Mental health nursing Exam 2

Which response by a 15-year-old demonstrates a common symptom observed in patients diagnosed with major depressive disorder? a. "I'm so restless. I can't seem to sit still." b. "I spend most of my time studying. I have to get into a good college." c. "I'm obsessed with counting telephone...

What are the common myths about suicide? People who talk about suicide DO NOT attempt suicide People who talk about suicide are only trying to get attention Telling someone to cheer up is helpfulIf you mention the word suicide, you might plant the idea into someone's mind If someone survives a ...

1. You are caring for Maggie, a 78-year-old with Alzheimer's disease and Stage III breast cancer who can no longer communicate verbally. What is the appropriate way to assess Maggie's pain? a. The Wong-Baker FACES Pain Rating Scale b. The McGill Pain Questionnaire c. Direct questioning with t...

What are groups - used to help solve problems and develop coping mechanism - can treat a large number of patient care - group members help each other advantages of groups - engages multiple people at once in a treatment plan - saves resources - benefits all members - provide a safe setting f...

Which are negative symptoms associated with schizophrenia? (Select all that apply) a) Hallucinations b) Delusions c) ambivalence d) avolition e) anhedonia - ANSWER-c) ambivalence -unsure / indifferent feelings d) avolition- lack of motivation e) anhedonia - lack of feeling pleasure Positive...

The nursing student correctly identifies which statements are true of the etiology of obsessive-compulsive disorder (OCD)? (Select all that apply.) - The cognitive model for OCD etiology focuses on childhood and environmental experiences of growing up. - The etiology of OCD is not definitively e...

what is the most important tool a psychiatric nurse can use? a. PRN meds b. assessment c. restraints and seclusion d. therapeutics - ANSWER-therapeutics what is NOT considered an environmental consideration? a. privacy b. temperature c. furniture d. assessment - ANSWER-assessment which is ...

A patient is brought to the ED by a friend. The patient displays constricted pupils, slurred speech, bradycardia, and shallow respirations. Based on these symptoms, the nurse should evaluate the patient for which of the following? Opioid intoxication A patient is brought to the ED by a friend wh...

A patient comes to the clinic for a 4-week follow-up after starting fluoxetine. What is the highest priority assessment question the nurse should ask? "How have you been sleeping?" "Did you drive to the clinic today?" "Has your stomach felt uncomfortable?" "Have you experienced thoughts ...

The nurse is caring for a patient experiencing mania. Which is the most appropriate nursing intervention? A. Provide consistency among staff members when working with the patient. B. Negotiate limits so the patient has a voice in the plan of care. C. Allow only certain staff members to interact ...

a client with delirium becomes agitated and confused at night. The best initial intervention by the nurse is to: the client next to the nurse's station a night light and turn off the television up the television and a soft light on during the night. soft music during the night and maintain...

frontal lobe - ANSWER-lobe of brain that controls voluntary movement, mood, expression of feelings, thinking, and judgment parietal lobe - ANSWER-lobe of brain that controls perception and interpretation of sensory information, pain, touch, taste, and body position temporal lobe - ANSWER-lobe of...

A patient diagnosed with major depressive disorder tells the community mental health nurse, "I usually spend all day watching television. If there's nothing good to watch, I just sleep or think about my problems." What is the nurse's best action? a. Refer the patient for counseling with a re...

A person has had difficulty keeping a job because of arguing with co-workers and accusing them of conspiracy. Today the person shouts, "They're all plotting to destroy me. Isn't that true?" Select the nurse's most therapeutic response. a. "Everyone here is trying to help you. No one wants t...

What level of anxiety occurs in the normal experience of daily living, a person's ability to perceive reality is brought into sharp focus, and display symptoms of slight discomfort, restlessness, irritability, nail-biting, fidgeting? - ANSWER-Mild What level of anxiety does the patient's percep...

Eustress - ANSWER-Stress that produces from positive experiences this can cause as much anxiety as a negative stressor Anxiety - ANSWER-an uncomfortable feeling of dread that occurs from prolonged periods of stress Phobia - ANSWER-irrational fear stress-related medical condition - ANSWER-Lower ...

Dyskinesias, akinesia, and akathisia compromise symptoms known as ______ ______ - ANSWER-extrapyramidal symptoms ______ ______- speaking in words or phrases with minimal related content - ANSWER-loose associations A patient that says "I can't go into that room. I can see the red eyes of the v...

Bipolar disorder and suicide ideations Identify Triggers Risk for violence: self-directed or other-directed related to: •Manic excitement •Delusional thinking •Hallucinations •Impulsivity •Depression •Multiple losses 1. A suicidal client with a history of manic behavior is admit...

Which of the following actions best represents the basis or foundation of all other psychiatric nursing care? a. The nurse assesses the patient at regular intervals. b. The nurse administers psychotropic medications. c. The nurse spends time sitting with a withdrawn patient. d. The nurse partic...

Substances that lead to use disorders - ANSWER--alcohol -caffeine -cannabis -hallucinogen -inhalant -opioid -sedative-hypnotic -stimulant -tobacco addiction - ANSWER-you need it, if you don't have it may go into withdrawl intoxication - ANSWER-high, drunk tolerance - ANSWER-need more of ...

A person shoplifts merchandise from a community cancer thrift shop. When confronted, the thief replies, "All this stuff was donated, so I can take it." This comment suggests features of which personality disorder? a. Antisocial b. Histrionic c. Borderline d. Schizotypal - ANSWER-a. Antisocia...

The nurse finds a client crying in his room. The client states, "I'm so sad and lonely. I'm sitting here crying like a baby." The nurse's best response is: a. "I think you are a fine man". b. "Why don't you get involved in the activity group?" c. "It's a gray rainy day. That's why y...

What are intentional torts? - ANSWER-Voluntary acts that result in harm to the client. Which of the following would be considered an intentional tort (select all that apply)? A. Malpractice. B. Assault. C. Battery. D. False Imprisonment. - ANSWER-Answer: B. Assault, C. Battery, D. False Impr...

Three feet - ANSWER-The amount of personal space most people need Nursing communication - ANSWER-Patient centered to establish trust and build relationship Blocking - ANSWER-Loses train of thought; stops speaking because of an unconscious block. Example: Then my father... what was I saying? Cir...

Discuss prioritizing as you triage your patient admissions when there are limited beds available in the inpatient setting. - answer-Seperate those who need rapid medical care from those with minor injuries, 1, rescue, evacuation, food and shelter, medical attention, and safety. maturational cris...

Lithium - ANSWER-Mood stabilizer, used for treatment of bipolar disorder Narrow therapeutic window Lithium Levels - ANSWER-0.4-1.0 therapeutic 1.5 mild toxicity 1.5-2.0 advanced toxicity 2.0- 2.5 severe toxicity > 2.5 death Signs & Symptoms of Lithium Toxicity - ANSWER-Thirst, Tremors, Vom...

When a colleague committed suicide, the nurse stated "I do not understand why she would take her own life." This is an expression of which feeling? - ANSWER-Disbelief Nurses should assess the lethality of the client's plan for suicide. What factor would be irrelevant to that assessment? - ANS...

Nurse Alex recommends that Ben come to the clinic . Based on the conversation with Jordan and Ben , which of the following findings supports Nurse Alex's recommendation for Ben and Jordan to come to the clinic ? - ANSWER-Ben's current mood Nurse Alex is reviewing assessment findings along with...

The nursing instructor talks with the student nurse in the adult psychiatric unit. The student tells the instructor that the cradle cap appears to be around a specific client's face. The instructor explains that this may be an indication of long-term lack of care as a consequence of what disorde...