Exam 4 NCLEX Questions - ThePoint
a
A 10-year-old child with Tourette's disorder is receiving haloperidol as part of his treatment plan. When assessing the child at a follow up visit, which statement by the child would lead the nurse to suspect that he is experiencing a side effect of the drug? a. "Sometimes I feel like I'm so sleepy." b. "I think I'm much more alert with this drug." c. "My muscles seem pretty flexible lately." d. "I'm eating about the same amount as before."
d
A 28-year-old woman seeks treatment for sexual dysfunction. She states that she feels aroused and is interested in having intercourse, but that she "clamps down" and her partner cannot achieve penetration. She denies any pain with intercourse. Which of the following would the nurse suspect? a. Female sexual interest/arousal disorder b. Dyspareunia c. Female orgasmic disorder d. Vaginismus
d
A 49-year-old client states that she has been experiencing dyspareunia on an increasingly frequent basis. Assessment reveals no organic cause for the problem, so the nurse should recommend: a. showering or bathing immediately before sexual activity. b. referral to a sex therapist. c. limiting sexual activity to once or twice weekly. d. the use of a water soluble lubricant.
c
A client has a blood alcohol level of 0.05%. The nurse would expect which behavior to occur? a. Coma b. Stupor c. Impaired judgment d. Difficulty driving
a
A client has been diagnosed with conversion disorder. Which medication classification has been shown to be effective in some cases of somatoform disorders? a. SSRIs b. Antimanics c. Antipsychotics d. Antibiotics
c
A client has been diagnosed with erectile dysfunction. The nurse would expect the client to be placed on which of the following medications? a. Paroxetine b. Sertraline c. Tadalafil d. Fluoxetine
c
A client has been diagnosed with somatic symptom disorder. The client's assessment reveals high levels of anxiety. Which would the nurse expect to be prescribed? a. Antipsychotics b. Mood stabilizers c. Selective serotonin reuptake inhibitors (SSRIs) d. Tricyclic antidepressants
c
A client is admitted for a drug overdose with a barbiturate. Which is the priority nursing action when planning care for this client? a. Prepare a dose of ipecac, an emetic. b. Pad the side rails of the bed because seizures are likely. c. Monitor respiratory function. d. Check the client's belongings for additional drugs.
a
A client is admitted to the emergency department for intoxication with alcohol. The client has an unsteady gait, myopathy, and neuropathy and cannot remember past or recent events. When treated with thiamine, the client's symptoms greatly improve. Which condition was the client likely experiencing? a. Wernicke-Korsakoff syndrome b. Scurvy c. Alcoholic dementia d. Alcohol dependence with memory impairment
c
A client is an overweight 32-year-old who regularly binges on large amounts of food. After the client binges, the client feels guilty and ashamed about eating the food. Despite the bad feelings, the client binges almost daily. Which would the nurse most likely suspect? a. Eating disorder not otherwise specified b. Bulimia nervosa c. Binge eating disorder d. Anorexia nervosa
d
A client is being discharged from treatment for addiction to cocaine. Which statement made by the client would cause the most concern for the nurse? a. "I am going to take up a new hobby. It's time to start something new." b. "I'm not very comfortable with being alone yet." c. "Shooting baskets helps me not think about getting high." d. "I can still hang out with my old friends. I am just not going to use."
c
A client is brought to the emergency department by law enforcement after being caught peeping into a neighbor's bedroom while the neighbor and her partner were engaged in sexual activity. The neighbor told law enforcement that this has happened numerous times before. Based on this information, the nurse would suspect which of the following? a. Frotteurism b. Fetishism c. Voyeurism d. Sexual sadism
b
A client is brought to the emergency department by law enforcement after suspicion of driving under the influence. A blood alcohol level is drawn and is found to be 0.10 mg%. Which of the following would the nurse expect to assess? a. Giddiness b. Difficulty coordinating movements c. Mood changes d. Impaired judgment
b
A client is brought to the emergency department following a car accident. The client's blood alcohol level (BAL) is 0.10%. Which of the following would the client likely exhibit? a. Ataxia b. Impaired coordination c. Emotional lability d. Giddiness
c
A client is diagnosed with somatic symptom disorder. Which would the nurse expect to assess as the major clinical finding? a. Loss of voluntary motor or sensory functioning b. The client's inability to focus on emotional content c. Report of symptoms with no demonstrable pathology on testing or examination d. Definitive medical finding with a history of "doctor shopping"
a
A client is prescribed phenelzine for treatment of somatic symptom disorder. The nurse would instruct the client to avoid foods high in which of the following to avoid hypertensive crisis? a. Tyramine b. Calcium c. Potassium d. Magnesium
a
A client is prescribed phenelzine. The nurse is educating the client on avoiding foods containing tyramine to prevent which of the following? a. Hypertensive crisis b. Oversedation c. Hypoglycemia d. Seizures
b
A client is seeking relief for undiagnosed pain. There is no history of significant physical illness. The history reveals that the client was laid off 4 months ago from a job. The nurses assessment is unremarkable. Which statement made by the client would most strongly suggest a somatoform disorder? a. "I probably just overexerted myself working around the house. It's hard to slow down." b. "I seem to have more pain now that I got laid off." c. "I'm sure they will figure out what is wrong with me." d. "I have been having a hard time lately. It's hard not working like I'm used to."
c
A client is telling a nurse about repeated frightening dreams that the client has been having and that have awakened the client from sleep. When assessing this complaint further, which would the client most likely report? a. Inability to recall specific details of the dream b. Some drowsiness and confusion upon awakening c. Continued sense of fear after awakening d. Ability to return to sleep with relative ease
c d
A client reports a decrease in vaginal lubrication during sexual intercourse. Which of the following would be appropriate for the nurse to suggest to the client? Select all that apply. a. Petroleum jelly b. Kegel exercises c. Saliva d. Water-soluble lubricant e. Vinegar douche
a
A client reports always feeling tired. During the health history, the client reports drinking 2 to 3 cups of decaffeinated coffee each day and warm milk before bedtime. The client adds that she retires at the same time each night. She lists use of the following medications: lithium, lasix, and prednisone. What does the nurse suspect is the cause of this client's sleep disturbance? a. Medications b. Decaffeinated coffee c. Warm milk d. Bedtime ritual
a d e
A client reports difficulty sleeping when the clocks are changed in the spring and fall. Which should the nurse recommend to help this client achieve adequate sleep? Select all that apply. a. limit the bedroom to sleeping and sex b. plan "power naps" throughout the day c. limit alcohol to the dinner hour d. stick to a regular bedtime and rising time e. avoid caffeine and nicotine before bedtime
c
A client visiting the sleep clinic participates in a sleep study and is diagnosed with obstructive sleep apnea. What does the nurse explain as the cause of this disorder? a. Collapse of the lower respiratory tract b. Too much airflow c. Repetitive episodes of reduced airflow d. Repetitive episodes of extra airflow
a
A client who comes to the sleep clinic reports being tired in the morning. Upon further assessment, the client discusses difficulty falling asleep at night and waking up in a bad mood in the morning. The client also acknowledges difficulty staying awake during the day. Which of the following diagnoses would the nurse suspect? a. Insomnia b. Narcolepsy c. Depression d. Restless leg syndrome
d
A client who has used IV heroin every day for the past 10 years says, "I don't have a drug problem. I can quit whenever I want." Which defense mechanism is being used by the client? a. Repression b. Compensation c. Rationalization d. Denial
a
A client with a history of erectile dysfunction has just been prescribed tadalafil. What education should the nurse provide to the client? a. The client should seek medical help if his erection lasts longer than a few hours b. The drug enhances the client's erection but increases the risk of premature ejaculation c. The client may develop tolerance to the drug over the course of a few weeks d. The client should avoid grapefruit juice while taking the drug
d
A client with a history of heavy alcohol use, whose last drink was 24 hours ago, is seen in the emergency department. The nurse assesses the client and finds the client is oriented but is tremulous, weak, and sweaty and has some gastrointestinal (GI) symptoms. Which is typical of these symptoms? a. Wernicke-Korsakoff syndrome b. Delirium tremens c. Continuing intoxication d. Alcohol withdrawal syndrome
a
A client with a long history of bulimia nervosa is seen in the emergency department. The client is seeing things that others do not, is restless, and has dry mucous membranes. Which is most likely the cause of this client's symptoms? a. vomiting, which may lead to dehydration and electrolyte imbalance b. binging, which causes abdominal discomfort c. nutritional deficits, which are characteristic of bulimia nervosa d. mood disorders, which often accompany the diagnosis of bulimia nervosa
c
A client with a sleep disorder has been ordered trazodone. The nurse correctly identifies this medication as belonging to which classification? a. Over-the-counter medication b. Melatonin-receptor agonist c. Sedating antidepressant d. Benzodiazepine-receptor agonist
a
A client with insomnia is instructed to avoid watching television and refraining from doing anything in the bedroom except sleep. Which intervention is being used? a. Stimulus control b. Relaxation training c. Cognitive-behavioral therapy d. Sleep restriction
b
A client's history reveals that he continues to use cocaine despite the negative consequences. The nurse identifies this as which of the following? a. Withdrawal b. Addiction c. Use d. Abuse
a
A family member of a client diagnosed with functional neurologic symptom disorder asks the nurse, "What is this disorder?" Which of the following is the best response by the nurse? a. "It involves unexplained, usually sudden deficits in sensory or motor function." b. "It is a preoccupation with an imagined or exaggerated defect in physical appearance." c. "It is a preoccupation with the fear that one has a serious disease." d. "It is characterized by multiple physical symptoms."
a b d e
A female client admits to never having experienced an orgasm during intercourse. Which topics should the nurse include when creating a teaching plan for this client? Select all that apply. a. impact of medication on orgasm b. communication skills c. alternative activities d. techniques to reduce anxiety e. etiologic factors
a
A geriatrician is assessing an 84-year-old male recently admitted to a subacute medical unit of a hospital for rehabilitation following recent falls and a hip contusion. Which of the following aspects of the client's sleep history would the physician want to follow up with education? a. "I make sure that I take a long nap each afternoon to compensate for my frequent waking at night." b. "I make it a rule not to drink any alcohol in the evening." c. "I try my best to get out for a walk after breakfast or after supper." d. "I've got a bottle of diazepam at home, but I only take them once or twice a month."
d
A nurse is developing a presentation for an adolescent community group on mental health and illness, focusing on mood disorders. Which of the following would the nurse most likely include as a major mental health issue in adolescents? a. Dysthymia b. Bipolar II c. Bipolar I d. Depression
a
A nurse is exploring treatment options with a client addicted to heroin. Which information regarding the use of methadone is important for the nurse to include? a. Methadone will meet the physical need for opiates without producing cravings for more. b. Methadone will produce a high similar to heroin. c. Unlike heroin, methadone is nonaddicting. d. People taking methadone run the same risks associated with intravenous drug use as those taking heroin.
b
A nurse is providing care to a client with somatic symptoms disorder(SSD). Which information would the nurse need to integrate into the client's plan of care? a. Clients understand that the problem is mental origin. b. Clients are convinced that the problem is of physical origin. c. Clients usually have a stable home environment. d. Clients have success in work situations.
d e
A nurse is reviewing the medication history of a client diagnosed with erectile dysfunction who is being treated with a PDE5 inhibitor. Which of the following might the nurse note in the client's history? Select all that apply. a. Alprostadil b. Phentolamine mesylate c. Papaverine hydrochloride d. Avanafil e. Vardenafil
b
A nurse is seeing a client who reports having difficulty establishing a regular time to go to bed each night. Which occupation does this client most likely have? a. Office manager b. Flight attendant c. Outpatient clinic nurse d. Physiotherapist
b c d
A nurse is teaching a client about appropriate sleep measures. During the education session, the nurse cautions the client about consuming caffeine based on the understanding that caffeine can result in which of the following? Select all that apply. a. Increased slow-wave sleep b. Decreased total sleep time c. Increased sleep latency d. Decreased REM sleep e. Vivid dreams
d
A nurse preceptor working in a sleep clinic informs a graduate that the most common sleep disorder in adults is which of the following? a. Sleep-related movement disorders b. Parasomnias c. Sleep-related breathing disorder d. Insomnia
a
A pre-teen client has been considered a neighborhood bully for several years. Peers avoid him, and the mother says she cannot believe a thing he tells her. Recently, the client was observed shooting at several dogs with a pellet gun and setting fire to a vacant lot for the first time. A nurse would assess these behaviors as being most consistent with which disorder? a. conduct disorder b. defiance of authority c. oppositional defiant disorder d. pyromania
a
A teacher has approached the school nurse because he observed a 7 year-old student touching his genitals in the locker room. What is the nurse's most appropriate response? a. Reassure the teacher that this behavior is not abnormal b. Have the teacher refer the student to the nurse, with the permission of the parents c. Educate the teacher about the need to empathically address the behavior d. Encourage the teacher to initiate education about sexuality with the student
b
A woman comes to the clinic for an evaluation. The client tells the nurse, "I just don't feel like I get sexually excited even when my partner tries so hard." The nurse interprets the client's statement as possibly indicating which of the following? a. Paraphila b. Female sexual interest/arousal disorder c. Female orgasmic disorder d. Gender dysphoria
c
Which of the following approaches is included in milieu management for the child with autism spectrum disorder? a. Listen to the parents feelings and frustrations b. Having a playroom with climbing structures and rolling chairs c. Providing a structured, routine environment d. Scheduling a group in which the children talk about school
b
Which of the following circumstances would a person expect to cause the most sleep difficulties? a. Waking at 5 AM two days a week for clinical rotations b. An overseas flight to Ireland c. Working the 7 PM to 7 AM shift on a regular basis d. Being awakened at 2 AM by a phone call
c
Which of the following is the primary symptom to occur in narcolepsy? a. Sleep paralysis b. Night terrors c. Excessive sleepiness d. Hallucinations
c
Which of the following is used as a substitute for heroin in some maintenance programs? a. Benzodiazepines b. Amphetamines c. Methadone d. Barbiturates
a
Brain images of people with ADHD have suggested decreased metabolism in which of the following cerebral lobes? a. Frontal b. Occipital c. Temporal d. Parietal
b
Which of the following paraphilias might involve the act of using electrical shock to make a person suffer? a. Pedophilia b. Sexual masochism c. Exhibitionism d. Fetishism
d
The client is a single mother studying broadcast journalism. The client works two part-time jobs in addition to school to cover family and educational expenses. Last night driving home from work the client drifted off the road and nearly had an accident. Luckily there was no harm, but the client realized the need to change a life factor, because the client is most likely suffering the negative consequences of: a. generalized anxiety disorder. b. excessive fatigue syndrome. c. insomnia. d. sleep deprivation.
a
After being arrested for prostitution, an adolescent client has been referred to a mental health clinic by a juvenile officer. The client has a history of truancy and being physically abusive to siblings. From the history gathered during assessment, the nurse might anticipate which diagnosis? a. conduct disorder b. intermittent explosive disorder c. childhood depressive disorder d. oppositional disorder
b
After educating a group of nursing students on somatic symptom disorder, the instructor determines that the education was successful when the group identifies which of the following as the most common problem? a. Nausea b. Pain c. Muscle weakness d. Paresthesias in the extremities
b
After educating the parents of a child diagnosed with ADHD on the disorder and its treatment, the nurse determines that the education has been effective when the parents state which of the following? a. "We need to be careful so he doesn't develop a substance abuse problem as he grows older." b. "We need to remember that our son is not a bad kid; he just has difficulty with impulse control and attention." c. "We should set up regular routines for him, but not worry if he violates the limits once in a while." d. "We should stop the medication after two months to see how effective it is in really controlling his symptoms."
c
After teaching a group of nursing students about intellectual disability, the instructor determines that the teaching was successful when the students identify which as the most common etiology? a. Environment b. Exposure to hazardous chemicals c. Genetic syndromes d. Perinatal complications
d
After teaching a group of nursing students about sleep-wake disorders, the instructor determines that the education was successful when the students identify which of the following as the most prevalent disorder? a. Obstructive sleep apnea syndrome b. Narcolepsy c. Parasomnia d. Insomnia
d
After teaching a group of students about medications used to treat ADHD, the instructor determines that the education was successful when the group identifies atomoxetine as which of the following? a. Antipsychotic b. Stimulant c. Alpha-agonist d. Noradrenergic reuptake inhibitor
b
An 8-year-old boy has been diagnosed with ADHD. His mother is shocked that he will be prescribed a psychostimulant, stating, "His whole problem is that he's too stimulated, not understimulated!" Which of the following facts should underlie the nurse's response to the mother? a. Controlled, medication-induced stimulation helps children become more comfortable and functional during times of high stimulation. b. Psychostimulants stimulate the areas of the brain that control attention, impulses, and self-regulation of behavior. c. Psychostimulants are a form of aversion therapy in which the child becomes uncomfortable with overstimulation. d. Brain stimulation is inversely proportionate to motor stimulation.
c
An 85-year-old client has been diagnosed with insomnia disorder. Which of the following would be the priority for this client? a. Assisting with adopting better bedtime rituals b. Encouraging use of a sedating medication c. Promoting client safety d. Administering a sleep aid
b
An adult male has been caught watching women shower at the gym. This is an example of which type of paraphilia? a. Exhibitionism b. Voyeurism c. Pedophilia d. Fetishism
c
An unconscious client is admitted to the emergency department after a motor vehicle accident. The client's blood alcohol level upon admission was .17. The client's family soon arrives, reporting that the client is an extended family member who is visiting from out of town. They cannot give much more history other than that the client is a "social drinker." After being transported to the unit, the client starts sweating and has elevated vital signs. What information should the nurse request of the family? a. For what occasion is the client visiting from out of town? b. Who is the next of kin? c. Are there other indications that the client may be a heavy drinker? d. Does the client have a history of any sort of anxiety disorder?
d
The diagnostic criteria for erectile dysfunction require that the condition be present for which time frame? a. More than 3 months b. About 1 month c. At least 1 year d. Over 6 months
b
Which intervention has been found to be most effective reducing the initial symptoms of bulimia? a. Behavioral therapy and psychoeducation b. Cognitive behavior therapy and pharmacologic interventions c. Clearly stated unit rules and a supportive milieu d. Daily monitoring of sound dietary principles and meditation sessions
b
Disulfiram should not be administered until a client has abstained from alcohol for at least how long? a. 16 hours b. 12 hours c. 4 hours d. 8 hours
a
During which phase of the human sexual response cycle does the body return to the unaroused state? a. Resolution b. Plateau c. Excitement d. Orgasm
d
Exacerbation of anorexia nervosa results from the client's effort to do what? a. Manipulate family members b. Diminish conflict c. Live up to family expectations d. Gain control of one part of life
d
Factitious disorder imposed on another is commonly inflicted by which family member upon a child? a. Grandparent b. Sibling c. Father d. Mother
b
Fluoxetine includes a black box warning concerning which of the following? a. Myocardial infarction b. Suicidality in children and adolescents c. Renal failure d. Stroke
a b c d
Which is possible with somatization? Select all that apply. a. Real symptoms can begin. b. Real symptoms can continue. c. Unrelated symptoms can occur. d. Real symptoms can worsen. e. Clients can control these symptoms.
a
Historically, which of the following was the most widely accepted theory about anorexia nervosa? a. Conflicts of separation-individuation and autonomy b. Changes in the structure of the brain c. Learned behavior from internalized peer pressure d. Reduction in brain-derived neurotrophic factor (BDNF)
d
In planning care for clients with a somatic symptom disorder, an appropriate long-term outcome for treatment would be that the client will ... a. Learn new diversional recreation patterns b. Resume home maintenance activities c. Assume responsibility for self-care activities d. Develop alternative coping mechanisms
d
Individuals with anorexia nervosa concentrate on which body cue? a. Hunger b. Anxiety c. Weakness d. Controlling food intake
d
Lindsay is a professional nurse who has just completed a military tour of duty in the Middle East. She has cared for combat victims and has seen trauma that she was never prepared for in her nursing education. She presents to the counseling center with symptoms of posttraumatic stress disorder (PTSD). Which of the following sleep disturbances would the nurse expect Lindsay to report? a. Daytime sleepiness b. Insomnia c. Not feeling rested after sleep d. Nightmares
b
Somatic symptom disorder is characterized by what? a. Self-induced disease states or faked symptoms to garner attention b. Severe physical symptoms unexplainable by any organic or physical pathology c. Self-inflicted injuries d. Physical symptoms coupled with extreme focus on emotional state
a
The client asks the nurse, "What will happen if I drink while taking disulfiram?" What should be the nurse's reply? a. "You will experience a severe reaction, including a throbbing headache and vomiting." b. "You will not get any effect from the alcohol you drink." c. "Disulfiram will reverse the effects of alcohol." d. "You will not want to drink while taking disulfiram. It reduces the cravings."
a
The client is 6-year-old who has been diagnosed with autism spectrum disorder. Which symptom would the client display? a. The client spends time alone with little interest in making friends. b. The client becomes overly attached to those around the client. c. The client has multiple motor tics and several vocal tics. d. The client has an irresistible urge to pull out the client's own hair.
b
Which nursing diagnosis would be most difficult to successfully resolve in a client who had anorexia nervosa? a. Social isolation b. Disturbed body image c. Imbalanced nutrition—less than body requirements d. Deficient knowledge (nutritious eating patterns)
a
The family members of a client with somatic symptom illness report to the nurse that every time they invite the client to join in an activity the client declines, saying things like, "I wish I could, but I feel so terrible." Which approach should the nurse suggest to encourage activity? a. "I know this is difficult, but exercise is important. It will be a short walk." b. "You are fine, the doctor said so. Let's go." c. "What does your pain feel like right now?" d. "I'll let you rest. Let me know when you feel better."
c
The female client tells the nurse that she has not had interest in sexual relations with her partner since she learned she is pregnant. Which type of sexual response is the client exhibiting? a. Cultural expections b. Lack of information c. Intrusive thoughts d. Religious doubts
c
The mother of a 6-year-old boy reports that the child has had increasing somatic complaints that have no physical basis and disappear when he is allowed to remain home from school. The nurse should suspect what? a. The child has ADHD. b. The child has a developmental disorder. c. The child has a school phobia. d. The child has oppositional defiant disorder.
a
The nurse has been teaching a client about bulimia. Which statement by the client indicates that the education has been effective? a. "I'll eat small meals and snacks regularly." b. "I'll take my medication when I feel the urge to binge." c. "I know if I eat pasta, I'll binge." d. "How I feel about my body has little to do with my binging."
c
The nurse has read in a young adult client's medical record that he sought care related to gender dysphoria. The nurse should recognize what implication of this statement? a. The client is more sexually attracted to men than women b. The client has expressed interest in sex reassignment surgery c. The client identifies more closely with being female than male d. The client experiences intense guilt and shame around his sexuality
a
The nurse is caring for an adolescent female who reports amenorrhea, weight loss, and depression. Which additional assessment finding would suggest that the woman has an eating disorder? a. Excessive exercise b. Wearing tight-fitting clothing c. Moist skin d. Tachycardia
b
The nurse is seeing a Chinese client who reports chronic pain that radiates to the lower back. The client reports the pain has been unresolved with analgesia, physical therapy and therapeutic massage. The client's diagnostic imaging reports are all unremarkable. Which statement by the nurse would be the most supportive response to this client? a. "Is it common in your culture to talk about psychological distress like it is physical pain?" b. "You must be so frustrated with this unexplained pain. Do you have other stresses in your life too? c. "It would be best for your to see a specialist until the underlying issue is properly diagnosed." d. "The treatment that was recommended to you has worked for many clients. It is supported by research."
a
The nurse is teaching a client with bulimia to use self-monitoring techniques. Which statement by the client would let the nurse know that this has been effective? a. "I am learning to recognize events and emotions that trigger my binges and am working on responses other than binging and purging." b. "I am beginning to understand how my lack of self-control is hurting me." c. "I am keeping a record of everything I eat and how I am feeling every day." d. "I am getting more comfortable confronting people when I have conflict with them."
d
The nurse understands that when working with a child with a disruptive behavior disorder, the family must be included in the care. Which is one of the best ways the nurse can advocate for the child? a. Interpret the child's thoughts and feelings to the parent. b. Reinforce the parents' expectations of the child's behavior. c. Support transferring the child to a healthy living environment. d. Teach the parents age-appropriate expectations of the child.
a
The nursing student learning about sexual disorders demonstrates understanding when identifying biosexual identity to mean which of the following? a. Anatomic physiologic state of being male or female b. Outward expression of gender c. Conviction of belonging to a male or female gender d. A person's sexual attraction to those of the opposite sex
a
Treatment of eating disorders often combines psychotherapy and psychopharmacology. Which classes of medications can be used to treat eating disorders? a. Antidepressants b. Stimulants c. Mood stabilizers d. Antipsychotics
b
Wernick-Korsakoff syndrome is a neurologic condition that can result from heavy drinking. Which of the following medications is used to prevent Wernicke-Korsakoff syndrome? a. Cyanocabalamin (vitamin B12) b. Thiamine (vitamin B1) c. Lorazepam (Ativan) d. Folic acid (Folate)
c
What behavior is likely a result of an adolescent's attempt to manage the effects of over-productive parenting? a. compulsively washing his or her hands b. socially withdrawing c. engaging in severe dieting d. becoming sexually promiscuous
d
When a client repeatedly vocalizes an obscene phrase and imitates the motions of a staff member, the nurse documents that the client is most likely exhibiting symptoms of what disorder? a. Autism spectrum disorder b. Mixed receptive-expressive language disorder c. Phonological disorder d. Tourette's syndrome
a
When assessing a client with somatic symptom disorder, which would the nurse most likely note? a. Reports of physical symptoms do not have a demonstrable organic basis to fully account for them. b. The client willfully controls the physical symptoms. c. Denial and repression are the chief defense mechanisms used. d. The client's symptoms are under the conscious control of the client.
a c d
When assisting the parents of a child diagnosed with ADHD, which of the following would the nurse suggest? Select all that apply. a. Set clear limits with consequences b. Let him work on several things at once c. Keep to regular routines d. Maintain a calm environment e. Provide extensive explanations
d
When describing somatic symptom disorder to a group of nurses, which would the nurse include as a significant obstacle in providing psychiatric care for clients with that disorder? a. There are no known successful treatments for this disorder. b. Clients find it difficult to go to a clinic setting. c. Clients are often unrecognized because clients seek out multiple care providers and care is often fragmented. d. Clients are often embarrassed about the number and extent of their physical complaints.
a
When describing the course of illness associated with somatic symptom disorder, which would the nurse include? a. The client will report going to many different providers without satisfaction. b. The client readily discusses feelings and expresses needs verbally. c. The client avoids playing the sick role and resists medical attention. d. The client will often minimize the medical history.
c
When discussing methadone treatment with a client, the nurse should include what? a. It takes 1 to 2 years to cure an opiate addict. b. The cure rate is extremely high. c. It decreases the severity of heroin withdrawal symptoms. d. It is a nonaddictive treatment.
c
When educating a client on insomnia, which of the following would the nurse include? a. More men than women have problems with insomnia. b. Most individuals with insomnia have a psychiatric disorder. c. One of the major reasons for insomnia is depression. d. Increasing age is a factor that helps reduce the risk for insomnia.
a
When teaching the parents of a child with attention deficit hyperactivity disorder (ADHD), which of the following statements by the parents would indicate the need for further teaching? a. "We'll have him do his homework at the kitchen table with his brothers and sisters." b. "We'll make sure he completes one task before going on to another." c. "We'll set up rules with specific times for eating, sleeping, and playing." d. "We'll use simple, clear directions and instructions."
c
When teaching the parents of a child with attention deficit hyperactivity disorder (ADHD), which statement by the parents would indicate the need for further teaching? a. "We'll use simple, clear directions and instructions." b. "We'll make sure the child completes one task before going on to another." c. "We'll have the child do homework at the kitchen table with the child's siblings." d. "We'll set up rules with specific times for eating, sleeping, and playing."
a
When working with the family of a client with anorexia nervosa, which issue must be addressed? a. Control b. Codependence c. Sexual identity d. Self-discipline
b
When working with the parents of child with severe separation anxiety disorder, the nurse may need to include teaching about which class of medications? a. Benzodiazepines b. SSRIs c. Stimulants d. Antipsychotics
b
Which assessment question best asks about sexual dysfunction and quality of the relationship with a client and client's partner? a. "Do you get along well sexually with your partner?" b. "How would you describe you and your partner's sexual relationship? c. "What is the best part of your relationship with your partner?" d. "Would your partner describe your sexual relationship as positive or negative?"
c
Which best describes the concept of somatization? a. Physical symptoms that are all in one's head b. Psychological origin of illness that is not real c. Manifestation of physical symptoms from psychological distress d. Symptoms that cannot be substantiated by physicians
b
Which client is exhibiting the effects of alcohol tolerance? a. A 66-year-old who has been admitted to the emergency department with apparent delirium tremens b. A 22-year-old who now drinks nine or ten drinks in order to get the same effect that the client used to get from drinking a six pack c. A 28-year-old who is experiencing the signs and symptoms of alcohol withdrawal d. A 59-year-old whose recent CT scan reveals the presence of Wernicke's encephalopathy
a
Which intervention assists the nurse to gain rapport with the child and parent? a. Greet the child in friendly, personal way. b. Introduce child and caregiver to staff. c. Discuss the history with the caregiver. d. Give paperwork to caregiver to complete.
c
Which of the following statements about sleepwalking is most accurate? a. Sleepwalking is usually treated through pharmacotherapy. b. The disorder is commonly linked to substance abuse. c. Individuals who are sleepwalking are typically confused if awakened. d. Sleepwalking is an indicator of a more serious psychiatric-mental health disorder.
b
Which of the following statements about somatic symptom disorder is most accurate? a. The disorder is usually diagnosed during middle age. b. The disorder manifests differently in different populations. c. Symptoms of the disorder in children usually involve joint pain. d. The disorder is rare among most populations.
c
Which of the following terms describes a lack of clear role boundaries? a. Empathy b. Satiety c. Enmeshment d. Autonomy
a
Which statement best describes sexual dysfunction? a. A variety of disorders with significant disturbances in a person's ability to respond sexually or experience sexual pleasure b. A group of sexual dysfunctions a person is born with and categorized as mild, moderate, or severe c. A one-time event of achieving orgasm in a male or female d. Reoccurring sexual disturbances that impact the daily functioning of an individual
c
Which statement most accurately describes the etiology of substance-related disorders? a. The primary predictors of substance-related disorders are childhood trauma and parental abuse or neglect. b. Substance abuse is a learned behavior. c. Substance-related disorders are primarily a result of the presence of an individual's inherently addictive personality. d. Substance-related disorders result from the interplay of biologic, genetic, and psychosocial factors.
d
Which type of paraphilia is characterized by deriving sexual pleasure from looking at unsuspecting people who are naked, undressing, or engaged in sexual activity? a. Pedophilia b. Frotteurism c. Bestiality d. Voyeurism
a
While assessing the family dynamics of a client with an eating disorder, which does the nurse most likely discover? a. Overcontrolling parents b. Supportive and encouraging relationships c. Lack of interest in the client by other family members d. Multiple siblings
b
While at a nightclub, an adolescent male consumed a pill handed to him by a friend. His friends brought him to the emergency room after he collapsed at the club. When the nurse takes his temperature, a reading of 105°F is obtained. The pill was most likely which of the following? a. Cannabis b. MDMA (ecstasy) c. Methamphetamine d. Cocaine