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c There is an association between bulimia and the neurotransmitter serotonin and norepinephrine. Because Alexa is an SSRI it would be useful in the treatment of bulimia and responsible for a positive client response

A client diagnosed with bulimia has responded well to Celexa. Which is the possible cost for this response? a. There is an association between bulimia and dilated blood vessels an in active alpha adrenergic and Serotoninergic receptors. b. There is an association between bulimia and the neurotransmitter dopamine. c. There is an association between bulimia and the neurotransmitters serotonin in nor epinephrine. d. There is an association between bulimia and malfunction of the thalamus.

c It is important for nurses understand that for individuals diagnosed with a personality disorders no prescribe medications are available to secure our control these disorders. clients inappropriate behaviors and skewed perception is often lead to anxiety or depression or both therefore in anxiolytics antidepressants and anti-psychotic sometimes are prescribed

A nursing instructor is teaching about personality disorder characteristics. Which student statement indicates that learning has occurred? a. Clients diagnosed with personality disorders need frequent hospitalizations. b. Clients perceive their behaviors as uncomfortable and disorganized. c. Personality disorders cannot be cured or controls successfully with medication. d. Practitioners have a good understanding about the ideology of personality disorders

b The clients being able to express feelings without inflicting injury but I discharge is an outcome that reinforces the priority for client safety is miserable and has a timeframe

A suicidal client is diagnosed with borderline personality disorder. Which correctly written short term outcome is most beneficial for the client? a. The client will be free from self injury us behavior. b. The client expressed feelings without inflicting self injury by discharge. c. The client was socialize with peers in the millieu by day three. d. The client would knowledge his or her role and altered interpersonal relationships

c, d, e

After a routine dental examination on an adolescent the dentist reports of the parents that bulimia suspected. How much of the following assessment data with the Dentist base his determination? Select all that apply a. extreme weight loss. b. Amenorrhea. c. Discoloration of dental enamel. d. Bruises of the power and posterior pharynx. e. Dental enamel dysplasia

b The media and priority problem that this client faces in balance nutrition less than body requirements. Impaired nutrition causes complications to emaciation dehydration and electrolyte imbalance that can lead to death. When the physical conditions no longer life-threatening other problems may be addressed

Client was cachexia states I don't care what you say I am horribly fat and will continue to diet. The client is experiencing arrhythmias and bradycardia. Based on the clients symptoms which nursing diagnosis takes priority? a. Ineffective denial. b. In balance nutrition less than body requirements. c. Disturbed body image. d. ineffective coping

b What a client is diagnosed with paranoid personality disorder one to one teaching in a classroom with decrease the clients paranoia support a trusting relationship and allow the client to ask questions. The nurse also would be able to evaluate the effectiveness of medication teaching

I client diagnosed with paranoid personality disorder and his information regarding medications. Which nursing intervention would best assist this client and understanding prescribe medications? a. Ask clients to join the medication education group. b. Provide one on one teaching in the clients room. c. During rounds have the physician asked if the client has any questions. d. Let the client read the medication information handout

d Acknowledging the clients feelings about the altar thoughts is an important response. The nurse supports the clients feelings but not the other dogs. At the same time the nurse explored ways to help the client feel comfortable

I got an early admitted to an inpatient psych unit is diagnosed with schizotypal personality disorder. The client states I envision my future death by fire. Which is the most appropriate nursing response? a. I don't know what you mean by envisioning your future death. b. Your future death? Can you please tell me more about that? c. I was wondering if you want to come to group to talk about that. d. I can see your thoughts are bothersome how can I help you

c The outcome of verbalizing recognition of misperception involving fat body image is a long-term outcome appropriate for discharge planning for a client diagnosed with anorexia

I kind of leaving the inpatient psych facility after one month of treatment for anorexia. Which outcome is appropriate during discharge planning for this client? a. Client will except refeeding as part of a daily routine. b. Client will perform in NG-tube feeding independently. c. Client will verbalize recognition of fat body misperception. d. Client will discuss importance of monitoring daily weight

c The hypothalamus exert control over the actions of the autonomic nervous system and regulates appetite and temperature

Structure in the brain contains an appetite regulations dinner? a. Thalamus b. Amygdala c. hypothalamus d. medulla

d determining the clients eating patterns and what triggers the client to eat. stress or boredom for example. and where and when the client consumes the calories. snacking in front of the tv for example. is needed to assist the client to change eating behaviors

the female client is more than 10% over ideal body weight. which nursing intervention should the nurse implement first? a. ask the client why she is eating too much b. refer the client to a gym for exercise c. have the client set a realistic weight loss goal d. determine the clients eating problems

d Clients examining passive aggressive trades believe another individual has wronged them and they may go to great links to seek retribution or get even. This is done in a subtotal and passive manner rather than by discussing their feelings with the offending individual

when assessing a client exhibiting passive aggressive personality traits which characteristic behaviors might the nurse identify? a. the client exhibits behaviors that attempt to split the staff b. the clients shows reckless disregard for the safety of self or others c. the client has unjustified doubts about the trustworthiness or friends d. the client seeks subtle retribution when feeling others have wronged him or her

b Then I was using a client refuses to acknowledge the existence of a real situation or associated feelings. When a client says I don't think the world owes me a living then I was being used to avoid facing others perceptions

when confronted a client diagnosed with narcissistic personality disorder states contrary to what everyone believes i do not think that the whole world owes me a living. this client is using what defense mechanism? a. minimization b. denial c. rationalization d. projection

a Individuals with paranoid personality disorder would be isolated and believe that others were out to get them. The behavior and presented for flex a client diagnosed with this disorder

which behavior would the nurse expect to observe if a client is diagnosed with paranoid personality disorder? a. the client sits alone at lunch and states, everyone wants to hurt me' b. the client is irresponsible and exploits other peer in the milieu for cigarettes c. the client is shy and refuses to talk to others because of poor self esteem d. the client sits with peers and allows others to make decisions for the entire group

b, c, e

which of the following diagnostic criteria describe that characteristics of borderline personality disorder? select all that apply a. arrogant, haughty behaviors or attitudes b. frantic efforts to avoid real or imagined abandonment c. recurrent suicidal and self mutilating behaviors d. unrealistic preoccupation with dears of being left to take care of self e. chronic feelings of emptiness

a, b, d

A 15-year-old client living in a residential facility has a nursing diagnosis of ineffective coping related to abuse AEB define responsive to adult rules. Which of the following interventions were addressed in nursing diagnosis appropriately? Select all that apply. a. Set limits on manipulative behavior. b. Refused to engage in controversial and argumentative encounters. c. Obtain an order for a tranquilizing medications. d. encourage discussion of angry feelings. e. Remove all dangerous objects from the clients environment

a A normal BMI range is 20 to 25. Achieving the outcome of a BMI of 20 would indicate improvement for the stated nursing diagnosis of in balance nutrition less than body requirements

A client diagnosed with anorexia has a nursing diagnosis of in balance nutrition less than body requirements. Which long-term correctly written outcome addresses his clients problem improvement? a. The clients BMI will be 20 by the six month follow-up appointment. b. The client will be free of sun symptoms of malnutrition and dehydration. c. The client will use one healthy coping mechanism during a time of stress by discharge. d. The client will understand a previous dependency role 3 month follow-up visit

b The outcome of gaining 2 pounds in one week is directly related to the nursing diagnosis of altered nutrition less than body requirements. altered nutrition less than body requirements is defined as a state in which an individual experiences an intake of nutrients in sufficient to meet metabolic needs. Weight loss is characteristic of the diagnosis of anorexia with weight gain being a critical outcome

A client diagnosed with anorexia has a short term outcome that states the client we're going to pounds in one week. Which nursing diagnosis reflects the problem but this outcome address? a. ineffective coping related to lack of control b. altered nutrition less than body requirements related to decreased intake. c. Self-care deficit feeling related to fatigue. d. Anxiety related to feelings of helplessness

a It is important to address an individual's behavior in a timely manner to set appropriate limits. Limit setting is to be done in a calm but firm manner. Client diagnosed with antisocial personality disorder may have no regard for rules or regulations which necessitates limit setting by the nurse

A client diagnosed with antisocial personality disorder is caught smuggling cigarettes until the non-smoking clinical area. Which initial nursing intervention is appropriate? a. Confront client about the behavior. b. Tell the clients primary nurse about the situation. c. Remind our clients of the no smoking policy in the community meeting. d. Teach alternative coping mechanisms to assist with anxiety

d This client has been diagnosed with borderline personality disorder resulting from fixation in an earlier developmental level. This disruption during the establishment of the clients value system has led to the start of personality identity. When the nurse helps a client to identify internalize about his beliefs and attitudes the client begins to distinguish personal identity

A client diagnosed with borderline personality disorder is given a nursing diagnosis of disturbed personal identity related to unmet dependency needs AEB the inability to be alone. Which nursing intervention would be appropriate? a. Ask the client directly have you thought about killing yourself? b. Maintain a low level of stimuli in the clients environment. c. Frequently orient clients to reality and surroundings. d. Help the client identify values and beliefs

a Repetitive self mutilating behaviors are classic manifestations of borderline personality disorder. These individuals seek attention by self mutilating until pain is felt in an effort to counteract feelings of emptiness. Some clients reported that to feel pain is better than to feel nothing. Because these clients often inflict injury on themselves this diagnosis must be prioritized to ensure the client safety

A client diagnosed with borderline personality disorder superficially cuts both wrist, is disrupted in group and a splitting staff. Which nursing diagnosis would take priority? a. Risk for self mutilation related to need for attention. b. Ineffective coping related to inability to deal directly with feelings. c. Anxiety related to fear of abandonment AEB splitting staff. d. Risk for suicide related to past suicide attempt

c This outcome relates directly to the nursing diagnosis is measurable and has a timeframe

A client diagnosed with dependent personality disorder has a nursing diagnosis of Altered sleep pattern related to impending divorce. The client is prescribed oxezepam PRN. Which is an appropriate correctly Written outcome for this nursing diagnosis? a. The client verbalizes a decrease intention and racing thoughts. b. The client will expressed understanding about the medication side effects by day two. c. The client sleeps 4 to 6 hours a night By day three. d. The client notified the nurse when the medication is needed

a, e

A client diagnosed with obsessive compulsive personality disorder is admitted to a psych unit in a highly agitated state. The physician prescribes a benzodiazepine. Which of the following medications should the nurse expect to administer? Select all that apply a. clonazepam b. lithium carbonate c. clozapine d. olanzapine e. libruim

b Impaired social interaction is defined as the insufficient or excessive quantity or ineffective quality of social exchange. When a client question complains about a nagging husband who criticizes her indecisiveness she is passively expressing covert aggression. This negative expression impedes her ability to interact appropriately and to express feelings openly which leads to the correct nursing diagnosis impaired social interaction

A client exhibiting passive aggressive personality traits continuously complains of the marriage counselor about a nagging husband who criticizes her indecisiveness. Which nursing diagnosis reflects his clients problem? a. Social isolation to related to decreased self-esteem. b. Impaired social interaction related to inability to express feelings openly. c. Powerlessness related to spousal abuse. d. Self-esteem disturbance related to unrealistic expectations of husband

b, e

A client is diagnosed with intermittent explosive disorder. The clinic notes should anticipate potentially teaching about which of the following medications? Select all that apply. a. Zoloft. b. paliperidone. c. buspirone d. phenelazine e. valproate sodium

b The response I will accompany you to the bathroom is appropriate. Any clients suspected of self induced vomiting should be a company to the bathroom for the nurse to be able to deter this behavior

A client on an inpatient psych unit has been diagnosed with bulimia. The client states I'm going to the bathroom and will be back in a few minutes. Which nursing response is most appropriate? a. Thanks for checking in. b. I will accompany you to the bathroom. c. Let me know when you get back to the day room. d. I'll stand outside your door to give you privacy

c Purging behaviors such as vomiting may lead to dehydration and electrolyte in balance. Hallucinations and restlessness can be signs of electrolyte imbalance. Dry mucous membranes indicate dehydration

A client with a long history of bulimia nervosa seen in the ED. The client is saying things that others do not is restless and has dry mucous membranes. Which is most likely the cause of the clients symptoms? a. Mood disorders which often accompany the diagnosis of bulimia. b. Nutritional deficits which are characteristics of bulimia. c. Vomiting which may lead to dehydration and electrolyte imbalance. d. Binging which causes abdominal discomfort

d Individuals diagnosed with narcissistic personality disorder have an exaggerated sense of self worth and believe they have an alienable right to receive special consideration. They tend to exploit others to feel their own desires. Because they view themselves as superior beings they believe they are entitled to special rights and privileges. Because of the need to control others inherent in the job of prison warden this would be an appropriate job choice for a client diagnosed with narcissistic personality disorder

A nurse is discharging a client diagnosed with narcissistic personality disorder. Which employment opportunity is most likely to be recommended by the treatment team? a. home construction. b. Air traffic controller. c. Night watchman at the zoo. d. Prison warden

c It is important to offer support and positive reinforcement for improvements and eating behaviors. Because the client diagnosed with anorexia are obsessed with food discussion of food can provide unintended positive reinforcement for negative behaviors. And this answer choice the nurse at appropriately redirect the client

A nurse with a client diagnosed with anorexia notices that the client has eaten 80% of lunch. The client asked the nurse what do you like better hamburgers or spaghetti which is the best response by the nurse? a. I'm Italian so I really enjoy a large plate of spaghetti. b. ill weigh you after your meal. c. Let's focus on your continued improvement you ate 80% of your lunch. d. Why do you talk about food? Let's talk about swimming

b The priority nursing intervention is to observe the clients behavior frequently. The nurse to do this through routine activities and interactions to avoid appearing watch one suspicious. Close observation is required so that immediate intervention as can be implemented as needed

After being treated in the ED in for self-inflicted lacerations to rest in arms a client with a diagnosis of borderline personality disorder is admitted to the psych unit. Which nursing intervention takes priority? a. Administer tranquilizing drugs. b. Observe client frequently c. encourage client to verbalize hostile feelings. d. Explore alternative ways of handling frustration

a, d, e

Although they are differences among the three personality disorder clusters there are also some traits common to all individuals diagnosed with personality disorders. Which of the following are common traits? Select all that apply a. failure to accept the consequences of their own behavior. b. Self injurious behaviors. c. Reluctance in taking personal risks. d. Cope by altering environment instead of self. Lack of insight

b Significantly low body weight in the contacts of age sex developmental trajectory and physical health disturbance is the way in which ones body weight is experience under the influence of body way on self-evaluation of lack of recognition of the seriousness of the current low bodyweight are all diagnostic criteria for anorexia.

An 18-year-old female client weighs 95 pounds under 70 inches tall. She has not had a period in four months and states I am so fat which statement is reflective of this clients symptoms? a. The client meets the criteria for a diagnosis of bulimia. b. The client meets the diagnosis criteria of anorexia. c. The client needs further assessment to be diagnosed. d. The client is exhibiting normal developmental Tasks according to Erikson

c Role modeling positive relationships will provide a motivation to initiate interactions with others outside the clients family. This is an appropriate intervention for the nursing diagnosis of social isolation

Client diagnosed with a dependent personality disorder has a nursing diagnosis of social isolation related to parental abandonment AEB fear of involvement with individuals not in the immediate family. Which nursing intervention would be appropriate? a. Address inappropriate interactions during group therapy. b. Recognize when client is playing one staff member against another. c. Role model positive relationships. d. Encourage the client to discuss conflicts evident within the family system

b In the fourth century BC Hippocrates also known as the father of medicine identified for fundamental personality styles that he concluded stem from excess of the four humors the irritable hostile choleric, the pessimistic melancholic, the overly optimistic an extroverted sanguine and then apathetic phlegmatic

I Nursing School Struggles setting the historical aspects of personality disorder. Which injury on the examination indicates that learning has occurred? a. Zeus in the third century BC identified described and applied the theory of object relations. b. Hippocrates in the fourth century BC identified for fundamental personality styles. c. Narcissus in 923 A.D. introduce the word personality from the Greek term persona. d. Achilles in 866 A.D. describe the pathology of personality as a complex behavioral phenomenon

c The short term outcome is stated in observable and measurable terms. There's outcomes that this is civic time for achievement. It is short and specific and is written in positive terms all of which should contribute to the final goal of the client having increased social interaction

I am diagnosed with an avoidant personality disorder has a nursing diagnosis of social isolation related to severe malformation of the spine AEB I can't be around people looking like this. Which correctly written short term outcome is appropriate for this clients problem? a. The client will see self as straight and tall by the time of discharge. b. The client will see self as valuable after attending a service training courses. c. The client will be able to participate in one therapy group by end of shift. d. The client will join in a charade game to decrease social isolation

c Ineffective denial is defined as a conscious or unconscious attempt to disavow knowledge or meaning of an event to reduce anxiety or fear. The client presented in the question is denying his or her children need for parental support by turning the situation around and making himself or herself sound like a victim who is not needed

I am diagnosed with antisocial personality disorder states my kids are so busy at home and school they don't miss me or even know I'm gone. Which nursing diagnosis applies to this client? a. Risk for injury. b. Risk for self directed violence. c. Ineffective denial. d. Powerlessness

d Clients diagnosed with schizoid personality disorder are unsociable and prefer to work in isolation. These individuals are characterized primarily by profound detect in the ability to form personal relationships or to respond to others in any meaningful or emotional way. That is my lifelong pattern of social drawl and their discomfort with human interaction is very apparent. This client is choosing celebrity activities and lacks friends. The nursing diagnosis of social isolation is appropriate when addressing the clients problem

I can't diagnose with schizoid personality disorder Jesus solitary activities lacks close friends and appears in difference of criticism. Which nursing diagnosis would be appropriate for this clients problems? a. Anxiety related to poor self-esteem AEB lack of close friends. b. Ineffective coping related to inability to communicate AEB indifference to criticism. c. Altered sensory perception related to threat of self concept AEB magical thinking. d. Social isolation related to discomfort with human interaction AEB avoiding others

c These ages are within the range of late adolescence to early adulthood and which the onset of bulimia commonly occurs

I climbed me a minute to the inpatient psych unit with a diagnosis of bulimia nervosa. The nurse should expect this client to fall within which age range? a. 5 to 10 years old. b. 10 to 14 years old. c. 18 to 22 years old. d. 40 to 45 years old.

d A theory of obesity from a physiological perspective is that lesions in the appetite and satiety centers of the hypothalamus Leads to over eating and obesity

Ideological implication for obesity is from a logical perspective? a. 80% of offspring of two obese parents become obese. b. Individuals who are obese have unresolved dependency needs that are fixed and oral stage of development. c. Hyperthyroidism interferes with metabolism and may lead to obesity. d. Lesions in the appetite and satiety centers of the hypothalamus lead to over eating and obesity

d Narcissistic personality disorder is characterized by a grandiose sense of self importance and preoccupation with fantasies of success power brilliance and beauty. This kind of sometimes may exploit others for self gratification

Nursing student is studying the historical aspects of personality disorder. Which of the following student statements indicate that learning has Occurred? Select all that apply. a. These clients have peculiarities of ideation. b. These clients require constant approval on affirmation. c. These clients are impulsive and self-destructive. d. These clients expressed a grandiose sense of self importance. e. These clients have a deep need for admiration

d The immediate priority of nursing intervention in eating disorders is to restore the clients nutritional status. Complications of emasculation dehydration and electrolyte in balance can lead to death. This is my mantra in a bottle signs in lab values to recognize and anticipate these medical problems must take priority. When the physical condition is no longer life-threatening other treatment modalities may be initiated

The client diagnosed with anorexia is newly admitted to an inpatient psych unit. Which intervention takes priority? a. Assessment of family issues and health concerns. b. Assessment of early disturbances in mother/infant interactions. c. Assessment of the clients knowledge of SSRIs used in treatment. d. Assessment and monitoring of vital signs and lab values to recognize and anticipate medical problems

a In this situation the nurse empathize with the clients concerns and then sets limits on inappropriate behaviors in a matter of that manner

The client diagnosed with antisocial personality disorder demands at me like to speak to the ethics committee about involuntary commitment process. Which nursing statement is appropriate? a. I realize it was that however this is not the appropriate time to ask for your concerns. b. Let me give you a sleeping pill to help put your mind at ease. c. It's midnight and you're disturbing the other clients. d. I will document your concerns in your chart for the morning shift to discuss with the ethics committee

d The short term outcome is stated in observable and measurable times. This all comes out specific time for treatment. It is specific and it's written in positive terms. With a client can identify signs and symptoms of increased anxiety the next step of problem-solving can begin

The client diagnosed with obsessive compulsive personality disorder as a nursing diagnosis of anxiety related to interference with handwashing AEB I'll go crazy if you don't let me do that. Which correctly written short term outcome is appropriate for this client? a. During a three hour period after admission to the unit the client will refrain from handwashing. b. The client will wash hands only add appropriate bathroom and meal intervals. c. The client will refrain from handwashing throughout the night. d. Within 72 hours of admission the client Will notify staff on signs and symptoms of anxiety escalate

c The symptoms noted or EPS caused by antipsychotic medications. This can be corrected by using anticholinergic medications

The client diagnosed with paranoid personality disorder is prescribed risperidone. The client is noted to have restlessness and weakness in the lower extremities and is drooling. Which nursing intervention would be most important? a. Hold the next dose of risperidone and document the findings. b. Monitor vital signs and encourage the client to rest in his or her room. c. Give the ordered PRN dose of Artane. d. Get a fasting blood sugar measurement because of potential hyperglycemia

a, b, c, d

The family of a client diagnosed with anorexia has canceled the past to family counseling sessions. Which of the following could be reasons for this non-adherence? Select all that apply a. the family is fearful of the social stigma of having a family member with emotional problems b. the family is dealing with feelings of guilt because of the perception that they have contributed to the disorder c. there may be a pattern of conflict avoidance and the family fears conflict with service in the session d. the family may Be attempting to maintain family equilibrium by keeping the client in the sick role e. the client is now maintaining adequate nutrition and the sessions are no longer necessary

c, d, e

The nurse is assessing a client with a BMI of 35. The nurse was suspect this client to be at risk for which of the following conditions? Select all that apply a. hypoglycemia b. rheumatoid arthritis c. angina d. respiratory insufficiency e. hyperlipidemia

a, b, e

The nurse is teaching about factors that influence eating patterns. Which of the following statements indicate that learning has occurred? Select all that apply a. factors such as taste and texture can affect appetite. b. The function of my digestive organs affect my eating behaviors. c. High socioeconomic status determines nutritious eating patterns. d. Social interaction contributes little to eating problems. e. Society and culture influence eating patterns

a Eating disorders may result from early and profound disturbances in mother/infant not father/infant interactions. The Statement would indicate that more teaching is necessary

The nursing instructor is teaching a Nursing School Struggles about the psychodynamic influences of eating disorders. Which statement indicates that more teaching is necessary? a. Eating disorders result from very early and profound disturbances in father-infant interactions. b. Disturbances in mother-infant and the interactions may result in retarded ego development. c. When a mother makes the physical and emotional needs of a child by providing food this behavior contributes to the child's ego development. d. Poor self image leads to a perceived lack of control. The client compensates for this perceived lack of control by controlling behaviors related to eating

a, c, e

What does the following nursing evaluations of a client diagnosed with anorexia will lead the treatment team to consider discharge? Select all that apply a. the client participates in individual therapy. b. The client has a BMI of 16. c. The client consumes adequate calories as determined by the dietitian. d. The client is dependent on his or her mother for most basic needs. e. The client states I realize that I can't be perfect

b Behavior modification program for clients diagnosed with eating disorders should ensure that the client does not feel controlled by the program. Issues of controls are central to the ideology of these disorders in for a program to succeed the client must perceive that here she is in control of behavioral choices. This is accomplished by contracting the client for privileges based on weight gain

When using a behavioral modification approach for the treatment of eating disorders which nursing intervention would be most likely to produce positive results? a. Take a matter fact directive approach with the input of the entire treatment team b. client should perceive that they are in control of clearly communicated treatment choices. c. Appropriate treatment choices are presented to the clients family for consideration. d. The treatment team develops a system of rewards and privileges that can be earned by the client

d Search has shown that clients diagnosed with anorexia have elevated CSF cortisol levels and possible alterations in the regulation of dopamine. This is an ideological implication for a Nueroendocrine perspective

Which anorexia nervosa ideology is from a Neuro endocrine perspective? a. Anorexia is more common among sisters and mothers of clients within just order them among the general population. b. Outer structure and function of the thalamus is implicated in the diagnosis of anorexia. c. There is a higher than expected frequency of mood disorders among first-degree relatives of clients diagnosed with anorexia. d. Client diagnosed with anorexia have elevated CSF Cortisol Levels and possible alterations in the regulation of dopamine

a Dry your skin is a physical symptom of anorexia nervosa. This is due to the release of carotenes as fat sources are burned for energy

Which anorexia symptom is physical in nature? a. Dry yellow skin b. perfectionism c. frequent weighing d. preoccupation with food

c A Paranoid client has a potential to strike out defensively if provoked. Because safety is the nurses first concern in this situation poses a physical threat this is ration takes priority I need immediate intervention by the nurse.

Which client situation requires a nurse to prioritize the implementation of limit setting? a. A client making sexual advances toward a staff member. b. A client telling staff that another staff member allows food in the bedrooms. c. A client verbally provoking another client who is paranoid. d. A client refusing medications to receive secondary gains

a Obesity is more common in black women then and white women in the prevalence among lower socioeconomic classes is six times greater then among a person upper Socioeconomic classes. Therefore this individual is at highest risk for obesity compared with the others described

Which individual would be at highest risk for obesity? a. A poor black woman. b. A rich white woman. c. A rich white man. d. Well educated black man

c Fluoxetine is an antidepressant medication. Feelings of depression and anxiety often accompany anorexia making anti-anxiety and antidepressant medications the treatment of choice for the disorder

Which medication is used most often in the treatment of clients diagnosed with anorexia? a. Fluphenazine. b. Clozapine. c. Fluoxetine. d. Methylphenidate

b Holding a mandatory group after meal time to us is an expression of feelings is an appropriate intervention to help the hospitalize client diagnosed with bulimia nervosa to avoid the urge to purge after discharge. If the client can become aware of feelings that make sugar purging future purging may be avoided

Which nursing intervention would directly assist to hospitalize client diagnosed with bulimia and avoiding the urge to purge after discharge? a. Locking the door to the clients bathroom. b. Holding a mandatory group after meal time to assist in exploration of feelings. c. Discussing pre-plan meals to decrease anxiety around eating. d. Educating the family to recognize purging side effects

b, d, e

Which of the following statements is true as they relate to obesity? Select all that apply. a. Obesity is a psych disorder and diagnostic criteria are similar to other eating disorders. b. Binge eating disorder is described as an eating disorder in the diagnostic and statistical manual of mental disorders and this disorder can lead to obesity. c. Obesity is currently evaluated for all clients in psychological factor affecting medical conditions. d. Obesity is not classified as an eating disorder that can be considered as a psychological factor affecting other medical conditions. e. The WHO defines obesity has a BMI of 30 or greater

a, c, e

a charge nurse is preparing a staff education session on personality disorders. which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? select all that apply a. difficulty in getting along with other members of a group b. belief in the ability to become invisible during times of stress c. display of defense mechanisms when routines are changed d. claiming to be more important that other persons e. difficulty understanding why it is inappropriate to have a personal relationship with staff

b Cluster a includes paranoid schizoid and schizotypal personality disorders. Clients diagnosed with schizotypal personality disorder characterized by particularly Ernie's evaluation appearance and behavior. Magical thinking and deficits in interpersonal relatedness are not severe enough to meet the criteria for schizophrenia. In the question the client statement reflects ideations of magical thinking

a client diagnosed with a personality disorder insists that a grandmother through reincarnation has come back to life as a pet kitten. the thought process described is reflective of which personality disorder? a. obsessive compulsive personality disorder b. schizoid personality disorder c. borderline personality disorder d. schizoid personality disorder

a Cluster B includes antisocial borderline histrionic and narcissistic personality disorders. Client diagnosed with borderline personality disorder are characterized by a mark instability of interpersonal relationships mood and self image. Client with this disorder attempt to put one individual against another. This is known as splitting and is related to an inability to integrate and except positive and negative feelings. Splitting is a primitive ego defense mechanism that is common in individuals with borderline personality disorder. In the question the client statement typify splitting behavior

a client diagnosed with a personality disorder states you are the very best nurse on the unit and not at all like those mean nurse who never let us stay ip later than 9 pm. this statement would be associated with which personality disorder? a. Obsessive compulsive personality disorder b. avoidant personality disorder c. dependent personality disorder d. paranoid personality disorder

a Offering independent decision making opportunities promotes feelings of control making decisions and dealing with consequences of these decisions should increase independence and improve the clients self-esteem

a client diagnosed with binge eating disorder has a nursing diagnosis of low self-esteem. Which nursing intervention would address this clients problem? a. Offer independent decision making opportunities. b. Reviewed previously successful coping strategies. c. Provide a quiet environment with decreased stimulation. d. Allow the client to remain in a dependent role throughout treatment.

b The client in the question is using the defense mechanism of splitting. An individual diagnosed with borderline personality disorder sees things either as all good or all bad. In the question when the clients manipulative charm does not work in obtaining the drug from the good position the client determines that the position is not bad and six another physician to meet his or her needs

a client diagnosed with borderline personality disorder coyly requests diazepam. when the physician refuses the client becomes angry and demands to see another physician. what defense mechanism is the client using? a. undoing b. splitting c. altruism d. reaction formation

b, d This statement might be voiced by client diagnosed with paranoid personality disorder. Cluster a includes paranoid schizoid and schizotypal personality disorder. Disclosures characteristics behaviors are other eccentric and include patterns of suspiciousness and miss trust. This statement might be voiced by client diagnosed with schizotypal personality disorder. This clusters characteristic behaviors are odd or centric and include patterns of suspiciousness and miss trust

a client has been diagnosed with a cluster a personality disorder. which of the following client statements would reflect cluster a characteristics? select all that apply a. im the best chef on the eeast coast c. my dinner has been poisoned c. ill have to wash my hands 10 times before eating d. i just cant eat when im alone e. when my mom died her spirit entered my cat

c Client exhibiting passive aggressive personality traits are characterized by a passive resistance to demands for adequate performance in occupational and social functioning. The client and the question is demonstrating passive aggressive traits toward customers that here she finds annoying

a client tells the nurse 'when i was a waiter i used to spit in the dinners of annoying customers' this statement would be associated with which personality trait? a. paranoid personality trait b. schizoid personality trait c. passive aggressive personality trait d. antisocial personality trait

c, e Antisocial personality disorder is characterized by a pattern of socially irresponsible exploitive and get this behavior. These clients disregard the rights of others in frequently fell to conform to social norms with respect to lawful behaviors. They are also deceitful impulsive irritable and aggressive. antisocial personality disorder is characterized by pattern of socially responsible exploitive and get this behavior. These clients disregard rules authority and social norms. They were frequently used in since your flattery and manipulation for their own game

a diabetic client admitted to a medical floor for medication stabilization has a history of antisocial personality disorder. which documented behaviors would support this diagnosis? select all that apply a. labile mood and affect and old scars noted on wrists bilaterally b. appears younger than stated age with flamboyant hair and make up c. began cursing when confronted with drug seeking behaviors d. demand foods prepared by personal chef to be delivered to room e. attempted to use insincere flattery to obtain extra snacks

d Cluster B includes antisocial borderline histrionic and narcissistic personality disorder's. Client diagnosed with narcissistic personality disorder characterized by constant need for attention a grandiose sense of self importance and preoccupations with fantasies of success power brilliance and beauty all of which does client is displaying

a male client diagnosed with a personality disorder boasts to the nurse that he has to fight off female attention and is the highest paid in his company. these statements are reflective of which personality disorder? a. obsessive compulsive personality disorder b. avoidant personality disorder c. schizotypical personality disorder d. narcissistic personality disorder

a In the question the client statement would represent a typical response from someone who was diagnosed with an antisocial personality disorder. These clients also display patterns of socially irresponsible exploited and guiltless behaviors that reflect a disregard for the rights of others. Cluster B includes antisocial borderline histrionic and narcissistic personality disorders. Clients diagnosed with cluster B personality disorders exhibit behaviors that are dramatic emotional and erratic

a nurse encourages an angry client to attend group therapy. knowing that the client has been diagnosed with a cluster b personality disorder which client response might the nurse expect? a. sarcastically states, that group is only for crazy people with problems b. scornfully says, no cant you see that im having a seance with my mom? c. suspiciously states, no that room has been bugged d. hesitantly states, ok, but only if i can sit next to you

c, e

a nurse is assisting with a court ordered evaluation of a client who has antisocial personality disorder. which of the following findings should the nurse expect? select all that apply a. demonstrates extreme anxiety when placed in a social situation b. often engages in magical thinking c. attempts to convince other clients to relinquish their belongings d. becomes agitated if personal area is not neat and orderly e. blames others for personal past and current problems

a

a nurse is caring for a client who has avoidant personality disorder. which of the following statements is expected from a client who has this type of personality disorder? a. im scared that youre going to leave me b. ill go to group therapy if you let me smoke c. i need to feel that everyone admires me d. i sometimes feel better if i cut myself

b

a nurse is caring for a client who has borderline personality disorder. the client says the nurse on the evening shift is always nice! you are the meanest nurse ever. the nurse should recognize the clients statement as an example of which of the following defense mechanisms? a. regression b. splitting c. undoing d. identification

c

a nurse is caring for a client who has bulimia nervosa who has stopped purging behavior. the client tells the nurse about fears of gaining weight. which of the following responses should the nurse make? a. many clients are concerned about their weight. however the dietician will ensure that you dont get too many calories in your diet b. instead of worrying about your weight try to focus on other problems at the time c. i understand your weight but first lets talk about your recent accomplishments d. you are not overweight and the staff here will ensure that you do not gain weight while you are in the hospital. we know what is important to you

a

a nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lbs. which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? a. life isnt worth living if i gain weight b. dont pretend like you dont know how fat i am c. if i could be skinny i know id be popular d. when i look in the mirror i see myself as obese

c

a nurse is caring fro a client with antisocial personality behavior who is demonstrating manipulative behavior. which of the following actions should the nurse make? a. allow the manipulative behavior to continue to avoid aggravating the client b. confront the behavior later in the day when there are less people around c. institute consequences for manipulative behavior d. bargain with the client to discourage manipulative behavior

a,c, e

a nurse is obtaining a nurse history from a client who has a new diagnosis of anorexia nervosa. which of the following questions should the nurse include in the assessment? select all that apply a. what is your relationship like with your family? b. why do you want to lose weight? c. would you describe your current eating habit? d. at what weight do you believe you will look better? e. can you discuss your feelings about your appearance?

b, d

a nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. which of the following is an expected finding? select all that apply a. amenorrhea b. hypokalemia c. yellowing of the skin d. slightly elevated body weight e. presence of lanugo on the face

d

a nurse is planning care for a client who has anorexia nervosa with binge eating and purging behavior. which of the following actions should the nurse include in the plan of care? a. allow the client to select preferred meal times b. establish consequences for purging behavior c. provide the client with a high fat diet at the start of treatment d. implement one to one observation during meal times

d a client who has dependent personality disorder has trouble demonstrating assertive behavior and commonly relies on others to make decisions. the nurse should encourage the client to be more assertive and independent

a nurse is planning care for a client who has dependent personality disorder. which of the following actions should the nurse plan to take? a. monitor the client closely for self mutilation b. set limits to prevent exploitation of other clients c. remain neutral in response to arrogant remarks from the client d. give positive feedback when the client is assertive with staff or clients

c

a nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. i can promote my clients sense of control by establishing a schedule b. i should encourage clients who have schizoid personality disorder to increase socialization c. i should practice limit setting to help prevent client manipulation d. i should implement assertiveness training with clients who have antisocial personality disorder

d If clients are unable or unwilling to maintain adequate Orland take the physician may order a liquid diet to be administered via NG tube. This treatment is initiated because without adequate nutrition a life-threatening situation exists for these clients nursing care of a client receiving two feedings should be based on established hospital procedures

imbalance nutrition less than body requirements related to altered body perception AEB clients being 5'4" tall when 75 pounds is assigned to a client diagnosed with anorexia nervosa. Which nursing intervention would addresses clients problem? a. Encourage the clients to keep a dietary food intake. b. Plan exercise Taylored to individual choice. c. How to client identify triggers to self induced purging. d. Monitor physician orders NG tube feedings

c Cluster C categories behaviors that are anxious or fearful and it compromises the following disorders avoidant personality disorder which is characterized by social withdrawal brought about by extreme sensitivity to rejection. Dependent personality disorder which is characterized by allowing others to assume responsibility for major areas of life because of one's inability to function independently. And obsessive compulsive personality disorder which is characterized by a pervasive pattern of perfectionism and inflexibility

irresponsible guiltless behavior is to a client diagnosed with cluster b personality disorder as avoidant dependent behavior is to a client diagnosed with a: a. cluster a personality disorder b. cluster b personality disorder c. cluster c personality disorder d. cluster d personality disorder

c Koster say include a voided dependent and obsessive compulsive personality disorder's. Anxious or fearful is the correct description for clients diagnosed with a cluster C personality disorder

personality disorders are grouped in clusters according to their behavioral characteristics. in which cluster are the disorders correctly matched with their behavioral characteristics? a. cluster c; antisocial, borderline, histronic, narcissistic disorders; anxious or fearful characteristic behaviors b. cluster a; avoidant, dependent, OCD; odd of eccentric characteristic behaviors c. cluster a; antisocial, borderline, histronic, narcissistic disorders; dramatic emotional or erratic characteristic behaviors d. cluster c; avoidant, dependent, ocd; anxious or fearful characteristic behaviors

b in a lifestyle behaviors such as patterns of eating and daily exercise are not modified, the client who loses weight will regain the weight and usually more

the 22 year old female who is obese is discussing weight loss programs with the nurse. which information should the nurse teach? a. jog for 2-3 hours per day b. lifestyle behaviors must be modified c. eat 1 large meal everyday in the evening d. eat 1000 calories per day and dont take vitamins

d might cause physical problems is a factual statement to the client about the possible results if the client refuses nourishment

the 36 year old female client diagnosed with anorexia nervosa tells the nurse i am so fat i wont be able to eat today. which response by the nurse is most appropriate? a. can you tell me why you think you are fat b. you are skinny. many women wish they had your problem c. if you dont eat we will have to restrain you and feed you d. not eating might cause physical problems

b clients diagnosed with bulimia frequently take cathartic laxatives to prevent absorption of calories from the food consumed

the client is being admitted to the outpatient psychiatric clinic diagnosed with bulimia. which question should the nurse ask to identify behaviors suggesting bulimia? a. when was the last time you exercised b. what over the counter medications do you take? c. how long have you had positive self image d. do you eat a lot of high fiber foods for bowel movements

a the morbidly obese client will have a large abdomen, preventing the lungs from expanding, which predisposes the client to respiratory complications

the client who is morbidly obese has undergone gastric bypass surgery. which immediate postoperative intervention has the greatest priority? a. monitor respiratory status b. weigh the client daily c. teach a healthy diet d. assist in behavior modification

b, e the client should be aware of situations triggering the consumption of food when the client is not hungry such as anger boredom and stress. food seeking behaviors are not associated only with hunger in the client who is obese. weight loss support groups such as weight watchers or TOPS are helpful to keep the client to keep off the pounds participating in a weight loss program

the client who is obese presents to the clinic before beginning a weight loss program. which interventions should the nurse teach? select all that apply a. walk for 30 minutes tid b. determine situations that initiate eating behavior c. weigh at the same time everyday d. limit sodium in the diet e. refer to a weight support group

a the client is severely underweight and nutrition is the priority

the female client diagnosed with anorexia nervosa is admitted to the hospital. the client is 67 inches tall and 40 kg. which client problem has the highest priority? a. altered nutrition b. low self esteem c. disturbed body image d. altered sexuality

a this client height and weight can show that the client will have no menses if severely emaciated. a 24 hour dietary recall is a step toward assessing the clients eating patterns

the female client presents to the clinic for an exam because she has not had a menstrual cycle for several months and wonders if she could be pregnant. the client is 5'10" and weighs 45kg. which assessment data should the nurse obtain first? a. ask the client to recall what she ate in the last 24 hours b. determine what type of birth control the client has been using c. reweigh the client to confirm the data d. take the clients BP and pulse

c Phase 3 is the separation in the visualization phase. The main task of this phase is the primary recognition of separateness from the mother figure. According to the theory fixation on this phase may predispose the child borderline personality

the nurse is assessing a client diagnosed with borderline personality disorder. according to mahlers theory of object relations which describes the clients unmet developmental needs? a. the need for survival and comfort b. the need for awareness pf an external source of fulfillment c. the need for awareness of separateness of self d. the need for internalization of a sustained image of a love object/person

b by having someone stay with the client for 45 minutes to 1 hour after a meal the client will be prevented from inducing vomiting and ridding the body of the meal before it can be metabolized

the nurse is caring for a client diagnosed with bulimia nervosa. which nursing intervention should the nurse implement after the clients evening meal? a. praise the client for eating all the food on the tray b. stay with the client for 45 minutes to an hour c. allow the client to work out on the treadmill d. place the client on bedrest until morning

b disturbed thought process related to paranoid personality disorder is the clients problem and the plan of care must address this problem. the client is distrustful and suspicious of others. the members of the health care team need to establish a rapport and trust with the client. laughing or whispering in front of the client would be counterproductive. the remaining options ask the client to trust on a multitude of levels. these options are actions that are too intrusive for a client with the disorder.

the nurse is caring for a client diagnosed with paranoid personality disorder who is experiencing disturbed thought processes. in formulating a nursing plan of care. which best intervention should the nurse include? a. increase socialization of the client with peers b. avoid using a whisper voice in front of the client c. begin to educate the client about social supports in the community d. have the client sign a release of information to appropriate parties for assessment

a safety of the client and other clients is the immediate priority. the correct option is the only one that addresses the safety needs of the client as well as those of the other clients

the nurse observes that a client is pacing, agitated and presenting aggressive gestures. the clients speech pattern is rapid, and affect is belligerent. based on the observations which is the nurses immediate priority of care? a. provide safety for the client and other clients on the unit b. provide the clients on the unit with a sense of comfort and safety c. assist the staff in caring for the client in a controlled environment d. offer the client a less stimulating area in to which to calm down and gain control

d the problem of low self esteem requires the client to verbalize psychosocial feelings. identifying one positive attribute is an appropriate goal

the nurse writes a problem low self esteem for a 16 year old client. which client goal should be included in the plan of care? a. the client will spend 1 hour a day with parents b. the client eats 50% of the meals provided c. dietary will provide high protein milk shakes tid d. the client will verbalize one positive attribute

c bulimia is characterized by binging and purging by inducing vomiting after a meal. stomach contents are acidic and the acid wears away the enamel on the teeth leaving a green color

the occupational health nurse observes the chief financial officer eat large lunch meals. the client disappears into the bathroom after a meal for about 20 minutes. which observations by the nurse would indicate the client has bulimia? a. the client jogs 2 miles a day b. the client has not gained weight c. the clients teeth are green color d. the client has smooth knuckles

b An example of an intra-personal theory of development my involve a client and his background flex parental emotional abuse to the extent that paranoid personality disorder eventually will be diagnosed

using interpersonal theory which statement regarding development of paranoid personality disorder? a. studies have revealed a higher incidence of paranoid personality disorder among relatives of clients with schizophrenia b. clients diagnosed with paranoid personality disorder frequently have been family scapegoats and subjected to parental antagonism and harassment c. there is an alteration in the ego development so that the ego is unable to balance the id and superego d. during the anal stage of development the client diagnosed with paranoid personality disorder has problems with control within his or her environment

d Consignors with histrionic personality disorder have a pervasive pattern of excessive emotionality and attention seeking behaviors. These individuals are uncomfortable in situations in which they are not the center of attention and how to solve speech that is excessively impressionistic and lacking in detail

when assessing a client diagnosed with histrionic personality disorder the nurse might identify which characteristic behavior? a. odd beliefs and magical thinking b. grandiose sense of self importance c. preoccupation with orderliness and perfection d. attention seeking flamboyance

d Magical thinking an odd believes that influence behavior and are inconsistent with some cultural norms are defined as criteria for schizotypal personality disorder which is often described as Layton schizophrenia. Clients with this diagnosis are on an eccentric but do not decompensate to the level of schizophrenia

which diagnostic criterion describes a characteristic of schizotypal personality disorder? a. neither desires not enjoys close relationships including being part of a family b. is preoccupied with unjustified doubts about the loyalty of friends and associates c. considers relationships to be more intimate than they actually are d. exhibits behavior or appearance that is odd, eccentric or peculiar

c the heart is a muscle, in severe anorexia (more than 60% under ideal body weight) muscle tissue is catabolized to provide energy to the body. the client is at risk for death from cardiac complications

which diagnostic test should the nurse monitor for the client diagnosed with severe anorexia nervosa? a. liver function tests b. kidney function tests c. cardiac function tests d. bone density scan

a, c, e

which of the following diagnostic criteria describe the characteristic of avoidant personality disorder? select all that apply a. fearing shame and/or ridicule does not form intimate relationships b. has difficulty making every day decisions without reassurance from others c. is unwilling to be involved with people unless certain of being liked d. shows perfectionism that interferes with task completion e. views self as socially inept, unappealing and inferior

c borderline personality disorder accounts for about 10% of suicides

which of the following psych personality disorders places the client at greatest risk fro suicide? a. antisocial personality disorder b. schizoid personality disorder c. borderline personality disorder d. dependent personality disorder

d Individuals diagnosed with paranoid personality disorder most likely would be subjected to parental antagonism and harassment. These individuals likely served as scapegoats for displaced parental aggression and gradually relinquish all hope of affection and approval. They learned to perceive the world as harsh and unkind a place calling for protective vigilance and mistrust

which predisposing factor would be implicated in the etiology of paranoid personality disorder? a. the individual may have been subjected to parental demands, criticism, and perfectionistic expectations b. the individual may have been subjected to parental indifference, impassivity or formality. c. the individual may have been subjected to parental bleak and unfeeling coldness d. the individual may have been subjected to parental antagonism and harassment