PRN 1562 Mental Health Exam 3 (Quiz & Evolve Questions) With Complete Solutions

PRN 1562 Mental Health Exam 3 (Quiz & Evolve Questions) With Complete Solutions Quiz The nurse is developing a plan of care for a 16-year-old client with bulimia nervosa. Which intervention would be included in the plan of care? Select all that apply. 1. Allow client to remain on current laxatives 2. Assess the client for electrolyte imbalances 3. Be alert to hidden or discarded food wrapper 4. Do not allow client to keep a food diary during hospitalization 5. Monitor the client for 1-2 hours after each meal in a central area 2. Assess the client for electrolyte imbalances 3. Be alert to hidden or discarded food wrapper 5. Monitor the client for 1-2 hours after each meal in a central area A new client at the sleep disorders clinical tells the nurse, "I have not slept well in a year, so I never feel good. I do not expect things will ever improve or be any different." Which of the following interventions should the nurse consider for this client? 1. Suggest the use of alcohol as a sedative to promote sleep 2. Provide instruction on relaxation techniques 3. Teach fatigue producing exercises for the client to become overtired 4. Encourage long daytime naps to compensate for the sleep deprivation 2. Provide instruction on relaxation techniques Which nursing action should occur first regarding a client who has a problem of sexual dysfunction or sexual disorder? 1. The nurse should develop an understanding of human sexual response 2. The nurse should assess the client's sexual functioning and needs 3. The nurse should acquire knowledge of the client's sexual roles 4. The nurse should clarify own personal values about sexuality 4. The nurse should clarify own personal values about sexuality A client diagnosed with schizophrenia has been taking chlorpromazine daily for several weeks. The nurse observes that the client's head and neck are contracted and the client's eyes are locked in an upward position. Which of the following is the nurse's best analysis and action? 1. The client has tardive dyskinesia. The nurse should teach the client relaxation exercises. 2. The client is having an acute dystonic reaction. The nurse should administer benztropine IM per PRN order. 3. The client has akathisia. The nurse should notify the psychiatrist to discuss a possible change in medication. 4. The client is experiencing auditory hallucinations. The nurse should administer haloperidol PO per PRN order. 2. The client is having an acute dystonic reaction. The nurse should administer benztropine IM per PRN order. A client diagnosed with borderline personality disorder and chronic back pain takes the maximum safe dose of opioid analgesic medication. The client tells the nurse, "The other nurses don't care about my pain, but you've always been so good to me. Could you give me a little extra medication? I won't tell anyone." Which of the following is the nurse's best response? 1. "I'll check with your doctor and get back to you." 2. "I'm sorry. I wish there was something more we could do to help you." 3. "No. I think you're trying to manipulate me into giving you more medication." 4. "I understand that you are in pain, but giving you more medication would not be safe." 4. "I understand that you are in pain, but giving you more medication would not be safe." The nurse is caring for a client with bulimia nervosa. Which is the most important time for the nurse to monitor the client's behavior? 1. During 1-2 hours after each meal 2. During every meal 3. During the evening meal 4. During the overnight hours 1. During 1-2 hours after each meal A client tells the nurse, "Everyone says we should sleep 8 hours a night. I can only sleep 6 hours no matter how hard I try. Am I doing harm to my body?" Which of the following would be the most appropriate response by the nurse? 1. Tell me about strategies you have tried to increase your total sleep hours 2. Lack of sleep acts as a stressor on the body and can cause physical changes 3. If you have really tried to sleep more, maybe you should consult your healthcare provider 4. If you function well with 6 hours of sleep, you are a short sleeper. That's normal for some people 4. If you function well with 6 hours of sleep, you are a short sleeper. That's normal for some people A man who frequently experiences premature ejaculation tells the nurse, "I feel like such a failure. It's so awful for both me and my partner." Which of the following would be the most appropriate therapeutic response by the nurse? 1. I sense you are feeling frustrated and upset 2. Tell me more about feeling like a failure 3. You are too hard on yourself 4. What do you mean by awful? 1. I sense you are feeling frustrated and upset A client recently diagnosed with schizophrenia is hospitalized. The client appears distraught and says to the nurse, "The voices are bad today...they are so angry with me." Which of the following is the best response by the nurse? 1. Do you need something to help you calm down? 2. Don't pay any attention to the voices. Let's go into the dayroom. 3. The voices are not real. Tell them to go away. 4. What are the voices saying to you? 1. Do you need something to help you calm down? A nurse appropriately set limits while interacting with a client diagnosed with a borderline personality disorder. The client tells the nurse, "You used to care about me. I thought you were wonderful. Now I can see I was wrong. You're the worst nurse ever." Which defense mechanism is being used by this client? 1. Splitting 2. Projection 3. Displacement 4. Reaction formation 1. Splitting Chapter 18 Evolve Which statement is true of the eating disorder referred to as bulimia? 1. Patients with bulimia often appear at a normal weight. 2. Patients with bulimia binge eat but do not engage in compensatory measures. 3. Patients with bulimia severely restrict their food intake. 4. One sign of bulimia is lanugo. 1. Patients with bulimia often appear at a normal weight. According to current theory, which statement regarding eating disorders is accurate? 1. Eating disorders are psychotic disorders in which patients experience body dysmorphic disorder. 2. Eating disorders are frequently misdiagnosed. 3. Eating disorders are possibly influenced by sociocultural factors. 4. Eating disorders are rarely comorbid with other mental health disorders. 3. Eating disorders are possibly influenced by sociocultural factors. When educating a client diagnosed with bulimia nervosa about the medication fluoxetine, the nurse should include what information about this medication? 1. It will reduce the need for cognitive therapy. 2. It will be prescribed at a higher than typical dose. 3. There are a variety of medications to prescribe if fluoxetine proves to be ineffective. 4. Long-term management of symptoms is best achieved with tricyclic antidepressants. 2. It will be prescribed at a higher than typical dose. Ali is a 17-year-old patient with bulimia coming to the outpatient mental health clinic for counseling. Which of the following statements by Ali indicates that an appropriate outcome for treatment has been met? 1. "I purge only once a day now instead of twice." 2. "I feel a lot calmer lately, just like when I used to eat four or five cheeseburgers." 3. "I am a hard worker and I am very compassionate toward others." 4. "I always purge when I'm alone so that I'm not a bad role model for my younger sister." 3. "I am a hard worker and I am very compassionate toward others." A 16-year-old patient being treated for anorexia, has been prescribed medication to reduce compulsive behaviors regarding food now that ideal weight has been reached. Which class of medication is prescribed for this specific issue associated with eating disorders? 1. Mood stabilizers 2. Antidepressants 3. Anxiolytics 4. Atypical antipsychotics 2. Antidepressants Chapter 19 Evolve Which statement by a patient who was educated about the importance of acquiring adequate sleep indicates a need for further teaching? 1. "I will be sure to try to get 8 hours of sleep every night, and 9 or 10 hours of sleep if I can." 2. "Getting less than 6 hours of sleep at night may increase my risk for medical problems." 3. "Getting enough sleep will increase my productivity at work." 4. "Since I have to drive for my job, getting enough sleep will help me avoid accidents." 1. "I will be sure to try to get 8 hours of sleep every night, and 9 or 10 hours of sleep if I can." A client diagnosed with a chronic sleep disorders begins to cry and states, "I can't keep going like this! I work in a bank and if I can't function correctly I'll lose my job. I just don't think I'll get better." Which statement provides a therapeutic response to the client's concerns? 1. "Don't worry! I'm sure with treatment everything will get better." 2. "You are not alone. Many people who come for sleep studies are going through the same thing." 3. "You seem so sad. May I ask if something else is troubling you?" 4. "There is much hope for improvement through treatment. Let's talk about some strategies for your problems at work." 4. "There is much hope for improvement through treatment. Let's talk about some strategies for your problems at work." A client asks the nurse to explain what basal sleep requirement is. What is the nurse's best response? 1. The basal temperature of your body needed to induce the best sleep. 2. The sleep time by your body needed to repair cellular damage. 3. The amount of sleep needed to be fully awake and perform well in the daytime. 4. The amount of sleep needed to transition to rapid eye movement (REM) sleep. 3. The amount of sleep needed to be fully awake and perform well in the daytime. A 38-year-old patient referred for sleep studies reports frequent daytime lethargy, unintended lapses into sleep, and never feeling rested on awakening in the morning. These symptoms support which sleep-related diagnosis? 1. Circadian rhythm disorder 2. Hypersomnolence 3. REM sleep behavior disorder 4 Breathing-related sleep disorder 2. Hypersomnolence A client newly diagnosed with hypersomnolence asks about what medication will be prescribed to manage this disorder. The nurse will base his/her response based on what knowledge? 1. There is no effective medication treatment for hypersomnolence disorder. 2. Medication therapy with benzodiazepines may be initiated. 3. A stimulant will most likely be prescribed. 4. The client will be started on an anticholinesterase inhibitor. 3. A stimulant will most likely be prescribed. Chapter 12 Evolve Nico, a 22-year-old patient, is diagnosed with schizophrenia. Which of the following symptoms would alert a provider to a possible diagnosis of schizophrenia in a 22-year-old male client? 1. Excessive sleeping with disturbing dreams 2. Hearing voices telling him to hurt his roommate 3. Withdrawal from college because of failing grades 4. Chaotic and dysfunctional relationships with his family and peers 2. Hearing voices telling him to hurt his roommate A client diagnosed with schizophrenia states to the nurse, "My, oh my. My mother is brother. Anytime now it can happen to my mother." Your best response would be: 1. "You are having problems with your speech. You need to try harder to be clear." 2. "You are confused. I will take you to your room to rest a while." 3. "I will get you a prn medication for agitation." 4. "I'm sorry, I didn't understand that. Do you want to talk more about your mother as we did yesterday?" 4. "I'm sorry, I didn't understand that. Do you want to talk more about your mother as we did yesterday?" Tara and Aaron are twins who are both diagnosed with schizophrenia. Aaron was diagnosed at 23 years old and Tara at 31 years old. Based on your knowledge of early and late onset of schizophrenia, which of the following is true? 1. Tara and Aaron have the same expectation of a poor long-term prognosis. 2. Tara will experience more positive signs of schizophrenia such as hallucinations. 3. Aaron will be more likely to hold a job and live a productive life. 4. Tara has a better chance for positive outcomes because of later onset. 4. Tara has a better chance for positive outcomes because of later onset. A teenaged client is being discharged from the psychiatric unit with a prescription for risperidone. The nurse providing medication teaching to the client's mother should provide which response when asked about the risk her son faces for extrapyramidal side effects (EPSs)? 1. All antipsychotic medications have an equal chance of producing EPSs. 2. Newer antipsychotic medications have a higher risk for EPSs. 3. Risperidone is a newer antipsychotic medication and has a lower risk of EPSs than older antipsychotics.