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NUR 326 Exam 2 PSYCH Questions With Complete Solutions
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NUR 326 Exam 2 PSYCH Questions With Complete Solutions
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NUR 326 Exam 2 PSYCH Questions With CompleteSolutions
A 20-year old college student has been brought to the
psychiatric hospital by her parents. Her admitting diagnosis is
borderline personality disorder. When talking with the parents,
which information would the nurse expect to be included in the
client's history? Select all that apply.
a. Impulsiveness
b. Lability of mood
c. Ritualistic behavior
d. psychomotor retardation
e. Self-destructive behavior Correct Answer A B E
A 20-year-old was sexually molested at age 10, but he can no
longer remember the incident. The ego defense mechanism in
use is
a. projection.
b. repression.
c. displacement.
d. reaction formation. Correct Answer B (Repression is a
defense mechanism that excludes unwanted or unpleasant
experiences, emotions, or ideas from conscious awareness.)
A charge nurse is preparing a staff education session on
personality disorders. Which of the following personality
characteristics associated with all of the personality disorders
should the charge nurse include in the teaching? (Select all that
apply.)
,a. Difficulty getting along with other members of a group
b. Belief in the ability to become invisible during times of stress
c. Display of defense mechanisms when routines are changed
d. Claiming to be more important that other persons
e. Difficulty understanding why it is inappropriate to have a
personal relationship with staff Correct Answer A C E
(Difficulty with social and professional relationships is a
personality characteristic that can be seen with all personality
disorder types. Clients who has schizotypal personality disorder
can display magical thinking or delusions. However, this is not
associated with all personality types. Maladaptive response to
stress is a personality characteristic that can be seen with all
personality disorder types. Clients who have narcissistic
personality disorder can display grandiose thinking. However,
this is not associated with all personality disorder types.
Difficulty understand personal boundaries is a personality
characteristic that can be seen with all personality disorder
types.)
A client has been hospitalized with anorexia nervosa. The
client's weight is 65% of normal body weight. For this client, a
realistic short-term goal for the first week of hospitalization
would be that the client will:
a. Gain a maximum of 3 lb.
b. Develop a pattern of normal eating behavior
c. Discuss fears and feelings about gaining weight
d. Verbalize awareness of the sensation of hunger Correct
Answer A (The critical outcome during hospitalization for
anorexia nervosa is weight gain. A maximum of 3 pounds
,weekly is considered sufficient initially. Too-rapid weight gain
can cause pulmonary edema)
A client on an in-patient psychiatric unit has been diagnosed
with bulimia nervosa. The client states, "I'm going to the
bathroom and will be back in a few minutes." Which nursing
response is most appropriate?
a. "Thanks for checking in."
b. "I will accompany you to the bathroom."
c. "Let me know when you get back to the day room."
d. "I'll stand outside your door to give you privacy." Correct
Answer B (The response, "I will accompany you to the
bathroom," is appropriate. Any client suspected of self-induced
vomiting should be accompanied to the bathroom for the nurse
to be able to deter this behavior.The response, "Thanks for
checking in," does not address the nurse's responsibility to deter
the self-induced vomiting done by clients diagnosed with
bulimia nervosa. The nurse should accompany the client to the
bathroom.The response, "Let me know when you get back to the
day room," does not address the nurse's responsibility to deter
the self-induced vomiting done by clients diagnosed with
bulimia nervosa. The nurse should accompany the client to the
bathroom.The response, "I'll stand outside your door to give you
privacy," does not address the nurse's responsibility to deter the
self-induced vomiting done by clients diagnosed with bulimia
nervosa. The nurse should accompany the client to the
bathroom. Providing privacy is secondary to preventing further
nutritional deficits.)
, A client reveals that she induces vomiting as often as a dozen
times a day. The nurse would expect assessment findings to
reveal
a. tachycardia.
b. hypokalemia.
c. hypercalcemia.
d. hypolipidemia. Correct Answer B
A client who is 16 years old, 5 foot, 3 inches tall, and weighs 80
pounds eats one tiny meal daily and engages in a rigorous
exercise program. The nursing diagnosis for this client would be
a. death anxiety.
b. ineffective denial.
c. disturbed sensory perception.
d. imbalanced nutrition: less than body requirements. Correct
Answer D
A client with a diagnosis of borderline personality disorder has
negative feelings toward the other clients on the unit and
considers them all to be "bad." The nurse understands this
defense is known as:
A. Splitting
B. Ambivalence
C. Passive aggression
D. Reaction formation Correct Answer A (Splitting is the
compartmentalization of opposite-affect states and failure to
integrate the positive and negative aspects of self or others.)
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