MH

A binging episode is thought to involve: A. A release of tension, followed by feelings of depression B. Feelings of fear, followed by feelings of relief C. Unmet dependency needs and a way to gain attention D. Feelings of euphoria, excitement, and self-gratification

A. A release of tension, followed by feelings of depression

Which of the emotional states listed below is the nurse caring for a client with personality disorder most likely to experience? A. Anger B. Depression C. Pleasure D. Spiritual distress

A. Anger

All of the following are initial goals for treating the severely malnourished client with anorexia nervosa except: A. Correction of body image disturbance B. Correction of electrolyte imbalances C. Nutritional rehabilitation D. Weight restoration

A. Correction of body image disturbance

A patient with bulimia nervosa has become dehydrated from self-induced vomiting. This is most likely to result in: A. Hyperchloremia B. Hypokalemia C. Tachycardia D. Parotid gland atrophy.

B. Hypokalemia

For which client is the nurse most likely to need to plan interventions to minimize overtly manipulative behaviors? A. Mr A diagnosed with Dependent Personality B. Ms B diagnosed with Borderline Personality disorder C. Mr C diagnosed with Paranoid Personality disorder D. Ms D diagnosed with Schizoid personality disorder

B. Ms B diagnosed with Borderline Personality disorder

A client who has been sexually abused tearfully states, "I'm no good now; there is nothing to live for." The most therapeutic response by the nurse would be: A. "Tell me more about your feelings" B. "I can understand why you feel worthless." C. "Why do you feel there is nothing to live for?" D. "You feel this way now because of what has happened."

A. "Tell me more about your feelings"

The nursing student is developing a plan of care for a patient experiencing a crisis situation. Number the following in priority order for implementation of this plan. A. Assess for suicidal and homicidal ideation. B. Discuss coping skills used in the past, and note if they were effective. C. Establish a working relationship by active listening. D. Develop a plan of action for dealing with future stressors. E. Evaluate the developed plan's effectiveness.

A, C, B, D, E

A mental disorder is defined as a health condition characterized by significant dysfunction in which of the following? (select all that apply) A. Emotions B. Values C. Cognitions D. Behaviors E. Ethics

A, C, D

A 23 year old patient is admitted with depression and suicidal ideation. What interventions would be therapeutic for the patient? Select all that apply. A. Help the patient to identify positive self-attributes and to question negative self-perceptions that are unrealistic. B. Only focus on developing solutions to the problems that are leading the patient to feel suicidal. C. Avoid talking about the suicidal ideation as this may increase the patient's risk for suicidal ideation. D. Meet regularly with the patient to provide opportunities for the patient to express and explore feelings.

A, D

A newly admitted client is experiencing a manic episode. The client's nursing diagnosis is imbalanced nutrition, less than body requirements. Which of the following meals are most appropriate for this client? Select all that apply. A. Chicken fingers and french fries B. Spaghetti and meatballs C. Chili and crackers D. Ham and cheese sandwich

A, D

Which actions should be taken by the clinical when there is reasonable certainty that a client is going to harm someone? Select all that apply. A. Assess the threat of violence toward another. B. Identify the person being threatened. C. notify the identified victim. D. Notify only law enforcement authorities to protect confidentiality. E. Consider petitioning the court for continued commitment.

A,B,C,E

Which of the following would the nurse expect to assess with a patient diagnosed with a conversion (functional neurological) disorder? Select all the apply. A. Deep tendon reflexes intact B. Muscle wasting C. The client is unaware of the link between anxiety and physical symptoms. D. Physical symptoms can be explained by a physiological cause.

A,C

Which of the following is an appropriate expected outcome when working with a patient with Dissociative Identity disorder? A. Patient will verbalize clear sense of personal identity B. Patient will express feelings verbally rather than through the development of physical symptoms C. Patient will experience no symptoms as a result of psychologic distress. D. Patient will understand the distinction between true physical pain and imagined pain.

A. Patient will verbalize clear sense of personal identity

What is the priority nursing diagnosis for a newly admitted client to the in-patient psychiatric unit who is diagnosed with Bipolar 1 disorder and experiencing a manic episode? A. Risk for violence other-directed R/T poor impulse control. B. Altered thought process R/T hallucinations. C. Social isolation R/T manic excitement. D. Low self-esteem R/T guilt about promiscuity.

A. Risk for violence other-directed R/T poor impulse control.

A 17 year-old patient whose boyfriend has recently broken their engagement is brought into the emergency department after taking a handful of lorazepam (Ativan). Which nursing intervention would take priority during this psychiatric crisis? A. Discuss patient's feelings about the breakup with her boyfriend. B. Monitor vital signs and note any signs of central nervous system depression. C. Allow the patient time to rest because lorazepam (Ativan) is sedating. D. Decrease fluids, and place the patient on close observation.

B. Monitor vital signs and note any signs of central nervous system depression.

A patient diagnosed with schizophrenia says "Everyone here is part of the secret police and wants to torture me." What is the most appropriate response by the nurse. A. "That is a strange idea." B. "That must be a frightening thought" C. "You wont be tortured here" D. "We will keep you safe from torture."

B. "That must be a frightening thought"

A patient who is committed to inpatient hospital refuses to take their prescribed, routine psychotropic medication. The nurse... A. Uses clinical judgement and gives the patient the IM medication in the same dose as what is ordered. B. Checks the patient's legal documentation to see if there is a court order to give the patient IM medication if the patient refuses prescribed PO medication. C. Understands that the patient's right to refuse medication is not valid if the patient is committed. D. withholds unit privileges until the patient agrees to take meds.

B. Checks the patient's legal documentation to see if there is a court order to give the patient IM medication if the patient refuses prescribed PO medication.

Which nursing intervention would directly assist a hospitalized client diagnosed with bulimia nervosa to avoid the urge to purge after discharge? A. Locking the door to the client's bathroom. B. Holding a mandatory group after mealtime to assist in exploration of feelings. C. Discussing preplanned meals to decrease anxiety around eating. D. Educating the family to recognize purging side effects.

B. Holding a mandatory group after mealtime to assist in exploration of feelings.

A patient was found by the nurse, bleeding in the bathroom with a broken marker cap and laceration to the left ante-cubital. The patient is bleeding profusely and sobbing. What action should the nurse implement first? A. Go to the medication room to get gauze to stop the bleeding. B. Remain with the patient and call for help. C. Find gloves before touching the laceration. D. Call the resident for medical assessment and initiate higher observation.

B. Remain with the patient and call for help.

A patient is admitted to the medical floor for dehydration and electrolyte imbalance. What assessment finding would alert the nurse to assess for bulimia? A. IBW of 83% B. Russell's sign C. Wearing baggy clothes D. Cutting food into small pieces

B. Russell's sign

Primary prevention in a community mental health setting is exemplified by which of the following concepts? A. Ongoing assessment of individuals at high risk for illness exacerbation. B. Teaching physical and psychosocial effects of stress to elementary school students C. Referral for treatment of individuals in whom illness symptoms have been assessed. D. Monitoring effectiveness of aftercare services for patients with chronic mental illnesses.

B. Teaching physical and psychosocial effects of stress to elementary school students

While talking with a female patient diagnosed with schizophrenia, the nurse notices that patient look away from the nurse and stare at the wall while making facial grimaces. What is the most appropriate intervention by the nurse? A. End the conversation B. Administer the ordered prn medication C. Ask the patient if she sees something on the wall D. Redirect the conversations to a neutral topic

C. Ask the patient if she sees something on the wall

The right to determine one's own destiny is based on which ethical principle? A. Non-maleficence B. Justice C. Autonomy D. Beneficence

C. Autonomy

A patient with schizophrenia says "I want to go home to tome in a dome." When documenting these findings, the nurse will refer to this as: A. Associative looseness B. Echolalia C. Clang Associations D. Thought broadcasting

C. Clang Associations

Which of the following is an example of a cognitive-behavioral technique? A. Distraction B. Relaxation C. Self-monitoring D. Verbalization of emotions

C. Self-monitoring

The nurse is reviewing discharge instructions with a patient who is receiving Clozapine (Clozaril). The nurse emphasizes the importance of notifying the health care provider for which of the following situations? A. Feelings of increased energy B. Unusual reactions to sun exposure C. Interference with normal sleep patterns D. Any indication of infection

D. Any indication of infection

Before effectively responding to a sexual assault victim in the emergency department, it is essential that the nurse: A. Get the client's name and address B. Call for assistance from the psychiatrist C. Know some myths and facts about rape D. Be aware of any personal bias about rape.

D. Be aware of any personal bias about rape.

A nurse knows that the best resource to use to figure out which symptoms are present in a specific psychiatric disorder is... A.Nursing intervention Classification (NIC) B. Nursing Outcomes Classification (NOC) C. NANDA-1 Nursing Diagnoses D. Diagnostic Statistic Manual-5 (DSM-5)

D. Diagnostic Statistic Manual-5 (DSM-5)

Which of the following best describes a person with a personality disorder? A. Readily assume the roles of compromiser and harmonizer B. Often seek help to change maladaptive behaviors C. Have the ability to tolerate high levels of anxiety D. Have difficulty working and loving

D. Have difficulty working and loving

The nurse receives the lithium level of a client she is going to administer the next does of lithium carbonate (lithium) is 1.9 mEq/L. Which nursing intervention takes priority? A. Give next dose because the lithium level is normal for acute mania. B. Hold the next dose, and continue the medication as prescribed the following day. C. Give the next dose after assessing for the signs and symptoms of lithium toxicity. D. Immediately notify the physician, and hold the dose until instructed further.

D. Immediately notify the physician, and hold the dose until instructed further.

A patient diagnosed with schizophrenia, paranoid type, is admitted to an cute-care psychiatric hospital unit. Which nursing diagnosis should be given the highest priority in the initial care plan? A. Interrupted though processes B. Social Isolation C. Impaired verbal communication D. Risk for violence directed at self or others

D. Risk for violence directed at self or others

A priority nursing intervention undertaken by the nurse dealing with clients with personality disorders is: A. Offering advice B. Probing for etiological factors C. Encouraging diversional activity D. Setting limits

D. Setting limits

A severely anxious patient experiencing headaches, palpitations, and inability to concentrate is admitted to a medical floor. Which nursing intervention would take priority? A. Encourage the patient to express feelings. B. Discuss alternative coping strategies with the patient. C. Use a distraction, such as having the patient attend group. D. Sit with the patient, and use a calm but directive approach.

D. Sit with the patient, and use a calm but directive approach.

The duty to communicate truthfully when interacting with patients and family members is based on the following ethical principle: A. Non-maleficence B. Justice C. Beneficence D. Veracity

D. Veracity