COMPLETE SOLUTIONS
A 14-year-old girl with obsessive-compulsive disorder (OCD)
tells the nurse other
adolescents tease her because she washes her hands many times
during the school day. For what
does this disorder put the adolescent at greater risk?
a. Anorexia nervosa
b. Depression
c. ADHD
d. A learning disability Correct Answers ANS: B
OCD is related to depression and other psychiatric disorders.
Suicidal behavior is a high risk for
adolescents with OCD.
A 16-year-old girl is admitted for her first psychotic break. Her
parents feel very guilty. What is your best nursing response?
A. No one really knows the cause of schizophrenia. It is not your
fault and is not due to anything you did in the past. It is
important to understand this, to support your daughter, and to
find support for yourselves.
B. Does anyone in your family have schizophrenia, as this
disease is known to be genetic?
C. You may feel bad now, but there are so many other bad
things out there, such as cancer and paralysis.
D. Let me share with you some websites to help you deal with
your guilt. Correct Answers A. No one really knows the cause
of schizophrenia. It is not your fault and is not due to anything
you did in the past. It is important to understand this, to support
,your daughter, and to find support for yourselves.Reason:
Schizophrenia has a multifocal origin and its cause may include
a genetic component. Support is needed for both patients and
caregivers.
A 21-year-old patient has a diagnosis of schizophrenia and is
stuporous, yet exhibits sudden, excessive motor activity with
repetitive sit-ups. What is this behavior called?
A. Delusional.
B. Hallucinogenic.
C. Paranoid.
D. Catatonic. Correct Answers D. Catatonic.Reason: Catatonic
schizophrenia occurs suddenly and includes motor immobility or
excessive motor activity
A child is diagnosed with attention deficit hyperactivity disorder
(ADHD). Which
characteristics would the nurse assess in this child? (Select all
that apply.)
a. Social anxiety
b. Impulsivity
c. Hyperactivity
d. Distractability
e. Inattention Correct Answers b c d e
a client diagnosed with borderline personality disorder requests
valium. when the physician refuses, the cleint becomes angry
and demands to see another physician. what defense mechanism
is the client using?
a. undoing
b. splitting
,c. altruism
d. reaction formation Correct Answers b
a client diagnosed with personality disorder insists that a
grandma, through reincarnation, has come back to life as a
kitten. the thought process described is reflective of which
personality disorder?
a. obsessive compulsive disorder
b. schizotypal personality disorder
c. borderline personality disorder
d. schizoid personality disorder Correct Answers b
schizotypal are characterized by peculuarities of ideation,
appearance and behavior, magical thinking and deficits in
interpersonal relatedness, not severe enough to meet
characteristics of schizophrenia
a client has been diagnosed with a cluster a personality disorder.
Which client statement would reflect cluster a characteristics?
a. im the best chef on the east coast
b. my food has been poisoned
c. i have to wash my hands ten times before eating
d. i just cant eat when im alone Correct Answers b
cluster a include feelings of mistrust
a client is diagnosed bulimia nervosa has responded well to
citalopram (celexa). which is the possible cause for this
response)
, a. there is an association between bulimia nervosa and dilated
blood vessels and intactive alpha-adrenergic and serotoninergic
receptors
b. there is an association between bulimia and the
neurotransmitter dopamine
c. there is an association between bulimia nervosa and the
neurotransmitters serotonin and norepinephrine
d. there is association between bulimia and malfunction of the
thalamus Correct Answers c
a client on an in patient psychiatric unit has been diagnosed with
bulimia nervosa. the client states "im going to the bathroom and
will be back in a few minutes"
which nursing response is most appropriate
a. thanks for checking in
b. i will accompany you to the bathroom
c. let me know when you get back to the dayroom
d. ill stand outside your door to give you privacy Correct
Answers b
a client tells the nurse "when i was a waiter i use to spit in the
dinners of annoying customers" this statement would be
associated with which personality trait?
a. paranoid personality trait
b. schizoid personality trait
c. passive aggressive trait
d. antisocial trait Correct Answers c
clients exhbiting passive aggressibe trait are characterized by
adequate performance in occupational and social functioning.