Quizzes (Modules 12-14)

A 15 year old boy was hospitalized in a psychiatric unit because he initiates frequent fights with peers. Which implementation is most appropriate? a. anticipate & neutralize potentially explosive situations b. ignore minor interactions of rules against fighting c. isolate the adolescent from contact with peers d. talk to the adolescent each time fighting occurs

A

The parents of Suzanne, a child with ADHD, tell the nurse they have tried everything to calm their child & nothing has worked. Which action by the nurse is most appropriate initially? a. actively listen to the parents' concern before planning interventions b. encourage the parents to discuss these issues with the mental health team. c. provide literature regarding the disorder & its management d. tell the parents they are overacting to the problem

A

Nurse Isabelle enters the room of a client with a cognitive impairment disorder & asks what day of the week it is; what the date, month, & year; & where the client is. The nurse is attempting to assess: a. confabulation b. delirium c. orientation d. perseveration

c

Alexi who has separation anxiety disorder has not attended school for 3 weeks & she cries & exhibits clinging behaviors when her mother encourages attendance. The priority nursing action by the home-care psychiatric nurse would be to: a. assist the child in returning to school immediately with family support b. arrange for a home-school teacher to visit for 2 weeks c. encourage family discussion of various problem areas d. use play therapy to help the child express her feelings

a

The nurse is performing an assessment on a client with dementia. Which piece of data gathered during the assessment indicates a manifestation associated with dementia? a. use of confabulation b. improvement in sleeping c. absence of sundown syndrome d. presence of personal hygiene care

a

82 year old Mr. Robeson together with his daughter arrived to the medical-surgical unit for diagnostic confirmation & management of probable delirium. Which statement by the client's daughter best supports the diagnosis? a. "maybe its just caused by aging. This usually happens by age 82" b. "the changes in his behavior came on so quickly! I wasn't sure what was happening?" c. "Dad just didn't seem to know what he was doing. He would forget what he had for breakfast" d. "Dad has always been so independent. He's lived alone for years since mom died."

b

A client diagnosed with delirium becomes disoriented & confused at night. Which intervention should the nurse implement initially? a. move the client next to the nurse's station b. use an indirect light source & turn off the TV c. keep the television & a soft light on during the night d. play soft music during the night, & maintain a well-lit room

b

Martin Sanchez is a 9 year old child admitted to a psychiatric treatment unit accompanied by Mr & Mrs. Sanchez. To establish trust & position of neutrality, which action would the nurse take? a. encourage Mr & Mrs. Sanchez to leave while Martin is being interviewed b. interview Martin with his parents together, observing their interaction c. provide diversion for Martin, & interview Mr & Mrs. Sanchez alone d. review the clinical record prior to interviewing Mr & Mrs. Sanchez

b

Nurse Gloria questions the parents of a child with oppositional defiant disorder about the roles of each parent in setting rules of behavior. The purpose for this type of questioning is to assess which element of the family system? a. anxiety levels b. generational boundaries c. knowledge of growth & development d. quality of communication

b

The community nurse visits the home of George, a child recently diagnosed with autism. The parents express feelings of shame & guilt about having somehow caused his problem. Which statement by the nurse would best help alleviate parental guilt? a. "Autism is a rare disorder. Your other children shouldn't be affected." b. "The specific cause of autism is unknown. However, it is known to be associated with problems in the structure of & chemical in the brain." c. "Sometimes a lack of prenatal care can be the cause of autism." d. "Although autism is genetically inherited, if you didn't have testing you could not have known this would happen."

b

Which ability should Nurse Rebecca expect from a client in the mild stage of dementia of the Alzheimer's type? a. remembering the daily schedule b. recalling past events c. coping the anxiety d. solving problems of daily living

b

Mrs. Jordan is an elderly client diagnosed with Alzheimer's disease. She becomes agitated & combative when a nurse approaches to help with morning care. The most appropriate nursing intervention in this situation would be to: a. tell the client firmly that it is time to get dressed b. obtain assistance to restrain the client for safety c. remain calm & talk quietly to the client d. call the doctor & request an order for sedation

c

Which behavioral assessment in a child is most consistent with a diagnosis of conduct disorder? a. arguing with adults b. gross impairment in communication c. physical aggression toward others d. refusal to separate from caretaker

c

A student nurse was asked which of the following best describes dementia. Which of the following best describes the condition? a. memory loss occurring as part of the natural consequence of aging b. difficulty coping with physical & psychological change c. severe cognitive impairment that occurs rapidly d. loss of cognitive abilities, impairing ability to perform activities of daily living

d

Nurse Daya, a school nurse, is meeting with the school & health treatment team about a child who has been receiving methylphenidate (Ritalin) for 2 months. The meeting is to evaluate the results of the child's medication use. Which behavior change noted by the teacher will help determine the medications effectiveness? a. decrease repetitive behaviors b. decreased signs of anxiety c. increased depressed mood d. increased ability to concentrate on tasks

d

Which of the following will Nurse Dory use when communicating with a client who has cognitive impairment? a. complete explanations with multiple details b. pictures or gestures instead of words c. stimulating words & phrases to capture the client's attention d. short words & simple sentences

d