exam 3 mental health

a nurse is educating a newly licensed nurse about comorbidities associated with cluster B personality disorders. the nurse should identify which of the following disorders as a comorbidity of histrionic personality disorder?

GAD

a nurse is caring for a client who has schizophreniform disorder. Which of the following manifestations should the nurse expect?

a duration of symptoms from one to six months

a nurse is preparing to discharge a client who has been diagnosed with schizophrenia. The client asks, "I am not sure why i need to have a relapse plan" which of the following responses should the nurse make?

a relapse plan helps your recovery by recognizing symptoms of schizophrenia and provides steps to follow if symptoms are getting worse

a nurse is discussing schizophrenia spectrum disorders with a client. The client states, "my friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

before symptoms of schizophrenia begin, people often isolate themselves. This is an early warning sign.

a nurse is caring for a client who is experiencing periods of hyperactivity, impulsivity, and inattentiveness. Which of the following medications should the nurse anticipate the provider prescribe?

central nervous system stimulant

a nurse is developing a discharge plan for a client who is in a detoxification unit. the nurse should include which of the following in the client's relapse prevention plan?

find a support person or sponsor, identify triggers, and develop new coping skills

a nurse is caring for a client who has substance use disorder and is experiencing acute toxicity to sedatives, but has no history of schizophrenia spectrum disorders. Which of the following manifestations should the nurse expect the client to experience?

severe hallucinations

a nurse is teaching a client at a prenatal clinic. The client shares that they have family members diagnosed with schizophrenia and wants to know how they can reduce their baby's risk of developing schizophrenia. Which of the following information should the nurse include?

avoid contracting a viral infection

a nurse is caring for a client who has substance use disorder. which of the following statements by the nurse is an example of patient-centered care?

lets review the goals you set today and see what your priority is this week

a nurse is caring for a 50 year old client who is being evaluated for late-onset schizophrenia. Which of the following findings should the nurse expect?

age of 50 years

a nurse is caring for a client who has OCD. Which of the following comorbidities should the nurse anticipate when reviewing the client's medical record?

anorexia nervosa

a nurse is planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?

antisocial personality disorder

a nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. the nurse should identify that these findings are manifestations of which of the following personality disorders?

antisocial personality disorder

a nurse is caring for a client who has schizophrenia. The client suddenly moves to the corner of the room and shouts, "Get it away from me!" which of the following actions should the nurse take?

ask the client to describe what is being seen

a nurse is interviewing a client who is experiencing negative symptoms of psychosis about their family history of schizophrenia. In which of the following phases of the nursing process should this take place?

assessment

a nurse is teaching the family of a client who has a new diagnosis of borderline personality disorder about the disorder. which of the following information should be the nurse's priority?

awareness of potential for self harm

a nurse is reviewing the medical record of a client who recently has been diagnosed with schizophrenia. Which of the following finding is a genetic risk factor associated with the development of schizophrenia?

biologic parent with schizophrenia

a nurse is caring for a client who has been newly diagnosed with schizophrenia. Which of the following findings is true regarding this disorder?

biologically male clients are typically diagnosed earlier than biologically female clients

a nurse is planning care for several clients. the nurse knows that which of the following findings are common in clients who have dependent personality disorder?

clients are fearful of making decisions

a nurse is leading a group about relapse prevention. which of the following statements appropriately describes the principles of the self-help groups alcoholic anonymous and narcotics anonymous?

clients are powerless over addiction, and it can only be overcome through belief in a higher power

A nurse is meeting with a client and their family at a local treatment clinic. The client's partner demands to see the client's records and treatment plan, and states they need to be responsible for overseeing the treatment. The client's partner reports that their own health has deteriorated since caring for the client. The nurse should recognize that the client's partner is displaying which of the following behaviors?

codependency

a nurse is preparing a client for surgery. prior to administering the prescribed hydroxyzine, the nurse should explain to the client that the medication is for which of the following indications?

controlling emesis diminishing anxiety reducing the amount of narcotics needed for pain relief drying secretions

a nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. the nurse should identify that these are manifestations of which of the following of which of the following personality disorders?

dependent personality disorder

a nurse is discussing the three clusters of personality disorders. which of the following personality disorders is part of cluster C?

dependent personality disorder

a nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a comorbidity to this condition?

diabetes mellitus

a nurse is caring for a client who has schizophrenia. in which of the following phases of the nurse-client relationship should the nurse suggest a guided therapy session?

exploitation phase

a nurse is caring for a client who has been diagnosed with schizophrenia and is experiencing delusions of being a celebrity. Which of the following types describe this client's behavior?

grandiose

a nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia?

hallucinations inability to initiate activities disorganized behavior lack of emotional expression impaired interpersonal relationships

a nurse is caring for a client who has a mental disorder. Which of the following statements by the client suggests the inability to process new information?

i have a difficult time remembering things

A nurse is caring for a client who reports frequent social use of alcohol. The client tells the nurse that they have been reprimanded at work for being late several times after they had been out late drinking. Which of the following statements by the client might indicate that the client has developed a substance use disorder?

i have lost 15 pounds i just don't want to eat lately

a nurse is discussing medication used for maintaining alcohol abstinence with a client who is undergoing this type of treatment. which of the following statements by the client indicates an understanding of their prescriptions?

i know i will be taking naltrexone in accordance with my provider's instructions to help me avoid using alcohol

a team of providers, nurses, social workers, and counselors work together to provide care for a client with a substance use disorder. which of the following names describes this group of clinicians?

interdisciplinary team

a nurse is caring for a client who has avoidant personality disorder. which of the following types of therapy should the nurse anticipate for the client?

interpersonal therapy

a nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkept and unbathed. Which of the following statements should the nurse make to the client?

it is now time for your bathe. Do you want to wear the red or green shirt?

a nurse on a mental health unit is caring for a client who has a new diagnosis of borderline personality disorder. the client states, " i will just see my regular doctor at my annual check up after i am discharged" which of the following responses should the nurse make?

it is recommended that you receive follow-up care from a mental health provider after you are discharged

a nurse is caring for a client who is diagnosed with schizophrenia. Which of the following manifestations should the nurse identify as a negative symptom?

lack of emotions

a nurse is caring for a client who presents to an outpatient treatment center seeking help for gambling. after performing an intake assessment, the nurse should identify which of the following statements by a client as a sign of a gambling addiction?

my wide left me. i lost my job and had to file for bankruptcy

a nurse is providing discharge teaching to a client who has borderline personality disorder. the client reports being a single parent caring for two toddlers. which of the following actions should the nurse take?

offer the client information about a support group for patients

a nurse is teaching a group of newly licensed nurses about personality disorders. which of the following information should be included?

personality disorders often manifest from childhood emotional trauma

a nurse should identify that which of the following factors is a protective factor that prevents adults from developing addictions?

positive self-image

a nurse is caring for a client who has been diagnosed with schizophrenia and appears confused and has distortions in their thinking and speech patterns. Which of the following is the priority nursing intervention for this client?

provide reassurance and comfort ensuring the client is safe

a nurse is educating a newly licensed nurse about psychiatric pharmacogenomic testing. Which of the following statements by the newly licensed nurse indicated an understanding of the teaching?

psychiatric pharmacogenomic testing allows providers to determine effective treatment modalities

a nurse is speaking with the parent of a client who is experiencing manifestations of psychosis. The parent states, " I don't understand how a child can experience psychosis." Which of the following responses should the nurse make?

psychosis may be experienced when an individual has excessive amounts of glutamate in the brain

a nurse is working with a client and their partner. which of the following information describes the reason it is important to recognize early warning signs related to substance use?

recognizing early warning signs can lead to early intervention and better outcomes

a nurse is discussing relapse potential with a group of clients and their families . the nurse should include which of the following statements about relapse prevention?

relapse should be expected and be looked at as an opportunity

a staff nurse reports an observation of a coworker injecting themselves with a syringe in the bathroom. the coworker admits to stealing narcotics from the medication room. the staff nurse should take which of the following courses of action?

report the incident to the appropriate person in the chain of command right away

a nurse is caring for a client who states, " i have no interest in sexual activity or finding a partner," the nurse should identify that this statement is consistent with which of the following personality disorders?

schizoid personality disorder

a nurse is caring for a client who screams, "i can read your minds!" The nurse should identify this finding as a manifestation of which of the following personality disorders?

schizotypal personality disorder

a nurse is meeting with a new client at a substance use disorder clinic. prior to the client meeting, the client's family shared information with the nurse about the client. which of the following describes the types of data from the client's family?

secondary

a nurse is planning discharge for a client who has schizophrenia and reports "I don't have a place to live." Which of the following referrals should the nurse request from the provider?

social worker

a nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?

sore throat and muscle aches

a nurse is caring for a client who has borderline personality disorder. which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division amongst the healthcare team?

splitting

A nurse is caring for a client who was hospitalized with a high blood alcohol content level. The provider fears the client may go into withdrawal and require medical supervision. The client's manifestations included anxiety, tremors, BP 166/100 mm Hg, and tachypnea about 1 hr ago. Now the client begins yelling out that they are seeing spiders crawling all over the walls. They believe they are at home and begin calling for their mother. The nurse should recognize that the client is experiencing which of the following stages of alcohol withdrawal?

stage 3 severe

a nurse is meeting with a new client at a substance use disorder clinic. during the meeting, the client states that they have been using cocaine at least once daily for the past 6 months. the nurse is collecting which of the following types of data from the client's account?

subjective

a nurse is caring for a client who has psychosis and is prescribed chlorpromazine. the client reports feelings of restlessness. the nurse should identify that the client should be monitored for which of the following adverse effects?

suicidal ideation

a nurse is assessing a client who has paranoid personality disorder, which of the following findings should the nurse expect?

suspiciousness of others

a nurse is speaking to a group of nurses about the difference between schizoaffective disorder and schizophrenia. Which of the following findings is associated with the active phase of schizoaffective disorder?

symptoms of major depression or mania

a charge nurse in a mental health facility is teaching a newly licensed nurse how to perform an abnormal involuntary movement scale assessment on a client. The charge nurse should identify that the AIMS assessment is used for which of the following conditions?

tardive dyskinesia

a nurse is caring for a client who has schizophrenia and has been taking a first generation medication for several years. The client is exhibiting jerking movements and twitching of the face and tongue. Which of the following is the client experiencing?

tardive dyskinesia

a nurse is reviewing the documentation for a newly admitted client and notes the following entry, client verbalizes the use of coping mechanisms when experiencing stress. which of the following can the nurse expect when interacting with this client?

the client adapts well to change

a nurse is caring for a client who was admitted to the ED with a blood alcohol content of 0.15 mg/dL. which of the following conclusions should the nurse make about the client's blood alcohol content?

the client ingested enough alcohol to cause them to experience acute cognitive impairment

a nurse is providing care to an older adult client. which of the following screening tools should the nurse use to gather data for the client?

the gerontological personality disorder scale

a nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?

the importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic

a nurse is teaching a client who has been newly diagnosed with schizophrenia. Which of the following information should the nurse include?

the need for resources increases as the disease progresses into adulthood

a nurse is discussing common misconceptions regarding clients who have substance use disorder. the nurse should include which of the following as a potential negative result of providers believing that addiction is the client's own fault?

the provider may deny care or deliver poor quality of care

A nurse is caring for a client who reports spending 12 hr daily playing video games online. The client has spent a significant amount of money betting on these games. They lost their job due to missed work, and they filed for bankruptcy because of their gambling debts. Their partner was supporting them financially until the partner left the client out of frustration with their behavior. Which of the following manifestations of non-substance addiction is characteristic of the client's behavior?

they compulsively act on he urge to continue internet gaming and gambling even though they suffered negative consequences

a nurse is asking a client who has schizophrenia about their cultural and spiritual beliefs. Which of the following is the purpose for collecting this information?

to empower the client to be engaged in personal care

a nurse in an emergency department is assessing a client who has a personality disorder and reports that they recently used illicit drugs. which of the following screening tools should the nurse use to determine if the client has recently used an illicit substance?

toxicology test

a nurse is providing care for a client who has schizophrenia. the client is unemployed and unhoused. Which of the following concepts regarding themselves should the nurse be aware of?

unconscious bias

a nurse is caring for a client who is taking fluphenazine and is experiencing tardive dyskinesia. Which of the following medications should the nurse anticipate the provider to prescribe for this client?

valbenazine

a nurse manager is reviewing a recent client report related to a staff nurse. which of the following behaviors by a nurse at work might be red flags for a substance use disorder?

volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications

a nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. which of the following situations should the nurse identify as the highest risk for self harm?

when discharged from the hospital

a nurse is caring for a client who has schizophrenia. Which of the following findings indicates that the client is in the prodromal phase?

withdrawn behavior

a nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?

young adulthood