Psychiatric Nursing Questionares With Rationale 1
Psychiatric Nursing Questionares With Rationale 1
Psychiatric Nursing Questionares With Rationale 1
13. Nurse Trish is working in a mental health by the nurse would be most important?
facility; the nurse priority nursing a. Ask a family member to stay with
with bulimia nervosa would be to? b. Discuss the meaning of the client’s
14. Nurse Patricia is aware that the major 19. Joey a client with antisocial personality
health complication associated with disorder belches loudly. A staff member
intractable anorexia nervosa would be? asks Joey, “Do you know why people find
amenorrhea c. Shame
15. Nurse Anna can minimize agitation in a be most appropriate to use with a client
b. limiting unnecessary interaction what the client states and what actually
perception a. Rationalization
and walking rituals. Nurse Trish recognizes hyperactivity. Blood pressure is 190/87
that the basis of O.C. disorder is often: mmhg and pulse is 92 bpm. Which of the
conscientious administer?
17. Mario is complaining to other clients about 22. Which of the following foods would the
not being allowed by staff to keep food in nurse Trish eliminate from the diet of a
room c. Soda
c. Ignoring the clients behavior 23. Which of the following would Nurse Hazel
18. Conney with borderline personality exhibiting late signs of heroin withdrawal?
24. To establish open and trusting relationship defense mechanism known as?
frequent interaction with the client 30. When working with a male client suffering
b. Share an activity with the client phobia about black cats, Nurse Trish should
c. Give client feedback about anticipate that a problem for this client
25. Nurse Monette recognizes that the focus of c. Denying that the phobia exist
bring about positive changes in 31. Linda is pacing the floor and appears
determine whether or not they will Linda’s anxiety. The most therapeutic
d. Use natural remedies rather than c. Are you feeling upset now?
26. Nurse Trish would expect a child with a 32. Nurse Penny is aware that the symptoms
b. Cling to mother & cry on separation activities that resemble the stress
27. When teaching parents about childhood c. Lack of interest in family & others
b. Does not respond to conventional 33. Nurse Benjie is communicating with a male
d. Looks almost identical to adult information. Nurse Benjie is aware that this
29. A 60 year old female client who lives alone diagnosis anorexia are?
b. Slow pulse, 10% weight loss & hospital by his parents. After detailed
bulimia would be: 41. A 23 year old client has been admitted with
a. Multiple stimuli 42. A long term goal for a paranoid male client
38. A nursing care plan for a male client with unit. The nurse uses which communication
39. When planning care for a female client may not choose to eat
using ritualistic behavior, Nurse Gina must 44. Nurse Nina is assigned to care for a client
a. Helps the client focus on the Nurse Nina enters the client’s room, the
inability to deal with reality client is found lying on the bed with a body
b. Helps the client control the anxiety pulled into a fetal position. Nurse Nina
40. A 32 year old male graduate student, who be with other clients
45. Nurse Tina is caring for a client with d. The client maintains contact with a
spiders on the wall”. What should the nurse 49. Nurse Tina is caring for a client with
are no spiders in this room at all” anticipates that what treatment procedure
spiders” c. Psychosurgery
not see spiders on the wall” 50. Mario is admitted to the emergency room
46. Nurse Jonel is providing information to a with drug-included anxiety related to over
member would indicate a need to provide information the nurse in charge should
c. “Abuser use fear and intimidation” d. Name of the nearest relative &
esteem”
48. When planning the discharge of a client Nurseshould watch for clues, such as
with chronic anxiety, Nurse Chris evaluates communicating suicidal thoughts, and messages;
achievement of the discharge maintenance hoarding medications and talking about death.
goals. Which goal would be most 4. B. Establishing a consistent eating plan and
appropriately having been included in the monitoring client’s weight are important to this
plan of care requiring evaluation? disorder.
5. C. Appropriate nursing interventions for an anxiety belittling. The natural tendency is to counterattack
attack include using short sentences, staying with the threat to self image.
the client, decreasing stimuli, remaining calm and 20. B. The nurse would specifically use supportive
6. B. Delusion of grandeur is a false belief that one is discrepancies between what the client states and
highly famous and important. what actually exists to increase responsibility for
typically shows indecisiveness submissiveness and 21. C. The nurse would most likely administer
clinging behavior so that others will make decisions benzodiazepine, such as lorazepan (ativan) to the
experience excessive social anxiety that can lead the rebound phenomenon when the sedation of the
9. B. Bulimia disorder generally is a maladaptive 22. D. Regular coffee contains caffeine which acts as
coping response to stress and underlying issues. psychomotor stimulants and leads to feelings of
The client should identify anxiety causing situation anxiety and agitation. Serving coffee top the client
that stimulate the bulimic behavior and then learn may add to tremors or wakefulness.
new ways of coping with the anxiety. 23. D. Vomiting and diarrhea are usually the late signs
10. A. An adult age 31 to 45 generates new level of of heroin withdrawal, along with muscle spasm,
SUCCINYLCHOLINE (Anectine) produces respiratory 24. D. Moving to a client’s personal space increases
depression because it inhibits contractions of the feeling of threat, which increases anxiety.
12. C. With depression, there is little or no emotional everything in the client’s surrounding area toward
13. D. These clients often hide food or force vomiting; 26. C. Children who have experienced attachment
therefore they must be carefully monitored. difficulties with primary caregiver are not able to
14. A. These clients have severely depleted levels of trust others and therefore relate superficially
sodium and potassium because of their starvation 27. A. Children have difficulty verbally expressing their
diet and energy expenditure, these electrolytes are feelings, acting out behavior, such as temper
15. B. Limiting unnecessary interaction will decrease 28. D. The autistic child repeat sounds or words spoken
16. C. Ritualistic behavior seen in this disorder is aimed 29. D. The client statement is an example of the use of
at controlling guilt and inadequacy by maintaining denial, a defense that blocks problem by
17. D. The nurse needs to set limits in the client’s 30. A. Discussion of the feared object triggers an
manipulative behavior to help the client control emotional response to the object.
dysfunctional behavior. A consistent approach by 31. B. The nurse presence may provide the client with
18. B. Any suicidal statement must be assessed by the 32. D. Experiencing the actual trauma in dreams or
nurse. The nurse should discuss the client’s flashback is the major symptom that
statement with her to determine its meaning in distinguishes post traumatic stress disorder from
19. A. When the staff member ask the client if he 33. C. Confabulation or the filling in of memory gaps
wonders why others find him repulsive, the client is with imaginary facts is a defense mechanismused
likely to feel defensive because the question is by people experiencing memory deficits.
34. A. These are the major signs of anorexia nervosa. 49. D. Electroconvulsive therapy is an effective
Weight loss is excessive (15% of expected weight). treatment for depression that has not responded to
36. B. Depression usually is both emotional & physical. first. The name and the amount of medication
A simple daily routine is the best, least stressful ingested are of outmost important in treating this
life.
security.
adequate self-boundaries.
message.
pathologic defenses.
in descriptive manner.
respond.
and jealousy.
d. Hamburger
effects?
implement?
Psychiatric Nursing Practice Test Part 2
a. ECT
1. Nurse Tony should first discuss terminating the
b. Psychotherapeutic approach
nurse-client relationship with a client during the:
c. Psychoanalysis
a. Termination phase when discharge plans are being
d. Antidepressant therapy
made.
7. Danny who is diagnosed with bipolar disorder and
b. Working phase when the client shows some
acute mania, states the nurse, “Where is my
progress.
daughter? I love Louis. Rain, rain go away. Dogs
c. Orientation phase when a contract is established.
eat dirt.” The nurse interprets these statements as
d. Working phase when the client brings it up.
indicating which of the following?
2. Malou is diagnosed with major depression spends
a. Echolalia
majority of the day lying in bed with the sheet
b. Neologism
pulled over his head. Which of the following
c. Clang associations
approaches by the nurse would be the most
d. Flight of ideas
therapeutic?
8. Terry with mania is skipping up and down the
a. Question the client until he responds
hallway practically running into other
b. Initiate contact with the client frequently
clients. Which of the following activities would the
c. Sit outside the clients room
nurse in charge expect to include in Terry’s plan of
d. Wait for the client to begin the conversation
care?
3. Joe who is very depressed exhibits psychomotor
a. Watching TV
retardation, a flat affect and apathy. The nursein
b. Cleaning dayroom tables
charge observes Joe to be in need of grooming and
c. Leading group activity
hygiene. Which of the following nursing actions
d. Reading a book
would be most appropriate?
9. When assessing a male client for suicidal risk, which
a. Waiting until the client’s family can participate in the
of the following methods of suicide would the
client’s care
nurse identify as most lethal?
b. Asking the client if he is ready to take shower
a. Wrist cutting
c. Explaining the importance of hygiene to the client
b. Head banging
d. Stating to the client that it’s time for him to take a
c. Use of gun
shower
d. Aspirin overdose
4. When teaching Mario with a typical depression about
10. Jun has been hospitalized for major depression and
foods to avoid while taking phenelzine(Nardil),
suicidal ideation. Which of the following statements
which of the following would the nurse in charge
indicates to the nurse that the client is improving?
include?
a. “I’m of no use to anyone anymore.”
a. Roasted chicken
b. Fresh fish
b. “I know my kids don’t need me anymore since b. Feeling more guilty about the client’s illness
c. “I couldn’t kill myself because I don’t want to go to d. Managing their financial concern and problems
d. “I don’t think about killing myself as much as I used personality disorder, which of the following would
11. Which of the following activities would Nurse Trish a. Attending an activity with the nurse
recommend to the client who becomes very b. Leading a sing a long in the afternoon
a. Using exercise bicycle d. Being involved with primarily one to one activities
12. When developing the plan of care for a client b. Prognosis for recovery is good with therapeutic
medications would nurse Monet anticipate c. The individual typically remains in the mainstream of
administering if the client developed extra society, although he has problems in social and
c. Benztropine mesylate (Cogentin) 18. Nurse John is talking with a client who has been
13. Jon a suspicious client states that “I know you socialize during activities without being
nurses are spraying my food with poison as you seductive. Nurse John would focus the discussion
take it out of the cart.” Which of the following on which of the following areas?
would be the best response of the nurse? a. Discussing his relationship with his mother
a. Giving the client canned supplements until the b. Asking him to explain reasons for his seductive
b. Asking what kind of poison the client suspects is c. Suggesting to apologize to others for his behavior
d. Allowing the client to be the first to open the cart 19. Tina with a histrionic personality disorder is
14. A client is suffering from catatonic situations in an exaggerated manner. Nurse Trish
behaviors. Which of the following would the would recommend which of the
nurse use to determine that the medication following activities for Tina?
b. The client initiates simple activities without direction c. Scrap book making
c. The client walks with the nurse to her room d. Music group
d. The client is able to move all extremities 20. Joy has entered the chemical dependency unit for
15. Nurse Hazel invites new client’s parents to attend following client’s possession will the nurse most
the psycho educational program for families of the likely place in a locked area?
the best information about the client’s physiologic administer to a female client who is intoxicated
response and the effectiveness of the medication with phencyclidine (PCP) to hasten excretion of the
22. After administering naloxone (Narcan), an opioid 28. When developing a plan of care for a female client
antagonist, Nurse Ronald should monitor the with acute stress disorder who lost her sister in a
female client carefully for which of the following? car accident. Which of the following would the
the best measure to determine a client’s progress c. Telling the client to avoid details of the accident
a. The way he gets along with his parents 29. The nursing assistant tells nurse Ronald that the
b. The number of drug-free days he has client is not in the dining room for lunch. Nurse
c. The kinds of friends he makes Ronald would direct the nursing assistant to do
24. A female client is brought by ambulance to the a. Tell the client he’ll need to wait until supper to eat if
of barbiturates is comatose. Nurse Trish would be b. Invite the client to lunch and accompany him to the
c. Renal failure d. Take the client a lunch tray and let the client eat in
25. Joey who has a chronic user of cocaine reports that 30. The initial nursing intervention for the significant-
he feels like he has cockroaches crawling under his others during shock phase of a grief reaction
skin. His arms are red because of scratching. The should be focused on:
nurse in charge interprets these findings as a. Presenting full reality of the loss of the individuals
possibly indicating which of the following? b. Directing the individual’s activities at this time
26. Jose is diagnosed with amphetamine psychosis and death. Nurse Ronald should plan to help Joy
was admitted in the emergency room. Nurse through this stage of grieving, which is known as:
b. Valium d. Restitution
33. What is the priority care for a client with a 39. A nursing diagnosis for a male client with a
b. Arranging for long term custodial care abuse. The most appropriate short term client
34. Jerome who has eating disorder often exhibits b. Recognizing each existing personality
adolescent client with anorexia to exhibit: d. Eliminating defense mechanisms and phobia
35. The primary nursing diagnosis for a female client room for several days at a time. Nurse Monette
with a medical diagnosis of major depression would understands that the withdrawal is a defense
36. When developing an initial nursing care plan for a problems in young client with the diagnosis of
male client with a Bipolar I disorder (manic schizophrenia, Nurse Linda would expect that they
episode) nurse Ron should plan to? would relate the client’s difficulties began in:
37. Grace is exhibiting withdrawn patterns of 42. Jose who has been hospitalized with schizophrenia
behavior. Nurse Johnny is aware that this type of tells Nurse Ron, “My heart has stopped and my
behavior eventually produces feeling of: veins have turned to glass!” Nurse Ron is aware
c. Anger b. Depersonalization
d. Paranoia c. Hypochondriasis
psychiatric service complains to nurse Hazel that 43. In recognizing common behaviors exhibited by
she has been waiting for over an hour for someone male client who has a diagnosis of schizophrenia,
to accompany her to activities. Nurse Hazel replies nurse Josie can anticipate:
to the client “We’re doing the best we can. There a. Slumped posture, pessimistic out look and flight of
skills John should assess the male client for the presence
44. One morning, nurse Diane finds a disturbed client a. Disorientation, paranoia, tachycardia
curled up in the fetal position in the corner of the b. Tremors, fever, profuse diaphoresis
dayroom. The most accurate initial evaluation of c. Irritability, heightened alertness, jerky movements
the behavior would be that the client is: d. Yawning, anxiety, convulsions
a. While watching TV
1. C. When the nurse and client agree to work
b. During meal time
together, a contract should be established,
c. During group activities
the length of the relationship should be
d. After going to bed
discussed in terms of its ultimate
47. Nurse John recognizes that paranoid delusions
termination.
usually are related to the defense mechanism of: 2. B. The nurse should initiate brief, frequent
a. Projection contacts throughout the day to let the
b. Identification client know that he is important to the
c. Repression nurse. This will positively affect the client’s
d. Regression self-esteem.
48. When planning care for a male client using 3. D. The client with depression is
paranoid ideation, nurse Jasmin should realize the preoccupied, has decreased energy, and is
depression diagnosed when a client has 17. C. An individual with personality disorder
had a depressed mood for more days than usually is not hospitalized unless a
not over a period of at least 2 years. Client coexisting Axis I psychiatric disorder is
with dysthymic disorder benefit from present. Generally, these individuals make
the client in reversing the negative self society, although they typically experience
image, negative feelings about the future. relationship and occupational problems
7. D. Flight of ideas is speech pattern of rapid related to their inflexible behaviors.
transition from topic to topic, often without Personality disorders are chronic lifelong
finishing one idea. It is common in mania. patterns of behavior; acute episodes do not
8. B. The client with mania is very active & occur. Psychotic behavior is usually not
needs to have this energy channeled in a common, although it can occur in either
lethality of a method is the amount of time and the individual is inflexible, prognosis
that occurs between initiating the method for recovery is unfavorable. Generally, the
& the delivery of the lethal impact of the individual does not seek treatment
killing myself as much as I used to.” based on other people’s reaction to the
and improvement in the client’s condition. 18. D. The nurse would explain the negative
11. A. Using exercise bicycle is appropriate for reactions of others towards the client’s
the client who becomes very anxious when behaviors to make the clients aware of the
experiencing extra pyramidal side effects 19. B. The nurse would use role-playing to
from haloperidol (Haldol) is benztropine teach the client appropriate responses to
mesylate (cogentin) because of its anti others and in various situations. This client
the cart & take a tray presents the client feelings. The nurse works to help the client
with the reality that the nurses are not clarify true feelings & learn to express
improvement, the ability to initiate simple unless labeling clearly indicates that the
activities without directions indicates the product does not contain alcohol.
most improvement in the catatonic 21. D. Monitoring of vital signs provides the
behaviors. best information about the client’s overall
15. A. Psychoeducational groups for families physiologic status during alcohol
develop a support network. They provide withdrawal & the physiologic response to
the client to become involved with others drug is short acting & respiratory
client’s progress in rehabilitation is the 34. A. Individuals with anorexia often display
number of drug- free days he has. The irritability, hospitality, and a depressed
of death from barbiturate over dose. needs are a priority to ensure adequate
25. B. The feeling of bugs crawling under the nutrition, fluid, and rest.
psychotic symptoms, including delusions, needs but tries to make the client feel
cranberry juice to acidify the urine to a ph 40. D. An aloof, detached, withdrawn posture
of 5.5 & accelerate excretion. is a means of protecting the self by
28. A. The nurse would facilitate progressive withdrawing and maintaining a safe,
to help the client integrate feelings & 41. C. The usual age of onset of schizophrenia
memories and to begin the grieving is adolescence or early childhood.
to invite the client to lunch & accompany 43. C. These are the classic behaviors
him to the dinning room to decrease exhibited by clients with a diagnosis of
and reinforcement of negative behavior 44. D. The fetal position represents regressed
while maintaining the client’s worth. behavior. Regression is a way of
30. C. This provides support until the responding to overwhelming anxiety.
individuals coping mechanisms and 45. B. This provides a stimulus that competes
personal support systems can be with and reduces hallucination.
continuous process until a mental image of are diminished and there are few
characterized by increasing dependence on outside the self rather than from within.
environment & social structure and by 48. B. This will help the client develop self-
increasing psychologic rigidity with esteem and reduce the use of paranoid
a. Hostility
b. Inadequacy
c. Incompetence
d. Passion
a. Humiliation
b. Confusion
c. Self blame
d. Hatred
9. Nurse Trish suggests a crisis intervention group to a intestines are rotted from worms chewing on
c. Client is encouraged to talk about personal problems diagnosis of borderline personality disorder. Nurse
d. Client is assisted to investigate alternative Hilary should expects the assessment to reveal:
approaches to solving the identified problem a. Coldness, detachment and lack of tender feelings
10. Nurse Ronald could evaluate that the staff’s b. Somatic symptoms
approach to setting limits for a demanding, angry c. Inability to function as responsible parent
client was effective if the client: d. Unpredictable behavior and intense interpersonal
b. Understands the reason why frequent calls to the health setting to manage which of the following
c. Discuss concerns regarding the emotional condition a. Antipsychotic – induced akathisia and anxiety
11. Nurse John is aware that the therapy that has the c. Delusions for clients suffering from schizophrenia
highest success rate for people with phobias would d. The manic phase of bipolar illness as a mood
be: stabilizer
a. Psychotherapy aimed at rearranging maladaptive 17. Which medication can control the extra pyramidal
d. Insight therapy to determine the origin of the 18. Which of the following statements should be
12. When nurse Hazel considers a client’s placement oxidase inhibitor (MAOI) antidepressants?
on the continuum of anxiety, a key in determining a. Don’t take aspirin or nonsteroidal anti-inflammatory
13. In the diagnosis of a possible pervasive 19. Kris periodically has acute panic attacks. These
developmental autistic disorder. The nurse would attacks are unpredictable and have no apparent
find it most unusual for a 3 year old child to association with a specific object or
20. Initial interventions for Marco with acute anxiety anxiety and anger
include all except which of the following? 26. Rosana is in the second stage of Alzheimer’s
a. Touching the client in an attempt to comfort him disease who appears to be in pain. Which question
b. Approaching the client in calm, confident manner by Nurse Jenny would best elicit information about
d. Providing the client with a safe, quiet and private b. “Do you hurt? (pause) “Do you hurt?”
21. Nurse Jessie is assessing a client suffering from d. “Where do you hurt?”
stress and anxiety. A common physiological 27. Nursing preparation for a client undergoing
response to stress and anxiety is: electroconvulsive therapy (ECT) resemble those
female anxious client, nurse Nelli would expect to 28. Jose who is receiving monoamine oxidase inhibitor
find which of the following effects produced by the antidepressant should avoid tyramine, a compound
23. Which of the following drugs have been known to 29. Erlinda, age 85, with major depression undergoes a
a. Divalproex (depakote) and Lithium (lithobid) after ECT, the nurse expects to find:
b. Chlordiazepoxide (Librium) and diazepam (valium) a. Permanent short-term memory loss and
d. Benztropine (Cogentin) and diphenhydramine b. Permanent long-term memory loss and hypomania
24. Tony with agoraphobia has been symptom-free for long-term memory loss
4 months. Classic signs and symptoms of phobia d. Transitory short and long term memory loss and
include: confusion
a. Severe anxiety and fear 30. Barbara with bipolar disorder is being treated with
b. Withdrawal and failure to distinguish reality from lithium for the first time. Nurse Clint should
a. Place the client in seclusion 31. Nurse Fred is assessing a client who has just been
b. Leaving the client alone until he can talk about his admitted to the ER department. Which signs would
c. Involving the client in a quiet activity to divert a. Suspiciousness, dilated pupils and incomplete BP
tricyclic antidepressants include which of the 38. A nurse who explains that a client’s psychotic
a. Restrict fluids and sodium intake that the client’s disordered behavior arises from
includes which of the following? 39. A client with depression has been hospitalized for
a. Increased incidence of dysmenorrhea while taking treatment after taking a leave of absence from
b. Occurrence of incomplete libido due to medication return to work following inpatient treatment. The
adverse effects client tells the nurse, “I’m no good. I’m a failure”.
c. Continuing previous use of contraception during According to cognitive theory, these statements
34. A client refuses to remain on psychotropic b. Punitive superego and decreased self-esteem
medications after discharge from an inpatient c. Faulty thought processes that govern behavior
psychiatric unit. Which information should the d. Evidence of difficult relationships in the work
initial follow-up with this client? 40. The nurse describes a client as anxious. Which of
a. Income level and living arrangements the following statement about anxiety is true?
35. The nurse understands that the therapeutic effects d. Anxiety is a response to a threat
of typical antipsychotic medications are associated 41. A client with a phobic disorder is treated by
a. Decreased dopamine level that this approach will do which of the following?
b. Increased acetylcholine level a. Help the client execute actions that are feared
c. Stabilization of serotonin b. Help the client develop insight into irrational fears
d. Stimulation of GABA c. Help the client substitutes one fear for another
36. Which of the following best explains why tricyclic d. Help the client decrease anxiety
antidepressants are used with caution in elderly 42. Which client outcome would best indicate
b. Cardiovascular system effects a. The client exhibits charming behavior when around
prescribed medications and talks with his therapist c. The client makes statements of self-satisfaction
about his belief that he is worthless and unable to d. The client’s statements indicate no remorse for
plan is based on which framework? 43. The nurse is caring for a client with an autoimmune
therapies. Which information should the nurse d. Watching movie with the peer group
teach the client to help foster a sense of control 49. The home health psychiatric nurse visits a client
c. Side effects of medications family involvement, and has little social interaction.
d. Stress management techniques The nurse plan to refer the client to a day
44. Which of the following is the most distinguishing treatment program in order to help him with:
c. Submissive and dependent behavior 50. Which activity would be most appropriate for a
45. Which nursing diagnosis is most appropriate for a a. Art activity with a staff member
client with anorexia nervosa who expresses b. Board game with a small group of clients
feelings of guilt about not meeting family c. Team sport in the gym
a. Anxiety
c. Defensive coping
d. Powerlessness
the client
the client
enjoyable
esteem
cognitive approach?
c. Deny that the situation is hopeless Answers and Rationale Psychiatric Nursing
Part 3
d. Present a cheerful attitude
48. A client with major depression has not verbalized 1. B. There is no set of symptoms associated
problem areas to staff or peers since admission to with cocaine withdrawal, only the
a psychiatric unit. Which activity should the nurse depression that follows the high caused by
out hostile feelings toward all women pyramidal adverse effects such as muscle
shifted to the staff and the hospital imperative that a client checks with his
because she is unable to deal with the physician and pharmacist before taking
individual to cope with a crisis. field, becoming more focused on self, less
9. D. Crisis intervention group helps client aware of surroundings and unable to
feels comfortable enough to discuss the before using therapeutic touch. Touching
problems that have motivated the an anxious client may actually increase
behavior. anxiety.
11. C. The most successful therapy for people 21. D. Diarrhea is a common physiological
with phobias involves behavior response to stress and anxiety.
others. There is little or no extension to the 24. A. Phobias cause severe anxiety (such as
external environment. panic attack) that is out of proportion to
14. B. Somatic delusions focus on bodily the threat of the feared object or
include delusion about foul odor emissions, phobias include profuse sweating, poor
unpredictable behavior, mood and self identify and express feelings of anger and
Alzheimer’s disease, the nurse should use typical antipsychotics act to block
can answer with “yes” or “no” whenever decrease the amount of neurotransmitter
possible and avoid questions that require at the synapses. The typical antipsychotics
the client to make choices. Repeating the do not increase acetylcholine, stabilize
high concentrations of tyramine. elderly clients who may have increased risk
29. D. ECT commonly causes transitory short factors for cardiac problems because of
and long term memory loss and confusion, their age and other medical conditions. The
especially in geriatric clients. It rarely remaining side effects would apply to any
results in permanent short and long term client taking a TCA and are not particular
antidepressants. Dry mouth and blurred care, but hey are not applicable to this
indicate cessation of ovulation thus, the internal wishes or needs. Much of what
the client’s reason for refusing medication. not address the internal forces thought to
for the medication, may be experiencing 39. C. The client is demonstrating faulty
distressing side effects, or may be thought processes that are negative and
concerned about the cost of medicine. In that govern his behavior in his work
any case, the nurse cannot provide situation – issues that are typically
the client’s problem with the medication. approach. Issues involving learned
The patient’s income level, living behavior are best explored through
and support systems are relevant issues Issues involving ego development are the
reason for refusing medication. The nurse incorrect because there is no evidence in
providing follow-up care would have access this situation that the client has conflictual
to the client’s medical record and should relationships in the work environment.
40. D. Anxiety is a response to a threat arising with schizoid or schizotypal disorder.
clients with irrational fears and avoidance 45. D. The client with anorexia typically feels
behavior to face the thing they fear, powerless, with a sense of having little
without experiencing anxiety. There is no control over any aspect of life besides
procedure, and the client will not be taught expectations and standards are quite high
to substitute one fear for another. Although and lead to the clients’ sense of guilt over
successful confrontation of irrational fears, 46. A. One of the core issues concerning the
the purpose of the procedure is specifically family of a client with anorexia is control.
typically are avoided as part of the phobic ability to make independent decisions is
disorder typically has frequent episodes of during the process of therapy, they would
acting impulsively with poor ability to delay not necessarily indicate a successful
behavior when around authority figures 47. B. Use of cognitive techniques allows the
and statements indicating no remorse are nurse to help the client recognize that this
with this disorder and would not indicate that, by changing his thinking, he can
would be viewed as a positive change if the realistic and hopeful. Agreeing with the
client expresses low self-esteem; however client’s feelings and presenting a cheerful
this is not a characteristic of a client with attitude are not consistent with a cognitive
response to stress can exacerbate belittling and may convey that the nurse
symptoms. Stress management techniques does not understand the depth of the
response. This will afford the client an use of a small group will help the client
increased sense of control over his become comfortable with peers in a group
symptoms. The nurse can address the setting. Basketball is a competitive game
remaining answer choices in her teaching that requires energy; the client with major
about the client’s disease and treatment; depression is not likely to participate in this
however, knowledge alone will not help the activity. Recommending that the client
client to manage his stress effectively read a self-help book may increase, not
society is the most common characteristic interaction will occur; therefore, the client
disorder. Attention to detail and order is 49. C. Day treatment programs provide clients
characteristic of someone with obsessive with chronic, persistent mental illness
and thoughts are characteristics of a client and greeting people, asking questions or
directions, placing an order in a restaurant,
others.