practice exam 5

Question 1

Eriksonian thought dictates that for 1°”every
developmental stage, a psychosocial conflict will have to be resolved. “To love and to work” are the primary developmental tasks in which psychosocial stage?

a. Ego integrity vs. Despair
b. Identity vs. Role confusion
c. Generativity vs. Stagnation
d. Intimacy vs. Isolation

Answer 1

d. Intimacy vs. Isolation

Question 2

It is important for the nurse to monitor BP in clients receiving antipsychotic drugs because

a. it will indicate the need to institute
antiparkinsonian drugs.
b. orthostatic hypotension is a common side
effect.
c. this provides information on the amount of
sodium allowed in the client.
d. most antipsychotic drugs cause elevation in
BP.

Answer 2

b. orthostatic hypotension is a common side
effect.///

Question 3

The nurse is developing outcomes for a client with a histrionic personality disorder. What is the most appropriate outcome for this client?

a. Contracts for safety and is free of self inflicted injury
b. Participates in impulse control training
c. Participates in anger management classes
d. Participates in group without being the centre of attention

Answer 3

b. Participates in impulse control training

Question 4

A common nursing diagnosis for a patient with antisocial personality disorder is:

a. chronic low self-esteem, related to poor selfimage and excessive fear of failure
b. disturbed thought processes, related to
sensory-perceptual alterations
c. impaired social interaction, related to
manipulative behaviors
d. social isolation, related to anxiety in social
situations.

Answer 4

c. impaired social interaction, related to
manipulative behaviors

Question 5

Accompanied by many family members, a 16-year-old Chinese- American female patient is admitted to the unit with reports of sadness and suicidal ideation. The patient and her family emigrated from mainland China five years ago. Regarding the family, the psychiatric and mental health nurse:

a. encourages the patient to communicate her need for privacy to her family.
b. gently asks the family members to leave the room.
c. privately asks the mother for her assistance in clearing the room.
d. provides care for the patient while the
family members are present.

Answer 5

d. provides care for the patient while the
family members are present.

Question 6

Electrodes of the ECT machine are placed on the client’s temporal area for 5 seconds or less. It is the area of choice because

a. it has the thinnest skin covering
b. it has no hair that disrupts the performance of the procedure.
c. it is readily accessible and faster
performance of the procedure
d. it depends on the doctor on duty.

Answer 6

c. it is readily accessible and faster
performance of the procedure

Question 7

When screening families for post- traumatic stress disorder following a major natural disaster, psychiatricmental health nurses are practicing which type of disease prevention?

a. Primary.
b. Secondary
c. Tertiary.
d. Universal.

Answer 7

b. Secondary

Question 8

A client with paranoid personality disorder is discussing current problems with a nurse. What is the most important intervention for the nurse to implement?

a. Have the client look at sources of frustration
b. Have the client focus on ways to interact with others
c. Have the client discuss the use of defence
mechanisms
d. Have the client clarify thoughts and belief
about an event

Answer 8

d. Have the client clarify thoughts and belief
about an event

Question 9

Theorists and psychologists have pointed out a major cause of relapse and rehospitalization of mentally ill clients and this is

a. presence of multiple stressors
b. non-compliance to medications.
c. lack of moral support.
d. non-accessibility of health care resources

Answer 9

b. non-compliance to medications.

Question 10

According to family systems theory, removing the “identified patient” from the environment most likely causes the:

a. patient to decompensate, due to the loss of his or her support system.
b. patient to significantly improve, often with
minimal or no additional therapy.
c. remaining family members to decompensate, as evidenced by new dysfunctional behavior.
d. remaining family members to lose motivation and withdraw from therapy.

Answer 10

c. remaining family members to decompensate, as evidenced by new dysfunctional behavior.

Question 11

Impaired thought processes related to ideas of reference and magical thinking

a. Have the client look at sources of frustration
b. Have the client focus on ways to interact with others
c. Have the client discuss the use of defence
mechanisms
d. Have the client clarify thoughts and belief about an event

Answer 11

d. Have the client clarify thoughts and belief about an event

Question 12

When MAOl’s are prescribed, the client should be cautioned against

a. use of medications with an elixir base.
b. prolonged exposure to the sun.
c. ingesting wine and aged cheese.
d. engaging in active physical exercise

Answer 12

c. ingesting wine and aged cheese.

Question 13

During an initial patient interview, the psychiatric and mental health nurse begins by asking the patient to describe his or her:

a. current situation.
b. feelings about the current situation.
c. personal history.
d. thoughts about the current situation

Answer 13

a. current situation.

Question 14

A 20 year old client was diagnosed with dependent personality disorder. Which behaviour is most likely to be evidence of ineffective individual coping?

a. Avoiding relationship
b. Avoiding relationship
c. Recurrent self destructive behavior
d. Inability to make choices and decisions
without advice

Answer 14

d. Inability to make choices and decisions
without advice

Question 15

The nurse is developing long term goals for a client with paranoid personality disorder who is trying to improve peer relationships. What is the most appropriate goal?

a. The client will verbalize a realistic view of self
b. The client will take steps to address
disorganized thinking
c. The client will become appropriately
interdependent on others
d. The client will become involved in
activities that foster social relationships

Answer 15

d. The client will become involved in
activities that foster social relationshipq

Question 16

A client is taking Carbamazepine and he is asking if it would be okay for him to join his family on an outing at the beach. You would

a. remind him not to forget to bring his padded tongue blade.
b. tell him to defer the plan for now.
c. remind him to wear protective clothing.
d. remind him to take the medication on an
empty stomach.

Answer 16

c. remind him to wear protective clothing.

Question 17

Psychiatric nursing is best defined as

a. the resolution of mental conflict and finding inner peace.
b. the ability of an individual to cope with
everyday stress and act on it.
c. an interpersonal process whereby the
professional nurse practitioner through
the therapeutic use of self assist an
individual, family, group, or community to
promote mental health and prevent mental
illness.
d. simply the cure, care, and rehabilitation of
mentally ill clients

Answer 17

c. an interpersonal process whereby the
professional nurse practitioner through
the therapeutic use of self assist an
individual, family, group, or community to
promote mental health and prevent mental
illness.

Question 18

The first step in the treatment of incest Is to:

a. believe the child who reports the activity.
b. notify the proper authorities.
c. objectively confront the accused family
member.
d. remove the child from the home.

Answer 18

a. believe the child who reports the activity.

Question 19

. In depression there is a deficiency of?

a. 5-HT
b. Dopamine
c. GABA
d. Acetylcholine

Answer 19

b. Dopamine

Question 20

A psychiatric-mental health nurse, who is teaching a couple how to use positive reinforcement techniques with their child, recommends:

a. agreeing with the child’s statements, whether negative or positive, and simply restating the child’s statements without other comment.
b. controlling the child’s behavior, so there is no chance of negative behavior.
c. removing adverse consequences to produce positive results.
d. rewarding positive behaviors to promote
their recurrence.

Answer 20

d. rewarding positive behaviors to promote
their recurrence.

Question 21

A short-term goal for a patient with Alzheimer’s disease Is:

a. improved functioning in the least
restrictive environment.
b. improved problem solving in activities of daily living.
c. increased self-esteem and improved selfconcept.
d. regained sensory perception and cognitive
function.

Answer 21

a. improved functioning in the least
restrictive environment.

Question 22

Ritualistic behaviour is the distinguishing feature of obsessive- compulsive disorder (OCD). The nurse recognizes that the client’s Sentraline (Zoloft) is having

the desired effect when the client
a. experiences nervousness and drowsiness.
b. has less entrenched delusions.
c. engages in fewer rituals.
d. sleeps 4 hours per night.

Answer 22

c. engages in fewer rituals.

Question 23

When you asked your patient whether he wants his pain medication, he says to you “I don’t know. Whatever you think is best.” You realize that this is a maladaptive coping mechanism called

a. powerlessness.
b. depression.
c. helplessness.
d. denial.

Answer 23

a. powerlessness.

Question 24

Which of the following behavioural patterns is characteristic of individuals with histrionic personality disorders?

a. Berating themselves and their abilities
b. Overreacting to minor stimuli
c. Suspicious and mistrustful of others
d. Social withdrawal and distant relationships

Answer 24

b. Overreacting to minor stimuli

Question 25

Reporting and recording observations of the client's daily conversations and behavioral patterns is most specific in which one of the following roles of the nurse? a. Socializing agent b. Technician c. Therapist d. Teacher

Answer 25

c. Therapist

Question 26

As a nurse, you know that the drug of choice for OCD is a. Diazepam (Anxiolytic). b. Clomipramine (SSRI). c. Haloperidol (Antipsychotic). d. Elavil (TCA)

Answer 26

b. Clomipramine (SSRI).

Question 27

When a client is brought to a mental health facility, a structured assessment of the client's behaviour and cognitive functioning is done. This Is referred to as a. mental status examination. b. structured client interview. c. client’s interview. d. history of patient’s illness.

Answer 27

a. mental status examination.

Question 28

The psychiatric-mental health nurse knows that the patient's spouse clearly understands the side effects of lithium carbonate (Eskalith), when he or she says: a. "| should call the doctor if my spouse shakes badly." b. "I should make sure my spouse drinks as much water as she or he can." c. "My spouse must remain on a salt- free diet." d. "When the lithium level is 1.6 mEq/L, my spouse can go back to work."

Answer 28

a. "| should call the doctor if my spouse shakes badly."

Question 29

A female patient reports an intense, overwhelming fear of driving a car. The fear has disrupted all elements of the patient's life. The patient does not go to the grocery store unless someone transports her, has relinquished her job, and has few social contacts. The patient's treatment plan includes: a. assertiveness training. b. biofeedback. c. stress management assistance. d. systematic desensitization.

Answer 29

d. systematic desensitization.

Question 30

A patient states that unit staff members have been avoiding him or her since an attempt to self-mutilate. The psychiatric-mental health nurse's most appropriate response is to: a. apologize for the staff's behavior. b. explain that feelings of rejection are typical after self-mutilation. c. listen, redirect the patient to his or her feelings, and explore the issue with the staff. d. report the matter to the nurse manager

Answer 30

c. listen, redirect the patient to his or her feelings, and explore the issue with the staff.

Question 31

The most lethal side effect of antipsychotic medication is a. tardive dyskinesia b. torticollis c. neuroleptic malignant syndrome. d. pisa syndrome

Answer 31

c. neuroleptic malignant syndrome.

Question 32

A17-year-old, female patient with anorexia nervosa has just been released from the hospital. To facilitate recovery at home, the psychiatric-mental health nurse instructs the family to: a. discourage the patient from sneaking food between meals, by unobtrusively reducing her access to the kitchen. b. encourage the patient's interest in menu planning, food magazines, and cooking lessons, by leaving information and materials around the house. c. permit the patient to eat her meals privately in her bedroom to discourage family preoccupation with meals. d. recommend that the patient joins in routine family meals and clears the dishes after dinner, even if they do not eat.

Answer 32

d. recommend that the patient joins in routine family meals and clears the dishes after dinner, even if they do not eat.

Question 33

An antipsychotic drug that comes 1in an intramuscular depot form which helps in reducing the risk of noncompliance related to daily oral dosing especially among clients with schizophrenia. a. Perphenazine (Trilafon) b. Fluphenazine (Prolixin) c. Trifluoperazine (Stelazine) d. Loxapine (Loxitane)

Answer 33

b. Fluphenazine (Prolixin)

Question 34

The nurse taking care of patient Ana has committed to keep all of their conversations confidential. In one of their conversations, Ana told the nurse that she has plans of killing a fellow psychiatric patient, Nancy. In such cases, the nurse should act to apply the legal principle of * Duty to warn * assault. * paternalism. * Confidentiality

Answer 34

Duty to warn

Question 35

A client who has just been sexually abused remains calm and quiet. This is an example of which type of defense mechanism? * Denial * Dissociation * Intellect * Projection

Answer 35

Dissociation

Question 36

A nurse is assessing a client with a narcissistic personality disorder. The nurse anticipates the client's behavior to be characterized as which of the following? * Grandiose and entitled * Submissive and clinging * Impulsive and unstable emotionally * Provocative and seductive

Answer 36

Grandiose and entitled

Question 37

The very first and most important nursing action before a client is subjected for ECT is to * instruct client to empty his bladder just before/after taking his vital signs. * put the patient on a 4-point restraint so that he will not resist the procedure. * secure consent and properly explain the procedure to client and family members. * inform parents that amnesia is only temporary and normal.

Answer 37

secure consent and properly explain the procedure to client and family members.

Question 38

It is a type of antidepressant that is used to treat symptoms of depression such as insomnia, decreased appetite, decreased libido, excessive fatigue, somatic symptoms and irritability. * stimulants * Tricyclics * Lithium salts * Mono Amine Oxidase Inhibitor

Answer 38

Tricyclics

Question 39

The goal of remotivation technique is to facilitate * client's socialization skills. * intimacy among clients. * client's productivity. * client's insight.

Answer 39

client's productivity.

Question 40

A more important nursing consideration for clients taking atypical antipsychotics is to * educate client regardingthe need for sunscreen. * teach to report early signs of infection. * monitor sedative effects. * monitor bowel functions.

Answer 40

monitor sedative effects.

Question 41

Admitted to the neurologic unit is a 20-year old accountant after a sudden onset of blindness the day before an important project is due for her boss. After preliminary evaluation and testing, it yielded no positive findings. The physician's initial reaction is that the client may be demonstrating which defense mechanism? * transference * Reaction Formation * Conversion * Repression

Answer 41

Conversion

Question 42

Therapeutic treatment for a female client with ritualistic behaviour should be directed towards helping her to * Redirect her energy into activities to help others. * understand her behaviour is caused by unconscious impulses that she fears. * learn that her behaviour is not serving a realistic purpose. * Forget her fears by administering anti anxiety medications.

Answer 42

learn that her behaviour is not serving a realistic purpose.

Question 43

A person being a rope take to be a snake. This condition is called? * delirium * De-realization * Illusion * Hallucination

Answer 43

Illusion

Question 44

Succinylcholine and a short-acting general anesthetic is given as premedication before the electroconvulsive therapy is performed on a patient. This is to * follow agency protocol. * temporarily paralyze/relax muscles. * make the client feel safe. * free the personnel's from any liabilities.

Answer 44

temporarily paralyze/relax muscles.

Question 45

A patient who is admitted to the psychiatric unit with a diagnosis of obsessive-compulsive disorder spends a significant amount of time during the day and night washing his or her hands. On the third hospital day, the patient reports feeling better and more comfortable with the staff andother patients. The psychiatric-mental health nurse knows that the most appropriate nursing intervention is to: * acknowledge the ritualistic behavior each time and point out that it is inappropriate. * allow the patient to carry out the ritualistic behavior, since it is helping him or her. * collaborate with the patient to reduce the amount of time he or she engages in ritualistic behavior. * ignore the ritualistic behaviors, and * the behaviors will be eliminated due to lack of reinforcement.

Answer 45

collaborate with the patient to reduce the amount of time he or she engages in ritualistic behavior.

Question 46

The information gathered during assessment permits care providers to analyze the client's mental, emotional, and behavioral problems. When completing the assessment, the nurse would include all of the following EXCEPT * mood and affect. * thought content. * medication history. * speech pattern.

Answer 46

speech pattern.

Question 47

To evaluate whether patient teaching for coping skills has been effective, the psychiatric-mental health nurse asks an adolescent patient to: * consider the outcomes objectively. * keep a written journal. * perform a return demonstration. * set measurable goals.

Answer 47

perform a return demonstration.

Question 48

It is a therapeutic modality effective with those who have difficulty communicating and allows the child or adolescent client to express himself/herself. * Occupational therapy * Bibliotherapy * Music and Arts therapy * Calisthenics

Answer 48

Music and Arts therapy

Question 49

Veracity is the ethical principle applied in which of the following psychiatric nursing situation? * The nurse imposes the policies to all patients with no exemptions * The nurse allows the patient to choose which activity she wants to do for the day. * The nurse informs the patient that she has to inform the headnurse about the patient's plan of committing suicide. * The nurse decides what is best for the patient.

Answer 49

The nurse informs the patient that she has to inform the headnurse about the patient's plan of committing suicide.

Question 50

Since the death of her infant, a woman has lost weight, will not eat, spends most of her time immobile, and speaks only in monosyllabic responses. She also pays little attention to her appearance. One afternoon, this client came to lunch with her hair properly combed and with traces of lipstick on her lips. The nurse says to the client, "I see that your hair is combed and you have lipstick on." This is a communication technique called * verbalizing the implied. * confrontation. * making observations. * giving broad openings

Answer 50

making observations.

Question 51

"It's ok to be different from me" is one of the values of a psychiatric nurse that conveys what attitude? * Acceptance * Self awareness * Empathy * Genuine Interest

Answer 51

Self awareness

Question 52

After taking an antidepressant for about a week, a patient reports constipation and blurred vision, with no improvement in mood. The psychiatric mental health nurse informs the patient: * "lt takes approximately two to four weeks for depression to lessen, and side effects usually diminish over time." * "Stop the medication immediately and contact your primary care physician." * "You should contact your doctor. The doctor may need to change your medication." * "You should schedule an appointment with your ophthalmologist."

Answer 52

"lt takes approximately two to four weeks for depression to lessen, and side effects usually diminish over time."

Question 53

A supervisor observes inconsistency in the psychiatric-mental health nurse's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying: * countertransference * empathic resonance. * splitting behavior. * transference

Answer 53

countertransference

Question 54

A 19-year old male just arrived in the psychiatric unit from the emergency department. His medical diagnosis is Personality Disorder and exhibits manipulative behaviour. As the nurse reviews the unit rules with him the client asks, "Can I go to the snack shop just one time and then I will answer whatever you want." What is the nurse's best response? * "No you can't go. The rules here are for everyone." * "Ok but only for 5 minutes." * "Ok but hurry up I need to finish your assessment." * "No you can't go."

Answer 54

"No you can't go. The rules here are for everyone."

Question 55

During the assessment stage, a client leaves his arm in the air after the nurse has taken his BP. His action shows evidence of * nihilistic delusion. * catatonic rigidity. * somatic delusion. * waxy flexibility.

Answer 55

waxy flexibility.

Question 56

All of the following are rights of the patient EXCEPT * confidentiality of records access to personal belongings. * treatment using the least restrictive alternative/environment. * choose nurses who will care for them.

Answer 56

choose nurses who will care for them.

Question 57

The severe feeling of restlessness produced by some psychotropic medications, which is often misinterpreted by patients as anxiety or a recurrence of psychiatric symptoms, is known as: * akathisia * akinesia. * bradykinesia. * dystonia.

Answer 57

akathisia

Question 58

Propranolol / lnderal is used in the mental health setting to manage which of the following conditions? * OCD to reduce ritualistic behaviour. * Antipsychotic induced akathisia and anxiety. * Manic phase of bipolar illness as a mood stabilizer. * Delusions for clients suffering from schizophren

Answer 58

Antipsychotic induced akathisia and anxiety.

Question 59

remove the child from the home. * coalition. * indirect communication. * transference. * triangulation

Answer 59

coalition.

Question 60

If Nurse Betty encourages Mrs. Jones to join her fellow patients and participate in the activities in the ward, she is performing her role as a * advocate. * socializing agent. * ward manager. * none of the above.

Answer 60

socializing agent.

Question 61

What might be an affective intervention for a client with a schizoid personality disorder? * Participates in impulse control training * Participates in anger management classes * Participates in group without being the center of attention * Participates in social skills training

Answer 61

Participates in social skills training

Question 62

In cases when psychiatric patients are unable to decide on their own, the nurse plans what is best for the patient. This is known as the ethical principle of * paternalism. * Benefice ce. * veracity. * justice.

Answer 62

paternalism.

Question 63

The nurse is reviewing the behaviour of a client with a histrionic personality disorder. The nurse determines that a change in behaviour may be occurring when the client does what? * draws attention and dresses provocatively * Is easily influenced by others or circumstances * Shows concern about hurting someone else's feelings * Describes intimate relationships with casual acquaintances

Answer 63

Shows concern about hurting someone else's feelings

Question 64

In the manic phase of bipolar affective disorder, nursing care is directed towards * slowing a client down so that the nurse can give him food. * slowing a client down so that acetylcholine decreases * slowing a client down because he might die as a result of exhaustion. * slowing a client down for the nurses to assess him.

Answer 64

slowing a client down for the nurses to assess him.

Question 65

What behaviours would a nurse expect to see in a client who has a schizoid personality disorder? * Fearful and anxious * Erratic and emotional * Odd and eccentric * Emotional and dramatic

Answer 65

Odd and eccentric

Question 66

The drug of choice to treat extrapyramidal syndrome is * major tranquilizers/neuroleptic drugs. * anti-parkinsonian agents/anti cholinergics. * anti-depressants/moodelevators. * tranquiIizers/anxiolytics/sedatives

Answer 66

anti-parkinsonian agents/anti cholinergics.

Question 67

A client with anorexia nervosa stares at her dinner tray and has made a little effort to eat. If the nurse said, "I will stay with you while you eat and help you fill out tomorrow's menu." This statement by the nurse is * therapeutic, suggesting collaboration. * therapeutic, giving broad openings. * therapeutic, offering self. * non-therapeutic, advising

Answer 67

therapeutic, offering self.

Question 68

Which of the following behaviour pattern would a nurse expect to observe in a client with an obsessive-compulsive personality disorder? * Inflexible and lack of spontaneity * Submissive and clinging * Impulsive and unstable emotionally * Cheerful and carefree

Answer 68

Inflexible and lack of spontaneity

Question 69

What is the most appropriate short- term goal for a client with paranoid personality disorder and impaired social skills? * obtain feedback from other people Discuss anxiety-provoking situations * Address positive and negative feelings about self-mutilation * Identify personal feelings that hinder social interaction

Answer 69

Identify personal feelings that hinder social interaction

Question 70

The positive state in which one is responsible, displays self awareness, is selfdirective, reasonably worry-free and can cope with usual daily tensions is also known as * mental illness. * psychiatric nursing. * mental health. * mentally deranged.

Answer 70

mental health.

Question 71

When a research study is based on a small sample size, the findings may: * be statistically significant, but will be less generalizable than if the sample size had been larger. * be statistically significant, but will not be clinically significant. * not be statistically significant, because the research design was quasiexperimental instead of experimental * not be statistically significant, because the research was poorly conducted.

Answer 71

be statistically significant, but will be less generalizable than if the sample size had been larger.

Question 72

The nurse would expect to observe which of the following behaviour in a client who has a histrionic personality disorder? * Exploitation of others to meet their own needs and desires * Portray a demeanour of grandiosity * Portray excessive provocative behaviour * Expression of feelings of emptiness and boredom

Answer 72

Portray excessive provocative behaviour

Question 73

A client is discharged with a prescription for clozapine. Before leaving, the nurse should teach client to report * change in libido & breast enlargement. * sore throat and fever. * dyspnea, nasal congestion. * abdominal pain, nausea, diarrhea

Answer 73

sore throat and fever.

Question 74

A client with paranoid personality disorder responds aggressively during a psycho educational group therapy session to something another client said about him. The nurse interprets this behaviour as indicating which of the following? * The client doesn't want to participate in the group * The client took the statement asa personal criticism * The client is impulsive and was acting out of frustration * The client was attempting to handle emotional distress

Answer 74

The client took the statement asa personal criticism

Question 75

The nurse asks the consent of the client to clean the wound on her arm and proceeds only when the client agreed. The nurse in this situation observes which ethical principle? * Fidelity * Justice * veracity * autonomy

Answer 75

autonomy

Question 76

A 37-year old man with a history of schizophrenia is having visual hallucinations. He shouts to the nurse, "You are stepping on the spiders! Move aside! Don't you see them?". The nurse responds by saying, "Yes I see them and they sure are big ones!." The response made by the nurse is * therapeutic, presenting reality. * non-therapeutic, disagreeing w/ false belief. * non-therapeutic, agreeing with false belief. * therapeutic, agreeing with false belief.

Answer 76

non-therapeutic, agreeing with false belief.

Question 77

A male client diagnosed with catatonic stupor demonstrates severe withdrawal by lying on bed with his body pulled into a fetal position. This is a manifestation of a defense mechanism called * repression. * regression. * isolation. * withdrawal

Answer 77

regression.

Question 78

A client tells the nurse that his co- workers are sabotaging the computer. When the nurse asks questions, the client becomes argumentative. What is the most appropriate intervention for the nurse to implement? * Encourage the client to vent his anger about his computer * Tell the client that his co-workers haven't touched his computer * Use clear and consistent speech when talking to the client * Tell the client to go to his room and stay there until he calms down

Answer 78

Use clear and consistent speech when talking to the client

Question 79

Clients taking lithium must be particularly sure to maintain adequate intake of * Chloride * calcium. * sodium. * potassium.

Answer 79

sodium.

Question 80

Which of the following nursing diagnoses would be appropriate for a client with an avoidant personality disorder? * Risk for self-mutilation related to a desperate need for attention * Ineffective coping related to negative attitudes toward health behaviour * Anxiety related to fear of criticism, disapproval, and rejection * Risk for injury related to uncontrolled anger and hostility toward others.

Answer 80

Anxiety related to fear of criticism, disapproval, and rejection

Question 81

A nurse is caring for a client with schizotypal personality disorder. The nurse would expect to observe which of the following? * Exhibitionism * Impulsiveness * Bodily illusions * Repetitive behaviours

Answer 81

Repetitive behaviours

Question 82

When planning inpatient psychotherapeutic activities for a patient who has antisocial personality disorder, the psychiatric-mental health nurse: * focuses on group, rather than individual, therapy. * provides a permissive atmosphere, so the patient feels a sense of control. * Provides an organized, structured environment. * recognizes that the disorder is characterized by social withdrawal

Answer 82

Provides an organized, structured environment

Question 83

Which of the following nursing diagnoses would be most appropriate for a client with schizotypal personality disorder? * Ineffective coping related to repetitive behaviour such as hand washing * Risk for self-mutilation related to social anxiety * Risk for violence toward others related to lack of remorse for behaviours * Impaired thought processes related to ideas of reference and magical thinking

Answer 83

impaired thought processes related to ideas of reference and magical thinking

Question 84

A selective serotonin reuptake inhibitor targets which part of the brain? * basal ganglia. * Frontal cortex. * hippocampus. * Putamen.

Answer 84

Frontal cortex.

Question 85

A 36-year old client with paranoid schizophrenia believes that the room is bugged by the Central Intelligence Agency and that his roommate is a foreign spy. The client has never had a romantic relationship, has no contact with family members, and hasn't been employed in the last 14 years. Based on Erik Erikson's theory, the nurse should recognize that this client is in which stage of psychosocial development? * Autonomy vs. Shame and Doubt * Generativity vs. Stagnation * Integrity vs. Despair * Trust vs. Mistrust

Answer 85

Generativity vs. Stagnation

Question 86

A client in the nursing unit charged with child abuse does not speak to the staff when approached. What's the best response to this client? * Admission to a psychiatric unit can be very difficult." * "You need to come to grips with what has happened." * "If you need me, I'll be in the nurses' station * "Not speaking to the staff won't help your situation."

Answer 86

"If you need me, I'll be in the nurses' station

Question 87

A patient is being discharged after spending six days in the hospital, due to depression with suicidal ideation. The psychiatricmental health nurse knows that an important outcome has been met when the patient states: * can't wait to get home and forget that this ever happened." * "I feel so much better. If I continue to feel this way, I can probably stop taking my medications soon." * I have a list of support groups and a crisis line that I can call, if I feel suicidal." * "I have to leave here soon, if I want to make it to the shelter before they run out of beds."

Answer 87

I have a list of support groups and a crisis line that I can call, if I feel suicidal."

Question 88

A school-aged patient with attention-deficit/hyperactivity disorder is displaying disruptive behaviors at home. The psychiatric-mental health nurse modifies the treatment plan for the social domain, by advising the patient's parents to: * establish eye contact before giving directions. * initiate a point system, to reward the patient for appropriate behavior. * instruct the patient to work on one homework assignment at a time. * maintain a predictable environment in the home

Answer 88

maintain a predictable environment in the home

Question 89

Nurse Betty entered the room of Mrs. Jones to render care. Nurse Betty is performing what role of the psychiatric nurse when she's taking the vital signs of Mrs. Jones? * Technician * Therapist * Advocate * In-Service Educator

Answer 89

Technician

Question 90

A nurse is distinguishing characteristics of schizotypal personality disorder from schizoid personality disorder. What is the most appropriate statement by the nurse? * Schizotypal are characterized by emotional detachment * Schizotypal are characterized by disinterest in close relationships * Schizotypal are indifferent to praise or criticism * Schizotypal have magical thinking or perceptual distortions

Answer 90

Schizotypal have magical thinking or perceptual distortions