Psych
A nurse on the psychiatric unit has the understanding that which of the following is true regarding the use of Buspirone (BuSpar)? A) Buspirone has no addiction potential B) Buspirone is highly addictive. C) Buspirone is used to treat psychosis D) Buspirone has been discontinued due to its ineffectiveness
A) Buspirone has no addiction potential
In which leadership style do members exhibit high enthusiasm and high productivity. A) Democratic B) Diplomatic C) Autocratic D) Laissez-Faire
A) Democratic
A nursing instructor is teaching about the DSM-5 diagnosis of depersonalization-derealization disorder (D-DD). Which student statement indicates a need for further instruction? A) During the course of this disorder, the client is out of touch with reality and is impaired in social, occupational, or other areas of functioning. B) Clients with this disorder can experience emotional and/or physical numbing and a distorted sense of time." C) Clients with this disorder can experience unreality or detachment with respect to their surroundings. D) During the course of this disorder, individuals or objects are experienced as dreamlike, foggy, lifeless, or visually distorted.
A) During the course of this disorder, the client is out of touch with reality and is impaired in social, occupational, or other areas of functioning.
____ lengthens the grief reaction. A) Guilt B) Acceptance C) Anticipatory grieving D) Resolution of mourning
A) Guilt
An attempt to increase self-worth by acquiring certain attributes and characteristics of an individual one admires. Which ego defense mechanism is this? A) Identification B) Isolation C) Projection D) Compensation
A) Identification
A client diagnosed with trichotillomania is treated with behavior modification. Which of the following might be used? A) Implosion therapy (Flooding) B) RAISE C) Habit reversal training D) Systematic desensitization
A) Implosion therapy (Flooding)
A client is admitted to the emergency department with complaints of sudden hyper arousal and panic symptoms. Which monoamine should the nurse associate with the production of these symptoms? A) Increased levels of norepinephrine B) Decreased levels of norepinephrine C) Increased levels of dopamine D) Decreased levels of dopamine
A) Increased levels of norepinephrine
The psychologist started the therapy session with this question, "How have things been since we last met?". The nursing student observing this conversation understands that the psychologist is practicing based on the concepts of A) Interpersonal therapy B) Forming a strong bond with your therapist C) Setting clear goals together D) Committing to the process
A) Interpersonal therapy
A client diagnosed with an obsessive-compulsive disorder spends hours watching internet pornography. When confronted by his spouse, h responded in a soft emotionless tone, "I don't remember what happened." Which defense mechanism should the nurse identify in this context as associated with OCD? A) Isolation B) Repression C) Regression D) Projection
A) Isolation
What is the primary role of the psychiatric nurse as a member of the interdisciplinary team? A) Manages the therapeutic mileu on a 24-hour basis B) Assist with activities of daily living C) Conduct individual, group, and family therapy D) Provide rehabilitation
A) Manages the therapeutic mileu on a 24-hour basis
What is the primary role of the psychiatric nurse as a mentor of the interdisciplinary team? A) Manages the therapeutic milieu on a 24-hour basis B) Assist with activities of daily living C) Conduct individual, group, and family therapy D) Provide rehabilitation and vocational training
A) Manages the therapeutic milieu on a 24-hour basis
____ can occur when a client displaces feelings formed towards a person from their past to their nurse. A) Transference B) Reaction formation C) Empathy D) Counter transference
A) Transference
A client in the middle stage of Alzheimer's disease has difficulty communicating because of cognitive deterioration. Which nursing intervention is appropriate to improve communication? A) Verbalize the nurse's perception of the implied communication B) Encourage the client to communicate by writing. C) Increase the volume of the nurse's perception of the implied communication. D) Discourage attempts at verbal communication owing to increased client frustration.
A) Verbalize the nurse's perception of the implied communication
If a patient is going through alcohol withdrawal, which of the following are the preferred drugs to ease the patient through the process? (Hint: pick 3) A) Prolixin B) Chlordiazepoxide (Librium) C) Valium D) Zestril E) Ativan
B) Chlordiazepoxide (Librium) C) Valium E) Ativan
A veteran from the Iraq war is suffering from PTSD symptoms. The nurse expects his psychiatrist to prescribe an alpha 2 receptor agonist _____ to reduce his nightmares and anger outbursts. A) Clomipramine (Anafranil) B) Clonidine (Catapres) C) Tardive (Dyskinesia) D) Buspirone
B) Clonidine (Catapres)
What symptoms should a nurse recognize that differentiate a client diagnosed with panic disorder from a client diagnosed with generalized anxiety disorder (GAD)? A) Interpersonalization is commonly seen in a panic disorder and absent in GAD. B) Depersonalization is commonly seen in panic disorder and absent in GAD. C) Panic attacks are rarely seen in GAD, but are frequently seen in panic disorder. D) Panic attacks are rarely seen in panic disorder, but are frequently seen in GAD
B) Depersonalization is commonly seen in panic disorder and absent in GAD.
Mia's dog, Lucky, was run over by a car and she was in grief for over 6 months. Which statement suggests she is achieving resolution of her grief? A) I never cry when I think about Lucky. B) It's true, Lucky didn't always mind me. Sometimes he ignored my commands, but he was also a good companion. C) I should have held the leash tighter, it was my fault. I don't deserve to have a dog. D) I won't have another dog, it's too painful to lose them.
B) It's true, Lucky didn't always mind me. Sometimes he ignored my commands, but he was also a good companion.
A client is brought to an emergency department after being violently raped. Which nursing action is appropriate? A) Discourage the client from discussing the event, as this may lead to further emotional trauma B) Remain nonjudgmental and actively listen to the client's description of the event. C) Meet the client's self-care needs by assisting with showering and perineal care D) Provide cues, based on police information, to encourage further description of the event
B) Remain nonjudgmental and actively listen to the client's description of the event.
Which personality disorder exhibits signs of cold, distant aloofness, and a strong desire not to work with others? A) Schizotypal B) Schizoid C) Antisocial D) BPD
B) Schizoid
A kindergarten student is frequently violent toward other children. A school nurse notices bruises and burns on the child's face and arms. What other symptom should indicate to the nurse that the child might have been physically abused? A) The child begs or steals food or money. B) The child shrinks at the approach of adults. C) The child is violent toward adults. D) The child is violent towards animals.
B) The child shrinks at the approach of adults.
The nurse is assessing a client who has been receiving treatment for obsessive-compulsive disorder (OCD). What finding helps the nurse to evaluate the effectiveness of the treatment? A) The patient explains that they recheck various things to ease their anxiety. B) The patient is able to complete all tasks. C) The patient agrees that there is nothing wrong with rechecking their work? D) The patient ceases all rituals they had prior to their diagnoses.
B) The patient is able to complete all tasks.
A nurse assesses a client suspected of having the diagnosis of unspecified depression. Which client symptom would rule out this diagnosis? A) B) The patient is euphoric. C) D)
B) The patient is euphoric.
What is cognitive behavior therapy? A) Therapy aimed at decreasing a patient's psychotic episodes B) Therapy aimed at changing the patient's negative thoughts into positive thoughts C) Therapy aimed at decreasing a patient's anxiety episodes D) Therapy aimed at making patient's change their negative behaviors into positive behaviors
B) Therapy aimed at changing the patient's negative thoughts into positive thoughts
The nursing instructor is explaining the etiology of Somatic symptom Disorder from a psychodynamic perspective. What student statement about clients diagnosed with this disorder indicates that learning has occurred? A) They misinterpret and cognitively distort their physical symptoms. B) They express psychological stress through somatic symptoms, because it is easier to say something is wrong with their body instead of the mind. C) They tend to repeat behaviors that elicit positive response. D) When the sick role relieves them from stressful situation, their physical symptoms are reinforced.
B) They express psychological stress through somatic symptoms, because it is easier to say something is wrong with their body instead of the mind.
Kubler-Ross identified five stages of the grief response. Which stage is this patient in who states, "I'll go to church every Sunday if I can just live until my daughter grows up." A) Denial B) Anger C) Bargaining D) Acceptance
C) Bargaining
_____ refers to the nurse's emotional and behavior toward the client that is considered non-therapeutic A) Sympathy B) Self-Disclosure C) Countertransference D) Transference
C) Countertransference
The nurse is caring for a client who is experiencing both positive and negative symptoms of schizophrenia. What statement correctly differentiates the client's positive and negative symptoms? A) Paranoid delusions, flat affect, and anhedonia are negative symptoms of schizophrenia. B) Paranoid delusions, anergia, and echolalia are negative symptoms of schizophrenia C) Echolalia, hostility, and neologisms are positive symptoms D) Paranoid delusions, flat affect, and anhedonia are negative symptoms of schizophrenia.
C) Echolalia, hostility, and neologisms are positive symptoms
A mother rescues two of her four children from a house fire. In an emergency department, she cries, "I should have gone back in to get them. I should have died, not them." The charge nurse intervenes immediately when she heard the primary care nurse giving advice. Which of these comments made by the primary nurse elicit the need for conference. A) The smoke was too thick. You couldn't have gone back in. B) You're feeling guilty because you weren't able to save your children. C) Focus on the fact that you could have lost all four of your children. D) You did all that you could have possibly done.
C) Focus on the fact that you could have lost all four of your children.
What is ataxia and what causes it? A) Gait disturbances; caused by intoxication B) Repeating another's words or phrases: caused by a traumatic brain injury C) Gait disturbances; caused by a traumatic brain injury D) Inability to call a taxi cab; caused by intoxication
C) Gait disturbances; caused by a traumatic brain injury
A patient's hand becomes cracked and bleeds due to her repeated hand washing and scrubbing routine. During the early phase of hospitalization, the most beneficial and therapeutic action by the nurse is initially to: A) Decrease the time spent washing hands B) Eliminating the handwashing ritual C) Interrupt the patient's ritual whenever you see her doing it D) Allow plenty of time to complete rituals
D) Allow plenty of time to complete rituals
Patients with vascular neurocognitive disorder will have A) A regular pattern of decline. B) An expected rate of decline C) A steady rate specific to the individual D) An irregular and fluctuating pattern of decline
D) An irregular and fluctuating pattern of decline
One of the first nursing interventions for establishing trust in a therapeutic milieu is: A) Orienting clients to the new environment B) Including family and community in the program of therapy C) Establishing written standards to deal with unacceptable behaviors D) Assessing the client's readiness to learn new health education topics
D) Assessing the client's readiness to learn new health education topics
One of the first nursing interventions for establishing trust in a therapeutic milieu is: A) Orienting clients to the new environment B) Including family and community in the program of therapy C) Establishing written standards to deal with unacceptable behaviors D) Assessing the client's readiness to learn new health education topics
D) Assessing the client's readiness to learn new health education topics
In which leadership style do members exhibit high enthusiasm and high productivity? A) Laissez-Faire B) Diplomatic C) Autocratic D) Democratic
D) Democratic
What is the focus of the recovery model? A) Empowering the patient to provide hygiene for self B) Empowering the patient to perform ADLs independently C) Empowering the patient to take control of their finances D) Empowering the patient to make decisions related to individual healthcare
D) Empowering the patient to make decisions related to individual healthcare
A client discharged with bipolar 1 disorder is exhibiting severe manic behaviors. A physician prescribes Lithium Carbonate (Eskalith) and Haloperidol (Haldol). The client's spouse questions the Haldol order. Which is the best response. A) You're right-Haldol decreases the effects of lithium. I will ask your doctor to discontinue the medication. B) You will have to ask your doctor about that. C) Haldol increases the effectiveness of lithium. D) Haldol decreases the effect of lithium, thereby reducing the chances of developing lithium toxicity
D) Haldol decreases the effect of lithium, thereby reducing the chances of developing lithium toxicity
A patient has been diagnosed as having blindness related to conversion disorder. She displays indifference regarding the conversion symptom. The nurse states, "I can't understand why the patient doesn't seem more anxious about her symptom." Which explanation from the Clinical Nurse Specialist would enable the nurse to understand the patient's behavior? A) The patient is faking the blindness B) The blindness will increase the patient's stress. C) The patient has been misdiagnosed-blindness is not related to conversion disorder D) The blindness is actually helping the patient by reducing her anxiety
D) The blindness is actually helping the patient by reducing her anxiety
A veteran of the Iraq war is being assessed by the nurse for post-traumatic stress disorder. Which symptoms would not support the PTSD diagnosis? A) The client feels detached and estranged from others B) The client has been exposed to extreme war-related graphic images through television while he was deployed in Iraq C) The client experiences fear and helplessness D) The client has experienced symptoms of this disorder for 2 weeks
D) The client has experienced symptoms of this disorder for 2 weeks
A nursing instructor is teaching about the etiology of IAD from a psychoanalytical perspective. What student statement about clients diagnosed with this disorder indicates that learning has occurred? A) When there is a familial predisposition to this disorder, they may develop this disorder. B) When the sick role relieves them from stressful situations, their physical symptoms are reinforced C) The misinterpret and cognitively distort their physical symptoms D) They express personal worthlessness through physical symptoms because physical problems are more acceptable than psychological problems.
D) They express personal worthlessness through physical symptoms because physical problems are more acceptable than psychological problems.
According to the U.S. Census Bureau criteria, how would a nurse classify an 88-year-old? A) Older B) Elderly C) Aged D) Very old
D) Very old
Which of the following is the best way to explain the side effects of antipsychotics to a patient? A) Weight gain is a common side effect, so be aware of this if you notice weight gain. B) You may gain weight, this is completely safe and normal. C) You may gain a bit of weight, it might be a good idea for you to consider new diet and exercise habits. D) Weight gain is a common but troubling side effect. Let's talk about some strategies for safely improving your nutrition and exercise habits.
D) Weight gain is a common but troubling side effect. Let's talk about some strategies for safely improving your nutrition and exercise habits.
The patient says I would be normal if I stopped drinking. Which of the following is the best response? A) Well then why don't you stop drinking? B) What do you mean by "normal"? C) Can you tell me what your life would be like if you weren't drinking? D) What could you do about your concerns if you didn't stick to drinking?
D) What could you do about your concerns if you didn't stick to drinking?
T/F: Benzodiazepines require the patient to follow a very strict diet.
FALSE! MAOIs require patients to follow very strict diets, and not benzodiazepines
True or False: Illusions and hallucinations are common symptoms of Alzheimer's disease.
False
True or False: Participation in Gamblers Anonymous (GA) is possibly the least effective treatment for pathological gambling.
False
True/False: The nurse should encourage the client for lengthy explanations of the situation and allow them to rationalize the situation in which the crisis occurred as major crisis intervention strategies.
False
True/False: The voluntary blocking of unpleasant feelings from one's awareness is termed as Repression.
False
True or False: The suspected cause of narcissistic personality disorder is abuse and neglect during the rapprochement phase of development.
False: Primary cause=overindulgence/learned behavior from the parents
What are the lithium levels for: Maintenance (normal) Acute toxicity
Maintenance: 0.5-1.2 mEq/L Acute Toxicity: 1.0-1.5 mEq/L
True or False: Nurses often serve as actors or role players in psychodrama sessions.
True
True or False: Transference is always counterproductive to a patient's therapy.
True
True or false: Married people are at a lower suicide risk than single people.
True
True or false: Those with a borderline personality disorder will use the primary defense mechanism of splitting.
True
True/False. In psychiatric settings, a generalist registered nurse can contribute to the assessment, planning, and interventions with families for the purpose of counseling and education.
True
True/False: Pathological depression is a distorted grief response.
True
Sertraline (Zoloft) is used as an: A) Antidepressant B) Antipsychotic C) Bipolar disorder treatment D) Antianxiety
A) Antidepressant
A nurse is working with the client who has somatic syndrome disorder. In order to diagnose somatic symptom disorder A) The client spends an excessive amount of time and energy to these symptoms or health concerns B) The client denies any health problems, even when evidence of problems are present C) The client denies a family history of health problems, even when there is evidence of this history. D) The family insists that there is a history of family health problems, even when there is no evidence present
A) The client spends an excessive amount of time and energy to these symptoms or health concerns
A client cuts his finger on the edge of a stack of papers. He sees a drop of blood and yells, "Help! Save me, I am bleeding to death." The nurse identifies this behavior as characteristic of which personality disorder? A) Paranoid schizophrenia B) Histrionic personality C) Delusion of grandeur D) Borderline personality
B) Histrionic personality
About how long does it take for symptoms of alcohol withdrawal to show? A) Within 30 minutes B) Within a few hours C) Within a few days D) Immediately
B) Within a few hours
A depressed client attempts suicide. Shortly before the attempt, he made several remarks. Which of these should have forewarned the nurse of his action? A) I can't wait to get out of here and go home. B) I'm not sure if I really want to see my family anymore. C) It's really rough going, and I wonder if it's really worth trying. D) I'm going home soon, you know.
C) It's really rough going, and I wonder if it's really worth trying.
The client who plays the major role in psychodrama is called A) Perpetrator B) Supporting artist/actor C) Protagonist D) Psychodramatist
C) Protagonist
What is the priority side effect of Olanzapine? A) Depression B) Difficulty walking C) Diarrhea D) Swollen lymph nodes/swelling face
D) Swollen lymph nodes/swelling face due to Aspiration risk!
True or false: recurrent obsession and compulsion are absent in people with OCPD.
True. This is present on OCD, not OCPD-There is no repetitive behavior with OCPD
Give 5 examples of indirect verbal suicide cues.
1) This is the last time you will see me. 2) I won't be around much longer for the doctor. 3) This will be over soon. 4) I won't be a burden anymore. 5) I'll be gone soon.
The nurse develops the following outcomes for a client diagnosed with bipolar disorder/main episodes. In what order does the nurse prioritize the following outcomes? 1) Sleep 6-8 hours. 2) Maintain nutritional status 3) Remain free from injury. 4) Interact appropriately with peers.
3) Remain free from injury. 2) Maintain nutritional status 1) Sleep 6-8 hours. 4) Interact appropriately with peers.
A patient is getting Pimozide (Orap) for 3 days. The nurse notices the sudden onset of the absence of voluntary movement. The nurse correctly understands that this extrapyramidal side effect is A) Akinesia B) Dyskinesia C) Dystonia D) Tardive dyskinesia
A) Akinesia
A client who has Obsessive Compulsive Disorder would most likely be prescribed which Tricyclic Antidepressant based on the success of this class of drug on OCD? A) Clomipramine (Anafranil) B) Clonidine (Catapres) C) Tardive (Dyskinesia) D) Buspirone
A) Clomipramine (Anafranil)
Care aimed at promoting a patient's dignity is given by providing: A) Comfort, safety and self-care measures B) Love, validation, and happiness C) Validation, Safety, and comfort D) Medication, safety, and justice
A) Comfort, safety and self-care measures
In cognitive therapy, the goal is to change dysfunctional thinking. These thoughts that patients have are called A) Conundrums B) Automatic thoughts C) Fabrication D) Neologism
A) Conundrums
A patient and her roommate are in their room. While passing by, a nurse hears them arguing. The manic patient says, "You are a pig. I hate you." The roommate says, "What right do you have to say that?" and starts to cry. Which of these interventions by the nurse would be appropriate? A) Enter and say to the manic person, "You've upset your roommate. She is crying." B) Separate the roommates. C) Allow the roommates to sort out their differences. D) Place the aggressive roommate in the quiet room.
A) Enter and say to the manic person, "You've upset your roommate. She is crying."
The nurse is conducting a process recording session for depressed client who is selectively mute. The nurse started the interview by asking "what do you want to talk about today?" The nurses question is most indicative of the use of: A) Giving broad opening B) Showing interest C) Offering general leads D) Exploring
A) Giving broad opening
______ is a technique of restricting anxiety based on the rationale that relaxation is opposite to anxiety? A) Reciprocal inhibition B) Coping mechanisms C) Projection D) Counter Transference
A) Reciprocal inhibition
A very anxious client does not understand why she is feeling anxious after a family session. She is utilizing the defense mechanism of A) Repression B) Projection C) Regression D) Displacement
A) Repression
Which therapeutic communication technique is being used in the following nurse-client conversation: Client: "My father spanked me often." Nurse: "Your father was a harsh disciplinarian." A) Restating B) Offering general leads C) Focusing D) Acceptance
A) Restating
Recently, a child diagnosed with an intellectual disability has scored 47 on her IQ test. Her parents contacted a local agency that serves the developmentally disabled and asked for a suggestion regarding her potential. Which statement reflects this best estimate of the client's eventual level of development? A) She may eventually function at about a second-grade level B) She may eventually function at a 6th-grade level C) She may reach abilities to perform basic self-care methods to tend to her hygiene. D) She will not be able to tend to her own hygiene and will need assistance doing so for the rest of her life.
A) She may eventually function at about a second-grade level
A patient complains of blurred vision but is not taking lithium. What medications would the nurse suspect the patient is taking? A) TCAs, SSRIS and SNRIs B) Benzodiazepine and narcotics C) Narcotics, calcium channel blockers and Beta blockers D) SSRIs and benzodiazepines
A) TCAs, SSRIS and SNRIs
A 60-year-old client treated for chronic schizophrenia presents to the emergency department with vermiform tongue movements, involuntary movements of the jaw and lips, and mild difficulty while speaking and swallowing. Which side effects and treatment should a nurse anticipate when planning care for this client? A) Tardive Dyskinesia; treated by discontinuing antipsychotic medications and administering valbenazine (Ingrezza) B) Anaphylactic shock; treated by discontinuing antipsychotic medications and administering epinephrine C) Overdose; treated with Narcan and Ativan D) None-this is a normal response for a patient with schizophrenia
A) Tardive Dyskinesia; treated by discontinuing antipsychotic medications and administering valbenazine (Ingrezza)
A nurse is implementing care within the parameters of tertiary prevention. Which nursing action is an example of this type of care? A) Teaching a client to cook meals, make a grocery list and establish a budget B) Teaching an adolescent about pregnancy prevention C) Teaching a client the reportable side effects of a newly prescribed neuroleptic medication D) Teaching a client about his or her new diagnosis of bipolar disorder
A) Teaching a client to cook meals, make a grocery list and establish a budget
A patient says, "I'm still on restriction, but I want to attend some off-unit activities. Would you ask the doctor to change my privileges?" What is the nurse's best response? A) That's a good topic for you to discuss with your doctor. B) Why are you asking me when you're able to speak for yourself? C) I will be glad to address it when I see your doctor later today. D) Do you think you can't speak to a doctor?
A) That's a good topic for you to discuss with your doctor.
A nurse is working with a client diagnosed with SSD. What criteria would differentiate this diagnosis from illness anxiety disorder? A) The client diagnosed with SSD experiences physical symptoms, and the client diagnosed with IAD doe not. B) The client diagnosed with SSD experiences a change in the quality of self-awareness, and the client diagnosed with IAD does not. C) The client diagnosed with SSD disorder has a perceived disturbance in body image or appearance, and the client diagnosed with IAD does not. D) The client diagnosed with SSD only experiences anxiety about the possibility of illness, and the client diagnosed with IAD does not.
A) The client diagnosed with SSD experiences physical symptoms, and the client diagnosed with IAD doe not.
The nurse is caring for a client diagnosed with ASD (Acute Stress Disorder) or posttraumatic stress disorder (PTSD). Which realistic goal should be included in this client's plan of care? A) The client will not require Zolpidem (Ambien) medication to obtain adequate sleep by discharge B) The client will have no flashbacks C) Th client will refrain from discussing the traumatic event D) The client will be able to feel a full range of emotions by discharge
A) The client will not require Zolpidem (Ambien) medication to obtain adequate sleep by discharge
A client is about to be discharged with a prescription for the antipsychotic agent, Clozapine (Clozaril). Understanding the side effects of this drug, which statement by the student nurse is appropriate? A) WBC should be monitored weekly for the first 6 months B) RBC should be monitored weekly for the first 6 months C) Suicide risk should be monitored within the first 2 weeks of therapy D) Due to the sexual dysfunction associated with Clozapine (Clozaril), medication adherence should be encouraged and monitored throughout the therapy.
A) WBC should be monitored weekly for the first 6 months
A client suffering from agoraphobia tells you, "That terrible feeling of panic I had yesterday. I'm somewhat afraid to talk about it." What is your best response? A) What were you doing yesterday when your first noticed the feeling? B) Can you describe your feelings when you experience these fears? C) What do you do when you experience these feelings? D) Don't worry, those feelings are just in your head and will go away eventually on their own.
A) What were you doing yesterday when your first noticed the feeling?
A patient has told the nurse that when she leaves the hospital, she will attend a new high school, as her family moved to another part of the city. The patient says to the nurse, "I'll have to get to know a new group of teachers and kids. Do you think they will like me?". The best response the nurse can make would be A) You seem concerned about what they will think of you. B) Of course they will like you! C) It doesn't matter whether they will like you or not. D) Do you think they will like you?
A) You seem concerned about what they will think of you.
Setting limits on acting out behavior and explaining the consequences of violating those limits is an acceptable intervention for which type of personality disorder? A) Antisocial disorder B) Borderline personality disorder C) Histrionics Personality disorder D) Narcissistic personality disorder
B) Borderline personality disorder
Which of the following symptoms must be present to diagnose a manic episode? A) A manic episode lasting at least 3 days. B) Elevated expansive or irritable mood C) Sleeping less then 4 hours a night for at least 7 days D) An increase of serotonin and decrease of dopamine lasting at least 3 days
B) Elevated expansive or irritable mood
A recently retired female executive was admitted to the hospital because she was no longer able to function effectively at home. Her behavior included an uncontrollable urge to chant long prayers for many hours. You are assigned to care for this patient during the early part of her hospitalization. In your initial contact with her, you will focus on: A) Her support system B) Explore her feelings about being hospitalized C) Her religion D) Her level of functionality and limitations in caring for herself
B) Explore her feelings about being hospitalized
When assessing a 2-year-old child with suspected autistic disorder, the nurse should be particularly alert for A) Hyperactivity and attention deficits B) Failure to develop interpersonal skills C) High levels of anxiety when separated by the other D) A history of disobedience and destructive acts.
B) Failure to develop interpersonal skills
What may occur if a patient does not follow the strict diet associated with MAOIs? A) Hypotensive crisis B) Hypertensive crisis C) Dilutional hyponatremia D) Lost effectiveness of the medication
B) Hypertensive crisis
A nurse working in hospice is proving end-of-life care to clients and families from many cultural and religious minority groups. These cultural guidelines related to bereavement practices are anticipated except? A) B) Providing advice related to funeral rituals is an important responsibility of the nurse.
B) Providing advice related to funeral rituals is an important responsibility of the nurse.
A 25-year-old pregnant mother of 2 children under age 6 is very protective and will not allow her children to play outdoors for fear of tick bites. She is worn out from cleaning the house from top to bottom every day. She asks the nurse how she can stop worrying so much. What is the most appropriate response for the nurse? A) Have you considered spraying your children with an insect repellent? B) Tell me your concerns about the children playing in your backyard. C) Why do you worry about the children getting tic bites D) Have you sprayed your backyard for ticks or other pests?
B) Tell me your concerns about the children playing in your backyard.
A client takes a maintenance dosage of lithium carbonate for bipolar disorder. She has come to the community health clinic, stating that she "has had the flu for several days." She describes her symptoms as muscle weakness, coughing, headache, fever, and GI upset. Her temperature is 100.9*F (38.3*C). Which situation does the nurse anticipate? A) The patient has the flu. B) The patient has signs and symptoms of toxicity from the lithium toxicity. C) The patient has signs and symptoms of withdrawal from lithium. D) The patient is abusing substances that are interacting with the lithium carbonate.
B) The patient has signs and symptoms of toxicity from the lithium toxicity.
Which of the following statements would indicate that teaching about naltrexone (ReVia) has been effective. A) I'll get sick if I use heroin while taking this medication. B) This medication will block the effects of any opioid substance I take. C) If I use opioids while taking naltrexone, I'll become extremely ill. D) Using naltrexone may make me dizzy.
B) This medication will block the effects of any opioid substance I take.
A nurse would recognize which as a goal of behavior therapy for a client diagnosed with AD and in what setting would this therapy be most effective? A) To clarify links between the current stressor and past experiences, outpatient setting B) To replace ineffective response patterns with more adaptive ones; inpatient setting C) To derive hope from sharing with others similar life experiences; outpatient setting D) To resolve immediate crisis and retore the client's adaptive functioning; in patient setting
B) To replace ineffective response patterns with more adaptive ones; inpatient setting
_____ is the use of psychic energy by the go and the superego to control id impulses. A) Libido B) Defense mechanisms C) Anticathexis D) Cathexis
C) Anticathexis
A client diagnosed with panic disorder states, "When an attack happens, I feel like I am going to die." Which is the most appropriate nursing reply?" A) Death from a panic attack happens so infrequently that there is no need to worry. B) Most people who experience panic attacks have feelings of impending doom. C) I know it's frightening but try to remind yourself that this will only last a short time. D) Tell me why you think you are going to die every time you have a panic attack.
C) I know it's frightening but try to remind yourself that this will only last a short time.
A 17-year-old female patient with anorexia nervosa has just been released from the hospital. To facilitate recovery at home, the psychiatric and mental health nurse instructs the family to: A) Discourage the patient from sneaking food between meals, by unobtrusively reducing her access to the kitchen B) Encourage the patient's interest in menu planning, food magazines, and cooking lessons, by leaving information and materials around the house C) Inform the patient that she is expected to join in routine family meals and clear the dishes after dinner, even if she does not eat. D) Permit the patient to discourage family preoccupation with meals.
C) Inform the patient that she is expected to join in routine family meals and clear the dishes after dinner, even if she does not eat.
A patient on sexual precautions impulsively kisses a nurse on the unit. Later, the patient accused the nurse of making homosexual advances toward her. The defense mechanism used is called... A) Transference B) Countertransference C) Projection D) Expulsion
C) Projection
A depressed client has always been quiet, non-demanding and accepting during her day in the unit. One day, her boyfriend is late for visiting hours. The client demonstrates anger at his lateness. Based on the psychoanalytical framework, the nurse recognizes that A) The patient is projecting her own feelings onto the nurse B) The patient is expressing emotions that are to be expected under the circumstances C) The patient is projecting her own feelings onto her boyfriend D) The patient is justified in her anger given the events that occurred.
C) The patient is projecting her own feelings onto her boyfriend
During a family session, the therapist notices that the client is boasting about his accomplishments to get his attention on him rather than focusing on the group's task. The leader should continue the therapy session based on the concept in which: A) It gives the husband more power B) The therapist is driven C) The problematic relationship patterns need to change within the system D) All of the above
C) The problematic relationship patterns need to change within the system
Which is the best intervention for a client experiencing a panic level of anxiety? A) Encourage the patient to meditate B) Instruct the patient to take rapid, shallow breaths C) Use brief and direct statements while communicating D) Teach the client how to recognize manifestations of increasing anxiety
C) Use brief and direct statements while communicating
At which point would the nurse determine that a client is at risk for developing a mental illness? A) When thoughts, feelings, and behaviors are not reflective of DSM-5 criteria B) When a client uses defense mechanisms such as ego protection C) When maladaptive responses to stress are coupled with interference in daily functioning D) When a client communicates absence of significant distress
C) When maladaptive responses to stress are coupled with interference in daily functioning
A nurse is assisting an individual who was the survivor of rape. Using the recovery model, the client says to the nurse, "I'm now taking important steps at my job towards getting a promotion." In which stage of the recovery model would the nurse assess the individual to be? A) Recovery B) Admitting C) rebuilding D) Destruction
C) rebuilding
Patients with alcoholism may develop Korakoff's psychosis. Which of these symptoms are associated with this condition?
Confabulation and amnesia
The nurse should make it a priority while performing an admission interview for a client with a suspected diagnosis of dissociative identity disorder A) Have you tried systematic desensitization in the past? B) Do you often feel detached from your body? C) Please let me know your intrusive thoughts and also the rituals associated with these thoughts. D) Have you ever been unable to remember how you came to be in a certain place?
D) Have you ever been unable to remember how you came to be in a certain place?
Which personality disorder is characterized by colorful, seductive, dependent, and extroverted behavior? A) Borderline Personality Disorder B) Dependent personality disorder C) Schizotypal D) Histrionics personality disorder
D) Histrionics personality disorder
The productivity is very low in _______ leadership style. A) Autocratic B) Democratic C) Theocratic D) Laissez-Faire
D) Laissez-Faire
The productivity of group members is very low in the _____ leadership style. A) Autocratic B) Democratic C) Theocratic D) Laissez-Faire
D) Laissez-Faire
A client believes she has a brain tumor despite numerous diagnostic tests that show no evidence of a tumor. She tells her nurse, People with brain tumors vomit. Yesterday I vomited all day, I know I have a brain tumor." The approach that fosters cognitive restructuring A) Do you have a family history of brain tumors? B) Perhaps you do have a brain tumor. How shall we proceed if nothing shows on your cat scan or tests? C) There is no evidence that you have a brain tumor. Vomiting is not evidence, you may be vomiting for many other reasons D) Let's see if there are any other possible explanations for your vomiting.
D) Let's see if there are any other possible explanations for your vomiting.
The nurse has been working in the emergency room with an elderly woman who was raped on her way home from the movies. The nurse is aware that the psychosocial outcome of a patient suffering from trauma-related disorder is not usually depended on... A) Love B) Hate C) Strength D) None of the above
D) None of the above
A client presents at the outpatient crisis center with symptoms of apathetic affect, illusions and hallucinations. Which personality disorder should the nurse associate with this behavior? A) Avoidant B) Antisocial C) Schizoid D) Schizotypal
D) Schizotypal
In the treatment of anxiety disorders, benzodiazepines (i.e., Ativan and Xanax) are indicated for _____ use and have a ____ abuse potential. A) Long-term; low B) Intermediate; High C) Intermediate; low D) Short-term; high
D) Short-term; high
A client is diagnosed with schizophrenia is on Olanzapine (Zyprexa) therapy for two months. During a routine nursing assessment, which client systemic symptoms related to this medication should prompt the nurse to intervene immediately? A) Hives on the face and neck B) Ringing in the patient's ears C) Blurry vision D) Swelling in the face and swollen lymph glands
D) Swelling in the face and swollen lymph glands
A nurse is assisting an individual with mental illness recovery using the Psychological Recovery Model. The patient states to the nurse, "I have schizophrenia. Nothing can be done. I might as well die." In which stage of the Psychological Recovery Model would the nurse assess this individual to be? A) The "confusion" stage B) The "darkness and despair" stage C) The "going downhill" stage D) The "moratorium" stage
D) The "moratorium" stage
A client's wife has been making excuses for her alcoholic husband's work absences. In family therapy, she states, "His problems at work are my fault." Which is the least appropriate nursing response? A) Why do you assume responsibility for his behaviors? B) I think you should start to confront his behavior C) Do you understand what the term enabler means? D) You pretend to be very compassionate. Please be conscientious.
D) You pretend to be very compassionate. Please be conscientious.
A client diagnosed with functional neurological symptom disorder is undergoing CBT (cognitive behavioral therapy) for intrapsychic conflicts. He said to the nurse that his arms do not feel like a part of him. Further, he asks the nurse, "What could this feeling be caused by, and am I all right?" The most therapeutic response would be A) There's nothing wrong with your arms, you are fine. B) Do you have any desire to amputate your arms are legs? C) Do you have any thoughts of harming yourself? D) Your arms look all right. This strange feeling you have concerning your arms is a part of your illness.
D) Your arms look all right. This strange feeling you have concerning your arms is a part of your illness.
What is splitting?
The inability to accept both positive and negative aspects of a person, place or thing: everything and everyone is either all good or all bad.
True or False: A psychiatric emergency is a crisis situation in which general functioning is impaired and the individual is incompetent to assume personal responsibility of behavior.
True
True/False: A dispositional crisis is an n acute response to an external situational stressor.
True
True/False: Children affected by fetal alcohol syndrome caused by prenatal exposure to alcohol are often at risk for developing ADHD.
True
True/False: Dispositional crisis is an acute response to an acute to an external situational stressor.
True
True/False: Dispositional crisis is an acute response to an external situational stressor.
True
True/False: In psychiatric settings, a generalist registered nurse can contribute to the assessment, planning and interventions with families for the purpose of counseling and education.
True
True/False: People with antisocial personality disorder exploit and manipulate others for personal gain.
True
True/False: Prolonged panic anxiety can be life threatening.
True
True/False: Psychiatric emergency is a crisis situation in which general functioning is impaired and the individual is incompetent to assure personal responsibility of behavior.
True
T/F: BOTH ringing of the ears and blurred visions are signs and symptoms of lithium toxicity.
True! If the patient is taking lithium (which many bipolar patients are) and starts reporting these symptoms, the lithium levels need to be assessed.
True or false: Clients with neurocognitive disorders will use confabulation to hide cognitive deficits.
True. Patients with the neurocognitive disorder may forget what they did on a particular day, so they will make up a story of what they were doing instead. They may say they went to the park, they were on a cruise or other vacation, etc. This process of making up stories to make up for lost events in time is called confabulation.
