Mental Health Questions
29A psychiatric nurse is assessing a client with post-traumatic stress disorder (PTSD). During the psychosocial component of the assessment, what assessment question should the nurse include? "How are your symptoms affecting your day-to-day routines?" "Have you been having any side effects from your medication?" "How would describe the quality of your sleep these days?" "Do you feel like treatment has been beneficial so far?"
"How are your symptoms affecting your day-to-day routines?"
26After educating a client with bipolar disorder on his prescribed lithium therapy, the nurse determines that additional education is needed when the client states which of the following? "I need to report any problems with severe diarrhea or slurred speech." "I need to avoid drinking any alcohol." "I need to cut back on my salt intake when it's really hot outside." "I can use sugarless candies to help with any metallic taste."
"I need to cut back on my salt intake when it's really hot outside."
28The nurse provides care to a client who is diagnosed with body dysmorphic disorder (BDD). Which client statement indicates a need for the nurse to include risk for suicide into the client's plan of care? "I was recently diagnosed with obsessive-compulsive disorder." "I attend a support group weekly to deal with my body image issues." "I was diagnosed with substance use disorder last year, and I still struggle with it." "I never use the built-in laptop camera in meetings because it makes my nose look huge."
"I was diagnosed with substance use disorder last year, and I still struggle with it."
25 A client with major depression is admitted to the health facility and expresses feelings of worthlessness and abandonment by significant others. Which replies by the nurse would convey empathy? "I can understand what is going on with you." "Are you feeling like others have abandoned you?" "It sounds like this is a really difficult time for you." "Can you tell me what you are thinking right now?"
"It sounds like this is a really difficult time for you."
26During report, the nurse learns that a client with mania has not slept since admission 2 days ago. On entering the day room, the nurse finds this client dancing to loud music. Which is the most appropriate statement by the nurse? "Do you think you could sit still for a few minutes so we can talk?" "How are you ever going to get any rest if you keep that music on?" "Let's go to the conference room and talk for a while." "Turn the radio down so we can hear ourselves talk."
"Let's go to the conference room and talk for a while."
27The nurse is caring for a client that begins crying uncontrollably and states, "I am so scared to be here, what if I die?" Which is the best response by the nurse? "Let's perform some breathing exercises to reduce your anxiety." "Why are you having so much stress about being here." "You don't have to worry, we will take good care of you." "You are getting worked up over something you have no control over."
"Let's perform some breathing exercises to reduce your anxiety."
29The nurse is working with a client who is suspected of having posttraumatic stress disorder after witnessing a violent crime. What statement by the client's spouse would suggest that the client is experiencing hyperarousal? "My spouse always seems so irritated now, which isn't like my spouse." "My spouse seems to overeat at almost every meal, and then snack all the time too." "My spouse's libido has completely dropped off, and that's not at all like my spouse." "My spouse seems to sleep and sleep, even when there's no reason why my spouse should be tired."
"My spouse always seems so irritated now, which isn't like my spouse."
30An attractive client with a personality disorder asks a nurse providing inpatient care to go out on a date. Which is the nurse's best response? "Well really, I'm just going to ignore that request." "You seem very nice, but I can't. Unit policy prohibits it." "We can discuss that later, closer to discharge or after." "No, as a professional it is not ethical to date clients."
"No, as a professional it is not ethical to date clients."
28A nurse is creating a wellness plan with a client with a handwashing compulsion. What should be included in the wellness plan for the client? "Use hand sanitizer instead of handwashing." "Avoid bathrooms and sinks." "Use cold water when handwashing." "Replace abrasive soaps with moisturizing soaps."
"Replace abrasive soaps with moisturizing soaps."
27A 25-year-old pregnant mother of two children under age 6 is very protective and will not allow her children to play outdoors for fear of tick bites. She is worn out from cleaning the house from top to bottom every day. She asks the nurse how she can stop worrying so much. What is the most appropriate response for the nurse? "Have you considered spraying your children with an insect repellent?" "Tell me your concerns about the children playing in your backyard." "Why do you worry about the children getting tick bites?" "Have you sprayed your backyard for ticks or other pests?"
"Tell me your concerns about the children playing in your backyard."
28The nurse is caring for a client with obsessive-compulsive disorder. During the treatment team meeting, the nurse shares frustration as to the client's inability to stop washing the hands. Which is the best response by the team leader? "The hand washing represents a way to exert independence from the staff." "The client is not aware of the excessive hand washing." "The client does not think anything is abnormal with washing the hands repeatedly." "The client feels guilt but cannot stop washing the hands to try to get rid of anxiety."
"The client feels guilt but cannot stop washing the hands to try to get rid of anxiety."
25 A client who is depressed begins to cry and states, "I'm just really sick of feeling this way. Nothing ever seems to go right in my life." Which would be the most appropriate response by the nurse? "Don't cry. Try to look at the positive side of things." "You are feeling really sad right now. It's a hard time." "Hang in there. Your medication will start helping in a few days." "Nothing ever goes right?"
"You are feeling really sad right now. It's a hard time."
26A client with bipolar disorder is receiving lithium therapy. The nurse is reviewing the client's serum plasma drug levels and determines that the client's level is therapeutic based on what? 1.0 mEq/L 1.6 mEq/L 2.0 mEq/L 2.6 mEq/L
1.0 mEq/L
25A client who was receiving a monoamine oxidase inhibitor (MAOI) is to be switched to a selective serotonin reuptake inhibitor (SSRI). The nurse would expect to begin administering the SSRI how many days after the MAOI is discontinued. 7 days 14 days 21 days 28 days
14 days
29The medical-surgical nurse has worked with numerous clients who have had difficult and stressful courses of treatment. What client likely faces the greatest risk for developing post-traumatic stress disorder? A child who has endured repeated treatments for cancer over multiple admissions A client whose chronic kidney disease requires hemodialysis three times per week A client who required a skin graft as a result of an infected surgical incision A client with a recent diagnosis of type 1 diabetes who is just learning to use an insulin pump
A child who has endured repeated treatments for cancer over multiple admissions
26 Which sleep pattern is suggestive of a manic episode? A client stays awake for several days and nights before "crashing" and sleeping for a long period. A client experiences day-night reversal, sleeping until late in the afternoon and going to bed near dawn. A client reports having fitful sleep that is characterized by frequent awakenings and nightmares. A client takes multiple short naps at varied times throughout the day and night.
A client stays awake for several days and nights before "crashing" and sleeping for a long period.
28Which client is most likely to be diagnosed with body dysmorphic disorder (BDD)? A client who firmly believes that everyone who sees the client fixates on the size of the client's ears A client who has a pattern of overeating and then inducing vomiting A client who is more than 150 pounds overweight but who believes the self to be healthy A client who is dangerously underweight but persists in weight-loss efforts
A client who firmly believes that everyone who sees the client fixates on the size of the client's ears
25 A 46-year-old client has been diagnosed with major depressive disorder. The client is seeing a nurse practitioner who is deciding on an appropriate treatment regimen. The nurse practitioner knows that which will be the most effective treatment for this client's depressive disorder? A combination of psychotherapy and medication A combination of medication and electroconvulsive therapy Psychotherapy alone Medication alone
A combination of psychotherapy and medication
28The client has begun to wash the hands every hour due to the fear of germs becoming embedded in the client's skin leading the client to develop cancer. The nurse interprets this behavior as indicating which condition? An obsession A panic attack A compulsion Acute stress disorder
A compulsion
25A client with depression has been taking fluoxetine for the last 3 months and has noticed improvement of symptoms. The nurse inquires about any side effects being experienced. Which side effect will the client likely report? A headache after eating wine and cheese A decrease in sexual pleasure during intimacy An intense need to move about Persistent runny nose
A decrease in sexual pleasure during intimacy
28A patient's mental health disorder is characterized by the patient's excessive cleaning of her surroundings. How can the nurse best address the biochemical aspects of the patient's disorder? Administer sustained serotonin reuptake inhibitors (SSRIs) as prescribed Dialogue with the patient about isolation, undoing, and reaction-forming Educate the patient about the relationship between cerebral glucose metabolism and mental health Administer anticonvulsants as prescribed
Administer sustained serotonin reuptake inhibitors (SSRIs) as prescribed
26Carbamazepine has a boxed warning for which adverse effect? Agranulocytosis Birth defects Skin rash Liver damage
Agranulocytosis
30The nurse provides education to the parent of a child diagnosed with intermittent explosive disorder. In addition to medication, what additional therapy does the nurse recommend? Play therapy Anger management Inpatient hospitalization Long term institutionalization
Anger management
27Panic disorder is treated with cognitive-behavioral techniques and deep breathing and relaxation, in addition to which of the following? Antianxiety medications Anticonvulsants Antipsychotics CNS depressants
Antianxiety medications
26A client has been diagnosed with bipolar disorder. After teaching the client about the different medication classifications used to help stabilize mood, the nurse determines tha the teaching was successful when the client identifies which class of medications? Antianxiety Anticoagulants Antibiotics Anticonvulsants
Anticonvulsants
30The nurse assesses a client diagnosed with narcissistic personality disorder. What other diagnoses share common symptoms with this personality disorder? Select all that apply. Schizophrenia Major depressive disorder Generalized anxiety disorder Antisocial personality disorder Borderline personality disorder
Antisocial personality disorder Borderline personality disorder
27Which medication classifications used in the treatment of panic disorder can cause physical dependence? Benzodiazepines Selective serotonin reuptake inhibitors (SSRIs) Tricyclic antidepressants (TCAs) Serotonin-norepinephrine reuptake inhibitors (SNRIs)
Benzodiazepines
26A client is admitted to the unit in an acute manic episode. The client has had three major depressive episodes in the past 10 years and two other hospitalizations for mania. Which disorders would reflect the client's symptom profile? Bipolar II Cyclothymic disorder Bipolar I Euthymic state
Bipolar I
30Dialectical behavior therapy (DBT) combines behavior therapy with which type of therapy? Milieu therapy Psychotherapy Cognitive therapy Occupational therapy
Cognitive therapy
28A client spends hours stacking and unstacking towels. The client is repeatedly checking to make sure that the towels are in order of color. What term is used to identify this behavior? Compulsion Phobia Obsession Derealization
Compulsion
27An adult client being admitted to the psychiatric-mental health unit is experiencing severe anxiety. What is the nurse's priority action for the client? Encourage the client to problem solve. Leave the client alone. Teach relaxation techniques. Decrease the client's anxiety level.
Decrease the client's anxiety level.
30A nurse is conducting a mental status exam of a client with borderline personality disorder (BPD). The client verbalizes statements that demonstrate a view of things as absolute, with no perception of compromise. The nurse interprets this type of thinking, documenting it as which of the following? Dichotomous Abstract Irrational Disorganized
Dichotomous
29When explaining dissociative disorders to a client, what feature of these disorders would a nurse describe? Total amnesia of the events that caused the disorder Overuse of sedatives like alcohol Failure to integrate identity, memory, and consciousness Disinhibited social engagement, being overly friendly with strangers
Disinhibited social engagement, being overly friendly with strangers
30A client diagnosed with schizoid personality disorder is described by family members as what? Emotionless and a loner Dramatic and emotional Nervous and fearful Tired and sad
Emotionless and a loner
29A group of at-risk teenagers have successfully completed an outdoor training program in which they had to collaborate and conquer a number of challenges. The nurse should identify what likely outcome of this program? Enhanced resilience for the participants Decreased risk for personality disorders Decreased risk for somatic symptom disorders Hyperarousal and enhanced coping for participants
Enhanced resilience for the participants
30A client is admitted to the hospital medical unit with an admitting diagnosis of antisocial personality disorder. The client also has a history of alcohol use. What is the nurse's priority intervention for this client? Ensure the safety of other clients and staff. Medicate the client immediately. Place a referral to Alcoholics Anonymous (AA). Initiate alcohol withdrawal protocol.
Ensure the safety of other clients and staff.
25A client is prescribed a selective serotonin reuptake inhibitor (SSRI) as treatment for depression. Which would the nurse most likely administer? Escitalopram Venlafaxine Maprotiline Phenelzine
Escitalopram
27Which assessment question is most likely to allow the nurse to differentiate between anxiety disorder due to a general medical condition and psychological factors affecting a medical condition? Reviewing the client's previous medication administration record and the client's current list of medications Questioning the client about the clinician who first diagnosed the medical problem Asking the client to provide a detailed explanation of his or her medical problem to determine if the presentation is typical of the problem Establishing whether the client's anxiety preceded the medical problem or whether the medical problem appeared first
Establishing whether the client's anxiety preceded the medical problem or whether the medical problem appeared first
26On admission to the psychiatric unit, a client is dressed in a red leotard and exercise bra, with an assortment of chains and brightly colored scarves on the client's head, waist, wrists, and ankles. The client's first words to the nurse are, "I'll punch you, munch you, crunch you," as the client dances into the room, shadow boxing. The client shakes the nurse's hand and says cheerfully, "We need to become better acquainted. I have the world's greatest intellect, and you are probably an intellectual midget." How can the nurse document the client's mood? Belligerent and blunted. Expansive and grandiose. Anxious and unpredictable. Suspicious and paranoid.
Expansive and grandiose.
28A counselor is conducting a therapy session with a client who performs time-consuming compulsions. The client is exposed to a situation or object that induces anxiety in the client and the client is asked to refrain from performing the ritualized behavior. What therapy is the counselor utilizing with the client? cognitive restructuring Exposure and Response Prevention (ERP) Acceptance and Commitment therapy (ACT) cognitive-behavioral therapy (CBT)
Exposure and Response Prevention (ERP)
27A nurse is assessing the vital signs of a client in the cardiac clinic. The nurse observes the client's blood pressure and heart rate are higher than what is normally expected for this client. The client tells the nurse, "I'm always so nervous when I come to the clinic." The nurse interprets the client's statement and vital signs as reflecting which situation? Fight-or-flight response Severe anxiety Defense mechanism Exhaustion
Fight-or-flight response
29A school nurse is conducting a workshop that has the goal of promoting children's resilience. Which activity would be most important for the nurse to include to promote resilience? Select all that apply. Give the children exercises that allow them to exercise their autonomy Provide the children with activities that will promote their self-concept Teach the children that each of them possesses inherent self-worth Teach the children about the need to report violations of any sort to a trusted authority figure Have a client with a diagnosis of post-traumatic stress disorder (PTSD) speak to the children
Give the children exercises that allow them to exercise their autonomy Provide the children with activities that will promote their self-concept Teach the children that each of them possesses inherent self-worth
26The psychiatric nurse engages in evidence-based best practices when including nursing interventions into the care plan of a client diagnosed with bipolar disorder. This care plan supports both the administration of prescribed medications and? Group psychoeducation Electroconvulsive therapy (ECT) Behavior modification Music therapy
Group psychoeducation
30The nurse is working in a prison setting with a client diagnosed with Antisocial Personality Disorder (ASPD). The client has identified impulse control issues particularly around urges for sexual intimacy. The client has assaulted people who have interfered with their gratification. What is the priority intervention for the nurse? Offering mindfulness distraction techniques Addressing an underlying substance use disorder Encouraging adherence to medication treatment Helping to express anger in an adaptive and non-violent manner
Helping to express anger in an adaptive and non-violent manner
27Which is one characteristic that differentiates generalized anxiety disorder (GAD) and panic disorder? In panic disorder, the person suffers from a chronic state of elevated anxiety. Panic disorders are more easily treated than GAD. In GAD, the person usually does not experience eruptions of acute anxiety. GAD is characterized by occasional, unexpected panic attacks.
In GAD, the person usually does not experience eruptions of acute anxiety.
25 Which could be incorporated into the plan of care for a client receiving an antidepressant who is experiencing orthostatic hypotension? Increase hydration Take medication with food Get daily exercise Eat a nutritionally balanced diet
Increase hydration
27An adolescent client reveals that she is about to take a math test from her tutor. Nursing assessment reveals mild anxiety. The nurse explains that this level of anxiety does what? Will interfere with her cognitive abilities Is conducive to concentration and problem solving May be transferred to her tutor and result in test anxiety Is pathologic and warrants postponing the test
Is conducive to concentration and problem solving
27A client diagnosed with panic disorder has been receiving medication therapy, which is being discontinued. A nurse would be alert for possible withdrawal symptoms if the client was receiving what? Lorazepam Duloxetine Escitalopram Fluvoxamine
Lorazepam
26 A client taking lithium therapy has a serum therapeutic level of 0.8 mEq/L. What priority dietary instruction should the nurse include in the teaching plan? Limit fluid intake to 6-8 oz (180-340 mL) glasses a day. Maintain daily sodium intake. Switch to a DASH diet. Monitor weight pattern.
Maintain daily sodium intake.
25A client has been diagnosed with major depression. The client reports of waking up during the night and has trouble returning to sleep. A nurse interprets this finding as suggesting what? Initial insomnia Terminal insomnia Hypersomnia Middle insomnia
Middle insomnia
26A client in an acute manic phase is pacing the halls and talking in a loud voice with pressured speech. The client is overly involved with coclients and frequently threatens and disrupts others on the unit. After administering lithium treatment for the client, the nurse can expect the plan of care to include which additional intervention? Monitoring phototherapy response. Monitoring blood levels of the medication. Teaching the client to avoid foods with tyramine. Assessing for post-electroconvulsive therapy disorientation and confusion.
Monitoring blood levels of the medication.
26A client is exhibiting rapid shifts in mood. The nurse documents this as which of the following? Elevated mood Expansive mood Irritable mood Mood lability
Mood lability
27A client is prescribed medication therapy as treatment for panic disorder. Which medication would a nurse expect to administer when prescribed as first-line medication therapy for panic disorder? Paroxetine Venlafaxine Imipramine Alprazolam
Paroxetine
28The psychiatric mental health nurse has received a referral from a community health nurse regarding a client who appears to have hoarding disorder. When planning this client's care, the nurse should prioritize what consideration? Promoting the client's safety in the home environment Teaching the client to differentiate between necessary and unnecessary items Educating the client about the use of relaxation techniques Collaborating with law enforcement while maintaining the client's autonomy
Promoting the client's safety in the home environment
28The nurse observes a client with symptoms of onychophagia becoming anxious. The client stops the behavior and starts putting a puzzle together. Which action should the nurse take? Tell the client that they are proud of them. Provide genuine praise that the client used a coping strategy. Discuss the observation in group therapy. Document the observation as the defense mechanism of sublimation.
Provide genuine praise that the client used a coping strategy.
30The nurse provides care to clients who have a tendency toward antisocial and criminal behavior. Which term was used in the past to describe people with this disorder? Psychopath Irresponsible Schizophrenic Habitual criminal
Psychopath
25 A client is prescribed sertaline as part of the treatment plan for major depression. After teaching the client about possible side effects, the nurse determines that the teaching was successful when the client identifies which effect as possible with this drug? Select all that apply. Sedation Sexual dysfunction Dizziness Photosensitivity Abnormal dreams
Sedation, Sexual Dysfunction, Dizziness
27A nurse is providing care to a client with social anxiety disorder. Based on the nurse's understanding of pharmacotherapy, which medication would the nurse anticipate being used as part of the treatment plan? Benzodiazepines Tricyclic antidepressants (TCAs) Beta-blockers Selective serotonin reuptake inhibitors (SSRIs)
Selective serotonin reuptake inhibitors (SSRIs)
30When clients diagnosed with borderline personality disorder (BPD) see nurses as either all good or all bad, the client is using which primitive defense? Splitting Defending Invalidating Projective identification
Splitting
26A nurse is assessing a client who is brought to the emergency department. The nurse suspects that the client is experiencing mania. Which finding would support the nurse's suspicion? Select all that apply. Statements of self-importance Slowness of speech Flight of ideas Easily distractible Sleepiness
Statements of self-importance Flight of ideas Easily distractible
25 The client has been diagnosed with severe depression and prescribed sertraline. Which assessment of the client by the nurse is a priority after the initiation of the medication? Decreased mobility Emotional changes Suicidal ideations Increased sleep
Suicidal ideations
27A client experiences panic attacks when confronted with riding in elevators. The nurse is teaching the client ways to relax while incrementally exposing the client to getting on an elevator. Which technique will the nurse employ to assist the client with overcoming the phobia? Systematic desensitization Flooding Cognitive restructuring Combination therapy
Systematic desensitization
28A client with obsessive-compulsive disorder (OCD) states making a concerted effort to reduce the frequency and duration of rituals. What intervention should the nurse include to assist in these efforts? Teach the client nonpharmacologic relaxation techniques Administer mood stabilizers as prescribed Teach the client how to complete the client's rituals in less time Educate the client about the negative effects of obsessions and compulsions
Teach the client nonpharmacologic relaxation techniques
30A client with a diagnosis of dependent personality disorder is recovering from surgery. The nurse considers the importance of avoiding some interventions that could be therapeutic for another client without a personality disorder. Which intervention will the nurse avoid? Providing positive feedback Telling the client what to do Enhancing decision-making skills Identifying resources to aid in meal planning
Telling the client what to do
30The nurse conducts an assessment to rule out antisocial personality disorder (ASPD) in a young adult. What aspect of the client's childhood is the priority assessment? Temperament Independent play Speech development Academic performance
Temperament
27The nurse can document correctly that a client diagnosed with an anxiety disorder is experiencing moderate anxiety when the nurse observes the client doing what? The client keeps getting distracted but can be brought back to focus on the current conversation. Reporting, "I just can't relax; I've got things to do." Telling another client that "there is nothing they can do for me; I just know it's really bad." Demonstrating difficulty actually verbalizing anxious feelings
The client keeps getting distracted but can be brought back to focus on the current conversation.
28Which best describes the primary goal of treatment for obsessive-compulsive disorder? The client will be able to stop obsessions and compulsions. The client will consistently use techniques to manage symptoms. The client will adhere to medication therapy. The client will participate in technology-based delivery of care.
The client will consistently use techniques to manage symptoms.
25 A client is prescribed sertraline for the treatment of depression. Which outcome would be appropriate to determine an early favorable response to antidepressant medication? The client will establish a balance of rest, sleep, and activity. The client will demonstrate assertive communication skills. The client will describe signs and symptoms of major depression. The client will make plans to attend one community social activity a week.
The client will establish a balance of rest, sleep, and activity.
27The nurse is assessing clients in the behavioral health unit. For which client will the nurse identify that a prn medication should be administered to control anxiety? The client with a high anxiety level experiencing disorganized thoughts. A client that will be discharged home with a spouse today. A client that is experiencing mild anxiety prior to talking with the therapist. A client that is admitted and being oriented to the unit and states, "I am nervous."
The client with a high anxiety level experiencing disorganized thoughts.
27The nurse is assessing clients in the behavioral health unit. For which client will the nurse identify that a prn medication should be administered to control anxiety? The client with a high anxiety level is experiencing disorganized thoughts. A client that will be discharged home with a spouse today. A client that is experiencing mild anxiety prior to talking with the therapist. A client that is admitted and being oriented to the unit and states, "I am nervous."
The client with a high anxiety level is experiencing disorganized thoughts.
29A client who is being treated for posttraumatic stress disorder tells the nurse, "Sometimes it's like I can't feel anything—not happiness, not sadness, not fear. Nothing." How should the nurse best interpret the client's statement? The client's emotional numbing is a protective mechanism The client's depersonalization is an ominous sign The client has unrealistic expectations of his level of emotional functioning The client would likely benefit from anxiolytic medications
The client's emotional numbing is a protective mechanism
26A nurse is monitoring a client on lithium therapy and observes that the client has a fine motor tremor of the hand and reports a metallic taste. Which action(s) should the nurse take? Select all that apply. Notify the health care provider and prepare to admit the client for treatment. Verify dosage and time of last lithium medication taken. Withhold next lithium dose until serum levels have been drawn. Increase fluids to maintain hydration. Obtain serum sodium level.
Verify dosage and time of last lithium medication taken. Withhold the next lithium dose until serum levels have been drawn. Obtain serum sodium level.
30When discussing a school-aged child's behavioral contract with the school staff, how should the nurse most effectively explain a time-out? a consequence for unacceptable behavior a retreat away to regain self-control a signal that it is the end of the school day for the child a cue to move the child to sit with a different group of peers
a retreat away to regain self-control
25 Which topics should the nurse explore when determining mental status during the psychosocial assessment process? Select all that apply. memory attention cognition mood and affect thought processes and content all the above
all the above
28A psychiatric-mental health nurse is preparing medication education for a client diagnosed with treatment resistant obsessive-compulsive disorder (OCD). Which medication would most likely be prescribed to the client? aripiprazole fluvoxamine sertraline venlafaxine
aripiprazole
29A child is diagnosed with PTSD following a motor vehicle accident where both parents were killed. Which symptom(s) are related to PTSD in children? Select all that apply. bedwetting, after being potty trained forgetting how to talk having feelings of guilt developing disrespectful behavior becoming clingy to caregiver
bedwetting, after being potty trained forgetting how to talk becoming clingy to caregiver
27The nurse finds a client pacing the hallway with an anxious expression. Which automatic physical assessment data would the nurse expect to see? dilated pupils facial pallor lower heart rate hyperactive bowel sounds
dilated pupils
27A client with a specific phobia of spiders is seeing a therapist for the first session of treatment. The therapist hands the client a clear container with a large house spider inside. This activity is repeated continuously until the client's fear subsides. Which strategy is being used to treat the client's specific phobia? biofeedback flooding decatastrophizing assertiveness training
flooding
29A nurse is working with a patient who is experiencing large amounts of stress due to relational, financial, and physiologic factors. The nurse can best enhance this patient's resilience by: helping the patient to think about herself in a positive way. connecting the patient with individuals who have similar or greater levels of stress. exploring the patient's major childhood events during cognitive-behavioral therapy. assessing the patient's family history of maladaptive coping.
helping the patient to think about herself in a positive way
29The nurse is assessing the client who experienced a traumatic event. Which finding(s) would the nurse document as resilience exhibited by the client? Select all that apply. positive self-concept feelings of being out of control intrusion hyperarousal utilizing coping skills
positive self-concept utilizing coping skills
29The nurse is assessing a client who has recently received a diagnosis of posttraumatic stress disorder. When conducting this assessment, the nurse should: try to identify any strengths or skills that can be applied during recovery. prioritize psychological findings over physical findings. corroborate the client's statements with a trusted friend or family member. reassure the client that the client will eventually have a full recovery.
try to identify any strengths or skills that can be applied during recovery.
