Psych Final Study questions
During an initial assessment of a client admitted to a substance abuse unit for detoxification and treatment, the nurse asks questions to determine patterns of use of substances. Which of the following questions are most appropriate at this time? Select all that apply. A. How long have you used substances? B. How often do you use substances? C. How do you get substances into your body? D. Do you feel bad or guilty about your use of substances? E. How much of each substance do you use? F. Have you ever felt you should cut down substance use? G. What substances do you use?
A, B, C, E, G A. How long have you used substances? B. How often do you use substances? C. How do you get substances into your body? E. How much of each substance do you use? G. What substances do you use?
Alfred was newly diagnosed with anxiety disorder. The physician prescribed buspirone (BuSpar). The nurse is aware that the teaching instructions for newly prescribed buspirone should include which of the following?
A. A warning about the drugs delayed therapeutic effect, which is from 14 to 30 days.
The nurse is aware that the outcome criteria would be appropriate for a child diagnosed with oppositional defiant disorder?
A. Accept responsibility for own behaviors Children with oppositional defiant disorder frequently violate the rights of others. They are defiant, disobedient, and blame others for their actions. Accountability for their actions would demonstrate progress for the oppositional child.
A client with obsessive-compulsive disorder is hospitalized on an inpatient unit. Which nursing response is most therapeutic?
A. Accepting the client's obsessive-compulsive behaviors A client with obsessive-compulsive behavior uses this behavior to decrease anxiety. Accepting this behavior as the client's attempt to feel secure is therapeutic.
The community nurse practicing primary prevention of alcohol abuse would target which groups for educational efforts? A. Adolescents in their late teens and young adults in their early twenties B. Elderly men who live in retirement communities C. Women working in careers outside the home D. Women working in the home
A. Adolescents in their late teens and young adults in their early twenties High-risk groups for alcohol abuse include individuals between ages 18 and 25 and the unemployed.
A male client is being treated for alcoholism. After a family meeting, the client's spouse asks the nurse about ways to help the family deal with the effects of alcoholism. Nurse Lily should suggest that the family join which organization?
A. Al-Anon Al-Anon is an organization that assists family members to share common experiences and increase their understanding of alcoholism.
Which medications have been found to help reduce or eliminate panic attacks? A. Antidepressants B. Anticholinergics C. Antipsychotics D. Mood stabilizers
A. Antidepressants
The newly hired nurse is assessing a client who abuses barbiturates and benzodiazepine. The nurse would observe for evidence of which withdrawal symptoms? A. Anxiety, tremors, and tachycardia B. Respiratory depression, stupor, and bradycardia C. Muscle aches, cramps, and lacrimation D. Paranoia, depression, and agitation
A. Anxiety, tremors, and tachycardia Barbiturates and benzodiazepine are CNS depressants; therefore, withdrawal symptoms are related to CNS stimulation caused by the rebounding of neurotransmitters (norepinephrine). Symptoms include increased anxiety, tremors, and vital sign changes (such as tachycardia and hypertension).
Alexi who has separation anxiety disorder has not attended school for three (3) weeks, and she cries and exhibits clinging behaviors when her mother encourages attendance. The priority nursing action by the home-care psychiatric nurse would be to:
A. Assist the child to return to school immediately with family support. When a child refuses to attend school as part of separation anxiety disorder, it is important to avoid reinforcing this behavior. The nurse's priority would be to assist the child in returning to school immediately with support from the family.
Nurse Lynnette notices that a female client with obsessive-compulsive disorder washes her hands for long periods each day. How should the nurse respond to this compulsive behavior?
A. By designating times during which the client can focus on the behavior. The nurse should designate times during which the client can focus on the compulsive behavior or obsessive thoughts.
The client admitted for alcohol detoxification develops increased tremors, irritability, hypertension, and fever. The nurse should be alert for impending:
A. Delirium tremens Delirium Tremens is the most extreme central nervous system irritability due to withdrawal from alcohol.
Nurse John is aware that a serious effect of inhaling cocaine is? A. Deterioration of nasal septum B. Acute fluid and electrolyte imbalances C. Extrapyramidal tract symptoms D. Esophageal varices
A. Deterioration of nasal septum Cocaine is a chemical that when inhaled, causes destruction of the mucous membranes of the nose.
When developing a plan of care for a female client with acute stress disorder who lost her sister in a car accident. Which of the following would the nurse expect to initiate?
A. Facilitating progressive review of the accident and its consequences
Nurse Bella is aware that assessment finding is most consistent with early alcohol withdrawal?
A. Heart rate of 120 to 140 beats/minute Tachycardia, a heart rate of 120 to 140 beats/minute, is a common sign of alcohol withdrawl
A client is admitted to the psychiatric unit with a diagnosis of alcohol intoxication and suspected alcohol dependence. Other assessment findings include an enlarged liver, jaundice, lethargy, and rambling, incoherent speech. No other information about the client is available. After the nurse completes the initial assessment, what is the first priority? A. Instituting seizure precautions, obtaining frequent vital signs, and recording fluid intake and output B. Checking the client's medical records for health history information C. Attempting to contact the client's family to obtain more information about the client D. Restricting fluids and leaving the client alone to "sleep off" the episode
A. Instituting seizure precautions, obtaining frequent vital signs, and recording fluid intake and output A nurse who lacks adequate information to determine which level of care a client requires must take all possible precautions to ensure the client's physical safety and prevent complications. To do otherwise could place the client at risk for potential complications. Options B and C: After taking all possible precautions, the nurse can begin seeking health history information and, as needed, modify the plan of care. Option D: Fluids are typically increased unless contraindicated by a preexisting medical condition.
Nurse Tiffany reinforces the behavioral contract for a child having difficulty controlling aggressive behaviors on the psychiatric unit. Which of the following is the best rationale for this method of treatment? A. It will assist the child to develop more adaptive coping methods. B. It will avoid having the nurse be responsible for setting the rules. C. It will maintain the nurse's role in controlling the child's behavior. D. It will prevent the child from manipulating the nurse.
A. It will assist the child to develop more adaptive coping methods. Behavioral therapy is employed for the purpose of developing adaptive behavior that will improve coping. The nurse works to enhance the child's self-functioning and responsibility for his own behavior using appropriate means to develop better coping
The care for the client experiencing alcohol withdrawal places priority on which of the following:
A. Monitoring his vital signs every hour Pulse and blood pressure are usually elevated during withdrawal; Elevation may indicate impending delirium tremens.
Nurse John recognizes that paranoid delusions usually are related to the defense mechanism of:
A. Projection Projection is a mechanism in which inner thoughts and feelings are projected onto the environment, seeming to come from outside the self rather than from within.
An attorney who throws books and furniture around the office after losing a case is referred to the psychiatric nurse in the law firm's employee assistance program. The nurse knows that the client's behavior most likely represents the use of which defense mechanism?
A. Regression An adult who throws temper tantrums, such as this one, is displaying regressive behavior, or behavior that is appropriate at a younger age.
After administering naloxone (Narcan), an opioid antagonist, Nurse Ronald should monitor the female client carefully for which of the following?
A. Respiratory depression After administering naloxone (Narcan) the nurse should monitor the client's respiratory status carefully, because the drug is short acting & respiratory depression may recur after its effects wear off.
Initial interventions for Marco with acute anxiety include all except which of the following? A. Touching the client in an attempt to comfort him B. Approaching the client in calm, confident manner C. Encouraging the client to verbalize feelings and concerns D. Providing the client with a safe, quiet and private place
A. Touching the client in an attempt to comfort him The emergency nurse must establish rapport and trust with the anxious client before using therapeutic touch. Touching an anxious client may actually increase anxiety.
Situation: A nurse may encounter children with mental disorders. Her knowledge of these various disorders is vital. When planning school interventions for a child with a diagnosis of attention deficit hyperactivity disorder, a guide to remember is to:
A. provide as much structure as possible for the child Decrease stimuli for behavior control thru an environment that is free of distractions, a calm non-confrontational approach and setting limit to time allotted for activities.
A client is admitted for an overdose of amphetamines. When assessing this client, the nurse should expect to see: A. tension and irritability. B. slow pulse. C. hypotension. D. constipation.
A. tension and irritability. An amphetamine is a nervous system stimulant that is subject to abuse because of its ability to produce wakefulness and euphoria. An overdose increases tension and irritability.
The psychiatric nurse uses cognitive-behavioral techniques when working with a client who experiences panic attacks. Which of the following techniques are common to this theoretical framework? (Select all that apply.) A. Administering anti-anxiety medication as prescribed B. Encouraging the client to restructure thoughts C. Helping the client to use controlled relaxation breathing D. Helping the client examine evidence of stressors E. Questioning the client about early childhood relationships F. Teaching the client about anxiety and panic
B, C, D, F B. Encouraging the client to restructure thoughts C. Helping the client to use controlled relaxation breathing D. Helping the client examine evidence of stressors F. Teaching the client about anxiety and panic
A client admitted to the psychiatric unit for treatment of substance abuse says to the nurse, "It felt so wonderful to get high." Which of the following is the most appropriate response?
B. "You told me you got fired from your last job for missing too many days after taking drugs all night." Confronting the client with the consequences of substance abuse helps to break through denial.
A group of community nurses sees and plans care for various clients with different types of problems. Which of the following clients would they consider the most vulnerable to post-traumatic stress disorder?
B. A 20-year-old college student with DM who experienced date rape Post-traumatic stress disorder is caused by the experience of severe, specific trauma. Rape is a severely traumatic event.
Another client is brought to the emergency room by friends who state that he took something an hour ago. He is actively hallucinating, agitated, with an irritated nasal septum.
B. Cocaine The manifestations indicate intoxication with cocaine, a CNS stimulant.
Nurse Gerry is aware that the defense mechanism commonly used by clients who are alcoholics is:
B. Denial Denial is a method of resolving conflict or escaping unpleasant realities by ignoring their existence.
Elsa is being treated in a chemical dependency unit. She tells the nurse that she only uses drugs when under stress and therefore does not have a substance problem. Which defense mechanism is the client using? A. Compensation B. Denial C. Suppression D. Undoing
B. Denial Individuals who have substance problems often use denial. Options A, C, and D: Compensation, suppression, and undoing are incorrect and do not fit the situation described.
Francis who is addicted to cocaine withdraws from the drug. Nurse Ron should expect to observe: A. Hyperactivity B. Depression C. Suspicion D. Delirium
B. Depression There is no set of symptoms associated with cocaine withdrawal, only the depression that follows the high caused by the drug.
Joy who has just experienced her second spontaneous abortion expresses anger towards her physician, the hospital and the "rotten nursing care". When assessing the situation, the nurse recognizes that the client may be using the coping mechanism of: A. Projection B. Displacement C. Denial D. Reaction formation
B. Displacement The client's anger over the abortion is shifted to the staff and the hospital because she is unable to deal with the abortion at this time.
Nurse Martha is teaching her students about anxiety medications; she explains that benzodiazepines affect which brain chemical? A. Acetylcholine B. Gamma-aminobutyric acid (GABA) C. Norepinephrine D. Serotonin
B. Gamma-aminobutyric acid (GABA) Antianxiety medications stimulate the neurotransmitter GABA, which is a chemical associated with relaxation. The other options are not affected by benzodiazepines.
Nurse Gloria questions the parents of a child with oppositional defiant disorder about the roles of each parent in setting rules of behavior. The purpose for this type of questioning is to assess which element of the family system? A. Anxiety levels B. Generational boundaries C. Knowledge of growth and development D. Quality of communication
B. Generational boundaries An important element in assessing the family system is determining if the parents establish and maintain appropriate generational boundaries, establishing clear rules and expectations as part of the parental role.
Mario is admitted to the emergency room with drug-included anxiety related to over ingestion of prescribed antipsychotic medication. The most important piece of information the nurse in charge should obtain initially is the:
B. Name of the ingested medication & the amount ingested Option B: In an emergency, lives saving facts are obtained first. The name and the amount of medication ingested are of utmost important in treating this potentially life threatening situation.
A client is admitted with needle tracks on his arm, stuporous and with pin point pupil will likely be managed with:
B. Narcan (Naloxone) Narcan is a narcotic antagonist used to manage the CNS depression due to overdose with heroin.
An 11-year-old child diagnosed with conduct disorder is admitted to the psychiatric unit for treatment. Which of the following behaviors would the nurse assess?
B. Physical aggressiveness, low-stress tolerance disregard for the rights of others Physical aggressiveness, low-stress tolerance, and a disregard for the rights of others are common behaviors in clients with conduct disorders.
A 25 -year old client experiencing alcohol withdrawal is upset about going through detoxification. Which of the following goals is a priority?
B. The client will work with the nurse to remain safe The priority goal in alcohol withdrawal is maintaining the client's safety.
A male client has approached the nurse asking for advice on how to deal with his alcohol addiction. Nurse Sally should tell the client that the only effective treatment for alcoholism is:
B. Total abstinence Total abstinence is the only effective treatment for alcoholism. Psychotherapy, attendance at AA meetings, and aversion therapy are all adjunctive therapies that can support the client in his efforts to abstain.
31. Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda's anxiety. The most therapeutic question by the nurse would be?
B. Would you like me to talk with you? Option B: The nurse presence may provide the client with support & feeling of control.
The nurse in the substance abuse unit is trying to encourage a client to attend Alcoholics Anonymous meetings. When the client asks the nurse what he must do to become a member, the nurse should respond:
C. "Admit you're powerless over alcohol and that you need help." The first of the "Twelve Steps of Alcoholics Anonymous" is admitting that an individual is powerless over alcohol and that life has become unmanageable.
Joy has entered the chemical dependency unit for treatment of alcohol dependency. Which of the following client's possession will the nurse most likely place in a locked area? A. Toothpaste B. Shampoo C. Antiseptic wash D. Moisturizer
C. Antiseptic wash Antiseptic mouthwash often contains alcohol & should be kept in a locked area, unless labeling clearly indicates that the product does not contain alcohol.
A male client is being admitted to the substance abuse unit for alcohol detoxification. As part of the intake interview, the nurse asks him when he had his last alcoholic drink. He says that he had his last drink six (6) hours before admission. Based on this response, nurse Lorena should expect early withdrawal symptoms to:
C. Begin anytime within the next one (1) to two (2) days Acute withdrawal symptoms from alcohol may begin 6 hours after the client has stopped drinking and peak 1 to 2 days later. Delirium tremens may occur 2 to 4 days — even up to 7 days — after the last drink.
A nurse is developing a care plan for a female client with post-traumatic stress disorder. Which of the following would she do initially?
C. Encourage the client to verbalize thoughts and feelings about the trauma. Planning care for a client with post-traumatic stress disorder would involve helping the client to verbalize thoughts and feelings about the trauma. This will help the client work through the strong emotions connected with the trauma and, therefore foster the belief that she is able to cope.
A 39-year-old mother with obsessive-compulsive disorder has become immobilized by her elaborate hand washing and walking rituals. Nurse Trish recognizes that the basis of O.C. disorder is often:
C. Feelings of guilt and inadequacy Ritualistic behavior seen in this disorder is aimed at controlling guilt and inadequacy by maintaining an absolute set pattern of behavior.
Nurse Wilma is teaching a client about disulfiram (Antabuse), which the client is taking to deter his use of alcohol. She explains that using alcohol when taking this medication can result in: A. Abdominal cramps and diarrhea. B. Drowsiness and decreased respiration. C. Flushing, vomiting, and dizziness. D. Increased pulse and blood pressure.
C. Flushing, vomiting, and dizziness. Disulfiram (Antabuse) prevents complete alcohol metabolism in the body. Therefore when alcohol is consumed, the client has a hypersensitivity reaction. Flushing, vomiting, and dizziness are associated with the incomplete breakdown of alcohol metabolites.
Cely is experiencing alcohol withdrawal exhibits tremors, diaphoresis, and hyperactivity. Blood pressure is 190/87 mmHg and pulse is 92 bpm. Which of the medications would the nurse expect to administer?
C. Lorazepam (Ativan) Option C: The nurse would most likely administer benzodiazepine, such as lorazepan (ativan) to the client who is experiencing symptom: The client's experiences symptoms of withdrawal because of the rebound phenomenon when the sedation of the CNS from alcohol begins to decrease.
Nurse Julie recommends that the family of a client with substance-related disorder attend a support group, such as Al-Anon and Alateen. The purpose of these groups is to help family members understand the problem and to: A. Change the problem behaviors of the abuser. B. Learn how to assist the abuser in getting help. C. Maintain focus on changing their own behaviors. D. Prevent substance problems in vulnerable family members.
C. Maintain focus on changing their own behaviors. Family support groups, such as Al-Anon and Alateen, emphasize the importance of changing one's own behavior rather than trying to change the behavior of the individual with a substance abuse problem.
Clonidine (Catapres) can be used to treat conditions other than hypertension. Nurse Sally is aware that the following conditions might the drug be administered?
C. Opiate withdrawal Clonidine is used as adjunctive therapy in opiate withdrawal.
Which behavioral assessment in a child is most consistent with a diagnosis of conduct disorder?
C. Physical aggression toward others Physical aggression toward others is a significant criterion consistent with the diagnoses of conduct disorder.
A female client begins to experience alcoholic hallucinosis. Nurse Joy is aware that the best nursing intervention at this time?
C. Providing a quiet environment and administering medication as needed and prescribed Manifestations of alcoholic hallucinosis are best treated by providing a quiet environment for reducing stimulation and administering prescribed central nervous system depressants in dosages that control symptoms without causing over-sedation.
A client who abuses alcohol and cocaine tells a nurse that he only uses substances because of his stressful marriage and difficult job. Which defense mechanisms is this client using? A. Displacement B. Projection C. Rationalization D. Sublimation
C. Rationalization Rationalization is the defense mechanism that involves offering excuses for maladaptive behavior. The client is defending his substance abuse by providing reasons related to life stressors. This is a common defense mechanism used by clients with substance abuse problems.
A client is experiencing anxiety attack. The most appropriate nursing intervention should include?
C. Staying with the client and speaking in short sentences
When planning the discharge of a client with chronic anxiety, Nurse Chris evaluates achievement of the discharge maintenance goals. Which goal would be most appropriately having been included in the plan of care requiring evaluation?
C. The client identifies anxiety-producing situations
The nurse observes a client pacing in the hall. Which statement by the nurse may help the client recognize his anxiety?
D. "I notice that you're pacing. How are you feeling?" By acknowledging the observed behavior and asking the client to express his feelings the nurse can best assist the client to become aware of his anxiety.
Initial intervention for a client with a specific phobia should be to:
D. Accept her fears without criticizing. The client cannot control her fears although the client knows it's silly and can joke about it.
The nurse describes a client as anxious. Which of the following statement about anxiety is true? A. Anxiety is usually pathological B. Anxiety is directly observable C. Anxiety is usually harmful D. Anxiety is a response to a threat
D. Anxiety is a response to a threat Anxiety is a response to a threat arising from internal or external stimuli.
A 60-year-old female client who lives alone tells the nurse at the community health center "I really don't need anyone to talk to". The TV is my best friend. The nurse recognizes that the client is using the defense mechanism known as? A. Displacement B. Projection C. Sublimation D. Denial
D. Denial Option D: The client statement is an example of the use of denial, a defense that blocks problem by unconscious refusing to admit they exist.
A client voluntarily admits himself to the substance abuse unit. He confesses that he drinks 1 qt or more of vodka each day and uses cocaine occasionally. Later that afternoon, he begins to show signs of alcohol withdrawal. What are some early signs of this condition?
D. Diaphoresis, tremors, and nervousness Alcohol withdrawal syndrome includes alcohol withdrawal, alcoholic hallucinosis, and alcohol withdrawal delirium (formerly delirium tremens). Signs of alcohol withdrawal include diaphoresis, tremors, nervousness, nausea, vomiting, malaise, increased blood pressure and pulse rate, sleep disturbance, and irritability.
A male adult client voluntarily admits himself to the substance abuse unit. He confesses that he drinks one (1) qt or more of vodka each day and uses cocaine occasionally. Later that afternoon, he begins to show signs of alcohol withdrawal. What are some early signs of this condition?
D. Diaphoresis, tremors, and nervousness Alcohol withdrawal syndrome includes alcohol withdrawal, alcoholic hallucinosis, and alcohol withdrawal delirium (formerly delirium tremens). Signs of alcohol withdrawal include diaphoresis, tremors, nervousness, nausea, vomiting, malaise, increased blood pressure and pulse rate, sleep disturbance, and irritability.
Nurse Jessie is assessing a client suffering from stress and anxiety. A common physiological response to stress and anxiety is: A. Urticaria B. Vertigo C. Sedation D. Diarrhea
D. Diarrhea Diarrhea is a common physiological response to stress and anxiety.
Nurse Fred is assessing a client who has just been admitted to the ER department. Which signs would suggest an overdose of an antianxiety agent? A. Suspiciousness, dilated pupils and incomplete BP B. Agitation, hyperactivity and grandiose ideation C. Combativeness, sweating, and confusion D. Emotional lability, euphoria, and impaired memory
D. Emotional lability, euphoria, and impaired memory Signs of anxiety agent overdose include emotional lability, euphoria, and impaired memory.
After seeking help at an outpatient mental health clinic, Ruby who was raped while walking her dog is diagnosed with posttraumatic stress disorder (PTSD). Three months later, Ruby returns to the clinic, complaining of fear, loss of control, and helpless feelings. Which nursing intervention is most appropriate for Ruby? A. Recommending a high-protein, low-fat diet. B. Giving sleep medication, as prescribed, to restore a normal sleep-wake cycle. C. Allowing the client time to heal. D. Exploring the meaning of the traumatic event with the client.
D. Exploring the meaning of the traumatic event with the client. The client with PTSD needs encouragement to examine and understand the meaning of the traumatic event and consequent losses. Otherwise, symptoms may worsen and the client may become depressed or engage in self-destructive behavior such as substance abuse.
Nurse Daya, a school nurse, is meeting with the school and health treatment team about a child who has been receiving methylphenidate (Ritalin) for two (2) months. The meeting is to evaluate the results of the child's medication use. Which behavior change noted by the teacher will help determine the medication's effectiveness.
D. Increased ability to concentrate on tasks
Which medication is commonly used in treatment programs for heroin abusers to produce a non-euphoric state and to replace heroin use? A. Diazepam B. Carbamazepine C. Clonidine D. Methadone
D. Methadone Methadone maintenance programs are used to provide a heroin-depleted individual with a medically controlled dose of methadone to produce a noneuphoric state that will prevent withdrawal symptoms. This method of treatment is advocated to help heroin abusers avoid criminal activities associated with obtaining heroin; it also prevents diseases associated with I.V. use of heroin.
A client with a history of polysubstance abuse is admitted to the facility. She complains of nausea and vomiting 24 hours after admission. The nurse assesses the client and notes piloerection, pupillary dilation, and lacrimation. The nurse suspects that the client is going through which of the following withdrawals?
D. Opioid withdrawal
Nurse Penny is aware that the symptoms that distinguish post-traumatic stress disorder from other anxiety disorder would be:
D. Re-experiencing the trauma in dreams or flashback
Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal?
D. Regular Coffee Option D: Regular coffee contains caffeine which acts as psychomotor stimulants and leads to feelings of anxiety and agitation. Serving coffee to the client may add to tremors or wakefulness
A female client is brought by ambulance to the hospital emergency room after taking an overdose of barbiturates is comatose. Nurse Trish would be especially alert for which of the following?
D. Respiratory failure Barbiturates are CNS depressants; the nurse would be especially alert for the possibility of respiratory failure. Respiratory failure is the most likely cause of death from barbiturate overdose.
The child with conduct disorder will likely demonstrate:
D. Serious violations of age-related norms. This is a disruptive disorder among children characterized by more serious violations of social standards such as aggression, vandalism, stealing, lying and truancy.
Which is the desired outcome in conducting desensitization:
D. The client will be able to overcome his disabling fear. The client will overcome his disabling fear by gradual exposure to the feared object.
Which of the following assessment would provide the best information about the client's physiologic response and the effectiveness of the medication prescribed specifically for alcohol withdrawal?
D. Vital signs Monitoring of vital signs provides the best information about the client's overall physiologic status during alcohol withdrawal & the physiologic response to the medication used.
A client is admitted to the substance abuse unit for alcohol detoxification. Which of the following medication
D. chlordiazepoxide (Librium) Chlordiazepoxide (Librium) and other tranquilizers help reduce the symptoms of alcohol withdrawal.
The nurse is caring for a client who she believes has been abusing opiates. Assessment findings in a client abusing opiates such as morphine include: A. dilated pupils and slurred speech. B. rapid speech and agitation. C. dilated pupils and agitation. D. euphoria and constricted pupils
D. euphoria and constricted pupils. Option D: Assessment findings in a client abusing opiates include agitation, slurred speech, euphoria, and constricted pupils.
Which outcome is most appropriate for Francis who has a dissociative disorder?
Francis will deal with uncomfortable emotions on a conscious level. Dissociative disorders occur when traumatic events are beyond an individual's recall because these memories have been "blocked" from conscious awareness. Bringing the feelings associated with these events into conscious awareness and coping with these feelings will decrease the need for dissociation.
To establish an open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should?
Respect client's need for personal space Option D: Moving to a client's personal space increases the feeling of threat, which increases anxiety.
