psych

A patient diagnosed with a somatic disorder asks what kind of psychotherapy will be prescribed. Which response would the nurse provide? "A combination of antianxiety and antidepressant therapy is the most effective therapy." "Aversion therapy often is used because, in effect, you are punishing yourself by not being able to walk." "As you see desired behaviors modeled by the therapist, you also will be able to achieve the expected outcome." "Cognitive-behavioral therapy (CBT) has been shown to consistently provide the best outcome for these types of disorders."

"Cognitive-behavioral therapy (CBT) has been shown to consistently provide the best outcome for these types of disorders."

Which question would the nurse ask a patient to analyze if the sleep disorder is related to hypersomnia? "Are you troubled by disturbing dreams?" "Do you have difficulty falling or staying asleep?" "Did anybody tell you that you snore in your sleep?" "Did anybody tell you that you walk or talk in your sleep?"

"Did anybody tell you that you snore in your sleep?"

The nurse is caring for a patient with arousal disorder. On observation, the nurse finds the calf and shoulder muscles of the patient to be weakened and paralyzed. Which question by the nurse is appropriate during the assessment?" Do you ever wake up suddenly after a dream?" "How do you feel after waking up in the morning?" "Do you have a tendency to act out your dreams? ""Have you ever done unusual activity during sleep?"

"Do you have a tendency to act out your dreams?

Which assessment question would the nurse ask an older adult patient who reports symptoms suggesting a sexual arousal disorder? "Are you taking digoxin for your heart?" "Are you allergic to any particular foods?" "Do you take any antidepressant medications?" "Is there a specific time of the month when this problem occurs?"

"Do you take any antidepressant medications?"

Which criterion meets the requirements for a diagnosis of primary insomnia? "I was diagnosed with depression 2 months ago." "I've had problems falling asleep for 3 weeks now." "I have these terrible nightmares when I fall asleep." "I've actually missed work because I'm too tired to go."

"I've actually missed work because I'm too tired to go."

Which statement made by the patient may indicate concerns about sexuality? "I've lost my manhood." "We still have a spark. ""My sexual performance is outstanding." "I have orgasms with every sexual experience."

"I've lost my manhood."

An older adult patient who has been admitted to a long-term care facility reports not being able to sleep "at all." Which reassurance would the nurse provide? "There is nothing to be done about this." "The doctor will prescribe a sleeping pill." "Older adults often don't sleep as much." "Stop worrying; you will sleep when you are tired."

"Older adults often don't sleep as much."

Which comment is most likely if a patient is experiencing tension headaches? "I have more headaches when I eat chocolate." "The pain almost always starts around supper time." "I have more headaches in the spring and fall seasons." "I see flashing lights above my head just before the headache starts."

"The pain almost always starts around supper time."

A nurse interviews a patient diagnosed with conversion disorder. Which comment is most likely from this patient? "I get big lumps in my throat and can't swallow when I eat. I'm afraid I might have cancer." "Yesterday I saw a gang shooting. Today I can't see anything. I'll just learn to live like that." "Sexual intercourse is so painful that I avoid it. I'm afraid that's going to destroy my marriage." "I have daily problems with abdominal pain. I think I'm getting seriously dehydrated."

"Yesterday I saw a gang shooting. Today I can't see anything. I'll just learn to live like that."

Which sexual dysfunction information would the nurse include in the discharge teaching for a female patient recovering from a vaginal prolapse repair? "You may experience genito-pelvic pain." "You may have bizarre sexual fantasies." "You will have increased vaginal lubrication." "You will likely experience impaired orgasms."

"You may experience genito-pelvic pain."

Which response from the nurse is appropriate when a male patient who has hypoactive sexual desire disorder asks what would cause this problem? "It just happens with age." "You should stop taking your antidepressant." "You must have been excessively masturbating." "You should have your testosterone level assessed."

"You should have your testosterone level assessed."

Which intervention would the nurse teach a patient with a sleep disorder about sleep hygiene practice to perform just before bed? Drink tea. Watch television. Perform exercise .Eat light meals.

.Eat light meals.

Which definition describes anger? A normal human emotion Evidence of ineffective coping An indication of mental illness Usually accompanied by aggression

A normal human emotion

Which definition applies to anger? Doing intentional harm to others An expression of conflict with others An unhealthy way of releasing anxiety A normal response to a perceived threat

A normal response to a perceived threat

Which definition applies to anger? Doing intentional harm to others An expression of conflict with others An unhealthy way of releasing anxiety A normal response to a perceived threat

A normal response to a perceived threat

Which statement describes the correct way to deal with transference or countertransference for patient care in substance use disorders? A nurse remains objective throughout the process. A residential care facility is needed for monitoring. An ongoing evaluation of the patient may not be necessary. A new nurse will take over the responsibility of patient care in each session.

A nurse remains objective throughout the process.

The Epworth Sleepiness Scale (ESS) evaluates the safety risk associated with excessive sleepiness. Which score is considered normal using this tool? A score of 10 to 15 A score of less than 10 A score of greater than 15 A global sum of 5 or greater

A score of less than 10

Which factor is most likely to contribute to a patient's escalating anger? Watching violence on television Another patient's depressed mood A staff member asking a patient to help another patient A staff member telling the patient they are inappropriate

A staff member telling the patient they are inappropriate

A patient is suspected of having circadian rhythm disorder, which can be confirmed by monitoring the patient's body movements and sleep patterns. Which diagnostic test would the nurse anticipate being prescribed for this patient? Actigraphy Hypnogram Polysomnography (PSG) Multiple sleep latency test (MSLT)

Actigraphy

After assessment, the nurse finds that a patient has difficulty sleeping, most likely caused by impaired circadian rhythm. The nurse learns that the patient has a fear of hospitals. Which assessment tool would be helpful in arriving at the diagnosis? Actigraphy Polysomnography (PSG) Multiple sleep latency test (MSLT) Maintenance of wakefulness test (MWT)

Actigraphy

Which diagnostic test would the nurse anticipate for a patient suspected of having insomnia? Actigraphy Hypnogram Polysomnography (PSG) Multiple sleep latency test (MSLT)

Actigraphy

Which statement is true regarding substance addiction? Select all that apply. One, some, or all responses may be correct. Intoxication occurs as a result of years of substance use. Addiction is the result of emotional, not physical, factors. Compulsive actions activate the reward or pleasure pathways in the brain. Addiction is chronic with cycles of relapse and remission. The term commonly used to describe substance use disorders is "addiction."

Addiction is chronic with cycles of relapse and remission. The term commonly used to describe substance use disorders is "addiction."

Which action would the nurse include in a plan of care to help stabilize a patient who is brought to the emergency department for suspected inhalant intoxication and is exhibiting signs of severe agitation and aggression? Administer naloxone. Administer haloperidol. Place the patient in restraints. Keep the patient calm; intoxication is self-limiting.

Administer haloperidol.

Which term refers to when a patient diagnosed with Alzheimer's disease picks up their glasses from the bedside table but does not recognize what they are or their purpose? Apraxia Agnosia Aphasia Agraphia

Agnosia

Which area of the brain is associated with aggression? Cochlea Amygdala Carotid body

Amygdala

Which term describes an emotional response to frustration of desires or a challenge? Anger Violence Restraint Aggression

Anger

Which symptom is an effect of mild alcohol withdrawal? Select all that apply. Anorexia Insomnia Restlessness Hypersensitivity Grand mal seizures

Anorexia Insomnia Restlessness

The nurse is caring for a patient with symptoms of sudden left arm weakness. After extensive testing, the healthcare provider diagnosed conversion disorder. Which medication would the nurse teach the patient and the family about? Antianxiety medication Antidiabetic medication Medications for cardiac diseases Medications for brain hemorrhage

Antianxiety medication

Which pharmacological therapy should be avoided when treating a patient with intermittent explosive disorder? Mood stabilizers Anticonvulsants Antianxiety medications Selective serotonin reuptake inhibitors (SSRIs)

Antianxiety medications

Which drug class may be prescribed for intermittent explosive disorder? Anticonvulsants Benzodiazepines Psychostimulants Monoamine oxidase inhibitors (MAOIs)

Anticonvulsants

Which type of drug best treats aggression, impulsivity, and hyperactivity resulting from the diagnosis of conduct disorder? Beta blocker Antipsychotic Anticonvulsant Benzodiazepine

Antipsychotic

Which classification of drug would be discontinued when a patient diagnosed with Alzheimer's disease presents with psychotic symptoms, as well as dementia? Antipsychotics Anticonvulsants Antidepressants Antianxiety agents

Antipsychotics

Which question would the nurse consider as part of the evaluation of outcomes for a patient experiencing cognitive dysfunction? Select all that apply Are the stated outcomes measurable? Are the patient's cognitive skills deteriorating? Is the patient capable of achieving the outcomes? Are the caregivers capable of creating outcomes? When were the patient's outcomes last evaluated?

Are the stated outcomes measurable? Are the patient's cognitive skills deteriorating? Is the patient capable of achieving the outcomes? When were the patient's outcomes last evaluated?

A patient with paraphilia tendencies tells the nurse that "I'm disgusted with my lifestyle." Which action is the nurse's initial response? Assessing for the existence of suicidal ideations Recommending inpatient behavioral modification therapy Assuring the patient that this condition responds well to treatment Telling the patient that the first step to managing this behavior is recognizing it as unhealthy

Assessing for the existence of suicidal ideations

Which condition is most associated with oppositional defiant disorder? Obesity Hypotension Type 1 diabetes Attention-deficit/hyperactivity disorder (ADHD)

Attention-deficit/hyperactivity disorder (ADHD)

A nurse is educating a patient who reports sleep disturbances at night. The patient works from home, sleeps in the afternoon, and completes household chores in the evening. Which sleep hygiene education would the nurse provide? Begin going out for work. Avoid sleeping in the afternoon. Watch television before bedtime. Perform exercise before bedtime.

Avoid sleeping in the afternoon.

Which behavior consistently demonstrated by a child is a predictor of future antisocial personality disorder in adults?Sadness Remorse Guilt Callousness

Callousness

Which condition would the nurse consider to be most associated with a feeling of hopelessness when assessing a group of patients suffering from stress-related medical conditions? Cancer Peptic ulcer Essential hypertension Coronary heart disease

Cancer

Which primary reason explains why the family caregivers of an older adult patient with Alzheimer's disease are feeling overburdened and overwhelmed by the situation and wish to admit the patient to an assisted care facility? Family discord Caregiver role strain Disruption of social life Distress, guilt, rejection

Caregiver role strain

A patient reports recently changing from a first to second shift at work. At first, the transition did not affect the patient's sleep, but with the days getting shorter in the winter, the patient is experiencing difficulty sleeping. Which term describes this factor in quality sleep? Circadian drive Superchiasmatic effect Rapid eye movement (REM) Seasonal affective disorder (SAD)

Circadian drive

Which sleeping disorder includes the assessment for preferred sleep schedule? Arousal disorder Insomnia disorder Hypersomnia disorder Circadian rhythm disorder

Circadian rhythm disorder

Which impulsive disorder is represented by a history of immature coping skills and poor problem-solving abilities? Intermittent explosive disorder Oppositional deficient disorder Attention-deficit/hyperactivity disorder (ADHD) Conduct disorder

Conduct disorder

Which other disorder is related to somatic symptom disorder? Depersonalization Dissociative fugue Conversion disorder Dissociative identity disorder

Conversion disorder

Which therapeutic intervention is included for a patient with a somatoform disorder? Encouraging the patient to use benzodiazepines liberally Steering the conversation away from the patient's feelings Conveying an interest in the patient rather than in the symptoms Encouraging the patient to rely on the nurse to meet the patient's need

Conveying an interest in the patient rather than in the symptoms

Which problem is frequently found in patients with somatoform disorders? Inability to feed self Coping ineffectively Diminished urine output Not meeting developmental milestones

Coping ineffectively

Which datum is gathered routinely during assessment of a patient with a somatoform disorder? Level of confusion Potential for violence Dependence on medication Personal identity disturbance

Dependence on medication

Which symptom would qualify a geriatric patient for a clinical trial of a new drug to treat Alzheimer's disease? Select all that apply. Difficulty in conversing with others Poor judgment and decision making Forgetting to pay the electric bills Frequently losing things and tracing them later Sometimes forgetting which word to use during a conversation.

Difficulty in conversing with others Poor judgment and decision making `

Which approach is best when interviewing an adult victim of abuse? Gentle and direct Direct and professional Sympathetic and outraged Confrontational and assertive

Direct and professional

Which situation is occurring when a 4-year-old child tells the nurse, "I'm a bad boy. Daddy always says I'm not worth a second look"? Neglect Harsh parenting Emotional abuse Physical maltreatment

Emotional abuse

Which sexual impairment information would the nurse discuss with a male patient who has hypertension? Low libido Erectile dysfunction Premature ejaculation Decreased sexual desire

Erectile dysfunction

Which intervention is important for the nurse to plan while caring for a patient experiencing a sexual disorder? Establish trust with the patient. Assess the patient's physical health. Explain that the nurse is a therapeutic agent. Orient the patient to programs the individual may use as part of therapy.

Establish trust with the patient.

Which drug is a benzodiazepine used to treat patients with insomnia? Silenor Estazolam Doxylamine Diphenhydramine

Estazolam

What information is correct about exhibitionism? It is illegal but rarely prosecuted. Exhibitionism is generally viewed as a victimless crime. It is generally viewed as an illness by the courts. Exhibitionism is seldom a precursor to sexual assault or rape.

Exhibitionism is seldom a precursor to sexual assault or rape.

In which illness or disorder is a crisscrossed abdomen commonly seen? Diarrhea Constipation Anorexia disorder Factitious disorder

Factitious disorder

Which somatization disorder would the nurse consider highly treatment resistant? Factitious disorder Conversion disorder Illness anxiety disorder Somatic symptom disorder

Factitious disorder

Which assessment identifies family violence? Mismanagement of medicine Family coping patterns of abuse Characteristics of the perpetrator Drug or alcohol use in the family Presenting signs and symptoms of abuse

Family coping patterns of abuse Drug or alcohol use in the family Presenting signs and symptoms of abuse

Which finding can be observed with cocaine withdrawal? Select all that apply. Fatigue Depression Increased energy Poor concentration Decreased appetite

Fatigue Depression Poor concentration

The nurse is performing an assessment on a patient who engaged in a recent act of violence. Which patient behavior would the nurse recognize as an indicator for the patient to be violent again? Slow speech Stands close to others Fixed facial expression Fumbles words when speaking

Fixed facial expression

Which initial outcome is best for a child assessed to have multiple bruises and welts in odd shapes on their back who has been frequently tardy with episodes of aggressive behavior in school?Attends school on time Acknowledges abuse by caregivers Forms a trusting relationship with the nurse Refrains from aggressive behavior with others

Forms a trusting relationship with the nurse

Which possible symptom may be assessed in the patient diagnosed with Tourette syndrome? Inattentive behavior Sleeping for long hours Reduced listening skills Frequent tongue protrusion

Frequent tongue protrusion

Which behavior is most indicative of a 4-year-old child diagnosed with Tourette syndrome? Frequently blinking eyes Humming when concentrating Difficulty in social relationships Difficulty in completing tasks on time

Frequently blinking eyes

Which drug is included in the treatment plan of the patient with Alzheimer's disease who has very mild memory loss and no symptoms of dementia? Sertraline Citalopram Memantine Galantamine

Galantamine

Which hormone regulates hunger? Leptin Insulin Ghrelin Melatonin

Ghrelin

Which initial brief intervention is appropriate for a patient addicted to cigarettes? Give feedback to the patient about personal risk. Provide information about smoking cessation tools. Set agreeable goals for reducing cigarette smoking. Arrange a follow-up or specialty referral for the patient.

Give feedback to the patient about personal risk.

Which action is considered when formulating a safe environment plan for the caregivers of a patient with a neurocognitive disorder? Place extra throw rugs. Gradually restrict driving. Label all rooms, drawers. Increase sensory stimulation. Supervise smoking.

Gradually restrict driving. Label all rooms, drawers. Supervise smoking.

Which intervention by the nurse helps to introduce ideas and work through issues with children? Play therapy Group therapy Family therapy Behavioral therapy

Group therapy

Which advantage does cognitive-behavioral therapy (CBT) have for patients with somatization disorders? Provides a consistent supported treatment by a general medical nurse Helps reframe the patient's thoughts and gain control of the situation Builds a self-fulfilling cycle of pain, despair, and health-seeking behaviors Initiates psychiatric consultation without need for the primary healthcare provider

Helps reframe the patient's thoughts and gain control of the situation

Which patient assessment indicates the highest risk for violence? Poor coping skills History of violence Diagnosis of schizophrenia A diagnosis of antisocial personality disorder

History of violence

Which statement about Alzheimer's disease is correct? Alzheimer's disease is usually a genetic disorder. Neuronal degeneration in Alzheimer's disease usually begins in the cerebellum. Hypertension, diminished activity, and head injury increase the risk of Alzheimer's disease. Most people diagnosed with Alzheimer's disease have an early onset, usually before 65 years of age.

Hypertension, diminished activity, and head injury increase the risk of Alzheimer's disease.

Which cognitive-behavioral therapy is indicated in a patient with an addiction? Enhance motivation in the patient. Allow a sustainable recovery lifestyle. Break the denial behavior of the patient. Identify irrational core beliefs in the patient.

Identify irrational core beliefs in the patient.

Which disorder is characterized by the patient frequently self-scanning for signs of illness? Somatic symptom disorder Factitious disorder Illness anxiety disorder Conversion disorder

Illness anxiety disorder

Which term is used to describe the reaction when a patient hospitalized with pneumonia and experiencing delirium points to the intravenous pole and screams, "Get him out of here! He's going to hurt me!"? Illusion Delusion Hallucination Confabulation

Illusion

A patient reports, "I fall asleep as soon as I go to bed but wake up between 3 and 4 am every morning; then, I can't go back to sleep. It's causing me problems concentrating at work and I don't have enough energy to take care of my family." Which nursing diagnosis applies to this scenario? Insomnia Impaired comfort Sleep deprivation Disturbed sleep pattern

Insomnia

Which nursing diagnosis would be most appropriate for a patient who reports disruption in the amount and quality of sleep? Insomnia Sleep deprivation Disturbed sleep pattern Readiness for enhanced sleep

Insomnia

Which adjective applies specifically to factitious disorders rather than somatic symptom disorders? Painful Authentic Dependent Intentional

Intentional

Which diagnosis supports the inability to control aggressive impulses? Conduct disorder Oppositional defiant disorder Intermittent explosive disorder Obsessive-compulsive disorder (OCD)

Intermittent explosive disorder

Which statement explains how the advanced practice nurse integrates motivational interviewing as a tool in the treatment plan of a patient with a substance use disorder? It introduces an alternative treatment process that is parallel to the current treatment process. It assesses the substance-related disorder and determines if other comorbidities are present. It modifies the current treatment process by allowing the nurse to evaluate the process frequently and gives input related to healthcare. It helps the advanced practice nurse assess the stage of change the patient is in and match it with an appropriate treatment process.

It helps the advanced practice nurse assess the stage of change the patient is in and match it with an appropriate treatment process.

Which statement explains how delirium is different from dementia? Select all that apply It is typically a reversible condition. If hallucinations are present, they are auditory. It is usually observed in younger patients. It is considered a disorder rather than a syndrome. One fundamental symptom involves focus and attention.

It is typically a reversible condition. One fundamental symptom involves focus and attention.

Which treatment is effective in managing the condition of a female patient who reports an 8-month history of difficulty achieving orgasm after normal sexual excitement? Tadalafil Kegel exercises Alprostadil cream Clitoral suction device

Kegel exercises

Which drug that is associated with date rape has the shortest duration? Ketamine Clonazepam Flunitrazepam γ-Hydroxybutyric acid (GHB)

Ketamine

A woman suddenly finds she cannot see. She seems unconcerned about her symptom and tells her spouse, "Don't worry, dear. Things will all work out." Which term reflects her attitude?Regression Depersonalization La belle indifference Dissociative amnesia

La belle indifference

A member of the military service prepares for discharge. Just before the exit physical examination, this person consumes large amounts of caffeine to increase blood pressure in an effort to qualify for disability benefits. Which term is most applicable to this individual's behavior? Resilience Malingering Somatization Hypochondriasis

Malingering

Which common substance is abused through swallowing? Select all that apply. Opium Heroin Alcohol Nicotine Marijuana

Opium Alcohol Marijuana

Which type of goal best ensures the expected therapeutic outcomes for a 10-year-old diagnosed with an impulse control disorder? Simple and easily defined Family-centered and long-term in nature Patient-centered and include the patient's input Age-appropriate and achievable in a short period

Patient-centered and include the patient's input

Which activity should be included in group therapy for the maximum benefit of the children? Playing Learning skill Talking about an activity Using popular media events

Playing

Which diagnostic test is performed to evaluate a nocturnal seizure disorder? Actigraphy Polysomnography Multiple sleep latency test Maintenance of wakefulness test

Polysomnography

Which diagnostic test would the nurse anticipate will be prescribed for a patient with sleep-related breathing disorder? Hypnogram Polysomnography (PSG) Multiple sleep latency test (MSLT) Maintenance of wakefulness test (MWT)

Polysomnography (PSG)

Which action can be suggested to parents to avoid impulse disorders in children? Encourage anger outbursts. Provide support to the child. Follow flexible rules of parenting. Encourage oppositional behavior.

Provide support to the child.

Which drug is used for the management of aggression in children with attention-deficit/hyperactivity disorder (ADHD)? Lithium Gabapentin Benzodiazepine Psychostimulants

Psychostimulants

Which drug is a melatonin receptor agonist? Silenor Zolpidem Doxylamine Ramelteon

Ramelteon

Which assessment finding is the best predictor of violence in a newly admitted patient? Family history of bipolar disorder Recent assault on a drinking companion Childhood history of being bullied at school The nurse's subjective feeling that the patient is uncooperative

Recent assault on a drinking companion

Which biological cause is related to a male patient's lack of sexual desire? Depression Spiritual distress Excessive masturbation Reduced testosterone levels

Reduced testosterone levels

During the care of a patient with somatic symptom disorder, the nurse tries to build an effective relationship with the patient. Which benefit does this action provide in the treatment process? Decreases the medical tests and procedures for the illness Encourages the patient's beliefs about the origin of the symptoms Reduces the patient's tendency to go from one caregiver to another Helps the patient to derive secondary gains through illness behaviors

Reduces the patient's tendency to go from one caregiver to another

Which behavior by a 10-year-old child most clearly predicts violent behavior in adulthood? Playing team sports Frequent arguments with other children Playing video games that involve aliens from other planets Repeatedly rubbing petroleum jelly in the eyes of the family pet

Repeatedly rubbing petroleum jelly in the eyes of the family pet

Which symptom is expected with middle-stage Alzheimer's disease? Select all that apply. Losing valuable objects Repetitive hand movements Trouble remembering names Difficulty walking and swallowing Lack of bowel or bladder continence

Repetitive hand movements Lack of bowel or bladder continence

Which type of facility would best support the needs of an impaired patient who needs long-term help related to hallucinogen abuse? Halfway house Partial hospitalization Intensive outpatient program Residential rehabilitation center

Residential rehabilitation center

Which factor can help explain why one child in a family might develop a mental disorder while another does not? Culture Genetics Resilience Environment

Resilience

Which phase is the last phase in the sexual response cycle? Desire Orgasm Resolution Excitement

Resolution

Which home assessment would be included when abuse of a newborn is suspected? Select all that apply. One, some, or all responses may be correct. Responsiveness to infant's signals Presence of weapon in the house Playfulness of caregiver with infant Caregiver's history of abuse as a child Any acute disease noted in the child

Responsiveness to infant's signals Playfulness of caregiver with infant Caregiver's history of abuse as a child

Which nursing diagnosis is appropriate when the patient shows clenched fists and has a rigid body posture? Risk of suicide Ineffective coping Impaired parenting Risk of violence to others

Risk of violence to others

Which medication should the nurse anticipate in the treatment plan of a patient admitted with the diagnosis of autism spectrum disorder? Risperidone Clonazepam Atomoxetine Clonidine hydrochloride

Risperidone

Which statement identifies a patient having a catastrophic reaction? Assaulting someone in the psychiatric unit Screaming out of overwhelming fear resulting from impaired cognition Suddenly showing aggressive behavior with no history of mental illness Not calming down after being counseled by the nurse and hurried need for restraint

Screaming out of overwhelming fear resulting from impaired cognition

Which method for dealing with an aggressive patient who is out of control is the most restrictive? Seclusion A show of force Verbal intervention Antipsychotic medication

Seclusion

Which class of medications generally is prescribed for the management of premature ejaculation? Atypical antipsychotics Tricyclic antidepressants Monoamine oxidase inhibitors (MAOIs) Selective serotonin reuptake inhibitor (SSRI) antidepressants

Selective serotonin reuptake inhibitor (SSRI) antidepressants

Which classification of medication is most appropriate for treating a child diagnosed with autism spectrum disorder with depression and high levels of anxiety? Anticonvulsants Adrenolytic drugs Selective serotonin reuptake inhibitor (SSRI). Nonstimulant selective norepinephrine reuptake inhibitor (SNRI).

Selective serotonin reuptake inhibitor (SSRI).

Which treatment is the clinical nurse specialist (CNS) using for the female patient with arousal disorder when suggesting the patient progress from touching to more intimate behaviors? Sensate focus Behavioral therapy Masturbation training Systemic desensitization

Sensate focus

Which statement is true regarding a transvestic disorder? Most people with transvestic disorder are homosexual. Only men are diagnosed with transvestic disorder. Sexual orientation has no bearing on transvestic disorder. Transvestic behavior develops in early to middle adulthood.

Sexual orientation has no bearing on transvestic disorder.

Which nursing diagnosis is most appropriate for a patient who reports prolonged periods without sleep? Insomnia Sleep deprivation' Disturbed sleep pattern Readiness for enhanced sleep

Sleep deprivation'

Which communication disorder is the latest to be identified and accepted? Fluency disorder Receptive language disorder Expressive language disorder Social communication disorder

Social communication disorder

Which neurodevelopmental disorder is characterized by difficulty in written expressions? Communication disorder Specific learning disorder Autism spectrum disorder Intellectual developmental disorder

Specific learning disorder

Which disorder is present when a 5-year-old consistently omits the sounds for "r" and "s" when speaking? Language disorder Speech sound disorder Specific learning disorder Social communication disorder

Speech sound disorder

Which intervention strategy should be avoided by staff working with a patient who is shouting and flailing their arms? Striving to speak a little louder than the patient Saying "Let's go to your room to talk about this" Moving a few staff close together as a group to provide a show of force Allowing one staff person to speak to the patient while others provide support

Striving to speak a little louder than the patient

Which area of the brain undergoes dramatic changes in childhood and adolescence? Select all that apply. Pons Medulla Synapses Cerebellum Prefrontal cortex

Synapses Cerebellum Prefrontal cortex

Which behavior is associated with typical age-related cognitive changes? Taking 30 minutes to find one's misplaced car keys Having the electricity turned off for lack of payment Experiencing difficulty recalling a synonym for "happy" Forgetting the address of the first apartment one rented Failing to pay the credit card bill while away on vacation

Taking 30 minutes to find one's misplaced car keys Experiencing difficulty recalling a synonym for "happy" Forgetting the address of the first apartment one rented Failing to pay the credit card bill while away on vacation

When providing sleep hygiene education to a patient reporting difficulty falling asleep, which action would the nurse include? Taking a 20-minute walk after dinner Keeping the bedroom extra warm Taking a short nap after lunch whenever possible Drinking a small amount of alcohol just before bedtime

Taking a 20-minute walk after dinner

Which assessment would lead to the conclusion that a patient may have aggressive behavior? Makes vague statements Has restricted movements Talks indistinctly and quietly Unable to make decisions

Talks indistinctly and quietly

Which intervention would the nurse provide to promote healthy sleep hygiene for a patient who reports that falling asleep can often take hours? Teach the patient how to do progressive relaxation. Exercise just before bed to make the body tired. Watch the clock until becoming tired enough to fall asleep. Advise the patient to drink an ounce or two of brandy at bedtime.

Teach the patient how to do progressive relaxation.

Which term identifies the style of behavior a child habitually uses to cope with the demands and expectations of the environment? Resilience Vulnerability Temperament Cultural assimilation

Temperament

Which source of dissatisfaction, aggression, and violence in humans did Freud assert in Civilization and Its Discontents? Inability to cope with stress resulting from responsibilities Wide gap between the rich and the poor in society The conflict between sexual needs and societal norms Abnormal development of the limbic system in the brain

The conflict between sexual needs and societal norms

Which statement best defines somatization? The holistic approach to managing stress The psychological and behavioral response to stress The expression of stress through physical symptoms The conversion of stress into a physical and emotional form

The expression of stress through physical symptoms

Which information would the nurse include when teaching a male patient about a prescription for a selective serotonin reuptake inhibitor (SSRI)? The risk for increased libido The common side effect of anorgasmia The increased risk for erectile dysfunction The common side effect of gynecomastia

The increased risk for erectile dysfunction

Which knowledge would help guide the response when a patient asks, "What's wrong with my brain that causes me to have such a problem with aggression?" Personality type plays a much greater part in anger and aggression than physical factors. The prevailing theory is that diminishment of stress hormones causes anger and aggression. No abnormalities of the brain have been identified that correlate with anger and aggression. The limbic system, the prefrontal cortex, and neurotransmitters have been implicated in playing a part in aggression.

The limbic system, the prefrontal cortex, and neurotransmitters have been implicated in playing a part in aggression.

Which assessment datum would the nurse expect to record for the patient diagnosed with sexual masochism? The patient secretly watches people in dressing rooms. The patient urinates on their partner during sexual activity. The patient makes a partner suffer for sexual satisfaction. The patient rubs or touches nonconsenting people for sexual gratification.

The patient makes a partner suffer for sexual satisfaction.

Which statement explains the source of aggression, anger, and violence according to Menninger? The threatened control over the life of a person Stimulus that is perceived as a threat to oneself The conflict between sexual needs and societal norms An assault to personal values, moral codes, and protective rules

The threatened control over the life of a person

Which term is used to identify the concept that violence may result from a history of victimization? Aired grievances Shared governance Trauma-informed care Learned helplessness

Trauma-informed care

A patient diagnosed with Alzheimer's disease fretfully says, "School is out, and I must pick up my children now. I'm going to be late." The patient's children are now adults. The nurse replies, "It sounds like you are feeling the responsibility of caring for young children." Which technique has the nurse used? Distraction Reassurance Reorientation Validation therapy

Validation therapy

Which best outcome would the nurse plan for a 45-year-old patient with nonassertive behavior who speaks poorly about themself and consistently seeks the nurse's reassurance? Verbalizes positive sense of self; maintains strong decision-making abilities Displays ability to stand up for oneself; finds more positive coping patterns Finds more positive social system to support sense of self; describes self as successful Identifies support system to assist with self-esteem issues; recognizes ways of being more successful

Verbalizes positive sense of self; maintains strong decision-making abilities

Which term is the most appropriate to use to mean the intentional use of force? Anger Anxiety Violence Aggression

Violence

Which statement reflects a fact about family violence? Violence occurs in families of all backgrounds. Ninety-five percent of abuse victims are women. Alcohol and stress are the major causes of abuse. The victim's behavior is often the cause of the violence.

Violence occurs in families of all backgrounds.

Which statement is true about childhood trauma? Boys are more commonly the victims of sexual abuse. Sexual assault is the most common form of child abuse. Witnessing violence can be a damaging form of childhood trauma. Only doctors can report suspected abuse of a minor to child protective services (CPS).

Witnessing violence can be a damaging form of childhood trauma.

Which withdrawal symptom is anticipated after administration of naloxone for opioid overdose? Select all that apply. One, some, or all responses may be correct. Yawning Rhinorrhea Nystagmus Lacrimation Piloerection

Yawning Rhinorrhea Lacrimation Piloerection

Which intervention focuses on recognized barriers to the identification and treatment of children and adolescents demonstrating symptoms of mental health disorders? Select all that apply. a. Working with the local school board to identify screening opportunities for adolescents b. Researching policies regarding interdisciplinary coordination of mental health services c. Fundraising for a mental health clinic that focuses on providing services to children d. Identifying cultural groups that are at high risk for mental health issues among their children f. Lobbying the state regarding the revising of the reimbursement process for mental health services

a. Working with the local school board to identify screening opportunities for adolescents b. Researching policies regarding interdisciplinary coordination of mental health services c. Fundraising for a mental health clinic that focuses on providing services to children f. Lobbying the state regarding the revising of the reimbursement process for mental health services

Which characteristic is found in mentally healthy children? a. Ability to trust no one b. Ability to respond spontaneously c. Ability to make accurate perception d. Ability to have realistic self-concept e. Ability to behave more maturely than their age

b. Ability to respond spontaneously c. Ability to make accurate perception d. Ability to have realistic self-concept

Which social behavior is often a result of a child abuse? Eating disorders Speech disorders Bullying of others Delayed motor skills

bullying of others

Which neurodevelopmental disorder is a patient likely to have when they say "wabbit" for "rabbit"? Learning disorder Communication disorder Intellectual development disorder Attention-deficit/hyperactivity disorder

communication disorder

Which disorder is most commonly mistaken for attention-deficit/hyperactivity disorder (ADHD)? Anxiety Depression Bipolar disorder Conduct disorder

conduct disorder

Which health effect of high quantities of alcohol would the nurse expect to find in the patient? Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected Drowsiness Constipation Slurred speech Loss of coordination Low body temperature

drowsiness Slurred speech Loss of coordination Low body temperature

Which sign would the nurse emphasize when discussing opioid withdrawal during an educational session for parents of children with a history of opioid abuse? Select all that apply. Sweating Runny nose Sleeplessness Slurred speech Enlarged pupils

enalrged pupils Sweating Runny nose Sleeplessness

Which medication would the nurse most likely include when educating the parents of a child diagnosed with attention-deficit/hyperactivity disorder (ADHD)? Buspirone Haloperidol Clomipramine Methylphenidate

methylphenidate

Which frequency indicates how often methylphenidate transdermal patches should be changed? Once a day Once a week Three times a day Three times a week

once a dahy