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Mental Health Exam 3
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Mental Health Exam 3
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Mental Health Exam 3"Splitting" by the client with borderline personality disorder denotes:
A) Evidence of precocious development
B) A primitive defense mechanism in which the client sees objects as all good or all bad
C) A brief psychotic episode in which the client loses content with reality
D) Two distinct personalities within the client - ANS-B
A 75 year old patient, who lives with her son, is admitted to the hospital for pneumonia. The
nurse observe that the patient's clothes are old and dirty. The patient also has a small decubitus
on her sacrum. The best question to assess for the possibility of abuse would be which of the
following?
A) "How long have you lived with your son?"
B) "How much money do you have in your bank account?"
C) "Describe a typical day at home. What do you have to eat, what do you do during the day,
and what time do you bathe?"
D) "Who buys your clothes for you?" - ANS-C
A confused and disoriented patient, newly admitted to the gerontology unit, is diagnosed with
delirium. Which of the following statements support this diagnosis?
A) Patient has a history of increasing forgetfulness
B) Patient recently fell while in the bathroom
C) Patients temperature is 101.8 degrees
D) Patient is 78 years old - ANS-D
A nurse planning a group to help batterers learn more effective ways to cope would teach
participants that the key component in wife battering is:
A) The need of the batterer to control
B) The role of alcohol in the pattern of abuse
C) History of psychotic or paranoid behavior.
D) Failure of the woman involved to assert herself. - ANS-A
A nursing student is learning about the human limbic system. Which student statement
demonstrates that teaching about the function of the limbic system has been effective?
A) "The limbic system helps stabilize emotional behavior."
B) "The limbic system functions to assist with synaptic thinking."
C) "The limbic system aids in analytical thinking."
, D) "The limbic system helps modulate motor coordination." - ANS-A
A patient recently discharged from an alcohol rehabilitation program is brought to the hospital in
a state of prostration with severe throbbing headache, tachycardia, a beet-red face, dyspnea,
and continuous vomiting. The patient's significant other states the patient got sick about 15
minutes after drinking a glass of wine. The nurse should be guided in assessment by the
suspicion that the patient:
A) Is having a stroke
B) Has alcohol intoxication
C) Is reaching to disulfiram (Antabuse)
D) Is exhibiting symptoms of cross-dependence. - ANS-C
A patient states he has "given up on life. His wife left him, he was fired from his job, and he is
four payments behind on his mortgage. What nursing diagnosis is appropriate?
A) Anxiety related to multiple losses
B) Defensive coping related to multiple loses
C) Ineffective denial related to multiple losses
D) Hopelessness related to multiple losses - ANS-D
A patient who has a history of bipolar disorder recently underwent orthopedic surgery and was
discharged to return home. When at home, the nurse documented the following: slow and soft
speech; sad facial expression; patient crying when describing extreme fatigue, low mood, and
the feeling that he will never get well. He has refused to bathe or perform ADLs for several days.
Which nursing diagnosis would be appropriate?
A) Self-care deficit secondary to possible depression.
B) Situational low self-esteem related to immobility.
C) Deficient knowledge related to depression and surgery.
D) Disturbed though processes related to bipolar disorder. - ANS-A
A patient who has been taking lithium carbonate 3000 mg tid comes to the Outpatient
Department with a list of medications he is taking. Which of the medications on the list would
require re-evaluation of lithium dosage? (best answer)
A) A diuretic
B) A benzodiazepine
C) An antidepressant
D) An antibiotic - ANS-A`
A patient who is a policewoman tells the nurse she is depressed and can no longer deal with the
stress of her job. She mentions that employee assistance counseling failed to change her
hopeless attitude. She states that she will use her police revolver to shoot herself in the head
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