The nursing diagnosis that would be most appropriate for a 22-year old client who uses ritualistic behavior would be: A. Ineffective coping B. Impaired adjustment C. Personal identity disturbance D. Sensory/perceptual alterations Correct Answer: A. Ineffective coping Ineffective coping is the impairment of a person’s adaptive behaviors and problem-solving… Read More »
When caring for a client with a diagnosis of schizotypal personality disorder, the nurse should: A. Set limits on manipulative behavior. B. Encourage participation in group therapy. C. Respect the client’s needs for social isolation. D. Understand that seductive behavior is expected. Correct Answer: C. Respect the… Read More »
Nurse Rica is teaching a client and her family about the causes of depression. Which of the following causative factors should the nurse emphasize as the most significant? A. Brain structure abnormalities B. Chemical imbalance C. Social environment D. Recessive gene transmission Correct Answer: B. Chemical imbalance Chemical imbalance… Read More »
Clara is under evaluation for imminent suicide risk, which information given by her would be most significant? A. At least a 2-year history of feeling depressed more days than not. B. Divorced from spouse six (6) months ago. C. Feeling loss of energy and appetite. D. Reference to suicide as best solution to… Read More »
Rendell is admitted in an acute psychiatric unit at Nurseslabs Medical Center. He suddenly tells Nurse Matt about his plans for suicide. The nurse’s priority is to: A. Allow the client time alone for reflection. B. Encourage the client to use problem solving. C. Follow agency protocol for suicide precautions. D.… Read More »
Which mood disorder is characterized by the client feeling depressed most of the day for a 2-year period? A. Cyclothymia B. Dysthymia C. Melancholic depressive disorder D. Seasonal affective disorder Correct Answer: B. Dysthymia Dysthymia is characterized by at least a 2-year history of depression, occurring most… Read More »
Using cognitive-behavioral therapy, which treatment would be appropriate for a client with depression? A. Challenging negative thinking B. Encouraging analysis of dreams C. Prescribing antidepressant medications D. Using ultraviolet light therapy Correct Answer: A. Challenging negative thinking Cognitive-behavioral therapy includes identifying and challenging a client’s negative cognitions.… Read More »
Nurse Nadine is assessing James who is diagnosed with bipolar disorder. The nurse would expect to find a history of: A. A depressive episode followed by prolonged sadness. B. A series of depressive episodes that recur periodically. C. Symptoms of mania that may or may not be followed by depression. D.… Read More »
A client completing requirements for student teaching reports to the nurse an incident in which a student was rude and disrespectful. The client states, “None of the students respects my teaching ability.” The nurse identifies this as an example of which common negative cognition? A. Labeling B. Fortune telling C. Overgeneralization … Read More »
The community nurse is speaking to a group of new mothers as part of a primary prevention program. Which self-measures would be most helpful as a strategy to decrease the occurrence of mood disorders? A. Keeping busy, so as not to confront problem areas. B. Medication with antidepressants. C. Use of crisis… Read More »