CA 2 MID Flashcards
(50 cards)
Which of the following are appropriate strategies for a client with bulimia?
a. Avoid shopping for large amounts of food
b. Control eating impulses
c. Identify anxiety-causing situations
d. Eat only three meals per day
c. Identify anxiety-causing situations
A female client who’s at high risk for suicide needs close supervision. To best ensure the client’s safety, the nurse should
a. Check on the client frequently at irregular intervals throughout the night
b. Assure the client that the nurse will hold in confidence anything the client says
c. Repeatedly discuss previous suicide attempts with the client
d. Disregard decreased communication by the client because this is common in suicidal clients
a. Check on the client frequently at irregular intervals throughout the night
During postprandial monitoring, a female client with bulimia nervosa tells the nurse, “You can sit with me, but you’re just wasting your time. After you sat with me yesterday, I was still able to purge. Today, my goal is to do it twice.” What is the nurse’s BEST response?
a. “I trust you not to purge.”
b. “How are you purging and when do you do it?”
c. “Don’t worry. I won’t allow you to purge today.”
d. “I know it’s important for you to feel in control, but I’ll monitor you for 90 minutes after you eat.”
d. “I know it’s important for you to feel in control, but I’ll monitor you for 90 minutes after you eat.”
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?
a. “If you continue to talk like that, I’m going to stop speaking to you.”
b. “You told me you got fired from your past job for missing too many days after taking drugs all night.”
c. “Tell me more about how it felt to get high.”
d. “Don’t you know it’s illegal to use drugs?”
b. “You told me you got fired from your past job for missing too many days after taking drugs all night.”
The nurse is assigned to care for a suicidal client. Which is the nurse’s highest care priority?
a. Assessing the client’s home environment and relationships outside the hospital
b. Exploring the nurse’s own feelings about suicide
c. Discussing the future with the client
d. Referring the client to a clergy person to discuss the moral implications of suicide
d. Referring the client to a clergy person to discuss the moral implications of suicide
A male client is found, sitting on the floor of the bathroom in the day treatment clinic with moderate lacerations on both wrists. Surrounded by broken glass, he sits staring blankly at his bleeding wrists while staff members call for an ambulance. How should the nurse approach him initially?
a. Enter the room quietly and move beside him to assess his injuries
b. Call for staff back-up before entering the room and restraining him
c. Move as much glass away from him as possible and sit next to him quietly
d. Approach him slowly while speaking in a calm voice, calling his name, and telling him that the nurse is here to help him
d. Approach him slowly while speaking in a calm voice, calling his name, and telling him that the nurse is here to help him
A male client tells the nurse he was involved in a car accident while he was intoxicated. What would be the most therapeutic response from the nurse?
a. “Why didn’t you get someone else to drive?”
b. “Tell me how you feel about the accident.”
c. “I recommend that you attend an Alcoholics Anonymous meeting.”
d. “You should know better than to drink and drive.”
b. “Tell me how you feel about the accident.”
A 25-year-old client experiencing alcohol withdrawal is upset about going through detoxification. Which of the following goals is a priority?
a. The client will commit to a drug-free lifestyle
b. The client will work with the nurse to remain safe
c. The client will drink plenty of fluids daily
d. The client will make a personal inventory of strengths
b. The client will work with the nurse to remain safe
A male client is admitted to a psychiatric facility by court order for evaluation for antisocial personality disorder. This client has a long history of initiating fights and abusing animals and recently was arrested for setting the neighbor’s dog on fire. When evaluating this client for the potential for violence, the nurse should assess for which behavioral clues?
a. A rigid posture, restlessness, and glaring
b. Depression and physical withdrawal
c. Silence and noncompliance
d. Hyper vigilance and talk of past violent acts
a. A rigid posture, restlessness, and glaring
Client is brought to the psychiatric clinic by family members, who tell the admitting nurse that the client repeatedly drives while intoxicated despite their pleas to stop. During an interview with the nurse, which statement by the client most strongly supports a diagnosis of psychoactive substance abuse?
a. “I’m not addicted to alcohol. In fact, I can drink more than I used to without being affected.”
b. “I only spend half of my paycheck at the bar.”
c. “I just drink to relax after work.”
d. “I know I’ve been arrested three times for drinking and driving, but the police are just trying to hassle me.”
d. “I know I’ve been arrested three times for drinking and driving, but the police are just trying to hassle me.”
A female client with borderline personality disorder is admitted to the psychiatric unit. Initial nursing assessment reveals that the client’s wrists are scratched from a recent suicide attempt. Based on this finding, the nurse should formulate a nursing diagnosis of:
a. Ineffective individual coping related to feelings of guilt
b. Situational low self-esteem related to feelings of loss of control
c. Risk for violence: Self-directed related to impulsive mutilating acts
d. Risk for violence: Directed toward others related to verbal threats
c. Risk for violence: Self-directed related to impulsive mutilating acts
The nurse is aware that which client is at highest risk for suicide?
a. One who appears depressed, frequently thinks of dying, and gives away all personal possessions
b. One who plans a violent death and has the means readily available
c. One who tells others that he or she might do something if life doesn’t get better soon
d. One who talks about wanting to die
d. One who talks about wanting to die
Nurse Benson is explaining the components of the psyche to a group of nursing students, focusing on the role of the superego. How should she describe the function of the superego?
a. It evaluates situations before making decisions.
b. It acts impulsively and lacks a moral framework.
c. It engages in defensive mechanisms to protect the self.
d. It serves as the censoring part of the mind.
d. It serves as the censoring part of the mind.
During a sensitive consultation, Nurse Reynolds discusses options with a wife still living with an abusive spouse. She needs to provide support in a non-judgmental and empowering way. Which statement is the most appropriate for Nurse Reynolds to make?
a. “I have the contact information for a crisis center where you can seek immediate assistance.”
b. “Have you had a chance to talk about this situation with your family?”
c. “Can you help me understand your reasons for staying in this situation?”
d. “Consider the safety benefits of leaving your current situation.”
a. “I have the contact information for a crisis center where you can seek immediate assistance.”
Following the wife’s admission of abuse and her expression of a persistent distaste for sexual activity, Nurse Reynolds needs to classify the described sexual disorder accurately. Which category does this issue fall into?
a. Sexual Desire Disorder
b. Orgasm Disorder
c. Sexual Arousal Disorder
d. Sexual Pain Disorder
a. Sexual Desire Disorder
During a health education session, Nurse Perry explains the characteristics of somatoform disorders to a group of healthcare professionals. Which statement about somatoform disorders is accurate?
a. Symptoms are an expression of psychological conflicts through physical manifestations.
b. Physical symptoms are directly explained by organic causes.
c. Symptoms are a voluntary manifestation of psychological conflicts.
d. Management of somatoform disorders includes specific medical treatments targeted at the symptoms.
a. Symptoms are an expression of psychological conflicts through physical manifestations.
Nurse Peterson is conducting a mental health workshop and begins by defining mental health to ensure all participants have a foundational understanding. How should she explain mental health?
a. The capacity to differentiate reality from illusion.
b. The enhancement and protection of mental health, the prevention of mental disorders, and the comprehensive care and rehabilitation during illness.
c. A state of well-being enabling one to recognize personal abilities, manage everyday stress, and contribute productively.
d. Simply the lack of any mental disorders.
c. A state of well-being enabling one to recognize personal abilities, manage everyday
Nurse Harding is discussing the psychological theories of anxiety during a training session and refers to Freud’s explanation. How did Freud interpret anxiety?
a. It strives to satisfy both the needs for gratification and security.
b. It is a reaction involving the hypothalamic-pituitary-adrenal axis in response to stress.
c. It represents a conflict between the id and superego.
d. It is a learned response to stressors.
c. It represents a conflict between the id and superego.
Nurse Daniels is responding to a 30-year-old male patient who persistently complains of low back pain despite negative test results. Which response is the most appropriate and empathetic way for her to address his concerns?
a. “I understand that you’re in pain. Let’s discuss some strategies to manage your symptoms.”
b. “There’s nothing wrong with you, the tests are negative.”
c. “You should try to ignore the pain and go about your daily activities.”
d. “The pain is probably just in your head since the tests are negative.”
a. “I understand that you’re in pain. Let’s discuss some strategies to manage your symptoms.”
When parents express concerns about their ability to care for a child with maladaptive behaviors, Nurse Thompson needs to identify an appropriate nursing diagnosis. Based on the parents’ apprehensions, which nursing diagnosis is most suitable?
a. Risk for Injury
b. Social Isolation
c. Parental Role Conflict
d. Ineffective Health Maintenance
c. Parental Role Conflict
Nurse Johnson is assessing a 29-year-old male employee who frequently reports low back pain, resulting in many absences from work. Despite extensive testing, all results come back negative. Which somatoform disorder is most likely affecting this patient?
a. Somatoform Pain Disorder
b. Somatization Disorder
c. Hypochondriasis
d. Conversion Disorder
a. Somatoform Pain Disorder
Nurse Jose is formulating nursing diagnoses for a 30-year-old male employee who often complains of low back pain without any positive findings on medical tests. Which of the following would be an inappropriate nursing diagnosis for this client?
a. Altered role performance
b. Altered comfort: pain
c. Impaired social interaction
d. Ineffective individual coping
c. Impaired social interaction
During a home visit, Nurse Reynolds notices potential signs of abuse involving a mother and her child. To further investigate, she needs to ask a sensitive yet direct question. Which of the following questions is most appropriate for her to use?
a. “Do you often discipline your child harshly?”
b. “Why do you think your child has these bruises?”
c. “Can you explain how your child got these injuries?”
d. “Are you hurting your child?”
c. “Can you explain how your child got these injuries?”
In a training discussion about team roles in psychiatric care, Nurse Carter clarifies the specific responsibilities associated with different positions. What accurately describes the role of a technician?
a. Overseeing and coordinating all aspects of a patient’s care.
b. Administering medications to a patient diagnosed with schizophrenia.
c. Providing education about the effects of alcohol.
d. Feeding and bathing a patient in a catatonic state.
b. Administering medications to a patient diagnosed with schizophrenia.
