Psych Jeoprady Flashcards
(25 cards)
A nurse is
reviewing
treatment
alternatives for
managing a
client’s
behavior. The
nurse should
identify that
which of the
following
examples
describes the
least restrictive
alternative?
A.
Administering a
prescribed
sedative to calm
the client.
B. Using
physical
restraints to
prevent the
client from
harming
themselves or
others.
C. Asking the
client to return
back to their
assigned room.
D. Placing the
client in
secluded quite
room to prevent
harm to
themselves.
C: Asking
the client to
return back to
their assigned
room
A patient is
experiencing
bouts of major
depression with
episodic
occurrence of
hypomania.
What type of
bipolar disorder
the patient is
manifesting?
Bipolar 2
A nurse is
discussing
common
misconceptions
regarding
clients who
have substance
use disorder.
The nurse
should include
which of the
following as a
potential
negative result
of providers
believing that
addiction is the
client’s own
fault?
A. The client
may avoid
seeking
outpatient
counseling
services.
B. The provider
may have
unrealistic
expectations of
the client’s
recovery
timeline.
C. The client
may refuse
group therapy
sessions.
D. The provider
may deny care
or deliver poor
quality of care.
D. The provider
may deny care
or deliver poor
quality of care
Rationale: When healthcare
providers hold the misconception that substance use disorder is entirely the client’s fault, this can lead to stigmatization, bias, and discrimination in care. Providers may
unconsciously or consciously deny services, or deliver lower- quality care, because they view the condition as a personal failing rather than a chronic medical condition. This attitude can contribute to worse outcomes for the client. The other
options are not directly related to the impact of provider bias; while clients
may have different preferences or
experiences in treatment, the most harmful consequence of provider
misconceptions is compromised
care quality.
A nurse in a
mental health
clinic is
conducting a
staff education
session on
schizophrenia.
Which of the
following
manifestations
should the
nurse identify
as negative
symptoms?
(Select all that
apply.)
A. Blunt affect
B. Delusions
C. Anhedonia
D.Hallucinations
E. Poor judgment
A. Blunt affect
C. Anhedonia
Rationale:
Negative symptoms of schizophrenia refer to the absence or reduction of normal functions, such as diminished emotional expression and motivation. Blunted or flat affect (lack of emotional expression) and anhedonia (inability to experience pleasure) are common negative symptoms.
A nurse is
preparing to
administer
fluoxetine 40
mg PO daily.
The amount
available is
fluoxetine 20
mg/5mL. How
many mL should
the nurse
administer?
(Round the
answer to the
nearest whole
number.)
10 mL
A nurse is
discussing the
difference
between mental
illness and
mental health
with a newly
licensed nurse.
Which of the
following
statements by
the newly
licensed nurse
indicates an
understanding?
A. Mental illness
and mental
health are the
same thing and
can be used
interchangeably.
B. Mental health
only refers to
the absence of
any mental
health
disorders.
C. Mental health
is a continuum,
ranging from
optimal well-
being to severe
mental illness.
D. Mental illness
refers to a state
of well-being
and the absence
of any
psychological
disorders.
What is Mental
health is a
continuum,
ranging from
optimal well-
being to severe
mental illness.
A suicidal client
with a history of
manic behavior
is admitted to
the emergency
department.
The client’s
diagnosis is
documented as
bipolar 1
disorder:
current episode
depressed.
What is the
rationale for this
diagnosis
instead of a
diagnosis of
major
depressive
disorder?
A. There is no
history of major
depression in
the client’s
family.
B. The client
has experienced
a manic episode
in the past.
C. The physician
does not believe
the client is
experiencing
major
depression.
D. The client
does not exhibit
psychotic
symptoms.
B. The client
has experienced
a manic episode
in the past.
A nurse is
educating a
client and their
partner about
substance use.
Which of the
following
explains why it
is crucial to
identify early
warning signs of
substance use?
A. Recognizing
early warning
signs allows the
client’s family to
stage an
intervention run
by family
members and
other loved
ones.
B. Recognizing
early warning
signs allows the
client time to
institute or
make changes
to end-of-life
legal
documents,
such as a living
will.
C. Recognizing
early warning
signs allows law
enforcement to
make arrests
that lead to
forced
treatment.
D. Recognizing
early warning
signs can lead
to early
intervention and
better
outcomes.
D. Recognizing
early warning
signs can lead
to early
intervention and
better
outcomes.
Rationale:
Identifying early
warning signs of
substance use is
critical for early
intervention,
which can
significantly
improve
treatment
outcomes. Early
recognition
provides an
opportunity for
healthcare
providers,
clients, and
their support
systems to
address
substance use
before it
becomes more
severe or life-
threatening.
This can lead to
more effective
interventions,
better
engagement in
treatment, and
an increased
chance of
recovery. The
other answer
choices either
focus on
incorrect or
unrelated
outcomes of
early
recognition of
substance use
warning signs.
A nurse is
caring for a
client who has
depression and
states, “A
government
agency is
attempting to
capture me.”
The nurse
should identify
that the client is
experiencing
which of the
following?
A. Hallucination
B. Illusion
C. Delusion
D. Obsession
C. Delusion
Rationale:
A delusion is a
false belief that
is firmly held
despite clear
contradictory
evidence. The
client’s belief
that a
government
agency is
attempting to
capture them is
an example of a
paranoid
delusion, which
is commonly
seen in various
mental health
disorders,
including
depression with
psychotic
features
The nurse is
caring for a
client with
schizophrenia.
The physician
has prescribed
haloperidol
(Haldol) 5 mg
IM STAT,
followed by 3
mg PO three
times daily,
along with
benztropine 2
mg PO twice
daily as needed.
What is the
primary reason
haloperidol is
being
prescribed?
A. To alleviate
psychotic
symptoms
B. To help the
client sleep
C. To prevent
neuroleptic
malignant
syndrome
(NMS)
D. To minimize
extrapyramidal
symptoms
(EPS)
A. To alleviate
psychotic
symptoms
A nurse is
educating a
client about
mental illness
and the client
asks, “Why do
some people
who take
medications
experience
resolution of
clinical
manifestations
of their mental
illness while
other people
experience
relapses or
worsening
clinical
manifestations?
“ Which of the
following
statements
should the
nurse make?
A. “It’s
uncommon to
experience
manifestations
after a few days
of medication
treatment.”
B. “The
willpower of the
client
determines
manifestations
remission.”
C. “Adhering to
a medication
regimen will
likely cure
mental illness.”
D. “The brain’s
ability to adapt
is very
individual and
plays a role in
symptom
severity.”
D. “The brain’s
ability to adapt
is very
individual and
plays a role in
symptom
severity.”
A client who is
prescribed
lithium
carbonate is
being
discharged from
inpatient care.
What should the
nurse teach this
client?
Exercise,
sodium,
hydration.
Lithium is a
mood stabilizer,
and maintaining
proper
hydration is
crucial while
taking this
medication
because
dehydration can
lead to
increased
lithium levels,
resulting in
toxicity. It’s
important that
patients taking
lithium avoid
dehydration and
maintain a
consistent
intake of fluids
and sodium.
A nurse is
caring for a
client who
reports
spending 12 hr
daily playing
video games
online. The
client has spent
a significant
amount of
money betting
on these
games. They
lost their job
due to missed
work, and they
filed for
bankruptcy
because of their
gambling debts.
Their partner
was supporting
them financially
until the partner
left the client
out of
frustration with
their behavior.
Which of the
following
manifestations
of non-
substance
addiction is
characteristic of
the client’s
behavior?
A. Loss of
control over
behavior
B. Inability to
form
relationships
C. Physical
withdrawal
symptoms
D. Need for an
emotional
support system
A. Loss of
control over
behavior.
Rationale: One
manifestation of
non-substance
addiction is
continuing the
behaviors even
though they
have negative
consequences.
A nurse is
caring for a
client diagnosed
with
schizophrenia
who is reporting
hearing voices.
Which of the
following
actions should
the nurse take?
A. Respond to
the client as
though the
voices are real.
B. Instruct the
client to
challenge the
voices they are
hearing.
C. Ask the client
open-ended
questions about
what they are
hearing.
D. Inform the
client that the
voices are not
real and should
be ignored.
C. Ask the client
open-ended
questions about
what they are
hearing. Asking
open-ended
questions about
the hallucination
helps the nurse
gather
important
information
about the
client’s
experience,
assess their mental status,
and determine
the risk level,
making this the
correct action.
A staff nurse
reports an
observation of a
coworker
injecting
themselves with
a syringe in the
bathroom. The
coworker admits
to stealing
narcotics from
the medication
room. The staff
nurse should
take which of
the following
courses of
action?
A. Agree to not
report the
incident if the
coworker
promises to
report
themselves to
the supervisor.
B. Report the
incident to the
appropriate
person in the
chain of
command right
away.
C. Report the
incident to the
other RNs on
the shift.
D. Agree to not
report the
incident if the
coworker seeks
treatment.
B. Report the
incident to the
appropriate
person in the chain of
command right
away.
Rationale:
The nurse has a
legal and ethical
obligation to
report the
incident
immediately to
the appropriate
supervisor or
person in the
chain of
command.
Failing to report
this behavior
could put
patients at risk
and violate
professional
standards. It is
not appropriate
to agree to
withhold
reporting under
any
circumstances,
including
promises of
self-reporting or
seeking
treatment.
A nurse on an
acute care
mental health
unit is
examining the
belongings of a
client who is
being admitted
following a
suicide attempt.
Which of the
following
belongings
should the
nurse ask the
client’s partner
to take back
home?(Select
All that Apply.)
Necklace
Lace-up tennis
shoes
Nylon socks
Glass framed
picture of the
client’s partner
Cotton
underwear
Necklace, Lace-
up tennis shoes,
Glass framed
picture of the
clients partner
A nurse is
planning a unit
orientation for a
newly admitted
client who has
severe
depression.
Which of the
following should
be the nurse’s
approach?
A. Provide the
client with a
detailed,
lengthy explanation of
the unit policies.
B. Avoid
discussing the
unit routine to
prevent
overwhelming
the client.
C. Provide
information
slowly in simple,
concise terms.
D. Have the
client review the
unit’s rules and
policies
independently
C. Provide
information
slowly in simple,
concise terms.
A nurse is
creating a
presentation on
alcohol
withdrawal
syndrome.
Which of the
following
symptoms
should the
nurse highlight
as commonly
associated with
alcohol
withdrawal?
A. Auditory or
visual
hallucinations
B. Hypotension
C. Muscle
stiffness
D. Bradycardia
A. Auditory or
visual
hallucinations
Rationale:
Alcohol
withdrawal
symptoms
typically begin
within hours of
cessation and
can range from
mild to severe.
Hallucinations
(visual,
auditory, or
tactile) are a
significant and
potentially
severe
symptom of
alcohol
withdrawal,
often occurring
within 12-24
hours after the
last drink. In
contrast,
hypotension
(low blood
pressure) and
bradycardia
(slow heart
rate) are not
common in
alcohol
withdrawal;
instead,
hypertension
(high blood
pressure) and
tachycardia
(rapid heart rate) are more
likely. Muscle
stiffness is not a
primary feature
of alcohol
withdrawal,
though muscle
tremors and
seizures can
occur in more
severe cases
A nurse is
caring for a
client who has
schizophrenia
and tells the
nurse, “They lie
about me all the
time and they
are trying to
poison my
food.” Which of
the following
statements
should the
nurse make?
A. “You are
mistaken.
Nobody is lying
about you or
trying to poison
you.”
B. “You seem to
be having very
frightening
thoughts.”
C. “Why do you
think you are
being lied about
and poisoned?”
D. “Who is lying
about you and
trying to poison
you?
B. “You seem to
be having very
frightening
thoughts.”
Rationale:
When
responding to a
client who is
experiencing
delusions, the
nurse should
avoid directly
confronting or
validating the
delusions.
Instead, the
nurse should
focus on the
client’s
emotional
experience,
acknowledging
the feelings of
fear or distress.
This therapeutic
approach helps
build trust and
provides
comfort without
reinforcing the
delusion.
A nurse is
caring for a
client prescribed
clozapine. What
lab should the
nurse prepare
to discuss with
the client?
What is a
complete blood
count (CBC)
with a focus on
absolute
neutrophil count
(ANC)
A nurse on a
mental health
unit is
discussing the
concepts of
competency and
capacity with a
newly licensed
nurse. Which of
the following
statements by
the newly
licensed nurse
indicates an
understanding
of the concepts?
A. “Competency
is determined
by a healthcare
provider, while
capacity is
determined by
the court.”
B. “A client
must have both
competency and
capacity to
provide
informed
consent for
treatment.”
C. “Competency
refers to a legal
decision, while
capacity refers
to a clinical
assessment.”
D. “If a client lacks capacity,
they
automatically
lose their
competency as
well.”
C. “Competency
refers to a legal
decision, while
capacity refers
to a clinical
assessment.”
A nurse is
caring for a
client who
ingested a
selective
serotonin
reuptake
inhibitor (SSRI)
and St. John’s
Wort. Which of
the following
findings should
the nurse
identify as being
consistent with
serotonin
syndrome?
A. Dilated pupils
and muscle
rigidity
B. Tinnitus and
jerking
movements
C. Suicidal
Ideations
D.Pill rolling
movements and
drooling
A. Dilated pupils
and muscle
rigidity
A nurse is
caring for a
client who has
been brought to
the emergency
department and
is experiencing
acute fentanyl
toxicity. The
nurse should
expect to
observe which
of the following
adverse effects
in this client?
A. Pinpoint
pupils
B. Tachypnea
C. Hypertension
D. Elevated
heart rate
A. Pinpoint
pupils
Part of the
nurse’s
continual
assessment of
the patient
taking
antipsychotic
medications is
to observe for
extrapyramidal
symptoms
(EPS).
Examples
include which of
the following?
A. Amenorrhea,
gynecomastia,
decreased libido
B. Elevated
blood pressure,
severe occipital
headache, stiff
neck
C.Muscular
weakness,
rigidity,
tremors, facial
spasms
D. Dry mouth,
blurred vision,
urinary
retention,
orthostatic
hypotension
C.Muscular
weakness,
rigidity,
tremors, facial
spasms
