Title WORKBOOK - PSYCH (SC) ✅

TOP RANK REVIEW ACADEMY, INC. Page 4 | 49. The nursing diagnosis for a client with bulimia is Fluid Volume Deficit. Nursing interventions specific to the fluid volume deficit include: A. Ensuring daily consumption of 1000 mL of liquid. B. Weighing the client after each meal. C. Monitoring the client for at least 1 hour after meals. D. Monitoring body temperature every 4 hours. Situation - It is now well documented that a large proportion of clients in general medical outpatient clinics and private medical offices do not have organic disease requiring medical treatment. It is likely that many of these clients have somatic symptom disorders, but they do not perceive themselves as having a psychiatric problem and thus do not seek treatment from psychiatrists. The psychiatric nurse must be able to identify certain clients with the above mentioned condition. 50. The nurse finds, during the initial assessment of the star player on the basketball team, that he is not concerned about the sudden paralysis of his “shooting arm.” This behavior is known as. A. Secondary gain. B. La belle indifference. C. Malingering. D. Hypochondriasis. 51. A female client with a 15-year history of somatic symptom disorder is to be discharged from the first psychiatric hospitalization. Which client statement indicates that nursing care has been effective? A. I need to make sure that all of my medications are sent home with me B. I see now that when I get stressed, my ‘body’ speaks for me C. My family is so good to me when I am sick like this D. There are so many illnesses that you nurses simply do not know about 52. Which among the following statements made by the patient would lead the nurse to suspect that her client has body Dysmorphic Disorder (Dysmorphobia)? A. “Most people say that I look all right but I am disgusted with how ugly nose and lips are.” B. “This cough is terrible, I know I have pneumonia.” C. “I can’t possibly go to work with all this pain.” D. “I don’t know why I’m so sick when I’m so young.” Situation: The psychiatric nurse is also responsible for providing safe and effective electroconvulsive therapy for psychiatric patients. Nurse Calma is working at the Mariveles Mental Hospital. One of her responsibilities is to provide safe and effective electroshock therapy for the psychiatric patients. 53. Zeny is undergoing ECT for the first time. Which of the following instructions is appropriate for the nurse to teach Zeny? A. Shampooing the hair before and after treatment to remove electrode gel used in ect B. One session of ECT will cure the disorder C. Refraining from food and fluids for at least 8 hours before treatment D. Patient can continue taking diazepam. 54. The nurse is administering Methohexital Brevital to a client about to undergo electroconvulsive therapy (ECT). Which assessment indicates that the medication is effective? A. The client’s heart rate is 110 beats/minute. B. The client appears calm and relaxed. C. The client cannot breathe D. The client states that his mouth is dry. Situation - Sexual health care is a relatively new area of involvement for psychiatric– mental health nurses. Until recently, sexuality has not been viewed as falling within their scope of practice. Currently, sexuality is increasingly recognized as an important component of a holistic approach to overall health status. Sexual health care is a legitimate and appropriate nursing concern. 55. Benjamin, a 43 y/o, a former teacher at a public elementary school have sexual urges to children far younger than his age. He was also convicted for molesting a 9 y/o boy on his hometown. Benjamin’s behavior is an example of: A. Incest B. Pedophilia C. Gender identity Disorder D. Zoophilia 56. Gender identity can best be described as: A. The role a person is expected to perform as a result of being male or female. B. The degree of flexibility a person has regarding gender-stereotypic behaviors. C. A contradiction between chromosomal gender and external genital appearance. D. An individual’s personal or private sense of identity as male or female. 57. A holistic approach to nursing care of the client with sexual disorders requires the nurse generalist to have which of the following? A. Extensive experience in caring for clients with sexual disorders B. The ability to diagnose sexual disorders C. A basic understanding of the nursing process D. Proficiency in the use of the nursing process and ability to assess the client’s sexual health Situation - Dissociative disorders are defined by a disturbance of or alteration in the usually integrated functions of consciousness, memory, and identity. Dissociative responses occur when anxiety becomes overwhelming and the personality becomes disorganized. 58. The nurse is caring for a client who reports feeling “estranged and separated from himself.” How would the nurse describe such symptoms? A. Intoxication B. Disorientation C. Derealization D. Depersonalization 59. A family asks you why their loved one dissociates in response to trauma. Which of the following is your most accurate response? A. “Dissociation helps decrease anxiety by isolating the thoughts from the feelings about the experience and keeps the person from being completely overwhelmed.” B. “It provides the individual with a ‘witness’ experience rather than a ’victim’ experience, and it is less traumatic for the individual to witness trauma than it is to experience it oneself.” C. “It is not clearly understood, but it seems to have a definite biochemical basis.” D. “When we find out what happened in the months she cannot remember, we will have an explanation about why she dissociates.” Situation – Television and newspapers report that drug abuse is a serious social, economic and political problem in our society. Nurses are continually challenged to play a role in abetting this problem in the community. 60. A college student client states that his addiction to morphine is due to a chemical imbalance. The nurse understands that researches that point to biochemical theory of addiction support that those drugs of abuse have in common, stimulation of which of the following neurotransmitter? A. Norepinephrine B. Serotonin C. Acetylcholine D. Dopamine 61. Before his hospitalization, a client needed increasingly larger dose of barbiturates to achieve the same euphoric effect he initially realized from their use. From this information, the nurse develops a plan of care that takes into account that the client is most likely suffering from which of the following? A. Tolerance B. Addiction C. Abuse D. Dependence 62. What should be done before rehabilitation of a patient who is dependent on narcotics? A. Detoxify