RN mental health disorders and addictions EAQ

A nurse decides to use the CAGE screening questionnaire with a client admitted for substance abuse. What is the client abusing? Alcohol Barbiturates Hallucinogens Multiple drugs A nurse is caring for a hyperactive, manic client who exhibits flight of ideas and is not eating. What may be the reason why the client is not eating? Feeling undeserving of the food Too busy to take the time to eat Wishes to avoid others in the dining room Believes that there is no need for food at this time What childhood problem has legal as well as emotional aspects and cannot be ignored? School phobia Fear of animals Fear of monsters Sleep disturbances A client is admitted to the psychiatric hospital after many self-inflicted nonlethal injuries over the preceding month. Of which level of suicidal behavior is the client's behavior reflective? Threats Ideation Gestures Attempts A nurse has been assigned to care for a client with the diagnosis of obsessive-compulsive disorder (OCD). Before providing care for this client, what should the nurse remember about clients with OCD? Are unaware that the ritual serves no purpose Can alter the ritual depending on the situation Should be prevented from performing the ritual Do not want to repeat the ritual but feel compelled to do so During an interview of a client with a diagnosis of bipolar I disorder, manic episode, what does the nurse expect the client to demonstrate? Flight of ideas Ritualistic behaviors Associative looseness Auditory hallucinations The nurse would recognize which behavior as being characteristic of the panic phase of crisis behavior? Being physically immobile Sobbing for no apparent reason Reporting great difficulties falling asleep Startling easily to loud noises and being touched For which clinical indication should a nurse observe a child in whom autism is suspected? Lack of eye contact Crying for attention Catatonia-like rigidity Engaging in parallel play A client with paralysis of the legs is found to have somatoform disorder, conversion type. What must the nurse consider when formulating a plan of care for this client? The illness is very real to the client and requires appropriate nursing care. Although the client believes that there is an illness, there is no cause for concern. There is no physiological basis for the illness; therefore only emotional care is needed. Nursing intervention is needed even though the nurse understands that the client is not ill. The nurse is assigned to work with a 20-year-old client on an inpatient unit. In assessing the woman, the nurse notes that she is mute, does not show any type of movement, is unresponsive, and appears unaware of her surroundings. What is the best term for the nurse to use to describe these symptoms? Alogia Catatonia Echopraxia Affective flattening When planning for a client's care during the detoxification phase of acute alcohol withdrawal, what need should the nurse anticipate? Checking on the client frequently Keeping the client's room lights dim Addressing the client in a loud, clear voice Restraining the client during periods of agitation A female client with obsessive-compulsive disorder has become immobilized by her elaborate handwashing and walking rituals. Which feelings does the nurse recall are often the basis of obsessive-compulsive disorder? Anxiety and guilt Anger and hostility Embarrassment and shame Hopelessness and powerlessness A nurse is planning care for a client with substance-induced persisting dementia resulting from long-term alcohol use. Which nutritional problem, in addition to the effect of alcohol on brain tissue, has contributed to substance-induced persisting dementia? Increase in serotonin Deficiency of thiamine Reduction in iron intake Malabsorption of riboflavin A 3-year-old child is found to have a pervasive developmental disorder not otherwise specified. What should the nurse consider most unusual for the child to demonstrate? Interest in music Ritualistic behavior Attachment to odd objects Responsiveness to the parents During a one-on-one interaction with a client with paranoid-type schizophrenia, the client says to the nurse, "I’ve figured out how foreign agents have infiltrated the news media. They want to shut me up before I spill the beans." How should the nurse describe this statement when documenting this client’s response? Nihilistic delusion Delusions of persecution Delusions of control Delusions of grandeur A nurse is caring for a client with a somatoform disorder. What should the nurse anticipate that this client will do? Write down conversations to facilitate the recall of information. Monopolize conversations about the anxiety being experienced. Redirect the conversation with the nurse to physical symptoms. Start a conversation asking the nurse to recommend palliative care. A nurse, understanding the possible cause of alcohol-induced amnestic disorder, should take into consideration that the client is probably experiencing which imbalance? Thiamine deficiency A reduced iron intake An increase in serotonin Riboflavin malabsorption Within a few hours of alcohol withdrawal the nurse should assess the client for the presence of what symptoms? Irritability and tremors Yawning and convulsions Disorientation and paranoia Fever and profuse diaphoresis The nurse is caring for a client with vascular dementia. What does the nurse identify as the cause of this problem? A long history of inadequate nutrition Disruptions in cerebral blood flow, resulting in thrombi or emboli A delayed response to severe emotional trauma in early adulthood Anatomical changes in the brain that produce acute, transient symptoms A client with a history of drug abuse begins group therapy. After attending the first meeting the client says to the nurse, "It helps to know that I'm not the only one with this type of problem." What concept does this statement reflect? Altruism Catharsis Universality Transference A nurse determines that a client is pretending to be ill. What does this behavior usually indicate? Psychosis Malingering Use of conversion Lack of contact with reality An 84-year-old woman is admitted to the hospital with a diagnosis of dementia of the Alzheimer type. What does the nurse know about this disorder? Problem that first emerges in the third decade of life Nonorganic disorder that occurs in the later years of life Cognitive problem that is a slow and relentless deterioration of the mind Disorder that is easily diagnosed through laboratory and psychological tests A client with obsessive-compulsive disorder performs a specific ritual. Why should the nurse give the client time to perform the ritual? It demonstrates respect for the client's autonomy. This behavior is viewed as a result of anger turned inward. Denying this activity may precipitate an increased level of anxiety. Successful performance of independent activities enhances self-esteem. A 65-year-old man is admitted to a mental health facility with a diagnosis of substance-induced persisting dementia resulting from chronic alcoholism. When conducting the admitting interview, the nurse determines that the client is using confabulation. What does the nurse recall precipitates the client’s use of confabulation? Ideas of grandeur Need for attention Marked memory loss Difficulty in accepting the diagnosis After a cocaine binge an individual is found unconscious and is admitted to the hospital with acute cocaine toxicity. What should the initial nursing action be directed toward? Being understanding Establishing a patent airway Maintaining a drug-free environment Establishing a therapeutic relationship A client with a personality disorder is playing cards with another person in the lounge. When the other person cheats at cards, the client responds by aggressively scattering the cards around the room. What does the nurse conclude about the client’s personality? Poor reality testing A violent personality An antisocial personality Inadequate impulse control A psychotic male client is admitted to the hospital for evaluation. While obtaining the history, the nurse asks why he was brought to the hospital by his parents. The client states, "They lied about me. They said I murdered my mother. You killed her. She died before I was born." What does the nurse recognize that the client is experiencing? Ideas of grandeur Confusing illusions Persecutory delusions Auditory hallucinations A nurse is caring for a client with an obsessive-compulsive disorder. What is the basis for the obsessions and compulsions? Unconscious control of unacceptable feelings Conscious use of this method to punish themselves Acceptance of voices that tell her that doorknobs are unclean Fulfillment of a need to punish others by carrying out the procedure A salesman with a history of heavy drinking is on a detoxification unit. He asks the nurse's permission to skip the Alcoholics Anonymous (AA) meeting held each day. What is the nurse's initial response? "What are your feelings about going to AA meetings?" "What is it that you dislike about going to AA meetings?" "It's all right to wait until you feel like going to AA meetings." "An important part of your treatment is attending AA meetings." A nurse is caring for a client with an obsessive-compulsive personality disorder that involves rituals. What should the nurse conclude about the ritual? It has a purpose but is useless. It is performed after long urging. It appears to be performed willingly. It seems illogical but is needed by the person. A client with schizophrenia is speaking made-up words that have no meaning to other people. What term should the nurse use to document these verbalizations? Avolition Echolalia Anhedonia Neologis