N161 Final Questions With Complete Solutions
A nursing home resident has a diagnosis of dysthymic disorder.
When planning care for this client, which of the following
symptoms should a nurse expect the client to exhibit? (Select all
that apply.)
1. Sad mood on most days
2. Mood rating of 2 out of 10 for the past 6 months
3. Labile mood
4. Sad mood for the past 3 years after spouse’s death
5. Pressured speech when communicating
ANS: 1, 4
The nurse should anticipate that a client with a diagnosis of
dysthymic disorder would experience a sad mood on most days
for more than two years.
The essential feature of dysthymia is a chronically depressed
mood, which can have an early or late onset.
A nursing supervisor is offering an impaired staff member
information regarding employee assistance programs. Which of
the following facts should the supervisor include? (Select all
that apply.)
1. A hotline number will be available in order to call for peer
assistance.
,2. A verbal contract detailing the method of treatment will be
initiated prior to the program.
3. Peer support is provided through regular contact with the
impaired nurse.
4. Contact to provide peer support will last for one year.
5. One of the program goals is to intervene early in order to
reduce hazards to clients.
ANS: 1, 3, 5
Most states provide either a hotline number that the impaired
nurse may call or phone numbers of peer assistance committee
members, which are made available for the same purpose.
Peer support is provided through regular contact with the
impaired nurse.
The peer assistance programs strive to intervene early, to reduce
hazards to clients, and increase prospects for the nurse's
recovery.
A client is prescribed phenelzine (Nardil). Which of the
following statements by the client should indicate to a nurse that
the discharge teaching about this medication has been
successful? (Select all that apply.)
1. “I’ll have to let my surgeon know about this medication
before I have my cholecystectomy.”
,2. “I guess I will have to give up my glass of red wine with
dinner.”
3. “I’ll have to be very careful about reading food and
medication labels.”
4. “I’m going to miss my caffeinated coffee in the morning.”
5. “I’ll be sure not to stop this medication abruptly.”
ANS: 1, 2, 3, 5
The client needs to tell other physicians about taking MAOIs,
because of the risk of drug interactions.
The nurse should evaluate that teaching has been successful
when the client states that phenelzine should not be taken in
conjunction with the use of alcohol.
The nurse should evaluate that teaching has been successful
when the client states that phenelzine should not be taken in
conjunction with foods high in tyramine.
This medication should not be stopped abruptly.
A nursing counselor is about to meet with a client suffering from
codependency. Which of the following data would further
support the assessment of this dysfunctional behavior? (Select
all that apply.)
1. The client has a long history of focusing thoughts and
behaviors on other people.
, 2. The client, as a child, experienced overindulgent and
overprotective parents.
3. The client is a people pleaser and does almost anything to
gain approval.
4. The client exhibits helpless behaviors but actually feels very
competent.
5. The client can achieve a sense of control only through
fulfilling the needs of others.
ANS: 1, 3, 5
The codependent person has a long history of focusing thoughts
and behavior on other people and is able to achieve a sense of
control only through fulfilling the needs of others.
Codependent clients are "people pleasers" and will do almost
anything to get the approval of others.
Codependent clients achieve a sense of control when they are
fulfilling the needs of others.
A nursing instructor is teaching about the new DSM-5 diagnostic
category of disruptive mood dysregulation disorder (DMDD).
Which of the following information should the instructor
include? (Select all that apply.)
1. Symptoms include verbal rages or physical aggression toward
people or property.
A nursing home resident has a diagnosis of dysthymic disorder.
When planning care for this client, which of the following
symptoms should a nurse expect the client to exhibit? (Select all
that apply.)
1. Sad mood on most days
2. Mood rating of 2 out of 10 for the past 6 months
3. Labile mood
4. Sad mood for the past 3 years after spouse’s death
5. Pressured speech when communicating
ANS: 1, 4
The nurse should anticipate that a client with a diagnosis of
dysthymic disorder would experience a sad mood on most days
for more than two years.
The essential feature of dysthymia is a chronically depressed
mood, which can have an early or late onset.
A nursing supervisor is offering an impaired staff member
information regarding employee assistance programs. Which of
the following facts should the supervisor include? (Select all
that apply.)
1. A hotline number will be available in order to call for peer
assistance.
,2. A verbal contract detailing the method of treatment will be
initiated prior to the program.
3. Peer support is provided through regular contact with the
impaired nurse.
4. Contact to provide peer support will last for one year.
5. One of the program goals is to intervene early in order to
reduce hazards to clients.
ANS: 1, 3, 5
Most states provide either a hotline number that the impaired
nurse may call or phone numbers of peer assistance committee
members, which are made available for the same purpose.
Peer support is provided through regular contact with the
impaired nurse.
The peer assistance programs strive to intervene early, to reduce
hazards to clients, and increase prospects for the nurse's
recovery.
A client is prescribed phenelzine (Nardil). Which of the
following statements by the client should indicate to a nurse that
the discharge teaching about this medication has been
successful? (Select all that apply.)
1. “I’ll have to let my surgeon know about this medication
before I have my cholecystectomy.”
,2. “I guess I will have to give up my glass of red wine with
dinner.”
3. “I’ll have to be very careful about reading food and
medication labels.”
4. “I’m going to miss my caffeinated coffee in the morning.”
5. “I’ll be sure not to stop this medication abruptly.”
ANS: 1, 2, 3, 5
The client needs to tell other physicians about taking MAOIs,
because of the risk of drug interactions.
The nurse should evaluate that teaching has been successful
when the client states that phenelzine should not be taken in
conjunction with the use of alcohol.
The nurse should evaluate that teaching has been successful
when the client states that phenelzine should not be taken in
conjunction with foods high in tyramine.
This medication should not be stopped abruptly.
A nursing counselor is about to meet with a client suffering from
codependency. Which of the following data would further
support the assessment of this dysfunctional behavior? (Select
all that apply.)
1. The client has a long history of focusing thoughts and
behaviors on other people.
, 2. The client, as a child, experienced overindulgent and
overprotective parents.
3. The client is a people pleaser and does almost anything to
gain approval.
4. The client exhibits helpless behaviors but actually feels very
competent.
5. The client can achieve a sense of control only through
fulfilling the needs of others.
ANS: 1, 3, 5
The codependent person has a long history of focusing thoughts
and behavior on other people and is able to achieve a sense of
control only through fulfilling the needs of others.
Codependent clients are "people pleasers" and will do almost
anything to get the approval of others.
Codependent clients achieve a sense of control when they are
fulfilling the needs of others.
A nursing instructor is teaching about the new DSM-5 diagnostic
category of disruptive mood dysregulation disorder (DMDD).
Which of the following information should the instructor
include? (Select all that apply.)
1. Symptoms include verbal rages or physical aggression toward
people or property.
