exam 3 review questions NUR230
What is ideas of reference?
When they think everything is about them. (Everyone is talking about me)
what question is included in the CAGE screening test for alcoholism?
have you ever felt bad or guilty about your drinking?
a client with schizophrenia sees a group of visitors sitting together and says i know they are talking about me. Which altered thought process is the client demonstrating?
ides of reference
What is anhedonia?
inability to experience pleasure
Which factor would be important when considering rest and sleep needs for a client with bipolar 1 disorder, manic episode
is easily stimulated and this interferes with sleep
What is Agnosia?
loss of ability to recognize objects
What is aphasia?
loss of language
What is apraxia?
loss of purposeful movement
Which factor would precipitate a clients use of confabulation?
marked memory loss
What is amnesia?
memory impairment
Which client has the greatest risk for completed suicide?
older single man diagnosed with pancreatic cancer Rationale: men are generally have fewer social supports than women do.
Which factor contributes to the risk for suicide for a client with recurrent episodes of depression
overwhelming feelings of guilt
A client with schizophrenia is apathic and exhibits an inappropriate affect. Which behavior is the client likely to exhibit?
response to internal stimulation Rationale: they increased dopamine which produces hallucinations. which are most common are auditory hallucinations
Which nursing action would be the primary consideration when caring for a client with a substance use disorder?
setting firm, consistent limits and not varying from them
A client is having a manic episode and has not eaten in 2 weeks preceding hospitalization. which rationale explains the eating pattern.
the clients activity level interferes with eating
What is Pica
Eating non-food items including ice, paper, dirt, hair past toddlerhood
Which facto is most important in the rehab of a client addicted to alcohol?
Motivational readiness Rationale: client has to be emotionally ready for help have to be ready to face reality
What is avolition?
lack of motivation
What is the FDA approved medication for beliuem nervousa
prozac
A client says, "Sky, flower, angry, green, opposite, blanket." Which term describes this type of communication?
word salad
Which strategy would be effective for a client with alcohol use disorder who says "drinking is a way out of my depression"
Self help group
Which health problem is the most serious complication associated with intractable anorexia nervosa?
Electrolyte imbalance causing cardiac dysrhythmias
What is flight of ideas?
Jump from word to word. (This room is big, I liked the movie BIG when they were on the piano, Elvis could play the piano).
What is Alogia?
Reducation of speech
CAGE screening test for alcoholism
-have you felt like you should CUT down on drinking? -Have people ANNOYED you because your drinking? -Have you ever felt GUILTY about your drinking? -Have you ever had a first drink in the morning to steady your hang over (EYE opener)?
Which problem is the most common for a client with the diagnosis of major depression?
decreased social interaction
Which term would the nurse use to decribe the thought processes of a client who insists that they are the commander and an alien spaceship despite repeated reality orientation?
delusion Rationale: delusion is a fixed false belief
Which characteristic of adolescent girl suggest that she has bulimia?
excessively stained teeth
What signs and symptoms are the four A's of Alzheimer disease?
Amnesia, apraxia, agnosia, aphasia
What is thought broadcasting?
Believes everyone can read his thoughts
Which statement is true in comparing anorexia nervosa with bulimia nervosa?
Clients with bulimia nervosa generally recognize that their eating pattern is abnormal Rationale: Anorexia nervosa denies the illness, Bulimia are at greater risk for fluid imbalance because of the purging, Anorexia are more introverted and tend to avoid relationships
During an admission interview a client is expansive and distractible and demonstrates a fragmented, pressured nonsequential pattern of speech, Which communication technique would the nurse use?
Closed questions because the client is demonstrating flight of ideas and other behaviors seen in manic phase of bipolar disorder
An older adult seems to make up stories to fill in for memory lapses. Which behavior is the client displaying?
Confabulating
Which communication pattern suggests marked memory loss for clients with chronic alcoholism?
Confabulation
What is avoidant food intake
starts in childhood, low BMI, anxiety redisposing factors
What is Apathy?
Decreases attention to activities or beliefs that are otherwise important.
Which behavior occurs first in the bulimia nervosa cyclical pattern?
Dieting is used as an attempt to maintain control over life
An individual is found unconscious and is admitted to the hospital with heroin overdose. Which nursing action is the priority?
Establishing a patient airway
Which consequence is the most important to monitor for in a client who is demonstrating manic behavior?
Excessive activity may cause exhaustion
What is grandiose delusion?
False fixed belief that you are superior (God, the Pope).
Which statement indicates that the client is experiencing auditory hallucinations
I am not the devil stop calling me that
Which response would the nurse make to an adolescent who is extremely underweight, disappears into the bathroom after meals, and angrily says i don't have any problems. stop watching me
I hear how frustrated you are to be here
Which drug would the nurse ask the client about using when presenting to the emergency department with increased energy, irritability, hypertension and hyperthermia?
Methamphetamine
What intervention would the nurse implement for a client with delirium?
Providing consistency Rationale: providing a consistent physical environment, daily routine and caregivers acknowledge the clients fears
What is affective blunting?
Reduced affect, no emotions
What is Rumination
Regurgitation with rechewing, reswallowing or spitting
Which intervention would provide comfort to the client experiencing alcohol toxicity?
Stay with the client
which intervention would the nurse use to prevent self induced vomiting in a client admitted for anorexia Nervosa?
stay in the bathroom with the client
Which intervention would the nurse use in the care of a drug dependent mother and infant?
Support the mothers positive responses toward infant
During which developmental time of life do most clients exhibit signs and symptoms of onset of schizophrenia?
adolescence
Which characteristics are observed in clients who have cocaine addiction?
anxiety palpitations weight loss
What is asciality
decreased desire for socialization