Mental Health Exam 1 Final

A group of students is reviewing information about anxiety disorders in preparation for a class examination. The students demonstrate understanding of the material when they state what? A. Women experiencing anxiety disorders more often than do men B. Anxiety disorders rank second to depression in psychiatric illnesses being treated. C. Anxiety disorders are more common among children than among adolescents. D. Most anxiety disorders tend to be short term with individuals achieving full recovery.

A

A male client is going to be discharged this afternoon from the mental health unit. The client asks the nurse if a copy of his medical record could be sent to the psychologist he will be seeing on an outpatient basis. Which response by the nurse would be most appropriate? A. "You will need to sign written authorization for us before we can do this" B. "Sure, we'll have that information sent out in today's mail." C. "I think it would just be best if you just told your psychologist everything he needs to know." D. "How are you feeling about being discharged this afternoon?"

A

A mental status examination includes assessment of a client's executive function. Executive function includes the following: A. All of the above are components of executive function. B. Self-evaluation, moderation of primitive impulses C. Insight, judgement, and reasoning D. Concept formation, problem-solving skills, abstraction

A

A nurse is reading a journal article about obsessive-compulsive disorder. Which obsession would the nurse note as being the most common? A. fear of contamination B. need for symmetry C. thoughts of sexual images D. pathologic doubt

A

Dietary modifications are most likely necessary when a client is being treated with which of the following antidepressants? A. MAOIs B. SSRIs C. Atypical antidepressants D. Tricyclic antidepressants

A

The belief that all human behavior is determined by previous life events is typical of which theoretical perspective? A. psychoanalytic therapy B. systems theory C. biologic theory D. cognitive theory

A

When planning care for a voluntarily admitted client to an inpatient psychiatric unit, a nurse recognizes that this client: A. retains all civil rights B. relinquishes all civil rights C. loses the right to stop treatment D. loses the right to refuse treatment

A

Which of the following would a nurse evaluate as a violation of a mental health client's rights? A. medicating against the client;s will on a daily basis B. medicating a client who us out of control C. medicating a client without sufficient prior medication education D. medicating a client via injection

A

Your client asks you to describe what mental health is. Your best response is: "Mental health is: A. a process of growth, balance, and harmony B. a healthy functioning of your brain C. a concrete goal to work towards D. the absence of any mental disorder

A

A nurse is providing care for a client who has 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. Review the symptoms pattern B. Listen Closely to the client's report symptoms C. Acknowledge that what the client is saying may be real D. Ignore the client's report of symptoms and make a professional nursing assessment E. Encourage the client to write down symptoms in a journal

A, B, C, E

A nurse is assessing risk for trauma and stress-related disorders for a child. Which areas are important for the nurse to ask about? Select all that apply. A. Incarceration of a parent B. Childhood exposure to mother experiencing violence C. Consistent parenting reinforcing establishing rules D. Childhood physical abuse E. Unexpected death of a family member

A, B, D, E

A nurse is conducting an assessment of a client's social network. Which question would be most appropriate for the nurse to ask? Select all that apply. A. "Who gives you the best advice?" B. "Who is responsible for providing support?" C. "What services do you think might be helpful?" D. "How big is your network of contacts?" E. "Do any of the members know one another?"

A, B, D, E

A student nurse tells the clinical instructor, "I've found that I do not need to interact with my assigned clients. I learn what I need to know simply by observing them." The instructor can best interpret the nursing implications of Sullivan's theory to the student by responding A. Nurses cannot be isolated from the therapeutic situation. We need to interact with clients to provide opportunities for them to practice interpersonal skills." B. "Observing client interactions can provide sufficient data to formulate priority nursing diagnoses and appropriate interventions." C. "I wonder how accurate your assessment of the client's needs hierarchy can be if you do not interact with the client." D. "It is important to note client behavioral changes because these signify changes in personality."

A.

When assessing a patient with somatic symptom disorder, the nurse would most likely expect the patient to complain of which of the following? A. Pain B. Menstrual irregularity C. Diarrhea D. Muscle weakness

A.

Which client would a nurse determine to be the most likely candidate for involuntary commitment? The client who: A. is screaming in the street and disturbing neighbors B. refuse to participate in the planned therapy C. is homeless and has been diagnosed with a mental disorder D. refuses to take the prescribed medication

A.

A client for whom Nardil, a monoamine oxidase inhibitor (MAOI) was prescribed for depression, is brought to the Emergency Department with severe occipital headache after eating pepperoni pizza for lunch. Which of the following interpretations is it important for the nurse to make, regarding these findings? A. Allergic reaction, related to the ingestion of processed food. B. Hypertensive crisis, related to drug and food interaction. C. Panic anxiety, related to unresolved issues. D. Conversion disorder, related to uncontrolled anxiety.

B

A client is seen in the clinic with clinical manifestations of involuntary tongue movement, blinking, and facial grimacing. This syndrome would be correctly identified as which of the following? A. akathisia B. tardive dyskinesia C. dystonia D. NMS

B

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

B

A nurse is caring for a client who has been under severe stress while caring for an elderly mother, who is in the advanced stages of Alzheimer disease. The nurse explains that the client is adapting to the stress because of the client's: A. success at being able to solve problems B. ability to survive in the midst of severe stress C. capability in setting reasonable personal goals D. acceptance of others' help in caring for the mother

B

A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of amitriptyline." Which of the following responses should the nurse make? A. "Were you trying to kill yourself by taking an overdose?" B. "I'm glad you called, and I want to send an ambulance to help you." C. Do you know how many pills were in the bottle?" D. "You must have been feeling pretty depressed to do that."

B

In milieu therapy, the nurse's role is to: A. Act as a team leader B. Provide a therapeutic environment C. Implement the treatment plan D. Restore equilibrium to the unit

B

The client says to the nurse, "I have special powers because I am the mother of God. I can heal everyone in the hospital." The nurse's best response would be, A. "You could not heal everyone. No one has that much power." B. "It would be unusual for anyone to have that kind of power." C. "Well, you can certainly try." D. "That sounds interesting. What can you do?"

B

You have just established your venipuncture for HIV testing and your client says to you: "Have you ever had a bisexual partner?" Your best therapeutic response would be: A. No! B. That is not an appropriate question for me to respond to, but it seems as if you have some concerns in that area. C. Before you leave today I will make sure you have written information about HIV AIDS. I will also make sure you have an appointment with our lifestyle risk reduction coach. D. What, are you crazy?

B

Your nursing interventions are largely based on Peplau's theory. You would plan which kind of interventions with your clients? A. promotion of complementarity between the person and his environment B. interpersonal interactions C. self-care support D. promotion of adaptive behavior

B

A client with PTSD is brought to the nurse in a primary care setting with lower back pain after falling from a ladder. The client became aggressive with their partner before agreeing to come to the setting. The nurse smells alcohol on the person's breath and the client does not make eye contact or expand openly to assessment questions. Which are priority nursing assessments? Select all that apply. A. Risk for sexual dysfunction B. Risk for self-injury C. Risk for aggression D. Risk for substance abuse E. Risk for body image disturbance

B, C, D

Common elements present that can indicate involuntary commitment for mental health treatment. Select all that apply: A. CVA B. Unable to provide for basic needs C. Mentally disordered D. Dangerous to self or others E. Dementia

B, C, D

A nurse is developing an education plan for a client with generalized anxiety disorder (GAD), focusing on nutrition. Which of the following would the nurse encourage the client to avoid? Select all that apply. A. Milk products B. Amphetamines C. Coffee D. Citrus juice E. Aged cheese

B,C

Which of the following would be a nursing action designed to facilitate cognitive restructuring in a client? A. Primarily focusing on emotions. B. Pointing out styles of dysfunctional thinking. C. Confronting negativity. D. Responding to the client only when cognitions are appropriate.

B.

While sitting in a group meeting, Fritz displays restless movements of his legs. You know that he is taking a phenothiazine, and you suspect that his ________________ is affected. A. brain stem B. extrapyramidal system C. reticular activating system D. diencephalon

B.

A client who has been taking clozapine for 6 weeks visits the clinic reporting fever, sore throat, and mouth sores. The nurse notifies the client's physician because the nurse suspects: A. neuroleptic malignant syndrome B. severe anemia C. agranulocytosis D. encephalitis

C

A man has been severely depressed for 2 weeks. He had mentioned "ending it all" prior to admission. Wlhich of the following questions should the nurse ask during the nursing assessment? A. "How has your concentration been?" B. "What is it that makes you think about harming yourself?" C. "What specificcaly have you thought about doing harm to yourself?" D. "How long have you thought about harming yourself?"

C

A nurse is caring for a client who is hospitalized for a mental disorder. The nurse is legally obligated to breach the client's confidentiality if the client states: A. That the doctor I had today really made me angry B. I get really 'turned on' by your appearance C. When I get out of here, I am going to kill my neighbor D. I think that the federal government is spying on me

C

A patient with PTSD startles easily and reacts irritably to small annoyances. The nurse interprets this as which of the following? A. Avoidance B. Numbing C. Hyperarousal D. Intrusion

C

For the nurse managing the therapeutic milieu, the most heavily weighted factor in determining whether a client should receive a prn dose of neuroleptic medication is whether A. the client is willing to accept the medication. B. restraints have been tried without success. C. the client's behavior indicates possible danger to self, others, or the environment. D. administration of the medication will make the work on the staff easier or safer

C

What nursing diagnosis would a nurse most likely identify as reflecting the social domain for a patient experiencing stress? A. Ineffective coping B. Ineffective therapeutic regimen C. Ineffective role performance D. Hopelessness

C

A group of nurses is reviewing the various drug classes used to treat psychiatric disorders. The nurses demonstrate understanding when they identify which as examples of antianxiety medications? Select all that apply. A. Methylphenidate B. Selegiline C. Lorazepam D. Zolpidem E. Buspirone

C,E

For a behavioral approach with a client who is having difficulty managing stress, the nurse would plan which of the following interventions? A. psychotropic medications B. Hypnosis C. Relaxation therapy D. Identification of clients strengths

C.

Using the basic premises of psychoanalysis, which intervention would most likely be used? A. identification of arrested emotional development B. giving the client psycho-educational materials to read C. focusing on the underlying themes, thoughts, and feelings D. emphasis on the client's strengths and assets

C.

A client with severe obsessive-compulsive disorder that has been unresponsive to other medications is prescribed a tricyclic antidepressant as part of the treatment plan. Which agent would the nurse anticipate being prescribed? A. Setraline B. Fluoxetine C. Fluvoxamine D. Clomipramine

D

A nurse is caring for a psychiatric client who is prescribed an antipsychotic agent. The client is also receiving an antacid that contains aluminum salts. Which action by the nurse would be most appropriate? A. Give the antacid at the same time as the antipsychotic medication. B. Administer the antacid just before the client goes to sleep. C. Administer the antacid 1 hour after the antipsychotic medication. D. Give the antacid 1 hour before the antipsychotic medication.

D

A nurse is reviewing the medical records of several clients receiving antipsychotic agents. Which factors, if noted, would the nurse identify as placing a client at greater risk for tardive dyskinesia? A. male gender B. short duration of treatment C. age 30 to 45 years D. history of depression

D

A state has the right to commit a mentally ill citizen for which of the following reasons? A. The client lives under a bridge in a cardboard box B. The client eats roaches, cacti, and snakes C. The client does not bathe and wears a wool coat even in 90 degree temperatures D. The client threatens to jump from a bridge

D

During an interview, a client reports an intense fear of spiders, stating, "I can't be near them. I get so upset. I start to sweat and hyperventilate if I see one." The nurse documents this finding as which of the following? A. Entomophobia B. Cynophobia C. Algophobia D. Arachnophobia

D

Which of the following is a key value associated with self-determination? A. consent B. advocacy C. dependency D. personal autonomy

D

Which of the following nursing interventions are appropriate for the orientation phase of the therapeutic relationship? A. Exploring the client's feelings B. Encouraging client's behavior change C. Facilitating expression of problems D. Defining boundaries of the relationship

D

A client tells the nurse, "I have considered it my goal to burn down John's house with him in it to pay him back." The nurse is confronted with: A. involuntary commitment. B. confidentiality. C. accuracy in reporting. D. duty to disclose.

D.

When the client asks the nurse how long it will take before the selective serotonin reuptake inhibitor (SSRI) antidepressant medication will be effective, which reply is most accurate and therapeutic? A. "If you believe it will work, then it will. You have to have faith!" B. "This is a good medication! It will be effective within 20 minutes of the first dose." C. "It will probably take months for the medication to work. In the meantime, you should work on improving your attitude." D. "You will have gradual improvement in symptoms over the next few weeks, but the changes may be so subtle that you may not notice them for a while. It is important for you to keep taking the medication."

D.

A person with factitious disorder does not intentionally produces symptoms of illness and is motivated by another specific self-serving goal, such as being classified as disabled or avoiding work. true or false

False

List the two types of entrance into mental health treatment system:

Voluntary and involuntary

Individuals with somatic symptom disorder experience symptoms that remain consistent but increase in severity with time. True or false

false