Answer Choices:
a. Anxiety, related to fear of weight gain
b. Disturbed body image, related to weight loss
c. Ineffective coping, related to lack of conflict resolution skills
d. Imbalanced nutrition: less than body requirements, related to self-starvation
Answer:
D
Question: An appropriate intervention for a patient diagnosed with bulimia nervosa who binges and purges is to teach the patient what important intervention? a. Eat a small meal after purging. b. Avoid skipping meals or restricting food. c. Concentrate oral intake after 4 pm daily. d. Understand the value of reading journal entries aloud to others.
Answer Choices:
a. Eat a small meal after purging.
b. Avoid skipping meals or restricting food.
c. Concentrate oral intake after 4 pm daily.
d. Understand the value of reading journal entries aloud to others.
Answer:
B
Question: The relapse of a patient diagnosed with schizophrenia is related to medication nonadherence. The patient is hospitalized for 5 days, medication is restarted, and the patient’s thoughts are now more organized. The patient’s family members are upset and say, “It’s too soon for discharge. Hospitalization is needed for at least a month.” The nurse should implement what intervention?
Answer Choices:
a. Call the psychiatrist to come explain the discharge rationale.
b. Explain that health insurance will not pay for a longer stay for the patient.
c. Notify security to handle the disturbance and escort the family off the unit.
d. Explain that the patient will continue to improve if medication is taken regularly.
Answer:
d. Explain that the patient will continue to improve if medication is taken regularly.
Question: A patient has taken many conventional antipsychotic drugs over the years. The health care provider, who is concerned about early signs of tardive dyskinesia, prescribes risperidone. A nurse planning care for this patient understands what fact about second-generation antipsychotics?
Answer Choices:
a. They are less costly.
b. They have a higher potency.
c. They are more readily available.
d. They produce fewer motor side effects.
Answer:
d. They produce fewer motor side effects.
Question: A patient diagnosed with schizophrenia has been stable for a year; however, the family now reports the patient is tense, sleeps 3 to 4 hours per night, and has difficulty concentrating. The patient says, “Demons are in the basement and they can come through the floor.” The nurse can correctly assess this information as what? A. Need for psychoeducation B. Medication nonadherence C. Chronic deterioration D. Relapse
Answer Choices:
A) Need for psychoeducation
B) Medication nonadherence
C) Chronic deterioration
D) Relapse
Answer:
D
Question: A patient diagnosed with schizophrenia has auditory hallucinations. The patient anxiously tells the nurse, “The voice is telling me to do things.” Select the nurse’s priority assessment question. A. “How long has the voice been directing your behavior?” B. “Do the messages from the voice frighten you?” C. “Do you recognize the voice speaking to you?” D. “What is the voice telling you to do?”
Answer Choices:
A) “How long has the voice been directing your behavior?”
B) “Do the messages from the voice frighten you?”
C) “Do you recognize the voice speaking to you?”
D) “What is the voice telling you to do?”
Answer:
D
Question: A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, “No!” when given direction. Using Freud’s stages of psychosexual development, a nurse would assess the child’s behavior is based on which stage?
Answer Choices:
a. Oral
b. Anal
c. Phallic
d. Genital
Answer:
B. Anal
Question: As a patient admitted to the eating disorders unit undresses, a nurse observes that the patient’s body is covered by fine, downy hair. The patient weighs 70 pounds and is 5 feet, 4 inches tall. Which condition should be documented? a. Amenorrhea b. Alopecia c. Lanugo d. Stupor
Answer Choices:
a. Amenorrhea
b. Alopecia
c. Lanugo
d. Stupor
Answer:
C
Question: The parent of a teen diagnosed with schizophrenia asks a nurse, “What is a PET scan?” The nurse’s best response is:
Answer Choices:
a. “PET uses radioactive isotopes to trace the path of neurotransmitters in the brain.”
b. “It’s a special type of x-ray image that shows brain activity and whether a brain injury has ever occurred.”
c. “PET is a scan that passes an electrical current through the brain and shows brain wave activity. PET can help diagnose seizures.”
d. “PET is a special scan that shows blood flow and activity in the brain.”
Answer:
D. “PET is a special scan that shows blood flow and activity in the brain.”
Question: A patient diagnosed with schizophrenia demonstrates paranoid thinking. The patient angrily tells a nurse, “You are mean and nasty. No one trusts you or wants to be around you.” What is the likely motivation behind this behavior? A. Attempting to manipulate the nurse by using negative comments B. The prelude to disorganization and catatonia in the near future C. Jealousy of the nurse’s position of power in the relationship D. Identifying another person’s shortcomings in order to preserve his or her own self-esteem
Answer Choices:
A) Attempting to manipulate the nurse by using negative comments
B) The prelude to disorganization and catatonia in the near future
C) Jealousy of the nurse’s position of power in the relationship
D) Identifying another person’s shortcomings in order to preserve his or her own self-esteem
Answer:
D