Reviewer Psychiatric - Lecture

Which of the following information must be included for the family of a client diagnosed with Dependent Personality Disorder?

- Address coping skills

. Which of the following stages of development is most unstable and challenging regarding the development of personal identity?

- Adolescence

A client is experiencing a Severe Panic Attack. Which of the following nursing intervention would meet this client's immediate need?

- Stay with the client and offer reassurance of safety

The nurse observes a client pacing in the hall. Which of the following statements by the nurse may help the client recognize his anxiety?

- "I notice that you're pacing. How are you feeling?

. When the nurse is assessing a client who is diagnosed with Bipolar Disorder. The nurse would expect to find a history of which of the following?

Symptoms of mania that may or may not be followed by depression.

. A mother expresses concern to the nurse regarding her 5-year-old child's development. She says: "I read Erikson and Piaget, and my child does not seem to be on target. Also, my neighbors child seems more advanced. My doctor says not to worry, but I do." Which of the following nurse's response is more appropriate?

"Tell me exactly what your child is or is not doing that causes you concern."

A nurse discusses job possibilities with a client with Schizoid Personality Disorder. Which of the following suggestion by the nurse would be helpful?

- "Your idea of applying for the position of filing and organizing records is worth pursuing."

On what particular year was the Mental Health Bill signed into law?

- 2018

Which of the following client behavior noted by the nurse is indicative of using projection?

- A client blaming his or her boss after getting fired from his or her job

A nurse is implementing a one-on-one suicide observation level with a client diagnosed with Major Depressive Disorder. The client states,"I'm feeling a lot better so you can stop watching me. I have taken up too much of your time already." Which of the following is the best nursing reply?

- "Because we are concerned about your safety,we will continue to observe you."

A client diagnosed with Seasonal Affective Disorder (SAD)states,"I've been feeling 'down' for 3 months. Will I ever feel like myself again?" Which of the following reply by the nurse will best assess this client's symptoms?

- "Help me understand what you mean when you say,'feeling down'?"

A young,handsome man with a diagnosis of Antisocial Personality Disorder is being discharged from the hospital next week. He asks the nurse for her phone number so that he can call her for a date. The nurse's best response would be;

- "I like you,but our relationship is professional."

A client diagnosed with Schizophrenia states,"Can't you hear him? It's the devil. He's telling me I'm going to hell." Which of the following is the most appropriate nursing reply?

- "I'm sure the voices sound scary. The devil is not talking to you. This is part of your illness."

A client with Antisocial Personality Disorder was admitted in a unit at South Wales Hospital. The newly admitted client stole money from an elderly in the unit. Which of the following is the most appropriate for the nurse to say to this client?

- "The consequences of stealing are a loss of privileges."

A nursing instructor is teaching about Specific Phobias. Which of the following student statement should indicate that learning has occurred?

- "These clients have a panic level of fear that is overwhelming and unreasonable."

A client living on the beachfront seeks help with an extreme fear of crossing bridges which interferes with daily life. A psychiatric nurse practitioner decides to try systematic desensitization. Which of the following explanation of this therapy should the nurse convey to the client?

- "Through a series of increasingly anxiety-provoking steps,we will gradually increase your tolerance to anxiety."

A 16-year-old-client diagnosed with Paranoid Schizophrenia experiences command hallucinations to harm others. The client's parents ask a nurse,"Where do the voices come from?" Which of the following is the appropriate nursing reply?

- "Your child has a chemical imbalance of the brain which leads to altered thoughts."

A nurse is caring for a client who is an investment banker. The client is stressed because of the sudden fall of share prices in the stock exchange. Which of the following stress-reduction techniques should the nurse use with this client?

- Advocate on behalf of the client to others.

The limbic system includes the:

- Amygdala, hypothalamus, hippocampus

The ________ is to feeling fear as the ________ is to feeling pleasure.

- Amygdala/hypothalamus

A client tells the nurse that psychotropic medicines are dangerous and refuses to take them. Which of the following intervention should the nurse prioritize?

- Ask the client about any previous problems with psychotropic medications.

Older adults have reached Erikson's developmental stage of ego integrity, when they will be able to exhibit which of the following?

- Assess their lives and identify actions that had value and purpose

The nurse has explained to a client the biologic theories of depression.the nurse concludes that the teaching has been effective if the client says,"I now know that my depression may be caused from:

- B,D: B. Insufficient serotonin activity in the CNS (and) D. Insufficient acetylcholine activity in the CNS)

How much is the minimum rate health insurance coverage from Phil Health if a mental health patient will be hospitalized?

- B. 25,000.00

. What is the first step for the nurse when applying Peplau's Interpersonal Relations Theory?

- Being aware of personal behavior -

How would a nurse differentiate a client diagnosed with ObsessiveCompulsive Disorder (OCD) from a client diagnosed with ObsessiveCompulsive Personality Disorder

- Clients diagnosed with OCD experience both obsessions and compulsions,and clients diagnosed with obsessive-compulsive personality disorder do not

How should a nurse best describe the major maladaptive client response to Panic Disorder?

- Clients perceive having no control over life situations

A client diagnosed with Paranoid Schizophrenia states,"My psychiatrist is out to get me. I'm sad that the voice is telling me to stop him." What symptom is the client exhibiting,and what is the nurse's legal responsibility related to this symptom?

- Command hallucinations; warn the psychiatrist

. Which of the following structure allows communication between the hemispheres?

- Corpus callosum

During the initial interview with a client, the nurse begins to feel uncomfortable and realizes the client's behavior and mannerisms remind the nurse of the nurse's abusive parent. The nurse concludes that the current situation represents which of the following phenomenon?

- Countertransference

Which of the following is a physiological response experienced during the exhaustion stage of general adaptation syndrome?

- Decreased blood pressure

A man in his mid-30s calls to make an appointment for counseling,stating that his relationship of 5 years just broke off,at his partner's insistence. He says that he is unsure what to do because he has not been without a significant other for more than a week or so since high school. You determine that the man is not suicidal or homicidal,but from his responses to your questions you get the sense that this man's sense of loss will persist long after a normal period of adjustment,unless he enters into a new relationship. You think this because you are guessing that this man has this type of which of the following Personality Disorder?

- Dependent Personality Disorder

In a day treatment program,a Manic client is creating considerable chaos,behaving in a dominating and manipulative way. Which of the following nursing intervention is most appropriate?

- Describe acceptable behavior and set realistic limits with the client

Which of the following statements stresses out Freuds' term the "EGO" in his psychoanalytic personality theory?

- Distinguishes between things in the mind and things in the reality.

Schizophrenia and Parkinson's disease are both linked to changes in which of the following neurotransmitter?

- Dopamine

Which of the following is NOT a lobe of the brain?

- Dorsal

Which of the following Mood Disorder is characterized by the client feeling depressed most of the day for a 2-year period?

- Dysthymia

. Communication within neurons is ______, communication between neurons is ________.

- Electrical, chemical

Nurse Kate educates the family about symptom management for when the Schizophrenic client becomes upset or anxious. Which of the following would Nurse Kates' statement is helpful?

- Encourage the use of learned relaxation techniques.

Mr. Rey is diagnosed with Schizophrenia Paranoid Type and is admitted to the psychiatric unit of South Seattle Medical Center. Which of the following nursing interventions would be most appropriate for Mr. Rey?

- Establishing a non-demanding relationship

What are individuals taught to do in REBT therapy?

- Examine and challenge their unhelpful thinking which creates healthy emotions and behaviors (correct)

The effect of neurotransmitters may be:

- Excitatory or inhibitory

Which of the following interventions is important for a client with Paranoid Personality Disorder taking olanzapine (Zyprexa)?

- Explain that the drug is less effective if the client smokes

Client C is diagnosed as having Disorganized Schizophrenia. Which of the following behaviors would Nurse S most likely assess in the client?

- Extreme social withdrawal, odd mannerisms, and behavior

Parents ask a nurse how they should reply when their child,diagnosed with Paranoid Schizophrenia,tells them that voices command him to harm others. Which of the following is the appropriate nursing reply?

- Focus on the feelings generated by the hallucinations and present reality.

. Which of the following is the most common neurotransmitter in the brain?

- Glutamate

. A client with Schizotypal Personality Disorder is sitting in a puddle of urine. She's playing in it,smiling,and softly singing a child's song. Which of the following nursing action would be best that the nurse should take?

- Help the client to the shower,and change the bedclothes

A client is prescribed alprazolam (Xanax).25 mg OD for Acute Anxiety. Which of the following client history should cause a nurse to question this order?

- History of alcohol dependence

. A client diagnosed with Schizoaffective Disorder is admitted for social skills training. Which of the following information should be taught by the nurse?

- How to make eye contact when communicating

. An emergency psychiatric client presents with amnesia, hyperthermia, & unexplained loss of appetite. Accompanying family members state that the client suffered a head injury while falling from a ladder several days before. The nurse concludes that the client's symptoms are consistent with trauma to which of the following area of the brain?

- Hypothalamus

A client diagnosed with Panic Disorder states,"When an attack happens,I feel like I am going to die." Which of the following is the most appropriate nursing reply?

- I know it's frightening,but try to remind yourself that this will only last a short time."

The nurse teaches parents how to help their children learn impulse control and cooperative behaviors. This would occur during which of the following stages of development defined by Erikson?

- Initiative versus guilt

. Which of the following area of the brain-stem controls heart rate and breathing?

- Medulla

Damage to the hippocampus is most likely to impair:

- Memory

Moral development theory differs from cognitive development theory in what way?

- Moral development theory characterizes the value system of people and their respect for others

Ms. Angel is a client with a fear of air travel. She is being treated in a mental institution for Phobic Disorder. The treatment method involves systematic desensitization. Which of the following actions of the client the nurse would consider the treatment successful?

- Ms. Angel takes a short trip in an airplane

The nurse wishes to encourage the client to express personal feelings and to develop increased awareness about what those feelings mean. Which of the following approaches by the nurse would be best?

- Offer empathy

When caring for a client during an Acute Panic Attack, which of the following actions by the nurse is most appropriate?

- Offer the client reassurance of safety and security

In which of the following phase of the nurse-patient relationship is active listening is the most important according to Hildegard Peplau's Theory?

- Orientation Phase

A nurse is assessing a client diagnosed with Dependent Personality Disorder. Which of the following characteristics is a major component to this disorder?

- Over reliance on others

A nurse notices that a client is mistrustful and shows hostile behavior. Which of the following types of Personality Disorder is associated with these characteristics?

- Paranoid

You walk into your patients' room and find her sobbing uncontrollably. When you ask what the problem is your patient responds "I am so scared. I have never known anyone who goes into a hospital and comes out alive." On this patient's care plan you note a nursing diagnosis of "Ineffective coping related to stress". What is the best outcome you can expect for this patient?

- Patient will adapt relaxation techniques to reduce stress.

. Who signed the Mental Health Bill into law?

- President Rodrigo Roa Duterte

Which of the following nursing intervention would be most appropriate when caring for an acutely agitated client diagnosed with Paranoid Schizophrenia?

- Provide personal space to respect the client's boundaries.

Mr. Peterson, 35,is admitted for Bipolar Illness, Manic Phase. After assaulting his landlord in an argument over Mr.Peterson is staying up all night playing loud music. He is hyperactive, intrusive,and has rapid, pressured speech. He has not slept in three days and appears thin and disheveled. Which of the following is the most essential nursing action at this time for Mr. Peterson?

- Providing for client safety by limiting his privileges.

A client in a manic state emerges from her room. She is topless and is making sexual remarks and gestures toward staff and peers. Which of the following nursing action is the most appropriate for the nurse to take?

- Quietly approach the client,escort her to her room and assist her in getting dressed

Known as the Mental Health Act?

- RA 11036

REBT stands for:

- Rational Emotive Behavior Therapy

A client was quite upset the entire time she was pregnant and made it clear she did not want her unborn child. However, since the birth, she has become overly protective and refuses to let anyone else near the infant. Which of the following ego defense mechanism does the nurse recognize in the client's behavior?

- Reaction formation

. A client diagnosed with Obsessive-Compulsive Disorder (OCD)continually carries a toothbrush,and will brush and floss up to fifty times each day. The nurse understands that the client's behavior is an attempt to accomplish which of the following?

- Relieve anxiety

The nurse is caring for a client who has been raped. The client says,"I don't remember anything after I entered my apartment building." Which of the following ego defense mechanism should the nurse conclude the client is exhibiting?

- Repression

. When caring for a client with a diagnosis of Schizotypal Personality Disorder, the nurse should

- Respect the client's needs for social isolation

A mother of a teenage daughter with an Anxiety Disorder is concerned about her daughter's progress on discharge. She states that her daughter "stashes food,eats all the wrong things that make her hyperactive," and "hangs out with the wrong crowd." In helping the mother prepare for her daughter's discharge,the nurse suggests that the mother;

- Restrict the amount of chocolate and caffeine products in the home

A client diagnosed with Schizophrenia is slow to respond and appears to be listening to unseen others. Which of the following medication should a nurse expect a physician to order to address this type of symptom?

- Risperidone (Risperdal)to address the positive symptom

. Who authored and sponsored the Mental Health Bill Act of the Philippines?

- Sen Risa Hontiveros

. A mother of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. The nurse most appropriately tells the mother to:

- Set limits on the child's behavior

Sullivan identified which of the following two principal kinds of tensions?

- Sexual and Interpersonal

. Upon Mr. Sam's admission for acute psychiatric hospitalization,Nurse J documents the following; Client refuses to bathe or dress,remains in room most of the day,speaks infrequently to peers or staff. Which of the following nursing diagnosis would be the priority at this time?

- Social isolation

A client with a diagnosis of Borderline Personality Disorder has negative feelings toward the other clients on the unit and considers them all to be "bad." The nurse understands this defense is known as which of the following?

- Splitting

A client with Avoidant Personality Disorder says occupational therapy is boring and doesn't want to go. Which of the following nursing action would be best?

- State firmly that you'll escort him to OT

A client diagnosed with Bipolar Disorder, who has taken lithium carbonate (Lithane)for 1 year,presents in an emergency department with severe diarrhea,blurred vision,and tinnitus. How should the nurse interpret these symptoms?

- Symptoms indicate lithium carbonate toxicity.

. Neurotransmitters carry signals across the ________ ________.

- Synaptic gap/

1. When discussing his problem, a client tells the nurse that he is always doing small, petty jobs for everyone and he is not happy about it. Because of this, he is feeling stressed and has been getting into fights with his wife. What should the nurse suggest to help the client overcome this problem

- Take control of the situation

. The parent of a client who is HIV positive tells the nurse, "My son is not interested in seeing his friends or going out. Honestly, I am still not convinced that he is HIV positive." Which diagnosis made by the nurse will help to create an effective care plan for the parent and client?

- The client is depressed and the parent is in denial.

A nurse is trying to assess a client's stress type; however, the client is very depressed and quiet and does not reply to the nurse's questions. The nurse is unable to maintain her calm while repeating the questions. Where is the nurse going wrong in assessing the client?

- The nurse should demonstrate confidence and expertise.

Nurse G a newly hired psychiatric nurse consults the DSM for which of the following purposes?

- To serve as a guide for client assessment

While the nurse and client are talking, the client states "You are just like my mother; you don't trust me or like me .The two of you wish I were dead." The nurse interprets this statement as indicating which of the following processes?

- Transference

. A new staff nurse asks the experienced psychiatric-mental health nurse to explain the primary purpose for which nurses use the DSM-IV-TR.The response should be which of the following?

- Understand the clients psychiatric-mental health medical diagnosis

Which of the following would be a reason for a student nurse to use the DSM?

- Understand the reason for the admission and the nature of psychiatric illnesses

The community nurse is speaking to a group of new mothers as part of a primary prevention program. Which of the following self-measures would be most helpful as a strategy to decrease the occurrence of Mood Disorders?

- Verbalizing rather than internalizing feelings

The nurse is reviewing a depressed client's history from an earlier admission. Documentation of anhedonia is noted. The nurse understands that this symptom refers to which of the following?

- lack of enjoyment in usual pleasures

A client who failed to complete a craft project during group activities becomes upset, accuses the group leader of not giving assistance, and berates the other clients for hoarding all the supplies. The nurse interprets this behavior as which of the following?

- projection

The nurse is caring for a client who is a doctor in a general hospital. He complains about the stressful condition of his job. Lately, he has become increasingly susceptible to colds, headaches, muscular tension, excessive tiredness, and many other symptoms. At what stage of stress is the client?

-Exhaustion stage

. Which of the following statements about mental illness is not true?

-Mental illness is only due to social/cultural factors.

Which of the following lobe is most closely associated with visual processing?

-Occipital

Client Jasmine is admitted in an acute psychiatric unit at South Wales Medical Center. He suddenly tells Nurse Jade about his plans for Suicide. Which of the following is the nurse's priority action?

Follow agency protocol for suicide precautions.

. The treatment team has recommended that an individual be committed to a psychiatric inclient unit. When the family of this individual asks about possible adverse effects or arguments against commitment, the nurse should tell them that:

It reinforces the stigma that mentally ill people are dangerous and unpredictable

Client Carl who has had auditory hallucinations for many years tells Nurse L that the voices prevent his participation in a social skills training program at the community health center. Which of the following nursing intervention is most appropriate that nurse should take?

Teach client Carl to use thought stopping techniques.

Mrs. Murphy is a 75-year-old client who has Dementia of the Alzheimer's type and confabulates. The nurse understands that this client: a.Fills in memory gaps with fantasy b.Denies confusion by being jovial. c.Pretends to be someone else. d.Rationalizes various behaviors.

a.Fills in memory gaps with fantasy

A client is diagnosed with Male Orgasmic Disorder. Which of the following assessed behavior supports this diagnosis? a.A delay in or absence of ejaculation following normal sexual excitement. b.Premature ejaculation. c.Inability to maintain an erection. d.Dyspareunia.

a. A delay in or absence of ejaculation following normal sexual excitement.

A client is diagnosed with Sexual Aversion Disorder. A nursing diagnosis of Sexual Dysfunction is documented for this client. Which of the following behavior indicates successful resolution of this client's problem? a.Client resumes sexual activities at a level satisfactory to self and partner. b.The client accepts homosexual drives as normal sexual functioning. c.Client expresses satisfaction with own sexual patterns. d.The client's deviant sexual behaviors have decreased.

a. Client resumes sexual activities at a level satisfactory to self and partner.

Which of the following signs and symptoms for diagnosing Anorexia Nervosa the nurse recognizes as the most specific? a.Excessive weight loss,amenorrhea,and abdominal distention b.Excessive activity,memory lapses,and an increase pulse c.Compulsive behaviors,excessive fears,and nausea d.Slow pulse,mild weight loss,and alopecia

a. Excessive weight loss,amenorrhea,and abdominal distention

A student nurse was asked which of the following best describes Dementia. Which of the following best describes this condition? a.Loss of cognitive abilities. impairing ability to perform activities of daily living b.Severe cognitive impairment that occurs rapidly c.Memory loss occurring as part of the natural consequence of aging d.Difficulty coping with physical and psychological change

a. Loss of cognitive abilities. impairing ability to perform activities of daily living

Nurse Tiffany enters the room of a client with a Cognitive Impairment Disorder and asks what day of the week it is; what the date, month, and year are; and where the client is. The nurse is attempting to assess which of the following? a.Orientation. b.Delirium. c.Perseveration d.Confabulation.

a. Orientation.

A client is brought to an emergency department after being violently raped. Which of the following nursing action is appropriate? a.Remain nonjudgmental while actively listening to the client's description of the violent rape event. b.Meet the client's self-care needs by assisting with showering and perineal care. c.Discourage the client from discussing the rape, because this may lead to further emotional trauma. d.Probe for further, detailed description of the rape event

a. Remain nonjudgmental while actively listening to the client's description of the violent rape event.

Nurse Eve is planning a psychoeducational discussion for a group of adolescent clients with Anorexia Nervosa. Which of the following topics would Nurse Eve select to enhance understanding about central issues in this disorder? a.Self-esteem and self-control b.Peer pressure and substance abuse c.Parental expectations d.Anger management

a. Self-esteem and self-control

Dementia is defined as which of the following? a.Syndrome characterized by cognitive dysfunction and loss of memory. b.Syndrome that results only in memory loss. c.Disease associated with abrupt changes in behavior. d.Disease that is always due to reduced blood flow to the brain.

a. Syndrome characterized by cognitive dysfunction and loss of memory.

How can nurses create safer communities and reduce the threats of violence? a.All of the above b.Provide community educational programs on violence prevention. c.Provide in service training to other health care professionals. d.Become a political advocate and help create social policies.

a. All of the above

Client Anne is extremely underweight and disappears into the bathroom after meals, angrily say to the nurse,"I don't need to be here. I don't have any problems. Stop watching me." To reduce her feeling of being threatened,the nurse would be most therapeutic by responding which of the following statements? a."I hear how frustrated you are to be here." b."I'll get your medication your physician ordered for anxiety." c."Your feelings are part of your illness; later you will feel better." d."If you do not follow the rules,you will lose your privileges."

a."I hear how frustrated you are to be here."

The parents of client Simond, a child with Attention Deficit Hyperactivity Disorder (ADHD), tells the nurse they have tried everything to calm their child and nothing has worked. Which of the following action by the nurse is most appropriate initially? a.Actively listen to the parents' concern before planning interventions. b.Encourage the parents to discuss these issues with the mental health team. c.Provide literature regarding the disorder and its management. d.Tell the parents they are overacting to the problem.

a.Actively listen to the parents' concern before planning interventions.

The newly hired nurse at a Medical Center is assessing a client who abuses barbiturates and benzodiazepine. The nurse would observe for evidence of which of the following withdrawal symptoms? a.Anxiety, tremors, and tachycardia b.Paranoia, depression, and agitation c.Respiratory depression, stupor, and bradycardia d.Muscle aches, cramps, and lacrimation

a.Anxiety, tremors, and tachycardia

Methylphenidate (Ritalin) is prescribed to an 8-year-old child for the treatment ofAttention Deficit Hyperactivity Disorder (ADHD). The nurse will most likely monitor which of the following during the medication therapy? a.Height and weight b.Deep tendon reflex c.Intake and output d.Temperature and breath sound

a.Height and weight

A female client informs the nurse that her husband is concerned about her sexual response. The client reports that during stimulation her husband has noticed her clitoris disappears, and he wonders if she is enjoying the experience despite her positive responses to his stimulation. The nurse explains that building excitement and retraction of the clitoris are normal characteristics of which stage of the sexual response cycle? a.Plateau phase b.Resolution phase c.Orgasm d.Excitement phase

a.Plateau phase

Which of the following will Nurse Dororthy use when communicating with a client who has Cognitive Impairment? a.Short words and simple sentences b.Complete explanations with multiple details c.Stimulating words and phrases to capture the client's attention d.Pictures or gestures instead of words

a.Short words and simple sentences

A holistic approach to nursing care of the client Sexual Disorders requires the nurse generalist to have which of the following? a.Extensive experience in caring for clients with sexual disorders b.Proficiency in the use of the nursing process and ability to assess the client's sexual health c.A basic understanding of the nursing process d.The ability to diagnose sexual disorders

b. Proficiency in the use of the nursing process and ability to assess the client's sexual health

The spouse of a client admitted to the mental health unit for Alcohol Withdrawal says to the nurse "I should get out of this bad situation." Which of the following is the most helpful response by the nurse? a."Why don't you tell your husband about this?" b."What do you find difficult about this situation?" c."I agree with you. You should get out of this situation." d."This is not the best time to make that decision."

b."What do you find difficult about this situation?"

A nurse visits the home of an 11-year-old child and finds the child caring for three younger siblings. Both parents are at work. The child says, "I want to go to school, but we can't afford a babysitter. It doesn't matter; I'm too dumb to learn." What preliminary assessment is evident to this child? a.Children are at high risk for sexual abuse. b.Child and siblings are experiencing neglect. c.Children are experiencing physical abuse. d.Insufficient data are present to make an assessment.

b.Child and siblings are experiencing neglect.

A male client is admitted to the Substance Abuse unit for alcohol detoxification. Which of the following medications is Nurse A most likely to administer to reduce the symptoms of alcohol withdrawal? a.Magnesium sulfate b.Chlordiazepoxide (Librium) c.Haloperidol (Haldol) d.Naloxone (Narcan)

b.Chlordiazepoxide (Librium)

During a well-child checkup, a mother tells the Nurse Rhea about a recent situation in which her child needed to be disciplined by her husband. The child was slapped in the face for not getting her husband breakfast on Saturday, despite being told on Thursday never to prepare food for him. Nurse Rhea analyzes the family system and concludes it is dysfunctional. All of the following factors contribute to this dysfunction except: a.Use of violence to establish control b.Conflictual relationships of parents. c.Inconsistent communication patterns. d.Rigid, authoritarian roles.

b.Conflictual relationships of parents.

Nurse Eve understands that her client Maria who is Bulimic feels shame and guilt over binge eating and purging. This disorder is therefore considered which of the following? a.Ego-distorting b.Ego-dystonic c.Ego-syntonic d.Ego-enhancing

b.Ego-dystonic

A 70-year-old client has not been taking his medications for Hypertension and Coronary Artery Disease. The nurse discovers the client's son who has control of the finances has not been purchasing the medications and the client's bank account only has a few dollars available. This is an example of which of the following examples of abuse to elderlies? a.Self-neglect. b.Financial or material exploitation. c.Psychological abuse. d.Abandonment.

b.Financial or material exploitation.

Which of the following is a major goal of treatment for a client with Alzheimer's Disease? a.Return to a higher level of self-care. b.Maintain client safety. c.Maintain or increase body weight. d.Enhance functional ability over time.

b.Maintain client safety.

Which of the following is characterized as the early stage of Alzheimer's Disease? a.No noticeable change in behavior. b.Memory problems and mild confusion. c.Incontinence, agitation, and wandering behavior. d.Increased time spent sleeping or in bed.

b.Memory problems and mild confusion.

Which of the following behavioral assessment in a child is most consistent with a diagnosis of Conduct Disorder? a.Refusal to separate from caretaker b.Physical aggression toward others c.Arguing with adults d.Gross impairment in communication

b.Physical aggression toward others

Nurse Tim is aware that the victims of Domestic Violence should be assessed for which of the following important information? a.Use of drugs or alcohol. b.Readiness to leave the perpetrator and knowledge of resources. c.Reasons they stay in the abusive relationship (for example, lack of financial autonomy and isolation). d.History of previous victimization.

b.Readiness to leave the perpetrator and knowledge of resources.

Client Diane is diagnosed with Anorexia Nervosa and is admitted to the special eating disorder unit. Which of the following is the initial treatment priority for this client? a.To promote the client's independence b.To initiate a refeeding program c.To identify family interaction patterns d.To determine her current body image

b.To initiate a refeeding program

A 14-year-old client was brought to the clinic by her mother. Her mother expresses concern about her daughter's weight loss and constant dieting. Nurse Kris conducts a health history interview. Which of the following comments indicates that the client may be suffering from Anorexia Nervosa? a."I do diet around my periods; otherwise,I just get so bloated." b."I don't like the food my mother cooks. I eat plenty of fast food when I'm out with my friends." c."I just can't seem to get down to the weight I want to be. I'm so fat compared to other girls." d."I like the way I look. I just need to keep my weight down because I'm a cheerleader."

c. "I just can't seem to get down to the weight I want to be. I'm so fat compared to other girls."

The community nurse practicing primary prevention of Alcohol Abuse would target which of the following groups for educational efforts? a.Elderly men who live in retirement communities b.Women working in the home c.Adolescents in their late teens and young adults in their early twenties d.Women working in careers outside the home

c. Adolescents in their late teens and young adults in their early twenties

The nurse is aware that Ritalin is the drug of choice for a child with Attention Deficit Hyperactivity Disorder (ADHD). Which of the following is the side effects may be noted by the nurse? a.Bradycardia and diarrhea. b.Increase in appetite. c.Increased attention span and concentration. d.Sleepiness and lethargy.

c. Increased attention span and concentration.

A nurse is counseling a client diagnosed with Bulimia Nervosa about the symptom of tooth enamel deterioration. Which of the following explanation for this complication of Bulimia Nervosa, should the nurse provide? a.Poor dental and oral hygiene leads to dental caries. b.Purging causes the depletion of dietary calcium. c.The emesis produced during purging is acidic and corrodes the tooth enamel. d.Food is rapidly ingested without proper mastication.

c. The emesis produced during purging is acidic and corrodes the tooth enamel.

Family dynamics are thought to be a major influence in the development of Anorexia Nervosa. Which of the following statement regarding a client's home environment should a nurse associate with the development of Anorexia Nervosa? a.The home environment places an overemphasis on food. b.The home environment maintains loose personal boundaries. c.The home environment is overprotective and demands perfection. d.The home environment condones corporal punishment.

c. The home environment is overprotective and demands perfection.

The nurse has completed teaching sessions for parents about Conduct Disorder. Which of the following statements indicates a need for further teaching? a."We need to set up a system of rewards and consequences for our child's behaviors." b."Real progress for our child is likely to take several weeks or even months." c."It helps to know that these problems will get better as my child gets older." d."Being consistent with rules at home will probably be a real challenge for me and my child."

c."It helps to know that these problems will get better as my child gets older."

Which of the following is one focus of collaborative care of clients with Alzheimer's Disease? a.Prevention of other chronic diseases that hasten the progression of AD b.The use of memory-enhancing techniques to delay disease progression c.Drug therapy for cognitive problems and undesirable behaviors d.Replacement of deficient acetylcholine in the brain

c.Drug therapy for cognitive problems and undesirable behaviors

The client reports a history of rubbing up against others to achieve sexual arousal. This behavior is known as: a.Pedophilia. b.Exhibitionism. c.Frotteurism. d.Voyeurism.

c.Frotteurism.

A male client informs the urology nurse that he is embarrassed because his wife rarely has time to reach sexual satisfaction because he experiences an orgasm as soon as he enters the vagina . What is this condition best known as? a.Erectile failure b.Retarded ejaculation c.Premature ejaculation d.Impotence

c.Premature ejaculation

Which of the following ability should Nurse Roy expect from a client in the mild stage of Dementia of the Alzheimer's type? a.Solving problems of daily living b.Coping the anxiety c.Recalling past events d.Remembering the daily schedule

c.Recalling past events

When interviewing the parents of an injured child, which of the following is the strongest indicator that Child Abuse may be a problem? a.The family is poor. b.The mother and father tell different stories regarding what happened. c.The injury isn't consistent with the history or the child's age. d.The parents are argumentative and demanding with emergency department personnel.

c.The injury isn't consistent with the history or the child's age.

A client reports for a preoperative appointment in preparation for surgery that will change his body from a female to male. The client has expressed to the nurse and physician that he should been born a man. What sexual orientation is the client demonstrating? a.Homosexual b.Transvestite c.Transsexual d.Bisexual

c.Transsexual

Various biological and psychosocial theories have been proposed regarding homosexuality. Which of the following etiological factor has emerged consistently? a.Homosexual behavior is an individual preference. b.Homosexual behavior is based on the orientation of the individual. c.Homosexual behavior is the result of negative Oedipal position. d.Homosexual behavior has no definitive etiological evidence supporting either biologic or psychosocial theories.

d. Homosexual behavior has no definitive etiological evidence supporting either biologic or psychosocial theories.

During a home visit to a family of three: a mother, a father, and their child, The mother tells the community nurse that the father (who is not present) has hit the child on several occasions when he was drinking. The mother further explains that she has talked her husband into going to Alcoholics Anonymous and asks the nurse not to interfere, so her husband won't get angry and refuse treatment. Which of the following is the best response of the nurse? a.The nurse confronts the mother's failure to protect the child. b.The nurse agrees not to interfere if the husband attends an Alcoholics Anonymous meeting that evening. c.The nurse commends the mother's efforts and agrees to let her handle things. d.The nurse commends the mother's efforts and also contacts protective services.

d. The nurse commends the mother's efforts and also contacts protective services.

A hospitalized client with a history of alcohol abuse tells the nurse, "I am leaving now. I have to go. I don't want anymore treatment. I have things that I have to do right away." The client has not been discharged. In fact, the client is scheduled for an important diagnostic test to be performed in 1 hour. After the nurse discusses the client's concerns with the client, the client dresses and begins to walk out of the hospital room. Which of the following is the most important nursing action? a.Tell the client that the client cannot return to this hospital again if the client leaves now. b.Call security to block all areas c.Restrain the client until the physician can be reached d.Call the nursing supervisor.

d. Call the nursing supervisor.

Nurse Nichole observes client Audrey who is hospitalized on an eating disorder unit during mealtimes and for 1 hour after eating. Which of the following is the explanation for this intervention? a.To reinforce the behavioral contact b.To develop a trusting relationship c.To maintain focus on the importance of nutrition d.To prevent purging behaviors

d. To prevent purging behaviors

A male 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 of the nurse? a."Don't you know it's illegal to use drugs?" b."Tell me more about how it felt to get high." c."If you continue to talk like that, I'm going to stop speaking to you." d."You told me you got fired from your last job for missing too many days after taking drugs all night."

d."You told me you got fired from your last job for missing too many days after taking drugs all night."

A 15-year-old boy was hospitalized in a psychiatric unit because he initiates frequent fights with peers. Which of the following implementation is most appropriate? a.Ignore minor infractions of rules against fighting. b.Isolate the adolescent from contact with peers. c.Talk to the adolescent each time fighting occurs d.Anticipate and neutralize potentially explosive situations.

d.Anticipate and neutralize potentially explosive situations.

In the emergency department, a client with facial lacerations states that her husband beat her with a shoe. After the health care team repairs her lacerations, she waits to be seen by the crisis intake nurse, who will evaluate the continued threat of violence. Suddenly the client's husband arrives, shouting that he wants to "finish the job." What is the first priority of the health care worker who witnesses this scene? a.Telling the client's husband that he must leave at once. b.Determining why the husband feels so angry. c.Remaining with the client and staying calm. d.Calling a security guard and another staff member for assistance.

d.Calling a security guard and another staff member for assistance.

Nurse Billy is a community nurse practicing primary prevention for psychiatric disorders in children. On which of the following risk factors would he focus? a.Lack of peer friendship b.Being raised in a single-parent home c.Family culture d.Family history of mental illness

d.Family history of mental illness

The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal. Which of the following would alert the nurse to the potential for Delirium Tremors? a.Stupor, agitation, muscular rigidity b.Hypotension, ataxia, hunger c.Hypotension, coarse hand tremors, agitation d.Hypertension, changes in LOC, hallucinations

d.Hypertension, changes in LOC, hallucinations

A kindergarten pupil is frequently violent toward other children. A school nurse notices bruises and burns on the child's face and arms. What other symptom should indicate to the nurse that the child may have been physically abused? a.The child is delayed in physical and emotional development. b.The child is frequently absent from school. c.The child begs or steals food or money. d.The child shrinks at the approach of adults.

d.The child shrinks at the approach of adults.