The home health psychiatric nurse visits a client with chronic schizophrenia who was recently discharged after a prolonged stay in a state hospital. The client lives in a boarding home, reports no family involvement, and has little social interaction. The nurse plan to refer the client to a day treatment program in order to help… Read More »
Which activity would be most appropriate for a severely withdrawn client? A. Art activity with a staff member B. Board game with a small group of clients C. Team sport in the gym D. Watching TV in the dayroom Correct Answer: A. Art activity with a staff member. The… Read More »
Mrs. Jordan is an elderly client diagnosed with Alzheimer’s disease. She becomes agitated and combative when a nurse approaches to help with morning care. The most appropriate nursing intervention in this situation would be to: A. Tell the client firmly that it is time to get dressed. B. Obtain assistance to restrain the client for… Read More »
Which goal is a priority for a client with a DSM-IV-TR diagnosis of delirium and the nursing diagnosis acute confusion related to recent surgery secondary to traumatic hip fracture? A. The client will complete activities of daily living. B. The client will maintain safety. C. The client will remain oriented. D.… Read More »
Which of the following is not included in the care plan of a client with a moderate cognitive impairment involving dementia of the Alzheimer’s type? A. Daily structured schedule. B. Positive reinforcement for performing activities of daily living. C. Stimulating environment. D. Use of validation techniques. Correct… Read More »
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 »