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Exam study book Essentials of Psychiatric Mental Health Nursing - E-Book of Elizabeth M. Varcarolis - ISBN: 9780323415378 (NUR PSYCHIATRI Hesi)

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NUR PSYCHIATRI Hesi-Mental-Health-Rn-v1-v3-
2023/2024- HESI MENTAL HEALTH RN V1-V3 LATEST
UPDATE 2023/2024 TEST BANK RATED A+ NEW
VERSIONS Test-Bank
What is Schizophrenia? - ANSWER: Affects a person's thinking, language, emotions,
social, behavior, and ability to perceive reality

False ideas or beliefs that the patient accepts as real are called: - ANSWER: Delusions

A positive symptom of schizophrenia is: - ANSWER: Hallucinations

A client says to the nurse, "My life doesn't have any happiness in it anymore. I once
enjoyed holidays, but now they're just another day." The nurse documents this
report as an example of: - ANSWER: anhedonia.

A client admitted yesterday for injuries sustained while intoxicated believes bugs are
crawling on the bed. The patient is anxious, agitated, and diaphoretic. What is the
priority nursing diagnosis? - ANSWER: Risk for injury

Severe pathologic mood swings, from hyperactivity and euphoria to sadness and
depression, occur in: - ANSWER: Bipolar disorder

What is Bipolar: - ANSWER: Characterized by excessive energy and activity may
alternate with depression is a chronic and often disabling brain disorder that consist
of a genetic vulnerability, biological, chemical, and environmental stressors

A client admitted to an alcoholism rehabilitation program tells the nurse, "I'm
actually just a social drinker. I usually have a drink at lunch, two in the afternoon,
wine with dinner, and a few drinks during the evening." The patient is using which
defense mechanism? - ANSWER: Denial

A client diagnosed with major depression refuses solid foods. In order to meet
nutritional needs, which beverage will the nurse offer to this patient? - ANSWER:
Milk

A nurse is caring for a client with low self-esteem. Which nonverbal communication
should the
nurse anticipate from this client? - ANSWER: Eyes pointed downward

Negative symptoms of schizophrenia are: - ANSWER: Blunted affect, Anhedonia,
Asociality

The first-line drug used to treat mania is - ANSWER: lithium carbonate (Lithium), a
mood stabilizer, is the first-line drug for use in treating bipolar disorder.

, A person who has numerous hypomanic and dysthymic episodes can be assessed as
demonstrating characteristics of - ANSWER: Cyclothymia refers to mood swings
involving hypomania and dysthymia of 2 years' duration. The mood swings are not
severe enough to prompt hospitalization.

A bipolar client tells the nurse, "I have the finest tenor voice in the world. The three
tenors who do all those TV concerts are going to retire because they can't compete
with me." The nurse would make the assessment that the client is displaying -
ANSWER: Exaggerated belief in one's own importance, identity, or capabilities is
seen with grandiosity.

Which behavior would be most characteristic of a client during a manic episode? -
ANSWER: Going rapidly from one activity to another, hyperactivity and distractibility
are basic to manic episodes.

The nurse can expect a client demonstrating typical manic behavior to be attired in
clothing that is - ANSWER: Manic clients often manage to dress and apply makeup in
ways that create a colorful, even bizarre, appearance.

An outcome for a manic client during the acute phase that would indicate that the
treatment plan was successful would be that the client - ANSWER: Risk for injury is a
diagnosis of high priority for manic clients because of their hyperactivity. Lack of
injury is a highly desirable outcome.

When a client experiences four or more mood episodes in a 12-month period, the
client is said to be - ANSWER: Rapid cycling implies four or more mood episodes in a
12-month period, as well as more severe symptomatology.

Which room placement would be best for a client experiencing a manic episode? -
ANSWER: The room placement that provides a nonstimulating environment is best.
Nearness to the nurses' station means close supervision can be provided.

When a hyperactive manic client expresses the intent to strike another client, the
initial nursing intervention would be to - ANSWER: Verbal limit setting should always
precede more restrictive measures.

When a client reports that lithium causes an upset stomach, the nurse suggests
taking the medication: - ANSWER: Many clients find that taking lithium with or
shortly after meals minimizes gastric distress.

The priority nursing diagnosis for a hyperactive manic client during the acute phase
is - ANSWER: Risk for injury is high, related to the client's hyperactivity and poor
judgment.

An acute phase nursing intervention aimed at reducing hyperactivity is redirecting
the client to - ANSWER: write in a diary, manic clients often respond well to the

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