Practice Q Midterm

When planning the care of a client who is experiencing PTSD, the nurse identifies which of the following as an appropriate goal? The client will report: A decrease in flashbacks and nightmares Spending less time on ritualistic behavior A decrease in hearing voices Having more energy

A decrease in flashbacks and nightmares Spending less time on ritualistic behavior A decrease in hearing voices Having more energy

Which patient is most qualified for AOT (in the state of NY)? A.48 y/o, BPD, noncompliant with meds, incarcerated 2x B.37 y/o, MDD, compliant w/ tx, hospitalized 1x, SI, denies SA C.29 y/o, schizophrenia, skips meds, no hospitalizations, threatened Bob Ross D.16 y/o, BPD, skips meds, hospitalized 3x, posts hate comments on YouTube

A.48 y/o, BPD, noncompliant with meds, incarcerated 2x

Which of the following is NOT a requirement for AOT eligibility (in the state of NY)? A.Lack of compliance with mental health treatment B.Age 18 or older C.Unlikely to survive in the community without supervision D.Previous enrollment in drug and alcohol rehab centers

A.Lack of compliance with mental health treatment B.Age 18 or older C.Unlikely to survive in the community without supervision D.Previous enrollment in drug and alcohol rehab centers

The psychiatric nurse uses cognitive-behavioral techniques when working with a client who experiences panic attacks. Which of the following techniques are common to this theoretical framework? Select all that apply. Administering anti-anxiety medication as prescribed Encouraging the client to restructure thoughts Helping the client to use controlled relaxation breathing Helping the client examine evidence of stressors Questioning the client about early childhood relationships Teaching the client about anxiety and panic

Administering anti-anxiety medication as prescribed Encouraging the client to restructure thoughts Helping the client to use controlled relaxation breathing Helping the client examine evidence of stressors Questioning the client about early childhood relationships Teaching the client about anxiety and panic

After being robbed and beaten by an unknown assailant, a patient is diagnosed with PTSD. When developing a plan of care, which of these interventions will the healthcare provider plan to implement first? Assist the patient in recalling the details of the event Teach the patient coping skills to deal with anxiety Promote the establishment of a trusting relationship Ensure the patient is taking medications and prescribed

Assist the patient in recalling the details of the event Teach the patient coping skills to deal with anxiety Promote the establishment of a trusting relationship Ensure the patient is taking medications and prescribed

When a client is admitted to an inpatient mental health unit with the diagnosis of anorexia nervosa, a cognitive behavioral approach is used as part of the treatment plan. The nurse understands that which is the purpose of this approach? A) Providing a supportive environment B) Examining intrapsychic conflicts and past issues C) Emphasizing social interaction with clients who withdraw D) Helping the client to examine dysfunctional thoughts and beliefs

D) Helping the client to examine dysfunctional thoughts and beliefs

The psychiatric nurse uses cognitive-behavioral techniques when working with a client who experiences panic attacks. Which of the following techniques are common to this theoretical framework? Select all that apply. Administering anti-anxiety medication as prescribed Encouraging the client to restructure thoughts Helping the client to use controlled relaxation breathing Helping the client examine evidence of stressors Questioning the client about early childhood relationships Teaching the client about anxiety and panic

Encouraging the client to restructure thoughts Helping the client to use controlled relaxation breathing Helping the client examine evidence of stressors Teaching the client about anxiety and panic

Your patient is diagnosed with schizophrenia paranoid type and is admitted in the psychiatric unit of your hospital. Which of the following nursing intervention would be most appropriate? Establishing a non-demanding relationship Encouraging involvement in group activities Spending more time with them Waiting until they initiate an interaction

Establishing a non-demanding relationship

For the homeless, health care is usually crisis oriented and sought in emergency departments. The most difficult challenge for nurses treating this vulnerable population is to recognize the client's: Limitations in following treatment protocols Limited number of transient treatment facilities Transition to persistent poverty Use and abuse of tobacco, alcohol, and illicit drugs

Limitations in following treatment protocols

The nurse plans care for a client receiving ECT. Immediately after, the nurse should take which of the following actions? Select all that apply Orient the client to time and place Talk about events prior to the client's hospitalization Restrict fluids and encourage ambulation Initiative comfort measures to prevent vertigo

Orient the client to time and place Talk about events prior to the client's hospitalization Restrict fluids and encourage ambulation Initiative comfort measures to prevent vertigo

Which factor is associated with increased risk for schizophrenia? A.Alcoholism B.Overcrowded schools C.Adolescent Pregnancy D.Poverty

Poverty

When a client is admitted to an inpatient mental health unit with the diagnosis of anorexia nervosa, a cognitive behavioral approach is used as part of the treatment plan. The nurse understands that which is the purpose of this approach? Providing a supportive environment Examining intrapsychic conflicts and past issues Emphasizing social interaction with clients who withdraw Helping the client to examine dysfunctional thoughts and beliefs

Providing a supportive environment Examining intrapsychic conflicts and past issues Emphasizing social interaction with clients who withdraw Helping the client to examine dysfunctional thoughts and beliefs

ECT is an effective treatment for severe depression when which conditions accompany it? Select all that apply. the client also has dementia The client can't tolerate tricyclic antidepressants The client lives in a long term facility The client is undergoing a stressful life change The client is having acute suicidal thoughts The client is severely depressed despite taking numerous anti-depressants

The client can't tolerate tricyclic antidepressants The client lives in a long term facility The client is undergoing a stressful life change The client is having acute suicidal thoughts The client is severely depressed despite taking numerous anti-depressants