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Mental health exam 3 rasmussen|300 Questions and Answers
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Mental health exam 3 rasmussen|300Questions and Answers
A medical-surgical nurse works with a patient diagnosed with a somatic
system disorder. Care planning is facilitated by understanding that the
patient will probably:
a.Readily seek psychiatric counseling.
b.Be resistant to accepting psychiatric help.
c.Attend psychotherapy sessions without encouragement.
d.Be eager to discover the true reasons for physical symptoms. - -b.Be
resistant to accepting psychiatric help.
-A patient has blindness related to a functional neurological (conversion)
disorder but is unconcerned about this problem. Which understanding should
guide the nurse's planning for this patient? The patient is:
a.
suppressing accurate feelings regarding the problem.
b.
relieving anxiety through the physical symptom.
c.
meeting needs through hospitalization.
d.
refusing to disclose genuine fears. - -B
-A patient has blindness related to a functional neurological (conversion)
disorder. To help the patient eat, the nurse should:
a.
establish a "buddy" system with other patients who can feed the patient at
each meal.
b.
expect the patient to feed him- or herself after explaining the arrangement
of the food on the tray.
c.
direct the patient to locate items on the tray independently and feed self
unassisted.
d.
address the needs of other patients in the dining room, and then feed this
patient. - -B
-A patient with blindness related to a functional neurological (conversion)
disorder says, "All the doctors and nurses in this hospital stop by often to
,check on me. Too bad people outside the hospital don't find me interesting."
Which nursing diagnosis is most relevant?
a.
Social isolation
b.
Chronic low self-esteem
c.
Interrupted family processes
d.
Ineffective health maintenance - -B
-To assist a patient with a somatic system disorder, a nursing intervention of
high priority is to:
a.
imply that somatic symptoms are not real.
b.
help the patient suppress feelings of anger.
c.
shift the focus from somatic symptoms to feelings.
d.
investigate each physical symptom as it is offered. - -C
-A patient who fears serious heart disease was referred to the mental health
center by a cardiologist after extensive diagnostic evaluation showed no
physical illness. The patient says, "I have tightness in my chest and my heart
misses beats. I'm frequently absent from work. I don't go out much because I
need to rest." Which health problem is most likely?
a.
Dysthymic disorder
b.
Antisocial personality disorder
c.
Simple somatic symptom disorder
d.
Prominent health anxiety (hypochondriasis) - -D
-A nurse assessing a patient with a somatic system disorder is most likely to
note that the patient:
a. Readily sees a relationship between symptoms and interpersonal conflicts.
b. Rarely derives personal benefit from the symptoms.
c. Has little difficulty communicating emotional needs.
d. Has altered comfort and activity needs. - -D
, -To plan effective care for patients with somatic system disorders, the nurse
should understand that patients have difficulty giving up the symptoms
because the symptoms:
a. Are generally chronic.
b. Have a physiological basis.
c. Can be voluntarily controlled.
d. Provide relief from health anxiety. - -D
-A patient with a somatic symptom disorder has the nursing diagnosis:
Interrupted family processes, related to patient's disabling symptoms as
evidenced by spouse and children assuming roles and tasks that previously
belonged to patient. An appropriate outcome is that the patient will:
a. Assume roles and functions of the other family members.
b. Demonstrate a resumption of former roles and tasks.
c. Focus energy on problems occurring in the family.
d. Rely on family members to meet his or her personal needs. - -B
-A woman is 5'7" tall, weighs 160 pounds, and wears a size 8 shoe. She
says, "My feet are huge. I've asked three orthopedists to surgically reduce
my feet." The patient tries to buy shoes to make her feet look smaller, and in
social settings conceals both feet under a table or chair. Which health
problem is likely?
a.
Dissociative fugue
b.
Prominent pain disorder
c.
Body dysmorphic disorder
d.
Depersonalization disorder - -C
-Which assessment finding best supports dissociative fugue? The patient
states:
a.
"I cannot recall why I'm living in this town."
b.
"I feel as if I'm living in a fuzzy dream state."
c.
"I feel like different parts of my body are at war."
d.
"I feel very anxious and worried about my problems." - -A
, -A college student observes a roommate going out wearing
uncharacteristically seductive clothing, returning 12 to 24 hours later and
sleeping for 8 to 12 hours. At other times, the roommate sits on the floor
speaking like a young child. Which health problem should be considered?
a.
Functional neurological (conversion) disorder
b.
Dissociative identity disorder
c.
Depersonalization disorder
d.
Body dysmorphic disorder - -B
-A nurse assesses a patient diagnosed with functional neurological
(conversion) disorder. Which comment is most likely from this patient?
a.
"Since my father died, I've been short of breath and had sharp pains that go
down my left arm, but I think it's just indigestion."
b.
"I have daily problems with nausea, vomiting, and diarrhea. My skin is very
dry and I think I'm getting seriously dehydrated."
c.
"Sexual intercourse is painful. I pretend as if I'm asleep so I can avoid it. I
think it's starting to cause problems with my marriage."
d.
"I get choked very easily and have trouble swallowing when I eat. I think I
might have cancer of the esophagus." - -A
-A nurse counsels a patient diagnosed with body dysmorphic disorder.
Which nursing diagnosis would be a priority for the plan of care?
a.
Anxiety
b.
Risk for suicide
c.
Disturbed body image
d.
Ineffective role performance - -B
-Select the correct etiology to complete this nursing diagnosis for a patient
with dissociative identity disorder. Disturbed personal identity, related to:
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