Mental Health exam 5

A nurse is teaching a child with a new prescription for paroxetine (Paxil) and his parents about reactions to watch for during the first 3 days of treatment. For which of the following manifestations should the nurse teach the family to discontinue the medication and notify the provider immediately? (Select all that apply.) Agitation Fever Nausea Headache Tremors

Agitation Fever Tremors

A nurse is caring for a school age child who has been prescribed methylphenidate (Daytrana) to treat ADHD. Which of the following should the nurse teach the client and family about this medication? A. Apply the patch once daily at bedtime. B. Take oral medication once daily in the morning. C. Take oral medication early in the morning and again at bedtime. D. Apply the patch on awakening and remove at bedtime.

Apply the patch on awakening and remove at bedtime.

A nurse is assessing a 4-year-old child for signs of autism. The nurse should be alert for A. constant talking and impulsive behavior. B. poor language and interpersonal skills. C. destructiveness and history of irritability and hostility. D. night terrors and reports of somatic problems.

B. poor language and interpersonal skills.

A nurse has denied a request from a client with borderline personality disorder. The client says, "The nurse on the evening shift would never be nasty to me like you are! You are a horrible, awful person!" This is an example of A. regression. B. splitting. C. undoing. D. identification.

B. splitting.

A 5 year old is brought to a mental health agency by his mother. The mother says the child is unable to sit through meals and is so easily distracted that he cannot even sit through a 30-min cartoon video. His kindergarten teacher reports difficulty following directions and attending to one task. The nurse should recognize that these findings are consistent with A. mental retardation. B. oppositional defiant disorder. C. posttraumatic stress disorder. D. attention deficit hyperactivity disorder

D. attention deficit hyperactivity disorder

Antisocial

Deceitful, manipulative, and unlawful, does not take responsibility for actions

An adolescent client has just begun taking amitriptyline (Elavil) for depression. Which of the following nursing interventions should the nurse teach the client to minimize one of the adverse effects of his medication? A. Eat a diet high in fiber. B. Check temperature daily. C. Take medication first thing in the morning before eating. D. Add extra calories to the diet as between-meal snacks.

Eat a diet high in fiber.

Borderline

Emotional with unstable identity and relationships; fears abandonment but uses splitting, which angers others

Schizoid

Emotionally detached and disinterested in others; uninterested in praise or criticism

Avoidant

Evades all social situations and fears rejection

A client with antisocial personality disorder is admitted to a chemical dependency unit. The nurse should expect which of the following behaviors? (Select all that apply.) Anxious Indecisive Exploitative Submissive Aggressive Impulsive

Exploitative Aggressive Impulsive

When assessing this adolescent for depression, which of the following findings should the nurse expect? (Select all that apply.) Insomnia Feelings of sadness Increased activity level Irritability Aggressiveness

Feelings of sadness Irritability Aggressiveness

A nurse is providing teaching to an adolescent who is to begin taking buspirone (BuSpar) for an anxiety disorder. Which of the following foods should the nurse instruct the client to avoid? A. Chicken B. Cheddar cheese C. Grapefruit juice D. Whole wheat bread

Grapefruit juice

A 12-year-old child demonstrates signs and symptoms of conduct disorder. These include which of the following manifestations? (Select all that apply.) Hostility Frequent lying Breaking of objects due to impulsiveness Law-breaking activities Careless mistakes Cruelty to neighborhood pets Poor eye contact with others

Hostility Frequent lying Law-breaking activities Cruelty to neighborhood pets

Patients with borderline personality disorder (BPD) exhibit negative effect, which includes emotional _____________, described as rapidly moving from one emotional extreme to another.

LAbility

Histrionic

Needs to be the center of attention in all situations

Obsessive compulsive

Perfectionistic and orderly, demands control of every situation