Nurse Labs

Question 1

Cotard delusion is….

Answer 1

false belief body parts are dead, dying, or don’t exist.

Severe depression and some psychotic disorders. It

Question 2

Nurse Claire is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is?

A. Encourage to avoid food.
B. Identify anxiety-causing situations.
C. Eat only three meals a day.
D. Avoid shopping for plenty of groceries.

Answer 2

Correct Answer: B. Identify anxiety-causing situations

Bulimia disorder generally is a maladaptive coping response to stress and underlying issues.

Question 3

39-year-old mother with obsessive-compulsive disorder has become immobilized by her elaborate hand washing and walking rituals. Nurse Trish recognizes that the basis of O.C. disorder is often:

A. Problems with being too conscientious
B. Problems with anger and remorse
C. Feelings of guilt and inadequacy
D. Feeling of unworthiness and hopelessness

Answer 3

Correct Answer: C. Feelings of guilt and inadequacy

Ritualistic behavior seen in this disorder is aimed at controlling guilt and inadequacy by maintaining an absolute set pattern of behavior.

Question 4

Nurse Monette recognizes that the focus of environmental (MILIEU) therapy is to:

A. Manipulate the environment to bring about positive changes in behavior.
B. Allow the client’s freedom to determine whether or not they will be involved in activities.
C. Role play life events to meet individual needs.
D. Use natural remedies rather than drugs to control behavior.

Answer 4

Correct Answer: A. Manipulate the environment to bring about positive changes in behavior

Environmental (MILIEU) therapy aims at having everything in the client’s surrounding area toward helping the client. Theories of MT commonly acknowledge the role of the environment as a setting in which therapeutic change happens.

Question 5

Patients join a group in a home-like environment of around 30 other clients, for between 9 and 18 months.

Describes this type of therapy

Answer 5

Milieu

Question 6

Nurse Naomi would expect a child with a diagnosis of reactive attachment disorder to:

A. Have a more positive relationship with the father than the mother.
B. Cling to mother & cry on separation.
C. Be able to develop only superficial relationships with others.
D. Have been physically abused.

Answer 6

C. Be able to develop only superficial relationships with the others

Reactive attachment disorder (RAD) is a condition in which an infant or young child does not form a secure, healthy emotional bond with his or her primary caretakers (parental figures).

Children who have experienced attachment difficulties with the primary caregiver are not able to trust others and therefore relate superficially.

Question 7

______ Is a type of ataxic dysarthria in which spoken words are broken up into separate syllables, often separated by a noticeable pause, and spoken with varying force.

Like other ataxic dysarthrias, is a symptom of lesions in the cerebellum.

Which disease is it commonly seen with?

Answer 7

Scanning speech

MS

Question 8

Ataxic dysarthria is….

Seen in which diseases

Answer 8

Speech disorder: cause damage to the cerebellum.

It’s characterized by a scanning pattern of speech, with syllables pronounced slowly and pauses after each one.

Ataxic dysarthria Associated with neurological diseases

multiple systems atrophy (MSA), Parkinson’s disease,
epilepsy,
amyotrophic lateral sclerosis (ALS), Brain tumors.

Question 9

Alalia is ….

Causes…

Answer 9

Speech delay difficulty with speech sounds or form words.

Causes:

Impaired hearing

Neurological conditions

Limited or absent exposure to language stimulation

Difficulty using the lungs, vocal chords, mouth, tongue, or teeth to produce sounds or speech

Question 10

How does alalia differ from aphasia

Answer 10

Aphasia = challenge understanding or expressing language due to brain damage.

Alalia = a severe speech disorder involving the inability to form words or produce speech sounds effectively

Question 11

60-year-old female client who lives alone tells the nurse at the community health center “I really don’t need anyone to talk to”. The TV is my best friend. The nurse recognizes that the client is using the defense mechanism known as?

A. Displacement
B. Projection
C. Sublimation
D. Denial

Answer 11

Correct Answer: D. Denial

Defense that blocks problems by unconscious refusing to admit they exist.

A. Displacement taking out frustrations & feelings, on less threatening people. ( Yelling at kids instead of boss )

Question 12

Linda is pacing the floor and appears extremely anxious. The duty nurse approaches in an attempt to alleviate Linda’s anxiety. The most therapeutic question by the nurse would be?

A. Would you like to watch TV?
B. Would you like me to talk with you?
C. Are you feeling upset now?
D. Ignore the client.

Answer 12

B. Would you like me to talk with you?

The nurse’s presence may provide the client with support & a feeling of control.

Maintain a calm, non-threatening manner while working with the client.

Anxiety is contagious and may be transferred from health care provider to client or vice versa

Question 13

Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of?

A. Flight of ideas
B. Associative looseness
C. Confabulation
D. Concretism

Answer 13

Correct Answer: C. Confabulation

Confabulation or the filling in of memory gaps with imaginary facts is a defense mechanism used by people experiencing memory deficits.

Confabulation is confusion Not lying.

Question 14

psychology of Carl Jung, a type of thought or feeling that depends on immediate physical sensation and displays little or no capacity for abstraction.

Answer 14

Concreteism

Literal interpretation of figurative language

Seeing physical attributes

Question 15

Calluses on the dorsal aspect of the hand (known as “Russel’s sign.”)

Associated with which disease

Answer 15

Belemia Nervosa

From sticking hand down mouth to vomit

Question 16

Epistaxis

Answer 16

Nosebleed

Question 17

Nurse Monette is aware that extremely depressed clients seem to do best in settings where they have:

A. Multiple stimuli
B. Routine Activities
C. Minimal decision making
D. Varied Activities

Answer 17

B. Routine Activities

Simple daily routine is the best, least stressful, and least anxiety-producing.

Initially, provide activities that require minimal concentration (e.g., drawing, playing simple board games).

Depressed people lack concentration and memory.

Activities that have no “right or wrong” or “winner or loser” minimizes opportunities for the client to put himself/herself down.

Question 18

To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of:

A. Frustration & fear of death
B. Anger & resentment
C. Anxiety & loneliness
D. Helplessness & hopelessness

Answer 18

D. Helplessness & hopelessness

The expression of these feelings may indicate that this client is unable to continue the struggle of life

Question 19

32-year-old male graduate student, who has become increasingly withdrawn and neglectful of his work and personal hygiene, is brought to the psychiatric hospital by his parents. After detailed assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate:

A. Low self-esteem
B. Concrete thinking
C. Effective self-boundaries
D. Weak ego

Answer 19

C. Effective self-boundaries

Traditionally, symptoms have divided into two main categories: positive symptoms which include hallucinations, delusions, and formal thought disorders, and negative symptoms such as anhedonia, poverty of speech, and lack of motivation.

Question 20

Nurse Nina is assigned to care for a client diagnosed with Catatonic Stupor. When Nurse Nina enters the client’s room, the client is found lying on the bed with a body pulled into a fetal position. Nurse Nina should:

A. Ask the client direct questions to encourage talking.
B. Take the client into the dayroom to be with other clients.
C. Sit beside the client in silence and occasionally ask an open-ended question
D. Leave the client alone and continue with providing care to the other clients.

Answer 20

C. Sit beside the client in silence and occasionally ask an open-ended question

Nurses should always let patients break the silence.

Question 21

Nurse Jonel is providing information to a community group about violence in the family. Which statement by a group member would indicate a need to provide additional information?

A. “Abuse occurs more in low-income families”.
B. “Abusers are often jealous or self-centered”.
C. “Abusers use fear and intimidation”.
D. “Abusers usually have poor self-esteem”.

Answer 21

A. “Abuse occurs more in low-income families”.

Question 22

During electroconvulsive therapy (ECT) the client receives oxygen by mask via positive pressure ventilation. The nurse assisting with this procedure knows that positive pressure ventilation is necessary because?

A. Anesthesia is administered during the procedure.
B. Decreasing oxygen to the brain increases confusion and disorientation.
C. Grand mal seizure activity depresses respirations.
D. Muscle relaxations given to prevent injury during seizure activity depress respirations.

Answer 22

D. Muscle relaxations given to prevent injury during seizure activity depress respirations.

A short-acting skeletal muscle relaxant such as succinylcholine (Anectine) is administered during this procedure to prevent injuries during seizure.

Question 23

During electroconvulsive therapy (ECT) the client receives oxygen by mask via positive pressure ventilation. The nurse assisting with this procedure knows that positive pressure ventilation is necessary because?

A. Anesthesia is administered during the procedure.
B. Decreasing oxygen to the brain increases confusion and disorientation.
C. Grand mal seizure activity depresses respirations.
D. Muscle relaxations given to prevent injury during seizure activity depress respirations.

Answer 23

D. Muscle relaxations given to prevent injury during seizure activity depress respirations.

A short-acting skeletal muscle relaxant such as succinylcholine (Anectine) is administered during this procedure to prevent injuries during seizure.

Question 24

Neuroleptics, aka, are used to treat and manage symptoms of many psychiatric disorders.

Answer 24

antipsychotic medications

Question 25

Long-term goal for a paranoid male client who has unjustifiably accused his wife of having many extramarital affairs would be to help the client develop:

A. Insight into his behavior
B. Better self-control
C. Feeling of self-worth
D. Faith in his wife

Answer 25

C. Feeling of self-worth

Helping the client to develop a feeling of self-worth would reduce the client’s need to use pathologic defenses.

Paranoid personality disorder (PPD) is one of a group of conditions called Cluster A or eccentric personality disorders.

People with these disorders often appear odd or peculiar.

Question 26

Nurse Tina is caring for a client with delirium and states that “look at the spiders on the wall”. What should the nurse respond to the client?

A. “You’re having hallucination, there are no spiders in this room at all”
B. “I can see the spiders on the wall, but they are not going to hurt you”
C. “Would you like me to kill the spiders”
D. “I know you are frightened, but I do not see spiders on the wall”

Answer 26

D. “I know you are frightened, but I do not see spiders on the wall”

Question 27

Jose is diagnosed with amphetamine psychosis and was admitted to the emergency room. Nurse Ronald would most likely prepare to administer which of the following medication?

A. Librium
B. Valium
C. Ativan
D. Haldol

Answer 27

D. Haldol

administer an antipsychotic medication such as Haldol to a client experiencing amphetamine psychosis to decrease agitation & psychotic symptoms, including delusions, hallucinations & cognitive impairment. Haloperidol is a first-generation (typical) antipsychotic

Question 28

Chlordiazepoxide is a long-acting _______ (Family of Medicine)

Treats anxiety disorder
preoperative apprehension
anxiety,
Alcohol withdrawal

Answer 28

Benzodiazepine

Question 29

client receiving haloperidol (Haldol) complains of a stiff jaw and difficulty swallowing. The nurse’s first action is to:

A. Reassure the client and administer as needed lorazepam (Ativan) I.M.
B. Administer as needed dose of benztropine (Cogentin) I.M. as ordered.
C. Administer as needed dose of benztropine (Cogentin) by mouth as ordered.
D. Administer as needed dose of haloperidol (Haldol) by mouth.

Answer 29

B. Administer as needed dose of benztropine (Cogentin) I.M. as ordered.

Question 30

Haloperidol overdose is also associated with ECG changes known as ….

Answer 30

torsade de pointes, which may cause arrhythmia or cardiac arrest.

Question 31

Haloperidol toxicity. If a patient develops signs and symptoms of toxicities, the clinician should consider….

Answer 31

Gastric lavage or induction of emesis as soon as possible, followed by the administration of activated charcoal.

Question 32

Acromegaly

Answer 32

Gigsntism

Question 33

pill-rolling, drooling, rigidity

Symptoms of….

Answer 33

Parkinsons

(Pill Rolling) rubs their thumb and index finger together

Question 34

Dyspraxia…

Seen in which mental illness

Answer 34

Difficulty performing learned motor task

Late-stage Alzheimer’s

Question 35

An overdose of imipramine can result in serious side effects.

Cardiac dysrhythmia, critical hypotension, convulsions, coma, confusion, hyperactive reflexes, and hypothermia.

Type of drug is imipramine…

Answer 35

Tricyclic antidepressants

Question 36

Mental Retardation Scale

_____ 52–69
_____ 36–51
_____ 20–35
_____ 19 or below

Answer 36

Mild IQ 52–69
Moderate IQ 36–51
Severe IQ 20–35
Profound IQ 19 or below

Question 37

Nurse Myrna develops a counter-transference reaction. This is evidenced by:

A. Revealing personal information to the client.
B. Focusing on the feelings of the client.
C. Confronting the client about discrepancies in verbal or nonverbal behavior.
D. The client feels angry towards the nurse who resembles his mother.

Answer 37

A. Revealing personal information to the client.

Counter-transference emotional reaction nurse on the client based on her unconscious needs and conflicts.

Countertransference is defined as redirection of a psychotherapist’s feelings toward a client – or, more generally, as a therapist’s emotional entanglement with a client.

Transference is client redirecting feelings meant for others onto the therapist

Question 38

The six environmental elements include structure, safety, norms; limit setting, balance, and unit modification.

Describes therapeutic…

Answer 38

Therapeutic milieu

Question 39

Splitting is a defense mechanism in which the world is perceived as all good or all bad.

Splitting is commonly associated with….

Answer 39

borderline personality disorder.

Question 40

Some people who have anorexia binge and purge, similar to individuals who have bulimia. But people with anorexia generally struggle with abnormally low body weight, while individuals with bulimia typically are normal to above normal weight.

T or F

Answer 40

T

Question 41

The initial nursing intervention for the significant-others during shock phase of a grief reaction should be focused on:

A. Presenting the full reality of the loss of the individuals.
B. Directing the individual’s activities at this time.
C. Staying with the individuals involved.
D. Mobilizing the individual’s support system.

Answer 41

C. Staying with the individuals involved.

Question 42

Stereotyped motor behaviors

Repetitive, rhythmic, movements that are topographically alike and that serve no purpose.

Seen in this condition

Answer 42

Autism