Mental Health test

A client reports drinking two drinks per day every day with no negative consequences. How should this person be classified?

Daily drinker

Outcome of this disorder can be reversible if diagnosis and treatment are prompt?

Delirium

Cluster C personality disorder where the patient has a fear of responsibility and helplessness?

Dependent personality disorder

Selective serotonin reuptake inhibitors (SSRIs) are antidepressants typically used for impulsivity?

Depressed mood, anger, feeling of loss or control

Huypo-active delirium is often misdiagnosed because it mimics symptoms of?

Depression

A client has a diagnosis of schizoid personality disorder. During the assessment what should the nurse expect of the client's behavior?

Detached and socially distant

The nurse is caring for a client who is confused and delirious. What is the most therapeutic intervention when the nurse is interacting with this client?

Directing the client's daily activities on the unit

A nurse in an outpatient mental health setting has been assigned to care for a new client who has been found to have an antisocial personality disorder. What does the nurse expect to observe in the client during the assessment?

Displays charm, has an above-average intelligence, and tends to manipulate others

Anti-dementia medication given at bedtime?

Donepezil (Aricept)

A client has the diagnosis of histrionic personality disorder. Which behavior should the nurse expect when assessing this client?

Extroverted and dramatic

This form of therapy is recommended because OCD has an effect on everyone around or living with the person

Family therapy

The person is highly excitable, energized, always in a hurry and restless. Speech is exaggerated and theatrical?

Histrionic personality disorder

A client is found to have a borderline personality disorder. What behavior does the nurse consider is most typical of these clients?

Impulsive

A 25-year-old is seeking outpatient counseling after thinking about suicide. The nurse realizes that some factors place individuals at a higher risk for suicide. Which of these factors increases the risk for suicide? Select all that apply.

Impulsivity Panic attacks Unemployment Substance abuse

A client with a personality disorder is playing cards with another person in the lounge. When the other person cheats at cards, the client responds by aggressively scattering the cards around the room. What does the nurse conclude about the client's personality?

Inadequate impulse control

A client who has a history of psychiatric problems, including an antisocial personality disorder, is admitted to the hospital. What typical behavior does the nurse anticipate?

Interpersonal difficulties

What is the outcome of neurocognitive disorder?

Irreversible and progressive

A nurse working on a substance abuse unit knows that the individual uses opioids most commonly for what reason?

Is trying to reduce stress

Progressive cognitive impairment and extrapyramidal symptoms such as: rapid eye movement tremors hallucinations depression, sleep disturbance, delusions, bradykinesia

Lewy bodies

Gold standard treatment for bipolar disorders?

Lithium

The nurse recalls that which diseases in elderly clients include the prolonged dwindling disease trajectory? Select all that apply.

Lung cancer Heart failure Frailty disease Disabling stroke Alzheimer disease

A client with dementia and chronic confusion is suspected to have Alzheimer disease. Which imaging technique is specific for Alzheimer disease?

Magnetic resonance spectroscopy (MRS)

Goal for dementia patients?

Maintain optimum function

A client has been in an acute care psychiatric unit for 3 days and is receiving haloperidol tablets orally to reduce agitation and preoccupation with auditory hallucinations. There has been no decrease in the client's agitation or preoccupation with auditory hallucinations since the medication was started. What is the nurse's priority intervention?

Making certain that the client is swallowing the medication

Theoretically ______________could prevent neuronal death?

Memantine

What impairments occur with delirium and do they change?

Memory, judgement, slurred speech, confusion, ability to focus and calculate. They fluctuate throughout the day

Grandiosity about his or her importance and achievements. Sense of entitlement. Over-evaluation of self, arrogance, and indifference to the criticism of others

Narcissistic personality disorder

A nurse is counseling clients who are attending an alcohol rehabilitation program. Which substance poses the greatest risk of addiction for these clients?

Nicotine

The nursing care priority for a patient diagnosed with advanced alzheimer's disease?

Nutrition and hydration

Disorder where a patient is indecisive, a perfectionist, inflexible, and has difficulty expressing feelings?

Obsessive compulsive disorder (OCD)

Personality disorders are identified in the DSM-V in clusters. How should the nurse describe the behaviors of an individual with a cluster A personality disorder?

Odd and eccentric

A disorder where the patient is suspicious and has mistrust?

Paranoid personality disorder

What is the nurse's tole in the treatment of sexual disorders?

Primarily one of referral

A severe mental disorder in which thought and emotions are so impaired that contact is lost with external reality?

Psychosis

A client is taking donepezil (Aircept) for Alzheimer's disease. Vital signs for this patient are: temp - 98.6, BP - 131/78, Pulse - 52, Respirations - 14. Which variance should the nurse consider most likely attributable to donepezil therapy?

Pulse

Factors that influence the onset or duration of sexual dysfunction?

Religion, culture, medical issues, inhibitions

A nurse is assessing an older adult with the diagnosis of dementia. Which manifestations are expected in this client? Select all that apply.

Resistance to change Inability to recognize familiar objects Inability to concentrate on new activities or interests Tendency to dwell on the past and ignore the present

What is the screening tool used for Alcohol use disorder?

SBIRT - rapid screening, intervention, and referral for addiction services

Priority nursing intervention of patients with visual hallucinations?

Safety and therapeutic communication

Disorder where patients have problems thinking, perceiving, and communicating. Appearance might be eccentric and behavior might be odd. Symptoms similar to but less severe than symptoms of schizophrenia

Schizotypal personality disorder

A nurse is assessing a client and attempting to distinguish between dementia and delirium. Which factors are unique to delirium? Select all that apply.

Slurred speech Visual or tactile hallucinations A fluctuating level of consciousness

The phenomenon of increased confusion in the early evening hours?

Sundowning

A client with the diagnosis of borderline personality disorder has been exhibiting manipulative, inappropriate behavior and consistently attempting to take advantage of the other clients. What should the nurse consider first before confronting the client?

The depth of their working relationship

A patient taking a benzodiazepine is at a greater risk for overdose if he or she combines the drug with?

Alcohol

A self-help group with the goal of sobriety?

Alcoholics anonymous (AA)

What are delirium medications?

Antianxiety/Antipsychotics

Characterized by disregard of others rights without guilt usually demonstrated bu repeated violation of the law

Antisocial

A client with obsessive-compulsive disorder has become immobilized by elaborate handwashing and walking rituals. The nurse recalls that the basis of obsessive-compulsive disorder is often what feelings?

Anxiety and guilt

Afraid to speak up, decreased self-esteem, timid, socially withdrawn, and hypersensitive to criicism?

Avoidant personality disorder

What are some common changes in cognition?

1. Disorientation 2. Decrease concentration 3. Loss of abstract thinking 4. Language disturbances

Alcohol withdrawal begins______ after cessation and peaks at _______, then leads to delirium.

6-8 hours/24-48 hours

One to two percent of the population experience major cognitive disorders at age?

65

What are the 4 A's of Alzheimers?

1. Agnosia 2. Aphasia 3. Amnesia 4. Apraxia

What is SBIRT, Screening, brief intervention and referral to treatment?

A concept that can help healthcare providers assess and intervene early, helping patients to better understand what is considered using substances in a risky manner.

Patient with dementia describes a pencil as "that thing that writes" and a water faucet as "the thing you turn." The nurse documents which problem?

Agnosia

It is observed that at times a client with a personality disorder clings to the nurse and at other times he maintains a noticeable distance. From this pattern of behavior what does the nurse determine are the client's conflicting fears?

Abandonment versus identity loss

Sometimes used on a short term basis when a quick acting medication is needed until the anit-depressent takes effect.

Benzodiazepines

Pattern of unstable relationships, identity or self-image disturbances, and labile effect?

Borderline personality disorder

The nurse is preparing discharge instructions for a client who has begun to demonstrate signs of early Alzheimer dementia. The client lives alone. The client's adult children live nearby. According to the prescribed medication regimen, the client is to take medications six times throughout the day. What is the priority nursing intervention to assist the client with taking the medication?

Contact the primary healthcare provider and discuss the possibility of simplifying the medication regimen.

A 24 y/o patient who abuses meth states to you "I've been using more heroin lately because I've begun to need more to feel the effect I want." What effect does this statement describe?

Tolerance

Dementia that can possibly be reversible (there are 2)?

Vitamin B-12 deficiency and hydrocephalus

The male manager of a local gym placed a hidden video camera in the women's locker room and recorded several women as they showered and dressed. The disorder most likely represented by this behavior is?

Voyeurism

What clinical findings may be expected when a nurse assesses an individual with an anxiety disorder? Select all that apply.

Worrying about a variety of issues Acting out with antisocial behavior Converting the anxiety into a physical symptom Displacing the anxiety onto a less threatening object Demonstrating behavior common to an earlier stage of development