Exam Review

A 30-year-old patient with avoidant personality disorder is participating in an outpatient therapy program. The patient expresses fear of being judged and avoids speaking during group discussions. Based on this presentation, which nursing intervention demonstrates an appropriate application of therapeutic principles for Cluster C personality disorders?
A)
Provide opportunities for one-on-one interaction and offer positive reinforcement for small social efforts.
B)
Encourage the patient to take on a leadership role in group sessions to build confidence.
C)
Gently challenge the patient’s fears to promote engagement and reduce social avoidance.
D)
Limit emotional discussions to reduce anxiety and promote patient comfort.
Which of the following medications are commonly prescribed for patients suffering from obsessive-compulsive disorder (OCD)?
A)
Methylphenidate
B)
Aripiprazole
C)
Gabapentin
D)
SSRIs
A 42-year-old patient diagnosed with schizoid personality disorder is admitted to an inpatient psychiatric unit for evaluation after concerns were raised by their employer about emotional detachment and poor interpersonal engagement. During assessment, the patient appears indifferent, avoids eye contact, and gives short, factual responses. Which nursing intervention is most appropriate to support therapeutic engagement with this patient?
A)
Confront the patient about their avoidance behaviors to promote insight and change.
B)
Encourage frequent group participation to build social skills.
C)
Use a warm, emotionally expressive approach to gain the patient’s trust.
D)
Respect the patient’s need for limited interaction and offer consistent, brief contacts.
A nurse is caring for a client who has been diagnosed with schizophrenia and is experiencing delusions of being a celebrity. Which delusion type describes this client’s behavior?
A)
Control
B)
Thought insertion
C)
Persecutory
D)
Grandiose

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Exam Review

Which intervention is most appropriate for a nurse to implement when working with a patient with obsessive-compulsive disorder (OCD)?
A)
Provide strict discipline to stop compulsive actions.
B)
Use a calm and non-judgmental approach to help the patient manage anxiety.
C)
Encourage the patient to avoid all compulsive behaviors.
D)
Reinforce the patient’s compulsive behaviors to reduce anxiety.
A nurse is caring for a client who has been newly diagnosed with schizophrenia. Which finding is true regarding this disorder?
A)
Diagnosis commonly occurs in individuals under the age of 12.
B)
People diagnosed with schizophrenia are more violent than others.
C)
Biologically female clients are likely to be diagnosed earlier than biologically male clients.
D)
Biologically male clients are typically diagnosed earlier than biologically female clients.
A nurse is discussing the three discussing the three clusters of personality disorders with colleagues. Which personality disorder is classified as part of Cluster C?
A)
Paranoid personality disorder
B)
Antisocial personality disorder
C)
Borderline personality disorder
D)
Dependent personality disorder
A nurse is teaching a group of newly licensed nurses about personality disorders. Which information should be included?
A)
Clients of lower socioeconomic status are less likely to be diagnosed with personality disorders.
B)
Personality disorders are often seen in children under the age of 10.
C)
Strict parental guidelines contribute to the development of personality disorders.
D)
Personality disorders often manifest from childhood emotional trauma.

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Exam Review

A patient with schizophrenia is pacing in the dayroom and tells the nurse, "The voices are telling me that I’m worthless and should hurt myself." What is the nurse’s most therapeutic response?
A)
"You’re safe here, I’m here to help you. Can you tell me more about what the voices are saying?"
B)
"You’ve been doing well—don’t let this setback get to you."
C)
"Try to ignore the voices and focus on something else, like a book or music."
D)
"Those voices aren’t real, and you know that deep down."
A 42-year-old patient has been diagnosed with major depressive disorder and has undergone trials of two different SSRIs and one SNRI at therapeutic doses for appropriate durations, with minimal improvement in symptoms. The psychiatrist now suspects treatment-resistant depression. Which is the most appropriate next step in management?
A)
Increase the current antidepressant dose beyond the recommended maximum.
B)
Discontinue all antidepressants and initiate psychotherapy alone.
C)
Augment current treatment with an atypical antipsychotic such as aripiprazole.
D)
Switch to ECT therapy.
A nurse is caring for a client who has been diagnosed with schizophrenia and appears confused with distorted thinking and speech patterns. Which is the priority nursing intervention for this client?
A)
Give PRN medications to treat increased hallucinations.
B)
Use distraction such as the television or music.
C)
Provide reassurance and comfort, ensuring the client is safe.
D)
Ensure the client goes to group activities as planned.
A nurse on a mental health unit is caring for a patient client who refuses to follow directions instructions and has issues problems with authority, stating and states, “The unit rules do not apply to me.” The nurse should identify recognize that these behaviors findings are manifestations indicative of which personality disorder?
A)
Antisocial personality disorder
B)
Schizotypal personality disorder
C)
Histrionic personality disorder
D)
Narcissistic personality disorder

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Exam Review

A nurse is assessing a patient recently diagnosed with major depressive disorder. Which findings should the nurse recognize as warning signs of suicide? (Select all that apply)
A)
Increased interest in social activities and hobbies.
B)
Expressing feelings of hopelessness.
C)
Withdrawing from family and friends.
D)
Giving away personal belongings.
E)
Sudden improvement in mood after a depressive episode.
A 24-year-old female patient is brought to a psychiatric unit by her family. They report that she has recently begun insisting that the television is sending her secret messages and that strangers on the internet are part of a government conspiracy against her. During the interview, she speaks rapidly and jumps from one unrelated topic to another, making it difficult to follow her thoughts. Which statement best characterizes the positive symptoms she is exhibiting?
A)
Blunted affect and social withdrawal.
B)
Anhedonia loss of pleasure and avolition.
C)
Impaired memory and attention deficits.
D)
Delusions and disorganized speech.
When assessing a patient with obsessive-compulsive disorder (OCD), which action is most important for the nurse to include in the assessment process?
A)
Avoid discussing the patient’s thoughts to reduce anxiety.
B)
Inquire about the patient’s level of distress related to obsessive thoughts and compulsive behaviors.
C)
Ask the patient to stop all compulsive behaviors during the assessment.
D)
Focus solely on the physical symptoms and behaviors observed.
Which components make up the diagnostic criteria for a patient with obsessive-compulsive disorder (OCD)?
A)
Recurrent intrusive thoughts and compulsive behaviors.
B)
Episodes of anxiety attacks and avoidance behavior.
C)
Severe mood swings and manic episodes.
D)
Hallucinations or and delusions.

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Exam Review

A patient has been newly diagnosed with obsessive-compulsive disorder (OCD). The provider is considering starting medication treatment. Which medication is most commonly prescribed as a first-line treatment for OCD?
A)
Sertraline
B)
Lithium
C)
Alprazolam
D)
Haloperidol
A 35-year-old female patient diagnosed with historical personality disorder frequently seeks staff attention, constantly dresses provocatively, and becomes tearful when not the center of attention. During group discussions therapy, the patient interrupts others and redirects the discussion focus to herself. Which nursing intervention is most therapeutic in promoting appropriate social behaviors?
A)
Encourage exploration of past trauma to uncover the source of behaviors.
B)
Provide frequent encouragement to boost self-esteem and reduce dependency.
C)
Set clear boundaries on attention-seeking behaviors and redirect group conversations focus when necessary.
D)
Ignore attention-seeking behaviors to avoid reinforcing them.
A nurse is educating a patient about self-soothing techniques that may reduce stress and promote emotional regulation through the natural oxytocin release of oxytocin. Which behaviors are known to stimulate oxytocin release?
A)
Kleptomania
B)
Onychophagia
C)
Trichotillomania
D)
None of the above.
A patient with schizophrenia is caring for a client who has been diagnosed with schizophrenia. Which manifestation should the client recognize as a negative symptom?
A)
Distorted beliefs
B)
Distorted confusion
C)
Paranoia
D)
Lack of emotional expression emotions

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Exam Review

A patient is being provided with discharge instructions teaching to a patient newly prescribed lithium carbonate for the treatment of bipolar disorder. Which statement by the patient would indicate indicates a need for additional further education teaching?
A)
I will check have my blood pressure levels checked regularly to ensure make sure the medication is working safe safely.
B)
If I should develop diarrhea or tinnitus, I will keep continue to take taking my lithium and wait for it to pass.
C)
I will be sure to make sure to drink plenty of water fluids every day, especially in warm hot weather.
D)
I will try to avoid drastically altering my salt intake drastically, since that it could affect my lithium balance levels.
A nurse is providing information to a patient client about the risk factors for developing an anxiety-related disorder. Which patient client would be is at greatest risk for developing an anxiety-related disorder?
A)
A client who did not complete graduate from high school or complete their general educational development (GED) test.
B)
A client who has a family history of cancer and is currently recently unemployed.
C)
A client who experienced had multiple adverse childhood experiences and whose parents both have a history of anxiety disorders.
D)
A client who has a family history of anxiety disorders and several positive childhood experiences (PCEs).
E)
The correct answer is: c) A client who experienced multiple adverse childhood experiences and whose parents both have a history of anxiety disorders.
A nurse on a mental health unit caring for a client. Exhibits The nurse is planning care for the client. Which of the following actions should the nurse plan to take? (Select all that apply)
A)
Determine if the client is having thoughts of harming themselves or others.
B)
Encourage the client to verbalize their feelings.
C)
Establish consequences for unacceptable behaviors.
D)
Instruct the client on coping mechanisms and relaxation techniques.
E)
Bargain with the client when setting behavioral expectations.
F)
Provide clear boundaries for behavior toward peers and staff members.

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