Psych Exam 5

Is the following statement true or false? In factitious disorder, the intentional production of symptoms is in others, usually children.

False

A patient with erectile dysfunction is prescribed a drug in microsuppository form. Which drug would this most likely be? a. Alprostadil b. Sildenafil c. Tadalafil d. Vardenafil

a. Alprostadil

The nurse would teach a patient receiving treatment for anorexia nervosa about which SSRI? a. Fluoxetine b. Citalopram c. Paroxetine d. Fluvoxamine

a. Fluoxetine

According to Masters' and Johnson's theoretical model, which of the following occurs first? a. Resolution b. Orgasm c. Excitement d. Plateau

c. Excitement

Is the following statement true or false? Individuals with somatic symptom disorder experience symptoms that remain consistent but increase in severity with time.

False

Is the following statement true or false? Obstructive sleep apnea is characterized by excessive sleepiness either during the day or for extended periods at night.

False

Similar to other mental disorders, eating disorders are not curable and are not preventable.

False

Bulimia nervosa is less common than anorexia.

False

Is the following statement true or false? A patient with somatic symptom disorder often displays an altered mental status.

False

Is the following statement true or false? Autism and Asperger syndrome are two different disorders identified by characteristic manifestations that are distinct for each disorder.

False

Is the following statement true or false? Biosexual identity refers to the belief of belonging to the male or female gender.

False

Is the following statement true or false? Early-onset Alzheimer disease is more common and less progressive than late-onset Alzheimer disease.

False

When assessing a patient with somatic symptom disorder, which complaint would the nurse most likely expect to hear? a. Diarrhea b. Muscle weakness c. Pain d. Menstrual irregularity

c. Pain

Academic achievement and family connectedness are protective factors against the development of eating disorders.

True

Individuals with bulimia tend to be of normal weight.

True

Is the following statement true or false? Atomoxetine is often prescribed for individuals who have comorbid substance abuse issues.

True

Is the following statement true or false? Delirium refers to a condition in which cognitive impairment occurs acutely.

True

Is the following statement true or false? Individuals with anorexia nervosa experience a significant disturbance in body image.

True

Is the following statement true or false? Individuals with bulimia nervosa often display cognitive distortions.

True

Is the following statement true or false? Medications can contribute to female orgasmic disorder.

True

Is the following statement true or false? When conducting a follow-up assessment on a patient with Alzheimer disease, the nurse should include an assessment on the primary caregiver as well.

True

The central feature of anorexia nervosa is a drive for thinness.

True

True or False? Treatment of separation anxiety and OCD may include medication, behavioral therapy, or a combination of these treatments.

True

A teacher is talking to the nurse about a child in her classroom who has a tic disorder. The teacher mentions that the boy frequently trips other children although no one has ever been hurt. The teacher then further states that she ignores him when that happens because it is part of his disorder. What should the nurse tell the teacher? a. "Tripping other children is not a tic, so you can respond to that as you would in any other child." b. "I can't believe that you actually allow him to get away with that!" "c. I think that's the best choice unless some parents of the other children start to protest about it." d. "If no one else is getting hurt, then it seems harmless and might prevent the development of a worse behavior."

a. "Tripping other children is not a tic, so you can respond to that as you would in any other child."

Which action should the nurse prioritize when providing care to a patient with delirium? a. Carefully supervise the patient b .Apply restraints c. Withhold fluids d. Keep the environment brightly lit

a. Carefully supervise the patient

Research has indicated that adults who do not get at least 7 hours of sleep each night have a greater risk of developing which additional disorder? Select all that apply. a. Diabetes b. Coronary heart disease c. Kidney disease d. Obesity e. Hypertension

a. Diabetes b. Coronary heart disease d. Obesity e. Hypertension

A mental health nurse provides care in a long-term care facility for patients who have some form of dementia. Which factor should the nurse prioritize when providing care? a. Patient and staff safety b. Effective social interaction c. Family involvement d. Medication adherence

a. Patient and staff safety

Which of the following statements is true about Tourette syndrome? a. The syndrome has periods of waxing and waning b. Antidepressants may be used to treat the disorder c. Phonic tics usually precede the development of motor tics d. Girls are affected more often than boys

a. The syndrome has periods of waxing and waning

A young adult female patient is brought to the emergency department by her roommate to seek treatment for gastrointestinal problems. The patient reveals that she attends college and works at a coffee shop each evening. A diet history indicates that the patient has unhealthy eating habits, commonly eating large amounts of carbohydrates and junk food with few fruits and vegetables. "Her stomach is upset a lot," the roommate says. She further reports that the patient is "in the bathroom all the time." Which referral is most important for the nurse to make for the for the patient? a. a mental health clinic b. a weight loss program c. an overeating support group d. the client's health care provider (HCP)

a. a mental health clinic

The patient diagnosed with conversion disorder has a paralyzed arm. A staff member states, "I would just tell the client her arm is paralyzed because she had an affair and neglected her baby's care to the point where the baby had to be hospitalized for dehydration." Which response by the nurse is best? a. "Ignore the patient's behaviors and treat her with respect." b. "Pushing insight will increase the patient's anxiety and the need for physical symptoms." c. "Pushing awareness will be helpful and further the patient's recovery." d. "We will meet with the patient and confront her with her behavior."

b. "Pushing insight will increase the patient's anxiety and the need for physical symptoms."

The nurse is caring for a female patient who was admitted to the mental health unit recently for anorexia nervosa. The nurse enters the patient's room and notes that the patient is engaged in rigorous push-ups. Which nursing action is most appropriate? a. Interrupt the patient and weigh her immediately. b. Interrupt the patient and offer to take her for a walk. c. Tell the patient that she is not allowed to exercise rigorously. d. Allow the patient to complete her exercise program.

b. Interrupt the patient and offer to take her for a walk.

A 6-year-old child with autism has been prescribed risperidone to treat aggression and self-injury behaviors. When educating the family about risperidone, the nurse should include which information? a. Notify the child's health care provider if a dose of risperidone is missed. b. Notify the child's health care provider if the child is exhibiting lip smacking behaviors. c. The child may experience weight loss after beginning risperidone. d. The child will have improved behavior about one week after starting risperidone.

b. Notify the child's health care provider if the child is exhibiting lip smacking behaviors.

Which factor should the nurse prioritize when assessing a client for the possibility of purging? a. Use of supplements b. OTC medication use c. Eating habits d. Daily nutritional intake

b. OTC medication use

The health care provider (HCP) refers a patient diagnosed with somatization disorder to the outpatient clinic because of problems with nausea. The patient's past symptoms involved back pain, chest pain, and problems with urination. The patient tells the nurse that the nausea began when his wife asked him for a divorce. Which intervention is most appropriate? a. asking the patient to describe his problem with nausea b. directing the patient to describe his feelings about his impending divorce c. allowing the patient to talk about the HCPs he has seen and the medications he has taken d. informing the patient about a different medication for his nausea

b. directing the patient to describe his feelings about his impending divorce

A hospitalized adolescent diagnosed with anorexia nervosa refuses to comply with her daily before-breakfast weigh-in. She states that she just drank a glass of water, which she feels will unfairly increase her weight. What is the nurse's best response to the patient? a. "You're here to gain weight so that will work in your favor." b. "Don't drink or eat for 2 hours, and then I'll weigh you." c. "You must weigh in every day at this time. Please step on the scale." d. "If you don't get on the scale, I'll be forced to call your health care provider."

c. "You must weigh in every day at this time. Please step on the scale."

A nurse on the mental health unit tells the nurse manager, "Kids with conduct disorders might as well be jailed because they all end up as adults with antisocial personality disorder anyway." What is the best reply by the nurse manager? a. "You really sound burned out. Do you have a vacation coming up soon?" b. "These children are more likely to have problems with depression and anxiety disorder as adults." c. "You sound really frustrated. Let's talk about the meaning of their behavior." d. "My experience hasn't been that negative. Let's see what the other staff members think; maybe I'm wrong."

c. "You sound really frustrated. Let's talk about the meaning of their behavior."

A patient is admitted to a medical nursing unit with a diagnosis of acute blindness after being involved in a hit-and-run accident. When diagnostic testing cannot identify any organic reason why this patient cannot see, a mental health consult is prescribed. The nurse plans care based on which condition that should be the focus of this consult? a. Psychosis or schizophrenia b. Repression or suppression c. Conversion disorder or functional neurological symptom disorder d. Dissociative disorder or depersonalization-derealization disorder

c. Conversion disorder or functional neurological symptom disorder

Which question is most appropriate to use when assessing a 16-year-old patient with depression for suicide risk? a. "What movies about death have you watched lately?" b. "Can you tell me what you think about suicide?" c. "Has anyone in your family ever committed suicide?" d. "Are you thinking about killing yourself?"

d. "Are you thinking about killing yourself?"

A patient with insomnia is prescribed a melatonin receptor agonist. Which agent would be administered? a. Zolpidem b. Triazolam c. Zaleplon d. Ramelteon

d. Ramelteon

When collaborating with the health care provider (HCP) to develop the plan of care for a child diagnosed with attention deficit hyperactivity disorder (ADHD), the treatment plan will likely include which treatments? a. antianxiety medications, such as buspirone, and homeschooling b. antidepressant medications, such as imipramine, and family therapy c. anticonvulsant medications, such as carbamazepine, and monthly blood levels d. psychostimulant medications, such as methylphenidate, and behavior modification

d. psychostimulant medications, such as methylphenidate, and behavior modification