A client is admitted with a diagnosis of schizotypal personality disorder. Which signs would this client exhibit during social situations? A. Aggressive behavior B. Paranoid thoughts C. Emotional affect D. Independence needs Correct Answer: B. Paranoid thoughts Clients with schizotypal personality disorder experience excessive social anxiety that… Read More »
Clonidine (Catapres) can be used to treat conditions other than hypertension. Nurse Sally is aware that the following conditions might the drug be administered? A. Phencyclidine (PCP) intoxication B. Alcohol withdrawal C. Opiate withdrawal D. Cocaine withdrawal Correct Answer: C. Opiate withdrawal Clonidine is used as adjunctive… Read More »
Two nurses are co-leading group therapy for seven clients in the psychiatric unit. The leaders observe that the group members are anxious and look to the leaders for answers. Which phase of development is this group in? A. Conflict resolution phase B. Initiation phase C. Working phase D. Termination phase … Read More »
During the initial interview, a client with schizophrenia suddenly turns to the empty chair beside him and whispers, “Now just leave. I told you to stay home. There isn’t enough work here for both of us!” What is the nurse’s best initial response? A. “When people are under stress, they may see things or hear things… Read More »
A male client with a history of cocaine addiction is admitted to the coronary care unit for evaluation of substernal chest pain. The electrocardiogram (ECG) shows a 1-mm ST-segment elevation of the anteroseptal leads and T-wave inversion in leads V3 to V5. Considering the client’s history of drug abuse, nurse Greg expects the physician to… Read More »
Group members have worked very hard, and the nurse reminds them that termination is approaching. Termination is considered successful if group members: A. Decide to continue B. Elevate group progress C. Focus on positive experience D. Stop attending prior to termination Correct Answer: A. Decide to continue… Read More »
The definition of nihilistic delusions is: A. A false belief about the functioning of the body. B. Belief that the body is deformed or defective in a specific way. C. False ideas about the self, others, or the world D. The inability to carry out motor activities. … Read More »
A 14-year-old client was brought to the clinic by her mother. Her mother expresses concern about her daughter’s weight loss and constant dieting. Nurse Kris conducts a health history interview. Which of the following comments indicates that the client may be suffering from anorexia nervosa? A. “I like the way I look. I just… Read More »
The nurse is teaching a group of clients about the mood-stabilizing medications lithium carbonate. Which medications should she instruct the clients to avoid because of the increased risk of lithium toxicity? A. Antacids B. Antibiotics C. Diuretics D. Hypoglycemic agents Correct Answer: C. Diuretics The use of… Read More »
A client who’s taking antipsychotic medication develops a very high temperature, severe muscle rigidity, tachycardia, and rapid deterioration in mental status. The nurse suspects what complication of antipsychotic therapy? A. Agranulocytosis B. Extrapyramidal effects C. Anticholinergic effects D. Neuroleptic malignant syndrome (NMS) Correct Answer: D. Neuroleptic malignant… Read More »