Chapter 7 8 9

Which of the following statements indicates a visual channel preference for information?

"I can see the solution, and clearly it will work."

A patient comes to the outpatient mental health clinic 2 days after being discharged from the hospital. The patient was given a 1-week supply of clozapine (Clozaril). The nurse reviews information about clozapine with the patient. Which patient statement indicates an accurate understanding of the nurse's teaching about this medication?

"I need to keep my appointment this week for a blood test."

Reiki is a term that means:

"Universal life energy."

Of the following, which are either complementary or alternative modalities?

Aromatherapy, biofeedback, massage

Marion, a 25-year-old patient who lives with her parents, explains to the nurse at the community clinic, "I really don't need to talk to anyone, even my parents." The patient expresses that she is too busy and does not have the time to sit and talk. The nurse recognizes that the patient is most likely using the defense mechanism known as:

Avoidance

Skinner and Pavlov believed in which type of therapy?

Behavior Modification Therapy

Effective coping skills are described as:

Being able to make choices that are healthy and individualized

When developing a care plan for Ms. Smith, who was diagnosed with schizophrenia and is receiving haloperidol, which of the following medications would Nurse Janet expect to administer if the patient developed extrapyramidal side effects (EPS)?

Benztropine mesylate (Cogentin)

The phrase "unconscious refusal to see reality" describes which defense mechanism?

Denial

Which of the following are defense mechanisms that people typically use in times of stress (select all that apply):

Denial Compensation Rationalization

Which of the following should be included in patient teaching about antidepressants (select all that apply)?

Encourage patients to continue taking the medication. If it is an MAOI antidepressant, the patient should avoid foods containing the amino acid tyramine.

Nursing preparations for a patient undergoing electroconvulsive therapy (ECT) resemble those used for general anesthesia (select all that apply):

Monitor the patient's vital signs before and after the procedure. Medicate before procedure if ordered. Educate patient and patient's family. Monitor the patient for confusion after the procedure.

Shirley, a 70-year-old woman, went to a photo shoot for a portrait. As soon as the photographer began to photograph Shirley, she started to display signs of regression by: (select all that apply)

Posing as a young adolescent Pouting when poses were suggested by the photographer Stopping the session to make two pony- tails, one on each side of her head

Using a logical-sounding excuse is known as ___________________________.

Rationalization

You overhear someone jokingly repeating the social cliché, "Stop smoking, lose weight, exercise; die anyway" as he orders a big burger and super-sized fries. That cliché is an example of:

Rationalization

_____________________________ therapy is done by massaging the feet of the patient to act upon pathways, unblocking and renewing energy flow.

Reflexology

Lila's three-year-old daughter is an only child who recently started day care. Lila toilet trained her daughter 6 months ago; however, her daughter has started wetting herself and crawling after 1 week in the day care. Her mother has become quite concerned. The school nurse explained to her that her daughter probably is experiencing:

Regression

Pete has recently been admitted to the hospital and is being treated for bipolar disorder. When you go to check in on him, he tells you that he is feeling very weak and has been vomiting. He is also running a fever and has severe diarrhea. You suspect that Pete's problem is caused by:

Side effects of the lithium therapy he is receiving.

Which one is not considered a component of the three primary methods of sensory representation?

Smell

The form of therapy that focuses on the cause of the problem, originated from Sigmund Freud, is

psychoanalysis

A person who always sounds as though he or she is making excuses is displaying:

rationalization

One of the first statements a nurse might make to a person who has been abused might be:

"You're safe here. I would like to help you."

A treatment modality used with conventional medical therapies is:

A complementary approach

What stage is "flight or fight"?

Alarm Stage

A therapeutic environment (milieu) is best defined as:

An environment that is structured to decrease stress and encourage learning new behavior

It is helpful as a nurse to be able to recognize the channel through which your patient communicates if following the primary sensory representation philosophy. Your patient Tamara's sensory representation is visual. Determine which terms would identify visual sensory predicates (select all that apply):

An eyeful In light of In view of

Your patient, Mrs. L, is on your unit for bowel resection. She is exhibiting signs of nervousness and anxiety, which she attributes to the upcoming surgery. You note from her record that she has a history of ethyl alcohol (ETOH) abuse. Which of the following classifications of drugs would be potentially addictive for her?

Antianxiety drugs

E P S and Tardive dyskinesia are related to which group of psychotropics?

Antipsychotic

The following medications are used for treatment in mental health disorders (select all that apply):

Antipsychotics Stimulants Mood stabilizers

James is a 13-year-old who has been transferred to your medical-surgical unit after being stabilized in the ED. He slit both wrists and took an overdose of his bupropion (Wellbutrin). You know medications such as Wellbutrin:

Are antidepressants and may have an increase in the suicidal ideation for children and adolescents

Which of the following items should be included when providing patient teaching about monoamine oxidase inhibitor (MAOI) antidepressants (select all that apply):

Avoid foods containing the amino acid tyramine. Do not take prescribed or over-the-counter medications without consulting the physician.

________________ is a training program designed to develop one's ability to control the autonomic nervous system.

Biofeedback

The side effects of ginkgo biloba include (select all that apply):

Bleeding Nausea and vomiting Diarrhea Headache

Holistic treatment address:

Both the illness and the person

An overweight male college student is unable to participate in competitive sports. Although he can't be a sports hero, the student becomes the life of the party when socializing. This student also uses his student loan to purchase a new sports car. The student is displaying:

Compensation

The phrase "a small boy who wants to be a basketball center instead becomes an honor roll student" describes which defense mechanism?

Compensation

The phrase "use of local-sounding excuse to cover up true thoughts and feelings" describes which defense mechanism?

Compensation

Your young male patient who tells you that he may not be big enough for the basketball team, but says "That's no problem because I'm a 4.0 student and on the principal's list" is displaying:

Compensation

Defense mechanisms are methods used for reducing anxiety. Defense mechanisms unconsciously assist a person in handling stressful events in an effective manner. People have a group of defense mechanisms learned from childhood. The following are defense mechanisms (select all that apply):

Compensation Rationalization Regression Denial

Audrey, a mental health nurse, has noticed that every day before going to work, she starts off with headaches, loose stools, and episodes of feeling light-headed, and other disorders. These symptoms may be an expression of emotional disturbances. Audrey is aware she could be experiencing:

Conversion.

_________________ is the way a person adapts to a stressor psychologically, physically, and behaviorally.

Coping

"I can quit smoking any time I want to." The person is in ___________________.

Denial

A new patient with schizophrenia is admitted to the psychiatric unit. He is standing at the locked exit door and yelling, "Help me, I don't belong here." This behavior is most likely an example of what defense mechanism?

Denial

The alcoholic who says, "I don't have a problem. I can quit any time I want to; I just don't want to" is displaying:

Denial

Your patient is sternly criticized by her doctor for not complying with the medication regimen. The patient walks out of the office and yells at the parking attendant. This may be an example of which defense mechanism?

Displacement

Joy has just experienced her fifth spontaneous abortion. She is unable to understand why this is happening to her. Joy voices her anger toward her physician and the nurses by accusing them of incompetence. Assessing the situation, the nurse recognizes that the patient may be using the coping mechanism of:

Displacement.

When teaching patients taking St. John's wort, the nurse will inform them of the following information (select all that apply):

Dry mouth is a side effect. Consult your physician before taking any over-the-counter flu and cold medications.

The use of defense mechanisms is related to what part(s) of Freud's personality theory? (select all that apply)

Ego

Lynn, the LPN/LVN, is providing care for a patient diagnosed with depression. The patient is not responding to any of the medications ordered. The nurse foresees this patient may be a candidate for:

Electroconvulsive therapy.

In order for psychotherapy to be effective, it is necessary to do all of the following except:

Encourage the patient to repress feelings.

Which of the following is not a behavior noted in the crisis phase?

Feeling of well-being

Reflexology is based on the massage of this body part:

Feet

Which statements are true about Milton Erickson and hypnosis (select all that apply)?

Focused on patients' present and future outcomes Focused on well-being Focused on hypnosis for modern therapeutic purposes

Alternative therapy modalities are used:

In place of conventional therapies

The goals of crisis intervention include all of the following except:

Increasing anxiety

When traditional medicine is combined with less traditional methods, it is called:

Integrative medicine

Which of the following is false about trance?

It is an altered state of consciousness, just like sleep.

Which of the following is false regarding ECT?

It is used to stop convulsive seizures.

Avoiding such foods as bananas, cheese, and yogurt should be emphasized to patients who are taking:

MAOIs

Which of the following should be avoided when communicating with a mentally ill patient?

Making the presupposition that the patient will not improve

Identify which is not part of the "crisis phase."

Mid-Crisis

This is considered what type connection?

Mind-body connection

The following are true for hypnotherapy (select all that apply):

People enter a trance every day. Increase the length of time in sunlight. Consult your physician before taking any over-the-counter flu and cold medications.

__________________ are the assumptions people make when forming communication.

Presuppositions

After receiving disappointing news about a job promotion, John stated, "I didn't get the promotion because I write with my left hand." This is an example of:

Projection

Mr. V becomes angry that Mrs. V spent the whole day shopping with her friends. Upon her return home, he hits her and tells her, "It's your own fault. Stay home once in a while!" Mr. V is displaying:

Projection

Which of the following best describes what defense mechanisms are?

Protective devices that reduce anxiety

The phrase "everyone does not go back to the same developmental age" describes which defense mechanism?

Regression

Mr. Douglas wants to know more about massage therapy. Which one of the follow- ing is not a massage modality?

Reiki

Mrs. Lucas is telling you about her ideas for curing her depression by taking herbal medication. She is convinced that because St. John's wort is a natural product, it is better for her than her prescription therapy. You should:

Remain open and supportive.

__________________is an unconscious "burying" or "forgetting" mechanism.

Repression

When teaching Mary, who has depression, about foods to avoid while taking phenelzine (Nardil), which of the following would Audrey LPN include?

Salami

Nurse Anne recognizes that John is always blaming others for his shortcomings. Finger pointing is usually related to the defense mechanism of:

Scapegoating

A patient being medicated with haloperidol for more than 4 weeks has started to display symptoms of involuntary movements of the mouth that resemble chewing. Of the following extrapyramidal adverse reactions, the patient is showing signs of:

Tardive dyskinesia.

The mechanism that describes thoughts and expectations affecting health is:

The mind-body connection

The home health nurse is informed by her patient that she is taking an herbal over-the-counter medication. What action should the nurse take with this information?

The nurse should document this information and add it to the patient's medication list and notify the charge nurse of the change.

Andrea, the charge nurse, spoke to the director of nursing about one of the staff nurses having a crisis. The nurse suggested a crisis intervention group to the staff nurse. Crisis intervention is successful because:

The patient is assisted to develop skills and return to the precrisis phase.

Psychopharmacology (psychotropic drug therapy) is used:

To decrease symptoms and facilitate other therapies

A patient may refuse medication because of their beliefs.

True

Counseling is geared toward a person's needs.

True

Yesterday, Tara became drunk and inappro- priate at a family function. Tara's 16-year-old daughter was embarrassed and in tears. Today, Tara bought two expensive concert tickets for her daughter and a friend. This is an example of:

Undoing

The three primary methods of sensory representations are:

Visual, auditory, and kinesthetic.

A patient consents to be hospitalized for psychiatric treatment. This is a(n) ____________________

Voluntary

Which mind-body method of healing facilitates balance, flexibility, slows breathing, and reduces stress?

Yoga

The type of therapy that seeks a response through the sense of smell is known as __________________________.

aromatherapy

Important to the effectiveness of any type of treatment are the patient's _______________.

beliefs

A therapeutic environment in mental health terminology is called a ________________.

milieu

When observing a patient receiving tricyclic antidepressant therapy, ________________would bring attention to the nurse that the patient was undergoing anticholinergic side effects.

urinary retention