Final Exam

Question 1

What are general causes of homelessness?

Answer 1

Domestic violence
Poverty
Veteran status
Release from prison

Question 2

What is true about homeless people and psychiatric disorders?

Answer 2

People who are homeless must be creative to secure resources and adapt to survive; people are homeless for a relatively short time; people who are homeless are from all walks of life

Question 3

Fifty percent of Women and Children who experience homelessness are fleeing from which of the following?

Answer 3

Domestic violence

Question 4

According to the National Coalition for the Homeless research, Men tend to report which of the following as the cause of their homelessness?

Answer 4

Unemployment
Alcohol and/or drug abuse
Imprisonment

Question 5

A group of health nurse is caring for a group of homeless people. When planning for the potential needs of this group, what is the most priority concern?

Answer 5

Meeting the basic needs to ensure that adequate food, shelter, & clothing are available.

Question 6

Drug of choice of Tourette syndrome

Answer 6

Haloperidol (Haldol)

Question 7

What is true about Tourette syndrome?

Answer 7

It is involuntary and may be a chronic condition; symptoms are generally most severe during adolescence and generally detected in children.

Question 8

Can the vocal sound outbursts of Tourette’s syndrome be easily controlled?

Answer 8

No

Question 9

What happens to people with Tourettes as they get older?

Answer 9

They live productive lives and often become high achievers in their field of choice.

Question 10

What is another problem faced by children with Tourette’s?

Answer 10

Often target of bullying

Question 11

Drug of choice for ADHD?

Answer 11

Ritalin

Question 12

What does Ritalin do?

Answer 12

increases attention span and concentration

Question 13

If a child is acting aggressively toward the other children, what should the nursing action be?

Answer 13

Take him to another room to play out his feelings

Question 14

What is a guide for planning school interventions for a child with a diagnosis of ADHD?

Answer 14

provide as much structure as possible for the child

Question 15

What are typical side effects for ADHD medications?

Answer 15

Tics, poor appetite

Question 16

A patient comes in and is diagnosed with ADHD. He exhibits six different symptoms in both hyperactive-impulsive and inattentive. Which subtype of ADHD does he have?

Answer 16

Combined hyperactive-impulsive and inattentive

Question 17

The nurse is planning care for a 2 year-old hospitalized child. Which of the following will produce the most stress at this age?

Answer 17

Separation anxiety

Question 18

You would evaluate that a client understood your teaching about progressive relaxation and was using this technique if the client made which of the following statements?

Answer 18

“I tighten a muscle group, relax it, and repeat on another muscle group.”

Question 19

When a client wants to become more resistant to anxiety, which of the following behavioral changes could the nurse help the client with that would be most effective in providing some resilience or resistance to anxiety?

Answer 19

Increasing belief that he’she has control over their feelings in his/her own life

Question 20

A 4 year-old has been hospitalized for several days, and his parents have decided to return to work during the day and spend the evening and night with the child. They have informed the nurse that they will return around 5:30 or 6:00 p.m. During lunch, the child asks the nurse when his parents will return. What is the most appropriate response by the nurse?

Answer 20

“Your parents will return around suppertime.”

Question 21

Separation anxiety is one of the major stressors of hospitalization for a toddler. How can the nurse best limit the amount of separation anxiety that the hospitalized toddler will experience?

Answer 21

Encourage the parents to remain in the child’s room when care is being provided
Encourage parental involvement in the child’s care and suggest rooming in if possible.

Question 22

A nurse discovers a client’s suicide note that details the time, place, and means to commit suicide. What should be the priority nursing intervention, and the rationale for this action?

Answer 22

Placing this client on one-to-one suicide precautions because the more specific the plan the more likely the client will attempt suicide

Question 23

The family of a suicidal client is very supportive and requests more facts related to caring for their family member after discharge. Which information should the nurse provide?

Answer 23

Be available to actively listen, support, and accept feelings

Question 24

A nurse is caring for a client who has threatened to commit suicide by hanging. The client states, “I’m going to use a knotted shower curtain when no one is around.” Which information would determine the nurse’s plan of care for this client?

Answer 24

The more specific the plan is, the more likely the client will attempt suicide

Question 25

A client is diagnosed with dysthymic disorder. Which should a nurse classify as an affective symptom of this disorder?

Answer 25

Gloomy and pessimistic outlook on life

Question 26

A nurse is planning care for a child who is experiencing depression. Which medication is approved by the U.S. Food and Drug Administration (FDA) for the treatment of depression in children and adolescents?

Answer 26

Fluoxetine (Prozac)

Question 27

The nurse would understand that a patient is experiencing the cognitive distortion of catastrophizing when the patient states…

Answer 27

“If I gain weight my weekend will be ruined.”

Question 28

A client being treated for bulimia has stopped purging. She tells the nurse that she is afraid she is going to gain weight. Which of the following is an appropriate response by the nurse?

Answer 28

“I understand you have concerns about your weight, but right now I want you to tell me about your recent invitation to join the National Honor Society. That’s quite an accomplishment.”

Question 29

A nurse performs a physical assessment of a patient with bulimia nervosa. Which assessment findings would confirm the patient’s use of purging behaviors?

Answer 29

Enlarged parotid glands

Dental erosions

Question 30

An early step in the nurse-patient relationship with a patient with anorexia nervosa is:

Answer 30

Formulating a nurse-patient contract

Question 31

When assessing a patient with bulimia who binges and purges, the nurse should be particularly alert for signs and symptoms of

Answer 31

Hypokalemia

Question 32

A nurse teaches patients with eating disorders and their family members about the disorder, symptoms, and management. What is the rationale for including family in this teaching?

Answer 32

Knowledge promotes power and reduces fear and anxiety

Question 33

The difference between autism disorder and Asperger’s disorder is that children with Asperger’s disorder:

Answer 33

Experience no loss of previously acquired skills

Question 34

The nurse expects to see which of the following behaviors in a 12-year-old child diagnosed with Asperger’s syndrome:

Answer 34

Limited sense of social skills

Question 35

A 3-year-old child comes to the well child clinic. The child has been diagnosed with autistic disorder. Which of the following would the nurse recognize as symptoms of this disorder?

Answer 35

Inability to develop interpersonal skills

Question 36

A 7-year-old male who has met earlier normal expectations in cognitive and language development develops a fascination with the bus schedule in his neighborhood and has difficulty establishing friendships with other school children. Which condition should the nurse anticipate?

Answer 36

Asperger’s disorder

Question 37

Autism with ______ has a tendency to have a secondary comorbidity

Answer 37

ADHD

Question 38

A nurse is caring for a client at an outpatient clinic and observes that the patient has positive symptoms that are characteristic of Obsessive Compulsive Disorder. These symptoms could include:

Answer 38

Compulsion to wash her hands after she eats any amount of food
Feel that she must check to see if all the windows are shut before she can sleep
Must wipe her shoes three times with cleansing wipes before she can wear them

Question 39

The nurse assigned to work with a client with obsessive-compulsive disorder will find that this client describes or exhibits obsessions or compulsions that best match which of the following descriptions?

Answer 39

Interfering with daily functioning

Question 40

Characteristics of OCD?

Answer 40

Obsessive thoughts
Compulsive acts
Considerable degree of anxiety

Question 41

A client with obsessive-compulsive disorder is hospitalized on an inpatient unit. Which nursing response is most therapeutic?

Answer 41

Challenging the client’s behavior

Question 42

A client has been diagnosed with OCD. The nurse caring the client understands that the client is also likely to have which of the following disorders?

Answer 42

Anxiety disorders

Question 43

A client is prescribed sertraline(Zoloft), SSRI. Which information about this drug’s adverse affects would the nurse include when creating a medication teaching plan

Answer 43

Agitation
Sleep disturbance
Dry mouth

Question 44

After a third arrest for abusing a neighbor’s cat, a client is admitted to the psychiatric unit for treatment of antisocial personality disorder. The client has a history of conduct disorder. Which action is most appropriate for the nurse assigned to this client?

Answer 44

Examining personal feelings towards the client

Question 45

The child with conduct disorder will likely demonstrate:

Answer 45

Serious violations of age related norms

Question 46

A nurse is discussing community support services with Tina, a sixteen year old girl who just identified herself as a lesbian to her non-supportive parents. Which of the following would be the most appropriate suggestion for her to attend?

Answer 46

LGBTQ meetings

Question 47

A nurse is discussing sexual identity in a sex education course. A student demonstrates understanding of bisexuality when he states

Answer 47

“A bisexual person has the ability to be attracted to both males and females.”

Question 48

A nurse understands that which situation is most likely to cause an adolescent to verbally deny their sexual identity?

Answer 48

An adolescent who has recently witnessed harassment of a homosexual classmate

Question 49

A nurse is discussing with a family about Patrick, their six-year-old son who has made a recent decision to wear nothing but dresses and makeup. He has also stated that he wishes to be called Lauren. The nurse realizes that this child may be experiencing:

Answer 49

Gender identity disorder

Question 50

A nurse is admitting four clients onto the inpatient unit at a mental health facility. The nurse understands that the client at greatest risk for suicide is

Answer 50

A homosexual 17 year old who recently attempted suicide