EAQ: Mental Health Foundations-Intermediate

Which task should be achieved by 20 years of age, according to Erikson's developmental psychosocial theory?

Having a coherent sense of self and plans for self-actualization

Which nurse characteristic is most essential when caring for a client receiving mental health care?

Empathy

A client sits huddles in a chair and leaves it only to assume the fetal position in a corner. Which type of behavior does the nurse identify?

Regressive

Which alcoholism-associated disorder causes damage to the client's temporal lobes of the brain?

Wernicke encephalopathy

A depressed client is prescribed a tricyclic antidepressant. Which length of time will the nurse tell the client it will take before a change in depression is noticed?

2 to 4 weeks

A sudden terrorist act causes the deaths of thousands of adults and children, negatively affecting families, friends, communities, and the nation. Which category describes this type of crisis?

Adventitious

Which side effect would the nurse suspect if a client prescribed haloperidol for 2 weeks reports, "I just can't sit still, and I feel jittery"?

Akathisia

The nurse is working with a group of clients in a mental health facility. Which condition will lead the nurse to assess for suicide risk? (Select all that apply.) Anxiety Alcohol abuse Schizophrenia Bipolar disorder Attention deficit disorder

Alcohol abuse Schizophrenia Bipolar disorder

Which basic principle represents Alcoholics Anonymous (AA)?

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

Which intellectual factor would the nurse find appropriate as a dimension for gathering data for a client's health history?

Attention span

Which information should be taken into consideration by the nurse when caring for adolescent clients who attempt suide?

Boys are more likely to use lethal methods than girls.

Which drug will cause a heightened skin reaction to sunlight?

Chlorpromazine

Which member of the health team has the primary responsibility for the clients in rehab who are undergoing therapy for alcohol dependence?

Clients

An individual who is nonathletic and uncoordinated develops a successful musical career. Which defense mechanism might this outcome be related to?

Compensation

Which disorder is a complication associated with alcoholism? (select all that apply.) Rhinitis Sinusitis Delirium tremens Korsakoff psychosis Wernicke encephalopathy

Delirium tremens Korsakoff psychosis Wernicke encephalopathy

Which tasks is most important in the development of a nurse-client relationship?

Developing an awareness of self and the professional role in the relationship

Which issue is represented by a client in a chronic vegetative state following a traumatic brain injury whose spouse wants to stop all treatment while the client's parents want all treatment continued?

Ethical dilemma

Which symptom of depression is commonly observed in older adults? (Select all the apply.) Fatigue Sadness Agitation Increased sleep Increased appetite

Fatigue Sadness Agitation

Which relaxation technique is the nurse using when advising a client with anxiety to focus on a positive scene?

Guided imagery

Which type of behavior is haloperidol most effective in treating?

Hyperactive

Which characteristic is the nurse likely to identify when planning care for a client who has abused multiple drugs?

Inability to delay gratification

An older client with the diagnosis of dementia of the Alzheimer type is admitted to a long-term care facility. Which information regarding confusion would be considered when planning care for this client?

Increases with a transfer to new surroundings

A client with diabetes mellitus is able to discuss in detail the diabetic metabolic process while eating a piece of chocolate cake. Which defense mechanism does the nurse identify when evaluating this behavior?

Intellectualization

A client in the mental health clinic who has been seeing a therapist for more than 6 months begins to talk and act like a therapist who is analyzing coworkers. Which defense mechanism will the nurse document?

Introjection

A nurse is assessing a middle-aged client whose children have left home in search of work. Which family life cycle stage is the client going through?

Launching children an d moving on

Which action will best limit confusion resulting from sleep deprivation in a client diagnosed with dementia?

Leaving a dim light on in the client's room at night

A 32-year-old client reports symptoms including decreased appetite, anhedonia, feelings of worthlessness for several weeks, a history of depression that resolved but now returned, and concerns about diminished performance at work. Which diagnosis will the nurse suspect?

Major depressive disorder

Which goal of medication therapy will the nurse discuss with family about a client diagnosed with schizophrenia who is started on an antipsychotic/neuroleptic medication?

Making the client better able to participate in psychotherapy

Which nursing intervention involved providing, structuring, and maintaining a safe and therapeutic environment in collaboration with clients, families, and other health care providers?

Milieu therapy

Which quality is a trait of an addictive personality? (select all tat apply) Confusion Illogical thinking Negative self-image Feelings of insecurity Low tolerance for stress

Negative self-image Feelings of insecurity Low tolerance for stress

Which concepts refers to respecting the right of others?

Open-mindedness

Which drug category includes heroin?

Opioids

Which effect does the nurse understand methylphenidate creates in the treatment of ADHD in children?

Paradoxical

Which relationship is of the most concern to the nurse because of its importance in the formation of the personality?

Parent-child

Which key factor does the nurse take into consideration in accurately assessing how a client will cope with body image changes?

Perception of the change

The nurse reminds a client that it is time for group therapy. The client responds by shouting, "You're always telling me what to do, just like my father!" Which defense mechanism is the client using?

Transference

Which need will the nurse focus on, considering Erikson's psychosocial developmental tasks, when planning care for a middle aged adult?

Productivity

Which medication is commonly prescribed for schizophrenia?

Promazine

A client says,"Since my husband died I've got nothing to live for. I just want to die." The nursing assistant responds, "Things will get better soon." Which label would the nurse assign to the nursing assistant's response?

Providing false reassurance

Which action by the nurse would decrease the risk for injury for a child with oppositional defiant disorder?

Redirect anger in other ways.

Which process is the nurse performing when referring a client with postpartum depression to a women's health center for continued treatment?

Resource linkage

Which intervention is a major component of behavior modification?

Rewarding positive behavior

Which basic therapeutic tool is used by the nurse to foster a client's psychological coping?

Self

Which intervention would be appropriate for a client who believes their food is poisoned?

Serve each food item in single-serving, disposable containers.

Which action by the staff of a mental health unit can lead to client violence? (Select all that apply.) Displaying hyperactivity Setting limits inconsistently Controlling staff members Avoiding direct eye contact Taking away privileges randomly

Setting limits inconsistently Controlling staff members Taking away privileges randomly

Which communication link is most important in linking people with their surrounding?

Social

Which emotional condition may be apparent in a client with an addiciton?

Social isolation

Which emotional condition may be apparent in a client with an addiction?

Social isolation

Which type of caregiver is the most frequent abuser of older adults?

Spouse

Which intervention would provide comfort to the client experiencing alcohol toxicity?

Stay with the client.

Which problem commonly arises during the middle stage of drug dependence? (select all that apply) Mood swings Suicide attempts Decreased self-esteem Sexually transmitted infections Blackouts of short-term memory

Suicide attempts Sexually transmitted infections Blackouts of short-term memory

A client with asthma and depression is admitted to the hospital. Which task is applicable for the registered nurse?

Teach the client how to use a metered dose inhaler.

Which understanding of compulsive behaviors will the nurse consider when developing a plan of care for a client admitted for treatment of obsessive-compulsive disorder?

The client knows that the behavior is illogical but it unable to stop it.

Which observation would the nurse document when a client is using confabulation?

The client uses imagination to fill in memory gaps.

Which information does the nurse anticipate a client will learn in a self-help group such as Alcoholics Anonymous (AA)?

The client's problems are not unique.

Which generally accepted concept of personality development provides a basis for nursing care?

The personality is capable of being modified throughout life.

Which characteristic is the most important tool a nurse brings to the therapeutic nurse-client relationship?

The self and a desire to help

A teenager who attempted suicide is admitted to a psychiatric center for care. On assessment, the teenager tells the nurse the reason was the end of a romantic relationship. Which member of the rehab care team may play a major role in providing care to this teenager?

Therapeutic recreation therapist

Which principle would guide the nurse's actions in promoting and maintaining the health of older adults?

There is a strong correlation between successful retirement and good health.

An administrative assistant in a home health agency gossips about coworkers and then writes them notes to tell them how valuable they are to the organization and how much they like working with them. Which defense mechanism is the administrative assistant using?

Undoing

Which characteristic is most commonly assessed in a child diagnosed with autisim?

Unresponsiveness to the environment

The nurse is preparing to administer methylphenidate to an older adult with apathy and depression. Which complication will the nurse monitor for in the assessment? (select all that apply.) Vision Weight gain Heart rate Skin turgo Bowel sounds

Vision Weight gain Heart rate

Which finding is a characteristic of the middle stage of drug dependence?

Withdrawal signs with abstinence

Which long-term outcome is appropriate for a client experiencing a major depressive episode?

verbalizing realistic perceptions of self and others