Quiz Flashcards
Which of the following typifies the speech of a person in the acute phase of mania?
A. Flight of ideas
B. Psychomotor retardation
C. Hesitant
D. Mutism
A. Flight of ideas
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Original
The nurse observes that a client with bipolar disorder is pacing in the hall, talking loudly, and rapidly, and using elaborate hand gestures. The nurse concludes that the client is demonstrating which of the following?
A. Aggression
B. Anger
C. Anxiety
D. Psychomotor agitation
D.
A client with bipolar disorder begins taking lithium carbonate (Lithium), 300mg QID. After three days of therapy the client says, My hands are shaking. The best response by the nurse is which?
A. Fine motor tremors are an early effect of lithium therapy that usually subsides in a few weeks.
B. It is nothing to worry about unless it continues for the next month.
C. Tremors can be an early signs of toxicity, but we will keep monitoring your lithium level to make sure you are okay.
D. You can expect tremors with lithium. You seem very concerned about such a small tremor.
A. Fine motor tremors are an early effect of lithium therapy that usually subsides in a few weeks.
The nurse observes that a client with bipolar disorder is pacing in the hall, talking loudly, and rapidly, and using elaborate hand gestures. The nurse concludes that the client is demonstrating which of the following?
A. Aggression
B. Anger
C. Anxiety
D. Psychomotor agitation
D. Psychomotor agitation
A nurse was asked which of the following best describes dementia. Which of the following best describes the condition?
A. Memory loss occurring as part of the natural consequence of aging.
B. Difficulty coping with physical and psychological change.
C. Severe cognitive impairment that occurs rapidly.
D. Loss of cognitive abilities, impairing ability to perform activities of daily living.
D. Loss of cognitive abilities, impairing ability to perform activities of daily living.
Which of the following is NOT one of the signs of alcohol withdrawal?
A. Hand tremors
B. Diaphoresis (sweating SE of a drug).
C. Nausea
D. Insomnia, nightmares
E. Blackouts (due to intoxication).
E. Blackout
Symptoms of withdrawal usually begin 4 to 12 hours after cessation or marked reduction of alcohol intake.
- Irritability and impatient behavior,
- Coarse hand tremors
- Sweating (Diaphoresis)
- Elevated pulse and blood pressure
- Insomnia, nightmares
- Hallucinations
- Anxiety
- Nausea/vomiting
Frotteurism the focus of the person’s sexual urges is on touching or rubbing his or her genitals against the boly of a non-consenting, unfamiliar person.
True
False
True
Substance use disorders is an umbrella term for substance abuse and substance dependence.
True
False
True
Which is NOT an example of a developmental (normative/maturational) crisis?
a. Retirement
b. Drug or alcohol addiction
c. Marriage
d. Having children
b. Drug or alcohol addiction
Which one is an examples of a situational crisis?
A. Loss of a job
B. Loss of a loved one
C. Unwanted pregnancy
D. Onset or worsening of a medical illness
E. Divorce
F. School problems
G. Witnessing a crime
H. All
H. All
Types of Bipolar and Related Disorders?
Bipolar I: a history of one or more manic episodes. The client may also have experienced episodes of depression.
Bipolar II: The individual who is assigned this diagnosis may present with symptoms (or history) of depression or hypomania.
The client has never experienced a full manic episode.
Cyclothymic Disorder: a chronic mood disturbance with a duration of at least 2 years, involving numerous periods of elevated mood that do not meet the criteria for a hypomanic episode and numerous periods of depressed mood of insufficient severity or duration to meet the criteria for major depressive episode.
Substance/Medication-Induced Bipolar Disorder:
The disturbance of mood associated with this disorder is considered to be the direct result of physiological effects of a substance
The World Health Organization (WHO) lists this disorder as the sixth leading cause of global disability & it is very treatable.
Bipolar disorder
For maintenance therapy, lithium serum levels should be 0.6 to 1.2 mEq/L; serum levels should be monitored every 2 months once the client’s condition is stabilized.
True
False
True
When clients start therapy, practitioners must check their lithium levels twice weekly in samples drawn immediately before a dose and 8 to 12 hours after the prior dose.
In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?
A. Stable and satisfactory relationships
B. Suspiciousness
C. Little tolerance for being alone
D. Controlled anger
E. Predictability
C. Little tolerance for being alone
Clients diagnosed with borderline personality disorder have little tolerance for being alone.
They prefer a frantic search for companionship, no matter how unsatisfactory, rather than experiencing feelings of loneliness, emptiness, and boredom.
Which of the following statements is Incorrect about Psychiatric liaison nursing?
A. Guiding and supporting the primary care team by providing information, acts as a resource to the staff on mental health issues.
B. Works more often with nursing staff, assisting them to develop a care plan that incorporates mental health concepts in order to meet the needs of patients.
C. Assist general health care teams in the provision of mental health care to their patients.
D. The CLN may work directly with patients and their families.
E. General nurses indicated that they did enjoy caring for people with a mental health problem & they see it as part of their ‘real’ work.
E. General nurses indicated that they did enjoy caring for people with a mental health problem & they see it as part of their ‘real’ work.
Community mental health nurses try to incorporate health promotion by interacting with heathy people and attempting to maintain and enhance their wellbeing.
True
False
True
Which statement is incorrect about dementia?
A. Dementia usually develops over a short period of time.
B. Clients may display anger and hostility, sometimes toward other people.
C. Dementia profoundly affects the client’s roles and relationships.
D. Give simple directions, focusing on one thing at a time.
E. Emotional outbursts are common and usually pass quickly.
A. Dementia usually develops over a short period of time.
One of the most important treatment for the somatoform disorders is:
a. Peers Support
b. Medication
c. Electroconvulsive treatment ECT
d. Cognitive behavioral therapy
d. Cognitive behavioral therapy
The main symptom of Dissociative Identity Disorder is
a. Experience gaps in memory of every day events, personal information and trauma
b. Feel like one or more voices are trying to take control in their head
c. Feel like people and things in the world around them are unreal (derealization)
d. Difficulty remembering important information about one’s self
a. Experience gaps in memory of every day events, personal information and trauma
The general causes of Mental Illnesses are:
a. Neurotransmitters impairment
b. Exposure to environmental stressors
c. All of the Above
d. People whose blood relatives also have a mental illness
c. All of the Above
One of the most common Population at Risk for Mental are:
a. People with high access to health care.
b. Young poor people.
c. Victims of violence.
d. People with high education levels.
c. Victims of violence.
Which of the following interventions should be prioritised in the care of a suicidal client?
a. Note the client’s capabilities to increase self-esteem
b. Remove all potentially harmful items from the client’s room
c. Set a no suicide’ contract with the client
d. Allow the client to express feelings of hopelessness
b. Remove all potentially harmful items from the client’s room.
Which one of the following is the wrong for schizophrenia?
a. Genetic is an important risk factor
b. The prevalence is high in men according to women
c. Brain structural changes can be seen in schizophrenia
d. No laboratory test for schizophrenia currently exist
d. No laboratory test for schizophrenia currently exist
The nurse ensures a therapeutic environment for the client. Which of the following best describes a therapeutic milieu?
a. A living, learning or working environment
b. A therapy that rewards adaptive behavior
c. A cognitive approach to change behavior
d. A permissive and congenial environment
a. A living, learning or working environment.
A client with schizophrenia is referred for psychosocial rehabilitation. Which of the following are typical of this type of program? Select all that apply
a. Developing social skills and supports
b. Analyzing family issues and past problems
c. Learning job skills for employment
d. Learning how to live independently in a community
b. Analyzing family issues and past problems
Dementia, unlike delirium, is characterized by:
a. sensory-perceptual change
b. slurred speech
c. insidious onset
d. clouding of consciousness
a. sensory-perceptual change
The client’s belief that a news broadcast has special meaning for him or her is an example of
a Thought blocking
b. Flight of ideas
c. Ideas of reference
d. Abstract thinking
c. Ideas of reference
