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MentalIllness-Childress > final exam (class review) > Flashcards

final exam (class review) Flashcards

1
Q

what is an intervention that a nurse should implement for a hospitalized child with autism spectrum disorder to help reduce anxiety and make the client feel more comfortable?

A

maintain the clients routine

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2
Q

Which personality disorder cluster would a fresh two-inch cut on arms and legs be indicative of?

A

cluster B
“wild”

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3
Q

How can the nurse best respond to a client with a personality disorder who is using defensive coping?

A

*deliver consequences in a matter-of-fact manner
- use positive reinforcement to encourage desired behaviors
- recognize that the behavior is unacceptable, instead of saying the client is unacceptable

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4
Q

what is a trademark of all personality disorders?

A

they are comfortable with their altered behaviors (they think that other people are the ones who have something wrong)

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5
Q

How would someone with avoidant personality disorder receive a compliment?

A

fear rejection and humiliation afterwards

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6
Q

which personality disorder is implicated by a client who is dramatic, attention seeking, and seductive?

A

histrionic

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7
Q

How may a client with obsessive compulsive personality disorder respond to nurses alternating weekend shifts?

A

“you can’t just make these kinds of changes? what about rules?”
rule driven

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8
Q

how should the nurse reinforce positive behaviors in a client with borderline personality disorder?

A

give unit privileges for positive behaviors

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9
Q

what intervention should be made for a client with paranoid personality disorder who becomes very violent?

A

use clear, calm statements and a confident stance

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10
Q

what should a nurse say to a client who has antisocial personality disorder who exhibits angry outbursts?

A

“during group , you raised your voice and slammed the door”
- state facts without accusation

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11
Q

why do patients with schizoid personality disorder exhibit self isolation?

A

due to an inability to relate to others

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12
Q

what are the cluster A personality disorders?

A

weird
- schizoid, paranoid, schizotypal

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13
Q

what communication technique should be used for a client with intellectual disability disorder?

A

provide simple directions and praise independence

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14
Q

what is an appropriate step for a client who is having opioid toxication?

A

administer naloxone

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15
Q

A recovering alcoholic patient who is using medication to promote abstinence presents with headaches, tachycardia, flushing, and dyspnea after a glass of wine; what do you suspect is happening?

A

a disulfiram reaction

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16
Q

what are expected symptoms during alcohol detoxification?

A
  • tremors
  • delirium
  • hypertension
  • hyperactivity
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17
Q

what is the beginning step for a client to become successful in an alcohol recovery process?

A

they are able to correlate alcohol use with stress (what emotions/factors led to them drinking)

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18
Q

what is a priority nursing intervention during the first 24 hr of a client’s alcohol detoxification?

A

administering benzodiazepines; chlordiazepoxide due to risk for seizures

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19
Q

how should a nurse best respond to a client who has antisocial personality disorder who is spitting, cursing and refusing to answer questions?

A

recognize that you understand they are upset but behavior is not tolerated

-“I understand, but this will not be tolerated”

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20
Q

describe an example of tangentiality?

A

a client with schizophrenia is unable to stay focused on the topic of discussion
- never gets to main point

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21
Q

what is expected during the prodromal stage of schizophrenia?

A

significant deterioration of function

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22
Q

What would be indicated for a client who has complicated grief but states, “I started exercising to release tension?”

A

resolution of grief
- they have return to usual function

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23
Q

What is an appropriate goal for a client who has anorexia nervosa?

A

they can verbalize adequate nutritional intake in 2 weeks

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24
Q

what client education should be given for bulimia nervosa?

A
  • purging can leas to tooth loss
  • laxatives can cause dehydration
  • depressed mood follows binging behavior
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25
Q

If a client who is grieving reports feelings of worthlessness, what would this indicate?

A

maladaptive grieving

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26
Q

describe a cognitive approach to fear.

ex. client refuses to go on vacation due to fear of cruise ship sinking

A

distorted and unrealistic appraisals of the situation

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27
Q

what dietary intake education should the nurse give a client taking lithium?

A

maintain a normal salt intake

28
Q

why may oxygen therapy be used after ECT?

A

to prevent anoxia

  • paralytic agent given may decrease SpO2
29
Q

what is an example of flooding in the treatment of a phobia?

A

accompanying a client with arachnophobia to an exhibit full of spiders

30
Q

what should the nurse do if a client scores as a 1 on a CAGE assessment?

A

further assess the client

31
Q

what lab should be obtained before diagnosing a geriatric client with mild depression and anxiety?

A

CMP (complete metabolic panel)

32
Q

what parameters should be monitored for a client recently admitted for benzodiazepine withdrawal?

A

blood pressure, fall risk score, duration of seizures

33
Q

A client says they take “sleeping pills” and drinks a quart of vodka a day, what 2 assessments should be performed?

A
  • urine drug screen
  • CAGE questionnaire
34
Q

what is seen with borderline personality disorder?

A
  • self harm/ body mutilation
  • difficulty with interpersonal relationships
35
Q

which personality disorder has a preference for company of animals over people?

A

schizoid personality disorder

36
Q

which personality disorder has a disregard for the rights of others?

A

antisocial personality diosrder

37
Q

what is a trademark of narcissistic personality disorder?

A

grandiose perception of self

38
Q

what baseline test should be anticipated for a client who is prescribed a CNS stimulant for treatment of ADHD in pediatric patients?

A

electrocardiogram
methylphenidate

39
Q

what risk is associated to decreased appetite that may be seen in those taking methylphenidate?

A

nutritional deficits

40
Q

what are 3 interventions that should be implemented for a client with ADHD?

A
  • break large tasks into smaller goals
  • provide a safe environment
  • hold meds when not enrolled in school
41
Q

what type of client would benefit from providing memory aids to maintain orientation and promote recognition?

A

diagnosis of neurocognitive disorder

42
Q

what would indicate development of delirium after surgery?

A

changes that came on very quickly

43
Q

what should a nurse assess in a client who states, “I have difficulty finding food and shelter since losing my job?”

A

the client’s access to care

44
Q

what diagnosis is suspected with the following these cues?

  • more common in males
  • may resist minor changes in environment
  • impairment in social interaction
  • genes are linked to schizophrenia
A

ASD (autism spectrum disorder)

45
Q

what does domestic violence increase a client’s risk for?

A

homelessness

46
Q

what percentage of the homeless population has a comorbid mental illness?

A

33%

47
Q

what is a priority action for a 35 yr old client who has schizophrenia and has been non-compliant with their meds?

A

complete a mental status examination

48
Q

what does a CAGE assessment score of 1 indicate?

A

the client needs further assessment

49
Q

What does CAGE stand for?

A

Cut down
Annoyed
Guilty
Eye-opener

50
Q

what lab should be reviewed prior to diagnosing a geriatric client with mild depression and anxiety?

A

CMP (complete metabolic panel)

51
Q

what 3 parameters should a nurse monitor for an elderly client who has recently been admitted for benzodiazepine withdrawal?

A
  • duration of seizures
  • blood pressure
  • fall risk score
52
Q

what are 4 behaviors that may be seen of a child of a military parent?

A
  • failure to thrive
  • sleep disturbances
  • substance/alcohol misuse
  • regressive behaviors
53
Q

what is a factor impeding/delaying diagnosis of a pediatric mental health client?

A

acceptable behaviors vary with client age

54
Q

what is a characteristic of conduct disorder?

A

lack of remorse

55
Q

what should the nurse tell the parent of a pediatric client about atomoxetine?

A

use a digital scale to weigh weekly

56
Q

what education should be provided for a pediatric patient taking methylphenidate?

A
  • administer before 4pm
  • avoid caffeine
  • may cause growth suppression
  • give with/after breakfast
57
Q

what may be seen in a pediatric client experiencing PTSD regarding their interaction with sibling?

A

irritable with sibling

58
Q

what behavior manifestation may be observed with a pediatric client who has reactive attachment disorder?

A
  • rarely seeks comfort when distressed
59
Q

which disorder would be implicated for a pediatric client who experiences excessive anxiety when separated from a parent?

A

separation anxiety disorder

60
Q

what would this indicate:

  • pediatric client has the ability to appropriately interpret reality?
A

the client is in good mental health

61
Q

what finding would indicate the pediatric client may have a depressive disorder?

A

daily irritability

62
Q

What is a simple intervention for a pediatric client with ADHD?

A

walking outdoors

63
Q

what would be an example of a client with dependant personality disorder?

A

adult client who lives with parents and has no car

64
Q

which 2 personality disorder are most likely to be encountered in a psych setting?

A

borderline and antiscoial

65
Q

what nursing intervention is appropriate for violation of a “no physical contact” restriction?

A

clarify limits and communicate consequences of continuing actions

MentalIllness-Childress (8 decks)

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