Multichoice Questions Flashcards
When a patient with anorexia nervosa is admitted for treatment, the nurse’s priority interventions will be directed towards:
A. teaching assertiveness.
B sharing information on self-help groups.
C supervision of patient activities.
D developing a friendship with the patient.
C supervision of patient activities.
The clinical picture for someone with anorexia nervosa includes:
A. preoccupation with physical appearance
B verbalisations of fear of gaining weight
C preoccupation with eating or food preparation, or both
D all of the above
D all of the above
Jonathon was taken off his previous medication (Clozapine) because it caused a life-threatening condition. A life-threatening condition associated with Clozapine is
A. agranulocytosis.
B. myelin absence.
C. retrocollis.
D. Neuroleptic Malignant Syndrome.
A. agranulocytosis.
Jonathon has been prescribed Risperidone, 2 mg BD. The nurse would assess neuroleptic malignant syndrome (NMS) if the client had a
A.30 mm Hg decrease in blood pressure reading.
B. respiratory rate of 24
respirations per minute.
C. temperature reading of 38 degrees C.
D. pulse rate of 70 beats per minute.
C. temperature reading of 38 degrees C.
Client education for someone who has been prescribed lithium should include the following information:
A. They should discontinue it immediately if they develop a fever or get the flu.
B. They need to limit the amount of water they drink to 2 L/day to reduce the risk of developing oedema.
C. Lithium should be taken in the evening as it is sedating.
D. They will need regular (3-monthly) blood tests to ensure levels are in the therapeutic range.
D. They will need regular (3-monthly) blood tests to ensure levels are in the therapeutic range.
Compulsory assessment and treatment can be considered for those who
A. pose a serious danger to themselves or others.
B. are incapacitated by drug abuse.
C. are involved in criminal or delinquent behaviour.
D. are severely intellectually disabled.
A. pose a serious danger to themselves or others.
To diagnose an intellectual disability, professionals look at both the person’s mental abilities (IQ) and his or her
A. adaptive skills.
B. communication skills.
C. coping skills.
D. fine motor skills.
A. adaptive skills
A client frequently impulsively acts out suicidal impulses, including grabbing the coffee jar to smash it and attempting to hang herself with her bra. The nurse would view the client’s behaviours as most consistent with
A) Narcissistic personality disorder.
B) Histrionic personality disorder.
C) Borderline personality disorder.
D) Antisocial personality disorder.
C) Borderline personality disorder.
Which of the following would you expect to assess in someone with a diagnosis of antisocial personality disorder?
A) Lack of guilt for wrongdoing.
B) Insight into their behaviour.
C) Ability to learn from past experiences.
D) Compliance with authority.
A) Lack of guilt for wrongdoing.
Kim has a diagnosis of borderline personality disorder. She often exhibits alternating clinging and distancing behaviours. The most appropriate nursing intervention would be to;
A) Encourage Kim to establish trust with one staff member.
B) Secure a verbal contract with Kim that she will discontinue these behaviours.
C) Withdraw attention if these behaviours continue.
D) Have a core team of nurses who work with Kim so that she will learn to work with more than one person.
D) Have a core team of nurses who work with Kim so that she will learn to work with more than one person.
The student nurse is learning how to reduce the stigma associated with mental illness.
Which of the statements by the student nurse would reflect that learning has taken place?
A) “A 34-year-old is being admitted for suicidal threats as a result of cocaine use.”
B) “We’re admitting a cocaine addict who threatened to kill herself.”
C) “We’re admitting an out-of-control, manic client.”
D) “They’ve added another psychotic to my caseload.
A) “A 34-year-old is being admitted for suicidal threats as a result of cocaine use.”
At a neighbourhood meeting where a halfway house is being proposed for the neighbourhood, a member of the community states, “We don’t want the facility. We don’t want violent people living near us.” The response by the nurse that best addresses the need to reduce stigma would be
A) “In truth clients living with a psychiatric disorder are more likely to be victims of crime.”
B) “We can give you training in how to defend yourselves so you will be more comfortable.”
C) “Clients with psychiatric disorder are so well medicated that they do not display violent behaviours.”
D) “After a few weeks, the neighbourhood will develop tolerance to this proposal.
A) “In truth clients living with a psychiatric disorder are more likely to be victims of crime.”
One of the purposes of the Mental Health (Compulsory Assessment & Treatment) Act (1992) is to ensure
A. That assessment and treatment occur in the least restrictive environment.
B. There is less abuse of the mentally ill.
C. People have access to legal aid.
D. That there is a standard definition of “Mental Disorder”.
A. That assessment and treatment occur in the least restrictive environment.
Compulsory assessment and treatment can be considered for those who
A. Pose a serious danger to themselves or others.
B. Are incapacitated by drug abuse.
C. Are involved in criminal or delinquent behaviour.
D. Are severely intellectually disabled.
A. Pose a serious danger to themselves or others.
Question Which piece of subjective data obtained during the nurse’s psychiatric assessment of a client experiencing severe anxiety would indicate the possibility of posttraumatic stress disorder?
A. “I keep washing my hands over and over.”
B. “My legs feel weak most of the time.”
C. “I am afraid to go out in public.”
D. “I keep reliving the rape.”
D. “I keep reliving the rape.”
When a nurse has assessed a client as experiencing panic- level anxiety, an intervention that should be implemented immediately is to..
A) Teach relaxation techniques.
B. Restrain the client.
C. Reduce stimuli.
D) Have the client walk up and down corridor with nurse.
C. Reduce stimuli.
Substance dependence is different to substance abuse. Substance dependence includes an acknowledgement of tolerance to the substance the person is using. Tolerance can be described as…….
A. The need to increase the amount of substance the person uses, or there is a decrease in the desired effect that the substance gives.
B. The family or whānau become more tolerant of the person’s use of the substances and there is a reduction in recurrent interpersonal communication and skills.
C. There is a failure to fulfil major roles at work, school or home with repeated absences suspensions or expulsions.
D. There is recurrent use in situations which are physically and psychologically harmful to the person.
A. The need to increase the amount of substance the person uses, or there is a decrease in the desired effect that the substance gives.
The most effective nursing approach to deal with denial in a client who abuses substances is:
A: Discussing the addictive personality.
B: Confronting the client regarding his or her hopeless life situation.
C: Having the client identify the effects of substance abuse on his or her life.
D: Describing the physiological effects of substance abuse.
C: Having the client identify the effects of substance abuse on his or her life.
Jonathon continues to voice delusional ideation. Which of the following interventions should the nurse plan to use to reduce his focus on delusional thinking?
A: Confronting the delusion.
B: Focusing on feelings suggested by the delusion.
C: Refuting the delusion with logic.
D: Exploring reasons the client has the delusion.
B: Focusing on feelings
Jonathon has been prescribed Risperidone, 2 mg BD. The nurse would assess neuroleptic malignant syndrome (NMS) if the client had a..
A: 30 mm Hg decrease in blood pressure reading.
B: Respiratory rate of 24 respirations per minute.
C: Temperature reading of 38 degrees C.
D: Pulse rate of 70 beats per minute.
C: Temperature reading of 38 degrees C.
Jonathon presents to the emergency department with a broken leg. He comments to the nurse, “God told me he would protect me from harm, but the devil broke my leg anyway”. This statement would be included in a mental status examination in which of the following categories?
A: Thought form.
B: Thought content.
C: Insight.
D: Judgment.
B: Thought content.
Jonathon is observed muttering to himself and is hyper-vigilant. Which of the following nursing diagnosis is most appropriate for this?
A: Disturbed sleep.
B: Disturbed sensory perception.
C: Risk of violence.
D: Ineffective coping.
B: Disturbed sensory perception.
Adam has recently been admitted and diagnosed with Schizophrenia. He is very suspicious and finding it hard to trust people and the environment. When planning his care, what potential changes to Adam’s perceptual ability should you be aware of?
A) He will acknowledge that he is not functioning well.
B) He will demonstrate limited insight.
C) He will not understand what is being said to him.
D) He may well misinterpret environmental stimuli.
D) He may well misinterpret environmental stimuli.
A newly admitted client is very tense and pacing. He is threatening to leave the unit and says, “You can’t keep me here. I have special powers to protect the world from aliens.” Which of the following interventions would be most helpful?
A) Decrease stimuli and offer him prn medication.
B) Discuss problem-solving strategies for decreasing anxiety.
C) Place the client in restraints.
D) Teach him relaxation strategies.
A) Decrease stimuli and offer him prn medication.
