Multiple Choice Flashcards
A client believes he is the chauffeur for a major movie star. He describes the limosine that is at his disposal and brags about all the famous people that he has met. What time if delusion is he exhibiting?
A. Delusion of grandeur
B. Delusion of persecution
C. Delusion of reference
D. Delusion of control
A. Delusion of grandeur
Which of the following is known about schizophrenia?
A. It is a single disease
B. It occurs only in certain cultures
C. Mediaction can manage symptoms
D. Positive symptoms includes withdrawal, apathy and avolition
C. Medication can manage symptoms
A client says “ Whats out! There is someone standing right behind you.” There is no one else there. The appropriate response by the nurse is:
A. “ I understand that you see someone, but I dont see anyone there.”
B. “ Let’s move away to the other room.”
C. “ Tell me more about what you see.”
D. “ You are not seeing anything.”
A. I understand that you see someone, but I don’t see anyone there.”
Interventions for the client who is actively halucinating include:
A. Touching the client to convey warmth and concern
B. Teaching the client to engage in a conversation or activity such as listening to music through headphones
C. Providing a quiet environment without radios or tvs
D. Allowing the client to rest in his room undisturbed
B. Teaching the client to engage in a conversation or activity such as listening to a music through headphones
Patients with schizophrenia may help prevent relapse by all of the following interventions except:
A. Self-monitoring of symptoms such as decreased appetite, difficuty of sleeping, and mild paychotic symptoms
B. Identify triggers that bring about increased distress
C. Using alcohol and other drugs to treat uncomfortable symptoms of schizophrenia
D. Following medication regimes even when they “ feel better”
C. Using alcohol and other drugs to treat uncomfotable symptoms of schizophrenia
To work closely with families of patients with schizophrenia the nurse should do all of the following except:
A. Recognise and acknowledge the care giving burden
B. Prepare the management plan for the patient without the family
C. Provide the education about the illness, relapse prevention, symptom monutoring, and medication management
D. Provide resources to meet needs crisis, for relapse care, and affliation with support groups
B. Prepare the management plan for the patient without the family
A client with a manic episode has refused a shower for over a week. She has worn the same dirty clothes for several days and has a strong body odour. What approached would be used in assisting her to shower and changed into clean clothes?
A. Provide limited option to choose from, such as when to shower and what to wear
B. Negotiate a solution
C. Teach the importance and benefits of regular hygiene practises
D. Use medication to sedate the client
C. Teach the importance and benefits of regular hygiene practises
Which statement by a depressed client takig an antidepressant would indicated further teaching is necessary?
A. “ Once I start taking medication, I should begin to feel better in a day or two.”
B. “ My appetite should improve once my depression is resolved
C. “ My medication works in the synaptic gap in my brain.”
D. “ I can expect to be able to sleep through the night again once I begin to feel bette.”
A. “ Once I start taking medication, I should begin to feel better in a day or two
A depressed client states “ I should never have let my dog run out on the street. Now it is my fault that he is dead.” Select the one response by the nurse.
A. “ I understand that you feel bad about the accident.”
B. “ You are not a failure for this one mistake.”
C. “ What prrof do you have that it is your fault.”
D. “ I would like to hear you about those things that you are good at doing.”
A. “ I understand that you feel bad about the accident.”
A client admitted to an acute care inpatient psychiatric unit 10 days ago for bipolar disorder, eats finger fiods pacing the halls if offered by staff members, draws abstract art in ink on his left hand, sleeps 6 hours each night, and readily takes prescribe medications. Which of thr following most indicates that the clients condition is improving?
A. Eats finger foods
B. Has decreased amount of “ body art”
C. Sleeps 6 hours per night
D. Takes medication
C. Sleeps 6 hours per night
A patient was driving along a deserted country road when the bridge she was driving over collapsed causing her to be trapped in her car for several hours until help arrived. A year later she still has nightmares about the event, and re-experiences the feeling of fear and isolation associated with being trapped in the car with swirling water up to her neck. She avoids driving over bridges. She indicates that her relationship has not been “normal” since the event because she is so tense. The data collected are consistent with the symptoms of :
A. Agoraphobia
B. Panic attacks
C. Generalized anxiety disorder
D. Post-traumatic stress disorder
D. Post-traumatic stress disorder
Appropriate discharged criteria for a patient with chronic anxiety disorder are that the patient will:
A. Experience no more anxiety
B. Suppress anxiety symptoms and focus on the future
C. Identify situations and events that trigger anxiety
D. Recognise the need for taking medications for life to control anxiety
C. identify situations and events that trigger anxiety
The nurse admits a client who is a university student. The student immediately announces that she has been studying for final examinations in several courses. The student is pacing and expressess concerns that this time in the hospital away from studies will cause a drop in grades and th parents will be angry if HDs will not attained in the course. Which statement represents the most appropriate nursing diagnosis for this client?
A. Disorder with suicidal ideation secondary to panic disorder
B. Violence directed towards others related to confusion and impaired impulse control as evidenced by depression
C. Experience related to feelings of unreality as evedinced by unmet needs
D. Ineffective individual coping related to fear of failure as evidenced by inability to meet role expectations
D. Inffective individual coping related to fear of failure as evidenced by inability to met role expectations
You are working with a client who has been diagnosed as having social anxiety disorder. People with this disorder experience sever anxiety when they:
A. Leave the solitude of their house and in all situations
B. Speak or perform in public or meet new people
C. Are in crowded places by themselves
D. Have to atten meetings or go to a movie alone
B. Speak or perform in public or meet new people
A client at the community mental health clinic brings a sterile towel and places it on any surface on which he sits. Such behaviour primarily allow the client to;
A. Punish himself for being phobic
B. Receive extra attention for his condition
C. Reduce his anxiety level
D. Replace feelings of guilt
C. Reduce his anxiety level
A client has has surgery and is recovering in an intensive care unit for 72hours after admission. The client exhibit trenors, jumps in a jerky manner when one enters the room, has a heart rate of 132, has a high fever and complains of bugs in his room. The nurse should take the following action:
A. Document the signs and symptoms and call them to attention of the surgeon when he makes rounds
B. Leave a message to the registrar to consider ordering antipsychotic medications
C. Notify the doctor immediately of suspected alcohol withdrawal and ask for order
D. Refer the client for alcohol evluation
C. notify the doctor immediately of suspected alcohol withdrawal and ask for order
In which historical period was the discovery of psychiatric medication?
A. The nineteenth century
B. The seventeenth century
C. The eighteenth century
D. Twentieth century
D. The twentieth century
Co-independence refers to the relationship between
A. The addict and his or her dealer
B. Two addicts or abusers
C. An abusert and the significant other who facilitates the substance abuse
D. The nurse and the substance abuser
C. An abuser and the significant other who facilitates the substance abuse
