Mental Health Final Study questions

What type of behavior modification is being used when the patient transforms him/herself into a relaxed state (documented by slowing brain waves)? 1.Biofeedback 2.Massage 3.Aromatherapy 4.Kava

1.

Marion, a 25-year-old patient who lives with her parents, explains to the nurse at the community clinic, "I really don't need to talk to anyone, even my parents." The patient expresses that she is too busy and does not have the time to sit and talk. The nurse recognizes that the client is most likely using the defense mechanism known as: 1.Conversion reaction 2.Avoidance 3.Isolation 4.Denial

Avoidance

The home health nurse is informed by her patient that she is taking an herbal over-the-counter medication. What action should the nurse take with this information?

Nurse document this info and add to med list. then notify charge nurse

The form of therapy that focuses on the cause of the problem, originated from Freud, is ??

Psychoanalysis

therapy is done by massaging the feet of the patient to act upon pathways, unblocking and renewing energy flow

Reflexology

Lila's three-year-old daughter is an only child who recently started day care. It was only 6 months ago that Lila had toilet trained her daughter. After 1 week in the day care, her daughter has started wetting herself and crawling. Her mother has become quite concerned. The school nurse explained to her that her daughter probably is experiencing: 1.Regression 2.Depression 3.Manipulation 4.Compensation

Regression

A patient being medicated with haloperidol for more than 4 weeks has started to display symptoms of involuntary movements of the mouth that resembles chewing. Of the following EPS, the patient is showing signs of? 1. Dystonia 2. Akathisia 3. Drug-induced parkinsonism 4. Tardive dyskinesia

Tardive dyskinesia

A positive form of stress is called _________________.

eustress

Reflexology is based on the massage of this body part:

feet

_______ are the assumptions people make when forming communication.

presuppositions

Using a logical sounding excuse is known as?

rationalization

When you know the cause of the tension, that is an example of ______________ anxiety.

signal

A patient comes to the outpatient mental health clinic after 2 days of being discharged from the hospital. The patient was given a 1 week supply of clozapine. The nurse reviews information about clozapine with the patient. What shows the patient understands the teaching?

"I need to keep my appt this week for a blood test"

A 90-year-old patient is admitted with a broken wrist and multiple bruises. The caregiver reports the patient falls when she wanders. Which of the following would lead you to suspect elder abuse? 1. Inconsistent explanations about the details of the falls. 2. The patient tells you she doesn't like the caregiver. 3. The patient begins crying when her daughter arrives. 4. The patient has a urinary tract infection (UTI).

1

A new patient with a history of alcoholism is in the emergency department (ED) with agitation, vomiting, and tremors. He tells you he had his last drink 24 hours ago. Which medication would most likely be ordered? 1. Chlordiazepoxide 2. Disulfiram 3. Chlorpromazine 4. Naloxone hydrochloride

1

A patient becomes suicidal and is transferred to the locked unit of your hospital. Because this patient is actively suicidal you should: 1.Keep the patient in your line of vision at all times. 2.Perform suicide assessments every half-hour. 3.Inform the doctor that the patient is now in a locked seclusion room. 4.Take vital signs every 15 minutes.

1

A patient may be suffering from sundowning. What is the alternate name for this condition? 1. Nocturnal delirium 2. Vascular dementia 3. Pseudodementia 4. Neurocognitive confusion

1

A teenager admits to you that he has been smoking marijuana. The nurse knows that marijuana is a(n): 1. Cannabis. 2. Amphetamine. 3. Hallucinogen. 4. Narcotic.

1

A young adult arrives in the after-hours clinic with dilated pupils, an elevated heart rate, extreme sensitivity to sounds around him, sense of being outside of his body, and fine tremors of the hands. The patient admits to recent use of an illegal street drug. As the nurse collecting this data, you suspect: 1. LSD. 2. "Crack" cocaine. 3. Amphetamines. 4. Sedatives.

1

An appropriate goal for a patient who is on behavior modification for anorexia nervosa is: 1. Gain 2 pounds per week. 2. Eat all food at each meal. 3. Discuss the meaning of food to the patient for 1 hour every day. 4. Gain as much weight as possible in the first month of treatment to prevent serious complications of starvation.

1

Barbara is a new patient on your floor who is being assessed for several disorders, including suicide potential. You learn she attempts suicide every 6 to 12 months because she cannot tolerate living alone. She is unable to see two sides of a situation or an individual; they are either all good or all bad. You consider which of the following as a potential diagnosis for Barbara? 1.Borderline personality disorder 2.Multiple personality disorder 3.Narcissistic personality disorder 4.Antisocial personality disorder

1

Because a woman who is being hurt by her partner may try to keep the abuse private, which of the following is known to be an indirect source to identify the abuse? 1. Pediatric clinics 2. Emergency departments 3. Women's shelters 4. Mental health clinics

1

In the elderly, administering medication is a great concern for the nurse because these patients are more prone to side effects. The primary cause of this is: 1. Altered circulatory and renal function. 2. Accelerated gastrointestinal system. 3. Enlarged lymph nodes. 4. Musculoskeletal system weakness.

1

Lithium toxicity is most likely with which of the following patients? 1.An elderly man with diarrhea from food poisoning 2.A teenage girl on oral contraceptives 3.A 40-year-old man who smokes marijuana on the weekend 4. All of the above are at high risk

1

Marnie is a 16-year-old patient with bipolar disorder. She is manic right now and is in the hallway naked, making sexual requests of the staff and other patients. What is your best course of action? 1.Quietly approach her, escort her to her room, and assist her in getting dressed. 2.Quietly approach her, escort her to her room, and explain to her the inappropriateness of her actions. 3.Approach her, confront her behavior as it is happening, and escort her to her room. 4.Confront her behavior in the hall, apologize to the other patients, and escort her to her room.

1

Marty is a 15-year-old boy whose parents have brought him to a mental health clinic for evaluation. They are concerned because his grades have fallen and he has become angry and sometimes even violent. He spends long periods of time alone and does not want to see his friends. The parents report that he has never been a "bad" boy nor had problems in school. They are worried about the changes in his behavior. Which of the following is the most likely cause? 1. Depression 2. Running around with a tough crowd 3. Normal adolescent phase 4. Attention-deficit/hyperactivity disorder (ADHD)

1

Of the following patient statements, which do nurses recognize as the highest risk for a patient to commit suicide? 1."I've been saving my pain medications for when I really need them. Now that my spouse has left me I think I will use them right before the holidays." 2."I told my boss if he fires me, I'll kill myself." 3."Nobody appreciates the work I do. They'd miss me if I just killed myself and was gone one day." 4."I really admire people who have enough nerve to kill themselves. I'm not that brave yet."

1

Patients with antisocial personality disorder: 1.Generally must have immediate gratification. 2.Display a great deal of responsibility toward others. 3.Show a great deal of anxiety. 4.Have obsessive thoughts when in a social situation.

1

Personality disorders are organized into three clusters. Which cluster is the diagnosis of schizotypal disorder placed in? 1. Cluster A 2. Cluster 1 3. Cluster B 4. Cluster C

1

Rob, a 15-year-old, has lost 30 pounds in 3 months. Rob is 6 feet tall and weighs 110 pounds. He tells you that he is fat: "Just look at how puffy my feet and arms still are. I have to get rid of the fat there." The nursing diagnosis based on this information is: 1. Body image disturbance: distorted perception. 2. Knowledge deficit: nutritional requirements. 3. Altered nutrition, more than body requirements. 4. Potential for suicide.

1

Team members working with patients who have dementia need to have a common, unified approach because this type of patient requires: 1. Sameness and consistency in their lives. 2. Strict rules and regulations. 3. Behavior modification at all times. 4. Staff who cannot be manipulated.

1

Which health-care team member is responsible for the initial assessment of elderly individuals? 1. RN 2. LPN 3. Certified nurse aide 4. Social worker

1

Which of the following are signs of withdrawal from heroin? 1. Insomnia, muscle cramps, vomiting 2. Excessive sleeping, low blood pressure, depression 3. Seizures, brain damage, excessive sleeping 4. Lethargy, panic disorder, increased appetite

1

Which of the following best describes bipolar I disorder? 1.Full manic cycles with possibility of depression 2.Disturbance in mood that is a direct result of physiological effects of substance abuse 3.Periods of mild mania followed by mild depression 4.Intense depression followed by normal mood

1

Which of the following is a positive sign of schizophrenia? 1. Hallucinations 2. Avolition 3. Blunted affect 4. Social withdrawal

1

Which of the following is a priority in dealing with a highly anxious patient? 1. Provide support and a therapeutic milieu. 2. Implement strict limit setting to control behavior. 3. Increase environmental stimuli to distract the patient. 4. Provide more freedom to promote self-expression.

1

Which of the following is the most common childhood mental disorder? 1. Attention-deficit/hyperactivity disorder (ADHD) 2. Asperger's syndrome 3. Conduct disorder 4. Enuresis

1

Which of the following statements is true about suicide? 1.There is generally some warning when someone commits suicide. 2.Victims of suicide have a genetic predisposition to it. 3.Suicide can always be prevented. 4.Talking about suicide means the person is not serious about it.

1

Which of the following statements is true about the differences in mental health problems between children and adults? 1. Children are affected by the same stressors as adults, but to different degrees and with different manifestations. 2. Children's mental health disorders are generally much less severe and resolve more quickly than do those of adults. 3. Children's mental health problems are different from those of adults because their brains are "wired" differently. 4. Children have better means of "working off" stresses than do adults.

1

Which of the following would be the most effective intervention for a depressed patient? 1.Establish one small goal to accomplish today. 2.Help the patient develop a goal to complete in the next month. 3.Encourage the patient to talk about recent failures in his or her life. 4.Let the patient guide what is the next best action.

1

Which statement is most likely to be from a patient in a manic episode? 1."I don't need to sleep." 2."I am Jesus Christ." 3."Leave me alone while I am reading this textbook." 4."I am worthless."

1

Which would be most important to find out next about the above patient? 1.Does he have a suicide plan now? 2.What is his psychiatric diagnosis? 3.Who does he live with? 4.What type of psychiatric therapy has he had recently?

1

Who is the most likely perpetrator of child abuse? 1. Parent 2. Other relative 3. Hired babysitter 4. Teacher

1

You are caring for Eliza. She has dementia and is recovering from knee surgery. You are working with a nursing assistant and physical therapy to achieve optimal functioning for her. Which type of nursing care are you providing? 1. Restorative 2. Palliative 3. Hospice 4. Intraoperative

1

You are caring for an adolescent patient who has swallowed all of his mother's sleeping pills and pain pills. The patient has had a gastric lavage and is able to answer questions. The best question to ask this patient is: 1."What are your thoughts right now about hurting yourself?" 2."Why on earth did you do that?" 3."Don't you know how much your family loves you and how much they will miss you if you kill yourself?" 4."This is a very immature way to get attention."

1

You are working with the RN to plan short-term goals for a 28-year-old hospitalized manic patient. Which is the most important goal? 1.Protection from self-inflicted harm 2.Meals in excess of metabolic requirement 3.Strict participation in unit activities 4.Enforced medication compliance

1

Your new patient is admitted with a diagnosis of schizophrenia. Which of the following is the patient most likely to demonstrate? 1.Concrete thinking 2.Effective ego boundaries 3.Inflated self-image 4.Fatigue and loss of appetite

1

Your patient in the psychiatric unit is still up at midnight playing cards. You tell him, "It's time to get some sleep now." What is the purpose of this response? 1.Limit setting 2.Reality testing 3.Controlling patient so other patients will respond the same way 4.Enforcing rules

1

Your patient is on donepezil (Aricept). This tells you your patient has which disorder? 1. Dementia 2. Obsessive-compulsive disorder 3. Major depression 4. Delirium

1

Your patient takes tranylcypromine for depression. Which of the following is most likely to indicate dietary restrictions have not been followed? 1.Hypertensive crisis 2.Syncope 3.Muscle spasms 4.Increased depression

1

Your patient with anorexia nervosa is in the bathroom running in place at a rapid rate. What is the most likely reason for this behavior? 1. She recently ate and wants to work off the calories to avoid gaining weight. 2. She wants her heart rate increased so you will think she is having heart problems. 3. She is a regular exerciser for good health. 4. She is depressed and hopes this will make her feel more alert.

1

Your patient with major depression sits in her room for hours staring out the window. Which of the following would be the most appropriate intervention? 1.Sit with the patient and gently offer your availability to help. 2.Keep encouraging the patient to go to exercise class. 3.Offer the class once and then let the patient decide. 4.Sit with the patient and ask her to list reasons for her depression.

1

Your patient with schizophrenia who is English-speaking says "no acu moona" to you. What is this called? 1.Neologism 2.Echolalia 3.Echopraxia 4.Concretism

1

While observing a female patient on the oncology unit who has a secondary diagnosis of panic attacks, the nurse would expect to observe which of the following symptoms (select all that apply)? 1.Nausea 2.Diaphoresis 3.Survivor guilt 4.Increased pulse 5.Reliving the experience

1, 2, 4

The following conditions can be stress related (select all that apply): 1.Asthma 2.Cancer 3.Burnout 4.Hunger 5.Immunity impairment

1,2,3,5

The side effects of ginkgo biloba include (select all that apply): 1. Bleeding 2. Nausea and vomiting 3. Diarrhea 4. Fishy reflux 5. Headache

1,2,3,5

When assessing the elderly for depression, the nurse may find that a depressed person over 70 years of age without a medical diagnosis may have the following symptoms of depression (select all that apply): 1. Aches 2. Pains 3. Constipation 4. One-sided weakness 5. Confusion

1,2,3,5

A girl with suicidal thoughts would be most likely to have which symptoms (select all that apply)? 1. Asking questions about death 2. Losing interest in sports 3. Showing evidence of substance abuse 4. Exhibiting delayed speech skills 5. Experiencing echolalia 6. Having poor sleep habits

1,2,3,6

Which symptoms are typical of depression in younger children (select all that apply)? 1. Social isolation 2. Boredom 3. Rapid mood swings 4. Poor concentration 5. Grandiose delusions 6. Rapid speech/racing thoughts

1,2,4

While assessing your patient, you realize the patient is experiencing a manic episode. You will most likely expect (select all that apply): 1.Decreased need for sleep 2.Extreme irritability 3.Extreme depression 4.A surge of energy 5.A loss of interest in ordinary activities

1,2,4

Commonly used medications for anxiety disorders include (select all that apply): 1.Alprazolam (Xanax) 2.Diazepam (Valium) 3.Haloperidol (Haldol) 4.Zolpidem (Ambien) 5.Lorazepam (Ativan)

1,2,4,5

Annie has been diagnosed as having dysthymic disorder. The nurse knows that symptoms of this disorder include (select all that apply): 1.A depressed mood that lasts for most of each day over a 2-year period 2.Low self-esteem 3.Hallucinations 4.Difficulty in making decisions 5.Periods of euphoria 6.Sleep pattern disturbances

1,2,4,6

Of the following, which interventions are part of an effective care plan for someone with advanced dementia (Select all that apply)? 1. Keep the patient busy with structured activities. 2. Keep televisions and radios on whenever possible to encourage patient interaction. 3. Allow more time for performing care. 4. Emphasize "reality orientation." 5. Encourage independent decision making. 6. Provide group therapy opportunities to share feelings and problems.

1,3

You find out that your schizophrenic patient is also using opioids to counteract the frightening hallucinations. What terms are used to describe this (Select all that apply)? 1. Dual diagnosis 2. Bipolar schizophrenia 3. Co-occurring disorder 4. Opioid-related schizophrenia 5. Schizophrenia: Addiction type

1,3

It is helpful as a nurse to be able to recognize the channel through which your patient communicates if following the primary sensory representation philosophy. Your patient Tamara's sensory representation is visual. Determine which terms would identify visual sensory predicates (select all that apply): 1. an eyeful 2. An earful 3. IN light of 4. in view of 5. Hang in there

1,3,4

The following are true for hypnotherapy (select all that apply): 1. People enters a trance everyday 2. A trance is sleep 3. Hypnosis is very deep relaxation 4. Hypnotherapy is one of the most controversial complementary and alternative tx modalities 5. The patient assumes the pose, called asanas, to focus on internal experiences

1,3,4

Which of the following statements about attention-deficit/hyperactivity disorder (ADHD) are true (select all that apply)? 1. ADHD is more common in boys than in girls. 2. Children with ADHD tend to be of below-average intelligence. 3. ADHD can be caused by a chaotic family life. 4. Children with ADHD are often treated with the use of stimulants. 5. Children with ADHD often benefit from behavior modification tools like limit setting, reward systems, and positive reinforcement. 6. Even though we think of ADHD as a disorder in children, adults can also have it.

1,3,4,5,6

Which of the following statements about sexual abuse of children are true (select all that apply)? 1. The abuser is most often someone the child knows and trusts. 2. The nurse must confront the abuse victim to make him or her admit to the abuse. 3. Abused children often act out the abuse in their own play behaviors. 4. The abused child is confused about whether the acts are right but believes the abuser would not do anything wrong. 5. Because children are resilient, they tend to get over acts of sexual abuse fairly easily with minimal intervention. 6. One thing the nurse must do is reinforce that the child is not to blame for the abuse.

1,3,4,6

Which of the following are valid nursing interventions in treating schizophrenic patients (select all that apply)? 1. Do not reinforce hallucinations, delusions, or illusions. 2. Provide a stimulating environment for the patient to provide distraction. 3. Keep communication simple. 4. Whisper when the patient is around. 5. Emphasize behavior that is appropriate to the situation. 6. Encourage the patient to confront stressful situations.

1,3,5

Which of the following are actions the nurse can take to help adult victims of abuse (select all that apply)? 1. Reassure the patient that everything possible is being done to ensure his or her safety. 2. Don't show empathy to the abuser. 3. Know your own thoughts and feelings about abuse. 4. Take the burden of deciding about notifying authorities off the patient and do it yourself. 5. Remain nonjudgmental. 6. Know and follow agency policies.

1,3,5,6

When teaching patients taking St. John's wort, the nurse will inform them of the following information (select all that apply): 1. Dry mouth is a side effect 2. Children can take small amounts for mild depression 3. Increase length of time in sunlight 4. Consult your physician before taking any OTC flu and cold meds

1,4

Which of the following are true about atypical antipsychotics (select all that apply)? 1. Weak dopamine receptor antagonists 2. Strong dopamine receptor antagonists 3. Higher risk of extrapyramidal symptoms 4. Used to treat negative and positive symptoms of schizophrenia 5. Only available in oral form

1,4

Which of the following nursing interventions apply to all depressed patients (select all that apply)? 1.Show patience. 2.Monitor lithium levels. 3.Monitor for suicidal ideation. 4.Communicate effectively. 5.Provide meaningful activities. 6.Include alternative therapies in the treatment plan.

1,4,5

A patient is unwilling to go out of the house for fear of "being outside without a way to get back home" Because of this fear, the patient remains at home, except when accompanied outside by the spouse. The nurse suspects that the patient has: 1.Agoraphobia. 2.Hematophobia. 3.Claustrophobia. 4.Hypochondriasis.

1.

When working with a female patient experiencing a phobia about spiders, Nurse Toni should anticipate that a problem for this patient would be: 1.Fear when speaking of the item. 2.Depression toward the feared object. 3.Denying the existence of a phobia. 4.Distortion of reality.

1.

A battered woman in the women's shelter states that she "is afraid to go home because he drinks. That's when he gets violent and he beats me." Which of the following reflects accurate knowledge about domestic violence and alcohol use? 1. "If you can get him to quit drinking, the beating will stop." 2. "Alcohol use can increase the chances of abuse." 3. "People who use alcohol almost always end up as abusers." 4. "He's just using the alcohol as an excuse to beat you."

2

A suicidal patient has been transferred to your unit from the medical floor and asks you why he "has to be watched every minute. I have a right to my privacy; I'm an adult and can come and go as I please." The best response to this patient is: 1."Why do you think you are being watched?" 2."We are concerned that you might attempt to seriously hurt yourself." 3."It shouldn't bother you if you have nothing to hide from us." 4."This is a direct order from your doctor."

2

Andrea's mother has been becoming more and more forgetful. It seems to have gotten worse over the past 15 years. Her most likely diagnosis could be: 1. Depression. 2. Alzheimer's disease. 3. Hyperthyroidism. 4. Delirium.

2

As a nurse, you understand that anorexia nervosa in adolescents may be related to: 1. Depression. 2. Fear of moving into adulthood. 3. Family history of alcoholism. 4. A desire to die.

2

As you perform a suicide assessment on your patient, you learn that the patient has only one person to call in times of need, has been thinking about suicide frequently in past weeks, and has attempted suicide once before 3 years ago. Given this information you believe this patient's suicide risk is: 1. Low. 2. Moderate. 3. None. 4. Imminent.

2

Bariatric surgery is now an accepted treatment for people with which of the following? 1. Poor body image 2. BMI over 40 3. Untreatable bulimia 4. BMI of 25 with diabetes

2

How should you address Carl Jones, the newly admitted elderly patient, to your mental health unit? 1. "Hello, Carl." 2. "Hi, Mr. Jones." 3. "Good morning, Gramps." 4. "Honey, glad you are here."

2

Max says, "Nurse, see that man on the television? He is the reason why I am sick. He told them to make me this way." The nurse documents this as an episode of: 1. Hallucination. 2. Delusion. 3. Illusion. 4. Loose associations.

2

Nancy has antisocial personality disorder. Which of the following is a goal of treatment for Nancy? 1.Comply with her medication regimen. 2.Participate in long-term therapy. 3.Become a group facilitator. 4.Eliminate her anxiety.

2

Nurses know that the main difference between anorexia nervosa and bulimia nervosa is that the patient with bulimia nervosa: 1. Is morbidly obese. 2. Eats and purges in secret to keep the problem hidden. 3. Gets pleasure from being able to control the urge to eat. 4. Believes mealtime is stressful.

2

Nurses know that when working with patients who have personality disorders, the most difficult task for these patients will probably be: 1.Following rules. 2.Getting along with others. 3.Hoarding their medications. 4.Participating in care plan meetings.

2

Of the following observations, which is the most objective measure of improvement in your patient with anorexia nervosa? 1. She eats all of her food on the tray at lunch. 2. She gains 2 pounds from last week. 3. She weighs herself daily. 4. She tells you her friends are bringing her special foods.

2

Patients are most likely to commit suicide when: 1.They are severely depressed. 2.They feel trapped. 3.They are recently discharged from the hospital. 4.They have a significant other who is supportive.

2

Randi is a young model. She had been taking high doses of amphetamines to keep her weight down. She recently decided to cut back on the drugs and she is now experiencing amphetamine withdrawal. Which of the following sets of symptoms of amphetamine withdrawal is Randi likely experiencing? 1. Chest pain, palpitations, and diaphoresis 2. Depression, vivid dreams, and confusion 3. Euphoria, hyperactivity, and hyperalertness 4. Diaphoresis, clammy palms, and diarrhea

2

Schizotypal personality disorder may be confused with what other psychiatric disorder? 1. Bipolar 2. Schizophrenia 3. Dual diagnosis 4. Paranoid personality

2

Some medications such as tricyclics cause blurred vision. What is the cause of this effect? 1.Hyperglycemia 2.Anticholinergic effect 3.Hypoxia 4.Hypertension

2

Suzanne is a 10-year-old girl who has been diagnosed as experiencing depression. What is likely to be the most effective way to help Suzanne express her feelings? 1. Have her participate in a group therapy session with other young children who are depressed. 2. Ask her to draw some pictures about things that she's been thinking about. 3. Arrange for individual psychotherapy sessions with a psychiatrist. 4. Observe her actions but don't seek to draw her into conversation.

2

The Omnibus Budget Reconciliation Act (OBRA) provides standards of care for which of the following? 1. Very young 2. Older adults 3. Those who have certain intellectual communication difficulties 4. Those without medical insurance

2

The difference between child abuse and child neglect is: 1. Abuse is done on purpose; neglect is accidental. 2. Abuse is an act of commission; neglect is an act of omission. 3. Abuse is a crime; neglect is not. 4. Children are often afraid to report abuse, but are willing to report neglect.

2

The single most common symptom of autism spectrum disorder is: 1. Inability to grasp reality. 2. Impaired social interaction. 3. "Acting-out" behaviors. 4. Diminished affect.

2

What should be your response to the wife who says, "I should get out of this bad situation with his drinking"? 1. "That happened to me. It's best to get out while you can." 2. "Tell me more about the bad situation." 3. "Why don't you talk to your husband about his drinking?" 4. "You'll do what's right."

2

Which diversional activity is most appropriate for a patient in a manic phase? 1.A card game 2.Exercise class 3.Cross-stitch 4.Computer game

2

Which of the following is NOT a risk factor for becoming a child abuser? 1. Abused as a child 2. Having a chronic disease 3. Heavy drinker 4. Poor coping mechanisms to deal with frustration

2

Which of the following is the most appropriate nursing intervention for a patient with schizophrenia? 1. Teach the patient about the illness. 2. Maintain consistency with the patient's plan of care. 3. Insist that the patient participate in all activities provided on the unit. 4. Allow the patient time to listen to the radio alone in his or her room.

2

Which of the following statements by your attention-deficit/hyperactivity disorder (ADHD) child's parents indicate they need further teaching? 1. "We will establish firm but reasonable limits on his behavior." 2. "We will give him his medication at night so it won't decrease his appetite." 3. "We will set him up in a special program at his school so he will get extra attention." 4. "We will work to ensure he gets 8 hours of sleep a night."

2

Which of the following would NOT be a potential characteristic of a patient with anorexia nervosa? 1. Male 2. Slightly overweight 3. Anxious 4. Perfectionistic

2

You are caring for a middle-aged man who is under medical and psychiatric care for molesting a 7-year-old girl. You inform him that dinner is being served in the dining room. He tells you to leave and that he does not want anyone to see him or "know what I did." You respond: 1. "You will need to face people sooner or later." 2. "You are here for treatment of an illness, not judgment of an action." 3. "I guess I wouldn't want to been seen either. You may stay here." 4. "Only the staff knows the reason for your admission."

2

You are caring for an older adult who is recently widowed. She says, "No one cares if I die. Everyone I ever loved is dead." What is the best response? 1."I am sure that you still have people who care about you." 2."You sound like you are feeling all alone." 3."Boy, that is depressing." 4."I don't believe that."

2

You find your schizophrenic patient sitting in a wet bed and singing nursery rhymes. What should you do? 1. Ask why the patient did not call for help. 2. Help the patient clean up in a calm manner. 3. Show the patient again where the bathroom is. 4. Tell the patient his privileges will be withdrawn if this happens again.

2

Your 15-year-old neighbor, who knows you are a mental health nurse, informs you that he has "a friend who is talking about suicide." Your best initial response to the young neighbor is: 1."Who is it? Another neighbor?" 2."I have some time. Tell me a little about this friend." 3."Who else knows? Has this friend told anyone else?" 4."Your friend needs help right away!"

2

Your depressed patient is just started on duloxetine (Cymbalta). Which statement by the spouse tells you that family teaching has been effective? 1. "I can't wait for him to be back to his old self in the next day or so." 2. "I realize we can't expect big changes right away." 3. "I have to take him for weekly blood tests to monitor the drug dosage." 4. "I will make sure he doesn't eat any aged cheese for the next 2 months until the dose is stabilized."

2

Your male patient tells you that he has women "throwing themselves" at him everywhere he goes. From this statement, what is the most likely personality disorder he is exhibiting? 1. Borderline 2. Narcissistic 3. Paranoid 4. Antisocial

2

Your male patient tells you that he has women "throwing themselves" at him everywhere he goes. The best nursing response to the patient is: 1. "Wow, that is impressive. Give me some tips." 2. "Tell me about a recent relationship." 3. "Let's focus on activities for today." 4. "Let's go to the dayroom and see what happens."

2

Your new patient in the emergency department states that she was been beaten and raped. What should you do first? 1. Ask for a psychiatric consult. 2. Stay with her and provide support. 3. Wash and dress her wounds before the "rape kit" is performed. 4. Encourage her to tell you the details of what happened.

2

Your new patient is admitted to the emergency department after a car accident. She is extremely anxious and experiencing a panic attack. Which intervention is most helpful? 1.Ask her to describe her feelings. 2.Stay with her in the exam room. 3.Set her up in a quiet exam room away from activity and give her privacy. 4.Encourage her to remember what happened in the accident.

2

Your new patient is admitted to your nursing home with a diagnosis of vascular dementia. You know that this type of dementia differs from Alzheimer's dementia in what way? 1. The progression of symptoms is predictable based on the person's heart disease. 2. The progression of symptoms is more variable than Alzheimer's disease. 3. Vascular dementia can be treated successfully with surgery compared with Alzheimer's disease for which there is no surgical treatment. 4. Vascular dementia is temporary and Alzheimer's dementia is permanent.

2

Your new patient is at risk for alcohol withdrawal. You know that alcohol withdrawal tends to develop within what period after the last drink? 1. 1 week 2. 24 to 48 hours 3. 1 hour 4. More than 1 week

2

Your patient has a long history of alcohol abuse. You know that denial is a frequently used defense mechanism. Which statement is indicative of denial? 1. "My father was a drinker, so I guess that led me to this." 2. "I can stop anytime I want, I just don't feel like it now." 3. "Drinking calms my nerves." 4. "I drink when my kids upset me."

2

Your patient tells you her husband has a serious drinking problem. Which statement tells you she may be in a codependent relationship? 1. "I've reached my limit with his drinking." 2. "I called his job and told them he was sick when he couldn't go to work." 3. "The kids are ashamed of their father. I feel bad about that." 4. "He is drinking less this week."

2

Your patient with advanced Alzheimer's disease keeps searching the unit for her mother who died many years ago. How should you respond? 1. "Your mother isn't here—she died long ago." 2. "Let's go to the activity room and see what's going on." 3. "You must be upset that you can't find her." 4. "What makes you keep looking for your mother?"

2

Your patient, who has reported domestic violence, now tells you she is going home with her husband because he has apologized and says he is taking her to Hawaii on a romantic vacation. Which statement best helps you understand her actions? 1. Her husband has received treatment for anger management. 2. This is the honeymoon phase of the abuse cycle. 3. This is the resolution phase of the family crisis. 4. She mistakenly reported domestic violence.

2

Daria is admitted to the medical-surgical unit, experiencing an anxiety episode. Nurses on the unit are aware of several nursing interventions that can reduce the anxiety that Daria is experiencing, including which of the following (select all that apply)? 1.Attempt to calm the patient by placing an arm around the person. 2.Maintain a calm environment. 3.Promote open communication. 4.Provide the patient with a safe, quiet, and private place. 5.Document the patient's behavior.

2, 3, 4, 5

Which statements are true about Milton Erickson and hypnosis (select all that apply)? 1. Focuses on patient's histories 2. Focuses on patients present and future outcomes 3. Focuses on well being 4. Focuses on hypnosis for modern therapeutic purposes 5. Focuses on diagnosing problems and treating symptoms?

2,3,4

You are monitoring for common drug side effects in an elderly patient. Which side effects are common (select all that apply)? 1. Excessive drooling 2. Orthostatic hypotension 3. Fatigue 4. Irritability 5. Urinary complications

2,3,4,5

Which of the following are characteristics of delirium? (Select all that apply) 1. Slow onset 2. Sudden onset 3. Fluctuating mental status 4. Treatment is focused on finding the cause 5. Progressive decline common despite treatment 6. Can be caused by psychological stress 7. Treatment the same no matter what the cause 8. Consistent pattern of decline

2,3,4,6

Antipsychotics are used to treat schizophrenia and other acute psychotic behavior. Typical antipsychotic agents treat these symptoms (select all that apply): 1. The negative symptoms of schizophrenia 2. Hallucinations 3. Delusions 4. Social withdrawal 5. Suspiciousness

2,3,5

Which of the following are signs of mania (select all that apply)? 1.Pessimistic feelings 2.Increased sexual drive 3.Denial that anything is wrong 4.Decreased energy 5.Decreased need for sleep 6.Thoughts of death or suicide

2,3,5

Which interventions should the nurse contribute to the plan of care for an elderly patient (select all that apply)? 1. Do as much as possible for the elderly patient. 2. Allow time for the elderly patient to complete tasks. 3. Restrict dietary fiber. 4. Praise successes of the elderly patient. 5. Focus on the elderly patient's strengths.

2,4,5

A 30-year-old male patient is admitted to the psychiatric unit with a diagnosis of bipolar disorder. His family reports that for the past 2 months, he has been in constant motion, sleeping very little, spending lots of money, and has been "full of ideas." During the initial assessment with the patient, the nurse would expect him to exhibit which of the following? 1.Short, polite responses to interview questions 2.Introspection related to his present situation 3.Exaggerated self-importance 4.Feelings of helplessness and hopelessness

3

A boy with a conduct disorder diagnosis would be most likely to have which symptom? 1. Withdrawal 2. Ritualistic behavior 3. Class bully 4. Class clown

3

A person who is receiving tests to confirm a diagnosis of Alzheimer's disease is preparing for a computerized tomography (CT) test. The patient becomes restless and is unable to follow the pre-examination directions given by the personnel. As the nurse who is assisting the patient, your best action at this time is to: 1. Tell the patient that refusing to cooperate will require having to return another day. 2. Give the patient the written instructions. 3. Take the patient to a quiet waiting area until it is time for the CT scan. 4. Make certain that the patient is tightly strapped to the examination table during the test.

3

A schizophrenic patient has been taking fluphenazine (Prolixin) for 6 months. She now is experiencing extrapyramidal symptoms (EPS). Which medication is most likely to be added? 1. Acetaminophen (Tylenol) 2. Alprazolam (Xanax) 3. Benztropine (Cogentin) 4. Amitriptyline (Elavil)

3

An 85-year-old patient is admitted to the hospital with the diagnosis of cerebrovascular accident and depression. The symptom that is unrelated to depression would be? 1. Crying and refusing to perform tasks 2. Answering "I forgot" to questions 3. Having positive self-esteem 4. Neglecting activities of daily living (ADLs)

3

Henry Smith is 88 years old and has been having periods of disorientation and confusion that worsen at night. He has been given a diagnosis of Alzheimer's disease. When you pick up Henry's tray after supper, you observe that he has not touched any of the food. As his nurse, you understand that the most likely cause of his not eating is: 1. He is too depressed to eat. 2. He sees ants in his food. 3. He is too forgetful to remember to eat. 4. He is deliberately obstinate.

3

Light therapy has been shown to be effective in treating patients with: 1.Bipolar disorder. 2.Dysthymia. 3.Major depression with seasonal pattern. 4.Schizophrenia.

3

Marie is 16 years old. She has been referred to the clinic by the nurse at her school because she started a fight with a younger girl and hurt her badly. The school nurse reports that Marie has been troublesome before—skipping school, bullying, and smoking on school grounds on several occasions. Of the following, which diagnosis is most likely? 1. Bipolar depression 2. Paranoid schizophrenia 3. Conduct disorder 4. Dysthymic disorder

3

Mark is a male model who has been admitted for dehydration. Mark tells you, "I can eat anything I want and I don't gain weight. Isn't that great?" After dinner you hear a noise and you observe Mark vomiting in the bathroom. You document this and suspect: 1. Food poisoning. 2. Anorexia nervosa. 3. Bulimia nervosa. 4. Bipolar disorder.

3

Mavis Brown is a 75-year-old patient in your nursing home. She has Alzheimer's disease. Mavis comes to you at the desk one day and is crying. She says, "You all hate me. Everyone hates me!" Your most therapeutic reply is: 1. "Nobody here hates you, Mavis." 2. "Why do you feel hated, Mavis?" 3. "You seem upset, Mavis. Let's go for a walk and talk." 4. "It's time for your medication, Mavis."

3

Nurses understand that a major cause of personality disorders is: 1.Neurochemical imbalance. 2.Genetics. 3.Dysfunctional family relationships. 4.Anoxia.

3

Pharmacological treatment of delirium is most likely to include which medication? 1. Antidepressants 2. Tranquilizers 3. Antipsychotics 4. Stimulants

3

Suicide is most likely to occur: 1.On admission to a psychiatric hospital. 2.At the beginning of psychotherapy. 3.As the depression begins lifting. 4.When the depression deepens.

3

The nurse knows that the two factors that often differentiate major depression from dysthymic disorder are: 1.Amounts of mania and sadness. 2.Presence or absence of anger and guilt. 3.Severity and duration of symptoms. 4.Patient's gender and age.

3

The wife of your alcoholic patient has been attending Al-Anon meetings for the past 2 weeks. Which statement tells you the wife is benefitting from the meetings? 1. "I can tolerate his destructive behavior now that I see how bad other women have it." 2. "I realize that I provoke his drinking when I go out with my friends." 3. "I no longer feel that I have to tolerate his berating me." 4. "It is great to get out of the house and away from the tension."

3

Toni, diagnosed with bipolar disorder, is currently in the mania stage. The staff noted that Toni has placed her lipstick on in an exaggerated way. She is currently pacing the floor and is easily angered. The nurse approaches Toni in an attempt to ease some of her behaviors. The most therapeutic response by the nurse would be: 1."Would you like to watch TV?" 2."Would you like me to talk with you?" 3."Let's walk and talk." 4.Avoid giving attention to the patient by not responding to her behavior.

3

When discharging a schizophrenic patient who is taking haloperidol (Haldol), it is important for the nurse to advise the patient to: 1. Keep track of how much salt and water he or she consumes. 2. Avoid strenuous exercise. 3. Report any symptoms of tremors right away. 4. Stop taking the medication if dry mouth develops, and call the doctor immediately.

3

When planning care for a patient who is suicidal, the nurse knows: 1.Suicide ideations are only gestures. 2.Liquid medication allows the patient to "cheek" the medication. 3.Teaching new problem-solving skills is a priority of care for suicidal patients. 4.It is necessary to know the reasons why the patient has suicidal thoughts.

3

Which characteristic is likely to be present in a patient with avoidant personality? 1. High self-esteem 2. Experiencing pleasure in life 3. Awkward in social situations 4. Very close relationships with family

3

Which drug cannot be given if the patient reports alcohol intake in the past 24 hours? 1. Chlorpromazine 2. Chlordiazepoxide 3. Disulfiram 4. Risperidone

3

Which of the following meal choices indicates the patient understands the diet restrictions when taking a monoamine oxidase inhibitor (MAOI)? 1.Pepperoni pizza and beer 2.Roast chicken, baked potato, and red wine 3.Fried fish, rice, and cola 4.Smoked herring, eggs, and coffee

3

Which of the following statements best describes obsessive-compulsive personality disorder? 1. Dramatic, extroverted behaviors with strong emotions. 2. Disregard and violation of the rights of others. 3. A pattern of preoccupation with orderliness and perfectionism. 4. Pervasive, submissive, and clinging behavior.

3

Which of the following statements from an alcoholic patient reflects a good understanding of his or her condition? 1. "I will stick to wine or beer from now on." 2. "I'll be OK if my wife will just stop nagging me." 3. "I plan to take my sobriety one day at a time." 4. "I won't need alcoholics anonymous (AA) after I am sober for 1 year."

3

Which of the following would be the first priority for nurses caring for autistic children? 1. Assist the psychiatrist and mental health team in providing treatments to cure the disorder. 2. Determine which of the two types of autism the child has. 3. Discourage and prevent self-destructive behavior. 4. Provide behavior modification tools, specifically limit setting and reward systems.

3

Which of the following would present the greatest risk of developing bipolar disorder? 1.Use of stimulant medications as a child 2.History of anxiety disorder as a teenager 3.First-degree relative with the bipolar disorder diagnosis 4.History of conduct disorder

3

Which statement is most true about anorexia nervosa? 1. It is only found in females. 2. A major symptom is loss of appetite. 3. Overuse of laxatives is a common symptom. 4. Onset occurs in young adults.

3

You are caring for Tom, an older adult, who has paranoid thinking. Which action should you take? 1. Teach relaxation methods. 2. Speak in terms of the future. 3. Provide aids for hearing and vision loss. 4. Discourage daytime napping.

3

You are caring for a 13-year-old boy with a diagnosis of conduct disorder. Which of the following would you be most likely to expect given this diagnosis? 1. Severe separation anxiety from parents 2. Making up stories to make him appear more important 3. History of cruelty to schoolmates and pets 4. Insomnia and anorexia nervosa

3

You are caring for a 6-year-old boy who allegedly has been abused by his mother. During his mother's visits, which of the following is most associated with her being an abuser? 1. A strong and loving relationship with her parents 2. Single-parent home 3. A history of being abused as a child 4. Unemployed

3

You are caring for a patient who has a long history of alcohol abuse. Recently, this patient went on a 5-day drinking binge, of which she has no memory. This is an example of: 1. Selective memory. 2. Wernicke's syndrome. 3. Blackout. 4. Denial.

3

You are helping with breakfast service in the dining room. A resident begins screaming and hitting her food stating, "There are bugs on my eggs. Bugs! Get them off." You approach her to see that someone sprinkled pepper on her eggs. An appropriate response is: 1. "No, those aren't bugs! That is just pepper." 2. "Don't eat them then if you believe those are bugs. Eat the toast instead. There are no bugs on the toast." 3. "I see no bugs; only pepper. I will get you a new plate of food." 4. "There are no bugs! Nobody else sees bugs!"

3

You find your patient with antisocial personality disorder smoking in the lounge where smoking is not allowed. Which response is best? 1.Make a general overhead announcement about no smoking. 2.Bring up the smoking issue at the next group session. 3.Tell the patient directly he is not to be smoking here. 4.Encourage the patient to identify why he has the need to smoke now.

3

You have been consistently caring for a patient who is suicidal. The patient now tells you, "Nurse, I finally have it all figured out. It's going to be just fine." Your best response to this patient is: 1."I'm so glad to hear that!" 2."What a relief for you!" 3."I'm not sure I understand what you mean. Tell me more." 4."You are not depressed anymore then?"

3

Your 28-year-old patient was admitted to the psychiatric unit with a diagnosis of bipolar disorder in major depression with symptoms of withdrawal and extreme sadness. After 2 weeks on the unit, the patient suddenly becomes more talkative, sleeps only 2 hours a night, and acts seductively with the male patients. What is the most likely explanation for this change? 1.The antidepressants are effective. 2.The patient was diagnosed incorrectly. 3.She is having a manic episode as part of her illness. 4.She is recovering from her depression.

3

Your depressed patient has suddenly changed to being more cheerful and tells you he wants to reduce the clutter at home and give away some prized possessions to friends. What should be your response? 1."I'm glad you are feeling better." 2."I'll tell the doctor and maybe he will reduce your dose of antidepressant." 3.Ask the patient if he has any thoughts about suicide. 4.Document what the patient tells you and see another patient.

3

Your first goal in the care of a patient with an eating disorder is: 1. Reassure the patient that he or she is attractive. 2. Teach the patient nutrition requirements for his or her age and height. 3. Establish a trusting relationship with the patient. 4. Ask the patient to explain why he or she will not eat.

3

Your hospitalized schizophrenic patient has been taking clozapine (Clozaril) for several months. You recognize this medication is effective by which of the following patient reports? 1.He no longer has a memory of past psychotic behavior. 2.He is drowsier, so less bothered by the hallucinations. 3.He no longer hears voices. 4.He is more uncomfortable around others.

3

Your new patient admitted to the psychiatric unit is pacing and agitated. Which of the following is the most appropriate intervention? 1.Introduce the patient to all the other patients. 2.Direct him to a group therapy session. 3.Place him in a quiet area away from other patients. 4.Review the unit rules with the patient to distract him.

3

Patients with major depression commonly display signs of: 1.Energy. 2.Repetitive, compulsive behaviors. 3.Worthlessness. 4.Visual hallucinations.

3.

Your patient has been taking buspirone (BuSpar) for 1 month. On returning to the clinic for a follow-up visit, which statement would describe medication effectiveness? 1.Reduction in number of delusions 2.Less depressed 3.Sleeping better 4.Reduced desire for alcohol

3.

A patient with borderline personality disorder approaches you and voices concern that she is being ignored and feels unimportant. The patient blames the nursing staff for these feelings because the nurses are "not paying attention" to her. Your best therapeutic response to this patient is: 1."I will bring it up at our next meeting." 2."It's all in your imagination." 3."Tell me more about your feeling of being ignored." 4."You need to share your feelings with the individual nurses you feel are ignoring you."

4

An elderly patient has aphasia from a cerebrovascular accident (CVA). Which need is priority? 1. Sleep 2. Nutrition 3. Elimination 4. Communication

4

Annie is a 5-year-old who has been the victim of sexual abuse by a family member. Which of the following therapeutic techniques would be especially useful in helping Annie express her feelings? 1. Individual psychotherapy 2. Behavior modification 3. Family therapy sessions 4. Drawing

4

In addition to gastrointestinal disorders associated with eating disorders, nurses must be aware of and assess for other medical complications including: 1. Electrolyte imbalances. 2. Cardiac irregularities. 3. Dehydration. 4. All of the above.

4

In caring for a patient with major depression, the nurse knows that the patient needs: 1.Frequent changes in activities. 2.Introduction to multiple new staff members. 3.Behavior modification that restructures feelings. 4.Well-defined, structured interactions at the beginning of treatment.

4

Joey is a 5-year-old who is causing his parents a lot of concern. His mother reports that "he bounces off the walls all the time" and can't focus on any one thing for very long. He is impulsive and recently ran out into the street in front of the family's home. His teacher has told his parents that he has done similar things at school. The nurse understands that: 1. Joey shows all the signs of having ADHD and should probably be placed on Ritalin as soon as possible. 2. Joey is just an active, healthy child who needs to be disciplined more effectively. 3. Joey could be autistic, and additional testing will have to be done to confirm the diagnosis. 4. Joey shows signs of having ADHD but is too young for that diagnosis to be made definitively now.

4

Lithium is most commonly used to treat which of the following disorders? 1.Dysthymia 2.Schizophrenia 3.Generalized anxiety disorder 4.Bipolar disorder

4

Morbid obesity is defined as: 1. Body weight over 200 pounds no matter how tall the person is. 2. Body mass index (BMI) over 30. 3. Whatever is determined by the individual's physician. 4. 100 pounds above established norms for a person's height and sex.

4

Nurses realize the importance of family relationships in the life of a patient with anorexia nervosa. As a nurse, you would expect which of the following attitudes or behaviors in the parents of an adolescent with anorexia nervosa? 1. Indifferent and inattentive 2. Permissive and providing loose boundaries 3. Immature and concerned with themselves 4. Perfectionistic and overly demanding

4

The best approach a nurse can use to gain information relating to a patient's potential for suicide is to ask: 1."What do you plan to be doing 5 years from now?" 2."Does your family know you are considering suicide?" 3."What have other patients told you about their suicide attempts?" 4."Are you thinking of killing yourself now?"

4

The best way to assist a patient who has mild Alzheimer's disease is to: 1. Ask the physician to keep the patient sedated to avoid "acting-out" behaviors. 2. Provide strict, one-on-one behavior modification techniques to prevent further cognitive deterioration. 3. Encourage the family to begin preparations to move the person to a skilled nursing facility. 4. Provide a stable, safe, and consistent environment.

4

The nurse knows that stimulant medication for attention-deficit/hyperactivity disorder (ADHD) should be administered: 1. At bedtime, to coincide with rising cortisol levels. 2. Only on school days to improve performance. 3. On an empty stomach. 4. With breakfast and lunch.

4

Tony is a 25-year-old male patient who is being treated at your hospital day-treatment center. Tony is very charming and seems popular. He has the ability to draw crowds around him, but you know he has been in trouble with the law several times since adolescence and lies constantly. You realize that Tony's behavior is most likely which personality disorder? 1.Paranoid personality disorder 2.Schizoid personality disorder 3.Dependent personality disorder 4.Antisocial personality disorder

4

When your patient says, "I am depressed," what is the best response? 1."We all feel that way now and then." 2."Why do you feel that way?" 3."Everything will be OK once you snap out of it." 4."Tell me more about what is going on with you."

4

Which elderly patient is most prone to suicide? 1. Female, 55 years old 2. Female, 60 years old 3. Male, 64 years old 4. Male, 87 years old

4

Which of the following activities would be most appropriate for a patient who is in the moderate stage of Alzheimer's disease? 1. A large jigsaw puzzle 2. Trivial Pursuit 3. A scavenger hunt 4. Playing a game of catch with a soft ball

4

You know your patient has a personality disorder. He tells you, "You are the best nurse. I am so glad you are here today and not that mean nurse who was here yesterday." Which personality disorder would be most associated with this statement? 1. Paranoid 2. Antisocial 3. Schizoid 4. Borderline

4

Your new patient is admitted after a suicide attempt. She states, "Let me die, I don't deserve to live." What is your best response? 1."Why do you want to die?" 2."You have so much to live for." 3."How do you think your family feels now?" 4."You must have been feeling very hopeless. Tell me about it."

4

Your patient has been taking a selective serotonin reuptake inhibitor (SSRI) antidepressant for 6 weeks. On arrival at the clinic, which observation would indicate a positive outcome from the medication? 1.Patient reports sleeping 12 hours a night. 2.Patient reports sleeping 3 hours a night. 3.Patient reports difficulty concentrating. 4.Patient arrives neatly dressed.

4

Your patient with anorexia nervosa is in the bathroom running in place at a rapid rate. How should you respond to the patient? 1. Encourage her to finish her exercise session. 2. Interrupt her and have her weighed immediately. 3. Tell her she is not allowed to exercise. 4. Interrupt her and encourage her to take a walk with you.

4

Helenann, a long-term care nurse educator, noted that one of the staff members was complaining of stress and anxiety. A common physiological response to stress and anxiety is: 1.Urticaria. 2.Light-headiness. 3.Sedation. 4.Palpitations.

4.

You are completing the discharge plan for an alcoholic patient. Which support group for the patient should be included in the plan? _______________ _________________

AA

the following meds are used to treat mental health disorders

Antipsychotics, stimulants, and mood stabilizers

Which of the following items should be included when providing patient teaching about MAOI antidepressants

Avoid tyramine and consult doctor before taking OTC meds

Important to the effectiveness of any type of treatment are the patient's

Beliefs

When developing a care plan for Ms. Smith, who was diagnosed with schizophrenia and is receiving haloperidol, which of the following medications would nurse janet expect to admin. if the patient develops EPS effects? 1. Olanzapine (Zyprexa) 2. Paroxetine (Paxil) 3. Benztropine mesylate (Cogentin) 4. Lorazepam (Ativan)

Benztropine Mesylate

________________ is a training program designed to develop one's ability to control the autonomic nervous system.

Biofeedback

An overweight male college student is unable to participate in competitive sports. Although he can't be a sports hero, the student becomes the life of the party when socializing. This student also uses his student loan to purchase a new sports car. The student is displaying: 1.compensation 2.Reaction formation 3.Transference 4.Identification

Compensation

Audrey, a mental health nurse, has noticed that every day prior to going to work, she starts off with headaches, loose stools, episodes of feeling light-headed, and other disorders. These symptoms may be an expression of emotional disturbances. Audrey is aware she could be experiencing: 1.Isolation 2.Repression 3.Dissociation 4.Conversion

Conversion

What is a way a person adapts to a stressor psychologically, physically, and behaviorally?

Coping

"I can quit smoking any time I want to." This person is in?

Denial

A new patient with schizophrenia is admitted to the psychiatric unit. He is standing at the locked exit door and yelling, "Help me, I don't belong here." This behavior is most likely an example of what defense mechanism? 1.Denial 2. Regression 3.Enabling 4. Projection

Denial

Joy has just experienced her fifth spontaneous abortion. She is unable to understand why this is happening to her. Joy voices her anger toward her physician and the nurses, accusing them of incompetence. Assessing the situation, the nurse recognizes that the client may be using the coping mechanism of: 1.Conversion reaction 2. Displacement 3.Denial 4.Regression

Displacement

Your patient is sternly criticized by her doctor for not complying with the medication regimen. The patient walks out of the office and yells at the parking attendant. This may be an example of which defense mechanism? 1. Projection 2. Sublimation 3. Reaction formation 4. Displacement

Displacement

Lynn, the LPN/LVN, is providing care for a patient diagnosed with depression. The patient is not responding to any of the medications ordered. The nurse foresees this patient may be a candidate for: 1. Neuroleptic medication 2. Short-term seclusion 3. Psychosurgery 4. Electroconvulsive therapy

ECT

Which of the following should be included in patient teaching about antidepressants?

Encourage patient to continue taking meds and if it is a MAOI the patient should avoid tyramine

All dementias are a form of Alzheimer's disease (T or F)

False

_______________, the study of older adults, is a specialty area within nursing

Gerontology

A therapeutic environment in mental health terminology is called

Millieu

Nursing preparations for a client undergoing electroconvulsive therapy (ECT) resemble those used for general anesthesia:

Monitor Vitals, given ordered medication before, educate family and patient, and monitor for confusion

Which of the following best describes what defense mechanisms are? 1.Abnormal coping mechanism 2. Genetically "wired" responses 3. Protective devices that reduce anxiety 4.Conscious acts or behaviors

Projective devices that reduce anxiety

what is an unconscious "burying" or "forgetting" mechanism?

Repression

When teaching Mary, who has depression, about foods to avoid while taking Phenelzine (nardil). which of the following would Audrey LPN include? 1. Peanut butter 2. fresh fish 3. salami 4. soup

Salami

Nurse Anne recognizes that John is always blaming others for his shortcomings. Finger pointing is usually related to the defense mechanism of: 1.scapegoating 2.identification 3.restiution 4.Avoidance

Scapegoating

Pete has recently been admitted to the hospital and is being treated for bipolar disorder. When you go to check in on him, he tells you that he is feeling very drowsy and has been vomiting. He is also running a fever. You suspect that Pete's problem is caused by? 1. Anxiety over his new surroundings after being admitted to the hospital for treatment. 2. Side effect of the lithium therapy he is receiving 3. A HAI 4. Food poisoning

Side effects for lithium

Andrea, the charge nurse, spoke to the director of nursing about one of the staff nurses having a crisis. The nurse suggested a crisis intervention group to the staff nurse. Crisis intervention groups are successful because:

The patient is assisted to develop skills and return to precrisis phase

T/F? Purposely hurting a family pet is a warning sign of other types of abuse in the home.

True

Reiki is a term that means:

Universal life energy

when observing a patient receiving tricyclic antidepressant therapy, what would bring attention to the nurse that the patient is undergoing anticholinergic effects? 1. Urinary retention 2. Resp. depression 3. delirium 4. cardiac arrhythmias

Urinary retention

The three primary methods of sensory representations are

Visual, auditory, and kinesthetic

A patient consents to be hospitalized for psych tx. This is an what admission?

Voluntary

A phenomenon called ______________ is discrimination against people based on how old they are

ageism

The type of therapy that seeks a response through the sense of smell is known as

aromatherapy

The nurse tells the schizophrenic patient "it's time to go to bed." The patient responds with "it's time for bed, it's time for bed, it's time for bed." The patient's response is an example of ____________________.

echolalia

_______________ abuse can include verbal abuse, humiliation, and excessive criticism.

emotional

An irrational fear is known as a _____________.

phobia

The most common anxiety disorder is ___

phobia

Your patient describes feeling spiders crawling on his skin rather than seeing spiders. This is an example of a(n) ____________________ hallucination.

tactile

Which mind-body method of healing facilitates balance, flexibility, slows breathing, and reduces stress?

yoga