RN mental health disorders and addictions EAQ
For a client with an obsessive- compulsive disorder, which rationale explains the
function of obsessions & compulsions? - ANSWER: unconscious control of
unacceptable feelings
Which behavior is characteristic of panic during a crisis? - ANSWER: being physically
immobile
Which term describes the client's use of made-up words that have no meaning to
other people? - ANSWER: Neologisms
Define avolition - ANSWER: lack of motivation associated with a reduced emotional
expression (flat affect)
Define echolalia - ANSWER: parrotlike echoing of spoken words or sounds
Define anhedonia - ANSWER: loss of enjoyment in things that were formerly enjoyed
Which type of sexual disorder describes a client who has a sexual obsession with
shoes? - ANSWER: fetishistic
This disorder is characterized by a sexual focus on objects (such as gloves,
pantyhose, & stockings) that are intimately associated with the body.
Define sadism - ANSWER: achievement of sexual satisfaction from the physical or
psychological suffering (including humiliation) of the victim
Define voyeurism - ANSWER: seeking sexual arousal through the viewing (usually
secret) of other people engaged in intimate situations
Define frotteuristic disorder - ANSWER: rubbing or touching a non-consenting person
Define exhibitionistic disorder - ANSWER: intentional display of the genitals in a
public place
Which disorder would the nurse classify as neurodevelopmental? - ANSWER: ADHD
Which type of hallucination is the most common? - ANSWER: auditory
Define confabulation - ANSWER: Filling in gaps of memory with false information
It's used as a protective mechanism
Which term described the disturbance in mood & affect seen in clients who are
depressed? - ANSWER: dysphoric (means feelings of hopelessness & sadness)
, Which factor would precipitate a client's use of confabulation? - ANSWER: marked
memory loss
A client with this disorder has a loss of memory & adapts by filling in areas that can't
be remembered with made-up info
Define tangentiality - ANSWER: speaking about subjects unrelated or tangent to the
main discussion topic or responding to questions without answering the question
In the acute phase of bipolar disorder, manic episode, which biopsychosocial need is
the priority? - ANSWER: physical
During a manic episode, the excessive hyperactivity increases the risk for cardiac
collapse, dehydration, nutritional deficiencies, & sleep pattern disruption.
The client also has increased risk for physical injury secondary to poor judgement &
impulsiveness.
Define malingering - ANSWER: when an individual consciously pretends to have an
illness with no physical basis
Which intervention would the nurse use to promote the safety of a client
experiencing alcohol withdrawal? - ANSWER: administer chlordiazepoxide because
alcohol withdrawal can cause seizures & autonomic hyperactivity
Which feelings are often the basis of OCD? - ANSWER: anxiety & guilt
Ritualistic behaviors seen in this disorder are aimed at controlling feelings of anxiety
& guilt by maintaining an absolute set pattern of action.
Which primary symptom would the nurse assess for in a boy who has encopresis? -
ANSWER: passing feces either voluntarily or involuntarily into inappropriate places
(such as clothing, closets, floors, or toy boxes)
Define command hallucinations - ANSWER: auditory hallucinations that give verbal
messages to do harm either to the self or others
giving an identity to the hallucinated voice increases the risk of compliance
Define grandiose delusions - ANSWER: when an individual claims that they have
exceptional abilities/ special powers, wealth, or fame
Define erotomanic delusions - ANSWER: fixed ideas that another person is in love
with the client
Define persecutory delusions - ANSWER: involve the belief that one is being
conspired against
For a client with an obsessive- compulsive disorder, which rationale explains the
function of obsessions & compulsions? - ANSWER: unconscious control of
unacceptable feelings
Which behavior is characteristic of panic during a crisis? - ANSWER: being physically
immobile
Which term describes the client's use of made-up words that have no meaning to
other people? - ANSWER: Neologisms
Define avolition - ANSWER: lack of motivation associated with a reduced emotional
expression (flat affect)
Define echolalia - ANSWER: parrotlike echoing of spoken words or sounds
Define anhedonia - ANSWER: loss of enjoyment in things that were formerly enjoyed
Which type of sexual disorder describes a client who has a sexual obsession with
shoes? - ANSWER: fetishistic
This disorder is characterized by a sexual focus on objects (such as gloves,
pantyhose, & stockings) that are intimately associated with the body.
Define sadism - ANSWER: achievement of sexual satisfaction from the physical or
psychological suffering (including humiliation) of the victim
Define voyeurism - ANSWER: seeking sexual arousal through the viewing (usually
secret) of other people engaged in intimate situations
Define frotteuristic disorder - ANSWER: rubbing or touching a non-consenting person
Define exhibitionistic disorder - ANSWER: intentional display of the genitals in a
public place
Which disorder would the nurse classify as neurodevelopmental? - ANSWER: ADHD
Which type of hallucination is the most common? - ANSWER: auditory
Define confabulation - ANSWER: Filling in gaps of memory with false information
It's used as a protective mechanism
Which term described the disturbance in mood & affect seen in clients who are
depressed? - ANSWER: dysphoric (means feelings of hopelessness & sadness)
, Which factor would precipitate a client's use of confabulation? - ANSWER: marked
memory loss
A client with this disorder has a loss of memory & adapts by filling in areas that can't
be remembered with made-up info
Define tangentiality - ANSWER: speaking about subjects unrelated or tangent to the
main discussion topic or responding to questions without answering the question
In the acute phase of bipolar disorder, manic episode, which biopsychosocial need is
the priority? - ANSWER: physical
During a manic episode, the excessive hyperactivity increases the risk for cardiac
collapse, dehydration, nutritional deficiencies, & sleep pattern disruption.
The client also has increased risk for physical injury secondary to poor judgement &
impulsiveness.
Define malingering - ANSWER: when an individual consciously pretends to have an
illness with no physical basis
Which intervention would the nurse use to promote the safety of a client
experiencing alcohol withdrawal? - ANSWER: administer chlordiazepoxide because
alcohol withdrawal can cause seizures & autonomic hyperactivity
Which feelings are often the basis of OCD? - ANSWER: anxiety & guilt
Ritualistic behaviors seen in this disorder are aimed at controlling feelings of anxiety
& guilt by maintaining an absolute set pattern of action.
Which primary symptom would the nurse assess for in a boy who has encopresis? -
ANSWER: passing feces either voluntarily or involuntarily into inappropriate places
(such as clothing, closets, floors, or toy boxes)
Define command hallucinations - ANSWER: auditory hallucinations that give verbal
messages to do harm either to the self or others
giving an identity to the hallucinated voice increases the risk of compliance
Define grandiose delusions - ANSWER: when an individual claims that they have
exceptional abilities/ special powers, wealth, or fame
Define erotomanic delusions - ANSWER: fixed ideas that another person is in love
with the client
Define persecutory delusions - ANSWER: involve the belief that one is being
conspired against
