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Terms in this set (50)
At the first meeting of a group at a daycare ANS: B
center for older adults, the nurse asks one of the
members what kinds of things the client would Anxiety over participation in a group
like to do with the group. The older adult shrugs and testing of the leader
characteristically occur in the initial
and says, "You tell me. You're the leader." What
phase of group dynamics. (B) provides
would be the best response for the nurse to information and refocuses the group
make? to defining its function. (A) is
manipulative bargaining. (C) does not
focus the group on its purpose or
A."Yes, I am the leader today. Would you like to
task. (D) is interpreting the client's
be the leader tomorrow?" B."Yes, I will be
feelings and is almost challenging.
leading this group. What would you like to
accomplish?" C."Yes, I have been assigned to
lead this group. I will be here for the next 6
weeks." D. "Yes, I am the leader.
You seem angry about not being the leader
yourself."
,A client who is being treated ANS: B
with lithium carbonate for
manic depression begins to Although these are expected symptoms, the health care
develop diarrhea, vomiting, provider should be notified prior to the next administration
and drowsiness. Which of the drug (B). Early side effects of lithium carbonate
action should the nurse (occurring with serum lithium levels below 2 mEq/L)
take? generally follow a progressive pattern, beginning with
diarrhea, vomiting, drowsiness, and muscular weakness (C).
A. Notify the health At higher levels, ataxia, tinnitus, blurred vision, and large
careprovider immediately dilute urine output may occur. (A) will lower the lithium
and force fluids. level.
B. Prior to giving the (D) is not warranted.
nextdose, notify the health
care provider of these
symptoms.
C. Record the
symptomsand continue with
medication as prescribed. D.
Hold the medication and
refuse to administer
additional doses.
,A woman brings her 48year- ANS: A
old husband to the
outpatient psychiatric unit Sleepwalking, amnesia, and multiple personalities are
and tells the nurse that he examples of detaching emotional conflict from one's
consciousness (A). (B) is characterized by persistent,
has been sleepwalking,
recurrent intrusive thoughts or urges (obsessions) that are
cannot remember who he unwilled and cannot be ignored and provoke impulsive acts
is, and exhibits multiple (compulsions), such as constant and repeated hand washing.
personalities. These (C) is an acute attack of anxiety characterized by personality
disorganization. (D) is reexperiencing a psychologically
behaviors are often
terrifying or distressing event that is outside the usual range
associated with which
of human experience such as war or rape.
condition?
A. Dissociative disorder B.
Obsessive-compulsive
disorder
C. Panic disorder
D. Posttraumatic stress
syndrome
, During a home visit, a client ANS: C
with schizophrenia reports
hearing voices that tell the Hospitalization is needed if the client continues to hear
client to walk in the middle voices telling the client to do things that can cause self-harm
(C). (A or B) do not require hospitalization unless symptoms
of the street. The nurse
become severe. The client should continue symptom
records several statements management strategies (D) to prevent hospitalization.
made by the client. Based on
which statement should the
nurse determine that the
client needs hospitalization?
A."Sometimes I take an extra
one of my pills when I hear
the voices."
B."The voices are louder
when I forget to take my
medication. "
C."No matter what I do, I
cannot make the voices go
away. "
D."I just try to tell the
voices to stop when they
bother me. "