Answer Choices:
a. Antipsychotic medications
b. Tricyclic antidepressant agents
c. Anticholinergic agents
d. Monoamine oxidase inhibitors
Answer:
d. Monoamine oxidase inhibitors
Question: Which nursing diagnosis is more applicable for a patient diagnosed with anorexia nervosa who restricts intake and is 20% below normal weight than for a 130-pound patient diagnosed with bulimia nervosa who purges?
Answer Choices:
a. Powerlessness
b. Ineffective coping
c. Disturbed body image
d. Imbalanced nutrition: less than body requirements
Answer:
D
Question: A nursing diagnosis for a patient diagnosed with bulimia nervosa is: ineffective coping related to feelings of loneliness as evidenced by overeating to comfort self, followed by self-induced vomiting. The best outcome related to this diagnosis is that within 2 weeks the patient will demonstrate what? a. Appropriate expression of angry feelings b. Verbalization of two positive things about self c. Verbalization the importance of eating a balanced diet d. Identification of two alternative methods of coping with loneliness
Answer Choices:
a. Appropriate expression of angry feelings
b. Verbalization of two positive things about self
c. Verbalization the importance of eating a balanced diet
d. Identification of two alternative methods of coping with loneliness
Answer:
D
Question: What is the priority intervention for a nurse beginning a therapeutic relationship with a patient diagnosed with a schizotypal personality disorder?
Answer Choices:
a. Respect the patient’s need for periods of social isolation.
b. Prevent the patient from violating the nurse’s rights.
c. Engage the patient in many community activities.
d. Teach the patient how to match clothing.
Answer:
a. Respect the patient’s need for periods of social isolation.
Question: Which symptoms are expected for a patient diagnosed with schizophrenia who has disorganization? A. Extremes of motor activity, from excitement to stupor B. Socially withdrawn and ineffective communication C. Severe anxiety with ritualistic behavior D. Highly suspicious, delusional behavior
Answer Choices:
A) Extremes of motor activity, from excitement to stupor
B) Socially withdrawn and ineffective communication
C) Severe anxiety with ritualistic behavior
D) Highly suspicious, delusional behavior
Answer:
B
Question: A patient diagnosed with schizophrenia has auditory hallucinations, delusions of grandeur, poor personal hygiene, and motor agitation. Which assessment finding would the nurse regard as a negative symptom of schizophrenia? A. Auditory hallucinations B. Delusions of grandeur C. Poor personal hygiene D. Motor agitation
Answer Choices:
A) Auditory hallucinations
B) Delusions of grandeur
C) Poor personal hygiene
D) Motor agitation
Answer:
C
Question: A psychiatric clinical nurse specialist uses cognitive therapy techniques with a patient diagnosed with anorexia nervosa. Which statement by the staff nurse supports this type of therapy? a. “What are your feelings about not eating the food that you prepare?” b. “You seem to feel much better about yourself when you eat something.” c. “It must be difficult to talk about private matters to someone you just met.” d. “Being thin does not seem to solve your problems. You are thinner now but still unhappy.”
Answer Choices:
a. “What are your feelings about not eating the food that you prepare?”
b. “You seem to feel much better about yourself when you eat something.”
c. “It must be difficult to talk about private matters to someone you just met.”
d. “Being thin does not seem to solve your problems. You are thinner now but still unhappy.”
Answer:
D
Question: A nurse at the mental health clinic plans a series of psychoeducational groups for persons diagnosed with schizophrenia. Which two topics would take priority? (Select all that apply.)
Answer Choices:
A. How to complete an application for employment?
B. The importance of correctly taking your medication.
C. How to dress when attending community events?
D. How to give and receive compliments?
E. Ways to quit smoking.
Answer:
B, E
Question: A nurse caring for an acutely psychotic patient finds out the on-duty nurse forgot to chart an administered medication and the off-duty nurse is not reachable. What is the nurse’s best action to ensure continuity of care?
Answer Choices:
a. Remain silent.
b. Document the patient’s mental status. Obtain other assessment data from the family member.
c. Record the patient’s answers to questions on the nursing assessment form.
d. Ask an advanced practice nurse to perform the assessment interview.
Answer:
b. Document the patient’s mental status. Obtain other assessment data from the family member.
Question: What is the most challenging nursing intervention for patients diagnosed with personality disorders who use manipulation to get their needs met?
Answer Choices:
a. Supporting behavioral change
b. Monitoring suicide attempts
c. Maintaining consistent limits
d. Using aversive therapy
Answer:
c. Maintaining consistent limits
Question: A patient diagnosed with anorexia nervosa virtually stopped eating 5 months ago and has lost 25% of body weight. A nurse asks, “Describe what you think about your present weight and how you look.” Which response by the patient is most consistent with the diagnosis? a. “I am fat and ugly.” b. “What I think about myself is my business.” c. “I am grossly underweight, but that’s what I want.” d. “I am a few pounds overweight, but I can live with it.”
Answer Choices:
a. “I am fat and ugly.”
b. “What I think about myself is my business.”
c. “I am grossly underweight, but that’s what I want.”
d. “I am a few pounds overweight, but I can live with it.”
Answer:
A
Question: A patient diagnosed with borderline personality disorder has self-inflicted wrist lacerations. The health care provider prescribes daily dressing changes. The nurse performing this care should focus on what?
Answer Choices:
a. Encouraging the patient to express anger.
b. Providing care in a kind but matter-of-fact manner.
c. Demonstrating sympathy and concern.
d. Offering to listen to the patient’s feelings about cutting.
Answer:
b. Providing care in a kind but matter-of-fact manner.
Question: Over the past year, a woman has cooked gourmet meals for her family but eats only tiny servings. She wears layered, loose clothing and now has amenorrhea. Her current weight is 95 pounds, a loss of 35 pounds. Which medical diagnosis is most likely? a. Binge-eating disorder b. Anorexia nervosa c. Bulimia nervosa d. Pica
Answer Choices:
a. Binge-eating disorder
b. Anorexia nervosa
c. Bulimia nervosa
d. Pica
Answer:
B