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MH Quiz
A nurse is teaching a newly licensed nurse about psychodynamic theory. Which of the following should the nurse include as an example related to this theory?
A client who is currently going through a divorce and is struggling to accept the loss of their marriage
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A client who reports they recently fractured their leg in a car accident
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A client who reports being afraid of storms because they experienced a tornado as a child
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Incorrect answer:
A client who was an active military member for 10 years and engaged in combat
Correct Answer:
A client who reports being afraid of storms because they experienced a tornado as a child
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Based on your answer
This client would best follow the humanistic theory, as the client perceives the world based on experiences.
Results for question 2.
2
1 / 1 point
A nurse is teaching another nurse about Freud's psychoanalytic theory related to human behavior. Which of the following statements regarding the id should the nurse include in the teaching?
"The id is the part that guides a person's morals or why they follow rules."
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"The id is the rational part of a person's personality."
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Correct answer:
"The id is often an area that is used for instant gratification."
"The id helps teach clients what is right versus wrong regarding their behavior."
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Based on your answer
The first part of one's personality is the id, known for instant gratification. This can include gratification of physical needs or desires.
Results for question 3.
3
1 / 1 point
A nurse is planning to teach a client about behavioral therapy. Which of the following statements should the nurse plan to include?
"Behavioral therapy is based on the belief that problems are rooted in a person's past."
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"Behavioral therapy is working one-on-one with a therapist through talk therapy."
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"Behavioral therapy holds that the unconscious mind influences your thoughts and feelings."
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Correct answer:
"Behavioral therapy is a type of psychotherapy that helps you modify your maladaptive behavioral patterns."
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Based on your answer
Behavioral therapy is a type of psychotherapy that focuses on modifying a client's maladaptive behaviors, patterns, and responses, instead of using adaptative behaviors. The therapy follows the concept that behaviors are learned and can have negative consequences.
Results for question 4.
4
1 / 1 point
A nurse is planning care for a group of clients. Which of the following clients would benefit from cognitive behavioral therapy (CBT)?
A client who has insomnia
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A client who has an intellectual development disability
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A client who has dementia
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Correct answer:
A client who has Tourette's syndrome
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Based on your answer
CBT is a form of therapy that is effective for a variety of mental illnesses, including depression, anxiety, and eating disorders. It assists clients in adapting and changing their thinking patterns. Tourette's syndrome is a nervous system disorder with tics, and CBT can be used to assist the person in adapting to functioning with tics.
Results for question 5.
5
0 / 1 point
A nurse is reviewing the physical environment of a child inpatient unit. Which of the following contradicts milieu therapy?
Incorrect answer:
A seclusion room with nothing in it
Correct Answer:
A craft room with scissors and other art supplies
A quiet room with music and warm lighting
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An exercise room with bikes and treadmills
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A craft room with scissors and other art supplies
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Feedback
Based on your answer
A seclusion room with nothing in it is conducive to milieu therapy, as it ensures the client's safety.
Results for question 6.
6
1 / 1 point
A nurse in a mental health facility is caring for a client who asks, "Why can't you be my therapist?" Which of the following therapeutic responses should the nurse give?
"The therapist is the only person who can conduct the therapy session while in the facility."
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"Therapy must be conducted by a licensed therapist. I do not understand the techniques they do with you."
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Correct answer:
"I am glad you are comfortable talking with me, but your therapy is most beneficial from a therapist with additional training to best guide and talk with you."
"That is not part of my current role. I work more with ensuring you take your medications."
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Based on your answer
Often, the nurse will not be performing the therapy. Instead, the nurse might be collecting initial data, recognizing the client's need for therapy, or even advocating for the client's right to treatment.
Results for question 7.
7
1 / 1 point
A nurse is teaching a client about therapy. Which of the following statements should the nurse include?
Correct answer:
"Therapy can be used in conjunction with your medications to improve your health."
"You can select to do therapy, but this must be decided on admission."
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"You can refuse therapy. We are just required to offer it to you."
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"Your provider requires you to attend therapy in both an individual and group setting while on the unit."
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Feedback
Based on your answer
Informing the client of the variety of therapies is often geared toward describing to the client what the therapy is. The nurse can instruct the client on the benefits of the different types of therapies and what types of diagnoses the therapies can assist with.
Results for question 8.
8
1 / 1 point
A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?
Tinnitus and jerking movements
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Correct answer:
Dilated pupils and loss of muscle coordination
Pill rolling movements and drooling
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Suicidal ideations
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Feedback
Based on your answer
The nurse should identify that dilated pupils and loss of muscle coordination are findings associated with serotonin syndrome.
Results for question 9.
9
1 / 1 point
A nurse is caring for a client who has sleep dysregulation, poor memory, and poor concentration. Which of the following neurotransmitters should the nurse identify as being responsible for the client's manifestations?
Serotonin
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Correct answer:
Norepinephrine
Histamine
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Dopamine
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Feedback
Based on your answer
The nurse should identity that norepinephrine is an excitatory neurotransmitter that is responsible for learning, sleep, mood, memory, and attention.
Results for question 10.
10
1 / 1 point
A nurse is preparing a presentation on neurotransmission. Which of the following statements about the neurotransmitter histamine should the nurse include?
"Histamine is responsible for affective and cognitive functioning."
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"Histamine is essential to sleep and muscle functioning."
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"Histamine is an excitatory neurotransmitter that is responsible for learning and memory."
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Correct answer:
"Histamine is partially responsible for level of consciousness."
Feedback
Based on your answer
The nurse should identify that histamine regulates the release of histamine, glutamate, serotonin, and gamma amino butyric acid (GABA), which have an effect on alertness and wakefulness.
Results for question 11.
11
1 / 1 point
A nurse is caring for a client who is experiencing delusions, hallucinations, and alterations in speech. Which of the following medications should the nurse anticipate the provider to prescribe?
Benzodiazepine
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Correct answer:
Dopamine antagonist
Selective serotonin reuptake inhibitor
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Mood stabilizer
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Feedback
Based on your answer
The nurse should identify that dopamine antagonists, such as antipsychotics, are used to manage manifestations of psychosis, including hallucinations.
Results for question 12.
12
1 / 1 point
A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?
The importance of limiting fluid intake when taking an antipsychotic
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Correct answer:
The importance of medication adherence after the resolution of acute psychosis when taking an antipsychotic
The importance of avoiding foods that contain tyramine when taking an antipsychotic
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The importance of routine red blood cell count laboratory work when taking an antipsychotic
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Feedback
Based on your answer
The nurse should identify that some clients might be tempted to stop taking their medications after manifestations of psychosis resolve, but it is necessary to adhere to the medication regimen.
Results for question 13.
13
1 / 1 point
A nurse is caring for a client who is prescribed alprazolam, a benzodiazepine for managing severe manifestations of anxiety. Which of the following should the nurse prepare to discuss with the client?
Correct answer:
Avoid driving or operating heavy machinery until you know how alprazolam affects you.
Relief of manifestations should be expected after a few weeks of therapy.
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Foods that are known to be high in dietary tyramine should be avoided.
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Increase the dose of medication as needed if relief of manifestations is not experienced.
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Feedback
Based on your answer
The nurse should identify that benzodiazepines can cause sedation; therefore, the nurse should encourage the client to plan their daily activities accordingly, including operating cars or any type of heavy machinery.
Results for question 14.
14
1 / 1 point
A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?
Correct answer:
Sore throat and muscle aches
Increased anxiety and suicidal ideations
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Respiratory depression and a comatose state
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Severe restlessness
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Feedback
Based on your answer
The nurse should identify that flu-like manifestations, such as a sore throat and muscle aches, are findings associated with agranulocytosis, a potentially life-threatening adverse effect.
Results for question 15.
15
1 / 1 point
A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?
Correct answer:
GI discomfort and poor coordination
Lip smacking and tongue thrusting
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Blurred vision and jerking motor movements
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Fever and fluctuating blood pressure
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Feedback
Based on your answer
GI discomfort and poor coordination are associated with early lithium toxicity, at a level of 1.5 to 2.0 mEq/L.
Results for question 16.
16
1 / 1 point
A nurse is assessing a client who has depression and was prescribed fluoxetine 6 months ago. The client reports that they recently stopped taking the prescription. Which of the following findings indicates the client is experiencing antidepressant discontinuation syndrome (ADDS)?
Correct answer:
Flu-like manifestations
Poor coordination
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Blurry vision
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Irritability
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Feedback
Based on your answer
The nurse should recognize that flu-like manifestations are findings associated with ADDS, which occurs when a client abruptly discontinues antidepressant therapy. Other manifestations of ADDS include difficulty sleeping, anxiety, and depression.
Results for question 17.
17
1 / 1 point
A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?
Correct answer:
Increased heart rate and vomiting
Bone and muscle aches
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Decreased blood pressure and nausea
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Constipation and pupil constriction
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Feedback
Based on your answer
The nurse should identify that findings of alcohol withdrawal include manifestations of CNS excitation such as increased heart rate, increased blood pressure, nausea, vomiting, increased risk of seizure, and hallucinations.
Results for question 18.
18
1 / 1 point
A nurse is caring for a client who is experiencing periods of hyperactivity, impulsivity, and inattentiveness. Which of the following medications should the nurse anticipate the provider to prescribe?
Correct answer:
Central nervous system stimulant
Dopamine antagonist
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Selective serotonin reuptake inhibitor
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Benzodiazepine
, Not Selected
Feedback
Based on your answer
The nurse should identify that central nervous system (CNS) stimulants, such as methylphenidate, are primarily used to treat manifestations of attention deficit hyperactivity disorder (ADHD) and narcolepsy.
Results for question 19.
19
1 / 1 point
A nurse is caring for a client who is experiencing manifestations of opiate withdrawal. When assessing the client, which of the following purposes describes the function of the Clinical Opiate Withdrawal Scale (COWS)?
Correct answer:
Assess severity of symptoms from withdrawal and treat accordingly.
Determine the client's risk of developing severe manifestations.
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Identify genetic factors that influence opiate withdrawal.
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Analyze and interpret laboratory and medical imaging data.
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Feedback
Based on your answer
The nurse should identify that the COWS provides guidelines for the nurse to follow when rating the severity of the manifestations of opiate withdrawal.
Results for question 20.
20
1 / 1 point
Which of the following is a characteristic manifestation of neuroleptic malignant syndrome (NMS)?
Correct answer:
Muscle rigidity
Excessive drooling
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Urinary retention
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Increased appetite
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Feedback
Based on your answer
Muscle rigidity is a characteristic manifestation of NMS, along with hyperthermia, vital sign instability, and elevated creatine kinase.
NoteStudied by 24 peopleNoteStudied by 6 peopleNoteStudied by 16 peopleNoteStudied by 23 peopleNoteStudied by 13 peopleNoteStudied by 91 people