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 th...
Mental Health Exam 2 Study guide
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 the use of a Likert 1-10 pain rating scale
d. The Pain Assessment in Advanced Dementia scale - Correct Answerd. The Pain
Assessment in Advanced Dementia scale
1. Joshua, a 17-year-old outpatient, has been diagnosed with intermittent explosive
disorder. As you care for Joshua, you anticipate that the psychiatric care provider may
prescribe which of the following?
a. A benzodiazepine
b. An anticonvulsant
c. A psychostimulant
d. An anticholinesterase inhibitor - Correct Answerb. An anticonvulsant
3. Blake is a 15-year-old patient admitted for emergency observation after stealing a car
and being pulled over by the police for reckless driving. He also has a history of
pyromania. Which of the following is the priority assessment?
a. Illegal behaviors in the past six months
b. Assessment of childhood development and family interactions
c. Suicide risk
d. Feelings of remorse - Correct Answerc. Suicide risk
4. ________________ disorder is one of the most frequently diagnosed disorders in
children and adolescents and is a problem in the adult population as well, with adults
experiencing the same type of symptoms. It is characterized by disregard of the rights of
others and disdain for societal rules. - Correct AnswerAnswer: Conduct
5. When working on an inpatient adolescent mental health unit, staff may be able to
maintain safety and a calm environment when they interact with patients using:
a. High expressed emotion—"You must stop that immediately!"—using a stern tone.
, 2
b. Strict rule adherence—"There are no snacks after 10 pm. No exceptions!"—using a
authoritarian tone.
c. Suppressed emotion—"Hey, let's just talk about something else that doesn't upset
you!"—using a light, friendly tone.
d. Low expressed emotion—"Please go to your room for quiet time now"—using a
neutral, calm tone. - Correct Answerd. Low expressed emotion—"Please go to your
room for quiet time now"—using a neutral, calm tone.
4. You are caring for Leah, a 26-year-old patient who has been abusing CNS
stimulants. Which statement provides a basis for planning care for a patient who abuses
CNS stimulants?
a. Symptoms of intoxication include dilation of the pupils, dryness of the oronasal
cavity, and excessive motor activity.
b. Medical management focuses on removing the drugs from the body.
c. Withdrawal is simple and rarely complicated.
d. Postwithdrawal symptoms include fatigue and depression. - Correct Answerd.
Postwithdrawal symptoms include fatigue and depression.
5. The provision of optimal care for patients withdrawing from substances of abuse is
facilitated by the nurse's understanding that severe morbidity and mortality are often
associated with withdrawal from:
a. Alcohol and CNS depressants.
b. CNS stimulants and hallucinogens.
c. Narcotic antagonists and caffeine.
d. Opiates and inhalants. - Correct Answera. Alcohol and CNS depressants.
CH 21:
Which of the following statements are true regarding childhood-onset conduct disorder?
(select all that apply):
-It is more commonly diagnosed in males
-It is characterized by feelings of remorse and regret.
-It is usually diagnosed in late teen years.
-It is characterized by disregard for the rights of others.
-Those with conduct disorder rationalize their aggressive behaviors.
-It is usually outgrown by early adulthood. - Correct AnswerAnswer:
-It is more commonly diagnosed in males.
-It is characterized by disregard for the rights of others.
-Those with conduct disorder rationalize their aggressive behaviors
, 3
Childhood-onset conduct disorder is more common in male patients and is seen before
the age of 10 years. Hallmarks include disregard for the rights of others, physical
aggression, poor peer relationships, and lack of feelings of guilt or remorse. The other
options are the opposite of what is correct.
Eli is a 17-year-old patient admitted to the psychiatric unit with conduct disorder after
threatening his mother during an argument. Which of the following would be an
appropriate short-term outcome for Eli?
Engages in appropriate coping skills to manage stressors
Expresses feelings
Maintains self-control during hospitalization
Mother will improve communication skills to interact with Eli - Correct AnswerExpresses
feelings
Expressing feelings is an appropriate short-term outcome and would be a good start to
working with the patient to establish rapport, develop coping skills, and set goals.
Engaging in appropriate coping skills and maintaining self-control are desired outcomes.
Outcomes for the patient are being discussed, not outcomes for the patient's mother.
CH22
Which of the following is true regarding substance addiction and medical comorbidity?
Most substance abusers do not have medical comorbidities.
There has been little research done regarding substance addiction disorders and
medical comorbidity.
Conditions such as hepatitis C, diabetes, and HIV infection are common comorbidities.
Comorbid conditions are thought to positively affect those with substance addiction in
that these patients seek help for symptoms earlier. - Correct AnswerConditions such as
hepatitis C, diabetes, and HIV infection are common comorbidities.
The more common co-occurring medical conditions are hepatitis C, diabetes,
cardiovascular disease, HIV infection, and pulmonary disorders. The high comorbidity
appears to be the result of shared risk factors, high symptom burden, physiological
response to licit and illicit drugs, and the complications from the route of administration
of substances. Most substance abusers do have medical comorbidities. There is
research such as the 2001-2003 National Comorbidity Survey Replication (NCS-R)
showing the correlation between medical comorbidities and psychiatric disorders. It is
more likely that medical comorbidities negatively affect substance addiction in that they
cause added symptoms, stress, and burden.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller assignmenthandlers. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
