Exam 1

A client with schizophrenia is prescribed an antipsychotic medication. Which immediate side effects would the nurse include in the education plan for this medication? Risk for hypertension Risk for hypoprolactinemia The potential for weight loss The potential for sedation

The potential for sedation

A situational crisis refers to ... The result of an external source of severe stress the individual is not prepared to cope with effectively A stress-induced response that relates to an individual's exposure to the various developmental stages The extreme physiological response to events such as menopause and retirement A term used to describe any severe stress reaction with a known origin of cause

The result of an external source of severe stress the individual is not prepared to cope with effectively

Which ethical principles become an issue in mental health when a segment of a population does not have access to health care? justice nonmaleficence fidelity veracity

justice

A nursing student is preparing to take an exam and is experiencing anxiety as a heightened sense of awareness. Which level of anxiety would this correspond with? mild moderate severe panic

mild

The nurse creates a behavioral contract for a hospitalized client diagnosed with anorexia nervosa. Within the contract, the client will receive additional privileges if the client is able to gain 2 pounds of body weight each week. Which learning and behavioral concept does the nurse identify as the basis within the client's behavioral management plan? positive reinforcement operant conditioning cognitive interventions modeling

operant conditioning

When providing care to a client with a mental illness, the nurse assists the client in recovery. The nurse needs to keep in mind that which ethical principle can be in direct conflict with the mental health recovery belief of self-determinism? paternalism justice autonomy veracity

paternalism

A 75-year-old client recently experienced their partner passing away. The client is socially isolating and has not seen any friends or family in 3 weeks. Which priority question should the nurse ask the client? "How have you been feeling lately?" "How are you sleeping at night?" "Are you having any thoughts of suicide or harming yourself?" "Who is in your social support network?"

"Are you having any thoughts of suicide or harming yourself?"

Which statement by a client would alert the nurse that the client is experiencing complicated grief? "I keep imagining the scene of my spouse's accident that caused death." "I blame myself for my brother having committed suicide." "I am still so angry about my grandmother's death even after a year." "It's been a week, but it still seems unreal that my mother has died."

"I am still so angry about my grandmother's death even after a year."

A community care nurse is visiting a client at home. The client was discharged from the hospital one week ago after having a mastectomy. After the nurse completes the physical examination, the nurse asks, "How are you feeling about your body changes?" The client tells the nurse she is not interested in talking right now and would prefer that the nurse leave. Which is the nurse's mosteffective use of communication skills? "I just want you to know that I am available to talk when you are feeling up to it." "Have I said something to offend you?" "I can sit with you here so that you don't feel alone." "It would be beneficial for you to connect with other people who have had this surgery.

"I just want you to know that I am available to talk when you are feeling up to it."

The nurse is applying the ethical principle of nonmaleficence when caring for clients. Which statement made by the nurse indicates the principle is being applied? "I will follow all orders." "I pay attention and honor the client's advance directives." "I will make sure the client can do no harm to themselves." "I am trying to help the client to stop smoking."

"I pay attention and honor the client's advance directives."

The nurse is applying the ethical principle of nonmaleficence when caring for clients. Which statement made by the nurse indicates the principle is being applied? "I will follow all orders." "I pay attention and honor the client's advance directives." "I will make sure the client can do no harm to themselves." "I am trying to help the client to stop smoking."

"I pay attention and honor the client's advance directives."

A client with schizophrenia leaves the room and begins marching in the hall. When approached by the nurse, the client says, "God says I'm supposed to guard the area." Which response would be best? "I understand you hear a voice. You and I are the only ones in the hall, and I don't hear a voice." "The voices are part of your illness, and they will leave in time." "This guarding responsibility can make you tired. You rest for now, and I'll guard a while." "You are just imagining these things. Do not pay any attention to the voices."

"I understand you hear a voice. You and I are the only ones in the hall, and I don't hear a voice."

A client is admitted to the psychiatric-mental health unit for panic attacks and suicidal ideations after witnessing a fatal motor vehicle accident. During the initial encounter, what comment made by the nurse would be most therapeutic for the client? "It's only going to get better from here, hang in there." "You have to put yourself first and start a self-care routine." "I'm sorry this has happened to you." "Tell me how you are feeling right now."

"If you were to need help with your house, who might you ask for help?"

An older adult client living alone after the death of a spouse is having difficulty maintaining the home. The client states to the nurse, "I don't need help. I've been managing for years." Which response helps the client shift from denial to consciously coping with the situation? "You don't think you need any help? But your family is worried about you." "It must be hard to lose your independence. I'll ask a social worker to see what can be arranged." "If you were to need help with your house, who might you ask for help?" "If you don't ask for some help then the only option is to move to an assisted living facility."

"If you were to need help with your house, who might you ask for help?"

The client diagnosed with schizophrenia a year ago is being prescribed clozapine because other medications have been ineffective. The nurse educates the client and family about this medication. The nurse determines the education was successful when the client makes which statement? "I will need to have follow-up electrocardiograms periodically when taking this drug." "It is important to keep appointments for weekly lab draws to check the blood count." "I must refrain from smoking to avoid toxic levels of the drug that might develop." "It is important to check my weight weekly to monitor for too much weight loss."

"It is important to keep appointments for weekly lab draws to check the blood count."

A client who has been grieving the loss of the client's spouse 2 weeks ago says to the nurse, "The best part of my day is when I am back at work. Is that wrong?" Which is the most therapeutic response by the nurse? "You cannot work effectively this soon. You should finish grieving first." "Working reminds you of your loss. It may be too early to go back." "Working is your way of avoiding grief, which will make it harder for you to move on." "Working is letting you take an emotional break from grieving. There's nothing wrong with that."

"Working is letting you take an emotional break from grieving. There's nothing wrong with that."

The nurse enters the room of a client with schizophrenia the day after the client has been admitted to an inpatient setting and says, "I would like to spend some time talking with you." The client stares straight ahead and remains silent. Which would be the bestresponse by the nurse? "I can see you want to be alone. I'll come back another time." "You don't need to talk right now. I'll just sit here for a few minutes." "I've got some other things I can do now. I hope you'll feel like talking later." "You would feel better if you would tell me what you're thinking."

"You don't need to talk right now. I'll just sit here for a few minutes."

A client diagnosed with schizophreniform disorder must have symptoms present for at least 1 month but with a duration of less than how long? 2 weeks 4 weeks 6 months 12 months

6 months

In which of the following clients would the nurse be most likely to identify the phenomenon of label avoidance? A client who insists that his diagnosis be kept secret because of the perceived risk of "career suicide" A client who admits that she has not been adhering to her prescribed pharmacologic treatment regimen A client who describes himself as "beyond hope" following a prolonged period of inpatient treatment A client who consistently refers to herself as "a schizophrenic"

A client who insists that his diagnosis be kept secret because of the perceived risk of "career suicide"

Which of the following statements best defines crisis intervention? An active but temporary entry into the life situation of an individual, a family, or a group during a period of stress A group intervention in which confrontation is used to promote change in the client An intervention in which a group of psychiatric professionals meet to determine which intervention might be most effective for a disturbed client A family meeting in which the treatment team assists with confrontation of the client's behavior

An active but temporary entry into the life situation of an individual, a family, or a group during a period of stress

A nurse is implementing interventions that address a client's psychological domain. Which intervention would be most appropriate? Teaching the client about sleep hygiene Assisting with behavior therapy Encouraging support from the family Linking the client with community resources

Assisting with behavior therapy

Which ethical priniciple is being addressed when the nurse encourages an older, cognitively impaired client to select the food the client will be served for dinner? Justice Autonomy Beneficence Nonmaleficence

Autonomy

A nurse is presented with an ethical conflict when a client insists on leaving the hospital against medical and nursing advice. This situation best demonsrates the ethical conflict between which relevant principles? Justice vs Paternalism Veracity vs Autonomy Fidelity vs Beneficence Autonomy vs Beneficence

Autonomy vs Beneficence

Which developmental conflict correlates with the toddler, according to Erikson's eight stages of man? Autonomy vs. shame and doubt Basic trust vs. mistrust Initiative vs. guilt Industry vs. inferiority

Autonomy vs. shame and doubt

The nurse explains to the client that extra television time will be awarded based on appropriate behavior during group therapy. Which theorist's concepts is the nurse utilizing? B. F. Skinner's operant conditioning Erik Erikson's psychosocial development Frederick Perl's Gestalt therapy Melanie Klein's play therapy

B. F. Skinner's operant conditioning

A psychiatric-mental health nurse is working as part of a team to develop a plan to manage a client's behavior. The team is working to reinforce the client's use of positive, healthy behaviors. The nurse and team are integrating the work of which theorist? B.F. Skinner Ivan Pavlov Albert Bandura Aaron Beck

B.F. Skinner

A client with insomnia has been prescribed a sleep medication that does not contain REM sleep suppressors. This is an example of an intervention related to which domain in the biopsychological model? Psychological Social Biologic All of the above

Biologic

Which statement would a nurse integrate into an education plan for a local community group about mental illness and mental disorders? Diagnostic testing is often required to arrive at a diagnosis. Clusters of behaviors, thoughts, and feelings define mental disorders. Often there is one primary cause that is responsible for the mental disorder. The current belief is that there is an underlying biologic pathology associated with a mental illness

Clusters of behaviors, thoughts, and feelings define mental disorders.

A psychiatric-mental health nurse is developing a recovery-oriented plan of care for a client with obsessive-compulsive disorder. The nurse identifies interventions to strengthen the client's social networks. The nurse is addressing which dimension to support recovery? Home Health Purpose Community

Community

The nurse is caring for a client whose spouse passed away several years ago. Upon assessment, the nurse finds that the client has a history of signs and symptoms of depression since the spouse's death. Which term correctly describes the client's response to the loss? Anger Outcry Complicated grief Disenfranchised grief

Complicated grief

A psychiatric-mental health nurse is conducting a developmental assessment of a child at the community clinic. As part of the assessment, the nurse pours juice from a short, wide glass into a taller, narrower one and asks the child which one has more juice. The child responds, saying the amount is the same. The nurse determines that the child is in which stage according to Piaget? Preoperational Concrete operations Secondary circular reaction Object permanence

Concrete operations

An example of a situational crisis is ... Completion of school Divorce Short stay hospitalization Birth of one's' child

Divorce

After teaching a group of nursing students about neurotransmitters associated with schizophrenia, the nursing instructor determines that the education was successful when the students identify what as playing a role in the positive symptoms of schizophrenia? Dopamine Serotonin Glutamate Gamma-aminobutyric acid (GABA)

Dopamine

The nurse is performing an initial assessment and interview for a client in crisis. Which is the priority action by the nurse during this assessment? Assess the adequacy of the support system Assess for substance use Determine the precrisis level of functioning Evaluate the potential for self-harm

Evaluate the potential for self-harm

The nurse is developing a plan of care for a client experiencing a crisis. Which intervention is most essential when creating the plan of care? Explore previous coping strategies Explore underlying personality dynamics Focus on emotional deficits Offer a referral to a self-help group

Explore previous coping strategies

Earlier in the shift, the nurse promised to help a client acquire some paper and a pen and draft a letter to a family member later in the day. The nurse became increasingly busy during the shift but has now taken some time to assist the client in this way. What ethical principle has the nurse best exemplified? Fidelity Veracity Nonmaleficence Beneficence

Fidelity

Earlier in the shift, the nurse promised to help a client acquire some paper and a pen and draft a letter to a family member later in the day. The nurse became increasingly busy during the shift but has now taken some time to assist the client in this way. What ethical principle has the nurse best exemplified? Fidelity Veracity Nonmaleficence Beneficence

Fidelity

Being creative, productive, and establishing the next generation occurs in which stage of Erikson's psychosocial development? Intimacy versus isolation Identity versus role confusion Generativity versus stagnation Ego integrity versus despair

Generativity versus stagnation

In the weeks following a natural disaster, which of the following client symptoms does the nurse least expect to see when assessing clients at the community mental health center? Hearing voices and seeing dead bodies Headaches and muscle aches Waking up early and unable to go back to sleep Problems staying focused at work

Hearing voices and seeing dead bodies

The prime objective of the crisis intervener is to do which of the following? Decide for the client until the client can do so independently. Help the client find ways to solve the immediate problem. Give anticipatory guidance to avert future crises. Mobilize the family to provide needed support.

Help the client find ways to solve the immediate problem.

A psychiatric-mental health nurse is providing care to a client with post-traumatic stress disorder who is homeless. The nurse is collaborating with the client to find a stable group home so that the client no longer lives on the street. The nurse is addressing which dimension of recovery? Health Home Purpose Community

Home

When preparing a class presentation about schizophrenia, what would the nurse most likely include? Schizophrenia is more commonly diagnosed in children than in adolescents. Improvement in symptoms can occur as a client with a history of schizophrenia reaches older adulthood. Delusions are more commonly noted in younger children with schizophrenia. Very few individuals with schizophrenia reach older adulthood.

Improvement in symptoms can occur as a client with a history of schizophrenia reaches older adulthood.

Positive symptoms seen in schizophrenia are believed to be a result of which type of neurological dysfunction? Increased amount of dopamine An inadequate amount of dopamine Cerebral atrophy Organic functional changes in the brain

Increased amount of dopamine

Which is the central focus of persecutory delusions? Injustice that must be remedied by legal action Involving bodily functions or sensations Unfaithfulness A great, unrecognized talent

Injustice that must be remedied by legal action

A psychiatric-mental health nurse is integrating key concepts associated with psychodynamic theories into the care of clients with mental health problems. Which concept would the nurse integrate as a core concept to guide the planning of nursing interventions? Defense mechanisms Transference Internal objects Interpersonal relationships

Interpersonal relationships

The nurse is providing teaching to a client diagnosed with schizoaffective disorder. The nurse should explain to the client that which is true about this disorder? It is more common than schizophrenia. It is usually diagnosed in late adulthood. It is most common with somatoform disorders. It is a mix of psychotic and mood symptoms.

It is a mix of psychotic and mood symptoms.

In the Freudian model, which is true regarding the id? It is the sum of certain mental mechanisms such as perception. It is formed by unconscious desires and primitive instincts. It is associated with ethics and standards of behavior. It is able to control movement and contact with reality.

It is formed by unconscious desires and primitive instincts.

After teaching a class of nursing students about mental health and mental disorders, the instructor determines that additional education is needed when the class states which of the following as reflective of mental health? Mental health involves psychological well-being but not emotional well-being A mentally healthy individual is able to interact with others. Being able to perceive one's surroundings is a component of mental health. A person who is mentally healthy can deal with ordinary stressors.

Mental health involves psychological well-being but not emotional well-being

After educating a group of nursing students about mental health and wellness, which statement by a group member indicates the need for additional education? A person cannot be healthy without being mentally healthy. A person can be mentally healthy but still have a mental disorder. Mental health problems have minimal effect on the process of wellness. Poverty and unemployment are common in individuals with mental health issues.

Mental health problems have minimal effect on the process of wellness.

A client with schizophrenia is receiving antipsychotic therapy. The nurse understands that which is a medical emergency should it develop in the client? Tardive dyskinesia Parkinsonism Akathisia Neuroleptic malignant syndrom

Neuroleptic malignant syndrome

The nurse on the behavioral health unit reinforces to the clients that they can earn off-unit privileges for daily use of socially appropriate behavior. Which behavioral modification technique is the nurse employing? Systematic desensitization Negative reinforcement Classical conditioning Operant conditioning

Operant conditioning

Delusional disorders are primarily characterized by which of the following? Select all that apply. Trustworthiness Paranoia Passivity Jealousy Distrust

Paranoia Jealousy Distrust

Which of the following would not be essential to assess when working with a person in crisis? Perception of the event Support systems Coping skills Past history of mental health care

Past history of mental health care

During a client interview, a client diagnosed with delusional disorder states, "I know my spouse is being unfaithful to me with a colleague from work."The nurse interprets the client's statements as suggesting which type of delusion? Referential Sexual Persucatory/paranoid Grandiose

Persucatory/paranoid

What is the most basic need, according to Maslow's hierarchy of needs? Physiological Safety and security Love and belonging Self-actualization

Physiological

A nurse is conducting a research study about mental health issues and wellness. When conducting a literature review, which factor would the nurse most likely find as a factor impacting mental health? Select all that apply. Poverty Unemployment Trauma Higher level of education Satisfaction in work

Poverty Unemployment Trauma

The nurse has informed a client that they should be ambulating in the hall several times a day. The client refuses to get out of bed, asks for a bed bath, and makes demands of the nurses, yelling, "the nurses are lazy and incompetent." Which behavior identified by the nurse is the client displaying? Introjection Projection Rationalization Reaction formation

Projection

A nurse has been working with a client who has a personality disorder and the nurse has recognized the potential for countertransference. How can the nurse best prevent this phenomenon? Reflecting on the nurse's own thinking to identify times where the nurse may project individual feelings on to the client Dialoguing with the client about the client's tendency to direct feelings about the client's father on to the nurse Teaching the client basic techniques for enhancing coping skills and managing stress Challenging the client when the nurse feels that the client is mimicking the nurse's ideas or demeanor

Reflecting on the nurse's own thinking to identify times where the nurse may project individual feelings on to the client

When establishing long-term treatment outcomes for a client experiencing a psychiatric crisis, the nurse references the fundamental goal of crisis interventions, which is to ... Return the client to his pre-crisis level of function Protect the client from additional stress Help the client identify the cause of his crisis Minimize the length of the current hospitalization

Return the client to his pre-crisis level of function

A nurse is caring for a client diagnosed with schizophreniform disorder. The nurse demonstrates understanding of this disorder when identifying that the client is at risk for developing what? Schizophrenia Personality disorder Major depression Substance abuse

Schizophrenia

When reviewing the diagnostic criteria for schizophrenia based on the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V), which would be most accurate? Schizophrenia can be diagnosed as soon as an individual states he or she is hearing voices. Schizophrenia lasts at least 6 months and includes at least 1 month of two or more characteristic symptoms. Schizophrenia lasts at least 1 month and must include the symptom of hallucinations. Schizophrenia can be diagnosed as soon as an individual states he or she is hallucinating and delusional.

Schizophrenia lasts at least 6 months and includes at least 1 month of two or more characteristic symptoms.

According to Maslow, an individual who has developed to the individual's fullest potential has achieved what level of his hierarchy? Self-actualization Physiological Love and belonging Esteem

Self-actualization

Which of the following is the highest level need according to Maslow (1934)? Physiological Love and belonging Self-actualization Esteem

Self-actualization

A client states to a nurse, "They found a lump in my neck, and now they tell me I have an incurable disease." The client is young and appears to find this information hard to believe. Which pattern of response does the client's statement reflect? Restitution Shock and disbelief Physiologic grieving Recovery

Shock and disbelief

A group of psychiatric-mental health nurses are reviewing information about different theorists who have played a role in shaping pyschiatric-mental health nursing practice. The group demonstrates understanding of the information when they identify which theorist as proposing that adult sexuality is an end product of a complex process of development that begins in early childhood and involves a variety of body functions or areas that correspond to stages of relationships, especially with parents? B. F. Skinner Sigmund Freud Erik Erikson Harry Stack Sullivan

Sigmund Freud

Physiologic symptoms and problems associated with grief responses are often a source of anxiety and concern for the grieving person as well as for friends or caregivers. Which of the following is the most frequent and persistent bereavement-associated symptom(s)? Sleep disturbances Headaches Impaired appetite Indigestion

Sleep disturbances

In terms of Maslow's hierarchy of need, families living in poverty may be focused more on which type of needs rather than self-actualization? Security Safety Esteem Survival

Survival

The nurse is caring for a client postoperatively who has recently experienced a family member's death. The nurse is demonstrating empathetic linkage with the client with which action? Explaining to the client that pain medication will be administered soon. Asking the client about whether a support system is available after discharge. Telling the client that it is normal to feel sad when someone has died. Offering to help the client with picking out meal selections for the next day.

Telling the client that it is normal to feel sad when someone has died.

A nursing supervisor reprimands an employee for being chronically late for work. If the employee handles the reprimand using the defense mechanism of displacement, which behavior by the employee will be observed? Arguing with the supervisor that the employee is usually on time Making a special effort to be on time tomorrow Telling fellow employees that the supervisor is picking on the employee Telling the unit housekeeper that the unit housekeeper's work is sloppy

Telling the unit housekeeper that the unit housekeeper's work is sloppy

A psychiatric mental health nurse is applying Erikson's theory of psychosocial development in the care of a young adult client. What outcome should the nurse identify to best address the developmental conflict that this client is experiencing at this age? The client demonstrates new interpersonal skills to promote the development of intimate relationships The client demonstrates increased autonomy and independence in the client's decision-making The client describes a greater appreciation for the value of hard work and prolonged effort The client shows an increased ability to delay gratification

The client demonstrates new interpersonal skills to promote the development of intimate relationships

A client has sought care for a prolonged history of depressed mood and has been diagnosed with major depression. The client is readily open to beginning pharmacologic treatment but is unwilling to attend a support group, despite easy geographic access and a flexible schedule. What explanation for the client's behavior should the nurse explore? The client is uncomfortable with being labeled as mentally ill The client has an inaccurate understanding of the causes of depression The client does not understand the relationship between the symptoms of depression and its diagnosis The client views depression as a purely psychosocial, rather than biologic, phenomenon.

The client is uncomfortable with being labeled as mentally ill

A client has just been told they have cervical cancer. When asked about how this is impacting them, they state, "It's just an infection; it will clear up." Which does this statement by the client indicate to the nurse? There is a need for education on cervical cancer. The client is unable to express their true emotions. The client should be immediately referred to a cancer support group. The client is using denial to protect themself from an emotionally painful thought.

The client is using denial to protect themself from an emotionally painful thought.

The client has a longstanding history of depression. A psychoanalytic theorist might say what about the client? The client has seen the client's mother being depressed and has learned that this is one way to receive attention. When the client exhibits depressive symptoms, the client has always been taken care of by a spouse until the client is less depressed. The client's depression is a result of a poor family upbringing, living in a hostile environment growing up, and frequently seeing violent fighting in the client's neighborhood. The client may be unconsciously repressing feelings of anger that arise due to early childhood abuse experiences, and these feelings emerge as depression.

The client may be unconsciously repressing feelings of anger that arise due to early childhood abuse experiences, and these feelings emerge as depression.

Research related to the development of schizophrenia has shown what? The likelihood of developing schizophrenia for a sibling of a person with the disorder is less than that of individuals in the general population. The disorder is thought to arise from the interaction of a biological predisposition and environmental stressors. Behavioral family pathology, not genetics, is the primary risk factor for the development of schizophrenia. If an identical twin develops schizophrenia, the other twin will also develop the disorder.

The disorder is thought to arise from the interaction of a biological predisposition and environmental stressors.

A couple is going to marital counseling. During a session, the husband states that, after working long hours at the office, he just wants to come home and relax. He reports that his wife often "bombards" him with problems as soon as he settles down, which results in a prolonged argument. The wife admits that she does this, but states that she feels neglected and that her husband does not take the family problems seriously. She doesn't want her marriage to turn out like her parents' marriage. How would a behaviorist explain the wife's actions? She has repressed painful memories about her parents and is working out her anger in the marital relationship. Her thoughts about her parents' unhappy marriage are affecting her behavior with her husband. She has an underlying anxiety disorder. The long argument in which she and her husband participate positively reinforces her behavior.

The long argument in which she and her husband participate positively reinforces her behavior.

A nurse is conducting a visit to a client who is receiving palliative care at home for dying. The client's husband tells the nurse, "I know she needs to be with God. This is not a good place for her now." The client is experiencing which stage of Kubler-Ross' stages of grieving? acceptance depression bargaining anger

acceptance

A client who has been working on controlling impulsive behavior shows a strengthening ego through which behavior? Going to therapy only when there is nothing more desirable to do Weighing the advantages and disadvantages before making a decision Telling others in the group the right way to act Reporting having fun at a recent social event

Weighing the advantages and disadvantages before making a decision

A nurse is witnessing a client signing an informed consent form. Which ethical principle does the nurse identify that applies to this situation? beneficence autonomy nonmaleficence justice

autonomy

A client who has been in recovery from alcohol abuse for over one year tells the nurse he is drinking 5 to 6 beers per night since the client's mother's death. Which is the nurse's most accurate explanation for the client's grief response? emotional behavioral spiritual physiologic

behavioral

An adult client diagnosed with depression and social isolation is admitted to the psychiatric-mental health unit. The client states, "I am lonely and don't have any friends because no one cares about me." Which type of therapy would the nurse suggest for the client? systematic desensitization cognitive-behavioral therapy dialectical-behavioral therapy play therapy

cognitive-behavioral therapy

A client is being counseled for depression and a decreased functional ability after the death of their parent 8 months ago. The client feels mistrustful and bitter about the death. What documentation would be provided by the nurse? complicated bereavement traumatic grief uncomplicated bereavement acute grief

complicated bereavement

A client who is in the process of divorce tells the nurse the client will require some time off from work due to the inability to concentrate. According to Bowlby's phases of grieving, which phase best reflects this client's current experience? shock, numbness, and protest yearning disorganization and despair reorganization

disorganization and despair

A nurse is caring for a client in an inpatient mental health setting. The nurse notices that when conversing with other clients, the client repeats what they are saying word for word. The nurse interprets this finding and documents it as which condition(s)? Select all that apply. echopraxia neologisms tangentiality echolalia disorganized thinking

echolalia disorganized thinking

A client is experiencing a high level of stimulation after a terrorist attack. In providing psychological first aid to the client, which intervention would be best for the nurse to select? orienting the client to the circumstances that have occurred explaining to the client that the client is safe providing information to the client about the attack telling the client about the need to go to the hospita

explaining to the client that the client is safe

A nurse notifies a client of the death of a parent after a motor vehicle crash. Which physical symptom(s) assessed by the nurse correlates with the immediate grieving process? Select all that apply. respiratory rate of 32 and difficulty breathing reports a frontal headache states, "I feel a burning sensation in my upper chest area." difficulty with urinating lack of strength and feels weak

respiratory rate of 32 and difficulty breathing states, "I feel a burning sensation in my upper chest area." lack of strength and feels weak

A client diagnosed with delusional disorder who uses excessive health care resources most likely has which type of delusions? somatic jealous erotomanic grandiose

somatic

The nurse is caring for a client who was diagnosed with schizoaffective disorder two years ago. Which of the following assessments should the nurse prioritize? suicide. aggression. substance abuse. eating disorder.

suicide.

The nurse is caring for a group of clients and recognizes which client is acting from the id portion of personality according to Sigmund Freud? the client who is sexually promiscuous the client who is critical of own performance the client who is remorseful over theft of money the client who is concerned over friendships

the client who is sexually promiscuous

An adult client is receiving psychoanalysis with a therapist and realizes that they feel angry toward their parents for past emotional neglect. The client begins to feel angry toward the therapist. Which term describes this phenomenon? countertransference transference reaction formation unconscious anger

transference

A client is crying uncontrollably after having experienced an assault by a family member. The nurse is aware that the client is experiencing which type of crisis? traumatic situational developmental familial

traumatic

The nurse is caring for a client who has recently lost a sibling due to suicide. Which type of grief does the nurse anticipate the client is experiencing? traumatic grief complicated grief uncomplicated grief chronic grief

traumatic grief

The nurse is caring for a group of clients in a primary care setting. When would the nurse determine a client is at greatestrisk for developing a mental disorder? when emotional symptoms cause occasional stress when coping strategies become difficult when emotional symptoms cause impaired daily functioning when a sad event causes emotional distress

when emotional symptoms cause impaired daily functioning