Vegas Last Hoorah

A nurse has a reasonable suspicion that another member of the nursing staff suffers from substance use disorder that is resulting in impaired care practices. What action should the nurse take to protect both the clients and staff member? A) Ask the nurse to explain the reason for the suspicious behavior B) Report the suspicion as required by the state's nurse practice act C) File a formal complaint with the facility's Chief Nursing Officer D) Threaten to report the staff member if they do not immediately resign

B

A nurse is assessing a girl age 8 years with a mood disorder. Which would the nurse expect to assess? A) Statement from the child that she feels sad B) Behavioral problems C) Recurrent obsessions D) Ritualistic behavior

B

A nurse is developing a plan of care for a client diagnosed with schizophrenia. The nurse integrates knowledge of this disorder, identifying which neurotransmitter as being primarily involved? A) Acetylcholine B) Dopamine C) Norepinephrine D) Serotonin

B

A nurse is explaining to a new nurse on the team about how to respond to individuals in the midst of a disaster. Which statement would be most appropriate to include about initial nursing interventions for such individuals? A) "You should ask them to give you a brief medical history so their physical needs can be met." B) "Focus on safety needs and provide simple, clear instructions to help them function effectively." C) "Help them determine what their long-term goals will be so they can maintain a sense of hope." D) "Try to redirect their attention away from the problems at hand so you can decrease their anxiety."

B

A nurse is performing an admission assessment. The client reports that it has been taking larger and larger amounts of medication to get the desired effect. Based on this information, the nurse interprets this as suggesting which effect? A) Desensitization B) Tolerance C) Therapeutic index D) Toxicity

B

A nurse is performing an assessment interview with a client. The client tells the nurse that he has a type A personality. Based on the nurse's interpretation, the nurse would expect which behavior by the client? A) Appearing relaxed and easy going throughout the interview B) Wanting the interview to be over as quickly as possible C) Being pleased with the overall pace of the interview D) Speaking slowly, requiring time to consider his answers

B

A nurse is presenting a program to a church group about domestic violence. During the presentation, a member of the audience asks the nurse to explain what "intergenerational transmission of violence" means because he has seen that phrase used in the media. Which response by the nurse is most appropriate? A) "People who are violent are that way because of the various neurochemical imbalances in their brains." B) "People who grow up in violent home situations tend to be involved in domestic violence situations as an adult." C) "Recent research has identified a gene that is responsible for transmission of a risk for violent behavior that is passed on from generation to generation D) "Domestic violence seems to skip every other generation when it is traced in families."

B

A nurse is working with a client diagnosed with antisocial personality disorder. The nurse needs to keep in mind which information about the therapeutic relationship? A) The goal is to alleviate dysfunctional thinking. B) The relationship initially is superficial due to lack of client commitment. C) The client uses the relationship to change the problem behavior. D) The client continuously focuses on new topics during the relationship.

B

A nurse is working with a client diagnosed with insomnia. When developing an education plan for the client, which sleep promotion intervention would the nurse implement first? A) Encouraging the client to stop smoking B) Instructing the client to keep regular bedtimes and rising times C) Encouraging the client to take frequent naps D) Administering prescribed sleep medications

B

A nurse is working with a psychiatric client who was admitted to the inpatient facility and is being discharged. The client asks the nurse what he should do when he goes home to promote getting adequate sleep. Which response by the nurse would be most appropriate? A) "Go to bed at the same time every night and watch a television show that relaxes you." B) "Save your bedroom for sleeping; that means no work and no TV in the bedroom." C) "Why don't you ask your psychiatrist for a prescription for a sleeping pill?" D) "Make sure to keep the bedroom warm and toasty."

B

A nurse is working with the family of a client who has been diagnosed with antisocial personality disorder. Which information would be most important for the nurse to focus on when teaching the family about this disorder? A) Anger management B) Boundary setting C) Medication therapy D) Self-responsibility

B

During an assessment, the client states, "We rely on our large extensive family for moral support and help, and we treat our elders with a great deal of respect. If someone gets sick, the family takes care of them." How should the nurse interpret this statement? A) Acculturation B) Cultural identity C) Cultural competence D) Linguistic competence

B

During an interview, a client tells the nurse that they were recently let go from their job. As the interaction continues, the client states, "I was really overqualified for that position anyway. It was definitely below my area of expertise." The nurse interprets this information as reflecting which mechanism? A) Denial B) Intellectualization C) Projection D) Passive aggression

B

The nurse is assessing a client experiencing anxiety and observes increased sweating and goose flesh. The nurse understands that these are the result of which substance? A) Acetylcholine B) Norepinephrine C) Serotonin D) Histamine

B

The nurse is caring for a client who is receiving the five-stage process for homeless rehabilitation. Which statement by the client would indicate the client is in the transition to the intensive care stage? A) "I am learning to redirect my anger, so I can prevent overreacting when I am upset." B) "I am ready to stop using drugs, but I need help with getting into a rehabilitation facility." C) "I have adjusted to living in the half-way house and sharing responsibilities." D) "I will always be seen as a failure to my siblings."

B

The nurse is initiating a group for adolescent girls diagnosed with anorexia nervosa. Many of the clients in the group are irritable and resent having to attend. One of them comments, "This is a stupid waste of time!" Which response by the nurse would be most appropriate? A) "If you feel that way, then you can just leave." B) "You sound irritated; tell me about what is bothering you." C) "You were assigned to this group by your therapist, so you must participate." D) "Sit down and be quiet; your peers would appreciate some peace and quiet."

B

The nurse is reviewing the electronic health records of several clients diagnosed with major depression. The nurse identifies which client as most likely to commit suicide? A) Divorced man B) Widowed man C) Woman living with a roommate D) Married woman

B

The nurse is working with a potentially violent client in a community clinic. What action should the nurse take to minimize personal risk? A) Use protective devices B) Stay close to a door C) Keep the door closed to ensure privacy D) Wear expensive jewelry to distract the client

B

The school nurse is aware that a student has requested "Tylenol" three times during the past week because his "back hurts." The nurse has noticed that he often wears long-sleeved sweaters and sweatshirts, even in warm weather. The nurse suspects that the student may be the victim of physical abuse. The nurse is preparing to ask the child about his ongoing backache. Which would the nurse anticipate the child reporting if the child was indeed being abused? A) Explain that his father is beating him on a regular basis. B) Be reluctant to report abuse because of shame or fear of retaliation. C) Give the same reason the client's sister would give were she asked to explain the injuries. D) Carefully explain that the client's mother provides discipline because she loves the client.

B

When applying the biopsychosocial model for a client with a mental health problem, the nurse addresses the psychological domain when assessing which trait? A) Sleep patterns B) Feelings C) Family functioning D) Cultural groups

B

When assessing a client with depression, the client states, "I just feel so sad and hopeless. I just don't care anymore. I don't even enjoy doing the crossword puzzles like I used to." The nurse documents this finding as indicative of condition? A) Dysthymic disorder B) Anhedonia C) Delusion D) Psychosis

B

Which client would the nurse determine to be the most likely candidate for involuntary commitment? The client who: A) Refuses to take the prescribed medication B) Is screaming in the street disturbing neighbors C) Refuses to participate in the planned therapy D) Is homeless and has been diagnosed with a mental disorder

B

Which ethical priniciple is being addressed when the nurse encourages an older, cognitively impaired client to select the food the client will be served for dinner? A) Justice B) Autonomy C) Beneficence D) Nonmaleficence

B

Which question would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit? A) "Have you had any previous psychiatric admissions?" B) "What brings you into the hospital today?" C) "Have you had any thoughts about trying to harm yourself?" D) "How would you describe your relationship with your spouse?"

B

While working in a community mental health treatment center, the nurse overhears one of the receptionists saying that one of the clients is "really psycho." Later in the day, the nurse talks with the receptionist about the comment. This action by the nurse demonstrates an attempt to address which issue? A) Lack of knowledge B) Public stigma C) Label avoidance D) Self-stigma

B

Which common manifestations following a traumatic experience would the nurse identify in a client experiencing physiologic hyperarousal (select all that apply.) A) Frequent Urination B) Startles easily C) Overreacts to others D) Avoids places associated with the event E) Has vivid dreams

B, C

A client with borderline personality disorder has difficulty maintaining the boundaries of the professional relationship. Which actions by the nurse would be most effective? (Select all that apply.) A) Punish the client with seclusion for violating established boundaries. B) Respond to the client's arrogance in a neutral, nonconfrontational manner. C) Discuss the purpose of the limits in the therapeutic relationship. D) State the parameters of the limits and boundaries clearly. E) Ensure that any established limits are maintained consistently.

B, C, D, E

When assessing a client with borderline personality disorder (BPD), which characteristics would the nurse expect to assess? (Select all that apply.) A) Freely shares feelings with others B) Control necessary for a relationship C) Fear of rejection D) Exaggerated sense of self E) Self-injurious behavior

B, C, E

A client diagnosed with a conversion disorder repeatedly reports abdominal symptoms to the nursing staff. What response provided by the nurse managing the client's care will best meet the client's needs therapeutically? A) Ignoring the reports but documenting the symptoms B) Distracting the client with offers to include the client in group activities C) Recognizing the symptoms but not providing the client the opportunity to dwell on them D) Reminding the client that the tests were all negative and that the symptoms are just imaginary

C

A client has been prescribed naltrexone (Trexan) for treatment of alcohol dependence. The nurse has explained the drug's purpose to the client. The nurse determines that the client has understood the instructions when the client identifies which information about the drug? A) Causes itching if alcohol is consumed B) Produces the euphoria of alcohol C) Reduces the appeal of alcohol D) Improves appetite and nutritional status

C

A client is being admitted to the psychiatric unit. The client explains their reason for seeking admission, describing how their 32-year-old son recently died of a heart attack. Which response by the nurse would enhance the effectiveness of this interview? A) "How is your spouse handling your son's death?" B) "Do you have any other living children that can help you cope with this loss?" C) "This must be a very difficult time for you." D) "I know exactly how you're feeling; my 23-year-old son died unexpectedly last year."

C

A client is being treated for chronic alcoholism, the nurse notes the client is wearing a stethoscope and asks the client where the stethoscope came from. The client gives a rambling response that the nurse knows is not accurate. The nurse suspects that the client may be experiencing which condition? A) Wernicke syndrome B) Delirium tremens C) Korsakoff's amnestic syndrome D) Malignant hyperthermia

C

A nurse is initiating a relationship with a new client. After meeting, the nurse makes arrangements to visit again around lunchtime. A colleague invites the nurse to go to the gym with them during lunch. The nurse decides to forgo the gym and talk with the client. The nurse's decision reflects which ethical principles A) Autonomy B) Beneficence C) Fidelity D) Veracity

C

A nurse is preparing a presentation for a local community group about mental disorders and plans to include how mental disorders are different from medical disorders. Which statement would be most appropriate for the nurse to include? A) "Mental disorders are defined by an underlying biological disorder B) "Numerous laboratory tests are used to aid in the diagnosis of mental disorders." C) "Clusters of behaviors, thoughts, and feelings characterize mental disorders." D) "Manifestations of mental disorders are within normal, expected parameters."

C

A nurse is presenting a discussion for a local community group about suicide. Which comment from an audience member indicates the need to clarify the information? A) "Warning signs about the person's intention often occur." B) "People who are suicidal are undecided about living or dying." C) "Asking about suicide, may put the idea in people's heads." D) "People who talk about suicide need to be taken seriously."

C

A nurse working on the psychiatric unit receives a telephone call from the employer of one of the clients on the unit. The employer asks to be sent a copy of Mr. Murray's latest laboratory work and psychological testing results so Mr. Murray's medical records in employee health can be kept up-to-date. Based on the nurse's knowledge about issues surrounding breach of confidentiality, which response would be the most appropriate? A) "I'm sorry; we're not allowed to give out that information about our client." B) "I'll have to get the client's signed consent before we can send that information to you." C) "I am unable to acknowledge whether or not a Mr. Murray is a client on this unit." D) "Sure, give me your address, and I will see that the information is sent to you."

C

After educating a client on antipsychotic agents, the nurse determines that the education was successful when the client identifies which medication as an example of a second-generation antipsychotic agent? A) Fluphenazine (Prolixin) B) Thiothixene (Navane) C) Quetiapine (Seroquel) D) Chlorpromazine (Thorazine)

C

Parents visit the clinic with their teenager to discuss the teen's skin picking. Many bleeding wounds and various stages of scabs located up and down both of the teenager's arms. The parents are very upset about this behavior and want it to stop. What condition does the health care provider documents? A) Body dysmorphic disorder B) Disrupted family dynamics C) Excoriation disorder D) Control dysfunction

C

The emergency department nurse is assessing a client with traumatic injuries. To assess whether or not the client's injuries have resulted from abuse, which question would be most appropriate for the nurse to ask the client? A) "Is your partner being mean to you?" B) "Why do you think your spouse has beaten you?" C) "It looks like someone has hurt you. Tell me about it." D) "Can you describe the person who did this to you?"

C

The nurse is assessing a 35-year-old client who is seeking assistance at a local community counseling center. Which statement made by the client would indicate that the client is experiencing a crisis? A) "I'm so upset; my spouse has never left me like this before." B) "I'm confused and hurt; I have lost my best friend and my lover." C) "I don't understand; I can't seem to function like I usually do." D) "No matter what I do, I am still overcome by these sad feelings."

C

The nurse is assessing a client for somatic symptom disorder. Which client statement would the nurse interpret as most likely supporting this diagnosis? A) "It's like my foot is asleep all the time; I can't feel anything that touches my foot." B) "I'm losing weight no matter what or how much I eat." C) "I am always in pain; there is nothing I can do to relieve it." D) "It seems like I am always having diarrhea at the most inconvenient times."

C

The nurse is assessing a client with bipolar disorder who is experiencing mania. The client states, "I'm just so beautiful. Everyone just stops and stares at how gorgeous I am. Men constantly want to have sex with me." The nurse interprets these statements as indicative of which type of mood? A) Irritable B) Elevated C) Expansive D) Euphoric

C

The nurse is assessing a client's immediate and short-term memory. Which action would be most appropriate? A) Questioning the client about an event that has occurred within the past several months. B) Giving the client a simple scenario and having him identify what would be the best response. C) Giving the client three words and asking him to recite them now and then in 5 minutes. D) Asking the client to tell the nurse the date, time, and current location.

C

While assessing a client thought to have a factitious disorder, the nurse asks the client to describe when they felt nurtured as a child. Which response would the nurse interpret as supporting the client's diagnosis? A) "I never felt nurtured or loved when I was growing up." B) "The only time I felt loved and appreciated was when I made the honor roll at school." C) "The only time I ever felt loved was when I was sick enough to miss school." D) "I felt loved and accepted when my parents apologized for spanking me so hard."

C

While assessing a client with schizophrenia, the client states, "Everywhere I turn, the government is watching me because I know too much. They are afraid that I might go public with the information about all those conspiracies." The nurse interprets this statement as indicating which type of delusion? A) Grandiose B) Nihilistic C) Persecutory D) Somatic

C

While reviewing the medical record of a client with moderate dementia of the Alzheimer type, the nurse notes that the client has been receiving memantine. The nurse identifies this drug as which type? A) Atypical antipsychotic B) Cholinesterase inhibitor C) NMDA receptor antagonist D) Benzodiazepine

C

While working with an older client, the nurse begins to think that the client reminds them of their grandparent, and responds as if they were the grandchild. The nurse is developing which behavior? A) Empathy B) Transference C) Countertransference D) Modeling

C

The nurse is assessing a client with posttraumatic stress disorder (PTSD). Which symptoms would the nurse categorize as reflecting intrusion? (Select all that apply.) A) Irritability B) Difficulty sleeping C) Flashbacks D) Acting as if the event is reoccurring E) Dissociation

C, D

A client 22 years of age with schizophrenia is refusing antipsychotic medication. The client states, "I don't like the dopey way it makes me feel. I feel like I'm walking underwater when I take it." The nurse explains to them, "Your schizophrenia is caused by a chemical imbalance in your brain, and this medication helps fix that chemical imbalance. You need to take it so your symptoms will get better." This conversation reflects a conflict between which two types of ethical principles? A) Autonomy and justice B) Paternalism and veracity C) Justice and nonmaleficence D) Autonomy and beneficence

D

A group of nursing students is reviewing the various agents used to treat insomnia. The students demonstrate an understanding of the information when they identify which agent as a melatonin receptor agonist? A) Trazodone B) Estazolam C) Mirtazapine D) Ramelteon

D

A nurse is presented with an ethical conflict when a client insists on leaving the hospital against medical and nursing advise. This situation best demonstrates the ethical conflict between which relevant principles? A) Justice vs. Paternalism B) Veracity vs. Autonomy C) Fidelity vs. Beneficence D) Autonomy vs. Beneficence

D

A nurse is reviewing the assessment findings of several clients. Which client would the nurse identify as having a type D personality? A) A client who threatens the receptionist in the emergency department with bodily harm if a doctor does not see the client right away B) A client who sits quietly reading in a waiting room before seeing a doctor for an annual physical C) A quiet teen who drinks a six pack of beer because of peer pressure D) A client who reacts negatively to almost everything but never discusses feelings with anyone

D

A psychiatric-mental health nurse is integrating Carl Rogers' theory into the plan of care for a client with a mental illness. The nurse incorporates understanding of this theory by acknowledging that the therapist accomplishes which action? A) Provides validation of the terminology used during the session B) Focuses on the client's instinctual drives C) Recognizes an understanding of the client's basic needs D) Develops unconditional positive regard for the client

D

A psychiatric-mental health nurse is working on developing cultural competence. Which would be most appropriate for the nurse to do? A) Research information about the cultures of the population being served after assessing the clients. B) Recognize that one's own culture is the predominant way of addressing a client's health care needs. C) Assume that any individual of a racial or ethnic group is the same as another individual in that group. D) Demonstrate an appreciation of, and a genuine interest in, the individual and his or her cultural beliefs.

D

After educating a group of new nurses on various concepts involving suicide, the nurse determines that the education was successful when the new nurses provide which definition for the term parasuicide? A) Voluntary act of killing oneself B) All suicide-related behaviors and suicidal thoughts C) Nonfatal act with the intent to die D) Voluntary attempt without death as the aim

D

An abused child has been placed in a loving foster home. The foster parents express concern when the child has not developed a positive attachment after living in their home for the past 9 months. The case manager concludes that the child had developed which condition. ? A) Acute stress disorder B) Adjustment disorder C) Disinhibited social engagement disorder D) Reactive attachment disorder

D

Termination takes place during the resolution phase of a nurse-client relationship. During the termination process, a client brings up resolved problems and presents them as new issues toward which to work. The nurse interprets the client's action as indicating what feeling in the client? A) Anger that the nurse is abandoning him B) Wish for additional therapy C) Belief that the therapy was ineffective D) Wish to prolong the nurse-client relationship

D

The nurse is assessing a client on an inpatient psychiatric unit. Which aspect of the client's history should the nurse identify as the strongest indicator of risk for violence? A) Panic disorder B) Problematic anxiety C) Somatoform disorder D) Previous episodes of rage

D

The nurse is leading a small group of hospitalized clients diagnosed with psychiatric disorders. One group member has asked for advice and often agrees with suggestions by other group members but then adds, "Yes, but . . ." to every suggestion offered. Which response by the nurse would be most appropriate? A) "Things would probably work out better if you joined a different B) "Do you realize you say, 'Yes, but . . .' to every suggestion the group has for you?" C) "I suggest you stop and think about why you always respond to suggestions with 'Yes, but . . .'" D) "What solution do you think would work best for you?

D

The school nurse is caring for a child 7 years of age who has demonstrated a significantly lower-than-average score for mental age on standardized tests in reading. However, the child's IQ scores were within the average range. The nurse interprets this information as suggesting which condition? A) Communication disorder B) Attention deficit hyperactivity disorder C) Asperger syndrome D) Dyslexia

D

While talking with a client with an eating disorder, the client states, "I've gained two pounds, so I'll be up by 100 pounds soon." The nurse interprets this as which of the following? A) Magnification B) Selective abstraction C) Overgeneralization D) Dichotomous thinking

D

The nurse is assessing a client with posttraumatic stress disorder (PTSD). Which symptoms would the nurse categorize as reflecting avoidance and numbing? (Select all that apply.) A) Irritability B) Difficulty sleeping C) Flashbacks D) Acting as if the event is reoccurring E) Dissociation

E

What is empathy? How is it expressed?

" Empathy fuels connection, sympathy drives disconnection" - Feeling with people - Prospective taking - staying out of judgement - recognizing emotion in other people and then communicating that

A client arrives at the emergency department by ambulance. The client is unconscious, with slow respirations and pinpoint pupils. The friend who came with the client reports that the client had just "shot up" heroin and became unconscious. Which medication would the nurse most likely expect to administer? A) Naloxone B) Naltrexone C) Bupropion D) Varenicline

A

A client asks the nurse whether he needs to alter any of his activities because he is taking lithium carbonate. Which responses would be most appropriate? A) "Increase your salt intake if an activity causes you to perspire heavily." B) "Wear sunscreen when you are going to be outdoors in the summer." C) "Drink less fluid than usual now that you are taking this drug." D) "No changes are necessary for strenuous activities you do outdoors."

A

A client has been admitted to the psychiatric unit with a diagnosis of narcolepsy. Which client statement would the nurse interpret as reflecting this condition? A) "Sometimes I fall asleep when I'm driving my car home from work." B) "I often have brief periods of intense excitement when going to sleep, and my legs won't hold still." C) "I lie there and worry all night, and it keeps me awake. I can't relax." D) "I think my sleep pattern is messed up because I took sleeping pills when I was younger."

A

A client is admitted to the mental health unit with a diagnosis of factitious disorder. When reviewing the client's history, which of the following would the nurse most likely find? A) Intentional self-injurious behavior (to receive the attention of health care workers) B) Pain to achieve a self-serving goal C) Malingering to avoid work D) Parents who were restrictive

A

A client with bipolar disorder, having experienced a depressive episode, is prescribed lamotrigine. After educating the client on on this medication the nurse determines that the education was successful when the client makes which statement? A) "I need to notify my physician if I develop a skin rash." B) "I need to have my blood tested about once a month." C) "I have to watch how much salt I use every day." D) "This drug can affect my liver function."

A

A client with borderline personality disorder (BPD) tells the nurse, "You are good but the nurse on the afternoon shift is bad. the doctor is bad, too, but the therapist is good." The nurse interprets this statement as reflecting which function A) Splitting B) Identity diffusion C) Dissociation D) Cognitive schema

A

A group of nursing students is reviewing information about the various nursing theorists and their application to psychiatric-mental health nursing. The students demonstrate understanding when they identify which theorist as responsible for developing the theory of cultural care diversity and universality? A) Madeleine Leininger B) Sister Calista Roy C) Hildegard Peplau D) Dorothea Orem

A

A nurse is developing a plan of care integrating Maslow's hierarchy of needs. Classical conditioning refers to behavior that occurs in response to a stimulus. What should the nurse identify as the priority? A) Basic needs B) Predictable social environment C) Acceptance from family D) Positive self-image

A

A nurse is explaining the distinction between confidentiality and privacy. Which of the following would the nurse include as reflecting privacy? A) Part of personal life not governed by society's B) Ethical duty for nondisclosure C) Involvement of two individuals D) Knowledge of treatment costs and benefits

A

A nurse is reviewing the medical history of a client diagnosed with somatic symptom disorder. Which of the following would the nurse expect to find as a comorbid condition? A) Depression B) Bipolar disorder C) Thought disorder D) Sleep disorder

A

After educating a group of students on sexual maturation, the instructor determines that the education was successful when the students identify which as referring to the anatomic and physiologic state of being male or female? A) Biosexual identity B) Gender identity C) Sex role identity D) Sexual orientation

A

After interviewing a client about social supports, the nurse determines that the client is experiencing emotional support from these social supports based on which statement? A) "I'm glad I have someone that I can talk to." B) "The person who cut my lawn was great!" C) "I received a small community grant for groceries." D) "The senior center gave me a booklet about my medications."

A

The nurse is caring for a client in the outpatient setting who has been diagnosed with a depressive disorder. Before the client is given a prescription for a tricyclic antidepressant, assessment for which of the following would be most important? A) Suicide B) Hypersomnia C) Cardiac dysrhythmias D) Erectile dysfunction

A

The nurse is caring for a client who has been taking clozapine (Clozaril) for 2 weeks. The client tells the nurse, "My throat is sore, and I feel weak." The nurse assesses the client's vital signs and finds that the client has a fever. The nurse notifies the health care provider, expecting an order to obtain which laboratory test? A) A white blood cell count B) Liver function studies C) Serum potassium level D) Serum sodium level

A

The nurse is caring for a hospitalized client who has a disorder of the hypothalamus. When developing the client's plan of care, in which area would the nurse anticipate a problem? A) Sleep B) Constipation C) Speech D) Motor activity

A

The nurse is interviewing a client with schizophrenia when the client begins to say, "Kite, night, right, height, fright." What term would the nurse use to document this action? A) Clang association B) Stilted language C) Verbigeration D) Neologisms

A

The nurse is making a home visit to an adult client who is diagnosed with persistent depressive disorder. When developing this client's plan of care, which of the following would the nurse need to keep in mind? A) The client's symptoms of major depression disorder have lasted for 2 years. B) The client's condition is considered to be of a shorter duration. C) The client typically experiences an elevated mood. D) The client experiences symptoms that are intermittent.

A

The nurse is planning a presentation to a community group on the topic of anxiety disorders. Which statement would the nurse include when describing panic disorder? A) Individuals may believe they are having a heart attack when a panic attack occurs. B) People with panic attacks often have fewer attacks if they also have agoraphobia. C) Typically, individuals experience this disorder after the age of 30 years. D) Persons rarely have an underlying comorbid condition of depression.

A

Which client statement accurately reflects the cognitive dysfunction associated with borderline personality disorder? A) "I was a total failure at my new job." B) "Sometimes things are not always clear cut." C) "At least some good came out of my trying." D) "You need to look at things in perspective."

A

While providing in-serve training on the psychodynamic theory behind OCD symptoms, the nurse mentions reaction formation. Which statement is characteristic of this theory? A) When parents are too harsh during potty training, the child may feel dirty and ashamed. Then the child may deliberately soil his or her clothes as an act of rebellion. B) Fear in individuals with OCD will trigger a fear associated with unwashed hands that are very unlikely to cause real harm. However, they keep washing their hands frequently. C) Compulsions are rewarded by immediate reduction of distress or anxiety. Clients carrying out the compulsive rituals but never get to test out their faulty thinking that there is not a dire consequence if they make a mistake. D) Clients report their symptoms. Such report is retrospective and so may not be accurately recalled and yields subjective data vulnerable to bias and distortion.

A

The nurse is assessing a client with posttraumatic stress disorder (PTSD). Which symptoms would the nurse categorize as reflecting hyperarousal? (Select all that apply.) A) Irritability B) Difficulty sleeping C) Flashbacks D) Acting as if the event is reoccurring E) Dissociation

A, B

A nurse is preparing a presentation on therapeutic and nontherapeutic techniques of communication. The nurse should select which techniques to demonstrate as therapeutic? (Select all that apply.) A) Confrontation B) Open-ended statements C) Reflection D) Reassurance E) Agreement F) Challenges

A, B, C

A nurse is reading a journal article about the various theories associated with the development of antisocial personality disorder. The article mentions difficult temperament as a possible theory. The nurse demonstrates understanding of this concept when identifying which key behaviors as associated with a difficult temperament? (Select all that apply.) A) Aggression B) Inattention C) Hyperactivity D) Impulsivity E) Depression F) Paranoia

A, B, C, D

The nurse is planning care for a group of clients using the recovery model. Which client(s) would be appropriate for the nurse to include? Select all that apply. A) A client with a history of personality disorder. B) A client recovering from an opioid overdose. C) A client diagnosed with Alzheimer disease D) A client with an eating disorder. E) A client with erectile dysfunction.

A, B, D

When describing the characteristics associated with borderline personality disorder (BPD), which would the nurse most likely include? (Select all that apply.) A) Difficulty regulating moods B) Over-inflated self-identity C) Problems with interpersonal relationships D) Thinking that is delusional-based E) Impulsive behavior

A, C, E

A nurse is preparing a training plan for a group of new nurses about antisocial personality disorder. Which terms would the nurse include as words used to describe the behaviors associated with this condition? (Select all that apply.) A) Psychopath B) Manipulator C) Criminality D) Sociopath E) Psychotic

A, D

A nursing instructor is preparing a class about functional neurologic symptoms.(conversion disorder)Which of the following would the instructor most likely include as an assessment finding? (Select all that apply.) A) Difficulty swallowing B) Spasticity C) Urinary frequency D) Aphonia E) Blindness

A, D, E

A client has been admitted to the inpatient psychiatric facility as part of a court-ordered program. The client was arrested numerous times over the past several months for exposing his genitals and masturbating in public in front of an elementary school. The nurse interprets this behavior as reflecting which condition? A) Frotteurism B) Exhibitionism C) Sexual masochism D) Voyeurism

B

A client is admitted to the mental health unit because they were found trying to inject diluted feces into their hospitalized child's intravenous line. The client has a history of similar attempts of harming the child. The nurse would most likely suspect which of the following? A) Schizoid personality traits B) Factitious disorder imposed on another C) Functional neurologic symptoms D) Borderline personality disorder

B

A client is experiencing hallucinations and delusions. The nurse expects the physician to order which class of drug? A) Mood stabilizer B) Antipsychotic C) Antianxiety agent D) Stimulant

B

A client is prescribed phenelzine (Nardil) to treat her depression. The client is at a local café for lunch with a friend. Which item on the menu should the client avoid ordering? A) Roast beef, mashed potatoes, and gravy B) A Cobb salad with blue cheese and Roquefort salad dressing C) Scrambled eggs, toast, and grape jelly D) Medium-well steak, French fries, and broccoli

B

A client with depression asks the nurse about possible herbal supplements. Which supplement should the nurse identify as being commonly used? A) Valerian B) St. John's wort C) Kava D) Melatonin

B

A client with somatic symptom disorder also has anxiety. Which of the following would the nurse expect to be prescribed? A) Monoamine oxidase inhibitor (MAOI) B) Selective serotonin reuptake inhibitor (SSRI) C) Tricyclic antidepressant D) Atypical antipsychotic

B

A client with somatic symptom disorder is complaining of significant pain in the joints. When providing care to this client, which of the following would be most important for the nurse to keep in mind? A) Opioid analgesics are the primary mode of therapy. B) The client's experience of pain is real. C) Complementary therapies are usually of little benefit. D) Outcomes need to reflect the biologic aspects of the pain.

B

A client's 5-year-old poodle ran in front of a car and was killed. The client continues to be upset by the pet's death and exclaims to a community counseling center nurse that "My Precious meant the world to me, and now my world will never be the same!" If the nurse were to determine that the client is experiencing a crisis, which type of crisis is it most likely to be? A) Maturational B) Situational C) Traumatic D) Developmental

B

A group of new nurses is reviewing information about anxiety disorders in preparation for their first day on the job. The nurses demonstrate understanding of the material when they make what statement? A) Anxiety disorders rank second to depression in psychiatric illnesses being treated. B) Women experience anxiety disorders more often than do men. C) Most anxiety disorders tend to be short term with individuals achieving full recovery. D) Anxiety disorders are more common in children than in adolescents.

B

A group of newly hired nurses is receiving training about the types of abuse. The nurses demonstrate understanding of the information when they identify a pattern of repeated unwanted contact, attention, and harassment that often increases in frequency as which crime? A) Rape B) Stalking C) Sexual assault D) Intimate partner violence

B