Mental Health Nursing test 2

The nurse is caring for a client with somatization disorder. When providing a report to the staff on the next shift, it is important for the nurse to relate the

Amount of time the client talked about physical complaints

The client describes being uncomfortable as a male since kindergarten. "I liked playing with dolls and playing dress-up in my mom's prom dress and high heels." The client is relating an example of

Gender Dysphoria

The client's partner describes the role of the client as female and states the expectation that the client will exhibit certain female behaviors. This is an example of

Gender role stereotyping

A client stays to the nurse, "Everything makes me anxious now." The nurse knows that this free-floating anxiety is a common theme in

Generalized anxiety disorders

A parent asks the school nurse, "How did my child get OCD?" Which theory supports the hypothesis that there is an alteration in serotonin synthesis in the brain of a child with OCD?

Genetic

Which of the following questions would the nurse ask the client when assessing for a common condition thought to relate to the degree of stress that occurs with anorexia?

Has your menstrual period stopped?

The nurse is interacting with a client. The client states, "I am from the planet Shoz, so I am a Shozoid." The client is manifesting which type of communication?

Neologism

When caring for a new client with OCD, it is most important for the nurse to:

Not interrupt the ritual

Since purging and excessive exercise are not features of binge-eating disorders, these individuals often become

Obese

Which biopsychosocial theory would most support the development of depression in a client who went to live with his father at 3 months of age when his mother was sentenced to jail after 15 years?

Object loss theory

The client is diagnosed with bulimia nervosa. What is the most appropriate nursing intervention that focuses on purging behaviors

Observe the client for at least one hour after meals

Which of the following behaviors should the nurse anticipate in the client with anorexia nervosa?

Obsessive Rituals

The nurse's priority intervention for a newly hospitalized suicidal client is to

Obtain a no-suicide contract for the day

A client who cross-dresses is intent on keeping it a secret and not disclosing it to his partner. The nurse should

Offer education and support

The nurse knows that medication teaching has been ineffective when the client with an anxiety disorder states, "My SSRI isn't working. I've been on it for"

One week

The nurse caring for a client with an anxiety disorder knows to be most attentive to the nurse's

Own overall feelings

A client with a mood disorder is admitted to the mental health unit. The priority nursing activity should be able to

Complete the mental and physical assessment

The nurse would expect a client who is exhibiting the vegetative signs of depression to have

Constipation and insomnia

Which of the following must the nurse consider when deciding appropriate boundaries for the client with eating disorders and their family members?

Family members of clients with anorexia become enmeshed

A client with an eating disorder is in the demographic group that represents those at highest risk for developing an eating disorder. The client is a/an:

Female

A client having a severe panic attack may require the nurse to provide

Firm reassurance and protection until the episode subsides

A client is informed that his family refuses to allow him to return to the family's home because of recent violent behavior. The client's expression remains blank; there is no apparent reaction to this statement. The client then asks what time dinner is served. The client is exhibiting:

Flat affect

Which of the following interventions is most appropriate for the nurse to offer when helping a client with gender dysphoria?

Focus on promoting comfort with the chosen gender role

To complete a behavioral assessment during a sexual history, the nurse would ask

"What is your level of satisfaction with the frequency of your sexual activity?"

When a client with a major depressive disorder states, "I don't care about anything anymore," the nurse would respond:

"Are you feeling suicidal?"

Which of the following assessment questions would the nurse use when completing a client's sensation assessment during a sexual history?

"Do you experience any physical discomfort during sexual activity"

To complete a cognitive assessment during a sexual history, the nurse would ask

"How has your religion influenced your sexual values and behaviors?"

The nurse manager of the inpatient psychiatric unit is talking with the staff about the interventions to promote independent actions of clients on the chronic schizophrenia unit. Which of the following responses made by the staff indicates lack of insight into the client's illness?

"I know when clients hear voices they are not real"

A nurse is leading an inpatient group for clients with schizophrenia. Which statements address the two main categories of nursing activities?

"If you can increase your self-assessment skills, you'll be able to tell when you're getting more stressed"

A client is pacing in the hall. The nurse overhears the client say, "Leave me alone. I am not in the Mafia." The best response from the nurse would be:

"Tell me what you are hearing right now."

A client is being admitted to the mental health unit. When completing the affective assessment of the client's sexual history, the nurse asks:

"With whom do you feel most intimate and connected?"

Which of the following behaviors is characteristic of a client with disorganized schizophrenia?

. A client tells the nurse, "All is well, but the well is dry, so why bother with clock and tock, mock, lock, jock."

Select the responses which are true regarding the interactional model for schizophrenia. Select all that apply. 1. People with schizophrenia have a greater potential for vulnerability to stress. 2. People with schizophrenia have a greater likelihood of relapsing if they are from families demonstrating high expressed emotion (EE). 3. People with schizophrenia are less sensitive to interpersonal stressors. 4. Vulnerability, stressors, and risk factors enhance and potentiate each other in people with schizophrenia. 5. People with schizophrenia are less responsive to environmental stressors.

1,2,4 .

What are suggested outcomes for the nursing diagnosis of "Ineffective Individual Coping" for a client with anorexia nervosa?Select all that apply. 1. Actions to manage stressors that tax an individual's resources 2. Ability to self-restrain altered perceptions 3. Ability to self-restrain compulsive or impulsive behaviors 4. Ability to acquire, organize, and use information 5. Adequate nutrients taken into the body

1. Actions to manage stressors that tax an individual's resources 3. Ability to self-restrain compulsive or impulsive behaviors 4. Ability to acquire, organize, and use information

The nurse is working with a client who has been diagnosed with a somatoform disorder. The nurse knows it is important to include which of the following interventions in the clients plan of care?Select all that apply. 1. Encourage verbalization of feelings. 2. Encourage the client to write in a journal 3. Establish a weekly routine 4. Establish a trusting relationship. 5. Encourage the discussion of physical symptoms

1. Encourage verbalization of feelings 2. Encourage the client to write in a journal 4. Establish a trusting relationship

A Child is born with in an intersex condition. On which of the following would the nurse instruct the family members?Select all that apply. 1. External genital appearance 2. Chromosomal gender 3. Internal organs 4. Nonambiguous gender role 5. Gonadal gender

1. External Genital appearance 2. Chromosomal gender 3. Internal organs 5. Gonadal Gender

The Client, a combat veteran, was recently diagnoses with PTSD. Which symptoms, if present would be characteristic of PTSD?Select all that apply. 1. Fear of returning to sleep 2. Fitful sleep 3. Excessive sleeping 4. Hair pulling 5. Terrifying nightmares

1. Fear of returning to sleep 2. Fitful sleep 5. Terrifying Nightmares

The nurse is caring for a client who is complaining of a number of somatic discomforts associated with chronic anxiety. The nurse knows that somatic discomforts associated with anxiety include: Select all that apply. 1. Heartburn 2. Diarrhea 3. Epigastric pain 4. Constipation 5. Muscular tension

1. Heartburn 2. Diarrhea 3. Epigastric Pain 4. Constipation

A client describes being very sad during dreary winter seasons. The nurse knows that this disorder may be treated with: Select all that apply. 1. Light therapy. 2. Haloperidol (Haldol). 3. Group therapy. 4. Assertiveness training. 5. Bupropion ER (Wellbutrin ER).

1. Light therapy 3. Group Therapy 5. Bupropion ER (Wellbutrin ER)

The nurse knows that performing an assessment on a client with dissociative disorder can be challenging. The Nurse knows it is important to include which of the following in the assessment Select all that apply. 1. Memory 2. Identity 3. Consciousness 4. Client's spouse 5. Awareness of time

1. Memory 2. Identity 3. Consciousness 5. Awareness of time

Which of the following neurotransmitters affect eating disorders?Select all that apply. 1. Neuropeptide Y 2. Dopamine 3. Acetylcholine 4. Serotonin 5. Norepinephrine

1. Neuropeptide Y 2. Dopamine 4. Serotonin 5. Norepinephrine

Some clients are at increased risk of being dual diagnosed with a mental health disorder and a substance abuse disorder. The client with a mental health disorder that is more likely to exhibit substance abuse in an attempt to avoid traumatic memories is the client with:

1. PTSD

In assessing a client, which of the following would indicate that the client is experiencing mania? Select all that apply. 1. Pressured speech 2. Feeling worthless 3. Isolating 4. Flight of ideas 5. Constant motor activity

1. Pressured speech 4. Flight of ideas 5. Constant Motor activity

the nurse is providing discharge teaching and anticipatory guidance to the family of a client with schizophrenia who experiences delusions and is easily frightened. Which of the following actions are appropriate nursing interventions.Select all that apply. 1. Provide reality orientation. 2. Assure the client that the nurse does not experience delusions or hallucinations. 3. Validate the client's feelings in response to altered perceptions. 4. Inform the client that their delusions and hallucinations are just bad dreams. 5. Keep the client physically safe.

1. Provide reality orientation 3. Validate the client's feelings in response to altered perceptions 5. Keep the client physically safe

The nurse instructs the client that a person's sense of identity as a male or female develops from which of the following?Select all that apply. 1. Self-identity 2. Biology 3. Sexual reassignment surgery 4. Numerous sexual partners 5. Identity imposed by others

1. Self-Identity 2. biology 5. Identity imposed by others

The nurse assesses a client during a panic attack and determines the client's level of anxiety to be acute. What physical changes did the nurse likely observe? Select all that apply. 1. Sweating 2. Breathing difficulty 3. Trembling 4. Impaired cognition 5. Vomiting

1. Sweating 2. Breathing Difficulty 3. Trembling

A client is experiencing delusions and appears to be frightened. Which of the following actions are appropriate nursing interventions?: Select all that apply. 1. Validate the client's feelings in response to altered perceptions. 2. Inform the client that their delusions and hallucinations are just bad dreams. 3. Assure the client that the nurse does not experience delusions or hallucinations. 4. Provide reality testing. 5. Keep the client physically safe.

1. Validate the client's feelings in response to altered perceptions 4. Provide reality testing 5. Keep the client physically safe

In preparing the care plan for a client to reduce negative thinking and promote improved self-esteem, identify all of the appropriate short-term goals. Client will: Select all that apply. 1. Wash and comb hair. 2. Eat meals and snacks to meet daily calorie requirements. 3. Sit and walk erectly. 4. Participate in activities that can be completed successfully. 5. Verbalize positive aspects of self.

1. Wash and comb hair 3. Sit and walk erectly 4. Participate in activities that can be completed successfully 5. Verbalize positive aspects of self

A statement which accurately describe genetics and schizophrenia would be

10% of first degree relatives (children, siblings, parents) are diagnosed with schizophrenia at some point in their lives.

The nurse is caring for a client with a history of admissions to several hospitals over the last several years. Each hospitalization was for a different disorder in which there was no physical evidence. The medical record indicates the client is a pathological liar. Which of the following disorders does the client suffer from.

Adult factitious disorder

A client talks in a monotone voice and shows no emotion when speaking. The client tells the nurse, "I want to stay in bed all day. I do not enjoy watching television like I used to. I do not want to talk with other people." Which of the following symptoms of schizophrenia are illustrated in this scenario?Select all that apply. 1. Alogia 2. Flat affect 3. Anhedonia 4. Avolition 5. Apathy

2,3,4,5 .

Which of the following groups is more accepting of the way they look which may serve as a protective factor against the development of eating disorders?

African American women

The nurse is preparing an in-service regarding the commonalities of anxiety disorders. The nurse should plan include that all anxiety disorders have which one thing in common?

All anxiety disorders can be so disabling that functioning may be adversely affected.

A client describes being sad since his wife died three weeks ago. When he describes the memorial service, funeral, and his plans for the future, the nurse assesses this as: Select all that apply. 1. A crisis. 2. Bereavement. 3. Delayed grief. 4. Normal grief. 5. Dysfunctional grieving.

2. Bereavement 4. Normal Grief 5. Dysfunctional Grieving

Which of the following aspects of family communication patterns may be problematic? Select all that apply 1. Family members appear to respect individual boundaries. 2. Family members appear to be enmeshed or over-involved with each other. 3. Family members appear to be able to focus and discuss specific topics reasonably with each other. 4. Family members allow each other to finish a sentence without interruption. 5. Family members appear to use language patterns that are unusual in that they are characteristic of the client's family only.

2. Family members appear to be enmeshed or over-involved with each other 5. Family members appear to use language patterns that are unusual in that they are characteristic of the client's family only

What items should be included in the admission nursing assessment for a new client? Select all that apply. 1. Genetic counseling 2. Health history 3. Support systems 4. Current stressors 5. Genetic testing

2. Health history 3. Support systems 4. Current stressors 5. Genetic testing

What treatment approach(es) would the nurse use for a client with dysfunctional grieving? Select all that apply. 1. Teach about maladaptive dependence on the nurse 2. Talk therapies 3. Antidepressants 4. Cognitive therapy 5. Teach anger management

2. Talk therapies 3. Antidepressants 4. Cognitive therapy

The client is experiencing an episode of anxiety. The nurse will expect to observe which common coping behaviors? Select all that apply. 1. Problem solving 2. Indulgence 3. Somatization 4. Acting out 5. Withdrawal

3. Somatization 4. Acting Out 5. Withdrawal

A nurse addressing gender identity issues instructs the client that there are gradations are called transgender. Which of the following teaching would include information on transgender biologic gradations? Select all that apply. 1. Abnormal gender 2. No gender 3. Unclear gender 4. Blending of gender 5. Clear gender

3. Unclear gender 4. Blending of gender 5. Clear gender

Lower relapse rates in schizophrenia have been found to be effective with which of the following treatment approaches?Select all that apply. 1. Psychosocial treatment only 2. Recognizing schizophrenia as an acute illness 3. Antipsychotic medication exclusively 4. Early intervention 5. The combined use of antipsychotic medication and psychosocial treatment

4. Early intervention 5. the combined use of antipsychotic medication and psychosocial treatment

Which of the following is important for a nurse working with a client diagnoses with a sexual disorder to be self-aware and to self-assess periodically?Select all that apply. 1. Professional standards of care about sex 2. Personal practices about sex 3. Educational practices about sex. 4. Knowledge about sex 5. Attitudes about sex

4. Knowledge about sex 5. Attitudes about sex

The major difference between bipolar disorder and major depressive disorder is that in bipolar disorder there is

A mania component

A client is admitted to the hospital after being found in a car on the side of a bridge with complaints of having a heart attack. Following extensive tests,it was found the client did not have a heart attack. The Client most likely was having.

A panic attack

A client tells the nurse, "I refuse to take quetiapine (Seroquel) because it is manufactured by Al Qaeda. If I take it, I'll die." This is an example of

A positive symptom of schizophrenia called delusion.

Which of the following physical findings would lead the nurse to suspect that the client has bulimia nervosa?

Abrasions and calluses on the knuckles

Which of the following interventions provides the most support to assist a client with schizophrenia in adapting to a new social environment?

Accompany the client

A client is newly diagnoses with dissociative identity disorder. To support this client, who is struggling to accept the diagnosis, The nurse would

Actively listen to each identity state and provide support

A client is newly diagnosed with an anxiety disorder. To support this client, who is struggling to accept the diagnosis, the nurse would:

Actively listen to the client and provide support

A priority nursing intervention for a client with a bipolar mania who has difficulty sleeping is to:

Administer PRN zolpidem tartrate (Ambien)

Which of the following statements are accurate descriptions of schizoaffective disorder?

Alterations in mood and thought process occur simultaneously in schizoaffective disorder

The treatment plan for a client with acute mania has been effective when the nurse charts that the cleint has

An expansive mood and has organized a unit pool tournament

During a nurse-client interaction, an adolescent client with a major depressive disorder stated, "I was on the swim team at school, but I don't enjoy swimming anymore so I quit." The client is describing:

Anhedonia

The nurse is working with a client who is being admitted to the psychiatric-mental health unit. The client was missing for two weeks and returned home not knowing any time had passed. Which of the following dissociative disorders has this client experienced

Fugue

In developing a plan of care for a client with extreme panic, the nurse knows that:

Anxiety may be communicated through behavioral responses

Which of the following interventions might facilitate the nurses understanding of how clients with eating disorders view their bodies?

Ask the clients to draw a picture of themselves as they are now and as they desire to be.

The sister of a client with schizophrenia asks the nurse what to do when her brother "acts like he is talking to someone, but no one is there" which of the following responses by the nurse would help the sister gain insight into her brother's experience

Ask your brother to describe what he is seeing and hearing.

A client with an eating disorder is trying to develop new coping skills. The process the nurse can use to help family members as they support the client is to

Assist the family to explore their own coping strategies

A client presents to the community clinic describing abdominal pain, refuses to complete informational forms, and dismisses the nurse's assessment attempts while demanding to be seen immediately by a doctor. Which approach would be best for the nurse to use when assessing for somatoform disorders?

Avoid personalizing the behavior by recognizing that somatization is part of the illness

Which action should the nurse take to prevent emotional contagion when working with hospitalized depressed clients? Expect the clients to:

Be disinterested in a nurse-client relationship

Your client states, "I haven't left my house for six years." The nurse knows that the most helpful theory for dealing with this problem would come from the

Behavioral theorists

The nurse finds that the client with a somatoform disorder has physical symptoms, but there is no evidence of physiologic disease. The client may have decreased amounts of serotonin and endorphins, causing the client to experience an increased senstivity to pain. This explanation of the client's symptoms is based in

Biologic Theory

Despite the fact that the patient is 5'6" and weighs 72 lbs, the patient is reported feeling "fat and overweight" what is the most appropriate nursing diagnosis for this patient?

Body Image Distrubance

When assessing the client with dramatic weight loss or gain, the nurse should consider

Both can be caused by physical or mental conditions?

The nurse is teaching a client with social phobia about anxiety medications. The nurse knows the teaching has been effective when the client states, "I know I

Cant consume alcohol

The nurse cares for several clients with somatoform disorders, regularly reassessing their status. The nurse is aware that it is

Challenging because of the psychobiologic factors involved

When communicating with a client who has major depressive disorder, the nurse should avoid being:

Cheerful and outgoing

The most appropriate intervention for the nurse to use when integrating cognitive behavioral approaches into therapy for clients with bulimia nervosa is

Client education

The nurse is working with a client who has a fear of driving a car. An intervention strategy planned to help this client face the fear is to teach

Cognitive Behavioral therapy

Your client with a mood disorder states, "My husband never calls to tell me he will be late for dinner, and then dinner is always ruined." The nurse knows that apriority teaching for this client would be:

Cognitive theory

A 24 year old client with body dysmorphic disorder (BDD) tells the nurse that he plans to have surgical procedure that will affect his appearance. The nurse understands that this plan is an effort

Cure the imagined defect

A client who is diagnosed with schizophrenia, paranoid type, tells the nurse, "I will take these antipsychotic medications to help alleviate the voices. I will not take these antipsychotic medications because of the weight gain." This client is exhibiting

Decisional conflict.

Which of the following behaviors would a male client who is experiencing an adaptive sexual response most likely exhibit?

Dressing in women's clothes

A client told the nurse that even though his wife died three years ago, he continues to have dinner with his wife every Saturday night. He includes a table setting for her and he prepares their "usual" steak dinner. He also lights a candle for her each week marking the time of her death. This is evidence of:

Dysfunctional grieving

The nurse tells the client with acute mania that an effective treatment may be:

Electroconvulsive therapy

Which of the following interventions will increase the client's likelihood of complying with taking psychotropic medications?

Encourage the client to use measures to manage side effects

A nurse is about to begin working with a client diagnosed with a sexual disorder. During the preinteraction phase of the nurse-patient relationship, it is important for the nurse to

Engage in values clarification

When working with clients with somatoform disorders, the nurse knows the priority intervention is to:

Establish a trusting relationship

After administering medication for an anxiety disorder, it is important for the nurse to record whether the client:

Exhibits drowsiness

The mental health nurse is training primary care providers about treatment options for anxiety disorders, including pharmacological options. The nurse knows that SSRIs are the choice class of medications for treating anxiety disorders because they

Have fewer side effects than other anti-anxiety medications

In treating clients with prolonged anxiety, the nurse knows it is most important to

Help clients use anxiety to increase self-awareness and develop coping strategies

The client with binge-eating disorder reports a lock of involvement in activities, loss of interest in self care activities, and oversleeping. The client's speech is filled with despondency. What nursing diagnosis is most appropriate for this client?

Hopelessness

A client is certain she has cancer and peritonitis despite her doctor's reassurance she does not. She most likely is experiencing

Hypochondriasis

In planning care for a client with negative thinking, the nurse would intervene by teaching the client to:

Identify and reframe negative thoughts

The nurse is caring for a client who has been diagnosed with dissociative disorder. The nurse knows that an appropriate intervention to promote effective role performance is to

Include family members is therapy

The nurse is talking with a client diagnosed with schizophrenia about the importance of careful adherence to the medication regimen. Which of the following client reasons is not commonly associated with noncompliance

Increased ability to trust healthcare providers who prescribe medications

A client with gender dysphoria ask the nurse, "What caused this?" Which biopsychosocial theory would describe gender dysphoria as a problem occurring within the individual?

Intrapersonal

A client is being seen in the clinic for right-hand paresthesia that the client does not seem to be overly concerned about. The condition developed abruptly after being caught cheating on an exam by the teacher. The paresthesia also ended abruptly as well. Which symptom most clearly relates to la belle indifference?

Lack of concern over the parethesia

The primary nursing goal for treatment with clients who are transexual is to help them

Live and function in society in the cross-gender role

A client with bipolar disorder, mania, states, "I had a test to look at my ventricles before I came in." The nurse thinks it is most likely was a/an:

Magnetic Resonance Imaging (MRI)

An 18-year-old client who joined the military shortly after graduating from high school is admitted to the mental health unit for depression and suicidal ideation. He tells the nurse the military is not what he expected and he wants to go home. The nurse observes a variance in affect between his interaction with peers and staff. The nurse suspects

Malingering

The nurse knows that teaching has been effective when the clients state that upon awakening following electroconvulsive therapy they:

May be confused and disoriented

A client in the inpatient mental health unit is experiencing severe anxiety. The nurse knows that the client is

May be easily distracted

To which of the following information sources for the client with an eating disorder should the nurse limit exposure because of the many societal influences on perceptions of attractiveness?

Media that glamorizes thinness

The nursing instructor is discussing theories to explain sexual dysfunction. The nurse states that behavioral theorists believe sexual dysfunction may be related to learned responses to

Poor communication skills

Which of the following statements would not be accurate regarding the dopamine hypothesis?

Positive symptoms of schizophrenia respond more readily to traditional antipsychotic medications than the newer atypical medications.

The nurse developing a family-centered discharge plan of care for a client with schizophrenia would include which of the following? Select all that apply. 1. Impaired social isolation 2. Activity intolerance 3. Knowledge deficit 4. Potential for caregiver role strain 5. Potential for self-care deficit

Potential self-care deficit

The nurse would teach the adolescent with a conversion disorder what the person "gets" from having the disorder. This explanation would include a discussion of:

Primary and secondary gains

The client with bulimia is experiencing anxiety. What action should the nurse take to assist the client to avoid binge eating and purging in response to the anxiety.

Project a calm reassuring attitude and provide a quiet non-stimulating environment

Which of the following indicates sensitivity toward a client with schizophrenia?

Providing privacy for the client to visit with his or her family.

Which medication should the nurse expect to administer to the client with bulimia nervosa?

Prozac

During the admission nursing assessment for a new client, the nurse recognizes which objective assessment data consistent with a diagnosis of major depression

Psychomotor Retardation

The nurse is explaining biophysicalsocial theory to a group of students. Which biopsychosocial theory would most support tracing anxiety back to birth trauma

Psychosocial

The nurse is presenting an in-service on disassociative disorders. The nurse knows that which of the following is most often used to explain the occurrence of dissociative disorder in psychiatric clients?

Psychosocial theories

The client states, "I was reared in a chaotic, alcoholic family situation." The nurse knows that the most useful theory for explaining the client's somatoform disorder would come from

Psychosocial theory

The client states that she has been ill and in pain since childhood. Her many symptoms are not caused intentionally, nor are they feigned. She has seen many doctors. Consistent with this client's disorder, the nurse believes the pain the client experiences is

Real

To intervene effectively with clients with somatoform disorders, it is essential that the nurse

Recognize and understand the client's self-perception as demonstrating an inability to cope

From a psychoanalytic perspective, eating disorders are related to

Regression to pubertal conflicts and repudiation of developing sexuality

A hospitalized client with a mood disorder is assessed to be high risk for suicide. The nurse should intervene by:

Removing dangerous objects from the client's room

Freud identified a number of defense mechanisms. It is evident that the nurse recognizes one of these common defense mechanisms for a client with dissociative identity disorder when the nurse charts that the client has used.

Repression

A client admitted to the impatient unit has a diagnosis of schizophrenia, residual type. The nursing diagnosis that has the highest priority for this client is:

Risk for Violence: Self-Directed or Other-Directed

A client admitted to the inpatient unit has a diagnosis of schizophrenia, residual type. The nursing diagnosis which has the highest priority for this client is:

Risk for Violence: Self-Directed or Other-Directed

The nurse is caring for a 15-month-old who is admitted to the hospital for the fifth time in six months with severe diarrhea. The patient's mother has been diagnoses with Munchhausen by proxy syndrome (MBPS) as she has been giving her child large doses of laxatives to make the child sick. The nurse is having difficulty dealing with the situation which of the following is the best way for the nurse to proceed.

Seek Clinical supervision to cope with situation

The nurse is teaching a client with bipolar disorder about their newly prescribed lithium carbonate (Lithobid). Which is the correct instructional information

Serum levels must be tested regularly

It would be inaccurate to state that the brain structure in people with schizophrenia

Shows changes in the parietal area

When taking the admission history of a client with a bipolar disorder, which information would be most significant to determine circadian rhythm dysfunction?

Sleep and appetite patterns

The nurse would expect clients with dissociative disorders to have what in common with clients with anxiety disorders? Anxiety that is:

So disabling that their functioning is adversely affected

The nurse recognizes that some groups believe their sexual values and behaviors are superior to others. This viewpoint is explained by:

Sociocultural theory's ethnocentrism

During the assessment of a client with an anxiety disorder, the client becomes very anxious. The nurse should:

Suspend data gathering and take action to reduce anxiety

A severely depressed client's risk for self-directed violence increases when:

The antidepressant medication begins to work

Which of the following physical findings regarding the client's weight is consistent with binge-eating disorders?

The client is usually normal or slightly above average weight

The client tells the nurse, "The world will end tonight at midnight. Armageddon is upon us!!" Which type of delusion is this?

The client tells the nurse, "The world will end tonight at midnight. Armageddon is upon us!!" Which type of delusion is this?

What factor contributes to a poor outcome for clients with anorexia nervose?

The client with anorexia nervosa actively resents or refuses treatment

A client has compulsive cleaning behaviors, scrubbing areas throughout the house over and over, especially areas where the family gathers. It is most important for the nurse to assess

The impact of symptoms on the family system

An Adolescent student tells the nurse, "I lost ten pounds in the last three months. I believe I have anorexia." the nurse's response should be based on the following understanding?

The student is not anorexic because the student's physical development has not been affected by nutritional status

Which of the following statements that address the typical age of onset for schizophrenia is true?

The typical age of onset for schizophrenia is late adolescence to mid-thirties.

The nurse finds that the client with a pain disorder has been in a physically and verbally abusive relationship. The client feels guilty and fears a loss of love. According to psychoanalytic concepts, this is believed to be a(n):

Unconscious conflict from childhood that was reawakened in adulthood by a similar situation

The nurse is discussing transexualism with a client and family members, who raise the question of what causes the condition. The nurse knows the etiology of the condition is

Unknown

Teaching clients and family members about the physical cues that indicate increasing anxiety would include information on

Urinary frequency

The nurse is assess a male client who is suspected of having an eating disorder. What additional information should the nurse include in her assessment of this client

Use of anablic steroids

The nurse instructs the family and client on phenelzine (Nardil) about:

Use of low-tyramine diet

Which of the following psychosocial approaches for treating schizophrenia have been found to have lower relapse rates

Weekly individual monitoring can help to identify and intervene with clients who are at risk for relapse

Which of the following physical manifestations would the nurse expect in a client who is emaciated, has sunken eyes, and a skeletal appearance?

bradycardia, hypotension, arrhythmia

Which answer choice, when placed in the blank, creates a correct statement? The nurse is maintaining a _______________ attitude will be more likely to understand the experiences and difficulties of a client with schizophrenia.

nonjudgmental

To work effectively with mood-disordered clients, it is most important that the nurse have

self-awareness