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NUR 384 Exam 4 Guide With Complete Solution
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NUR 384 Exam 4 Guide WithComplete Solution
Which would be a reason for a student nurse to use the DSM?
A) Identifying the medical diagnosis
B) Treat clients
C) Evaluate treatments
D) Understand the reason for the admission and the nature of psychiatric
illnesses - ANSWER Ans: D
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will
find it a helpful resource to understand the reason for the admission and to
begin building knowledge about the nature of psychiatric illnesses.
Identifying the medical diagnosis, treating, and evaluating treatments are not
a part of the nursing process.
A new graduate nurse has accepted a staff position at an inpatient mental
health facility. The graduate nurse can expect to be responsible for
basic-level functions, including
A) providing clinical supervision.
B) using effective communication skills.
C) adjusting client medications.
,D) directing program development. - ANSWER Ans: B
Feedback:
Basic-level functions include counseling, milieu therapy, self-care activities,
psychobiologic interventions, health teaching, case management, and health
promotion and maintenance. Advanced-level functions include
psychotherapy, prescriptive authority for drugs, consultation and liaison,
evaluation, program development and management, and clinical supervision.
The nursing student understands correctly when identifying which objective
is appropriate for all clients with anxiety disorders?
A) The client will experience reduced anxiety and accept the fact that
underlying conflicts cannot be treated.
B) The client will experience reduced anxiety and develop alternative
responses to anxiety-provoking situations.
C) The client will experience reduced anxiety and learn to control primitive
impulses.
D) The client will experience reduced anxiety and strive for insight through
psychoanalysis - ANSWER Ans: B
Feedback:
A primary client outcome is improved adaptive coping skills.
The nursing student correctly identifies which of the following statements
are true of the etiology of OCD? Select all that apply.
A) The cognitive model for OCD etiology focuses on childhood and
environmental experiences of growing up.
,B) The etiology of OCD is not definitively explained at this time.
C) OCD is caused by immune dysfunction.
D) The primary etiology of OCD is genetics. E) Cognitive models may partially
explain why people develop OCD - ANSWER Ans: A, B, E
Feedback:
Different studies of the etiology of OCD show promise, but have yet to
definitively explain how or why people develop OCD. Cognitive models of
OCD have been long accepted as a partial explanation for OCD. The cognitive
model focuses on childhood and environmental experiences of growing up.
Heritable, genetic factors are a significant influence on thinking, and
environmental influences are not solely responsible. Immune dysfunction
may play a role in the etiology of OCD.
Which of the following are features of the thinking of a person who has OCD
according to the cognitive model? Select all that apply.
A) The person with OCD employs a minimalist approach to all aspects of his
or her life.
B) The person with OCD believes one's thoughts are overly important and
has a need to control those thoughts as they overestimate the threat posed
by their thoughts.
C) The person with OCD is always aware that his or her behavior is related to
OCD.
D) The person with OCD is concerned with perfectionism and has an
, intolerance of uncertainty.
E) The person with OCD has an inflated personal responsibility - ANSWER
Ans: B, D, E
Feedback:
The cognitive model describes the person's thinking as (1) believing one's
thoughts are overly important; that is, If I think it, it will happen, and
therefore having a need to control those thoughts; (2) perfectionism and the
intolerance of uncertainty; and (3) inflated personal responsibility (from a
strict moral or religious upbringing) and overestimation of the threat posed
by one's thoughts. The person with OCD would not employ a minimalist
approach to all aspects of his or her lifelore or she is likely to perform some
tasks at extreme levels. The persons with OCD may not always be aware that
their behavior is related to OCD.
The nurse correctly identifies that which of OCDs self-soothing behaviors
may involve self-destruction of the body of a person who has OCD? Select all
that apply.
A) Dermatillomania
B) Trichotillomania
C) Onychophagia
D) Kleptomania
E) Oniomania - ANSWER Ans: A, B, C
Feedback:
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