Which intervention will the nurse include in the plan of care to address a common comorbid
condition demonstrated by many clients diagnosed with body dysmorphic disorder (BDD)?
A. Suicide precautions
B. Anger management group
C. Frequent re-orientation to time and place.
D. Set and enforce reasonable limits regarding boundaries. - Answers A.
Which patient behavior noted by the nurse supports the diagnosis of a severe level panic?
A. Pacing nervously
B. Reports being "too nervous to eat"
C. Too preoccupied to respond when unit fire alarm is tested.
D. Repeatedly demands that staff makes the voices stop saying those bad things. - Answers C
Which response is characteristic of the implementation of an immature defense mechanism?
A. I only steal from stores that overcharge for the products in the first place.
B. Im not a bully; its just that people are envious of how rich I am.
C. Giving an expensive gift to someone who you took advantage of.
D. Drinking alcohol to get the courage to ask for a salary increase. - Answers A.
What is the foundational principle to consider when assessing clients from varying ethnic
cultures for behaviors associated with anxiety disorders?
A. Asian Americans are least reluctant to seek psychiatric help
B.There are basic anxiety driven behaviors demonstrated by all cultures
C. Anxiety triggers somatic symptoms more prevalently than cognitive ones
D. Effective diagnosis of anxiety is dependent on an awareness of cultural norms - Answers D.
Which nursing assessment question is focused on evaluating clients diagnosed with anxiety
disorder for the most prevalent comorbid mental illness issue among this population?
A. "Can you tell me the names and ages of your grandchildren?"
B. "Are you currently experiencing any suicidal ideations?"
, C. "Are you hearing voices that no one else can hear?"
D. "Do you ever engage in binge eating? - Answers B.
A client with a history of being bullied has been admitted to the hospital for treatment of anger
issues. Which classic reaction will the nurse address in the client's plan of care?
A. Paranoia
B. Somatic pain
C. Hallucinations
D. Suicidal ideations - Answers D.
Which action is an example of anger?
A. Proposes radical changes to the way police manage public protesters at a town meeting
B. Writes a scathing letter to the local newspaper regarding corrupt local politicians
C. Slaps a spouse in the face during an argument about the family budget
D. Sets fire to the business that hires illegal immigrants - Answers C
A client became angry with a staff member and began throwing objects at others in the unit.
Which question will the nurse manager ask the staff in order to address the goals of the
debriefing of the incident that focuses on client care?
A."When did the violence begin?"
B. "What injuries resulted from the violence?"
C. "Were the unit's policies on managing violence followed?"
D."What was the client's reasoning for the violent behaviors?" - Answers C.
Which client-focused change will the nurse identify as a sign of possible escalation of anger?
A. An impulsive client demonstrates introspection
B. A quiet client becomes talkative and loud
C. A manic client becomes withdrawn
D. A depressed client begins to cry - Answers B.
Which statement, by a client diagnosed with poor impulse control, indicates an improved
prognosis?