Answer Choices:
a. GABA
b. Substance P
c. Histamine
d. Dopamine
e. Norepinephrine
Answer:
d. Dopamine, e. Norepinephrine
Question: What is the priority nursing diagnosis for a patient experiencing fluctuating levels of consciousness, disturbed orientation, and visual and tactile hallucinations?
Answer Choices:
A. Bathing/hygiene self-care deficit related to altered cerebral function as evidenced by confusion and inability to perform personal hygiene tasks
B. Risk for injury related to altered cerebral function, misperception of the environment, and unsteady gait
C. Disturbed thought processes related to medication intoxication as evidenced by confusion, disorientation, and hallucinations
D. Fear related to sensory perceptual alterations as evidenced by terror from imagined ferocious dogs
Answer:
B
Question: A patient diagnosed with anorexia nervosa is hospitalized for treatment. What features should the milieu provide? (Select all that apply.)
Answer Choices:
a. Flexible mealtimes
b. Unscheduled weight checks
c. Adherence to a selected menu
d. Observation during and after meals
e. Monitoring during bathroom trips
f. Privileges correlated with emotional expression
Answer:
C, D, E
Question: A patient diagnosed with schizophrenia begins a new prescription for lurasidone HCI. The patient is 5 feet 6 inches tall and currently weighs 204 pounds. Which topic is most important for the nurse to include in the teaching plan related to this medication? A. How to recognize tardive dyskinesia? B. Weight management strategies. C. Ways to manage constipation. D. Sleep hygiene measures.
Answer Choices:
A) How to recognize tardive dyskinesia?
B) Weight management strategies.
C) Ways to manage constipation.
D) Sleep hygiene measures.
Answer:
B
Question: Consider these comments made to three different nurses by a patient diagnosed with an antisocial personality disorder: “You’re a better nurse than the day shift nurse said you were”. “Another nurse said you don’t do your job right?”. “You think you’re perfect, but I’ve seen you make three mistakes.” Collectively, these interactions can be appropriately assessed using what term?
Answer Choices:
a. Paranoia
b. Entitlement
c. Manipulation
d. Pathological lying
Answer:
c. Manipulation
Question: Which patient diagnosed with schizophrenia would be expected to have the lowest level of overall functioning?
Answer Choices:
a. 39 years old; paranoid ideation since age 35 years
b. 32 years old; isolated episodes of catatonia since age 24 years; stable for 3 years
c. 19 years old; diagnosed with schizophreniform disorder 6 months ago
d. 40 years old; frequent relapses since age 18; often does not take medication as prescribed
Answer:
D
Question: Disturbed body image is the nursing diagnosis for a patient diagnosed with an eating disorder. Which outcome indicator is most appropriate to monitor? a. Weight, muscle, and fat are congruent with height, frame, age, and sex. b. Calorie intake is within the required parameters of the treatment plan. c. Weight reflects the established normal weight for the patient. d. The patient expresses satisfaction with body appearance.
Answer Choices:
a. Weight, muscle, and fat are congruent with height, frame, age, and sex.
b. Calorie intake is within the required parameters of the treatment plan.
c. Weight reflects the established normal weight for the patient.
d. The patient expresses satisfaction with body appearance.
Answer:
D
Question: What is the priority nursing diagnosis for a patient diagnosed with antisocial personality disorder who has made threats against staff, ripped art off the walls, and thrown objects?
Answer Choices:
a. Disturbed sensory perception—auditory
b. Risk for other-directed violence
c. Ineffective denial
d. Ineffective coping
Answer:
b. Risk for other-directed violence
Question: A nurse assesses that a patient is suspicious and frequently manipulates others. Using the Freudian theory, these traits are related to which psychosexual stage?
Answer Choices:
a. Oral
b. Anal
c. Phallic
d. Genital
Answer:
A. Oral
Question: A patient diagnosed with schizophrenia has taken a first-generation antipsychotic medication for a year. Hallucinations are less intrusive, but the patient continues to have apathy, poverty of thought, and social isolation. The nurse expects a change to which medication? A. Haloperidol B. Olanzapine C. Chlorpromazine D. Diphenhydramine
Answer Choices:
A) Haloperidol
B) Olanzapine
C) Chlorpromazine
D) Diphenhydramine
Answer:
B
Question: A patient diagnosed with schizophrenia anxiously says, “I can see the left side of my body merging with the wall, then my face appears and disappears in the mirror.” What phenomena is the patient describing? A. Derealization B. Concrete thinking C. Abstract thinking D. Depersonalization
Answer Choices:
A) Derealization
B) Concrete thinking
C) Abstract thinking
D) Depersonalization
Answer:
D
Question: A patient begins therapy with a first-generation antipsychotic medication. What teaching should a nurse provide related to the drug’s strong dopamine blocking effect?
Answer Choices:
a. Chew sugarless gum.
b. Increase dietary fiber.
c. Arise slowly from bed.
d. Report muscle stiffness.
Answer:
D. Report muscle stiffness.
Question: When a patient diagnosed with schizophrenia was discharged 6 months ago, haloperidol was prescribed. The patient now says, “I stopped taking those pills. I didn’t like how it made me feel.” What likely side effects did the patient experience?
Answer Choices:
a. Sedation and muscle stiffness
b. Sweating, nausea, and diarrhea
c. Mild fever, sore throat, and skin rash
d. Headache, watery eyes, and runny nose
Answer:
A
Question: Outpatient treatment is planned for a patient diagnosed with anorexia nervosa. Select the most important outcome related to the nursing diagnosis: imbalanced nutrition: less than body requirements. Within 1 week, the expectation is that the patient will demonstrate what? a. Weigh self accurately using balanced scales. b. Limit exercise to less than 2 hours daily. c. Select clothing that fits properly. d. Gain 1/2 to 3/4 pound.
Answer Choices:
a. Weigh self accurately using balanced scales.
b. Limit exercise to less than 2 hours daily.
c. Select clothing that fits properly.
d. Gain 1/2 to 3/4 pound.
Answer:
D
Question: Physical assessment of a patient diagnosed with bulimia nervosa often reveals what data? a. Prominent parotid glands b. Peripheral edema c. Thin, brittle hair d. Amenorrhea
Answer Choices:
a.
Answer:
Question: A patient who was referred to the eating disorders clinic has lost 35 pounds in the past 3 months. To assess the patient’s oral intake, the nurse should ask which assessment question? a. “Do you often feel fat?” b. “Who plans the family meals?” c. “What do you eat in a typical day?” d. “What do you think about your present weight?”
Answer Choices:
a. “Do you often feel fat?”
b. “Who plans the family meals?”
c. “What do you eat in a typical day?”
d. “What do you think about your present weight?”
Answer:
C
Question: A patient diagnosed with anorexia nervosa has a body mass index (BMI) of 14.8 kg/m^2. Which assessment finding is most likely to accompany this value?
Answer Choices:
a. Cachexia
b. Leukocytosis
c. Hyperthermia
Answer:
A