NUR 354 Exam 2 Questions

what is the primary reason the nurse should include the family of a pt with a serious mental illness in treatment planning? a. they know the pt better than anyone b. the pt is likely willing to listen to them c. they are likely the pts support system d. the pt will turn to them fist when needing help

c. they are likely the pts support system

which functions are often simultaneously impaired when a pt is experiencing a serous mental illness? select all that apply a. cognition b. emotions c. perceptions d. social interactions e. self care

a. cognition b. emotions c. perceptions d. social interactions e. self care

The nurse manager is evaluating a primary nurse who is working with a hospitalized adolescent client with the diagnosis of conduct disorder. Which intervention by the primary nurse should the nurse manger question? a. discussion rules of the unit b. allows opportunities for choices c. explaining the consequences for not following unit regulations d. encouraging the verbalization of negative feelings toward others

a. discussion rules of the unit verbalization of negative feelings to others often can escalate and result in antisocial or acting out behavior

Frontal lobe deficits in schizophrenia are thought to be responsible for: a. disorganized thinking b. hallucinations c. depression d. parkinsonism

a. disorganized thinking

When caring for a withdrawn, reclusive, psychotic client, the priority goal is for the client to develop: a. trust b. self worth c. a sense of identity d. improve social skills

a. trust

When assessing the mental status of a 7- or 8-year-old child, it is most important for the nurse to: a. listen to the parents description of the childs behavior b. compare the childs functioning from one day to another c. engage parents in a discussion about the childs feelings d. determine the childs mental status by using direct questions

b. compare the childs functioning from one day to another

A nurse is assessing an adolescent client with the diagnosis of schizophrenia, undifferentiated type. Which signs and symptoms should the nurse expect the client to experience? a. Paranoid delusions and hypervigilance b. Depression and psychomotor retardation c. Loosened associations and hallucinations d. Ritualistic behaviors and obsessive thinking

c. Loosened associations and hallucinations

A hyperactive self-destructive child is to be discharged from an inpatient setting in a few days. In preparation for the child's discharge, it is most important for the nurse to plan to: a. Establish, maintain, and enforce limits on behavior b. Meet with the child's teacher to review the child's needs c. Schedule a team conference with the child and the parents d. Help the child begin to terminate relationships with the nursing team

c. Schedule a team conference with the child and the parents

The nurse is preparing a client with a history of command hallucinations for discharge by providing instructions on interventions for managing hallucinations and anxiety. Which statement in response to these instructions suggests to the nurse that the client understands the instructions? a. "My medications aren't likely to make me anxious" b. "I'll go to support group and talk so that I don't hurt anyone" c. "It's not likely that I'll get anxious or hear things if I get enough sleep and eat well" d. "When I begin to hallucinate, I'll call my therapist and talk about what I should do"

d. "When I begin to hallucinate, I'll call my therapist and talk about what I should do"

which characteristic presents the greatest risk for injury to others by the patient diagnosed with schizophrenia? a. depersonalization b. pressured speech c. negative symptoms d. paranoia

d. paranoia

a female patient diagnosed with schizophrenia has been prescribed a first gen antipsychotic. what information should the nurse provide to the pt regarding her signs and symptoms? a. her memory problems will likely decrease b. depressive episodes should be less severe c. she will probably enjoy social interactions more d. she should experience a reduction in hallucinations

d. she should experience a reduction in hallucinations

when pts diagnosed with schizophrenia suffer from anasognosia, they often refuse mediation, believing that: a. medications provided are ineffective b. nurse are trying to control their minds c. the medications will make them sick d. they are not actually ill

d. they are not actually ill

gilbert, age 19, is described by his parents as a "moody child" with an onset of odd behavior at about age 14, which caused gilbert to suffer academically and socially. gilbert has lost the ability to complete household chores, is reluctant to leave the house, and is obsessed with the locks on the windows and doors. due to gilberts early and slow onset of what is now recognized as schizophrenia, his prognosis is considered a. favorable with medications b. in the relapse stage c. improvable with psychologial intervention d. to have a less positive outcome

d. to have a less positive outcome

The nurse finds a client with schizophrenia lying under a bench in the hall. The client states, "God told me to lie here." What is the best response by the nurse? a. "I didn't hear anyone talking. Come with me to your room" b. "What you heard was in your head; it was your imagination" c. "come to dayroom and watch tv, it will help take your mind off of this" d. "God would not tell you to do that, he wants you to behave responsibly"

a. "I didn't hear anyone talking. Come with me to your room"

Which characteristic in an adolescent female is sometimes associated with the prodromal phase of schizophrenia? a. always afraid another student will steal her belongings b. an unusual interest in numbers and specific topics c. demonstrates no interest in athletics or organized sports d. appears more comfortable among males

a. Always afraid another student will steal her belongings

kyle, a pt with schizophrenia, began to take the first gen antipsychotic Haldol last week. one day you find him sitting very stiffly and not moving, he is diaphoretic and when you ask if he is okay he seems unable to respond verbally. his vital signs are BP 170/100, P 110, T 104.2 F. what is the priority nursing intervention? select all that apply a. hold his med and contact the provider b. wipe him with a washcloth wet with cold water or alcohol c. administer a med such as benztropine Im to correct the dystonic reaction d. reassure him that although there is no treatment for his tardive dyskinesia, it will pass e. hold his med for now and consult his prescriber when he comes to the unit later today

a. hold his med and contact the provider

which nursing intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia? a. screening a group of males between the ages of 15 and 25 for early symptoms b. forming a support group for females aged 25 to 35 who are diagnosed with substance use disorders c. providing a group for patients between the ages of 45 and 55 with information on coping skills that have proven to be effective d. educating the parents of a group of developmentally delayed 5 to 6 year olds on the importance of early intervention

a. screening a group of males between the ages of 15 and 25 for early symptoms

to provide effective care for the patient diagnosed with schizophrenia, the nurse should frequently assess for which associated condition? select all that apply a. alcohol use disorder b. major depressive disorder c. stomach cancer d. polydipsia e. metabolic syndrome

alcohol use disorder, major depressive disorder, polydipsia, metabolic syndrome

which statement made by a patient diagnosed with serious mental illness reflects a common situation associated with this disorder in todays healthcare system? select all that apply a. "i have been in a state institution my whole life" b. "ive been homeless for years" c. "once a care provider knows my psychiatric history, my physical problems are not taken seriously" d. "no one wants to hire a person with mental issues" e. "my family doesnt want to be around me because I hear voices"

b. "ive been homeless for years" c. "once a care provider knows my psychiatric history, my physical problems are not taken seriously" d. "no one wants to hire a person with mental issues" e. "my family doesnt want to be around me because I hear voices"

The nurse is caring for a client who is experiencing disturbed thought processes as a result of paranoia. In formulating nursing interventions with the members of the health care team, what best instruction should the nurse provide to the staff? a. Increase socialization of the client with peers. b. avoid laughing or whispering in front of the client. c. Have the client sign a release of information to appropriate parties for assessment purposes. d. Begin to educate the client about social supports in the community.

b. avoid laughing or whispering in front of the client.

The nurse notes that a client with schizophrenia and receiving an antipsychotic medication is moving her mouth, protruding her tongue, and grimacing as she watches television. The nurse determines that the client is experiencing which medication complication? a. parkinsonism b. tardive dyskinesia c. hypertensive crisis d. neuroleptic malignant syndrome

b. tardive dyskinesia

A nurse teaches a client about the side effects & precautions associated with the typical antipsychotic haloperidol (Haldol). The nurse evaluates that the teaching is understood when the client states: a. "I will immediately report any diarrhea or vomiting to my doctor" b. "i will not eat any tyramine containing foods while I'm taking this drug" c. "I'll avoid direct sunlight and use sunscreen product when I go outdoors" d. "ill maintain an adequate fluid intake because I may urinate more than usual"

c. "I'll avoid direct sunlight and use sunscreen product when I go outdoors" photosensitivity is a side effect of many antipsychotic medications

A client says to the nurse, "The federal guards were sent to kill me." What is the best nursing response to the client's concern? a. "I dont believe this is true" b. "the guards are not out to kill you" c. "do you feel afraid that people are trying to hurt you?" d. "what makes you think that guards were sent out to hurt you?"

c. "do you feel afraid that people are trying to hurt you?"

which therapeutic commincation statement might a psychiatric mental health RN use when a pt's nursing diagnosis is altered thought processes? a. "I know you say you hear voices, but i cannot hear them" b. "stop listening to the voices, they are NOT real" c. "you say you hear voices, what are they telling you?" d. "please tell the voices to leave you alone for now"

c. "you say you hear voices, what are they telling you?"

tomas is a 21 y/o male with a recent diagnosis of schizophrenia. tomas's nurse recognizes that self medicating with excessive alcohol is common in his disease and can co-occur along with: a. generally good health despite the mental illness b. an aversion to drinking fluids c. anxiety and depression d. the ability to express his needs

c. anxiety and depression

A child with ADHD had this nursing diagnosis: impaired social interaction, related to excessive neuronal activity, as evidenced by aggressiveness and dysfunctional play with others. Which finding indicates the plan of care was effective? a. improved ability to identify anxiety and use self control strategies b. increased expressiveness in communication with others c. engages in cooperative play with other children d. increased responsiveness to authority figures

c. engages in cooperative play with other children

due to the need to self medicate for anxiety, a pt diagnosed with schizophrenia smokes two packs of cigs a day. what unique risk does nicotine pose to this pts health? a. lung cancer b. cardiovascular constriction c. impaired psychotropic med therapy d. increased incidence of lung reacted disorders

c. impaired psychotropic med therapy

a 73 y/o man was diagnosed with a serious mental illness at age 20. subsequently, he was frequently hospitalized. two years ago, he was transferred to a group home. when considering the effects of institutionalization, which behavior demonstrates adaptation to the new environment? a. willingly takes his medications b. keeps his room neat and clean c. makes himself lunch when he is hungry d. enjoys spending the afternoon watching tv

c. makes himself lunch when he is hungry

To help a disturbed, acting-out child develop a trusting relationship, the nurse should: a. Inquire as to the child's feelings about the parents b. Implement a half hour one-to-one interaction daily c. Initiate limit setting and explain the rules to be followed d. Offer periodic support and emphasize safety in play activities

d. Offer periodic support and emphasize safety in play activities

A client with schizophrenia has been started on medication therapy with clozapine (Clozaril). The nurse should assess the results of which laboratory study to monitor for adverse effects from this medication? a. platelet count b. blood glucose c. liver function tests d. white blood cell count

d. white blood cell count