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A parent tells the school nurse that she suspects that her adolescent child is abusing
inhalants. Which of the following signs and symptoms would the nurse expect to see in
this adolescent?
a. Increased energy, decreased need for sleep, and increased activity
b. Aggressiveness or apathy, poor judgment, and neurological signs
c. Flu-like symptoms such as chills and fever, bones and muscles aching
d. Paranoia, isolating, delusional, and increase in appetite - CORRECT ANSWER: B
A surprising feature of Conversion Disorder is the client's:
a. Emotionality about the condition
b. Family's responses to the diagnosis
c. Lack of concern about his symptoms
d. Overwhelming concern about the symptoms - CORRECT ANSWER: C
An important borderline personality disorder characteristic is:
a. Overachieving behavior in school/college situations
b. Self-mutilating behavior, especially cutting on self
c. Having close life-long friends
d. Quiet or withdrawn isolative life - CORRECT ANSWER: B
Borderline personality disorder has as one of its essential features:
a. Strange ritualistic behavior
b. Obsessive compulsive behaviors
c. Frantic efforts to avoid real or imagined abandonment
,d. Extreme discomfort if anything is moved in the environment - CORRECT ANSWER:
C
Crack cocaine abusers may require hospitalization during withdrawal because of the
psychological severity of which of the following?
a.depression
b. Social isolation
c. Associated guilt
d. Amotivation - CORRECT ANSWER: A
Dissociative amnesia differs from a dissociative fugue in that:
a. Dissociative amnesia requires travel
b. Dissociative amnesia forms a new identity
c. Dissociative amnesia is isolated around 1 traumatic event
d. Dissociative amnesia has hallucinations and delusions - CORRECT ANSWER: C
Due to the need for self-admiration and maintaining a sense of self-perfection, the
individual with Narcissistic Personality Disorder may appear:
a. Arrogant, critical, and ruthless
b. Demanding, emotional, and labile
c. To disregard the rights of others
d. To be involved in imprudent sexual liaisons - CORRECT ANSWER: A
In working with clients with personality disorders, the staff suddenly seems to be fighting
with each other. The most likely explanation is which of the following?
a. Staff are tired and need a rest
b. Staff are stressed and need to work on techniques to reduce stress
c. Clients are manipulating staff and pitting staff against each other
, d. The rules on the unit are not clear, so staff need to work on the rules - CORRECT
ANSWER: B and/or C (remember staff do get stressed in working with personality
disordered clients.)
La Belle Indifference is a term used to describe a client's reaction to the physical
symptoms in which of the following conditions?
a. Hypochondriasis
b. Malingering
c. Conversion Disorder
d. Munchausens's Syndrome - CORRECT ANSWER: C
Somatoform disorders can be defined as which of the following?
a. Spiritual distress resulting from psychiatric disorders
b. Sleeping disturbance resulting from psychological disorders
c. Psychological condition manifested in physical symptoms
d. Physical factors manifested in psychological symptoms - CORRECT ANSWER: C
The client with a diagnosis of Antisocial Personality Disorder will most likely have which
of the following nursing diagnoses?
a. Violence, risk for, self-directed
b. Violence, risk for, other-directed
c. Fear
d. Hopelessness - CORRECT ANSWER: B
The history of a client diagnosed with Somatization Disorder is likely to indicate:
a. No gastrointestinal symptoms
b. First complaints after 40 years of age
c. Symptoms are intentionally produced
d. Multiple pain symptoms - CORRECT ANSWER: D