N230 MENTAL HEALTH Quiz 3 Flashcards

A community health nurse is planning a substance use disorder prevention program due to the increase of overdose cases in the community. Which group does the nurse identify.

A. Teenagers in a high school health class

B. School aged children in an after school program

C. Parents attending a parent-teacher association meeting

D. Elementary school teachers and counselors

A. Teenagers in a high school health class

The nurse is talking with the spouse of a client admitted for substance use disorder and overdose. Which statements made by the spouse indicates that they are exhibiting enabling behaviors? Select all that apply.

A. "I Can't keep money in the house and have to lock up jewelry in a safe."

B. "I am so scared about my spouse getting fired; I often call in sick so they won't."

C. "If I don't give them money for the drugs, they will just steal it anyway."

D. "My spouse had a terrible childhood and I would probably do the same things."

B. "I am so scared about my spouse getting fired; I often call in sick so they won't."

C. "If I don't give them money for the drugs, they will just steal it anyway."

D. "My spouse had a terrible childhood and I would probably do the same things."

The nurse is talking with a client that grew up in a home where both parents were alcoholics. Which behavior(s) does the nurse identify when assessing this client that correlate with this home life? Select all that apply.

A. Drinks alcohol to excess 3 days a week

B. Several trusting relationships with friends

C. Went back to college to complete a degree in nursing

D. Divorced 3 times with tumultuous relationships with spouses

A. Drinks alcohol to excess 3 days a week

D. Divorced 3 times with tumultuous relationships with spouses

The nurse is obtaining a history for a client and is attempting to identify if the client has developed tolerance to alcohol. Which statement made by the client is identified by the nurse as having developed alcohol tolerance?

A. "I can't stop drinking. I have to have it to live."

B. "If I drink a pint of whiskey, I can barely walk and pass out."

C. "I started off drinking a few beers and now it takes 12 cans to feel a 'buzz.'"

D. "I stopped drinking for 2 days and felt jittery, nervous, and nauseated."

A. "I can't stop drinking. I have to have it to live."

C. "I started off drinking a few beers and now it takes 12 cans to feel a 'buzz.'"

The nurse is providing a high-school prevention program for adolescents and parents about eating disorders. Which important preventative measure(s) will the nurse educate the group regarding? Select all that apply.

A. To be healthy in body and mind, it is better to be at optimal body weight or slightly below.

B. Find outcomes that are achievable to increase self-esteem.

C. Work on the development of coping strategies to handle emotional issues that arise.

D. Although the peer group is very important to the adolescent, avoid the pitfalls of peer pressure to diet

B. Find outcomes that are achievable to increase self-esteem.

C. Work on the development of coping strategies to handle emotional issues that arise.

D. Although the peer group is very important to the adolescent, avoid the pitfalls of peer pressure to diet

A client tells the nurse they eat an amount of food much larger than a person would normally eat and then vomits the food eaten. Between binges, the client says they will diet and exercise a lot and it makes them feel out of control. Which is the most therapeutic response by the nurse?

A. "Let's talk about food while we are at dinner and why you are eating so much of it at a time."

B. "I am glad you are talking about this with me. What are your feelings before this happens?"

C. "There are a lot of people that have eating disorders such as yours because of stress."

D. “It would be best for you to eat without people surrounding you until you get it under control.”

B. "I am glad you are talking about this with me. What are your feelings before this happens?"

The nurse is educating the family of an adolescent client with anorexia nervosa about the issues surrounding this eating disorder. Which statement made by the parent indicates that the education is effective?

A. "We have a codependent relationship with our child and enable the behaviors exhibited."

B. "The behavior our child exhibits such as not eating are ways that allow our child to feel control."

C. "This is a phase our child is going through and when they get hungry enough, they will eat."

D. "Our child must be having some problems identifying their sexual identity and this is how it is expressed."

B. "The behavior our child exhibits such as not eating are ways that allow our child to feel control."

The nurse is caring for an older adult client with somatic symptom disorder in a long-term care facility. The client is staying in the room and continually reporting, "my stomach hurts." Which response by the nurse will be most effective in getting the client out of the room to join an activity?

A. "Let's take a walk. It may be difficult to start at first but exercise is essential."

B. "Please let me know when you are ready to leave your room and take a walk."

C. "There is nothing wrong with your stomach. You need to come out of your room."

D. "Can you tell me what is wrong with your stomach and how it hurts?"

D. "Can you tell me what is wrong with your stomach and how it hurts?"

A client with somatic symptom disorder states to the nurse, "I just don't want to eat. I don't have an appetite at all." Which is the best response by the nurse to encourage the client to improve nutritional intake?

A. "Do you feel sick? Should I call the health care provider?"

B. "It's important that you learning other coping mechanism other than illness."

C. "If you are unable to eat, we will have to feed you through a tube in your nose."

D. "If you take a couple of bites, it may improve your appetite."

D. "If you take a couple of bites, it may improve your appetite."

The nurse is caring for a client with somatic symptom disorder that has developed physical symptoms in response to stressful events in their life. Which is the primary gain this client is achieving associated with the development of physical symptoms in response to stress?

A. Accept dependency

B. Decrease anxiety

C. Experience attention

D. Suppress anger

B. Decrease anxiety