Exam Review
- Which psychotropic medication is administered based on an individualized dosage according to blood levels of the drug?A)ThorazineB)ClozapineC)Lithium carbonateD)Alprazolam
- What interventions does the nurse use to promote therapeutic communication with the client diagnosed with obsessive-compulsive disorder (OCD)?A)Explore the thoughts and feelings that trouble the client.B)Explain to the client that anxiety is irrationalC)Ask the client to avoid discussing ritualistic behaviors with friendsD)Inform the client that these thoughts cannot be controlled.
- During a home visit, the nurse finds that an older adult client has amassed a large quantity of newspapers and magazines. When the nurse offers to remove some of the newspapers, the client becomes anxious. What disorder does the nurse suspect?A)Body identity integrityB)Body dysmorphicC)HoardingD)Oniomania
- The client is taking a monoamine oxidase inhibitor (MAOI) for depression. The nurse educates the client to avoid foods containing what while taking this medication?A)SugarB)CalciumC)TyramineD)Potassium
Exam Review
- When teaching a client with antisocial personality disorder (ASPD), which approach would be most appropriate for the nurse to use?A)LecturingB)NegotiationC)ChallengingD)Direct
- The nurse is caring for a client diagnosed with bipolar disorder. What is the priority intervention for this client?A)Assess for possible use of restraints as needed.B)Administer medications as ordered.C)Maintain hydration.D)Ensure client safety.
- An outpatient clinic nurse is caring for a client diagnosed with an alcohol use disorder. Which treatment program will the client be referred to for recovery?A)Exposure therapyB)PsychoanalysisC)12-step programD)Dialectical behavioral therapy
- A client is admitted with a diagnosis of schizotypal personality disorder. Which characteristic would this client exhibit during social situations?A)Trusting behaviorsB)Dependency needsC)Paranoid thoughtsD)Perfectionism
Exam Review
- A nurse is planning a presentation to a group of nursing students on the topic of anxiety disorders. Which statement would the nurse include when describing panic disorder?A)"People with panic attacks often have fewer attacks if they also have agoraphobia."B)Persons rarely have an underlying comorbid condition of depression.C)"Individuals may believe that they are having a heart attack when a panic attack occurs."D)"People with panic attacks often have fewer attacks if they also have agoraphobia."
- A nurse is caring for a client who is being treated in the emergency department for a panic attack. Which nursing intervention would be most appropriate?A)The nurse tells the client that they must leave to go report the client's symptoms to the psychiatrist on duty.B)The nurse stays with the client, emphasizing safety and that the nurse will remain with the clientC)The nurse demonstrates empathy for the client by trying to mimic the client's state of anxiety.D)The nurse tells the client that this is an acute exacerbation with a positive prognosis and low morbidity.
- The nurse is caring for a client diagnosed with bipolar disorder. During a manic episode, which takes priority?A)Physiologic needsB)Social needsC)SecurityD)Safety
- A family member of an adolescent who has expressed suicidal thoughts asks a nurse, "What factors help predict the risk of future suicide attempts?" Which response should the nurse include?A)Death of a spouseB)UnemploymentC)A previous suicide attemptD)Polysubstance use
Exam Review
- The nurse is caring for an adolescent who reports using alcohol daily. Which question would the nurse ask to help determine the length of time the client has been using alcohol?A)"Have you ever experienced a blackout?"B)"At what age did you start using alcohol?"C)"Have you ever been in trouble legally because of alcohol?"D)"Do you drink at certain times?"
- The client diagnosed with obsessive compulsive disorder (OCD) is likely to present with which nursing assessment finding?A)The client may exhibit attention-seeking behaviorsB)The client may have panic attacks with no known causeC)The client may be unaware of the client's own actionsD)The client may perform ritualistic or repeated behaviors
- A 17-year-old client comes to the community crisis clinic with multiple superficial cuts on the wrist. The client is crying uncontrollably and states that the client's romantic partner has left and the client doesn't want to live without the partner. What would be the most therapeutic initial nursing response?A)"There's plenty of fish in the sea. Don't worry, at your age you will find someone else."B)"I can see that you are feeling anxious. I will stay with you until you feel better."C)"Many partners change their minds about relationships, this is really quite normal.D)"Let's set some boundaries on your behavior here."
- Which personality disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and a lack of empathy?A)HistrionicB)SchizoidC)NarcissisticD)Obsessive-compulsive
Exam Review
- A client whose mania is related to a medical condition asks why the health care provider has prescribed carbamazepine instead of lithium. Which is the nurse's best response?A)"I don't know. Make sure you discuss this with your health care provider as soon as you can."B)"This drug is best for clients who do not respond to lithium or whose mania is related to a medical condition, as is yours."C)"You will be fine taking this drug, so don't worry."D)"This drug may be preferred by your health care provider for many reasons."
- A client arrives on the psychiatric unit exhibiting restlessness, disorientation, incoherent speech, agitation, purposeless physical activity, and suicidal ideations. Which is the priority nursing diagnosis for this client?A)HopelessnessB)Disturbed identityC)Risk for self-harmD)Ineffective individual coping
- A nurse is preparing to assess a client brought to the emergency department by a concerned spouse, who reports the client has been "extremely depressed lately." Which is the priority assessment?A)Changes in sleeping patternsB)Thoughts of self-harmC)Level of fatigueD)Appetite changes
- A client arrives at the emergency department by ambulance. The client is unconscious, with slow respirations and pinpoint pupils. The friend who came with the client reports that the client had just "shot up" heroin and then became unconscious. Which medication would a nurse likely expect to administer?A)NaltrexoneB)VareniclineC)BupropionD)Naloxone
Exam Review
- While conducting a class on anxiety and stress reduction, a nurse describes the symptoms of anxiety (including panic), informing the class that the physical symptoms of a panic attack can mimic what?A)Gastrointestinal fluB)AppendicitisC)StrokeD)Heart attack
- A client that tells the nurse that they are upset because their partner no longer wants to continue the relationship. Which statement made by the client indicates that the end of the relationship is related to the client's narcissistic personality disorder?A)"I just don't trust anyone and I don't believe what my partner tells me."B)"My partners says I am too dependent and can do anything for myself."C)"My partner says I care for others more than I care for them."D)"I won't be alone long; everyone wants to be with me because I am beautiful."
- A client states to the nurse, "I just don't want to go anywhere where I have to talk with people. I know I am going to say or do something stupid and people will laugh at me." Which is the most therapeutic response by the nurse?A)"No one else probably thinks you feel socially inept other than you."B)"We can discuss ways to deal with social anxiety that may be helpful."C)"I have felt like that also and it is such an uncomfortable feeling to experience."D)"Everyone feels like that at times but you should still put yourself out there."
- A nurse is interviewing a client and suspects that the client may have narcissistic personality disorder. Which client statement would help support the nurse's suspicions?A)"I have a very important position in life; everyone I know wants to be like me."B)"My spouse is poisoning my food so that I'll die and they'll get my life insurance money."C)"I'm always the life of the party, making new friends all the time."D)"I like to work alone because then I can let my thoughts wander."