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bstrandable NCLEX Mental Health 1 of 2

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bstrandable NCLEX Mental Health 1 of 2

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bstrandable NCLEX Mental Health 1 of 2



Term: Definition:
A client is diagnosed with intermittent ANS: B
explosive disorder. The clinic nurse An antipsychotic like Risperdal can be
should anticipate teaching about prescribed for intermittent explosive
which medication? disorder. An antidepressant is not the
usual drug of choice for this disorder.
A. Citalopram (Celexa)
B. Risperidone (Risperdal)
C. Fluvoxamine (Luvox)
D. Isocarboxazid (Marplan)



Term: Definition:

A nurse is caring for a client who is ANS: B
suspected of having the diagnosis of Alopecia areata is a dermatological
trichotillomania. What condition must condition that, according to the
be ruled out prior to a definitive DSM-IV diagnostic criteria for
diagnosis of this disorder? trichotillomania, must be ruled out to
establish this diagnosis.
A. Bipolar disorder
B. Alopecia areata
C. Post-traumatic stress disorder
D. Body dysmorphic disorder

,bstrandable NCLEX Mental Health 1 of 2



Term: Definition:

A nursing instructor is teaching about ANS: A
the correlation between pathological Serotonergic function is linked to
gambling and abnormalities in the behavioral initiation, inhibition, and
neurotransmitter system. What aggression. Noradrenergic function
statement by the nursing student mediates arousal and detects novel
indicates that learning has occurred? and aversive stimuli. Dopaminergic
A. "Pathological gamblers present function is associated with reward and
with decreased serotonin, increased reinforcement mechanisms. Thus,
norepinephrine, and increased pathological gamblers present with
dopamine." B. "Pathological gamblers decreased serotonin, increased
present with increased serotonin, norepinephrine, and increased
increased norepinephrine, and dopamine.
increased dopamine." C.
"Pathological gamblers present with
decreased serotonin, decreased
norepinephrine, and decreased
dopamine." D. "Pathological
gamblers present with increased
serotonin, decreased norepinephrine,
and decreased dopamine."



D. An adjustment disorder unspecified
Term:

A 13-year-old client's father has
recently been deployed to Afghanistan.
Since deployment, the client has begun
to participate in isolative behaviors,
truancy, vandalism, and fighting. The
pediatric nurse practitioner should
identify this behavior with which
adjustment disorder?

A. An adjustment disorder with anxiety
B. An adjustment disorder with
disturbance of conduct
C. An adjustment disorder with mixed
disturbance of emotions and conduct

,bstrandable NCLEX Mental Health 1 of 2


Definition:
ANS: C
The predominant features of an
adjustment disorder with mixed
disturbance of emotions and
conductinclude symptoms of
anxiety or depression as well as
behaviors to include violations of
rights of others,truancy,
vandalism, and fighting.

, bstrandable NCLEX Mental Health 1 of 2



Term: Definition:

A client, who recently delivered a ANS: D
stillborn baby, has a diagnosis of The diagnosis of adjustment disorder
adjustment disorder unspecified. The unspecified is assigned when the
nurse case manager should expect maladaptive reaction is not consistent
which client presentation that is with any of the other categories.
characteristic of this diagnosis? Manifestations may include physical
complaints, social withdrawal, or
A. The client worries continually and work or academic inhibition, without
appears nervous and jittery. significant depressed or anxious
B. The client complains of a depressed mood.
mood, is tearful, and feels hopeless.
C. The client is belligerent, violates
the rights of others, and defaults on
legal responsibilities.
D. The client complains of many
physical ailments, refuses to socialize,
and quits her job.

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