ncm117 lec

Which of the following ability should Nurse Roy expect from a client in the mild stage of Dementia of the Alzheimer's type? a. Remembering the daily schedule b. Coping the anxiety c. Solving problems of daily living d. Recalling past events

Recalling past events

A nurse is implementing a one-on-one suicide observation level with a client diagnosed with Major Depressive Disorder. The client states,"I'm feeling a lot better so you can stop watching me. I have taken up too much of your time already." Which of the following is the best nursing reply? a. "I am glad you are feeling better. The treatment team will consider your request." b. "Because we are concerned about your safety,we will continue to observe you." c. "I really appreciate your concern but I have been ordered to continue to watch you." d. "I will forward you request to your psychiatrist because it is his decision."

"Because we are concerned about your safety,we will continue to observe you."

A client diagnosed with Seasonal Affective Disorder (SAD)states,"I've been feeling 'down' for 3 months. Will I ever feel like myself again?" Which of the following reply by the nurse will best assess this client's symptoms? a. "Have you been diagnosed with any physical disorder within the last 3 months?" b. "Have you experienced any traumatic events that triggered this mood change?" c. "People who have seasonal mood changes often feel better when spring comes." d. "Help me understand what you mean when you say,'feeling down'?"

"Help me understand what you mean when you say,'feeling down'?"

A 14-year-old client was brought to the clinic by her mother. Her mother expresses concern about her daughter's weight loss and constant dieting. Nurse Kris conducts a health history interview. Which of the following comments indicates that the client may be suffering from Anorexia Nervosa? a. "I don't like the food my mother cooks. I eat plenty of fast food when I'm out with my friends." b. "I like the way I look. I just need to keep my weight down because I'm a cheerleader." c. "I just can't seem to get down to the weight I want to be. I'm so fat compared to other girls." d. "I do diet around my periods; otherwise,I just get so bloated."

"I just can't seem to get down to the weight I want to be. I'm so fat compared to other girls."

A young,handsome man with a diagnosis of Antisocial Personality Disorder is being discharged from the hospital next week. He asks the nurse for her phone number so that he can call her for a date. The nurse's best response would be; a. "It's against my professional ethics to date clients." b. "We are not permitted to date clients." c. "No,you are a client and I am a nurse." d. "I like you,but our relationship is professional."

"I like you,but our relationship is professional."

A client diagnosed with Schizophrenia states,"Can't you hear him? It's the devil. He's telling me I'm going to hell." Which of the following is the most appropriate nursing reply? a. "Did you take your medicine this morning?" b. "You are not going to hell. You are a good person." c. "I'm sure the voices sound scary. The devil is not talking to you. This is part of your illness." d. "The devil only talks to people who are receptive to his influence."

"I'm sure the voices sound scary. The devil is not talking to you. This is part of your illness."

A mother expresses concern to the nurse regarding her 5-year-old childs development. She says: "I read Erikson and Piaget, and my child does not seem to be on target. Also, my neighbors child seems more advanced. My doctor says not to worry, but I do." Which of the following nurseís response is more appropriate? a. "You are right to be concerned. Your child should meet all the guidelines for the age." b. "Your child will probably catch up with more age." c. "Tell me exactly what your child is or is not doing that causes you concern." d. "I wouldn t worry. All children progress at their own rate."

"Tell me exactly what your child is or is not doing that causes you concern."

A client living on the beachfront seeks help with an extreme fear of crossing bridges which interferes with daily life. A psychiatric nurse practitioner decides to try systematic desensitization. Which of the following explanation of this therapy should the nurse convey to the client? a. "Using your imagination,we will attempt to achieve a state of relaxation that you can replicate when faced with crossing a bridge." b. "Because anxiety and relaxation are mutually exclusive states,we can attempt to substitute a relaxation response for the anxiety response." c. "In one intense session,you will be exposed to a maximum level of anxiety that you will learn to tolerate." d. "Through a series of increasingly anxiety-provoking steps,we will gradually increase your tolerance to anxiety."

"Through a series of increasingly anxiety-provoking steps,we will gradually increase your tolerance to anxiety."

The spouse of a client admitted to the mental health unit for Alcohol Withdrawal says to the nurse "I should get out of this bad situation." Which of the following is the most helpful response by the nurse? a. "This is not the best time to make that decision." b. "I agree with you. You should get out of this situation." c. "What do you find difficult about this situation?" d. "Why don't you tell your husband about this?"

"What do you find difficult about this situation?"

A 16-year-old-client diagnosed with Paranoid Schizophrenia experiences command hallucinations to harm others. The client's parents ask a nurse,"Where do the voices come from?" Which of the following is the appropriate nursing reply? a. "Your child has too little serotonin in the brain causing delusions and hallucinations." b. "Your child has a chemical imbalance of the brain which leads to altered thoughts." c. "Your child's abnormal hormonal changes have precipitated auditory hallucinations." d. "Your child's hallucinations are caused by medication interactions."

"Your child has a chemical imbalance of the brain which leads to altered thoughts."

A nurse discusses job possibilities with a client with Schizoid Personality Disorder. Which of the following suggestion by the nurse would be helpful? a. "Your idea of applying for the position of filing and organizing records is worth pursuing." b. "Maybe your friend could get you that customer service job where you work only on the weekends." c. "You can work in a family restaurant part-time on the weekend and holidays." d. "Being an introvert limits the employment opportunities you can pursue."

"Your idea of applying for the position of filing and organizing records is worth pursuing."

On what particular year was the Mental Health Bill signed into law? a. 2019 b. 2017 c. 2020 d. 2018

2018

How much is the minimum rate health insurance coverage from Phil Health if a mental health patient will be hospitalized? a. 15,000. 00 pesos b. 25,000.00 pesos c. 20,000.00 pesos d. 10.000.00 pesos

25,000.00 pesos

Which of the following client behavior noted by the nurse is indicative of using projection? a. A client making excuses for not being able to stop taking drugs b. A client who refuses to admit he or she has a problem with alcohol c. A client yelling at a family member because of the traffic d. A client blaming his or her boss after getting fired from his or her job

A client blaming his or her boss after getting fired from his or her job

A client is diagnosed with Male Orgasmic Disorder. Which of the following assessed behavior supports this diagnosis? a. Inability to maintain an erection. b. Premature ejaculation. c. Dyspareunia. d. A delay in or absence of ejaculation following normal sexual excitement.

A delay in or absence of ejaculation following normal sexual excitement.

The community nurse practicing primary prevention of Alcohol Abuse would target which of the following groups for educational efforts? a. Adolescents in their late teens and young adults in their early twenties b. Women working in the home c. Women working in careers outside the home d. Elderly men who live in retirement communities

Adolescents in their late teens and young adults in their early twenties

How can nurses create safer communities and reduce the threats of violence? a. Become a political advocate and help create social policies. b. Provide community educational programs on violence prevention. c. All of the above d. Provide in service training to other health care professionals.

All of the above

The parents of client Simond, a child with Attention Deficit Hyperactivity Disorder (ADHD), tells the nurse they have tried everything to calm their child and nothing has worked. Which of the following 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. Tell the parents they are overacting to the problem. d. Provide literature regarding the disorder and its management.

Actively listen to the parents' concern before planning interventions.

Which of the following information must be included for the family of a client diagnosed with Dependent Personality Disorder? a. Explore panic attacks b. Address coping skills c. Promote exercise programs d. Decrease aggressive outbursts

Address coping skills

Which of the following stages of development is most unstable and challenging regarding the development of personal identity? a. Adolescence b. Infancy c. Toddlerhood d. Childhood

Adolescence

A nurse is caring for a client who is an investment banker. The client is stressed because of the sudden fall of share prices in the stock exchange. Which of the following stress-reduction techniques should the nurse use with this client? a. Avoid referring the client to other organizations. b. Discourage family from interacting with the client. c. Advocate on behalf of the client to others. d. Avoid discussing the client's condition with client's family.

Advocate on behalf of the client to others.

The ________ is to feeling fear as the ________ is to feeling pleasure. a. Cerebellum/amygdala b. Pons/medulla c. Amygdala/hypothalamus d. Thalamus/hypothalamus

Amygdala/hypothalamus

A 15-year-old boy was hospitalized in a psychiatric unit because he initiates frequent fights with peers. Which of the following implementation is most appropriate? a. Isolate the adolescent from contact with peers. b. Ignore minor infractions of rules against fighting. c. Talk to the adolescent each time fighting occurs d. Anticipate and neutralize potentially explosive situations.

Anticipate and neutralize potentially explosive situations.

The newly hired nurse at a Medical Center is assessing a client who abuses barbiturates and benzodiazepine. The nurse would observe for evidence of which of the following withdrawal symptoms? a. Anxiety, tremors, and tachycardia b. Paranoia, depression, and agitation c. Muscle aches, cramps, and lacrimation d. Respiratory depression, stupor, and bradycardia

Anxiety, tremors, and tachycardia

A client tells the nurse that psychotropic medicines are dangerous and refuses to take them. Which of the following intervention should the nurse prioritize? a. Withhold the medication until the client is less suspicious. b. Ask the client about any previous problems with psychotropic medications. c. Ask the client if an injection is preferable. d. Insist that the client takes medication as prescribed.

Ask the client about any previous problems with psychotropic medications.

Older adults have reached Erikson's developmental stage of ego integrity, when they will be able to exhibit which of the following? a. Assess their lives and identify actions that had value and purpose. b. Express a wish that life could be relived differently. c. Acknowledge that one cannot get everything one wants in life. d. Feel that they are being punished for things they did not do.

Assess their lives and identify actions that had value and purpose.

The nurse has explained to a client the biologic theories of depression.the nurse concludes that the teaching has been effective if the client says,"I now know that my depression may be caused from: A.Excessive serotonin activity level in the CNS B.Insufficient serotonin activity in the CNS C.Excessive acetylcholine in the CNS. D.Insufficient acetylcholine activity in the CNS a. A,D b.{ c. C,D d. A,C e. B,D

B,D

What is the first step for the nurse when applying Peplau's Interpersonal Relations Theory? a. Being conscious of the patient's behaviors b. Being sensitive to the quality of the nurse-patient relationship c. Being aware of the personal behaviors d. Being in tune with the interpersonal environment

Being aware of the personal behaviors

A hospitalized client with a history of alcohol abuse tells the nurse, "I am leaving now. I have to go. I don't want anymore treatment. I have things that I have to do right away." The client has not been discharged. In fact, the client is scheduled for an important diagnostic test to be performed in 1 hour. After the nurse discusses the client's concerns with the client, the client dresses and begins to walk out of the hospital room. Which of the following is the most important nursing action? a. Call the nursing supervisor. b. Call security to block all areas c. Tell the client that the client cannot return to this hospital again if the client leaves now. d. Restrain the client until the physician can be reached

Call the nursing supervisor.

In the emergency department, a client with facial lacerations states that her husband beat her with a shoe. After the health care team repairs her lacerations, she waits to be seen by the crisis intake nurse, who will evaluate the continued threat of violence. Suddenly the client's husband arrives, shouting that he wants to "finish the job." What is the first priority of the health care worker who witnesses this scene? a. Determining why the husband feels so angry. b. Remaining with the client and staying calm. c. Calling a security guard and another staff member for assistance. d. Telling the client's husband that he must leave at once.

Calling a security guard and another staff member for assistance.

A nurse visits the home of an 11-year-old child and finds the child caring for three younger siblings. Both parents are at work. The child says, "I want to go to school, but we can't afford a babysitter. It doesn't matter; I'm too dumb to learn." What preliminary assessment is evident to this child? a. Children are experiencing physical abuse. b. Children are at high risk for sexual abuse. c. Child and siblings are experiencing neglect. d. Insufficient data are present to make an assessment.

Child and siblings are experiencing neglect.

A male client is admitted to the Substance Abuse unit for alcohol detoxification. Which of the following medications is Nurse A most likely to administer to reduce the symptoms of alcohol withdrawal? a. Magnesium sulfate b. Chlordiazepoxide (Librium) c. Haloperidol (Haldol) d. Naloxone (Narcan)

Chlordiazepoxide (Librium)

A client is diagnosed with Sexual Aversion Disorder. A nursing diagnosis of Sexual Dysfunction is documented for this client. Which of the following behavior indicates successful resolution of this client's problem? a. Client expresses satisfaction with own sexual patterns. b. The client's deviant sexual behaviors have decreased. c. The client accepts homosexual drives as normal sexual functioning. d. Client resumes sexual activities at a level satisfactory to self and partner.

Client resumes sexual activities at a level satisfactory to self and partner.

How would a nurse differentiate a client diagnosed with Obsessive-Compulsive Disorder (OCD)from a client diagnosed with Obsessive-Compulsive Personality Disorder? a. Clients diagnosed with OCD experience both obsessions and compulsions,and clients diagnosed with obsessive-compulsive personality disorder do not. b. Clients diagnosed with OCD experience only obsessions,and clients diagnosed with obsessive-compulsive personality disorder experience only compulsions. c. Clients diagnosed with obsessive-compulsive personality disorder experience both obsessions and compulsions,and clients diagnosed with OCD do not. d. Clients diagnosed with obsessive-compulsive personality disorder experience only obsessions,and clients diagnosed with OCD experience only compulsions.

Clients diagnosed with OCD experience both obsessions and compulsions,and clients diagnosed with obsessive-compulsive personality disorder do not.

How should a nurse best describe the major maladaptive client response to Panic Disorder? a. Clients develop compulsions to deal with anxiety. b. Clients overuse medical care due to physical symptoms. c. Clients perceive having no control over life situations. d. Clients use illegal drugs to ease symptoms.

Clients perceive having no control over life situations.

A client diagnosed with Paranoid Schizophrenia states,"My psychiatrist is out to get me. I'm sad that the voice is telling me to stop him." What symptom is the client exhibiting,and what is the nurse's legal responsibility related to this symptom? a. Persecutory delusions; orient the client to reality b. Magical thinking; administer an antipsychotic medication c. Command hallucinations; warn the psychiatrist d. Altered thought processes; call an emergency treatment team meeting

Command hallucinations; warn the psychiatrist

During a well-child checkup, a mother tells the Nurse Rhea about a recent situation in which her child needed to be disciplined by her husband. The child was slapped in the face for not getting her husband breakfast on Saturday, despite being told on Thursday never to prepare food for him. Nurse Rhea analyzes the family system and concludes it is dysfunctional. All of the following factors contribute to this dysfunction except: a. Use of violence to establish control b. Rigid, authoritarian roles. c. Inconsistent communication patterns. d. Conflictual relationships of parents.

Conflictual relationships of parents.

Which of the following structure allows communication between the hemispheres? a. Articular formation b. Corpus callosum c. Contralateral bridge d. Temporal lob

Corpus callosum

During the initial interview with a client, the nurse begins to feel uncomfortable and realizes the client's behavior and mannerisms remind the nurse of the nurse's abusive parent. The nurse concludes that the current situation represents which of the following phenomenon? a. Reaction formation b. Denial c. Countertransference d. Transference

Countertransference

Which of the following is a physiological response experienced during the exhaustion stage of general adaptation syndrome? a. Increased mental alertness b. The initiation of neuroendocrine activity c. Decreased blood pressure d. Vasoconstriction

Decreased blood pressure

A man in his mid-30s calls to make an appointment for counseling,stating that his relationship of 5 years just broke off,at his partner's insistence. He says that he is unsure what to do because he has not been without a significant other for more than a week or so since high school. You determine that the man is not suicidal or homicidal,but from his responses to your questions you get the sense that this man's sense of loss will persist long after a normal period of adjustment,unless he enters into a new relationship. You think this because you are guessing that this man has this type of which of the following Personality Disorder? a. Obsessive-Compulsive Personality Disorder b. Dependent Personality Disorder c. Avoidant Personality Disorder d. Borderline Personality Disorder

Dependent Personality Disorder

In a day treatment program,a Manic client is creating considerable chaos,behaving in a dominating and manipulative way. Which of the following nursing intervention is most appropriate? a. Describe acceptable behavior and set realistic limits with the client. b. Tell the client that his behavior is inappropriate. c. Recommend that the client is hospitalized for treatment. d. Allow the peer group to intervene.

Describe acceptable behavior and set realistic limits with the client.

Which of the following statements stresses out Freuds' term the "EGO" in his psychoanalytic personality theory? a. Control the physical needs instincts. b. Distinguishes between things in the mind and things in the reality. c. Reservoir of instincts and drives d. Moral arm of the personality that strives for perfection than pleasure.

Distinguishes between things in the mind and things in the reality.

Schizophrenia and Parkinson's disease are both linked to changes in which of the following neurotransmitter? a. Dopamine b. Glutamate c. Acetylcholine d. Serotonin

Dopamine

Which of the following is NOT a lobe of the brain? a. Dorsal b. Frontal c. Parietal d. Temporal

Dorsal

Which of the following is one focus of collaborative care of clients with Alzheimer's Disease? a. The use of memory-enhancing techniques to delay disease progression b. Drug therapy for cognitive problems and undesirable behaviors c. Replacement of deficient acetylcholine in the brain d. Prevention of other chronic diseases that hasten the progression of AD

Drug therapy for cognitive problems and undesirable behaviors

In which of the following phase of the nurse-patient relationship is active listening is the most important according to Hildegard Peplau's Theory? a. During the Working Phase b. During the Planning Phase c. During the Orientation Phase d. During the Termination Phase

During the Orientation Phase

Which of the following Mood Disorder is characterized by the client feeling depressed most of the day for a 2-year period? a. Dysthymia b. Melancholic depressive disorder c. Cyclothymia d. Seasonal affective disorder

Dysthymia

Nurse Eve understands that her client Maria who is Bulimic feels shame and guilt over binge eating and purging. This disorder is therefore considered which of the following? a. Ego-syntonic b. Ego-enhancing c. Ego-distorting d. Ego-dystonic

Ego-dystonic

Communication within neurons is ______, communication between neurons is ________. a. Excitatory, inhibitory b. Electrical, chemical c. Chemical, electrical d. Inhibitory, excitatory

Electrical, chemical

Nurse Kate educates the family about symptom management for when the Schizophrenic client becomes upset or anxious. Which of the following would Nurse Kates' statement is helpful? a. Encourage the use of learned relaxation techniques. b. Request that the client be hospitalized until the crisis is over. c. Wait before the anxiety worsens before intervening. d. Call the therapist to request a medication change.

Encourage the use of learned relaxation techniques.

Mr. Rey is diagnosed with Schizophrenia Paranoid Type and is admitted to the psychiatric unit of South Seattle Medical Center. Which of the following nursing interventions would be most appropriate for Mr. Rey? a. Encouraging involvement in group activities b. Spending more time with Mr. R. c. Establishing a non-demanding relationship d. Waiting until Mr. R. initiates interaction

Establishing a non-demanding relationship

What are individuals taught to do in REBT therapy? a. Examine and challenge their unhelpful thinking which creates healthy emotions and behaviors b. Examine and challenge their helpful thinking which creates healthy emotions and self- encouraging behaviors c. Examine and challenge their unhelpful thinking which creates unhealthy emotions and self-defeating/self-sabotaging behaviors d. Examine and their entire lives

Examine and challenge their unhelpful thinking which creates unhealthy emotions and self-defeating/self-sabotaging behaviors

Which of the following signs and symptoms for diagnosing Anorexia Nervosa the nurse recognizes as the most specific? a. Slow pulse,mild weight loss,and alopecia b. Excessive activity,memory lapses,and an increase pulse c. Excessive weight loss,amenorrhea,and abdominal distention d. Compulsive behaviors,excessive fears,and nausea

Excessive weight loss,amenorrhea,and abdominal distention

The effect of neurotransmitters may be: a. Positive or negative b. Chemical or electrical c. Excitatory or inhibitory d. Active or passive

Excitatory or inhibitory

The nurse is caring for a client who is a doctor in a general hospital. He complains about the stressful condition of his job. Lately, he has become increasingly susceptible to colds, headaches, muscular tension, excessive tiredness, and many other symptoms. At what stage of stress is the client? a. Resistance stag b. Exhaustion stage c. Secondary stage d. Alarm stage

Exhaustion stage

Which of the following interventions is important for a client with Paranoid Personality Disorder taking olanzapine (Zyprexa)? a. Explain effects of serotonin syndrome b. Discuss the need to report paradoxical effects such as euphoria. c. Teach the client to watch for extrapyramidal adverse reactions d. Explain that the drug is less effective if the client smokes

Explain that the drug is less effective if the client smokes

Client C is diagnosed as having Disorganized Schizophrenia. Which of the following behaviors would Nurse S most likely assess in the client? a. Psychomotor immobility; presence of waxy flexibility b. Extreme social withdrawal,odd mannerisms,and behavior c. Absence of acute symptoms impaired role function d. Suspiciousness toward others and increased hostility

Extreme social withdrawal,odd mannerisms,and behavior

Nurse Billy is a community nurse practicing primary prevention for psychiatric disorders in children. On which of the following risk factors would he focus? a. Family culture b. Lack of peer friendship c. Family history of mental illness d. Being raised in a single-parent home

Family history of mental illness

Mrs. Murphy is a 75-year-old client who has Dementia of the Alzheimer's type and confabulates. The nurse understands that this client: a. Fills in memory gaps with fantasy b. Denies confusion by being jovial. c. Rationalizes various behaviors. d. Pretends to be someone else.

Fills in memory gaps with fantasy

A 70-year-old client has not been taking his medications for Hypertension and Coronary Artery Disease. The nurse discovers the client's son who has control of the finances has not been purchasing the medications and the client's bank account only has a few dollars available. This is an example of which of the following examples of abuse to elderlies? a. Financial or material exploitation. b. Abandonment. c. Self-neglect. d. Psychological abuse.

Financial or material exploitation.

Parents ask a nurse how they should reply when their child,diagnosed with Paranoid Schizophrenia,tells them that voices command him to harm others. Which of the following is the appropriate nursing reply? a. "Ignore what he is saying,while attempting to discover the underlying cause." b. "Tell him to stop discussing the voices." c. "Focus on the feelings generated by the hallucinations and present reality." d. "Present objective evidence that the voices are not real."

Focus on the feelings generated by the hallucinations and present reality."

Client Jasmine is admitted in an acute psychiatric unit at South Wales Medical Center. He suddenly tells Nurse Jade about his plans for Suicide. Which of the following is the nurse's priority action? a. Follow agency protocol for suicide precautions. b. Encourage the client to use problem solving. c. Allow the client time alone for reflection. d. Stimulate the client's interest in activities.

Follow agency protocol for suicide precautions.

The client reports a history of rubbing up against others to achieve sexual arousal. This behavior is known as: a. Frotteurism. b. Pedophilia. c. Voyeurism. d. Exhibitionism.

Frotteurism

A client is prescribed alprazolam (Xanax).25 mg OD for Acute Anxiety. Which of the following client history should cause a nurse to question this order? a. History of schizophrenia b. History of hypertension c. History of personality disorder d. History of alcohol dependence

History of alcohol dependence

Which of the following is the most common neurotransmitter in the brain? a. GABA b. Dopamine c. Serotonin d. Glutamate

Glutamate

A client with Schizotypal Personality Disorder is sitting in a puddle of urine. She's playing in it,smiling,and softly singing a child's song. Which of the following nursing action would be best that the nurse should take? a. Ask the client if she's ready to get cleaned up now b. Admonish the client for not using the bathroom c. Firmly tell the client that her behavior is unacceptable d. Help the client to the shower,and change the bedclothes.

Help the client to the shower,and change the bedclothes.

Various biological and psychosocial theories have been proposed regarding homosexuality. Which of the following etiological factor has emerged consistently? a. Homosexual behavior is the result of negative Oedipal position. b. Homosexual behavior is an individual preference. c. Homosexual behavior has no definitive etiological evidence supporting either biologic or psychosocial theories. d. Homosexual behavior is based on the orientation of the individual.

Homosexual behavior has no definitive etiological evidence supporting either biologic or psychosocial theories.

A client diagnosed with Schizoaffective Disorder is admitted for social skills training. Which of the following information should be taught by the nurse? a. Deep breathing techniques to decrease stress b. The side effects of medications c. How to be a leader d. How to make eye contact when communicating

How to make eye contact when communicating

The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal. Which of the following would alert the nurse to the potential for Delirium Tremors? a. Hypotension, coarse hand tremors, agitation b. Hypertension, changes in LOC, hallucinations c. Stupor, agitation, muscular rigidity d. Hypotension, ataxia, hunger

Hypertension, changes in LOC, hallucinations

An emergency psychiatric client presents with amnesia, hyperthermia, & unexplained loss of appetite. Accompanying family members state that the client suffered a head injury while falling from a ladder several days before. The nurse concludes that the client's symptoms are consistent with trauma to which of the following area of the brain? a. Cerebellum b. Hypothalamus c. Thalamus d. Cerebrum

Hypothalamus

Client Anne is extremely underweight and disappears into the bathroom after meals, angrily say to the nurse,"I don't need to be here. I don't have any problems. Stop watching me." To reduce her feeling of being threatened,the nurse would be most therapeutic by responding which of the following statements? a. "If you do not follow the rules,you will lose your privileges." b. "I hear how frustrated you are to be here." c. "Your feelings are part of your illness; later you will feel better." d. "I'll get your medication your physician ordered for anxiety."

I hear how frustrated you are to be here."

A client diagnosed with Panic Disorder states,"When an attack happens,I feel like I am going to die." Which of the following is the most appropriate nursing reply? a. "Most people who experience panic attacks have feelings of impending doom." b. "Death from a panic attack happens so infrequently that there is no need to worry." c. "I know it's frightening,but try to remind yourself that this will only last a short time." d. "Tell me why you think you are going to die every time you have a panic attack."

I know it's frightening,but try to remind yourself that this will only last a short time."

The nurse observes a client pacing in the hall. Which of the following statements by the nurse may help the client recognize his anxiety? a. "Have you been pacing for a long time?" b. "I guess you're worried about something,aren't you? c. "I notice that you're pacing. How are you feeling?" d. "Can I get you some medication to help calm you?"

I notice that you're pacing. How are you feeling?"

The nurse is aware that Ritalin is the drug of choice for a child with Attention Deficit Hyperactivity Disorder (ADHD). Which of the following is the side effects may be noted by the nurse? a. Increased attention span and concentration. b. Increase in appetite. c. Bradycardia and diarrhea. d. Sleepiness and lethargy.

Increased attention span and concentration.

The nurse teaches parents how to help their children learn impulse control and cooperative behaviors. This would occur during which of the following stages of development defined by Erikson? a. Initiative versus guilt b. Trust versus mistrust c. Autonomy vs. Shame and doubt d. Industry versus inferiority

Initiative versus guilt

The nurse has completed teaching sessions for parents about Conduct Disorder. Which of the following statements indicates a need for further teaching? a. "We need to set up a system of rewards and consequences for our child's behaviors." b. "Being consistent with rules at home will probably be a real challenge for me and my child." c. "It helps to know that these problems will get better as my child gets older." d. "Real progress for our child is likely to take several weeks or even months."

It helps to know that these problems will get better as my child gets older."

The treatment team has recommended that an individual be committed to a psychiatric inclient unit. When the family of this individual asks about possible adverse effects or arguments against commitment, the nurse should tell them that: a. It is the only way to obtain treatment from the public healthcare system b. Interventions will ease suffering, and in some cases, save lives c. The family may not be able to care for an acutely ill member d. It reinforces the stigma that mentally ill people are dangerous and unpredictable

It reinforces the stigma that mentally ill people are dangerous and unpredictable

A student nurse was asked which of the following best describes Dementia. Which of the following best describes this condition? a. Difficulty coping with physical and psychological change b. Severe cognitive impairment that occurs rapidly c. Memory loss occurring as part of the natural consequence of aging d. Loss of cognitive abilities. impairing ability to perform activities of daily living

Loss of cognitive abilities. impairing ability to perform activities of daily living

Which of the following is a major goal of treatment for a client with Alzheimer's Disease? a. Enhance functional ability over time. b. Maintain or increase body weight. c. Return to a higher level of self-care. d. Maintain client safety.

Maintain client safety.

Which of the following area of the brain-stem controls heart rate and breathing? a. Thalamus b. Reticular formation c. Medulla d. Pons

Medulla

Damage to the hippocampus is most likely to impair: a. Breathing b. Balance c. Sleep d. Memory

Memory

Which of the following is characterized as the early stage of Alzheimer's Disease? a. No noticeable change in behavior. b. Incontinence, agitation, and wandering behavior. c. Increased time spent sleeping or in bed. d. Memory problems and mild confusion.

Memory problems and mild confusion.

Which of the following statements about mental illness is not true? a. Mental illness is only due to social/cultural factors. b. Individuals suffering from mental illness may experiencedissatisfaction with relationships and self. c. Mental illness can cause significant distress, impaired functioning, or both. d. Individuals suffering from mental illness are usually able to cope effectively with daily life.

Mental illness is only due to social/cultural factors.

Moral development theory differs from cognitive development theory in what way? a. Cognitive development theory deals with the formation of personality. b. Moral development theory predicts how a person will react in any situation. c. Cognitive development theory describes physical changes that take place in stages d. Moral development theory characterizes the value system of people and their respect for others.

Moral development theory characterizes the value system of people and their respect for others.

Ms. Angel is a client with a fear of air travel. She is being treated in a mental institution for Phobic Disorder. The treatment method involves systematic desensitization. Which of the following actions of the client the nurse would consider the treatment successful? a. Ms. Angel plans a trip requiring air travel. b. Ms. Angel takes a short trip in an airplane. c. Ms. Angelrecognizes the unrealistic nature of the fear of riding on airplanes. d. Ms. Angel verbalizes a decreased fear about air travel.

Ms. Angel takes a short trip in an airplane.

Which of the following lobe is most closely associated with visual processing? a. Temporal b. Occipital c. Frontal d. Parietal

Occipital

The nurse wishes to encourage the client to express personal feelings and to develop increased awareness about what those feelings mean. Which of the following approaches by the nurse would be best? a. Challenge the client b. Offer empathy c. Offer reassurance d. Give advice

Offer empathy

When caring for a client during an Acute Panic Attack, which of the following actions by the nurse is most appropriate? a. Ask open-ended questions to encourage communication b. Explore common phobias associated with panic attacks c. Offer the client reassurance of safety and security d. Use distraction techniques to change the client's focus

Offer the client reassurance of safety and security

Nurse Tiffany enters the room of a client with a Cognitive Impairment Disorder and asks what day of the week it is; what the date, month, and year are; and where the client is. The nurse is attempting to assess which of the following? a. Delirium. b. Perseveration c. Confabulation. d. Orientation.

Orientation

A nurse is assessing a client diagnosed with Dependent Personality Disorder. Which of the following characteristics is a major component to this disorder? a. Indifferent to others b. Over reliance on others c. Abrasive to others d. Manipulative of others

Over reliance on others

A nurse notices that a client is mistrustful and shows hostile behavior. Which of the following types of Personality Disorder is associated with these characteristics? a. Antisocial b. Paranoid c. Borderline d. Avoidant

Paranoid

You walk into your patients' room and find her sobbing uncontrollably. When you ask what the problem is your patient responds "I am so scared. I have never known anyone who goes into a hospital and comes out alive." On this patient's care plan you note a nursing diagnosis of "Ineffective coping related to stress". What is the best outcome you can expect for this patient? a. Patient will be stress free. b. Patient will avoid stressful situations. c. Patient will start anti-anxiety agent. d. Patient will adapt relaxation techniques to reduce stress.

Patient will adapt relaxation techniques to reduce stress.

Which of the following behavioral assessment in a child is most consistent with a diagnosis of Conduct Disorder? a. Gross impairment in communication b. Physical aggression toward others c. Arguing with adults d. Refusal to separate from caretaker

Physical aggression toward others

A female client informs the nurse that her husband is concerned about her sexual response. The client reports that during stimulation her husband has noticed her clitoris disappears, and he wonders if she is enjoying the experience despite her positive responses to his stimulation. The nurse explains that building excitement and retraction of the clitoris are normal characteristics of which stage of the sexual response cycle? a. Resolution phase b. Excitement phase c. Orgasm d. Plateau phase

Plateau phase

A male client informs the urology nurse that he is embarrassed because his wife rarely has time to reach sexual satisfaction because he experiences an orgasm as soon as he enters the vagina . What is this condition best known as? a. Impotence b. Erectile failure c. Premature ejaculation d. Retarded ejaculation

Premature ejaculation

Who signed the Mental Health Bill into law? a. President Benigno Aquino III b. President Rodrigo Roa Duterte c. President Gloria Macapagal Arroyo d. President Fidel Ramos

President Rodrigo Roa Duterte

A holistic approach to nursing care of the client Sexual Disorders requires the nurse generalist to have which of the following? a. Extensive experience in caring for clients with sexual disorders b. Proficiency in the use of the nursing process and ability to assess the client's sexual health c. The ability to diagnose sexual disorders d. A basic understanding of the nursing process

Proficiency in the use of the nursing process and ability to assess the client's sexual health

A client who failed to complete a craft project during group activities becomes upset, accuses the group leader of not giving assistance, and berates the other clients for hoarding all the supplies. The nurse interprets this behavior as which of the following? a. Introjection b. Compensation c. Projection d. Denial

Projection

Which of the following nursing intervention would be most appropriate when caring for an acutely agitated client diagnosed with Paranoid Schizophrenia? a. Provide personal space to respect the client's boundaries. b. Use therapeutic touch to increase trust and rapport. c. Provide neon lights and soft music. d. Maintain continual eye contact throughout the interview.

Provide personal space to respect the client's boundaries.

Mr. Peterson, 35,is admitted for Bipolar Illness, Manic Phase. After assaulting his landlord in an argument over Mr.Peterson is staying up all night playing loud music. He is hyperactive, intrusive,and has rapid, pressured speech. He has not slept in three days and appears thin and disheveled. Which of the following is the most essential nursing action at this time for Mr. Peterson? a. Providing a meal and beverage for Mr. Peterson to eat in the dining room. b. Providing linens and toiletries for Mr. Peterson to attend to his hygiene. c. Consulting with the psychiatrist to order a hypnotic to promote sleep. d. Providing for client safety by limiting his privileges.

Providing for client safety by limiting his privileges.

A client in a manic state emerges from her room. She is topless and is making sexual remarks and gestures toward staff and peers. Which of the following nursing action is the most appropriate for the nurse to take? a. Confront the client on the inappropriateness of her behavior and offer her a time out. b. Quietly approach the client,escort her to her room and assist her in getting dressed c. Approach the client in the hallway and insist that she go into the room d. Ask the other client to ignore her behavior; she will eventually return to her room.

Quietly approach the client,escort her to her room and assist her in getting dressed

A client in a manic state emerges from her room. She is topless and is making sexual remarks and gestures toward staff and peers. Which of the following nursing action is the most appropriate for the nurse to take? a. Quietly approach the client,escort her to her room and assist her in getting dressed b. Confront the client on the inappropriateness of her behavior and offer her a time out. c. Approach the client in the hallway and insist that she go into the room d. Ask the other client to ignore her behavior; she will eventually return to her room.

Quietly approach the client,escort her to her room and assist her in getting dressed

Known as the Mental Health Act? a. RA 1105 b. RA 2489 c. RA 11037 d. RA 11036

RA 11036

REBT stands for: a. Rational Emotive Belief Therapy b. Rational Emotive Behavior Therapy c. Rational Emotion Belief Therapy d. Rational Emotion Behavior Therapy

Rational Emotive Behavior Therapy

A client was quite upset the entire time she was pregnant and made it clear she did not want her unborn child. However, since the birth, she has become overly protective and refuses to let anyone else near the infant. Which of the following ego defense mechanism does the nurse recognize in the client's behavior? a. Projection b. Displacement c. Denial d. Reaction formation

Reaction formation

Nurse Tim is aware that the victims of Domestic Violence should be assessed for which of the following important information? a. Reasons they stay in the abusive relationship (for example, lack of financial autonomy and isolation). b. Readiness to leave the perpetrator and knowledge of resources. c. History of previous victimization. d. Use of drugs or alcohol.

Readiness to leave the perpetrator and knowledge of resources.

A client diagnosed with Obsessive-Compulsive Disorder (OCD)continually carries a toothbrush,and will brush and floss up to fifty times each day. The nurse understands that the client's behavior is an attempt to accomplish which of the following? a. Promote oral health b. Avoid interacting with others c. Experience pleasure d. Relieve anxiety

Relieve anxiety

A client is brought to an emergency department after being violently raped. Which of the following nursing action is appropriate? a. Discourage the client from discussing the rape, because this may lead to further emotional trauma. b. Remain nonjudgmental while actively listening to the client's description of the violent rape event. c. Probe for further, detailed description of the rape event d. Meet the client's self-care needs by assisting with showering and perineal care.

Remain nonjudgmental while actively listening to the client's description of the violent rape event.

The nurse is caring for a client who has been raped. The client says,"I don't remember anything after I entered my apartment building." Which of the following ego defense mechanism should the nurse conclude the client is exhibiting? a. Intellectualization b. Repression c. Introjection d. Sublimation

Repression

When caring for a client with a diagnosis of Schizotypal Personality Disorder, the nurse should: a. Understand that seductive behavior is expected. b. Encourage participation in group therapy c. Respect the client's needs for social isolation d. Set limits on manipulative behavior

Respect the client's needs for social isolation

A mother of a teenage daughter with an Anxiety Disorder is concerned about her daughter's progress on discharge. She states that her daughter "stashes food,eats all the wrong things that make her hyperactive," and "hangs out with the wrong crowd." In helping the mother prepare for her daughter's discharge,the nurse suggests that the mother; a. Consider taking time from work to help her daughter readjust to being at home b. Keep her daughter out of school until she can adjust to the school environment c. Restrict the daughter's socializing time with her friends d. Restrict the amount of chocolate and caffeine products in the home

Restrict the amount of chocolate and caffeine products in the home

A client diagnosed with Schizophrenia is slow to respond and appears to be listening to unseen others. Which of the following medication should a nurse expect a physician to order to address this type of symptom? a. Haloperidol (Haldol)to address the negative symptom b. Clonazepam (Klonopin)to address the positive symptom c. Clozapine (Clozaril)to address the negative symptom d. Risperidone (Risperdal)to address the positive symptom

Risperidone (Risperdal)to address the positive symptom

Nurse Eve is planning a psychoeducational discussion for a group of adolescent clients with Anorexia Nervosa. Which of the following topics would Nurse Eve select to enhance understanding about central issues in this disorder? a. Self-esteem and self-control b. Parental expectations c. Anger management d. Peer pressure and substance abuse

Self-esteem and self-control

Who authored and sponsored the Mental Health Bill Act of the Philippines? a. Sen Bong GO b. Sen Risa Hontiveros c. Sen Grace Poe d. Sen Francis Pangilinan

Sen Risa Hontiveros

A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. The nurse most appropriately tells the mother to: a. Set limits on the child's behavior b. Ignore the child when this behavior occurs c. Punish the child every time the child says "no", to change the behavior d. Allow the behavior because this is normal at this age period

Set limits on the child's behavior

Sullivan identified which of the following two principal kinds of tensions? a. Prototaxic and parataxic b. Tenderness and toughness c. Needs and anxiety d. Sexual and interpersonal

Sexual and interpersonal

Which of the following will Nurse Dororthy 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 and phrases to capture the client's attention d. Short words and simple sentences

Short words and simple sentences

Upon Mr. Sam's admission for acute psychiatric hospitalization,Nurse J documents the following; Client refuses to bathe or dress,remains in room most of the day,speaks infrequently to peers or staff. Which of the following nursing diagnosis would be the priority at this time? a. Decisional conflict b. Social isolation c. Anxiety d. Self-care deficit

Social isolation

A client with a diagnosis of Borderline Personality Disorder has negative feelings toward the other clients on the unit and considers them all to be "bad." The nurse understands this defense is known as which of the following? a. Ambivalence b. Reaction formation c. Splitting d. Passive aggression

Splitting

A client with Avoidant Personality Disorder says occupational therapy is boring and doesn't want to go. Which of the following nursing action would be best? a. Arrange for the client not to attend OT until he is feeling better b. Arrange with OT for the client to do a project on the unit. c. State firmly that you'll escort him to OT. d. Ask the client to talk about why OT is boring

State firmly that you'll escort him to OT.

A client is experiencing a Severe Panic Attack. Which of the following nursing intervention would meet this client's immediate need? a. Administer the ordered prn buspirone (BuSpar) b. Place the client in a Trendelenburg position c. Teach deep breathing relaxation exercises d. Stay with the client and offer reassurance of safety

Stay with the client and offer reassurance of safety

A client diagnosed with Bipolar Disorder, who has taken lithium carbonate (Lithane)for 1 year,presents in an emergency department with severe diarrhea,blurred vision,and tinnitus. How should the nurse interpret these symptoms? a. Symptoms indicate lithium carbonate discontinuation syndrome. b. Symptoms indicate lithium carbonate toxicity. c. Symptoms indicate the development of lithium carbonate tolerance. d. Symptoms indicate consumption of foods high in tyramine.

Symptoms indicate lithium carbonate toxicity.

When the nurse is assessing a client who is diagnosed with Bipolar Disorder. The nurse would expect to find a history of which of the following? a. Symptoms of mania that may or may not be followed by depression. b. Depressive episode followed by prolonged sadness. c. A series of depressive episodes that recur periodically. d. Symptoms of mania that include delusional thoughts.

Symptoms of mania that may or may not be followed by depression.

Neurotransmitters carry signals across the ________ ________. a. Synaptic gap b. Rrefractory gap c. Hippocampal gap d. Axonal gap

Synaptic gap

Dementia is defined as which of the following? a. Syndrome that results only in memory loss. b. Disease associated with abrupt changes in behavior. c. Disease that is always due to reduced blood flow to the brain. d. Syndrome characterized by cognitive dysfunction and loss of memory.

Syndrome characterized by cognitive dysfunction and loss of memory.

When discussing his problem, a client tells the nurse that he is always doing small, petty jobs for everyone and he is not happy about it. Because of this, he is feeling stressed and has been getting into fights with his wife. What should the nurse suggest to help the client overcome this problem? a. Avoid people who dump tasks on him. b. Take control of the situation. c. Change jobs. d. Avoid doing petty jobs.

Take control of the situation.

Client Carl who has had auditory hallucinations for many years tells Nurse L that the voices prevent his participation in a social skills training program at the community health center. Which of the following nursing intervention is most appropriate that nurse should take? a. Let client Carl analyze the content of the voices. b. Advise client Carl to take his medications as prescribed. c. Advise client Carl to participate in the program when the voices cease. d. Teach client Carl to use thought stopping techniques.

Teach client Carl to use thought stopping techniques.

A kindergarten pupil is frequently violent toward other children. A school nurse notices bruises and burns on the child's face and arms. What other symptom should indicate to the nurse that the child may have been physically abused? a. The child is delayed in physical and emotional development. b. The child begs or steals food or money. c. The child shrinks at the approach of adults. d. The child is frequently absent from school.

The child shrinks at the approach of adults.

The parent of a client who is HIV positive tells the nurse, "My son is not interested in seeing his friends or going out. Honestly, I am still not convinced that he is HIV positive." Which diagnosis made by the nurse will help to create an effective care plan for the parent and client? a. The client is showing acceptance and the parent is bargaining. b. The client is depressed and the parent is showing acceptance. c. The client is depressed and the parent is in denial. d. The client is showing acceptance and the parent is in denial.

The client is depressed and the parent is in denial.

A client with Antisocial Personality Disorder was admitted in a unit at South Wales Hospital. The newly admitted client stole money from an elderly in the unit. Which of the following is the most appropriate for the nurse to say to this client? a. "Why did you take the money?" b. "This client is defenseless against you." c. "The consequences of stealing are a loss of privileges." d. "Let's talk about how you felt when you took the money."

The consequences of stealing are a loss of privileges."

Methylphenidate (Ritalin) is prescribed to an 8-year-old child for the treatment of Attention Deficit Hyperactivity Disorder (ADHD). The nurse will most likely monitor which of the following during the medication therapy? a. Deep tendon reflex b. Temperature and breath sound c. Height and weight d. Intake and output

The correct answer is: Height and weight

A nurse is counseling a client diagnosed with Bulimia Nervosa about the symptom of tooth enamel deterioration. Which of the following explanation for this complication of Bulimia Nervosa, should the nurse provide? a. Food is rapidly ingested without proper mastication. b. Purging causes the depletion of dietary calcium. c. The emesis produced during purging is acidic and corrodes the tooth enamel. d. Poor dental and oral hygiene leads to dental caries.

The emesis produced during purging is acidic and corrodes the tooth enamel.

Family dynamics are thought to be a major influence in the development of Anorexia Nervosa. Which of the following statement regarding a client's home environment should a nurse associate with the development of Anorexia Nervosa? a. The home environment is overprotective and demands perfection. b. The home environment condones corporal punishment. c. The home environment maintains loose personal boundaries. d. The home environment places an overemphasis on food.

The home environment is overprotective and demands perfection.

When interviewing the parents of an injured child, which of the following is the strongest indicator that Child Abuse may be a problem? a. The injury isn't consistent with the history or the child's age. b. The mother and father tell different stories regarding what happened. c. The parents are argumentative and demanding with emergency department personnel. d. The family is poor.

The injury isn't consistent with the history or the child's age.

During a home visit to a family of three: a mother, a father, and their child, The mother tells the community nurse that the father (who is not present) has hit the child on several occasions when he was drinking. The mother further explains that she has talked her husband into going to Alcoholics Anonymous and asks the nurse not to interfere, so her husband won't get angry and refuse treatment. Which of the following is the best response of the nurse? a. The nurse commends the mother's efforts and also contacts protective services. b. The nurse confronts the mother's failure to protect the child. c. The nurse commends the mother's efforts and agrees to let her handle things. d. The nurse agrees not to interfere if the husband attends an Alcoholics Anonymous meeting that evening.

The nurse commends the mother's efforts and also contacts protective services.

A nurse is trying to assess a client's stress type; however, the client is very depressed and quiet and does not reply to the nurse's questions. The nurse is unable to maintain her calm while repeating the questions. Where is the nurse going wrong in assessing the client? a. The nurse should take help from the senior physician. b. The nurse should demonstrate confidence and expertise. c. The nurse should not assess the client's stress type. d. The nurse should calm him first by giving him a sedative.

The nurse should demonstrate confidence and expertise.

A nursing instructor is teaching about Specific Phobias. Which of the following student statement should indicate that learning has occurred? a. "These clients experience symptoms that mirror a cerebrovascular accident (CVA)." b. "These clients experience the symptoms of tachycardia,dysphagia,and diaphoresis." c. "These clients do not recognize that their fear is excessive and rarely seek treatment." d. "These clients have a panic level of fear that is overwhelming and unreasonable."

These clients have a panic level of fear that is overwhelming and unreasonable."

Client Diane is diagnosed with Anorexia Nervosa and is admitted to the special eating disorder unit. Which of the following is the initial treatment priority for this client? a. To promote the client's independence b. To identify family interaction patterns c. To initiate a refeeding program d. To determine her current body image

To initiate a refeeding program

Nurse Nichole observes client Audrey who is hospitalized on an eating disorder unit during mealtimes and for 1 hour after eating. Which of the following is the explanation for this intervention? a. To develop a trusting relationship b. To reinforce the behavioral contact c. To maintain focus on the importance of nutrition d. To prevent purging behaviors

To prevent purging behaviors

Nurse G a newly hired psychiatric nurse consults the DSM for which of the following purposes? a. To document the appropriate diagnostic code in the client's medicalrecord b. To devise a plan of care for a newly admitted client c. To serve as a guide for client assessment d. To predict the client's prognosis of treatment outcomes

To serve as a guide for client assessment

While the nurse and client are talking, the client states "You are just like my mother; you don't trust me or like me .The two of you wish I were dead." The nurse interprets this statement as indicating which of the following processes? a. Countertransference b. Projection c. Transference d. Psychosis

Transference

A client reports for a preoperative appointment in preparation for surgery that will change his body from a female to male. The client has expressed to the nurse and physician that he should been born a man. What sexual orientation is the client demonstrating? a. Homosexual b. Bisexual c. Transsexual d. Transvestite

Transsexual

A new staff nurse asks the experienced psychiatric-mental health nurse to explain the primary purpose for which nurses use the DSM-IV-TR.The response should be which of the following? a. Determine functional categories of physical disabilities of the client b. Specify individualized outcomes for nursing care of the client c. Understand the clients psychiatric-mental health medical diagnosis d. Define categories of nursing diagnoses for the client

Understand the clients psychiatric-mental health medical diagnosis

Which of the following would be a reason for a student nurse to use the DSM? a. Evaluate treatments b. Identifying the medical diagnosis c. Treat clients d. Understand the reason for the admission and the nature of psychiatric illnesses.

Understand the reason for the admission and the nature of psychiatric illnesses.

The community nurse is speaking to a group of new mothers as part of a primary prevention program. Which of the following self-measures would be most helpful as a strategy to decrease the occurrence of Mood Disorders? a. Verbalizing rather than internalizing feelings b. Keeping busy,so as not to confront problem areas c. Use of crisis intervention services d. Medication with antidepressants

Verbalizing rather than internalizing feelings

A male client admitted to the psychiatric unit for treatment of Substance Abuse says to the nurse, "It felt so wonderful to get high." Which of the following is the most appropriate response of the nurse? a. "Tell me more about how it felt to get high." b. "You told me you got fired from your last job for missing too many days after taking drugs all night." c. "If you continue to talk like that, I'm going to stop speaking to you." d. "Don't you know it's illegal to use drugs?"

You told me you got fired from your last job for missing too many days after taking drugs all night."

The limbic system includes the: a. Cerebellum, pons, hypothalamus b. Amygdala, hypothalamus, hippocampus c. Hippocampus, pons, thalamus d. Hypothalamus, medulla, hippocampus

amygdala, hypothalamus, hippocampus

The nurse is reviewing a depressed client's history from an earlier admission. Documentation of anhedonia is noted. The nurse understands that this symptom refers to which of the following? a. Expression of persistent suicidal thoughts b. Reduced senses of taste and smell c. lack of enjoyment in usual pleasures d. Reports difficulty falling and staying asleep

lack of enjoyment in usual pleasures

The nurse is reviewing a depressed client's history from an earlier admission. Documentation of anhedonia is noted. The nurse understands that this symptom refers to which of the following? a. lack of enjoyment in usual pleasures b. Expression of persistent suicidal thoughts c. Reports difficulty falling and staying asleep d. Reduced senses of taste and smell

lack of enjoyment in usual pleasures