Saunders/Davis/Townsend Psych Test 3 Questions

A nurse is providing instructions to a client. Which substances should a client who is taking Xanax be cautioned to avoid? Select all that apply 1. Alcohol 2. Caffeine 3. Antihistamines 4. Narcotics 5. Antidepressants 6. Antioxidants

1. Alcohol 3. Antihistamines 4. Narcotics 5. Antidepressants

Annie has hair-pulling disorder. She is receiving treatment at the mental health clinic with habit-reversal therapy. Which of the following elements would be included? Select all that apply 1. Awareness training 2. Competing response training 3. Social support 4. Hypnotherapy 5. Aversion therapy

1. Awareness training 2. Competing response training 3. Social support

A client taking Parnate develops a list of possible meal plans. Which meal plans should a nurse determine comprise safe food and beverage selections? Select all that apply 1. Baked chicken, mashed potatos, gravy, 8 oz 2% milk 2. Grilled salmon, steamed broccoli, 12 oz lemon lime soda 3. Pepperoni pizza, caesar salad, 16 oz iced tea 4. Beef burritos with sour cream and guac, corn chips, 12 oz beer 5. Granola with raisins and almonds, low-fat yogurt and 8 oz coffee 6. Grilled pork loin, rice, green beans, 12 oz diet clear soda

1. Baked chicken, mashed potatos, gravy, 8 oz 2% milk 2. Grilled salmon, steamed broccoli, 12 oz lemon lime soda 6. Grilled pork loin, rice, green beans, 12 oz diet clear soda

A client diagnosed with an anxiety disorder tells a nurse that being in crowds creates thoughts of losing control and the need to hurriedly leave. What should the nurse recommend as an effective, non-pharmological therapy for managing the client's symptoms of anxiety? 1. Cognitive behavioral therapy 2. ECT 3. Family systems therapy 4. Psychoanalytical therapy

1. Cognitive behavioral therapy

The physician orders Zoloft for a client who is hospitalized with adjustment disorder with depressed mood. This medication is intended to 1. Increase energy and elevate mood 2. Stimulate the CNS 3. Prevent psychotic symptoms 4. Produce a calming effect

1. Increase energy and elevate mood

A nurse is teaching an education class to clients with mild to moderate anxiety. Which teaching strategies should the nurse practice when educating the clients? Select all that apply 1. Maintain a calm, nonthreatening manner 2. Create an atmosphere of low stimuli 3. Encourage the client to verbalize thoughts and feelings that could contribute to symptoms of anxiety 4. Reinforce reality by focusing on here and now 5. Limit the length of class time and the amount of provided information 6. Create an environment free from hazardous objects that the client could use to cause harm

1. Maintain a calm, nonthreatening manner 2. Create an atmosphere of low stimuli 3. Encourage the client to verbalize thoughts and feelings that could contribute to symptoms of anxiety 5. Limit the length of class time and the amount of provided information

A war vet is diagnosed with PTSD. Which of the following therapy regimens would most appropriately be ordered? 1. Paroxetine and group therapy 2. Diazepam and implosion therapy 3. Alprazolam and behavior therapy 4. Carbamazepine and cognitive therapy

1. Paroxetine and group therapy

What should the nurse plan to teach a client who is taking alprazolam (Xanax) three times a day? 1. That there is a potential for dependence and tolerance. 2. The importance of discontinuing Xanax immediately if addiction is suspected. 3. That increased caffeine consumption can enhance the effectiveness of Xanax. 4. That Xanax is not habit forming.

1. That there is a potential for dependence and tolerance.

The parent of an adolescent client who is taking chlordiazepoxide (Librium) for the past 2 months calls a nurse requesting to have the dose increased because of the childs increasing anxiety. The parent states that the medication is being administered as directed. Which should the nurses best interpretation of this situation be? 1. The client may be developing a tolerance to the med and the dose needs to be reevaluated 2. The client may be skipping doses when not anxious and now needs a double dose of the med when feeling anxious 3. The client may be becoming resistant to the effects of the med and should be placed on an alternative medication 4. The clients anxiety disorder may be hormone related and larger doses of the med may be indicated

1. The client may be developing a tolerance to the med and the dose needs to be reevaluated

A client tells a nurse about an intense fear of dogs that causes the client to avoid visiting others unless it is confirmed that there are no dogs on the premises. The client further explains that these fears seem unreasonable, but the fear continues in spite of this acknowledgement. Based on the client's report, which conclusion by the nurse is accurate? 1. The client has a recognized fear but there is no evidence of psychopathology. 2. A fear that is recognized as excessive and unreasonable is DSM-IV criterion for phobias 3. True phobias are rare in the general population 4. Phobias begin in childhood and are diagnosed more often in men

2. A fear that is recognized as excessive and unreasonable is DSM-IV criterion for phobias

Janet has a diagnosis of generalized anxiety disorder and is prescribed buspirone 15 mg daily. Janet says to the nurse, "Why do I have to take this every day? My friend's doctor ordered Xanax for her and she only takes it when she is feeling anxious." Which of the following would be an appropriate response by the nurse? 1. Xanax is not effective for generalized anxiety disorder 2. Buspirone must be taken daily in order to be effective 3. I will ask the doctor if he will change your dose of buspirone to prn so that you don't have to take it everyday 4. Your friend really should be taking Xanax everyday

2. Buspirone must be taken daily in order to be effective

A nurse is reviewing diet restrictions with a client taking a MAOI. Which symptom could occur with non adherence to diet restrictions which taking an MAOI? 1. Agranulocytosis 2. Explosive occipital headache 3. Severe hypotension 4. Akathisia

2. Explosive occipital headache

A client is being treated with Clozaril. Which findings during a nurse's assessment indicate the client is experiencing adverse effects of clozapine? Select all that apply 1. Increased restlessness and anxiety 2. Extreme salivation 3. Dehydration 4. Agranulocytosis 5. Blood glucose 192 mg/dL 6. Seizure activity

2. Extreme salivation 4. Agranulocytosis 5. Blood glucose 192 mg/dL 6. Seizure activity

For the last year, a college student continually and unrealistically worries about academic performance and love life performance. The student is irritable and suffers from severe insomnia. This behavior is associated with which diagnosis? 1. Agoraphobia 2. Generalized anxiety disorder (GAD) 3. Social phobia disorder 4. Obsessive-compulsive disorder (OCD)

2. Generalized anxiety disorder (GAD)

A recently discharged vet reports symptoms of recurring intrusive thoughts, insomnia, and hypervigilance. Which mental health diagnosis would a nurse suspect? 1. Narcolepsy 2. Posttraumatic stress disorder 3. Trichotillomania disorder 4. Obsessive compulsive disorder

2. Posttraumatic stress disorder

A client who has been taking buspirone (Buspar) for 1 month returns to the clinic for a follow up assessment. The nurse determines that the medication is effective if the absence of which manifestation has occurred? 1. Paranoid thought process 2. Rapid heartbeat or anxiety 3. Alcohol withdrawal symptoms 4. Thought broadcasting or delusions

2. Rapid heartbeat or anxiety

A nurse is admitting a client diagnosed with generalized anxiety disorder. During the client's assessment, the nurse determines that which findings would be consistent with GAD? Select all that apply 1. Expansive mood with pressured speech 2. Restlessness or feeling on edge 3. Difficulty controlling the anxiety 4. Irritability 5. Muscle tension

2. Restlessness or feeling on edge 3. Difficulty controlling the anxiety 4. Irritability 5. Muscle tension

A war vet is diagnosed with PTSD. He says to the nurse, "I can't figure out why God took my buddy instead of me." The nurse assesses which of the following from the clients statement? 1. Repressed anger 2. Survivors guilt 3. Intrusive thoughts 4. Spiritual distress

2. Survivors guilt

A client is depressed following the breakup of a stormy marriage. She says to the nurse, "I feel so bad. I thought I would feel better once I left, but I feel worse!" Which is the best response by the nurse? 1. Cheer up, you have a lot to be happy about 2. You are grieving for the marriage you did not have. It is natural for you to feel badly. 3. Try not to dwell on how you feel. If you don't think about it, you'll feel better 4. You did the right thing. Knowing that should make you feel better

2. You are grieving for the marriage you did not have. It is natural for you to feel badly.

A client has been hospitalized with adjustment disorder with depressed mood following the breakup of her marriage. Which of the following is true regarding the diagnosis of adjustment disorder? 1. Client will require long term psychotherapy to achieve relief 2. Client likely inherited a genetic tendency for this disorder 3. Clients symptoms will likely remit once they have accepted the change in their life 4. Client probably would not have experienced an adjustment disorder if they had a higher level of intelligence

3. Clients symptoms will likely remit once they have accepted the change in their life

Joan is a new patient at the mental health clinic and has been diagnosed with body dysmorphic disorder. Which of the following medications is the psychiatric nurse practitioner most likely to prescribe for Joan? 1. Alprazolam - Xanax 2. Diazepam - Valium 3. Fluoxetine - Prozac 4. Olanzapine - Zyprexa

3. Fluoxetine - Prozac

A nurse is reviewing the medications for all assigned clients on an inpatient psyc unit. The nurse anticipates assessing for EPS in clients taking 1. Risperdal 2. Clozaril 3. Haldol 4. Geodon

3. Haldol

A client with OCD says to the nurse "I've been here for 4 days now, and I'm feeling better. I feel comfortable on this unit and I'm not ill-at-ease with the staff or other patients anymore." IN light of this change, which nursing intervention is most appropriate? 1. Give attention to the ritualistic behaviors each time they occur and point out their inappropriateness 2. Ignore the behaviors and they will be eliminated for lack of reinforcement 3. Set limits on the amount of time Sandy may engage in the ritualistic behavior 4. Continue to allow Sandy all the time she wants to carry out the ritualistic behvaior

3. Set limits on the amount of time Sandy may engage in the ritualistic behavior

A war vet is diagnosed with PTSD. He experiences a nightmare during his first night in the hospital. He explains to the nurse that he was dreaming about gunfire all around and people being killed. The nurse's most appropriate initial interventions is to 1. Administer Alprazolam as ordered PRN for anxiety 2. Call the physician and report the incident 3. Stay with the client and reassure him of his safety 4. Play a tape of relaxation exercises

3. Stay with the client and reassure him of his safety

A hospitalized client is exhibiting occasional anxiety. A nurse notifies a health care professional to request that a PRN anxiolytic medication be prescribed. Which medication should the nurse question regarding its effectiveness for PRN use? 1. Alprazolam - Ativan 2. Clonazepam - Klonopin 3. Clorazepate - Tranxene 4. Buspirone - Buspar

4. Buspirone - Buspar

When caring for a client who is experiencing a panic attack, which of the following nursing actions should be implemented? 1. Leave the client alone to maintain privacy. 2. Instruct the client regarding unit rules and regulations. 3. Sit with the client in the day room to provide comfort. 4. Communicate with simple words and brief messages.

4. Communicate with simple words and brief messages.

A client gives the home health nurse a bottle of clomipramine (Anafranil). The nurse notes that the medication has not been taken by the client in 2 months. Which behavior observed in the client would validate noncompliance with this medication? 1. Complaints of insomnia. 2 Complaints of hunger and fatigue 3. A pulse rate less than 60 beats/minute 4. Frequent hand washing with hot soapy water

4. Frequent hand washing with soapy water Clopmipramine is a tricyclic antidepressant used to treat obsessive compulsive disorder. Sedation sometimes occurs. Insomnia seldom is a side effect. Weight gain and tachycardia are side effects of this medication

During a client education class, a nurse is asked "What is an effective treatment for seasonal effective disorder?" Which intervention should the nurse recommend as an EBP for the first-line treatment of seasonal effective disorder? 1. 2-week trial of lithium carbonate 2. Individual therapy 3. Prescribing Seroquel 4. Light therapy

4. Light therapy

With implosion therapy, a client with phobic anxiety would be 1. Taught relaxation exercises 2. Subjected to graded intensities of the fear 3. Instructed to stop the therapeutic session as soon as anxiety is experienced. 4. Presented with massive exposure to a variety of stimuli associated with the phobic object or situation

4. Presented with massive exposure to a variety of stimuli associated with the phobic object or situation

Which of the following may be influential in the predisposition to PTSD? 1. Unsatisfactory parent-child relationship 2. Excess of the neurotransmitter serotonin 3. Distorted, negative cognitions 4. Severity of the stressor and availability of support systems

4. Severity of the stressor and availability of support systems