Mental Heatlh Exam 2 (questions

A nurse is caring for a client who has chronic stress. The client states. "I always feel so tired. but I can't sleep unless I have a cocktail or glass of wine at bedtime." Which of the following responses should the nurse make? A. "Using alcohol for sleep can become problematic. Would you like to discuss other methods that might help you sleep"? B. "Exercising right before bed may help you to sleep better." C. "You should speak with your provider about prescribing a sedative to help you sleep." D. "A glass of wine in the evening is a good way to take the edge off and help you to rest.

A. "Using alcohol for sleep can become problematic. Would you like to discuss other methods that might help you sleep"? ~ CORRECT My Answer The use of alcohol to induce sleep can create dependency over time. Asking the client if they would like to discuss other methods to induce sleep is a therapeutic response and allows to client to participate in their care.

A nurse is providing information to a client about risk factors for developing an anxiety-related disorder. Which of the following clients is at the greatest risk for developing an anxiety-related disorder? A. A client who had multiple adverse childhood experiences and whose parents both have a history of anxiety disorder B. A client who has a family history of anxiety disorders and several positive childhood experiences (PCES) C. A client who has a family history of cancer and is recently unemployed. D. A client who did not graduate from high school or complete their general education development (GED) test.

A. A client who had multiple adverse childhood experiences and whose parents both have a history of anxiety disorder ~ CORRECT This client's combination of genetic and environmental stress indicates that they are at greatest risk for the development of an anxiety disorder.

A nurse is caring for a client who reports a recent increase in stressors. Which of the following concepts should the nurse use to develop necessary context to both understand and deliver nursing care for this client? A. Adaptive vs. maladaptive B. Good vs. bad C. Justified vs. unjustified D. Right vs. wrong

A. Adaptive vs. maladaptive ^ CORRECT My Answer Using the concept of adaptive vs. maladaptive allows the nurse to develop necessary context to both understand and deliver nursing care

A community health nurse is preparing an educational activity on Alzheimer's disease. Which of the following risk factors should the nurse include as the greatest risk for this disease? A. Age B. Genetics C. History of Down syndrome D. Androgen deprivation therapy

A. Age CORRECT The nurse should identity the greatest risk for Alzheimer's disease Is age

A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take? A. Allow the client to control the conversation B. Ask the client a series of questions about who assaulted them C. Insist the client report the incident.

A. Allow the client to control the conversation ~ CORRECT My Answer The nurse should allow the client to control the conversation with the nurse. he client should be able to take breaks while talking, decide where to sit in the room, request a glass of water. etc.

A nurse is caring for a client who is experiencing panic attacks. Which o the following therapies is indicated for this client: A. Biofeedback B. Mindfulness meditation C. Cognitive reframing D. Dialectical behavioral therapy

A. Biofeedback CORRECT This client would benefit from biofeedback, which uses biosensors to monitor physiological responses to stressors in order to inform the client how their body responds to stress.

A nurse is reviewing the medical record of a client who is being admitted with dementia. The nurse notes that the client has worked as a pest control specialist for the last 20 years. which of the following types of dementia should the nurse expect the client to be experiencing? A. Parkinson's disease B. Prion disease C. Frontotemporal lobar D. Alzheimer's disease

A. Parkinson's disease CORRECT The nurse should expect that a client who has dementia and has worked with pesticides for the past 20 years might have Parkinson's disease dementia. working with herbicide and pesticides are related to client's who have Parkinson's disease dementia.

Which of the following phases of Selye's General Adaptation Syndrome (GAS) reflects a nurse's ability to successfully perform duties during prolonged period of stress lasting weeks to months without any indication of observable impairment? A. Resistance phase B. Adaptive phase C. Alarm phase D. Exhaustion phase

A. Resistance phase CORRECT The resistance stage is defined as the phase where the bod attempts to stabilize and repair itself following the alarm stage

A nurse is speaking with the caregiver of a client who has Alzheimer's disease. The caregiver asks the nurse what type of essential oils should be used when the client receives massage therapy to decrease anxiety. Which of the following oils should the nurse recommend? A. Rosemary B. Eucalyptus C. Cypress D. Frankincense

A. Rosemary CORRECT The nurse should recommend the use of rosemary oil. Essential oils such as rosemary, lemon, and lavender are effective when used during massage to decrease anxiety, improve sleep, and improve cognitive function for clients who have Alzheimer's disease.

A nurse is reviewing a client's MRI results that show cortical thinning. The nurse should identify that this finding is evident in which of the following types of dementia? A. Substance use disorder B. Alzheimer's disease C. Prion disease D. HIV infection

A. Substance use disorder CORRECT The nurse should identity that cortical thinning Is associated with a client who has substance use disorder dementia

A nurse is caring for a client who is experiencing manifestations of anxiety. The nurse should recognize which of the following statements about the neurophysiologic manifestations or anxiety as correct: A. The amygdala-centered (ACC) circuit of the brain is associated with feelings of panic B. The cortico-striato-thalamo-cortical circuit (CSTC) of the brain is associated with phobias C. The cortico-striato-thalamo-cortical circuit (CSTC) of the brain is associated with feelings of fear. D. The amygdala-centered (ACC) circuit of the brain is associated with feelings of apprehension.

A. The amygdala-centered (ACC) circuit of the brain is associated with feelings of panic CORRECT The ACC is associated with manifestations such as fear. panic. and phobia

A nurse is caring for a client who is experiencing elevated blood pressure and an increased heart rate. The client states. "Financial problems are causing issues in my marriage and I am afraid that I might get laid off from my lob." which of the following actions should the nurse take first? A. instruct the client to take slow and deep breaths using abdominal muscles B. Contact case management to provide resources to the client that may offer some financial assistance. C. Encourage the client to write down things that they are grateful for. D. Refer the client to a marriage and family counselor

A. instruct the client to take slow and deep breaths using abdominal muscles ^ CORRECT My Answer Using deep breathing exercises allows the body to better exchange carbon dioxide for oxygen, resulting in slower heart rate, lower blood pressure, and a feeling of relaxation.

A nurse is providing teaching about stress with a client. The nurse should identify which of the following client statements indicates an understanding of the teaching! A. "I am not really stressed; it is just my perception.' B. "Certain practices can increase my awareness of my stress." C. "I am only stressed due to my lack of sleep." D. "I can modify all of my stress triggers."

B. "Certain practices can increase mv awareness of my stress." ^ CORRECT My Answer This is correct. A client's perception and attitudes influence how they will manage stress.

A nurse is caring for an adolescent who has an anxiety disorder. Which of the following statements by the adolescent indicates a protective facto in the form of a positive childhood experience: A. "My little sister has a lot of health problems, and my parents are always in the hospital with her. I worry about that a lot. B. "My English teacher is amazing. They really listen well." C. "My mother had me when she was in high school." D. "My parents are in the military. We have moved a lot since I was born."

B. "My English teacher is amazing. They really listen well." < CORRECT Mv Answer Having caring adults outside the family who serve as mentors and role models is an example of a positive childhood experience. therefore, this statement by the adolescent indicates a protective factor in the form of a positive childhood experience.

A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect. A. Poor concentration B. Depersonalization C. Voice tremors D. Shakiness

B. Depersonalization CORRECT Depersonalization is a manifestation of panic eve anxietv.

A nurse is caring for a client who is concerned about developing a mental health disorder as a result of their childhood experiences. Which of the following familial characteristics is a protective factor for adverse childhood experiences? A. Families that are isolated from other people, such as extended family, friends, and neighbors B. Families where caregivers have college degrees or higher C. Families that include young caregivers or single parents D. Children who don't feel close to their guardians and don't feel like they can talk to them about their feelings

B. Families where caregivers have college degrees or higher ~ CORRECT My Answer Statistics show that caregiver characteristics such as having a college degree or having strong social supports is associated as a protective factor for adverse childhood experiences.

A nurse is caring for a client who experienced abuse. The client savs. "It was my fault. I made m partner upset." The nurse should identify that the client is demonstrating which of the following manifestations: A. Anger B. Guilt C. Dependency

B. Guilt CORRECT The nurse should identify that the client is demonstrating guilt, which is a manifestation of a client who has experienced abuse. The client feels the abuse is their fault. Other manifestations can include feelings of powerlessness, rear, dependence, lack of trust, and assertiveness.

A sexual assault nurse examiner (SANE) is a caring for a client who experienced sexual assault. Which of the following actions should the nurse A. Request the police to gather evidence of the incident B. Protect the client from further harm. C. Require the client to call the police.

B. Protect the client from further harm. CORRECT The SANE should protect the client from further harm by providing the client with options in order to make an informed decision regarding their care

A nurse is providing care to a client who is rocking back and forth on a gurney while repeating, "I'm not safe here." The client does not respond to their name and is holding their hands over their abdomen. The nurse would recognize that the client is most likely in which of the following stages оf anxiety. A. Moderate B. Severe C. Panic D. Mild

B. Severe CORRECT The client is likely experiencing a severe level of anxiety. They are exhibiting poor concentration by not responding to their name and repeating a phrase. They are also holding their abdomen, which may indicate that they are experiencing somatic symptoms.

A nurse is caring for a client who experiences severe anxiety when going to work. The nurse should identify that which of the following areas of the autonomic nervous system is stimulated when the client goes to work? A. Vagus nerve B. Sympathetic nervous system C. Parasympathetic nervous system D. Limbic system

B. Sympathetic nervous system ^ CORRECT My Answer The autonomic nervous system is comprised of the sympathetic (fight or flight response) and parasympathetic (relaxation response) nervous systems. In times of Stress, such as when traveling to a lob that causes anxiety, the sympathetic nervous system is stimulated.

A nurse is caring for a client who has recently started journaling to manage stress. The nurse should identify which of the following is an outcome for a client who uses journaling to manage stress: A. The journaling will replace the need for social support. B. The journaling will assist the client with identifying stress triggers C. The journaling will help in finding a cure for stress. D. The journaling will serve as an alternative for the use of medications.

B. The journaling will assist the client with identifying stress triggers ^ CORRECT My Answer It is important to identify the stressors and understand the client's perception of the stress in order to devise an effective plan of care

A nurse in an outpatient facility is teaching a client about the development o mental illness. Which of the following statements b the nurse describes the role of a vulnerability gene: A. "It is a gene variant that is responsible for an individual's resilience to stress." B. 'It is a gene variant that is responsible for the development of a specific mental illness." C. "It is a gene variant that increases the risk for development of a specific mental illness.' D. 'It is a gene variant that determines an individual's likelihood of recovering from mental illness."

C. "It is a gene variant that increases the risk for development of a specific mental illness.' ~ CORRECT My Answer Research over the past decade has illuminated several vulnerability genes that appear to be associated with an increased risk for developing mental illness.

A nurse is providing care to a client who is aggressive and demonstrating self-injurious behaviors. which of the following disorders does the nurse identity as being consistent with this behavior? A. Narcolepsy B. Insomnia C. Autism spectrum disorder

C. Autism spectrum disorder ^ CORRECT My Answer The nurse should recognize that clients who have autism spectrum disorder (ASD) might demonstrate self-injurious acts, such as scratching, slapping, or biting themselves. Clients with ASD are more likelv to demonstrate aggressive behavior when they feel thev are threatened.

A nurse is reviewing the medical record of a client who is experiencing delirium. Which of the following medications should the nurse identify as a cause of this disorder? A. Antihistamines B. Amphetamines C. Benzodiazepines D. Sertraline

C. Benzodiazepines CORRECT The nurse should identify that benzodiazepines can have an adverse effect of delirium. Benzodiazepines are central nervous system depressants used to treat Insomnia, anxiety, and seizures.

A nurse is caring for an adolescent who is experiencing recurring manifestations of influenza. Which of the following phases of Selye's general Adaptation syndrome (GAS explains the possible cause for the adolescent's manifestations? A. Adaptive Phase B. Alarm Phase C. Exhaustion Phase D. Resistance Phase

C. Exhaustion Phase < CORRECT My Answer The exhaustion phase explains the possible cause for the adolescent's manifestations. In the exhaustion phase, the body finds itself depleted of energy reserves and is unable to self-regulate independently and reliably.

A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances. and is unable to control their sense of worry. The nurse should identify that these manifestations indicate which of the following? A. Panic disorder B. Agoraphobia C. Generalized anxiety disorder D. Separation anxiety disorder

C. Generalized anxiety disorder ~ CORRECT My Answer The nurse should identify that these manifestations indicate generalized anxiety disorder. Generalized anxiety disorder involves experiencing excessive anxiety and worry in response to situations and circumstances. and the inabilitv to control the sense of worry.

A nurse in an outpatient mental health clinic is discussing the development of anxiety-related disorders in children to a group of parents. The nurse should include that which of the following is an adverse childhood experience (ACE) that can contribute to the development of an anxiety disorder? A. Having caregivers who have steady employment B. Having a family with a strong social support system C. Having a physical disability D. Performing well in school

C. Having a physical disability < CORRECT My Answer HavIng a physical disability is an example of an adverse childhood experience and places the child at increased risk for developing an anxiety disorder.

A nurse is caring for a client who states. " I am overwhelmed by stress, and nobody is helping me." Which of the following represents a therapeutic response by the nurse? A. Have you tried to avoid the situations that are causing you so much stress? B. I am trying to help you but you haven't told me why you are overwhelmed yet C. I would like to help you. Can you tell me more about what you are feeling? D. tell me about what you are doing to reduce or cope with your stress

C. I would like to help you. Can you tell me more about what you are feeling?

A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expects this client to have? •A. Prion disease B. HIV infection C. Lewy body disease D. Traumatic brain injury

C. Lewy body disease CORRECT The nurse should identity a client who Is experiencing fluctuating cognition along with visual hallucinations might have Lewy body disease dementia. Other manifestations can include Parkinsonism (bradykinesia, tremors, muscle rigIdity), rapid eye movement during sleep, and neuroleptic sensitivity.

A newly licensed nurse is discussing the concept of eustress with another nurse. Which of the following examples provided by the newly licensed nurse indicates an understanding of the teaching? A. Losing a family pet B.Receiving a notification of insufficient funds in their bank account C. Preparing for a vacation with friends D. Receiving a notification of possible layoffs at work

C. Preparing for a vacation with friends ~ CORRECT My Answer Eustress is beneficial stress; it motivates people to develop skills they need to solve problems and meet personal goals. Going on a vacation is an exciting, relaxing experience that would likely produce eustress.

A nurse is caring for a client who is agitated and threatening to leave against medical advice. The client is pacing the unit and yelling. Which of the following actions should the nurse take? A. Ignore the client's concerns B. Stand in front of the client when talking. C. Set parameters for the client. D. Block the doorway of the unit

C. Set parameters for the client. ~ CORRECT The nurse should set parameters for the client as a de-escalation technique for a client who is agitated and threatening to leave against medical advice. This can assIst with defusing the situation

A nurse Is speaking about types of aggression to a group of residents at a community outreach center. One of the attendees states, "I keep seeing the same person outside my apartment and they are leaving me items at my door." Which of the following types of aggression should the nurse identify the client is experiencing: A. Bullying B. Assault C. Stalking

C. Stalking ~ CORRECT My Answer The nurse should identify that the client is experiencing stalking or unwanted attention from another person. This can include following or watching someone monitoring where someone lives, leaving items and obtaining personal information about them. A stalker can show up at the person's home or place of work unannounced. A stalker can also contact the person multiple times via phone calls, emalls, letters, or text messages.

A nurse is caring for an older adult client who reports their caregiver has been writing checks in their name without their consent. Which of the following types of abuse is the client experiencing? A. Neglect B. Physical C. Emotional D Economic

D Economic

A nurse is caring for a client who is refusing to attend group therapy. The client states, "I don't know why you think I need therapy. I am fine without it." Which of the following responses by the nurse indicates a therapeutic response? A. " I understand that you feel like you don't need it; however, the provider things it will help? B. "You don't have to be afraid to go. Our therapists are very understanding. C. "I am not saying that you need therapy, but I am sure it will help you." D. "You don't feel like group therapy is for you. Tell me more about what you know about group therapy".

D. "You don't feel like group therapy is for you. Tell me more about what you know about group therapy". ~ CORRECT My Answer This is a therapeutic response. The nurse reflects the client's feelings and uses an open-ended statement to explore what the client understands about group therapy.

A nurse is caring for a client who has generalized anxiety disorder. The nurse should identify that which of the following statements describes anxiety as transdiagnostic in nature? A. Anxiety cannot manifest alongside other medical and psychiatric conditions B. Anxiety can only manifest in the presence of recognized nonmodifiable risk factors. C. Anxiety can only manifest in the presence of recognized modifiable risk factors D. Anxiety can manifest alongside other medical and psychiatric conditions.

D. Anxiety can manifest alongside other medical and psychiatric conditions. ~ CORRECT My Answer Anxiety is a transdiagnostic phenomenon that can coexist alongside varied psychiatric and medical conditions

A nurse is caring for a client whose partner has end-stage lung cancer. The client states, "The doctors say the only have a few months to live, but I know that with the treatment they will get better." The nurse should identify that the client is exhibiting which of the following defense mechanisms? A. Repression B. Splitting C. Displacement D. Denial

D. Denial < CORRECT My Answer This client is exhibiting denial, which is a maladaptive defense mechanism. With denial, an individual dismisses the stressful situation and focuses on an explanation or result that is not realistic or plausible.

A nurse is caring for a client who has dementia. The provider has prescribed a protease inhibitor medication for the client. The nurse should identify that this medication is given to treat which of the following types of dementia? A. Vascular disease B.Parkinson's disease C. Lewy body disease D. HIV infection

D. HIV infection CORRECT The nurse should identity that clients who have Hiv intection dementia can be prescribed protease inhibitors, antivirals, and non-nucleoside revise transcriptase inhibitors for treatment.

A nurse is reviewing a client's medication administration record and notes a new prescription for tetrabenazine this medication is prescribed to treat which of the following types of dementia? A. HIV infection B. Lewy body disease C. Vascular disease D. Huntington's Disease

D. Huntington's Disease ~ CORRECT My Answer The nurse should identify the only medication that is effective in treating Huntington's disease dementia Is tetrabenazine

A nurse is caring for a client who has dementia and observes that the client becomes stressed and requires assistance and monitoring when their family visits. When the family leaves the room, the client returns to baseline and the deficits are gone. Using the Functional Assessment Stage Tool, the nurse should identify that the client is in which of the following stages of Alzheimer's disease? A. Mild B. Severe C. Moderate D. Incipient

D. Incipient CORRECT The nurse should identity that client is in the incipient stage of Alzheimer's disease. in the incipient stage, the client requires assistance and monitoring when stressful events arise. After the stressful event, the client returns to baseline and the deficits are gone.

A nurse is caring for an adolescent who Is experiencing significant stress and is unable to self-regulate their thoughts, emotions, and behaviors which of the following factors is the best indicator of the client's inability to regulate their stress response? A. Living in an unsafe neighborhood B. The individual's genetic makeup C. The individual's health status D. Lack of guardian-child bonding

D. Lack of guardian-child bonding

A nurse is caring for a client who is experiencing a lack of sleep, lack of appetite, and difficulties with concentration. Which of the following types of dementia should the nurse expect this client to have? A. Traumatic brain injury B. Frontotemporal lobar degeneration C. HIV infection D. Prion disease

D. Prion disease CORRECT The nurse should identity a client who is experiencing lack of sleep, lack of appetite, and difficulties with concentration might have prion disease dementia. Other manifestations can include fatigue, lack of coordination, anxiety, and abnormal movements

A nurse is caring for a child whose guardians report that the child is consistently unable to speak during class and other social situations. The nurse should identify that the child is experiencing which of the following anxiety disorders? A. Generalized anxiety disorder B. Agoraphobia C. Separation anxiety disorder D. Selective mutism

D. Selective mutism ~ CORRECT My Answer the nurse should identity that the child is experiencing selective mutism. clients who have selective mutism demonstrate consistent faliure to speak in specItIc social situations.