LATEST MENTAL HEALTH EXAM PACK WITH COMPREHENSIVE SOLUTIONS

A nursing instructor is teaching about specific phobias. Which student statement indicates that learning has occurred? 1. "These clients do not recognize that their fear is excessive, and they rarely seek treatment." 2. These clients have overwhelming symptoms of panic when exposed to the phobic stimulus." 3. "These clients experience symptoms that mirror a cerebrovascular accident (CVA)." 4. "These clients experience the symptoms of tachycardia, dysphagia, and diaphoresis." 2. A client has a history of excessive fear of water. Which term should the nurse use to describe s specific phobia, and under what subtype is this phobia identified? 1. Aquaphobia; a natural environment type of phobia 2. Aquaphobia; a situational type of phobia 3. Acrophobia; a natural environment type of phobia 4. Acrophobia; a situational type of phobia 3. How would the nurse differentiate a client diagnosed with a social phobia from a client diagnosed with a schizoid personality disorder (SPD)? 1. Clients diagnosed with social phobia can manage anxiety without medications, whereas clients diagnosed with SPD can manage anxiety only with medications. 2. Clients diagnosed with SPD are distressed by the symptoms experienced in social settings, whereas clients diagnosed with social phobia are not. 3. Clients diagnosed with social phobia avoid interactions only in social settings, whereas clients diagnosed with SPD avoid interactions in all areas of life. 4. Clients diagnosed with SPD avoid interactions only in social settings, whereas clients diagnosed with social phobias tend to avoid interactions in all areas of life. 4. How would the nurse differentiate a client diagnosed with panic disorder from a client diagnosed with generalized anxiety disorder (GAD)? 1. GAD is acute in nature, and panic disorder is chronic. 2. Chest pain is a common GAD symptom, whereas this symptom is absent in panic disorders. 3. Hyperventilation is a common symptom in GAD and rare in panic disorder. 4. Depersonalization is commonly seen in panic disorder and absent in GAD. 5. Which treatment should the nurse identify as most appropriate for clients diagnosed with GAD? 1. Long-term treatment with diazepam (Valium) 2. Acute symptom control with citalopram (Celexa) 3. Long-term treatment with buspirone (BuSpar) 4. Acute symptom control with ziprasidone (Geodon) 6. A client diagnosed with obsessive-compulsive disorder (OCD) reports to the nurse that he can't stop thinking about all the potentially life-threatening germs in the environment. Which is the most accurate way for the nurse to document this symptom? 1.Client is expressing an obsession with germs. 2. Client is manifesting compulsive thinking. 3. Client is expressing delusional thinking about germs. 4. Client is manifesting arachnophobia of germs. 7. A cab driver stuck in traffic is suddenly lightheaded, tremulous, and diaphoretic and experiences tachycardia and dyspnea. An extensive work-up in an emergency department reveals no pathology. Which medical diagnosis is suspected, and which nursing diagnosis is the priority? 1. Generalized anxiety disorder (GAD) and a nursing diagnosis of fear 2. Altered sensory perception and a nursing diagnosis of panic disorder 3. Pain disorder and a nursing diagnosis of altered role performance 4.Panic disorder and a nursing diagnosis of panic anxiety 8. A client diagnosed with panic disorder states, "When an attack happens, I feel like I am going to die." Which is the nurse's most appropriate reply? 1."I know it's frightening, but try to remind yourself that it will only last a short time." 2. "Death from a panic attack happens so infrequently that there is no need to worry." 3. "Most people who experience panic attacks have feelings of impending doom." 4. "Tell me why you think you are going to die every time you have a panic attack." 9. A nursing instructor is teaching about the medications used to treat panic disorder. Which student statement indicates that learning has occurred? 1.AClonazepam (Klonopin) is particularly effective in the treatment of panic disorder." 2. "Clozapine (Clozaril) is used off-label for the long-term treatment of panic disorder. 3. "Doxepin (Sinequan) can be used in low doses to relieve symptoms of panic attacks." 4. "Buspirone (BuSpar) is used for its immediate effect to lower anxiety during panic attacks." 10. A client is experiencing a severe panic attack. Which nursing intervention would meet this client's immediate need? 1. Teach deep-breathing relaxation exercises. 2. Place the client in a Trendelenburg position. 3 Stay with the client and offer reassurance of safety. 4. Administer the ordered PRN buspirone (BuSpar). 11. A client living on the beachfront seeks help with an extreme fear of crossing bridges, which interferes with daily life. A psychiatric-mental health nurse practitioner decides to try systematic desensitization. Which explanation of this therapy should the nurse convey to the client? 1. "Using your imagination, we will attempt to achieve a state of relaxation that you can replicate when faced with crossing a bridge." 2. "Because anxiety and relaxation are mutually exclusive states, we can attempt to substitute a relaxation response for the anxiety response." 3Through a series of increasingly anxiety-provoking steps, we will gradually increase your tolerance to anxiety." 4. "In one intense session, you will be exposed to a maximum level of anxiety that you will learn to tolerate." 12. A client diagnosed with OCD is admitted to a psychiatric unit. The client has an elaborate routine for toileting activities. Which should be the initial client outcome during the first week of hospitalization? 1. The client will refrain from ritualistic behaviors during daylight hours. (2) The client will wake early enough to complete rituals prior to breakfast. 3. The client will participate in three unit activities by day 3. 4. The client will substitute a productive activity for rituals by day 1. 13. The nurse is providing discharge teaching to a client taking a benzodiazepine. Which client statement indicates a need for further instructions? 1."I will need scheduled bloodwork to monitor for toxic levels of this drug." 2. "I won't stop taking this medication abruptly, because there could be serious complications." 3. "I will not drink alcohol while taking this medication." 4. "I won't take extra doses of this drug because I can become addicted."