Psy #3

A 20-year-old client arrives at the emergency department by ambulance. The client is unconscious, with slow respirations and pinpoint pupils. There are "tracks" visible on the client's arms. The friend who came with the client reports that the client had just "shot up" heroin when the client became unconscious. Which medication would the nurse most likely expect to administer? a.Naloxone (Narcan) b.Naltrexone (ReVia) c.Bupropion (Wellbutrin) d.Varenicline (Chantix

A

A client is being released from the inpatient psychiatric unit with a diagnosis of schizophrenia and treatment with antipsychotic medications. After teaching the client and family about managing the disorder, the nurse determines that the education was effective when they state that which should be reported immediately? a. elevated temperature b. tremor c. decreased blood pressure d. weight gain

A

A family has recently lost all their belongings when their house burned down. They have been living in temporary housing. Although the parents were previously very supportive and able to help their young children with their homework in the evenings, they have been unable to do so under their present circumstances. Based on this information, which nursing diagnosis would be most appropriate for this family? a.Interrupted family processes b.Compromised family coping c.Ineffective family therapeutic regimen management d.Caregiver role strain

A

A nurse is assessing a client who is a survivor of abuse. Which method would be most appropriate to use when conducting a lethality assessment? a.Danger Assessment Screen b.Abuse Assessment Screen c.Burgess-Partner Abuse Scale d.Beck Depression Inventory

A

A nurse is assessing a family's structure, using Minuchin's model. The nurse would most likely focus on which data to determine family function? a.boundaries b.emotional cutoff c.sibling position d.family projection process

A

A nurse is caring for a client with schizoid personality trait. When developing a plan of care for the client, which would a nurse most likely include? a.Social skills training b.Anger management training c.Relaxation techniques d.Coping skills training

A

A nurse is caring for a young adult in the mental health clinic. The client tells the nurse that the client was physically neglected as a child. The nurse should assess the client for symptoms of what? a.Major depression b.Schizophrenia c.Narcissistic personality disorder d.Panic disorder

A

A nurse is describing histrionic personality disorder to a group of new nurses. Which term would the nurse most likely use? a.Attention seeking b.Psychopath c.Sociopath d.Lacking empathy

A

A nurse is readmitting a client with co-occurring diagnoses of schizophrenia and alcohol abuse who has relapsed. The client says, "I'm just a failure. I'll never be anything but just a drunk." Which response by the nurse would be most appropriate? a."Relapse is a normal part of recovery; you can learn from this experience so it will be easier to avoid a similar one in the future." b."Face it, you will always be an alcoholic, and relapse is inevitable because it is part of the illness." c."If you didn't have disturbed thoughts from your schizophrenia, you wouldn't be tempted to drink." d."Please clarify something for me. When you say, 'just a drunk,' what exactly are you trying to say?"

A

A nurse is reviewing the medical record of a client diagnosed with antisocial personality disorder. The nurse notes that the client has had numerous episodes involving irritability, aggressiveness, and impulsivity and has exhibited callousness toward others. Based on this information, which nursing diagnosis would the nurse identify as a priority? a.Risk for other-directed violence b.Risk for self-injury c.Risk for suicide d.Risk for self-directed violence

A

The nurse is reviewing a client's medical record and finds that the client has received treatment for his co-occurring disorders in the primary health care setting. The nurse interprets this as which quadrant of care? a.Category I b.Category II c.Category III d.Category IV

A

Which of the following is addressed in the family systems theory model? a. Triangles b. Boundaries c. Internal structure d. External structures

A

A nurse is preparing to gather a health history of a client. Which questions can elicit disclosure if a client has been abused? Select all that apply. Select one or more: a."When there are arguments at home, have you ever been hurt or afraid?" b."It looks like someone has hurt you. Tell me about it." c."Some other women I have cared for have described problems like yours. If this is happening to you, can we talk about it?" d."I don't believe you. Why don't you tell me the truth?" e."It appears that you are distracted. Let me know when you are ready to discuss the incident."

A, B, C

When using the CAGE assessment tool to determine a client's potential risk of alcoholism, the mental health nurse asks the client which question? Select all that apply. Started onSaturday, October 17, 2020, 9:10 AMStateFinishedCompleted onSaturday, October 17, 2020, 9:26 AMTime taken15 mins 54 secsPoints8.75/10.00Grade87.50 out of 100.00 Question 1 Partially correct 0.75 points out of 1.00 Remove flag Question text When using the CAGE assessment tool to determine a client's potential risk of alcoholism, the mental health nurse asks the client which question? Select all that apply. Select one or more: a."Have you ever thought you drink too much? b."How do you feel when people tell you drink too much?" c."Do you feel sad or guilty when you drink?" d."When was the last time you had a drink first thing in the morning?" e."Have you ever been in trouble with the law as a result of your dinking?"

A, B, C, D

A nurse is providing teaching to the family of a client who has a substance use disorder. Which of the following statements by the family member indicate an understanding of the teaching? Select all that apply a."She needs to discusser feelings about substance use to help her recover." b. "The primary goal of her treatment is abstinence from substance use." c. "We need to understand that she is responsible for her disorder." d. "Eliminating any codependent behavior will promote her recovery." e. "She should participate in Al-Anon group to help her recovery."

A, B, D

Which of the following are characteristics of the Hmong people? (select all that apply) a. They are rarely persuaded that the customs of other cultures are superior, even those more powerful than their own. b. Their history reveals that the Hmong do not like to take orders and would rather flee, fight, or die than surrender. c. The Hmong respect others' personal liberty and expect that their liberty be respected in return. d.The Hmong are friendly, affectionate and eager to assimilate into other cultural groups.

A, B,C

A nurse is engaged in developing a relationship with a family during a family assessment. Which would be important? Select all that apply. a.Demonstrating culturally competent nursing skills b.Completing the assessment efficiently in the first meeting c.Identifying the family's immediate needs d.Exhibiting a professional image e.Investigating the adherence to the medication regimen

A, C, D

A nurse is assessing a family of a client with a persistent mental disorder. In comparing this family to one without a member who has a mental disorder, which function would the nurse expect this family to serve? Select all that apply. a.Providing support b.Providing socialization c.Advocating for services d.Providing information e.Monitoring services

A, C, D, E

A nurse is assessing a client diagnosed with avoidant personality disorder. Which would the nurse expect to find? Select all that apply. a.Shyness b.Feelings of inadequacy c.Feelings of superiority d.Perfectionism e.Detail oriented

A,B

Assessment of a client with borderline personality disorder reveals an unstable self-image and identity diffusion. The nurse would identify this issue based on which findings? Select all that apply. a.Client reports of ongoing emptiness b.Inability to remember events c.Statements reflecting contradictory behaviors d.Fragmented, superficial behavior e.Reports of spacing out at different times f.Religious beliefs

A,C,D

A nurse is conducting a review class on borderline personality disorder. When describing the characteristics associated with this disorder, which would the nurse most likely include? Select all that apply. a.Difficulty regulating moods b.Overinflated self-identity c.Problems with interpersonal relationships d.Thinking that is based on delusions e.Impulsive behavior

A,C,E

A psychiatric-mental health nurse is preparing an education plan about antisocial personality disorder for a class of community health nurses. Which would the nurse include as a term often used to describe the behaviors associated with this condition? Select all that apply. a.Psychopath b.Manipulator c.Criminality d.Sociopath e.Psychotic

A,D

A client hospitalized for treatment of schizophrenia disorder has been receiving typical antipsychotic for the past several years. A nurse should assess for involuntary movement using which tool: a. Tardive Dyskinesia Scale (TDS) b. Abnormal Involuntary Movement Scale (AIMS) c. Patient Health Questionnaire 2 (PHQ2) d. Beck Depression Scale

B

A nurse is caring for a hospitalized client who has schizophrenia. The client has been taking antipsychotic medications for 1 week when the nurse observes that the client's eyes are fixed on the ceiling. The nurse interprets this finding as: a. akathisia. b. oculogyric crisis. c. retrocollis. d. tardive dyskinesia

B

A nurse is working on developing a safety plan with a client who is a survivor of violence. Which would the nurse address first? a.Devising an escape route b.Recognizing the signs of danger c.Identifying a safe place to hide d.Identifying a signal to indicate it is safe to leave

B

A nursing instructor is developing an education plan for a class about families. Which would the instructor be most likely to include? a.Families are primarily determined by blood. b.New members are added by birth, marriage, or adoption. c.In the United States, family size has been on the increase. d.Families are less mobile today than in the past.

B

A psychiatric-mental health nurse is reviewing information about the changing family structure and its effect on mental health and illness. The nurse demonstrates understanding of this information by identifying which aspect as an effect? a.Middle-age childless adults are more vulnerable to loneliness and depression. b.In stepfamilies, caring for the children often is a primary stressor to the marital partners. c.Separation because of relocation provides additional support from extended family. d.Same-sex families typically demonstrate lower rates for depression and stress.

B

A school nurse is aware that a student has requested aspirin three times during the past week because his 'back hurts.' The nurse has noticed that he often wears long-sleeved sweaters and sweatshirts even in warm weather. The nurse suspects that the student may be the victim of physical abuse. The nurse is preparing to ask the child about his ongoing backache. Which of the following would the nurse anticipate being reported by the child if he was being abused? a.His father is beating him on a regular basis. b.Be reluctant to report abuse because of shame or fear of retaliation c.Give the same reason his sister would give were she asked to explain his injuries. d.Carefully explain that his mother disciplines him because she loves him.

B

An adolescent female client recently tried to overdose because her boyfriend broke up with her. Her father is a single parent who has been drinking excessively to cope with his stress. The client tells the nurse that whenever she needs to talk to her father, he is always drunk or away drinking with his buddies. Based on this information, which nursing diagnosis would be most appropriate for this client's family? .Ineffective family therapeutic regimen management b.Compromised family coping c.Ineffective denial d.Caregiver role strain

B

Answer true or false to he following statement. Persons with severe polydipsia require considerable assistance, often inpatient setting, to restrict water-seeking behavior. a. False b. True

B

Brandon, a client on the acute behavioral health unit, has been diagnosed with schizophrenia. He begins to tell the nurse about how the CIA is looking for him because they are trying to kill him. Brandon's belief is an example of: a. Delusion of reference b. Delusion of persecution c. Delusion of control or influence d. Delusion of grandeur

B

The nurse is planning care for a patient with symptoms of a Cluster C personality disorder. The nurse understands that treatment is most likely to be challenged by the need to address which characteristics of behaviors common to this category of disorders? a.Seductive, self-centered and/or dramatic b.Rigid, dependent and/or avoidant c.Odd, eccentric and/or suspicious d.Oppositional, impulsive and/or manipulative

B

When describing the relapse cycle to a group of families of clients experiencing co-occurring disorders, which of the following would the nurse identify as occurring first? a.Hospitalization b.Decompensation c.Stabilization d.Discharge

B

Which of the following describes the significance of the placenta within the Hmong culture? a. It is an essential ingredient in the diet strictly prescribed for Hmong women after birth: steamed rice with placenta boiled in water and 5 special post-partum herbs. b. It is buried by the baby's parents after birth. After a Hmong dies, his/her soul must travel back to the placenta's original burial place and put on the placental jacket before he/she is reunited with ancestors and eventually reborn as a soul of a new baby. c. It is saved for the official soul calling ceremony on the 3rd day after birth and fed to the pig prior to its sacrifice. d.Hmong mothers eat the raw placenta, believing that it will decrease the post-partum bleeding and fortify their strength to care for the new born.

B

A nurse is working with a client with schizophrenia. The client exhibits negative symptoms. The nurse would document which of the following as negative symptoms. Select all that apply. a. auditory hallucinations b. anhedonia c. Blunted affect d. Avolition

B,C,D

A client with borderline personality disorder has difficulty maintaining boundaries of the therapeutic relationship. Which of the following would be most effective for the nurse to do? Select all that apply. a.Punish the client with seclusion for violating established boundaries. b.Respond to the client's arrogance in a neutral, nonconfrontational manner. c.Discuss the purpose of the limits in the therapeutic relationship. d.State the parameters of the limits and boundaries clearly. e.Ensure that any established limits are maintained consistently.

B,C,D,E

A nurse is engaged in role-playing with a client with borderline personality disorder to assist the client in learning how to communicate effectively. Which of the following would the nurse encourage the client to use? Select all that apply. a."Me" statements b.Validating perceptions with others c.Paraphrasing before responding d.Listening passively e.Compromising

B,C,E

A group of nursing students is reviewing system models used in caring for families. The students demonstrate understanding of the information when they identify which as characteristic of the Calgary family model? a.differentiation of self b.sibling position c.family development d.subsystems

C

A nurse is caring for a family in which the elderly mother has been a victim of abuse and neglect by her son 48 years of age. Which of the following would be most important for the nurse to keep in mind before interviewing the family? a.A top nursing priority would be to legally remove the son from the home. b.The main focus of the nurse's actions should be on improving the elderly mother's self-esteem. c.The nurse must allow the older adult mother to decide whether she wants to leave the situation. d.Placement for the older adult woman in a nursing home within the community is crucial.

C

A nurse is constructing a genogram of a family. Which would the nurse do? a.Use circles to represent the male members. b.Use horizontal lines to connect the parents with children. c.Use horizontal lines to show marriages. d.Use asterisks to denote ages listed at the bottom.

C

A nurse is planning a support group for the families of clients with psychiatric disorders. The nurse integrates knowledge of which area as the primary underlying issue related to stress that the families experience? a.severity of the client's symptoms b.barriers faced by the client c.stigma associated with the diagnosis d.risk for relapse

C

A patient diagnosed with antisocial personality disorder approaches the nurse and says "You're so cute, are you married?" Which of these is the most appropriate response by the nurse? a."I'm married but that is none of your business." b."Thank you so much for the compliment but I'm married. c.Our relationship is strictly professional. It is not appropriate for us rot have that kind of discussion." d."Let's talk about your love life instead."

C

A psychiatric-mental health nurse is integrating the Calgary Family Assessment Model when caring for a family. The nurse has set up sessions that are amenable for the family as the family works to make changes. The nurse and family are at which stage? a.engagement b.assessment c.intervention d.termination

C

According to researchers, which of the following is a common theme in the health history of the client with borderline personality disorder? a.Attention-deficit hyperactivity disorder b.Autism c.Early childhood trauma d.Positive and fulfilling interpersonal relationship

C

An emergency department nurse is assessing a client with traumatic injuries. To assess whether or not the client's injuries have resulted from abuse, which question would be most appropriate for the nurse to ask the client? a."Is your partner being mean to you?" b."Why do you think your spouse has beaten you?" c."It looks like someone has hurt you. Tell me about it." d."Can you describe the person who did this to you?"

C

The nurse caring for a client with schizophrenia. Orders from the physician include 100 mg of chlorpromazine (Thorazine) IM STAT and then 50 mg PO BID along with benztropine (Cogentin) PO BID PRN. Which of the following assessment by the nurse would convey a need for the PRN benztropine (Cogentin)? a. The client's skin has a yellowish cast. b. The client's level of agitation increases. c. The client develops muscle spasms. d. The client complains of a sore throat.

C

A client has been diagnosed with schizophrenia. Assessment reveals that the client lives alone. The client's clothing is disheveled, the client's hair is uncombed and matted, and the client's body has a strange odor. During an interview, the client's family members voice a desire for the client to live with them when the client is discharged. Based on the assessment findings, which nursing diagnosis would be the priority? a.Ineffective role performance related to symptoms of schizophrenia b.Social isolation related to auditory hallucinations c.Dysfunctional family processes related to psychosis d.Bathing self-care deficit related to symptoms of schizophrenia

D

A nurse is caring for a client diagnosed with a delusional disorder. While assessing this client, which would a nurse expect to find? a.History of chronic major depression b.Consistent disruptive behavior patterns c.Verbalization of bizarre delusions d.Living with one or more delusions for a period of time

D

A nurse is caring for a client in an inpatient mental health setting. The nurse notices that when the client is conversing with other clients, the client repeats what they are saying word for word. The nurse interprets this finding and documents it as: a.echopraxia. b.neologisms. c.tangentiality. d.echolalia.

D

A nurse is using motivational therapy with a female client suffering from alcoholism. The client, who is unwilling to consider changing her drinking behavior, emphatically states, "I am not an alcoholic; you can't make me stop drinking." Which response by the nurse would be most appropriate? a."You have to stop drinking and driving. You could kill someone." b."You're right. You are not an alcoholic." c."You should consider what you are doing to your marital relationship." d."You're the only one who can make yourself stop drinking."

D

The nurse is assessing a family system applying the family system framework model. Which assessment would be important for the nurse? a.acceptance of the family rules b.adjustment to the family boundaries c.degree of enmeshment in the system d.interpersonal differentiation or self differentiation

D

The primary goal in working with an actively psychotic, suspicious client would be to: a. Encourage participation in therapy activities. b. Promote interactions with others. c. Improve client's relationship with parents. d. Decrease client's anxiety and increase trust.

D

When obtaining a client's history, a nurse determines that the client has been experiencing delusions and hallucinations for the past 3 months, which has caused some problems in the client's ability to function at work. The client also is exhibiting catatonic excitement, echopraxia, loose associations, and pressured speech. The nurse suspects which condition? a.Schizophrenia b.Schizoaffective disorder c.Brief psychotic disorder d.Schizophreniform disorder

D

Answer true or false for the following statement. Clients with schizophrenia are at low suicide risk.

False

Answer true or false to the following statement. Most of the care of persons with schizophrenia is provided in inpatient settings.

False

Co-occurring disorders include cardiovascular disease and depression as well as COPD and anxiety. True or false

False

Intellectualization and projection are two most commonly used defense mechanisms with addiction and substance use. True or false.

False

Is the following statement true or false. Obsessive-compulsive personality disorder is similar to Obsessive-compulsive anxiety disorder because it shares a major characteristic, the manifestation of obsessions and compulsion in face of anxiety.

False

Is the following statement true or false. Symptoms of Borderline Personality Disorder do not manifest until adulthood.

False

Is the statement true or false. Women rarely stay in abusive relationships because of economic dependence anymore.

False

True or False Men are rarely targets of intimate partner violence.

False

Please complete the blank. In Hmong-English dictionary, The Spirit Catches You and You Fall Down or "quag dab peg" is generally translated as ______

Seizures

List 1 reason why the Lees were "nonadherent" with Lea's medication regime.

The Lees were nonadherent with Lea's medication regimen because they believed that some of the medications were causing the seizures in Lea.

According to the book, the Hmong will accept antibiotic therapy for acute infection. True or False

True

According to the book, when provided a prescription from an American doctor, the Hmong view it as a suggestions, not an order. True or false

True

Family can be mentally healthy and have a member with a mental illness; can be dysfunctional with no member having a mental illness. True or False

True

Needle exchange programs and safe injection rooms are among many harm-reduction strategies. True or false.

True

One of the most important teaching goals in working with women who are victims of abuse is to help survivors develop a safety plan and an escape route. True or False

True

The language barrier between the Hmong patients and the Western healthcare providers presented significant communication challenges; however, using an healthcare interpreter could aid in a mutual understanding True False

True

True or false. The use of substances is quite common among people with schizophrenia and will significantly influence the treatment approach.

True

Within the Hmong culture, a child is regarded as the most treasured possession a person can have. True False

True

Within the Hmong culture, children are rarely abused and it is believed that a "Dab" who witnesses maltreatment might take the child, assuming the child is unwanted. true false

True