Psych NCLEX 2

An older client with a diagnosis of dementia is living in a long-term care facility. The client's daughter, who lives 300 miles (483 km) away, calls the unit to speak to the nurse about her upcoming visit. What should the nurse say in response to her question about the best time of day to visit?

"Around 2:30 in the afternoon is the best time to visit."

A nurse decides to use the CAGE screening questionnaire with a client admitted for substance abuse. What is the client abusing?

Alcohol

A client with a diagnosis of dementia of the Alzheimer type has been taking donepezil 10 mg/day for 3 months. The client's partner calls the clinic and reports that the client has increasing restlessness and agitation accompanied by nausea. What does the nurse advise the partner to do?

Bring the partner to the clinic for testing and a physical examination.

An 84-year-old woman is admitted to the hospital with a diagnosis of dementia of the Alzheimer type. What does the nurse know about this disorder?

Cognitive problem that is a slow and relentless deterioration of the mind

A nurse is teaching a group of clients with peripheral vascular disease about a smoking cessation program. Which physiologic effect of nicotine should the nurse explain to the group?

Constriction of the peripheral vessels increases the force of flow.

A client has a diagnosis of schizoid personality disorder. During the assessment what should the nurse expect of the client's behavior?

Detached and socially distant

During the initial prenatal visit of a woman at 23 weeks' gestation, the nurse discovers that she has a history of pica. What is the most appropriate nursing action?

Determining whether the diet is nutritionally adequate

The nursing staff is discussing the best way to develop a relationship with a new client who has antisocial personality disorder. What characteristic of clients with antisocial personality should the nurses consider when planning care?

Exhibits lack of empathy for others

A client has the diagnosis of histrionic personality disorder. Which behavior should the nurse expect when assessing this client?

Extroverted and dramatic

A client is found to have a borderline personality disorder. What behavior does the nurse consider is most typical of these clients?

Impulsive

A second-grade teacher discusses the behavior of one of the students with the school nurse. The school nurse suspects that the child has attention deficit-hyperactivity disorder (ADHD). Which finding often is associated with ADHD?

Impulsivity

A nurse considers the cultural factors that may influence the development of eating disorders. Where does the nurse recall that eating disorders are more frequently found?

Industrialized societies

Thiamine (vitamin B 1) and niacin (vitamin B 3) are prescribed for a client with alcoholism. Which body function maintained by these vitamins should the nurse include in a teaching plan?

Neuronal activity

The primary objective of nursing intervention for clients with dementia, delirium, and other cognitive disorders is to maintain what?

Safety within the environment

A nurse is counseling the spouse of a client who has a history of alcohol abuse. What does the nurse explain is the main reason for drinking alcohol in people with a long history of alcohol abuse?

They are dependent on it.

A client who is a regular user of cocaine is admitted to a rehabilitation facility. What are the common side effects of regular cocaine usage that the nurse should be aware of when assessing this client?

Anxiety, dysphoria, and extreme suspicion

Methylphenidate is prescribed for a 6-year-old boy with the diagnosis of attention deficit-hyperactivity disorder (ADHD). The nurse teaches the father about safe medication administration and concludes that the instructions have been understood when the father says that he should administer it at which time?

After breakfast

A nurse is caring for a client who has been hospitalized for alcohol withdrawal. The client decides to attend an Alcoholics Anonymous (AA) meeting. What is a basic principle of this group?

Amends must be made to each person who has been harmed.

A client is admitted to the mental health unit with the diagnosis of anorexia nervosa. What typical signs and symptoms of anorexia nervosa does the nurse expect the client to exhibit?

Amenorrhea, excessive weight loss, and abdominal distention

A client with a history of alcoholism is found to have Wernicke encephalopathy associated with Korsakoff syndrome. What does the nurse anticipate will be prescribed?

Intramuscular injections of thiamine

An adult is found to have schizotypal personality disorder. How should a nurse describe the client's behavior?

Introverted and emotionally withdrawn

For which clinical indication should a nurse observe a child in whom autism is suspected?

Lack of eye contact

A nurse is caring for a client with the diagnosis of bulimia nervosa. What does the nurse understand to be the function of food for individuals with bulimia?

Meet emotional needs

A client is brought by ambulance to the emergency department. The client's signs and symptoms are indicative of opioid overdose. What does the nurse expect the primary healthcare provider to prescribe?

Naloxone

A mother brings her 5-year-old daughter to the children's clinic after teachers report that the girl is disobedient and hostile. The child has a negative attitude and argues often with her teachers. At this time she has not violated the rights of other students. The mother reports that she has also noticed this behavior at home. The nurse suspects that the behavior described is associated with what disorder?

Oppositional defiant disorder