Saunders Mental Health and
Pharmacology Psychiatric Questions
and Correct Answers/ Latest Update /
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The nurse assesses a client with the admitting diagnosis of bipolar
affective disorder, mania. Which client symptoms require the nurse's
immediate action?
Ans: Nonstop physical activity and poor nutritional intake
Mania is a mood characterized by excitement, euphoria, hyperactivity,
excessive energy, decreased need for sleep, and impaired ability to
concentrate or complete a single train of thought. The client's mood is
predominantly elevated, expansive, or irritable. All of the options reflect a
client's possible symptoms. However, the correct option clearly presents a
problem that compromises physiological integrity and needs to be
addressed immediately.
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The nurse is caring for a client with anorexia nervosa. Which behavior
is characteristic of this disorder and reflects anxiety management?
Ans: Observing rigid rules and regulations
Clients with anorexia nervosa have the desire to please others. Their need
to be correct or perfect interferes with rational decision-making processes.
These clients are moralistic. Rules and rituals help these clients manage
their anxiety.
A client experiencing a great deal of stress and anxiety is being
taught to use self-control therapy. Which statement by the client
indicates a need for further teaching about the therapy?
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Ans: "This form of therapy provides a negative reinforcement when the
stimulus is produced."
Negative reinforcement when the stimulus is produced is descriptive of
aversion therapy. Options 1, 2, and 3 are characteristics of self-control
therapy.
The nurse is caring for a client who is at risk for suicide. What is the
priority nursing action for this client?
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Ans: Provide authority, action, and assistance with problem-solving.
A crisis is an acute, time-limited state of disequilibrium resulting from
situational, developmental, or societal sources of stress. A person in this
state is temporarily unable to cope with or adapt to the stressor by using
previous coping mechanisms. The person who intervenes in this situation
(the nurse) "takes over" (authority) for the client who is not in control and
devises a plan (action) to secure and maintain the client's safety. When
this has occurred, the nurse works collaboratively with the client
(assistance) in developing new coping and problem-solving strategies.
A client comes to the emergency department after an assault and is
extremely agitated, trembling, and hyperventilating. What is the
priority nursing action for this client?