NUR 3525 Mental Health Exam 2 Keiser University Complete Questions and correct answers

NUR 3525 Mental Health Exam 2 Keiser University Complete Questions and correct answers 1.A nursing instructor is teaching about specific phobias. Which student statement indicates that learning has occurred? 1. "These clients do not recognize that their fear is excessive, and they rarely seek treatment." 2. These clients have overwhelming symptoms of panic when exposed to the phobic stimulus." 3. "These clients experience symptoms that mirror a cerebrovascular accident (CVA)." 4. "These clients experience the symptoms of tachycardia, dysphagia, and diaphoresis." 2. A client has a history of excessive fear of water. Which term should the nurse use to describe s specific phobia, and under what subtype is this phobia identified? 1. Aquaphobia; a natural environment type of phobia 2. Aquaphobia; a situational type of phobia 3. Acrophobia; a natural environment type of phobia 4. Acrophobia; a situational type of phobia 3. How would the nurse differentiate a client diagnosed with a social phobia from a client diagnosed with a schizoid personality disorder (SPD)? 1. Clients diagnosed with social phobia can manage anxiety without medications, whereas clients diagnosed with SPD can manage anxiety only with medications. 2. Clients diagnosed with SPD are distressed by the symptoms experienced in social settings, whereas clients diagnosed with social phobia are not. 3. Clients diagnosed with social phobia avoid interactions only in social settings, whereas clients diagnosed with SPD avoid interactions in all areas of life. 4. Clients diagnosed with SPD avoid interactions only in social settings, whereas clients diagnosed with social phobias tend to avoid interactions in all areas of life. 4. How would the nurse differentiate a client diagnosed with panic disorder from a client diagnosed with generalized anxiety disorder (GAD)? 1. GAD is acute in nature, and panic disorder is chronic. 2. Chest pain is a common GAD symptom, whereas this symptom is absent in panic disorders. 3. Hyperventilation is a common symptom in GAD and rare in panic disorder. 4. Depersonalization is commonly seen in panic disorder and absent in GAD. 5. Which treatment should the nurse identify as most appropriate for clients diagnosed with GAD? 1. Long-term treatment with diazepam (Valium) 2. Acute symptom control with citalopram (Celexa) 3. Long-term treatment with buspirone (BuSpar) 4. Acute symptom control with ziprasidone (Geodon) 6. A client diagnosed with obsessive-compulsive disorder (OCD) reports to the nurse that he can't stop thinking about all the potentially life-threatening germs in the environment. Which is the most accurate way for the nurse to document this symptom? 1. Client is expressing an obsession with germs. 2. Client is manifesting compulsive thinking. 3. Client is expressing delusional thinking about germs. 4. Client is manifesting arachnophobia of germs. 7. A cab driver stuck in traffic is suddenly lightheaded, tremulous, and diaphoretic and experiences tachycardia and dyspnea. An extensive work-up in an emergency department reveals no pathology. Which medical diagnosis is suspected, and which nursing diagnosis is the priority? 1. Generalized anxiety disorder (GAD) and a nursing diagnosis of fear 2. Altered sensory perception and a nursing diagnosis of panic disorder 3. Pain disorder and a nursing diagnosis of altered role performance 4.Panic disorder and a nursing diagnosis of panic anxiety 8. A client diagnosed with panic disorder states, "When an attack happens, I feel like I am going to die." Which is the nurse's most appropriate reply? 1. "I know it's frightening, but try to remind yourself that it will only last a short time." 2. "Death from a panic attack happens so infrequently that there is no need to worry." 3. "Most people who experience panic attacks have feelings of impending doom." 4. "Tell me why you think you are going to die every time you have a panic attack." 9. A nursing instructor is teaching about the medications used to treat panic disorder. Which student statement indicates that learning has occurred? 1. AClonazepam (Klonopin) is particularly effective in the treatment of panic disorder." 2. "Clozapine (Clozaril) is used off-label for the long-term treatment of panic disorder. 3. "Doxepin (Sinequan) can be used in low doses to relieve symptoms of panic attacks." 4. "Buspirone (BuSpar) is used for its immediate effect to lower anxiety during panic attacks." 10. A client is experiencing a severe panic attack. Which nursing intervention would meet this client's immediate need? 1. Teach deep-breathing relaxation exercises. 2. Place the client in a Trendelenburg position. 3 Stay with the client and offer reassurance of safety. 4. Administer the ordered PRN buspirone (BuSpar). 11. A client living on the beachfront seeks help with an extreme fear of crossing bridges, which interferes with daily life. A psychiatric-mental health nurse practitioner decides to try systematic desensitization. Which explanation of this therapy should the nurse convey to the client? 1. "Using your imagination, we will attempt to achieve a state of relaxation that you can replicate when faced with crossing a bridge." 2. "Because anxiety and relaxation are mutually exclusive states, we can attempt to substitute a relaxation response for the anxiety response." 3Through a series of increasingly anxiety-provoking steps, we will gradually increase your tolerance to anxiety." 4. "In one intense session, you will be exposed to a maximum level of anxiety that you will learn to tolerate." 12. A client diagnosed with OCD is admitted to a psychiatric unit. The client has an elaborate routine for toileting activities. Which should be the initial client outcome during the first week of hospitalization? 1. The client will refrain from ritualistic behaviors during daylight hours. (2) The client will wake early enough to complete rituals prior to breakfast. 3. The client will participate in three unit activities by day 3. 4. The client will substitute a productive activity for rituals by day 1. 13. The nurse is providing discharge teaching to a client taking a benzodiazepine. Which client statement indicates a need for further instructions? 1. "I will need scheduled bloodwork to monitor for toxic levels of this drug." 2. "I won't stop taking this medication abruptly, because there could be serious complications." 3. "I will not drink alcohol while taking this medication." 4. "I won't take extra doses of this drug because I can become addicted." 14. A client is newly diagnosed with OCD and spends 45 minutes folding clothes and rearranging them in drawers. Which nursing intervention would best address this client's problem? 1. Distract the client with other activities whenever ritual behaviors begin. 2. Report the behavior to the psychiatrist to obtain an order for medication dosage increase. 3. Lock the room to discourage ritualistic behavior. 4. Discuss the anxiety-provoking triggers that precipitate the ritualistic behaviors. 15. A client presents in the emergency department with complaints of overwhelming anxiety. Which of the following is the priority nursing assessment? 1. Suicide risk 2 Cardiac status 3. Current stressors 4. Substance use history 16. Warren's college roommate actively resists going out with friends whenever they invite him. He says he can't stand to be around other people and confides to Warren "They wouldn't like me anyway." Which disorder is Warren's roommate likely suffering from? 1. Agoraphobia Mysophobia 2. Mysophobia 3. Social anxiety disorder 4. Panic disorder 17. A client has the following symptoms: preoccupation with imagined defect, verbalizations that are out of proportion to actual physical abnormalities, and numerous visits to plastic surgeons to seek relief. Which nursing diagnosis best describes the problems evidenced by these symptoms? 1. Ineffective coping 2. Disturbed body image 3. Complicated grieving 4. Panic anxiety 18. A client is taking chlordiazepoxide (Librium) for GAD symptoms. In which situation should the nurse recognize that this client is at greatest risk for drug overdose? 1. The client has a knowledge deficit related to the effects of the drug. 2.The client combines the drug with alcohol. 3. The client takes the drug on an empty stomach. 4. The client fails to follow dietary restrictions. 19. During an assessment interview, a client diagnosed with antisocial personality disorder spits, curses, and refuses to answer questions. Which is the most appropriate nursing statement to address this behavior? 1. "You are very disrespectful. You need to learn to control yourself." 2. "I understand that you are angry, but this behavior will not be tolerated." 3. "What behaviors could you modify to improve this situation?" 4. "What antisocial personality disorder medications have helped you in the past?" 20. A client diagnosed with antisocial personality disorder comes to the nurses' station at 11:00 p.m., requesting to phone a lawyer to discuss filing for a divorce. The unit rules state that no calls are permitted after 10:00 p.m. Which nursing reply is most appropriate? 1. "Go ahead and use the phone. I know this pending divorce is stressful." 2. "You know better than to break the rules. I'm surprised at you." 3. "It is after the 10:00 p.m. phone curfew. You will be able to call tomorrow." 4. "The decision to divorce should not be considered until you have had a good night's sleep." 21. A client diagnosed with paranoid personality disorder becomes violent on a unit. Which nursing intervention is most appropriate? 1. Provide objective evidence that violence is unwarranted. 2.Initially restrain the client to maintain safety. 3 Use clear, calm statements and a confident physical stance. 4. Empathize with the client's paranoid perceptions. 22. A highly emotional client presents at an outpatient clinic appointment wearing flamboyant attire, spiked heels, and theatrical makeup. Which personality disorder should the nurse associate with these assessment data? 1. Compulsive personality disorder 2. Schizotypal personality disorder 3.Histrionic personality disorder (HPD) 4. Manic personality disorder 23. A client diagnosed with borderline personality disorder (BPD) brings up a conflict with the staff in a community meeting and develops a following of clients who unreasonably demand modification of unit rules. Which approach is best for the nursing staff to implement? 1.Allow the clients to apply the democratic process when developing unit rules. 2.Maintain consistency of care by open communication to avoid staf f manipulation. 3. Allow the client spokesperson to verbalize concerns during a unit staff meeting.