[psych] Exam 3 Practice Questions

A client is diagnosed with an anxiety disorder. The nurse counselor recommends the behavioral technique of reciprocal inhibition. The client asks, "What's that?" Which is the best nursing reply? "By introducing an adaptive behavior that is mutually exclusive to your maladaptive behavior, we will expect subsequent behavior to improve." "At the beginning of this intervention, a contract will be drawn up explicitly stating the behavior change agreed upon." "In one intense session, you will be exposed to a maximum level of anxiety that you will learn to tolerate." "Through a series of increasingly anxiety-provoking steps, we will gradually increase your tolerance to anxiety."

"By introducing an adaptive behavior that is mutually exclusive to your maladaptive behavior, we will expect subsequent behavior to improve."

During a group discussion, members freely interact with each other. Which member statement is an example of Yalom's curative group factor of imparting information? "My mother was also diagnosed with cancer of the brain." "My brother also had a brain tumor and now is completely cured." "I understand your fear and will be by your side during this time." "I found a web site explaining the different types of brain tumors and their treatment."

"I found a web site explaining the different types of brain tumors and their treatment."

An advanced practice nurse recommends that a client participate in cognitive therapy. The client asks, "What's cognitive therapy and how can it help me?" Which is the nurse's best reply? "It is a system of techniques in which you use positive thinking to improve your mood." "It is an interpersonal treatment approach that specifically targets magical thinking." "It is a long-term interpersonal approach that emphasizes the role of early childhood experiences." "It is a type of psychotherapy that focuses treatment on the modification of distorted thinking and maladaptive behaviors."

"It is a type of psychotherapy that focuses treatment on the modification of distorted thinking and maladaptive behaviors."

THE NURSE IS WORKING WITH A CLIENT WHO ABUSES ALCOHOL. WHICH OF THE FOLLOWING FACTS SHOULD THE NURSE COMMUNICATE TO THE CLIENT? a.ABSTINENCE IS THE BASIS FOR SUCCESSFUL TREATMENT. b.ATTENDANCE AT ALCOHOLICS ANONYMOUS MEETINGS EVERY DAY WILL CURE ALCOHOLISM. c.FOR TREATMENT TO BE SUCCESSFUL, FAMILY MEMBERS MUST PARTICIPATE. d.AN OCCASIONAL SOCIAL DRINK IS AN ACCEPTABLE BEHAVIOR FOR THE ALCOHOLIC.

A. abstinence is the basis for successful treatment

A NURSE IS ASSESSING A CLIENT'S HISTORY AND LEARNS OF TEENAGE DELINQUENCY, TRUANCY, AUTO THEFT, VANDALISM, AND IS MALADAPTIVELY COPING. THIS IS ASSOCIATED WITH: a.ANTISOCIAL PERSONALITY DISORDER. b.BORDERLINE PERSONALITY DISORDER. c.OBSESSIVE-COMPULSIVE PERSONALITY DISORDER. d.NARCISSISTIC PERSONALITY DISORDER.

A. antisocial personality disorder

A NURSE IS TEACHING A GROUP OF CLIENTS ABOUT ADDICTION WHEN ONE CLIENT STATES THAT HE CAN STOP DRINKING WHENEVER HE WANTS. THE NURSE CONCLUDES THAT THIS CLIENT DOES NOT YET UNDERSTAND THAT ADDICTION IS A DISEASE IN WHICH INDIVIDUALS PRIMARILY LOSE ABILITY TO a.CONTROL ADDICTIVE AND IMPULSIVE BEHAVIORS b.RECOGNIZE THAT ADDICTIVE BEHAVIOR IS HARMFUL TO THEMSELVES c.ACT SOBER EVEN IF THEY ARE NOT d.THINK LOGICALLY ABOUT THEIR ADDICTIVE BEHAVIORS

A. control addictive and impulsive behaviors

IN GROUP THERAPY, A CLIENT WHO HAS USED I.V. HEROIN EVERY DAY FOR THE PAST 14 YEARS SAYS, "I DON'T HAVE A DRUG PROBLEM. I CAN QUIT WHENEVER I WANT. I'VE DONE IT BEFORE." WHICH DEFENSE MECHANISM IS THE CLIENT USING? a.DENIAL b.OBSESSION c.COMPENSATION d. RATIONALIZATION

A. denial

WHICH OF THE FOLLOWING BELIEFS BY THE NURSE AS A MEMBER OF THE INTERDISCIPLINARY TEAM IS MOST IMPORTANT TO REMEMBER WHEN DEVELOPING A CARE PLAN FOR A CLIENT DIAGNOSED WITH ANTISOCIAL PERSONALITY DISORDER? a.EVERYONE INVOLVED IN THE CLIENT'S CARE MUST AGREE WITH THE DIAGNOSIS, GOALS, AND PLANS b.THE TEAM LEADER MUST DETERMINE THE DIAGNOSIS AND TREATMENT PLAN TO ENSURE ACCURACY c.THE INVOLVEMENT OF ALL TEAM MEMBERS IN DEVELOPING A NURSING CARE PLAN IS NOT NECESSARY d.AN UNSTRUCTURED RATHER THAN A STRUCTURED TREATMENT APPROACH IS USUALLY BENEFICIAL

A. everyone involved in the client's care must agree with the diagnosis, goals, and plans

THE NURSE IS PREPARING TO CONDUCT A GROUP THERAPY THAT SHOULD BE LEAD BY A DEMOCRATIC LEADER. WHICH OF THE FOLLOWING ARE CHARACTERISTICS OF DEMOCRATIC LEADERSHIP? SELECT ALL THAT APPLY a.MORALE IS HIGH COMPARED TO AUTOCRATIC AND LAISSEZ-FAIRE LEADERSHIP b.THE LEADER IS NOT INVOLVED c.GROUP COHESIVENESS IS HIGH d.DECISIONS ARE MADE SOLELY BY THE LEADER e.TEAM MEMBERS ARE ENCOURAGED TO HELP MAKE DECISIONS

A. morale is high compared to autocratic and laissez-faire leadership C. group cohesiveness is high E. team members are encouraged to help make decisions

A MALE CLIENT IS DIAGNOSED WITH SCHIZOTYPAL PERSONALITY DISORDER. WHICH SIGNS WOULD THIS CLIENT EXHIBIT DURING SOCIAL SITUATION? a.PARANOID THOUGHTS b.EMOTIONAL AFFECT c.INDEPENDENCE NEED d.AGGRESSIVE BEHAVIOR

A. paranoid thoughts

A NURSE IS WORKING IN A MEDICAL SURGICAL NURSING UNIT IS CARING FOR A CLIENT 3 DAYS POST-ADMISSION WHO HAS A LONG HISTORY OF HEAVY ALCOHOL ABUSE. THE NURSE SHOULD INITIALLY MONITOR WHICH OF THE FOLLOWING MOST ACUTE COMPLICATIONS RELATED TO ALCOHOL ABUSE? (SELECT ALL THAT APPLY) a.SEIZURES b.INFECTIONS c.GASTROINTESTINAL BLEEDING d.PANCREATITIS e.DELIRIUM TREMENS

A. seizures D. delirium tremens

THE NURSE IS ASSESSING A CLIENT WITH OBSESSIVE-COMPULSIVE PERSONALITY DISORDER. MOST OF THE CLIENT'S COGNITIVE CONTENT WILL BE CENTERED AROUND WHICH OF THE FOLLOWING? a.THE IMPORTANCE OF RULES AND REGULATIONS b.GLOBAL APPROACHES TO PROBLEM SOLVING c.RELATIONSHIPS WITH OTHERS d.PREFERRED LEISURE ACTIVITIES

A. the importance of rules and regulations

A NURSE IS PREPARING TO ADMINISTER THIAMINE TO A CLIENT RECEIVING TREATMENT FOR ALCOHOL DEPENDENCE. WHICH STATEMENT BEST DESCRIBES THE RATIONALE FOR ADMINISTRATION OF THIAMINE? a.THIAMINE PREVENT WERNICKE'S ENCEPHALOPATHY AND CONFUSION ASSOCIATED WITH CHRONIC ALCOHOL USE b.THIAMINE REDUCES THE RISK OF WITHDRAWAL SEIZURES c.THIAMINE AIDS TO REVERSE MALNUTRITION d.THIAMINE IMPROVES PERIPHERAL CIRCULATION

A. thiamine prevents Wernicke's encephalopathy and confusion associated with chronic alcohol use

A nurse enters an inpatient room and finds the family disagreeing about the client's living arrangements after discharge. Which information should the nurse provide when teaching techniques to resolve family conflicts? One family member should act as a gatekeeper to avoid family confrontation. All family members should respect differing opinions and use compromise and negotiation. All family members should use past incidents to make their point. One family member should act as a compromiser to preserve harmony in the family system.

All family members should respect differing opinions and use compromise and negotiation.

What advantages does group therapy have over those of individual therapy? select all that apply Answer groups are less expensive than one-to-one therapy feedback is available from the group leader and group members groups provide an opportunity to learn from others groups are homogenous in composition interpersonal skills can be practiced within a safe environment

Answer groups are less expensive than one-to-one therapy feedback is available from the group leader and group members groups provide an opportunity to learn from others interpersonal skills can be practiced within a safe environment

THE NURSE LOOKS FOR WHICH OF THE FOLLOWING CHARACTERISTICS IN A CLIENT DIAGNOSED WITH A PERSONALITY DISORDER? a.FLEXIBILITY AND ADAPTABILITY TO STRESS b.A TENDENCY TO EVOKE SOME FORM OF INTERPERSONAL CONFLICT c.AN ASSOCIATED PHYSICAL DISORDER d.A DESIRE FOR INTERPERSONAL RELATIONSHIPS

B. A tendency to evoke some form of interpersonal conflict

THE NURSE OBSERVES A FAMILY VISIT ON THE UNIT AND RECOGNIZES THAT THE FAMILY IS SUFFERING WITH EFFECTS OF ADDICTION AND CODEPENDENCE. WHAT LONG LASTING INTERPERSONAL PROBLEMS MIGHT THE NURSE EXPECT FAMILY MEMBERS TO MANIFEST? a.IMPATIENCE b.LOWERED SELF ESTEEM c.FRUSTRATION TOLERANCE d.BEING ARGUMENTATIVE

B. lowered self esteem

A CLIENT WITH HISTRIONIC PERSONALITY DISORDER IS MELODRAMATIC AND RESPONDS TO OTHERS IN AN EXAGGERATED MANNER. WHICH OF THE FOLLOWING ACTIVITIES WOULD THE NURSE RECOMMEND FOR THE CLIENT? a.BAKING CLASS b.ROLE-PLAYING c.SCRAPBOOK MAKING d.MUSIC GROUP

B. role-playing

THE NURSE RECOGNIZES THE ABILITY FOR GROUP INDIVIDUALS TO SEE THEY ARE NOT ALONE IS WHICH OF THE FOLLOWING CURATIVE FACTORS a.ALTRUISM b.UNIVERSALITY c.CAMARADERIE d.CATHARSIS

B. universailty

The nurse believes that a client being admitted for a surgical procedure may have a drinking problem. How should the nurse further evaluate this possibility? By asking directly if the client has ever had a problem with alcohol By referring the client for physician evaluation By using a screening tool such as the CAGE questionnaire By holistically assessing the client, using the Clinical Institute Withdrawal Assessment scale

By using a screening tool such as the CAGE questionnaire

THE NURSE PLACES HIGHEST PRIORITY ON WHICH OF THE FOLLOWING NURSING INTERVENTIONS WHEN CARING FOR A CLIENT DIAGNOSED WITH ANTISOCIAL PERSONALITY DISORDER? a.SUPPORTING THE DEVELOPMENT OF INSIGHT b.ENCOURAGING SOCIALIZATION c.MAINTAINING CONSISTENT LIMITS d.MONITORING FOR SUICIDAL IDEATION

C. Maintaining consistent limits

A CLIENT STATES "I HAVE A VERY SMALL DRINK EVERY MORNING TO CALM MY NERVES AND STOP MY HANDS FROM TREMBLING." THE NURSE RECOGNIZES THE CLIENT IS DESCRIBING a.AN ANXIETY DISORDER b.TOLERANCE c.WITHDRAWAL d.ALCOHOL ABUSE

C. Withdrawal

These personality disorders are characterized by being odd and eccentric Cluster A Cluster B Cluster C

Cluster A

A CLIENT DETOXIFYING FROM ALCOHOL REQUIRES MEDICATIONS TO TREAT THE WITHDRAWAL. THE NURSE OBSERVES COARSE HAND TREMORS AND DIAPHORESIS. WHAT IS THE NURSE'S PRIORITY ACTION? a.EXPLAIN THE CONCEPTS OF WITHDRAWAL TO THE CLIENT b.ADMINISTER ORDERED THIAMINE AND BENZODIAZEPINE c.DETERMINE THE MOST RECENT BLOOD ALCOHOL LEVEL d.ASSESS VITAL SIGNS

D. assess vital signs

A CLIENT VOLUNTARILY ADMITS HIMSELF TO THE SUBSTANCE ABUSE UNIT. HE CONFESSES THAT HE DRINKS 1 QT OF VODKA EACH DAY AND USES COCAINE OCCASIONALLY. LATER THAT AFTERNOON, HE BEGINS TO SHOW SIGNS OF ALCOHOL WITHDRAWAL. WHAT ARE SOME EARLY SIGNS OF THIS CONDITION? a.VOMITING, DIARRHEA, AND BRADYCARDIA b.DEHYDRATION, TEMPERATURE ABOVE 101° F (38.3° C), AND PRURITUS c.HYPERTENSION, DIAPHORESIS, AND SEIZURES d.DIAPHORESIS, TREMORS, AND NERVOUSNESS

D. diaphoresis, tremors, and nervousness

ASSISTANT ON A MENTAL HEALTH UNIT THAT OPIATES HAVE THE HIGHEST RATE OF PRESCRIPTION MEDICATION ABUSE AND ARE POPULAR DRUGS OF ABUSE. WHICH ADDITIONAL STATEMENT SHOULD THE NURSE MAKE TO DESCRIBE THE RATIONALE FOR OPIATES BEING ABUSED? a.OPIATES ALTER THE EXPERIENCE OF REALITY AND RELIEVE STRESS b.OPIATES REDUCE THE FEELING OF ANXIETY AND INDUCE WELL-BEING c.OPIATES PRODUCE FEELINGS OF OMNIPOTENCE AND INCREASE AWARENESS d.OPIATES REDUCE EMOTIONAL AND PHYSICAL PAIN AND INDUCE EUPHORIA

D. opiates reduce emotional and physical pain and induce euphoria

THE NURSE IS CARING FOR A CLIENT EXPERIENCING DELIRIUM TREMENS, WHAT IS THE MOST IMPORTANT NURSING INTERVENTION? a.PRESENT PSYCHO-EDUCATION ON THE DANGERS OF DRUG AND ALCOHOL USE b.ENCOURAGE THE CLIENT TO DEVELOP A RELAPSE PREVENTION PLAN c.ADMINISTER ANTI-CRAVING MEDICATIONS d.PROVIDE WITHDRAWAL CARE BASED ON UNIT PROTOCOLS

D. provide withdrawal care based on unit protocols

DURING THE SIXTH WEEK OF A 10-WEEK PARENTING SKILLS GROUP, A NURSE OBSERVES AS SEVERAL MEMBERS GET INTO A HEATED DISPUTE ABOUT SPANKING. AS A GROUP, THEY DECIDE TO CREATE A PROS-AND-CONS POSTER ON THE USE OF PHYSICAL DISCIPLINE. AT THIS TIME, WHAT IS THE ROLE OF THE GROUP LEADER? a.TO REFEREE THE DEBATE b.TO ADAMANTLY OPPOSE PHYSICAL DISCIPLINE MEASURES c.TO REDIRECT THE GROUP TO A LESS CONTROVERSIAL TOPIC d.TO ENCOURAGE THE GROUP TO SOLVE THE PROBLEM COLLECTIVELY

D. to encourage the group to solve the problem collectively

When assessing a patient diagnosed with borderline personality disorder, which statement by the patient warrants immediate attention? my mother died ten years ago my dad never loved me I'd really like to hurt her for hurting me I haven't needed medication in weeks

I'd really like to hurt her for her for hurting me

A 24 year-old is leaving the family to start a new job in a city 400 miles away. which statement made by the patient best demonstrates a healthy sense of family support? I don't need anyone's help. Everyone has their own problems to deal with I've always been independent. That's how I was raised I'm going to miss everyone terribly, but I know they will support me in this decision if I get in trouble financially, I know mom and dad will help me out

I'm going to miss everyone terribly, but I know they will support me in this decision

Leadership style in which the leader makes few decisions allowing the group to take command Autocratic Democratic Laissez Faire

Laissez-faire

Which of the following behavioral skills should a nurse implement when leading a group that is functioning in the orientation phase of group development? Select all that apply. Working with group members to establish rules that will govern the group Helping the members to resolve conflicts and foster cohesiveness within the group Emphasizing the need for and importance of confidentiality within the group Encouraging members to provide feedback to each other about individual progress Ensuring that rules established by the group do not interfere with goal fulfillment

Working with group members to establish rules that will govern the group Emphasizing the need for and importance of confidentiality within the group Ensuring that rules established by the group do not interfere with goal fulfillment

Borderline personality disorder is known as: an acute condition that is treatable a "wastebasket" of disorders that is emotionally challenging a cluster C disorder with anxiousness and fearfulness a common anxiety disorder

a "wastebasket" of disorders that is emotionally challenging

Which statement made by the nurse demonstrates an accurate understanding of the factors that affect an individual's personality? it's encouraging to know that personality disorders respond well to treatment I'll need to learn more about this patient's cultural beliefs a person's personality is fluid and adjusts to current social situations therapy will help the patient identify that her problems are personality related

a person's personality is fluid and adjusts to current social situations

A recovering alcoholic relapses and drinks a glass of wine. The client presents in the ED experiencing severe throbbing headache, tachycardia, flushed face, dyspnea, and continuous vomiting. The nurse recognizes that the client's symptoms indicate which of the following? alcohol poisoning a reaction to disulfiram (Antabuse) a reaction to the tannins in the red wine cardiovascular accident (CVA)

a reaction to disulfiram (Antabuse)

The nurse in the ED assesses a 17-year-old client exhibiting symptoms of opiate intoxication. Which should be the nurse's first action? contact the parents administer oxygen administer naloxone (Narcan) open the crash cart

administer naloxone (Narcan)

What type of group would benefit most from a laissez-faire leader? social skills group grief group art group anger management group

art group

A mother tells her teenager that for college tuition to be paid, the teenager must quit smoking. They develop a written agreement stipulating time frames and consequences. This is an example of which technique of behavior modification? modeling premack principle contingency contracting shaping

contingency contracting

All are characteristics of a dysfunctional family except rigid and controlling expectations avoidance of conflict indirect communication disagreements between all

disagreements between all

Personality disorders often co-occur with mood and eating disorders. a young woman is undergoing treatment at an eating disorder clinic and her nurse suspects the patient may have a cluster B personality disorder due to the young woman's: bad-tempered personality traits dramatic response to frustration desire to avoid eating excessive exercise routine

dramatic response to frustration

Amphetamine stimulant intoxication is manifested by all of the following except euphoria confused impaired judgement drowsiness

drowsiness

Which of the following is characteristic of codependency Admittance to problems of substance abuse Dysfunctional problems between family members

dysfunctional problems between family members

Effects of alcohol on the body include all of the following except wernicke's korsakoff's syndrome cardiomyopathy gastritis encephalitis

encephalitis

Behavior therapy: mother walks away from toddler throwing temper tantrum in store premack principle token economy extinction time out

extinction

Personality disorders are a common complaint at with a family physician true false

false

Emotional support is an important family dynamic because it allows family members to: have bursts of anger without recourse or shame feel secure enough to explore aspects of their personality grow without boundaries within the family unit feel isolated and fearful even though family members are near

feel secure enough to explore aspects of their personality

A client is admitted for alcohol detoxification. During detoxification, which symptoms should the nurse expect to assess? Hallucinations, fine tremors, confabulation, and orthostatic hypotension Disorientation, peripheral neuropathy, and hypotension Oculogyric crisis, amnesia, ataxia, and hypertension Gross tremors, delirium, and hypertension

gross tremors, delirium, and hypertension

Yalom's curative factor involving one group member learning from another through role modeling instillation of hope universality imitative behavior catharsis

imitative behavior

Yalom's curative factor that describes a member gaining knowledge instillation of hope imparting of information group cohesiveness existential factors

imparting on information

A client with antisocial personality disorder most likely has what predisposing factors: maternal engulfment perfectionistic history inconsistent discipline lack of object constancy as defined by Mahler's theory

inconsistent discipline

A man diagnosed with alcohol dependence experiences his first relapse. During his Alcoholics Anonymous (AA) meeting, another group member states, "I relapsed three times, but now have been sober for 15 years." Which of Yalom's curative group factors does this illustrate? catharsis universality instillation of hope imparting of information

instillation of hope

Dependent personality disorder is characterized by: rigidity and stubbornness; perfectionistic lacking self confidence and feeling stupid, helpless appears cold, aloof, and bland affect bizarre behaviors with hallucinations and delusions

lacking self confidence and feeling stupid, helpless

An adolescent comes from a family where physical and verbal abuse prevails. The adolescent bullies and fights with classmates at school. Which of the following is the probable source of this behavior? premack principle modeling reciprocal inhibition shaping

modeling

Which of the following is a stimulant hydrocodone nicotine vodka LSD

nicotine

Which personality disorders are generally associated with behaviors described as odd or eccentric (select all that apply) histrionic avoidant paranoid schizoid obsessive-compulsive

paranoid schizoid

Paranoid personality disorder is characterized by recurrent suspicions superstitious manipulative for self gain extremely reliant on others

recurrent suspicions

Signs and symptoms of alcohol withdrawal include all of the following except sweating nausea and vomiting hallucinations shortness of breath

shortness of breath

All are key characteristics of borderline personality disorder except: splitting unreality manipulation social isolation

social isolation

Antisocial personality disorder is characterized by: socially irresponsible and exploitation of others complete instability with interpersonal emotions egocentric and demanding very socially withdrawn

socially irresponsible and exploitation of others

All of the following are key characteristics of antisocial personality disorder except: extreme low self esteem splitting extremely impulsive aggressive and assaultive

splitting

The patient is terrified of snakes and cannot explain why. Because she lives in a wooded area, she would like to overcome this overwhelming fear. What therapy does her provider suggest? biofeedback behavioral aversion systematic desensitization

systematic desensitization

Stage of group development: evaluation and exploration of feelings prior to termination . pre-initial initial working termination

termination

A depressed 21-year-old client has lived with his mother ever since the death of his father 3 years ago. After the client received a college acceptance, the mother repeatedly states, "That's wonderful. I'll be fine all alone." How would the nurse interpret the mother's statements? The mother is expressing denigrating remarks. The mother is communicating indirectly. The mother is using double-bind communication. The mother is withholding supportive messages.

the mother is using double-bind communication

Group members are having difficulty deciding what topic to cover in today's session. Which nurse leader response reflects autocratic leadership? we are talking about fear of rejection today 'll work with you to find a suitable topic for today let's go around the room and make suggestions for today's topic I will let you come to a conclusion together about what to talk about

we are talking about fear of rejection today