MENTAL HEALTH PRACTICE Qs PART 2

Which sign/symptom occurs in anorexia nervosa? A. polyuria B. diarrhea C. amenorrhea D. hypertension

C. amenorrhea

Which health problem is the most serious complication associated with intractable anorexia nervosa? A. endocrine imbalance resulting in amenorrhea B. decreased metabolism causing cold intolerance C. electrolyte imbalances causing cardiac dysrhythmias D. hypoalbuminemia resulting in peripheral edema

C. electrolyte imbalances causing cardiac dysrhythmias

Which characteristic of an adolescent girl suggests that she has bulimia? A. history of gastritis B. positive self-concept C. excessively stained teeth D. frequent reswallowing of food

C. excessively stained teeth

Which personality disorder would the nurse suspect in a client telling a rambling, lengthy, unclear, and overly detailed story about their dog, who they say is the president? A. schizoid B. paranoid C. histrionic D. schizotypal

D. Schizotypal

Which sign and symptoms are the "four A's" of Alzheimer disease? A. amnesia, apraxia, agnosia, aphasia B. avoidance, aloofness, asocial, asexual C. autism, loose association, apathy, affect D. aggressive, amoral, ambivalent, attractive

A. amnesia, apraxia, agnosia, aphasia

Which feelings are often the basis of OCD? A. anxiety and guilt B. anger and hostility C. embarrassment and shame D. hopelessness and powerlessness

A. anxiety and guilt

During an admission interview, a client is expansive and distractible and demonstrates a fragmented, pressured, non-sequential pattern of speech. Which communication technique would the nurse use? A. close questions B. active listening C. paraphrasing D. open-ended questions

A. closed questions

Which speech pattern is observed in autistic children? A. echolalia B. stuttering C. scanning speech D. pressured speech

A. echolalia

Which primary feeling would the nurse anticipate that clients with bulimia nervosa experience after an episode of bingeing? A. guilt B. paranoia C. euphoria D. satisfaction

A. guilt

Which behavior would be typical for a child with autism? A. lack of eye contact B. crying for attention C. catatonia-like rigidity D. engaging in parallel play

A. lack of eye contact

Which problem is most likely to underlie angry or hostile behavior for a client with a diagnosis of borderline personality disorder? A. low self-esteem B. inability to test reality C. reaction to command hallucinations D. ineffective verbal communication

A. low self-esteem People with boderline personality disorder often have identity disturbances.

Which common clinical manifestation is expected during the initial stage of alcohol detoxification? A. nausea B. euphoria C. bradycardia D. hypotension

A. nausea

Which nursing action would be the primary consideration when caring for a client with a substance use disorder? A. setting firm, consistent limits and not varying from them B. using the same type of communication pattern that the client uses C. avoiding upsetting the client by calling attention to the drug problems D. realizing that the client will probably need less pain medication than a nonabuser would.

A. setting firm, consistent limits and not varying from them

Which factor is unique to vascular dementia when comparing assessment findings in clients with vascular dementia and dementia of the Alzheimer type? A. memory impairment B. abrupt onset symptoms C. difficulty making decision D. inability to use words to communicate

B. abrupt onset symptoms The signs and symptoms associated with vascular dementia have an abrupt onset (days to weeks) because of the occlusion of small arteries to arterioles in the cortex of the brain.

Which clinical manifestation would be monitored in a client with a diagnosis of bulimia nervosa, purging type? A. weight gain B. dehydration C. hyperactivity D. hyperglycemia

B. dehydration

Which behavior is typical for antisocial personality disorder? A. sexual acting out B. disregard for others C. loss of contact with reality D. compulsive, repetitive behaviors

B. disregard for others

An individual is found unconscious and is admitted to the hospital with heroin overdose. Which nursing action is the priority? A. monitoring level of consciousness B. establishing a patent airway C. monitoring for heroin withdrawal D. establishing a therapeutic relationship

B. establishing a patent airway

Which behavior is the client displaying when pretending to be ill? A. psychosis B. malingering C. conversion D. loss of reality

B. malingering When an individual consciously pretends to have an illness with no physical bias, it is called malingering.

Which signs and symptoms are typical for anorexia nervosa? A. slow pulse rate, mild weight loss, and alopecia B. compulsive behaviors, excessive fears, and nausea C. amenorrhea, excessive weight loss, and abdominal distention D. excessive activity, memory lapse, and an increase in the pulse rate

C. amenorrhea, excessive weight loss, and abdominal distention

Which assessment finding would the nurse observe in a client who has been found to have an antisocial personality disorder? A. pays great attention to detail and demonstrates a high level of anxiety B. has scars from self-mutilation and history of many negative relationships C. displays charm, has an above-average intelligence, and tends to manipulate others D. demonstrates suspiciousness, avoids eye contact, and engages in limited conversation

C. displays charm, has an above-average intelligence, and tends to manipulate others

Which behavior is most typical for clients with borderline personality disorder? A. arrogant B. eccentric C. impulsive D. dependent

C. impulsive

Which characteristic is commonly seen in children who have autism? A. excessive response to any stimuli B. normal response to physical contact C. lacks response to the environment D. limited response due to low intelligence

C. lacks response to the environment

Which disorder would the nurse classify as neurodevelopmental? A. anxiety B. bipolar disorder C. schizophreniform disorder D. ADHD

D. ADHD

Which intervention would the nurse use to promote the safety of a client experiencing alcohol withdrawal? A. infuse intravenous fluids B. monitor the level of anxiety C. obtain frequent vital signs D. administer chlordiazepoxide

D. administer chlordiazepoxide

Which clinical findings indicate positive signs and symptoms of schizophrenia? A. withdrawal, poverty of speech, inattentiveness B. flat affect, decreased spontaneity, asocial behavior C. hypomania, labile mood swings, episodes of euphoria D. bizarre behavior, auditory hallucinations, loose associations

D. bizarre behavior, auditory hallucinations, loose associations Bizarre behavior, auditory hallucinations, and loose associations are positive symptoms of schizophrenia; positive symptoms reflect a distortion or excess of normal function. Withdrawal, poverty of speech, inattentiveness, flat affect, decreased spontaneity, and asocial behavior are all negative symptoms associated with schizophrenia; negative symptoms reflect a diminution or absence of normal function. Hypomania, labile mood swings, and episodes of euphoria are associated with bipolar disorder.

Which characteristics usually accompany OCD? A. marked emotional maturity B. rapid, frequent mood swings C. elaborate delusional system D. doubts, fears, and indecisiveness

D. doubts, fears, and indecisiveness This disorder is characterized by anxiety and minor distortion of reality. The anxiety results in an inability to reach a decision because all alternatives are threatening.

Which factor contributes to the risk for suicide for a client with recurrent episodes of depression? A. psychomotor retardation B. decreased physical activity C. deliberate thoughtful behavior D. overwhelming feelings of guilt

D. overwhelming feelings of guilt

Which characteristic is associated with anorexia nervosa? A. manic B. rebellious C. hypoactive D. perfectionistic

D. perfectionistic perfectionistic standards and extremes of self-discipline are an attempt to maintain control and meet the client's own and other' expectations.