Psych study guide
a family's home and possessions are lost when a massive forest fire burns out of control. What type of crisis has occurred
adventitious
a young man has been diagnosed with klinefelter's syndrome. What disorder is this patient likely to have?
gender dysphoria
the cause of restless leg syndrome is unknown - what factors may contribute to the development of RLS?
gender, genetics, sedentary lifestyle
global statements using 'always' and 'never' when dealing with problematic family issues
generalization
what is a format which defines a relationship across at least 3 generations in order to obtain information?
genogram
dissociative identity disorder is characterized by:
the existence of 2 or more subpersonalities, each with its own patterns of thinking
parents express concern when their 5 yo child, who is receiving treatment for cancer, keeps referring to an imaginary friend, Candy. The nurse explains that:
the imaginary friend is a coping mechanism the child is using
what assumption serves as a foundation for the use of crisis intervention>
the individual is mentally healthy but in a state of disequilibrium
what factor exerts the greatest influence on the degree to which various life events upset a specific individual
the individuals perception of threat
the term tolerance as it relates to substance abuse, refers to ...
the need to take larger amounts of a substance to achieve the same effects
a nurse has been instructed to give group therapy to patients with intellectual disabilities. The nurse follows a laissez-faire style of leadership and asks the patients to paint scenery during group. appropriate action?
the nurse allows the patients to paint anything during group therapy
a patient was admitted to the psychiatric inpatient unit because of manipulative and aggressive behavior. what appropriate strategy does the nurse follow while interacting with the patient?
the nurse asks questions to explore the patient's situation
the nurse is caring for a patient with dissociative amnesia disorder. the patient gets extremely aggressive due to anxiety and causes physical harm to him or herself and to others. which nursing intervention does the nurse follow to reduce anxiety and aggression in the patient?
the nurse frequently observes the patient by visiting the patient's room
a primary healthcare provider instructs the nurse on how to conduct group therapy for psychiatric patients. Which appropriate action does the nurse follow for effective group therapy?
the nurse includes the patients having common psychiatric illness in a group
a patient with Alzheimer's disease tends to wander at night. What appropriate safety measure does the nurse follow to ensure patient safety?
the nurse makes the patient wear a bright vest
a patient is diagnosed with dementia. What nursing care considerations are appropriate for this patient?
the nurse provides finger food to the patient. the nurse places an identification bracelet on the patient
a nurse is planning crisis intervention for a patient who has acute stress and panic episodes. Which nursing intervention does the nurse implement while giving primary care to the patient?
the nurse teaches relaxation techniques to the patient
a workshop on stress management was conducted for software professionals by the American Holistic Nurse Association. The nurse discussed stress busters with the participants in the workshop. What behavior adopted by the participants after attending the workshop indicates effective learning?
the participants do aerobic exercises 3 hours before going to bed
the nurse is caring for a patient with rape-trauma syndrome. What outcome shown by the patient after 8 weeks indicates effective crisis intervention
the patient concentrates on the given task
which finding indicates the treatment for imbalanced nutrition has been effective for a patient with a history of cannabis abuse?
the patient eats a well-balanced diet
the nurse is education a group of adolescents about different kinds of substance abuse. In which category can magic mushrooms be classified?
hallucinogens
an adjustment in the medicaiton dosage prescribed for a child diagnosed iwth ADHD is appropriate when the child
has a growth spurt
the nurse can determine that inpatient treatment for a patient diagnosed with an eating disorder would be warranted when which criterion is met?
has a systolic BP less than 70 mmHg
Which response is appropriate when teaching a patient regarding a prescription for naltrexone?
it helps prevent relapse by reducing your drug cravings
which chemical in tobacco causes addiction?
nicotine
to confirm the diagnosis of ADHD, a child's symptoms of hyperactivity, inattention, and impulsivity must meet which criteria?
they occur both at home and at school
the time of death used on the death certificate is identified at what point?
when the nurse observes the patient who has been without a heartbeat or breath for 2 minutes
memantine
affects glutamate levels
which factor is most likely to affect how a person reacts to stress and anxiety
age, gender, culture, life experiences
the nurse is caring for a patient who consults with family members prior to making every treatment decision. Based on the nurse's observation, what type of boundaries exist within the family structure?
diffuse
common phenomenon within families with these kind of boundaries is that individuals expect other members of the family to know what they are thinking
diffuse boundaries
a patient with a history of cardiovascular disease and depression has been prescribed for the following meds. Which have the potential for causing low libido?
digoxin, fluoxetine, imipramine, propranolol
what type of grief occurs when the mourner does not have the opportunity to publicly grieve the loss?
disenfranchised grief
which major theory of aging is from the psychosocial perspective?
disengagement theory
the nurse is caring for a geriatric patient diagnosed with delirium. which symptoms is the patient likely to manifest?
disorientation, hallucinations, altered consciousness
what information should the nurse give to the family of a patient who has had a dissociative episode?
dissociation is a method for coping with severe stress
in which type of dissociative disorder does the patient lack the ability to recall his or her identity and past life events?
dissociative fugue disorder
which statement about dissociative disorders is true?
dissociative symptoms are not under the person's conscious control
the nurse is caring for a child with PTSD. the parents ask the nurse about psychopharmacologic interventions. what is the best response by the nurse?
"certain medications can be taken to help minimize symptoms of PTSD"
a patient diagnosed with Alzheimer's disease picks up his or her glasses from the bedside table but does not recognize what they are or their purpose. The nurse will document this behavior using which term?
agnosia
whose model does a nurse follow while conducting crisis intervention for a patient with acute stress disorder
albert R roberts
a patient describes experiences of having blackouts. The nurse suspects abuse of
alcohol
a nurse conducts an initial interview with a veteran of two tours in the war with iraq. the veteran says, "the war was years ago, but i still remember my friends who were killed. i don't know why i lived and they died." what is the nurse's priority response?
"are you having any thoughts of harming yourself?"
a patient who has been diagnosed with dissociative identity disorder asks, "what exactly are 'alters'? my health care provider told me i have several of them." which statement by the patient illustrates that the education provided has been effective?
"alters are separate personalities that take over during stress"
A patient diagnosed with a borderline personality disorder shows the nurse multiple new, shallow self-inflicted cuts. Select the nurse's therapeutic response.
"I will care for your wounds, and then you should write down what you were thinking and feeling when this happened. We will discuss it later."
a patient who was rescued from a bomb blast has symptoms of chronic depression, irritation, and insomnia. during the discharge teaching, the nurse teaches care management guidelines to the patient's parents. which statement of the nurse is appropriate to be included in the teaching?
"don't allow the patient to consume alcohol"
a patient with dissociative identity disorder reports an increased awareness of his or her surroundings and a reduction in dissociative episodes. which instruction provided by the nurse while teaching the grounding techniques helped the patient to alleviate symptoms?
"hold an ice cube in your hand"
in adults, grief is considered to be persistent if it lasts longer than how many months?
12
what would be the sum of the total life change units for the patient
220
a crisis is so acutely uncomfortable to the individual that it is likely to self-resolve in what time frame
4-6 weeks
purple chart
344
in children, grief is considered to be persistent if it lasts longer than how many months?
6
a nurse assesses five new patients admitted to a psychiatric unit. Which patients have the highest risk for suicide?
88 year old caucasian male, 26 year old alaskan native male, 17 yo african american female
group members are having difficulty deciding what topic to cover in todays session. The nurse leader says, We are talking about fear of rejection today. Which communication technique had the nurse leader used?
giving information
one effect of stress can be attributed to the stimulation of the hypothalamus-pituitary -adrenal cortex, causing a short term increase in
gluconeogenesis
what does the nurse know about risk factors in PTSD in children?
good social support can help build a child's resilience to PTSD
which type of dementia has a clear genetic link?
Alzheimer's disease
a nurse is listening to the problems of a married couple. The wife tells the nurse. "at times, my husband speaks so rudely to me. I don't understand why." The husband tells the nurse, "I have heard about the new treatment for cancer, can you tell me about it?" Which type of dysfunctional communication is this indicative of?
distracting
a pt has changes in sleep routines affecting social and vocational functioning. How should the nurse document the changes in sleep routine?
disturbed sleep pattern
prescription of which medication represents part of an aversive therapy approach to treatment of addiction?
disulfiram
which medication prescribed to a patient for treatment of alcohol addiction may be associated with intense vomiting, respiratory difficulty, and mental confusion?
disulfiram
the nurse provides care to a patient who presents with uneasiness and reports feeling stressed. What does the nurse recognizes as psychological stressors?
divorce, job less, retirement, birth of a new baby, birth of a new baby
the nurse prepares to conduct an ODD assessment for a pediatric patient. Which question will the nurse include in the assessment?
do you ever bother people on purpose
the nurse is caring for a pt with arousal disorder. On observation, the nurse finds the calf and shoulder muscles of the pt to be weakened and paralyzed...
do you have a tendency to act out in your dreams?
the nurse identifies which drug type as the mainstay of treatment for a pt with restless leg syndrome
dopamine agonists
yoga may decrease depression by increasing levels of which chemicals in the brain?
dopamine, Gaba
which drug has a long duration of action in treating insomnia
doxepin
how is the behavior of a cluster B personality disorder described?
dramatic, emotional, or erratic
a nurse is caring for a patient who is experiencing a crisis. Which symptoms would indicate that the patient is in the stage of alarm
dry mouth
which statement by the wife of an older individual suspected of demonstrating characteristics of dementia best supports that diagnosis?
gradually his personality changed and he just wasn't the person he used to be
a patients history includes depression, anxiety, and self-medication with alc and marijuana. The patient has been admitted for inpatient evaluation. Which therapeutic groups may be best for this patient?
dual diagnosis group, support an self-help, therapeutic community meetings
an eight-year-old child tells the nurse " I learned how to mow the grass when I was 6 yo."... which nursing diagnosis is most applicable to this scenario
dysfunctional family processes
a young woman reports that although she has no memory of the event, she believes that she was raped. This raises suspicion that she unknowingly ingested.
GHB
the nurse is caring for a patient with chronic stress related to family members arguing. Which statement made by the patient indicates the patient is using health-sustaining habits to cope with the stress?
I have been trying to not overdo it with too many personal commitments
the nurse is caring for a patient who reports chronic stress and related depression and anxiety. The nurse teaches the patient about ways to manage the stress and relax. Which statement made by the patient indicates the teaching was effective?
I should try to tell myself positive perceptions to replace more irrational beliefs.
the nurse is talking with a patient admitted with depression. Which statement by a patient admitted with a diagnosis of chronic depression indicates the need for further assessment
I think things will be better soon
one criterion for the diagnosis of primary insomnia is met when the patient reports: i've actually missed work because I'm too tired to go
I've actually missed work because I'm too tired to go
a 9 yo patient has deficits in social and intellectual functioning and cannot manage practical aspects of daily life and funcitoning - what diagnosis
IDD
A primary health care provider is planning therapy for a patient with narcissistic personality disorder. What treatment option does the nurse anticipate as most effective for the patient?
Individual cognitive-behavioral therapy
which behaviors are demonstrated characteristically by a patient diagnosed with narcissism?
grandiose, exploitive, and rage-filled behavior
A 4-year-old female patient is referred to the outpatient mental health clinic after being in a severe car accident during which her father was driving and her mother died. her father states she is withdrawn, not sleeping, having nightmares, and acts out the car accident over and over again when playing and says repeatedly, "it's my fault because i'm bad." these behaviors support which diagnosis?
PTSD
following the death of a loved one, what term describes a person's reaction to the loss
grief
which concept introduced by Freud describes the process of looking at the past, reliving memories, and detaching from the deceased?
grief work
when interviewing an elderly patient with hypothyroidism, a nurse finds that the patient is treated with many drugs. What appropriate teaching does the nurse give to the patient's family to avoid adverse interactions.
educate the patient about over-the- counter meds, regularly follow up with the primary healthcare provider, use a calendar to mark medications that need to be refilled
the nurse cares for a patient with chronic pain. A regular dose of analgesic medication is ineffective in reducing the patient's pain. What does the nurse expect is the cause for the patient's response?
The patient is showing signs of tolerance
The nurse is caring for a rheumatoid arthritis patient with borderline personality disorder. Which Behavior does the nurse find in the patient compared with other patients in the ward?
The patient shows extreme fluctuating emotions.
in confidence, an emergency department nurse said to a nursing colleague, "I know I am addicted to narcotics but I'm afraid I will lose my nursing license if I talk to my supervisor about it." Select colleague's best initial response.
There are special programs that can help you with your addiction so you can continue to practice. Talk to your supervisor.
which statement is descriptive of patients with a personality disorder?
They are resistant to behavioral change
A nurse manages care for an individual with a personality disorder. What is the most attainable outcome for this patient?
Within 4 weeks, the patient will describe personal characteristics of reactions to stress.
which child is at greatest risk for developing attachment problems as a result of a neurobiological development
a 4 year old female
which are foundational theory concepts for crisis intervention?
a crisis intervention deals only with the patient's present problem, a crisis is self-limiting and usually resolves within 4-6 weeks, early intervention probably increases the chances for a good prognosis
the nurse is assessing a group of families within a community to find if they need family therapy. Which families would require family therapy?
a family where the younger children are looked after by the elder children
which symptom can the nurse expect a patient with depersonalization disorder to demonstrate?
a feeling of detachment from ones body or mental processes
based on current research, which patient is most likely to develop dementia?
a former boxer who is now a trainer.
when asked what a genogram is, what is the nurse's best response?
a genogram will help me see your family structure, history, and current functioning
an older adult who reports taking a late afternoon nap every day to make up for disrupted sleep at night still feels tires. The nurse explains that
a late afternoon nap does not compensate for nighttime sleep
the nurse provides parenting skills education to the parents of children diagnosed with oppositional defiant disorder with the primary expectation that they will then be prepared to provide the child with
a nurturing home life with consistent limits and boundaries
the nurse is planning a dual-diagnosis group, Which patient is appropriate to include in this group?
a patient with bipolar disorder and meth abuse
a nurse is planning mind-body therapies for patients in the medical unit. Which patients are likely to benefit most from the therapies
a patient with insomnia, a patient with high blood pressure, a patient with asthma, a patient with fibromyalgia
what is the greatest protective factor against the risk of suicide
a sense of responsibility to family
the most effective nursing intervention regarding the accurate assessment of sleep disorders involves
a sleep diary
in the context of group therapy, what term is used for recurring ideas or feelings expressed by the members that share a common thread?
group theme
a patient with tenacious suicidal behavior has been advised dialectical behavioral treatment. What does the nurse need to know about DBT
emotional skills can be improved, leading to reduced risk of self-destructive behavior
when conducting group therapy for narcissistic personality disorder patients, the nurse takes up the task role of an energizer. What specific task for the energizer perform?
encourage the group to make decisions or take action
what is the groups leaders responsibility in the termination phase
encouraging group leaders to reflect on progress made
what role should the nurse play in supporting patients making end-of-life care decisions
encouraging the patient to complete paperwork to support their wishes
an older female adult is being discharged after 3 days in the hospital. She lives with her daughter and her daughter's family, who are home in the evenings and nighttime but are gone during the day, leaving the patient lonely and socially isolated. What is an appropriate intervention for this patient?
adult day care
an appropriate long term goal/outcome for a recovering substance abuser would be that the patient will
abstain from the use of mood-altering substances
when educating the family of an individual who is displaying characteristics of delirium, the nurse stresses that the individual may
act in an impulsive, inappropriate manner
a pt is suspected of having a circadian rhythm disorder, which can be confirmed by monitoring the pt's body movements and sleep patterns...
actigraphy
after assessment, the nurse finds that a pt has difficulty sleeping, most probably caused by impaired circadian rhythm. The nurse learns that the pt has a fear of hospitals...
actigraphy
a novice nurse tells the nurse manager. "I don't want to ask my patients about suicidal ideation because it might put ideas in their heads about suicide. How will the nurse manager respond
actually, its a myth that asking about suicide puts ideas into someones head
the first stage of the general adaptation syndrome can be characterized as
adaptive
what is the nurse's most important intervention when caring for a patient experiencing severe alcohol withdrawal symptoms
administer prescribed anticonvulsant medications
a nurse is caring for a child diagnosed with posttraumatic stress disorder as a result of violence at home. what trauma interventions should the nurse plan for this child?
allow the child to draw and play
which neurobiological factor contributes to the dysregulation of appetite, mood, and impulse control in eating disorders?
altered serotonin
a nurse is teaching a group of teachers about managing children with disruptive behaviors. What suggestion can help the teachers plan their activities to prevent these children from getting frustrated
alternate physical and mental activities
which is true of pharmacologic therapies for treatment of personality disorders
although there are no FDA approved drugs, pts benefit from specific off label uses of antipsychotics, mood stabilizers, and antidepressants
a diagnosis of chronic stress is supported by which assessment finding
amenorrhea, history of panic attacks, insulin-resistant diabetes
buproprion, although seemingly effective, is contraindicated in patients who purge. What is the reason for this?
an increased risk of seizures
the nurse tells a patient diagnosed with borderline personality disorder, "a new case manager has been assigned to work with you." Which initial reaction is most likely for this patient?
anger
according to elisabeth Kubler-ross, which phases occur in people's responses to terminal illness?
anger, bargaining, depression, acceptance, denial and isolation
which classification of medication may be prescribed in intermittent explosive disorder
anticonvulsants
the healthcare provider considers medication for a 14 yo diagnosed with conduct disorder. This adolescent's behavior shows aggression, impulsivity, and hyperactivity. The nurse will prepare educational materials regarding which type of medication?
antipsychotic
a patient arrested for an assault in which the patient savagely beat a classmate states, "the guy deserved everything he got." the behaviors described are most consistent with the clinical picture of which disorder?
antisocial personality disorder
A person diagnosed with obsessive-compulsive disorder is consistently late for appointments and says, "I have to check the safety features and fluid levels on my car 6 times before I leave home." Which nursing diagnosis has the highest priority?
anxiety
the nurse is assessing a patient with binge eating disorder. what diagnosis should the nurse consider when the patient shows feelings of inadequacy
anxiety
which conditions are comorbidities of borderline personality disorder?
anxiety disorder, substance abuse, depressive disorder
what strategies does a family therapist use to assess a family's level of functioning?
appreciation, commitment, cohesiveness, beliefs and values
an elderly patient diagnosed with dementia is unable to dress without assistance; however, this patient's motor function is intact. Which term should the nurse use to document this finding?
apraxia
an elderly patient with schizophrenia reports seeing weird creatures on the floor that hurt him when he tried to get out of bed. What is the most appropriate response by the nurse?
as the patient about creatures and perform a nursing assessment
the nurse is caring for a depressed patient who was rescued from an earthquake. As part of the counseling and treatment, the nurse wants to assess the patient's family and the patient's stressors. What appropriate action will the nurse take?
ask the patient to describe his or her feelings
the nurse is attempting to address the patient's inability to motivate him or herself to stop abusing alcohol. To best facilitate this change in behavior, the nurse
asks the patient to identify 3 negative outcomes that chronic alcohol abuse has had on his or her life.
the nurse is assessing a patient for delirium, what is the correct order in which assessment for delirium is performed?
assess for acute onset and fluctuating levels of awareness. assess the patient's ability to tend to the immediate environment. establish the patient's normal LOC and cognition. Assess for past cognitive impairment and other risk factors. identify disturbances in the physiological status, especially infection, hypoxia, pain. Identify any physiological abnormalities documented in the records.
what should the nurse do for a patient who is experiencing the alarm stage of stress?
assess for dry mouth
the priority nursing intervention for a patient diagnosed with borderline personality disorder is to
assess for suicidal and self-mutilating behaviors
what is a function of the entry-level staff nurse in caring for families?
assess the amount of stress on the system
an advantage of the Holmes and Rahe updated life event and social readjustment scale is that it
assesses stress threshold and potential future illness
The nurse suspects a patient of substance abuse. What should be the nurse's first intervention?
assessment for substance use and comorbidity
which term describe growing weakness in a patient that may indicate approaching death?
asthenia
at what point in the life of a group lasting 12 sessions should confidentiality be explained and discussed
at the first session
an adolescent patient diagnosed with anorexia nervosa currently weighs 97 lbs. The patient's ideal body weight is 127 lbs. Identify the highest priority goal
attain a weight of 114.3 lbs
which factors are considered when determining a patient is at a high risk for suicide?
attempted suicide 2 years ago, father committed suicide at age 45, reports excessive reliance upon alcohol
a patient with alzheimer's disease is prescribed donepezil. What appropriate suggestion does the nurse give to the patient's family
avoid administering NSAIDS
a nurse is caring for a patient with dementia. Which action should the nurse take for effective patient-nurse communications?
avoid asking for more information
what guideline for nursing care should the nurse implement when caring for a patient with schizoid personality disorder?
avoid being too nice or friendly
which personality disorders are categorized as cluster C?
avoidant, dependent, obsessive-compulsive
what is the nurse's priority while trying to improve the condition of a pat with a binge-eating disorder
ensure steady weight loss
when sorting the medicines of a patient at a long-term care home, the nurse finds sildenafil tablets. What conditions does the nurse think the patient might be suffering from?
erectile disorder, orgasmic disorder
a nurse advises a stressed patient to perform meditation to decrease stress levels. How does meditation help in relieving stress
by creating a hypometabolic state of quieting the sympathetic nervous system
the nurse manager instructed the nurse to conduct crisis intervention for a patient shoe parents died in a car accident. How should the nurse start the crisis intervention for the patient?
by establishing rapport with the patient
if a patient diagnosed with a disorder resulting from trauma is within the window of tolerance, there is...
balance between sympathetic and parasympathetic arousal
in which phase of the kubler ross model is the patient attempting to deal with overwhelming feelings of vulnerability and helplessness?
bargaining
when a stressful event occurs and the individual in the second stage of crisis is unable to resolve the situation by using his or her coping strategies, the individual
becomes disorganized and uses trial-and-error problem solving
a nurse who is idealized by a patient is at risk for
becoming overinvolved and being protective and indulgent
following the intravenous administration of an anxiety medication, a patient with dissociative amnesia had sudden memory retrieval and started identifying family members. which class of medication did the nurse administer to the patient?
benzodiazepines
the nurse observes that a patient has sustained a severe injury as a result of an accident. On interaction with the family members, the nurse finds that the patient has a tendency to drive a car while sleeping. What is the treatment of choice...
benzos
a patient says to the nurse, since my spouse died, I'm having trouble concentrating. I want to stay home alone all the time but I know it would help me to be with others. Which group should the nurse suggest?
bereavement
following the death of a loved one, what term describes the period after a death for those who have experienced loss?
bereavement
the physiologic basis for the success of guided imagery is
beta-endorphins release raises the pain threshold
a nurse is attending to a patient with bulimia nervosa. What reason does the nurse suspect for the presence of gastric dilation in the patient?
binge eating
which approach to reducing patient stress is most effective in people with low to moderate hypnotic ability
biofeedback
a patient at the mental health center says to the nurse, "most of the staff does not care about me, but you are different. You understand my problems." When the nurse tells this patient about an upcoming career change, the patient becomes very angry. An hour later, the patient loudly announces. "I'm going to cut my wrists. I need to be hospitalized immediately." Given this scenario, which personality disorder is most likely?
borderline
which characteristic demonstrated by a patient diagnosed with a personality disorder will result most likely in an admission to a psychiatric unit?
borderline personality disorder and reporting stress
what clinical finding can the nurse anticipate when caring for a pt diagnosed with anorexia
bradycardia
Which symptoms does the nurse look for in a patient with opioid intoxication
bradycardia, hypotension, hypothermia
a pt is scheduled for a polysomnography - what disorders can this test diagnose?
breathing disorders, nocturnal seizure disorders
a patient presents with decreased CO. The nurse notes that the patient experiences binging and then exercises excessively to make up for calories gained...
bulimia nervosa
the nurse is caring for a patient with bulimia nervosa who overuses laxatives but does not purge. Which drug is known to be effective to treat the patient
buproprion
group therapy is a mainstay of inpatient psychiatric treatment. which statement best describes how this approach came to be used?
group therapy was initially used for veterans
the nurse is conducting group therapy for patients with schizophrenia. During group therapy, the nurse finds and connects various ideas and suggestions for conducting effective therapy. Which nursing function does this indicate?
corrdinator
when a child demonstrates a temperament that prompts the mother to say " she is just so different from me; i just can't seem to connect with her" the nurse will
counsel the mother regarding ways to better bond with her child
a registered nurse was appointed in charge of a psychiatric ward. What appropriate actions does the nurse take to keep patients safe in the ward
count the kitchen utensils daily, lock the utility rooms, kitchen, and office
a patient asks a nurse what complementary and alternative therapies are based on.
cultural and historical experience
magenta chart thing
cultural awareness is vital to successfully address the needs of caregivers
which of the following are more often seen in mental illness in late life?
depression and alcohol abuse
the nurse is teaching a class to a group of men at a senior citizens center. Which sexual disorders would the nurse include in a presentation for this group?
erectile dysfunction, premature ejaculation, hypoactive sexual desire
the diagnosis of impaired intellectual funcitoning is supported when a child diagnosed with IDD
cannot put together a five piece jigsaw puzzle
according to attachment theory, relationship disorders are related to trauma associated with:
caregivers or parents
the nurse is assessing a pt with narcolepsy. The nurse notices that the pt has a brief episode of bilateral loss of muscle tone when laughing...
cataplexy
in a creative group, the nurse uses laissez faire style of leadership and allows the members to express themselves as they want. What therapeutic factor helps to relieve the members from emotional tensions?
catharsis
which term describes emotional connection, which the terminally ill patient may experience as he or she accepts the finality of life?
cathexis
Which statement about persons diagnosed with personality disorder is accurate?
characteristics of these disorders are most evident in social and interpersonal interactions
a nurse is the leader for a medication group for patients diagnosed with bipolar disorder. No new patients will be added as the group progresses, and so the group is considered which of the following?
closed
on examination, the nurse finds that a patient who is a drug addict has nasal damage. Which substance abuse does the nurse suspect?
cocaine
the individual initially thinks, "I'll never get through this huge assignment," but then amends the thought to, "I can get through the assignment by breaking it into small portions and doing them one by one." This thought process is an example of
cognitive reframing
Which is the best treatment method for the patient who speaks of several failed relationships and appears arrogant and lacks empathy for others?
cognitive-behavioral therapy
a 5 yo who consistently omits the sound for r and s when speaking is demonstrating a
communication disorder
zigzag line on a genogram =
complicated relatinship
what is the long term benefit of successfully implementing a constructive coping mechanism
confidence in one's ability to manage stress in the future is reinforced
which conditions in the family are supportive of family therapy?
confidentiality is being maintained, family members are willing to resolve the conflict, family members want to bring peace to their family
to identify possible complications, a nurse managing the care of patients experiencing alcohol withdrawal will focus on which assessments?
confusion, temperature, abdominal pain
morphine causes
constipation
comorbid conditions commonly associated with oppositional defiant disorder do not include
conversion disorder
a patient with Alzheimer's disease has very mild memory loss and no symptoms of dementia. Which drug is included in the treatment plan of the patient?
galantamine
which statement concerning the development of mental illness in the aging population is true.
depression is not considered a normal part of human aging, independence is preserved by appropriate and early diagnosis, accurate treatment supports the older individuals decision-making abilities
when providing possible interventions to promote safety of a patient reporting symptoms of somnambulism, the nurse includes
gating the stairways
what should be included int he planning phase of group therapeutics?
determining the group schedule, defining and preparing an evaluation tool, using a form of shite noise to ensure patient confidentiality.
the nurse is planning care management for a patient with alcohol misuse. What intervention does the nurse plan for rehabilitation of this patient?
develop motivation and self-help skills
a patient with borderline personality disorder has suicidal intentions. the nurse plans to teach mindfulness and emotion regulation to improve interpersonal effectiveness skills in the patient. which therapy does the nurse follow to effectively work with the patient?
dialectical behavior therapy
as a terminally ill patient becomes less able to take in sustenance, what is the most important information for the nurse to share with the family?
difficulty taking in food or water means the illness is progressing
a nurse understands what a patient is chronically stressed. The patient's score on the Recent Life Changes questionnaire was 223. What could be the possible life- changing events in the patient's life?
death of a child, major change in sleeping habits, an injury or illness that kept the patient in bed for a week or more
what term describes emotional withdrawal, which the terminally ill patient may experience as he or she accepts the finality of life?
decathexis
which characteristics will the nurse assess in the patient diagnosed with antisocial personality disorder?
deceitfulness, impulsiveness, and lack of empathy
which change in neurotransmission occurs in Alzheimer's disease
decreased acetylcholine
a nurse observes unlicensed assistive personnel in a residential treatment setting for adolescents diagnosed with impulse control disorders. .. Which finding regarding the adolescents shows that the desired learning occurred?
decreased aggressive behavior
what would be the short-term effects of the hypothalamus-pituitary-adrenal-cortex HYPAC
decreased fluid loss, decreased inflammation, increased glucose by gluconeogenesis
the nurse is interviewing the family of a patient with a history of oppositional defiant disorder and notes that the patient blames coworkers and family for his own behavior and states that he is better than the rest of them. What nursing diagnosis does this reflect?
defensive coping
a nurse is assessing a male patient who complains of difficulty with ejaculation. What does the nurse consider this disorder?
delayed ejaculation
a nurse manages care for an individual diagnosed with avoidant personality disorder. select the appropriate outcome for this patient. the patient will...
demonstrate the use of assertive communication within 3 months
which government entity is charged with coordinating responses to American disasters, particularly in situations in which local and state resources are inadequate to the presenting challenge?
department of homeland security
What personality disorders are more common in women than men?
dependent
patient says to the nurse sometimes I feel like I'm floating above my body, watching it from the outside. When documenting this observation, which term applies
depersonalization
dementia in an older adult is often misdiagnosed for
depression
the nurse is providing care to a patient with dissociative disorder. In which order should the nurse plan the patient's treatment using the phase-orientation model
establishing the patients safety, reducing the patient's symptoms, confronting the patient's memories of the traumatic experience, integrating the patient's identity back and rehabilitating
which drug does the nurse identify as a benzo used to treat patients with insomnia
estazolam
which statement made by an older adult best reflects the wear-and-tear theory of biological aging
everything about me is tired and showing its old age
the nurse is learning about factors that contribute to insomnia in a patient. What is a perpetuating factor that contributes to insomnia?
excessive use of alcohol
a patient diagnosed with conduct disorder craves
excitement without concern for possible negative outcomes
a patient who most likely will respond well to drug therapy for management of compulsive deviant sexual behavior is one whose diagnosis includes
exhibitionism
the nurse is providing family therapy to a family consisting of a grandparent, the parents, and the child. ... what type of family therapy is the nurse employing here?
experiential-existential therapy
what model of therapy is used with the goal of guiding the family in identifying and developing their own solutions to dysfunctional behavior problems?
experimental-existential
The nurse is assessing a patient with narcissistic personality disorder. What behavior is the nurse most likely to find in this patient compared with other patients in the ward?
exploitation of others
a nurse prepares the plan of care for a school-age child diagnosed with reactive attachment disorder. which initial outcome should be the focus of the nurse's intervention? the child will...
express feelings through journaling
a child lives with a parent and a grandparent. Which type of family is this referred to as?
extended family
the nurse is caring for a child who has witnessed a car accident and does not remember anything that took place during the accident. Which therapy does the nurse adopt to help the child regain memory of the car accident?
eye movement desensitization and reprocessing therapy
the nurse is caring for a patient with expressive aphasia. To assess the patient's level of pain, the nurse uses the Wong-Baker FACES Pain Rating Scale. Which description by the nurse is most accurate when explaining the faces?
face 5 represents as much pain as you can imagine without crying
what family information is included on a genogram
family educational levels, family medical information, geographic location of family
blended family =
family living with a step parent
the patient says to the nurse "why do we have to have family therapy sessions? This is my problem, not theirs" what is the nurse's best response?
family therapy is used to strengthen the functioning of the family
hypercalcemia symptoms
fatigue, confusion, increased thirst
what appropriate symptoms should the nurse assess to identify borderline personality disorder when interviewing patients?
feelings of emptiness, frequency of mood shifts, tendency toward sarcasm
following an assessment, the nurse concludes that the patient is in phase 2 crisis. What signs and symptoms does the nurse find in the patient
feelings of extreme discomfort
the nurse is caring for a patient with depression and anxiety. The patient enjoys cooking and trying new foods...
fermented foods
which intervention will the nurse suggest to a patient who is interested in managing stress with the form of meditation called "mindfulness"
focus on your breathing, name the emotion that you are feeling, stop whatever you are doing when you become stressed, do or think about something that is pleasant or important to you
which technique would be least helpful in putting family members at ease as family therapy begins
focusing on the identified patient views about family problems
which behavior would support a diagnosis of PTSD in a preschool child?
frequent displays of irritability and negativity, reluctant to engage in previously enjoyed activities, expresses concern that something bad is going to happen
a nurse is caring for a patient with Tourette syndrome. Which possible symptom can the nurse find in the patient?
frequent tongue protrusion
a pt has been hospitalized with anorexia nervosa. The pt's weight is 65% of normal. A realistic short term goal for the first week of hospitalization would be which of the following?
gain a max of 3 lbs
the nurse's concern about a 12 yo living in a poor inner city neighborhood becoming involved in gang activity is based on the understanding that this age group
has limited decision making skills and often looks up to older peers
the nurse is assessing a patient suspected of Alzheimer's disease. What action by the patient does the nurse identify as agnosia?
has problem in identifying familiar sounds like the ring of the phone
the family member of an older adult patient reports that the patient was found wandering outside the house the day before without clothes. What is the appropriate response by the nurse?
has your father fallen or hit his head recently?
which question best assesses an individual's ability to cope with the potential emotional crisis resulting from the death of a parent?
have you ever lost a loved one before?
a nurse is screening a patient for sleep disorders, which questions yield information related to hypersomnia?
have you experienced uncontrollable sleepiness? have your family members complained that you snore? do you feel a strange sensation in your legs that disturbs your sleep?
which of the following is an example of a maturational crisis?
having one's only child leave home to attend college
a 10 yo diagnosed with childhood-onset conductive disorder gave a snack with a hidden peanut ingredient to a classmate with a known allergy to peanuts... which comment is most likely?
he should have helped me cheat on a test when I asked him.
which statements are true regarding substance addiction?
hedonistic behaviors are demonstrated by the addicted individual, addiction currently is described as being chronic and affecting motivation, the term commonly used to describe substance use disorders is addiction
a therapeutic group is in its working phase. What does the nurse identify as the most appropriate role of the group leader during this phase of the group development
help members to gain confidence in problem-solving
the nurse follows existential theory while conducting group therapy for patients with obsessive compulsive disorder. What appropriate action does the nurse take according to the theory?
helps patients to focus on their feelings to promote self learning
what is a potential side effect of kava in long term use
hepatotoxicity
valerian is which type of complementary and alternative medicine
herbal
When assessing a patient for personality disorders, the nurse notices that a patient behaves in a melodramatic way and acts flirtatiously. What personality disorder is the nurse most likely to suspect in the patient?
histrionic personality disorder
a nurse is asked to give an example of an alternative medical system. Which of the following is the best example?
homeopathy
in group therapy for patients with bipolar disorders, when one member leaves the group, another is added to maintain the number of members at 15. How does the nurse describe the membership of the group?
homogenous
a patient tells the nurse that he or she believes his or her situation is intolerable. The nurse assesses that the patient is isolating socially. A nursing diagnosis that should be considered is
hopelessness
which is a model of care that support and cares for patients facing death regardless of age, diagnosis, or the ability to pay?
hospice
what signs and symptoms are associated with the nursing diagnosis of "defensive coping" for a patient diagnosed with antisocial personality disorder?
hostile laughter, ridicule of others
which assessment question focuses on determining the resilience of a preteen child
how do you and your friends have fun, how are you adjusting to your new school, what would you do if you forget your homework, what job would you like when you grow up
nurses should assess the lethality of the patient's plan for suicide. What factor would be irrelevant to that assessment
how long the patient has been suicidal
Which statement regarding stress is correct?
humans have capacity to respond to both internal and external stress- stress results in predictable biochemical, physiological, and behavioral changes - reaction to stress is central to many human mental health disorders
a pt is admitted to the hospital with severe anorexia. Upon assessment, the nurse notes the patient's skin is yellow. Which physiological response may cause this finding?
hypercarotenemia
a nurse is assessing a patient who complains of recurrent periods of sleep and unintended lapses into sleep. On interviewing, the nurse finds that the patient takes frequent naps and finds it difficult to stay alert during the wake period...
hypersomnolence disorder
which best supports the diagnosis of PTSD in a 4-year old child
hypervigilance
the nurse is interviewing a pt with an eating disorder. What statement by the patient indicates the presence of a binge eating disorder
i do not exercise to reduce weight
which statement is least likely to be made by a pt diagnosed with bulimia nervosa during the assessment interview
i eat 3 meals each day and purge every evening
the nursing instructor is teaching nursing students about cognitive-behavioral therapy for insomnia. What statement made by a nursing student indicates a need for further learning...
i have to find the total number of hours the patient spends sleeping
a nurse is taking care of a patient who has attempted suicide - what appropriate intervention should the nurse follow for effective treatment?
identify the problems experienced by the patient
the nurse develops a safety plan for suicidal patient. Which interventions will the nurse include in the plan?
identifying warning signs of a crisis, making lists of things that are most important to the patient, calling on friends and other people who provide distractions
a patient who is experiencing great stress associated with a disturbing new diagnosis asks the nurse, "do you think saying a prayer would help?" The nurse should give is
if you find comfort in prayer, i encourage you to pray
a patient is diagnosed with dementia. Which symptoms is the patient likely to manifest?
impaired judgement, no emotional expression
patients demonstrating characteristics of personality disorders have various self-defeating behaviors and interpersonal problems despite having near-normal ego functioning and intact reality testing. a nursing diagnosis that addresses this sort of interpersonal dysfunction is...
impaired social interaction
the nurse is providing discharge teaching to a male patient with hypertension. Which sexual information should the nurse discuss with this patient?
impotence
a female patient is being treated for hypothyroidism. What problems does the nurse expect in this patient's sex life?
impotence, decreased sex drive, decreased vaginal lubrication
the nurse is caring for an adult patient with PTSD. Which are desirable outcomes for this patient?
improve coping mechanisms by asking for help when symptoms arise, manage anxiety by performing deep breathing exercises and meditation, increase self-esteem by maintaining physical appearance and making positive statements about oneself
a nursing student learns that corticosteroids are released in response to stress. What are the consequences of increased levels of corticosteroids in the body?
increase in muscle endurance
what symptoms suggest the use of marijuana by a patient?
increased heart rate and appetite
which assessment data would support the belief that a patient is experiencing acute anxiety syndrome (GAS)?
increased heart rate, decreased urination
cocaine exerts which of the following effects on a patient?
increased metabolism
a nurse is assessing a patient experiencing anorexia nervosa. What diagnosis should the nurse consider when the patient exhibits destructive behavior towards self?
ineffective coping
a patient has lost a job and has started alcohol. The patient tells the nurse, "I am an experienced nursing assistant, and I am jobless. I am totally stressed out. I desperately need a job". The nurse learns that the patient has been going to religious places to relieve stress. What is the most appropriate nursing diagnosis for this patient?
ineffective coping
what is the primary factor that makes an event a crisis
ineffectiveness of one's usual coping strategies
a nurse caring for a patient who has been diagnosed with a personality disorder should expect that the patient will exhibit which behavior?
inflexible and maladaptive responses to stress
the nurse instructs the parent of a child with attention-deficit/hyperactivity disorder (ADHD) to administer methylphenidate before 4 pm. Which side effect is the nurse addressing by giving this instruction
insomnia
the nurse is assessing a patient who complains of dissatisfaction with sleep quality and difficulty initiating sleep. On interviewing, the nurse finds that the patient awakens early...
insomnia disorder
assessment of a pt suspected of experiencing bulimia nervosa calls for the nurse to perform which of the following?
inspection of oral cavity
a nurse is developing a plan of care for a patient with dissociative amnesia. Which strategies should the nurse include in the plan?
instruct the patient on grounding techniques
a nurse is caring for a patient with antisocial personality disorder. what appropriate interventions should the nurse take to control aggressive behavior of the patient?
instruct the patient to make a model from clay
what would a patient experience during a progressive relaxation session?
instruction in sequential tensing and relaxing of various muscle groups until the entire body is relaxed
stress can be attributed to stimulation of the hypothalamus-pituitary- adrenal cortex and over the long term it can result in
insulin resistance
what type of dialectal behavior therapy for borderline personality disorder aims at reducing the person's destructive behavior
intensive outpatient treatment
what is the simplest method of reducing stress, anxiety, and mental noise
interrupting the thoughts and engaging in abdominal breathing
the nurse is caring for a child who is demonstrating posttraumatic stress behaviors related to possibly being sexually abused. which intervention will the nurse include in the child's plan of care?
introducing and practicing relaxation techniques with the child; providing the child with puppets to facilitate communication about the possible abuse.
the primary characteristic that separates intermittent explosive disorder from oppositional defiance is that IED
is diagnosed in individuals 18 years of age or older
how does nicotine affect the sleep pattern in a patient?
it causes withdrawal symptoms at night
a nurse advises a patient who is tressed to exercise daily to relieve stress. What is the reason for the nurse to consider exercise as a stress-buster?
it decreases levels of anxiety, it decreases sensitivity to stress, it decreases chronic and acute stress
how does the advanced practice nurse integrate motivational interviewing as a tool in the treatment plan of a patient with a substance abuse disorder?
it helps the advanced practice nurse assess the stage of change the patient is in and match it with an appropriate treatment process
the nurse learns that qsymia contains 2 components, namely topiramate and phentermine. What is the function of phentermine?
it influences leptin blood levels
a war veteran was diagnose with dissociative disorder after returning home. the veteran's family asks the nurse, "is this diagnosis the same as schizophrenia?" what is the nurse's correct response?
it is not the same as schizophrenia, the trauma of war can cause overwhelming anxiety, which then leads to a form of mental disconnection. with treatment, a return to optimal functioning is expected.
how is delirium different from dementia
it is typically a reversible condition, one fundamental symptom involves focus and attention
what effect does group therapy have on the patient with schizotypal personality disorder?
it will allow opportunity to interact with others
the nurse conducted a group therapy session for depressive patients with suicidal intention. After a few sessions, the nurse observed that the patients are expressing hope to live and have increased energy levels and confidence. What technique did the nurse teach the patients during the group therapy ?
journaling
a patient has been diagnosed with acute anxiety attacks. Which herbal remedy should the nurse caution the patient to avoid?
kava
the nurse is preparing for the admission of an elderly patient in the terminal stages of hepatocarcinoma. The patient has no support from family members or friends. A few months ago, the patient attempted to commit suicide by hanging. The patient is presently taking an antidepressant drug for depression. The patient lost his spouse recently in a tragic accident. What measures should the nurse take for this patient to ensure that the patient is safe?
keep electrical cords to a minimal length, use plastic utensils for serving food to the patient, install breakaway shower rods and recessed shower nozzles
the nurse is caring for a patient with Alzheimer's disease who tends to get frightened and cries out at night. What nursing intervention is most appropriate for this patient?
keep the area well-lit at night
an initial intervention the nurse might suggest to the family members of a patient diagnosed with Alzheimer's disease who has begun incontinence would be to
label the bathroom door with a picture
research has indicated that the antisocial personality may present with which characterstics?
lack of remorse
a nurse assesses an adolescent female diagnosed with anorexia nervosa. which physical findings support diagnosis?
lanugo, irregular heart rate, pulse rate 48 bpm
which statement made by a patient illustrates a primary coping style of persons with BPD
last night the nurse let me go outside and smoke. I can't believe you aren't letting me. I used to think you were the best nurse here.
a nurse is caring for a patient with paranoia and severe social and interpersonal deficits. what interventions should the nurse perform while caring for the patient?
leave the patient alone when needed
empathetic listening is therapeutic because it focuses on
lessening feelings of isolation
the leader opens the discussion at the first meeting of a new group. Which comment would be appropriate for this phase?
lets begin by establishing the ground rules of our group.
what tool might be useful in assessing the amount of stress a patient has experienced in the past year?
life-changing event questionnaire
an adult diagnosed with antisocial personality disorder begins an outpatient program at the community mental health center. which is an appropriate outcome for this patient?
listen attentively as others share their feelings
over a 5 year period, an adult experienced liver failure. A liver transplant was performed. During the immediate postoperative period, which intervention could the nurse recommend to enhance healing and reduce the harmful effects of stress?
listening to music
which are essential nursing skills for practicing the art of presence for terminally ill patients?
listening, observing
what is a drawback of early cholinesterase inhibitors?
liver toxicity
a pregnant woman seeks counseling after losing a parent. She informs the nurse that has lost her job a few days ago and is aware of her responsibility for her family. Which factors put her at greater risk of suicide?
losing a job, the death of her parent
which event leads to the development of a situational crisis in patients
loss of a job
staff working on an inpatient adolescent mental health unit desire to maintain safety and a calm milieu. Which technique should staff use most for interactions with patients
low expressed emotion
a young adult diagnosed with dissociative identity disorder was hospitalized with self-inflicted lacerations. when asked about these injuries, the patient responded, "i don't know what happened. i just looked down and they were there." what is the priority nursing intervention for this patient?
maintain continuous observation
an adult attempted suicide after termination from employment. This patient was hospitalized and has taken antidepressant medication for 2 weeks. The nurse observes the patient is now brighter and more sociable. What is the nurse's highest priority intervention.
maintain continuous supervision of the patient
tic disorder for a child who bangs head against the wall
make child wear a helmet
a nurse is assessing a child who exhibits disruptive behavior at home and school. Which intervention does the nurse advise to the parents when the child throws furniture at home?
make the child replace disrupted furniture
what outcome is most important for a patient with bulimia nervosa to reduce the feeling of powerlessness?
making informed life decisions
what is the primary goal of milieu therapy for patients diagnosed with personality disorders?
managing the effect of the behavior on the entire group
after discovering her husband masturbating, a wife complains to the nurse: I guess he's bored with me, but at least he isn't having an extramarital affair. Which response should the nurse provide?
masturbation is normal human behavior and can add to his arousal
a nurse is caring for a pt with bulimia nervosa. Which factors should the nurse discuss when educating the pt about the eating disorder
meal planning, effects of purging, relaxation techniques, eating forbidden foods
which treatment group would a novice psychiatric nurse likely be assigned to lead?
medication education
a nurse administers medications to 4 patients with Alzheimer's disease. Which medication would be expected to interfere with glutamate rather than cholinesterase?
memantine
a nurse administers these medications to various patients diagnosed with Alzheimer's disease. Which medication would be expected to stabilize levels of glutamate rather than inhibiting breakdown of cholinesterase
memantine
the nurse assesses a patient who abuses various substances and discovers significant dental problems. The nurse expects that this patient abuses which substance?
meth
which medication would the nurse most likely include when educating the parents of a child diagnosed with attention-deficit/hyperactivity disorder
methylphenidate
the nurse is preparing a diet chart for a patient and has to incorporate orthomolecular therapy in the diet plan...
minerals, vitamins, amino acids
the chart thingie
moderate to severe pain
Which intervention by the nurse is associated specifically with care provided for a patient diagnosed with paranoid disorder
monitoring the patient for behaviors associated with psychosis, explaining why the scheduler therapy session will be delayed 30 minutes, giving the patient a copy of the daily routine the patients are expected to follow
when providing care for a patient diagnosed with borderline personality disorder, the nurse will need to consider strategies for dealing with the patient's
mood shifts, impulsivity, and splitting
medicare is the federal's gov's nat. program that provides insurance for older adults. What is the most accurate description of how this fee-for-service system works?
more medical services result in more reimbursement for healthcare providers
which statement is not true regarding elderly individuals
most adults past the age of 75 years have some form of cognitive disorder
When a toddler's mother is hospitalized for several months, the nursing diagnosis risk for impaired parent/child attachment is related to prolonged separation, which has been included in the child's plan of care. The most appropriate outcome would be that:
mother and child show signs of health bonding
the patient, the eldest son in a family whose father was an alcoholic and the mother was an enabler, drinks heavily and has married a woman who never complains about his drinking. what does the scenario suggest?
multigenerational issue
a patient presents to the clinic stating "I don't feel good, I think I drank too much coffee and my heart feels like it is pounding" What further physical assessment findings does the nurse anticipate?
muscle twitching
a patient reports being unable to move just before falling asleep...visual hallucinations... alterations in hypocretin levels...
narcolepsy
an older patient who is in terminal stages of liver cancer requests the nurse's assistance in writing an advance directive. What is the most appropriate response by the nurse?
no. I cannot assist you in writing an advance directive
the nurse is teaching a group of nursing students about the causes of insomnia. Which statement by the nurse is appropriate in terms of multiple awakenings in individuals with insomnia?
norepinephrine is a neurotransmitter responsible for wakefulness
which assessment finding can the nurse anticipate for a pt diagnosed with binge-eating disorder?
normal weight
the nurse is caring for a patient with antisocial behavior. the patient is aggressive, exploits the group members during any group activities, and lacks sympathy toward others. what appropriate action should the nurse take while caring for the patient?
note signs of aggression in the patient
how could being part of a family where there is alcoholism and codependency affect nurses in their profession
nurses with codependency may see themselves as providers of care, excluding their own needs.
which statement demonstrates a facility's commitment to health policy that supports...
nursing staff present sleep hygiene info to incoming freshman, assessment interviews of all facility units include questions related to possible sleep disorders, the number of patients being treated successfully for sleep disorders has increased 10%
which physiologic responses are associated with severe long-term stress?
obesity, atherosclerosis, protein breakdown
a patient has been using cocaine intranasally for 4 years. When brought to the hospital in an unconscious state, nursing measures should include
observation of cardiac dysfunction
what is the best nursing intervention to help orient a patient experiencing confusion associated with a neurocognitive disorder?
offer consistent daily routine and easy-to-read clocks
a 69 year old patient with a recent history of breast cancer is undergoing a workup for memory loss. The patient asks Why am I having these problems now? I thought life would get easier as I got older. The nurse's response is guided by what knowledge.
older adults experience more medical and psychiatric illnesses
an older adult pt has been admitted to a long-term care facility. The pt reports not being able to sleep at all. What reassurance can the nurse provide?
older adults often don't sleep as much
in recent years, which chemical has been proved in clinical studies to be helpful in mood disorders?
omega 3 fatty acids
a patient with ADHD is prescribed methylpenidate transdermal patch. HOw often should the nurse change the patch?
once a day
which suicide intervention has the greatest impact on a patient's safety?
one-on-one observation by the staff
the nurse is assessing a patient brought to the emergency room with tachy, hypertension, hyperthermia. On examination, the nurse finds the pupils dilated and reflexes are heightened- what does the nurse suspect this condition to be?
opioid withdrawal
irritable and vindictive
oppositional disorder
at what phase of group development would the nurse hear the following interchange? I do not feel comfortable here. I wonder what we are supposed to talk about again. Lets ask the leader to explain things again.
orientation
an elderly patient is moderately cognitively impaired and terminally ill with breast cancer. When asked if she is in pain, she usually denies it by shaking her head, but the nurse notes she lies rigidly in bed and grimaces when she turns from side to side. In an attempt to obtain a more accurate assessment, the nurses might choose to use which of the following?
pain assessment in advanced dementia (PAINAD) scale
a nurse prepares to assess pain in an 82 year old diagnosed with alzheimer disease and metastatic lymphoma. This patient cannot communicate verbally. Which technique is the most appropriate way to assess pain in this situation?
pain assessment in advanced dementia )PAINAD) scale
A nurse observes that a patient with osteoarthritis behaves rudely to the staff and refuses to take treatment. On inquiry, the nurse learns that the patient thinks that all staff members are planning to harm and deceive him or her. What is the patient likely to be suffering from?
paranoid personality disorder
what personality disorder is more common among men
paranoid personality disorder
screening for which type of personality disorder should be focused on the male population?
paranoid, antisocial, schizotypal
which types of euthanasia exist
passive, voluntary, involuntary
an individual diagnosed with dementia has shown symptoms of agnosia. Which nursing documentation confirms the presence of this symptom?
patient consistently insists that every male he or she has contact with is his or her son
a 19 yo college sophomore who has been using cocaine and alcohol heavily or 5 months is admitted for observation after admitting to SI with a plan to the college counselor. What would be a priority outcome for this patient's treatment plan while in the hospital?
patient will be medically stabilized while in the hospital
a patient with dissociative identity disorder is hospitalized for the fourth time after overdosing. the patient does not remember overdosing. what is the best initial nursing outcome for this situation?
patient will inform staff when feeling the urge to harm self.
once finding out that a patient is using a particular type of integrative care for chronic arthritis, the nurse searches on the internet...
patients are using integrative care along with conventional treatment options
which patients have moderate to severe pain according to the pain assessment in advanced dementia (PAINAD) scale
patients with a score of 5
what statement about histrionic personality disorder is most appropriate
people who are egocentric by birth are predisposed to the disorder
The difference in how various individuals rate their stress may be explained by which concept?
perception
mason and charlie were in a car accident, why do they grieve differently
perception of the event
the use of dissociation most closely resembles...
performing mundane tasks on autopilot.
during which crisis phase does a patient exhibit serious personality disorganization, depression, and confusion>
phase 4
when evaluating members of a therapeutic group, what statement by a member does the nurse identify as being consistent with monopolizing behavior?
please keep quiet and listen to what I am saying
a patient is admitted to the hospital for hypoglycemia. While speaking to the patient's family members, the nurse finds that the cause for hypoglycemia was not adhering to the medication regimen. Which is the most appropriate question to assess the reason for noncompliance in the patient?
please tell me about your drug regimen
which diagnostic test is performed to evaluate a nocturnal seizure disorder
polysomnography
what causes the death rattle that may accompany the dying process
pooling of saliva in the upper airway
a patient has been prescribed an antiparkinson drug to treat the side effects caused by antipsychotic drugs- what is this phenomenon called?
prescribing cascades
what are the features of antisocial personality disorder?
prevalence is higher among african-american men
a patient informs the nurse that he is using supplementation therapy to treat chronic sinusitis symptoms...
procure good assessment data, inform primary healthcare provider that the patient is on supplementation therapy, educate the patient and provide correct information
which statement is not true regarding self-help support groups?
professional leadership is inappropriately expensive for treatment of minor problems
a nurse is caring for a patient diagnosed with tension headaches. Which technique does the nurse teach the patient to relieve tension headaches
progressive muscle relaxation
a nurse is caring for a child who needs treatment for mental trauma. Place the stages of the staged treatment protocol in the correct order
provide a safe predictive environment, reduce arousals, nurture self-awareness, teach coping skills
the nurse is assessing a patient with anxiety who is a victim of intimate partner abuse, which nursing intervention will help in reducing the anxiety levels of the patient?
provide knowledge of problem-solving techniques
the group coals are to learn to express feelings comfortably rather than keep them covert. When a group member shares with the group how expressing these feelings make him or her feel, the patient is engaging in which of the following?
providing feedback
the pink chart
providing regular in-services focused on assessing of both the risks and signs of delirium
a nurse is learning how to manage patients with substance abuse disorders. Which step should the nurse apply as a first-line intervention in such cases?
providing safety and sleep
what is the physician's role in physician-assisted suicide?
providing the patient with the means to end his or her own life
disengagement relates to which theory of aging?
psychosocial
which benzo drug should the nurse expect to be prescribed for treating insomnia
quazepam
meditation is successful in promoting stress reduction because it
quiets the sympathetic nervous system
the nurse explains to a patient with a borderline personality disorder that the patient's former psychiatrist psychiatrist resigned and a new psychiatrist has been hired. Which patient reaction is most likely?
rage
a non habit forming melatonin receptor agonist often prescribed for insomnia is
ramelteon
which medication is a melatonin receptor agonist?
ramelteon
a patients spouse reports to eh nurse that the patient shouts and at times hits the spouse during sleep. ...
rapid eye movement sleep behavior disorder
a mental health nurse care plans for 4 patients. These patients are diagnosed with reactive attachment disorder, disinhibited social engagement disorder, adjustment disorder. and acute stress disorder. The nurse will plan interventions designed to assist these patients to cope with:
reactions to trauma
a nurse observes that a child is withdrawn from her parents and does not interact with them much. On inquiry, the nurse finds that the child has been a victim of domestic violence and does not interact with anybody. Which clinical condition is the child likely to have?
reactive attachment disorder
the treatment team meets to discuss the plan of care for a patient diagnosed with addiction to heroin. Which factor will have priority when planning interventions?
readiness to change
high quality social support relationships have attributes that include
reciprocal closeness
which task is most likely to give terminally ill patients a sense of meaning about life in general
recognition of a transcendent realm
when caring for a child with PTSD, which intervention should the nurse include in the patient plan of care?
reduce stimulation of traumatic memories
when child can't sleep
reduce the dose of methylphenidate
the nurse is assessing a child in the pediatric facility. While answering the nurse;s questions, the child provides informatino wiht no context to the nurse's questions. What is the best nursing action
refer the child to an audiologist
the nurse is conducting group therapy for patients with severe mental illness. The nurse learns that a patient is nervous and says I noticed that you're biting your fingernails. What are you feeling right now? Which communication technique did the nurse implement?
reflection
a nurse is assessing a child who has witnessed violence at home. what should the nurse document when completing an admission genogram of the child?
relationships, family history, family composition
the nurse is assessing a patient for a possible personality disorder. What behavior does the nurse identifying as feature of paranoid personality disorder?
reluctance to answer questions
a nurse manager instructed the nurse to conduct crisis intervention for a patient who is depressed to the death of a partner. The nurse manager gives instructions to the nurse for conducting effective crisis intervention. Which statement made by the nurse manager is appropriate.
remember that crisis counseling is the relationship between the nurse and the patient
the nurse is writing the nursing care plan for an elderly patient with memory impairment. Which intervention is a cognitive stimulation activity that engages seniors in socialization and rapport building?
reminiscence
the nurse is caring for an elderly dementia patient being treated with memantine. What does the nurse need to keep in mind when caring for this patient?
renal impairment reduces the drug clearance
a patient's family tells the nurse that the patient has middle stage alzheimer disease. What symptoms would the nurse expect?
repetitive hand movements, lack of bowel or bladder continence
which type of facility would best support the needs of an impaired patient who is need of long-term help related to hallucinogen abuse
residential rehab center
which factor can help explain who one child in a family might develop a mental disorder while another does not?
resilience
a child who is able to regain mental stability after a traumatic event is said to be:
resilient
a nurse is learning about the sexual response cycle. which phase does the nurse identify as the last phase in this cycle
resolution
a newly admitted patient has an axis II diagnosis of schizoid personality disorder, the nursing intervention of highest priority will be to
respect need for social isolation
in which phase of a disaster management program does the healthcare professional implement the actual disaster plan?
response
in a persistent vegetative state, what part of the brain remains functional, making wakefulness possible?
reticular activating system
a nursing diagnosis that should be considered for a child with ADHD is
risk for injury
what is the most appropriate nursing diagnosis for a patient who exhibits impulsiveness and experiences a loss of relationships and occupation due to a focus on alcohol use?
risk for suicide
the nurses is assessing a child with a tic disorder. The child repeatedly bites his or her own forearm. What is the nursing diagnosis for this patient?
risk for trauma
which medical complication is associated with the diagnosis of bulimia nervosa
russel's sign, hypochloremia, parotid gland enlargement
when caring for a patient who is intoxicated from alcohol, which need has the highest priority?
safety and security
a patient is withdrawn and suspicious and states he or she has always preferred to be alone. The patient describes him or herself as having special powers and states I believe we can all read each others thoughts at times. Based on this presentation, the nurse suspects which personality disorder?
schizotypal (STPD)
a patient experiences extreme anxiety in social situations and seems to have some intellectual and perceptual distortions but can be made aware of the misinterpretations of reality. what is the patient likely to be suffering from?
schizotypal personality disorder
during an interview, the nurse asks a patient with borderline personality disorder about childhood experiences. what findings about the patient's childhood may relate to the patient's borderline personality disorder?
seeking emotional support from their mother at the age of 18 to 24 months
Which behavior is demonstrated by a patient who engages in splitting?
sees things as divided into all good or all bad
the nurse gives instructions to family members who provide care for an 86 year old patient diagnosed with moderate stage of Alzheimer's disease. Which interventions are important and beneficial to teach the family?
select clothing with easy fasteners to facilitate dressing, encourage the family to use support resources such as adult day care or respite care, when the patient becomes upset, listen briefly, provide support, and then change the topic
the nurse is teaching about different theories of aging. What does aging involve according to Maslow
self actualization occurs as an individual ages
a clinical nurse specialist is talking to a female patient with arousal disorder. The nurse advises the patient to progress from touching to more intimate behaviors. What treatment is the nurse using for the patient?
sensate focus
the nurse is caring for a patient who recently escaped a relationship marked by repeated domestic violence. The nurse observes that the patient is unable to make decisions and is dependent on the nurse. What appropriate action should the nurse take?
set realistic goals for the patient
pt with body mass of 15 kg/m^2 =
severe
which statement is true regarding a transvestic disorder?
sexual orientation has no bearing on transvestic disorder
what is the purpose of a family triangle
short term relief from tension within the relationship of two people
a child lives with an adult who is not related. What type of family is this?
single-parent family
which type of crisis arises from events that are extraordinary, external rather than internal, and often unanticipated
situational
which term describes the distribution of sleep and wakefulness across the sleep period in a patient?
sleep continuity
a patient is being evaluated for possible mental illness. Upon assessment, the nurse asks about the patient's sleep patterns. Why is the nurse asking this question?
sleep deprivation can mimic psychiatric disorders
normal sleep cycle
sleep latency, slow wave sleep, REM
the nurse is learning about treatment measures for different sleep disorders. Which appropriate treatment measure is needed for REM sleep behavior disorder?
sleep partner safety
the nurse performs an assessment on a 12 yo child. Which finding does the nurse identify as a risk factor for conduct disorder?
slower resting heart rate
which communication disorder is the latest to be identified and accepted
social communication disorder
sleep is required for optimal health in which areas
social functioning, reduction of accident and injury
what technology can help people make sense of death and maintain a relationship with the deceased?
social media
which assessment tool does the nurse use while assessing a patient with dissociative identity disorder?
somatoform questionnaire
which neurodevelopmental disorder is characterized by difficulty in written expressions?
specific learning disorder
which stage of the sleep cycle is characterized by a decrease in temp and relaxation of muscles?
stage 1
in which stages of the treatment for PTSD does the patient have reduced signs and symptoms of anxiety and start interacting with others?
stage 2
the nurse assessing a patient who attempted suicide once. Which method used by the patient in the previous suicide attempt would put the patient at higher risk?
staging a car crash
a pt is seeking treatment for suspected narcolepsy...
stimulants
the nurse is learning about commonly abused substances and their effects. Which type of drug does the nurse understand to cause increased mental alertness?
stimulants
while caring for a patient with emotional trauma, which nursing interventions must be employed during the first stage of the treatment plan?
stopping self-destructive behavior of the patient
which statement concerning developmental assessment of a 5 yo child is true?
sttress-related behaviors that are identified may be managed by nurse. the Denver 2 DEvelopmental Screening tool is appropriate for her age group, a concern is wehther the child is functioning at his or her current chronological age
which students are at risk for substance abuse later in life
students who are shy, aggressive, rebellious
when several group members always sit together and nod or smirk as others are talking, the leader assess this behavior as which of the following?
subgrouping
a pt with anorexia nervosa presents with severe dehydration and rapid weight loss in the last week. Appropriate action?
suggest hospital admission
on the way home from work, a nurse comes upon a severe automobile accident. The driver emerges from the care without apparent injuries but is unable to recall the spouse's phone number...
the driver is experiencing disequilibrium
the nurse is assessing a single parent family consisting of a parent and an adolescent. The parent recently lost a job and the adolescent is in high school. The adolescent tells the nurse that he wants to help the parent. Which nursing intervention would be helpful in preventing the family from having diffuse boundaries?
suggest resources that help the parent to get a job
what is the ethical obligation of the nurse who sees a peer divert a narcotic, compared with the ethical obligation when the nurse observes a peer who is under the influence of alcohol?
supervisory staff should be informed as soon as possible in both cases
a patient informs the nurse of intent to start an over-the-counter dietary supplement. What warning should the nurse give to the patient about dietary supplements?
supplements are sold without safety research being done on them
when a patient is encouraged to talk with others who have had similar problems, the nurse is suggesting which of the following
support group
which intervention would be removed from the plan of care for a pt diagnosed with bulimia nervosa
support importance of avoiding forbidden foods
the nurse is planning educational material for parents of children with a history of opioid abuse will emphasize which signs when discussing opioid withdrawal
sweating, runny nose, sleeplessness, enlarged pupils
a nurse is teaching the relaxation responses technique to a patient suffering from migraine headaches. How does this technique help in reducing the stress response.
switches the sympathetic mode to the parasympathetic
which areas of the brain undergo dramatic changes in childhood and adolescence?
synapses, cerebellum, prefrontal cortex
a pt begins a new prescription for eszopiclone. Which instructions should the nurse provide about taking this medication?
take this medication bust before you get ready for bed. even though you take this medication, you should still practice good sleep habits. lets discuss some safety precautions you should use until you know how this med affects you.
A community mental health nurse works with an adult patient diagnosed with borderline personality disorder. The patient says to the nurse, "I'm under so much stress, I feel like cutting my throat" What should you do.
talk about feelings of stress with patient
a women whose friend recently committed suicide asks the nurse to identify some ways she could cope with her stress regarding the event. Which option would be appropriate to discuss?
talking with friends and attending a loss support group
a hospital committee is formed to determine the aftercare needed for psychiatric patients upon discharge. What type of group is this?
task group
the nurse is working with a family with numerous interpersonal conflicts. While speaking to a family members, the nurse finds that the patient is unable to understand the nurse's instructions. What should the first intervention that the nurse should take toward the patient?
teach stress relieving techniques to the patient
a person diagnosed with anxiety is enrolled in a stress management group. What activity should the person expect in such a group?
teaching spirituality as a relaxation technique
which drug prescribed for patients with insomnia is a habit-forming drug
temazepam
the phase in which group therapy deals with feelings associated with separation and loss is called what?
termination
the nurse is counseling a patient at a crisis center. After assessing the patient's situation, the nurse identifies that the patient is suffering from adventitious crisis. Which patient response supports the nurse's findings
terrorists brutally killed all the passengers, I somehow managed to escape
after a disaster, a nurse leads a discussion designed to assist rescuers to talk about their feelings and reactions as well as to support their coping skills. What level of crisis intervention is represented by this action?
tertiary
an advanced practice nurse assesses an adult man who sexually molested a 9 year old girl. Which statement by this patient demonstrates a cognition disorder regarding the event? The patient says,
that girl looked 18 or 19 yo
the nurse evaluating a group of nursing students after teaching about pain perception in older adults. Which statement by the students indicates the need for further teaching.
the ability to perceive decreases in older adults
which statement best defines basal sleep requirement?
the amount of sleep needed to be fully awake and perform well in the daytime
10 yo with a learning disability - what would the nurse notice
the child was unable too read a storybook, the child was unable to write properly on paper, the child was unable to perform basic calculations
a nurse is caring for a shild with separation anxiety. The child does not interact with anybody and stays in one corner of the room. The nruse decides to give bibliotherapy to this child what is the primary aim of the nurse to give this intervention
the child will be able to gain insight into feelins
a nurse is performing an assessment of a child diagnosed with disinhibited social engagement disorder. which behavior should the nurse expect to find in the child?
the child willingly goes with a stranger.
during a group therapy session, the nurse teaches deep breathing exercises to patients with anxiety. In the next session the nurse instructs one of the patients to demonstrates a deep breathing exercise to other members of the group. Which action performed by the patient indicates effective teaching by the nurse
the patient exhaled slowly through the mouth
an elderly patient who had been healthy and living independently was hospitalized with HF. The patient was treated with diuretics and antihypertensive meds. On the 3rd hospital day, the patient became irritable and said "little yellow bugs are crawling across my sheets. What is the best analysis of this scenario
the patient experiencing illusions secondary to delirium
the nurse is performing an assessment of a patient with severe depression. The nurse learns that the patient's spouse passed away a week ago. What does the nurse document in the patient's case report?
the patient has adjustment disorder
a nurse taking care of an adolescent patient with appendicitis identifies that the patient is unable to eat and take a bath. What appropriate nursing diagnosis can the nurse make about the patient's neurodevelopmental status?
the patient has delayed growth and development
a nurse is evaluating the effects of treatment for a patient with dissociative identity disorder. Which factor would indicate success of treatment?
the patient has integrated past events
which evaluation data support that the patient diagnosed with schizophrenia has benefited from his or her family's involvement in psychoeducational programming?
the patient has not relapsed in three years
a nurse is caring for an adult patient who has trauma-related disorder. The patient reports to the nurse that he has started using relaxation techniques and is sleeping better. How should the nurse interpret this behavior?
the patient is able to manage anxiety
a pt diagnosed with hypersomnolence asks the nurse what medication likely will be prescribed. The nurse's response is based on what fact?
the patient may be prescribed a stimulant
A patient diagnosed with antisocial personality disorder with impaired social interaction and defensive coping receives psychotherapy treatment. Which responses of the patient indicates to the nurse the treatment has been effective.
the patient plays a leading role in a group activity assigned by the nurse
which is an example of the exhaustion stage of general adaptation syndrome (GAS)
the patient reports being unable to eat or sleep and wants to remain isolated
how does the patient with bulimia differ from the patient with anorexia nervosa?
the patient with bulimia maintains a normal weight
the nurse teaches short progressive muscle relaxation to patients with antisocial personality disorder. The nurse reports to the primary health care provider that some of the patients are effectively participating in the therapy. Based on which actions did the nurse give the report?
the patients close the mouth by tightly holding the lips in the session
which statement is true regarding the impact of a silent member of a therapy group
the person's opinions and feelings are not expressed. The group does not benefit from the person's feedback. The silence contributes to a sense of mistrust among members.
which fact concerning meditation would a nurse include in a discussion with patient experiencing moderate anxiety and stress
the practice quiets the sympathetic nervous system, meditation can be practiced anyplace and at anytime, the strategy helps a person to create personal calmness, a visual object, a sound, or even one's own breathing can be the focus
a patient has been enrolled in group psychotherapy. What feature about the group is appropriate?
the purpose of group psychotherapy is to treat those with psychiatric disorders
a patient diagnosed with acute distress disorder participates in a series of outpatient therapy sessions. The goal of therapy is to assist the patient with problem solving and self-management. Place these comments by the nurse in the correct sequence for this intervention.
the purpose of our discussion today is to understand stressful events, lets make a list of the biggest problems in your life right now, lets use problem-solving technique to decide on some possible solutions to one issue
a nurse plans to give psychoeducational family therapy to the parents of a child with autism... what should the nurse teach the parents as a part of psychoeducational family therapy?
the signs, symptoms, and pathophysiology associated with autism
a man was killed during a robbery 10 days ago. His widow, who has a long history of mental illness, cries spontaneously when talking to the nurse about her loss. what is the nurse's most therapeutic response?
the sudden death of your husband is hard to accept. i am glad you are able to tell me about how you are feeling..
when discussing the symptoms of PTSD, the nurse correctly states:
the symptoms can occur almost immediately or can take years to manifest
a nurse leads a community meeting on an inpatient unit. What is the nurse's goal for this meeting?
therapeutic milieu
the nurse meets with the parents of a child who has ODD. The parents ask about pharmacological treatment options to treat the child's disorder. What is the best response by the nurse?
there are currently no drugs approved to treat ODD, but certain medications can help control anger and aggression
which statement is true regarding medicare part D assistance with medication costs of the older adult
there is a 275$ initial deductible before Medicare-part D assumes any responsibility for the expense of medication prescriptions
which statement is true about characteristics of the oppositional defiant child
these behaviors are a predictor of future mental health disorders
Which statement concerning syndromes seen in other cultures, such as piblokto, Navajo frenzy witchcraft, and amok is true?
they are culture-bound syndromes that are not dissociative disorders
when conducting group therapy for patients in the working phase, the nurse observes some progress in the group interaction. What observations by the nurse indicates that the group can now share what they have learned?
they show confidence and start supporting each other
which statement about structural dissociation of the personality is true?
this disorder results in split personality, causing lack of integration
under what condition can the nurse seek a prescription to restrain an elderly resident of a healthcare facility?
to ensure the physical safety of the resident or other residents
the nurse is working with a support team for managing patients with substance abuse disorders. Why would the nurse consider providing encouragement for self-care as an important step?
to improve self esteem
a patient is diagnosed with mouth cancer, which substance abuse should the nurse inquire about with the patient?
tobacco
the nurse is assessing a patient who has been smoking cigarettes for 5 years and has slowly increased the number of cigarettes consumed per day. What does the nurse recognize this condition as?
tolerance
what is occurring in the patient with a substance abuse disorder who no longer responds to the effect of the substance?
tolerance
a patient diagnosed with depression has reported fatigue and poor concentration. When the patient is told that the results of the sleep study show that he or she has excessive REM sleep cycles, the patient asks the nurse to explain those results...
too much REM sleep deprives you of deep restoring sleep
which task is most likely to give terminally ill patients a sense of completion with worldly affairs?
transfer of fiscal, legal, and formal social responsibilities
the nurse is teaching a patient with dissociative disorder about risk factors. Which statement made by the patient indicates teaching was effective?
traumatic events are the most basic cause of dissociative disorder
a child reared in a minority culture is at greatest risk for...
traumatic experiences in early childhood
a female patient confides that she and her husband have not been getting along well. She states that their daughter provides much support to her, and that the daughter doesn't really like her dad much anymore and doesn't talk to him. What describes this family dynamic?
triangulation
the female patient disagrees that her husband should seek a promotion because it will require the family to move. After she discusses the situation with their 12 yo daughter, the child tells her father that she doesn't want to move. The patient has engaged in which of the following?
triangulation
a patient diagnosed with PTSD shows little symptom improvement after being prescribed an SSRI. The nurse expects that the next medication to be prescribed will be a
tricyclic antidepressant
a patient with dissociative disorder is prescribed paroxetine for treating anxiety. the nurse reports to the primary health care provider that the patient is unable to tolerate paroxetine. which class of medications does the nurse anticipate in the new prescription to treat the patient's anxiety?
tricyclic antidepressants
what conditions would be the long-term effects of hypothalamus-pituitary-adrenal cortex (HYPAC)
ulcers, diabetes, atherosclerosis
sharing similar experiences is a curative factor identified by yalom as which of the following?
universality
a nurse explains the methods of improving self care in the patient with dementia to one of the patient's family members. What action from the family member best indicates an effective grasp of the teaching and the ability to help the patient be more self-sufficient?
use name tags on the patient's clothes for easy recognition
when identifying coping strategies for a patient who is experiencing stress, the nurse will include which intervention regarding deep breathing
use of abdominal breathing, inhale slowly thru the nose, exhale slowly thru the mouth, repeat exercise for 2-5 minutes
herbal teas are used for their sedative-hypnotic effects. which common ingredient in herbal tea is also widely used to treat insomnia
valerian
what medication order does the nurse anticipate for a patient diagnosed with antisocial personality disorder displaying aggressive behavior?
valproic acid
which statement best describes the functional role of self-confessor?
verbalizes feelings or observation beyond the group topic
when parents share that their 8 yo child seems to 'always try to be annoying and hateful' the nurse suspects the child is
vindictive
which item of data routinely gathered during assessment of a patient with dissociative disorder would be of least relevance to planning?
voluntary control of symptoms
which person is most vulnerable to the harmful effects stress? An adult who
was repeatedly raped as a child
a major hurricane destroyed a community. Afterward, which comment best predicts that a victim will be able to maintain or promptly return to a state of equilibrium
we had big storms before. If we pull together, we can help each other and rebuild our community
the nurse manager meets with an unlicensed assistive personnel in a skilled care facility. Which comment by an UAP indicates an accurate perception of aging?
we should involve our residents in planning activities to celebrate holidays and other special occasions
what is the focus for the acute phase of treatment for anorexia nervosa?
weight restoration
a strategy the group leader may use to encourage a nonparticipating member to speak during a session is to share which of the following with the patient?
what you are thinking is very important to the group.
the nurse is preparing to manage the care of a patient diagnosed with a borderline personality disorder. the nurse demonstrates an understanding of therapeutic interventions that focus on the characteristics of such disorders when making which statement to the patient?
when you want my attention, please explain that to me rather than resorting to manipulative behavior
what term is used to identify a syndrome that occurs after stopping the long-term use of a drug?
withdrawal
which reflexes may remain in patients with brain death?
withdrawal, deep tendon, plantar flexion
when does the nurse ideally conduct the initial debriefing for a patient who is admitted for severe injuries due to an accident?
within two days of the accident
a patient is administered naloxone for an opioid overdose. What withdrawal symptoms does the nurse anticipate?
yawning, rhinorrhea, lacrimation, piloerection
a nurse conducts an initial interview with a veteran of 2 tours in the war with Afghanistan. The veteran, sometimes I still hear explosions but I know I am safe in my home" what is the nurse's best response
you are describing flashbacks, these often happen after traumatic events such as war. I'd like to arrange for you to talk more about your feelings and reactions
a woman anticipating her wedding ceremony in a week comes to the urgent care clinic with a headache...
you are having difficulty coping with your upcoming wedding
the nurse is caring for a women with chronic alcohol intoxication. The women is prescribed disulfiram to treat the condition. Which information given by the nurse is appropriate about disulfiram?
you may experience adverse effects if you consume alcohol
an older adult patient is in the terminal stages of liver cancer and is treated with morphine for pain relief. The patient has been taking sodium valproate for seizures for the past 30 years. The patient is not happy about taking morphine and wants to use meperidine, suggested by a friend, for pain relief. What does the nurse inform this patient>
you should avoid taking meperidine