Answer Choices:
A. Aphasia
B. Dystonia
C. Tactile hallucinations
D. Mnemonic disturbance
Answer:
C
Question: A patient who has been diagnosed with schizoid personality disorder is newly admitted to the unit. What is the best initial nursing intervention? a. Set firm limits. b. Engage in trust building. c. Involve in milieu and group activities. d. Encourage identification and expression of feelings.
Answer Choices:
a. Set firm limits.
b. Engage in trust building.
c. Involve in milieu and group activities.
d. Encourage identification and expression of feelings.
Answer:
B
Question: A patient reports symptoms of acute anxiety related to the death of a parent in an automobile accident 2 hours earlier. The nurse should anticipate administering a medication from which group for a short-term therapy?
Answer Choices:
a. Tricyclic antidepressants
b. Atypical antipsychotics
c. Anticonvulsants
d. Benzodiazepines
Answer:
D. Benzodiazepines
Question: When preparing to interview a patient diagnosed with narcissistic personality disorder, a nurse can anticipate the assessment findings will include what characteristics?
Answer Choices:
a. Preoccupation with minute details; perfectionist
b. Charming, dramatic, seductive; seeking admiration.
c. Difficulty being alone; indecisiveness, submissiveness.
d. Lack of empathy, exploitive, and arrogance.
Answer:
d. Lack of empathy, exploitive, and arrogance.
Question: Which individual diagnosed with a mental illness may need emergency or involuntary hospitalization for mental illness?
Answer Choices:
a. The patient who resumes using heroin while still taking methadone.
b. The patient who reports hearing angels playing harps during thunderstorms.
c. The patient who throws a heavy plate at a waiter at the direction of command hallucinations.
d. The patient who does not show up for an outpatient appointment with the mental health nurse.
Answer:
c. The patient who throws a heavy plate at a waiter at the direction of command hallucinations.
Question: Which documentation of a patient’s behavior best demonstrates a nurse’s observations?
Answer Choices:
a. Isolates self from others. Frequently fell asleep during group. Vital signs stable.
b. Calmer and more cooperative. Participated actively in group. No evidence of psychotic thinking.
c. Appeared to hallucinate. Patient frequently increased volume on television, causing conflict with others.
d. Wears four layers of clothing. States, “I need protection from dangerous bacteria trying to penetrate my skin.”
Answer:
d. Wears four layers of clothing. States, “I need protection from dangerous bacteria trying to penetrate my skin.”
Question: When observing a patient diagnosed with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight, what response should the nurse provide?
Answer Choices:
a. “You and I will have to sit down and discuss this problem.”
b. “It bothers me to see you exercising. You’ll lose more weight.”
c. “Let’s discuss the relationship between exercise and weight loss and how that affects your body.”
d. “According to our agreement, no exercising is permitted until you have gained a specific amount of weight.”
Answer:
D
Question: Which assessment finding for a patient diagnosed with an eating disorder meets a criterion for hospitalization?
Answer Choices:
a. Urine output: 40 mL/hr
b. Pulse rate: 58 beats/min
c. Serum potassium: 3.4 mEq/L
d. Systolic blood pressure: 62 mm Hg
Answer:
D
Question: For which patients diagnosed with personality disorders would a family history of similar problems be most likely? (Select all that apply.) a. Obsessive-compulsive b. Antisocial c. Dependent d. Schizotypal e. Narcissistic
Answer Choices:
a. Obsessive-compulsive
b. Antisocial
c. Dependent
d. Schizotypal
e. Narcissistic
Answer:
A, B, D
Question: A nurse uses Maslow’s hierarchy of needs to plan care for a psychotic patient. Which problem will receive priority?
Answer Choices:
a. Refuses to eat or bathe.
b. Reports feelings of alienation from family.
c. Is reluctant to participate in unit social activities.
d. Needs to be taught about medication action and side effects.
Answer:
A. Refuses to eat or bathe.
Question: An acutely violent patient diagnosed with schizophrenia receives several doses of haloperidol. Two hours later the nurse notices the patient’s head rotated to one side in a stiffly fixed position; the lower jaw is thrust forward, and the patient is drooling. Which intervention by the nurse is indicated? A) Administer diphenhydramine 50 mg IM from the PRN medication administration record. B) Reassure the patient that the symptoms will subside. Practice relaxation exercises with the patient. C) Give trihexyphenidyl 5 mg orally at the next regularly scheduled medication administration time. D) Administer atropine sulfate 2 mg subcutaneously from the PRN medication administration record.
Answer Choices:
A) Administer diphenhydramine 50 mg IM from the PRN medication administration record.
B) Reassure the patient that the symptoms will subside. Practice relaxation exercises with the patient.
C) Give trihexyphenidyl 5 mg orally at the next regularly scheduled medication administration time.
D) Administer atropine sulfate 2 mg subcutaneously from the PRN medication administration record.
Answer:
A
Question: Patients diagnosed with schizophrenia who are suspicious and withdrawn generally present with what additional characteristic? A. Universally fear sexual involvement with therapists. B. Are socially disabled by the positive symptoms of schizophrenia. C. Exhibit a high degree of hostility as evidenced by rejecting behavior. D. Avoid relationships because they become anxious with emotional closeness.
Answer Choices:
A) Universally fear sexual involvement with therapists.
B) Are socially disabled by the positive symptoms of schizophrenia.
C) Exhibit a high degree of hostility as evidenced by rejecting behavior.
D) Avoid relationships because they become anxious with emotional closeness.
Answer:
D
Question: How should the nurse who wants to demonstrate genuineness with a patient diagnosed with schizophrenia do so most effectively? a. By restating what the patient says. b. By using congruent communication strategies. c. By using self-disclosure in patient interactions. d. By consistently interpreting the patient’s behaviors.
Answer Choices:
a. By restating what the patient says.
b. By using congruent communication strategies.
c. By using self-disclosure in patient interactions.
d. By consistently interpreting the patient’s behaviors.
Answer:
B
Question: A patient diagnosed with borderline personality disorder has a history of self-mutilation and suicide attempts. The patient relieves feelings of depression and anger with life. The treatment team suggests the use of a medication. Which type of medication should the nurse expect?
Answer Choices:
a. Selective serotonin reuptake inhibitor (SSRI)
b. Monoamine oxidase inhibitor (MAOI)
c. Benzodiazepine
d. Antipsychotic
Answer:
a. Selective serotonin reuptake inhibitor (SSRI)
Question: The family members of a patient newly diagnosed with schizophrenia state that they do not understand what has caused the illness. The nurse’s response should be based on which models? (Select all that apply.)
Answer Choices:
A. Neurobiological
B. Environmental
C. Family theory
D. Genetic
E. Stress
Answer:
A) Neurobiological
D) Genetic
Question: A patient diagnosed with schizophrenia and experiencing catatonia holds up an arm, which the nurse gently lowers the arm. What is the name of this phenomenon?
Answer Choices:
a. Echolalia
b. Waxy flexibility
c. Depersonalization
d. Thought withdrawal
Answer:
B
Question: Which description of patient behavior best applies to a hallucination?
Answer Choices:
A. Looking at shadows on a wall and says, “I see scary faces”
B. Stating, “I feel bugs crawling on my legs and biting me”
C. Becoming anxious when the nurse leaves his or her bedside
D. Trying to hit the nurse with vital signs are taken
Answer:
B
Question: A patient diagnosed with schizophrenia is stuporous, demonstrates little spontaneous movement, and has waxy flexibility. The patient’s activities of daily living are severely compromised. An appropriate outcome is that the patient will:
Answer Choices:
a. demonstrate increased interest in the environment by the end of week 1.
b. perform self-care activities with coaching by the end of day 3.
c. gradually take the initiative for self-care by the end of week 2.
d. voluntarily accept tube feeding by day 2.
Answer:
B