In the diagnosis of a possible pervasive developmental autistic disorder. The nurse would find it most unusual for a 3-year-old child to demonstrate: A. An interest in music. B. An attachment to odd objects. C. Ritualistic behavior. D. Responsiveness to the parents. Correct Answer: D. Responsiveness to… Read More »
Malou with schizophrenia tells Nurse Melinda, “My intestines are rotted from worms chewing on them.” This statement indicates a: A. Jealous delusion B. Somatic delusion C. Delusion of grandeur D. Delusion of persecution Correct Answer: B. Somatic delusion Somatic delusions focus on bodily functions or systems and… Read More »
Which of the following will Nurse Dory use when communicating with a client who has cognitive impairment? A. Complete explanations with multiple details. B. Pictures or gestures instead of words. C. Stimulating words and phrases to capture the client’s attention. D. Short words and simple sentences. Correct… Read More »
Andy is admitted to the psychiatric unit with a diagnosis of borderline personality disorder. Nurse Hilary should expect the assessment to reveal: A. Coldness, detachment, and lack of tender feelings B. Somatic symptoms C. Inability to function as responsible parent D. Unpredictable behavior and intense interpersonal relationships … Read More »
Propanolol (Inderal) is used in the mental health setting to manage which of the following conditions? A. Antipsychotic-induced akathisia and anxiety. B. Obsessive-compulsive disorder (OCD) to reduce ritualistic behavior. C. Delusions for clients suffering from schizophrenia. D. The manic phase of bipolar illness as a mood stabilizer. … Read More »
Which medication can control the extrapyramidal effects associated with antipsychotic agents? A. Clorazepate (Tranxene) B. Amantadine (Symmetrel) C. Doxepin (Sinequan) D. Perphenazine (Trilafon) Correct Answer: B. Amantadine (Symmetrel) Amantadine is an anticholinergic drug used to relieve drug-induced extrapyramidal adverse effects such as muscle weakness, involuntary muscle movements,… Read More »
Which of the following statements should be included when teaching clients about monoamine oxidase inhibitor (MAOI) antidepressants? A. Don’t take aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs). B. Have blood levels screened weekly for leukopenia. C. Avoid strenuous activity because of the cardiac effects of the drug. D. Don’t take prescribed or… Read More »
Kris periodically has acute panic attacks. These attacks are unpredictable and have no apparent association with a specific object or situation. During an acute panic attack, Kris may experience: A. Heightened concentration B. Decreased perceptual field C. Decreased cardiac rate D. Decreased respiratory rate Correct Answer: B.… Read More »
Initial interventions for Marco with acute anxiety include all except which of the following? A. Touching the client in an attempt to comfort him. B. Approaching the client in a calm, confident manner. C. Encouraging the client to verbalize feelings and concerns. D. Providing the client with a safe, quiet, and… Read More »
Nurse Jessie is assessing a client suffering from stress and anxiety. A common physiological response to stress and anxiety is: A. Urticaria B. Vertigo C. Sedation D. Diarrhea Correct Answer: D. Diarrhea Diarrhea is a common physiological response to stress and anxiety. The ability of stress to… Read More »