NUR 103- MENTAL HEALTH
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1. A parent asks the nurse to describe what is meant by a "learning disability."
Which is
the nurse's most helpful response?
a. "A child may have difficulty with perception, language, comprehension, or
memory."
b. "It is characterized by inattention, impulsiveness, and hyperactivity."
c. "The child's intellectual ability limits his learning."
d. "The child has difficulty learning because of brain damage.": ANS: A
Learning disability is an educational term. Children with learning disabilities may have average to above-
average intelligence, but they may experience difficulties in perception, language, comprehension, and
conceptualization.
2. a nurse is collecting data from a newly admitted client who has anorexia
nervosa. which of the following manifestations should the nurse expect
a. tachycardia
b. bmi of 22
c. hypertension
d. peripheral edema: d
Peripheral edema is an expected finding for a client who has anorexia nervosa due to hypoalbuminemia and weight
loss.
3. a nursing student is learning about narcissistic personality disorder. which
student statement indicates that learning has occured?
a. these clients have peculiarities of idealization
b. these clients require constant approval affirmation
c. these clients are impulsive and self- destructive
d. these clients express a grandiose sense of self importance: d
sense of self importance and preoccupations with fantasies of success, power, brilliance and beauty
4. a nurse in a providers office is collecting data from an older adult client who
adult child reports that she seems confused and cant seem to remember much.
which of the following finding should lead the nurse to suspect delirium?
a. the clients confusion worsens during stress
b. the clients level of consciousness changes during the interview
, NUR 103- MENTAL HEALTH
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c. the clients confusion improves in the evening
d. the client becomes irritable during the interview: b
Delirium can rapidly alter the client's level of consciousness, which can manifest as agitation or stupor. Therefore, the
nurse should suspect that this client is experiencing delirium.
5. a nurse is speaking with a client who is expressing an intense disapproval of
the current social worker. when the social worker approaches the nurse and
client a few months later, the client cheerfully states "now, here is my favorite
social worker!". the nurse should identify which of the following defense mech-
anisms?
a. reaction formation
b. dissociation
c. denial
d. projection: a
The nurse should identify that this client is using reaction formation. This is the defense mechanism in which the client
is unable to process unacceptable feelings or behaviors and expresses the opposite to decrease anxiety.
6. a nurse collecting data from client who has major depressive disorder. which
of the following findings is the priority for the nurse to report to provider
a. inability to make decision
b. anhedonia
c. feeling of hopelessness
d. fatigue: c
When using the urgent vs. nonurgent approach to client care, the nurse should identify that feelings of hopelessness
indicate this client is at risk for suicide. Therefore, this is the priority finding for the nurse to report to the provider.
7. a nurse is reinforcing teaching with the family of a client who has histrionic
personality disorder. which of the following high-risk behaviors should the
nurse instruct the family to observe for in the client?
a. self mutilation through cutting
b. seductive behavior
c. repeated physical aggression
d. reckless driving: b
, NUR 103- MENTAL HEALTH
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The nurse should instruct the client's family to observe for seductive behavior. These clients are extremely dependent
and easily influenced by others, which, coupled with this behavior, places them at an increased risk of harm.
8. a nurse is reinforcing discharge teaching w a client who has a new prrescrip-
tion for alprazolam. which of the following instructions is the priority for the
nurse to include?
a. avoid drinking beverages that contain caffeine
b. do not drive until your reaction to the medication is determined
c. avoid taking naps in daytime
d. take this medication with a light snack: b
The greatest risk to this client is injury to himself. Therefore, the priority information the nurse should include is to
inform the client not to drive or handle major mechanical equipment while taking alprazolam.
9. a nurse is collecting data from a client who is exeriecing alcohol withdrawal.
which of the following manifestations should the nurse expect?
a. increased yawning
b. bradycardia
c. hypersomnia
d. diaphoresis: d
The nurse should expect a client who is experiencing alcohol withdrawal to experience diaphoresis, or increased
sweating.
10. a nurse in a mental health facility is collecting data from a client who has
schizophrenia. the nurse should identify which of the following findings is
referred to as a negative symptom of schizophrenia?
a. delusions
b. echolalia
c. apathy
d. paranoia: c
Negative symptoms of schizophrenia are deficits in the client's ability to experience emotions. Apathy is a negative
symptom of schizophrenia that is manifested by a loss of interest in one's surroundings.
, NUR 103- MENTAL HEALTH
Study online at https://quizlet.com/_cz3uo9
11. a nurse on an inpatient unit is assisting with a group therapy session. during
the session a client begins to shout, using aggressive language. which of the
following statements should the nurse make to the client
a. "Why do you feel the need to speak this way to others in the group?
"b. "When you raise your voice, it makes me feel uncomfortable and unsafe."
c. "You are frightening others in the group when you show your anger."
d. "Why are you attending group therapy but not respecting the feelings of
others?": b
Using "I feel" messages models the sharing and owning of personal feelings and helps minimize defensive responses.
12. on discharge, a client diagnosed with dementia is prescribed donepezil
hydrochloride (aricept) which would the nurse include in the teaching plan for
the clients family?
a. donepezil is a sedative/hypnotic used for short term tx of insomnia
b. donepezil is an alzheimers treatment used for mild to moderate dementia
c. donepezil is an antipsychotic used for clients diagnosed with dementia
d. donepezil is an antianxiety agent used for clients diagnosed with dementia-
:b
donezepil is used for mild to moderate dementia. a decrease in cholinergic function may be the cause of alzheimers
disease, and donezepil is a cholinesterase inhibitor.
13. a male client diagnosed with a personality disorder boasts to the nurse that
he has to fight off female attention and is the highest paid in his company.
these statements are reflective of which personality disorder?
a. ocd
b. avoidant personality disorder
c. schizotypal
d. narcissistic: d
14. a suicidal client is diagnosed with borderline personality disorder. Which
short term oucome is most beneficial for this client
a. the client will be free from self injurious behavior
b. the client will express feelings without inflicting self injury by discharge
Study online at https://quizlet.com/_cz3uo9
1. A parent asks the nurse to describe what is meant by a "learning disability."
Which is
the nurse's most helpful response?
a. "A child may have difficulty with perception, language, comprehension, or
memory."
b. "It is characterized by inattention, impulsiveness, and hyperactivity."
c. "The child's intellectual ability limits his learning."
d. "The child has difficulty learning because of brain damage.": ANS: A
Learning disability is an educational term. Children with learning disabilities may have average to above-
average intelligence, but they may experience difficulties in perception, language, comprehension, and
conceptualization.
2. a nurse is collecting data from a newly admitted client who has anorexia
nervosa. which of the following manifestations should the nurse expect
a. tachycardia
b. bmi of 22
c. hypertension
d. peripheral edema: d
Peripheral edema is an expected finding for a client who has anorexia nervosa due to hypoalbuminemia and weight
loss.
3. a nursing student is learning about narcissistic personality disorder. which
student statement indicates that learning has occured?
a. these clients have peculiarities of idealization
b. these clients require constant approval affirmation
c. these clients are impulsive and self- destructive
d. these clients express a grandiose sense of self importance: d
sense of self importance and preoccupations with fantasies of success, power, brilliance and beauty
4. a nurse in a providers office is collecting data from an older adult client who
adult child reports that she seems confused and cant seem to remember much.
which of the following finding should lead the nurse to suspect delirium?
a. the clients confusion worsens during stress
b. the clients level of consciousness changes during the interview
, NUR 103- MENTAL HEALTH
Study online at https://quizlet.com/_cz3uo9
c. the clients confusion improves in the evening
d. the client becomes irritable during the interview: b
Delirium can rapidly alter the client's level of consciousness, which can manifest as agitation or stupor. Therefore, the
nurse should suspect that this client is experiencing delirium.
5. a nurse is speaking with a client who is expressing an intense disapproval of
the current social worker. when the social worker approaches the nurse and
client a few months later, the client cheerfully states "now, here is my favorite
social worker!". the nurse should identify which of the following defense mech-
anisms?
a. reaction formation
b. dissociation
c. denial
d. projection: a
The nurse should identify that this client is using reaction formation. This is the defense mechanism in which the client
is unable to process unacceptable feelings or behaviors and expresses the opposite to decrease anxiety.
6. a nurse collecting data from client who has major depressive disorder. which
of the following findings is the priority for the nurse to report to provider
a. inability to make decision
b. anhedonia
c. feeling of hopelessness
d. fatigue: c
When using the urgent vs. nonurgent approach to client care, the nurse should identify that feelings of hopelessness
indicate this client is at risk for suicide. Therefore, this is the priority finding for the nurse to report to the provider.
7. a nurse is reinforcing teaching with the family of a client who has histrionic
personality disorder. which of the following high-risk behaviors should the
nurse instruct the family to observe for in the client?
a. self mutilation through cutting
b. seductive behavior
c. repeated physical aggression
d. reckless driving: b
, NUR 103- MENTAL HEALTH
Study online at https://quizlet.com/_cz3uo9
The nurse should instruct the client's family to observe for seductive behavior. These clients are extremely dependent
and easily influenced by others, which, coupled with this behavior, places them at an increased risk of harm.
8. a nurse is reinforcing discharge teaching w a client who has a new prrescrip-
tion for alprazolam. which of the following instructions is the priority for the
nurse to include?
a. avoid drinking beverages that contain caffeine
b. do not drive until your reaction to the medication is determined
c. avoid taking naps in daytime
d. take this medication with a light snack: b
The greatest risk to this client is injury to himself. Therefore, the priority information the nurse should include is to
inform the client not to drive or handle major mechanical equipment while taking alprazolam.
9. a nurse is collecting data from a client who is exeriecing alcohol withdrawal.
which of the following manifestations should the nurse expect?
a. increased yawning
b. bradycardia
c. hypersomnia
d. diaphoresis: d
The nurse should expect a client who is experiencing alcohol withdrawal to experience diaphoresis, or increased
sweating.
10. a nurse in a mental health facility is collecting data from a client who has
schizophrenia. the nurse should identify which of the following findings is
referred to as a negative symptom of schizophrenia?
a. delusions
b. echolalia
c. apathy
d. paranoia: c
Negative symptoms of schizophrenia are deficits in the client's ability to experience emotions. Apathy is a negative
symptom of schizophrenia that is manifested by a loss of interest in one's surroundings.
, NUR 103- MENTAL HEALTH
Study online at https://quizlet.com/_cz3uo9
11. a nurse on an inpatient unit is assisting with a group therapy session. during
the session a client begins to shout, using aggressive language. which of the
following statements should the nurse make to the client
a. "Why do you feel the need to speak this way to others in the group?
"b. "When you raise your voice, it makes me feel uncomfortable and unsafe."
c. "You are frightening others in the group when you show your anger."
d. "Why are you attending group therapy but not respecting the feelings of
others?": b
Using "I feel" messages models the sharing and owning of personal feelings and helps minimize defensive responses.
12. on discharge, a client diagnosed with dementia is prescribed donepezil
hydrochloride (aricept) which would the nurse include in the teaching plan for
the clients family?
a. donepezil is a sedative/hypnotic used for short term tx of insomnia
b. donepezil is an alzheimers treatment used for mild to moderate dementia
c. donepezil is an antipsychotic used for clients diagnosed with dementia
d. donepezil is an antianxiety agent used for clients diagnosed with dementia-
:b
donezepil is used for mild to moderate dementia. a decrease in cholinergic function may be the cause of alzheimers
disease, and donezepil is a cholinesterase inhibitor.
13. a male client diagnosed with a personality disorder boasts to the nurse that
he has to fight off female attention and is the highest paid in his company.
these statements are reflective of which personality disorder?
a. ocd
b. avoidant personality disorder
c. schizotypal
d. narcissistic: d
14. a suicidal client is diagnosed with borderline personality disorder. Which
short term oucome is most beneficial for this client
a. the client will be free from self injurious behavior
b. the client will express feelings without inflicting self injury by discharge
