Mental Health Exam 2 1023 PTSD/Trauma, Schizophrenia,
Substance Use DO Questions With Complete Solutions
. The nurse is admitting a client with a diagnosis of schizotypal
personality disorder. Which client findings would make the
nurse question this diagnosis? (Select all that apply.)
1. Is the center of attention
2. Has unusual perceptual experiences
3. Has a bipolar disorder
4. Is odd and eccentric but not delusional
5. Has autism spectrum disorder Correct Answer Answer: 1, 3,
5
1. The nurse would question the diagnosis of a schizotypal
personality disorder if the client is the center of attention. These
clients have an acute discomfort with and reduced capacity for
close relationships. They do not want to be the center of
attention. Clients with histrionic personality disorder want to be
the center of attention
3. The nurse would question the diagnosis of a schizotypal
personality disorder in a client with a bipolar disorder. The
DSM-5 criteria states that it does not occur exclusively during
the course of a bipolar disorder.
5. The nurse would question the diagnosis of a schizotypal
personality disorder in a client with autism spectrum disorder.
The DSM-5 criteria states that it does not occur exclusively
during the course of autism spectrum disorder.
1. A jilted college student is admitted to a mental health unit
following a suicide attempt and states, "No one will ever love a
,loser like me." According to Erikson's theory of personality
development, a nurse should recognize that this client has a
deficit in which developmental stage?
1. Trust versus mistrust
2. Initiative versus guilt
3. Intimacy versus isolation
4. Ego integrity versus despair Correct Answer Answer: 3
The nurse should recognize that the client who states, "No one
will ever love a loser like me," has not adequately completed the
intimacy versus isolation stage of development. The intimacy
versus isolation stage is presumed to occur in young adulthood
between the ages of 20 and 30 years. The major developmental
task in this stage is to establish intense, lasting relationships or
commitment to another person, cause, institution, or creative
effort.
1. A kindergarten student is frequently violent toward other
children. A school nurse notices bruises and burns on the child's
face and arms. Which other symptom would indicate to the
nurse that the child may have been physically abused?
1. The child shrinks at the approach of adults.
2. The child begs or steals food or money.
3. The child is frequently absent from school.
4. The child is delayed in physical and emotional development.
Correct Answer Answer: 1
The nurse would determine that a child who shrinks at the
approach of adults in addition to having bruises and burns may
,be a victim of abuse. Maltreatment is considered, whether or not
the adult intended to harm the child.
1. A male 7-month-old cries and screams every time his mother
leaves and will not tolerate anyone else changing his diaper.
According to Mahler's developmental theory, the nurse should
determine this child's development was arrested at which phase?
1. The autistic phase
2. The symbiotic phase
3. The separation-individuation phase
4. The rapprochement phase Correct Answer Answer: 2
The nurse should understand that this infant's development was
halted in the symbiotic phase of Mahler's developmental theory,
which usually occurs between 1 and 5 months of age.
1. The client diagnosed with antisocial personality disorder spits,
curses, and refuses to answer questions during the assessment
interview. Which response would the nurse make?
1. "You are very disrespectful. You need to learn to control
yourself."
2. "I understand that you are angry, but this behavior will not be
tolerated."
3. "What behaviors could you modify to improve this situation?"
4. "Which antipersonality disorder medications have helped you
in the past?" Correct Answer Answer: 2
The appropriate nursing response is to reflect the client's feeling
while setting firm limits on behavior. Clients diagnosed with
, antisocial personality disorder have a low tolerance for
frustration, see themselves as victims, and use projection as a
primary ego defense mechanism.
12. Which statement indicates a nurse has a correct
understanding about how eye movement desensitization and
reprocessing (EMDR) achieves its therapeutic effect?
1. "The exact biological mechanism is unknown."
2. "It causes an increase in imagery vividness."
3. "This therapy decreases memory access."
4. "EMDR disrupts the fear associated with trauma." Correct
Answer Answer: 1
This statement indicates the nurse has a correct understanding.
The exact biological mechanisms by which EMDR achieves it
therapeutic effects are unknown. However, some studies have
indicated that eye movements cause a
decrease in imagery vividness and distress, as well as an
increase in memory CO access.
17. Which of the following student statements indicate that
learning has occurred regarding intimate
partner violence? (Select all that apply.)
1. "Intimate partner violence is a pattern of abusive behavior that
is used by an intimate partner."
2. "Intimate partner violence is used to gain power and control
over the other intimate partner."
3. "Fifty-one percent of victims of intimate violence are
women."
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