Exam 2
When explaining behavioral sensitization to a group of nursing students in
their mental health rotation, the best explain action would be? - correct
answer ✔With repeated re-experience of the trauma event, PTSD symptoms
become more easily triggered with time
The nurse is developing an education plan for a client who is prescribed
escitalopram. Which side effects would the nurse include in this plan? -
correct answer ✔Dry mouth, weight gain, decreased sexual interest,
somnolence
A client with PTSD has begun to stay out late every night and "party" with their
friends. When family members ask about when the client is going to return to
work, they become extremely irritated and verbally lashes out, saying some
very hurtful things. What would be the priority NANDA for this client? - correct
answer ✔Ineffective impulse control
What symptoms might parents notice in their child who is exhibiting OCD? -
correct answer ✔Is failing classes due to lack of concentration
A client comes to the emergency department reporting a severe pounding
headache in the temples and a stiff neck. The client is flushed and diaphoretic
and has a racing pulse. The client is taking selegline to treat depression.
Which question by the nurse would be most important to ask at this time? -
correct answer ✔What have you had to eat or drink today?
If a client is experiencing "moderate" anxiety, which clinical manifestations will
the nurse observe? - correct answer ✔Can sustain attention on a particular
focus, verbally states "for some reason, I am feeling anxious right now"
, The nurse is talking to a client who is a survivor of intimate partner violence.
The client believes that their spouse has the characteristics of an antisocial
personality disorder. The client also informs the nurse that the spouse has an
extensive criminal record. The nurse interprets this information and suspects
that the clients spouse would most likely demonstrate which behavior? -
correct answer ✔A risk for aggressive and assaultive violence towards
people within and outside of the family
The school nurse is aware that a student has requested Tylenol three times
during the past week because his back hurts. The nurse noticed that he often
wears long sleeved sweaters and sweatshirts, even in warm weather. The
nurse is preparing to ask the child about his ongoing backache. Which would
the nurse anticipate the child reporting if the child was indeed being abused? -
correct answer ✔Be reluctant to report abuse because of shame or fear of
retaliation
A nurse is providing to a client information about etiology of GAD. The client
demonstrates understanding of this information when they identify which item
as representing the basis for this disorder? - correct answer ✔Intense worry
and stress about work of simple family life
The nurse is assessing a client with post-traumatic stress disorder. Which
symptoms reflect intrusion? - correct answer ✔acting as if the event is
reoccurring, flashbacks, disassociation, difficulty sleeping
A client is diagnosed with OCD and is to receive medication therapy. Which of
the agents might the nurse expect to be prescribed? - correct answer
✔clomipramine, fluvoxamine, paroxetine, sertraline
The nurse a client for treatment with repetitive transcranial magnetic
stimulation. When educating the client about the procedure, which statement
would the nurse include? - correct answer ✔You will be awake and alert
When explaining behavioral sensitization to a group of nursing students in
their mental health rotation, the best explain action would be? - correct
answer ✔With repeated re-experience of the trauma event, PTSD symptoms
become more easily triggered with time
The nurse is developing an education plan for a client who is prescribed
escitalopram. Which side effects would the nurse include in this plan? -
correct answer ✔Dry mouth, weight gain, decreased sexual interest,
somnolence
A client with PTSD has begun to stay out late every night and "party" with their
friends. When family members ask about when the client is going to return to
work, they become extremely irritated and verbally lashes out, saying some
very hurtful things. What would be the priority NANDA for this client? - correct
answer ✔Ineffective impulse control
What symptoms might parents notice in their child who is exhibiting OCD? -
correct answer ✔Is failing classes due to lack of concentration
A client comes to the emergency department reporting a severe pounding
headache in the temples and a stiff neck. The client is flushed and diaphoretic
and has a racing pulse. The client is taking selegline to treat depression.
Which question by the nurse would be most important to ask at this time? -
correct answer ✔What have you had to eat or drink today?
If a client is experiencing "moderate" anxiety, which clinical manifestations will
the nurse observe? - correct answer ✔Can sustain attention on a particular
focus, verbally states "for some reason, I am feeling anxious right now"
, The nurse is talking to a client who is a survivor of intimate partner violence.
The client believes that their spouse has the characteristics of an antisocial
personality disorder. The client also informs the nurse that the spouse has an
extensive criminal record. The nurse interprets this information and suspects
that the clients spouse would most likely demonstrate which behavior? -
correct answer ✔A risk for aggressive and assaultive violence towards
people within and outside of the family
The school nurse is aware that a student has requested Tylenol three times
during the past week because his back hurts. The nurse noticed that he often
wears long sleeved sweaters and sweatshirts, even in warm weather. The
nurse is preparing to ask the child about his ongoing backache. Which would
the nurse anticipate the child reporting if the child was indeed being abused? -
correct answer ✔Be reluctant to report abuse because of shame or fear of
retaliation
A nurse is providing to a client information about etiology of GAD. The client
demonstrates understanding of this information when they identify which item
as representing the basis for this disorder? - correct answer ✔Intense worry
and stress about work of simple family life
The nurse is assessing a client with post-traumatic stress disorder. Which
symptoms reflect intrusion? - correct answer ✔acting as if the event is
reoccurring, flashbacks, disassociation, difficulty sleeping
A client is diagnosed with OCD and is to receive medication therapy. Which of
the agents might the nurse expect to be prescribed? - correct answer
✔clomipramine, fluvoxamine, paroxetine, sertraline
The nurse a client for treatment with repetitive transcranial magnetic
stimulation. When educating the client about the procedure, which statement
would the nurse include? - correct answer ✔You will be awake and alert
