Miami Dade College, Miami NUR 2212 psych eaq

PSYCH EAQ A team approach is used to help a 6-year-old boy with attention deficit-hyperactivity disorder (ADHD). What behaviors indicate that the interventions have been effective? Select all that apply. 1 Is not in ...

PSYCH EAQ A team approach is used to help a 6-year-old boy with attention deficit-hyperactivity disorder (ADHD). What behaviors indicate that the interventions have been effective? Select all that apply. 1 Is not inhibited by rules or routines 2 Has fun playing with toys by himself Incorrect3 Is no longer enuretic during the night Correct4 Has an increased attention span in school Correct5 Is able to wait his turn when in line with others A nurse is assigned to lead a relaxation group. Which techniques should the nurse incorporate? Select all that apply. Correct1 Meditation Correct2 Mental imagery 3 Token economy 4 Operant conditioning Correct5 Deep-breathing exercisesHow should a nurse characterize a sudden terrorist act that causes the deaths of thousands of adults and children and negatively affects their families, friends, communities, and the nation? 1 Recurring 2 Situational Incorrect3 Maturational Correct4 Adventitious A nurse has just completed a mental status examination on a newly admitted psychiatric client and returns to the nurses’ station to document the results. The nurse reflects on the client’s drawn-out explanation of the reason for the admission and concludes that excessive detail was given before the client eventually answered the questions. What mental process does the nurse identify? 1 Flight of ideas Correct2 Circumstantiality When talking with a client who has alcoholism, the nurse notes that the client becomes irritable, makes excuses, and blames family and friends for the drinking problem. Which defense mechanisms does the nurse conclude that the client is using? Select all that apply. Correct1 Projection Incorrect2 Suppression 3 Sublimation 4Identification Correct5 Rationalization The registered nurse managing the care of four clients is determining individual priorities. Place the following clients in order of priority, with 1 as the highest priority. Incorrect 1. A client whose auditory hallucinations are saying, “They’re going to get you.” Correct 2. A manic client who has spent the last 8 hours refusing liquids and pacing around the unit. Incorrect 3. A depressed client who shares with the roommate that the client is “very happy today.” Correct 4. A cognitively impaired older adult who believes that the deceased spouse will visit today. A newly admitted client with schizophrenia has a treatment plan that includes participation in a physical activity group for several days before assignment to an analytical group. The basis for this decision is that the client will do what? Incorrect1 Develop skills in managing leisure time 2 Have time to develop insight into personal problems 3 Be too disruptive to benefit from group therapy at this time Correct4 Cultivate trust before moving into a potentially anxiety-producing group The mother of an 18-year-old man comes to the local mental health center. She is extremely upset because of her son’s behavior since the young man returned from his freshman year at college. He takes his brother’s clothing, comes in at all hours, and refuses to get a job. Sometimes he is happy and outgoing, but at other times he is withdrawn. The mother asks why her son is like this. While contemplating this situation, the nurse considers that which adjectives usually apply to adolescents? 1 Anxious and unhappy2 Angry and irresponsible Correct3 Impulsive and self-centered A young adult is being treated in the emergency department for injuries sustained as a result of physical battering by her partner. On learning that there is a history of such abuse, the nurse plans which tertiary nursing interventions? Select all that apply. Incorrect1 Contacting family members to provide support 2 Discussing the legal ramifications of not pressing charges Incorrect3 Offering to discuss the abusive behavior with the woman's partner Correct4 Identifying the benefits of attending a support group for battered women Correct5 Providing her with information regarding local domestic violence shelters Certain questions are applicable in determining nursing negligence. Select all that apply. Correct1 "Was reasonable care provided?" Correct2 "Was there a breach of nursing duty?" Correct3 "Was there an act of omission that resulted in harm?" Correct4 "Except for the nurse’s action, would the injury have occurred?"The parents of a toddler with recently diagnosed moderate cognitive impairment state, "Our child should be able to attend college with help and medication." What should the nurse conclude? 1 They accept the child’s diagnosis. Correct2 Denial is being used as a defense mechanism. A nurse is caring for a 20-year-old client. According to Erikson’s developmental psychosocial theory, what is expected by 20 years of age? 1 Having the capacity for love and a commitment to work Incorrect2 Being creative and productive and having concern for others Correct3 Having a coherent sense of self and plans for self-actualization A small fire has been set in the dayroom garbage can by a client who is currently demonstrating manic behavior. Place the following nursing interventions in the appropriate order to best ensure client and milieu safety. Incorrect 1. Administer appropriate medications as prescribed if indicated. Incorrect 2. Move all clients to a safe, controlled area. Incorrect 3. Activate the unit's fire alarm system. Incorrect 4. Place the manic client in a quiet environment with low stimulation. Ensuring the safety of the milieu is the priority. The fire alarm is activated immediately after all clients and staff have been removed from the area of the fire. The next intervention is providing the manic client with a quiet, low-stimulation environment. If the nursing assessment indicates a need for medication to manage the client's behavior, it should then be administered. After an electroconvulsive therapy treatment, a client complains of loss of memory. What is the nurse's best response?Correct1 "This is temporary; your memory will return after the therapy is done." A nurse facilitating a support group of widows and widowers recalls that research indicates that the probability of a spouse having a pathological or morbid grief response will be greater in what case? Incorrect1 The couple had an ambivalent relationship. Correct2 The cause of the spouse's death was suicide.Based on the following documentation, to best address the client's needs, what is the nurse's initial intervention? Incorrect1 Having male staff interact with the client only in public areas of the unitCorrect2 Offering the client a high-protein drink every hour in a quiet area of the unit A client who had to be cut out of a car after a motor vehicle collision has no visible physical effects from the ordeal. The client responds to the emergency department nurse's questions factually in a soft voice with a composed manner. What may this behavior indicate about the client? Correct1 The client is controlling the expression of feelings. An older woman comes to the mental health clinic and reports, "I've not been feeling right and haven't been able to sleep or eat since my husband died 8 months ago." The nurse determines that the client is experiencing grief associated with the loss of the husband. What supports this conclusion? 1 Inability to talk about her loss 2 Difficulty in expressing her loss Correct3 Lack of sleep and the presence of symptoms of depression A primary nurse notes that a client has become jaundiced after 2 weeks of antipsychotic drug therapy. The nurse continues to administer the antipsychotic until the primary healthcare provider can be consulted. What does the nurse manager conclude about this situation? Correct1 Jaundice is sufficient reason to discontinue the antipsychotic. Which individual is coping with issues concerning dependence versus independence? 1 Infant Correct2 ToddlerA nurse is teaching a group of recently hired staff members about defense mechanisms. An example given is Scarlett O'Hara, in the movie Gone with the Wind, who said, "I'll think about that tomorrow." What defense mechanism does this statement reflect? Incorrect1 Denial 2 Splitting 3 Repression A client's hands are raw and bloody from a ritual involving frequent hand washing. Which defense mechanism does the nurse identify? Correct1 Undoing A nurse working in a mental health clinic has a caseload composed of a number of individuals and families. Which members of the caseload are at the greatest risk for mental health problems? Correct1 A family with a new baby, a divorced man, and a recently retired older woman A parent of four is remanded to the psychiatric unit by the court for observation. The client was arrested and charged with abusing a 2-year-old child, who is in the pediatric intensive care unit in critical condition. The nurse approaches the client for the first time. How should the nurse anticipate that the client will likely respond? Select all that apply. Correct1 By denying beating the child Correct2 By avoiding talking about the situation Incorrect3 By asking where the other three children are 4By expressing excessive concern for the child Correct5 By exhibiting an emotional response that is inconsistent with the degree of injury According to Erikson, a person’s adjustment to the period of senescence will depend largely on the adjustment the individual made to which earlier developmental stage? 1 Trust versus mistrust Incorrect2 Industry versus inferiority 3 Identity versus role confusion Correct4 Generativity versus stagnation During the eighth session of a therapy group, a member who talks frequently is interrupted by one who doesn't. When the interrupting person is finished talking, the one who usually contributes says, "I'm so glad that you feel like talking today." While saying this, the client sits rigidly and looks angry. How should the nurse respond? Correct1 Comment on the interrupted client's angry behavior and pleasant words. A practitioner prescribes routine checks of the client's lithium level to be performed. How many hours after the last dose of lithium should the nurse plan to obtain the blood specimen?