EXAM 1

Average age of onset of anxiety disorder.

11 years

A client in a psychiatric hospital with the diagnosis of major depression is tearful and refuses to eat dinner after a visit with a friend. What is the most therapeutic nursing action? 1 Allowing the client to skip the meal 2 Offering an opportunity to discuss the visit 3 Reinforcing the importance of adequate nutrition 4 Providing the client with adequate quiet thinking time

Correct2 Offering an opportunity to discuss the visit

A client in the mental health clinic who has been seeing a therapist for more than 6 months begins to talk and act like a therapist who is analyzing coworkers. What defense mechanism does the nurse identify? 1 Undoing 2 Projection 3 Introjection 4 Intellectualization

Correct3 Introjection

A nurse is caring for a client with a somatoform disorder. What should the nurse anticipate that this client will do?

Correct3 Redirect the conversation with the nurse to physical symptoms.

An adolescent with a long history of drug abuse, stealing, refusal to comply with rules, and inability to get along in any setting is admitted to an adolescent psychiatric unit for evaluation. What should the nurse include in the plan of care for this adolescent? 1 Providing activities that ensure immediate gratification and social stimulation 2 Allowing as much freedom as possible, setting few rules and minimal structure 3 Serving as a role model for mature behavior while providing a structured setting 4 Behaving in a punitive manner toward the adolescent when rules are not followed

Correct3 Serving as a role model for mature behavior while providing a structured setting

What is a therapeutic nursing action in the care of a depressed client? 1 Playing a game of chess with the client 2 Allowing the client to make personal decisions 3 Sitting down next to the client at frequent intervals 4 Providing the client with frequent periods of time for reflection

Correct3 Sitting down next to the client at frequent intervals

Imipramine, 75 mg three times per day, is prescribed for a client. What nursing action is appropriate when this medication is being administered?

Correct4 Having the client checked for increased intraocular pressure and teaching about symptoms of glaucoma

Which statement about psychotherapeutic drugs in elderly clients requires correction? 1 Tricyclic antidepressants may increase anxiety in elderly clients. 2 Normal dosage of lithium may result in lithium toxicity in elderly clients. 3 Elderly clients on antipsychotic drugs are susceptible to orthostatic hypotension. 4 Low serum levels of the drug are reported in elderly clients on psychotherapeutic drugs.

Correct4 Low serum levels of the drug are reported in elderly clients on psychotherapeutic drugs.

While receiving betamimetic (tocolytic) therapy for preterm labor the client begins to experience muscle tremors and exhibit signs of nervousness. She reports, "My heart is racing." The nurse identifies that the client's pulse rate is 110 beats/min and regular. What should the nurse do next?1 Discontinue the medication as per protocol. 2 Notify the primary healthcare provider that preterm labor has restarted. 3 Obtain the client's laboratory results for electrolyte levels. 4 Reassure the client that these are expected side effects of the medication

Correct4 Reassure the client that these are expected side effects of the medication.

A client is found to have generalized anxiety disorder. For what behavior should the nurse assess the client to determine the effectiveness of therapy? 1 Participating in activities 2 Learning how to avoid anxiety 3 Taking medications as prescribed 4 Recognizing when anxiety is developing

Correct4 Recognizing when anxiety is developing

What should the nurse include when developing a plan of care for a client in the manic phase of bipolar disorder? 1 Focusing the client's interest in reality 2 Encouraging the client to talk as much as needed 3 Persuading the client to complete any task that has been started 4 Redirecting the client's excess energy to more constructive activities

Correct4 Redirecting the client's excess energy to more constructive activities

The nurse is caring for a client who is suspected of having a brain tumor and is scheduled for a computed tomography (CT) scan. The nurse expects that the preprocedure plan of care will include which component? 1 Withholding routine medications 2 Administering the prescribed sedative 3 Explaining that all metal must be removed 4 Telling the client about what to expect during the examination

Correct4 Telling the client about what to expect during the examination

A man with bipolar disorder, manic episode, has been traveling around the country, dating multiple women, and buying his dates expensive gifts. He is admitted to the hospital when he becomes exhausted and runs out of money. The nurse anticipates that during a manic episode the client is most likely experiencing feelings of what?1 Guilt Grandeur Worthlessness Self-deprecation

Grandeur

Model establishes that an event (or stressor) that threatens an organism's well-being leads to a predictably staged process of bodily response.

Hans Selye's general adaptation syndrome

A client has been receiving lithium for the past 2 weeks for the treatment of bipolar disorder, manic phase. What will the nurse include in the teaching plan for this client? A duiretic is necessary for anyone taking lithium. Lithium must be taken for the rest of the client's life. The blood level of lithium must be checked every month. A low-sodium diet must be followed while lithium is being taken

The blood level of lithium must be checked every month.

Who is more likely to manifest clinically significant anxiety?

Women are 60% more likely than men. Also, non-hispanic whites. Age peaks in 30's to 50's.

refers to the way a person typically responds to external events both emotionally and behaviorally.

temperament

Which monoamine oxidase inhibitor is used to treat Parkinson disease? 1 Selegiline 2 Phenelzine 3 Isocarboxazid 4 Tranylcypromine

Correct1 Selegiline

Stages of the general adaptation syndrome

Stage 1-Alarm (sympathetic nervous system activated), Stage 2-Resistance (parasympathetic system attenuates the reaction), Stage 3-Exhaustion (susceptibility to disease and death occurs if the nature of the stressor exceeds the body's capacity).

the nurse's ability to recognize anxiety-based symptoms.

clinical perception

Anxiety must be of a sufficient intensity, duration, and degree of functional impairment to be recognizable. That point of observable recognition is defined as:

clinical threshhold

A child is admitted to the pediatric intensive care unit after an accident at school. The mother, at the child's bedside, is visibly upset. What is the most therapeutic statement the nurse can make? 1 "You must be full of emotions right now." 2 "Let me give you a referral for social services." 3 "Your child will get excellent care at this hospital." 4 "It's a shame that your child has become ill so suddenly."

Correct1 "You must be full of emotions right now.

What type of healthcare does a person who is "worried well" require? Select all that apply. 1 Evaluation 2 Reassurance 3 Hospitalization 4 Diagnostic tests 5 Preventive treatment

Correct1 Evaluation Correct2 Reassurance 3 Preventive treatment

A client with hepatic cirrhosis begins to develop slurred speech, confusion, drowsiness, and a flapping tremor. Which diet can the nurse expect will be prescribed for this client based upon the assessment? 1 No protein 2 Moderate protein 3 High protein 4 Strict protein restriction

Correct2 Moderate protein