Psych Prep U Quiz 3

After several visits to the primary care provider, a client has been diagnosed with depression. Within the context of the behavioral theorists' beliefs about this disorder, which factors may underlie the client's diagnosis?

Exaggerated response to stressful life event

Which statement incorrectly identifies positive aspects regarding methadone for heroin addiction?

It is available in IV form`

A client is admitted to the detoxification unit on Sunday evening. The client discloses that the client's last alcoholic drink was just before the client was admitted to the unit. When can the nurse expect that the client's alcohol withdrawal symptoms will begin?

Monday morning

When assessing a client with borderline personality disorder (BPD), which behaviors would the nurse expect to find? Select all that apply.

Repeated, frequent crisis episodes Deceptive competence Learned helplessness Self-directed anger

A client is in treatment for depression and alcohol abuse. The client is unwilling to confront substance abuse issues, stating the client uses alcohol to ease feelings of depression. The client's spouse reports that the spouse often has to care for the client when the client is hung over, calling in sick for the client and doing what the spouse can to help the client catch up with household or job responsibilities. The nurse diagnoses the client's family with dysfunctional family processes. The nurse and clients develop a plan of care. Which goal indicates an understanding of the family situation and the linkages between the diagnosis and the outcomes?

he spouse will refrain from the enabling the client's drinking behaviors.

A nurse is developing an education plan for a client who is prescribed escitalopram. Which side effect would the nurse include in this plan? Select all that apply

weight gain decreased sexual interest Dry mouth

A nursing instructor is teaching about different depressive disorders and identifies a need for further instruction when a student states what?

"Dysthymic disorder is less chronic than major depression."

When conducting a focused assessment on a newly admitted client who attempted suicide, which question should the nurse include to ensure the client's safety? Select all that apply.

"Have you ever tried to hurt yourself before?" "Do you still have a plan to harm yourself?" "Are you willing to tell us if you plan to harm yourself again?"

A client is receiving methadone maintenance therapy. After teaching the client about this treatment, the nurse determines that the education was successful when the client states what?

"I should eat small frequent meals if I get nauseated."

The spouse of a client diagnosed recently with a mood disorder calls the nurse therapist to report a change in the client's mood. The spouse states, "The client is clearly in a better mood than usual. I would say the client seems mildly elated. The client is functioning fine at work and home. The client is energetic, up and doing things at 5:00 a.m. and really confident again. It seems fantastic, but unusual. Is this something to worry about?" Which potential response by the nurse accurately assesses the situation?

"The client sounds hypomanic. Let's schedule an appointment for this week for an evaluation. The client may need additional or different medication."

A client with borderline personality disorder tells a nurse, "I'm afraid to get on a train because we'll probably get into a wreck." Which response by the nurse would be most appropriate?

"What are the chances of that actually happening?"

A client comes to the emergency department reporting a severe pounding headache in the temples and a stiff neck. The client is flushed and diaphoretic, and the client's pulse is racing. The client states that the client is being treated for depression with an MAOI. Which question by the nurse would be most important to ask at this time?

"What have you had to eat or drink today?"

A client has just been diagnosed with a major depressive disorder following recent problems with the client's mood, work performance, and sleep quality. When planning this client's care, the nurse should anticipate what interventions? Select all that apply.

Administration of a sustained serotonin reuptake inhibitor (SSRI) Cognitive therapy

The nurse is caring for a psychiatric-mental health client who has just been diagnosed with bipolar disorder. The physician has ordered medication for for the client. Which class of medications, if prescribed, would the nurse question?

Antidepressants

Most suicides occur in which month?

April

A client is experiencing severe alcohol withdrawal. Which would the nurse most likely assess? Select all that apply.

Auditory hallucinations Gross uncontrollable tremors Marked diaphoresis

A mental health nurse is planning a psychotherapy group for clients with personality disorders. The nurse knows the group will be comprised of a significant number of clients from Arab and Asian ethnicity. Which should the nurse consider when planning this group?

Be aware of the how each client's personality has been affected by his or her cultures values

A nursing instructor is reviewing a case study with students about a client with mania who was admitted to a mental health unit. The instructor asks the students what medical diagnosis is most likely responsible for the mania. Which would be the best answer by a student?

Bipolar disorder

While conducting an admission interview with a client, the nurse suspects the client may be in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?

CIWA-Ar

A nurse is developing a plan of care for a client diagnosed with an antisocial personality disorder who has been admitted to the inpatient psychiatric unit. Which would the nurse likely include? Select all that apply.

Developing a therapeutic relationship Holding the client responsible for behavior

A client with borderline personality disorder is prescribed pharmacotherapy. The nurse understands that this treatment aims to control which of the following? Select all that apply.

Emotional dysregulation Impulsive aggression Cognitive disturbances Anxiety

Which must be present in a client diagnosed with serotonin syndrome? Select all that apply.

Fever Ataxia Diaphoresis Agitation

A client with bipolar disorder is experiencing a major depressive episode. Which would the nurse expect to assess? Select all that apply.

Hypersomnia Difficulty concentrating Obsessive rumination

A nurse is assessing a client with borderline personality disorder. Which response pattern would the nurse most likely assess? Select all that apply.

Impulsive behavior Anger issues Fear of abandonment Mood lability

An older adult client with liver disease is experiencing alcohol withdrawal. Based on the nurse's understanding of drug therapy, which of the following would the nurse expect to be prescribed?

Lorazepam

A client who otherwise is healthy is admitted for depression and reports feeling all alone. The client says the client recently lost the client's spouse to divorce. The client admits to drinking at least 12 beers every day. The client is at risk for which problem?

Medical comorbidity

A 20-year-old client arrives at the emergency department by ambulance. The client is unconscious, with slow respirations and pinpoint pupils. There are "tracks" visible on the client's arms. The friend who came with the client reports that the client had just "shot up" heroin when the client became unconscious. Which medication would the nurse most likely expect to administer?

Naloxone

A group of nursing students is reviewing information about nutritional supplementation used during alcohol detoxification. The students demonstrate the need for additional review when they identify which of the following as being used?

Naloxone

How are psychosocial and environmental factors implicated in the development of substance abuse disorders?

Psychosocial and environmental factors increase the client's vulnerability to drug or alcohol

A client taking lithium for bipolar disorder comes to the clinic and reports symptoms which the nurse interprets as consistent with moderate lithium toxicity. Which action should the nurse perform? Select all that apply.

Push fluids. Obtain a blood sample for lithium level. Contact the physician. Withhold additional doses of lithium.

In the past year, a client's parent reports the client has experienced six manic episodes, each lasting for 3 weeks. This is best described as what?

Rapid cycling

A client is brought to the emergency department after having overdosed on cocaine. When assessing the client, which would the nurse expect to find? Select all that apply.

Seizures Cardiac arrhythmia

When developing the plan of care for a client with borderline personality disorder (BPD), which areas would the nurse identify as likely problematic? Select all that apply.

Self-harm Nutrition Sleep

A nurse who started recovering from alcohol abuse 3 months earlier is ready to return to work. When speaking with the therapist, the nurse states the nurse is nervous about how coworkers will respond to the nurse now that "they all know I'm a drunk." Which diagnosis best targets the problem implicit in the nurse's remarks?

Situational low self-esteem related to medical condition

A nurse is describing the effects of inhalants to a group of high school students attending a substance abuse prevention class. Which effects would the nurse include in the description? Select all that apply.

Slurred speech Hallucinations Euphoria Dizziness

A nurse is preparing an educational session for family members affected by substance abuse. Which point should the nurse include in the session? Select all that apply.

Substance abuse is an illness like any other. An individual with substance abuse issues typically cannot use drugs socially.

The psychiatric nurse managing the care of a client experiencing alcohol withdrawal instructs unit staff to anticipate that the client may experience which neurological response?

Tactile hallucinations

Which factor would contraindicate the use of disulfiram in the treatment of a client who has an alcohol use disorder?

The client had six drinks a few hours ago.

A client is hospitalized on a psychiatric unit secondary to a suicide attempt. The client has been diagnosed with depression and is consistently depressed. When assessing the client, which finding would alert the nurse that the client's suicidal risk has increased?

The client says the client feels better, with more energy to interact with others

The nurse is performing an assessment of a client with depression. It took more than four sessions to complete. What is the likely reason for needing multiple sessions?

The client was too tired to answer all of the nurse's questions in one session.

The nurse is providing care for a client who has been diagnosed with antisocial personality disorder. Which outcome should the nurse prioritize when planning this client's care? You Selected:

The client will to express anger in an adaptive, nonviolent manner

A client with opioid addiction is prescribed methadone maintenance therapy. When explaining this treatment to the client, which of the following would the nurse need to keep in mind?

The drug helps to satisfy the craving for the opioid.

A 51-year-old client with a history of an alcohol use disorder and depression has committed suicide. The care team has subsequently taken steps to organize a postvention. What is the goal of a postvention?

To allow the client's family and other close acquaintances to express their feelings about the suicide.

Which statement about clients with a dual diagnosis is accurate?

Traditional methods of treatment have not been very successful for these clients.

A nurse is conducting a class for a group of high school students about marijuana use and abuse. The nurse determines that the class needs further discussion when they state which of the following?

Use of marijuana does not lead to addiction.