Exam Review
- The nurse who is counseling a client with dissociative identity disorder should understand that which assessment is of the highest priority?A)Risk for self-harmB)Memory fragmentationC)Cognitive functionD)Condition of self-esteem
- Which action is the nurse's priority for a newly admitted patient who is anxious?A)Assess patient’s use of defense mechanismsB)Provide medicationsC)Assess patient’s level of anxietyD)Limit environmental stimuli
- A nurse assesses a client with a tentative diagnosis of generalized anxiety disorder. Which question would be most appropriate for the nurse to ask?A)Have you been a victim of a crime or seen someone badly injured?B)Do you find it difficult to control your worrying?C)Do you repeatedly do certain things over and over again?D)Do you feel uncomfortable in social situations with people?
- Which assessment made by a client best supports dissociative fugue?A)I feel very anxious and worried about my problems.B)I feel as if I'm living in a dream state.C)I cannot recall why I'm living in this town.D)I feel like different parts of me are at war.
Exam Review
- A car was stuck on a busy interstate highway, causing it to accelerate rapidly and become difficult to control for 20 minutes. Months after this experience, which assessment finding would the nurse expect?A)Weight gainB)FlashbacksC)Headaches
- A person's gas pedal became stuck on a busy interstate highway, causing the car to accelerate rapidly. For 20 minutes, the car was very difficult to control. Months after this traumatic experience, which assessment finding would the nurse most likely expect?A)Weight gainB)FlashbacksC)HeadachesD)Increased appetite
- A client diagnosed with major depressive disorder began taking escitalopram 5 days ago. The client says, “This treatment isn’t working.” What is the nurse’s best intervention?A)Explain the time lag before antidepressants relieve symptomsB)Reassure the client that the medication will be effective soonC)Discuss with the health care provider the need to increase the doseD)Critically assess the client for symptoms of improvement
- Which action is the nurse’s priority for a newly admitted patient who is anxious?A)Assess the patient’s use of defense mechanismsB)Provide antianxiety medicationsC)Assess the patient’s level of anxietyD)Limit environmental stimuli
Exam Review
- A client diagnosed with major depressive disorder began taking escitalopram 5 days ago. The client now says, “This medicine isn’t working.” What is the nurse’s best intervention?A)Explain the time lag before antidepressants relieve symptomsB)Reassure the client that the medication will be effective soonC)Discuss with the health care provider the need to increase the doseD)Critically assess the client for symptoms of improvement
- Which drug represents part of an aversion therapy approach to the treatment of addiction?A)Acamprosate calciumB)DisulfiramC)NaltrexoneD)Quetiapine fumarate
- The nurse receives a report indicating a client’s serum drug level was taken 8 hours after the last dose. What does this result most likely indicate?A)Below therapeutic rangeB)Within therapeutic rangeC)Invalid due to time lapse since last doseD)Above therapeutic range
- An outpatient diagnosed with anorexia nervosa has begun refeeding. The client gained 5 pounds in one week. What intervention should the nurse implement initially?A)Set a higher weight gain goal for the next weekB)Assess lung sounds and extremitiesC)Negatively reinforce the client for the weight gainD)Suggest use of an aerobic exercise program
Exam Review
- A nurse is caring for a client who has posttraumatic stress disorder (PTSD) and is beginning psychopharmacologic therapy. Which of the following medications is considered first-line treatment for symptoms of PTSD?A)SertralineB)OlanzapineC)PrazosinD)Haloperidol
- Which term relates to what is occurring in a patient with a substance use disorder who no longer responds to the effects of the substance?A)AddictionB)IntoxicationC)ToleranceD)Withdrawal
- The nurse recognizes bariatric surgery as a treatment for which condition?A)Bulimia nervosaB)Binge eatingC)Anorexia nervosaD)Rumination disorder
- What is the priority intervention for a client diagnosed with major depressive disorder and feelings of worthlessness?A)Assign the client to meditate alone for long periodsB)Be cautious around the clockC)Distract the client from self-absorptionD)Provide opportunities to participate in the therapeutic milieu
Exam Review
- Which comment by parents best demonstrates support for the development of resilience and effective stress management in children?A)“Our children make their own decisions.”B)“We use three different parenting styles.”C)“We talk about experiences and feelings.”D)“All of them have college degrees.”
- A nurse is caring for a client who has a depressive disorder. The client states, “I just can't feel any happiness or joy in life.” Which of the following terms should the nurse use when documenting this finding?A)AnergiaB)AnhedoniaC)AkathisiaD)Anosognosia
- A newly hospitalized client experiencing psychosis says, “Red chair out town board.” Which term should the nurse use to document this finding?A)EcholaliaB)NeologismC)Word saladD)Anhedonia
- A client diagnosed with depression is receiving imipramine 200 mg at bedtime. Which assessment finding should prompt the nurse to consider potentially hazardous side effects of this drug?A)Nasal congestionB)Urinary retentionC)Dry mouthD)Diarrhea
Exam Review
- A patient with binge-eating disorder says they try to hide their body weight with loose clothing. Based on the patient’s statement, which nursing diagnosis is most appropriate for the care plan?A)Impaired body imageB)Risk for powerlessnessC)Chronic low self-esteemD)Impaired coping
- A client experiencing moderate anxiety says, “I feel undone.” What would be the appropriate response by the nurse?A)“I’m not sure. Give me an example.”B)“Why do you suppose you are feeling anxious?”C)“You must get your feelings under control before we can continue.”D)“What would you like to do to help yourself feel better?”
- A client is reported missing by his family. Months later, he reappears with no memory of what happened while he was missing or where he had been. What condition does the nurse suspect the patient is demonstrating?A)FugueB)AmnesiaC)Detachment DisorderD)Conversion Disorder
- A nurse works with a client diagnosed with posttraumatic stress disorder (PTSD) who has frequent flashbacks and persistent symptoms of arousal. Which intervention should be included in the plan of care?A)Explain that the physical symptoms are related to the psychological stateB)Support numbing as a temporary way to manage intolerable feelingsC)Trigger flashbacks intentionally to help the client learn to cope with themD)Encourage repression of feelings associated with the traumatic event