x
lOMoARcPSD|970 059
x 0
1. Axclientxisxfearfulxofxdrivingxand xentersxaxbehavioral xtherapyx programxtox he
lpxhimxovercomexhisxanxiety.xUsing xsystematicxdesensitization,xhexisxablex toxdri
vexdownxaxfamiliarxstreetxwithoutxexperiencingxaxpanicxattack.xThex nursexsh
ould xrecognizexthatxtoxcontinuexpositivexresults,xthexclientxshouldx participatexinx
whichxofxthexfollowing?
a. Biofeedback
b. Therapistxmodeling
c. Frequentxpacing
d. Positivexreinforcement
2. Axnursexisxcounseling xaxclientxfollowing xthexdeath xofxthexclient’sxpartnerx8x m
onths x ago.x Whichx ofx thex following x clientx statementsx indicatesx maladaptiv
ex grieving?
a. “Ixamx soxsorryx forxthextimesxI x wasx angryx withxmyxpartner.”
b. “Ixlikexlooking xatxhisxpersonalxitemsxinxthexcloset.”
c. “Ixfindxmyselfxthinking xaboutxmyxpartnerxoften.”
d.x “Ixstillx don’tx feelxupxtoxreturningx tox work.”
Rationale: x8xmonthsxtooxlongxMaladaptivexGrief:x.xDistortedxorxexaggeratedxgriefxresponsex-
unablextox performxactivitiesxofxdailyxliving.
x
RISKxFACTORSxFORxMALADAPTIVExGRIEVING
, x
lOMoARcPSD|970 059
x 0
●●xBeingxdependentxuponxthexdeceased
●●xUnexpectedxdeathxatxaxyoungxage,xthroughxviolence,xorxbyxaxsociallyxunacceptablexmanner
●●xInadequatexcopingxskillsxorxlackxofxsocialxsupport
●●xPre-existingxmentalxhealthxissues,xsuchxasxdepressionxorxsubstancexusexdisorder
3. /21xAxnursexinxanxinpatient xmentalxhealth xfacilityxisxassessing xaxclientxwhox ha
sxschizophreniaxandxisxtaking xhaloperidolx(anti-
psychotic,x1stxgen).x Whichxofxthexfollowingxclinicalxfindingsxisxthexnurse’sxpriori
ty?
a. Headache
b. Insomniax(sedation)
c. Urinaryxhesitancyx(Complicationx →x ANTIcholinergicx effects)
d. Highx feverx (Complicationx →x agranulocytosis)
Other xcomplications:xAcutexdystonia, xPseudoparkinsonism, xAkathisia,xTardivexdyskinesia,x Ne
uroendocrinexeffects x(Gynecomastia, xWeight xgain, xMenstrualxirregularities),xNMS, xOrthostaticx H
ypotension, xSedation, xSexual xdysfunction, xSkinxeffects, xLiver ximpairment
, x
lOMoARcPSD|970 059
x 0
4. Axnursexisxplanning xcarexforxaxclientxwhoxhasxobsessivexcompulsive x disord
er.xWhich xofxthexfollowing xrecommendationsxshould xthexnursexincludex inxthexcli
ent’sxplan xofxcare?
a. RealityxOrientationxtherapyx(re-orientxtoxreality)
b. OperantxConditioning x(receivesxpositivexrewardsxforxpositivexbehavior)
c.xThoughtxStoppingx(sayx“stop”xwhenxcompulsivexbehaviorsxarisex&xsubstitutexw/x p
ositive xthought)
d.x Validationx Therapyx (acknowledgingx pt’sx feelings)
4. Axnursexisxprovidingxteaching xtoxthexdaughterxofxanxolderxclientxwhoxhasx obs
essive-
compulsivexdisorder.xWhichxofxthexfollowing xstatementsxbyxthex daughterxind
icatesxanxunderstanding xofxthexteaching?
a. “Ixwillxprovidexmyxmotherxwithxdetailed xinstructionsxaboutxhowxtoxperformx se
lf-care.”x(Givexsimplexdirections)
b.x “Ix willx limitx myx mother’sx clothingx choices x whenx shex is xgettingx
xx dr
essed.”x (Ifxclientxisxindecisive,xlimitxthexclient'sxchoices;xifxclientxstillxunablextoxmakexaxdecision, x giv
ex clientx onex outfitx tox wear)
c. “Ixwillxwakexmyxmotherxupxaxcouplexofxtimesxinxthexnightxtoxcheckxonxher.”
d. “Ixwillxdiscourage xmyxmotherxfromxtalking xaboutxherxphysicalxcomplaints.”
5. Axnursexisxcaring xforxaxclientxwhoxisxinxthexmanicxphasexofxbipolarx di
sorder.xWhichxofxthexfollowingxactionsxshouldxthexnursextake?
a. Providexinxdepthxexplanationxofxnursing xexpectationsx(inabilityxtoxfocusx-
x givexconcisexexplanations)
b. Encouragexthexclientxtoxparticipatexinxgroupxactivitiesx(decreasex sti
mulation)
c.x Avoidx powerx strugglesx byx remainingx neutralx (dox notx reactx personallyx t
, ox pt’sx comments)
x
lOMoARcPSD|970 059
x 0
d.xAllowxthexclientxtoxsetxlimitsxforxhisxbehaviorx(nursexsetsxlimits)
lOMoARcPSD|970 059
x 0
1. Axclientxisxfearfulxofxdrivingxand xentersxaxbehavioral xtherapyx programxtox he
lpxhimxovercomexhisxanxiety.xUsing xsystematicxdesensitization,xhexisxablex toxdri
vexdownxaxfamiliarxstreetxwithoutxexperiencingxaxpanicxattack.xThex nursexsh
ould xrecognizexthatxtoxcontinuexpositivexresults,xthexclientxshouldx participatexinx
whichxofxthexfollowing?
a. Biofeedback
b. Therapistxmodeling
c. Frequentxpacing
d. Positivexreinforcement
2. Axnursexisxcounseling xaxclientxfollowing xthexdeath xofxthexclient’sxpartnerx8x m
onths x ago.x Whichx ofx thex following x clientx statementsx indicatesx maladaptiv
ex grieving?
a. “Ixamx soxsorryx forxthextimesxI x wasx angryx withxmyxpartner.”
b. “Ixlikexlooking xatxhisxpersonalxitemsxinxthexcloset.”
c. “Ixfindxmyselfxthinking xaboutxmyxpartnerxoften.”
d.x “Ixstillx don’tx feelxupxtoxreturningx tox work.”
Rationale: x8xmonthsxtooxlongxMaladaptivexGrief:x.xDistortedxorxexaggeratedxgriefxresponsex-
unablextox performxactivitiesxofxdailyxliving.
x
RISKxFACTORSxFORxMALADAPTIVExGRIEVING
, x
lOMoARcPSD|970 059
x 0
●●xBeingxdependentxuponxthexdeceased
●●xUnexpectedxdeathxatxaxyoungxage,xthroughxviolence,xorxbyxaxsociallyxunacceptablexmanner
●●xInadequatexcopingxskillsxorxlackxofxsocialxsupport
●●xPre-existingxmentalxhealthxissues,xsuchxasxdepressionxorxsubstancexusexdisorder
3. /21xAxnursexinxanxinpatient xmentalxhealth xfacilityxisxassessing xaxclientxwhox ha
sxschizophreniaxandxisxtaking xhaloperidolx(anti-
psychotic,x1stxgen).x Whichxofxthexfollowingxclinicalxfindingsxisxthexnurse’sxpriori
ty?
a. Headache
b. Insomniax(sedation)
c. Urinaryxhesitancyx(Complicationx →x ANTIcholinergicx effects)
d. Highx feverx (Complicationx →x agranulocytosis)
Other xcomplications:xAcutexdystonia, xPseudoparkinsonism, xAkathisia,xTardivexdyskinesia,x Ne
uroendocrinexeffects x(Gynecomastia, xWeight xgain, xMenstrualxirregularities),xNMS, xOrthostaticx H
ypotension, xSedation, xSexual xdysfunction, xSkinxeffects, xLiver ximpairment
, x
lOMoARcPSD|970 059
x 0
4. Axnursexisxplanning xcarexforxaxclientxwhoxhasxobsessivexcompulsive x disord
er.xWhich xofxthexfollowing xrecommendationsxshould xthexnursexincludex inxthexcli
ent’sxplan xofxcare?
a. RealityxOrientationxtherapyx(re-orientxtoxreality)
b. OperantxConditioning x(receivesxpositivexrewardsxforxpositivexbehavior)
c.xThoughtxStoppingx(sayx“stop”xwhenxcompulsivexbehaviorsxarisex&xsubstitutexw/x p
ositive xthought)
d.x Validationx Therapyx (acknowledgingx pt’sx feelings)
4. Axnursexisxprovidingxteaching xtoxthexdaughterxofxanxolderxclientxwhoxhasx obs
essive-
compulsivexdisorder.xWhichxofxthexfollowing xstatementsxbyxthex daughterxind
icatesxanxunderstanding xofxthexteaching?
a. “Ixwillxprovidexmyxmotherxwithxdetailed xinstructionsxaboutxhowxtoxperformx se
lf-care.”x(Givexsimplexdirections)
b.x “Ix willx limitx myx mother’sx clothingx choices x whenx shex is xgettingx
xx dr
essed.”x (Ifxclientxisxindecisive,xlimitxthexclient'sxchoices;xifxclientxstillxunablextoxmakexaxdecision, x giv
ex clientx onex outfitx tox wear)
c. “Ixwillxwakexmyxmotherxupxaxcouplexofxtimesxinxthexnightxtoxcheckxonxher.”
d. “Ixwillxdiscourage xmyxmotherxfromxtalking xaboutxherxphysicalxcomplaints.”
5. Axnursexisxcaring xforxaxclientxwhoxisxinxthexmanicxphasexofxbipolarx di
sorder.xWhichxofxthexfollowingxactionsxshouldxthexnursextake?
a. Providexinxdepthxexplanationxofxnursing xexpectationsx(inabilityxtoxfocusx-
x givexconcisexexplanations)
b. Encouragexthexclientxtoxparticipatexinxgroupxactivitiesx(decreasex sti
mulation)
c.x Avoidx powerx strugglesx byx remainingx neutralx (dox notx reactx personallyx t
, ox pt’sx comments)
x
lOMoARcPSD|970 059
x 0
d.xAllowxthexclientxtoxsetxlimitsxforxhisxbehaviorx(nursexsetsxlimits)
