Psych E3

A group of nursing students is reviewing information about the differences that occur with grieving in children, adolescents, and adults. The students demonstrate understanding of this information when they identify which of the following as characteristic of adolescents? View death as reversible Mourn by talking about the loss Need repeated explanations to understand the loss Express a time limit for socially acceptable grieving

B

A group of nursing students is reviewing risk and protective factors associated for mental disorders in the older adult population. The students demonstrate understanding of the information when they identify which of the following as a protective factor? A) Poverty B) Education C) Loss D) Chronic illness

B

A home-health nurse is working with a poverty-stricken family that has two small children, ages 2 and 3 years. The family lives in an isolated rural area. The family's home has a dirt floor, and there are chickens living in the house with the family. Because of a recent wind storm, there is a sizeable hole in the roof that lets rain and snow into the house. Which nursing intervention would be the highest priority in this situation? Make immunization appointments for the children in a nearby town's public health clinic. Help the family find funding and manpower to patch and repair the roof of their home. Determine the educational readiness of the two children Report the family for child abuse because of neglect.

B

A nurse identifies the nursing diagnosis of Ineffective Sexuality Patterns based on which of the following? A) The sexual problem is causing dissatisfaction for the client. B) The client has experienced a change in sexual functioning. C) The client is feeling inadequacy related to the sexual problem. D) The client believes that sexual activity is unrewarding.

B

A nurse is developing a plan of care for a client newly diagnosed with bulimia nervosa. Which of the following would the nurse expect to implement in conjunction with pharmacologic therapy? A) Behavioral therapy B) Cognitive behavioral therapy C) Interpersonal therapy D) Family therapy

B

A nurse is evaluating the outcomes for a client diagnosed with complex somatic symptom disorder. Which of the following would the nurse most likely identify as interfering with achievement? A) Outcomes were stated in realistic terms B) Outcomes addressed overall issues C) Outcomes indicated small successes D) Outcomes were identified for specific behaviors

B

A nurse is performing an admission assessment for an adolescent girl with an eating disorder who is being admitted to the psychiatric unit. Which statement would the nurse interpret as most likely supporting the client's diagnosis? A) My father was always very thin. B) I've never really liked myself. C) I have a lot of confidence in myself. D) I feel really close to my parents and my brother.

B

A nurse is preparing a presentation on sleep disorders for a community group. Which of the following would the nurse include when explaining the differences between narcolepsy and obstructive sleep apnea syndrome? A) Symptoms of both disorders are essentially the same, so it is difficult to differentiate between the two disorders. B) People with narcolepsy awaken from a nap feeling rested and replenished, but those with obstructive sleep apnea do not. C) People with obstructive sleep apnea syndrome can experience temporary paralysis with naps. D) Naps are not recommended for clients with narcolepsy because of their association with severe loss of muscle tone

B

A nurse is providing care to several chronically ill children. Which of the following would the nurse identify as having the greatest risk for developing a psychiatric problem? 12 year-old with diabetes mellitus 5 year-old with cerebral palsy 8 year-old who has chronic renal disease 10 year-old with a heart murmur

B

A nurse is providing teaching to a group of parents with children and adolescents who have experienced losses. The nurse determines that the teaching was successful when the group states which of the following? ​Children grieve in similar ways regardless of their age.​ ​ Children often use fantasy to fill in their gaps in understanding.​ ​ Families tend to grieve at similar times after the loss.​ ​ Children and adults grieve much in the same manner.

B

A nurse is reviewing the medical records of several older adult patients. The nurse determines that which individual would have the least chance of developing mental health problems with aging? A) A man who is single, has an eighth grade education, and walks to the mailbox and back every day B) A woman who is married with graduate education, eats nutritionally balanced meals, and exercises for 20 minutes each day C) A man who is married, has a high school education, eats mostly fast food, and walks a mile each day D) A woman who is single, has a college degree and watches what she eats but really does not exercise

B

A nurse is working with a client diagnosed with insomnia. When developing a teaching plan for the client, which sleep promotion intervention would the nurse implement first? A) Encouraging the client to consider stopping smoking B) Instructing the client to keep regular bedtimes and rising times C) Encouraging the client to take frequent naps D) Administering prescribed sleep medications

B

A nurse is working with a psychiatric client who was admitted to the inpatient facility and is being discharged. The client asks the nurse what he should do when he goes home to promote getting adequate sleep. Which response by the nurse would be most appropriate? A) Go to bed at the same time every night and watch a television show that relaxes you. B) Save your bedroom for sleeping; that means no work and no TV in the bedroom. C) Why don't you ask your psychiatrist for a prescription for a sleeping pill? D) Make sure to keep the bedroom warm and toasty.

B

A nursing instructor is describing complex somatic symptom disorder to a group of nursing students. The instructor determines that the teaching was successful when the students state which of the following? A) The disorder typically is diagnosed in men. B) The first symptom usually appears during adolescence. C) The disorder commonly occurs with substance abuse. D) Highly educated individuals often develop this disorder.

B

A nursing instructor is preparing for a class discussion on polypharmacy and older adults. Which of the following would the instructor expect to include? A) The risk for drug abuse, although present, is fairly rare in this population. B) Older adults often experience a greater risk for adverse reactions. C) Medications are usually prescribed in higher doses initially and then gradually reduced. D) Age-related pharmacokinetic changes enhance the drug's therapeutic effectiveness.

B

The nurse is assessing the sleep patterns of a 70-year-old female client with a mental disorder. Based on the knowledge of circadian rhythms and the influence of age, which of the following would the nurse anticipate that the client would report about her sleep pattern? A) When I was younger, I didn't notice any differences in how I felt in the morning or evening. B) Now it seems like I am sleepier at night and more alert in the morning. C) When I worked days, I'd always have trouble feeling sleepy in the morning. D) When I was younger, the amount of sleep I got didn't seem to matter.

B

The nurse is counseling a family with a 10-year-old child after the death of a favorite uncle. The nurse provides guidance to the parents, informing them that the child may exhibit which of the following as a response? ​A. Talk about scary, morbid novels all the time.​ ​B. Complain of aches and pains, stomachaches, that sort of thing.​ ​ C. Suddenly become afraid of leaving home to go to school.​ ​ D. Become obsessed with religious rituals, Bible verses, and prayer.

B

The nurse is initiating a group for adolescent girls diagnosed with anorexia nervosa. Many of the clients in the group are irritable and resent having to attend. One of them comments, This is a stupid waste of time! Which of the response by the nurse would be most appropriate? A) If you feel that way, then you can just leave. B) You sound irritated; tell me about what is bothering you. C) You were assigned to this group by your therapist, so you must participate. D) Sit down and be quiet; your peers would appreciate some peace and quiet.

B

The nurse is presenting a community educational program focusing on older adults and mental health protective factors. One of the participants asks what the influence of co-parenting one's grandchild has on the mental health of the grandparent. Which response by the nurse would be most appropriate? A) The well-being of grandmothers is statistically more significant when they co-parent their grandchildren. B) Although there are stresses involved with grandparenting, the positive benefits appear to outweigh the negatives. C) White grandmothers experience less well-being when they co-parent their grandchildren. D) The perceived well-being of grandfathers who co-parent their grandchildren significantly changes in a positive direction.

B

While assessing an older adult patient for mental health issues, the nurse pays special attention to the patient's sensory function based on the understanding of which of the following? A) Most older adults follow a specific pattern of decline in functioning leading to gradual onset of problems. B) Sensory decline may affect the individual's ability to process information, possible influencing the findings of the mental status examination. C) Diminished sensory function can lead to changes in other body systems that may affect the individual's reaction to prescribed medications. D) Changes in the senses can result in changes in cognitive abilities that mimic the manifestations of mental disorders.

B

A 3-year-old child has been admitted to the hospital after an automobile accident. Which statement by the nurse would be most appropriate when discussing the type of behavior the parents can expect their child to display while hospitalized? A. ​Your child may not be able to accept how the injury has changed your child's appearance.​ ​ B. Your child may seem unduly anxious in the presence of strangers.​ ​C. Your child may experience some guilt feelings associated with the accident.​ ​D. Your child will exhibit intermittent periodic mood swings, but these should be brief.

B.

A client has made multiple visits to the clinic. The nurse suspects that the client may be experiencing complex somatic symptom disorder based on which of the following? A) Expressions of concern about psychological problems B) Indications that parents were always in good health C) Reports of the same symptoms repeatedly D) Evidence of a need for social support from her friends

C

A client is being assessed for complex somatic symptom disorder. Which client statement would the nurse interpret as most likely supporting this diagnosis? A) It's like my foot is asleep all the time; I can't feel anything that touches my foot. B) I'm losing weight no matter what or how much I eat. C) I am always in pain; there is nothing I can do to relieve it. D) It seems like I am always having diarrhea at the most inconvenient times.

C

A client with a mental disorder is being discharged from the inpatient unit. During the client's stay in the hospital, the client eventually was able to get an adequate night's sleep even though the client had experienced chronic insomnia over the years. The client's spouse asks the nurse what the family can do in the client's home environment to promote healthy sleep. Which response by the nurse would be most appropriate? A) It is basically up to your husband to focus on promoting his own sleep. B) You might consider a glass of wine about 30 minutes before he is ready to go to bed. C) Remember to keep stimulating activities at a minimum before he goes to bed. D) Give him a spicy snack with a warm cup of tea at night before bedtime.

C

A female client is diagnosed with female orgasmic disorder and is receiving treatment by a qualified sex therapist. The client and her partner are being taught sensate focus. Which of the following would the couple be required to do first? A) Have sexual intercourse. B) Engage in genital touching. C) Participate in nongenital contact. D) Use masturbation.

C

A nurse is developing a plan of care for a family who is experiencing problems related to their child's chronic illness. The nurse plans to have the family read a group of short stories written by parents of children with chronic illnesses. The nurse will be using which technique? Psychoeducation Social skills training Bibliotherapy Assertiveness training

C

A nurse is giving a presentation to a community group about sleep and its relationship to health. In explaining the relationship between REM sleep and body temperature, which statement by the nurse would be most appropriate? A) There is no observable relationship between REM sleep and body temperature. B) With higher levels of REM sleep, we also experience higher body temperatures. C) Our REM sleep and body temperature cycles are inversely related. D) The extent of our experience of REM sleep is directly proportional to a rise in body temperature

C

A nurse is obtaining information about a client's sleep patterns and asks him about the total amount of sleep time compared with the amount of time spent in bed. The nurse is assessing which of the following? A) Sleep latency B) Sleep architecture C) Sleep efficiency D) Sleep wake cycle

C

A nurse is reviewing the medical records of several older adult patients who have come to the clinic for evaluation. The nurse would classify a patient of which age as being in the middle-old stage? A) 66-year-old adult B) 70-year-old adult C) 78-year-old adult D) 86-year-old adult

C

A nurse is reviewing the plan of care for a client with anorexia nervosa and notes a behavioral plan for increasing weight. The nurse correlates this intervention with which nursing diagnosis? A) Disturbed Body Image B) Anxiety C) Imbalanced Nutrition: Less Than Body Requirements D) Ineffective Coping

C

A nurse is working with a child for which an out-of-home placement has occurred. Which of the following would the nurse anticipate as the child's initial response? Despair Withdrawal Protest Detachment

C

A nurse is working with a client diagnosed with complex somatic symptom disorder. Which of the following would the nurse identify as the most difficult aspect of providing care to this client? A) Managing the client's pain. B) Relieving the client's anxiety. C) Developing the therapeutic relationship. D) Monitoring the client's treatment program

C

A nursing student is reading an article about protective factors for mental illness with older adults. The article mentions the individual's ability to adapt successfully to stress, trauma, or chronic adversity. The student identifies this as which of the following? A) Functional status B) Gerotransendence C) Resilience D) Empty nest

C

A woman comes to the clinic for a routine visit. While interviewing the client and obtaining a sexual history, the client states, I've always wondered what is happening in my body when I become sexually aroused. The nurse would incorporate an understanding of which of the following as the control mechanism? A) Sympathetic nervous system B) Endocrine system C) Parasympathetic nervous system D) Central nervous system

C

After checking a patient's blood pressure, he asks the nurse what changes he should expect in himself as he grows older. Which response by the nurse would be most appropriate? A) You don't have anything to worry about; you will basically stay the same. B) Your personality will stay the same, but your intelligence level will lessen somewhat. C) Usually, you can anticipate that you will begin to react to things more slowly. D) You will become increasingly childlike, and your personality will change.

C

The husband of a client diagnosed with complex somatic symptom disorder asks the nurse, What causes this condition? Which response by the nurse would be most accurate? A) There is definitely an underlying genetic link for this disorder. B) Your wife is experiencing chronic stress that causes hypoarousal. C) The symptoms reflect an emotion that your wife cannot verbalize. D) The symptoms reflect an internal preoccupation with events

C

The nurse is caring for several hospitalized clients with anorexia nervosa. The nurse would be especially alert for which of the following if noted in the clients' histories? A) Paranoia B) Primary insomnia C) Depression D) Aggression

C

The nurse is planning an initial therapy session with a 20-year-old patient whose parents had alcoholism. The nurse anticipates that the patient would most likely exhibit symptoms of which of the following? Delusions Paranoid delusions Low self-concept Extroversion

C

The nurse is planning to explain the purpose of the behavioral therapy technique of self-monitoring to a client with bulimia nervosa. The nurse would emphasize keeping a diary to record which of the following? A) Feelings of hunger B) Efforts at distraction C) Environmental stimuli D) Rigid rules about eating

C

The nurse is preparing to assess a 78-year-old patient who has been diagnosed with major depression. Which of the following would the nurse expect to assess as a normal finding? Decrease in body fat Increased muscle mass Dulled taste sensation Enhanced visual acuity

C

The sleep history of a client experiencing sleep problems reveals that the client ingests a significant amount of caffeine each day. When reviewing the effect of caffeine on sleep with the client, which of the following would the nurse incorporate into the discussion as a caffeine effect? A) Decreased sleep latency B) Increased total sleep time C) Decreased REM sleep D) Increased slow-wave sleep

C

While assessing a client thought to have a factitious disorder, the nurse asks the client to describe when she felt nurtured as a child. Which response would the nurse interpret as supporting the client's diagnosis? A) I never felt nurtured or loved when I was growing up. B) The only time I felt loved and appreciated was when I made the honor roll at school. C) The only time I ever felt loved was when I was sick enough to miss school. D) I felt loved and accepted when my father apologized for spanking me so hard

C

An adolescent is brought to the emergency department by her parents because they were concerned about their daughter's appearance. The client appears emaciated and pale. The parents tell the nurse that the client has been diagnosed with anorexia nervosa. A history and physical examination and laboratory testing are completed. Which of the following would lead the nurse to suspect that the client will be admitted to the hospital? Select all that apply. A) Blood pressure of 110/60 mm Hg B) Elevated serum potassium level C) Decreased serum magnesium level D) Heart rate of 40 beats/min E) Statements of being hopeless

C, D, E

A client diagnosed with male orgasmic dysfunction is receiving desensitization as part of the treatment plan. The nurse understands that this treatment focuses on achieving which of the following? A) Decrease the pressure to perform B) Increase awareness of pleasurable sensations C) Eliminate spectatoring D) Decrease anxiety and fear

D

A client with bulimia nervosa is being treated at an outpatient clinic and is prescribed a selective serotonin reuptake inhibitor (SSRI). Which of the following would the nurse include when teaching the client about the prescribed medication? A) Closely monitor your fluid intake while taking this medication. B) Stop taking this medication if it causes weight gain. C) Expect menstrual irregularities, particularly if they've occurred previously. D) Report any weight changes that occur during the first few weeks this medication is taken.

D

A client with insomnia is taught to avoid watching television, eating, and doing work in the bedroom. Which technique is being used? A) Sleep restriction B) Relaxation training C) Cognitive behavior therapy D) Stimulus control

D

A female client who is receiving counseling at a community health center has complained about being unable to sleep at each of the last three weekly sessions. The nurse interviews the family members to determine the effect of the client's problem on them. Which response would the nurse most likely expect to hear? A) It really hasn't seemed to be a problem for us. B) There's been little change in how she gets along with other family members. C) The not sleeping has really had a positive effect on her and us. D) It's been exhausting living with her these past few weeks.

D

A group of nursing students is reviewing information about sexual development. The students demonstrate understanding of the information when they describe biosexual identity as which of the following? A) Conviction of belonging to the male or female gender B) Outward expression of gender C) Sexual attraction to opposite, same, or both sexes D) Anatomic and physiologic state of being male or female

D

A group of nursing students is reviewing information about the course of aging in future older adults and qualities that contribute to successful aging. The students demonstrate understanding of this information when they identify which of the following as least important? A) Capacity to adapt to change B) Engagement in life C) Stability with reliable social support D) Physical health

D

A group of nursing students is reviewing the various agents used to treat insomnia. The students demonstrate an understanding of the information when they identify which agent as a melatonin receptor agonist? A) Trazodone B) Estazolam C) Mirtazapine D) Ramelteon

D

A nurse is interviewing a client diagnosed with bulimia nervosa about her family and her relationship with her mother. Which statement by the client would the nurse least likely associate with bulimia nervosa? A) My mother is my confidante for everything. B) My mother's happiness depends on me. C) My family basically has very few rules. D) My mother and I are close but not joined at the hip.

D

An older patient tells the nurse that she is becoming more forgetful. The nurse explains to the patient that this is most likely related to which of the following? Anxiety Organic brain syndrome Plaques in the brain tissue Medications

D

The nurse is assisting in planning a series of group therapy sessions with several female clients diagnosed with complex somatic symptom disorder. The nurse plans to focus the sessions on which of the following as a priority? A) Causes of medical illnesses B) Positive self-talk C) Side effects of medications D) Assertiveness skills

D

The nurse is caring for a client in the neighborhood clinic. The client tells the nurse that ever since he was an adolescent, he has avoided social situations because he has one ear that is obviously bigger than the other ear. The nurse observes that one of the client's ears does not appear to be larger than the other ear. The nurse suspects that the client may be experiencing which of the following? A) Complex somatic symptom disorder B) Functional neurologic symptoms C) Factitious disorder D) Body dysmorphic disorder

D

The nurse is discussing sleep enhancing strategies with a client who is experiencing insomnia. Which of the following would be most appropriate for the nurse to suggest? A) Eat right before you go to bed as long as it is something rich that will make you sleepy. B) Try exercising a bit right before your bedtime so you will feel tired and sleepy. C) Drinking a warm cup of tea right before bedtime will help to relax you. D) Establish a regular time for going to bed and getting up in the morning.

D

The nurse is planning a counseling session with a group of at-risk adolescents on the topic of drug abuse. Which teaching strategy would be most effective? Handing out educational pamphlets and showing slides of car accidents related to teen drug use. Showing informational videotapes and providing Internet addresses on the topic of drug addiction. Giving information by lecturing and using pre- and posttest quizzing about the information. Involving peers in teaching the effective group problem-solving skills.

D

The nurse is planning a presentation to a group of older adults on the topic of suicide in the population. One of the group participants asks who has the highest risk of suicide. Which response by the nurse would be most appropriate? ​Older adults who have multiple prescriptions from a variety of different pharmacies.​ ​ Older adults who are experiencing a deep and profound depression.​ ​ Older adult women who are divorced or widowed.​ ​ Men over the age of 75 years who are divorced or widowed.

D

The nurse is preparing to discharge a client who has been hospitalized with anorexia nervosa. Which of the following would the nurse include in the teaching plan? A) Knowing the calorie content of numerous foods B) Learning strategies to control impulses C) Describing physiologic consequences of anorexia nervosa D) Setting realistic goals

D

The nurse is preparing to interview a client diagnosed with complex somatic symptom disorder. The nurse anticipates that the client will most likely exhibit which of the following? A) No facial expression during the interview B) Intermittent nodding and glancing at the clock on the wall C) Altered mental status D) Rapidly changing moods during the interview

D

The nurse is working with a child who has engaged in bullying. Which of the following would be most effective for the nurse to implement? Psychoeducation Bibliotherapy Early intervention program Social skills training

D

The nurse is working with a patient whose mobility is impaired secondary to a fall that resulted in a broken hip. In addition, the patient, who has diabetes, is developing problems with vision and hearing. The patient seems increasingly withdrawn and depressed. The nurse determines that the patient is at risk for spiritual distress. Which intervention would be most appropriate?A)Encourage the patient to talk about significant childhood religious experiences. B) Offer to take the patient to a revival the nurse's church is holding in the community. C) Read to the patient Bible passages that seem particularly relevant to the patient's case. D) Explore what the mobility, sight, and hearing changes mean to the patient.

D

While talking with a client with an eating disorder, the client states, I've gained 2 pounds, so soon I'll be over 100 pounds. The nurse interprets this as which of the following? A) Magnification B) Selective abstraction C) Overgeneralization D) Dichotomous thinking

D

A client has been admitted to the psychiatric unit with a diagnosis of narcolepsy. Which client statement would the nurse interpret as reflecting this condition? A) Sometimes when I'm falling asleep, I see and hear things that my wife doesn't. B) I often have brief periods of intense excitement when going to sleep, and my legs won't hold still. C) I lie there and worry all night, and it keeps me awake. I just can't relax. D) I think my sleep pattern is messed up because I took sleeping pills when I was younger

A

A client is admitted to the mental health unit with a diagnosis of factitious disorder. When reviewing the client's history, which of the following would the nurse most likely find? A) Intentional self-injurious behavior B) Pain to achieve a self-serving goal C) Malingering to avoid work D) Parents who were restrictive

A

A client with body dysmorphic disorder is admitted to the inpatient unit. Based on the nurse's understanding about this disorder, the nurse would assess this client closely for which of the following? A) Suicidal ideation B) Escalating violence C) Anorexia D) Psychosis

A

A client with bulimia nervosa is scheduled for a visit to the clinic. When assessing this client, which of the following would the nurse expect to find? A) Impulsivity B) Panic C) Hyperactivity D) Delusions

A

A client with insomnia is prescribed zolpidem. When describing the action of this medication to the client, the nurse would incorporate information related to the medication's effect on which of the following? A) GABA B) Serotonin C) Dopamine D) Norepinephrine

A

A group of nursing students is reviewing information about factors affecting the pattern and quality of sleep. The students demonstrate a need for additional review when they identify which of the following? A) Sleep patterns are relatively constant across the lifespan. B) Women report more problems with sleep than men. C) Working night shifts and sleeping during the day can affect sleep. D) Environmental influences on sleep can be internal or external.

A

A group of nursing students is reviewing the physical changes that occur in older adults. The students demonstrate understanding of the information when they identify which of the following as contributing the patient's risk for drug toxicity? Reduced liver function Reduce brain gray matter volume Lower metabolic rate at rest Decreased body water

A

A nurse is preparing a plan of care for a client diagnosed with body dysmorphic disorder. Which nursing diagnosis would the nurse most likely identify as the priority? A) Disturbed Body Image B) Ineffective Coping C) Low Self-Esteem D) Risk for Other-Directed Violence

A

A nurse is preparing a teaching plan for a client about the sexual response cycle integrating the theoretical model described by Masters and Johnson. Which of the following would the nurse describe as occurring first? A) Erotic feelings B) Penile erection C) Vaginal lubrication D) Increased muscle tension

A

A nurse is working with a family in which the parents have just gotten divorced. After teaching the parents about measures to reduce the risk of emotional problems for the children, which statement by the parents indicates a need for additional teaching? We will try to alter their routines so they don't think about the past. We will make sure that they understand that they did not cause the divorce. We will develop a regular and consistent schedule for visitation. We will make sure that we are consistent in the limit that we set.

A

A psychiatric mental health nurse working in the community is planning an educational program for fifth and sixth grade teachers. Which of the following would the nurse include? A) Discussion of strategies the teachers can use to counteract the role media plays in encouraging eating disorders B) Emphasis on the need for teachers to focus their prevention efforts on female students C) Stressing of the need to allow students to eat without undue attention or supervision to prevent inadvertently influencing eating patterns D) Clarification that peer pressure is not typically problematic in children who are in the fifth and sixth grades

A

A student nurse is preparing a nursing care plan for a client who has insomnia and is experiencing sleep deprivation. Which nursing diagnosis would the nurse most likely identify as reflecting a priority care issue? A) Risk for Injury B) Ineffective Coping C) Deficient Knowledge D) Anxiety

A

After teaching a class about childhood and adolescent mental health, the instructor determines that additional teaching is needed when the class identifies which of the following as promoting mental health in children? Difficult temperament Age-appropriate physical development Secure attachment Normal psychosocial development

A

The nurse is caring for a client with complex somatic symptom disorder. When assessing this client, the nurse would be especially alert for symptoms of which of the following? A) Depression B) Avoidant personality disorder C) Delirium D) Bipolar disorder

A

The nurse is counseling a family with a child who has been abused by adult family friend in the past. When explaining about the child's needs, which of the following would be most important for the nurse A supportive relationship with an adult Long-term psychotherapy Antidepressant medications Short-term separation from the parents

A

The nurse is counseling a family with two parents and two children, ages 8 and 10 years. The mother complains that the children are constantly fighting and have intense sibling rivalry. When statement would be most appropriate when advising the parents about how to respond to the sibling rivalry? ​A. Try reacting to each as unique individuals with talents and interests distinctly their own.​ ​ B. Be firm about telling the children they have to cooperate with one another.​ C. ​Slowly decrease the amount of attention and control shown to the older child.​ ​D. Make sure they have a quiet, subdued home environment to avoid stimulating conflict.

A

The nurse is working as part of a team to help reduce the stigma attached to mental health treatment for the older adult population. Which of the following would be most appropriate to do to achieve this outcome? A) Provide education about mental health and mental disorders. B) Initiate screening programs for symptoms. C) Ensure older adults received integrated community care. D) Institute a wide range of social support services.

A

When describing the events associated with the determination of sex of a fetus, which of the following would the nurse most likely include in the discussion? A) Genes on the Y chromosome B) Formation of ovaries C) Rising testosterone levels D) Neurochemical inhibition

A

While assessing an older adult, the nurse allows ample time for the patient to respond based on the understanding of which of the following? Ample time ensures that the correct answer is given. The patient is most likely experiencing irreversible memory impairment. The patient is experiencing decreased cerebral oxygen flow from reduced activity. Ample time is needed to weigh the pros and cons of the perceived risk for answering.

A

While caring for a client with anorexia nervosa, the nurse anticipates that the client would have difficulty making which of the following comments? A) I'm mad at you because you won't let me go on a pass unless I gain weight! B) I need to have everything in its place and perfect. C) If I gain a pound, I'll just keep gaining weight. D) I am very involved in preparing my food and counting calories

A

While caring for a family who lost a 10-year-old son in a car accident, the nurse should instruct the parents to tell the 4-year-old sister which of the following about her brother? A. He died and is not coming back. B. He passed on to the other side. C. He departed on a long journey. D. He has gone to see the Lord above.

A

While engaging in a discussion with a group of teens about risk behaviors, one of the teens says, That will never happen to me. The nurse interprets this as which of the following? Invincibility fable Formal operations Egocentric thinking Relational aggression

A

A group of nursing students is reviewing the similarities and differences between bulimia nervosa and binge-eating disorder. The students demonstrate understanding when they identify which characteristics as specific to binge-eating disorder? Select all that apply. A) Clients typically are obese. B) Clients refrain from purging behaviors. C) Binge-eating periods are shorter. D) Clients engage in overexercising. E) Feelings of guilt do not occur after binging

A, B

A nurse is reviewing the medical record of a client with a sexual dysfunction. Which of the following if noted in the client's history would the nurse identify as a possible contributing factor? Select all that apply. A) Antihypertensive therapy B) Diabetes C) Peptic ulcer disease D) Appendectomy at age 15 years E) Occasional alcohol use

A, B

A nurse is developing a plan for establishing appropriate supportive community care services for older adults to promote independence. Which services would the nurse be most likely to include? Select all that apply. A) Transportation B) Homemakers C) Legal D) Housing E) Child care

A, B, C, D

A nurse is preparing a presentation for a local senior group about sexuality and sexual behaviors in older adults. Which of the following would the nurse need to address? Select all that apply. A) Decreased vaginal lubrication B) Decreased amount of sperm C) Enhanced clitoral response D) Thickening of vaginal mucosa E) Increased ejaculation time

A, B, E

A nurse is preparing to conduct an assessment of a 79-year-old woman who has come to the clinic for evaluation. When performing this assessment, which of the following would be most appropriate for the nurse to do? Select all that apply. A) Dim any lights that appear too bright. B) Face the patient from the side. C) Use short, simple sentences. D) Focus on one topic at a time. E) Speak slowly in a shouting tone.

A, C, D

A nurse is providing care for a client who has complex somatic symptom disorder and is exhibiting anxiety about having a severe illness. Which of the following would be appropriate for the nurse to do? Select all that apply. A) Listening closely to the client's report of symptoms B) Discouraging the client from talking about fears C) Acknowledging that what the client is saying may be real D) Encouraging the client to write down symptoms in a journal E) Reviewing symptom pattern with the client

A, C, D, E

A nurse is preparing a presentation for a local middle school health class about eating disorders as a means for prevention and early detection. Which of the following would the nurse incorporate into the presentation as being common to both anorexia nervosa and bulimia nervosa? Select all that apply. A) Body dissatisfaction B) Feelings of control C) Obsessiveness D) Boundary problems E) Sexuality fears F) Cognitive distortions

A, C, F

A nursing instructor is describing the prevalence of obstructive sleep apnea (OSA) as being greater in individuals with mental health disorders. Which disorders would the instructor include as being associated with OSA? Select all that apply. A) Depression B) Borderline personality disorder C) Schizophrenia D) Posttraumatic stress disorder E) Anxiety

A, D, E

A nursing instructor is preparing a class about functional neurologic symptoms. Which of the following would the instructor most likely include as an assessment finding? Select all that apply. A) Difficulty swallowing B) Spasticity C) Urinary frequency D) Aphonia E) Blindness

A, D, E

After teaching a class about circadian rhythm disorders, a nursing instructor determines that the teaching was successful when the class identifies which of the following as a subtype? Select all that apply. A) Delayed sleep phase B) Nightmare C) Sleep terror D) Jet lag E) Shift work

A, D, E

A nursing instructor is reviewing the various theories related to anorexia nervosa. Which of the following would the instructor include when describing theories related to the biologic domain? Select all that apply. A) Genetic vulnerability B) Separation individuation C) Role pressures D) Dieting leading to starvation E) Pursuit of thinness F) Decreased serotonin activity

A, D, F

A client diagnosed with complex somatic symptom disorder and depression is prescribed medication therapy to treat both the pain and the symptoms of depression. When teaching the client about the medication, which of the following would the nurse emphasize? A) Need for signing a no-suicide contract B) Avoidance of foods that contain aged cheese C) Use of sunscreen when exposed to bright sunlight D) Limiting of the amount of water ingested

B

A client has been admitted to the inpatient psychiatric facility as part of a court-ordered program. The client was arrested numerous times over the past several months for exposing his genitals and masturbating in public in front of an elementary school. The nurse interprets this behavior as reflecting which of the following? A) Frotteurism B) Exhibitionism C) Sexual masochism D) Voyeurism

B

A client is admitted to the mental health unit because she was found trying to inject diluted feces into her hospitalized child's intravenous line. The client has a history of similar attempts of harming the child. The nurse would most likely suspect which of the following? A) Schizoid personality traits B) Munchausen's syndrome by proxy C) Functional neurologic symptoms D) Borderline personality disorder

B

A client with complex somatic symptom disorder also has anxiety. Which of the following would the nurse expect to be prescribed? A) Monoamine oxidase inhibitor (MAOI) B) Selective serotonin reuptake inhibitor (SSRI) C) Tricyclic antidepressant (TCA) D) Atypical antipsychotic

B

A client with complex somatic symptom disorder is complaining of significant pain in the joints. When providing care to this client, which of the following would be most important for the nurse to keep in mind? A) Opioid analgesics are the primary mode of therapy. B) The client's experience of pain is real. C) Complementary therapies are usually of little benefit. D) Outcomes need to reflect the biologic aspects of the pain.

B