Third Psych Test Practice Question

The physician orders amantadine (Symmetrel) 100 mg bid for a client diagnosed with Parkinson's disease. Using a 50 mg/5 mL elixir, how many milliliters would the nurse administer? __________ milliliters

10

A client diagnosed with major depressive episode is being discharged from the hospital with a prescription for fluoxetine (Prozac). The nurse's discharge teaching should include which of the following? Select all that apply. a. "It may take a few weeks before you begin to feel better; however, continue taking Prozac as prescribed" b. "Make sure that you follow up with scheduled outpatient psychotherapy." c. "If significant mood elevation is noted, your psychiatrist may discontinue this medication within 6 months to a year." d. "You should avoid foods with tyramine, including beer, beans, processed meats, and red wine." e. "You can discontinue the Prozac when you are feeling better."

a. "It may take a few weeks before you begin to feel better; however, continue taking Prozac as prescribed" b. "Make sure that you follow up with scheduled outpatient psychotherapy." c. "If significant mood elevation is noted, your psychiatrist may discontinue this medication within 6 months to a year."

An individual with a history of antisocial personality disorder was arrested for driving under the influence of alcohol and causing a serious car accident. Which comment on this behavior would be expected? a. "It's not my fault." b. "I'm too ashamed to talk about it." c. "I just don't remember doing it." d. "I'm really sorry about all the people I've hurt."

a. "It's not my fault."

An adolescent confides that he had been sexually experimenting with a male peer. He reports feeling ambivalent about the encounters and wonders if he is "gay." Which is the nurse's best response? a. "This phase of your development includes experimentation. It doesn't necessarily mean it's a lifelong commitment." b. "After you've had a homosexual experience, you can never be considered exclusively heterosexual." c. "There's nothing to be ashamed about. It's okay to be homosexual." d. "You need to understand why some people are homosexuals and others are not."

a. "This phase of your development includes experimentation. It doesn't necessarily mean it's a lifelong commitment."

The physician orders lithium carbonate 600 mg tid for a newly diagnosed client with BP 1 disorder. There is a narrow margin between the therapeutic and toxic levels of lithium. Therapeutic range for acute mania is: a. 1.0 to 1.5 mEq/L b. 10 to 15 mEq/L c. 0.5 to 1.0 mEq/L d. 5 to 10 mEq/L

a. 1.0 to 1.5 mEq/L

Which of the following nursing interventions are appropriate when caring for a suicidal client? Select all that apply. a. Accept the client with unconditional positive regard b. Encourage the client to talk about his or her pain c. Have the client identify areas of life that are within his or her control d. Provide the client with ample privacy e. Allow the client to isolate himself

a. Accept the client with unconditional positive regard b. Encourage the client to talk about his or her pain c. Have the client identify areas of life that are within his or her control

Which of the following medications are appropriate in the treatment of male erectile disorder? Select all that apply. a. Apomorphine (Apokyn) b. Rivastigmine (Exelon) c. Tadalafil (Cialis) d. Somatropin (Zorbtive) e. Vardenafil (Levitra)

a. Apomorphine (Apokyn) c. Tadalafil (Cialis) e. Vardenafil (Levitra)

During the initial interview with a client in crisis, which intervention should the mental health nurse initially implement? a. Assess the potential for self-harm. b. Assess the adequacy of the client's support system. c. Assess the level of pre-crisis functioning. d. Assess for substance use disorder

a. Assess the potential for self-harm.

Which comorbid condition would the nurse identify as most common in a 10-year-old client who has been diagnosed with a bipolar disorder? a. Attention Deficit Hyperactivity Disorder (ADHD) b. Conduct Disorder (CD) c. Oppositional Defiant Disorder (ODD) d. Antisocial Personality Disorder (APD)

a. Attention Deficit Hyperactivity Disorder (ADHD)

A client with depression has just been prescribed the antidepressant phenelzine (Nardil). She says to the nurse, "The doctor says I will need to watch my diet while I'm on the medication. What foods should I avoid?" a. Blue cheese, red wine, raisin b. Black beans, garlic, pears c. Pork, shellfish, egg yolks d. Milk, peanuts, tomatoes

a. Blue cheese, red wine, raisin

A client tells the nurse, "You're so much nicer than that mean nurse on nightshift." This statement would be associated with which personality disorder? a. Borderline personality disorder b. Narcissistic personality disorder c. Schizotypal personality disorder d. Avoidant personality disorder

a. Borderline personality disorder

A family member wants to know the difference between Alzheimer's disease and delirium. Which explanation should the nurse provide to the family member? a. Delirium is a reversible condition, whereas Alzheimer's disease is not. b. The treatment for Alzheimer's disease is more aggressive than is the treatment for delirium. c. There are more stigmas associated with a diagnosis of Alzheimer's disease than with delirium. d. Changes in cognition develop rapidly with Alzheimer's disease, and slowly with delirium.

a. Delirium is a reversible condition, whereas Alzheimer's disease is not.

A nurse is preparing a client who is a potential candidate for ECT and providing information about the treatments. The nurse may do which of the following? Select all that apply. a. Encourage the client to express fears about ECT b. Discuss with the client and family the possibility of short-term memory loss c. Remind the client and family that injury from the induced seizure is common d. Monitor any cardiac alterations (current or past) to avoid possible negative outcomes e. Ensure the client will be awake during the entire procedure

a. Encourage the client to express fears about ECT b. Discuss with the client and family the possibility of short-term memory loss d. Monitor any cardiac alterations (current or past) to avoid possible negative outcomes

A nursing instructor is developing a lesson plan on gender dysphoria and wants to include the age at which treatment is considered cautiously optimistic, and the goal of that treatment. Which information should be included? a. Five years old with reversal of behavior as the goal. b. Thirteen years old with reversal of attitude as the goal. c. Twenty-three years old with acceptance of behavior as the goal. d. Forty-five years old with acceptance of attitude as the goal.

a. Five years old with reversal of behavior as the goal.

A client diagnosed with antisocial personality disorder is admitted to the inpatient unit after setting the police chief's house on fire. The client is scheduled for further psychological testing this morning. Which nursing intervention takes priority? a. Instruct the client about psychological testing. b. Explore alternatives to pyromania. c. Limit the client's social interactions. d. Encourage the client to follow the unit rules.

a. Instruct the client about psychological testing.

A client diagnosed with a substance use disorder is experiencing delirium related to alcohol withdrawal syndrome. Which nursing intervention should be prioritized? a. Maintain seizure precautions. b. Restrict fluid intake. c. Increase sensory stimuli. d. Apply ankle and wrist restraints.

a. Maintain seizure precautions.

Although historically lithium has been the drug of choice for mania, several other drugs have been used with good results. Which of the following are used in the treatment of bipolar disorder? (Select all that apply) a. Olanzepine (Zyprexa) b. Paroxetine (Paxil) c. Carbamazepine (Tegretol) d. Gabapentin (Neurontin) e. Tranylcypromine (Parnate)

a. Olanzepine (Zyprexa) c. Carbamazepine (Tegretol) d. Gabapentin (Neurontin)

In the initial stages of caring for a client experiencing an acute manic episode, what should the nurse consider to be the priority nursing diagnosis? a. Risk for injury related to excessive hyperactivity b. Disturbed sleep pattern related to manic hyperactivity c. Imbalanced nutrition, less than body requirements, related to inadequate intake d. Situational low self-esteem related to embarrassment secondary to high-risk behaviors

a. Risk for injury related to excessive hyperactivity

A client has just been admitted to the psychiatric unit with a diagnosis of Major Depressive Disorder. Which of the following behavioral manifestations might the nurse expect to assess? Select all that apply. a. Slumped posture b. Delusional thinking c. Feelings of despair d. Feels best early in morning and worse as the day progresses e. Anorexia

a. Slumped posture b. Delusional thinking c. Feelings of despair e. Anorexia

Family members are considering home care for a client diagnosed with neurocognitive disorder. Which initial nursing intervention would be most appropriate before the family makes that decision? a. Teach the family about the disease process and the skills necessary to manage client care. b. Encourage family to address any unresolved issues or resentments with the client. c. Determine the extent of the family's financial resources. d. Include the client in the decision-making process.

a. Teach the family about the disease process and the skills necessary to manage client care.

A nurse is admitting a client with a new diagnosis of a personality disorder. Which of the following would make the nurse question this diagnosis? Select all that apply. a. The client has been diagnosed with a neurocognitive disorder. b. The client lacks guilt and remorse about the negative effects of actions on others. c. The client has a history of cocaine abuse. d. The client acts on the spur of the moment in response to immediate stimuli. e. The client has an IQ of 45.

a. The client has been diagnosed with a neurocognitive disorder. c. The client has a history of cocaine abuse. e. The client has an IQ of 45.

Which of the following factors influence the development of a crisis? Select all that apply. a. The individual's perception of the event b. The time of year in which the event occurred c. The individual's age at the time of the event d. The presence of adequate coping mechanisms e. The individual's gender

a. The individual's perception of the event d. The presence of adequate coping mechanisms

A client has been diagnosed with major depressive episode. The psychiatrist prescribes imipramine (Tofranil). Which of the following medication information should the nurse include in discharge teaching? Select all that apply. a. The medication may cause dry mouth. b. The medication may cause urinary incontinence. c. The medication should not be discontinued abruptly. d. The medication may cause photosensitivity. e. The medication may cause nausea.

a. The medication may cause dry mouth. c. The medication should not be discontinued abruptly. d. The medication may cause photosensitivity. e. The medication may cause nausea.

The physician has ordered lithium carbonate (Eskalith) for a client diagnosed with bipolar disorder. What is the most likely rationale for prescribing this drug? a. To decrease hyperactivity b. To control anger c. To elevate the mood d. To diminish anxiety

a. To decrease hyperactivity

John has a history of violence and is hospitalized with substance use disorder. One evening, the nurse hears John yelling in the day room. The nurse observes his increased agitation, clenched fists, and loud demanding voice. He is challenging and threatening staff and the other clients. The nurse's priority intervention would be to a. call for assistance b. draw up a syringe of prn haloperidol c. ask John if he would like to talk about his anger d. tell John that if he does not calm down, he will have to be restrained

a. call for assistance

Amanda's mobile home was destroyed by a tornado. Amanda perceives only minor injuries but is experiencing disabling anxiety in the aftermath of this event. This type of crisis is called a. crisis resulting from traumatic stress b. maturational/developmental stress c. dispositional stress d. crisis of anticipated life transitions

a. crisis resulting from traumatic stress

The goal of cognitive therapy with depressed clients is to a. identify and change dysfunctional patterns of thinking b. resolve the symptoms and initiate or restore adaptive family functioning c. alter the neurotransmitters that are creating the depressed mood d. provide feedback from peers who are having similar experiences

a. identify and change dysfunctional patterns of thinking

The most appropriate nursing intervention with Jenny would be a. make arrangements for her to start attending Al-Ateen meetings b. help her identify the positive things in her life and recognize that her situation could be a lot worse than it is c. teach her about the effects of alcohol on the body and that it can be hereditary d. refer her to a psychiatrist for private therapy to learn to deal with her home situation

a. make arrangements for her to start attending Al-Ateen meetings

The nurse is preparing a patient for an electroconvulsive therapy (ECT) treatment. About 30 minutes prior to the treatment the nurse administers atropine sulfate 0.4 mg IM. Rationale for this order is a. to decrease secretions and increase heart rate b. to relax muscles c. to produce a calming effect d. to induce anesthesia

a. to decrease secretions and increase heart rate

The physician orders sertraline (Zoloft) 50mg bid for Margaret, a 68-year old woman with Major Depressive Disorder. After 3 days taking the medication, Margaret says tot he nurse, "I don't think this medicine is doing any good. I don't feel a bit better." What is the most appropriate response by the nurse? a. "Cheer up, Margaret. You have so much to be happy about." b. "Sometimes it takes a few weeks for the medicine to bring about an improvement in the system." c. "I'll report that to the physician, Margaret. Maybe he'll order something different." d. "Try not to dwell on your symptoms, Margaret. Why don't you join the others down in the dayroom."

b. "Sometimes it takes a few weeks for the medicine to bring about an improvement in the system."

A client diagnosed with bipolar disorder has been hospitalized for 2 weeks. The client asks the nurse, "Do you think that the doctor is ever going to discharge me?" Which is the appropriate nursing response? a. "Ask your doctor when you can be discharged." b. "Tell me more about your feelings about being hospitalized." c. "You are not ready to go yet." d. "Let the doctor know your feelings."

b. "Tell me more about your feelings about being hospitalized."

A client is considering electroconvulsive therapy (ECT) and questions the nurse about the side effects of the treatment. What is the nurse's best response? a. "The most common side effect is weight gain" b. "The most common side effect is transient memory loss and confusion" c. "There are no side effects to ECT treatments" d. "The most common side effect is depression"

b. "The most common side effect is transient memory loss and confusion"

A nursing student is learning about schizotypal personality disorder. Which statement by the student indicates that learning has occurred? a. "These individuals have peculiarities of ideation." b. "These individuals display irresponsible and guiltless behavior." c. "These individuals are overly disciplined and perfectionistic." d. "These individuals have an unrealistic sense of entitlement."

b. "These individuals display irresponsible and guiltless behavior."

Which individual is at lowest risk for suicide? a. A single, 65-year-old male b. A married, middle-class women c. A male teenager who hunts d. A 70-year-old Caucasian woman whose father committed suicide

b. A married, middle-class women

Hospitalized and diagnosed in the fourth stage of Alzheimer's disease, a client, when asked about the previous evening, describes a wonderful evening spent on a cruise. Which symptom is the client exhibiting? a. Aphasia b. Confabulation c. Delirium d. Apraxia

b. Confabulation

Which of the following are typical behaviors observed in clients diagnosed with a paraphilic disorder? Select all that apply. a. Sudden transition from one personality to another b. Exposure of one's genitals to an unsuspecting stranger c. Observation of an unsuspecting person who is naked d. Exhibition of negativism, hostility, and defiance e. Enjoyment of being beaten and made to suffer

b. Exposure of one's genitals to an unsuspecting stranger c. Observation of an unsuspecting person who is naked e. Enjoyment of being beaten and made to suffer

When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior? a. Odd beliefs and magical thinking b. Grandiose sense of self-importance c. Pattern of intense and chaotic relationships d. Extremely shy and fears rejection

b. Grandiose sense of self-importance

A client newly diagnosed with bipolar disorder: manic phase tells the nurse, "Now that I'm only sleeping 4 hours a night, I can get so much more work accomplished." Which ego defense mechanism is this client using? a. Denial b. Intellectualization c. Rationalization d. Suppression

b. Intellectualization

In teaching a client about his antidepressant medication, fluoxetine, which of the following would the nurse include? Select all that apply. a. Don't eat chocolate while taking this medication b. Keep taking this medication, even if you don't feel it is helping. It sometimes takes a while to take effect. c. Don't take this medication with the migraine drugs "triptans." d. Go to the lab each week to have your blood drawn for therapeutic level of this drug e. This drug causes a high degree of sedation, so take it just before bedtime.

b. Keep taking this medication, even if you don't feel it is helping. It sometimes takes a while to take effect. c. Don't take this medication with the migraine drugs "triptans."

A client is admitted to the hospital with possible Alzheimer's disease. The family asks the nurse what tests will be performed to determine this diagnosis. What is the correct nursing response? a. Dexamethasone suppression test b. Magnetic resonance imagery (MRI) c. Thematic apperception test d. Family kinetic drawing

b. Magnetic resonance imagery (MRI)

Which characteristic does the nurse expect to observe in a client who is being treated for a paraphilic disorder? a. High motivation for change due to significant distress associated with the condition b. Only treated if mandated by authorities c. Symptoms are recurrent over a period of at least 3 months. d. Concern about how the consequences of behaviors affect others

b. Only treated if mandated by authorities

A nursing home resident is often argumentative with other residents and staff and frequently exhibits loss of emotional control. Which nursing intervention should the nurse implement? a. Confront the argumentative behavior. b. Redirect attention and set limits on maladaptive, abusive behavior. c. Administer prn medications to subdue the client. d. Isolate the client until the behavior improves.

b. Redirect attention and set limits on maladaptive, abusive behavior.

Margaret, a 68-year-old widow, is brought to the emergency department by her sister-in-law. Margaret has a history of bipolar disorder and has been maintained on medication for many years. Her sister-in-law reports that Margaret quit taking her medication a few months ago, thinking she didn't need it anymore. She is agitated, pacing, demanding, and speaking very loudly. Her sister-in-law reports that Margaret eats little, is losing weight, and almost never sleeps: "I'm afraid she's going to just collapse!" Margaret is admitted to the psychiatric unit. The priority nursing diagnosis for Margaret is: a. Imbalance nutrition: less than body requirement related to not eating b. Risk for injury related to hyperactivity c. Disturbed sleep pattern related to agitation d. Ineffective coping related to denial of depression

b. Risk for injury related to hyperactivity

A nursing instructor is teaching a class about normal human sexuality. Which of the following information should be included? Select all that apply. a. Gender identity develops during adolescence. b. Sexual drives vary throughout the life span. c. Many medications may have an impact on sexual functioning. d. The elderly have little interest in sexual activity. e. Self-concept and body image may have an impact on sexual performance.

b. Sexual drives vary throughout the life span. c. Many medications may have an impact on sexual functioning. e. Self-concept and body image may have an impact on sexual performance.

A suicidal client with a history of manic behavior is admitted to the emergency department. The client's diagnosis is documented as bipolar I disorder: depressive state. What is the rationale for this diagnosis versus a diagnosis of major depressive episode? a. The physician does not believe the client is suffering from major depression. b. The client has experienced a manic episode in the past. c. The client does not exhibit psychotic symptoms. d. There is no history of major depression in the client's family.

b. The client has experienced a manic episode in the past.

John, age 27 was brought to the emergency department by two police officers. He smelled strongly of alcohol and was combative. His blood alcohol was measured at 293 mg/dL His girlfriend reports that he drinks excessively every day and is verbally and physically abusive. The nurses give John the nursing diagnosis of Risk for other-directed violence. What would be the appropriate outcome objectives for this diagnosis? Select all that apply. a. The client will not verbalize anger or hit anyone b. The client will verbalize anger rather than hit someone c. The client will not harm self or others d. The client will be restrained if he becomes verbally or physically abusive

b. The client will verbalize anger rather than hit someone c. The client will not harm self or others

Which should a nurse recognize as being a projected outcome of electroconvulsive therapy (ECT)? a. The client's anxiety disorder should improve b. The client's mood will be elevated c. The client's visual hallucinations will decrease d. The client's personality disorder symptoms will improve

b. The client's mood will be elevated

When teaching about the tricyclic group of antidepressant medications, which information should the nurse include? a. Strong or aged cheese should not be eaten while taking this group of medications b. The full therapeutic potential of tricyclics may not be reached for four weeks c. Tricyclics may cause hypomania or recent memory impairment d. Tricyclics should not be given with antianxiety agents

b. The full therapeutic potential of tricyclics may not be reached for four weeks

A nurse is educating a client about his lithium therapy. She is explaining signs and symptoms of lithium toxicity. For which of the following would she instruct the client to be on the alert? a. Fever, sore throat, malaise b. Tinnitus, severe diarrhea, ataxia c. Occipital head ache, palpitations, chest pain d. Skin rash, marked rise in blood pressure, bradycardia

b. Tinnitus, severe diarrhea, ataxia

John, who has a history of verbal and physical abuse of his girlfriend, is hospitalized with substance use disorder. One evening, during a visit from his girlfriend, she and John are overheard having a loud argument. Which behavior by John would indicate he is learning to adaptively problem solve his frustrations? a. John says to the nurse, "Give me some of that medication before I end up in restraints!" b. When his girlfriend leaves, John goes to the exercise room and punches on the punching bag. c. John says to the nurse, "I guess I'm going to have to dump that broad!" d. John says to his girlfriend, "You'd better leave before I do something I'm sorry for."

b. When his girlfriend leaves, John goes to the exercise room and punches on the punching bag.

Marie, age 56, is the mother of five children. Her youngest child, who had been living at home and attending the local college, recently graduated and accepted a job in another state. Marie has never worked outside the home and has devoted her life to satisfying the needs of her husband and children. Since the departure of her last child from home, Marie has become more and more despondent. Her husband has become very concerned, and takes her to the local mental health center. This type of crisis is called? a. dispositional crisis b. crisis of anticipated life transitions c. psychiatric emergency d. crisis resulting from traumatic stress

b. crisis of anticipated life transitions

The most appropriate crisis intervention with Amanda would be to a. encourage her to recognize how lucky she is to be alive b. discuss stages of grief and feelings associated with each c. identify community resources that can help Amanda d. suggest that she find a place to live that provides a storm shelter

b. discuss stages of grief and feelings associated with each

Margaret, a 68-year-old widow with bipolar mania, is admitted to the psychiatric unit after being brought to the ED by her sister in law. Margaret yells, "My sister in law is just jealous of me! She's trying to make it look like I'm insane!" This behavior is an example of a delusion of: a. grandeur b. persecution c. reference d. control or influence

b. persecution

The most appropriate nursing intervention for Ginger would be to a. suggest she move to a college closer to home b. work with Ginger on unresolved dependency issues c. help her to find someone in the college town from whom she could seek assistance rather than calling her mother regularly d. recommend that the collage physician prescribe antianxiety medication for Ginger

b. work with Ginger on unresolved dependency issues

Which question would be most effective when evaluating the outcome of crisis intervention? a. "Has education helped you with positive behavioral changes?" b. "Has crisis therapy precipitated maladaptive coping strategies?" c. "Have you grown from the experience?" d. "Why did you use maladaptive coping mechanisms to deal with this crisis?"

c. "Have you grown from the experience?"

After receiving three ECT treatments, a client says to the nurse, "I feel so much better, but I'm having trouble remembering some things that happened last week." The nurse's best response would be a. "Don't worry about that. Nothing important happened." b. "Memory loss is just something you have to put up with in order to feel better." c. "Memory loss is a side effect of the ECT, but it is only temporary. Your memory should return within a few weeks." d. "Forget about last week, Mr. C. You need to look forward from here."

c. "Memory loss is a side effect of the ECT, but it is only temporary. Your memory should return within a few weeks."

An initial electroconvulsive therapy (ECT) treatment has been scheduled for a client diagnosed with major depressive episode. After the nurse explains the procedure, the client states, "I'm too scared and can't decide what to do." Which is the appropriate nursing response? a. "There is no room for concern. You will be all right." b. "ECT is a safe, effective treatment. There is no degree of risk." c. "Tell me a little more about your fears." d. "Let your family make the decision for you."

c. "Tell me a little more about your fears."

Which of the following is a correct assumption regarding the concept of crisis? a. Crises occur only in individuals with psychopathology b. The stressful event that precipitates crisis is seldom identifiable c. A crisis situation contains the potential for psychological growth or deterioration d. Crises are chronic situations that recur many times during an individual's life

c. A crisis situation contains the potential for psychological growth or deterioration

When teaching a family about Alzheimer's disease, what information should the nurse include? a. Alzheimer's disease is self-limiting and will resolve over time. b. Alzheimer's disease has an abrupt onset and runs a variable course. c. Alzheimer's disease has a slow and insidious onset. d. Alzheimer's disease causes a rapid functional and cognitive decline.

c. Alzheimer's disease has a slow and insidious onset.

A client has recently been diagnosed with mild to moderate Alzheimer's disease. Which medication would the nurse expect the physician to order for this client's cognitive impairment? a. Nortriptyline (Pamelor) b. Zaleplon (Sonata) c. Donepezil (Aricept) d. Quetiapine (Seroquel)

c. Donepezil (Aricept)

A client diagnosed with borderline personality disorder presents to the mental health clinic and demands to see a counselor immediately. Which is the appropriate nursing action? a. Instruct the client to leave the clinic. b. Confront demanding behaviors. c. Explain the rules and set limits. d. Help the client problem solve.

c. Explain the rules and set limits.

The nurse determines which is most essential when planning care for a client who is experiencing a crisis? a. Focusing on emotional deficits b. Encouraging lengthy explanations of the situation c. Exploring previous coping strategies d. Focusing on developmental issues that may have affected the client's ability to cope

c. Exploring previous coping strategies

In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe? a. Predictability b. Controlled anger c. Little tolerance for being alone d. Stable and satisfactory relationships

c. Little tolerance for being alone

A client demonstrating manic behavior has become demanding and hyperactive. Which is the most appropriate nursing intervention to address these client behaviors? a. Help lessen the client's feelings of guilt and rejection. b. Warn the client that restraints may be necessary if behavior does not improve. c. Maintain supportive, structured environment, setting firm limits in a nonthreatening manner. d. Introduce the client to peers in order to increase interpersonal contacts.

c. Maintain supportive, structured environment, setting firm limits in a nonthreatening manner.

A client diagnosed with a personality disorder tells the nurse, "With my expertise, I could become this hospital's CEO tomorrow." This statement would be associated with which personality disorder? a. Antisocial personality disorder b. Obsessive-compulsive personality disorder c. Narcissistic personality disorder d. Avoidant personality disorder

c. Narcissistic personality disorder

In order to return a client to a pre-crisis level of functioning, which client information should the nurse initially assess? a. Incompetency b. Psychotic episodes c. Personal strengths d. Family support

c. Personal strengths

Which statement is correct concerning personality disorders? a. Personality disorders generally emerge during adolescence. b. Individuals diagnosed with personality disorders have insight into their disorder. c. Personality disorders occur when personality traits become inflexible, maladaptive, and cause dysfunctional patterns of behavior. d. Individuals diagnosed with personality disorders demonstrate adaptive ability to perceive and relate to themselves and the environment.

c. Personality disorders occur when personality traits become inflexible, maladaptive, and cause dysfunctional patterns of behavior.

A crisis is an internal disturbance. Which is characteristic of a crisis? a. Crises are chronic in nature. b. Crises are universal in nature. c. Precipitating events are specific and identifiable. d. A crisis will eventually lead to psychological growth.

c. Precipitating events are specific and identifiable.

A client diagnosed with bipolar disorder is experiencing hyperactive behavior and weight loss. Which nutritional intervention would be most therapeutic for this client? a. Allow the client full kitchen privileges to eat anything prn. b. Initiate tube feedings with nutritional supplements. c. Provide small, frequent feedings of finger foods. d. Provide a quiet place where the client can sit down to eat meals.

c. Provide small, frequent feedings of finger foods.

A client diagnosed with avoidant personality disorder states, "I've never been close to my daughter. I'm sure she will never have time for me." Which nursing diagnosis applies to this client? a. Relocation stress syndrome b. Risk for violence: other directed c. Social withdrawal d. Fear

c. Social withdrawal

A client is in the third stage of Alzheimer's disease. Which characteristic is indicative of this stage? a. The client has no apparent cognitive decline. b. The client loses the ability to perform some activities of daily living. c. The client is unable to plan or organize, and work performance declines. d. The client is bedfast and aphasic.

c. The client is unable to plan or organize, and work performance declines.

A client is diagnosed with middle to late-stage neurocognitive disorder. Which client information should the nurse assess to effectively plan the client's care? a. The client's past successful coping mechanisms b. The client's willingness to participate in goal setting and treatment planning c. The client's changes in level of functioning, including strengths and weaknesses d. The client's attitude toward illness

c. The client's changes in level of functioning, including strengths and weaknesses

A woman who has been recently widowed is unable to cope with the tasks of daily living because a recent hurricane completely destroyed her home. She is unable to identify any available family support. The nurse identifies that the client is experiencing which type of crisis? a. Dispositional crisis b. Life transitions crisis c. Traumatic stress crisis d. Maturational/developmental crisis

c. Traumatic stress crisis

Jenny reported to the high school nurse that her mother drinks too much. She is drunk afternoon when Jenny gets home from school. Jenny is afraid to invite friends over because of her mother's behavior. This type of crisis is called a. crisis resulting from traumatic stress b. maturational/developmental crisis c. dispositional crisis d. crisis reflecting psychopathology

c. dispositional crisis

ECT is thought to effect a therapeutic response by a. stimulation of the CNS b. decreasing the levels of acetylcholine and monoamine oxidase c. increasing the levels of serotonin, norepinephrine, and dopamine d. altering sodium metabolism within nerve and muscle cells

c. increasing the levels of serotonin, norepinephrine, and dopamine

Margaret, age 68, is diagnosed with Bipolar Disorder, manic episode. She is extremely hyperactive and has lost weight. One way to promote adequate nutritional intake for Margaret is to: a. sit with her during meals to ensure that she eats everything on her tray b. have her sister-in-law bring all her food from home because she knows her likes and dislikes c. provide high-calorie, nutritious finger foods and snacks that she can eat "on the run" d. tell her that she will be on room restriction until she starts gaining weight

c. provide high-calorie, nutritious finger foods and snacks that she can eat "on the run"

Margaret, age 68, is a widow of 6 months. Since her husband died, her sister reports that Margaret has become socially withdrawn, has lost weight, and does little more each day than visit the cemetery where her husband was buried. She told her sister today that she "didn't have anything more to live for." She has been hospitalized with Major Depressive Disorder. The priority nursing diagnosis for Margaret would be: a. imbalanced nutrition; less than body requirements b. complicated grieving c. risk for suicide d. social isolation

c. risk for suicide

Andrew, a New York City firefighter, and his entire unit responded to the terrorist attacks at the World Trade Center. Working as a team, he and his best friend, Carlo, entered the area together. Carlo was killed when the building collapsed. Andrew was injured but survived. Since that time, Andrew has had frequent nightmares and anxiety attacks. He says to the mental health worker, "I don't know why Carlo had to die and I didn't!" This statement by Andrew suggests that he is experiencing a. spiritual distress. b. night terrors. c. survivor's guilt. d. suicidal ideation.

c. survivor's guilt.

What would the desired outcome of working with an individual who has witnessed a traumatic event and is now experiencing panic anxiety? a. the individual will experience no anxiety b. the individual will demonstrate hope for the future c. the individual will maintain anxiety at manageable level d. the individual will verbalize acceptance of self as worthy

c. the individual will maintain anxiety at manageable level

__________ disorder is a chronic mood disturbance of at least 2 years' duration, involving numerous periods of elevated mood that do not meet the criteria for a hypomanic episode and numerous periods of depressed mood of insufficient severity or duration to meet the criteria for major depressive episode.

cyclothymic

A client diagnosed with major depressive episode is scheduled for electroconvulsive treatment (ECT) in the morning. Upon awakening, prior to the treatment, the client asks, "Can I please get something to eat?" Which is the appropriate nursing response? a. "You may have something light, such as crackers" b. "You'll need to ask the doctor. He'll be in shortly" c. "Just don't eat anything containing tyramine, such as aged meats and yellow cheeses" d. "I know you'd like breakfast, but eating before your treatment may lead to complications"

d. "I know you'd like breakfast, but eating before your treatment may lead to complications"

A college student confides that she and her boyfriend engage in sadomasochistic practices. She reports, "It's not a big deal. We're just having fun." What would be the best nursing response? a. "Make sure to protect yourself from communicable diseases." b. "I need to inform your parents in case of injury." c. "You should not be doing unnatural things like that!" d. "You need to understand that some sadomasochistic acts can result in death."

d. "You need to understand that some sadomasochistic acts can result in death."

When assessing suicidal risk, which nursing question is most appropriate? a. "Can you tell me about your lifestyle?" b. "You say that you won't be around much longer. Tell me what that means" c. "Have you written any suicide notes?" d. "You seem desperate. Do you have a plan and a method for ending your life."

d. "You seem desperate. Do you have a plan and a method for ending your life."

An adolescent recently lost his father in a plane crash. He has begun to question his belief in God. He cries out, "No God would have let my father die like that! I'm so angry I could scream!" Which is the nurse's best response? a. "You shouldn't say things like that." b. "Are you having any thoughts of wanting to harm yourself in any way?" c. "I believe that God has your father in a safe place right now." d. "You're feeling so angry. I'm here for you. I'm listening."

d. "You're feeling so angry. I'm here for you. I'm listening."

The most common comorbid condition in children with bipolar disorder is: a. Schizophrenia b. Substance disorders c. Oppositional defiant disorder d. Attention-deficit/hyperactivity disorder

d. Attention-deficit/hyperactivity disorder

A client diagnosed with borderline personality disorder is admitted to a psychiatric unit. Which behavior patterns would the nurse expect to observe? a. Socially isolates b. Exhibits entitled behaviors c. Has bizarre speech patterns d. Generates conflict among the staff

d. Generates conflict among the staff

John is a client at the mental health clinic. He is depressed, has been expressing suicidal ideations, and has been seeing the psychiatric nurse every 3 days. He has been taking 100 mg of sertraline daily for about a month, receiving small amounts of the medication from his nurse at each visit. Today he comes tot he clinic in a cheerful mood, much different than he seemed just 3 days ago. How might the nurse assess this behavioral change? a. The sertraline is finally taking effect. b. He is no longer in need of antidepressant medication. c. He has completed the grief response over loss of his wife. d. He may have decided to carry out his suicide plan.

d. He may have decided to carry out his suicide plan.

When teaching about suicide, which information should the nurse include? a. People who talk about suicide do not commit suicide b. Suicide is inherited c. You cannot stop a suicidal individual d. Individuals who want to kill themselves are only suicidal for a limited time

d. Individuals who want to kill themselves are only suicidal for a limited time

A client is diagnosed with bipolar disorder. Which medication is the drug of choice to treat this diagnosis? a. Risperidone (Risperdal) b. Clozapine (Clozaril) c. Lorazepam (Ativan) d. Lithium carbonate (Eskalith)

d. Lithium carbonate (Eskalith)

A suicidal client diagnosed with borderline personality disorder exhibits both fear and anger during the intake interview. Which nursing intervention would be appropriate for this client? a. Confine the client to a single room to promote calmness. b. Medicate client with antipsychotic medication to decrease fear and anger. c. Within 7 days, client will verbalize strategies to interrupt escalation of fear and anger. d. Start supportive counseling to identify sources of anger.

d. Start supportive counseling to identify sources of anger.

An athlete has been recently diagnosed with diabetes mellitus but denies the diagnosis. The athlete's speech is monotone when stating, "I'm ready to end my life." Which would be the priority outcome of crisis intervention for this client? a. The client will participate in unit activities. b. The client will express the desire for continued therapy by day 3. c. The client will list five personal strengths by day 2. d. The client will remain safe during hospitalization.

d. The client will remain safe during hospitalization.

Education for the client who is taking MAOIs should include which of the following? a. Fluid and sodium replacement when appropriate, frequent drug blood levels, signs and symptoms of toxicity. b. Lifetime of continuous use, possible tardive dyskinesia, advantages of an injection every 2 to 4 weeks. c. Short-term use, possible tolerance to beneficial effects, careful tapering of the drug at end of treatment. d. Tyramine-restricted diet, prohibitive concurrent use of over the counter medications without physician notification.

d. Tyramine-restricted diet, prohibitive concurrent use of over the counter medications without physician notification.

Which statement is true about vascular neurocognitive disorder? a. Vascular neurocognitive disorder is reversible. b. Vascular neurocognitive disorder is characterized by plaques and tangles in the brain. c. Vascular neurocognitive disorder involves a gradual, progressive cognitive deterioration. d. Vascular neurocognitive disorder involves a variable pattern of cognitive functioning.

d. Vascular neurocognitive disorder involves a variable pattern of cognitive functioning.

The activity therapist is planning an individualized program for a client diagnosed with bipolar disorder: manic phase, exhibiting hostility and excessive energy. Which activity would be most appropriate? a. Writing memoirs b. Participating in team sports c. Playing table tennis d. Walking

d. Walking

The most appropriate nursing intervention with Marie would be to a. refer her to her family physician for a complete physical examination b. suggest she seek outside employment now that her children have left home c. identify convenient support systems for times when she is feeling particularly despondent d. begin grief work and assist her to recognize areas of self-worth separate and apart from her children

d. begin grief work and assist her to recognize areas of self-worth separate and apart from her children

Crises occur when an individual a. is exposed to a precipitating stressor b. perceives a stressor to be threatening c. has no support symptoms d. experiences a stressor and perceives coping strategies to be ineffective

d. experiences a stressor and perceives coping strategies to be ineffective

A depresses client is receiving an ECT treatment. In the treatment room, the anesthesiologist administers methohexital sodium (Brevital) followed by IV succinylcholine (Anectine). The purpose of these medications are to a. decrease secretions and increase heart rate b. prevent nausea and induce a calming effect c. minimize memory loss and stabilize mood d. induce anesthesia and relax muscles

d. induce anesthesia and relax muscles

Ginger, age 19 and an only child, left 3 months ago to attend a college of her choice 500 miles away from her parents. It is Ginger's first time away from home. She he has difficulty making decisions and will not undertake anything new without first consulting her mother. They talk on the phone almost every day. Ginger has recently started having anxiety attacks. She consults the nurse practitioner in the student health center. This type of crisis is called? a. crisis resulting from traumatic stress b. dispositional crisis c. psychiatric emergency d. maturational/developmental crisis

d. maturational/developmental crisis

Intervention with Andrew (from question above) would include a. encouraging expression of feelings b. anti-anxiety medications. c. participation in a support group. d. a and c. e. all of the above.

e. all of the above.

The totality of emotional and behavioral characteristics that are particular to a specific person and that remain somewhat stable and predictable over time is termed __________.

personality