Psych

d. Inability to make choices and decisions without advice.

A 20-year-old client was diagnosed with dependent personality disorder. Which behavior is not most likely to be evidence of ineffective individual coping? a, Recurrent self-destructive behavior b. Avoiding relationships c. Showing interest in solitary activities. d. Inability to make choices and decisions without advice.

d. Loosening of association

A 23-year-old client who has been admitted with a diagnosis of schizophrenia says to the nurse "Yes, it's march, March is a little woman". That's literal you know. These statements illustrate: a. Neologisms b. Echolalia c. Flight of ideas d. Loosening of association

c. Ideas of reference

A client tells the nurse that the television newscaster is sending a secret message to her. The nurse suspects the client is experiencing: a. A delusion b. Flight of ideas c. Ideas of reference d. Hallucination

c. Rationalization

A client who abuses alcohol and cocaine tells a nurse that he only uses substances because of his stressful marriage and difficult job. Which defense mechanisms is this client using? a. Displacement b. Projection c. Rationalization d. Sublimation

C The client speaks in coherent sentences.

A client with a bipolar disorder exhibits manic behavior. The nursing diagnosis is Disturbed thought processes related to difficulty concentrating, secondary to flight of ideas. Which of the following outcome criteria would indicate improvement in the client? a. The client verbalizes feelings directly during treatment. b. The client verbalizes a positive "self" statement. C The client speaks in coherent sentences. d. The client reports feelings calmer.

b. Practice saying "Go away" or "Stop" when they hear voices

A client with paranoid schizophrenia has been experiencing auditory hallucinations for many years. One approach that has proven to be effective for hallucinating clients is to: a. Take an as-needed dose of psychotropic medication whenever they hear voices b. Practice saying "Go away" or "Stop" when they hear voices c. Sing loudly to drown out the voices and provide a distraction. d. Go to their room until the voices go away

d. Hallucination

A client with schizophrenia hears a voice telling him he is evil and all evil must die must die. The nurse understands that the client is experiencing: a. A delusion b. Flight of ideas c. Ideas of reference d. Hallucination

c. impaired social interaction, related to manipulative behaviors.

A common nursing diagnosis for a patient with antisocial personality disorder is: a. chronic low self-esteem, related to poor self-image and excessive fear of failure. b. disturbed thought processes, related to sensory-perceptual alterations c. impaired social interaction, related to manipulative behaviors. d. social isolation, related to anxiety in social situations.

b. Highly famous and important

A female client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects a belief that one is: a. Being Killed b. Highly famous and important c. Responsible for an evil world d. Connected to the client unrelated to oneself

d. systematic desensitization

A female patient reports an intense, overwhelming fear of driving a car. The fear has disrupted all elements of the patient's life. The patient does not go to the grocery store unless someone transports her, has relinquished her job, and has few social contacts. The patient's treatment plan includes: a. assertiveness training. b. Biofeedback C. stress management assistance d. systematic desensitization

a, A rigid posture, restlessness, and glaring

A male client is admitted to a psychiatric facility by court order for evaluation for antisocial personality disorder. This client has a long history of initiating fights and abusing animals and recently was arrested for setting a neighbor's dog on fire. When evaluating this client for the potential for violence, nurse Perry should assess for which behavioral clues? a, A rigid posture, restlessness, and glaring b. Depression and physical withdrawal c. Silence and noncompliance d. Hypervigilance and talk of past violent acts.

c. listen, redirect the patient to his or her feelings, and explore the issue with the staff.

A patient states that unit staff members have been avoiding him or her since an attempt to self-mutilate. The psychiatric-mental health nurse's most appropriate response is to: a. apologize for the staff's behavior b. explain that feelings of rejection are typical after self-mutilation c. listen, redirect the patient to his or her feelings, and explore the issue with the staff. d. report the matter to the nurse manager

d. rewarding positive behaviors to promote their recurrence.

A psychiatric-mental health nurse, who is teaching a couple how to use positive reinforcement techniques with their child, recommends: a. agreeing with the child's statements, whether negative or positive, and simply restating the child's statements without other comment b. controlling the child's behavior, so there is no chance of negative behavior. c. removing adverse consequences to produce positive results d. rewarding positive behaviors to promote their recurrence.

a "It takes approximately two to four weeks for depression to lessen, and side effects usually diminish over time."

After taking an antidepressant for about a week, a patient reports constipation and blurred vision, with no improvement in mood. The psychiatric-mental health nurse informs the patient: a "It takes approximately two to four weeks for depression to lessen, and side effects usually diminish over time." b. "Stop the medication immediately and contact your primary care physician." c. "You should contact your doctor. The doctor may need to change your medication." d. "You should schedule an appointment with your ophthalmologist."

a. Splitting

Based on this, the ego defenses that I mostly at work is a. Splitting b. Introjection c. Blocking d. Acting out

d. Flight of ideas

Danny, who is diagnosed with bipolar disorder and acute mania, states the nurse, "Where my daughter? I love Louis. Rain, rain go away. Dogs eat dirt." The nurse interprets these statements as indicating which of the following? a. Echolalia b. Neologism c. Clang associations d. Flight of ideas

a. current situation

During an initial patient interview, the psychiatric and mental health nurse begins by asking the patient to describe his or her: a. current situation b feelings about the current situation c. personal history d. thoughts about the current situation

b. Waxy flexibility

During the assessment stage, a client with schizophrenia leaves his arm in the air after the nurse has taken his blood pressure. His action shows evidence of: a Somatic delusions b. Waxy flexibility c. Neologisms d. Nihilistic delusions

b. Formication

Joey who has a chronic user of cocaine reports that he feels like he has cockroaches crawling under his skin. His arms are red because of scratching. Th nurse in charge interprets these findings as possibly indicating which of the following? a. Delusion b. Formication c. Flashback d. Confusion

b. Limiting unnecessary interaction

Nurse Anna can minimize agitation in a disturbed client by: a. Increasing stimulation. b. Limiting unnecessary interaction c. Increasing appropriate sensory perception d. Ensuring constant client and staff contact.

c. Confabulation

Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of? a, Flight of ideas b. Associative looseness c. Confabulation d. Concretism

a. Developing a support network with other families

Nurse Hazel invites the new client's parents to attend the psycho educational program for families of the chronically mentally ill. The program would be most like to help the family with which of the following issues? a. Developing a support network with other families b. Feeling more guilty about the client's illness C. Recognizing the client's weakness d. Managing their financial concerns and problems

b. Routine Activities

Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have: a. Multiple stimuli b. Routine Activities c. Minimal decision making d,Varied Activities

b. assess their lives and identify actions that had value and purpose

Older adults have reached Erikson's developmental stage of ego integrity when they: a. acknowledge that one cannot get everything one wants in life. b. assess their lives and identify actions that had value and purpose c. express a wish that life could be relived differently. d. feel that they are being punished for things they did not do

d. Psychoanalytic theory

The nurse explains to a mental health care technician that a client's obsessive-compulsive behaviors are related to an unconscious conflict between id impulses and the superego (or conscience). On which of the following theories does the nurse base this statement? a. Behavioral theory b. Cognitive theory c. Interpersonal theory d. Psychoanalytic theory

a. akathisia

The severe feeling of restlessness produced by some psychotropic medications, which is often misinterpreted by patients as anxiety or a recurrence of psychiatric symptoms, is known as: a. akathisia. b. akinesia. c. bradykinesia d. dystonia

b. Support group

This is an example of what type of group therapy? a. Cognitive behavioral group b. Support group c. Skills development group d. Interpersonal group

c. performs a return demonstration

To evaluate whether patient teaching for coping skills has been effective, the psychiatric- mental health nurse asks an adolescent patient to: a. consider the outcomes objectively. b. by keep a written journal c. performs a return demonstration d set measurable goals.

c. provides an organized, structured environment.

When planning inpatient psychotherapeutic activities for a patient who has antisocial personality disorder, the psychiatric-mental health nurse: a. focuses on group, rather than individual, therapy. b. provides a permissive atmosphere, so the patient feels a sense of control. c. provides an organized, structured environment. d. recognizes that the disorder is characterized by social withdrawal.

a. Tactile

Which type of hallucination will joey experience more, as compared to other pat with hallucinations a. Tactile b. Visual c. Gustatory d. Auditory