Chuck is a 20-year-old student diagnosed with obsessive-compulsive behavior. A psychiatrist prescribes clomipramine (Anafranil) to treat his condition. Nurse Nicolette understands the rationale for this treatment is that the clomipramine: A. Increases dopamine levels B. Increases serotonin levels C. Decreases norepinephrine levels D. Decreases GABA levels Correct… Read More »
Genevieve only attends social events when a family member is also present. She exhibits behavior typical of which anxiety disorder? A. Agoraphobia B. Generalized anxiety disorder C. Obsessive-compulsive disorder D. Post-traumatic stress disorder Correct Answer: A. Agoraphobia Agoraphobia is a disorder characterized by avoidance of situations in… Read More »
Mr. Johnson was recently admitted to a psychiatric unit because of severe obsessive-compulsive behavior. Which initial response by the nurse would be most therapeutic for him? A. Accepting the client’s ritualistic behaviors. B. Challenging the client’s need for rituals. C. Expressing concern about the harmfulness of the client’s rituals. D. Limiting the client’s… Read More »
Nurse Vicky is assessing a newly admitted client for symptoms of post-traumatic stress disorder (PTSD). Which symptoms are typically seen with this diagnosis? Select all that apply. A. Anger with numbing of other emotions. B. Exaggerated startle response. C. Feeling that one is having a heart attack. D. Frequent thoughts about contamination.… Read More »
Jordanne is a client with a fear of air travel. She is being treated in a mental institution for phobic disorder. The treatment method involves systematic desensitization. The nurse would consider the treatment successful if: A. Jordanne plans a trip requiring air travel. B. Jordanne takes a short trip on an airplane. … Read More »
Nurse Kerrick observes Toni who is hospitalized on an eating disorder unit during mealtimes and for 1 hour after eating. An explanation for this intervention is: A. To develop a trusting relationship. B. To maintain focus on the importance of nutrition. C. To prevent purging behaviors. D. To reinforce the behavioral… Read More »
Marlyn is diagnosed with anorexia nervosa and is admitted to the special eating disorder unit. The initial treatment priority for her is: A. To determine her current body image. B. To identify family interaction patterns. C. To initiate a refeeding program. D. To promote the client’s independence. … Read More »
The nurse evaluates the treatment of Mrs. Montez with somatoform disorder as successful if: A. Mrs. Montez practices self-medication rather than changing health care providers. B. Mrs. Montez recognizes that physical symptoms increase anxiety level. C. Mrs. Montez researches treatment protocols for various illnesses. D. Mrs. Montez verbalizes anxiety directly rather… Read More »
Which of the following attitudes from a nurse would hinder a discussion with an adolescent client about sexuality? A. Accepting B. Matter-of-fact C. Moralistic D. Non Judgemental Correct Answer: C. Moralistic Adolescents are not likely to feel free to ask questions and participate in a discussion if… Read More »
Nurse Wayne is planning a psychoeducational discussion for a group of adolescent clients with anorexia nervosa. Which of the following topics would Nurse Wayne select to enhance understanding about central issues in this disorder? A. Anger management B. Parental expectations C. Peer pressure and substance abuse D. Self-control and self-esteem … Read More »