Mental Health: Mostly Personality Disorders NCLEX Questions

Mental Health: Mostly Personality Disorders NCLEX Questions A nurse assists a client with a diagnosis of obsessive-compulsive disorder (OCD) in his preparations for bedtime. One hour later the client calls the nurse and says that he is feeling anxious; he asks the nurse to sit and talk for a while. Which is the appropriate initial nursing action? A. Sit and talk with the client. B. Ask the unlicensed assistive personnel to sit with the client. C. Administer the prescribed as-needed antianxiety medication. D. Tell the client that it is time for sleep and that you will talk with him tomorrow. - A. Sit and talk with the client. Rationale: The appropriate initial nursing action is to sit and talk with the client if he is expressing anxiety. An unlicensed assistive personnel may not be able to alleviate the client's anxiety. Antianxiety medication may be necessary, but this would not be the initial appropriate nursing action. Option 4 is an inappropriate action and places the client's feelings on hold. A nurse is planning care for a group of clients on a mental health unit. The nurse notes that most of the assigned clients require interventions commonly used to treat anxiety disorders. Such antianxiety interventions would be appropriate for which clients? Select all that apply. A. A client with panic disorder B. Generalized anxiety disorder C. A client with multiple personality disorder D. A client with posttraumatic stress disorder (PTSD) E. A client with obsessive-compulsive disorder (OCD) - A. A client with panic disorder B. Generalized anxiety disorder D. A client with posttraumatic stress disorder (PTSD) E. A client with obsessive-compulsive disorder (OCD) Rationale: Multiple personality disorder is considered to be a dissociative disorder rather than an anxiety disorder. Anxiety is a characteristic of panic disorder, generalized anxiety disorder, PTSD, and OCD. A nurse is preparing to admit a client with a diagnosis of obsessive-compulsive disorder (OCD) to the mental health unit. The nurse would expect to note which behaviors in the client? A. Suspicious and hostile B. Flexible and adaptable C. Frightened and delusional D. Rigidness in thought and inflexibility - D. Rigidness in thought and inflexibility Rationale: Rigid and inflexible behaviors are characteristic of the client with OCD. Clients with this disorder usually are not hostile unless they are prevented from engaging in the obsession or compulsion, because this behavior is what decreases the anxiety. Options 1, 2, and 3 are incorrect and are not characteristic of OCD. A nurse is performing an assessment on a client admitted to the mental health unit. The client tells the nurse that she cannot leave home without checking numerous times that the iron and coffee pot have been shut off. The client states that this activity makes her late for many functions and that she misses engagements on occasion because of it. The nurse would expect to note which anxiety disorder documented in the client's record? A. A phobia B. Generalized anxiety disorder C. Posttraumatic stress disorder (PTSD) D. Obsessive-compulsive disorder (OCD) - D. Obsessive-compulsive disorder (OCD) Rationale: A repetitive behavior that interferes with activities of daily living and functioning is indicative of OCD. This repetitive behavior is not associated with phobias, generalized anxiety disorder, or PTSD. A nurse is performing an assessment on a client admitted to the mental health unit. The nurse notes that the client's diagnosis is documented as obsessive-compulsive disorder. The nurse plans care knowing that the client is most likely to experience which type of compulsive behavior? A. Fears B. Actions C. Illusions D. Thoughts - B. Actions Rationale: A compulsion is a repetitive act. The client with a phobia is likely to experience repetitive fears. Illusions are characteristic of schizophrenia. An obsession is a repetitive thought. A nurse caring for a client who has been diagnosed with a personality disorder should expect that the client will exhibit which of the following characteristics? A. Frequent episodes of psychosis B. Constant involvement with the needs of significant others C. Inflexible and maladaptive responses to stress D. Abnormal ego functioning - C. Inflexible and maladaptive responses to stress ............