mental health final prep

Question 93 1 / 1 pts A nurse in a pediatric clinic is caring for a preschool-age child who has a new diagnosis of attention deficity hyperactivity disorder (ADHD). When teaching the parent about this disorder, which statement should the nurse include in the teaching? "Because of this disorder, your child is at an increased risk for injury." "This disorder is characterized by argumentativeness." "Below-average intellectural functioning is associated with ADHD." "Behaviors associated with ADHD are present prior to age 3."

"Because of this disorder, your child is at an increased risk for injury." Inattentive or impulsive behavior increases the risk for injury in a child with ADHD. The correct statement for nurse to include would be "because of this disorder, your child is at an increased risk for injury."

Question 49 1 / 1 pts A nurse is caring for a patient who has bipolar disorder. The patient states, "I am very rich, and I feel I must give my money to you." Which response should the nurse make? 'I can request that your case manager discuss appropriate charity options with you." "Why do you think you feel the need to give money away?" "You should know that giving away your money is inappropriate." "I am here to provide care and cannot accept this from you."

"I am here to provide care and cannot accept this from you." The correct statement is "I am here to provide care and cannot accept this from you." This statement is matter of fact and concise and is a therapeutic response to a patient who has bipolar disorder.

Question 72 1 / 1 pts A nurse at the mental health clinic is assessing a patient experiencing hypomania who wants to stop her mood stabilizing medication because she is "feeling good", has a high energy level, and thinks she is productive at work. Which response by the nurse is most appropriate? "Why don't you cut your medication dosage in half for a while and see how you respond." "Maybe you really don't need your medication anymore." "If you stop your medication, your behavior will quickly spiral out of control." "I believe you were hospitalized the last time you stopped your medication."

"I believe you were hospitalized the last time you stopped your medication." Reminding the patient of past consequences of stopping the medication may help her realize the risks of stopping the medication again. The past nurses remark is "I believe you were hospitalized the last time you stopped your medication".

Question 22 1 / 1 pts A nurse is providing teaching to a patient who has a new prescription for amitriptyline (Elavil). Which statement by the patient indicates understanding of the teaching? "This medication will help me lose the weight that I have gained over the last year?" "I may feel drowsy for a few weeks after starting this medication." "While taking this medication, I'll need to stay out of the sun to avoid a skin rash." "I cannot eat my favorite pizza with pepperoni while taking this medication."

"I may feel drowsy for a few weeks after starting this medication." Sedation is an adverse effect of amitriptyline (Elavil) during the first few weeks of therapy.

Question 52 1 / 1 pts A nurse is assessing a patient diagnosed with paranoid schizophrenia for the presence of hallucinations. Which therapeutic communication technique used by the nurse is an example of "making observations"? "I understand that you see someone in the hall, but I do not see anyone." "Please tell me what they are telling you." "Why do you continually look at the wall?" "I notice that you are talking to someone who I do not see."

"I notice that you are talking to someone who I do not see." The nurse is using the communication technique of making an observation when stating, "I notice that you are talking to someone that I do not see." Making observations involves verbalizing what is observed or perceived. This encourages the patient to recognize specific behaviors and make comparisons with the nurse's perceptions.

Question 67 1 / 1 pts A patient has been attending Alcoholics Annoymous (AA) meetings as part of the recovery process. Which patient statement would indicate a realistic view of AA;s goal for patient recovery? "If I wasn't monitored by my sponsor, I wouldn't be able to maintain sobriety." "I really am glad the professional leader of this group is working with me." "I realize that drinking hurts my family. AA meetings will promote my sobriety." "I have lost my job and may not be able to afford attending AA meetings."

"I realize that drinking hurts my family. AA meetings will promote my sobriety." Recognition of and motivation to maintain sobriety is the goal of Alcoholics Annoymous. The patient is verbalizing recognition of problems with alcohol use and realizes that a support group will enhance advances of recovery and sobriety.

Question 23 1 / 1 pts A patient on an inpatient psychiatric unit has been prescribed tranylcypromine (Parnate) 30 mg daily. Which patient statement regarding foods indicate that discharge teaching has been successful? "I can't wait to order liver and fava beans with a nice Chianti!" "I'm craving a hamburger with lettuce and onion, potato chips, and milk." "For lunch tomorrow, I'm having bologna and cheese, a banana, and a cola." "Chicken teriyaki with soy sauce, apple sauce, and tea sounds good."

"I'm craving a hamburger with lettuce and onion, potato chips, and milk." All of the foods chosen in the meal of hamburger with lettuce and onion, potato chips, and milk are safe to ingest when taking a monamine oxidase inhibitor (MAOI). Parnate is a MAOI. This indicates that discharge teaching has been successful.

Question 59 1 / 1 pts An instructor is teaching students about patients diagnosed with borderline personality disorder. Which student statement indicate that further instruction is needed? "Individuals read hidden threatening meanings into benign remarks." "Individuals manifest an inability to integrate and accept both positive and negative feelings." "Individuals always seem to be in a state of crisis." "Individuals have little tolerance for being alone and have chronic fear of abandonment."

"Individuals have little tolerance for being alone and have chronic fear of abandonment." An individual diagnosed with paranoid, not borderline personality disorder might read hidden threatening meanings into benign remarks. This student statement indicates that further instruction is needed.

Question 70 1 / 1 pts A suicidal patient says to a nurse, "There's nothing to live for anymore." Which is the most appropriate nursing reply? "It sounds like you are feeling pretty hopeless". "Let's discuss the negative aspects of your life". "Why don't you consider doing volunteer work in a homeless shelter". "Things will look better in the morning".

"It sounds like you are feeling pretty hopeless". The statement, "It sounds like you are feeling pretty hopeless", verbalizes the patient's implied feelings and allows him to validate and explore them.

Question 42 1 / 1 pts A nurse is caring for a patient who has acute stress disorder and is experiencing severe anxiety. Which statement should the nurse make? "Why do you believe you are experiencing anxiety?" "You should focus on the positive things in your life to decrease your anxiety." "Let's discuss the medications your provider is prescribing to decrease your anxiety." "Tell me about how you are feeling right now."

"Tell me about how you are feeling right now." The statement "Tell me about how you are feeling right now." is an open ended statement which is therapeutic and assists in identifying the anxiety

Question 47 1 / 1 pts A charge nurse is discussing the care of a patient who has major depressive disorder (MDD) with a newly licensed nurse. Which statement by the newly licensed nurse indicates an understanding of the teaching? "Medication and psychotherapy are not the most effective during the acute phase of MDD." "The patient is at greatest risk for suicide during the first weeks of a MDD episode." "Care during the continuation phase focuses on treating continued manifestations of MDD." "The treatment of MDD during the maintenance phase lasts for 4 to 12 weeks."

"The patient is at greatest risk for suicide during the first weeks of a MDD episode."

Question 54 1 / 1 pts A patient diagnosed with schizophrenia states, "Look, color, hate me, get away, yes, yes." Which is an appropriate charting entry to describe this patient's statement? "The patient is experiencing command hallucinations." "The patient is experiencing a delusion of control." "The patient is verbalizing a word salad." "The patient is verbalizing a neologism."

"The patient is verbalizing a word salad." The nurse should chart that the patient is verbalizing a word salad. A word salad refers to a group of words that are put together randomly without any logical connection.

Question 65 1 / 1 pts A patient who is going through alcohol detoxification states, "I see bugs crawling on the wall." Which is the best nursing response? "There are no bugs on the wall. I'll stay with you until you feel less anxious." "You are hallucinating. You do not see any bugs on the wall." "I'll remove the bugs from the wall." "You are confused because of your alcohol addiction"

"There are no bugs on the wall. I'll stay with you until you feel less anxious." The statement, "There are no bugs on the wall. I"ll stay with you until you feel less anxious." presents objective reality and may help decrease the patient's anxiety by the nurse's therapeutic offering of self.

Question 39 1 / 1 pts A nurse is evaluating a patient's understanding of a new prescription for clonidine (Catapres) for the treatment of opioid use disorder. Which statement by the patient indicates an understanding of the teaching? "I can expect some diarrhea from taking this medication." "Each dose of this medication would be placed under my tongue to dissolve." "While taking this medication, I should keep a pack of sugarless gum." "Taking this medication will decrease my craving for heroin."

"While taking this medication, I should keep a pack of sugarless gum." Clonidine commonly causes patients to experience dry mouth. Chewing sugarless gum is an effective method to address the adverse effect.

Question 6 1 / 1 pts The nurse understands that empathy is essential to the therapeutic relationship. When a patient makes the statement, "I am just devastated that my marriage is falling apart"; the nurse can best show empathy through which response? "It will get better; let's talk about it." "You feel like your world is falling apart now." "I feel so bad for what you are going through." "I have been divorced, too. I know how hard it is."

"You feel like your world is falling apart now." The best response to a patient needing empathy would be for the nurse to state, "You feel like your world is falling apart right now."

Question 37 1 / 1 pts A patient is caring for a patient who lost his mother to cancer last month. The patient states, "I'd still have my mother if the doctor would have diagnosed her sooner." Which response should the nurse make? "You sound angry. Anger is a normal feeling associated with loss." "Do other members of your family also feel this way? "I think you would feel better if you talked about your feelings with a support group." "I understand just how you feel. I felt the same when my mother died."

"You sound angry. Anger is a normal feeling associated with loss." A therapeutic response is, "You sound angry. Anger is a normal feeling associated with loss." This response acknowledges the patient's emotion and provides education on the normal grief response.

Question 95 1 / 1 pts A nurse is conducting group therapy with a group of patients. Which statement made by a patient is an example of aggressive communication? "I wish you would make me angry." "You'd better listen to me." "It makes me angry when you interrupt me." "I feel angry when you leave me."

"You'd better listen to me." The aggressive communication is, "You'd better listen to me." This statement implies a threat and lack of respect for another individual.

Question 32 1 / 1 pts The nurse has been ordered to give haloperidol (Haldol) 4mg intramuscularly (IM) STAT. The dosage on hand is Haldol 10 mg/2ml. How many ml. will the nurse give? 1.0 ml 0.4 ml 0.5 ml 0.8 ml

0.8 ml Dosage to be given is 0.8 ml. 4 mg divided by 10 mg multiplied by 2 ml = 0.8 ml.

Question 34 1 / 1 pts The physician has ordered lorazepam (Ativan) 4 mg intramuscular (IM) STAT for a patient in a restless state. The dosage available is Ativan 2 mg/1ml. How much should the nurse administer? 2 ml 2.5 ml 1.5 ml 1 ml.

2 ml The dosage to be administered is 2ml. 4 mg divided by 2 mg multiplied by 1 ml. is = to 2 ml.

Question 33 1 / 1 pts The physician has ordered paroxetine (Paxil) 20 mg po every day. The dose on hand is Paxil 10 mg per tablet. How many tablets will the nurse administer? 1 tablet 2 tablets 2.5 tablets 1.5 tablets

2 tablets Dosage to be given is 2 tablets. 20 mg divided by 10 mg is equal to 2.

Question 26 1 / 1 pts A patient prescribed lithium carbonate (LIthobid) 300 mg twice daily 3 months ago comes to the emergency department with severe diarrhea, drowsiness, and lack of coordination. Which lithium level should the nurse expect? 1.4 mEq/L 0.8 mEq/L 1.2 mEq/L 2.0 mEq/L

2.0 mEq/L The lithium level of 2.0 mEq/L is a toxic level with symptoms of severe diarrhea, vomiting, drowsiness, muscle weakness, and lack of coordination. NORMAL RANGE IS 0.5 - 1.5

Question 5 1 / 1 pts A patient begins to accept responsibility for their self and life. The nurse assesses that this patient is in which Erickson's developmental stages? Identity versus role confusion Generativity versus stagnation Integrity versus despair Industry versus inferiority

Integrity versus despair Integrity versus despair is Erickson's developmental stage is where the task is accepting responsibility for person's self and life.

Question 9 1 / 1 pts The patient expresses frustration that the doctor does not spend enough time with her when making rounds. The nurse replies, "The doctors are very busy. What can I help you with?" The nurse incorporated which nontherapeutic communication technique in this response? Introducing an unrelated topic Defending Disagreeing Belittling

Defending The nurse when stating the doctors are very busy is using the nontherapeutic communication technique of defending.

Question 75 1 / 1 pts The nurse is aware that which fictitious disorder fabricates symptoms to obtain medical attention and secondary gains? Dissociative identity disorder Munchasen disorder Dissociative fugue Illness anxiety disorder

Munchasen disorder Munchausen disorder is a factitious disorder in which an individual fabricates symptoms to obtain medical attention and secondary gains

Question 79 1 / 1 pts The nurse is aware that which is a mental state characterized by a disturbence of cognition, which is manifested by confusion, excitement, disorientation, and a clouding of consciousness? Delirium Dissociation Dementia Amnesia

Delirium Delirium is a mental state characterized by a disturbance of cognition that is manifested by confusion, excitment, disorientation, and a clouding of conciousness. Hallucinations and illusions are common. There is a disturbance in the level of awareness and a change in cognition that develops rapidly over a short period.

Question 18 1 / 1 pts Which slient situation most urgently requires the nurse to break confidentiality and warn a third party? A jealous man states, "I am getting my gun and going to shoot my wife's lover!" An abused woman states, "I have dreams that he is dead." A mother states, "Sometimes I feel like killing my kids!" A paranoid woman states, "I'll get them before they get me."

A jealous man states, "I am getting my gun and going to shoot my wife's lover!" In legal situations, the need to warn a third party is when someone states they will kill someone and has a plan with means to do so. A jealous man states, "I am getting my gun and going to shout my wife's lover!"

Question 28 1 / 1 pts A nurse has received a patient's white blood cell count (WBC) result. Which patient was most likely to have had this blood work ordered? A patient diagnosed with schizophrenia prescribed haloperidol (Haldol). A patient diagnosed with schizophrenia prescribed clozapine (Clozaril). A patient diagnosed with schizophrenia prescribed risperidone (Risperdol). A patient diagnosed with schizophrenia prescribed aripiprazole (Abilify).

A patient diagnosed with schizophrenia prescribed clozapine (Clozaril). Clozapine can have a serisour side effect of agranulocytosis, in which a potentially fatal drop in white blood cells can occur. It is appropriate to monitor white blood cell count on patients receiving this medication.

Question 29 1 / 1 pts What is the nurse concerned about with a child who is prescribed a stimulant for attention deficit hyperactive disorder (ADHD)? Weight gain Dependence on the drug Growth suppression Insomnia

Growth suppression A child who is taking a stimulant for ADHD may have growth suppression which should be a concern for the nurse.

Question 83 1 / 1 pts A newly admitted patient has been prescribed 10 mg of donepezil (Aricept) for the symptoms of Alzheimer's disease. Which nursing action takes priority to the care of the patient? Keep explanations simple. Assess for extrapyramidal symptoms. Assist with ambulation and encourage gradual changes to position. Frequently orient the patient to objective reality.

Assist with ambulation and encourage gradual changes to position. Because one of the side effects of donepezil (Aricept) is dizziness, priority must be given to assisting with ambulation and encouraging gradual changes in position to avoid patient injury. Patient safety is always prioritized.

Question 40 1 / 1 pts A nurse observes a patient who has obsessive compulsive disorder (OCD) repeatedly applying, removing, and then reapplying make up. The nurse identifies that repetitive behavior in a patient who had OCD is due to which underlying reason? Fear of rejection from staff Attempt to reduce anxiety Narcissistic behavior Adverse effect of antidepressant medication

Attempt to reduce anxiety Patients who have OCD demonstrate repetitive behavior in an attempt to suppress persistent thoughts or urges that causes anxiety.

Question 38 1 / 1 pts A patient has recently been diagnosed with terminal pancreatic cancer. The patient states to the nurse, "I am praying that God just lets me make it to my grandsons high school graduation." The nurse is aware that this patient is in what Kubler Ross stage of grief? Depression Bargaining Denial Anger

Bargaining Bargaining occurs when the person asks God or fate for more time to delay the inevitable loss.

Question 99 1 / 1 pts Which agent would be helpful in alleviating the physical complications associated with alcohol withdrawal? Codeine Antabuse Stimulants Benzodiazepines

Benzodiazepines Benzodiazepines are the agents used to help alleviate the physical complications associated with alcohol withdrawal.

Question 27 1 / 1 pts A nurse should recognize which medication as most effective in providing a patient immediate relief from neuroleptic induced extrapyramidal side effects (EPS)? Haloperidol (Haldol) 2 mg intramuscular (IM) Benztropine (Cogentin) 2 mg by mouth (PO) Diazepam (Valium 2 mg by mouth (PO) Lorazepam (Ativan) 1 mg by mouth (PO)

Benztropine (Cogentin) 2 mg by mouth (PO) The symptoms of neuroleptic induced EPS include, but are not limited to, tremors, chorea, dystonia, akinesia, and akathisia. Cognetin 1 to 4 mg given once or twice daily is the drug of choice to treat these symptoms.

Question 8 1 / 1 pts The nurse using therapeutic communication asks the patient what he would like to talk about. This is an example of which technique? Offering self Broad opening Focusing Encouraging expression

Broad opening When the nurse asks the patient what they would like to talk about, the nurse is using a broad opening communication technique.

Question 68 1 / 1 pts A hospitalized patient with a history of alcohol abuse tells the nurse, "I am leaving now. I have to go. I don't want any more treatment. I have things that I have to do right away." The patient has not been discharged and is scheduled for an important diagnostic test to be performed in one hour. After the nurse discusses the patient's concerns with the patient, the patient dresses and begins to walk out of the hospital room. What action should the nurse take? Call the nursing supervisor. Call security to block all exit areas. Tell the patient that the patient cannot retun to this hospital again if the patient leaves now. Restrain the patient until healthcare provider can be contacted.

Call the nursing supervisor. Most health care facilities have documents that the patient is asked to sign relating to the patient responsibilities when the patient lives against medical advice. The patient should be asked to wait and speak to the health care provider before leaving and sign the "against medical advice" document before leaving. If the patient refused to do so, the nurse cannot hold the patient against the patient's will. Therefore, in this situation, the nurse should call the nursing supervisor.

Question 13 1 / 1 pts The patient stated, "I was so upset about my sister ignoring me when I was talking about being ashamed." Which nontherapeutic communication technique would the nurse be using if the nurse would state, "How are your stress reduction classes going?" Offering advise Changing the subject Challenging Disapproving

Changing the subject The nurse in the above situation is changing the subject which is a nontherapeutic communication technique.

Question 97 1 / 1 pts The nurse is providing counseling to patients diagnosed with major depressive disorder. The nurse chooses to assess and attempt to modify the negative thought patterns of these patients. The nurse is functioning under which theoretical framework? Cognitive theory Psychoanalytic theory Behavioral theory Interpersonal theory

Cognitive theory The nurse when assessing and attempting to modify negative thought patterns of patients is using cognitive theory.

Question 88 1 / 1 pts A sexually assaulted female has been treated in the ED for multiple cuts and abrasions. Now, in an attempt to calm and comfort this frightened patient, which nursing intervention would take priority? Communicate to the patient that she is safe at this time. Communicate to the patient that you are glad she survived. Communicate to the patient that it was not her fault. Communicate to the patient that you are sorry it happened.

Communicate to the patient that she is safe at this time. Once the victim's physical wounds are treated, communicating to the patient that she is safe is the priority nursing intervention. Unless this frightened victim is assured of her safety, all other interventions will have little of no value.

Question 81 1 / 1 pts A nurse is administering a mental status examination to assess for a neurocognitive disorder. What cognitive function is being tested when the nurse asks the patient to point to the ceiling? New learning ability Orientation Comprehension Paired associate learning

Comprehension Comprehension is the action or capability of understanding. If the patient can follow the directions the nurse provides, it indicates understanding and demonstrates intact comprehension.

Question 55 1 / 1 pts During an admission assessment, a nurse asks a patient diagnosed with schizophrenia, "Have you ever felt that the television or newspapers are sending you special messages?" The nurse is assessing for which type of thought disruption? Delusions of influence Delusions of grandeur Delusions of reference Delusions of persecution

Delusions of reference The nurse in the question is assessing the patient for delusions of reference when asking whether the patient has ever felt that the television or newspapers are sending them special messages.

Question 30 1 / 1 pts A nurse is assessing a patient 4 hour after receiving an initial dose of fluoxetine (Prozac). Which finding should the nurse report to the provider as indication of serotonin syndrome? Bradycardia Diaphoresis Hypothermia Hypertension

Diaphoresis Diaphoresis is sweating which is a sign of serotonin syndrome and should be reported to the health care provider.

Question 20 1 / 1 pts A patient with generalized anxiety disorder has been given a prescription for diazepam (Valium). What teaching should be provided regarding this medication to the patient? Diazepam (Valium) has a lower risk for dependency than other antianxiety medications. Three to six weeks of treatment is required to achieve therapeutic benefit. Diazepam (Valium) strongly potentiates the effects of alcohol. A patient is able to stop the drug when starting to feel less anxious.

Diazepam (Valium) strongly potentiates the effects of alcohol. Benzodiazepines strongly potentiate the effects of alcohol. One drink may have the effect of three drinks. Diazepam (Valium) is a benzodiazepine.

Question 31 1 / 1 pts The patient who has come to the emergency room with high fever, confusion, and rigidity. During the nursing interview, the patient's family informs the nurse that the patient has been taking resperidone (Resperdal) 4 mg per day for 2 weeks. The lab work shows an elevated level of creatine phosphokinase. What should be the first action of the nurse? Continue antipsychotic medication and treat dehydration. Discontinue the antipsychotic medication immediately and notify provider. Administer fluids and Tylenol for fever. Allow patient's caregiver to treat fever with Tylenol at home.

Discontinue the antipsychotic medication immediately and notify provider. The patient who has been on an antipsychotic for 2 weeks and developed symptoms of high fever, confusion, and rigidity with an increased lab value of creatine phosphokinase is having neuroleptic malignant syndrome. The nurse should immediately discontinue all antipshycotics and call the provider.

Question 17 1 / 1 pts What would best assess a patient's judgment? Discussing hypothetical situation Interpreting proverbs Counting by serial sevens Selling words backwords

Discussing hypothetical situation To best assess a patient's judgment then the nurse would discuss a hypothetical situation.

Question 50 1 / 1 pts A family describes a patient diagnosed with bipolar disorder as being "on the move". The patient sleeps 3 to 4 hours nightly, spends excessively, and has recently lost 10 pounds. During the initial patient assessment, which patient response would the nurse expect? Feelings of helplessness and hopelessness Short, polite responses to interview questions Disorganized thinking and the inability to remain seated. Introspection related to present situation

Disorganized thinking and the inability to remain seated. In the manic phase of bipolar disorder, the patient experiences hyperactivity, restlessness, and flight of ideas. This could cause the patient to have difficulty remaining seated and have problems organizing his or her thoughts.

Question 53 1 / 1 pts A patient states, "I can't go into my bathroom because I saw a demon in the tub." Which nursing diagnosis reflects this patient's problem? Ineffective health mainenance Disturbed sensory perception Self-care deficit Impaired verbal communication

Disturbed sensory perception Disturbed sensory perception is defined as a change in the amount or patterning of incoming stimuli (either internally or externally initiated), accompanied by a diminished, exaggerated, distorted, or impaired response to such stimuli. the patient's statement in the question indicates the patient is experiencing a visual hallucination, which is an example of a distrubed sensory perception.

Question 89 1 / 1 pts Which situation would a nurse evaluate as an example of a maturational/developmental crisis? A woman is overwhelmed after the birth of her first child and begins to complain to a health-care practitioner of numerous physical symptoms. A patient with dependency and severe attachment problems suffers frequent panic attacks after the sudden death of her father. After being passed over for the rank of major for the second time, an Air Force pilot comes home and becomes physically violent with his wife and children. Dominated by her father since childhood, a patient becomes severely hyperactive and violent whenever her husband is directive and demanding.

Dominated by her father since childhood, a patient becomes severely hyperactive and violent whenever her husband is directive and demanding. A maturational/develpmental crisis occurs in response to situations that trigger emotions related to unresolved conflicts in one's life. The correct answer is dominated by her father since childhood, a patient becomes severely hyperactive and violent whenever her husband is directive and demanding. The situation presented in the answer choice is reflective of a maturational/developmental crisis.

Question 90 1 / 1 pts Which nursing action is inappropriate during a crisis situation? Guiding the patient to appropriate resources. Creating a highly structured environment for the patient. Encouraging independent thinking to promote insight. Taking an active role in problem solving and making decisions for the patient.

Encouraging independent thinking to promote insight. Because of increased anxiety, the individual in crisis is unable to problem solve, so the nurse must take an active role in problem solving and decision making for the patient. It would be inappropriate for the nurse to encourage independent thinking to promote insight.

Question 12 1 / 1 pts A patient states, "Right before I got here I was doing all right. My job was going well, my wife and I were happy, and we just moved into a new apartment." The nurse responds, "You said you and your wife were happy. Tell me more about that." This is an example of which therapeutic technique? Introjection General lead Encouraging comparison Exploring

Exploring The therapeutic technique that seeks more information from the patient is called exploring.

Question 2 1 / 1 pts A nurse decides to put a patient who has a psychotic disorder in seclusion for overnight because the unit is understaffed and this patient frequently fights with other patients on the unit. This nurse's action is an example of which tort? False imprisonment Invsion of privacy Assault Battery

False imprisonment A civil wrong occurs when a patient's civil rights has been violated and is a tort. In this case, false imprisonment is when a patient has been put in seclusion in a specific area.

Question 16 1 / 1 pts A patient is showing no facial expression when engaging in a game with peers during an outing at a park. The nurse uses which term when documenting the patient's affect? Absent affect Flat affect Restricted affect Broad affect

Flat affect When a patient shows no facial expression then the nurse would document flat affect.

Question 35 1 / 1 pts A patient is being discharged from the psychiatric hospital after being treated for substance abuse with alcohol. The physician has ordered disulfram (Antabuse) to be used as a deterrant to drinking. What should the nurse instruct this patient regarding what symptoms will occur if they ever take in alcohol? Chest pain, hallucinations, flatulence, and pruritis Headache, nausea, vomiting, dizziness, and weakness Diarrhea, hypertension, sweating, and abdomen pain Fever, agitation, hypertension, and diaphoresis

Headache, nausea, vomiting, dizziness, and weakness After a person who is taking Antabuse takes a drink of alcohol, they will experience headache, nausea, vomiting, dizziness, and weakness

Question 21 1 / 1 pts A nurse working in an emergency department is caring for a patient who has benzodiazepine toxicity due to an overdose. Which is the nurse's priority? Prepare the patient for gastric lavage. Administer flumazenil. Infuse IV fluids. Identify the patient's level of orientation.

Identify the patient's level of orientation. When taking the nursing process approach to patient care, the initial step is assessment. Identifying the patient's level of orientation is the priority action.

Question 96 1 / 1 pts A nurse in an outpatient mental health clinic is preparing to conduct an initial patient interview. When conducting this interview, which action should the nurse identify as the priority? Teach the patient about her current mental health disorder. Coordinate holistic care with social services. Include the patient's family in the interview. Identify the patient's perception of their mental health status.

Identify the patient's perception of their mental health status. Assessment is the priority action when using the nursing process ppraoch to patient care. Identifying the patient's perception of their mental health status provides important information about the patient's psychosocial history.

Question 10 1 / 1 pts While the nurse and patient are in a therapy session, the nurse says to the patient, "You become very anxious when we start talking about your drinking." Which technique is the nurse using? Confronting behavior Verbalizing the implied Translating in

Making an observation The statement of the nurse above is using the technique of making an observation.

Question 51 1 / 1 pts A nurse documents a patient's problem with the following nursing diagnosis: impaired social interaction. Which patient symptoms led to this conclusion? Inaccurate interpretation of the environment Disorientation Manipulation of others Increased agitation and lack of control

Manipulation of others The nursing diagnosis of impaired social interaction would document the patient's manipulation of others.

Question 78 1 / 1 pts A patient develops paralysis of the lower extremities after experiencing severe psychological trauma. Which medical intervention would the nurse expect to take priority? Consultation with physical therapy Neurological testing Individual psychotherapy Autogenic therapy

Neurological testing The initial medical intervention is to rule out any organic factors contributing to the paralysis. Neurological testing will help rule out any organic factors. Once a physical cause has been ruled out, a treatment plan can be effectively established.

Question 63 1 / 1 pts A patient suffering from anorexia nervosa has a food intake of less than 200 calories per day. Which symptom would a nurse expect the patient to exhibit? Nausea and vomiting Ravenous hunger Abnormally heavy menstruation No hunger sensation

No hunger sensation With a diagnosis of anorexia nervosa and food intake of less than 200 calories a day, hunger sensations cease.

Question 11 1 / 1 pts The nurse watches the expressions the patient is making as group therapy is conducted. Which statement about verbal and nonverbal communication skills is accurate? Verbal communication is most important because it is what the patient says. Nonverbal communication is as important, if not more than, verbal communication. One third of meaning is transmitted nonverbally and two thirds is communicated verbally. Verbal communication involves the unconscious mind.

Nonverbal communication is as important, if not more than, verbal communication. The most accurate statement about verbal and nonverbal communication is that nonverbal communication is as important, if not more than, verbal communication.

Question 73 1 / 1 pts A child with a history of violence directed at others has a diagnosis of conduct disorder (CD). Which priority nursing intervention should be implemented? Discuss with the patient the consequences of behaviors that are not acceptable. Help identify situations that provoke defensiveness and practice through role-play more appropriate responses. Set limits on manipulative behavior and administer consequences matter of factly when manipulation occurs. Observe patient's behavior frequently for signs of escalating agitation.

Observe patient's behavior frequently for signs of escalating agitation. Patient safety is always a nures's first consideration. When dealing with a patient who has a history of violence, a nurse must continually observe the patient's behavior and become aware of conduct that indicates a rise in agitation. Recognition of behaviors that precede the onset of aggression may provide the opportunity to intervene before violence occurs. This intervention above all other interventions mentioned takes priority.

Question 92 1 / 1 pts A nurse is communicating with a patient who was just admitted for treatment of a substance use disorder. Which communication technique should the nurse identify as a barrier to therapeutic communication? Listening attentively Giving information Reflecting Offering advice

Offering advice Offering advice to a patient is a barrier to therapeutic communication that the nurse should avoid using. Advise tends to interfere with the patient's ability to make personal decisions and choices.

Question 82 1 / 1 pts A patient diagnosed with neurocognitive disorder (NCD) has become aggressive toward staff and wanders continuously. Which medication would the nurse expect the physician to order to address these symptoms? Rivastigmine (Exelon) Olanzapine (Zyprexia) Galantamine (Razadyne) Donepezil (Aricept)

Olanzapine (Zyprexia) Olanzapine (Zyprexa) is an antipsychotic that would address the symptoms of agitation, aggression, hallucinations, thought disturbances, and wandering.

Question 56 1 / 1 pts Which predisposing factor would be implicated in the etiology of an avoidant personality disorder? Parental approval only when behaviors met parental expectations Parental bleakness and pervasive, unfeeling coldness Parental rejection and censure Parents were demanding and perfectionist with unrealistic expectations

Parental rejection and censure The primary psychological predisposing influence to avoidant personality disorder is parental rejection and censure which is often reinforced by peers. These children are often reared in families in which they are belittled, abandoned, and criticized.

Question 62 1 / 1 pts A patient diagnosed with bulimia nervosa has symtoms of binging, purging, abdominal discomfort, and depresssed mood. Which appropriate patient outcome should the nurse assign? Patient will be binge and purge free, have no abdominal discomfort, rate depression on a scale of 1 to 10 as a 6 by discharge. Patient will be binge and purge fee, have less abdominal discomfort, rate depression on a scale from 1 to 10 as a 6 by day 3. Patient will be binge and purge free, have no abdominal discomfort, report elevated mood by discharge. Patient will be binge and purge free, rate depression on a scale from 1 to 10 as a 6 and have less abdominal discomfort.

Patient will be binge and purge free, have no abdominal discomfort, rate depression on a scale of 1 to 10 as a 6 by discharge. A patient being binge and purge free, having no abdominal discomfort, and rating depression on a scale from 1 to 10 as a 6 by discharge is a correctly written realistic outcome. This outcome is patient centered, specific, realistic, and measurable and includes a time frame.

Question 15 1 / 1 pts During the assessment, the nurse asks the patient to describe their problems. The purpose of this question is to obtain what information? Personal needs Communication skills Perception of the problem Admitting diagnosis

Perception of the problem The purpose of asking the patient to describe their problems is to obtain information about the patient's perception of the problem.

Question 85 1 / 1 pts In writing a plan of care for a child who has been physically abused, the nurse would consider which intervention a priority? Conduct an in-depth interview with the parent of adult who accompanies the child. Determine whether the nature of the injuries warrant reporting to the authorities. Perform complete physical assessment of child. Use games kor play therapy to gain the child's trust.

Perform complete physical assessment of child. An accurate and thorough physical assessment is necessary to detect any life threatening injuries and provide needed care. This intervention prioritizes patient safety.

Question 74 1 / 1 pts Which characteristic does the nurse understand is common to all somatic symptom disorders? Pain Paranoia Delusions Physical symptoms

Physical symptoms Somatic symptom disorders are characterized by physical symptoms suggesting medical disease but with out demonstrable organic pathology. Physical symptoms are common to all somatic symptom disorders.

Question 46 1 / 1 pts A nurse working on an acute mental health unit is admitting a patient who has major depressive disorder and comorbid anxiety disorder. Which action is the nurse's priority? Assisting the patient to perform activities of daily living (ADLs). Encouraging the patient to participate in counseling. Teaching the patient about medication adverse effects. Placing the patient on one to one observation.

Placing the patient on one to one observation. A greatest risk for a patient with major depressive disorder (MDD) and comorbid anxiety is injury due to self harm. The highest priority intervention is placing patient on one to one observation.

Question 58 1 / 1 pts The nurse is aware that which ego defense mechanism is primarily used with antisocial personality disorders? Identification Suppression Displacement Projection

Projection Individuals using the primary ego defense mechanism of projection are attributing feelings or impulses unacceptable to themselves to another person. This is the primary ego defense mechanisms used for individuals diagnosed with antisocial personality disorder.

Question 4 1 / 1 pts A nursing student has decided that she failed the exam because of the teacher being mean. This student is using which defense mechanism? Identification Displacement Introjection Rationalization

Rationalization Rationalization is excusing one's own behavior to avoid guilt, accepting responsibly, conflict, anxiety, or loss of self respect. An example of rationalization is a student who blames failure on teacher being mean.

Question 43 1 / 1 pts A nurse working on a mental health unit is caring for a patient who has posttraumatic stress disorder (PTSD). Which finding should the nurse expect? Repetitive ritual behavior Diminished reflexes Recurring nightmares Obsessive need to talk about the traumatic event

Recurring nightmares A patient with PTSD has recurring nightmares or flashbacks

Question 94 1 / 1 pts A nurse is caring for a patient who is speaking in a loud voice with clenched fists. Which action should the nurse take? Request that other staff members remain close by. Move as close to this patient as possible. Walk away from the patient. Insist that the patient stop yelling.

Request that other staff members remain close by. The nurse should require that other staff members remain close by to assist if necessary. This provides a safe environment.

Question 3 1 / 1 pts The nurse is interviewing a mental health patient in the clinic. The patient states, "I was ordered by court to go to the alcoholic anonymous (AA) meeting, however I will not participate." The nurse recognizes that this patient is using which defense mechanism? Denial Rationalization Resistance . Suppression

Resistance Resistance is the overt or covert antagonism toward remembering or processing anxiety producing information. Person attends court ordered treatment for alcoholism but refuses to participate.

Question 87 1 / 1 pts After a female victim of battering has been medically treated and advised of available resources, the victim decides to return to the marriage and home. Which appropriate plan of action should the nurse pursue? Enroll the patient in a victim/victimizer support group. Make an immediate referral to a domestic violence therapist. Respect the victim's decision to return to her marriage and husband. Notify the Family Violence Law Center of this patient's decision.

Respect the victim's decision to return to her marriage and husband. The battered victim must be made aware of the variety of resources that are available. These may include crisis hot lines, community groups for victims who have been abused, shelters, counseling services, and information regarding the victim's rights in the civil and criminal justice system. After a discussion of these available resources, the victim may choose for herself. If her decision is to return to the marriage and home, this choice needs to be respected.

Question 66 1 / 1 pts Which is the primary nursing diagnosis for a patient experiencing cocaine intoxication? Chronic low self-esteem Dysfunctional grieving Risk for altered cardiac perfusion Ineffective denial

Risk for altered cardiac perfusion Central nervous stimulants, such as cocaine, can induce increased systolic and diastolic blood pressure, increased heart rate, and cardiac arrhythmias. Cocaine intoxication also typically produces an increase in myocardial demand for oxygen. These effects on the heart put a patient experiencing cocaine intoxication at risk for altered cardiac perfusion.

Question 86 1 / 1 pts A timid 4-year-old child has recently been hospitalized with unexplained bruises, burns, and welts on back, buttocks, and legs. Which priority nursing diagnosis would the nurse assign to this child? Risk for self-mutilation Risk for other-directed violence Risk for delayed development Risk for suicide

Risk for delayed development If there has been a pattern of abuse associated with this child's injuries, the child is at risk for delayed development. Compared with the other nursing diagnoes presented, risk for delayed development would be the first concern and the priority nursing diagnosis.

Question 36 1 / 1 pts What symptoms give clues to a nurse that a patient may be grieving a loss? Complaints of abdominal pain, diarrhea, and loss of appetite Sad affect, anger, anxiety, and sudden changes in mood Delusions, restlessness, severe anxiety, and sense of dread Hallucinations, panic level of anxiety, and sense of impending doom

Sad affect, anger, anxiety, and sudden changes in mood Signs of grieving a loss include sad affect, anger, anxiety, and sudden changes in mood.

Question 98 1 / 1 pts An individual with depression has a deficiency in which neurotransmitters, based on the biogenic amine theory? Serotonin and norepinephrine Dopamine and thyroxin GABA and acetylecholine Cortisone and epinephrine

Serotonin and norepinephrine According to the biogenic amine theory there is a deficiency of serotonin and norepinephrine in depression.

Question 41 1 / 1 pts A nurse is caring for a patient who is experiencing a panic attack. Which action should the nurse take? Show the patient how to change his behavior. Distract the patient with a television show. Stay with the patient and remain quiet. Discuss new relaxation techniques.

Stay with the patient and remain quiet. During a panic attack, the nurse should quietly remain with the patient. This promotes safety and reassurance without additional stimuli.

Question 24 1 / 1 pts A patient is admitted for electroconvulsive therapy (ECT) asks the nurse to explain procedures and the reason that succinylcholine chloride (Anectine) is used during the procedure. What should the nurse tell the patient? Succinylcholine chloride (Anectine) is used to decrease anxiety during the treatment. Succinylcholince chloride (Anectine) is used as a short acting anesthetic during the treatment. Succinylcholine chloride (Anectine) is given intravenously to prevent muscle contractions and bone fractures during the seizure. Succhinylcholine chloride (Anectine) is administered intramuscularly before the treatment to decrease secretions.

Succinylcholine chloride (Anectine) is given intravenously to prevent muscle contractions and bone fractures during the seizure. Succinylcholine chloride (Anectine) is administered intravenously during treatment to prevent severe muscle contractions during the seizure, thereby reducing the possibility of fractured or dislocated bones. Because succinylchloine paralysis respiratory muscles as well, the patient is ventilated with pure oxygen during and after the treatment.

Question 100 1 / 1 pts A patient has been admitted with borderline personality disorder. The patient is defensive and emotionally labile and often becomes suddenly and explosively angry. How would the nurse interact with this patient? Take a calm, quiet, and non-confrontational approach, and avoid arguing with the patient. Tell the patient to calm down and to avoid becoming explosive or restraints will be used. Use gentle touch and a caring approach to calm the patient down. Point out how angry the patient is becoming, and confront the behavior.

Take a calm, quiet, and non-confrontational approach, and avoid arguing with the patient. When a patient is defensive and becomes explosively angry then the nurse should take a calm, quiet, and non-confrontational approach, and avoid arguing with the patient.

Question 64 1 / 1 pts When teaching a patient diagnosed with alcohol use disorder about nutritional needs, which nutritional concept should the nurse emphasis? Take a multivitamin supplement that includes thiamine and folic acid. Eat a high protein, low carbohydrate diet to promote lean body mass. Restrict fluid intake to decrease renal load. Increase sodium rich foods to increase iodine levels.

Take a multivitamin supplement that includes thiamine and folic acid. Vitamin B deficiencies contribute to the nervous system disorders seen in alcohol use disorder. Supplements of these vitamins are important to prevent complications. It is important that vitamin supplements include both thiamine (B1) and folic acid.

Question 61 1 / 1 pts A patient diagnosed with anorexia nervosa is assigned a nursing diagnosis of disturbed body image. Which assessment information indicates that this patient's problem has improved? The patient has not attempted to induce vomiting. The patient has gained up to 80% of body weight for age and size. The patient is free of symptoms of malnutrition and dehydration. Tha patient has acknowledge that perception of being "fat" is incorrect.

Tha patient has acknowledge that perception of being "fat" is incorrect. When patients can acknowledge that their perception of being "fat" is incorrect, they perceive a body image that is realistic and not distorted. This is evidence that the patient's disturbed body image has improved.

Question 1 A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Which information is appropriate to include in the discussion? The DSM-5 indicates pharmacological treatment for each mental health diagnosis. The DSM-5 contains patient's education handouts regarding diagnosis. The DSM-5 presents defining characteristics or symptoms that differentiate specific diagnoses. The DSM-5 includes recovery treatment for mental health diagnosis.

The DSM-5 presents defining characteristics or symptoms that differentiate specific diagnoses. One of the three purposes of the DSM-5 is to provide defining characteristics and symptoms to differentiate specific diagnoses.

Question 25 1 / 1 pts Which medication used in the treatment of bipolar disorder is correctly classified? The antimanic medication valproic acid (Depakote). The anticonvulsant medication lamotrigine (Lamictal). The antipsychotic medication verapamil (Isoptin). The calcium channel blocker medication aripiprazole (Abilify).

The anticonvulsant medication lamotrigine (Lamictal). Lamotrigine is correctly identified as an anticonvulsant medication.

Question 91 1 / 1 pts A nurse is caring for a patient who has anorexia nervosa. Which example demonstrates the nurse's use of interpersonal communication? The nurse examines their own personal feelings about patient's who have anorexia nervosa. The nurse discusses the patient's weight loss during a health care team meeting. The nurse asks the patient about there body image perception. The nurse presents an educational session about anorexia nervosa to a large group of adolescents.

The nurse asks the patient about there body image perception. The nurse's one-on-one communication with the patient is an example of interpersonal communication. The nurse asks the patient about their body image perception is a one-on-one communication between nurse and patient.

Question 80 1 / 1 pts A nurse is planning a therapeutic interaction with a patient diagnosed with Alzheimer's disease. At what time during a 24-hour period should a nurse expect the patient to have the mostdifficulty responding appropriately? When the patient first awakens in the morning. When the patient awakens from a late afternoon nap. When the patient awakens from an early morning nap. When the patient abruptly awakens in the morning.

When the patient awakens from a late afternoon nap. The nurse should expect the patient to have the most difficulty in responding appropriately when the patient awakens from a late afternoon nap. This phenomenon is commonly called sundowning.

Question 19 1 / 1 pts A patient who is depressed and suicidal is scheduled for electroconsulsive therapy (ECT), which requires consent. After the physician has explained the procedure, the nurse knows that legally, who should sign the consent for this treatment? The psychiatrist The patient The patient's spouse A member of the treatment team

The patient Legally the patient signs consents for any treatment to be performed such as ECT.

Question 71 1 / 1 pts A nurse assesses a 3-year-old diagnosed with an autism spectrum disorder. Which finding is most associated with this patient's disorder? The patient is unable to read children's books. The patient cries when separated from a parent. The patient continuously rocks in place for 30 minutes. The patient has occasional toileting accidents.

The patient continuously rocks in place for 30 minutes. Autism spectrum disorder involves distortions in development of social skills and language that include perception, motor movement, attention, and reality testing. Body rocking for extended periods suggest autism specturm disorder. The distractors are expected findings for a 3-year-old.

Question 44 1 / 1 pts A nurse is caring for a patient with derealization disorder. Which finding should the nurse identify as an indication of derealization? The patient states that the furniture in the room seems to be small and far away. The patient cannot recall anything that happened in the past 2 weeks. The patient has the idea that someone is trying to kill them and steal their money. The patient explains that their body seems to be floating above the ground.

The patient explains that their body seems to be floating above the ground. Stating that one's surroundings are far away or unreal in some way is as example of derealization. So correct answer is that the patient states that the furniture in the room seems to be small and far away.

Question 69 1 / 1 pts The nurse is assessing a patient who is experiencing moderate level anxiety. Which finding should the nurse expect? The patient reports shortness of breath. The patient reports a sense of impending doom. The patient has a heightened perceptual field. The patient has difficulty with concentration.

The patient has difficulty with concentration. An assessment found with moderate level anxiety would be when the patient has difficulty with concentration.

Question 76 1 / 1 pts A psychiatric nurse practitioner documents that a patient recently in a severe car crash is experiencing localized amnesia. Which patient behavior would support this documentation? The patient cannot recall his or her identity and total life history. The patient can recall everything before the crash but nothing after the crash. The patient traveled unexpectedly and lost all personal memories. The patient is unable to recall all events associated with the crash.

The patient is unable to recall all events associated with the crash. When the patient is unable to recall all events associated with the crash the patient is experiencing localized amnesia.

Question 57 1 / 1 pts During group therapy, which patient action should a nurse identify as the dramatic and extroverted behavior commonly associated with histrionic personality disorder? The patient laughingly declares that her cat is actually her grandmother reincarnated. The patient lights up a cigarette and demands the right to receive special consideration for her habit. The patient suddenly lifts her blouse and exposes her breasts to her peers. The patient suddenly cuts her wrist with a broken light bulb shard.

The patient suddenly lifts her blouse and exposes her breasts to her peers. A nurse would identify a patient who suddenly lifts her blouse and exposes her breasts to her peers as dramatic and extroverted. This behavior is associated with histrionic personality disorder. Individuals with this disorder tend to be self-dramatizing, attention seeking, overly gregarious, and seductive.

Question 84 1 / 1 pts An elderly, hypertensive patient, diagnosed with Lewy body dementia has been prescribed quetiapine (Serequel). Why should the nurse question this order? The patient's hypertension will be exacerbated by this medication. Quetiapine may increase the production of Lewy bodies in the patient's brain. There is a black box warning related to prescribing quetiapine for elderly patients. The patient's sensitivity to the extrapyramidal side effects of this medication.

The patient's sensitivity to the extrapyramidal side effects of this medication. Patients diagnosed with Lewy body dementia are highly sensitive to the extrapyramidal side effects of antipsychotic medications.

Question 14 1 / 1 pts A delusion represents a problem in which area? Motivation Memory Thinking Orientation

Thinking A delusion is a problem in the thinking area.

Question 7 1 / 1 pts The patient tells the nurse, "I don't think you can help me. Every time I talk to you, I am reminded of my mother, and I hated her." What should the nurse recognize that the patient is doing? Transference Countertransference Incongruence Confrontation

Transference Transference is when a patient puts the role of a family member onto the nurse or therapist.

Question 77 1 / 1 pts Which symptom should a nurse recognize as characteristic of a diagnosis of dissociative identity disorder? Patients have no history of abuse or neglect in childhood. Transition from one personality to another may be sudden or gradual. Most individuals are usually debilitated by the disorder. Before therapy, the original personality is acutely aware of the other personalities.

Transition from one personality to another may be sudden or gradual. In dissociative identity disorder (DID), transition from one personality to another may be sudden or gradual and is sometimes quite dramatic.

Question 60 1 / 1 pts Obsessive-compulsive personality disorder is characterized by being perfectionist, overly disciplined, and presoccupied with rules. What characteristics describe schizotypal personality disorder? Unkempt, loose speech, lack ability to appear emotional, and flat affect Overly self-centered, while exploiting others to fulfill own desires Extremely sensitive to rejection, which leads to a socially withdrawn life Overly generous and thoughtful while underplaying own worth

Unkempt, loose speech, lack ability to appear emotional, and flat affect Unkempt, loose speech lack ability to appear emotional, and flat affect are characteristics of schizotypal personality disorder.

Question 48 1 / 1 pts A nurse is planning care for a patient who has bipolar disorder and is experiencing a manic episode. Which intervention should the nurse include in the plan of care? Provide flexible patient behavior expections. Disregard patient complaints. Allow patient freedom without limits. Use a firm approach with communication.

Use a firm approach with communication. Using a firm approach with patient communication involves structure and minimizes patient inappropriate behaviors.

Question 45 1 / 1 pts A nurse in an acute mental health facility is planning care for a patient with dissociative fugue. Which intervention should the nurse add to the plan of care? Teach the patient to recognize how stress brings on a personality change in this patient. Repeatedly present the patient with information about past events. Make decisions for the patient regarding daily activities. Work with the patient on grounding techniques.

Work with the patient on grounding techniques. Grounding techniques such as stomping the feet, clapping the hands, or touching physical objects are useful for patients who have a dissociative disorder and are experiencing manifestations of derealization.