Mental Health ........... Evolve Questions

According to the DSM-5, which behaviors describe an individual with a cluster A personality disorder? a. Odd and eccentric b. Anxious and fearful c. Dramatic and erratic d. Hostile and impulsive

a. Odd and eccentric cluster A includes paranoid, schizoid, and schizotypal personality disorders. These clients are odd and eccentric and use strange speech and have impaired relationships. cluster C: avoidant, dependent, and OCD personalities cluster B: antisocial, borderline, histrionic, and narcissistic personality DOs.

According to Erikson's psychosocial stages of development, which outcome will occur if an individual fails to master the maturational crisis of adolescence? a. role confusion b. Feelings of inferiority c. Interpersonal isolation d. Difficulties with intimacy

a. role confusion According to Erikson, adolescents are struggling to find out who they are; this is identity versus role confusion. If an adolescent is unsuccessful in this task, role confusion may result.

Which information would the nurse include when teaching a client about drugs associated with date rape? - Ketamine is mainly used in animals - Flunitrazepam is a pill that dissolves in liquids - Gamma-hydroxybutyric acid is legal for narcolepsy - When taken orally, onset of ketamine is within 20 minutes - Flunitrazepam is more potent when combined with alcohol - Gamma-hydroxybutyric acid can cause respiratory depression

all of the above Ketamine is legal in the US for anesthesia, though mainly for use in animals. When taken orally, onset is within 20 minutes. Flunitrazepam is a benzodiazepine; it comes as a pill that dissolves in liquid and is more potent when combined with alcohol. Gamma-hydroxybutyric acid (GHB) is legal for narcolepsy. It comes as a liquid or white powder that produces relaxation, euphoria, and respiratory depression?

Which characteristic can be observed in abusive parents? - social isolation - poor coping skills - family authoritarianism - falling of no control over life - inability to seek help from others - expects child to satisfy needs for love

all of the above all fo the above are characteristics of abusive parents.

Which statement correctly describes positron-emission tomography (PET)? a. it can detect brain edema b. a radioactive tracer is injected c. it is a structural imaging technique d. a magnetic field is applied to the brain e. it records electrical signals from the brain f. a series of x-rays produce a 3D-like image of the brain

b. a radioactive tracer is injected PET uses a radioactive tracer to produce images of activity in the CNS. MRI can detect brain edema, ischemia, infection, neoplasm, and trauma. PET is a functional, rather than structural, neuroimaging technique. MRI applies a magnetic field to the brain. an EEG records electrical signals from the brain. CT uses a series of x-rays to produce a 3D-like image of the brain.

The client gives a long, drawn-out explanation with excessive and irrelevant detail before answering the nurse's question. Which mental process is the client displaying? a. Flight of ideas b. Circumstantiality c. Thought blocking d. Tangential thinking

b. circumstantiality In circumstantial thought process, excessive and unnecessary detail is included before getting the answer.

Which culturally based behavior would the nurse expect to observe in an Asian client who has symptoms of anxiety and panic? a. reluctance to take medication b. minimal eye contact c. desire to have an Asian nurse d. offense at being touched

b. minimal eye contact as a show of respect, people in Asian cultures tend to make little eye contact, particularly with people perceived as authority figures.

At which point would the nurse start to discuss terminating the nurse-client relationship with a client? a. working phase, when the client initiates it b. orientation phase, when a contract is established c. working phase, when the client shows some progress d. termination phase, when discharge plans are being made

b. orientation phase, when a contract is established In the orientation phase, when the nurse and client agree to work together, a contract should be established and the length of the relationship should be discussed in terms of the eventual termination.

Which type of crisis is a 44-year-old single woman experiencing when she loses her job and exhausts her savings and now feels despondent and hopeless? a. subjective b. situational c. adventitious d. maurtational

b. situational A situational crisis involves an unanticipated loss that is apparent to others. (loss of job, death of a loved one, and a change in health status such as amputation) Subjective: internal/ threatens a person's well-being but is not obvious to others (aging, lack of independence, loss of faith. Adventitious: involves natural or manmade traumatic events (hurricane, terrorist attack). Maturational crisis occurs in response to stress as a person experiences a predictable change (adolescence, marriage, parenthood, retirement)

Which term describes a display of anger that is socially unacceptable? a. abuse b. battery c. aggression d. defensiveness

c. aggression Experiencing and demonstrating anger is a normal human reaction; however, aggression is manifest when behaviors are socially and emotionally unacceptable. Abuse: general term that refers to mistreatment Battery: harmful or offensive touching Defensiveness: protection of oneself

Which purpose is served by establishing a therapeutic nurse-client relationship? a. Modifying and improving nonverbal communication b. presenting an outlet for suppressed hostile feelings c. assisting the client in acquiring more effective behavior d. providing the client with someone who can make decisions

c. assisting the client in acquiring more effective behavior the therapeutic-client relationship provides an opportunity for the client to try out different behaviors in an accepting atmosphere and ultimately to replace pathological responses with more effective responses.

Which intervention is most helpful for parents who just learned that their newborn baby has a heart defect? a. have the parents talk with other parents b. explain the diagnosis in a variety of ways c. encourage the expression of their feelings d. assure the parents that surgery will correct the problem

c. encourage the expression of their feelings Parents need to express and deal with their feelings, after which they may be able to move toward other coping strategies.

Regarding the past experiences of clients who have immigrated, which consideration would the nurse incorporate when planning care? a. Inherited traits are more important than past experiences b. Immigrants can acculturate if past experiences are minimized c. It is important to first assess immigrants' values and beliefs d. Immigrants' interactional patterns are permanently established

c. it is important to first assess immigrants' values and beliefs Past experiences are important and must be recognized because they help set the individual's values and beliefs throughout life.

A client in the mental health unit is walking swiftly around the room and rubbing his hands together. Which term describes the behavior? a. tardive dyskinesia b. withdrawal syndrome c. psychomotor agitation d. psychophysiological insomnia

c. psychomotor agitation Psychomotor agitation is constant motion such as pacing, hand wringing, nail biting, and other types of energetic body movements.

Which concept about older adults is essential for the nurse to remember when working with these clients? a. Reviewing the past is depressing b. New and stimulating situations are ideal c. Dependency increases as age progresses d. Staying healthy promotes a quality retirement

d. Staying healthy promotes a quality retirement Optimal health is central to optimal retirement; with good health, objectives and goals are more likely to be achieved.