test 7 prep u

A client is diagnosed with posttraumatic stress disorder (PTSD). What questions should the nurse ask the client to elicit information about the symptoms? Select all that apply.

"Do you have recurrent and intrusive thoughts of the trauma?" "Do you feel detached from others?"

A client has entered treatment for alcohol dependency at the client's spouse's insistence. The client's spouse has threatened to leave the marriage unless the client seeks treatment. The client admits that the client drinks every day, but that the drinking is well in control. The nurse recognizes the client's comments as denial. What is the best response by the nurse?

"What negative consequences have resulted from your drinking?"

A nurse is preparing to gather a health history of a client. Which questions can elicit disclosure if a client has been abused? Select all that apply.

"When there are arguments at home, have you ever been hurt or afraid?" "It looks like someone has hurt you. Tell me about it." "Some other women I have cared for have described problems like yours. If this is happening to you, can we talk about it."

The nurse is providing support to a client's child regarding the parent's alcohol use disorder. When integrating the disease concept treatment approach about this type of disorder, which statement by the nurse would be most effective?

"Your parent's alcohol use problem is a chronic disease but can be treated."

The nurse is assessing an older client with late onset of obsessive-compulsive disorder (OCD). What assessment does the nurse perform for this client? Select all that apply.

Assess for degenerative disorders Obtain history of recent infections. Assess for possible brain injury.

What is the difference between traditional and atypical antipsychotics?

Atypical antipsychotics work on dopamine-receptor and serotonin-receptor blockade, whereas traditional antipsychotics work on dopamine-receptor blockade.

While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?

CIWA-Ar

What interventions does the nurse perform when caring for a client with obsessive-compulsive disorder (OCD)? Select all that apply.

Encourage the client to perform activities of daily living within a fixed time. Teach the client social skills such as appropriate conversation topics. Teach the client to avoid trigger situations.

Which are effects of alcohol withdrawal syndrome? Select all that apply.

Hand tremors Increased pulse Delirium tremens

Suspicion that a nursing professional is impaired by a substance abuse problem is most supported by which situation?

Having several clients complain that their pain medication is not working

A nurse is assessing a client with anxiety. Which signs and symptoms would the nurse attribute to sympathetic nervous stimulation? Select all that apply.

Heart racing hypertension

Excess tyramine caused by monoamine oxidase inhibitors (MAOIs) can result in what?

Hypertensive crisis

A frightened young woman calls the emergency department and tearfully tells the nurse, "I've been raped! Please help me!" Before telling the client what to do, the nurse would need to know if

If the client was injured, was in a safe place, and had transportation available

A client with a diagnosis of schizophrenia lacks insight into the illness. The client presents with significantly declined function and is consistently nonadherent with medications. Which medication administration route is best suited for optimal treatment of this client's condition?

Intramuscularly

Which statements identify positive aspects of methadone as a substitute for heroin? Select all that apply.

It is a legal medication. it is controlled it is available in tablet form

A client states that the client copes with anxiety by cleaning compulsively, which irritates the client's spouse. What does the nurse consider this?

Maladaptive, because it is an avoidance response

A client is experiencing severe alcohol withdrawal. Which would the nurse most likely assess? Select all that apply.

Marked diaphoresis Gross uncontrollable tremors

A group of nursing students is reviewing information about intimate partner violence (IPV). The group demonstrates understanding of this topic when they identify which of the following?

Men may consider it is a right of a patriarchal society.

The mental health nurse is gathering a health history on a new client. The client is constantly pacing the floor and is concerned only with stating that the client is about to die. The nurse would classify this level of anxiety as what?

Moderate

The nurse is caring for a client who performs ritualistic hand washing and cleaning for about 30 minutes several times a day. What does the nurse tell the client's partner about caring for this client?

Monitor own health and anxiety levels.

Dietary modifications are most likely necessary when a client is being treated with which antidepressant?

Monoamine oxidase inhibitors (MAOIs)

What does the nurse teach the client with obsessive-compulsive disorder about reducing anxiety? Select all that apply.

Reduce time spent on rituals. Breathe deeply when anxiety increases. Practice guided imagery. Perform progressive muscle relaxation.

A nurse is developing a plan of care for a client diagnosed with panic disorder that will include pharmacologic therapy. Which would the nurse most likely expect to administer?

SSRIs SSRIs are recommended as the first drug option for treatment. Benzodiazepines (antianxiety agents) are used only for short periods of time. MAOIs are reserved for clients who do not respond to SSRIs or serotonin-norepinephrine reuptake inhibitors. The use of TCAs is declining.

A client is experiencing moderate anxiety. Which manifestation would the nurse most likely observe? Select all that apply.

The client can sustain attention on a particular focus. The client verbally states, "For some reason, I am feeling anxious now."

A nurse observes that a client who has posttraumatic stress disorder (PTSD) is startled even by small noises. What is this behavior indicative of?

The client is hypervigilant.

The nurse is assessing a client who has been unable to speak after witnessing a murder. The assessment and subsequent testing reveal no physical abnormality that may cause speech impairment. What is the most likely cause of this speech impairment in the client?

The client may be attempting to block the witnessed event to reduce anxiety.

The nurse is caring for a client with obsessive-compulsive disorder (OCD). What does the nurse tell the client's family about the disorder?

The client may need to try different medications until a satisfactory response is obtained.

In speaking with a client with moderate anxiety, the client becomes tangential discussing unrelated topics. To help the client's attention from wandering, which is an effective intervention?

The nurse should speak in short and simple sentences.

The nurse is teaching shoulder exercises to a client recovering from a mastectomy. The nurse might view the client's mild anxiety during the session positively, because mild anxiety helps what? Select all that apply.

To focus attention to learn To feel and think To motivate to make a change To engage in goal directed activity

Which statement about clients with a dual diagnosis is accurate?

Traditional methods of treatment have not been very successful for these clients.

An appropriate goal for a client newly admitted to the unit for alcohol withdrawal is what?

Verbalize feeling safe and comfortable.

A client with a specific phobia of spiders is seeing a therapist for the first session of treatment. The therapist hands the client a clear container with a large house spider inside. This activity is repeated continuously until the client's fear subsides. Which strategy is being used to treat the client's specific phobia?

flooding

A nurse determines that a client who is experiencing anxiety is demonstrating relief survival behaviors. The nurse determines that the client is experiencing which degree of anxiety based on this presentation?

severe

A client is being seen in the mental health clinic. The client has been on haloperidol for 8 months and is now exhibiting tongue protrusion, lip smacking, and rapid eye blinking. A nurse would document this chronic syndrome as:

tardive dyskinesia.