Bh 2

Persons with chronic mental health problems have much higher rates of:

Suicide

A 15-year-old girl is being admitted to an inpatient mental health clinic with the diagnosis of anorexia nervosa. The nurse knows that the most common personality characteristic of teens affected with this disorder is:

Issue with control

A married couple is seeking counseling for domestic abuse issues. The husband states that he can't control his anger when his wife constantly nags at him. In the assault cycle, the wife's behavior in this situation is the stage known as:

Trigger

When establishing a client's level of consciousness, the nurse is aware that this is determined by assessing the client's:

Level of awareness

The nurse is reviewing information regarding a female client that was obtained with the psychiatric assessment tool. The client's ability to provide food and shelter for herself is included in which area of the assessment?

Coping responses, discharge planning needs

For those family members who desire to care at home for loved ones who have been given a diagnosis of Alzheimer's disease, it is important for the nurse to ensure that the family is aware of which caregiver skills and responsibilities will be necessary. What is one of the responsibilities of the caregiver during the middle stage of the disease?

Adapting to the changing personality and behavior of the loved one

A 10-year-old male client is 20 pounds overweight. Which intervention by the nurse is the most effective in this situation?

Teach the client and his parents about healthy eating habits and choices.

A 70-year-old male client tells the nurse that he is using chelation therapy to prevent Alzheimer's disease. Which adverse effect is the client most likely to experience?

Low potassium levels

The nurse is caring for a female client with a diagnosis of severe bipolar disorder. Out of many treatment methods, the one treatment that the client and the team have found to be most effective is the medication lithium. The client voices concern about her future with this diagnosis. Which nurse response best represents the concept of hope?

"You are doing very well since we found that lithium helps. You should do well as long as you continue your therapy and medication."

The theorist Eric Berne theorized that an individual's three ego states of parent, child, and adult make up one's:

Personality

Once the acute feelings of illness are resolved, what is an appropriate intervention when treating a client with a psychosocial problem?

Minimize secondary gains.

A female client discusses her feelings of jealousy regarding the relationship between her mother and her daughter. The nurse responds in a nontherapeutic way by making a statement that is defensive and challenging. Which statement is the best example of a defensive and challenging nontherapeutic response?

"Don't you think that you should be thankful that your daughter has a good relationship with her grandmother?"

The client lives so completely in a world of his own that they he is unable to recognize reality, relate to others, or cope with life's demands. This client is considered:

Psychotic

A drug that is taken daily to help reduce the desire for alcohol is:

Disulfiram (Antabuse)

A score of 1 to 10 on the global assessment functioning (GAF) scale would indicate that a client was at risk for:

Hurting himself or others

By law, what are health care providers required to do when they encounter incidents of suspected or actual abuse or neglect?

Report to the authorities

A client is continually late for his appointment at the mental health clinic. What is a likely reason for his lack of punctuality?

Time Orientation

A Navajo Native American is traveling across the country and becomes ill. He visits a hospital emergency room and appears very uncomfortable in the surroundings. The nurse knows that traditional Navajo Native Americans typically receive health care in:

homes

A female client with a psychotic disorder is experiencing olfactory hallucinations. Most likely, she would be complaining of a _____ that is disturbing to her.

smell

The nurse who is caring for a 23-year-old client with bulimia knows that the most common method of purging to monitor this client for is:

vomiting

In a research study of eating disorders, it was found that the most frequent weight loss method used by female high school students was:

skipping meals

The nurse is completing an admission interview with an older adult on a busy medical unit. What action is most appropriate for the nurse to take?

Allow the client time to respond to the questions regarding health history.

The emotional developmental task of industry vs. inferiority that occurs in childhood is characteristic of which age group?

School age: 6 to 12 years old

Which one of the following are biological causes of mood disorders?

imbalance of neurotransmitters

A "spell" is a culturally defined mental health disorder or a dissociative "state" seen in African Americans, Europeans, and Americans from southern U.S. cultures. This "state" is characterized by:

Communication with deceased relatives or spirits that occurs during a trancelike state

A male adolescent client tells the nurse that he is almost positive that he is homosexual. This realization most likely has occurred during the developmental period of:

Middle adolescence

Disease is defined as _____ dysfunction.

Physical

A person with terminal cancer makes a call to a family member she has not spoken to in 30 years in order to make amends. According to Kübler-Ross, what stage of dying is this person in?

working

The client was injured in a work accident. He now has a fused spine and moves with difficulty. He wonders if he will ever be able to be intimate with his wife. What is the nurse's most accurate response?

. "You can enjoy a satisfying sex life with some adaptation."

The childhood trait that increases the risk for developing an antisocial personality disorder is:

poor impulse control

The client lives his life by rapidly bouncing from feelings of deep sadness to great joy. The client's diagnosis is most likely:

Bipolar Disorder

A client seen in the community mental health clinic appears for one appointment in multiple layers of brightly colored clothing. Her speech is very pressured, and she is telling everyone in the waiting room about a date she had the previous evening. The next visit she is dressed in old, drab clothes and has no makeup on. She has a flat affect and is not making eye contact. The most probable cause of her behaviors is which of the following conditions?

Bipolar I disorder

During the mental status assessment, the nurse hands the client a piece of paper that reads "Please raise your left hand." If the client follows the command, the nurse has just assessed which ability of the client?

Reading

A male client is in the process of being admitted to a mental health facility. He is sure that the nurse is the administrator of the hospital, despite the nurse's insistence that he is a staff nurse on the unit. This client is experiencing:

Delusions

Breath-holding spells typically occur when a child becomes extremely frustrated, cries, and either intentionally or unintentionally holds his or her breath. This rarely occurs in children younger than the age of ______ months.

6

A male client with schizophrenia lives in an assisted-living complex for individuals with mental health disorders. He is tired of the Parkinson-like symptoms he experiences with his antipsychotic medication and therefore stops taking his medication after much discussion with his treatment team. He is progressively withdrawing from reality but is not a safety risk at this point to himself or others. What is the best response of the nurse and treatment team?

Ensure that the client and those around him are safe, and monitor for additional symptoms of his schizophrenia while maintaining trust with the client.

The nurse asks the client a series of questions upon entry into a mental health care system. This action is an example of which phase of the nursing process?

Assessment

One of the major goals of therapy for adolescents with chemical dependency is:

Replacing the use of the chemical with effective coping skills

A 72-year-old woman from the Dominican Republic is hospitalized after fainting while visiting her daughter. The staff has voiced complaints regarding the family ignoring hospital rules regarding visiting hours and number of visitors allowed in the room. In addition, the daughter brings food to the mother from home that is not a part of the client's prescribed diet. How can the staff deal with these issues in a professional manner?

Meet with the patient and family to determine how to provide support for cultural practices.

Studies of families, twins, and relatives with personality disorders have demonstrated that the developing personality is influenced by:

Genetics

The new nurse confides to his supervisor, "I am feeling frustrated. Mr. J has been doing so well in dealing with his issues over the last month, and today he refused to discuss anything productive in our session." What is the most appropriate response?

"During the working phase the client may experience growth and resistance."

What is the main issue for adolescents with anorexia?

Control

A 42-year-old male client continues to enter into business deals that cause him to lose large amounts of money. He subsequently seeks mental health care for stress-related disorders. Which characteristic of a successful adult is this client lacking?

Learning from past decisions

Mr. Right employs 22 children in his clothing factory. Each child is no older than 10 years of age and works 11 hours a day, 6 days a week. Mr. Right is practicing:

Exploitation

Abused substances are those chemicals that alter the person's perception by affecting the _____ system.

Central Nervous

To make the remainder of a terminally ill person's life as meaningful and comfortable as possible is the goal of:

Hospice Care

Which of the following clients in the community with chronic mental illness is most likely to be compliant in taking his or her prescribed medications on a consistent basis?

The client who has an understanding of his or her disease and medication's effect in controlling symptoms

Sleep disorders that are characterized by abnormal behavioral or physical events during sleep are called:

Parasomnias

A 15-year-old female is seen in the clinic for episodes of cutting herself since her parents divorced six 6 months ago. Which nursing diagnosis is a priority for this client?

Behavior, risk-prone health

A female client who has had bipolar disorder for several years decides to stop all of her medications because she is tired of the side effects. She also cancels all appointments with her therapist, stating that it is just too difficult to plan the visits in her hectic schedule. This client is considered:

Noncompliant

The nurse witnesses different personalities emerging in the client with dissociative identity disorder (DID). The primary personality is referred to as the:

Host

A rule of thumb for recovering from a rape or other violent experience states that the greater the force or brutality, the greater the psychological harm and:

Recovery Time

In the ______ dimension, an individual who is considering suicide experiences distorted thinking and self-defeating thoughts.

Intellectual

In 1937, Congress passed the Hill-Burton Act, which was significant for the treatment of mental health because it funded:

Construction of psychiatric units in facilities throughout North America

The daughter of an elderly nursing home resident is crying outside her father's room. When the nurse comforts her, she states, "It is so hard to come here to visit when my mother doesn't even know who I am." The nurse knows the client is in which stage of Alzheimer's disease?

Intermediate Stage

During an interview with a 15-year-old female client admitted for depression, the nurse expresses her disappointment when she to learns that the client recently became pregnant and then had an abortion. The nurse is contradicting the effective interview guideline of:

Avoiding one's personal values that may cloud professional judgment

The nurse performs a functional assessment of a client upon admission to a home health service. The purpose of this assessment is to determine the client's:

Ability to perform activities of daily living

A female client who is undergoing therapy for depression is divorced and has two children, ages 2 and 4. She has just enrolled in a local community college and is worried about providing food and clothes for her family while holding down a minimum wage job and also devoting the time needed to be successful in school. The nurse determines that the best community resource for assisting this client to meet these needs is:

Women, Infants, and Children (WIC)

The elderly spouse of a 74-year-old male client states that she has noticed that her husband "doesn't remember as well as he used to." She explains that he has been putting on his coat before his shirt, and that he can never get their checkbook to balance as it did in the past. The client is exhibiting signs and symptoms typical of:

Alzheimer's Disease

During a therapy session, a client is asked to respond to a word with the first word or phrase that comes to mind. What term is commonly used to refer to this technique?

Free Association

A male client is seeking help in a mental health clinic for anger management problems. He voices that he is fearful that his wife may divorce him because of his anger problem, and he is willing to do "whatever it takes" to control his anger. Later in the week, the client's wife also seeks assistance because she is going to divorce her husband. The nurse who is caring for both of these clients tries to decide the correct action to take. The nurse is experiencing:

An ethical conflict (or dilemma)

A family experiences the loss of their wife and mother to a car accident. Which family member reacts by asking "When is mommy coming back?"

The 4-year-old son

The client tells the nurse that she believes there is no improvement in her manic episodes. Her clothing matches, and her makeup is more subdued. She sits quietly in the chair during the session. What does this indicate?

Verbal communication is not congruent with nonverbal communication.

The abnormal process in which aspects of the social, physical, emotional, or intellectual function of a person are diminished or impaired is called:

illness

A 12-year-old female client with a normal IQ has difficulty with math at school. She performs well in all subjects except math, for which she is unable to earn above a grade of "D," no matter how much she studies. What is this client most likely suffering from?

A learning disorder

Psychotropic medications can cause a parasympathetic and/or sympathetic response from the autonomic nervous system. Which of the following is considered a sympathetic response?

Pupil dialation

The father of three young children dies. The wife expresses how worried she is about how to raise the children on her own without the support of her husband. She finds herself crying and living through each day without accomplishing anything. In which grieving stage is this behavior typically experienced?

yearning

A 35-year-old client with a long history of schizophrenia who often forgets to take his medication is admitted to an inpatient unit after police found him threatening passengers on a bus. This is his fourth admission in 3 months. This frequent re-hospitalization is an example of:

Recidivism

Which client is suffering from a major depressive episode?

A 50-year-old male who has been depressed for a month and is contemplating suicide

A 50-year-old man suffering from schizophrenia and depression for the last 30 years is treated on an outpatient basis. What is the primary goal for his treatment plan?

Client will enter into a vocational training program and not experience an exacerbation of symptoms.

During the continuation phase of therapy, a client with a diagnosis of depression asks, "What is the goal of therapy during this 4- to 9-month period?" What is the nurse's best response?

"Our goal is to prevent you from relapsing and experiencing distressing emotional states."

Each complaint of people with HIV/AIDS must be investigated carefully because CNS problems can be mistaken for:

Psychiatric Problems

During the mid-1500s, behaviors associated with mental illness were more accurately recorded by professionals. This practice led to ______________ for different abnormal behaviors.

Classifications

The psychiatrist asks the nurse to perform a procedure that she is not familiar with, and the nurse is unsure whether this is something within the scope of practice. Where can the nurse find the answer to her question?

State nurse practice act

The elderly spouse of a female Alzheimer's client states that his wife seems to wander aimlessly from room to room looking for things in incorrect places, such as kitchen utensils in the bedroom and laundry detergent in the kitchen. He asks the nurse for suggestions of what he can do to help her. What is the nurse's best response?

"Place large signs on doors or entryways that identify the room."

Emotional or behavioral problems that develop in response to an identifiable source and last no longer than 6 months are called ____ disorders.

Adjustment

Self-protective responses are seen in behaviors that meet basic:

Needs

What is the term for physical expression of anxiety by an individual in ways such as nausea or headaches?

Somatization

A male client has been diagnosed recently with a chronic illness. His family tells the nurse that they have noticed that he has not been attending his weekly card game night with his friends and does not return their calls. What reaction is this client most likely experiencing?

Withdrawal

Whenever there is a history of unexplained lethargy, fussiness, or irritability in an infant, caregivers should suspect ____ syndrome.

Shaken Baby

Interventions for assaultive clients that focus on protecting the client and others from potential harm are level ____ interventions.

Two

A child who is the victim of domestic violence refuses to talk about the experience. He is doing poorly in school and having trouble sleeping. Which therapy would he benefit from?

Art therapy

According to the theorist Erik Erikson, an individual strives to actualize his identity, is most productive, and demonstrates guidance of and concern for others with a core task of caring during which stage of psychosocial development?

Middle adulthood (25 to 65 years)

The end of the continuum that is marked by sexual actions harmful to self or others in some manner is known as:

Maladaptive

One begins to prefer being high to other activities during which stage of addiction?

The early stage

Clients suffering from a personality disorder usually do not seek treatment because they:

Are unable to recognize their problems

The client has frequent drug reactions to, and side effects from, his medications. He is 72 years old and lives alone. What should he be assessed for?

Concurrent substance use

During assessment of a client with a dissociative disorder, the nurse notices that the client has been cutting herself on both arms. After talking with the client, the nurse, along with other members of the treatment team, decides that the best intervention at this time to prevent further self-destructive behavior would be:

Establishing a signed contract with the client to tell a team member when she is having self-destructive thoughts

If illness or hospitalization results in a change in physical appearance, it is likely to have a strong impact on the person's:

Body image

All people who commit suicide are depressed or psychotic. This statement is a(n):

Myth

The nurse is caring for an adult male client who lacks a strong sense of personal identity. With which area of development will this client most likely struggle the most?

Social

The theory that suicide rates are affected by group support, social changes, regulations, religion, legal sanctions or limitations, and philosophical beliefs is known as the ____ theory.

Sociological

Standards of nursing practice for mental health can best be described as helping to ensure:

Quality and effectiveness of care

The onset of schizophrenia most commonly occurs during the decade of age in the:

20s

Which intervention will be most effective when one is teaching a client about his or her medications and their administration?

Referring to medications by name and providing written instructions

__________ is a processed stimulant that reaches the brain immediately and produces an intense but short-lived high.

Crack

A learned response to an anticipated event, such as when the person who does not like to fly experiences nausea and sweaty palms before boarding the airplane, is best described as:

Signal anxiety

With children younger than 12 years of age, drug abuse:

Occurs more often than is suspected

When a functional family is faced with a crisis or unexpected situation, which of the following behaviors do they exhibit to overcome it?

Maintain clear and supportive communication to address the crisis. *

After establishing a no-harm contract with the client, the nurse should:

Continue to maintain close observation.