Tiêu đề WORKBOOK - PSYCH (SC) ✅

TOP RANK REVIEW ACADEMY, INC. Page 3 | Situation – To be able to design care plans to help those with personality disorders, the nurse must be familiar with the various types of PDs and the major characteristics of each. 31. A dependent personality is characterized by: A. Mistrust of the significant others B. Incessant demands for attention and support from others C. Inability to postpone gratification D. Lack of enthusiasm for the ordinary activities of life 32. The nurse caring for a client with antisocial personality disorder would place highest priority on which nursing diagnosis? A. Disturbed personal identity B. Fear C. Risk for violence directed at others D. Social isolation 33. A client arrives for her mental health appointment wearing a cocktail dress and theatrical makeup. She announces dramatically and flirtatiously that she needs to be seen immediately because she is experiencing overwhelming psychological distress. The nurse should recognize behaviors suggestive of which axis II diagnosis? A. Borderline personality disorder B. Narcissistic personality disorder C. Histrionic personality disorder D. Antisocial personality disorder 34. A client has been diagnosed with borderline personality disorder. The client is impulsive, shows labile affect, displays frequent angry outbursts and has difficulty tolerating angry feelings without self-injury. The nurse selects which of the following as the priority nursing diagnosis for this client? A. Anxiety B. Risk for self-mutilation C. Risk for violence toward others D. Ineffective coping 35. The mental health nurse is reviewing a 35 year old client’s history before conducting an interview. The client’s history indicates fear of criticism and rejection from others, having few friends and withholding information about thoughts and feelings in anticipation of rejection by others. Based on the data, the nurse suspects that the client may have which personality disorder? A. Schizotypal B. Paranoid C. Avoidant D. Schizoid 36. A patient is having difficulties in establishing and maintaining relationships with others; he does not exhibit psychotic symptoms. The psychiatrist is considering a diagnosis of personality disorder. Based on the above symptoms and her knowledge of the disorder, the nurse would suspect the patient to have what type of personality disorder? A. Schizoid B. Schizotypal C. Borderline D. Dependent SITUATION – Nurse Bob is taking care of different patients having dementia of varied types. She is concerned with the sequelae of the disorder to his patient’s physical, mental and social health. 37. On a 24-hour assessment, Nurse Bob documents that Lola Johana, a client diagnosed with Alzheimer’s disease presents with aphasia. Which client behavior supports this finding? A. Lola Johana is sad and has no ability to experience pleasure. B. Lola Johana is extremely emaciated and appears to be wasting away. C. Lola Johana is no longer able to speak. D. Lola Johana is having difficulty in forming words. 38. In planning her treatment plan, which intervention would be most important in managing Lola Johana’s condition? A. Avoid the use of touch B. Provide a stimulating environment C. Provide a safe environment D. Use restraints whenever necessary 39. The nurse suspects a client is experiencing delirium. A specific assessment information that would support this suspicion includes: A. Slow onset of confusion and agitation. B. Onset is insidious and relentless. C. Sudden onset of confusion. D. The symptoms last for 1 month or longer. 40. She is observed to be repeating the same word over and over again. This symptom is known as: A. Palilalia B. Confabulation C. Aphasia D. Apraxia 41. Discharge plan is being prepared. The family should be instructed to place highest priority to this need in caring for Aling Mrs. Cruz: A. Nutrition B. Safety C. Hygiene D. Comfort 42. Psychiatric nurses may describe a psychopathological condition as: A. a state of emotional balance B. a disturbance in the persons thoughts, feelings and behavior C. always hereditary D. not treatable SITUATION – Society and culture have a great deal of influence on eating behaviors and perceptions of ideal weight. Eating patterns are developed based on attempts to meet these societal norms. 43. The nurse is teaching a group of young adolescents about eating disorders. The nurse consider the sessions effective if the participants state that anorexia nervosa is best as an eating disorder that occurs: A. Only in young girls who are depressed B. Mainly in young girls who perceive themselves to be grossly overweight C. Primarily in young gays who live in chaotic families D. In young boys and girls alike 44. The nurse is conducting an in-service education session about the relationship between anxiety and bulimia nervosa. The nurse best describes the relationship by saying, “When the client has bulimia nervosa, an increase in the anxiety level will generally result in: A. Rigidly controlling what he or she eats. B. Binging and purging C. Overeating D. Consuming alcohol 45. A characteristic that would suggest to the nurse that an adolescent may have bulimia would be: A. Redness on knuckles B. A positive body image C. A previous history of gastritis D. Frequent regurgitation and re-swallowing of food 46. The following are the characteristics of anorexia nervosa, except: A. Preoccupied with weight loss B. Thinks she’s fat C. Afraid of gaining weight D. Aware of her eating problem 47. The nurse traces the history of the client to identify the probable cause of her condition. You know that families of anorexia nervosa clients: A. Tends to be chaotic and place high value on achievement B. Often have a history of substance abuse C. Are usually closed systems that discourage outside relationship D. Have an inability to collaborate with others 48. When taking care of a client diagnosed with bulimia nervosa, the least appropriate action of a nurse is: A. Promoting an accepting non-judgmental atmosphere B. Encouraging participation in self-help groups C. Allowing greater degree of independence when eating D. Encouraging verbalizations about stressful issues
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