NURS 258 Psychology Final Review_2020 | NURS258 Psychology Final Review_Graded A

NURS 258 Psychology Final Review_2020 1. A depressed 21 year old Client has lived with his mother ever since the death of his father three years ago. After the client received a college acceptance, the mother repeatedly states, “That's wonderful. I'll be fine all alone”. how would the nurse interpret the mother statement? 1. The mother is withholding supportive statements 2. the mother is expressing denigrating remarks 3. the mother is communicating indirectly 4. the mother is using double bind communication b. A 30 year old client seeking therapy okay great thank states, “My Mom cries when she is not included in all my social activities and thinks my friends are her own”. how would the nurse describe the boundaries between the families parent-and-child subsystems? 1. the boundaries are rigid 2. the boundaries are restructured 3. the boundaries are enmeshed 4. the boundaries are disengaged b. A six-year-old boy was just diagnosed with ADHD by the physician you work for in a pediatric practice he'll be prescribed a non-narcotic medication, atomoxetine (Strattera) 40mg po OD. What will you teach his mother about the medication before they leave the office? 1. Take on an empty stomach give as close to bedtime as possible expect an increase in behaviors 2. Take on an empty stomach give frequent snacks expect significant weight gain 3. take first thing in the morning with breakfast, offer extra snacks, weigh weekly and report significant weight loss to doctor 4. Give a bedtime, report increased sedation to doctor immediately, keep him occupied with lots of stimulating activities b. when assessing a child with autism, the nurse identifies which of the following as behavioral signs of autism? Select all the apply. 1. Poor eye contact 2. limited speech 3. lack of age appropriate social skills 4. smiling back at you 5. organizing or lining object up in a particular order b. in planning care for a child diagnosed with autistic disorder, which would be a realistic client outcome? 1. the client will communicate all needs verbally by discharge 2. the client will participate with peers and a team sport by day 4 3. the client will establish trust with at least one caregiver day 5 4. the client will perform most self care task independently b. Only approve medications to cure autism are risperidone (Risperdal) and aripiprazole (Abilify). 1. True 2. False b. Correct terminology for repeating of what someone else has said is: 1. Palilalia 2. Echolalia 3. Word Salad 4. Paraphilias b. An effective nursing intervention for the impulsive and aggressive behaviors that accompany conduct disorder is: 1. assertiveness training 3. negotiation of rules 4. open expression of feelings b. Typical behavior in children with Oppositional Defiant Disorder (ODD). As and example of this behavior, when told to “take out the trash” is: 1. Doing as requested 2. Saying “take out the trash yourself” 3. Saying “I’m not doing it, I always do it, it's Alex’s turn!” 4. Ignoring the request repeatedly and continue playing on Xbox b. A child has been diagnosed with mild intellectual disability (ID). what information about this diagnosis should a nurse include when teaching the child's mother? 1. children with mild ID need constant supervision 2. children with mild ID develop academic skills up to a sixth grade level 3. children with mild idea appear different from their peers 4. children with mild ID has significant sensorimotor impairment b. Which developmental characteristic should a nurse identify as typical of a client diagnosed with severe intellectual disability? 1. the client can perform some self-care activities independently 2. the client has advanced speech development 3. other than possible coordination problems, the client psychomotor skills are not affected 4. the client communicates wants and needs by “acting out” behaviors. b. When planning care for a client, which medication classification should a nurse recognize as effective in the treatment of Tourette syndrome? 1. neuroleptic medication 2. antimanic medication 3. tricyclic antidepressants 4. monoamine oxidase inhibitor medications 13. A woman with bruises on her face and neck and is swollen right eye arrives at the emergency departments and tells the nurse, “He’s been getting more and more violent lately. He's been under a lot of stress at work so he drinks a lot when he gets home. He always gets mean when he drinks, I was getting scared, so I just finally told him I was going to take the kids and leave. He got serious when I said that and began beating me” With knowledge about the cycle of battering, what does this situation represent? 1. Phase 1. The client was desperately trying to stay out of his way and keep everything calm 2. Phase 1. A minor battering incident for which the client assumes all the blame 3. Phase 2. the acute battering incident that the client provoked with her threat to leave - - -- - - - Continued