Mental Disorders 5th edition Text Revision (DSM-5 TR)? A. Genetic disorders B. Neurodevelopmental disorders C. Pediatric milestones D. Gastrointestinal disorders
B. Neurodevelopmental disorders
A nurse is preparing a presentation for a planning board on strategies that would help older adults remain in their homes as they age. Which of the following strategies should the nurse include in the presentation? A. Increasing the number of advanced practice nurses B. Providing assistance with minor home repairs and modifications C. Focusing care and resources on morbidity and mortality D. Expanding the number of communities designed for older adults
B. Providing assistance with minor home repairs and modifications Many older adult clients could stay in their homes with minor home modifications, such as ramps and grab bars, which help to maintain the safety of the client. This strategy should be included in the presentation.
A nurse is providing a presentation to a group of nurses about early public health efforts to improve the health of families. Which of the following nurses should be included in the presentation as working specifically to improve the health of Black families? A. Mary Breckinridge B. Florence Nightingale C. Jessie Sleet Scales D. Lillian Wald
C. Jessie Sleet Scales
A nurse is caring for a client who is experiencing manifestations of opiate withdrawal. Which of the following medications should the nurse anticipate the provider to prescribe? A. Naloxone B. Benzodiazepines C. Methadone D. Diphenhydramine
C. Methadone The nurse should identify that methadone is an opiate replacement that will help treat clients who are experiencing opiate withdrawal.
A nurse is caring for a young adult client who has somatic symptom disorder and is being evaluated for chest pain. The client's laboratory results are all within the expected reference ranges, the ECG is unremarkable, and the client has no identified cardiac risk factors. Which of the following actions should the nurse take? A. Inform the client that the pain is not real. B. Encourage the client to request invasive cardiac testing. C. Provide reassurance to the client. D. Refer the client for flooding therapy.
C. Provide reassurance to the client. The nurse should provide reassurance while conveying empathy to the client while initially addressing the client's physical concerns. After building a strong therapeutic relationship, the client's caregivers can begin to address the psychosocial concerns.
A nurse is completing an assessment of a client. Which of the following information should the nurse anticipate the provider will use in the diagnosis of a mental health disorder? A. History of allergies B. Surgical history C. Psychosocial history D. Vaccine history
C. Psychosocial history The nurse should anticipate the provider using the psychosocial history, medical, and family history to diagnose a client who has a mental health disorder.
A nurse is providing education about immunizations to a group of newly licensed nurses. The nurse should identify that which of the following statements by one of the newly licensed nurses indicates an understanding of the teaching? A. "School immunizations were first required in the early 1900s." B. "The mumps vaccine is required by all 50 states and Washington, D.C." C. "The first vaccine was developed to protect against polio." D. "Each state determines which school immunizations are required and who may be exempt."
D. "Each state determines which school immunizations are required and who may be exempt." "Each state determines which school immunizations are required and who may be exempt" is a correct statement. Therefore, the nurse should identify this statement by the newly licensed nurse as an indication of understanding.
A nurse is providing education about somatic symptom disorder to a client's family. Which of the following pieces of information should the nurse include in the education? A. "Individuals may intentionally make up the symptoms they are experiencing." B. "Somatic symptom disorder is characterized by suicidal ideations or thoughts of death." C. "There are limited effective treatment options for this disorder." D. "Individuals with somatic symptom disorder experience real physical effects, but these manifestations are due to emotional causes rather than physical ones."
D. "Individuals with somatic symptom disorder experience real physical effects, but these manifestations are due to emotional causes rather than physical ones." Somatization is when emotional distress and psychological issues are exhibited in physical manifestations that cannot be explained medically.
A community health nurse is speaking to a group of nursing students about various major health organizations. Which of the following agencies should the community health nurse identify as the agency that works with children around the world to provide emergency relief? A. Administration for Community Living (ACL) B. Office of Disease Prevention and Health Promotion (ODPHP) C. Administration for Children and Families (ACF) D. United Nations International Children's Emergency Fund (UNICEF)
D. United Nations International Children's Emergency Fund (UNICEF) The nurse should identify UNICEF as the agency that works with children around the world to provide emergency relief.
A nurse is caring for a client who has schizophrenia. Which of the following findings indicates that the client is in the prodromal phase? A. Frequent hallucinations B. Severe delusions C. Incoherent speech D. Withdrawn behavior
D. Withdrawn behavior Uncharacteristically withdrawn behavior is a symptom of the prodromal phase, which is the initial phase of the disorder and is marked by less severe symptoms of delusions and hallucinations.
Nurse's Notes 1300: Client openly participated in group therapy and provided validating feedback to peers. Described a longstanding pattern of frequent changes in their life: changes in hobbies, employment, and in their friends. Reports a history of giving their best friends numerous gifts and constantly calling them every day, only to suddenly ignore and belittle them, followed by regret for doing so. Client also shared that they frequently feel "super nervous" and are restless for no known reason. Client reports that this anxiety makes sleeping and focusing on tasks difficult. 1530: The client approached the nurse's station and attempted to interrupt a staff member who was talking on the phone. After noticing the staff member has a hearing impairment, the client loudly yelled, "Are you deaf or something?" and walked to their room. A couple of minutes later, the client rushed back to the nurse's station with the app
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A nurse is caring for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder? A. Biologically male clients are typically diagnosed earlier than biologically female clients. B. Diagnosis commonly occurs in individuals under the age of 12. C. Biologically female clients are likely to be diagnosed earlier than biologically born males. D. People diagnosed with schizophrenia are more violent than others.
A. Biologically male clients are typically diagnosed earlier than biologically female clients. Biologic males are typically diagnosed with schizophrenia during late adolescence to early twenties.
A nurse is preparing a presentation for an HIV taskforce regarding strategies to help decrease the number of newly diagnosed cases. Which of the following major health care organizations should the nurse utilize to find strategies to include in the presentation? A. Centers for Disease Control and Prevention (CDC) B. Centers for Medicare and Medicaid Services (CMS) C. Occupational Safety and Health Administration (OSHA) D. National Institutes of Health (NIH)
A. Centers for Disease Control and Prevention (CDC) The CDC is the major health care organization that is charged with protecting the public's health. The CDC works to secure global health, eliminate disease, and end pandemics. Therefore, the nurse should utilize the CDC to find strategies to include in the presentation.
A nurse is educating a newly licensed nurse about comorbidities associated with cluster B personality disorders. The nurse should identify which of the following disorders as a comorbidity of histrionic personality disorder? A. General anxiety disorder B. Schizophrenia C. Anorexia nervosa D. Obsessive-compulsive disorder
A. General anxiety disorder The nurse should identify that generalized anxiety disorder is a comorbidity for cluster B personality disorder.
A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate for the client? A. Interpersonal therapy B. Antipsychotic medications C. Antidepressant medications D. Dialectical behavior therapy
A. Interpersonal therapy Interpersonal therapy works from a framework that the client's problems arise from issues of role definition and grief and will frame solutions in interpersonal terms. This therapy is useful for those with avoidant personality disorder who seek the approval of others and fear rejection.
A nurse is reviewing the medical record of a client who has somatic symptom disorder. Which of the following would be a likely comorbidity of somatic symptom disorder? A. Major depressive disorder B. Borderline personality disorder C. Bipolar disorder D. Schizophrenia
A. Major depressive disorder Major depressive disorder is the largest comorbidity for somatic symptom disorder.
A community health nurse is researching information related to the Healthy People 2030 goals. The nurse should identify that which of the following agencies sets and supports the Healthy People objectives? A. Office of Disease Prevention and Health Promotion (ODPHP) B. World Health Organization (WHO) C. National Institutes of Health (NIH) D. Centers for Disease Control and Prevention (CDC)
A. Office of Disease Prevention and Health Promotion (ODPHP)
A nurse is providing care to an older adult client. Which of the following screening tools should the nurse use to gather data for the client? A. The Gerontological Personality Disorder Scale (GPS) B. Denver II Developmental Screening C. Patient Health Questionnare-9 (PHQ-9) D. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)
A. The Gerontological Personality Disorder Scale (GPS) The GPS was developed to evaluate personality disorders in older adults and considers potential life-altering events that may have occurred for the client, which may affect reliability of the findings.
A nurse is caring for a client who has end-stage liver disease and states, "I am aware of the dangers of continuing to drink, but I am choosing not to stop." Which of the following actions should the nurse take to act as a client advocate? A. Ask the client's family to remove alcohol from the client's home. B. Accept the client's decision and offer to be a resource if the client changes their mind. C. Report the client's refusal to comply to the charge nurse and end the discussion. D. Inform the client that they are better off without medical care if they continue to drink.
B. Accept the client's decision and offer to be a resource if the client changes their mind. The nurse is advocating for the client by ensuring that they have the right to make decisions about their own health.
A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders? A. Schizotypal personality disorder B. Antisocial personality disorder C. Narcissistic personality disorder D. Histrionic personality disorder
B. Antisocial personality disorder The nurse should identify that antisocial personality disorder is characterized by repeated violation of laws and rules, as clients with this disorder often believe that rules do not apply to them.
A nurse is teaching a client at a prenatal clinic. The client shares that they have family members diagnosed with schizophrenia and wants to know how they can reduce their baby's risk of developing schizophrenia. Which of the following information should the nurse include? A. Limit iron intake. B. Avoid contracting a viral infection. C. Abstain from getting pregnant as a teenager. D. Restrict calories to maintain weight.
B. Avoid contracting a viral infection. Viral infections are a complication that can occur during pregnancy that places a child at risk for developing schizophrenia. The client should be instructed to avoid contracting a viral infection.
A nurse is teaching about sources of psychological stress to a group of newly licensed nurses. The nurse should identify which of the following qualifies as a source of psychological distress? A. Having an advanced degree in engineering B. Being the only person of their ethnicity in a school setting C. Attending a community center daily D. Belonging to the middle-class socioeconomic group
B. Being the only person of their ethnicity in a school setting Psychological distress can result from a multitude of factors, such as discrimination, gender identity, race, and ethnicity. Being the only person in a group setting that is from an ethnicity that is different from others in the setting can be a source of psychological distress.
A nurse is caring for a client in an outpatient clinic. History and Physical Week 1: Bipolar disorderType 2 diabetes mellitusDepressionHyperlipidemiaFamily history of alcohol use disorder A nurse is assessing a client who has been coming to an outpatient clinic for the last 6 months. The nurse should identify which of the following findings as manifestations of somatic symptom disorder? (Select all that apply.) A. Anxiety B. Gastrointestinal distress C. Pain D. Bipolar disorder E. Fixation on health F. Depression G. Localized amnesia
B. Gastrointestinal distress C. Pain E. Fixation on health Gastrointestinal distress is correct. Clients who have somatic symptom disorder can experience gastrointestinal distress as manifestation. The client needs to experience a manifestation longer than 6 months to meet the DSM-V criteria for this condition. Pain is correct. Clients who have somatic symptom disorder can experience pain as a manifestation. The client who needs to experience a manifestation longer than 6 months to meet the DSM-V criteria for this condition.
A nurse in an outpatient mental health clinic is discussing the development of anxiety-related disorders in children to a group of parents. The nurse should include that which of the following is an adverse childhood experience (ACE) that can contribute to the development of an anxiety disorder? A. Having a family with a strong social support system B. Having a physical disability C. Having caregivers who have steady employment D. Performing well in school
B. Having a physical disability Having a physical disability is an example of an adverse childhood experience and places the child at increased risk for developing an anxiety disorder.
A nurse is reviewing the CDC's list of top ten public health achievements of the 21st century with a group of newly hired nurses. Which of the following accomplishments should the nurse identify as being included on the list? A. Eradication of smallpox B. Motor vehicle safety C. Diabetes management D. Improvements in sanitation
B. Motor vehicle safety Motor vehicle safety should be included on the list as it is noted by the CDC as a top public health achievement for the 21st century.
A nurse is caring for a school-age client in an outpatient clinic. History and Physical Week 1:Abdominal painAnorexiaChild has had seven hospitalizations in the past 6 months. The nurse should identify which of the client findings are manifestations of a factitious disorder? Select all that apply. A. Withdrawn B. Multiple hospitalizations C. Unexplained abdominal pain D. Excessive thinking about health E. Recent trauma
B. Multiple hospitalizations C. Unexplained abdominal pain Multiple hospitalizations is correct. Clients who have factitious disorder can have multiple hospitalizations or even surgeries as a manifestation of this disorder. Unexplained abdominal pain is correct. Clients who have factitious identity disorder can experience unexplained abdominal pain, surgeries, bleeding, fever, hypoglycemia, seizures, or cancer, which can be manifestations that are manufactured or self-inflicted.
A nurse is working on the adolescent unit of a local mental health clinic and reviewing modalities that use technology. The nurse should identify that which of the following modalities uses technology as a primary mental health treatment for children and adolescents? A. Face-to-face interviews B. Video conferencing C. Community events D. Peer support groups
B. Video conferencing The National Institute for Health and Care Excellence recommends the use of telehealth, like video conferencing, as a modality for treating depression in children and adolescents. This form of technology can promote compliance and assist the client with educational opportunities.
A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed? A. School-age B. Young adulthood C. Preschooler D. Older adulthood
B. Young adulthood Schizophrenia is typically diagnosed at 16 to 30 years of age, or late adolescence to young adulthood. This information should be included when teaching a group of staff members about the age a client is typically diagnosed with schizophrenia.
A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make? A. "That is very interesting, We are not sure why people start to isolate themselves." B. "Were you avoiding your friend so that you could hear the voices more clearly?" C. "Before symptoms of schizophrenia begin, people often isolate themselves. This is an early warning." D. "Do you think of yourself as more of an introvert? That makes a difference with how you socialize."
C. "Before symptoms of schizophrenia begin, people often isolate themselves. This is an early warning." Social isolation has been identified as an early manifestation of psychosis. During this isolation the person often experiences negative thoughts, which may lead to other symptoms of psychosis, such as hearing voices.
A nurse is caring for a client who has a mental disorder. Which of the following statements by the client suggests the inability to process new information? A. "I am sad no matter how well things are going." B. "I feel like someone is watching me." C. "I have a difficult time remembering things." D. "I need to catch the bird that is flying in my room."
C. "I have a difficult time remembering things." This statement suggests that the client is unable to process new information. The inability to process new information is a cognitive symptom of schizophrenia.
A nurse is caring for a client who is having trouble managing anger and is upset because they feel their personal property is being disrespected. Which of the following client statements should the nurse recognize as being the cause of the client's anger and frustration? A. "My neighbor has not been coming to the neighborhood block meetings." B. "My neighbor goes out to get the mail right after I go out to get mine." C. "My neighbor has been letting their dog come into my yard every day to dig holes, bury bones, and go to the bathroom." D. "My neighbor watches all the neighborhood traffic from their front window."
C. "My neighbor has been letting their dog come into my yard every day to dig holes, bury bones, and go to the bathroom." The nurse should recognize that the tendency to be violent, angry, and aggressive can develop from many different mental illnesses. Violent behavior can occur when a person feels deceived, invalidated, frustrated, attacked, threatened, powerless, and or treated unfairly. These tendencies can also occur when people feel like their feelings or possessions are not being respected.
A nurse is providing education about Medicaid to a client who is pregnant and cannot pay for medical insurance. The nurse should recognize that which of the following statements by the client indicates an understanding of the teaching? A. "My income level does not impact whether or not I can receive Medicaid." B. "Medicaid benefits are the same for everyone in the United States." C. "When my baby is born, they can receive Medicaid as well." D. "Medicaid is a federal-run health insurance program."
C. "When my baby is born, they can receive Medicaid as well." Medicaid provides health insurance to children whose families cannot afford to pay for health care for their children. The nurse should recognize this statement by the client as an indication of understanding.
A nurse is providing information to a client about risk factors for developing an anxiety-related disorder. Which of the following clients is at greatest risk for developing an anxiety-related disorder? A. A client who did not graduate from high school or complete their general education development (GED) test. B. A client who has a family history of anxiety disorders and several positive childhood experiences (PCES). C. A client who had multiple adverse childhood experiences and whose parents both have a history of anxiety disorder. D. A client who has a family history of cancer and is recently unemployed.
C. A client who had multiple adverse childhood experiences and whose parents both have a history of anxiety disorder. This client's combination of genetic and environmental stress indicates that they are at greatest risk for the development of an anxiety disorder.
A nurse is describing the concept of cultural competence to a newly licensed nurse. Which of the following examples should the nurse include? A. A nurse checks a client's chart for any notes on culture. B. A nurse observes a client's actions and reports they do not see any cultural practices. C. A nurse asks a client if they have any cultural beliefs the nurse needs to be aware of. D. A nurse tells a client about the nurse's own cultural background.
C. A nurse asks a client if they have any cultural beliefs the nurse needs to be aware of. Cultural competence is a skill that involves gaining knowledge about another individual's culture and is a necessary component when caring for a client from a diverse background. Asking a client about their cultural beliefs is an example of cultural competence.
A nurse is working with a client who reports following holistic practices at home. The nurse should identify that which of the following is an example of a holistic practice that the client might follow? A. Refusing medication B. Physical therapy C. Acupuncture D. Taking prescribed medicine
C. Acupuncture The nurse should identify acupuncture as a holistic practice the client might follow.
A nurse on an inpatient unit is caring for a client who has somatic symptom disorder. The client comes to the nurse's station and reports chest pain. The nurse knows this is a new symptom for the client. Which of the following actions should the nurse take? A. Explain to the client that the pain is not real. B. Encourage the client to use relaxation techniques. C. Assess the client's vital signs. D. Reassure the client that pain is an expected part of their disorder.
C. Assess the client's vital signs. The nurse should assess the client's vital signs due to the onset of chest pain, which can indicate a potential medical emergency.
Which of the following steps of the nursing process includes gathering information from a client who requires medical treatment? A. Implementation B. Evaluation C. Assessment D. Outcomes identification
C. Assessment This first step in the nursing process is assessment which is collecting relevant information and data (subjective and objective).
A nurse is caring for a client who is experiencing periods of hyperactivity, impulsivity, and inattentiveness. Which of the following medications should the nurse anticipate the provider to prescribe? A. Benzodiazepine B. Selective serotonin reuptake inhibitor C. Central nervous system stimulant D. Dopamine antagonist
C. Central nervous system stimulant The nurse should identify that central nervous system (CNS) stimulants, such as methylphenidate, are primarily used to treat manifestations of attention deficit hyperactivity disorder (ADHD) and narcolepsy.
A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression? A. "I drink a glass of wine occasionally with dinner." B. "My parent was physically abused as a child." C. "A family member took me fishing several times when I was a kid." D. "My parent used their fists to hit me as a child."
D. "My parent used their fists to hit me as a child." The nurse should recognize that risk factors that are associated with abuse, aggression, and violence include a history of violent behavior, being the target of a crime, a history of abuse or violence, a comorbidity of abuse, aggression and violence, low self-esteem, inadequate coping mechanisms, the lack of a positive role model as a child, and the presence of adverse childhood experiences (ACEs).
A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client? A. Justified vs. unjustified B. Right vs. wrong C. Good vs. bad D. Adaptive vs. maladaptive
D. Adaptive vs. maladaptive Using the concept of "adaptive vs. maladaptive" allows the nurse to develop necessary context to both understand and deliver nursing care.
A nurse is discussing major health organizations with a group of newly hired nurses. Which of the following organizations should the nurse describe as widely recognized for managing the U.S. blood supply? A. Occupational Health and Safety Administration (OSHA) B. Agency for Healthcare Research and Quality (AHRQ) C. U.S. Public Health Service (USPHS) Commissioned Corps D. American Red Cross
D. American Red Cross The American Red Cross is recognized as the organization that manages the U.S. blood supply.
A nurse is speaking to a group of nurses about the difference between schizoaffective disorder and schizophrenia. Which of the following findings is associated with the active phase of schizoaffective disorder? A. Anosognosia is more severe B. Absence of delusions or hallucinations C. More severe negative symptoms D. Symptoms of major depression or mania
D. Symptoms of major depression or mania A nurse should expect symptoms of major depression or mania to occur during the active phase of schizoaffective disorder.
A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition? A. Osteoarthritis B. Cancer C. Alzheimer's disease D. Diabetes mellitus
D. Diabetes mellitus Diabetes mellitus is a comorbidity associated with schizophrenia. This medical condition is typically under-diagnosed and treated in individuals who have schizophrenia, which contributes to early mortality rates among this population. Medical conditions such related to weight gain, diabetes, metabolic syndrome, cardiovascular disease and pulmonary disease are more common in persons with schizophrenia than the general population.
A nurse is caring for an adolescent who is experiencing recurring manifestations of influenza. Which of the following phases of Selye's General Adaptation Syndrome (GAS) explains the possible cause for the adolescent's manifestations? A. Alarm Phase B. Adaptive Phase C. Resistance Phase D. Exhaustion Phase
D. Exhaustion Phase The exhaustion phase explains the possible cause for the adolescent's manifestations. In the exhaustion phase, the body finds itself depleted of energy reserves and is unable to self-regulate independently and reliably.
A nurse is assessing a client who has depression and was prescribed fluoxetine 6 months ago. The client reports that they recently stopped taking the prescription. Which of the following findings indicates the client is experiencing antidepressant discontinuation syndrome (ADDS)? A. Irritability B. Blurry vision C. Poor coordination D. Flu-like manifestations
D. Flu-like manifestations The nurse should recognize that flu-like manifestations are findings associated with ADDS, which occurs when a client abruptly discontinues antidepressant therapy. Other manifestations of ADDS include difficulty sleeping, anxiety, and depression.
A nurse is caring for a client who is diagnosed with schizophrenia. Which of the following manifestations should the nurse identify as a negative symptom? A. Distorted beliefs B. Paranoia C. Confusion D. Lack of emotions
D. Lack of emotions The nurse should identify lack of emotions as a negative symptom for a client who is diagnosed with schizophrenia. Other negative symptoms can include lack of motivation, lack of interest, lack of energy, withdrawal from others, and absence of speech.
A nurse is teaching a group of newly licensed nurses about personality disorders. Which of the following information should be included? A. Personality disorders are often seen in children under the age of 10. B. Strict parental guidelines contribute to the development of personality disorders. C. Clients of higher socioeconomic status are less likely to be diagnosed with personality disorders. D. Personality disorders often manifest from childhood emotional trauma.
D. Personality disorders often manifest from childhood emotional trauma. The nurse should identify that environmental risk factors for personality disorders include physical, emotional, verbal, and sexual abuse, neglect, and hostility. These risk factors can occur at any age but are especially prominent when experienced during childhood.
A nurse is interviewing a client who wants to start an exercise regimen. Which of the following client behaviors indicates that the nurse has successfully focused with the client? A. Discusses their previous medical history and attempts with treatment B. Admits to their desire to exercise and improve their overall health C. Expresses confidence about exercising when tired using a scale of 0 to 10 D. Talks about how a lack of exercise has impacted their relationship with their partner
D. Talks about how a lack of exercise has impacted their relationship with their partner The nurse should identify that the client is focusing when the client describes how their unhealthy behavior, or maladaptive defense mechanisms, affects their life. Once the nurse has analyzed alternatives to the behaviors they can offer the client a variety of healthy alternatives.
A charge nurse in a mental health facility is teaching a newly licensed nurse how to perform an Abnormal Involuntary Movement Scale (AIMS) assessment on a client. The charge nurse should identify that the AIMS assessment is used for which of the following conditions? A. Alcohol withdrawal B. Lithium toxicity C. Opiate withdrawal D. Tardive dyskinesia
D. Tardive dyskinesia The nurse should identify that the AIMS assessment is commonly used by mental health professionals to determine the level of severity and types of abnormal movements present in tardive dyskinesia.
Which of the following phases of Selye's General Adaptation Syndrome (GAS) reflects a nurse's ability to successfully perform duties during a prolonged period of stress lasting weeks to months without any indication of observable impairment? A. Resistance phase B. Alarm phase C. Adaptive phase D. Exhaustion phase
A. Resistance phase The resistance stage is defined as the phase where the body attempts to stabilize and repair itself following the alarm stage.
A nurse is caring for a client who screams, "I can read your minds!" The nurse should identify this finding as a manifestation of which of the following personality disorders? A. Schizotypal personal disorder B. Paranoid personality disorder C. Antisocial personality disorder D. Avoidant personality disorder
A. Schizotypal personal disorder The nurse should identify that schizotypal personality disorder is often characterized by a belief that one has magical powers.
A nurse is working with an older adult client who has been diagnosed with somatic symptom disorder. Which of the following should the nurse consider when working with an older adult who has somatic symptom disorder? A. Somatic symptom disorder is usually underdiagnosed in the older population. B. Somatic symptom disorder must be diagnosed before 18 years of age. C. Somatic symptom disorder is usually onset in older adulthood. D. Somatic symptom disorder is usually diagnosed in early childhood.
A. Somatic symptom disorder is usually underdiagnosed in the older population. Manifestations of somatic symptom disorder are usually masked by normal signs of aging in the older adult population.
A charge nurse is instructing a newly licensed nurse about mental health disorders. Which of the following statements by the nurse indicates an understanding of mental health disorders? A. "Treatments for mental health disorders always allow clients to return to full functioning." B. "Mental health disorders are broken down by their manifestations." C. "Mental health disorders are primarily caused by biological factors." D. "Mental health disorders are preventable."
B. "Mental health disorders are broken down by their manifestations." Mental health disorders can be broken down into a variety of categories, often by their manifestations.
A nurse is discussing the difference between mental illness and mental health with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding? A. "Mental health and mental illness are the same concepts." B. "Mental illness is when there is disruption in a person's ability to complete activities of daily living, whereas mental health is when the person can cope with daily stressors." C. "Mental health can present at any age, whereas mental illness can only present after age 20." D. "Mental illness is a condition caused by poor mental health."
B. "Mental illness is when there is disruption in a person's ability to complete activities of daily living, whereas mental health is when the person can cope with daily stressors." Mental illness does not essentially disrupt a person's mental health. Mental health is a state of well-being in which a person can cope with daily struggles.
A nurse is discussing the diathesis-stress model with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the model? A. "The diathesis-stress model assists in identifying what mental health disorder related to stress the client has." B. "The diathesis-stress model assists in identifying risk factors or vulnerabilities for stress." C. "The diathesis-stress model assists in telling me how stressed a client is." D. "The diathesis-stress model assists the client in identifying their level of stress or anxiety."
B. "The diathesis-stress model assists in identifying risk factors or vulnerabilities for stress." A person's predisposition, which can be related to stress or illness, can be viewed as a vulnerability. Those who have a vulnerability are more likely to have maladjustment to stress.
A nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders? A. Avoidant personality disorder B. Dependent personality disorder C. Schizoid personality disorder D. Antisocial personality disorder
B. Dependent personality disorder The nurse should identify that clients who have dependent personality disorder lack confidence and often feel unable to care for themselves.
A nurse is caring for a client who is experiencing manifestations of anxiety. The nurse should recognize which of the following statements about the neurophysiologic manifestations of anxiety as correct? A. The cortico-striato-thalamo-cortical circuit (CSTC) of the brain is associated with feelings of fear. B. The amygdala-centered (ACC) circuit of the brain is associated with feelings of panic. C. The amygdala-centered (ACC) circuit of the brain is associated with feelings of apprehension. D. The cortico-striato-thalamo-cortical circuit (CSTC) of the brain is associated with phobias.
B. The amygdala-centered (ACC) circuit of the brain is associated with feelings of panic. The ACC is associated with manifestations such as fear, panic, and phobia.
A nurse is teaching a client who has been newly diagnosed with schizophrenia. Which of the following information should the nurse include? A. Diagnosis typically occurs after 40 years of age. B. The need for resources increases as the disease progresses into adulthood. C. Life expectancy is 50.2 years of age in the U.S. D. Co-occurring mental health illnesses are rarely diagnosed.
B. The need for resources increases as the disease progresses into adulthood. As the disorder progresses, 90% of individuals who have schizophrenia continue to experience symptoms requiring additional financial need and resources. This information should be included in the teaching.
A nurse in an emergency department is assessing a client who has a personality disorder and reports that they recently used illicit drugs. Which of the following screening tools should the nurse use to determine if the client has recently used an illicit substance? A. Eysenick Personality Inventory B. Toxicology test C. Minnesota Multiphasic Personality Inventory (MMPI) D. Personality Diagnostic Questionnaire
B. Toxicology test The nurse should identify that the Minnesota Multiphasic Personality Inventory (MMPI), the Eysenick Personality Inventory, and the Personality Diagnostic Questionnaire are the instruments used to diagnose personality disorders. Toxicology tests are used to evaluate for substance use.
A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identity that these manifestations indicate which of the following? A. Panic disorder B. Agoraphobia C. Generalized anxiety disorder D. Separation anxiety disorder
C. Generalized anxiety disorder The nurse should identify that these manifestations indicate generalized anxiety disorder. Generalized anxiety disorder involves experiencing excessive anxiety and worry in response to situations and circumstances, and the inability to control the sense of worry.
A nurse is teaching a group of newly licensed nurses about developments in other areas of study that led to improvements in public health. The nurse should include that the Shattuck Report brought about changes in which of the following areas? A. Prison health care reform B. Care of the mentally ill C. Public sanitation D. Working conditions
C. Public sanitation The Shattuck Report, based on a sanitation study conducted by Lemuel Shattuck, concluded that many diseases occurring in America were the result of poor sanitation standards. The results of this study laid the foundation for many public health initiatives that led to improvements in public health, improved public sanitation, and an increased life expectancy for American citizens.
A nurse is caring for a client who states, "I have no interest in sexual activity or finding a partner." The nurse should identify that this statement is consistent with which of the following personality disorders? A. Schizotypal personality disorder B. Antisocial personality disorder C. Paranoid personality disorder D. Schizoid personality disorder
D. Schizoid personality disorder The nurse should identify that schizoid personality disorder is characterized by a desire to be alone and disinterest in intimate, social, or meaningful relationships.
A nurse is caring for a child whose guardians report that the child is consistently unable to speak during class and other social situations. The nurse should identify that the child is experiencing which of the following anxiety disorders? A. Agoraphobia B. Separation anxiety disorder C. Generalized anxiety disorder D. Selective mutism
D. Selective mutism The nurse should identify that the child is experiencing selective mutism. Clients who have selective mutism demonstrate consistent failure to speak in specific social situations.
