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Psychiatric & Mental Health Nursing - Shiela Videbeck Test Bank

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A child is taking pemoline (Cylert) for ADHD. The nurse must be aware of which side effect? a. Decreased thyroid-stimulating hormone b. Decreased red blood cell count c. Elevated white blood cell count d. Elevated liver function tests - Correct Answer d. Elevated liver function tests A...

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  • September 13, 2024
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  • Psychiatric & Mental Health Nursing - Shiela Vide
  • Psychiatric & Mental Health Nursing - Shiela Vide
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Psychiatric & Mental Health Nursing -
Shiela Videbeck Test Bank

A child is taking pemoline (Cylert) for ADHD. The nurse must be aware of which side effect?
a. Decreased thyroid-stimulating hormone
b. Decreased red blood cell count
c. Elevated white blood cell count
d. Elevated liver function tests - Correct Answer d. Elevated liver function tests

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. - Correct Answer a. denial.

A client with bulimia is learning to use the technique of self monitoring. Which intervention by the nurse would be
most beneficial for this client?
a. Ask the client to write about all feelings and experiences related to food.
b. Assist the client in making daily meal plans for 1 week.
c. Encourage the client to ignore feelings and impulses related to food.
d. Teach the client about nutrition content and calories of various foods. - Correct Answer a. Ask the client to write
about all feelings and experiences related to food.

A client with delirium is attempting to remove the IV tubing from his arm, saying to the nurse, "Get off me! Go away!"
What is the client experiencing?
a. Delusions
b. Hallucinations
c. Illusions
d. Disorientation - Correct Answer b. Hallucinations

A client with late moderate-stage dementia has been admitted to a long-term care facility. Which nursing intervention
will help the client maintain optimal cognitive function?
a. Discuss pictures of children and grandchildren with the client.
b. Do word games or crossword puzzles with the client.
c. Provide the client with a written list of daily activities.
d. Watch and discuss the evening news with the client. - Correct Answer a. Discuss pictures of children and
grandchildren with the client.

A nurse assessing a client with IED would expect which finding?
a. Blaming others for provoking angry outbursts
b. Difficulty coping with ordinary life stressors
c. Lack of remorse for aggressive behavior
d. Premeditated aggressive outbursts to get what the client wants - Correct Answer b. Difficulty coping with ordinary
life stressors

A teenager is being evaluated for an eating disorder. Which finding would suggest anorexia nervosa?
a. Guilt and shame about eating patterns
b. Lack of knowledge about food and nutrition
c. Refusal to talk about food-related topics
d. Unrealistic perception of body size - Correct Answer d. Unrealistic perception of body size

An effective nursing intervention for the impulsive and aggressive behaviors that accompany conduct disorder is
a. assertiveness training.
b. consistent limit setting.
c. negotiation of rules.

, d. open expression of feelings. - Correct Answer b. consistent limit setting.

Clonidine (Catapres) is prescribed for symptoms of opioid withdrawal. Which nursing assessment is essential before
giving a dose of the 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 - Correct Answer a. Assessing the client's blood pressure

Parents of a child with ODD are referred to a parent management training program. The parents ask the nurse what
to expect from these sessions. The best response by the nurse is
a. "This is a method of parenting that involves negotiation of responsibilities with your child."
b. "This is a support group for parents to discuss the difficulties they are having with their children."
c. "You will have a chance to learn how to manage all of your child's negative behaviors."
d. "You will learn behavior management techniques to use at home with your child." - Correct Answer d. "You will
learn behavior management techniques to use at home with your child."

SATA: A 16-year-old with ODD is most likely to have difficulty in relationships with
a. family friends.
b. law enforcement.
c. parents—mother or father or both.
d. peers of the same age group.
e. school superintendent.
f. store manager at work - Correct Answer b c e f

SATA: A 7-year-old child with ADHD is taking clonidine (Kapvay). Common side effects include
a. appetite suppression.
b. dizziness.
c. dry mouth.
d. hypotension.
e. insomnia.
f. nausea. - Correct Answer b c d

SATA: A female client comes to an urgent care clinic and says, "I've just been raped." What should the nurse do?
a. Allow the client to express whatever she wants.
b. Ask the client if staff can call a friend or family member for her.
c. Offer the client coffee, tea, or whatever she likes to drink
d. Get the examination completed quickly to decrease trauma to the client.
e. Provide the client privacy; let her go to a room to make phone calls.
f. Stay with the client until someone else arrives to be with her. - Correct Answer a b f

SATA: A nurse doing an assessment with a client with anorexia nervosa would expect which findings?
a. Belief that dieting behavior is not a problem
b. Feelings of guilt and shame about eating behavior
c. History of dieting at a young age
d. Performance of rituals or compulsive behavior
e. Strong desire to get treatment
f. View of self as overweight or obese - Correct Answer a c d f

SATA: A nurse doing an assessment with a client with bulimia would expect
which findings?
a. Compensatory behaviors limited to purging
b. Dissatisfaction with body shape and size
c. Feelings of guilt and shame about eating behavior
d. Near-normal body weight for height and age
e. Performance of rituals or compulsive behavior
f. Strong desire to please others - Correct Answer b c d f

SATA: A teaching plan for the parents of a child with ADHD should include
a. allowing as much time as needed to complete any task.
b. allowing the child to decide when to do homework.
c. giving instructions in short simple steps.

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