mental health review
4. What behavior by the client diagnose with bulimia nervosa indicates progress in treatment? a. Verbalizing feelings b. Exercising daily c. Remaining alone after meals d. Focusing on the meal.
a
A newly admitted client diagnosed with somatization disorder asked for his pain medication that is ordered on as needed basis. What is the nurses best action to this request? a. Administer the medication as prescribed b. Immediately teach the client deep breathing exercises c. Delay fulfilling the request to see if the pain subsides d. Inform the client of the recent negative finding
a
A nurse is teaching a group of students about the risk factors and complications of anorexia nervosa, which of the following complications should be stressed as the most serious? a. Family relationships b. Increased risk of mortality c. Depressiond. d. Ineffective coping
b
The nurse observes a client diagnosed with anorexia nervosa doing repeated, vigorous sit-ups in her room. What is the most therapeutic intervention by the nurse? a. Tell the client exercise is not allowed b. Interrupt the routine and offer to walk with her c. Allow the client to continue to exercise d. Restrict the client from her room
b.
What behavior best describes physical aggression a. Telling the primary nurse, "When you told me that I could not have a second helping at lunch, I felt angry" b. Stomping away from the nurse's station, going to the day room, and grabbing a pool cue from a client standing at the pool table. c. Bursting into tears, leaving the community meeting, and sitting on a bed hugging a pillow and sobbing d. Telling the medication nurse, "I am not going to take that or any other medication.
b.
Which statement by an elderly client might suggest financial abuse is occurring? a. "My son hasn't done anything to replace my dentures." b. "After I gave my son access to my bank account, I noticed he has a brand-new car" c. "My son didn't help when I needed to get up, and I fell."d. "Even though I live with my son, it seems like we never have enough food in the house."
b.
A child diagnose with oppositional defiant disorder is spiteful, vindictive and argumentative and has a history of aggression towards others. Which of the following would be apriority nursing concern? a. Ineffective coping in dealing with negative behaviors b. Refusal to engage actively in the treatment plan c. Poor impulse control leading towards violence of othersd. Impaired social skills during group therapy
a.
. A child Is admitted to the inpatient psychiatric unit with a diagnosis of conduct disorder. The nurse would expect to find which of the following syndrome? a. High anxiety related to the separation from home and family b. A history of cruelty towards people and animals c. Constant complaints of physical symptoms such as headaches and abdominal discomfort d. Confabulation when confronted with inappropriate behaviors
b.
. What factor is precipitating symptom of depression and suicidal intent in the elderly? a. Fear of death b. Religious concerns c. Poor self-esteem d. Bereavement overload
d.
. The family of a 17-year-old client diagnose with anorexia nervosa is encouraged to attend family therapy sessions. The parents state, "we don't have the eating disorder, why should we attend?" what is the best response by the nurse? a. "Gaining insight about her illness and what contributes to it will be beneficial" b. "Don't you care about your daughter's well-being?" c. "She needs your support right now" d. "An eating disorder is a family disorder."
a.
.What are the effective intervention to facilitate autonomy for a client diagnosed with an eating disorder? a. Have the client give input when establishing the expected outcomes b. Provide flexibility in activities of daily living c. Provide the client with limited information regarding progress d. Prohibit the client from making some decisions about eating rules
a.
10. A client has been sullen and withdrawn since receiving the news of her cancer diagnosis. As the nurse enters the room, the client asks for assistance with a shower, which comment by the urse is the most appropriate? a. "I will be glad to assist, ill be right back with your supplies." b. "If you look better, you might feel better too." c. "Your spouse will be glad to see that youre feeling better." d. "Taking a shower might wash away some of the gloom and doom."
a.
17. A client has blindness related to conversion disorder. To assist the client with eating, which of the following interventions should the nurse implement? a. Expect the client to feed himself after explaining the arrangement of the food on the tray b. Address the needs of other clients in the dining room, then feed this client c. Place the food tray on a table in front of the client d. Establish a "buddy" system with other clients who can feed this client at each meal
a.
22. An elderly client was neglected by family in the home setting. The abuse was reported. What factor would have the client to remain home? a. Competent adults can decide to remain in the setting b. Only children are removed from the family and home c. Since the abuse has not been physical; there is no need to remove the client from the environment d. The appropriate agency will possibly monitor for Improvement in the situation
a.
A 16-year-old is admitted to the adolescent unit with a diagnosis of conduct disorder. This condition is often manifested by what behavior a. Anger-related too restrictive rules b. Physical aggression in violation of others c. Verbal aggression in expressing the need for independence d. Inability to complete age-appropriate tasks
b.
The nurse is assessing the client in a fugue state. What assessment findings would the nurse recognize as most significant to experiencing a fugue state? a. Depressive symptoms b. Depersonalization episode c. History of childhood trauma d. Recent history of severe trauma
c.
A female client expresses to the nurse that she feels like she didn't do enough o prevent the loss of her father. Which of the following intervention should the nurse use to address the clients' feelings? a. Encourage the client to remain strong to support the other family members b. Explant that this feeling is a pathological defense that will prevent the client from progressing through the stages of grief c. Role-play the events and assist the client with understanding the decisions leading to the loss d. Review the circumstances of the loss and the reality that it could not be prevented
d.
A 79-year-old client admits that his daughter hits him while helping him dress each morning. What is the appropriate nursing action? a. It is a requirement that he be removed for his safety b. The family member is to be charged for this offense c. The nurse is required to make sure the proper authority is informed d. A competency hearing must be scheduled for the client
C.
34. A 7-year old male client has sever bruising on his arms and injury to his abdomen. The nurse should consider child abuse if the parents act in what manner? a. The parent delayed seeking treatment b. The parents remain with the child throughout the assessment c. The parents show concern for the child d. The parents asked the child to explain what happened
a.
9. A nurse working on a inpatient psychiatric unit observes a client diagnosed with obsessive compulsive disorder (OCD) rearranging the magazines in the dayroom. The nurse understands this action is primarily meant to do with of the following? a. Temporarily reduce the anxiety the client is feeling b. Show the nursing staff they can handle emotions c. Ensure a structured and orderly environment d. Show the other clients how to stay organized
a.
A client recently lost his wife to Covid-19. Which statement by the client may alert the nurse the client may be negatively coping with the death? a. "Avoiding contact with others is easier to deal with." b. "I made an appointment to meet with a therapist." c. "I signed up for a yoga class this week." d. "I really enjoy journaling; it's let me get out my feelings."
a.
A nurse is working with a client with a histrionic personality disorder. Which of the following nursing interventions must be implemented throughout the inpatient stay? a. Setting appropriate limits on maladaptive behaviors b. Offering relationship advise c. Providing multiple options when the client makes frequents requests
a.
A terminal client expresses concern that his spouse seems distant and continues the activities always carried out with him, now without him. This situation is an example of what type of grief? a. Distorted grief b. Inhibited grief c. Anticipatory grief d. Chronic grieving
a.
The nurse is caring for a client diagnosed with somatic symptom disorder. The client continues to focus on his severe back pain. Which of the following is the most therapeutic nursing intervention? a. Allow the client to discuss physical concerns and then redirect to coping skills for stress b. Tell the client that there is no cause for the pain except for emotional concerns c. Explain alternative interventions that are available for back pain d. Confront the client with the negative findings that have been determined
a.
The nurse is caring for a client who has just been injured by her ,ale partner. The client states that for the first time he has been physical abusive, but her apologized and has since sent her flowers. What is the intervention by the nurse? a. Teach the client the cycle of battering b. Suggest the client and her partner both take time to evaluate the relationship c. Ask the client about the level of stress she is experiencing d. Give the client a list of anger management resources
a.
A 4-year old child states to the nurse "if I can make a big enough wish, my dad wont be dead anymore." What is the conclusion made by the nurse? a. The child is voicing thoughts that are normal for children this age b. This is magical thinking, generally used by older children c. The child is repeating something he heard other children say d. The child is making up a story, so sad feeling will not be as painful
a. b.
14. A child is diagnose as being on the autistic spectrum. Which clinical manifestations should the nurse expect? (Select all that apply) a. Inability to maintain eye contact b. Appropriate nonverbal communication c. Inability to express themselves d. Hallucinations e. Repetitive body movements
a. c. e.
The Nurse is conducting a presentation for family members on personality disorders. What would be included in this presentation (select all that apply) a. Medications can quickly treat the problematic symptoms of personality disorders b. Personality traits can be challenging to change c. Personality disorder only occur as a product of certain home environments d.Personality traits are formed early in life e. Stress has an impact on daily behaviors and attributes
b d e
A client is diagnosed with agoraphobia. Which question indicates the nurse understands the etiology related to this disorder? a. Were your parents supportive of your endeavors b. Can you share the places that cause you fear? c. Do you ever feel like your mind goes blank? d. Do you struggle to control impulses?
b.
A community health nurse is planning a training for post- traumatic stress disorder. Which of the following clients would be considered the most vulnerable to post-traumatic stress disorder? a. A wife of an individual with a severe substance abuse problem b. A 20-year-old college student with diabetes mellitus who experienced date rape c. A 40-year-old widower who has recently lost his wife to cancer d. An 8-year-old boy with asthma who recently failed a grade in school
b.
A nurse is caring for a client with factitious disorder imposed on another, which of the following statement by the client would the nurse expect? a. "My friend now has a new friend, so I have nothing to do with her." b. "I made my daughter sick because no one was paying us any attention" c. "I have been sick for so long, and no one can help me" d. "My son has asthma, and I become anxious when he has trouble breathing"
b.
Which statement by the nurse in the emergency department indicates a firm knowledge base regarding intimate partner violence? a. "Abused individuals have dependent personality disorder" b. "Power and control are the central dynamics of abuse" c. "Abused women are attracted to abusive men" d. "Verbal abuse always proceeds to physical abuse"
b.
. A client is diagnosed with obsessive-compulsive disorder. Which action by the nurse would increase the client's anxiety? a. Talking with other staff at the nurse's station b. Asking feedback regarding milieu therapy c. Changing the schedule throughout the day d. Requestion participation in group therapy
c.
18. Which assessment data should the school nurse recognize as sign of physical neglect? a. The child has a sophisticated knowledge of sexual behaviors b. The child has multiple bruises on various body parts c. The child is often absent from school, wears dirty clothes, and seems withdrawn and tired d. The child is very insecure and has poor self-esteem
c.
35. Which of the following statements best describes a goal of group therapy? a. The need for withdrawal and side-effects can be taught b. The staff can share their personal experiences c. The members can hear from others who have experienced similar experiences d. The therapist can demonstrate how physical conditions are affected
c.
6. The parent of a child with attention deficit hyperactivity disorder (ADHD) tells the nurse that the child does not follow directions well. What strategy would be best for the nurse to recommend? a. Place the child in time out for at least 20-30 min b. Tach the child to be assertive and not to resist instructions by those in authority c. Try having the child repeat the instructions before d.Consider developing a daily schedule plan with the child
c.
A 7-year-old male without any other diagnosed problem engages in jaw clenching, rocking back and forth, and unable to engage in physical contact. The nurse recognizes these symptoms of which of the following conditions? a. Attention deficit hyperactivity disorder b. Stereotypic movement disorder c. Autism spectrum disorder d. Tourette's disorder
c.
A child diagnose with oppositional defiant disorder begins to yell at staff members when asked to leave group therapy because of inappropriate behaviors. Which nursing intervention would be most appropriate? a. Allow the child to remain in the group therapy and continue to monitor b. Institute seclusion following the facilities protocol c. Accompany the child to a quiet area to decrease external stimuli d. Assist the child in recognizing how to sperate feelings from reactions
c.
A client diagnosed with borderline personality disorder is angry that the night shift staff would not let her during coffee at 3 a.m. she discusses this in a community meeting and develops a following of clients who demand access to the cafeteria at all hours. How can the nursing staff manage this situation to prevent "splitting"? a. Eliminate coffee form the until b. Allow the clients access to the cafeteria at night c. Staff discuss the situation and agree upon consistency d. Allow the client s to vote on this issue
c.
A client diagnosed with dissociative disorder suddenly begins to speak with a child's vocabulary and voice. What interpretations should the nurse make of this behavior? a. Malingering behavior b. Attention seeking behavior c. A state of depersonalization d. Somatization episode
c.
A client has been prescribed buspirone for a new diagnosis of generalized anxiety disorder (GAD). Which statement by the client indicates an understanding of the medication? a. "I should begin to feel better in a few days" b. "I will let my physician know if I become addicted" c. "I will need to take this medication for a while before I see how well it works for me." d. "I will only need to take this when I feel anxious."
c.
A client states she is hearing voices that tell her to cut herself. She already has several superficial marks on her wrists from scratching herself with the plastic eating utensils. She will not contract for safety. What is the priority nursing intervention? a. Obtain on order for seclusion until she denies suicidal intent b. Conduct 15-mnute checks so she will not get one-to-one attention she seeks c. Place on one-to-one, constant observation to ensure she does not harm self d. Remove the plastic eating utensils form the unit
c.
A client with antisocial personality disorder states to the nurse, "a novice like you can't possible help me." What is the best response by the nurse? a. "it's evident you understand my role!" b. "The staff here have tried very hard to help you" c. "What needs do you thing I can't meet?" d. "Where do you plan to go?"
c.
A female adolescent client says to the nurse, "Hey, you stupid blonde, what are you looking at?" Which of the following responses would be inappropriate for the nurse make? a. "That kind of language is unacceptable." b. "I don't understand that comment" c. "Don't you ever talk to me like that again" d. "What's that all about?"
c.
A nurse is caring for a client experiencing panic level anxiety The nurse understands which of the following nursing actions should be considered a priority? a. Guide the client through relaxation techniques b. Ask the family member what the trigger for the anxiety was c. Stay with the client and reduce the stimuli in the room d. Allow the client to remain alone to recollect themselves
c.
A nurse is developing a care plan for a client with post- traumatic stress disorder. Which of the following should be completed first? a. Encourage the client to put the past in proper perspective b. Instruct the client to use distraction techniques to cope with flashbacks c. Encourage the client to verbalize thoughts and feelings about the trauma d. Avoid discussing the traumatic event with the client.
c.
The nurse has determined systematic desensitization is the therapy being used to treat the client with acrophobia. How is this demonstrated? a. Visualizing going up steep places b. Being regularly exposed to high places c. Gradual exposure to higher areas d. Discussing past trauma at certain heights
c.
What is the priority nursing intervention when providing care to the client who was brought to the emergency department after sexual assault? a. Collect a history of the attack b. Call a chaplain to provide support c. Ensure safety of the client in a private room d. Get the consent for the forensic examination
c.
The nurse is caring for a client with attention deficit hyperactivity disorder. The child has been prescribed methylphenidate. Which of the following symptoms are side effects the nurse will monitor for? (Select all that apply? a. Decreased Blood pressure b. Sedation c. Insomnia d. Decreased appetite e. headache
c. d. e.
5. A child diagnosed with autism spectrum disorder makes no eye contact, does not respond to verbal directions from the staff members, and constantly twists, spins and head bangs. Which of the following would be the best nursing action? a. Showing the child how to maintain eye contactb. b. Instructing the child to follow directions from the stuff c. Place the child in seclusion as the behavior is unacceptable d. Ensuring the child does not receive an injury from body movements
d
While caring for a teenage client with attention deficit hyperactivity disorder who is at high risk for self-harm due to poor judgment, high risk-taking behaviors and impulsivity. Which of the following is the priority nursing intervention? a. Schedule a regular nurse-client session daily to discuss daily goals b. Have the client sit within direct line of sight with the staff only during mealtimes c. Have a staff member assigned for one-on-one observation at all times d. Develop a "no-harm" contract with the client and encourage participation in all unit activities
d
16. A client with past experiences of eating disorder symptoms uses the ego defense mechanism of sublimation in dealing with this disorder. How is this expressed? a. She identifies these symptoms in others b. She states she doesn't think she had a real problem c. She tries to forget these past symptoms d. The client speaks at high schools about her disorder
d.
45. Which of the following statements by the nurse, who cares for children psychiatric disorders, is a concern? a. "When a child becomes violent, I also need to protect the other children." b. "Since I have been caring for this child, he has become less agitated" c. "I have to be carful not to become attached and show favoritism" d. "I know exactly how the child feel since I went through the same thing"
d.
A 28-year-old male client has poor relationships and is suspicious of others. According to Erikson's theory of psychological adjustment, at what stage were tasks unmet? a. Industry vs. inferiority b. Autonomy vs. shame and doubt c. Initiative vs. guilt d. Trust vs. mistrust
d.
A child drowned while swimming in a local lake 2 years ago. Which behavior best indicates the child's parents are mourning in an effective way? a. They sealed their child's room and will not allow anyone to change it. b. They forbid their other children from going swimming c. they keep a place set for the deceased child at the family dinner table d. They throw flowers on the lake at each anniversary date of the accident.
d.
A client is admitted with a diagnosis of dependent personality disorder. Which question by the nurse indicates an understanding of the essential features of the disorder? a. "Do you find you don't want praise for your accomplishments?" b. "Do you have problems expressing your feeling?" c. "Do you feel awkward In social situations?" d. "Are you afraid of being alone?"
d.
A client is diafnosed with antisocial personality disorder. She has a violent verbal, physically threatening outburst in the dayroom of the unit when the nurse explains she cannot smoke in the hospital. What is the priority action the nurse should take? a. Use a firm, controlling approach in explaining the rules b. Call for help to restrain the client c. Insist that she immediately give him the cigarettes d. Remove all other clients from the dayroom to ensure safety
d.
A client is prescribed diazepam as needed (PRN) for panic disorder. Which of the following facts would cause the nurse to question the order? a. The client has diagnosed with irritable bowel syndrome (IBS) b. Lithium carbonate has also been prescribed c. The client states she is allergic to meperidine d. The client had a sever addiction problem in the past
d.
A client states "I was diagnosed with panic attacks. I have heard of dissociative disorders. What is the difference?" what is the nurses best response a. "Panic attacks are associated with guilt, causing anxiety" b. "There are only physiological changes with dissociate disorders c. "There is very little difference between the two disorders" d. In dissociative disorders, the person experiences an involuntary escape from reality characterized by a disconnection between thoughts, identity, consciousness, and/or memory."
d.
A school-age child is talking with her grandmother, who is dying. What should the nurse say to the child? a. "Although she cannot hear you, she can feel your presence" b. "Hold her hand since she probably can't hear you" c. "Talk loudly so she can hear you" d. "Even though she may not answer you, she can hear you"
d.
The nurse is caring for a 12-year-old client diagnosed with oppositional defiant disorder. The client's mother asks what type of medication is usually prescribed for this diagnosis. Which of the following is the most appropriate response by the nurse? a. "often times medication such a mood-stabilizers are used in an "off-label" manner" b. "Through mediations may be used, typically the client will outgrow the behavioral problem without any specific treatment plan." c. "There have been no medications approved for this condition" d. "Though medications may be used to treat symptoms, the focus will be on behavioral
d.
The nurse is working with a client who is preoccupied with perfection, cannot discard anything, and has trouble relaxing. Which of the following personality disorders is being described within this example? a. Antisocial b. Narcissistic c. Histrionic d. Obsessive Compulsive
d.
When planning the care of a 6-year-old child diagnosed with oppositional defiant disorder, the nurse should include which method of therapy? a. Mindfulness exercises b. Cognitive therapy c. Emotive Therapy d. Behavior modification
d.
Which of the following is a therapeutic approach to setting limits with clients diagnosed with antisocial personality disorder? a. Use a friendly manner and ask for cooperation b. Establish restrictive goals for these clients c. Convey acceptance for behavior d. Clarify the rules for all and make expectations clear
d.
19. A child diagnosed on the autism spectrum may experience repetitive behaviors. Which of the following are examples of repetitive behavior which could be observed. a. Limited function play b. Language delays c. Avoiding body contact d. Flapping their hands e. Spinning in circles
d. e.
