MH Test 2

A nurse is providing teaching to the guardians of a child who has intermittent explosive disorder. Which of the following interventions should the nurse recommend?

Provide the child with age appropriate coping strategies

A nurse is providing teaching to the guardians of a child who has inermittent explosive disorder. Which of the following interventions should the nurse recommend?

Provide the child with age-appropiate coping strategies

A nurse is reviewing the client's data collection findings and the pathophys of anxiety. Select 4 findings that are associated with overactivation of the neural circuits within the limbic system.

Restlessness, BP, HR, irritability

A nurse is assisting with the care of a client who is experiencing anxiety and obsessive-compulsive behavior. Which of the following chemicals is implicated for the manifestations the client is experiencing? Acetylcholine Serotonin Histamine Vasopressin

Serotonin

A nurse at a residential treatment program is responding to an adolescent client who is threatening to throw a pool ball at another client. Which of the following responses should the nurse make to promote setting clear limits?

"Do not throw the ball. Put it back on the pool table"

A nurse on an inpatient mental health unit is having a conversation with a client who is exhibiting manifestations similar to obsessive-compulsive disorder. Which of the following statements by the nurse reflects appropriate understanding of risk factors for developing manifestations of obsessive-compulsive disorder? - "Having assertive personality traits is often associated with manifestations of obsessive compulsive disorder." - "Those who are experiencing manifestations of obsessive-compulsive disorder often have a poor prognosis." - "I would like to know more about the manifestations that you share with your biological father." - "Adverse childhood experiences have minimal impact on developing obsessive compulsive disorder."

"I would like to know more about the manifestations that you share with your biological father."

A nurse is caring for a clinet who is hospitalized and has oppositional defiant disorder (ODD). The client's guardians ask if their child will outgrow their angry outbursts. Which of the following responses should the nurse make?

"Oppositional defiant disorder has been shown to reduce in severity and progression with professional therapy and treatment"

A nurse is conducting an assessment interview with an adolescent client. The client states, "why should I tell you anything? You'll just tell my parents whatever you find out". Which of the following responses should the nurse make?

"what you say about feelings is private, but some things, like suicidal thinking, must be reported to the treatment team"

A nurse is reviewing the medical records of a group of adolescent clients. Which of the following clients should the nurse identify as being at the greatest risk for developing conduct disorder (CD)?

A 12-year-old child who has a history of a traumatic brain injury

A nurse is reviewing the medical records of a group of adolescent clients, which of the following client. Should the nurse identify as being the greatest risk for developing conduct disorder?

A 12-year-old client who has a history of a traumatic brain injury

A nurse is assessing a child. The nurse should identify that which of the following findings puts the child at risk for intermittent explosive disorder (IED)?

A child who has been raised by a father diagnosed with IED

A nurse is assessing a child. The nurse should identify that which of the following findings put the child at risk for intermittent explosive disorder?

A child who has been raised by a father diagnosed with intermittent explosive disorder

Which of the following factors increases a child's risk of developing IED? (Select all that apply.) AChild abuse BA sibling who has IED CA step-parent who has ADHD DA previous diagnosis of ADHD EA congenital abnormality You answered correctly. Exposure to childhood trauma increases the risk of developing IED. In addition, children who have a first-degree relative who has IED are more likely to develop it. A common condition associated with the oppositional defiant disorder is attention deficit and hyperactivity disorder (ADHD).

AChild abuse BA sibling who has IED DA previous diagnosis of ADHD Rationale: You answered correctly. Exposure to childhood trauma increases the risk of developing IED. In addition, children who have a first-degree relative who has IED are more likely to develop it. A common condition associated with the oppositional defiant disorder is attention deficit and hyperactivity disorder (ADHD).

A nurse in the emergency department is triaging a client following a MVC. The nurse should identify that which of the following findings is consistent with the alarm phase of Selye's General Adaptation Syndrome? - immunocompromised - anxiety - hypothermia - depression

Anxiety

The school nurse suspects that Tanner might have a disruptive behavioral disorder. Which of the following disorders is Tanner at higher risk of developing if they do? (Select all that apply.) AAnorexia BDepression CSubstance use disorder DAnxiety

BDepression CSubstance use disorder DAnxiety

A nurse is teaching a group of students about oppositional, defiant disorder, and conduct disorder. Which of the following factors should the nurse suggest using one distinguishing between the behavior of a client who has ODD and a client who has CD.

Clients who have ODD Tess limits and disobey, authority figures Clients who have CD often violate the rights of others Clients who have CD violate societal norms

A nurse is caring for a 15-year-old client who has relay from home six times and was recently arrested for shoplifting. The clients guardians tell the nurse that their child is physically abusive towards them. Based on the clients behavior, which of the following diagnoses should the nurse anticipate?

Conduct disorder

A nurse is caring for a 15-year-old client who has run away from home six times and was recently arrested for shoplifting. The client's guardians tell the nurse that ther child is physically abusive toward them. Based on the client's behavior, which of the following diagnoses should the nurse anticiapate?

Conduct disorder (CD)

A nurse set a residential treatment program is responding to an adolescent client who is threatening to throw a pool ball at another client. Which of the following responses to the nurse make to promote setting clear limits?

Do not throw the ball. Put it back on the pool table.

A nurse is caring for a 15 year old client who is recently placed in a residential program after running away from home, truancy, and an arrest for theft. When asked by the nurse to join in a planned activity, the client pushed a staff member. Which of the following actions should the nurse take?

Establish firm limits

A nurse is caring for an adolescent who has intermittent explosive disorder. The nurse should identify that the child can experience which of the following affective manifestations?

Extreme anger, increasing sense of tension, temper tantrum's racing thoughts

A nurse is caring for a pediatric client who has conduct disorder. Select the four provider prescriptions. The nurse should anticipate receiving for this child.

Group Therapy daily Educate grandparents and coping strategies Encourage aerobic exercise Assist client in developing tools to manage anger

The nurse is continuing to assist with the care of the client. Select 4 findings that require follow-up by the nurse. - HR - RR - insomnia - bowel sounds - performance of ADLs - oxygen saturation - headache

Headache, insomnia, HR, RR

A nurse is caring for an 11-year-old child who has oppositional defiant disorder, and began shouting at the nurse about the rules at the residential treatment program. Which of the following actions is the priority for the nurse to take to defuse the situation?

Take the child swimming at the facilities pool

A nurse is preparing a discharge plan for a 16-year-old client who has conduct disorder and has been in a residential program for the past three months. The nurse should identify that which of the following outcome should occur before the client is discharged?

The adolescent and their parents should create an agreed to a behavioral contract with rules rewards and consequences

A nurse is preparing a discharge plan for a 16-year-old client who has conduct disorder (CD) and has been in a residential program for the past 3 months. The nurse should identify that which of the following outcomes should occur before the client is discharged?

The adolescent and their parents should create and agree to a behavioral contract with rules, rewards, and consequences

A nurse is assisting with the care of a client who is concerned about developing a mental health disorder. Which of the following statements regarding the relationship between adverse childhood experiences (ACEs) and positive childhood experiences (PCEs) is correct? -- ACEs and PCEs can effectively neutralize the impact of each other. -- ACEs and PCEs are mutually exclusive concepts with no recognized impact upon the other. -- The presence of ACEs outweighs the impact of PCEs. --The presence of PCEs can provide some degree of symptomatic protection from ACEs in certain instances.

The presence of PCEs can provide some degree of symptomatic protection from ACEs in certain instances.

A nurse receives a call from a parent reporting that their school age child who has oppositional defiant disorder, continues to act out with aggression. The parents states, I just don't know what to do. Which of the following responses to the nurse make?

This must be very difficult for you. Tell me more about what is happening.

A nurse is caring for a client in a behavioral health clinic. The nurse is providing education to the client regarding phenelzine. Which of the following 3 statements indicate that the client needs further instruction? a. "I can expect my blood pressure to go up with this medication." b. "I need to avoid smoked meats when taking this medication." c. "I will check with my provider before taking cold medications." d. "It is okay of I drink imported beer, but I must avoid wine." e. "I love overripe bananas. I am glad I don't have to give them up."

a, d, e

A nurse is caring for a client who has persistent depressive disorder. When educating the client about their illness, which of the following statements should the nurse make? a. "Persistent depressive disorder is a mild chronic form of depression." b. "Persistent depressive disorder is characterized by delusions and hallucinations." c. "Persistent depressive disorder occurs shortly after taking or withdrawing from a substance." d. "Persistent depressive disorder is characterized by both manic and depressive disorder."

a. "Persistent depressive disorder is a mild chronic form of depression."

A nurse is discussing findings of depression with a group of clients. Which of the following client statements indicates an understanding of the information? a. "Thyroid problems can cause depression" b. "Staying awake for days can be a finding of depression." c. "Hyperactivity is a finding associated with depression." d. "Impulsiveness is a finding that is commonly associated with depression."

a. "Thyroid problems can cause depression"

A public health nurse is preparing a suicide prevention program for patrons of the local library. The nurse should inform the attendees that suicide is the second leading cause of death in which of the following age groups? a. 10-34 years old b. 35-44 years old c. 45-54 years old d. over 65 years old

a. 10-34 years old

A school nurse is preparing a presentation for high school students on the relationship between substances and depression. Which of the following substances should the nurse plan to include as a contributing factor in the development of substance-induced depressive disorder? a. Amphetamines b. Selective serotonin reuptake inhibitors (SSRIs) c. Nonsteroidal anti-inflammatory drugs (NSAIDs) d. Monoamine oxidase inhibitors (MAOIs)

a. Amphetamines

A nurse is caring for a child who is exhibiting tantrums, dysfunction in school, trouble with peers, and suicidal ideation. Which of the following should the nurse identify as being consistent with the client's findings? a. Disruptive mood disregulation disorder b. Dysthmia c. Bipolar I disorder d. Bipolar II disorder

a. Disruptive mood disregulation disorder

A nurse is caring for a client who is hyperactive, pacing down the hallway, and exhibiting poor concentration during group therapy. Which of the following is characteristic of the client's manifestations? a. Mania b. Depression c. Hallucinations d. Delusions

a. Mania

The nurse is reviewing the medical record. Select the findings that require immediate follow-up. Client was brought into the emergency department by emergency medical services from their extended care facility for reports of altered mental status and decreased oral intake for past 2 days because of nausea. Client claims to be unaware of the reason for ED visit and reports blurry vision and feeling tired. Client is somnolent yet easily arousable. Client's speech is slow but answers simple questions. Observed dry dry oral mucous membranes, poor skin turgor, pronounced intention tremor. Client was seen by primary care provider 1 week ago for low back pain after helping friends move a piano out of the house. No acute injury was found. Client was educated on the use of heat and massage therapy for the low back pain and was instructed to take ibuprofen three times a day. Lithium carbonate 300 mg by mouth three times a

altered mental status blurry vision dry oral mucous membranes, poor skin turgor, pronounced intention tremor ibuprofen 600 mg by mouth three times a day BUN 48 mg/dL, Creatinine 2.4 mg/dL lithium level 2.5 mEq/dL 12-lead ECG revealed sinus bradycardia rate 52

A nurse on an inpatient mental health unit is evaluating a client who was admitted for suicidal ideation for readiness for discharge. Which of the following statements by the client indicates they may be ready for discharge? a. "I plan to go hunting when I get home." b. "When I get home, I will reach out to my friends if I start to feel down." c. "I am going to make a will as soon as I get home." d. "When I get home, I will eventually get even with my boss for firing me from my job."

b. "When I get home, I will reach out to my friends if I start to feel down."

A school nurse is preparing a presentation about suicide prevention for high school. Which of the following should the nurse include as modifiable risk factors for suicide? a. Sexual orientation b. Access to firearms c. Ethnicity d. Race

b. Access to firearms

A nurse is creating a presentation about depression for a community health fair. The nurse should plan to report that depression is more prevalent among which of the following demographics? a. Adult males b. Adult females c. Adolescents between the ages of 15 and 17 d. Children ages 10 to 14

b. Adult females

A nurse is assessing a client who has a diagnosis of mania related to bipolar disorder. Which of the following behaviors should the nurse expect the client to exhibit? a. The client is giving away their possessions b. The client is demonstrating risky behavior c. The client is sleeping excessively d. The client states they feel worthless

b. The client is demonstrating risky behavior

A nurse on an inpatient mental health unit is teaching a newly licensed nurse about suicide prevention. Which of the following statements made by the newly licensed nurse indicates an understanding of the information presented? a. "The client can eat their meal alone in their room." b. "The blinds in the client's room will need to stay closed to prevent overstimulation." c. "All sharp objects should be removed from the clients room." d. "Family members should be encouraged to look up the warning signs of suicide."

c. "All sharp objects should be removed from the clients room."

A nurse is caring for a client who is scheduled for transcranial magnetic stimulation. When preparing the client for the procedure, which of the following statements should the nurse make? a. "The procedure will last about 1 hour." b. "During the procedure you may notice slight relaxation of the jaw." c. "This procedure is effective when combined with psychotherapy." d. "The treatments will take about 6 months."

c. "This procedure is effective when combined with psychotherapy."

A nurse is providing teaching to a client who is to undergo electroconvulsive therapy (ECT) for depression. Which of the following information should the nurse provide? a. "Electrical current will flow through electrodes placed on your torso." b. "You will be awake during the procedure." c. "Your provider will likely schedule you for several treatments over a period of weeks." d. "It is not necessary to fast before the procedure."

c. "Your provider will likely schedule you for several treatments over a period of weeks."

A nurse in an outpatient clinic is caring for a client who has major depressive disorder and has reported suicidal thoughts. Which of the following is the first information the nurse should try to obtain from the client? a. How lethal are the client's thoughts of self-harm? b. Does the client have access to committing self-harm? c. Does the client have a suicide plan? d. Does the client have someone to call when they are feeling suicidal?

c. Does the client have a suicide plan?

A nurse in a mental health clinic is taking a medical history on a client. The nurse should identify that which of the following factors in the client's history increases their risk for mental illness? a. Living in a rural area b. Being raised by a single parent c. Early exposure to violence d. Being in a family with numerous siblings

c. Early exposure to violence

A nurse is providing teaching to a client who is to undergo transcranial magnetic stimulation (TMS) for depression. Which of the following information should the nurse provide? a. "The procedure will take about two hours." b. "You will be asleep during the procedure." c. "Most people only require one treatment to eliminate their depression." d. "You may experience a mild headache following the procedure."

d. "You may experience a mild headache following the procedure."

A nurse on a mental health unit is using the SAD PERSONS scale to assess the risk of suicide among several clients. Which of the following clients should the nurse identify as having the highest risk? a. A 43-year-old female client b. A 21-year-old female client c. A 35-year-old male client d. A 15-year-old male client

d. A 15-year-old male client

A nurse is reviewing the medical record of a client who has major depressive disorder. Which of the following assessment findings should the nurse expect for a client who has major depressive disorder? a. Client is hyperactive b. Client has had a recent intentional weight loss c. Client reports sleeping 8 hours each night d. Client reports having thoughts of death

d. Client reports having thoughts of death

A nurse is caring for a client who was admitted with suicidal ideation. The client tells the nurse they have several guns in their home. Which of the following types of interventions is the priority for the nurse to initiate? a. Teach coping and problem-solving skills b. Strengthen access to and delivery of suicide care c. Promote connectedness d. Create a protective environment

d. Create a protective environment

A school nurse is creating a presentation about mental health for a group of middle school students. Which of the following topics should the nurse prioritize when preparing this presentation? a. Tyramine restrictions when taking a monoamine oxidase inhibitor (MAOI) b. The prevalence of postpartum depression c. Signs and manifestations of lithium toxicity d. Factors that contribute to suicide

d. Factors that contribute to suicide

A nurse is caring for a 15-year-old client who was recently placed in a residental program after running away from home, truancy, and an arrest for theft. When asked by the nurse to join in a planned activity, the client pushed a staff member. Which of the following actions should the nurse take?

establish firm limits

A nurse in a provider's office is caring for a pediatric client who is being evaluated for impulse control disorder. Complete the following sentence by using the list of options: The greatest risk to this client is the potential for _____ as evidence by the clinet's _____.

self-harm; ipulsive behavior

A nurse is assisting with the care of a client who has a panic disorder and wants to know what they can do to better control their panic attacks. Which of the following statements by the nurse addresses modifiable risk factors? --"Physical activity can decrease the intensity and frequency of panic attacks." -- "A family history of anxiety disorder will make controlling your panic attacks more difficult." -- "Childhood trauma, abuse, and neglect can make you more vulnerable to panic disorders." -- "Being separated from your birth parents at a young age explains why you have a panic disorder."

"Physical activity can decrease the intensity and frequency of panic attacks."

A nurse receives a call from a parent reporting that their school-aged child who has oppositional defiant disorder continues to, "Act out with aggression". The parent states, "I just dont know what to do". Which of the following responses should the nurse make?

"This must be very difficuly for you, Tell me more about what is happening."

The nurse is reviewing the client's medical record. Which of the following findings should the nurse identify as adverse factors impacting the client's mental health? - ability to manage stress - substance use & ability to communicate - peer relationships - poverty & academic success - physical safety - gender equity and access to basic needs

- Ability to manage stress, - peer relationships, - physical safety

A nurse is teaching a group of students about oppositional defieant disorder (ODD) and conduct disorder (CD). Which of the following factors should the nurse suggest using when distinguishing between the behavior of the clinet who has ODD and a client who has CD (SATA)

- Clients who has ODD test limits and disobey authority figures - Clients who has CD often violate the rights of others - Clients who have CD violate societal norms

Select the 2 client findings that are manifestations of social anxiety disorder. - fear of riding in an elevator - concerns about others' opinions of clothing choice - fear of being in a group of people - excessive worrying about routine everyday occurrences - fear of shaking hands with other people

- Fear of being in a group of people - concerns about others' opinions on clothing choice

A nurse is caring for an adolescent who was placed in a residential program after multiple episodes of violence at school. For which of the following reasons is it important for the nurse to establish rapport? (SATA)

- It will promote aceptance and trust, which conveys a feeling of security for the adolescent - It promotes a therapeutic alliance with the client

The school nurse discusses and assesses risk factors that put Tanner at higher risk for conduct disorder. Which of the following statements should the school nurse state to Tanner's parents? (Select all apply.) A"Tell me about your parenting style with Tanner." B"During pregnancy with Tanner, was there any use of substances?" C"Does Tanner have grandparents who are living?" D"Does Tanner have any other mental health diagnosis?" E"Did Tanner display episodes of anger or aggression when they were younger?"

A"Tell me about your parenting style with Tanner." B"During pregnancy with Tanner, was there any use of substances?" D"Does Tanner have any other mental health diagnosis?" E"Did Tanner display episodes of anger or aggression when they were younger?" Rationale: You answered correctly. Risk factors for conduct disorder include: Strict or neglective parenting style, exposure to physical or sexual abuse during childhood, unstable home environment, maternal substance use during pregnancy, parental substance use and criminal activity, low socioeconomic status, early behavior of frequent episodes of aggression like ODD at a younger age may suggest a history or temperament which can result in increased risk for CD.

A week has passed since the school nurse and Tanner set goals. The school nurse reviews objective and subjective data obtained by Tanner's teachers. The nurse also asks Tanner how they feel since implementing the interventions. Which of the following parts of the nursing process is the school nurse performing? AEvaluation BAnalysis CPlanning DAssessment

AEvaluation RATIONALE: You answered correctly. During the evaluation, the nurse determines if the set goals were accomplished, if the plan was effective, and if the plan met the client's needs. The nurse then uses their clinical judgment to determine if the plan should be continued or revised or if a new plan needs to be established.

Which of the following assessment findings supports a diagnosis of ODD? AThe child exhibits hostile and antagonistic behavior toward peers and teachers at school. They are spiteful and often blame others for their misbehavior. BThe child exhibits involuntary blinking and facial twitching and reports frequent nightmares. CThe child exhibits cruelty toward animals. DThe child exhibits low academic performance.

AThe child exhibits hostile and antagonistic behavior toward peers and teachers at school. They are spiteful and often blame others for their misbehavior. Rationale: You answered correctly. ODD is a persistent angry mood with defiant behaviors toward authority figures.

A nurse is caring for a child who has been prescribed a mood-stabilizing medication to manage violent behaviors. The nurse should idnetify that the client most likely has which of the following conditions?

Intermittent explosive disorder (IED)

A nurse is caring for a child who has been prescribed a mood stabilizing medication to manage violent behaviors. The nurse should identify that the client most likely has which of the following conditions?

Intermittent, explosive disorder

A nurse is caring for an adolescent who is placed in a residential program after multiple episodes of violence at school. For which of the following reasons is it important for the nurse to establish a rapport for the client?

It will promote acceptance and trust, which conveys a feeling of security for the adolescent It promotes a therapeutic alliance with the client

A nurse is caring for a client who is hospitalized and has oppositional defiant disorder. The clients guardians ask if the child will outgrow their angry outburst which of the following responses should the nurse make?

Oppositional defiant disorder has been shown to reduce in severity and progression with professional therapy and treatment

A nurse is assisting in the care of an adult client who experiences discrete periods of acute psychological distress that includes heart palpitations, dyspnea, and lightheadedness. The nurse should identify that the client is demonstrating manifestations for which of the following types of anxiety disorders? -- Separation anxiety disorder -- Selective mutism -- Generalized anxiety disorder -- Panic disorder

Panic disorder

A nurse is assisting in the care of a client who states, "I have been isolating myself from socializing because I am afraid that I am going to experience another episode of intense anxiety." This client statement is suggestive of which of the following anxiety-related disorders? -- Substance/medication-induced anxiety disorder -- Separation anxiety disorder -- Panic disorder -- Generalized anxiety disorder

Panic disorder Clients who encounter symptoms of panic disorder experience distinct and extreme periods of physiologic and psychologic hyperarousal, and as a result, may avoid situations that may trigger an anxiety attack.

A nurse is caring for a 12 year old client who was recently diagnosed with an impulse disorder, which of the following information in the clients medical history should the nurse expect?

Parent who has a history of mental illness

A nurse is caring for a 12-year-old client who was recently diagnosed with an impulse disorder. Which of the following information in the client's medical hisotry should the nurse expect?

Parent who has a history of mental illness

A nurse is assessing a child who has oppositional defiant disorder (ODD). The nurse should identify that which of the following assessment findings support a diagnosis of ODD?

Shows negative, hostile, and spiteful behavior toward parents and blames others for misbehavior

A nurse is assessing a child who has oppositional defiant disorder. The nurse should identify that which of the following assessment finding support a diagnosis of ODD?

Shows negative, hostile, and spiteful behavior towards parents and blames others for his behavior

A nurse is assisting in the care of a child who demonstrates marked and disproportionate fear in response to the physical presence or representation of an object, such as a balloon. Which of the following do these manifestations suggest? Social anxiety disorder Separation anxiety disorder Agoraphobia Specific phobia

Specific phobia

A nurse is caring for an 11-year-old child who has oppositional definant disorder (ODD) and begins shouting at the nurse about the rules at a residential treatment program. Which of the following actions is the priority for the nurse to take to defuse the situation?

Take the child swimming at the facilit's pool

A nurse is preparing an in-service on impulse control disorder. Which of the following information should the nurse include?

The client will display a diminished control over their behavior, no matter how problematic The client feels a sense of pleasure and excitement following the behavior The client has intense feelings of anxiety and tension preceding the behavior The client will perform compulsive and repetitive behaviors in spite of the adverse consequences

A nurse is assisting in the care of a client who has obsessive-compulsive disorder. The client's behaviors likely originate in which of the following brain circuits? The amygdala-centered circuit The cortico-striato-thalamocortical circuit The hypothalamic pituitary adrenal axis The reflex arc

The cortico-striato-thalamocortical circuit

A nurse in an outpatient mental health clinic is assisting in the care of a client who expresses concern about developing a mental illness. According to Meehl's Diathesis-Stress Model, which of the following statements is true regarding a client's potential for developing a mental illness? -- Genetic variables are more likely to increase the potential for developing a mental illness than environmental variables. -- The dynamic interaction between genetic and environmental variables determines the potential for developing a mental illness. -- Environmental variables are more likely to increase the potential for developing a mental illness than genetic variables. --Neither genetic nor environmental variables influence the potential for developing a mental illness.

The dynamic interaction between genetic and environmental variables determines the potential for developing a mental illness.

Arsenal providers office is caring for a pediatric client who is being a valuated for impulse control disorder. Complete the following sentence by using the list of options.

The greatest risk to this client is the potential for self harm as evidenced by the clients, impulsive behavior.

A nurse is conducting an assessment interview with an adolescent client. "Why should I tell you anything? You'll just tell my parents whatever you find out." Which of the following responses should the nurse make?

What you say about feelings is private, but somethings, like suicidal, thinking, must be reported to the treatment team

Click to highlight the statements in the nurses' notes that require follow-up by the nurse. Able to ambulate without assistance to the bathroom. Client says, "It's happening again, I feel like I am going to die!" Client is alert and oriented to person, place, and time. Client is tachypneic, tachycardic, and diaphoretic. Speech is rapid and loud. Noted the client was restless and shaking upon entering their room.

When analyzing cues, the nurse should identify that the client's restlessness and shaking, statement of feeling like they're going to die, tachypnea, tachycardia, diaphoresis, and rapid and loud speech are indications the client is experiencing a panic attack. These findings require follow-up by the nurse, such as staying with the client and providing reassurance using therapeutic communication techniques.

A nurse is caring for an adolescent client who has intermittent explosive disorder (IED). The nurse should identify that the child can experience which of the following affective manifestations (SATA)

- Racing thoughts - extreme anger - increasing sense of tension - temper tantrums

A nurse is preparing an in-service on impulse-control disorder (ICD). Which of the following information should the nurse include? (SATA)

- The client will display a diminished ccontrol over their behavior no matter how problematic - The client feels a sense of leasure and excitement following the behavior - The client has intense feelings of anxiety and tension preceding the behavior - The client will perform compulsive and repetitive behaviors in spite of the adverse consequences

A nurse is caring for a pedatric client whou has conduct disorder (CD). Select the 4 provider prescriptions the nurse should anticipate receiving for this child (SATA).

- educate grandparents on coping strategies - encourage aerobic exercise - group therapy daily - assist client in developing tools to manage anger

A nurse is reviewing the client's assessment findings. Which of the following findings should the nurse identify as a risk factor for developing OCD? - sibling has been treated for OCD in the past - history of ECT for depression - current socialization status - history of hospitalization - history of tobacco use - sexually abused by a family member as a child

- sibling has been treated for OCD in the past - tobacco use - sexually abuse as a child

A nurse is caring for a client in an outpatient clinic. 0800: Adult client whose spouse died recently reports headache and fatigue. "I worry that I am just getting worse." Reports being "always tired" yet waking "well before the alarm." Headache is dull but persistent despite intervention. Client reports no appetite and no interest in doing anything. Client has had troubles at work because they "cannot seem to concentrate."Client alert and oriented. Thought process clear. Client tearful during interview, stating, "I'm sad all the time." 0900: Client reports being active with family and friends until 3 months ago. "I feel like I have nobody." "I thought the death of my spouse was hard. It seems the months after have been worse. I am not sure I can do this anymore. My family doctor prescribed me some medicine for my depression but I stopped taking it after a week because it did nothing for me." Complete the followin

The nurse should address the client's: b. safety As evidenced by the client's: c. statements