Final Psych

A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior. The client tells the nurse about fears of gaining weight. Which of the following responses should the nurse make?

"I understand you have concerns about your weight, but first, let's talk about your recent accomplishments."

A nurse is completing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms? (Select all that apply.)

Auditory hallucination Use of clang associations Delusion of persecution Constantly waving arms

What is the best technique to utilize when communicating with your clients when you need them to open up or verbalize during your conversation?

Open ended questions

Prescribed medications for crisis management may include the following except:

Oxycontin

A nurse is caring for a client who is experiencing a crisis. Which of the following medications might the provider prescribed? (Select all that apply).

Paroxetine Lorazepam

A nurse is discussing relapse prevention with a client who has a bipolar disorder. Which of the following information should the nurse include in teaching? SELECT ALL THAT APPLY

Participating in psychotherapy can help prevent a relapse. Ahedonia is a clinical manifestation of depressive relapse. Difficulty sleeping can indicate a relapse.

A nurse in a pediatric clinic is caring for a preschool-age child who has a new diagnosis of ADHD. When teaching the guardian about this disorder, which of the following statements should the nurse include in the teaching?

"Because of this disorder, your child is at an increased risk for injury."

A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"I should practice limit-setting to help prevent client manipulation."

A nurse teaches a patient with alcohol use disorder about a new prescription for naltrexone (ReVia, Vivitrol). Which comment by the patient indicates the teaching was effective?

"This medicine is one part of a bigger treatment plan to help me stay sober."

A nurse is obtaining a nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the following questions should the nurse include in the assessment? (Select all that apply.)

"What is your relationship like with your family?" "Would you describe your current eating habits?" "Can you discuss your feelings about your appearance?"

A nurse is caring for a client who has substance-induced psychotic disorder and is experiencing auditory hallucinations. The client states, "The voices won't leave me alone!" Which of the following statements should the nurse make? (Select all that apply.)

"When did you start hearing these things?" "It must be scary to hear voices." "Are the voices you hear telling you to hurt yourself?"

A man tells the nurse, "All my life, I have felt and acted like a woman while living in a man's body. For the past year, I have lived and dressed as a woman. I changed jobs to protect my new identity." Which request is the patient likely to make to the health care provider?

"Will you prescribe hormonal therapy?"

You are expected to administer Lithium for your patient who is experiencing manic episodes of mania due to a bipolar disorder. The expected dose range for the therapy at this point would be 1800 mg per day. What is the most efficient way of administering this dosage?

900 mg po, two times per day or 600 mg po three times per day.

Nursing interventions to facilitate morning include all of the following except:

Abstaining away from the family to allow them to have privacy

Somatic patient is the expression of a psychological stress through physical manifestations. The physical manifestations of some somatic symptom disorders cannot be explained by underlying pathology. You as a nurse providing care for this patient what are some of the patient centered care initiatives?

Accept somatic manifestation as being real to the client.

A young adult has reported heavy use of alcohol and prescription drugs since mid-adolescence. This individual now has an ataxie gait and uses a cane. Which comment by the nurse presents reality while demonstrating compassion?

Addiction is powerful. You are young yet cannot walk without a cane. Your health has been significantly affected by your long- term use of drugs and alcohol.

A nurse caring for a patient with anxiety disorder, they should expect which of the following medication to be a part of the treatment protocol.

All of the above

Identify three nursing interventions that can be used to assist a client who's experiencing a crisis.

All of the above

Maturation/internal crisis is achieving a new development stage which requires learning additional coping mechanisms. Examples include getting married or retiring. What are the risk factors for this type of crisis?

All of the above

You as a nurse know when planning for therapeutic communication involves which of the following:

All of the above

Clozapine is used to treat schizophrenia after other treatments have failed. Clozapine is also used to reduce the risk of suicidal behavior in people with schizophrenia or similar disorders. Which warning is true about this drug?

All of the answers are correct

You have just received a new doctors order for Alprazolam. You know that it is being prescribed for the following reason.

Alprazolam belongs to a class of medications called benzodiazepines. Benzodiazepines are medications that have anti-anxiety-producing properties.

The charge nurse is reviewing Kubler Ross five stages of grief with a group of newly licensed nurses which of the following stages should the charge nurse include in the teaching? SELECT ALL THAT APPLY.

Anger Denial Depression Bargaining

The drug venlafaxine is used for the treatment of which of the following conditions?

Anti-depressants/ Anxiety

Which psych conditions that a nurse would administer Selective serotonin reuptake inhibitors (SSRIs) antidepressants for?

Anxiety Disorders

In planning care for a client that has a somatic symptom disorder which are some of the findings you would expect as a nurse? (Select all that apply).

Anxiety disorder Childhood trauma

Standardized assessment tools that are appropriate for the older adult population include all of the following EXCEPT:

Apgar Scale

Which of the two following drugs may be utilized in decreasing itching in your clients? select all that apply

Atarax (hydroxyzine) Benadryl (Diphenhydramine)

A nurse observes a client who has obsessive compulsive disorder (OCD), repeatedly applying, removing and then reapplying makeup. The nurse identified the repetitive behavior in a client who has OCD is due to which of the following underlying reasons?

Attempt to reduce anxiety

A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (Select all that apply.)

Attempts to convince other clients to relinquish their belongings Blames others for personal past and current problem

A nurse is caring for a client who has schizophrenia. The client states, "The government is forcing thoughts into my brain through satellites." The nurse should document that the client is experiencing which of the following types of delusions?

Control

A nurse is assessing a client who has a generalized anxiety disorder. Which of the following findings should the nurse expect? (Select all that apply).

Excessive worry for six months Restlessness Sleep disturbance

An adult has been feeling significant tension since losing a home through foreclosure. This person goes to a park, feeds the birds, and then impulsively exposes himself to a group of parents and children. Which term applies to this behavior?

Exhibitionism

People who verbalize a plan to harm themselves, usually do not plan to commit suicide.

False

Your patient has been experiencing side effects from taking anti-psychotic drugs and is now experiencing Extrapyramidal symptoms (EPS). It involves repetitive, involuntary facial movements, such as tongue twisting, chewing motions and lip smacking, cheek puffing, and grimacing. The patient might also experience changes in gait, jerky limb movements, or shrugging. It usually doesn't develop until they have been taking the drug for six months or longer. What drug would you administer?

Haldol

A nurse is planning care for a client who has anorexia nervosa with binge-eating and purging behavior. Which of the following actions should the nurse include in the client's plan of care?

Implement one-to-one observation during meal times

You are working in a mental health facility, and you have a patient that you must monitor their CIWA scores, you should know that this assessment monitors for:

Indication of severe withdrawal (impending delirium tremens).

You as a nurse have to place a patient on suicide precautions which of the following is correct:

Initiate a one on one constant supervision around the clock always having the client in the line of sight and close. Documentation should indicate that which staff member is accountable for the client, with a specific start and stop times period there is an increased risk for suicide during staff rotation times.

A home health nurse is making a visit to a client who has Alzheimer's disease to assess the home for safety. Which of the following suggestions should the nurse make to decrease the client's risk for injury? select all that apply

Install extra locks at the top of exit doors. Place the client's mattress on the floor. Install light fixtures above stairs

A nurse is working with a client who has recently lost a guardian. The nurse recognizes that which of the following factors influence a client's grief and coping ability? (Select all that apply.)

Interpersonal relationships Culture Religious beliefs Prior experience with loss

A charge nurse is conducting a class on therapeutic communication with a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication?

Intonation

A nurse is reviewing the medical records of multiple clients at a community mental health facility. Which of the following events is an example of client experiencing a maturational crisis?

Marriage

A nurse is caring for a client who has a bipolar disorder. Which of the following is the priority nursing action?

Monitor the client for escalating behavior

You have been just informed that you are receiving a psychiatric admission that has Neuroleptic Syndrome. Your understanding of the condition is:

Neuroleptic malignant syndrome is a life-threatening, neurological disorder most often caused by an adverse reaction to neuroleptic or antipsychotic drugs.

A nurse is communicating with a client who was admitted for treatment of a substance abuse disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication?

Offering advice

A nurse is working with a client who has recently lost a guardian. The nurse recognizes that which of the following factors influences a clients grief and coping ability? SELECT ALL THAT APPLY

Prior experience with loss Religious beliefs Interpersonal relationships Culture

A nurse is assessing a 4-year-old child for indications of autism spectrum disorder. For which of the following manifestations should the nurse assess?

Repetitive counting

A nurse in an acute mental health facility is communicating with the client. The client states, "I can't sleep. I stay up all night." The nurse responds, "You're having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating?

Restating

Ways for the nurse to protect a family and the client against abandonment in isolation include all of the following except:

Restrict visiting hours to the client so that they may have adequate rest.

You are working with a new nurse who asks you about serotonin syndrome. Your best response would be:

Serotonin syndrome is a potentially life-threatening drug reaction that results from having too much serotonin in your body. Serotonin is a neurotransmitter, a chemical produced by nerve cells in your brain and other areas of your body.

A nurse is caring for a young adult client following the sudden death of his wife. The client feels paralyzed in his ability to cope with work and family responsibilities. Which of the following types of crises is the client experiencing?

Situational

A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take?

Stay with the client and remain quiet

Which of the following is not a hallucination.

Stupor

A client tells a nurse, don't tell anyone but I hid a sharp knife under my mattress in order to protect myself from my roommate, who is always threatening me. Which of the following actions should the nurse take?

Tell the client that this must be reported to the health care team because it concerns the health and safety of the client and others.

A nurse hears a newly licensed nurse discussing a client hallucination in the hallway with another nurse. Which of the following action should the nurse take first?

Tell the nurse to stop discussing the behavior.

A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Which of the following information is appropriate to include in the discussion?

The DSM-5 establishes diagnostic criteria for mental health disorders. Nurses use the DSM-5 to plan, implement, and evaluate care for client's who have mental health disorders. The DSM-5 identifies expected findings for mental health disorders

What are the expected findings for someone who has been taking amphetamine sulfate? This is medication is used to treat the following disorders, such as Attention-deficit hyperactivity disorder ·Narcolepsy syndrome · Weight loss management for obese patient (body mass index > = 30).

Trouble sleeping (insomnia)

Schizophrenia is defined as psychotic thinking or behavior present for at least six months. Areas of functioning include school or work, self-care, and interpersonal relationships, are significantly impaired is this true or false?

True

A nurse is planning care for the client who has a bipolar disorder and is experiencing a manic episode. Which of the following interventions should the nurse include in the plan of care? SELECT ALL THAT APPLY.

Use a firm approach with communication. Offer concise explanations. Establish consistent limits.

All the following are barriers to effective communication except:

Utilizing open-ended questions.

You are working in a mental health facility, and you have a patient that you must monitor their COWS scores, you should know that this assessment monitors for:

Withdrawal from opiates.

A nurse is caring for a client who lost a guardian to cancer last month period the client states, I'd still have my guardian if the doctor would have made a diagnosis sooner. Which of the following responses should the nurse make?

You sound angry. Anger is a normal feeling associated with loss.

A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing?

"Life isn't worth living if I gain weight."

The nurse interviews the parent of a 7- year old child diagnosed with moderate autism spectrum disorder. which comment from the parent best describes autistic behavior?

"My child swings for hours on our backyard gym set"

A nurse is caring for a client who has generalized anxiety disorder and is experiencing severe anxiety. Which of the following statements should the nurse make?

"Tell me about how you're feeling right now."

Which nursing action should occur first when preparing to work with a patient who has a problem of sexual functioning?

Clarify the nurse's own personal values.

A charge nurse is preparing a staff education session on personality disorders. Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? (Select all that apply.)

Difficulty in getting along with other members of a group Display of defense mechanisms when routines are changed Difficulty understanding why it is inappropriate to have a personal relationship with staff

A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?

Dysrhythmias

A nurse is caring for a client who is on suicide precautions. Which of the following interventions should the nurse include in the plan of care:

Ensure that the client swallows medications

A patient tells the nurse, "My sexual functioning is normal when my partner wears lace. Without it, I'm not interested in sex." This comment evidences which sexual disorder?

Fetishism

A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. Which of the following is an expected finding? (Select all that apply.)

Hypokalemia Slightly elevated body weight

A nurse caring for a client who has a bipolar disorder. The client states, I am very rich, and I feel I must give my money to you. Which of the following responses should the nurse make?

I am here to provide care and connect accept this from you.

All of the following are true regarding Saint John's wort except:

It is a safe holistic herb that is highly recommended and should not have any potential issues when taken carefully

If a client is subject to the Marchman Act of 1993, the nurse would expect the following to occur:

Provides a means of involuntary and voluntary assessment and stabilization and treatment of a person allegedly abusing alcohol or drugs.

All of the following behaviors may warrant a Baker Act by law enforcement except:

Sleeping on the sidewalk

The manager of a health club put a hidden camera in the women's locker room and videotaped women as they showered and dressed. Which sexual dysfunction is evident?

Voyeurism

A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the nurse to suggest to this client?

Walking with the nurse in the courtyard

A nurse is caring for a client who states, I plan to commit suicide. Which of the following assessments should the nurse identify as the priority?

lethality of the method and available of means