NSG MISC/Mental health final exams_ Questions and Answers

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1 A nurse uses the SAD PERSONS scale to interview a patient. This tool provides data relevant to which of the following concepts? suicide potential. 2 A nurse is interacting with patients in a psy... chiatric unit. Which statements reflect use of therapeutic communication? Select all that apply. “Tell me more about that situation.” “I notice you are pacing a lot.” “I’ll stay with you a while.” 3 A married couple has two biologic children who live with them as well as a child from the wife’s first marriage. What type of family is evident? Blended 4 Which person would be most likely to experience sleep fragmentation? An obese adult 5 A child diagnosed with attention deficit hyperactivity disorder will begin medication therapy. The nurse should prepare a plan to teach the family about which classification of medications? Central nervous system stimulants 6 A child diagnosed with attention deficit hyperactivity disorder (ADHD) shows hyperactivity, aggression, and impaired play. The health care provider prescribed amphetamine salts (Adderall). The nurse should monitor for which desired behavior? Improved abilities to participate in cooperative play with other children 7 A new psychiatric technician says, “Schizophrenia…schizotypal! What’s the difference?” The nurse’s response should include which information? With schizotypal personality disorder, the person can be made aware of misinterpretations of reality. 8 A nurse is caring for a patient taking a selective serotonin reuptake inhibitor (SSRI). When care planning, outcome criteria related to which goal is most appropriate? improvement in depression. 9 A staff nurse completes orientation to a psychiatric unit. This nurse may expect an advanced practice nurse to perform which additional intervention? Prescribe psychotropic medication 10 A patient’s relationships are intense and unstable. The patient initially idealizes the significant other and then devalues him or her, resulting in frequent feelings of emptiness. This patient will benefit from interventions to develop which aspect of mental health? Fulfilling relationships 11 A nurse is discussing culturally competent care at a nursing staff inservice. Which of the following information should the nurse include when discussing clients' cultures? Nurses should focus on clients' cultures, rather than their ethnicity, when providing care. 12 A patient diagnosed with schizophrenia says, “It’s beat. Time to eat. No room for the cat.” What type of verbalization is evident? Associative looseness 13 A nurse uses Maslow’s hierarchy of needs to plan care for a patient with mental illness. Which problem will receive priority? The patient refuses to eat or bathe. 14 As a nurse discharges a patient, the patient gives the nurse a card of appreciation made in an arts and crafts group. What is the nurse’s best action? Recognize the effectiveness of the relationship and patient’s thoughtfulness. Accept the card. 15 A nurse interacts with a newly hospitalized patient. Which of the following comments is most demonstrative of the nurse utilizing the communication technique of “offering self"? “I’d like to sit with you for a while to help you get comfortable talking to me.” 16 Which prescription medication would the nurse expect to be prescribed for a patient diagnosed with a somatic symptom disorder? Antidepressant medications to treat underlying depression 17 A patient is fearful of riding on elevators. The therapist first rides an escalator with the patient. The therapist and patient then stand in an elevator with the door open for five minutes and later with the elevator door closed for five minutes. Which technique has the therapist used? Systematic desensitization 18 A nurse cares for a group of patients receiving various medications, including an MAO inhibitor, anti-convulsant, sedative-hypnotic, and 2nd generation anti-psychotic. The nurse will order a special diet for the patient who takes which medication? MAO Inhibitor 19 A Puerto Rican American patient uses dramatic body language when describing emotional discomfort. Which analysis most likely explains the patient’s behavior? The patient belongs to a culture in which dramatic body language is the norm. 20 A nurse assesses a patient with a tentative diagnosis of generalized anxiety disorder. Which question would be most appropriate for the nurse to ask? “Do you find it difficult to control your worrying?” 21 A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of effective communication among family members? "Can you tell me the reason you get upset each time I go to the mall?" . 22 The exact cause of bipolar disorder has not been determined; which of the following provides the most accurate description of possible etiology? Several factors, including genetics, are implicated. 23 A Mexican American patient puts a picture of the Virgin Mary on the bedside table. What is the nurse’s best action? Leave the picture where the patient placed it. 24 A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address? Command hallucination 25 A child known as the neighborhood bully says, “Nobody can tell me what to do.” After receiving a poor grade on a science project, this child secretly loaded a virus on the teacher’s computer. Which diagnosis is best supported by this data? oppositional defiant disorder. 26 Match the terms below with the appropriate description. Anxiety-A feeling of apprehension, uncertainty, or dread resulting from a vague unspecified or unknown danger Fear-A reaction to a specific danger Obsessions-Thoughts, impulses or images that persist recur Compulsions-Ritualistic behaviors an individual feels driven to perform 27 Which assessment finding would cause the nurse to consider a child to be most at risk for the development of mental illness? The child has been raised by a parent with chronic major depression. 28 Inpatient hospitalization for persons with mental illness is generally reserved for patients in which of the following situations? Patients who present a clear danger to self or others. 29 A nurse in an inpatient mental health unit is planning care for a client who is in restraints. Which of the following findings should indicate to the nurse that the client is ready to reintegrate into the unit? The client follows directions. 30 A community health nurse visits a family with four children. The father behaves angrily, finds fault with the oldest child, and asks twice, “Why are you such a stupid kid?” The wife says, “I have difficulty disciplining the children. It’s so frustrating.” Which comments by the nurse will facilitate an interview with these parents? Select all that apply. “Tell me how you discipline your children.” “How do you stop your baby from crying?” “Caring for four small children must be difficult.” 31 A nurse is assessing a client who has a new diagnosis of anorexia nervosa. Which of the following findings should the nurse expect? Bradycardia 32 Which nursing diagnosis is universally applicable for children diagnosed with autism spectrum disorders? Impaired social interaction related to difficulty relating to others 33 A charge nurse is conducting a staff education in-service about depressive disorders. Which of the following should the nurse identify as a risk factor for depression? Chronic Illness 34 A nurse is caring for a new client who exhibits manifestations of a major depressive episode. The provider states that she wants to rule out medical conditions which could also be linked to the findings. The nurse should expect diagnostic testing for which of the following medical conditions? Hypothyroidism 35 A nurse cares for a patient diagnosed with an opioid overdose. Which focused assessment has the highest priority? Respiratory 36 A nurse asks a patient diagnosed with schizophrenia, “What is meant by the old saying ‘You can’t judge a book by looking at the cover.’?” Which response by the patient indicates concrete thinking? “The table of contents tells what a book is about.” 37 An advanced practice nurse observes a novice nurse expressing irritability regarding a patient with a long history of alcoholism and suspects the new nurse is experiencing countertransference. Which comment by the new nurse confirms this suspicion? “My parents were alcoholics and often neglected our family.” 38 What is a nurse’s legal responsibility if child abuse or neglect is suspected? Report the suspicion according to state regulations. 39 A nurse is caring for a client who has bipolar disorder. The client states, “I feel like Superman. I can do anything. I can fly home today and then become a U.S. Senator.” Which of the following findings is this client exhibiting? Grandiosity 40 A 15-year-old ran away from home six times and was arrested for shoplifting. The parents told the court, “We can’t manage our teenager.” The adolescent is physically abusive to the mother and defiant with the father. Which diagnosis is supported by this adolescent’s behavior? Conduct disorder 41 A nurse is caring for a client who is experiencing acute manifestations of withdrawal from alcohol. Which of the following medications should the nurse expect to administer to the client? Diazepam 42 A nurse is discussing stress management techniques with a group of clients. Which of the following techniques mentioned by a client should the nurse recognize as the least effective? "I fix myself a pot of coffee when I get anxious." 43 A patient demonstrating behaviors associated with acute mania has been engaging in staff-splitting behaviors. Staff members are feeling defensive and fatigued. Which action will the staff take initially? Hold a staff meeting to discuss consistency and limit-setting approaches. 44 A patient has blindness related to conversion (functional neurological) disorder. To help the patient eat, the nurse should impleme [Show More]

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