PNR 413 - Mental Health Nursing TEST 2 with complete solutions
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Course
PNR 413
Institution
PNR 413
When working with a client with a narcissistic personality disorder, the nurse would use which approach?
a. Cheerful
b. Friendly
c. Matter-of-fact
d. Supportive
C
Which underlying emotion is commonly seen in an avoidant personality disorder?
a. Depression
b. Fear
c. Guilt
d. Ins...
PNR 413 - Mental Health Nursing TEST 2
with complete solutions
When working with a client with a narcissistic personality disorder, the nurse
would use which approach?
a. Cheerful
b. Friendly
c. Matter-of-fact
d. Supportive - ANSWER- C
Which underlying emotion is commonly seen in an avoidant personality
disorder?
a. Depression
b. Fear
c. Guilt
d. Insecurity - ANSWER- B
Cognitive restructuring techniques include all of the following, except
a. decatastrophizing.
b. positive self-talk.
c. reframing.
d. relaxation. - ANSWER- D
Transient psychotic symptoms that occur with borderline personality disorder are
most likely treated with which type of drug?
a. Anticonvulsant mood stabilizers
b. Antipsychotics
c. Benzodiazepines
d. Lithium - ANSWER- B
,Clients with a schizotypal personality disorder are most likely to benefit from
which nursing intervention?
a. Cognitive restructuring techniques
b. Improving community functioning
c. Providing emotional support
d. Teaching social skills - ANSWER- B
When interviewing any client with a personality disorder, the nurse would assess
for which?
a. Ability to charm and manipulate people
b. Desire for interpersonal relationships
c. Disruption in some aspects of his or her life
d. Increased need for approval from others - ANSWER- C
The nurse would assess for which characteristics in a client with narcissistic
personality disorder?
a. Entitlement
b. Fear of abandonment
c. Hypersensitivity
d. Suspiciousness - ANSWER- A
The most important short-term goal for the client who tries to manipulate others
would be to
a. acknowledge own behavior.
b. express feelings verbally.
c. stop initiating arguments.
d. sustain lasting relationships. - ANSWER- A
When working with a client with a personality disorder, the nurse would expect to
assess which (select all that apply)?
a. High levels of self-awareness
b. Impaired interpersonal relationships
c. Inability to empathize with others
d. Minimal insight
e. Motivation to change
,f. Poor reality testing - ANSWER- B, C, D
The nurse working with a client with antisocial personality disorder would expect
which behaviors (select all that apply)?
a. Compliance with expectations and rules
b. Exploitation of other clients
c. Seeking special privileges
d. Superficial friendliness toward others
e. Utilization of rituals to allay anxiety
f. Withdrawal from social activities - ANSWER- B, C, D
Which statement would indicate that teaching about naltrexone (ReVia) has been
effective?
a. "I'll get sick if I use heroin while taking this medication."
b. "This medication will block the effects of any opioid substance I take."
c. "If I use opioids while taking naltrexone, I'll become extremely ill."
d. "Using naltrexone may make me dizzy." - ANSWER- B
Clonidine (Catapres) is prescribed for symptoms of opioid withdrawal. Which
nursing assessment is essential before giving a dose of this medication?
a. Assessing the client's blood pressure
b. Determining when the client last used an opiate
c. Monitoring the client for tremors
d. Completing a thorough physical assessment - ANSWER- A
Which behaviors would indicate stimulant intoxication?
a. Slurred speech, unsteady gait, impaired concentration
b. Hyperactivity, talkativeness, euphoria
c. Relaxed inhibitions, increased appetite, distorted perceptions
d. Depersonalization, dilated pupils, visual hallucinations - ANSWER- B
The 12 steps of AA teach that
a. acceptance of being an alcoholic will prevent urges to drink.
b. a higher power will protect individuals if they feel like drinking.
c. once a person has learned to be sober, he or she can graduate and leave AA.
d. once a person is sober, he or she remains at risk for drinking - ANSWER- D
, The nurse has provided an in-service program on impaired professionals. She
knows that teaching has been effective when staff identify which as the highest
risk for substance abuse among professionals?
a. Most nurses are codependent in their personal and professional relationships.
b. Most nurses come from dysfunctional families and are at risk for developing
addiction.
c. Most nurses are exposed to various substances and believe they are not at risk
of developing the disease.
d. Most nurses have preconceived ideas about what kind of people become
addicted. - ANSWER- C
A client comes to day treatment intoxicated but says he is not. The nurse
identifies that the client is exhibiting symptoms of
a. denial.
b. reaction formation.
c. projection.
d. transference. - ANSWER- A
The client tells the nurse that she has a drink every morning to calm her nerves
and stop her tremors. The nurse realizes the client is at risk for
a. an anxiety disorder.
b. a neurologic disorder.
c. physical dependence.
d. psychological addiction. - ANSWER- C
The nurse would recognize which drugs as central nervous system depressants
(select all that apply)?
a. Cannabis
b. Diazepam (Valium)
c. Heroin
d. Meperidine (Demerol)
e. Phenobarbital
f. Whiskey - ANSWER- B, C, E, F
Which conditions would the nurse recognize as signs of alcohol withdrawal
(select all that apply)?
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