Psych Exam 2

A nurse is assessing a child who is suspected of having autism spectrum disorder. Which area would be critical to assess? (Select all that apply.) Behavior Mobility Communication Nutrition Flexibility

Behavior, Communication, Flexibility

Which refers to the anatomic and physiologic state of being male or female? Gender identity Biosexual identity Sexual orientation Sex role identity

Biosexual identity

A client is undergoing treatment of erectile dysfunction using intracavernosal therapy. When educating the client on this therapy, the nurse would include which as a possible complication? (Select all that apply.) Bleeding Hypotension Priapism Chest pain Scarring

Bleeding, Priapism, Scarring

Which the following are criteria for hospitalization of clients with eating disorders? (Select all that apply.) Blood pressure less than 80/50 mm Hg Hypomagnesemia Poor motivation to recover Hypokalemia Heart rate near 40 beats/min

Blood pressure less than 80/50 mm Hg Hypomagnesemia Poor motivation to recover Hypokalemia Heart rate near 40 beats/min

Which of the following is a cardiac complication of an eating disorder? Hypertension Enlarged heart Bradycardia Thrombocytopenia

Bradycardia

A client is brought to the emergency department by a friend who tells the staff that the client may have overdosed on cocaine. Which findings would help support this suspicion? (Select all that apply.) Chest pain Respiratory depression Nystagmus Seizures Cardiac arrhythmia

Chest pain, Respiratory depression, Seizures, Cardiac arrhythmia

A client with somatic symptom disorder exhibits significant anxiety and fear related to their symptoms and illness. Which of the following would the nurse expect to be included as part of the client's interdisciplinary treatment plan? (Select all that apply.) Electroconvulsive therapy Antipsychotic therapy Cognitive behavioral therapy Stress management Group interventions

Cognitive behavioral therapy Stress management Group interventions

Historically, which of the following was the most widely accepted theory about anorexia nervosa? Conflicts of separation--individuation and autonomy Changes in the structure of the brain Reduction in brain-derived neurotrophic factor (BDNF) Learned behavior from internalized peer pressure

Conflicts of separation--individuation and autonomy

A client is telling the nurse about repeated frightening dreams that he has been having and that have awakened him from his sleep. When assessing this complaint further, which of the following would the client most likely report? Inability to recall specific details of the dream Continued sense of fear after awakening Ability to return to sleep with relative ease Some drowsiness and confusion upon awakening

Continued sense of fear after awakening

Individuals with anorexia nervosa concentrate on which of the following body cues? Hunger Weakness Controlling food intake Anxiety

Controlling food intake

A nurse is developing a presentation for an adolescent community group on mental health and illness, focusing on mood disorders. Which would the nurse include as a major mental health issue in adolescents? Depression Dysthymia Bipolar II Bipolar I

Depression

Which are parental disorders associated with the development of separation anxiety in the child? Depression Mania Schizophrenia Attention deficit hyperactivity disorder (ADHD)

Depression

Which of the following would be most important for the nurse to do when caring for a client with somatic symptom disorder? Administer prescribed pharmacotherapy Develop a sound, positive nurse--client relationship Assist in developing a daily routine Ensure adherence to counseling

Develop a sound, positive nurse--client relationship

Which medication is classified as a benzodiazepine? Disulfiram Diazepam Naltrexone Haloperidol

Diazepam

A client with an eating disorder states, "I've gained 2 pounds, so soon I'll be up by 100 pounds." The nurse interprets this as which of the following? Magnification Catastrophizing Selective abstraction Dichotomous thinking

Dichotomous thinking

Which neurotransmitter is responsible for arousal and ejaculation in men? Serotonin Acetylcholine Dopamine Epinephrine

Dopamine

The nurse is caring for a child receiving a psychostimulant medication for treatment of attention deficit hyperactivity disorder (ADHD). Psychostimulants enhance which neurotransmitters in the brain? (Select all that apply.) Acetylcholine Dopamine Serotonin Epinephrine Norepinephrine

Dopamine, Norepinephrine

Clients diagnosed with anorexia nervosa undergo an intense physical and emotional process that overrides all physiologic body cues. This would be documented as which of the following? Interoceptive awareness Drive for thinness Perfectionism Body image distortion

Drive for thinness

A client diagnosed with Tourette disorder may be prescribed an antipsychotic medication. Which are common side effects of this medication classification? (Select all that apply.) Dulled thinking Hyperalertness Muscle stiffness Akathisia Weight loss

Dulled thinking, Muscle stiffness, Akathisia

Which substance is most often abused in the United States? Marijuana Alcohol Benzodiazepines Cocaine

ETOH

A child is diagnosed with encopresis. Which is important for the nurse to do first? Assist child in learning to strengthen the muscles involved. Initiate a bowel retraining program. Educate the parents and child about normal bowel function. Encourage the parents to verbalize their anger about the situation.

Educate the parents and child about normal bowel function.

Which would a nurse identify as an age-related sexual change in men? (Select all that apply.) Seminal fluid becomes thickened Ejaculatory force is decreased Spermatogenesis decreases Ejaculation time decreases Erections can be sustained for a shorter duration

Ejaculatory force is decreased, Spermatogenesis decreases

A client diagnosed with anorexia nervosa has difficulty regulating expression of feelings. The nurse identifies this as an issue related to which concern? Body image distortion Perfectionism Drive for thinness Emotional dysregulation

Emotional dysregulation

Which of the following is the primary symptom to occur in narcolepsy? Hallucinations Excessive sleepiness Sleep paralysis Night terrors

Excessive sleepiness

Which phase of the human sexual response cycle leads to vaginal lubrication in women? Orgasm Resolution Excitement Plateau

Excitement

A client is diagnosed with anorexia nervosa, restricting type. The nurse interprets this as indicating the use of which of the following? (Select all that apply.) Diuretics Enemas Exercising Dieting Laxatives

Exercising, Dieting

A group of nursing students is reviewing information about somatic symptom and related mental health disorders. The students demonstrate understanding of the information when they identify which disorder as involving physical or psychological symptoms (or both) fabricated to assume the sick role? Alexithymia Factitious disorder Conversion disorder Illness anxiety disorder

Factitious disorder

In which disorder is the individual motivated solely by the desire to become a health care client? Conversion disorder Somatic symptom disorder Factitious disorder Illness-related disorder

Factitious disorder

Which of the following are examples of paraphilias? (Select all that apply.) Fetishism Voyeurism Sexual masochism Pedophilia Bisexualism

Fetishism, Voyeurism, Sexual masochism, Pedophilia

The parents of a child diagnosed with ADHD ask the nurse about the Restricted Elimination Diet. When describing this diet, which would the nurse include as being allowed? (Select all that apply.) Fish Nuts Gluten-free grains Limited water Beef Milk

Fish, Nuts, Gluten-free grains

When describing the underlying psychological theories associated with somatization, which of the following would the nurse include? More acceptable means to express behavior Evidence of chaos in the family Failure of the sensory gating mechanism Form of social or emotional communication

Form of social or emotional communication

The nurse is caring for a client who uses phencyclidine (PCP). PCP is classified as which type of substance? Inhalant Cannabis Opioid Hallucinogen

Hallucinogen

Which of the following is a laboratory finding in anorexia nervosa? Leukocytosis Hypercholesterolemia Hypocarotenemia Respiratory alkalosis

Hypercholesterolemia

A client is prescribed phenelzine. The nurse is educating the client on avoiding foods containing tyramine to prevent which of the following? Hypoglycemia Seizures Hypertensive crisis Oversedation

Hypertensive crisis

During a client interview, the nurse determines that the client has a fear of developing a serious illness based on a misinterpretation of body sensation. The nurse identifies this as being characteristic of which of the following? Conversion disorder Illness anxiety disorder Alexithymia Factitious disorder

Illness anxiety disorder

A client is brought to the emergency department following a car accident. The client's blood alcohol level (BAL) was 0.10%. Which symptom would the client likely exhibit? Emotional lability Impaired coordination Lack of muscle control Giddiness

Impaired coordination

A nurse is assessing a client who is suspected of having conversion disorder. Which of the following would the nurse expect to assess? (Select all that apply.) Impaired coordination Diarrhea Difficulty swallowing Enhanced touch sensation Urinary frequency Aphonia

Impaired coordination, Difficulty swallowing, Aphonia

A client has a blood alcohol level of 0.05%. The nurse expects which behavior to occur? Coma Difficulty driving Impaired judgment Stupor

Impaired judgment

Disulfiram has which effect on prothrombin time? No effect Increase Decrease

Increase

Which of the following statements about sleepwalking is most accurate? Individuals who are sleepwalking are typically confused if awakened Sleepwalking is usually treated through pharmacotherapy The disorder is commonly linked to substance abuse Sleepwalking is an indicator of a more serious psychiatric--mental health disorder

Individuals who are sleepwalking are typically confused if awakened

A nurse is conducting an in-service presentation for a group of newly-hired mental health nurses. Which of the following would the nurse most likely include when describing conversion disorder (functional neurologic symptom disorder)? The symptoms follow a typical neurologic pattern. Symptoms expressed reflect a neurologic illness. Laboratory and diagnostic test results are usually negative. The client's complaints are not real.

Laboratory and diagnostic test results are usually negative.

Which hematologic complications are associated with alcohol abuse? (Select all that apply.) Ulcers Pancreatitis Leukemia Anemia Hematomas

Leukemia Anemia Hematomas

Which of the following treatments would most likely be used for a client with a factitious disorder? Inpatient hospitalization Long-term psychotherapy Group therapy Short-term psychotherapy

Long-term psychotherapy

A nurse is working with a client to develop appropriate sleep hygiene measures. Which of the following would the nurse encourage the client to do? (Select all that apply.) Maintain a regular time for going to bed and arising. Take short 15-minute naps throughout the day. Avoid caffeine intake after dinner. Keep the room cool with minimal light. Create a relaxing routine to prepare for sleep.

Maintain a regular time for going to bed and arising., Keep the room cool with minimal light., Create a relaxing routine to prepare for sleep.

Which of the following occurs when an individual intentionally produces illness symptoms to avoid work? Illness anxiety disorder Conversion disorder Alexithymia Malingering

Malingering

A client is experiencing severe alcohol withdrawal. Which effects would the nurse most likely assess? (Select all that apply.) Visible tremors Increased appetite Marked diaphoresis Heart rate around 100 beats/min Auditory hallucinations

Marked diaphoresis, Auditory hallucinations

Factitious disorder imposed on another is commonly inflicted by which family member upon a child? Grandparent Father Mother Sibling

Mother

A nurse is reading a journal article about children and somatic symptom disorder. Which of the following would the nurse expect to find as the most common symptoms reported by children with this disorder? (Select all that apply.) Nausea Headache Tingling in the hands Abdominal pain Diarrhea Fatigue

Nausea, Headache, Abdominal pain, Fatigue

A child is diagnosed with Tourette disorder. The nurse understands that which most commonly occurs with this disorder? Communication disorder Intellectual disability Obsessive--compulsive disorder ADHD

OCD

Individuals with anorexia often experience comorbid conditions. Which of the following would be most common? (Select all that apply.) Factitious disorder Obsessive--compulsive disorder Depression Panic disorder Somatic symptom disorder

Obsessive--compulsive disorder, Depression, Panic disorder

When educating a client on insomnia, which of the following would the nurse include? More men than women have problems with insomnia. Most individuals with insomnia have a psychiatric disorder. One of the major reasons for insomnia is depression. Increasing age is a factor that helps reduce the risk for insomnia.

One of the major reasons for insomnia is depression.

The diagnostic criteria for erectile dysfunction require that the condition be present for which time frame? About 1 month Over 6 months More than 3 months At least 1 year

Over 6 months

After educating a group of nursing students on somatic symptom disorder, the instructor determines that the education was successful when the group identifies which of the following as the most common problem? Paresthesias in the extremities Pain Muscle weakness Nausea

Pain

Which are risk factors for female orgasmic disorder? (Select all that apply.) Personality characteristics Age Poor mental health Poor physical health Relationship issues

Poor mental health Poor physical health Relationship issues

A client is prescribed a melatonin receptor agonist to treat her insomnia. The nurse would identify which drug as being prescribed? Zolpidem Ramelteon Triazolam Eszopiclone

Ramelteon

During which phase of the human sexual response cycle does the body return to the nonaroused state? Resolution Excitement Orgasm Plateau

Resolution

Which effects cause the nurse to suspect alcohol withdrawal syndrome? (Select all that apply.) Seizures Delirium tremens Increased temperature Decreased blood pressure Tremors

Seizures, Delirium tremens, Increased temperature, Tremors

People diagnosed with bulimia nervosa have lower levels of which neurotransmitter? Dopamine Acetylcholine Norepinephrine Serotonin

Serotonin

Which paraphilia might include the act of using electrical shock to make a person suffer? Pedophilia Exhibitionism Sexual masochism Fetishism

Sexual masochism

nursing student is reviewing information about sexual maturation. The student demonstrates understanding of the concept when identifying which as a component? (Select all that apply.) Sexual orientation Orgasm Gender Biosexual identity Gender role Gender identity

Sexual orientation, Biosexual identity, Gender role, Gender identity

Which of the following assessment areas should be included in a sleep history? (Select all that apply.) Sleep hygiene Difficulty falling asleep or maintaining sleep Sleep environment Perception of sleep problem Quality of sleep

Sleep hygiene, Difficulty falling asleep or maintaining sleep, Sleep environment, Perception of sleep problem, Quality of sleep

A nurse is assessing a client who is suspected of having hypersomnolence. Which of the following would the nurse expect to find? (Select all that apply.) Nighttime sleep lasting 4 to 6 hours Sleep inertia Difficulty awakening in the morning Breathing difficulties Functional impairment

Sleep inertia, Difficulty awakening in the morning, Functional impairment

An adolescent experiencing severe abdominal pain after their parents' argument is an example of which of the following? Somatization Bipolar disorder Schizophrenia Depression

Somatization

A client with insomnia is instructed to avoid watching television and refraining from doing anything in the bedroom except sleep. Which intervention is being used? Stimulus control Relaxation training Sleep restriction Cognitive behavioral therapy

Stimulus control

Fluoxetine includes a black box warning concerning which of the following? Suicidality in children and adolescents Renal failure Stroke Myocardial infarction

Suicidality in children and adolescents

Which of the following is the leading cause of death in clients diagnosed with anorexia nervosa? Respiratory failure Suicide Renal failure Myocardial infarction

Suicide

A client has been diagnosed with erectile dysfunction. The nurse would expect the client to be placed on which medication? Sertraline Fluoxetine Tadalafil Paroxetine

Tadalafil

Which of the following statements about somatic symptom disorder is most accurate? The disorder is manifested differently in different populations. The disorder is usually diagnosed during middle age. The disorder is rare in most populations. Symptoms of the disorder in children usually involve joint pain.

The disorder is manifested differently in different populations.

After teaching a community group about the different approaches used to treat chemical dependence, the nurse determines that the education was successful when the group identifies which concept as associated with the social approach? The dependence is viewed as a symptom of an underlying emotional problem. The person is considered weak and unable to say no. The person is viewed as emotionally disturbed. The environment, not the person, is responsible.

The environment, not the person, is responsible.

A client is prescribed naltrexone as part of the treatment plan for alcohol and opioid abuse. When developing an education plan for the client about this drug, which information would the nurse need to keep in mind? A naloxone challenge test will be needed within 2 weeks of starting the drug. The individual should be free of opioids for at least 1 week. The client will most likely report complaints of a metallic aftertaste. Using small doses of heroin can lead to coma and death.

The individual should be free of opioids for at least 1 week.

Which is an accurate statement regarding Tourette disorder? Tics are more frequent at school than at home. Tics cannot be suppressed. The disorder worsens in early adulthood. There are no diagnostic tests used for this disorder.

There are no diagnostic tests used for this disorder.

Wernicke encephalopathy is a degenerative brain disorder characterized by which type of deficiency? Vitamin D Vitamin C Vitamin A Thiamine

Thiamine

Which reflects an age-related sexual system change in women? (Select all that apply.) Thinning of the vaginal mucosa Increasing orgasmic force Decreased orgasmic capacity Increasing breast involution Increased breast response to stimulation

Thinning of the vaginal mucosa, Increasing breast involution

While interviewing a child, the nurse notes phonic tics. Which of the following might the nurse assess? (Select all that apply.) Throat clearing Grunting Facial grimacing Jerking of the shoulders Voicing of obscenities

Throat clearing, Grunting, Voicing of obscenities

A child is diagnosed with obsessive--compulsive disorder. When reviewing the child's medical record, which would the nurse most suspect as possibly being present? (Select all that apply.) Personality disorder Tic disorder Somatic symptom disorder Mood disorder Anxiety disorder

Tic disorder, Mood disorder, Anxiety disorder

What term refers to the ability to ingest an increasing amount of alcohol before experiencing a "high" and showing effects on cognitive and motor skills?

Tolerance

A client is prescribed phenelzine for treatment of somatic symptom disorder. The nurse would instruct the client to avoid foods high in which of the following to avoid hypertensive crisis? Potassium Tyramine Magnesium Calcium

Tyramine

A nurse is reviewing the medication history of a client diagnosed with erectile dysfunction who is being treated with a PDE5 inhibitor. Which would the nurse note in the client's history? (Select all that apply.) Phentolamine mesylate Alprostadil Vardenafil Avanafil Papaverine hydrochloride

Vardenafil Avanafil

A client is diagnosed with Korsakoff amnestic syndrome. Which symptoms would the nurse likely assess? (Select all that apply.) Vision impairment Confabulation Attention deficit Diaphoresis Hypertension

Vision impairment Confabulation Attention deficit

A client reports a decrease in vaginal lubrication during sexual intercourse. Which of the following would be appropriate for the nurse to suggest to the client? Vinegar douche Kegel exercises Petroleum jelly Water-soluble lubricant

Water-soluble lubricant

When describing the epidemiology of somatic symptom disorder, the nurse would identify which of the following groups of individuals as being most commonly affected? (Select all that apply.) Men with lower education Men with aggressive personality traits White men Women with high emotional distress Women of lower socioeconomic status

Women with high emotional distress Women of lower socioeconomic status

When describing the behaviors and fantasies associated with paraphilias, the nurse identifies these as beginning at which time? Childhood Middle-age Adolescence Early young adulthood

childhood

The client is a single man age 36 years. He is speaking with the office nurse, reporting an inability to attain or maintain an erection. Which response would be the most therapeutic? "Don't worry about this. There are many men who go through phases of not being able to maintain an erection, which are usually short-lived." "You may have sexual aversion disorder. Have you noticed you have anxiety when you are with your partner in an intimate situation?" "Thank you for sharing this concern with me. There are many possible reasons for your problem, which I encourage you to discuss with the physician. It may be treatable with medications or other therapies." "You might have hypoactive sexual disorder. Several medications may be helpful to you."

"Thank you for sharing this concern with me. There are many possible reasons for your problem, which I encourage you to discuss with the physician. It may be treatable with medications or other therapies."

A woman diagnosed with a sexual arousal disorder asks the nurse, "Why can't I just take the drug men use for erectile dysfunction?" Which response by the nurse would be appropriate? "Women have too many side effects with these medications." "These drugs are manufactured for men, not women." "These medications have not been shown to be effective in women." "Women don't absorb the medication as fully as men do."

"These medications have not been shown to be effective in women."

A child with ADHD is prescribed methylphenidate. The mother reports that the child is having trouble sleeping. When assessing this concern, which question would be most appropriate for the nurse to ask? "When does he take the last dose of medication?" "Are you crushing the sustained release tablet?" "Is he having any other concerns?" "Is he taking any over-the-counter medications?"

"When does he take the last dose of medication?"

Disulfiram should not be administered until the client has abstained from alcohol for at least how long? 12 hours 16 hours 8 hours 4 hours

12 hours

In a person who abuses alcohol or is a chronic drinker, the alcohol withdrawal syndrome usually begins within which time frame from abrupt discontinuation or attempt to decrease consumption? 18 hours 48 hours 12 hours 24 hours

12 hours

The body can metabolize how much beer per hour without intoxication? 16 oz 28 oz 14 oz 12 oz

12oz

An individual with which body mass index (BMI) would be classified as having mild anorexia nervosa? 15.4 kg/m2 20 kg/m2 17.4 kg/m2 16.2 kg/m2

17.4 kg/m2

A nurse is preparing a discussion about sleep for a senior adult community group. When talking about the usual number of hours of sleep individuals get per night, which amount would the nurse most likely include? 5--5.5 hours/night 8--8.5 hours/night 4--5 hours/night 6--6.5 hours/night

6--6.5 hours/night

At which age would a nurse expect that separation anxiety disorder would initially occur? 3--4 years 5--6 years 10--12 years 7--9 years

7--9 years

When describing intellectual disability to a group of parents, the nurse would identify which of the following intelligent quotients (or less) as the usual threshold? 50 80 70 60

70

Which is an age-related change noted in older men? Ability to sustain longer erections Testicles enlarge Force of ejaculation increases Spermatogenesis increases

Ability to sustain longer erections

Which of the following should be included in the client teaching plan to promote good sleep habits? (Select all that apply.) Abstain from alcohol. Exercise regularly. Provide a comfortable environment. Refrain from caffeine after midafternoon. Take naps

Abstain from alcohol., Exercise regularly., Provide a comfortable environment., Refrain from caffeine after midafternoon.

A nurse is working with a client diagnosed with factitious disorder. Which of the following is most important for the client to do first when beginning treatment? Identify the behavior Develop an alternative response Understand the underlying issues Acknowledge the deception

Acknowledge the deception

Which of the following are examples of practical skills within the context of adaptive behavior? (Select all that apply.) Activities of daily living Self-esteem Travel Health care Ability to follow rules

Activities of daily living, Travel, Health care

Which should be included in the education plan for a client receiving methylphenidate? There is no risk of dependence. The medication is usually taken after 5 PM. Adverse effects include hypertension and nervousness. Alcohol may be used in moderation.

Adverse effects include hypertension and nervousness.

Which of the following medications decreases rapid eye movement (REM) sleep? (Select all that apply.) Alcohol Benzodiazepines Antidepressants Barbiturates Amphetamines

Alcohol, Benzodiazepines, Antidepressants, Barbiturates, Amphetamines

Fluoxetine has been approved for the treatment of anorexia nervosa. Fluoxetine is from which of the following drug classifications? Antimanic Antiparkinsonian Antianxiety Antidepressant

Antidepressant

Which of the following should be included in the education plan for a client diagnosed with anorexia nervosa? (Select all that apply.) Assertiveness Isometric exercise Limit setting Realistic goal setting Hydration

Assertiveness, Limit setting, Realistic goal setting, Hydration