MH EAQ

which emotion is an older female client most likely to experience immediatly after the sudden death of her husband? a) anger at her husband b) fear of financial problems c) lonliness during the holidays d) estrangement from others

a) anger at her husband

which characteristics are observed in clients who have cocaine addiction? select all that apply: a) anxiety b) palpitaions c) wt loss d) sedentary habits e) difficulties with speech

a) anxiety b) palpitaitons c) wt loss

which feelings are often the basis of OCD? a) anxiety and guilt b) anger and hostility c) embarrassment and shame d) hopelessness and powerlessness

a) anxiety and guilt

which signs and symptoms would the nurse find in a client who is in the depressive phase of bipolar 1 disorder? select all that apply: a) apathy b) hyperactivity c) flight of ideas d) loss of appetite e) sleep disturbances

a) apathy d) loss of appetite e) sleep disturbances

which symptom indicates a possible drug interaction in a client taking monoamine oxidase inhibitors (MAOIs) for depression? a) diarrhea b) dystonia c) dry mouth d) dyskinesia

c) dry mouth

which is the correct order of phases a client experiences in the event of a change in body image? 1) acceptance 2) shock 3) withdrawal 4) rehabilitation 5) acknowledgement

2) shock 3) withdrawal 5) acknowledgement 1) acceptance 4) rehabilitation

which characteristic of an adolescent girl suggests that she has bulimia? a) history of gastritis b) positive self concenpt c) excessively stained teeth d) freq. reswallowing of food

c) excessively stained teeth from sm vomiting

which therapeutic technique can the nurse use when an anxious client exhibits pressured and rambling speech? a) touch b) silence c) focusing d) summarizing

c) focusing

which level of suicidal behavior is demonstrated for a client who has many self-inflicted, non-lethal injuries over the preceding month? a) threats b) ideation c) gestures d) attempts

c) gestures

an older adult seems to make up stories to fill in for memory lapses. Which behavior is the client displaying? a) lying b) denying c) fantasizing d) confabulating

d) confabulating

which response from the nurse would demonstrate an understanding of hallucinating behavior by a client? a) asking, "what are the voices tellings you to do?" b) calmly noting that the "rat on the floor" is really a stuffed toy c) allowing the family to bring prepackaged foods from the store d) explaining to the family that the behavior

a) asking, "what are the voices tellings you to do?"

which condition would be a contraindication to electroconvulsive therapy (ECT)? a) brain tumor b) type 1 diabetes c) hypothyroid disorder d) urinary tract infection

a) brain tumor

which nursing intervention would be essential for a newly admitted client with bulimia nervosa? a) check on the client continually b) observe the client during meals c) teach the client to measure intake and output d) involve the client in developing a daily meal plan

a) check on the client continually

which age of hospitalized children will have the most difficulty with separation anxiety? a) 6 to 30 months b) 36 to 59 months c) 5 to 11 years d) 12 to 18 years

a) 6 to 30 months

place the levels of development in the order of achievement according to Eriksons psychosocial stages of development 1) integrity vs despair 2) intimacy vs isolation 3) industry vs inferiority 4) identity vs role confusion 5) generativity vs stagnation 6) trust vs mistrust

6) trust vs mistrust 3) industry vs inferiority 4) identity vs role confusion 2) intimacy vs isolation 5) generativity vs stagnation 1) integrity vs despair

in which room would the nurse manager place a client with bipolar disorder, manic episode? a) one that has basic simple furnishings b) one that will provide a variety of stimuli c) one with another client who is very quiet d) one with another client exhibiting mania

a) one that has basic simple furnishings

which reaction toward the physical symptom would the nurse observe in a client with conversion disorder? a) anger b) apathy c) anxiety d) agitation

b) apathy

which behavior would be typical for w child with autism? a) lack of eye contact b) crying for attention c) catatonia like rigidity d) engaging in parallel play

a) lack of eye contact

which statement is true for childhood depression? a) may appear as acting out behavior b) looks almost identical to adult depression c) does not respond to conventional treatment d) is short in duration and has an early resolution

a) may appear as acting out behavior

which behavior indicates that the working phase has begun during group therapy? a) Cohesiveness b) confrontation c) imitative behavior d) corrective recapitulation

a) Cohesiveness this term stands for united

which strategy would be effective for a client with alcohol use disorder who says, "drinking is a way out of my depression"? a) a self help group b) psychoanalytical therapy c) a visit with a religious advisor d) talking with an alcoholic friend

a) a self help group

which behavior indicates that the client has learned the most effective method to cope with anger? a) goes for a long jog b) talks about the anger c) goes outside and screams d) focuses on the cause of anger

b) talks about the anger

place the 5 stages of grieving in order from first to last: a) anger b) depression c) acceptance d) bargaining e) denial

e) denial a) anger d) bargaining b) depression c) acceptance

which clinical manifestation is associated with depression? a) flight of ideas b) suspicion of others c) psychomotor retardation d) intrusive social behaviors

c) psychomotor retardation

a nursing assistant who is often late for work tells the nurse manager that despite leaving early, they are always delayed by heavy traffic. Which defense mechanism is displayed? a) undoing b) repression c) rationalization d) overcompensation

c) rationalization

which outcome is the priority for a client in crisis? a) learns new skills in occupational therapy b) benefits from long term follow up counseling c) regains psychological equilibrium d) gains insight into the problem

c) regains psychological equilibrium

the nurse says, "lets see whether we both mean the same thing." which communication technique is the nurse using? a) reflecting feelings b) making observations c) seeking consensual validation d) placing events in sequence

c) seeking consensual validation

which communication technique would the nurse be using when he or she states, "Let's see whether we mean the same thing", to a client who is not making sense? a) reflecting feelings b) making observations c) seeking consensual validation d) attempting to place events in sequence

c) seeking consensual validation

which defense mechanism is considered a conscious measure that is used to cope with anxiety? a) undoing b) projection c) suppression d) intellectualization

c) suppression

which situation identifies a client diagnosed with schizophrenia would be expected to experience more frequent hallucinations? a) resting b) playing sports c) watching TV d) interacting w others

a) resting

which portion of the nervous system is primarily responsible for the clinical manifestations that occur during a crisis? a) central nervous system b) peripheral nervous system c) sympathetic nervous system d) parasympathetic nervous system

c) sympathetic nervous system

which response would the nurse make to help a depressed client who is crying? a) does crying help? b) i know your upset c) tell me what your feeling now d) do you want to tell me why your crying?

c) tell me what your feeling now

which action would the nurse take for a client diagnosed with schizophrenia who needs self-esteem increased? a) reward healthy behaviors b) explain the treatment plan c) identify various means of coping d) encourage participation in community meetings

a) reward healthy behaviors

which disorder would the nurse classify as neurodevelopmental? a) anxiety b) bipolar disorder c) schizophreniform disorder d) ADHD

d) ADHD

which intervention would the nurse use to promote the safety of a client experiencing alcohol withdrawal? a) infuse IV fluids b) monitor the level of anxiety c) obtain freq. vital signs d) administer chloriazepoxide

d) administer chloriazepoxide this is to prevent injury bc alc withdrawal can cause seizures and automatic hyperactivity

which action would the nurse take for an adolescent client with anorexia nervosa? a) reward weight gain by increasing privileges b) discuss the importance of eating a balanced diet c) encourage the client to include high-calorie foods in the diet d) suggest family therapy to focus on the clients behavior

a) reward weight gain by increasing privileges

which childhood problem has legal and emotional aspects? a) school phobia b) fear of animals c) fear of monsters d) sleep disturbances

a) school phobia

which characteristic of the milieu is essential for clients with the diagnosis of bulimia nervosa? a) control enforced by staff b) focus on healthy food c) empathy from the nurses d) realistic guidelines

d) realistic guidelines

at 10:00 PM when the nurse enters the lounge, the client with a personality disorder requests a sleeping pill and the nurse says, "first go to bed and try to sleep." which technique would the nurse be using? a) setting limits b) reality testing c) routinizing care d) conditioning behavior

a) setting limits

which imbalance is associated with alcohol induced amnestic disorder? a) thiamine deficiency b) a reduced iron intake c) an increase in serotonin d) riboflavin malabsorption

a) thiamine deficiency

which rationale would explain the reason a client abuses alcohol? a) to blunt reality b) to precipitate euphoria c) to promote social interaction d) to stimulate the CNS

a) to blunt reality

which task increases a child's ability to cope with separation or pending separation from significant others according to Erikson's psychosocial stages of development? a) trust b) identity c) initiative d) autonomy

a) trust

which defense mechanism is a client using when the clients hands are raw and bloody from a ritual involving frequent hand washing? a) undoing b) projection c) introjection d) suppression

a) undoing

which intervention would be essential for the nurse to take for a hyperactive client? a) using a firm but caring and consistent approach b) anticipating and physically controlling the hyperactivity c) allowing the client to choose the activities in which to participate d) letting the client know that the staff will not tolerate overactive behavior

a) using a firm but caring and consistent approach

which medication is associated with sedation as a side effect? select all that apply: a) Doxepin b) Zaleplon c) Suvorexant d) Nefazodone e) Mirtazapine f) Clonazepam

all of the above

which side effect would the nurse monitor for when administering a selective serotonin reuptake inhibitor (SSRI)? Select all that apply: a) anxiety b) nausea c) sedation d) restlessness e) suicidal ideation f) increased energy level

all of the above

which type of delusion would the nurse chart about a client who says, "I've figured out how foreign agents have infiltrated the news media. Now they want to shut me up". a) Nihilistic b) Persecution c) Control d) grandeur

b) Persecution

which behavior is client diagnosed with histrionic personality disorder displaying when after being refused a sleeping pill, the client throws a book at the nurse? a) exploitive b) acting out c) manipulative d) reaction formation

b) acting out

which term describes a client who states that she no longer enjoys any of the activities that she once found fun and pleasurable? a) anergia b) anhedonia c) grandiosity d) tangentiality

b) anhedonia

which statement best describes a crisis? a) a threat to equilibrium b) an imbalance of emotions c) clients perception of the problem d) circumstance that requires external resources

a) a threat to equilibrium

which rationale supports family involvement in the treatment program for a person who has an alcohol abuse problem? a) alcoholism involves the entire family and affects all members b) alcoholics try to hide their drinking from their families c) family members provide insights into the dynamics behind the drinking d) family members have been most successful in providing necessary support

a) alcoholism involves the entire family and affects all members

which approach would the nurse use for a client who describes delusions in minute detail? a) changing the topic to reality-based events b) continuing to discuss the delusion with the client c) getting the client involved in a social project with peers d) disputing the perceptions with the use of logical thinking

a) changing the topic to reality-based events

which initial purpose would value clarification serve? a) client becomes aware of personal values b) client values info related to needs c) client clarifies decisions related to health d) client alters value system to meet social norms

a) client becomes aware of personal values

which mental health disorder is most likely to be treated with electroconvulsive therapy (ECT)? a) clinical depression b) substance use disorder c) antisocial personality disorder d) psychosis occurring in schizophrenia

a) clinical depression

which method would the nurse expect to be used successfully with a client who has a phobia about closed spaces? a) desensitization b) contracting c) role playing d) assertiveness training

a) desensitization

a client has delusions and hallucinations and refers to himself as "the man." he tells the nurse, "the main is bad". which defense mechanism is the client demonstrating? a) dissociation b) splitting c) displacement d) identification

a) dissociation

which speech pattern is observed in autistic children? a) echolalia b) stuttering c) scanning speech d) pressured speech

a) echolalia

which goal is the priority in the care of a withdrawn, reclusive psychotic client? a) establish trust b) increase feelings of self worth c) solidify sense of identity d) improve ability to socialize

a) establish trust

which intervention is best for a client who has a borderline personality disorder? a) establishing clear boundaries b) exploring vocational possibilities c) discussing feelings of being victimized d) spending 1 to 2 hours per day with the client

a) establishing clear boundaries

which initial action would the nurse take to provide a therapeutic environment for a client who is withdrawn and reclusive? a) foster a trusting relationship b) administer meds on time c) involve the client in a group with peers d) remove the client from the family home

a) foster a trusting relationship

which therapy is most beneficial for the survivors after a family member is killed? a) grief b) family c) psychoanalytical d) psychoeducational

a) grief

which primary feeling would the nurse anticipate that clients with bulimia nervosa experience after an episode of bingeing? a) guilt b) paranoia c) euphoria d) satisfaction

a) guilt

which substance produces sneezing, yawning, and tearing of the eyes as withdrawal occurs? a) heroin b) cocaine c) morphine d) phenobarbital

a) heroin

which therapeutic approach would indicate the client is receiving desensitization therapy? a) imagery b) modeling c) role playing d) assertiveness training

a) imagery

which problem is most likely to underlie angry or hostile behavior for a client with the diagnosis of borderline personality disorder a) low self esteem b) inability to test reality c) reaction to command hallucination d) ineffective verbal communication

a) low self esteem

a young first-time mother joins a new mothers support group. Which kind of prevention would this represent? a) primary prevention b) tertiary prevention c) secondary prevention d) quaternary prevention

a) primary prevention

a client who has alcoholism becomes irritable, makes excuses, and blames family and friends for the drinking problem. Which defense mechanisms is the client using? select all that apply: a) projection b) suppression c) sublimation d) identification e) rationalization

a) projection e) rationalization

which intervention would the nurse implement for a client with delirium? a) providing consistency b) minimizing client fears c) using physical restraints d) asking orientation questions

a) providing consistency

which brain structure abnormalities would the nurse identify as being seen on imaging among people with schizophrenia spectrum disorders? select all that apply: a) reduced volume in the right anterior insula b) reduced connectivity among various brain regions c) excess gray matter in the dorsolateral prefrontal cortex area d) reduced volume and changes in the shape of the hippocampus e) reduced neuronal growth in some areas due to excess neuronal pruning.

a) reduced volume in the right anterior insula b) reduced connectivity among various brain regions d) reduced volume and changes in the shape of the hippocampus

which stage must a 3 year old accomplish according to Erikson's psychosocial stages of development? a) trust vs mistrust b) autonomy vs shame c) industry vs inferiority d) generativity vs stagnation

b) autonomy vs shame for children 18 months to 3 years of age, the autonomy vs shame stage is about acquiring mastery over self and the environment. The industry vs inferiority is associated with middle childhood and the generativity vs stagnation is associated with middle adulthood.

the client gives a long, drawn-out explanation with excessive and irrelevant detail before answering the nurses question. which mental process is the client displaying? a) flight of ideas b) circumstantiality c) thought blocking d) tangential thinking

b) circumstantiality

which speech pattern is a disturbed client displaying when they start to repeat phrases that others have just said? a) alogia b) echolalia c) neologism d) symbolic speech

b) echolalia

which type of sexual disorder describes a client who has a sexual obsession with shoes? a) sexual sadism b) fetishistic c) pedophilic d) voyeuristic

b) fetishistic

which action would the nurse implement for a client with somatic symptoms? a) scheduling office visits once a year b) having the client direct all requests to the case manager c) reminding the client who is in charge of their care d) conducting a physical exam only when necessary

b) having the client direct all requests to the case manager

which functions are RNs legally permitted to perform in a mental health hospital? select all that apply: a) psychotherapy b) health promotion c) case management d) prescribing meds e) treating human responses

b) health promotion c) case management e) treating human responses

which question would the nurse ask while assessing a Hispanic woman with depression for the risk of self-harm? a) when did u last spend time with your friends b) how do u express yourself when your angry c) when did you first notice you were depressed d) do u have interests outside your work and home

b) how do u express yourself when your angry

which communication pattern is defined as confabulation? a) the flow of thoughts b) imagination is used to fill in memory gaps c) speech flits from one topic to another d) statements are too loose to understand

b) imagination is used to fill in memory gaps

which actions by the staff of a mental health unit can lead to client violence? Select all that apply: a) displaying hyperactivity b) inconsistent limit setting c) controlling staff members d) avoiding eye contact e) randomly taking away privileges

b) inconsistent limit setting c) controlling staff members e) randomly taking away privileges

which assessment data would the nurse find in a client who was recently admitted with a diagnosis of bulimia nervosa? a) amenorrhea in postmenarchal female b) lack of control over binge eating episodes c) body weight less than 85% of that expected d) inability to purge in public places after eating

b) lack of control over binge eating episodes

which action would the nurse take when caring for a client who is experiencing a paranoid delusion? a) touch the clients arm gently to convey concern b) maintain eye contact when talking with the client c) attempt to disprove the clients delusional thoughts d) speak softly with others near the client

b) maintain eye contact when talking with the client

which behavior would be observed in a client who has akathisia? a) facial tics, spasms, and myoclonic twitches b) motor restlessness and difficulty sitting still c) maintaining a single body position for hours d) repeating the movements of another person

b) motor restlessness and difficulty sitting still

a client reports overwhelming and irresistible attacks of sleep. Which sleep disorder is the client describing? a) insomnia b) narcolepsy c) sleep terror d) sleep apnea

b) narcolepsy narcolepsy is overwhelming sleepiness that results in irresistible attacks of sleep, loss of muscle tone (cataplexy), and hallucinations or sleep paralysis at the beginning or end of sleep episodes; the person usually awakens from the sleep feeling refreshed

which consideration is of primary importance when planning for a therapy group? a) age and ethnicity of clients in the group b) needs of the clients being included c) diagnoses of the clients being included d) socioeconomic status of the clients

b) needs of the clients being included

a hostile client with the diagnosis of schizophrenia says, "the voices are saying that they are going to posion me because I'm bad." which type of schizophrenic behavior is the client displaying? a) residual b) paranoid c) cataonic d) disorganized

b) paranoid

which biopsychosocial need is the priority in the acute phase of bipolar disorder, manic episode? a) psychological b) physical c) intellectual d) relational

b) physical

which intervention would the nurse include in the plan of care for an adolescent with anorexia nervosa who is admitted to the psychiatric unit? a) limit opportunities for decision-making b) provide supervision during and after mealtimes c) arrange for a physical exercise program with time to complete it d) request that parents keep their visits to a minimum early in treatments

b) provide supervision during and after mealtimes

which type of delusion is a client displaying when he proclaims, "I am the second son of God"? a) influence b) religious c) reference d) persecutory

b) religious

which action would the nurse take for a withdrawn client who refuses to get out of bed and becomes upset when asked to do so? a) require the client to get out of bed b) stay with the client until the client calms down c) give them a PRN antipsychotic d) leave them alone for as long as they want

b) stay with the client until the client calms down

which characteristic would be a concern for the nurse when caring for a client with schizophrenia in the early phase of treatment? a) cont pacing b) suspicious feelings c) inability to socialize w others d) disturbed relationship w the family

b) suspicious feelings

a client in the mental health unit is walking swiftly around the room and rubbing their hands together. which term described the behavior? a) tardive dyskinesia b) withdrawal syndrome c) psychomotor agitation d) psychophysiological insomnia

c) psychomotor agitation

which instruction would the nurse suggest to an adolescent who suspects their friend is using self-induced vomiting to keep weight down? a) confront their friend with their suspicions b) talk to the school nurse about their concerns c) inform the friends mother about their behavior d) watch for a while longer before doing anything that might ruin the friendship

b) talk to the school nurse about their concerns

which factor increased the probability that the surviving spouse will have a pathological or morbid grief response according to research? a) the couple had an ambivalent relationship b) the cause of the spouses death was suicide c) the relationship between the spouses was satisfying d) there was anticipatory grief before the spouses death

b) the cause of the spouses death was suicide

which benefit accompanies mild apprehension? a) physiological functions are slowed b) there is an increased alertness c) behavioral responses become automatic d) ego defense mechanisms are mobilized

b) there is an increased alertness

which essential action would the nurse take for a client whose behavior is characterized by suspicious delusions? a) provide distraction with reality based activities b) try to establish trust through consistency of care c) help the client realize that the suspicions are unrealistic d) ask the client to explain the reasons for these suspicions

b) try to establish trust through consistency of care

which statement would the nurse use when informing a client of sexual impairment associated with bipolar disorder? a) erectile dysfunction is common b) you may have an increased libido c) you may experience vaginal dryness d) some clients with bipolar disorder have difficuly achieving orgasm

b) you may have an increased libido

which role is most important for the nurse to assume when providing therapeutic crisis intervention? a) passive listener b) participant observer c) active participant d) friendly advisor

c) active participant

which purpose is served by establishing a therapeutic nurse-client relationship? a) modifying and improving nonverbal communication b) presenting an outlet for suppressed hostile feelings c) assisting the client in acquiring more effective behavior d) providing the client with someone who can make decisions

c) assisting the client in acquiring more effective behavior

which type of hallucination is the most common? a) visual b) tactile c) auditory d) aolfactory

c) auditory

which definition described the defense mechanism of sublimation? a) returning to an earlier, less mature stage of development b) acting out a conscious behavior that is the opposite of an unconscious feeling c) channeling unacceptable impulses into socially appropriate behavior d) excluding from consciousness thoughts that are psychologically disturbing

c) channeling unacceptable impulses into socially appropriate behavior

which factor is related to safety when discussing standards for involuntary admission to a mental health facility? a) mental illness b) severe disability c) currently cutting d) needs treatment

c) currently cutting

which client-focused intervention would the nurse implement first when a client is clearly demonstrating crisis behavior? a) encourage the client to deep breathe b) assure the client that they are in a safe environment c) determine the clients present state of mind d) ask whether the client can identify coping mechanisms

c) determine the clients present state of mind

which defense mechanism are the parents displaying when having a bitter argument immediately after being told that their child has acute myelogenous leukemia? a) denial b) projection c) displacement d) compensation

c) displacement

which defense mechanism incorporates the use of compulsive behavior? a) projection b) regression c) displacement d) rationalization

c) displacement

which task is expected to be achieved by 20 years of age according to Erikson's developmental psychosocial theory? a) having the capacity for love and a commitment for work b) being creative and productive and having concern for others c) having a coherent sense of self and planning to accomplish future goals d) accepting the worth, integrity, and uniqueness of one's past and present life

c) having a coherent sense of self and planning to accomplish future goals

after 6 months of therapy, a client begins to talk and act like a therapist who is analyzing coworkers. Which defense mechanism is the client displaying? a) undoing b) projection c) introjection d) intellectualization

c) introjection

which action would the nurse take to minimize agitation in a disturbed client? a) ensure constant staff contact b) increase environmental stimuli c) limit unnecessary interactions with the client d) discuss the reasons for the clients behavior

c) limit unnecessary interactions with the client

which factor would precipitate a clients use of confabulation? a) ideas of grandeur b) need for attention c) marked memory loss d) difficulty in accepting the diagnosis

c) marked memory loss

which substance would pose the greatest risk of addiction for clients attending an alcohol rehabilitation program? a) Heroin b) cocaine c) nicotine d) phencyclidine

c) nicotine

which communication strategy would be used by the nurse when working with a client experiencing substance withdrawal delirium? a) encouraging the client to practice self-control b) using humor when communicating with the client c) offering an intro to the client at each meeting d) approaching the client from the side rather than the front

c) offering an intro to the client at each meeting

which client has the greatest risk for completed suicide? a) young adult who is acutely psychotic b) adolescent who was recently sexually abuse c) older single man diagnosed w pancreatic cancer d) middle aged woman experiencing dysfunctional grieving

c) older single man diagnosed w pancreatic cancer

a client says, "the doctors lied to me. they said I murdered my mother. You killed her. She died before I was born." which psychotic feature is the client experiencing? a) ideas of grandeur b) confusing illusions c) persecutory delusions d) auditory hallucinations

c) persecutory delusions

which nursing intervention would help a client who exhibits physical symptoms when stressed? a) limiting discussions about the problem b) providing info regarding medical care c) teaching the client how to eliminate stress at home d) assisting the client in developing new coping mechanisms

d) assisting the client in developing new coping mechanisms

which clinical findings indicate positive signs and symptoms of schizophrenia? a) withdrawal, poverty of speech, inattentiveness b) flat affect, decreased spontaneity, asocial behavior c) hypomania, labile mood swings, episodes of euphoria d) bizarre behavior, auditory hallucinations, loose associations

d) bizarre behavior, auditory hallucinations, loose associations positive symptoms reflect excess of normal function

which statement is accurate for adolescent suicide behavior? a) boys account for more attempts compared with girls b) girls use more dramatic methods compared with boys c) girls talk more about suicide before attempting it d) boys are more likely to use lethal methods than are girls

d) boys are more likely to use lethal methods than are girls

which side effect would the nurse monitor for in a severely depressed client who received electroconvulsive therapy (ECT)? a) loss of appetite b) postural hypotension c) total memory loss d) confusion immediately after the treatment

d) confusion immediately after the treatment

which condition would be the priority to assess for during the initial appointment for a client with bulimia nervosa? a) insight b) boredom c) lonliness d) depression

d) depression

which actions would the nurse take for an adolescent who has been admitted to the psychiatric hospital with a diagnosis of anorexia nervosa? a) schedule an endocrinology consult because of amenorrhea b) confront those behaviors that reflect an inflated self-importance c) arrange for psychotherapy sessions to help develop a desire to accommodate others d) develop a contract to achieve weekly weight gain, with consequences for nonachievement

d) develop a contract to achieve weekly weight gain, with consequences for nonachievement

which defense mechanism is most often used by individuals who physically abuse others? a) repression b) undoing c) sublimation d) displacement

d) displacement

which benefit is provided by milieu therapy? a) availability of individual and family therapy b) positive reinforcement to reduce guilt c) revelation of unconscious conflicts and fantasies d) environment provides structure, routine, and security

d) environment provides structure, routine, and security

which strategy would the nurse use to minimize aggressive behaviors from the client with a neurocognitive disorder? a) limit the time staff and the client spend together b) follow an outline of consequences for uncooperative behavior c) use the clients preferences as a reward or a punishment d) identify nursing staff members whom the client prefers

d) identify nursing staff members whom the client prefers

which physical manifesation would the nurse expect to observe if a client is anxious? a) constricted pupils b) narrowed bronchioles c) decreased blood pressure d) increased blood glucose level

d) increased blood glucose level

despite the nurses best efforts, a young client continuously complains about the nursing care. Which defense mechanism is the nurse using by discussing stages of young adult development with a colleague? a) sublimation b) substitution c) identification d) intellectualization

d) intellectualization

the nurse is working with an older adult who is brought to the emergency department after sustaining multiple falls at home. The nurse suspects alcohol abuse. Which finding places the client at risk for injury? a) depression b) self-neglect c) malnutrition d) lack of insight

d) lack of insight

which term or phrase would the nurse chart about thought processes to describe a client diagnosed with schizophrenia who says, "Yes, its March. March is Little women. Thats literal, you know"? a) echolalia b) neologisms c) flight of ideas d) loose associations

d) loose associations

which term described the expected outcomes for a client who is admitted for a recurrent mental health problem? a) long term goals b) variances of care c) clinical pathways d) measurable objectives

d) measurable objectives

which term describes the clients use of made up words that have no meaning to other people? a) avolition b) echolalia c) anhedonia d) neologisms

d) neologisms neologisms are unique words with personal meanings only to the client. avolition is the lack of motivation associated with reduced emotional expression (flat affect). echolalia is parrotlike echoing of spoken words or sounds. Anhedonia is the loss of enjoyment of things that were formerly enjoyed

which action would the nurse take to help a disturbed, acting-out child develop a trusting relationship? a) inquire about the childs feelings regarding parents b) implement a half hour one on one interaction every day c) initiate limit setting and explain the rules to be followed d) offer periodic support while emphasizing safety in play activities

d) offer periodic support while emphasizing safety in play activities

which factor contributes to the risk for suicide for a client with recurrent episodes of depression? a) psychomotor retardation b) decreased physical activity c) deliberate thoughtful behavior d) overwhelming feelings of guilt

d) overwhelming feelings of guilt

which characteristic is associated with anorexia nervosa? a) manic b) rebellious c) hypoactive d) perfectionistic

d) perfectionistic

which benefit does a client gain by confabulating? a) increases respect from others b) blocks conscious awareness c) explains and justifies behavior d) protects self esteem

d) protects self esteem

a client who has concerns about getting married says, "i guess id better get married. all the plans are made and paid for, and the invitations have all been mailed". Which defense mechanism is the client using? a) introjection b) identification c) compensation d) rationalization

d) rationalization

the wife of a client who is dying says, "I want to see him, but I can only come twice a week because of work, household chores, and caring for our cat and dog". which defense mechanism is the wife using? a) projection b) sublimation c) compensation d) rationalization

d) rationalization

which personality disorder would the nurse suspect in a client telling a rambling, lengthy, unclear, and overly detailed story about their dog, who they say is the president? a) Schizoid b) paranoid c) histrionic d) schizotypal

d) schizotypal people with schizoid personality disorder display a lack of interest in social relationships

which activities would be best for an autistic child? a) activities with loud, cheerful music b) large group activities c) cooperative craft activities d) self-stimulating activities

d) self-stimulating activities

which action would be difficlut for a client who has borderline personality disorder to complete during the orientation phase of a therapeutic relationship? a) controlling anxiety b) terminating the session on time c) accepting the psychiatric diagnosis d) setting mutual goals for the relationship

d) setting mutual goals for the relationship

which intervention would the nurse implement for a client prescribed haloperidol for schizophrenia? a) using the gluteal site only b) administering the medication every 3 months c) shaking the med vigorously before administering d) using the Z track method for all irritation meds

d) using the Z track method for all irritation meds

which medication requires a serum blood level to determine whether the therapuetic levels have been achieved? a) sertraline b) lorazepam c) olanzapine d) valporic acid

d) valporic acid