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Test bank for mental health exam 4 Revised edition Latest 2024/25 GRADED A+
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Test bank for mental health exam 4 Revised edition Latest 2024/25 GRADED A+
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Test bank for mental health exam 4 Revisededition Latest 2024/25 GRADED A+
_____________________ personality disorder is a pervasive distrust and suspiciousness ll ll ll ll ll ll ll ll
of others, such that their motives are interpreted as malevolent. - Correct Answers ANS:
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Paranoid
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Rationale: Paranoid personality disorder is a pervasive distrust and suspiciousness of
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others such that their motives are interpreted as malevolent. This disorder begins in early
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adulthood and presents in a variety of contexts.
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_____________________ personality disorder is characterized by colorful, dramatic, and
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extraverted behavior in excitable, emotional people. - Correct Answers ANS: Histrionic
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Rationale: Histrionic personality disorder is characterized by colorful, dramatic, and
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extraverted behavior in excitable, emotional people. They have difficulty maintaining long-
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lasting relationships, although they require constant affirmation of approval and
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acceptance from others.
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ll ______________________ grieving is the experiencing of the feelings and emotions ll ll ll ll ll ll ll ll ll
ll associated with the normal grief response before the loss actually occurs. - Correct
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ll Answers anticipatory ll ll ll ll
ll _______________________ personality disorder is characterized by a profound defect in ll ll ll ll ll ll ll ll ll
ll the ability to form personal relationships or to respond to others in any meaningful
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ll emotional way. - Correct Answers schizoid ll ll ll ll ll ll ll ll ll
________________________________ personality disorder is characterized by a
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pervasive and excessive need to be taken care of that leads to submissive and clinging
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behavior and fears of separation. - Correct Answers ANS: Dependent
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Rationale: Dependent personality disorder is characterized by a pervasive and excessive
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need to be taken care of that leads to submissive and clinging behavior and fears of
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separation. These characteristics are evident in the tendency to allow others to make
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decisions, to feel helpless when alone, to act submissively, to subordinate needs to others,
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to tolerate mistreatment by others, to demean oneself to gain acceptance, and to fail to
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function adequately in situations that require assertive or dominant behavior.
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"Splitting" by the client with BPD denotes which of the following?
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A. Evidence of precocious development
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B. A primitive defense mechanisms in which the pt sees objects as all good or all bad.
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C. Differentiation phase, during which the child fils to bond with the mother.
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D. Rapprochement phase, during which the mother withdraws emotional support in
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response to the child's increasing independence. - Correct Answers D
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,A battered women presents to the ER with multiple abrasions and cuts. Her right eye is
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swollen shut. She says her husband did this to her. Which of the following is the priority
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nursing intervention?
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A. Tending to the immediate care of her wounds
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B. Providing her with information about a safe place to stay
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C. Administering the PRN tranquilizer ordered by the physician
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D. Explaining how she may go about bringing charges against her husband - Correct
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Answers A
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A child diagnosed with severe autistic spectrum disorder has the nursing diagnosis
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disturbed personal identity. Which outcome would best address this client diagnosis?
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1. The client will name own body parts as separate from others by day five.
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2. The client will establish a means of communicating personal needs by discharge.
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3. The client will initiate social interactions with caregivers by day four.
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4. The client will not harm self or others by discharge. - Correct Answers ANS: 1
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Rationale: An appropriate outcome for this client is to name own body parts as separate
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from others. The nurse should assist the client in the recognition of separateness during
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self-care activities, such as dressing and feeding. The long-term goal for disturbed
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personal identity is for the client to develop an ego identity.
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A child has been diagnosed with autistic spectrum disorder. The distraught mother cries
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out, Im such a terrible mother. What did I do to cause this? Which nursing response is most
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appropriate?
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1. Researchers really dont know what causes autistic spectrum disorder, but the
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relationship between autistic disorder and fetal alcohol syndrome is being explored.
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2. Poor parenting doesnt cause autistic spectrum disorder. Research has shown that
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abnormalities in brain structure or function are to blame. This is beyond your control.
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3. Research has shown that the mother appears to play a greater role in the development
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of autistic spectrum disorder than the father.
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4. Lack of early infant bonding with the mother has shown to be a cause of autistic
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spectrum disorder. Did you breastfeed or bottle-feed? - Correct Answers ANS: 2
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Rationale: The most appropriate response by the nurse is to explain to the parent that
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autistic spectrum disorder is believed to be caused by abnormalities in brain structure or
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function, not poor parenting. Autism occurs in approximately 11.3 per 1,000 children and is
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about 4.5 times more likely to occur in boys than girls.
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A child has been recently diagnosed with mild IDD. What information about this diagnosis
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should the nurse include when teaching the childs mother?
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1. Children with mild IDD need constant supervision.
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2. Children with mild IDD develop academic skills up to a sixth-grade level.
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3. Children with mild IDD appear different from their peers.
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4. Children with mild IDD have significant sensory-motor impairment. - Correct Answers
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ANS: 2
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Rationale: The nurse should inform the child's mother that children with mild IDD develop
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academic skills up to a sixth-grade level. Individuals with mild IDD are capable of
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,ll independent living, capable of developing social skills, and have normal psychomotor ll ll ll ll ll ll ll ll ll ll
ll skills.
A client asks, Why does a rapist use a weapon during the act of rape? Which is the most
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appropriate nursing response?
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1. To decrease the victimizers insecurity.
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2. To inflict physical harm with the weapon.
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3. To terrorize and subdue the victim.
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4. To mirror learned family behavior patterns related to weapons. - Correct Answers 3 ~
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The nurse should explain that a rapist uses weapons to terrorize and subdue the victim.
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Rape is the expression of power and dominance by means of sexual violence. Rape can
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occur over a broad spectrum of experience, from violent attack to insistence on sexual
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intercourse by an acquaintance or spouse.
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A client at the mental health clinic tells the case manager, I cant think about living another
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day, but dont tell anyone about the way I feel. I know you are obligated to protect my
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confidentiality. Which case manager response is most appropriate?
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1. The treatment team is composed of many specialists who are working to improve your
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ability to function. Sharing this information with the team is critical to your care.
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2. Lets discuss steps that will resolve negative lifestyle choices that may have increased
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your suicidal risk.
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3. You seem to be preoccupied with self. You should concentrate on hope for the future.
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4. This information is secure with me because of client confidentiality. - Correct Answers
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ANS: 1
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Rationale: The most appropriate response by the case manager is to explain that sharing ll ll ll ll ll ll ll ll ll ll ll ll ll
the information with the treatment team is critical to the clients care. This case managers
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priority is to ensure client safety and to inform others on the treatment team of the clients
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suicidal ideation.
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A client diagnosed with an eating disorder experiences insomnia, nightmares, and panic
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attacks that occur before bedtime. She has never married or dated, and she lives alone.
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She states to a nurse, My father has recently moved back to town. What should the nurse
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suspect?
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1. Possible major depressive disorder
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2. Possible history of childhood incest
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3. Possible histrionic personality disorder
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4. Possible history of childhood physical abuse - Correct Answers 2 ~ The nurse should
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suspect that this client may have a history of childhood incest. Adult survivors of incest are
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at risk for developing post-traumatic stress disorder, sexual dysfunction, somatization
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disorders, compulsive sexual behavior disorders, depression, anxiety, eating disorders,
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and substance abuse disorders.
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A client diagnosed with borderline personality disorder brings up a conflict with the staff in
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a community meeting and develops a following of clients who unreasonably demand
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modification of unit rules. How can the nursing staff best handle this situation?
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1. Allow the clients to apply the democratic process when developing unit rules.
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, 2. Maintain consistency of care by open communication to avoid staff manipulation.
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3. Allow the client spokesman to verbalize concerns during a unit staff meeting.
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4. Maintain unit order by the application of autocratic leadership. - Correct Answers 2 ~
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The nursing staff can best handle this situation by maintaining consistency of care by open
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communication to avoid staff manipulation. Clients with borderline personality disorder
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can exhibit negative patterns of interaction, such as clinging and distancing, splitting,
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manipulation, and self-destructive behaviors.
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A client diagnosed with paranoid personality disorder becomes violent on a unit. Which
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nursing intervention is most appropriate?
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ll
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1. Provide objective evidence that reasons for violence are unwarranted.
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2. Initially restrain the client to maintain safety.
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3. Use clear, calm statements and a confident physical stance.
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4. Empathize with the clients paranoid perceptions. - Correct Answers 3 ~ The most
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appropriate nursing intervention is to use clear, calm statements and to assume a
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confident physical stance. A calm attitude provides the client with a feeling of safety and
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security. It may also be beneficial to have sufficient staff on hand to present a show of
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strength.
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A client diagnosed with schizophrenia is hospitalized owing to an exacerbation of
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psychosis related to non-adherence with antipsychotic medications. Which level of care
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does the clients hospitalization reflect?
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1. Primary prevention level of care
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2. Secondary prevention level of care
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3. Tertiary prevention level of care
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4. Case management level of care - Correct Answers ANS: 2
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Rationale: The client's hospitalization reflects the secondary prevention level of care.
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Secondary prevention aims at minimizing symptoms and is accomplished through early
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identification of problems and prompt initiation of effective treatment.
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A client expresses low self-worth, has much difficulty making decisions, avoids positions
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of responsibility, and has a behavioral pattern of suffering in silence. Which statement best
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explains the etiology of this clients personality disorder?
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1. Childhood nurturance was provided from many sources, and independent behaviors
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were encouraged.
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2. Childhood nurturance was provided exclusively from one source, and independent
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behaviors were discouraged.
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3. Childhood nurturance was provided exclusively from one source, and independent
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behaviors were encouraged.
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4. Childhood nurturance was provided from many sources, and independent behaviors
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were discouraged. - Correct Answers Ans: 2
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Rationale: The behaviors presented in the question represent symptoms of dependent
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personality disorder. Nurturance provided from one source and discouragement of
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independent behaviors can contribute to the development of this personality disorder.
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Dependent behaviors may be rewarded by a parent who is overprotective and
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discourages autonomy.
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