Mental Health quiz

19. A nurse is developing a care plan for a female client with post traumatic stress disorder. Which of the following would she do first? a. Instruct the client to use distraction techniques to cope with flashbacks b. Encourage the client to put the past in proper perspective c. Encourage the client to verbalize thought and feelings about the trauma d. Avoid discussing the traumatic even with the client

1. C: When working with a patient with PTSD it is important to help the client verbalize thoughts and feelings about the trauma

a person that has not left their house in 2 weeks, has a flat mood and has lost interest in usual activities probably has what?

Depression

What subtype of major depressive disorder features a severe form of endogenous depression characterized by severe apathy, weight lost, profound guilt and often suicidal ideation

Melancholic

what intervention is inappropriate with a client that has the disorder of bulimia nervosa

Observe excessive exercise

fear of being alone in a public place is called

agoraphobia

lack of interest in activities

anhedonia

A client that is known to abuse alcohol is try to leave the hospital although the client has not been discharged. What should the nurse do

call the nurse supervisor. The nurse can be charged with false imprisonment if a client is made to wrongfully believe that he or she cannot leave the hospital. So, notifying the nurse supervisor would be the best choice

A person with anxiety disorder should limit their intake of what?

chocolate and caffeine

What is an appropriate outcome for a client with dissociative disorder

dealing with uncomfortable emotions on a conscious level

28 Which of the following may be evidenced by constant pacing and wringing of hands? a. Anxiety b. Anhedonia c. Psychomotor agitation d. Somatic complaints

C: psychomotor agitation causes a person to make movements such as the pacing without any reason. Wringing of hands is twisting and rubbing hands together

17. A client who is diagnosed with pedophilia and recently has been paroled as a sex offender says, " I'm in treatment and I have served my time. Now this group has posters all over the neighborhood with my photograph and details of my crime." Which is an appropriate response by the nurse? a. "When children are hurt the way you hurt them, people want you isolated." b. "You're lucky it doesn't escalate into something pretty scary after your crime" c. "you understand that people fear for their children, but you're feeling unfairly treated?" d. "You seem angry, but you have committed serious crimes against several children, so your neighbors are frightened"

1. C: focusing and verbalizing the implied concern is the therapeutic response because it assists the client to clarify thinking and to reexamine what the client is really saying.

1 The nurse is collecting data on a client who is actively hallucinating. Which nursing statement would be therapeutic at this time? a. "I know you feel they are out to get you, but it's not true" b. "I can hear the voice, and she wants you to come to dinner" c. "Sometimes people hear things or voices others can't hear" d. " I talked to the voices your hearing and they won't hurt you now"

1. C: it is important for the nurse to reinforce reality with the client.

When a client is psychotic and making aggressive gestures it is important to..

provide safety for the client and other people around this client

what is compulsion in OCD?

repetitive behaviors that are performed to control the obsessions

a client came in complaining of have crying spells from depression. Her clothes don't fit her well and she is slumped over. What should a nurse monitor

the clients weight loss due to her clothing not fitting well

2 A client is admitted to the inpatient unit and is being considered for electroconvulsive therapy (ECT). The client appears calm, but the family is hypervigilant and anxious. The client's mother begins to cry and states, "My child's brain will be destroyed. How can the doctor do this?" The nurse would make what therapeutic response? a. "It sounds as though you need to speak to the psychiatrist" b. "Perhaps you'd like to see the ECT room and speak to the staff." c. "Your child has decided to have this treatment. You should be supportive of the decision" d. "It sounds as though you have some concerns about the ECT procedure. Why don't we sit down together and discuss any concerns you may have?"

D: The nurse needs to encourage the family and client to verbalize their fears and concerns

The nurse is preparing for the for the hospital discharge of a client with a history of command hallucinations to harm self or others. The nurse instructs the client about interventions for hallucinations and anxiety and determines that the client understands the interventions when the clients makes which statement? a. "My medications won't make me anxious" b. "I'll go to a support group and talk so that I won't hurt anyone" c. "I won't get anxious or hear things if I get enough sleep and eat well" d. "I can call my therapist when I'm hallucinating so I can talk about my feelings and plans and not hurt anyone."

D: There may be an increased risk for impulsive and/or aggressive behavior if a client is receiving command hallucinations to harm self or others

what should a nurse do when a client in a manic phase becomes verbally abusive and threatens physical violence

escort the client back to their room

what should a nurse do with a client that has delirium and is agitated and confused at night

give them a night light, no noise should be on at night because noise could cause further confusion

expected outcome for a person with anxiety

in a week will have increased energy

a client with OCD is prescribed clomipramine (Anafril), what is the rationale of this being prescribed

increases serotonin levels

a client with anorexia nervosa is seen doing vigorous push ups by the nurse. What should the nurse do?

clients with anorexia nervosa are frequently preoccupied with vigorous exercise and push themselves beyond normal limits to work off caloric intake. It is important for the nurse to provide appropriate exercise and limit vigorous exercise

fear of riding in a car

Amaxophobia

Which phase in treatment and recovery from major depression may require hospitalization

Acute phase

A client asks for help with their drinking problem, what type of meeting should the nurse encourage the client to go to

Alcoholics anonymous

a client has been taking tryclic antidepressant, what shows that the client is taking the medication properly

Arrives at the clinic neat and appropriate in appearance

5. The nurse is caring for a client diagnosed with catatonic stupor. The client is lying on the bed, with the body pulled into a fetal position. Which is the appropriate nursing intervention a. Ask direct questions to encourage talking b. Leave the client alone and intermittently check on them c. Sit beside the client in silence and verbalize occasional open-ended questions d. Take the client into the dayroom with other clients so they can help watch him

C: clients with catatonic stupor may be immobile and mute and may require consistent repeated approaches

3. The nurse is caring for a client with depression. The nurse monitors for signs of constipation and urinary retention, knowing that these problems are likely to be caused by which situation? a. poor dietary choices b. lack of exercise and poor diet c. Inadequate dietary intake and dehydration d. psychomotor retardation and side effects of medication

D: In the situation, urinary retention is most likely caused by medications

9. The nurse notes documentation in a client's record that the client is experiencing delusions of persecution. The nurse recognizes that these types of delusions are characteristic of what thoughts? a. The false belief that one is a very powerful person b. The false belief that one is a very important person c. The false belief that ones partner is being unfaithful d. The false belief that one is being singled out for harm by others

D: a delusion is a false belief held to be true even when there is evidence to the contrary. A delusion is the thought that one is being singled out for harm by others

how does a person with anorexia nervosa manage anxiety

clients with anorexia nervosa have the desire to please others. Rules and rituals help the client manage their anxiety