Practice Questions

Amenorrhea: 1. is a criterion for a dx of anorexia nervosa 2. is not a criterion for a dx of anorexia nervosa

Amenorrhea: it is NOT a criterion for a dx of anorexia nervosa it used to be, but in the DSM-V is not longer a criterion

The DSM-5 groups personality disorders in: A. 2 clusters B. 3 clusters C. 4 clusters D. no clusters at all

B. 3 clusters

Personality disorders are easy to tx: A. yes B. no

1.) personality disorders are NOT easy to treat one of the more difficult disorders to tx b/c they're very pervasive and engrained, and very difficult to make someone change

4. As Senile Dementia of the Alzheimer's Disease progresses, the nurse can anticipate for planning purposes that all but one of the following behaviors will occur. Select the behavior that is least likely to occur. 1. agraphia 2. hyperorality 3. apraxia 4. improvement of memory

4. improvement of memory

According to statistics: A. 15% of American have at least one personality dx B. 25% of Americans have at least one personality dx C. 50% of Americans have at least one personality dx D. 80% of Americans have at least one personality dx

A. 15% of American have at least one personality dx

How can the nurse help alleviate the potential for caregiver role strain for family members of TBI patients? A. Contact nursing service organizations for respite care. B. Advise the family members to think of something pleasant when upset. C. The family members should talk to other relatives for not helping. D. Ask the neighbors to watch the patient while the family member goes to a movie.

A. Contact nursing service organizations for respite care.

When a person diagnosed with anorexia nervosa genuinely loses the normal sensations of hunger, the nurse recognizes that the cause is associated with which physiologic process? A.Delayed gastric emptying B.Diminished abdominal peristalsis C.Dehydration D.Refeeding syndrome

A.Delayed gastric emptying They lose that nl sensation of hunger b/c their gastric emptying is SLOWED DOWN

Which medication is used in moderate to severe stages of Alzheimer's dementia? Donepezil (Aricept) Rivastigmine (Exelon) Memantine (Namenda) Benztropine (Congentin)

ANS: Memantine (Namenda) is indicated for severe Alz's Mid-Mod Alz's = Donepezil (Aricept)

what is the most common type of dementia? Alzheimer's Vascular Pick's Body Diffuse Lewy Body

Alzheimer's is the answer. Alz d/t low levels of AcetylCholine aka ACh Vascular Dementia is the 2nd most common cause of dementia, which is related to s/p CVA.

During binge eating, the bulimic patient is most likely to consume what type of food? A.Low calorie B.High carbohydrate C.High fiber D.Low fat

B. High carbohydrate

Jean was admitted to the psychiatric unit after cutting her wrists. She had a recent breakup with a significant friendship relationship. She feels the staff do not understand what she is feeling. She refuses to go to group sessions and is not participating in the milieu. What would be the best therapeutic interaction with Jean? A. "If you stay in your bedroom, you will be discharged sooner for not participating in the milieu." B. "There are rules in the therapeutic milieu that are important to follow—you must go to the group." C. "Going to group will give you feedback on your relationships with others on the unit." D. "Your difficulty with others is showing up on the unit—go to the groups now."

C. "Going to group will give you feedback on your relationships with others on the unit."

A disregard for the right of others is seen in: A. dependent personality dx B. histrionic personality dx C. Antisocial personality dx D. Paranoid personality dx

C. Antisocial personality dx

Which nursing action would the nurse do first when working with an individual with borderline personality disorder? A. Set limits. B. Determine boundaries. C. Assess for self-harm. D. Assess relationship system.

C. Assess for self-harm. Ans: we do set limits and sometimes need to determine boundaries and assess relationship; HOWEVER, what we do FIRST is SAFETY SAFETY SAFETY à ASSESS FOR SELF-HARM

Which condition is most important for the nurse to assess for when a bulimic patient admits to using syrup of ipecac to cause post-binge vomiting? A.Reflex constipation B.Rebound edema C.Cardiomyopathy D.Damaged dental enamel

C. Cardiomyopathy Ipecac causes many cardiac deaths and dysrhythmias

Which characteristic is consistent with those individuals who engage in the vomiting-purging form of anorexia nervosa? A.Avoids social situations where eating is involved ● B.Adopts a rigid personal exercise program ● C.Was overweight before the eating disorder began ● D.Demonstrates competitive personality traits

C.Was overweight before the eating disorder began

2. The inability to articulate a response to a question is a. aphasia b. apraxia c. agnosia d. memory disturbance

a. aphasia

Tx for Tardive Dyskinesia can include: Trihexphenidyl (Artane) Benztropine (Congentin) Diphenhydramine (Benadryl) Deutetrabenazine (Austedo)

Deutetrabenazine (Austedo)

TRUE or FALSE The diagnosis of PTSD is usually made within the first 4 weeks after a traumatic event

FALSE

TRUE or FALSE PTSD treatments with the most robust outcomes are those that include pharmacotherapy as the primary intervention.

FALSE for PTSD, however, therapy trumps meds in terms of effectiveness in tx

5. A nursing intervention designed to help the client with progressive memory deficit function in his or her environment is to a. assist client to perform simple tasks by giving step-by-step directions b. avoid frustrating client by performing routines associated with activities of daily living for the client c. stimulate the client's intellectual functioning by bringing new topics, objects, etc. to the client's attention d. promote use of client's sense of humor by telling jokes or riddles and discussing cartoons

a. assist client to perform simple tasks by giving step-by-step directions

9. Donepezil (Aricept) reduces symptoms for patients diagnosed with mild to moderate Alzheimer's disease (AD) by: a. enhancing acetylcholine (Ach) function. b. inhibiting serotonin reuptake. c. anti-oxidizing free radicals. d. reducing GABA action.

a. enhancing acetylcholine (Ach) function.

10. A newly admitted patient diagnosed with AD has demonstrated apraxia. The nurse should assist the patient with: a. grooming and hygiene b. visual acuity c. word finding. d. orientation.

a. grooming and hygiene

8. What are communication techniques most appropriate for older adults? a.) Active listening b.) Give three directions c.) Authoritarian approach d.) Increased volume of speech

a.) Active listening

The DSM-5's diagnostic criteria for antisocial personality disorder requires that a patient must have presented with symptoms of which disorder before age 15? a.Conduct disorder b.Oppositional defiant c.Bipolar disorder d.Generalized anxiety disorder

a.Conduct disorder

A core symptom for TBI is: a.Remembering the event vividly b.Amnesia for the event c.It always involves loss of consciousness d.More common in female soldiers than in male soldiers

b. Amnesia for the event

1. Which of the following would the nurse assess as an example of cognitive impairment? a. crying when the occasion calls for laughter b. inability to name a familiar object c. incontinence d. agitation

b. inability to name a familiar object

Tardive dyskinesia: a.) is early appearing during antipsychotic tx b.) late appearing during antipsychotic tx c.) can be treated with anticholinergics d.) does not have a reliable way to measure its progression

b.) late appearing during antipsychotic tx TARDIVE = "late" as in 6 months Tool we use to measure TARDIVE DYSKINESIA is through the AIMS Tool however, on day 2-3 of antipsychotic tx, on the other hand, you will see DYSTONIA and AKETHESIA

The parents of a 14-year-old boy bring their son to the hospital. He is lethargic, but responsive. The mother states, "I think he took some of my pain pills." During initial assessment of the teenager, what information is most important for the nurse to obtain from the parents? a. If he has seemed depressed recently. b. If a drug overdose has ever occurred before. c. If he might have taken any other drugs. d. If he has a desire to quit taking drugs.

c. If he might have taken any other drugs. so you know whether if there are any other meds that can interact

6. B and J both have Alzheimer's disease. B walks up behind J in the hall and shouts, "Move along, you're blocking the road. I'll take a stick to you." J turns around, shakes his fist, and shouts, "I know what you're up to, you're trying to steal my car." The best action for the nurse to take would be to a. reinforce reality by telling B that J can walk in the hall, and telling J that B is not trying to steal his car b. ask the medication nurse to give both clients an as-needed dose of neuroleptic medication c. separate and distract them by directing one to go to the day room, and taking the other to the activities area d. step between them, saying, "Gentlemen, please quiet down. We don't permit physical violence here"

c. separate and distract them by directing one to go to the day room, and taking the other to the activities area

7. The elderly client in the intensive care unit who is diagnosed as having disturbed sensory perceptions in the form of visual and auditory illusions will be helped most by: a. large clocks and calendars on the wall b. personally meaningful objects placed in full view c. wearing her eyeglasses and hearing aids d. keeping the room brightly lit around the clock

c. wearing her eyeglasses and hearing aids

Approximately what percent of patients with post-traumatic stress disorder (PTSD) recover completely without treatment? a.5% b.10% c.30% d.60%

c.30%

Why would an individual with avoidant personality disorder most likely avoid friendship? a.Because he or she cannot trust others with secrets b.Because he or she is disinterested in the feelings of others c.Because he or she fears making an embarrassing mistake d.Because he or she is extremely demanding regarding prospective peers

c.Because he or she fears making an embarrassing mistake

Which of the following agents is first-line treatment for PTSD? a.Divalproex b.Trazodone c.Sertraline d.Amitriptyline

c.Sertraline aka ZOLOFT

Currently we have: 1. multiple pharmacological agents approved specifically for anorexia nervosa 2. no physchopharmacologic agent approved specifically for anorexia nervosa

currently no pharmacological agents approved specifically for anorexia nervosa

At a support meeting of parents of a teenager with polysubstance dependency, a parent states, "Each time my son tries to quit taking drugs, he gets so depressed that I'm afraid he will commit suicide." The nurse's best response should be based on which information? a. Addiction is a chronic, incurable disease. b. Tolerance to the effects of drugs causes feelings of depression. c. Feelings of depression frequently lead to drug abuse and addiction. d. Careful monitoring should be provided during withdrawal from the drugs.

d. Careful monitoring should be provided during withdrawal from the drugs. b/c it is a polysubstance dependency, so we need to carefully monitor the person b/c they can die b/c they are using more than one substance. C has frequently which is not good b/c it may not always be frequently.

3. Urinary incontinence becomes a problem in which stage of Alzheimer's Disease a. mild b. moderate c. it does not take place in AD d. severe

d. severe

Unlike obsessive-compulsive personality disorder, obsessive-compulsive disorder is distinguished by which finding? a.Impairment in social functioning b.Over conscientious worldview c.Perfectionism in task completion d.Compulsions in conflict with ego

d.Compulsions in conflict with ego

Which statement about persons with personality disorders is accurate? a.They, unlike those with mood or psychotic disorders, are at very low risk of suicide. b.They tend not to perceive themselves as having a problem but instead believe their problems are caused by how others behave toward them. c.They are believed to be purely psychological disorders, that is, disorders arising from psychological rather than neurological or other physiological abnormalities d.Their symptoms are not as disabling as most other mental disorders; therefore, their care tends to be less challenging and complicate for staff.

d.Their symptoms are not as disabling as most other mental disorders; therefore, their care tends to be less challenging and complicate for staff. b/c THEIR CARE ACTUALLY IS VERY CHALLENGING! they believe that "they" are causing their personality disorders

TRUE OR FALSE One of the major contributors to the development of PTSD is a lack of coping skills.

false b/c a lack of coping skill is not a pre-traumatic Risk Factor, but instead a major contributor to POST-TRAUMATIC RF

Most anorexics have: 1. significantly low body weight 2. normal body weight 3. above the normal body weight

most anorexics have: significantly low body weight

Most bulimic patients have: 1. below normal body weight 2. normal body weight 3. above the normal body weight

most bulimics pts have: normal body weight