Mental Health Powerpoint Questions
•The DSM-V defines obsessions and compulsions as criteria for obsessive-compulsive disorder (OCD). The definition that is correct for obsession is: •A thinking process that equates thinking with doing •A recurrent, persistent thought, idea, impulse, or image •An intense, irrational fear in response to an object or situation •A recurrent, persistent behavior persistently performed in a particular manner
A recurrent, persistent thought, idea, impulse, or image
An advantage of the drug Wellbutrin over other antidepressant medication for client that may be experiencing suicidal thoughts is that A. does not have a lethal overdose potential B. Stimulates appetite and promotes weight gain C. has a lower incidence of seizures than the tricyclics D. has antianxiety properties as well as antidepressant effects
A. does not have a lethal overdose potential
A home health nurse visits a client. The client gives the nurse a bottle of Anafranil and the nurse notes the medication taken by the client for the last 2 months. What behaviors observed in the client would validate noncompliance with this medication? A. frequent hand washing with hot, soapy water B. Complaints of hunger and fatigue C. a pulse rate below 60 beats per minute D. Complaints of insomnia
A. frequent hand washing with hot, soapy water
A client with admitted with a diagnosis of Major Depressive disorder. During her stay, she was started on Prozac at 40 mg orally every day. The nurse's discharge teaching should include all of the following except: A. you should avoid foods with tyramine, including beer, beans, processed meats, and red wine B. make sure that you follow up with outpatient psychotherapy as you and the social worker have arranged C. you may be able to discontinue the medication within 6 months to 1 year but only under the doctor's supervision. However, there is a change of recurring episodes D. Continue taking Prozac as prescribed. You will continue to see improvement over the next few weeks
A. you should avoid foods with tyramine, including beer, beans, processed meats, and red wine
Traditional antipsychotic drugs work by: A.Blocking postsynaptic dopamine receptors B.Increasing the production of dopamine in the substantia nigra C.Blocking the breakdown of dopamine by monoamine oxidase D.Stimulating the release of dopamine from presynaptic neurons
A.Blocking postsynaptic dopamine receptors
A client who is prescribed lithium carbonate is being discharged from inpatient care. Which medication information should the nurse teach this client? A.Do not skimp on dietary sodium intake B.Have serum lithium levels checked every 6 months C.Limit fluid intake to 1,000 ml of fluid per day D.Adjust the dose if you feel out of control
A.Do not skimp on dietary sodium intake
A patient has been on Lithium (Lithane) 600 mg tid and Haloperidol (Haldol) 2 mg every day for 2 weeks to control mania and now complains to the nurse of diarrhea, vomiting, and blurred vision. The nurse observes a coarse hand tremor. The nurse should first: A.Hold the next dose and obtain an order for a stat serum lithium level B.Recognize this as a drug interaction and hold the next does of Haldol C.Give the patient a PRN Cogentin injection for the extrapyramidal side effects D.Reassure the patient that these are common, temporary side effects of lithium therapy
A.Hold the next dose and obtain an order for a stat serum lithium level
On the milieu unit, duties of the staff psych nurse includes which of the following? Select all that apply. A.Medication administration B.Client teaching C.Medical diagnosis D.Reality orientation E.Relationship development
A.Medication administration B.Client teaching D.Reality orientation E.Relationship development
In the initial stages of caring for a client experiencing an acute manic episode, what should the nurse consider to be the priority nursing diagnosis? A.Risk for injury related to excessive hyperactivity B.Disturbed sleep pattern related to manic hyperactivity C.Imbalanced nutrition, less than body requirements, related to inadequate intake D.Situational low self-esteem related to embarrassment secondary to high-risk behaviors
A.Risk for injury related to excessive hyperactivity
As a last resort, an agitated, physically aggressive client is placed in four-point restraints. The client yells, "I'll sue you for assault and battery." The unit manager determines that the nurses are protected under which condition? A.The client is voluntarily committed and poses a danger to others on the unit. B.The client is voluntarily committed and has a history of being a danger to others. C.The client is involuntarlity committed because of a history of violent behavior. D.The client is involuntarilty committed and is refusing treatment.
A.The client is voluntarily committed and poses a danger to others on the unit.
Which of the following are basic assumptions of milieu therapy? Select all that apply. A.The client owns his or her own environment. B.Each client owns his or her behavior. C.Peer pressure is a useful and powerful tool. D.Inappropriate behaviors are punished immediately
A.The client owns his or her own environment. B.Each client owns his or her behavior. C.Peer pressure is a useful and powerful tool.
Guidelines relating to "duty to warn" state that a therapist should consider taking action to warn a third party when his or her client (select all that apply): A.Threatens violence toward another individual. B.Identifies a specific intended victim. C.Has command hallucinations. D.Reveals paranoid delusions about another individual.
A.Threatens violence toward another individual. B.Identifies a specific intended victim.
When teaching about the tricyclic group of antidepressant medications, which information should the nurse include? A) Strong or aged cheese should not be eaten while taking this group of medications. B) The full therapeutic potential of tricyclics may not be reached for 4 weeks. C) Long-term use may result in physical dependence. D) Tricyclics should not be given with anti-anxiety agents.
B) The full therapeutic potential of tricyclics may not be reached for 4 weeks.
The nurse leader is leading a supportive- therapeutic group for individuals with anxiety disorders. In the group a client talks incessantly. When someone else tries to make a comment, the client refuses to allow him or her to speak. What type of member role is the client assuming in this group? A. Aggressor B. Monopolizer C. Blocker D. Seducer
B. Monopolizer
A patient took the MAOI Nardil for 2 years but stopped the drug one week ago. The physician prescribes Paxil 50 mg daily in the morning. The nurse should: A. monitor blood pressure closely B. Refuse to give the drug C. request a change in the medication time to bedtime D. give the drug as prescribed
B. Refuse to give the drug
A client diagnosed with Major Depressive Disorder is newly prescribed Zoloft. Which of the following teaching points would the nurse review with the client? (select all) A. assess the client for homicidal idealization related to a depressant mood B. discuss the need to take medication, even when symptoms improve C. instruct the client about the risks of abruptly stopping the medication D. alert the client to the risks of dry mouth, sedation, nausea, and sexual side effects E. remind the client that the medication's full effect may not occur for 4-6 weeks
B. discuss the need to take medication, even when symptoms improve C. instruct the client about the risks of abruptly stopping the medication D. alert the client to the risks of dry mouth, sedation, nausea, and sexual side effects E. remind the client that the medication's full effect may not occur for 4-6 weeks
A nurse gave a client 5 mg of haloperidol (Haldol) for agitation. The client's chart was clearly stamped "Allergic HALDOL." The client suffered anaphylactic stock and died. How would the nurse's actions be labeled? A.Intentional tort B.Negligence C.Battery D.Assault
B. negligence
The use of which of the following would a nurse identifiy as placing a client receiving lithium therapy at increased risk for toxicity? A. thromethamine B. thiazide diuretic C. psyllium D. antacids
B. thiazide diuretic
A client was started on Valium 5 mg three times a day 6 months ago and must take 10 mg three times a day to achieve the same effects. This is known as which of the following? A. addiction B. tolerance C. disinbition D. dependence
B. tolerance
The nurse assists the physician with electroconvulsive therapy on his client who has refused to give consent. Which of the following legal actions might the nurse be charged because of this nursing action? A.Assault B.Battery C.False Imprisonment D.Breach of confidentiality
B.Battery
To reduce the risk of a lawsuit based on false imprisonment, mental health professionals must be aware of the patient' right to: A.Receive adequate treatment while hospitalized B.Be treated in the least restrictive environment possible C.A probable cause hearing within 24 hours of admission D.File a lawsuit if he or she thinks malpractice has occurred
B.Be treated in the least restrictive environment possible
A client who is newly admitted to the acute care mental health unit with a Axis I diagnosis of paranoid schizophrenia. The client is very frightened and delusional. During the client's first few days of treatment, which of the following aspects of the therapeutic milieu is most important? A.Socialization with other clients B.Structured activities with staff C.Recreational therapy in the community D.Communication in group therapy
B.Structured activities with staff
An inpatient client with a known history of violence suddenly begins to pace. Which client behavior should alert a nurse to escalating anger and aggression? A.The client requests prn medications. B.The client has a tense facial expression and body language. C.The client refuses to eat lunch. D.The client sits in group with back to peers.
B.The client has a tense facial expression and body language.
A suicidal client with a history of manic behavior is admitted to the ED. The client's diagnosis is documented as Bipolar I Disorder: Current Episode Depressed. What is the rationale for this diagnosis instead of a diagnosis of Major Depressive Disorder? A.The physician does not believe the client is suffering from major depression. B.The client has experienced a manic episode in the past. C.The client does not exhibit psychotic symptoms. D.There is no history of major depression in the client's family.
B.The client has experienced a manic episode in the past.
Neuroimaging brain studies in children with Tourette's disorder have been consistent in finding dysfunction in what area of the brain?
Basal ganglia
Which is a misconception about suicide? A) Eight out of ten individuals who commit suicide give warnings about their intentions. B) Most suicidal individuals are very ambivalent about their feelings about suicide. C) Most individuals commit suicide by taking an overdose of drugs. D) Initial mood improvement can precipitate suicide
C) Most individuals commit suicide by taking an overdose of drugs.
The nurse is teaching a class on obesity prevention. Which statement by a student indicates that learning about obesity has occurred? A. "Obesity is classified as a psychiatric disorder in the DSM-5." B. "Obesity is defined as a body mass index (BMI) of 25.0 to 29.9." C. "Eighty percent of offspring of two obese parents are obese." D. "Lesions in the appetite center in the thalamus may contribute to obesity."
C. "Eighty percent of offspring of two obese parents are obese."
A nurse should plan to monitor which of the following laboratory test in a client who is receiving Valporic acid for rapid cycling Bipolar Disorder A. cholesterol B. AbgA1C C. Alanine aminotransferase (ALT, SGPT) D. white blood cell count (WBC)
C. Alanine aminotransferase (ALT, SGPT)
Significant neurotoxicity has been documented with Lithium is given with: A. Paxil B. Nardil C. Haldol D. Cogentin
C. Haldol
A nurse is teaching a client with Bipolar Disorder about the drug Tegretol. The teaching has been effective when the client states which of the following? A. my hair will fall out if I take this drug B. I will drink plenty of water so I do not develop kidney problems C. I need to have my blood counts checked periodically D. I can't take any other drugs with this one
C. I need to have my blood counts checked periodically
A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription and a new prescription of Risperdal indicates understanding of the teaching? A. I will be able to stop taking this medication as soon as I feel better B. If I feel drowsy during the day, I will stop taking this medication and call my provider C. I will carefully monitor my weight while taking this medication D. this medication is highly addictive and must be withdrawn slowly
C. I will carefully monitor my weight while taking this medication
Which of the following instructions regarding lithium therapy should be included in a nurse's discharge teaching? Select all A. Restrict sodium content B. Restrict fluids to 1,500 mL per day C. avoid excessive use of beverages containing caffeine D. Consume at least 2,500 to 3,000 mL of fluid a day E. maintain a consistent sodium intake
C. avoid excessive use of beverages containing caffeine D. Consume at least 2,500 to 3,000 mL of fluid a day E. maintain a consistent sodium intake
A client was discharge from the hospital on Xanax 0.5 mg three times a day, but several months later calls the nursing clinic verbalizing insomnia, shakiness, and sweating. The nurse should suspect which of the following? A. may have been drinking alcohol or may have taken antihistamines B. has built up a tolerance to Xanac and needs to increase the dose C. is experiencing withdrawal symptoms and probably stopped the Xanax abruptly D. Is experiencing panic attacks and needs to be switched to a nonbenzo drug
C. is experiencing withdrawal symptoms and probably stopped the Xanax abruptly
A client who has been taking BuSpar for one month returns to the clinic for the clinic for a follow-up assessment. A nurse determines that the medication is effective if the absence of the manifestations has occurred? A. alcohol withdrawal symptoms B. paranoid thought process C. rapid heartbeat or anxiety D. thought broadcasting or delusion
C. rapid heartbeat or anxiety
The nurse is caring for an actively suicidal client on the psychiatric unit. What is the nurse's priority intervention? A.Discuss strategies for the management of anxiety, anger, and frustration. B.Provide opportunities for increasing the client's self-worth, morale, and control. C.Place client on suicide precautions with one-to-one observation. D.Explore experiences that affirm self-worth and self-efficacy.
C.Place client on suicide precautions with one-to-one observation.
A high school student has learned that she cannot graduate. Her boyfriend will be attending a college out of state that she planned to attend. She is admitted to a psychiatric unit after overdosing on Tylenol. Which is the priority nursing diagnosis for this client? A.Ineffective coping R/T situational crisis AEB powerlessness. B.Anxiety R/T fear of failure. C.Risk for self-directed violence R/T feeling hopeless. D.Risk for low self-esteem R/T loss events AEB suicidal ideations.
C.Risk for self-directed violence R/T feeling hopeless.
A client, diagnosed with borderline personality disorder, approaches the nursing station often with various requests. The nurse intervenes by stating, "You may approach the nurse's station only once an hour." Which nursing intervention has been employed? A.Providing reality orientation B.Ensuring physical need fulfillment C.Setting limits on behavior D.Providing client education
C.Setting limits on behavior
From a biological theory perspective, which of the following predisposes individuals to be abusive? A.Unmet needs for security resulting in an underdeveloped ego and a weak super ego. B.Imitation of individuals who have a predisposition toward aggressive behavior. C.Various levels of norepinephrine, dopamine, and serotonin. D.The influence of culture and social structure.
C.Various levels of norepinephrine, dopamine, and serotonin.
A young mother in a severely abusive relationship is admitted to the psychiatric unit after an attempted suicide. The client tells the nurse, "I'm sure things will be better between us once I go home." Which is the most appropriate nursing response? A. "Research shows that men who batter get worse rather than improve." B."Aren't you concerned about your children?" C."You really shouldn't return home to that violent situation." D. "Let's develop a safety plan in case he becomes violent in the future."
D. "Let's develop a safety plan in case he becomes violent in the future."
A client's wife of 34 years dies unexpectedly. The client cries often and becomes socially isolated. The client's therapist encourages open discussion of feelings, proper nutrition, and exercise. What is the best rationale for the therapist's advice? •A. The therapist is using an interpersonal approach •B. The client has an alteration in neurotransmitters •C. It is routine practice to remind clients about nutrition, exercise and rest. •D. The client is susceptible to illness due to effects of stress on the immune system.
D. The client is susceptible to illness due to effects of stress on the immune system.
A client came to the ED in a highly anxious state. Ativan 2mg IM was administered. The nurse evaluates the patients response to the medication 1 hour later. A therapeutic effect would be noted by which of the following? A. improved problem-solving skills B. increased alertness and attention C. increased verbalization and activity D. decreased agitation and environmental scanning
D. decreased agitation and environmental scanning
A client is planning to be discharged from the hospital. It is the nurse's responsibility to educate this client regarding prescribed medications. This client is on Clozaril. The nurse makes it a priority to teach the client to notify the physician immediately if there are; A. feelings of increased energy and interest in the environment B. usual reactions to exposures to the sun C. interference with the normal sleep pattern D. indications of any sort of infection
D. indications of any sort of infection
Which of the following best describes the role of the psychiatric social worker as a member of the interdisciplinary treatment team? A.Provides ongoing assessment of client's mental and physical condition. B.Functions under the supervision of the psychiatric nurse C.Serves as the leader of the treatment team D.Conducts individual, group, and family therapy
D.Conducts individual, group, and family therapy
An individual experienced the death of a parent 2 years ago. This individual has not been able to work since the death, cannot look at any of the parent's belongings, and cries daily for hours at a time. Which nursing diagnosis most accurately describes this individual's problem? A.Post-trauma syndrome R/T parent's death B.Anxiety (severe) R/T parent's death C.Coping, ineffective, R/T parent's death D.Grieving, complicated, R/T parent's death
D.Grieving, complicated, R/T parent's death
A patient begins shouting at the nurse, "Stay away from me." He is waving his arms in the air and backing into the corner of the room. The initial nursing intervention in this situation is to: A.Obtain an order for seclusion B.Administer a prn injection of Haldol C.Call for assistance to physically restrain the patient D.Talk to the patient in a calm nonthreatening manner
D.Talk to the patient in a calm nonthreatening manner
An involuntarily committed client when offered a dinner tray pushes it off the bedside table onto the floor. Which nursing intervention should a nurse implement to address this behavior? A.Initiate forced medication protocol. B.Help the client to explore the source of anger. C.Ignore the act to avoid reinforcing the behavior. D.With staff support and a show of solidarity, set firm limits on the behavior.
D.With staff support and a show of solidarity, set firm limits on the behavior.
What maternal prenatal activity has been associated with attention deficit-hyperactivity disorder (ADHD) in children?
Maternal smoking during pregnancy
What are some family behaviors that have been implicated as influential in the development of separation anxiety disorder?
Over attachment to the mother, over protective parents, transfer of fears and anxieties from parent to children
What antidepressant medication has been used with some success in treating ADHD?
Wellbutrin (Bupropion)
A client, diagnosed with paranoid schizophrenia, states, "My roommate is plotting to have others kill me." Which is the appropriate nursing response? a)"I can understand that you may feel that way, but I can assure you that you are safe here and that he is not plotting to kill you." b)"What would make you think such a thing?" c)"I know your roommate. He would do no such thing." d)"I can see why you feel that way."
a) "I can understand that you may feel that way, but I can assure you that you are safe here and that he is not plotting to kill you."
An individual with a history of antisocial personality disorder was arrested for driving under the influence of alcohol and causing a serious car accident. Which comment on this behavior would be expected? a) "It's not my fault." b) "I'm too ashamed to talk about it." c) "I just don't remember doing it." d) "I'm really sorry about all the people I've hurt."
a) "It's not my fault."
A nursing student is learning about the human limbic system. Which student statement demonstrates that teaching about the function of the limbic system has been effective? a) "The limbic system helps stabilize emotional behavior." b)"The limbic system functions to assist with symbolic thinking." c)"The limbic system aids in analytical thinking." d)"The limbic system helps modulate motor coordination."
a) "The limbic system helps stabilize emotional behavior."
As the move-out date to leave the shelter gets closer, a battered wife states, "I'm afraid to leave here. I'm afraid for my safety and the safety of my children." Which nursing statement is most supportive? a) "This is a difficult transition. Let's formulate a plan to keep you all safe in the community." b) "It's the policy that clients can only live here 30 days. Maybe we can ask for more time." c) "You've had a month to come up with a plan for keeping you and your family safe." d) "Hopefully, your husband has been in counseling. I'm sure this will work out fine."
a) "This is a difficult transition. Let's formulate a plan
A 25-year-old man barely avoids a motor vehicle accident. His heart is pounding, his palms are sweaty, and his respirations are increased. This is an example of which stage of the General Adaptation Syndrome? a) Alarm reaction stage b) Stage of resistance c) Stage of exhaustion d) Stage of biological stress
a) Alarm reaction stage
Which of the following has been implicated in the predisposition to substance abuse?
a) Hereditary factor
According to the American Nurses Association (ANA) standards of practice for psychiatric/mental health nurses, which specific intervention can be implemented by any psychiatric/mental health nurse generalist? a) Milieu therapy b) Psychotherapy c) Consultation d) Prescriptive authority
a) Milieu therapy
A client diagnosed with a personality disorder is cold, aloof, and avoids others on the unit. The nurse recognizes that this behavior is symptomatic of which personality disorder? a) Schizoid personality disorder b) Dependent personality disorder c) Borderline personality disorder d) Antisocial personality disorder
a) Schizoid personality disorder
A 12-year-old girl suddenly refuses to change for gym, participate in physical activities, has difficulty walking and sitting, and will not eat her food at lunchtime. What should the school nurse consider when assessing this child's symptoms? a) Sexual abuse b) Emotional neglect c) Physical neglect d) Emotional abuse
a) Sexual abuse
For the past three days, a student has skipped classes, cried constantly, experienced panic attacks, and is now exhibiting difficulty with short-term memory. In her assessment of this student, what crucial information should the nurse initially obtain prior to planning interventions? a) The student's description of the precipitating stressor b) The student's usual ability to cope with stress c) The student's available support system d) The student's access to community resources
a) The student's description of the precipitating stressor
Which is the primary nursing goal when establishing a therapeutic relationship with a client? a) To promote client growth b) To develop the nurse's personal identity c) To establish a purposeful social interaction d) To develop communication skills
a) To promote client growth
A client, experiencing lower extremity paralysis, is admitted to a medical unit. Extensive tests confirm disability but rule out any underlying organic pathology. The nurse concludes that this is most suggestive of which disorder? a)Conversion disorder b)Illness anxiety disorder c)Malingering d)Somatic symptom disorder
a)Conversion disorder
A client diagnosed with schizophrenia experiences identity confusion and communicates with the nurse using echolalia. What is the client attempting to do by using this form of speech? a)Identify with the person speaking b)Imitate the nurse's movements c)Alleviate alogia d)Alleviate avolition
a)Identify with the person speaking
A newly admitted client diagnosed with OCD, spends 1 hour packing and unpacking, folding and refolding personal belongings. What is the most likely reason for this behavior? a)It relieves anxiety. b)It fosters organizational skills. c)It delays meeting unfamiliar people in the dayroom. d)It makes the client feel good.
a)It relieves anxiety.
What should the nurse plan to teach a client who is taking alprazolam (Xanax) three times a day? a)That there is a potential for dependence and tolerance b)The importance of discontinuing Xanax immediately if addiction is suspected c)That increased caffeine consumption can enhance the effectiveness of Xanax d)That Xanax is not habit forming
a)That there is a potential for dependence and tolerance
The unit manager needs to meet with a client who is exhibiting escalating hostility. Which would be the most appropriate location for the nurse to meet with this client? a) The client's room with the door shut b) A quiet corner of the day room c) The nurse's station d) The unit's treatment room
b) A quiet corner of the day room
Conduct disorder may be a precursor to the diagnosis of which personality disorder? a) Narcissistic personality disorder b) Antisocial personality disorder c) Histrionic personality disorder d) Passive-aggressive personality disorder
b) Antisocial personality disorder
During a group meeting, a client raises the concern that noise at the nurses' station keeps him awake at night. The nurse, present in the meeting, interrupts, stating, "I'll handle this matter. We need to move on." The nurse is demonstrating which type of leadership style? a) Democratic b) Autocratic c) Laissez-faire d) Surrogate
b) Autocratic
Which is characteristic of the diagnosis of anorexia nervosa? a) Obsession with weight gain b) Body image disturbance c) Disregard for the feelings of others d) Healthy family relationships
b) Body image disturbance
When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior? a) Odd beliefs and magical thinking b) Grandiose sense of self-importance c) Pattern of intense and chaotic relationships d) Submissive and clinging behavior
b) Grandiose sense of self-importance
When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior? a) Odd beliefs and magical thinking b) Grandiose sense of self-importance c) Pattern of intense and chaotic relationships d) Submissive and clinging behaviors
b) Grandiose sense of self-importance
A client is brought to the ED and diagnosed with a panic level of anxiety. What biological system domination would be responsible for this diagnosis? a) Parasympathetic division of the autonomic nervous system b) Sympathetic division of the autonomic nervous system c) The cerebral cortex d) The cerebellum
b) Sympathetic division of the autonomic
Which of the following medications would be an appropriate prn medication for an individual with anxiety symptoms? a)Buspirone b)Alprazolam c)Fluoxetine d)Sertraline
b)Alprazolam
For the last year, a college student continually and unrealistically worries about academic performance and love life performance. The student is irritable and suffers from severe insomnia. This behavior is associated with which diagnosis? a)Agoraphobia b)GAD c)Social phobia disorder d)OCD
b)GAD
Two months ago, Ms. T was sexually assaulted while jogging in an isolated park. She is hospitalized for suicidal ideation at this time. She awakens in the middle of the night screaming about having nightmares of the incident. Which of the following is the most appropriate initial nursing intervention? a)Call the doctor to report the incident. b)Stay with Ms. T until the anxiety has subsided. c)Administer prn alprazolam. d)Allow her some privacy to work through the emotions.
b)Stay with Ms. T until the anxiety has subsided.
Two students fail their introductory nursing course. One student plans to seek tutoring and retake the course next fall. The second student attempts suicide. Which of the following factors would have been influential in the development of the second student's crisis? a) The time of year in which the event occurred b) The presence of support systems c) A lack of adequate coping mechanisms d) The individual's family birth order
c) A lack of adequate coping mechanisms
A client who has been taking chlorpromazine (Thorazine) presents in the emergency department with extrapyramidal symptoms (EPS) of restlessness, drooling, and tremors. What medication will the nurse expect the physician to order? a) Paroxetine (Paxil) b) Carbamazepine (Tegretol) c) Diphenhydramine (Benadryl) d) Lorazepam (Ativan)
c) Diphenhydramine (Benadryl)
Which nursing diagnosis is written correctly? a) Risk for social isolation related to low self-esteem evidenced by staying in room during the day. b) Low self-esteem related to major depressive disorder evidenced by childhood abuse. c) Imbalanced nutrition: less than body requirements related to suspiciousness evidenced by 20 lbs. weight loss. d) Conduct disorder related to childhood sexual abuse evidenced by hostile and aggressive behaviors.
c) Imbalanced nutrition: less than body requirements related to suspiciousness evidenced by 20 lbs. weight loss
In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe? a) Predictability b) Controlled anger c) Little tolerance for being alone d) Stable and satisfactory relationships
c) Little tolerance for being alone
The nurse is performing an initial assessment on a newly admitted client who is oriented times four. Which of the following communication techniques would best facilitate obtaining accurate and complete client data? a) Closed-ended questions b) Requesting an explanation c) Open-ended questions d) Interpretingng accurate and complete client data?
c) Open-ended questions
A client was quite upset the entire time she as pregnant and made it clear that she did not want her unborn child. However, after the birth, she becomes overly protective and refuses to let anyone else near the infant. The nurse recognizes this as the use of which defense mechanism? a) Denial b) Projection c) Reaction formation d) Displacement
c) Reaction formation
After a supportive-therapeutic group, a nurse hears one client say to another, "I never thought that other people had the same problems that I have." The nurse ascertains that this statement represents which curative factors described by Yalom? a) Catharsis b) Group cohesiveness c) Universality d) Imitative behavior
c) Universality
A client is experiencing pain that has no organic etiology. This pain allows the client to avoid going to work at a job that he hates. What best describes what this client is experiencing? a)Altered social interaction b)Disturbed thought processes c)Primary gain d)Secondary gain
c)Primary gain
A client is admitted with a diagnosis of brief psychotic disorder, with catatonic features. Which symptoms are associated with the catatonic specifier? a)Strong ego boundaries and abstract thinking b)Ataxia and akinesia c)Stupor and muscle rigidity d)Substance abuse and cachexia
c)Stupor and muscle rigidity
To intervene with a client's hallucinations therapeutically, which nursing intervention should be implemented? a) Reinforce the perceptual distortions until the client develops new defenses b) Provide an unstructured environment c) Avoid making connections between anxiety-producing situations and hallucinations d) Distract the client's attention
d) Distract the client's attention
A client threatens to kill himself, his wife, and their children if the wife follows through with divorce proceedings. During the pre-interaction phase of the nurse/patient relationship, which interaction should the nurse employ? a) Acknowledging the client's actions and encouraging alternative behaviors b) Establishing rapport and developing treatment goals c) Providing community resources on aggression management d) Exploring personal thoughts and feelings that may adversely impact the provision of care
d) Exploring personal thoughts and feelings that may adversely impact the provision of care
A client diagnosed with borderline personality disorder is admitted to a psychiatric unit. Which behavior pattern would the nurse expect to observe? a) Social isolation b) Suspiciousness of others c) Bizarre speech patterns d) Generates conflict among the staff
d) Generates conflict among the staff
The nurse is assisting a client with mental illness recovery using the WRAP model. Which of the following interventions would be included? a) Assisting the individual to tell his personal story b) Helping the client examine his philosophy of life in search of meaning and purpose c) Taking control of the recovery process for the client d) Helping the client craft a psychiatric advanced directive for when he can no longer care for himself
d) Helping the client craft a psychiatric advanced directive for when he can no longer care for himself
A client is 5'8'' tall and weighs 105 pounds. The client has been taking laxatives daily, and self-induces vomiting after eating. Which is the priority nursing diagnosis for this client? a) Ineffective denial b) Disturbed body image c) Low self-esteem d) Imbalanced nutrition, less than body requirements
d) Imbalanced nutrition, less than body requirements
Which assessment finding would the nurse expect in clients diagnosed with bulimia? a) They are below normal weight. b) They binge when they experience hunger. c) They will be highly motivated to seek help. d) They are within their normal weight range.
d) They are within their normal weight range.
A client is brought to the ED. The client is aggressive, has slurred speech, and impaired motor coordination. Blood alcohol level is 347 mg/dl. Among the physician's orders is thiamine. Which is the rationale for this intervention? a) To prevent nutritional deficits b) To prevent pancreatitis c) To prevent alcoholic hepatitis d) To prevent Wernicke's encephalopathy
d) To prevent Wernicke's encephalopathy
Which charting entry is an example of the documentation of a subjective symptom? a)Temperature 101.4oF b)No muscle rigidity or drooling noted c)Client is hypervigilant and scanning the environment. d)Client states, "I'm seeing green men in my room."
d)Client states, "I'm seeing green men in my room."
When caring for a client who is experiencing a panic attack, which of the following nursing actions should be implemented? a)Leave the client alone to maintain privacy. b)Instruct the client regarding unit rules and regulations. c)Sit with the client in the day room to provide comfort. d)Communicate with simple words and brief messages.
d)Communicate with simple words and brief messages.
A child is taking guanfacine for ADHD. Which of the following would be part of the client education associated with the administration of this medication? a)Do not take with foods that contain tyramine. b)Always use sunblock when spending time outdoors. c)Report for blood tests once a month. d)Do not discontinue the medication abruptly.
d)Do not discontinue the medication abruptly.
When working with a client diagnosed with a somatic symptom disorder, which is the most appropriate nursing action? a)Avoid discussing social and personal problems. b)Focus on the physical symptoms. c)Always meet the client's dependency needs. d)Gradually minimize time focusing on physical symptoms.
d)Gradually minimize time focusing on physical symptoms.
Which of the following medications is considered to be a first-line medication of choice in the treatment of PTSD? a)Alprazolam b)Propranolol c)Carbamazepine d)Paroxetine
d)Paroxetine
According to psychodynamic theory, which primary defense mechanism would the nurse expect to find in a client with dissociative amnesia? a)Suppression b)Sublimation c)Displacement d)Repression
d)Repression
The nurse must provide discharge teaching to a patient in the inpatient mental health unit who has had a stroke involving the hippocampus. The nurse should adjust the teaching plan to account for the patient's problem with: A-Expressive aphasia B-Short-term memory C-Attention and learning D-Balance and coordination
short term memory
What rationale explains why inspection of the teeth and gums of a client with bulimia will most likely reveal deterioration? •A) The high acidity of emesis •B) A lack of dietary calcium •C) Rapid ingestion of food without proper mastication •D) Poor dental and oral hygiene
•A) The high acidity of emesis
•The distinguishing feature between dissociative amnesia and dissociative fugue is that: •A:Fugue involves flight and memory loss of past events •B:Amnesia involves flight and memory loss of past events •C:Amnesia and fugue have essentially the same meaning •D:Fugue disorders also include psychotic features while amnesia does not
•A:Fugue involves flight and memory loss of past events
A client's disturbance of body image is evidenced by her claims of "feeling fat" even though she is emaciated. Which is the appropriate outcome criteria for this target behavior? •A) Consuming adequate calories to sustain normal weight •B) Ceasing a strenuous exercise program •C) Perceiving ideal body weight and shape as normal •D) Demonstrating an absence of preoccupation with food
•C) Perceiving ideal body weight and shape as normal
