Psych Final

Prevalence of Tourette's in school age children?

1/100

A 15-year-old boy was hospitalized in a psychiatric unit because he initiates frequent fights with peers. Which implementation is most appropriate? A. Anticipate and neutralize potentially explosive situations B. Ignore minor infractions of rules against fighting C. Isolate the adolescent from contact with his peers D. Talk to the adolescent each time fighting occurs

A

A 68-year-old patient who is hospitalized with pneumonia is disoriented and confused 3 days after admission. Which information indicates that the patient is experiencing delirium rather than dementia? a. The patient was oriented and alert when admitted. b. The patient's speech is fragmented and incoherent. c. The patient is oriented to person but disoriented to place and time. d. The patient has a history of increasing confusion over several years.

A

A nursing student would like to learn more about the continuum of mental health care. Which of the following is the first step? A) Assessment B) Planning for discharge C) Referral D) Transfer

A

An elderly patient comes into the ED with a fluctuating level of consciousness, reduced awareness of the environment, restlessness, agitation, lethargy and is slow to respond. As the nurse, which nursing diagnosis would you give to this patient? A. Acute confusion related to delirium B. Diabetes Mellitus due to hyperglycemia C. Impaired skin integrity related to compound fracture D. Risk for infection due to broken skin

A

For the homeless, health care is usually crisis oriented and sought in emergency departments. The most difficult challenge for nurses treating this vulnerable population is to recognize the client's: A. Inability to follow prescribed treatment regimes B. limited number of transient treatment facilities. C. transition to persistent poverty. D. use and abuse of tobacco, alcohol, and illicit drugs.

A

The primary goal of the least restrictive environment is to achieve A) Highest level of functioning B) Total recovery C) Improved quality of life D) Reduced anxiety

A

The psychiatric-mental health nurse practitioner and a team of local mental health professionals are asked to provide crisis counseling service, after a gunman recently took a class hostage at a local elementary school, wounded several students, and then shot himself. In preparing for this assignment, the nurse practitioner recognizes that: A. a child's developmental stage will influence his or her response to catastrophic stress. B. a child's lack of an emotional response to a catastrophic event is a predictor of negative long-term consequences. C. it is necessary for the child's guardian to be present. D. the event is more important to the child than whether he or she suffered physical harm.

A

What best describes somatic symptom disorder? a. Changeable and complex b. Simple c. Constant in one area d. Acute

A

What is the main goal of a least restrictive environment A. Highest level of functioning B. Lowest level of functioning C. Both a and b D. None of the above

A

What type of Homelessness is shown when a homeless individual lives in the places that are not used for housing such as cars, parks, abandoned buildings, tents, bus/train stations. a) Unsheltered b) Ignored c) Sheltered d) Resident

A

Which nursing diagnosis would accurately describe a homeless person suffering from slurred speech, weak pulse, and lack of coordination? A. Hypothermia B. Imbalanced Nutrition C. Acute cerebellar ataxia D. Alcohol intoxication

A

Which of the following would be a behavior of someone with a factitious disorder? A.Pretending to be in severe pain in order to receive attention from health care providers B. Attending their annual health check up C. Bringing their child to the emergency room after a fall D. Consistently showing up an hour late to work with no excuse

A

5) What is agnosia? A) failure to recognize or identify objects B) inability to move C) lack of pleasure D) can recognize or identity objects

A) failure to recognize or identify objects

The nurse is completing a physical assessment of a young adult who is being evaluated for anorexia. Which component should the nurse include in the nursing​ assessment? (Select all that​ apply.) a. Attitude toward food b. Condition of the teeth c. Body mass index​ (BMI) d. Current medication list e. Cognitive function findings

A, B, C

A patient brings her 2 ½ year old child to the pediatricians office. The mother is concerned about her child because he is delayed in several developmental milestones a boy his age should be completed by now; the major one being his language development. After assessing the boy you notice that he displays several signs of autism disorder including: (select all that apply) A. Refusing to make eye contact B. Flapping his hands C. Constantly looking at the spinning ceiling fan D. Not answering any of the nurses questions E. Rocking back and forth

A, B, C, E

Select all that apply: The biological domain for Alzheimer's disease focuses on the following interventions: A. Promotion of Self Care B. Promotion of Sleep, activity and exercise C. Keeping information from the patient because they will not remember it D. Pain management and comfort measures

A, B, D

A mother of a school aged child brings her child into the office because she says that her child is not acting like himself. Upon further assessment, you discover that the child's father has recently died from huntington's disease. You explain to the child's mother that this type of behavior is expected from the child at his developmental age when he exhibits which signs: (Select all that apply) A. When the child constantly complains that his stomach hurts B. When the child throws a temper tantrum when you tell him to go to bed C. When the child tries to fill the role of the deceased parent D. When the child asks when the father will wake up from his nap E. When the child refuses to play with his friends at the park

A, B, E

A home health nurse is assessing a client's home who has received a recent diagnosis of Alzheimer's disease. What should the nurse do to decrease the risk of potential injury? (Select all that apply) a. install childproof door locks b. place area rugs over electrical wires c. put the clients mattress on the floor d. install light fixtures above stairways e. make cleaning supplies readily available

A, C, D

Necessary skills of a nurse case manager (select all that apply) A) Collaboration B) Aggression C) Teaching D) Leadership E) Management

A, C, D, E

What are some factors that can contribute to homelessness? Select all that apply. a. Unemployment b. Extreme wealth c. Mental illness d. Domestic violence e. Substance abuse

A, C, D, E

General causes of homelessness are .... A. Unemployment B. Obesity C. Mental illness D. Lack of skills E. Domestic violence

A, C. D. E

While there is no single cause to homelessness, what following factors may contribute to homelessness? Select all that apply. A. Substance Abuse B. Hearing loss C. Death of a loved one D. Mental Illness E. Domestic Violence

A, D, E

Which of the following are potential nursing diagnoses for a client with Bipolar Disorder? Select all that apply: Disturbed thought process Interrupted family process Impaired social interaction Ineffective childbearing process Risk for imbalanced nutrition

A,B, C

What are the alternative housing arrangements that can be made for a mental health patient? A. Personal Care Homes B. Therapeutic Foster Care C. Supervised Apartmetns D. Boar-and-Care Home E. Family Home

A,B,C,D

Which support networks are considered formal? Select all that apply a. Hospital b. Agency c. Friends d. Self help groups e. Extended Family

A,B,D

What should be expected in the stage of development of rapport in preschool children? Select all that apply. A.Difficulty putting feelings into words B.Ability to provide longer explanations C.Use of play and drawings D. Thinking concretely E. Rapport through competitive games

A,C,D

Children are more likely to be mentally healthy if they have good physical and positive social development.

A. True

A short-term goal for a patient with Alzheimer's disease is: A. improved functioning in the least restrictive environment. B. improved problem solving in activities of daily living. C. increased self-esteem and improved self-concept. D. regained sensory perception and cognitive function.

A. improved functioning in the least restrictive environment.

Resiliency in the Homelessness:

Ability to cope with stressors

Risks of being homeless?

All of the above

15 hospitalized in psych, he is frightened

Anticipating and neutralizing potential explosive behavior

3yo in MVA, what would you tell parents to expect?

Anxiety in the presence of strangers

3 cognitive d.o. associated with Alzheimer's: ( 3 things)

Aphasia Apraxia Agnosia

South oaks 12yo kid in outpatient, how to establish credibility?

Ask about friends

On ACT team, which activities are you involved in? (3 things)

Assessing short term intervention Referral for services Stabilization of the crisis

A client taking lithium carbonate started complaining of nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, blurred vision and ringing in the ears. The lithium level is 1.5 mEq/L. The nurse interprets this value as: A. Normal B. Toxic Below normal D. Can be toxic/normal depending on the individual's weight

B

A nurse is teaching a client who has a depressive disorder about fluoxetine. Which of the following information should the nurse include in the teaching? A. You might notice an increase in saliva while taking this medication B. You might experience sexual dysfunction C. You should expect an improvement in symptoms of depression within the next 48hrs D. As soon as you feel your symptoms go away you can stop taking it E. It is expected to feel like harming yourself

B

A nursing instructor is teaching about case management. What student statement indicates that learning has occurred? A. "Case management is a method used to achieve independent client care." B. "Case management provides coordination of services required to meet client needs." C. "Case management exists to facilitate client admission to needed inpatient services." D. "Case management is a method to facilitate physician reimbursement."

B

An alcoholic client tells the nurse, "I feel so depressed about what I've done to my family that I feel like giving up." It is most important for the nurse to assess the client for which of the following? A. Family support B. A plan for self-harm C. A sponsor for the client D. Other ambivalent feelings

B

Group of people who are connected emotionally, by blood or in both ways that have developed a pattern of interactions and relationships. A. Friends B. Family C. Coworkers D. Counselors

B

The nursing management of childhood schizophrenia is similar to a. Obsessive compulsive disorders b. Autism Spectrum disorders c. Separation Anxiety Disorder d. Attention-Deficit Hyperactivity Disorder

B

What is the job of the nurse when managing a patient care? A) Finding a place for the patient to live B) Teaching social skills and self-reliance C) Giving the patient money to survive D) Telling the patient to call their family for help

B

What is the primary concern caring for a patient who has delirium? a) adequate nutrition b) safety c) education about the causes of delirium d) administering medications

B

Which definition best describes the term "aphasia" a) An impaired ability to execute movement b) An alteration in language c) Failure to recognize or identify objects d) Inability to function

B

Which is considered to be a formal support network relating to family social domain? a. Extended family b. Hospitals c. Friends d. Neighbors

B

Which neurotransmitter imbalance has been shown to have a relation to impulsive aggression? A. Low levels of γ-aminobutyric acid B. Low levels of serotonin C. High levels of dopamine D. High levels of acetylcholine

B

Which nursing diagnosis should be investigated for clients with somatoform disorders? A. Deficient fluid volume B. Self-care deficit C. Disturbed personal identity D. Delayed growth and development

B

Which of the following neurocognitive disorders is thought to be caused by the build up of amyloid plaques? Dementia B.Alzheimers C. Delirium D. Parkinsions Which of the following would be a behavior of someone with a factitious disorder?

B

What are the major risk factors for delirium? (Select all that apply) a. overweight b. pre-existing cognitive impairment c. severe illness d. female e. age

B, C, E

An intellectual disability is categorized by? Select all that apply a. Throwing temper tantrums for no apparent reason b. significant limitations in both intellectual function c. Not speaking before age 2 d. Significantly below average intelligence accompanied by impaired adaptive functioning and developmental delays e. Social deficits

B, D

Which law guarantees equal opportunity for individuals with disabilities in public accommodations, employment, transportation, state and local government services, and telecommunications. A. Social Security Acts B. Americans with Disabilities Act C. Medicaid D.Affordable Care Act

B. Americans with Disabilities Act

An angry patient is in the community room. She picks up a chair and uses it to hit another patient on the head. When you come into the community room, what should your first response to the patient holding the chair be? A. Are you crazy? Hitting people can hurt them! B. Hitting others is unacceptable. Please put the chair completely down on the floor. C. How would you like it if I hit you over the head with a chair? D. You're in big trouble now. It's probably prison you are looking at!

B. Hitting others is unacceptable. Please put the chair completely down on the floor.

6) A 25-year old client experiencing alcohol withdrawal is upset about going through detoxification. Which of the following goals in a priority? A. The client will commit to a drug-free lifestyle B. The client will work with the nurse to remain safe C. The client will drink plenty of fluids daily D. The client will make a personal inventory of strength

B. The client will work with the nurse to remain safe

8yr girl with mood d.o. what would nurse expect?

Behavioral problems

A nurse has formulated several nursing diagnoses for a homeless client after a thorough nursing assessment. Of these, which of the following would the nurse determine as the priority? A. Anxiety B. Powerlessness C. Imbalanced nutrition D. Impaired social interaction

C

A parent brings a preschooler to the ED for treatment of a dislocated shoulder, which the parent states happened when the child tripped down the stairs. Which action should the nurse suspect that the child was abused? A. The child cries uncontrollably for her parent throughout the examination B. The child pulls away from contact with the physician C. The child does not cry at all when the shoulder is examined D.The child screams and holds tightly onto a favorite stuffed animal

C

A parent brings her 15-year-old son into the emergency room. She states that he has missed school multiple times throughout the year due to feeling sick and leaves school often because he hurts/injures himself. A nurse assesses the patient and sees that the vital signs are all normal for the patient. What is the best answer for why the patient is acting this way? A) The parent is abusing the son B) Munchausen's by proxy C) The son is suffering from a factitious disorder D) There is something going on at the school that needs to be resolved

C

An adolescent male is swearing and shouting at his physician, who refused to give him a pass to leave the unit. This behavior A. is acceptable if directed at staff but not when directed at other clients. B. may reduce tension and prevent the client from physically acting out. C. is a major indicator that the client may become physically aggressive. D. can be attributed to lack of parental controls applied at an early age.

C

An example of a somatoform disorder is A. depersonalization. B. dissociative fugue. C. conversion disorder. D. dissociative identity disorder.

C

What disorder includes repetitive patterns and actions, very specific interests, and impaired social skills A. Dyslexia B. Depression C. Autism Spectrum Disorder D. ADHD

C

What is considered a stereotypical behavior for child diagnosed with Autism spectrum disorder? a. Calling out the answer in class without being called on b. Severe social deficits c. Hand flapping d. Restlessness when having to sit for long periods of time

C

What is the failure to recognize or identify objects often seen in patients with Alzheimers? a) aphasia b) apraxia c) agnosia d) oliguria

C

What is the priority nursing intervention to help orient a patient who has Alzheimer's disease? A. Post a schedule in the dining room of daily activities. B. Use an overhead loudspeaker to announce upcoming events. C. Provide a daily routine and easy-to-read clocks. D. Have the patient live alone in a private room.

C

What neurocognitive disorder can be described as imparied consciousness that develops over a short period of time? a) dementia b) alzheimer's c) delirium d) Parkinson's disease

C

When administering a mental status examination to a patient with delirium, the nurse should A. wait until the patient is well-rested. B. administer an anxiolytic medication. C. choose a place without distracting stimuli. D.reorient the patient during the examination.

C

When would early onset Alzheimer's typically be diagnosed a. 30 years or younger b. Between 30-45 years old C. 65 years or younger d. Between 50-65 years old

C

Which condition is not considered a psychiatric disorder, but a neurological disorder A. Schizophrenia B. Bipolar C. Autism D. Depression

C

Which of the following statements are true? A. Delirium is most common in middle aged postoperative patients B. Delirium and Dementia are the same C. Delirium can be caused due to hypoxia and psychological stress D. Patients with Delirium are not subject to acute pain

C

Which of the following would be considered the least restrictive environments? A.Inpatient facility B.Crisis Stabilization C.Outpatient care D. Peer support services

C

The parents of a young adult diagnosed with schizophrenia are providing care for the patient in their home. During a home visit, the parents state, "It's been so difficult taking care of our son. We need a break. But he needs constant supervision." Which of the following would be appropriate for the nurse to suggest? A) Partial hospitalization B) Acute inpatient care C) Respite residential care

C) Respite residential care

A mother of three comes into the office to discuss about her recent decision to divorce her husband of 20 years. The mother is very worried about how the divorce will affect her three children as they are all very young in age. What are some protective factors you can offer the mother to instill within her family unit? (Select all that apply) A. Prevent the father from visiting the children B. Continuously fight with the children's father in front of them C. Create a very structured home and school life for the children D. Starting family counseling E. Complain to the children about the father's new wife

C, D

A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports they stopped taking lithium 2 weeks ago. The nurse should recognize which of the following as an expected adverse effect that might have caused the client to stop taking the medication? SELECT ALL THAT APPLY A. Sore throat B. Weight loss C. Weight gain D. Constipation E.Sexual dysfunction

C, E

Tension in relationship, when not stressed mother focuses on kid. What would nurse expect with triangular method.

Can develop problems

Instructor teaching about case management, which indicates learning has occurred:

Case management uses coordination or services to meet patients' needs

Nurse is providing care for children, who is at risk for developing mental illness?

Cerebral palsy

NP on team with other mental health professionals on ACT team, nurse realizes what?

Childs developmental stage will influence his reaction

Girl tried to OD bc boyfriend broke up with her, and dad is always drunk. What is the dx?

Compromised coping

Family assessment, how to view communication pattern?

Confining in each other- how they interact

Mother upset child isn't acting normally. Father has recently died... ( 3 things)

Constantly complaining about stomachache Child refuses to play with friends at park Temper tantrum when going to BR

A nurse is presenting a talk on homelessness and its effect on individuals. The nurse describes the resiliency of homeless individuals based on which of the following? A. Strong community supports B. Available family resources C. Coping with extreme stressors D. Local governmental interveon

Coping with extreme stressors

Women married 20 y getting divorced worried will affect children what can you do? (2 things)

Create a structured home and school life Start family counseling

A 21-year-old patient has a diagnosis of schizophrenia and is stuporous, yet exhibits sudden, excessive motor activity with repetitive sit-ups. What is this behavior called? A. Delusional. B. Hallucinogenic. C. Paranoid. D. Catatonic.

D

A nurse is developing a plan of care for a male client who is homeless. Which of the following would the nurse do first? A. Refer the client to social services to access necessary benefits. B. Provide the client with a list of facilities that are safe. C. Discuss how the client can maintain his privacy. D. Stabilize the client's physical health status.

D

A patient expresses to the nurse many physical complaints for 6 months. The patient has a history of pain, GI symptoms, sexual reproductive symptom, and pseudoneurologic syndrome. These are all diagnostic criteria for what disorder? a) Depression b) Dementia c) Bipolar Disorder d) Somatic Symptom Disorder

D

In planning care for a suicidal client, which correctly written outcome should be a nurse's first priority? A. The client will not physically harm self. B. The client will express hope for the future by day 3. C. The client will establish a trusting relationship with the nurse. D. The client will remain safe during the hospital stay.

D

List the continuum of care in order from occurrence. 1-referral 2-transfer 3-discharge 4-assessment A)3,4,2,1 B)2,3,1,4 C)4,1,3,2 D)4,1,2,3

D

Some delirium risk factors include: a) Pre-existing cognitive impairment b) Severe illness c) Age d) All of the above

D

The psychiatric-mental health nurse practitioner uses a cognitive-behavioral approach to help a patient address self-defeating behaviors. After identifying the stressor that causes the inappropriate behavior, the initial strategy is to explore: A. alternative positive responses to the stressor. B. negative consequences of the responses to the stressor. C. possible outcomes of alternative responses. D. rational and irrational beliefs about the stressor.

D

What are risk factors for delirium? a. pre-existing cognitive impairment b. severe illness c. age d. all of the above

D

What are the nurse's role in Alternative Housing for mentally ill patients in the community? A. determine appropriate outpatient setting B. evaluate Medication follow-up needs C. Make recommendations for necessary medical care D. All of the above

D

What is the cause of homelessness? A) Employment B) Money C) Transportation D) No single cause

D

What is the major cause of homelessness? a. mental illness b. domestic violence c. unemployment d. there is no single cause

D

Which client statement indicates a knowledge deficit related to substance abuse? Select one: a. "Although it's legal, alcohol is one of the most widely abused drugs in our society." b. "Tolerance to heroin develops quickly." c. "Flashbacks from LSD use may reoccur spontaneously." d. "Marijuana is like smoking cigarettes. Everyone does it. It's essentially harmless."

D

A nursing instructor is explaining the concept of the continuum of care to a group of students. Which of the following would the nurse include in this description? A) Care provided in episodic intervals B) System of care that focuses primarily on wellness C) A single organization is responsible for care delivery D) Integrated system spanning illness to wellness states

D) Integrated system spanning illness to wellness states

An older adult client is brought to the ED after ingesting an unknown substance. The client, who appears to have dementia, tremors, ataxia of the upper and lower extremities, depression, and confusion. The nurse suspects ingestion of which of the following? A) Lead B) Aluminum C) Manganese D) Mercury

D) Mercury

A patient diagnosed with Alzheimer's will begin to exhibit which of the following symptoms: (Select all that apply): A. Aphasia B. Apraxia C. Agnosia D. All of the Above

D. All of the Above

Alzheimer's presenting delusional thinking, what should you do?

Determine trigger

In individuals with Alexithemia:

Difficulty describing emotions and feelings

Physical illness in children can affect both the child and their family members. Common childhood reactions are: a. Regression b. Sleep and feeding difficulties c. Behavior problems d. Depression e. All of the above

E

The components of care in case management are: a) A comprehensive needs assessment b) development plan of care c) a method of ensuring the patient has access to care d) a method of monitoring the care provided e) all of the above

E

4) True or False: Autism and Asperger's Syndrome are different disorders.

False

A patient with Obsessive Compulsive Disorder does not realize their actions and thoughts are excessive or unreasonable.

False

Delirium is another term for Dementia. A. True B. False

False

Primary goal for mentally ill patient is the achievement of highest level of function in the most restrictive environment?

False

True or False: The primary goal for a mental ill patient is the achievement of the highest level of functioning in the most restrictive environment, like an inpatient facility.

False

Teaching was effective about somatoform d.o. when student says

First symptom appears during adolescence

Alzheimer's is in acute faculty for tx, pt is anxious, what is least appropriate for plan of care?

Frequently present reality

Long term goal for intellectual disability child

Function independently

Mom with Alzheimer's brought to clinic taking cholinesterase inhibitor, nurse should be aware of what side effect?

GI

Family lost 10yr in accident, nurse should tell 4yo sibling that...

He has died and is not coming back

Mad pt and hits pt with chair?

Hitting others is unacceptable please put chair down

Mental status exam of 9yo boy documented findings reflecting motor activity: (2 things)

Hyper alertness Nail biting

Phenelzine (Nardil) prescribed, needs further information when...

I can take OTCs

Which is true

If something is uncomfortable you do not need to talk about it

Short term goal for Alzheimer's pt.

Improve functioning in least restrictive environment

Homeless health care is crisis oriented, biggest challenge is

Inability to follow tx regimen

Homeless with foot infection, what is priority dx:

Ineffective health maintenance related to foot injury

Man dx type 2 diabetes, family has trouble facilitating a dietary and exercise program. Which dx is appropriate?

Ineffective therapeutic family regimen

Living in temporally housing and cannot help child with homework?

Interrupted family process

How to assess 10yr:

Let's draw a picture

What neurotransmitter is related to impulse or aggression?

Low levels of serotonin

Initial therapy session with 20yr has alcoholic parents, most likely will exhibit:

Low self-esteem

Boy yelling at doctor, this behavior is

Major indicator that pt may become aggressive

SSD education is successful when students identify symptoms as:

Manifestations are highly variable

Which statement demonstrates a knowledge deficit?

Marijuana is harmless and is like smoking cigs

Pt. brought to ED after taking unknown substance. Which of the following to you expect he injested?

Mercury

Tourette's syndrome is due to:

Neurodevelopmental defect

A client comes into the ED complaining about being followed and that aliens are trying to kill them. The nurse reviews the client's medications and notes the client is likely to have schizophrenia based on which medication? Olanzapine (Zyprexa) Furosemide (Lasix) Oxycodone Omeprazole (Prilosec)

Olanzapine

68yo hospitalized with pneumonia, disoriented, which indicated delirium rather than dementia?

Orient and alert upon admission

Group discussion about homeless want to develop a program, which needs intervention about stereotypes:

Person lives on street and will not accept help

Which activity is associated with boys and bullying?

Physical aggression

10 yr establish rapport:

Play checkers

Mom with a kid 8 one is 10, constantly fighting. What is most appropriate for nurse to say?

Praise each one for what they're worth and individual talents

Biological domain for Alzheimer's:

Promote self-care, activity, exercise, pain mgmt., sleep

Kid taken away from home, what would u anticipate as child's response?

Protest

Pt. with delirium, explaining to family about dx. What is most appropriate?

Rapid onset, altered LOC

Interview with somatoform d.o. evidenced by:

Rapidly changing mood

CBT, after identifying stressors, the initial strategy is to explore...

Rational /irrational beliefs about stressors

2yo at doctor, he is delayed in milestones, language development and displaying signs of autism... (4 things)

Refuses to make contact Looks at spinning ceiling fan Clap hands Ricks back and forth

Pt has catastrophic reaction to feeding themselves?

Remain calm and reassure him

Pt comes to clinical, suspected somatic system disorder?

Report of symptoms changing to different body parts

Uncle died child might...

Reports pain and stomachache

Schiz pt lives with parents, parents say they need a break:

Respite

9 yr sexually abused. What is priority?

Safe environment

Delirium which nursing intervention is highest priority?

Safe environment

Care for homeless and reviewing your thoughts about homeless

Self-reflection/ self-awareness

2yo hospitalized after surgery, what is nurse's priority?

Separation anxiety

Lack of hormone with alcoholism

Serotonin

Working with kid who has engaged in bullying what is the most effective strategy for nurse to implement?

Social skills training

Additional education when they identify which as a stressful experience: (don't need it)

Social support

Pain for 6 months

Somatoform d.o.

Change in family structure and effect on mental health:

Stepfamily's caring for children creates stressors

Client with body dysmorphic d.o., would assess for what?

Suicidal ideation

Children with somatic symptoms but disorders are usually not diagnosed until adolescence T or F

T

Psychosomatic is used to describe, explain, and predict the psychological origins of illness and disease. T or F

T

Somatization is a manifestation of psychological distress as physical symptoms T or F

T

4yo autism that rocks. Which is most appropriate from nurse?

Tell mother to ignore it

Teaching about Alzheimer's, education was successful when nurses identify what as a priority?

Therapeutic communication

Grandpa died "went to sleep" child thinks he going to "sleep", what is most appropriate response?

This is a typical response

6yo child what to say to child to establish report?

This must be scary

What is true about Tourette and OCD child?

Tourette's has high rate of comorbidity

Aphasia, Apraxia, and Agnosia are three multiple cognitive disorders involved in patients with Alzheimer's Disease.

True

Child will stay mentally healthy if they have positive social and physical development

True

Emotional detachment is a negative dissociative symptom?

True

Lack of a fixed permanent nighttime residence or living in nighttime residences that are temporary shelters, welfare hotels, transitional housing for mentally ill persons , or any public, private place not designated a sleeping accommodation for human beings is the definition of homelessness.

True

Occurrence of Autism Spectrum Disorder, Attention-Deficit Hyperactivity Disorder, and Tourette Disorder is more likely to affect boys than girls.

True

True or False: Delirium is usually reversible if the underlying cause is identified

True

True or False: More than half of children have a comorbid disorder (tics, mood, or anxiety disorder)

True

True or False? A case manager's goal is to help the patient gain access to high-quality and cost-effective mental health services

True

True or False? The achievement of the highest level of functioning is the least restrictive environment?

True

True or false: Emotional detachment is a negative dissociation symptom.

True

True or false? The primary goal for mental health care in the community is achievement of the highest level of functioning in the least restrictive environment.

True

When assessing a child psychological domain, it is best to ask straightforward questions. True or False True

True

What kind of homelessness is person living in car?

Unsheltered

Review symptoms for assessing SSD what should include?

What is pain? What makes it worse? Does it get better

Client comes to ED followed by aliens, has schiz based on what med

Zyprexone

1.What is the expected behavior of a school-aged child (6-12) after a family loss? a. Showing behavioral changes of withdrawal, or hostility b. Picking up on what the emotions of others around them are c. Understanding the abstract concept of death d. Stating to the family that they hope the lost love one is happy in heaven and they will see them one day.

a. Showing behavioral changes of withdrawal, or hostility

What is not an example of a dysfunctional family dynamic? a. The family has one member going to law school and they are worried it will be hard b. The family has one member that is trying to steal from the household for drugs c. The family enables one member to drink constantly and do nothing during the day d. The family was divorced but now has two x-mas celebrations with the children and each parent

a. The family has one member going to law school and they are worried it will be hard

Which law

americans with disabilities act

Nurse at community center, sexual assault, priority dx...

anxiety

Nursing management of child with schiz is similar to:

autism

what is not neuro d.o.?

autism

1. A nurse is caring for a client with delirium. Which nursing intervention has the highest priority? a. Offering for the patient to participate in recreational activities b. Providing a safe environment c. Instituting measures to promote sleep d.Ensuring proper nutrition

b. Providing a safe environment

What is the most commonly diagnosed mental health disorder in children from 3-17, particularly in boys? a. Operational Defiant Disorder b. Schizophrenia c. Attention Deficit Hyperactivity Disorder d. Autism spectrum disorder

c. Attention Deficit Hyperactivity Disorder

Child in preschool ( 3 things)

difficulty putting feelings into words Use of play and drawings Think concretely

What are the risk factors associated with being homeless? a. Lack of skills b. Mental illness c. Substance abuse d. Unemployment e.All of the above

e. All of the above

act team

interupted parent

Alzheimer's patient- ( 3 things)

mattress on floor door locks lights above head

Primary concern caring for pt. regardless of illness?

safety

Psychosomatic is used to describe origins of disease?

true

Somataform d.o. Manifests as psychically symptoms

true