Nurse Perry is aware that language development in autistic child resembles
|
– Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam.
Show PNLE IV for Psychiatric Nursing (PM)Please wait while the activity loads. If loading fails, click here to try again Choose the letter of the correct answer. Good luck! Start Congratulations - you have completed PNLE IV for Psychiatric Nursing (PM). You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%% Your answers are highlighted below. Question 1 Conney with borderline personality disorder who is to be discharge soon threatens to “do something” to herself if discharged. Which of the following actions by the nurse would be most important? A Discuss the meaning of the client’s statement with her B Ignore the clients statement because it’s a sign of manipulation C Ask a family member to stay with the client at home temporarily D Request an immediate extension for the client Question 1 Explanation: Any suicidal statement must be assessed by the nurse. The nurse should discuss the client’s statement with her to determine its meaning in terms of suicide. Question 2 A nursing care plan for a male client with bipolar I disorder should include: A Touching the client provide assurance B Designing activities that will require the client to maintain contact with reality C Providing a structured environment D Engaging the client in conversing about current affairs Question 2 Explanation: Structure tends to decrease agitation and anxiety and to increase the client’s feeling of security. Question 3 Nurse Perry is aware that language development in autistic child resembles: A Echolalia B Shuttering C Scanning speech D Speech lag Question 3 Explanation: The autistic child repeat sounds or words spoken by others. Question 4 Nurse Penny is aware that the symptoms that distinguish post traumatic stress disorder from other anxiety disorder would be: A Lack of interest in family & others B Re-experiencing the trauma in dreams or flashback C Avoidance of situation & certain activities that resemble the stress D Depression and a blunted affect when discussing the traumatic situation Question 4 Explanation: Experiencing the actual trauma in dreams or flashback is the major symptom that distinguishes post traumatic stress disorder from other anxiety disorder. Question 5 When working with a male client suffering phobia about black cats, Nurse Trish should anticipate that a problem for this client would be? A Anxiety when discussing phobia B Distortion of reality when completing daily routines C Anger toward the feared object D Denying that the phobia exist Question 5 Explanation: Discussion of the feared object triggers an emotional response to the object. Question 6 When teaching parents about childhood depression Nurse Trina should say? A Is short in duration & resolves easily B Looks almost identical to adult depression C Does not respond to conventional treatment D It may appear acting out behavior Question 6 Explanation: Children have difficulty verbally expressing their feelings, acting out behavior, such as temper tantrums, may indicate underlying depression. Question 7 A neuromuscular blocking agent is administered to a client before ECT therapy. The Nurse should carefully observe the client for? A Dizziness B Respiratory difficulties C Seizures D Nausea and vomiting Question 7 Explanation: Neuromuscular Blocker, such as SUCCINYLCHOLINE (Anectine) produces respiratory depression because it inhibits contractions of respiratory muscles. Question 8 Nurse Trish would expect a child with a diagnosis of reactive attachment disorder to: A Be able to develop only superficial relation with the others B Have more positive relation with the father than the mother C Cling to mother & cry on separation D Have been physically abuse Question 8 Explanation: Children who have experienced attachment difficulties with primary caregiver are not able to trust others and therefore relate superficially Question 9 A 75 year old client is admitted to the hospital with the diagnosis of dementia of the Alzheimer’s type and depression. The symptom that is unrelated to depression would be? A “I don’t know” answer to questions B Neglect of personal hygiene C Shallow of labile effect D Apathetic response to the environment Question 9 Explanation: With depression, there is little or no emotional involvement therefore little alteration in affect. Question 10 Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have: A Minimal decision making B Multiple stimuli C Routine Activities D Varied Activities Question 10 Explanation: Depression usually is both emotional & physical. A simple daily routine is the best, least stressful and least anxiety producing. Question 11 To establish open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should? A Share an activity with the client B Encourage the staff to have frequent interaction with the client C Respect client’s need for personal space D Give client feedback about behavior Question 11 Explanation: Moving to a client’s personal space increases the feeling of threat, which increases anxiety. Question 12 Nurse Tina is caring for a client with delirium and states that “look at the spiders on the wall”. What should the nurse respond to the client? A “I know you are frightened, but I do not see spiders on the wall” B “You’re having hallucination, there are no spiders in this room at all” C “Would you like me to kill the spiders” D “I can see the spiders on the wall, but they are not going to hurt you” Question 12 Explanation: When hallucination is present, the nurse should reinforce reality with the client. Question 13 A male client is diagnosed with schizotypal personality disorder. Which signs would this client exhibit during social situation? A Aggressive behavior B Paranoid thoughts C Emotional affect D Independence need Question 13 Explanation: Clients with schizotypal personality disorder experience excessive social anxiety that can lead to paranoid thoughts Question 14 Nurse Anna can minimize agitation in a disturbed client by? A ensuring constant client and staff contact B Increasing stimulation C limiting unnecessary interaction D increasing appropriate sensory perception Question 14 Explanation: Limiting unnecessary interaction will decrease stimulation and agitation. Question 15 A male client who is experiencing disordered thinking about food being poisoned is admitted to the mental health unit. The nurse uses which communication technique to encourage the client to eat dinner? A Offering opinion about the need to eat B Using open ended question and silence C Focusing on self-disclosure of own food preference D Verbalizing reasons that the client may not choose to eat Question 15 Explanation: Open ended questions and silence are strategies used to encourage clients to discuss their problem in descriptive manner. Question 16 Cely is experiencing alcohol withdrawal exhibits tremors, diaphoresis and hyperactivity. Blood pressure is 190/87 mmhg and pulse is 92 bpm. Which of the medications would the nurse expect to administer? A Naloxone (Narcan) B Lorazepam (Ativan) C Haloperidol (Haldol) D Benzlropine (Cogentin) Question 16 Explanation: The nurse would most likely administer benzodiazepine, such as lorazepan (ativan) to the client who is experiencing symptom: The client’s experiences symptoms of withdrawal because of the rebound phenomenon when the sedation of the CNS from alcohol begins to decrease. Question 17 A 23 year old client has been admitted with a diagnosis of schizophrenia says to the nurse “Yes, its march, March is little woman”. That’s literal you know”. These statement illustrate: A Loosening of association B Neologisms C Flight of ideas D Echolalia Question 17 Explanation: Loose associations are thoughts that are presented without the logical connections usually necessary for the listening to interpret the message. Question 18 Nurse Nina is assigned to care for a client diagnosed with Catatonic Stupor. When Nurse Nina enters the client’s room, the client is found lying on the bed with a body pulled into a fetal position. Nurse Nina should? A Rake the client into the dayroom to be with other clients B Leave the client alone and continue with providing care to the other clients C Sit beside the client in silence and occasionally ask open-ended question D Ask the client direct questions to encourage talking Question 18 Explanation: Clients who are withdrawn may be immobile and mute, and require consistent, repeated interventions. Communication with withdrawn clients requires much patience from the nurse. The nurse facilitates communication with the client by sitting in silence, asking open-ended question and pausing to provide opportunities for the client to respond. Question 19 Nurse Trish is working in a mental health facility; the nurse priority nursing intervention for a newly admitted client with bulimia nervosa would be to? A Observe client during meals B Teach client to measure I & O C Involve client in planning daily meal D Monitor client continuously Question 19 Explanation: These clients often hide food or force vomiting; therefore they must be carefully monitored. Question 20 Nurse Claire is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is? A Identify anxiety causing situations B Eat only three meals a day C Encourage to avoid foods D Avoid shopping plenty of groceries Question 20 Explanation: Bulimia disorder generally is a maladaptive coping response to stress and underlying issues. The client should identify anxiety causing situation that stimulate the bulimic behavior and then learn new ways of coping with the anxiety. Question 21 During electroconvulsive therapy (ECT) the client receives oxygen by mask via positive pressure ventilation. The nurse assisting with this procedure knows that positive pressure ventilation is necessary because? A Decrease oxygen to the brain increases confusion and disorientation B Grand mal seizure activity depresses respirations C Muscle relaxations given to prevent injury during seizure activity depress respirations. D Anesthesia is administered during the procedure Question 21 Explanation: A short acting skeletal muscle relaxant such as succinylcholine (Anectine) is administered during this procedure to prevent injuries during seizure. Question 22 Nurse Patricia is aware that the major health complication associated with intractable anorexia nervosa would be? A Cardiac dysrhythmias resulting to cardiac arrest B Endocrine imbalance causing cold amenorrhea C Decreased metabolism causing cold intolerance D Glucose intolerance resulting in protracted hypoglycemia Question 22 Explanation: These clients have severely depleted levels of sodium and potassium because of their starvation diet and energy expenditure, these electrolytes are necessary for cardiac functioning. Question 23 Nurse Tony was caring for a 41 year old female client. Which behavior by the client indicates adult cognitive development? A Her perception are based on reality B Generates new levels of awareness C Has maximum ability to solve problems and learn new skills D Assumes responsibility for her actions Question 23 Explanation: An adult age 31 to 45 generates new level of awareness. Question 24 To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of: A Anxiety & loneliness B Frustration & fear of death C Helplessness & hopelessness D Anger & resentment Question 24 Explanation: The expression of these feeling may indicate that this client is unable to continue the struggle of life. Question 25 When planning care for a female client using ritualistic behavior, Nurse Gina must recognize that the ritual: A Is under the client’s conscious control B Helps the client focus on the inability to deal with reality C Is used by the client primarily for secondary gains D Helps the client control the anxiety Question 25 Explanation: The rituals used by a client with obsessive compulsive disorder help control the anxiety level by maintaining a set pattern of action. Question 26 A client is experiencing anxiety attack. The most appropriate nursing intervention should include? A Ask the client to play with other clients B Turning on the television C Leaving the client alone D Staying with the client and speaking in short sentences Question 26 Explanation: Appropriate nursing interventions for an anxiety attack include using short sentences, staying with the client, decreasing stimuli, remaining calm and medicating as needed. Question 27 Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to: A Use natural remedies rather than drugs to control behavior B Role play life events to meet individual needs C Manipulate the environment to bring about positive changes in behavior D Allow the client’s freedom to determine whether or not they will be involved in activities Question 27 Explanation: Environmental (MILIEU) therapy aims at having everything in the client’s surrounding area toward helping the client. Question 28 A 20 year old client was diagnosed with dependent personality disorder. Which behavior is not likely to be evidence of ineffective individual coping? A Recurrent self-destructive behavior B Showing interest in solitary activities C Avoiding relationship D Inability to make choices and decision without advise Question 28 Explanation: Individual with dependent personality disorder typically shows indecisiveness submissiveness and clinging behavior so that others will make decisions with them. Question 29 Joey a client with antisocial personality disorder belches loudly. A staff member asks Joey, “Do you know why people find you repulsive?” this statement most likely would elicit which of the following client reaction? A Defensiveness B Shame C Remorsefulness D Embarrassment Question 29 Explanation: When the staff member ask the client if he wonders why others find him repulsive, the client is likely to feel defensive because the question is belittling. The natural tendency is to counterattack the threat to self image. Question 30 A 32 year old male graduate student, who has become increasingly withdrawn and neglectful of his work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate: A Low self esteem B Effective self boundaries C Concrete thinking D Weak ego Question 30 Explanation: A person with this disorder would not have adequate self-boundaries Question 31 Mario is admitted to the emergency room with drug-included anxiety related to over ingestion of prescribed antipsychotic medication. The most important piece of information the nurse in charge should obtain initially is the: A Length of time on the med. B Reason for the suicide attempt C Name of the nearest relative & their phone number D Name of the ingested medication & the amount ingested Question 31 Explanation: In an emergency, lives saving facts are obtained first. The name and the amount of medication ingested are of outmost important in treating this potentially life threatening situation. Question 32 Nurse Hazel is caring for a male client who experience false sensory perceptions with no basis in reality. This perception is known as: A Delusions B Loose associations C Neologisms D Hallucinations Question 32 Explanation: Hallucinations are visual, auditory, gustatory, tactile or olfactory perceptions that have no basis in reality. Question 33 Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of? A Flight of ideas B Confabulation C Concretism D Associative looseness Question 33 Explanation: Confabulation or the filling in of memory gaps with imaginary facts is a defense mechanism used by people experiencing memory deficits. Question 34 A long term goal for a paranoid male client who has unjustifiably accused his wife of having many extramarital affairs would be to help the client develop: A Feeling of self worth B Insight into his behavior C Faith in his wife D Better self control Question 34 Explanation: Helping the client to develop feeling of self worth would reduce the client’s need to use pathologic defenses. Question 35 A 39 year old mother with obsessive-compulsive disorder has become immobilized by her elaborate hand washing and walking rituals. Nurse Trish recognizes that the basis of O.C. disorder is often: A Feelings of guilt and inadequacy B Problems with being too conscientious C Problems with anger and remorse D Feeling of unworthiness and hopelessness Question 35 Explanation: Ritualistic behavior seen in this disorder is aimed at controlling guilt and inadequacy by maintaining an absolute set pattern of behavior. Question 36 Marco approached Nurse Trish asking for advice on how to deal with his alcohol addiction. Nurse Trish should tell the client that the only effective treatment for alcoholism is: A Aversion Therapy B Alcoholics anonymous (A.A.) C Psychotherapy D Total abstinence Question 36 Explanation: Total abstinence is the only effective treatment for alcoholism Question 37 Nurse Monet is caring for a female client who has suicidal tendency. When accompanying the client to the restroom, Nurse Monet should… A Give her privacy B Allow her to urinate C Observe her D Open the window and allow her to get some fresh air Question 37 Explanation: The Nurse has a responsibility to observe continuously the acutely suicidal client. The Nurse should watch for clues, such as communicating suicidal thoughts, and messages; hoarding medications and talking about death. Question 38 Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal? A Restlessness & Irritability B Constipation & steatorrhea C Vomiting and Diarrhea D Yawning & diaphoresis Question 38 Explanation: Vomiting and diarrhea are usually the late signs of heroin withdrawal, along with muscle spasm, fever, nausea, repetitive, abdominal cramps and backache. Question 39 A characteristic that would suggest to Nurse Anne that an adolescent may have bulimia would be: A Badly stained teeth B Positive body image C Frequent regurgitation & re-swallowing of food D Previous history of gastritis Question 39 Explanation: Dental enamel erosion occurs from repeated self-induced vomiting. Question 40 Which of the following approaches would be most appropriate to use with a client suffering from narcissistic personality disorder when discrepancies exist between what the client states and what actually exist? A Consistency B Supportive confrontation C Limit setting D Rationalization Question 40 Explanation: The nurse would specifically use supportive confrontation with the client to point out discrepancies between what the client states and what actually exists to increase responsibility for self. Question 41 Nurse Jonel is providing information to a community group about violence in the family. Which statement by a group member would indicate a need to provide additional information? A “Abuser usually have poor self-esteem” B “Abuse occurs more in low-income families” C “Abuser use fear and intimidation” D “Abuser Are often jealous or self-centered” Question 41 Explanation: Personal characteristics of abuser include low self-esteem, immaturity, dependence, insecurity and jealousy. Question 42 Nurse Tina is caring for a client with depression who has not responded to antidepressant medication. The nurse anticipates that what treatment procedure may be prescribed. A Psychosurgery B Neuroleptic medication C Short term seclusion D Electroconvulsive therapy Question 42 Explanation: Electroconvulsive therapy is an effective treatment for depression that has not responded to medication Question 43 Mario is complaining to other clients about not being allowed by staff to keep food in his room. Which of the following interventions would be most appropriate? A Reprimanding the client B Allowing a snack to be kept in his room C Setting limits on the behavior D Ignoring the clients behavior Question 43 Explanation: The nurse needs to set limits in the client’s manipulative behavior to help the client control dysfunctional behavior. A consistent approach by the staff is necessary to decrease manipulation. Question 44 A 60 year old female client who lives alone tells the nurse at the community health center “I really don’t need anyone to talk to”. The TV is my best friend. The nurse recognizes that the client is using the defense mechanism known as? A Displacement B Projection C Denial D Sublimation Question 44 Explanation: The client statement is an example of the use of denial, a defense that blocks problem by unconscious refusing to admit they exist Question 45 A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is: A Highly famous and important B Being Killed C Connected to client unrelated to oneself D Responsible for evil world Question 45 Explanation: Delusion of grandeur is a false belief that one is highly famous and important. Question 46 When planning the discharge of a client with chronic anxiety, Nurse Chris evaluates achievement of the discharge maintenance goals. Which goal would be most appropriately having been included in the plan of care requiring evaluation? A The client eliminates all anxiety from daily situations B The client ignores feelings of anxiety C The client identifies anxiety producing situations D The client maintains contact with a crisis counselor Question 46 Explanation: Recognizing situations that produce anxiety allows the client to prepare to cope with anxiety or avoid specific stimulus. Question 47 Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda’s anxiety. The most therapeutic question by the nurse would be? A Would you like me to talk with you? B Ignore the client C Are you feeling upset now? D Would you like to watch TV? Question 47 Explanation: The nurse presence may provide the client with support & feeling of control. Question 48 Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal? A Orange Juice B Milk C Regular Coffee D Soda Question 48 Explanation: Regular coffee contains caffeine which acts as psychomotor stimulants and leads to feelings of anxiety and agitation. Serving coffee top the client may add to tremors or wakefulness. Question 49 Nurse Joey is aware that the signs & symptoms that would be most specific for diagnosis anorexia are? A Excessive weight loss, amenorrhea & abdominal distension B Compulsive behavior, excessive fears & nausea C Excessive activity, memory lapses & an increased pulse D Slow pulse, 10% weight loss & alopecia Question 49 Explanation: These are the major signs of anorexia nervosa. Weight loss is excessive (15% of expected weight) Question 50 Nurse Maureen is developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan? A Set-up a strict eating plan for the client B Encourage client to exercise to reduce anxiety C Restrict visits with the family D Provide privacy during meals Question 50 Explanation: Establishing a consistent eating plan and monitoring client’s weight are important to this disorder. Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results There are 50 questions to complete. ← List → Return Shaded items are complete. 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950EndReturn You have completed questions question Your score is Correct Wrong Partial-Credit You have not finished your quiz. If you leave this page, your progress will be lost. Correct Answer You Selected Not Attempted Final Score on Quiz Attempted Questions Correct Attempted Questions Wrong Questions Not Attempted Total Questions on Quiz Question Details Results Date Score Hint Time allowed minutes seconds Time used Answer Choice(s) Selected Question Text All done Need more practice! Keep trying! Not bad! Good work! Perfect! Exam ModeExam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. PNLE IV for Psychiatric Nursing (EM)Please wait while the activity loads. If loading fails, click here to try again Choose the letter of the correct answer. You got 50 minutes to finish the exam .Good luck! Start Congratulations - you have completed PNLE IV for Psychiatric Nursing (EM). You scored %%SCORE%% out of %%TOTAL%%. Your performance has been rated as %%RATING%% Your answers are highlighted below. Question 1 Marco approached Nurse Trish asking for advice on how to deal with his alcohol addiction. Nurse Trish should tell the client that the only effective treatment for alcoholism is: A Total abstinence B Alcoholics anonymous (A.A.) C Aversion Therapy D Psychotherapy Question 1 Explanation: Total abstinence is the only effective treatment for alcoholism Question 2 Nurse Tina is caring for a client with depression who has not responded to antidepressant medication. The nurse anticipates that what treatment procedure may be prescribed. A Electroconvulsive therapy B Short term seclusion C Neuroleptic medication D Psychosurgery Question 2 Explanation: Electroconvulsive therapy is an effective treatment for depression that has not responded to medication Question 3 A 60 year old female client who lives alone tells the nurse at the community health center “I really don’t need anyone to talk to”. The TV is my best friend. The nurse recognizes that the client is using the defense mechanism known as? A Sublimation B Projection C Denial D Displacement Question 3 Explanation: The client statement is an example of the use of denial, a defense that blocks problem by unconscious refusing to admit they exist Question 4 To establish open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should? A Give client feedback about behavior B Respect client’s need for personal space C Share an activity with the client D Encourage the staff to have frequent interaction with the client Question 4 Explanation: Moving to a client’s personal space increases the feeling of threat, which increases anxiety. Question 5 Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to: A Use natural remedies rather than drugs to control behavior B Manipulate the environment to bring about positive changes in behavior C Role play life events to meet individual needs D Allow the client’s freedom to determine whether or not they will be involved in activities Question 5 Explanation: Environmental (MILIEU) therapy aims at having everything in the client’s surrounding area toward helping the client. Question 6 A 23 year old client has been admitted with a diagnosis of schizophrenia says to the nurse “Yes, its march, March is little woman”. That’s literal you know”. These statement illustrate: A Echolalia B Neologisms C Flight of ideas D Loosening of association Question 6 Explanation: Loose associations are thoughts that are presented without the logical connections usually necessary for the listening to interpret the message. Question 7 Nurse Trish would expect a child with a diagnosis of reactive attachment disorder to: A Cling to mother & cry on separation B Have been physically abuse C Have more positive relation with the father than the mother D Be able to develop only superficial relation with the others Question 7 Explanation: Children who have experienced attachment difficulties with primary caregiver are not able to trust others and therefore relate superficially Question 8 A client is experiencing anxiety attack. The most appropriate nursing intervention should include? A Ask the client to play with other clients B Staying with the client and speaking in short sentences C Leaving the client alone D Turning on the television Question 8 Explanation: Appropriate nursing interventions for an anxiety attack include using short sentences, staying with the client, decreasing stimuli, remaining calm and medicating as needed. Question 9 When working with a male client suffering phobia about black cats, Nurse Trish should anticipate that a problem for this client would be? A Anxiety when discussing phobia B Denying that the phobia exist C Anger toward the feared object D Distortion of reality when completing daily routines Question 9 Explanation: Discussion of the feared object triggers an emotional response to the object. Question 10 A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is: A Connected to client unrelated to oneself B Responsible for evil world C Highly famous and important D Being Killed Question 10 Explanation: Delusion of grandeur is a false belief that one is highly famous and important. Question 11 Nurse Penny is aware that the symptoms that distinguish post traumatic stress disorder from other anxiety disorder would be: A Depression and a blunted affect when discussing the traumatic situation B Avoidance of situation & certain activities that resemble the stress C Lack of interest in family & others D Re-experiencing the trauma in dreams or flashback Question 11 Explanation: Experiencing the actual trauma in dreams or flashback is the major symptom that distinguishes post traumatic stress disorder from other anxiety disorder. Question 12 Joey a client with antisocial personality disorder belches loudly. A staff member asks Joey, “Do you know why people find you repulsive?” this statement most likely would elicit which of the following client reaction? A Defensiveness B Shame C Embarrassment D Remorsefulness Question 12 Explanation: When the staff member ask the client if he wonders why others find him repulsive, the client is likely to feel defensive because the question is belittling. The natural tendency is to counterattack the threat to self image. Question 13 Conney with borderline personality disorder who is to be discharge soon threatens to “do something” to herself if discharged. Which of the following actions by the nurse would be most important? A Ask a family member to stay with the client at home temporarily B Ignore the clients statement because it’s a sign of manipulation C Request an immediate extension for the client D Discuss the meaning of the client’s statement with her Question 13 Explanation: Any suicidal statement must be assessed by the nurse. The nurse should discuss the client’s statement with her to determine its meaning in terms of suicide. Question 14 Nurse Joey is aware that the signs & symptoms that would be most specific for diagnosis anorexia are? A Compulsive behavior, excessive fears & nausea B Slow pulse, 10% weight loss & alopecia C Excessive activity, memory lapses & an increased pulse D Excessive weight loss, amenorrhea & abdominal distension Question 14 Explanation: These are the major signs of anorexia nervosa. Weight loss is excessive (15% of expected weight) Question 15 Nurse Claire is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is? A Avoid shopping plenty of groceries B Eat only three meals a day C Identify anxiety causing situations D Encourage to avoid foods Question 15 Explanation: Bulimia disorder generally is a maladaptive coping response to stress and underlying issues. The client should identify anxiety causing situation that stimulate the bulimic behavior and then learn new ways of coping with the anxiety. Question 16 A 75 year old client is admitted to the hospital with the diagnosis of dementia of the Alzheimer’s type and depression. The symptom that is unrelated to depression would be? A “I don’t know” answer to questions B Apathetic response to the environment C Shallow of labile effect D Neglect of personal hygiene Question 16 Explanation: With depression, there is little or no emotional involvement therefore little alteration in affect. Question 17 Nurse Tina is caring for a client with delirium and states that “look at the spiders on the wall”. What should the nurse respond to the client? A “Would you like me to kill the spiders” B “I know you are frightened, but I do not see spiders on the wall” C “You’re having hallucination, there are no spiders in this room at all” D “I can see the spiders on the wall, but they are not going to hurt you” Question 17 Explanation: When hallucination is present, the nurse should reinforce reality with the client. Question 18 Which of the following approaches would be most appropriate to use with a client suffering from narcissistic personality disorder when discrepancies exist between what the client states and what actually exist? A Consistency B Limit setting C Supportive confrontation D Rationalization Question 18 Explanation: The nurse would specifically use supportive confrontation with the client to point out discrepancies between what the client states and what actually exists to increase responsibility for self. Question 19 A neuromuscular blocking agent is administered to a client before ECT therapy. The Nurse should carefully observe the client for? A Seizures B Respiratory difficulties C Nausea and vomiting D Dizziness Question 19 Explanation: Neuromuscular Blocker, such as SUCCINYLCHOLINE (Anectine) produces respiratory depression because it inhibits contractions of respiratory muscles. Question 20 Nurse Nina is assigned to care for a client diagnosed with Catatonic Stupor. When Nurse Nina enters the client’s room, the client is found lying on the bed with a body pulled into a fetal position. Nurse Nina should? A Rake the client into the dayroom to be with other clients B Ask the client direct questions to encourage talking C Sit beside the client in silence and occasionally ask open-ended question D Leave the client alone and continue with providing care to the other clients Question 20 Explanation: Clients who are withdrawn may be immobile and mute, and require consistent, repeated interventions. Communication with withdrawn clients requires much patience from the nurse. The nurse facilitates communication with the client by sitting in silence, asking open-ended question and pausing to provide opportunities for the client to respond. Question 21 Mario is complaining to other clients about not being allowed by staff to keep food in his room. Which of the following interventions would be most appropriate? A Allowing a snack to be kept in his room B Ignoring the clients behavior C Setting limits on the behavior D Reprimanding the client Question 21 Explanation: The nurse needs to set limits in the client’s manipulative behavior to help the client control dysfunctional behavior. A consistent approach by the staff is necessary to decrease manipulation. Question 22 Nurse Perry is aware that language development in autistic child resembles: A Scanning speech B Speech lag C Shuttering D Echolalia Question 22 Explanation: The autistic child repeat sounds or words spoken by others. Question 23 Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal? A Yawning & diaphoresis B Vomiting and Diarrhea C Constipation & steatorrhea D Restlessness & Irritability Question 23 Explanation: Vomiting and diarrhea are usually the late signs of heroin withdrawal, along with muscle spasm, fever, nausea, repetitive, abdominal cramps and backache. Question 24 Nurse Monet is caring for a female client who has suicidal tendency. When accompanying the client to the restroom, Nurse Monet should… A Allow her to urinate B Open the window and allow her to get some fresh air C Observe her D Give her privacy Question 24 Explanation: The Nurse has a responsibility to observe continuously the acutely suicidal client. The Nurse should watch for clues, such as communicating suicidal thoughts, and messages; hoarding medications and talking about death. Question 25 Nurse Tony was caring for a 41 year old female client. Which behavior by the client indicates adult cognitive development? A Generates new levels of awareness B Her perception are based on reality C Assumes responsibility for her actions D Has maximum ability to solve problems and learn new skills Question 25 Explanation: An adult age 31 to 45 generates new level of awareness. Question 26 A male client who is experiencing disordered thinking about food being poisoned is admitted to the mental health unit. The nurse uses which communication technique to encourage the client to eat dinner? A Using open ended question and silence B Offering opinion about the need to eat C Focusing on self-disclosure of own food preference D Verbalizing reasons that the client may not choose to eat Question 26 Explanation: Open ended questions and silence are strategies used to encourage clients to discuss their problem in descriptive manner. Question 27 When planning care for a female client using ritualistic behavior, Nurse Gina must recognize that the ritual: A Helps the client control the anxiety B Is under the client’s conscious control C Is used by the client primarily for secondary gains D Helps the client focus on the inability to deal with reality Question 27 Explanation: The rituals used by a client with obsessive compulsive disorder help control the anxiety level by maintaining a set pattern of action. Question 28 A 39 year old mother with obsessive-compulsive disorder has become immobilized by her elaborate hand washing and walking rituals. Nurse Trish recognizes that the basis of O.C. disorder is often: A Feeling of unworthiness and hopelessness B Problems with being too conscientious C Problems with anger and remorse D Feelings of guilt and inadequacy Question 28 Explanation: Ritualistic behavior seen in this disorder is aimed at controlling guilt and inadequacy by maintaining an absolute set pattern of behavior. Question 29 A 32 year old male graduate student, who has become increasingly withdrawn and neglectful of his work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate: A Low self esteem B Concrete thinking C Effective self boundaries D Weak ego Question 29 Explanation: A person with this disorder would not have adequate self-boundaries Question 30 Nurse Trish is working in a mental health facility; the nurse priority nursing intervention for a newly admitted client with bulimia nervosa would be to? A Observe client during meals B Involve client in planning daily meal C Monitor client continuously D Teach client to measure I & O Question 30 Explanation: These clients often hide food or force vomiting; therefore they must be carefully monitored. Question 31 A 20 year old client was diagnosed with dependent personality disorder. Which behavior is not likely to be evidence of ineffective individual coping? A Inability to make choices and decision without advise B Recurrent self-destructive behavior C Avoiding relationship D Showing interest in solitary activities Question 31 Explanation: Individual with dependent personality disorder typically shows indecisiveness submissiveness and clinging behavior so that others will make decisions with them. Question 32 When teaching parents about childhood depression Nurse Trina should say? A Does not respond to conventional treatment B Is short in duration & resolves easily C It may appear acting out behavior D Looks almost identical to adult depression Question 32 Explanation: Children have difficulty verbally expressing their feelings, acting out behavior, such as temper tantrums, may indicate underlying depression. Question 33 Nurse Jonel is providing information to a community group about violence in the family. Which statement by a group member would indicate a need to provide additional information? A “Abuser usually have poor self-esteem” B “Abuser Are often jealous or self-centered” C “Abuse occurs more in low-income families” D “Abuser use fear and intimidation” Question 33 Explanation: Personal characteristics of abuser include low self-esteem, immaturity, dependence, insecurity and jealousy. Question 34 Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal? A Soda B Orange Juice C Milk D Regular Coffee Question 34 Explanation: Regular coffee contains caffeine which acts as psychomotor stimulants and leads to feelings of anxiety and agitation. Serving coffee top the client may add to tremors or wakefulness. Question 35 Nurse Patricia is aware that the major health complication associated with intractable anorexia nervosa would be? A Decreased metabolism causing cold intolerance B Endocrine imbalance causing cold amenorrheaDecreased metabolism causing cold intolerance C Glucose intolerance resulting in protracted hypoglycemia D Cardiac dysrhythmias resulting to cardiac arrest Question 35 Explanation: These clients have severely depleted levels of sodium and potassium because of their starvation diet and energy expenditure, these electrolytes are necessary for cardiac functioning. Question 36 Nurse Anna can minimize agitation in a disturbed client by? A Increasing stimulation B increasing appropriate sensory perception C limiting unnecessary interaction D ensuring constant client and staff contact Question 36 Explanation: Limiting unnecessary interaction will decrease stimulation and agitation. Question 37 Nurse Hazel is caring for a male client who experience false sensory perceptions with no basis in reality. This perception is known as: A Delusions B Neologisms C Loose associations D Hallucinations Question 37 Explanation: Hallucinations are visual, auditory, gustatory, tactile or olfactory perceptions that have no basis in reality. Question 38 To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of: A Helplessness & hopelessness B Anxiety & loneliness C Frustration & fear of death D Anger & resentment Question 38 Explanation: The expression of these feeling may indicate that this client is unable to continue the struggle of life. Question 39 When planning the discharge of a client with chronic anxiety, Nurse Chris evaluates achievement of the discharge maintenance goals. Which goal would be most appropriately having been included in the plan of care requiring evaluation? A The client maintains contact with a crisis counselor B The client eliminates all anxiety from daily situations C The client identifies anxiety producing situations D The client ignores feelings of anxiety Question 39 Explanation: Recognizing situations that produce anxiety allows the client to prepare to cope with anxiety or avoid specific stimulus. Question 40 Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda’s anxiety. The most therapeutic question by the nurse would be? A Would you like to watch TV? B Would you like me to talk with you? C Are you feeling upset now? D Ignore the client Question 40 Explanation: The nurse presence may provide the client with support & feeling of control. Question 41 Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of? A Flight of ideas B Confabulation C Concretism D Associative looseness Question 41 Explanation: Confabulation or the filling in of memory gaps with imaginary facts is a defense mechanism used by people experiencing memory deficits. Question 42 Nurse Maureen is developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan? A Encourage client to exercise to reduce anxiety B Set-up a strict eating plan for the client C Provide privacy during meals D Restrict visits with the family Question 42 Explanation: Establishing a consistent eating plan and monitoring client’s weight are important to this disorder. Question 43 During electroconvulsive therapy (ECT) the client receives oxygen by mask via positive pressure ventilation. The nurse assisting with this procedure knows that positive pressure ventilation is necessary because? A Decrease oxygen to the brain increases confusion and disorientation B Anesthesia is administered during the procedure C Muscle relaxations given to prevent injury during seizure activity depress respirations. D Grand mal seizure activity depresses respirations Question 43 Explanation: A short acting skeletal muscle relaxant such as succinylcholine (Anectine) is administered during this procedure to prevent injuries during seizure. Question 44 Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have: A Varied Activities B Minimal decision making C Routine Activities D Multiple stimuli Question 44 Explanation: Depression usually is both emotional & physical. A simple daily routine is the best, least stressful and least anxiety producing. Question 45 Cely is experiencing alcohol withdrawal exhibits tremors, diaphoresis and hyperactivity. Blood pressure is 190/87 mmhg and pulse is 92 bpm. Which of the medications would the nurse expect to administer? A Benzlropine (Cogentin) B Haloperidol (Haldol) C Lorazepam (Ativan) D Naloxone (Narcan) Question 45 Explanation: The nurse would most likely administer benzodiazepine, such as lorazepan (ativan) to the client who is experiencing symptom: The client’s experiences symptoms of withdrawal because of the rebound phenomenon when the sedation of the CNS from alcohol begins to decrease. Question 46 A nursing care plan for a male client with bipolar I disorder should include: A Designing activities that will require the client to maintain contact with reality B Touching the client provide assurance C Providing a structured environment D Engaging the client in conversing about current affairs Question 46 Explanation: Structure tends to decrease agitation and anxiety and to increase the client’s feeling of security. Question 47 A characteristic that would suggest to Nurse Anne that an adolescent may have bulimia would be: A Positive body image B Badly stained teeth C Previous history of gastritis D Frequent regurgitation & re-swallowing of food Question 47 Explanation: Dental enamel erosion occurs from repeated self-induced vomiting. Question 48 A long term goal for a paranoid male client who has unjustifiably accused his wife of having many extramarital affairs would be to help the client develop: A Better self control B Faith in his wifeHelping the client to develop feeling of self worth would reduce the client’s need to use pathologic defenses. C Feeling of self worth D Insight into his behavior Question 48 Explanation: Helping the client to develop feeling of self worth would reduce the client’s need to use pathologic defenses. Question 49 Mario is admitted to the emergency room with drug-included anxiety related to over ingestion of prescribed antipsychotic medication. The most important piece of information the nurse in charge should obtain initially is the: A Name of the nearest relative & their phone number B Length of time on the med. C Name of the ingested medication & the amount ingested D Reason for the suicide attempt Question 49 Explanation: In an emergency, lives saving facts are obtained first. The name and the amount of medication ingested are of outmost important in treating this potentially life threatening situation. Question 50 A male client is diagnosed with schizotypal personality disorder. Which signs would this client exhibit during social situation? A Paranoid thoughts B Emotional affect C Independence need D Aggressive behavior Question 50 Explanation: Clients with schizotypal personality disorder experience excessive social anxiety that can lead to paranoid thoughts Once you are finished, click the button below. Any items you have not completed will be marked incorrect. Get Results There are 50 questions to complete. ← List → Return Shaded items are complete. 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950EndReturn You have completed questions question Your score is Correct Wrong Partial-Credit You have not finished your quiz. If you leave this page, your progress will be lost. Correct Answer You Selected Not Attempted Final Score on Quiz Attempted Questions Correct Attempted Questions Wrong Questions Not Attempted Total Questions on Quiz Question Details Results Date Score Hint Time allowed minutes seconds Time used Answer Choice(s) Selected Question Text All done Need more practice! Keep trying! Not bad! Good work! Perfect! Text ModeText Mode – Text version of the exam 1. Marco approached Nurse Trish asking for advice on how to deal with his alcohol addiction. Nurse Trish should tell the client that the only effective treatment for alcoholism is:
2. Nurse Hazel is caring for a male client who experience false sensory perceptions with no basis in reality. This perception is known as:
3. Nurse Monet is caring for a female client who has suicidal tendency. When accompanying the client to the restroom, Nurse Monet should…
4. Nurse Maureen is developing a plan of care for a female client with anorexia nervosa. Which action should the nurse include in the plan?
5. A client is experiencing anxiety attack. The most appropriate nursing intervention should include?
6. A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:
7. A 20 year old client was diagnosed with dependent personality disorder. Which behavior is not likely to be evidence of ineffective individual coping?
8. A male client is diagnosed with schizotypal personality disorder. Which signs would this client exhibit during social situation?
9. Nurse Claire is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is?
10. Nurse Tony was caring for a 41 year old female client. Which behavior by the client indicates adult cognitive development?
11.A neuromuscular blocking agent is administered to a client before ECT therapy. The Nurse should carefully observe the client for?
12.A 75 year old client is admitted to the hospital with the diagnosis of dementia of the Alzheimer’s type and depression. The symptom that is unrelated to depression would be?
13.Nurse Trish is working in a mental health facility; the nurse priority nursing intervention for a newly admitted client with bulimia nervosa would be to?
14.Nurse Patricia is aware that the major health complication associated with intractable anorexia nervosa would be?
15.Nurse Anna can minimize agitation in a disturbed client by?
16.A 39 year old mother with obsessive-compulsive disorder has become immobilized by her elaborate hand washing and walking rituals. Nurse Trish recognizes that the basis of O.C. disorder is often:
17.Mario is complaining to other clients about not being allowed by staff to keep food in his room. Which of the following interventions would be most appropriate?
18.Conney with borderline personality disorder who is to be discharge soon threatens to “do something” to herself if discharged. Which of the following actions by the nurse would be most important?
19.Joey a client with antisocial personality disorder belches loudly. A staff member asks Joey, “Do you know why people find you repulsive?” this statement most likely would elicit which of the following client reaction?
20.Which of the following approaches would be most appropriate to use with a client suffering from narcissistic personality disorder when discrepancies exist between what the client states and what actually exist?
21.Cely is experiencing alcohol withdrawal exhibits tremors, diaphoresis and hyperactivity. Blood pressure is 190/87 mmhg and pulse is 92 bpm. Which of the medications would the nurse expect to administer?
22.Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal?
23.Which of the following would Nurse Hazel expect to assess for a client who is exhibiting late signs of heroin withdrawal?
24.To establish open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should?
25. Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to:
26.Nurse Trish would expect a child with a diagnosis of reactive attachment disorder to:
27.When teaching parents about childhood depression Nurse Trina should say?
28.Nurse Perry is aware that language development in autistic child resembles:
29.A 60 year old female client who lives alone tells the nurse at the community health center “I really don’t need anyone to talk to”. The TV is my best friend. The nurse recognizes that the client is using the defense mechanism known as?
30.When working with a male client suffering phobia about black cats, Nurse Trish should anticipate that a problem for this client would be?
31.Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda’s anxiety. The most therapeutic question by the nurse would be?
32.Nurse Penny is aware that the symptoms that distinguish post traumatic stress disorder from other anxiety disorder would be:
33.Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of?
34.Nurse Joey is aware that the signs & symptoms that would be most specific for diagnosis anorexia are?
35.A characteristic that would suggest to Nurse Anne that an adolescent may have bulimia would be:
36.Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have:
37.To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of:
38.A nursing care plan for a male client with bipolar I disorder should include:
39.When planning care for a female client using ritualistic behavior, Nurse Gina must recognize that the ritual:
40.A 32 year old male graduate student, who has become increasingly withdrawn and neglectful of his work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate:
41.A 23 year old client has been admitted with a diagnosis of schizophrenia says to the nurse “Yes, its march, March is little woman”. That’s literal you know”. These statement illustrate:
42.A long term goal for a paranoid male client who has unjustifiably accused his wife of having many extramarital affairs would be to help the client develop:
43.A male client who is experiencing disordered thinking about food being poisoned is admitted to the mental health unit. The nurse uses which communication technique to encourage the client to eat dinner?
44.Nurse Nina is assigned to care for a client diagnosed with Catatonic Stupor. When Nurse Nina enters the client’s room, the client is found lying on the bed with a body pulled into a fetal position. Nurse Nina should?
45.Nurse Tina is caring for a client with delirium and states that “look at the spiders on the wall”. What should the nurse respond to the client?
46.Nurse Jonel is providing information to a community group about violence in the family. Which statement by a group member would indicate a need to provide additional information?
47.During electroconvulsive therapy (ECT) the client receives oxygen by mask via positive pressure ventilation. The nurse assisting with this procedure knows that positive pressure ventilation is necessary because?
48.When planning the discharge of a client with chronic anxiety, Nurse Chris evaluates achievement of the discharge maintenance goals. Which goal would be most appropriately having been included in the plan of care requiring evaluation?
49.Nurse Tina is caring for a client with depression who has not responded to antidepressant medication. The nurse anticipates that what treatment procedure may be prescribed.
50.Mario is admitted to the emergency room with drug-included anxiety related to over ingestion of prescribed antipsychotic medication. The most important piece of information the nurse in charge should obtain initially is the: How does autism affect language development?Children with ASD may have difficulty developing language skills and understanding what others say to them. They also often have difficulty communicating nonverbally, such as through hand gestures, eye contact, and facial expressions.
How does an autistic child speak?Unusual speech.
Children with autism spectrum disorder have good vocabularies but unusual ways of expressing themselves. They may talk in a monotone voice and do not recognize the need to control the volume of their voice, speaking loudly in libraries or movie theaters, for example.
How does autism affect receptive language?Receptive language disorder is common in autistic children, affecting their ability to understand spoken language. The child might not follow directions, answer questions, or identify various objects. she might not understand gestures and their reading comprehension might suffer.
Does receptive language improve in autism?The findings indicated that verbal IQ and receptive language scores had improved significantly more in the Autism group than in the Language group over time.
|
