Mood Adjustment and Dementia Disorders

During a routine physical exam the client reports concerns about getting older and losing cognitive abilities. Which response by the nurse is most appropriate? "Age has no bearing on mental function." "There is nothing that can be done about this concern." "It is unwise to worry about these changes before they occur." "Aging does increase the risk for these changes in ability but they are not an absolute."

"Aging does increase the risk for these changes in ability but they are not an absolute."

A client is admitted to the behavioral health unit with severe depression. The nurse suspects that the client is at risk for suicide. Which question would be most appropriate for the nurse to ask while collecting data about the risk for suicide? "Are sure you want to kill yourself?" "If it was me, I'd want to kill myself. Is that what you think?" "Are you having thoughts about hurting yourself?" "Do you need help looking at the positives in your life?"

"Are you having thoughts about hurting yourself?"

A geriatric client with Alzheimer's disease has been living with his grown child's family for the last 6 months. He wanders at night and needs help with activities of daily living. Which statement by his child suggests that the family is successfully adjusting to this living arrangement? "It's difficult dealing with Dad. It's a thankless job." "We had no idea this would be so difficult. It's our cross to bear." "Dad really seems to be making progress. We're hoping he'll be able to move back into his house soon." "Dad has presented many challenges. We have alarms on all the outside doors now. Respite care gives us a break."

"Dad has presented many challenges. We have alarms on all the outside doors now. Respite care gives us a break."

A client with dependent personality disorder is working to increase self-esteem. Which statement by the client shows that the education was successful? "I'm most concerned about my level of competence and progress." "I'm not as envious of the things other people have as I used to be." "I find I can't stop myself from taking over things others should be doing." "I'm not just going to look at the negative things about myself."

"I'm not just going to look at the negative things about myself."

A client who has been taking imipramine, 125 mg P.O. daily, for 1 week wants to stop taking the medication because the client still feels depressed. Which response by the nurse would be most appropriate at this time? "Don't stop taking the medication abruptly because you may develop serious side effects." "The primary care provider may need to adjust the dosage for you to get the medication's maximum benefit." "This medicine may not be the most effective one for you. Let's call your health care provider for further evaluation." "Imipramine must build up to a therapeutic level; it may take 3 to 4 weeks to reduce depression."

"Imipramine must build up to a therapeutic level; it may take 3 to 4 weeks to reduce depression."

The nurse is comforting the family member of a client that just died. The family member states, "There has to be a mistake. We just spent a week on vacation together and all was fine." What is the best response by the nurse? "You have to face the loss. It is not going to be easy." "It is common to feel denial when a family member has died unexpectedly." "I know just how you feel. I lost a family member recently." "You are angry right now. This is the first stage of grief."

"It is common to feel denial when a family member has died unexpectedly."

On admission to the psychiatric unit, a client with major depression reports that a family member is physically abusive and requests that the nurse not release any personal information to anyone. When the allegedly abusive family member calls the unit and demands information about the client's treatment, what is the nurse's best response? "Your family member didn't sign an information release form with your name on it, so I can't give you any information." "To protect clients' confidentiality, I can't give any information, including whether your relative is receiving treatment here." "I can't give you any information. Goodbye." "Your family member isn't accepting telephone calls."

"To protect clients' confidentiality, I can't give any information, including whether your relative is receiving treatment here."

A client diagnosed with Alzheimer's disease (AD) tells the nurse that today a visitor is coming to have lunch. The nurse knows that the visitor isn't coming that day. Which response by the nurse would be most appropriate for this situation? "Today is Monday, March 8, and we'll be eating lunch in the dining room." "I think you need some more medication, and I'll bring it to you." "Where are you planning to have your lunch?" "You're confused and don't know what you're saying."

"Today is Monday, March 8, and we'll be eating lunch in the dining room."

In the emergency department, a client reveals to a nurse a plan for committing suicide and agrees to a voluntary admission to the psychiatric unit. The client asks, "How long do I need to stay here?" Which response by the nurse would be appropriate? "There must be a court hearing before you leave the hospital." "You must be safe before being discharged." "Once you've signed the papers, you have no say." "You need a lawyer to help you make that decision."

"You must be safe before being discharged."

A charge nurse asks another nurse to care for a client who has been diagnosed with Creutzfeldt-Jakob disease. The other nurse has had little experience caring for clients with this disorder and is anxious. How should the nurse approach this assignment? Refuse the assignment because the nurse isn't qualified to care for this kind of client. Refuse the assignment and tell the charge nurse that doing so is in the client's best interests. Accept the assignment, but explain the nurse will need support to gain experience. Refuse the assignment because it's out of the scope of practice.

Accept the assignment, but explain the nurse will need support to gain experience.

A nurse is caring for an older adult client who exhibits signs of dementia. When assisting with the development of the client's plan of care, the nurse incorporates understanding that which condition is the most common cause of dementia? Alzheimer's disease unhealthy diet excessive drug use delirium

Alzheimer's disease

A client begins experiencing physical symptoms believed to be caused by psychological distress. This client is most likely experiencing which disorder? Functional neurologic symptom disorder Somatic symptom disorder Body dysmorphic disorder Depersonalization/derealization disorder

Somatic symptom disorder

A client has been prescribed venlafaxine extended-release capsules by mouth, once daily, for major depression following a stroke. The client has difficulty swallowing pills since the stroke. How should the nurse intervene? Crush the capsule and dissolve in water. Place the capsule in water, allow it to dissolve, and then administer it to the client. Tell the client to chew the capsule after placing it in their mouth. Sprinkle the contents of the capsule over applesauce and administer it to the client.

Sprinkle the contents of the capsule over applesauce and administer it to the client.

A family member is caring for a client diagnosed with Alzheimer's disease. The nurse is gathering data about the client and family. Which situation would the nurse identify as most likely to cause the caregiver depression and role strain? The caregiver feels unable to control the client's behavior and the caregiving situation. The caregiver has no formal support, such as a visiting nurse or day-care worker. The caregiver understands the full reality of the disease and its inevitable progression. The caregiver had a close relationship with the client before diagnosis of the illness.

The caregiver feels unable to control the client's behavior and the caregiving situation.

The nurse is assisting with a plan of care for a client in the behavioral health unit with antisocial personality disorder. What goal would be appropriate for this client? The family must learn to live with the client's impulsive behavior. The family must start to use negative reinforcement of the client's behavior. The family must stop reinforcing inappropriate negative behavior. The family must assist the client to decrease ritualistic behavior.

The family must stop reinforcing inappropriate negative behavior.

A client has been diagnosed with a conversion disorder after presenting with new onset paralysis in a lower extremity. When providing education about this phenomena to a group of nurses, what information should be included? Select all that apply. The onset of the symptoms is normally gradual. The onset of these symptoms may be attributed to psychological stressors. After an initial recovery, most clients will experience a reoccurrence of symptomology within a year. Ignoring the manifestations is recommended. Most symptoms will resolve.

The onset of these symptoms may be attributed to psychological stressors. Most symptoms will resolve.

Which client would require one-on-one contact with a staff member? a client with borderline personality disorder who has acted on suicidal ideation and has performed self harm by cutting. a client with antisocial personality disorder who steals food from other clients' meal trays a client with an obsessive-compulsive personality disorder who insists that all the rules of the unit be followed a client with histrionic personality disorder who frequently faints when a male individual is near

a client with borderline personality disorder who has acted on suicidal ideation and has performed self harm by cutting.

A client who has just had electroconvulsive therapy (ECT) asks for a drink of water. Which intervention would be the nurse's priority? check the client's blood pressure determine level of consciousness assess the gag reflex obtain a body temperature

assess the gag reflex

The nurse is assisting with the development of a treatment plan for a client with a specific phobia. Which intervention should the nurse prepare the client for? there is no known effective treatment for specific phobias a neurosurgical procedure a large dose of various medications behavioral therapy

behavioral therapy

Which intervention can the nurse discuss with the parents of a child with attention deficit hyperactivity disorder (ADHD) to help their child to achieve daily tasks? repeat information to the child several times during the day make sure to change the routine of the child daily to avoid repetition break up the task into smaller steps give general direction for the task to be completed

break up the task into smaller steps

The nurse is collecting data for a client diagnosed with a dementia disorder. Which factor is most important for the nurse to determine when collecting data for this diagnosis? genetic information prognosis degree of impairment implications for treatment

degree of impairment

A client with bipolar disorder is having difficulty sleeping. Which behavior modification technique should the nurse reinforce with the client? use a sleep medication exercise before bedtime work on solving a problem develop a sleep ritual

develop a sleep ritual

A nurse notices that a client admitted for treatment of major depression is pacing, agitated, and becoming verbally aggressive toward other clients. What is the immediate care priority? isolating the agitated client and offering sedation to calm the behavior removing the other clients from the area until this client settles down offering the client a less-stimulating area in which to calm down ensuring the safety of this client and other clients on the unit

ensuring the safety of this client and other clients on the unit

A nurse is speaking with a client diagnosed with an antisocial personality disorder. Which behavior by the client alerts a nurse to the need for reinforcement of education related to interaction skills? failure to follow social norms acceptance of others panic attacks frequent crying

failure to follow social norms

A client has depression after the death of a child. After a suicide attempt, the client is admitted to the inpatient psychiatric unit. During the admission interview, the client reports no longer wanting to die. Which action would be most appropriate for the nurse? suggest that the client no longer requires close observation inspect the client's personal belongings for potentially dangerous objects place the client in a private room, away from the nurses' station avoid further discussion of suicide, unless the client brings up the topic.

inspect the client's personal belongings for potentially dangerous objects

A nurse is providing care to a client diagnosed with bipolar disorder, currently experiencing mania. When reviewing the plan of care for the client, which intervention would the nurse most likely implement at this time? listening attentively with a neutral attitude, avoiding situations involving increased stimulation allowing the client to exhibit hyperactive, demanding, manipulative behavior without limits insisting that the client remain as active as possible throughout daytime hours urging the client to finish all of the high-calorie food provided at meals

listening attentively with a neutral attitude, avoiding situations involving increased stimulation

The nurse is assisting with the admission of a client with an amnestic disorder. Which evaluation would the nurse anticipate preparing to help identify the cause of the disorder? cardiac catheterization metabolic and endocrine tests angiography electrocardiography

metabolic and endocrine tests

The nurse is caring for a client immediately after the client has received electroconvulsive therapy (ECT) for the treatment of severe depression. What is a priority intervention for this client? offer oral fluids of the client's choice orient the client to the surroundings reinforce education about depression administer an opioid analgesic for a headache

orient the client to the surroundings

Which nursing intervention would help a client diagnosed with Alzheimer's disease (AD) perform activities of daily living? give the client a written list of activities he's expected to do provide ample time for the client to complete basic tasks tell the client that morning care must be done by 9 a.m. urge the client to perform all basic care without help

provide ample time for the client to complete basic tasks

A client with depression doesn't respond to drug therapy. At a team conference, staff members recommend electroconvulsive therapy (ECT). The nurse knows that most people respond negatively to the thought of an electric current passing through the brain. Therefore, when discussing ECT with the client, the nurse should: refer to the procedure as a "treatment" instead of "shock therapy." explain how the convulsions are artificially induced. use the term "shock" in a neutral, calm manner. refer to the procedure as ECT.

refer to the procedure as a "treatment" instead of "shock therapy."

The nurse is assigned to care for a client with amnesia. When preparing to deliver care, which action will best meet the needs of this client? spend time with the client, asking questions about recent life promote activities to keep the client busy on the care unit with group meetings provide the client with lots of space to test his or her independence use short, simple commands when providing instruction

use short, simple commands when providing instruction