PRE, POST, AND NCLEX QUESTIONS FOR PSYCH EXAM 2

What is the function of a neuron? Conduction of electrical impulses Diffuses an impulse across a space Provides a space at an axon terminal Provides an attachment point of the cell surface

Conduction of electrical impulses

The clinical nurse specialist should suggest which cognitive intervention initially for a client experiencing auditory hallucinations? Seclusion when escalation begins Physical restraints when the client is disruptive Initiating a distracting technique Giving as-needed medication for anxiety

Initiating a distracting technique

A family member reports that the client had been oriented and able to carry on a logical conversation last evening, but this morning is confused and disoriented. The nurse can suspect that the client is displaying symptoms associated with which cognitive disorder? Delirium Dementia Amnesic disorder Selective inattention

Delirium

Which psychosocial disorder is more often initially seen in late life? Depression Bipolar disorder Schizophrenia Dissociative disorder Anxiety

Depression Anxiety

A 62-year-old patient who is recovering from a urinary tract infection that has required hospitalized for delirium. Based on research regarding possible postdelirium complications, what are important areas for the provider to assess regularly after discharge? Sleeping habits Sexual functioning Symptoms of posttraumatic stress Depression and level of cognition

Depression and level of cognition

A client diagnosed with schizophrenia states to the nurse, "My, oh my. My mother is brother. Anytime now it can happen to my mother." Your best response would be: "You are having problems with your speech. You need to try harder to be clear." "You are confused. I will take you to your room to rest a while." "I will get you a prn medication for agitation." "I'm sorry, I didn't understand that. Do you want to talk more about your mother as we did yesterday?"

"I'm sorry, I didn't understand that. Do you want to talk more about your mother as we did yesterday?"

When a client diagnosed with paranoid schizophrenia tells the nurse, "I have to get away. The volmers are coming to execute me," an appropriate response for the nurse would be: "You are safe here. This is a locked unit, and no one can get in." "I do not believe I understand the word volmers. Tell me more about them." "Why do you think someone or something is going to harm you?" "It must be frightening to think something is going to harm you."

"It must be frightening to think something is going to harm you."

When considering the duty to warn and protect third parties, which client statement should the nurse report to the treatment team members? "That judge is going to really regret putting me in here." "All politicians need to be shot." "When I'm elected president, I'll make them all pay for doubting me." "The man out there who is laughing at me is going to die."

"That judge is going to really regret putting me in here."

A cognitively impaired resident living at a long-term care unit has become unsteady when walking alone. The family is concerned about the potential for serious injury from falls and suggests that restraints be used. What is the nurse's best response to the family's request? "You will need to make your request to the physician at the planning meeting." "The federal government forbids the use of restraints on elderly residents." "Using restraints puts the resident at higher risk for serious injury, even death." "Immobilization will cause constipation and necessitates the use of enemas."

"Using restraints puts the resident at higher risk for serious injury, even death."

Which remark would signal to the nurse that there is a teaching need for the family of a client diagnosed with schizophrenia? "We always reprimand him whenever his behavior is bothersome." "We watch him closely for signs of illness associated with relapse." "We have taught him to use the bus so we do not have to drive him everywhere." "We give positive recognition to him whenever he does even simple things well."

"We always reprimand him whenever his behavior is bothersome."

The family members of a client with early-stage Alzheimer's disease cannot provide adequate supervision for the client. What would be a reasonable alternative for the nurse to explore with them to meet their current needs? Day care Acute care hospitalization Long-term institutionalization Group home residency

Day care

When preparing educational materials for the family of a client diagnosed with progressive dementia, the nurse should include information related to which local resources? SATA Day care centers Legal professionals Home health services Family support groups Professional counseling

Day care centers Home health services Family support groups Professional counseling

The nurse caring for a client prescribed risperidone observes the client carefully for which possible side effects? SATA Daytime sleepiness Reports of heartburn A rapid heartbeat Sexual dysfunction A weight gain

Daytime sleepiness Sexual dysfunction A weight gain

A client diagnosed with disorganized schizophrenia would have greatest difficulty with the nursing intervention? Interacting with a neutral attitude Using concrete language Giving multistep directions Providing nutritional supplements

Giving multistep directions

A 72-year-old patient is hospitalized diagnosed with pneumonia and experiencing delirium. When the client points to the IV pole and screams, "Get him out of here! He's going to hurt me!", the nurse recognizes the response as a(n) hallucination. delusion. illusion. confabulation.

illusion.

Which function is classified as a circadian rhythm? Sex drive Sleep cycle Skeletal muscle contraction Maintenance of a focused stream of consciousness

Sleep cycle

Which statement by a young client who has severe and persistent mental illness would alert the nurse to the need for psychoeducational intervention? "I like to watch cartoons every morning." "I hear that marijuana helps calm you down." "I am looking for a job washing dishes at a diner." "I hate having my thoughts so messed up all the time."

"I hear that marijuana helps calm you down."

A client diagnosed with paranoid schizophrenia refuses food, stating the voices are saying the food is contaminated and deadly. Which response should the nurse provide to this client statement? "You are safe here in the hospital; nothing bad will happen to you." "The voices are wrong about the hospital food. It is not contaminated." "I understand that the voices are very real to you, but I do not hear them." "Other people are eating the food, and nothing is happening to them."

"I understand that the voices are very real to you, but I do not hear them."

A client is brought to the hospital by her daughter, who visited this morning and found her mother to be confused and disoriented. When the client is admitted, the daughter states, "I'll take her glasses and hearing aid home, so they don't get lost." The best reply for the nurse would be: "That will be fine. I'll have you sign our hospital release form." "Because we do not have a copy of durable power of attorney, we cannot release them to you." "Don't worry. You can leave them at her bedside. We are insured for losses of this sort." "I would like to have your mother wear them. It will help her to be less confused or retain more of her orientation."

"I would like to have your mother wear them. It will help her to be less confused or retain more of her orientation."

Serious mental illness (SMI) affects how many adults in the United States? 11 million 8 million 4 million 1 million

4 million

Which hospitalized patient should the nurse identify as being a candidate for the appropriate use of a release from hospitalization known as against medical advice (AMA)? A 37-year-old patient scheduled for discharge in 24 hours wishes to be discharged immediately A 75-year-old patient with dementia who demands to be allowed to go back to his own home A 21-year-old actively suicidal patient who wants to be discharged to home and do outpatient counseling A 32-year-old female patient who wishes to stay in the hospital but whose husband demands that she be discharged into his care

A 37-year-old patient scheduled for discharge in 24 hours wishes to be discharged immediately

Currently what is understood to be the causation of schizophrenia? A combination of inherited and nongenetic factors Deficient amounts of the neurotransmitter dopamine Excessive amounts of the neurotransmitter serotonin Stress related and ineffective stress management skills

A combination of inherited and nongenetic factors

Based on the current research, which patient is most likely to develop dementia? An office manager in a high-stress environment A former boxer and is now a trainer A worker in a factory where asbestos is found A bartender in a dark underground club/bar

A former boxer and is now a trainer

Which scenarios describe a HIPAA violation associated with a nurse's behavior? An ED (Emergency Department) nurse gives the intensive care unit nurse a client report from a telephone at the nurse's station. A nurse on the medical-surgical floor calls a patient's primary care provider to obtain a list of current medications. A nurse on the cardiac unit gives report to the nurse on the step-down unit while transporting a client in the staff elevator. A nurse on the psychiatric unit gives discharge information to the counseling office regarding a client's outpatient treatment.

A nurse on the cardiac unit gives report to the nurse on the step-down unit while transporting a client in the staff elevator.

The term dual diagnosis refers to having a severe mental illness and what other dysfunctional behavior? A substance abuse problem Medication noncompliance A personality disorder HIV infection

A substance abuse problem

A client who lives with a daughter's family is often left alone during the day and even some evenings. The client has expressed being lonely and socially isolated. Considering the situation, which support option is most appropriate? Partial hospitalization Nursing home admission Home health nursing care Adult day care

Adult day care

A client diagnosed with osteoarthritis says she is unable to sleep because of aching in her hips and shoulders. Which medication would be appropriate in this situation? Aspirin Meperidine Acetaminophen A sedative-hypnotic

Acetaminophen - effective in the elderly - does not produce GI bleeding like ASA and NSAIDs - Meperidine may cause confusion - A sedative hypnotic may cause daytime sedation or confusion

The nurse caring for a client diagnosed with Alzheimer's disease can anticipate that the family will need information about which medication therapy? Antihypertensives Benzodiazepines Immunosuppressants Acetylcholinesterase inhibitors

Acetylcholinesterase inhibitors

An older adult client tells the nurse that he prefers not to attend senior citizens meetings because "they are all old fuddy duddies who talk subjects to death but never take action." The nurse can hypothesize that the client is demonstrating which type of reaction? Ageism Paranoid thinking Projection of personal weaknesses Poor social skills

Ageism

You are working on a medical-surgical unit, and a peer is admitting a 71-year-old woman with a urinary tract infection. The nurse admitting an older, Hispanic, female adult for a possible urinary tract infection is overheard stating, "I probably won't be able to get accurate information until the client's family comes in and can answer my questions." The nurse is exhibiting which bias? Gender bias Ageism Racism Cultural bias

Ageism

The physician mentions to the nurse that a client who is about to be admitted has "sundowning." The nurse can expect to assess for which nightly behavior? Agitation Lethargy Depression Mania

Agitation

A client diagnosed with Alzheimer's disease looks confused and cannot recall many common household objects by name, such as a pencil or glass. The nurse should document this loss of function using which term? Apraxia Agnosia Aphasia Anhedonia

Agnosia

A 78-year-old patient diagnosed with Alzheimer's disease picks up a glass from the bedside table but does not recognize the purpose of the object. This inability is associated with which characteristic of the disorder? Apraxia Agnosia Aphasia Agraphia

Agnosia - loss of sensory ability to recognize objects.

A 68-year-old recently retired patient is referred to the mental health clinic for symptoms of depression, social isolation, and irritability. The client's son is with him and states, "My dad never used to be like this. My mom's been gone for 10 years and he has been doing fine." When the nurse asks the client directly about alcohol intake, he becomes defensive and refuses to discuss the issue. The nurse's response should be guided by what knowledge? : SATA Older men are more likely to abuse substances other than alcohol. Alcohol abuse often goes undetected in older adults. The client is exhibiting dysfunctional grieving. The client is most likely reacting to his retirement. Depression plays a role in increased drinking. Being single is a risk factor for alcohol abuse.

Alcohol abuse often goes undetected in older adults. Depression plays a role in increased drinking. Being single is a risk factor for alcohol abuse.

When treating mental illnesses with psychotropic drugs what is the focus of the treatment? Altering brain neurochemistry. Correcting brain anatomical defects. Regulating social behaviors. Activating the body's normal response to stress.

Altering brain neurochemistry.

Which type of dementia has a clear genetic link? Alcohol-induced dementia Multi-infarct dementia Creutzfeldt-Jakob disease Alzheimer's disease

Alzheimer's disease

Which of the following would be assessed as a negative symptom of schizophrenia? Anhedonia Hostility Agitation Hallucinations

Anhedonia

A 20-year-old Amish patient was diagnosed with paranoid schizophrenia 1 year ago who lives with his parents. When the nurse attempts to educate him about his diagnosis and the need for medication, the client persistently mumbles, "I don't have mental illness. No, I am not sick." What term is used to describe this response? Anosognosia Resistance Apathy Religiosity

Anosognosia - inability to recognize one's deficits as a result of one's illness

A client who has been prescribed an antipsychotic medication comes to the clinic 3 days after his scheduled visit and demonstrates evidence of restlessness and agitation. He states, "My medicine ran out, and I didn't remember where to get more." The client's case manager should initially implement which intervention to support medication adherence? Arrange to have the client's nursing care plan reflect the need for a medication change Arrange for the client to see his psychiatrist as soon as the psychiatrist has an open appointment. Arrange for the client to get to the nearest emergency department for treatment. Arrange for a dose of the client's medication immediately.

Arrange for a dose of the client's medication immediately.

A client, who has been prescribed clozapine 6 weeks ago, reports flulike symptoms including a fever and a very sore throat, the nurse should initiate which nursing intervention? Suggest that the client take something for the fever and get extra rest. Advise the physician that the client should be admitted to the hospital. Arrange for the client to have blood drawn for a white blood cell count. Consider recommending a change of antipsychotic medication.

Arrange for the client to have blood drawn for a white blood cell count.

Which ethical principle refers to the individual's right to make his or her own decisions? Beneficence Autonomy Veracity Fidelity

Autonomy

The use of seclusion or restraint to control the behavior of a client who is at risk of harming self or others gives rise to conflict between which ethical principles? Autonomy and beneficence Advocacy and confidentiality Veracity and fidelity Justice and humanism

Autonomy and beneficence

A client who presents no danger to himself or to others is forced to take medication against his will. This situation represents assault. battery. defamation. invasion of privacy.

Battery

The nurse caring for a client prescribed an antidepressant medication that produces anticholinergic side effects should assess for which possible side effects? SATA Memory dysfunction Ejaculatory dysfunction Blurred vision Dry mouth Constipation

Blurred vision Dry mouth Constipation

The role of a case manager working with severely and persistently mentally ill clients who are homeless would include which intervention? Administer medication Coordinate needed services Ensure that the clients are not rehospitalized Teach the clients to function independently

Coordinate needed services

The goal of a nurse working in psychiatric rehabilitation would be to help clients in the community achieve which outcome? Complete mental health Live comfortably in a psychiatric treatment facility Cope more effectively with their symptoms Learn to live with dependency

Cope more effectively with their symptoms

Schizophrenia is best characterized as presenting which personality trait? Split Multiple Ambivalent Deteriorating

Deteriorating

The nurse is expected to perform an assessment of a client suspected to be in the earliest stage of Alzheimer's disease. What finding would be out of character for the client who truly has early stage Alzheimer's disease? Easily frustrated by cognitive losses Charming behavior designed to hide memory deficit Confabulation to compensate for forgotten information Avoidance of questions by subject changing

Easily frustrated by cognitive losses

A terminally ill, elderly client wants to ensure that his wishes about end-of-life care are followed and discusses them thoroughly with his daughter. Which action will best guarantee the client's wishes will be achieved? Share his wishes with the nurse Write a living will Issue a directive to his physician Execute a durable power of attorney for health care

Execute a durable power of attorney for health care

If a client is placed in seclusion and held there for 24 hours without a written order or examination by a physician, the client has experienced which illegal act? Battery Defamation of character False imprisonment Assault

False imprisonment

A client diagnosed with delirium strikes out at a staff member. The nurse can most correctly hypothesize that this behavior is related to which characteristic symptom of delirium? Anger Fear Unmet physical need Unmet social interaction

Fear

If a nurse is charged with leaving a suicidal client unattended, it is being suggested that the nurse's behavior has violated which ethical principle? Autonomy Veracity Fidelity Justice

Fidelity

The mother of a client with severe, persistent schizophrenia tells the nurse, "My son has slipped so far away from me over the past few years. We really don't have a relationship anymore. I miss him." The nursing diagnosis that best describes the mother's feelings using which term? Grieving Powerlessness Caregiver role strain Ineffective coping

Grieving

Nico, a 22-year-old patient, is diagnosed with schizophrenia. Which of the following symptoms would alert a provider to a possible diagnosis of schizophrenia in a 22-year-old male client? Excessive sleeping with disturbing dreams Hearing voices telling him to hurt his roommate Withdrawal from college because of failing grades Chaotic and dysfunctional relationships with his family and peers

Hearing voices telling him to hurt his roommate

When a delirious client insists that a vacuum hose is a large, poisonous snake, the nurse recognizes that this client is experiencing what characteristic symptom? Hallucinations Illusion Hypervigilant Agnosia

Illusion

When a tumor of the cerebellum is present, the nurse should expect that the client would initially demonstrate which sign/symptom? Impaired balance Abnormal eye movement Impaired social judgment Blood pressure irregularities

Impaired balance

Which interventions and/or goals related to planning for discharge of a client diagnosed with a SMI would support the recovery model of care? Attending groups that teach how to cope with one's present illness. The client's parents will receive education on how to manage the patient's deficits. Care plan interventions will focus on medication adherence. Interventions will focus on the client's stated wish for independent living.

Interventions will focus on the client's stated wish for independent living.

A usually quiet resident in a long-term care facility has become confused and has shouted out a number of times during the night. What is the nurse's initial action? Obtain an order for an as-needed dose of a sedative for the client. Encourage the client to be quiet and go back to sleep. Investigate the reason for the client's behavioral change. Place the client in a geriatric chair near the nurse's station.

Investigate the reason for the client's behavioral change.

What initial intervention should the nurse suggest to the family members of a client diagnosed with Alzheimer's disease who has become incontinence of urine? Label the bathroom door with a picture. Provide toileting on an as-needed basis. Apply disposable diapers. Encourage hourly toileting.

Label the bathroom door with a picture.

The nurse responsible for the care of a client prescribed clonazepam should evaluate treatment as being successful when the client demonstrates which behavior? Less anxiety Normal appetite Improved physical balance Reduced auditory hallucinations

Less anxiety

Which statement best reflects the way clients who are severely and persistently mentally ill generally perceive how others in the community see them? Many feel stigmatized and alienated. Most feel undersupported by family and friends. A large number are intensely hostile toward others. The majority are incapable of such self-reflective thought.

Many feel stigmatized and alienated.

What term is used to identify the structures that respond to stimuli, conduct electrical impulses, and release neurotransmitters? Neurons Synapses Dendrites Receptors

Neurons

After the death of a client, what rule of confidentiality should be followed by nurses who provided care for the individual? Confidentiality is now reserved to the immediate family. Only HIV status continues to be protected and privileged. Nothing may be disclosed that would have been kept confidential before death. The nurse must confer with the next of kin before divulging confidential, sensitive information.

Nothing may be disclosed that would have been kept confidential before death.

Which statement is true of the relationship between SMI and substance abuse? Substance abuse rarely occurs within this population. Substance abuse occurs at approximately the same rate as in the general population. Of those diagnosed with SMI, substance abuse is high. Smoking has declined in this population at the same rate as the general public.

Of those diagnosed with SMI, substance abuse is high.

The nurse is caring for an admitted client with a history of becoming aggressive when angry and has caused physical injury to another client and two staff members. When this client begins to demonstrate signs of anger while in the day room what intervention should the nurse implement to address the safety of the milieu? Alert security to come to the unit for a show of strength Request that the client accompany the nurse to the client's room Inform the client that restraints will be used if the behavior continues Prepare to administer a prn chemical restraint to the client

Request that the client accompany the nurse to the client's room

A 69-year-old patient with a recent history of breast cancer is undergoing workup for memory loss. She asks the nurse, "Why am I having all these problems now? I thought life would get easier as I got older." The nurse's response should be guided by what knowledge? The client is an exception; older people usually have less medical and psychosocial issues than when younger. The client is exhibiting signs of acute depression. Older adults experience more medical and psychiatric illnesses. Older adults usually have a low risk for suicide.

Older adults experience more medical and psychiatric illnesses.

An elderly client is cognitively impaired and terminally ill with breast cancer. When asked if she is in pain, she usually denies it by shaking her head, but the nurses note that she lies rigidly in bed and grimaces when she turns from side to side. In an attempt to obtain a more accurate assessment, the nurses might choose to use the Present Pain Intensity Rating Scale. McGill Pain Questionnaire (MPQ). Wong-Baker FACES Scale. Pain Assessment in Advanced Dementia (PAINAD) scale.

Pain Assessment in Advanced Dementia (PAINAD) scale. - evaluates presence and severity of pain in patients with advanced dementia (cannot communicate verbally) - evaluates breathing, negative vocalizations, body language, and consolability - compensates for the client's cognitive status

Institutionalization leads to what specific type of behaviors in adults old enough to have been confined to institutions before deinstitutionalization? Anger and aggression Passivity and dependence Assertiveness and candor Fearfulness and paranoia

Passivity and dependence

The nurse is planning long-term goals for a 17-year-old male client recently diagnosed with schizophrenia. Which statement should serve as the basis for the goal-setting process? If treated quickly following diagnosis, schizophrenia can be cured. Schizophrenia can be managed by receiving treatment only at the time of acute exacerbations. Patients with schizophrenia often do not fully respond to treatment and have residual symptoms and varying degrees of disability. If patients with schizophrenia stay on their drug regimen, they usually lead fully productive lives with no further symptoms.

Patients with schizophrenia often do not fully respond to treatment and have residual symptoms and varying degrees of disability.

A student nurse is working with an 82-year-old patient diagnosed with dementia. The student is frustrated at times by not knowing how best to care for or communicate with the client. Which of the statement by the student best illustrates best care practice? Lighthearted banter: "Carl, you look great today in your new sweater, you handsome devil!" Limit setting: "Carl, you cannot yell out in your room. You are upsetting other patients." Firm direction: "You will take a shower this morning; there is no debating about it so don't try to argue." Positive regard: "Carl, I am glad to be here caring for you today. Let's talk about your plans for the day."

Positive regard: "Carl, I am glad to be here caring for you today. Let's talk about your plans for the day."

Which imaging technique can provide information about brain function? Computed tomography (CT) scan Positron emission tomography (PET) scan Magnetic resonance imaging (MRI) scan Skull radiograph

Positron emission tomography (PET) scan

The term "perceptual disturbance" refers to difficulty in which area of function? Processing information about one's internal and external environment Can be one's way of thinking to accommodate new information Performing purposeful motor movements Formulating words appropriately

Processing information about one's internal and external environment

Under the Patient Self-Determination Act of 1990, what is the nurse's responsibility when a client is admitted to a long-term care facility? Explain advance directives and the agency expectation that the client will formulate such directives within 24 hours after admission. Provide written materials concerning the client's rights to make decisions about medical care and to formulate advance directives and also ask whether the client has an advance directive. Offer to act as the client's health care proxy for as long as he or she is a resident at the facility. Ask the client to explain the end-of-life choices he or she has made and document these in the nursing progress notes.

Provide written materials concerning the client's rights to make decisions about medical care and to formulate advance directives and also ask whether the client has an advance directive.

The most common course of schizophrenia is an initial episode followed by what course of events? Recurrent acute exacerbations and deterioration Recurrent acute exacerbations Continuous deterioration Complete recovery

Recurrent acute exacerbations and deterioration

The incoherent thought and speech patterns of the client diagnosed with schizophrenia are related to the brain's inability to perform which function? Regulate conscious mental activity. Retain and recall past experience. Regulate social behavior. Maintain homeostasis.

Regulate conscious mental activity.

The nurse working with a client diagnosed with severe and persistent mental illness will implement rehabilitation principles by concentrating on which intervention? Assessment on the client's deficits Reinforcing the client's strengths Reviewing earlier treatment plans for errors Considering the need to lower expectations periodically

Reinforcing the client's strengths

A client reports to the nurse that once he is released he will make sure his wife will never again be able to have him committed to a psychiatric hospital. What action should the nurse take? None, because no explicit threat has been made. Ask the client if he is threatening his wife. Call the client's wife and report the threat. Report the incident to the client's therapist.

Report the incident to the client's therapist.

Which right of the client has been violated if he is medicated without being asked for his permission? Right to dignity and respect Right to treatment Right to informed consent Right to refuse treatment

Right to informed consent

A teenaged client is being discharged from the psychiatric unit with a prescription for risperidone. The nurse providing medication teaching to the client's mother should provide which response when asked about the risk her son faces for extrapyramidal side effects (EPSs)? All antipsychotic medications have an equal chance of producing EPSs. Newer antipsychotic medications have a higher risk for EPSs. Risperidone is a newer antipsychotic medication and has a lower risk of EPSs than older antipsychotics. Advise the mother to ask the provider to change the medication to clozapine instead of risperidone.

Risperidone is a newer antipsychotic medication and has a lower risk of EPSs than older antipsychotics.

An issue for severely and persistently mentally ill clients living in the community is inadequate long-term medication monitoring by community mental health workers. What is a remedy for this problem? Discontinue antipsychotics that cause untoward side effects. Develop tools to predict relapse and assess the potential for violence. Shift follow-up from social workers to the ACT model. Use client empowerment techniques to increase client autonomy.

Shift follow-up from social workers to the ACT model.

A client diagnosed with a severe and persistent mental illness tells the case manager, "I think people are laughing at me behind my back. I get real upset and anxious when I have to be around others in the group home. It's better when I just stay by myself." The nurse should consider which nursing diagnosis to address the client's concerns? Acute confusion Social isolation Risk for activity intolerance Impaired comfort

Social isolation

Ageism is best explained as what? A prominent personality disorganization after the age of 65 A learned helplessness among elderly clients The discrimination against the elderly on the basis of age The behaviors of elderly persons that serve as barriers to health

The discrimination against the elderly on the basis of age

A client has reached the stable plateau phase of schizophrenia. What is the appropriate clinical planning focus for this client? Safety and crisis intervention Acute symptom stabilization Stress and vulnerability assessment Social, vocational, and self-care skills

Social, vocational, and self-care skills

A client who lives with an adult child is quite self-sufficient but tells the community health nurse that "it gets lonely being by myself so much of the time with only the television set for company." What suggestion should the nurse make to address the client's need for socialization? Have the neighborhood watch visit once daily. Spend time at the local senior's center three times a week. Attend an adult day health program daily. Attend a maintenance day care program daily.

Spend time at the local senior's center three times a week.

A nurse planning continuing education programs for nursing staff members at a multipurpose senior center will plan programs based on the knowledge that which mental health problem is most common among the elderly? Schizophrenia Agoraphobia Obsessive-compulsive disorder Suicidal ideation

Suicidal ideation

Severely mentally ill (SMI) clients often express a strong desire to be employed. According to the evidence-based research, what is the most effective model of employment for these clients? Vocational rehabilitation Productive employment A placement program of rehabilitation Supported employment

Supported employment

Tara and Aaron are twins who are both diagnosed with schizophrenia. Aaron was diagnosed at 23 years old and Tara at 31 years old. Based on your knowledge of early and late onset of schizophrenia, which of the following is true? Tara and Aaron have the same expectation of a poor long-term prognosis. Tara will experience more positive signs of schizophrenia such as hallucinations. Aaron will be more likely to hold a job and live a productive life. Tara has a better chance for positive outcomes because of later onset.

Tara has a better chance for positive outcomes because of later onset.

Which side effect of antipsychotic medication is generally nonreversible? Anticholinergic effects Pseudoparkinsonism Dystonic reaction Tardive dyskinesia

Tardive dyskinesia

Which nursing intervention is designed to help a schizophrenic client minimize the occurrence of a relapse? Schedule the client to attend group therapy that includes those who have relapsed. Teach the client and family about behaviors associated with relapse. Remind the client of the need to return for periodic blood draws to minimize the risk for Relapse. Help the client and family adapt to the stigma of chronic mental illness and periodic relapses.

Teach the client and family about behaviors associated with relapse.

Homeostasis is promoted by interaction between the brain and internal organs and is mediated by component of the nervous system? The central nervous system The autonomic nervous system The sympathetic nervous system The parasympathetic nervous system

The autonomic nervous system

What assumption can be made about the client who has been admitted on an involuntary basis? The client can be discharged from the unit on demand of next of kin. For the first 48 hours, the client can be given medication over objection. The client has failed to agree to fully participate in treatment and care planning. The client is a danger to self or others or unable to meet basic needs. The commitment was court ordered.

The client has failed to agree to fully participate in treatment and care planning. The client is a danger to self or others or unable to meet basic needs. The commitment was court ordered.

When considering client rights, which client can be legally medicated against his or her wishes? The client has accepted the medication in the past. The client may cause imminent harm to himself or others. The client's primary provider orders the medication. The client's mental illness may relate to cognitive impairment.

The client may cause imminent harm to himself or others.

When considering the civil rights of persons diagnosed with mental illness and hospitalized for treatment, which statement is true? They are assured the same as those for any other citizen. Their rights are altered to prevent use of poor judgment. Their rights are always ensured by appointment of a guardian. Their rights are limited to provision of humane treatment.

They are assured the same as those for any other citizen.

Which statement about the adequacy of pain management in the elderly is supported by current research? They receive less analgesia than younger adults, which makes pain relief inadequate. They need smaller doses of pain medication to achieve adequate pain relief. They excrete analgesics more rapidly and therefore need more frequent doses. They respond better to meperidine than to morphine sulfate when opiates are necessary.

They receive less analgesia than younger adults, which makes pain relief inadequate.

The nurse reads the medical record and learns that a client has asked for treatment, agreed to receive treatment, and to abide by hospital rules. The nurse may correctly assume that the client has met the criteria for which type of admission? Outpatient Emergency Voluntarily Involuntarily

Voluntarily

Which event would an older client diagnosed with early stage Alzheimer's disease have greatest difficulty remembering? His or her high school graduation The births of his or her children The story of a teenage escapade What he or she ate for breakfast

What he or she ate for breakfast

What nursing action supports a client's right to autonomy? Spending time with an extremely anxious client Witnessing the informed consent for electroconvulsive therapy from a client Spending equal amount of one-on-one time with each client on the unit Attending an inservice on a newly approved medication

Witnessing the informed consent for electroconvulsive therapy from a client

A client diagnosed with paranoid schizophrenia tells the nurse, "I have to get away. The volmers are coming to execute me." The term "volmers" can be assessed as a neologism. clang association. blocking. a delusion.

a neologism.

A nursing diagnosis appropriate for a client with Alzheimer's disease, regardless of the stage, would be risk for injury. acute confusion. imbalanced nutrition. impaired environmental interpretation syndrome.

risk for injury.

The purpose of the Abnormal Involuntary Movement Scale (AIMS) assessment on a persistently mentally ill client who has been diagnosed with schizophrenia is early detection of acute dystonia. tardive dyskinesia. cholestatic jaundice. pseudoparkinsonism.

tardive dyskinesia.