Identifying Client Behaviors & Disorders in Mental Health Assessment, Exams of Medicine

Download Identifying Client Behaviors & Disorders in Mental Health Assessment and more Exams Medicine in PDF only on Docsity! Mental Health Technician Practice Exam Questions Verified Answers Latest Updates 2024 100% To implement the concept of the least restrictive treatment environment, care team members: Select one: a. Monitor the medications schedule. b. Assess the client's ability to live alone. c. Assess available financial resources. d. Assess available community resources. Assess available community resources. The term "sandwich generation" best describes adults: Select one: a. Caught between adulthood and late adulthood b. Caring for their children and aging parents c. Caring for their children and grandchildren d. Caught between young adulthood and adulthood Caring for their children and aging parents Brainpower A male client is in the process of being admitted to a mental health facility. He is sure that the nurse is the administrator of the hospital, despite the nurse's insistence that he is a staff nurse on the unit. This client is experiencing: Select one: a. Acute confusion b. Visual hallucinations c. Delusions d. Auditory hallucinations Delusions A client with the diagnosis of depersonalization disorder notices that he experiences periods of depersonalization when confronted with certain stressors. When developing the care plan, the nurse is aware that one of the most helpful activities in self-control for this client is for the client to: Select one: a. Contact a treatment team member to discuss his thoughts and feelings every time he is confronted with a stressor. b. Keep a daily journal of his thoughts and feelings, paying special attention to thoughts and feelings during stressful times. c. Recall periods of stressful times in his life during his clinic visit. d. Join an exercise program that will help to decrease his stress level. Keep a daily journal of his thoughts and feelings, paying special attention to thoughts and feelings during stressful times. For children older than 4 years, separation anxiety should last for no longer than: Select one: a. A few days b. A few weeks c. A few months d. 1 year A few months The nurse begins discharge planning measures with a hospitalized client: Select one: a. Near the time of discharge b. At the time of admission c. 3 days into the hospital stay d. On the day before discharge At the time of admission During a crisis assessment due to the diagnosis of a terminal illness, the nurse is trying to determine what the client's history is with regard to losses. Which question will best assess this area? Select one: a. "How easily do you adapt to new situations?" b. "What is your understanding of the current situation?" c. "Who or what has helped you through crisis situations in the past?" d. "How is this situation affecting your family?" "Who or what has helped you through crisis situations in the past?" While performing a search of an adult male's home based on suspicion of criminal activity, the police find pictures of him with young children between the ages of 5 and 10. The pictures are sexual in nature. The man is suspected of: Select one: a. Voyeurism b. Sexual sadism c. Pedophilia d. Necrophilia Pedophilia Toddlers often express their anger through: Select one: a. Crying b. Manipulation c. Temper tantrums d. Direct aggression Temper tantrums The client was injured in a work accident. He now has a fused spine and moves with difficulty. He wonders if he will ever be able to be intimate with his wife. What is the nurse's most accurate response? Select one: a. "You will not be able to engage in sexual activity." b. "You can enjoy a satisfying sex life with some adaptation." c. "You eventually will return to the preinjury level of functioning." d. "You will become more sexually active after you recover from the injuries." "You can enjoy a satisfying sex life with some adaptation." d. "You signed a contract stating that you would let me know when you have those thoughts." "I hear how worried you are about your future and can imagine how you feel." A female client with a diagnosis of a dissociative disorder who attends group meetings at a community mental health clinic often voices that her boss at work frequently complains that she is working at a level below her capabilities. The client also states that she feels that she "never gets anything done." Which nursing diagnosis best addresses these issues? Select one: a. Self-esteem, low b. Social isolation c. Body-image, disturbed d. Memory, impaired Self-esteem, low A female client with obsessive-compulsive disorder is undergoing treatment in an outpatient setting and is attending group therapy sessions. She is working on controlling the compulsion of touching her head three times every time she talks. To maintain the therapeutic relationship established with the client, by which action can the nurse show acceptance? Select one: a. Ignoring the compulsion during the group therapy session and talking with the client privately about the behavior b. Asking the group to remind the client every time she touches her head to help her consciously stop the compulsion c. Pointing out the compulsion to the group each time the client exhibits the behavior d. Asking the client to stop talking during the group session until she has learned to control her compulsion Ignoring the compulsion during the group therapy session and talking with the client privately about the behavior We have an expert-written solution to this problem! The home mental health nurse visits a female client to assess her ability to care for herself at home after discharge from an inpatient setting. Which component of the case management system does this demonstrate? Select one: a. Consultation b. Crisis intervention c. Resource linkage d. Psychosocial rehabilitation Psychosocial rehabilitation A disorder that interrupts normal sleep patterns and is characterized by repeated, brief jerks of the arms and legs that occur every 20 to 60 seconds during the beginning of sleep is called: Select one: a. Insomnia b. Narcolepsy c. Hypersomnia d. Nocturnal myoclonus Nocturnal myoclonus The average time that a person with Alzheimer's disease lives after diagnosis is years. Select one: a. 2 b. 8 c. 10 d. 20 8 When the environment lacks security or presents dangers, the perception that life will be short or will end in violence is most compelling for: Select one: a. Children b. Adolescents c. Young adults d. Middle-aged adults Adolescents In the early 1900s the first theory of mental illness that showed behavior could be changed is attributed to: Select one: a. Beers b. Dix c. Freud d. Pinel Freud The nurse knows that the major concept of the systems theory is that individuals are viewed as functioning: Select one: a. Within a set of interacting and related units b. According to activities of attention, language, and imagery c. According to unmet needs d. Within accepted social aspects of behavior **Not B The nurse is preparing an adult male client, who has been successfully treated for a social phobia, for the termination phase of the therapeutic relationship. During their last meeting, the client told the nurse that he noticed he has developed a nervous habit that started a few days ago of checking his door at home several times a day to be sure it is locked. This client is exhibiting the client response to termination known as: Select one: a. Continuation b. Regression c. Withdrawal d. Confabulation Continuation When one is developing the care plan for a female adolescent with an eating disorder, the primary issue to consider as the underlying cause is: Select one: a. Control b. Body image c. Self-esteem d. Coping skills Control A woman has had several episodes where she finds new clothes in her closet that are much more colorful than the style she usually buys. Today, a co-worker approached her to thank her for hosting a dinner party that she had no recollection of hosting. What is the most appropriate nursing diagnosis for this client? Select one: a. Self-esteem, low b. Personal identity, disturbed c. Body image, disturbed d. Anxiety Personal identity, disturbed Which of the following persons has the greatest risk for developing ineffective coping behaviors? Select one: a. The middle-aged man whose diet is high in saturated fat and has a 20-year history of tobacco use b. The single 30-year-old female facing the death of her father c. The 19-year-old college student with a family history of schizophrenia d. The 9-year-old child whose parents are nurturing but provide chores and responsibilities The 19-year-old college student with a family history of schizophrenia By the ages of 14 to 17, teens may demonstrate problem solving skills using concepts, generalizations and flexibility in planning actions and goals. What is this an example of? Select one: a. Concrete operations b. Pre-operational thinking c. Operational thinking d. Abstract thinking Abstract thinking Individuals with mental illness live an average of years less than the general population. Select one: a. 2 to 4 b. 5 to 8 c. 10 to 15 d. 18 to 25 **Not B often asks to defer his physical therapy sessions. Which statement best describes the change in patient behavior? Select one: a. The patient is suffering from delirium due to the unfamiliar surroundings. b. The patient has adapted to the recovery role and does not need rehabilitation. c. The patient enjoyed the dependency role in the hospital setting. d. The patient is adjusting to a new environment and is in a vulnerable position. The patient is adjusting to a new environment and is in a vulnerable position. The mother of a 20-year-old man diagnosed with paranoid schizophrenia is upset by the fact that her child tried to attack her during her daily visit. What is the most appropriate support the nurse can give her after this incident? Select one: a. "Your child is working through relationship issues with you and does not know how to express them." b. "You should stop coming for a while, as your visits upset your child." c. "Your child's illness is due to a loss of contact with reality, and not directed to you as his mother." d. "You must make him realize that his behavior toward you is inappropriate." "Your child's illness is due to a loss of contact with reality, and not directed to you as his mother." Internal developmental problems are seen as a causative factor for some behavioral and family problems during adolescence. Psychological developmental issues that can lead to problems during late adolescence (17 to 20 years old) include: Select one: a. Wide mood swings b. Tendency to withdraw when upset c. Concealing of anger d. All of these All of these The moods of adolescents: Select one: a. Are stable b. Vary widely c. Develop slowly d. Are not related to growth and development Vary widely A client has difficulty in communicating as a result of his illness. He displays a rapid, confusing delivery of speech patterns. Which term best describes this difficulty in communicating? Select one: a. Aphasia b. Dyslexia c. Speech cluttering d. Incongruent communications Speech cluttering A male client is experiencing hallucinations. The intervention that would be most helpful in controlling the hallucinations is: Select one: a. Actively listening to his concerns b. Establishing a trusting relationship c. Encouraging appropriate behaviors d. Teaching him to use distraction techniques when experiencing hallucinations Teaching him to use distraction techniques when experiencing hallucinations An important responsibility of the nurse in a mental health facility is to ensure that clients do not from the facility without a discharge order, by carefully supervising and accurately documenting client behaviors and therapeutic actions. Select one: a. Escape b. Abandon c. Flee d. Elope Elope The nurse is aware that he or she may be administering the new antianxiety medication pregabalin (Lyrica) to clients without an anxiety disorder for the purpose of treating: Select one: a. Depression b. Psychotic episodes c. Neuropathic pain d. Bipolar disorder **Not A The nurse is working with a teen in whom conduct disorder was diagnosed and his family on developing a plan of care for treatment. What is the nurse's first intervention? Select one: a. Assessing and/or stabilizing the home environment b. Teaching effective communication skills to the client and family members c. Advocating behavior modification for the client to gain self-control d. Teaching effective discipline techniques Assessing and/or stabilizing the home environment Which client is suffering from a major depressive episode? Select one: a. An adolescent who expresses feeling lost after the death of his mother last week b. A 50-year-old male who has been depressed for a month and is contemplating suicide c. A 30-year-old female who is being treated for episodes of depression she has suffered since the age of 21 d. An elderly adult who feels like she is in a fog after the diagnosis of terminal cancer given to her 8 days ago A 50-year-old male who has been depressed for a month and is contemplating suicide The nurse is caring for a client who is a single mother of two young children, has no financial or parental support from her ex-husband, is troubled by her financial circumstances and future, and works at a local fast-food restaurant. She is seeking help for depression. What is the nurse's best action? Select one: a. Assist the client in seeking educational and/or vocational programs for single parents. b. Encourage the client to explore her feelings related to the reasons for her divorce. c. Persuade the client to contact her ex-husband for financial and parental support. d. Share information with the client regarding support groups for single mothers. Assist the client in seeking educational and/or vocational programs for single parents. When people successfully adapt to their environment by using logical thought and socially appropriate ways, they are said to be functioning at the adaptive end of the continuum. Select one: a. Emotional b. Self-protective c. Neurobiological d. Psychobiological Neurobiological The 39-year-old daughter of a client with a terminal illness tells the nurse that she thinks something is wrong with her because she frequently cries, is often sad, and can't imagine losing her mother. The nurse assures the daughter that these are normal feelings associated with: Select one: a. Bereavement-related depression b. Complicated grief c. Anticipatory grief d. Caregiver grief Anticipatory grief AFRAIDS is a condition that most likely would be seen in: Select one: a. The homosexual population b. Sexually promiscuous heterosexuals c. Individuals in a heterosexual monogamous relationship d. Persons who have a chemical dependency on illegal intravenous drugs Persons who have a chemical dependency on illegal intravenous drugs An important aspect of developing a therapeutic relationship with a mental health client is for the nurse to show that she cares about the client. The nurse who is working on an inpatient unit can show signs of caring by: Select one: a. Telling a client several times a day that he or she cares about him or her b. Asking a client what his or her favorite movie is, then showing that movie during a movie night on the unit c. Giving a client a card that has a sentiment that says the nurse cares about him or her d. Telling a client that he or she is the favorite client Asking a client what his or her favorite movie is, then showing that movie during a movie night on the unit An aging population, an overburdened welfare system, and a cost conscious U.S. Congress exerting its influence on the health care system are all examples of c. To build trust with the client d. To obtain agreement from the client to work in conjunction with the nurse To gather and review all possible information regarding the client Neuroleptic drugs are prescribed to treat disorders. Select one: a. Anxiety b. Personality c. Psychotic d. Somatoform **Not B A 37-year-old client who has been divorced for several years recently lost joint custody of a 10-year-old daughter because of drug and alcohol use, along with nonpayment of child support. The client is referred to the clinic as the result of a court order. When arriving at the clinic, the client had been on a drinking binge for 2 days. What is the most appropriate nursing diagnosis for this client? Select one: a. Health-seeking behaviors b. Family processes, readiness for enhanced c. Coping, ineffective d. Hopelessness Coping, ineffective % of older adults are living at the poverty level. Select one: a. Twelve b. Eighteen c. Twenty six d. Twenty three **Not D A female client is admitted with suicidal tendencies. The client is placed in suicide precautions for the first 24 hours of her stay. Ensuring client safety is included in the therapeutic role of: Select one: a. Change agent b. Teacher c. Therapist d. Technician Technician A 12-year-old female client with a normal IQ has difficulty with math at school. She performs well in all subjects except math, for which she is unable to earn above a grade of "D," no matter how much she studies. What is this client most likely suffering from? Select one: a. Mental retardation b. A learning disorder c. Pervasive developmental disorder d. An anxiety disorder A learning disorder The abnormal process in which aspects of the social, physical, emotional, or intellectual function of a person are diminished or impaired is called: Select one: a. Health b. Illness c. Recovery d. Homeostasis Illness What concept do feminist theories use to explain violence against women? Select one: a. Machismo b. Femininity c. Masculinity d. Muscularity Machismo An elderly male client's wife of 50 years recently died from cancer. He suffers from a chronic debilitating illness and has been refusing to eat, drink, or take his medications. This client is displaying behavior characteristic of: Select one: a. Suicidal threats b. Suicidal attempts c. Suicidal ideation d. Passive suicide Passive suicide A 49-year-old woman who has been the owner of a successful large business for several years decides to sell her business and move to a remote island to open a small dress shop. She most likely has made this decision based on her need to: Select one: a. Avoid becoming stagnant in her life. b. Earn more money. c. Prevent another company from taking over her business. d. Improve her social development. Avoid becoming stagnant in her life. The client relies on deceit and manipulation to get his own way. He seems to have a complete lack of conscience. His goal is always self-gratification at the other person's expense. He is referred to as: Select one: a. A nerd b. A psychotic c. A psychopath d. Narcissistic A psychopath Each complaint of people with HIV/AIDS must be investigated carefully because CNS problems can be mistaken for: Select one: a. Anxiety b. Delusions c. Compulsions d. Psychiatric problems **Not B Selective serotonin reuptake inhibitors (SSRIs) are most health care providers' drug of choice for the treatment of depression because: Select one: a. Side effects are more manageable than with most antidepressants. b. They are the only class safe for long-term therapy. c. This is the oldest class of antidepressants. d. They are fast-acting medications. Side effects are more manageable than with most antidepressants. The nurse is caring for a female client with a diagnosis of severe bipolar disorder. Out of many treatment methods, the one treatment that the client and the team have found to be most effective is the medication lithium. The client voices concern about her future with this diagnosis. Which nurse response best represents the concept of hope? Select one: a. "You need to take your lithium unless you want to relapse." b. "You are doing so well that there is nothing you can't do if you put your mind to it." c. "You are doing very well since we found that lithium helps. You should do well as long as you continue your therapy and medication." d. "A lot of people are much worse off than you are, so you should be thankful that you are doing as well as you are." "You are doing very well since we found that lithium helps. You should do well as long as you continue your therapy and medication." We have an expert-written solution to this problem! If a client is involuntarily committed to a mental health care facility indefinitely, the law requires that the case must be reviewed every months. Select one: a. 3 b. 6 c. 12 d. 15 12 A female client with low self-esteem tries to dress and act like the nurse who cares for her in an outpatient clinic setting. This behavior is an example of which defense mechanism? Select one: a. Identification b. Symbolization c. Displacement d. Projection Identification A person with terminal cancer makes a call to a family member she has not spoken to in 30 years in order to make amends. According to Kübler-Ross, what stage of dying is this person in? Select one: a. Denial b. Working c. Resistance d. Acceptance Denial The National Mental Health Act of 1946 provided a means for funding of programs that promote research on mental health and: Select one: a. Development of mental health clinics in the community b. Training of mental health professionals c. Treatment for veterans suffering from mental health disorders d. Educating the public about mental illness Training of mental health professionals The daughter of an elderly nursing home resident is crying outside her father's room. When the nurse comforts her, she states, "It is so hard to come here to visit when my mother doesn't even know who I am." The nurse knows the client is in which stage of Alzheimer's disease? Select one: a. Early stage b. Intermediate stage c. Severe stage d. End stage Intermediate stage The night before her final exam, the nursing student cannot sleep, and is convinced she will fail. Which of the following actions will help to promote a more positive outlook? Select one: a. Continue to study rather than continue attempting to sleep. b. Accept the possibility of failure and plan to repeat the course. c. Use the negative thoughts as motivation. d. Visualize staying relaxed during the exam and successfully passing. Visualize staying relaxed during the exam and successfully passing. An adolescent caught stealing a classmate's laptop says that he needed it to write his paper and the classmate "has enough money to buy another one anyway" is demonstrating which of the following defense mechanisms? Select one: a. Denial b. Restitution c. Rationalization d. Conversion Rationalization An elderly man has serious vision problems and is no longer allowed to obtain a driver's license. He has been very independent until this time. Which nursing diagnosis is most appropriate for this situation? Select one: a. Confusion, chronic b. Coping, ineffective c. Self-esteem, risk for situational low d. Grieving, dysfunctional Self-esteem, risk for situational low Her speech is very pressured, and she is telling everyone in the waiting room about a date she had the previous evening. The next visit she is dressed in old, drab clothes and has no makeup on. She has a flat affect and is not making eye contact. The most probable cause of her behaviors is which of the following conditions? Select one: a. Bipolar I disorder b. Psychosis c. Bipolar II disorder d. Major depressive episode Bipolar I disorder Self-protective responses are seen in behaviors that meet basic: Select one: a. Goals b. Needs c. Wants d. Demands Needs A female client is 3 days postoperative and has been receiving meperidine (Demerol) for pain control. The family mentions to the nurse that the client has been taking phenelzine (Nardil) for years for her depression. The client did not list this medication on admission. What signs and symptoms should the nurse look for in case of reaction between these two medications? Select one: a. Increased pulse and respirations b. Hyperactivity and difficulty concentrating c. Increased tearing and increased urinary output d. Sedation, disorientation, and hallucinations Sedation, disorientation, and hallucinations It is important for the nurse to be familiar with the religious practices of clients cared for most often in a particular region because attitudes toward health and illness, death and burial, food, and procreation have a strong impact on a client's beliefs and practices. The nurse knows that the religion practiced most often around the world is: Select one: a. Buddhism b. Jehovah's Witness c. Christianity d. Ahmadiyya Christianity The nurse asks the client a series of questions upon entry into a mental health care system. This action is an example of which phase of the nursing process? Select one: a. Evaluation b. Assessment c. Intervention d. Planning Assessment As the caregiver for a male client whose mental retardation level is classified at a moderate level, the nurse's most appropriate action is to: Select one: a. Encourage him to work in a supervised setting at a fast food restaurant. b. Persuade him to look for an apartment in which he can live on his own. c. Find a group home that he would adjust well to. d. Seek placement for him in a long-term setting for clients with cognitive disabilities. Encourage him to work in a supervised setting at a fast food restaurant. During the continuation phase of therapy, a client with a diagnosis of depression asks, "What is the goal of therapy during this 4- to 9-month period?" What is the nurse's best response? Select one: a. "We are going to work together to try to reduce your symptoms." b. "Our goal is to determine the cause of your depression and cure it." c. "We want to prevent you from ever having any depressive episodes in the future." d. "Our goal is to prevent you from relapsing and experiencing distressing emotional states. "Our goal is to prevent you from relapsing and experiencing distressing emotional states. Paranoid personality disorders are diagnosed more often in: Select one: a. Men b. Women c. Children d. Adolescents Men During the interview process with a homeless client, which is an appropriate nursing action? Select one: a. Wait until later in the interview to ask questions such as address or nearest relative. b. Ask the client early in the interview what is his or her highest education level. c. Ask the client where he or she planned to sleep that night. d. Encourage the client to bathe as soon as possible. Wait until later in the interview to ask questions such as address or nearest relative. The nurse assessing the newborn shortly after delivery notes that the infant is very jittery, irritable, and has a high- pitched cry. The nurse suspects that the mother took which substance during pregnancy? Select one: The parents of a 2-year-old boy seek assistance at a family therapy clinic because their son throws a temper td. Put him in the corner for punishment while he is having the tantrum.antrum every time he is not allowed to throw his food on the floor during meals. Which therapeutic intervention does the nurse suggest? Select one: a. Leave him during the tantrum, so that he feels isolated from others as a result of his behavior. b. Try to distract him when he becomes frustrated, and reward him for positive behavior. c. Hold the child down until the tantrum stops. **Not A A male client has schizotypal personality disorder. A female client compliments him on his style of dressing, and he interprets this as her caring deeply for him and desiring to date him. What is the client experiencing? Select one: a. Paranoia b. Ideas of reference c. Inappropriate affect d. Delusions of grandeur Ideas of reference A newly admitted elderly client seems to become confused and agitated every evening after dinner. This client most likely is suffering from: Select one: a. Alzheimer's disease b. Acute dementia c. Sundown syndrome d. Delirium Sundown syndrome Twenty-three states have enacted mental health parity laws. The most accurate description of these laws is that they require insurance companies to include coverage for: Select one: a. Mental illness b. Substance abuse treatment c. Mental illness that is equal to coverage for physical illness d. Outpatient therapy for individuals with substance abuse Mental illness that is equal to coverage for physical illness A male who, as a child, observed the women in his family being dominated is, in his own life, more likely to: Select one: a. Love b. Batter c. Belittle d. Order around Batter A 15-year-old female is seen in the clinic for episodes of cutting herself since her parents divorced six 6 months ago. Which nursing diagnosis is a priority for this client? Select one: a. Behavior, risk-prone health b. Spiritual distress c. Social interaction, impaired d. Family processes, interrupted Behavior, risk-prone health The use of inappropriate, harmful, or destructive behaviors to express current or past emotions is defined as: Select one: a. Anger b. Assault c. Acting out d. Aggression Acting out The nurse encounters a client crying in her room. Upon talking to the client, it is discovered that she is upset because a new nursing assistant made her go out for a walk with the group even though the client informed her that she waits for her daughter to go for her walk. This is a potential violation of which ethical principle?Select one: a. Beneficence b. Autonomy c. Confidentiality d. Nonmaleficence Autonomy Sleep disorders that are characterized by abnormal behavioral or physical events during sleep are called: Select one: a. Insomnia b. Dyssomnias c. Hypersomnia d. Parasomnias Parasomnias By law, what are health care providers required to do when they encounter incidents of suspected or actual abuse or neglect? Select one: a. Inspect b. Investigate c. Report to the authorities d. Report to the client's family Report to the authorities The 40-year-old woman who works at the same entry level job for many years without seeking advancement and politely declines when friends ask her to try new vacation spots or hobbies may be suffering from which personality disorder? Select one: a. Histrionic b. Paranoid c. Schizoid d. Avoidant Avoidant The need for mental health applies to: Select one: a. All persons b. People with illnesses c. All married persons d. People with mental problems All persons The client can acknowledge the possibility that she exaggerates her symptoms, but she continues to hold on to the belief that something is physically wrong, in the face of evidence to the contrary. What is the client's diagnosis most likely to be? Select one: a. Malingering b. Hypochondriasis c. A conversion reaction d. Body dysmorphic disorder Hypochondriasis Because mental health care is not covered in Australia under the basic health plan, which citizens are more likely to receive mental health care? Select one: a. Wealthy b. Homeless c. Disabled d. Low-income Wealthy A family adopts a 7-year-old boy from an international adoption agency with little information on the child's history. They bring the child to a therapist because the child is withdrawn, destroys things in the house, and hits his adoptive siblings without provocation. As the therapist develops a trusting relationship with the child, what type of intervention would be initially used to gain input from the child? Select one: a. Psychoeducation b. Art therapy c. Joint stabilization plan d. Development of coping strategies Art therapy Schizophrenia affects approximately % of the world's population. Select one: a. 1 b. 5 c. 9 d. 13 1 Forgetting where he or she lives A 9-year-old girl is given the diagnosis of depression. She has low self-esteem, does not enjoy group therapy, and does not show her emotions. The nurse has had difficulty establishing rapport with this client and decides to ask for assistance from another treatment team member. Which team member would be the best choice to assist in this situation? Select one: a. Psychiatric assistant b. Dietitian c. Occupational therapist d. Expressive therapist Expressive therapist The Omnibus Budget Reform Act (OBRA) of 1987 prevented the housing of people with chronic mental illness in: Select one: a. Nursing homes b. State mental health facilities c. Residential treatment centers d. Homeless shelters Nursing homes Somatization disorder is a polysymptomatic disorder, which means that the disorder is associated with symptoms. Select one: a. Few signs and b. Polymorphic c. Many signs and d. Specific signs and Many signs and Interventions for assaultive clients that focus on protecting the client and others from potential harm are level interventions. Select one: a. One b. Two c. Three d. Four Two During group therapy, certain group change mechanisms may be observed. When an individual engages in helping others, resulting in improvement in his or her own self- esteem, which group change mechanism has the individual experienced? Select one: a. Altruism b. Feedback c. Expressiveness d. Communion Altruism A male client has had agoraphobia for several years. In the past 2 years, he has not left his home and only speaks to people on the phone occasionally. Which nursing diagnosis has the highest priority in this situation? Select one: a. Social isolation b. Thought processes, disturbed c. Coping, ineffective individual d. Powerlessness Social isolation When practicing therapeutic communication with a client, the nurse demonstrates which of the following listening skills? Select one: a. Finishing the client's sentences to indicate listening b. Not interrupting the client c. Avoiding taking notes to detract from listening d. Changing the environment to decrease distractions Not interrupting the client In the late 1980s, government funding for mental health care dwindled, and most insurance companies coverage for psychiatric care. Select one: a. Withdrew b. Increased c. Decreased d. Added Withdrew A rule of thumb for recovering from a rape or other violent experience states that the greater the force or brutality, the greater the psychological harm and: Select one: a. Recovery time b. Legal implications c. Social dysfunction d. Financial difficulty Recovery time The client is describing her trip to town. She tells the nurse, "I cold town yellow water girl outside below ground." This speech disturbance is called: Select one: a. Neologism b. Word salad c. Flight of ideas d. Verbigeration Word salad How many stages of the human life cycle did Erik Erikson identify? Select one: a. Two b. Four c. Six d. Eight Eight As the nurse begins to discuss discharge plans for a 45-year-old female client hospitalized for anxiety, the client states, "You never really cared whether I get better! Why not stop this charade?" The nurse recognizes this to be: Select one: a. Transference b. Secondary gain c. Countertransference d. Insecurity Transference The school nurse reports that a student who was brought to her appears to be tense, angry, and her speech is rapid. She denies use of illegal substances. What does the nurse suspect the student has ingested? Select one: a. Ibuprofen b. Penicillin c. Ritalin d. Valium Ritalin Humanistic theories are important to health care because these theories serve as the foundation for the concept of: Select one: a. Assertiveness training b. Behaviorism c. Holistic care d. Behavior modification Holistic care A female client is taking a benzodiazepine for her anxiety disorder. She complains of anorexia and nausea since she started taking the medication a few days ago. What is the nurse's best response? Select one: a. "Be sure to take the medicine on an empty stomach to avoid these symptoms." b. "It takes a while to get used to the medicine. Give it a couple of weeks." c. "Try taking the medication with food or milk, and see if the symptoms improve." d. "Stop taking the medication immediately, and I will notify your doctor." "Try taking the medication with food or milk, and see if the symptoms improve." A male client takes ibuprofen twice a day, every day, for his arthritis. He becomes very anxious when he does not take his normal doses. This client is experiencing: Select one: a. Physical tolerance b. Substance dependency c. Psychological tolerance d. Early-stage addiction Psychological tolerance c. Not affecting d. Having little effect on Increasing Encouragement for clients to practice good hygiene habits not only meets basic physiological needs, it also meets the hierarchal need of: Select one: a. Love and belonging b. Safety and security c. Infection control d. Self-care Love and belonging The client thinks her nose is so ugly that most people cannot bear to look at her. She often describes herself as ugly. Which condition is the client experiencing? Select one: a. Somatization b. Hypochondriasis c. A conversion reaction d. Body dysmorphic disorder Body dysmorphic disorder A 4-year-old client in a pediatric unit is imitating the actions of the nurse. The nurse knows, according to Erik Erikson's theory, that this child is displaying a characteristic seen during which developmental stage? Select one: a. Genital-locomotor b. Latency c. Oral-sensory d. Anal-muscular Genital-locomotor The psychiatrist asks the nurse to perform a procedure that she is not familiar with, and the nurse is unsure whether this is something within the scope of practice. Where can the nurse find the answer to her question? Select one: a. National nurse practice act b. State nurse practice act c. Regional nurse practice act d. Community nurse practice act State nurse practice act The criterion that necessitates the need to hospitalize an individual with chronic mental health problems occurs when his or her: Select one: a. Behaviors pose a threat. b. Caregivers need a respite. c. Subsistence benefits expire. d. Medications need readjustment. Behaviors pose a threat. The metabolism of psychotropic medications is most likely to be affected by: Select one: a. Ethnicity b. Religion c. Culture d. Values Ethnicity A 7-year-old male client displays behaviors such as an inability to make eye contact with others, inappropriate facial expressions, difficulty in making friends, and showing little emotion with family members. He talks with adults but is awkward in his conversation. Given these behaviors, what is this client most likely experiencing? Select one: a. Childhood disintegrative disorder b. Asperger's syndrome c. Dyslexia d. Rett syndrome Asperger's syndrome Following an argument with his daughter, a father takes away her phone privileges. He later feels guilty about the argument and asks her if she would like to go shopping for new clothes. What is this defense mechanism known as? Select one: a. Compensation b. Displacement c. Rationalization d. Restitution Restitution A male inpatient client who is experiencing depression has no interest in eating. He skips meals frequently and has been losing weight. What is the best nursing action in this situation? Select one: a. Ask the client to "Please eat one meal for me." b. Leave food with him at mealtime and offer snacks frequently. c. Give the client information on the benefits of good nutrition. d. Remove client privileges every time he doesn't eat. Leave food with him at mealtime and offer snacks frequently. A client suffering from chronic mental illness often forgets to take her medication and needs to be reminded to take care of daily hygiene. She does not have family or other support persons living in the area. The care delivery provider facility that would be most beneficial for this client is: Select one: a. Emergency departments b. Residential program c. Community mental health center d. Psychiatric home care Residential program A nurse and an adolescent female client develop a plan of care together that addresses the client's difficult relationship with her parents. The client says that her parents just don't understand her, and she is always getting privileges taken away for not doing things that she is supposed to do. What is the nurse's best action? Select one: a. Talk with the client about how important it is that she carry through with actions that her parents feel are important. b. Identify two priority responsibilities that are agreed upon between the client and her parents, and monitor her ability to comply with the plan for 1 week. c. Discuss with the parents what responsibilities they feel are important, to determine what actions should be planned with the client. d. Identify what the client feels are reasonable responsibilities. Identify two priority responsibilities that are agreed upon between the client and her parents, and monitor her ability to comply with the plan for 1 week. The nurse is aware that several theories have been proposed to explain anxiety. Which theory explains anxiety as a result of interactions with others? Select one: a. Biological model b. Psychodynamic model c. Interpersonal model d. Behavioral model Interpersonal model A 68-year-old woman tells the nurse that since she retired a few months ago, she has been "taking it easy" by sleeping later and staying around the house to rest. She has recently noticed that she is having a little trouble with remembering things. The nurse is aware that intellectual development is continuous and suggests to the client: Select one: a. "You might think about volunteering somewhere to keep your mind sharp." b. "You are probably just tired from all those years at work." c. "After you have gotten used to being at home, I am sure your memory will improve." d. "Sometimes we must accept the fact that as we get older, we sometimes become more forgetful." "You might think about volunteering somewhere to keep your mind sharp." A newly married couple residing in a large city is expecting the birth of their first child in 3 months. The wife wishes to maintain her career and remain in their apartment. The husband has expressed the desire to relocate to a more suburban setting to raise their child. Their ability to successfully face this challenge depends upon their ability to: Select one: a. Negotiate a mutually satisfying solution. b. Employ appropriate coping mechanisms. c. Avoid conflict by dealing with the issue at a later time. d. Maintain a firm sense of individuality. Negotiate a mutually satisfying solution. The nurse who is caring for a client begins to have very protective feelings toward the client that are interfering with the therapeutic relationship between the nurse, the client, and the client's family. This is an example of a problem that is encountered in some Select one: a. Physical need to work b. Social need to stay with the client c. Intellectual need to control the situation d. Emotional need to be involved in caring for the client Emotional need to be involved in caring for the client Significant complications such as sudden death due to cardiac dysrhythmia or respiratory depression are associated with the use of: Select one: a. Alcohol b. Cocaine c. Inhalants d. Hallucinogens Inhalants The treatment team meets with a client for the first time and determines, with the client's input, a nursing diagnosis, goal, and steps to reach this goal. In addition to a nursing diagnosis, the treatment team has completed which phase of the nursing process? Select one: a. Evaluation b. Intervention c. Planning d. Assessment Planning A female client frequently complains of chest pain, has had extensive physiological testing with negative results, and sees several different medical doctors. This client is exhibiting signs and symptoms characteristic of: Select one: a. Hypochondriasis b. Conversion disorder c. Body dysmorphic disorder d. Factitious disorder Hypochondriasis The child has not developed the ability to respond to others. He cannot communicate his needs. He may remain dependent upon others throughout his life. He is most accurately described as having: Select one: a. Autism b. Anxiety c. Mental retardation d. Attention-deficit disorder Autism A client is monopolizing a group session, not allowing other members to participate. What is the most appropriate way to address the client? Select one: a. "You are not allowed to speak for the remainder of the session." b. "You are selfish and must leave now. " c. "You are very rude when you act this way." d. "You need to stop this behavior. Let's see what others have to say." "You need to stop this behavior. Let's see what others have to say." A 70-year-old male client tells the nurse that he is using chelation therapy to prevent Alzheimer's disease. Which adverse effect is the client most likely to experience? Select one: a. Allergic reactions b. Low potassium levels c. Elevated blood glucose levels d. Interactions with other medications Low potassium levels An adult female client has been diagnosed recently with mild depression but opts not to take the medication prescribed by her physician after talking with the physician about the benefits, risks, possible outcomes, and side effects. She decides to investigate alternative treatments. This client is making this decision based on the premise of: Select one: a. Informed consent b. Noncompliance c. Client education d. Right to privacy Informed consent An adult female client becomes combative with the nurse during routine medication administration. What is the nurse's primary responsibility in this situation? Select one: a. To ensure that the client takes her medications b. To ensure that the client is placed in physical restraints to protect the safety of the staff and other clients c. To ensure that chemical restraints are used in the future until the client displays more appropriate and compliant behavior d. To ensure that the client is kept safe while trying to protect staff safety and to reason with the client to try to de-escalate the combative behavior To ensure that the client is kept safe while trying to protect staff safety and to reason with the client to try to de-escalate the combative behavior The constitute a class of drugs that are commonly prescribed for cardiac arrhythmias but also have been found to be effective treatment for social phobias. Select one: a. Benzodiazepines b. Tricyclics c. Azaspirones d. Beta-blockers Beta-blockers The characteristic of genuineness helps in establishing a therapeutic relationship with a client. Which nurse response is the best example of a display of genuineness to a client who is going through a difficult divorce? Select one: a. "I know exactly how you feel. My husband and I divorced 2 years ago because of his infidelity." b. "Divorcing my husband was the best thing I ever did." c. "I have friends who have gone through a divorce. It must be difficult for you." d. "I am sorry that you have to go through this difficult time." "I have friends who have gone through a divorce. It must be difficult for you." A Navajo Native American is traveling across the country and becomes ill. He visits a hospital emergency room and appears very uncomfortable in the surroundings. The nurse knows that traditional Navajo Native Americans typically receive health care in: Select one: a. Homes b. Small hospitals c. Physicians' offices d. Outpatient clinics Homes Massage therapy manipulates muscles and connective tissue and has been found to be very successful as a CAM method in the treatment of which disorder(s)? Select one: a. Schizophrenia b. Bipolar disorder c. PTSD and OCD d. Depression and anxiety Depression and anxiety An adult female calls a crisis hotline stating that she moved a few months ago to seek a new job "in a big city." She is crying and says that she doesn't think she can stand being so lonely anymore but doesn't want to move back to her small home town and face her family and friends as a "failure." What is the nurse's first response? Select one: a. "Would you like me to call your family to assist you in deciding what is best for you to do?" b. "I am sure you will make friends once you find a steady job that you like." c. "Can you tell me what you mean by your statement that you don't think you can stand being lonely anymore?" d. "Let me give you a list of some social groups that might be of interest to you." "Can you tell me what you mean by your statement that you don't think you can stand being lonely anymore?" A male client with a diagnosis of schizophrenia refuses to take his medication because of his paranoia that the medication may be poisoned. Frequent inpatient readmissions to the facility occur as a result. Which term is given to repeated inpatient admissions? Select one: a. Milieu b. Chronicity c. Noncompliance d. Recidivism Recidivism A client frequently wanders around the unit, and the staff frequently needs to reorient the client to the environment and remind her not to walk into the rooms of other clients During client teaching, the nurse must inform the client prescribed a tricyclic antidepressant (TCA) to not expect to see a difference in mood or anxiety level for up to: Select one: a. 5 days b. 2 to 3 weeks c. 4 to 5 weeks d. 6 weeks 2 to 3 weeks The term that describes repeated physical abuse, usually of a woman, child, or elder, is: Select one: a. Neglect b. Battering c. Exploitation d. Gender abuse Battering The main focus of medical management for anorexia is to: Select one: a. Encourage rapid weight gain. b. Encourage the client to eat voluntarily. c. Teach more appropriate food choices. d. Keep the client from developing additional problems. Encourage the client to eat voluntarily. A client with a diagnosis of anorexia is admitted to an inpatient setting. Which therapeutic intervention is used with caution prior to stabilization and weight gain? Select one: a. Establish rapport and trust b. IV or tube feeding c. Administering antidepressants d. Daily weights **Not A A man who hit his wife yesterday causing her to fall and break her arm has taken the day off from work today to take care of her and buy her flowers. He repeatedly tells her how horrible he feels and promises this will never happen again. What stage of the assault is he demonstrating? Select one: a. Trigger stage b. Escalation stage c. Recovery stage d. Depression stage Depression stage The belief of the ancient Greek philosopher Plato that the rational soul controlled the irrational soul could be compared with the belief of the more recent psychological theorist: Select one: a. Freud b. Pinel c. Fisher d. Rush Freud The nurse is caring for a 20-year-old woman from Puerto Rico. The client speaks English, but she is accompanied by her mother who does not. The client has a history of mental illness, and through the interpreter, the nurse learns that the mother, who has traditional Puerto Rican cultural beliefs, believes that the client's mental illness is caused by: Select one: a. Witchcraft b. Stress c. Chemical imbalances d. A trance Witchcraft The home care nurse is providing care to an older adult client with a diagnosis of depression who is caring for his wife who has Alzheimer's disease. He states that he hardly has enough energy to cook and clean the house. The couple has no children, and no relatives live within a close distance. Which community agency would be of greatest benefit to this client? Select one: a. A recreational club b. An adult education program c. A daycare center for elderly d. Meals on Wheels Meals on Wheels Which of the following is considered a primary nursing diagnosis for a client with a dissociative disorder? Select one: a. Self-esteem, low b. Personal identity, disturbed c. Role performance, ineffective d. Anxiety Personal identity, disturbed By the time they enter school, it is thought that most children identify with: Select one: a. Same-sex peers b. Opposite-sex peers c. The same-sex parent d. The opposite-sex parent **Not D The client interprets the proverb "A rolling stone gathers no moss" as "As long as the rock keeps moving, it won't turn green." This is an example of: Select one: a. Mutism b. Flight of ideas c. Concrete thinking d. Loose association Concrete thinking Abuse during pregnancy endangers the health and well-being of the pregnant woman and her fetus. Which complicating factor is seen twice as much in women experiencing abuse during pregnancy? Select one: a. Postpartum hemorrhage b. Preterm delivery c. Maternal substance abuse d. Delivery by caesarean section Preterm delivery The onset of schizophrenia most commonly occurs during the decade of age in the: Select one: a. Teens b. 20s c. 30s d. 40s 20s Which age group through the life cycle has the most difficult time relating to their own death? Select one: a. Toddler b. Preschool c. Adolescent d. Adult Adolescent Although all age groups can be affected, sleep disorders occur most frequently in: Select one: a. Adolescence b. Later childhood c. Older adulthood d. Middle adulthood Older adulthood The father of three young children dies. The wife expresses how worried she is about how to raise the children on her own without the support of her husband. She finds herself crying and living through each day without accomplishing anything. In which grieving stage is this behavior typically experienced? Select one: a. Denial b. Depression and identification c. Acceptance and recovery d. Yearning Yearning In the early 1960s, a committee appointed by President John F. Kennedy recommended the development of a new approach to the way mental health care was administered, Select one: a. Ethnicity b. Cultural beliefs c. Religion d. Stereotype Cultural beliefs An obese woman is seen in the emergency department complaining of headaches. Her blood pressure is 150/92. Also present are her 4-year-old son and 2-year-old daughter. When the nurse offers to call a family member to pick up the children, the woman states that they are living alone in a women's shelter. What is the most appropriate action for the nurse to take? Select one: a. Instruct the client on proper nutrition and educate her regarding the dangers of hypertension. b. Make a referral for the client to a weight loss center. c. Assist the client to plan better coping strategies. d. Assess the family's daily living needs and consult social work for community resources. Assess the family's daily living needs and consult social work for community resources. Which disorder is associated with persons with a body weight that is normal or even slightly above average? Select one: a. Pica b. Bulimia c. Obesity d. Anorexia nervosa Bulimia Your client is a wife and mother who, in addition to doing most of the household tasks, has a difficult time saying no to helping out with functions at school and church. Based on Fromm's psychodynamic theory, what illness is she more prone to develop? Select one: a. Cardiac problems b. High blood pressure c. Alcoholism d. Gastric ulcer Gastric ulcer The nurse is planning goals for a male client with the diagnosis of personality disorder. What is the main goal of the client's therapy? Select one: a. To adjust to his medications b. To learn to get along with others c. To learn to control his environment d. To become aware of how his behavior affects his life To become aware of how his behavior affects his life As a direct result of Clifford Beers' work and book, A Mind That Found Itself, the Committee for Mental Hygiene was formed in 1909 with a focus on prevention of mental illness and: Select one: a. Early detection of symptoms of mental illness b. Education of caregivers c. Current treatment options d. Removing the stigma attached to mental illness Removing the stigma attached to mental illness A female client who has had bipolar disorder for several years decides to stop all of her medications because she is tired of the side effects. She also cancels all appointments with her therapist, stating that it is just too difficult to plan the visits in her hectic schedule. This client is considered: Select one: a. Depressed b. Noncompliant c. Suffering from an anxiety disorder d. Possessing obsessive-compulsive tendencies Noncompliant Which of the following best describes the disorder that was first recognized in veterans following the Korean and Vietnam Wars? Select one: a. Depression b. Bipolar disorder c. Posttraumatic stress disorder d. Paranoid schizophrenic disorder Posttraumatic stress disorder The childhood trait that increases the risk for developing an antisocial personality disorder is: Select one: a. Poor impulse control b. Frequent reading in solitude c. Poor preschool learning practices d. Difficulty controlling others in the environment Poor impulse control Signs and symptoms of schizophrenia often are first seen in: Select one: a. Early childhood b. Adolescence c. Early adulthood d. Middle adulthood Adolescence How many people in the United States have a severe mental illness? Select one: a. 500,000 b. 1.3 million c. 5.4 million d. 10 million 5.4 million An order written by a physician is reviewed by the nursing staff, and no one is familiar with the treatment instructions. A nurse who was recently hired knows that this treatment is covered by the state's nurse practice act. What is the nurse's best course of action? Select one: a. Call the physician to ask for clarification. b. Check the state's nurse practice act again. c. Contact the nursing supervisor for approval to carry out the treatment. d. Refer to the facility's policy and procedure to determine the course of action. Refer to the facility's policy and procedure to determine the course of action. A female client is being discharged from an inpatient mental health unit after receiving treatment for bipolar disorder. She has responded well to treatment but voices concern about going home and maintaining balance in her life. The client would benefit most by a response from the nurse that conveyed the therapeutic communication principle of: Select one: a. Permission b. Respect c. Interest d. Protection Protection During an interview with a 15-year-old female client admitted for depression, the nurse expresses her disappointment when she to learns that the client recently became pregnant and then had an abortion. The nurse is contradicting the effective interview guideline of: Select one: a. Paying close attention to the client's nonverbal communication b. Avoiding making assumptions c. Avoiding one's personal values that may cloud professional judgment d. Setting clear client goals Avoiding one's personal values that may cloud professional judgment A male client with a history of schizophrenia was admitted to the mental health facility after he was found on the street in a confused state and was uncooperative when approached by the police. One of the first assessments that should be performed on this client upon admission is a assessment. Select one: a. Physical b. Sociocultural c. Psychosocial d. Psychiatric Physical A 42-year-old male client continues to enter into business deals that cause him to lose large amounts of money. He subsequently seeks mental health care for stress-related disorders. Which characteristic of a successful adult is this client lacking? Select one: a. Acceptance of self a. 13 b. 17 c. 33 d. 40 17 An individual is bisexual. The belief that this individual's sexual variation is related to genetic influences is the belief held by theorists. Select one: a. Biological b. Behavioral c. Psychosocial d. Psychoanalytical Biological The family of a 35-year-old alcoholic who refuses to seek treatment reaches out to the community health center for assistance. Which organization should the nurse refer them to for counseling? Select one: a. Al-Anon b. Alcoholics Anonymous c. Families Anonymous d. Narcotics Anonymous Al-Anon A male teenage client tells the nurse that his friends like to drink alcohol occasionally to get drunk. The client's friends see nothing wrong with their drinking habits. The client states that he was taught by his parents and agrees that underage drinking is not acceptable. Also, he has never seen his parents drunk; therefore, he refuses to drink with his friends. Which mode of transmission best describes how this client's particular value was formed? Select one: a. Moralizing b. Modeling c. Reward-punishment d. Laissez-faire Modeling The nursing student is assigned a client to interview and is asked to practice the therapeutic communication technique of sharing perceptions. Which statement made by the student nurse best describes this technique? Select one: a. "I noticed that you pace the halls, and you have a tense look on your face. I sense that you are anxious about something." b. "Can you tell me more about how you feel when you are arguing with your daughter?" c. "I would like to talk with you about your plan of care." d. "Tell me if I understand you correctly." "I noticed that you pace the halls, and you have a tense look on your face. I sense that you are anxious about something." One of the ways that nursing care of the elderly is ensured is by the enactment and monitoring of: Select one: a. DSM-IV-TR standards b. State boards of health c. Standards of geriatric nursing practice d. State nurse practice acts Standards of geriatric nursing practice The nurse is aware that several theories have been proposed to explain anxiety. Which theory explains anxiety as a result of interactions with others? Select one: a. Biological model b. Psychodynamic model c. Interpersonal model d. Behavioral model Interpersonal model Crisis interventions are very successful if begun early in the assault cycle, in the stage. Select one: a. Crisis b. Trigger c. Depression d. Escalation Trigger The introduction of in the 1950s led to the deinstitutionalization of many mentally ill individuals. Select one: a. Psychotherapeutic drugs b. Community mental health clinics c. Residential treatment centers d. State mental health facilities Psychotherapeutic drugs With regard to the environment, it is important for the nurse to be aware of lighting for some clients. Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger: Select one: a. Overstimulation b. Hallucinations c. Aggressive behaviors d. Photophobia Hallucinations A male client with a diagnosis of schizophrenia begins to have hallucinations during a conversation with the nurse; this prevents him from receiving the message that the nurse is trying to communicate to him. According to Ruesch's theory of communication, this unsuccessful interaction is called communication. Select one: a. Disturbed b. Nontherapeutic c. Blocked d. Therapeutic Disturbed The experience and suffering of living with mental illness: Select one: a. Decreases as one grows older b. Is unique to each person c. Follows a predictable course d. Is common to all mentally ill persons Is unique to each person The emotional developmental task of industry vs. inferiority that occurs in childhood is characteristic of which age group? Select one: a. Infancy: birth to 1 year old b. Early childhood: 1 to 3 years old c. Preschool age: 3 to 6 years old d. School age: 6 to 12 years old School age: 6 to 12 years old Which is a typical symptom of posttraumatic stress disorder? Select one: a. Constant use of defense mechanisms b. Flashbacks c. Distressing persistent thoughts d. Irrational fear Flashbacks For most people, being hospitalized is seen as a(n): Select one: a. Crisis b. Annoyance c. Chance to rest d. Expensive hotel Crisis