Unit Test

Ch 67, 68, 71, 94

a nurse connect a client’s movement, memory, thought, and judgment finding with a neurotransmitter, which neurotransmitter is involved

dopamine activity

a client is displaying signs and symptoms of a mental disorder, these symptoms include anhedonia, sleep disturbances, psychomotor, retardation, fatigue, diminished ability to think/concentrate, and recurrent thoughts of death, which mental disorders would be suspected

major depressive episode MDE

the nurse is providing hygiene care to a female client in a nursing home who states that she doesn't like her physician. later, when the physician enters the room the nurse notes that the client is very friendly with the physician and compliments the care the physician gives the client. what defense mechanism is the client displaying

reaction-formation

the nurse is caring for a client who is diagnosed with bipolar disorder, which drug would be used to treat this mood disorder

aripiprazole

which suggestions made by the nurse is most helpful in developing effective coping though the aging process

make like decisions

the nurse is consulting with a client who verbalizes extreme stress, when he nurse asks the client how life is, which response represents hardiness in character

life is challenging. I take it as it comes

a client is placed in an involuntary transportation hold, what does this type of admission represent

the police place a hold to bring the person to the hospital in an emergency

the nurse is caring for a client who reports suspecting a poor immune system due to feeling sick most of the time, upon assessment the nurse finds the client is experiencing elevated stress levels, in addition to neurotransmitters, which chemical messenger between the client’s Brian and immune system is activated

cytokines

which is a true statement regarding alcohol use in the older adult population

alcoholism may be difficult to identify in older adults because symptoms such as tremors, unsteady gait, or memory loss

a client who is being interviewed by the nurse begins pacing and wringing hands, repeating, “I just need to keep moving. which statement by the nurse is most appropriate and therapeutic for this client

are you feeling anxious

the nurse is caring for a client diagnosed with PTSD

psychic numbing

during a review of panic disorder, the nurse applies this concept: which options identifies a true statement regarding a panic disorder

in panic disorder, the first instinct is to escape to a safer place

avoiding places or situations in which panic attacks occur is how the client with agoraphobia manages hears, which is a common symptom of agoraphobia

feeling safer at home

which level of anxiety is constructive and prepares a person to take action in appropriate situations

mild anxiety is constructive and prepares a person to take action in appropriate situations

the client recounts to the nurse an instance of jumping onto the hood of a car to avoid an approaching dog, and reports feeling embarrassed by this reaction, this client discloses suffering from a severe dog bite in childhood, the nurse clarifies this symptom as which of the following

phobic disorder

what is another name for the drug classification known as minor tranquilizers

anxiolytics

one week ago, the patient was prescribed Buspirone for anxiety, the patient phones the office and reports the medication has not eliminated the symptoms, which option is most appropriate

it may take up to 4 weeks for full therapeutic response

when discussing the purpose of beginning methadone therapy for opioid addiction, which statement by the nurse is most appropriate

less time will be spent in drug-seeking behaviors

a client states, “my father was an alcoholic so I am destined to be one too.” which is the best response by the nurse

lets talk about how you can take control of your destiny

which is the primary path physiologic effect that is intended form the use of a central-acting sympatholytic in the client who exhibits hypertension and anxiety

block receptors for norepinephrine in the brain

which of the following is a behavioral manifestation of panic anxiety

fragmented thoughts

disulfiram is prescribed for a patient recovering from from alcohol dependency, which option best answers the patient’s question

makes consuming any type of alcohol unpleasant

clinical manifestations of methamphetamine use include which of the following

acne

detox unit: the client asks, “how long will I get these drugs?” which is the best understanding by the nurse

high doses may be required initially but then will be tapered and stopped

a patient who has attempted to quit smoking and failed two times before is reluctant to make another attempt, which response is most appropriate

most people who have tried and failed ultimately do succeed

the nurse is caring for a client diagnosed with Parkinson disease, the nurse is most correct to correlate the client’s uncontrolled tremors as a physical characteristic of a lack of which neurotransmitter

dopamine

a nurse is caring for a client with a history of psychosis, the healthcare provider has placed the client on clozapine, which action should the nurse employ when caring for this client

monitor weekly blood counts

which type of therapy focuses less on understanding the reasons why clients think or act more on solving immediate problems and dealing with behaviors

reality therapy

the nurse is caring for a client on a behavioral health unit, what would support the theory that mental illness is a psychobiologic disorder

the client has an alteration in neurotransmitter levels

a nurse is carrying for a client admitted to the healthcare facility with a history of severe depression, the healthcare provider has prescribed electrocompulsive therapy

the nurse should instruct the client not to chew

a nurse reviews neuropeptides involved in pain transmission, which substance carried the pain sensation

the neuropeptide transmits pain

a client exhibits hostility toward the persons from whom the client wants love and approval, what describes the client’s condition

ambivalence

if the nurse researcher is administering study medications in a double-blind study, who is knowledgeable of the specifics of the medication

the study committee

the nurse is caring for a client with an anxiety disorder who is prescribed an anti anxiety medication, which response by the client indicates a need for more teaching regarding the use of this group of medications

the cause of my stress is gone

which is the best nursing intervention to prevent a potential depressant action of methadone caused by mixing with another drug

urine testing

which blood alcohol level is associated with coma

a BAL of 400 mg/dL

which is the primary path physiologic effect that is intended from the use of a central-acting sympatholytic in the client who exhibits hypertension and anxiety

block receptors for norepinephrine in the brain

which assessment finding is most important in determining nursing care of a client withdrawing from cocaine

suicide precautions

what happens when clients return to opiate abuse while taking naltrexone

when clients return to opiate abuse while taking l

the client who reports drinking half a case of beer each day is admitted for detoxification, which answer explains the onset of withdrawal symptoms 4 hours after last reported drink

early onset of withdrawal symptoms indicated incorrect reporting of the time of last use

following the death of a spouse, a client is prescribed a short-term use of lorazepam, which is the best rationale to support taking this medication at bedtime

induces drowsiness and sleep

a client has a blood alcohol level that is double the legal limit for driving yet does not exhibit behaviors of intoxication, the nurse knows that this is due to which effect

tolerance

a mentally disordered patient is admitted to the mental health unit for psychotherapy, which option is most appropriate

the nose is practicing reality therapy when comforting the client by saying, “what has happened in the past cannot be changed”

a nurse is planning therapy for several patients in an alcohol rehabilitation program so they can discuss personal problems together, which format is being used

group psychotherapy involves several clients and provides an opportunity for all to participate by discussing individual problems

a nurse teaches a community education class on stress, which option is most appropriate

no, the right amount of stress can be motivating to accomplish goals

the nurse caring for a client diagnosed with a mental disorder reinforces the fact that he is accepted unconditionally and nothing is awful or terrible, even though it may be frustrating and difficult, which therapy is the nurse practicing

rational emotive behavior theory

a hypertensive patient is admitted to the acute care facility that has a tabacco-free policy, which option is most appropraite

contact the physician for a non nicotine medication

upon admission of a patient to the detox unit, the nurse administers lorazepam, which option is most appropriate

high doses Amy be required initially but then will be tapered and stopped

the client who is experiencing alcohol withdrawal has a temperature of 100

administer benzodiazepine as ordered

a nurse assess a patient who uses opiates, which cluster of findings is most expected

pinpoint-sized pupils, constipation, weight loss, and anorexia

which level of anxiety is constructive and prepares a person to take actin in appropriate situations

mild

the client has successfully completed detox and is ready for discharge home, what is the primary reason the nurse refers the client to alcoholics anonymous

to provide support for a lifelong addiction

a patient has overdosed on opiates, which option is most appropriate

administered to reverse the effects of opiates and assist in restoring respirations