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NR 326 Mental Health EXAM 2 Ch. 13, 27, 29 and meds Practice Questions With Complete Solutions
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NR 326 Mental Health EXAM 2 Ch. 13, 27, 29 and meds Practice Questions With Complete Solutions
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NR 326 Mental Health EXAM 2 Ch. 13, 27, 29 and medsPractice Questions With Complete Solutions
1. Lorraine has been diagnosed with somatic symptom disorder.
Which of the following symptom profiles would you expect
when assessing Lorraine?
a. Multiple somatic symptoms in several body systems
b. Fear of having a serious disease
c. Loss or alteration in sensorimotor functioning
d. Belief that her body is deformed or defective in some way
Correct Answer a. Multiple somatic symptoms in several body
systems
1. Ms. T. has been diagnosed with agoraphobia. Which behavior
would be most characteristic of this disorder?
A. Ms. T. experiences panic anxiety when she encounters
snakes.
B. Ms. T. refuses to fly in an airplane.
C. Ms. T. will not eat in a public place.
D. Ms. T. stays in her home for fear of being in a place from
which she cannot escape. Correct Answer D. Ms. T. stays in
her home for fear of being in a place from which she cannot
escape.
1. Which of the following is a correct assumption regarding the
concept of crisis?
A. Crises occur only in individuals with psychopathology
B. The stressful event that precipitates crisis is seldom
identifiable
,C. A crisis situation contains the potential for psychological
growth or deterioration
D. Crises are chronic situations that recur many times during an
individual's life Correct Answer C. A crisis situation contains
the potential for psychological growth or deterioration
10. Jareth has a diagnosis of generalized anxiety disorder. His
physician has prescribed buspirone 15 mg daily. Jareth says to
the nurse, "Why do I have to take this every day? My friend's
doctor ordered Xanax for him, and he only takes it when he is
feeling anxious." Which of the following would be an
appropriate response by the nurse?
A. "Xanax is not effective for generalized anxiety disorder."
B. "Buspirone must be taken daily in order to be effective."
C. "I will ask the doctor if he will change your dose of buspirone
to prn so that you don't have to take it every day."
D. "Your friend really should be taking the Xanax every day."
Correct Answer B. "Buspirone must be taken daily in order to
be effective."
10. The most appropriate nursing intervention with Marie (from
question 9) would be to: (Marie, age 56, is the mother of five
children. Her youngest child, who had been living at home and
attending the local college, recently graduated and accepted a
job in another state. Marie has never worked outside the home
and has devoted her life to satisfying the needs of her husband
and children. Since the departure of her last child from home,
Marie has become increasingly despondent. Her husband has
become very concerned and takes her to the local mental health
center.)
,A. Refer her to her family physician for a complete physical
examination.
B. Suggest she seek outside employment now that her children
have left home.
C. Identify convenient support systems for times when she is
feeling particularly despondent.
D. Begin grief work and assist her to recognize areas of self-
worth separate and apart from her children. Correct Answer D.
Begin grief work and assist her to recognize areas of self-worth
separate and apart from her children.
11. Which of the following is a desired outcome of working with
an individual who has witnessed a traumatic event and is now
experiencing panic anxiety?
A. The individual will experience no anxiety.
B. The individual will demonstrate hope for the future.
C. The individual will identify that anxiety is at a manageable
level.
D. The individual will verbalize acceptance of self as worthy.
Correct Answer C. The individual will identify that anxiety is at
a manageable level.
2. Crises occur when an individual:
A. Is exposed to a precipitating stressor.
B. Perceives a stressor to be threatening.
C. Has no support systems.
D. Experiences a stressor and perceives coping strategies to be
ineffective. Correct Answer D. Experiences a stressor and
perceives coping strategies to be ineffective.
, 2. Which of the following ego defense mechanisms describes the
underlying psychodynamics of somatic symptom disorder?
A. Denial of depression
B. Repression of anxiety
C. Suppression of grief
D. Displacement of anger Correct Answer B. Repression of
anxiety
2. Which of the following is the most appropriate therapy for a
client with agoraphobia?
A. 10 mg Valium qid
B. Group therapy with other agoraphobics
C. Facing the fear in gradual step progression
D. Hypnosis Correct Answer C. Facing the fear in gradual step
progression
3. Amanda's mobile home was destroyed by a tornado. Amanda
received only minor injuries but is experiencing disabling
anxiety in the aftermath of the event. What is this type of crisis
called?
A. Crisis resulting from traumatic stress
B. Maturational/developmental crisis
C. Dispositional crisis
D. Crisis of anticipated life transitions Correct Answer A.
Crisis resulting from traumatic stress
3. Nursing care for a client with somatic symptom disorder
would focus on helping her to:
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