RASMUSSEN MENTAL HEALTH EXAM 4{ MH #4} LATEST REAL EXAM

RASMUSSEN MENTAL HEALTH EXAM 4{ MH #4} LATEST REAL EXAM A nurse is educating staff on personality disorders. Which statement by the staff indicates understanding? A.Antisocial personality disorder can start as conduct disorder B.It is very easy to categorize the clients based on their disorder C.All clients with personality disorders were the victims of abuse D.All clients with personality disorders take advantage of others A.Antisocial personality disorder can start as conduct disorder The nurse working in an acute care psychiatric facility is working with clients that have personality disorders. The nurse knows that cluster A personality disorders (odd, eccentric) tend to exhibit what behaviors? A.Dramatic B.Dependency C.Indifference to social situations D.Splitting between healthcare providers C.Indifference to social situations Consider this comment to three different nurses by a patient diagnosed with antisocial personality disorder, "Another nurse said you don't do your job right." Collectively, these interactions can be assessed as: A.Insightful B.Guilt-producing C.Manipulative D.Detached C.Manipulative A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client? A. A seclusion room until the client's activity level becomes more subdued B. A semi-private room with a roommate who has a similar diagnosis C. A private room away from the nursing station D. A private room in a quiet location that can easily be monitored D. A private room in a quiet location that can easily be monitored The client states "I just can't fall asleep". The nurse responds, "You are having difficulty falling asleep?" Why is the nurse using the restating technique? A.The nurse wants the client to know they understand B.The nurse is allowing the client to elaborate or clear up misunderstanding conversation going D.The nurse wants to focus on one idea B.The nurse is allowing the client to elaborate or clear up misunderstanding A client is experiencing command hallucinations and appears to be frightened. Which of the following actions are appropriate nursing interventions? A.Keep the client physically safe B.Ignore the client's feelings in response to altered perceptions C.Assure the client that they are not experiencing something real D.Inform the client that their hallucinations are just bad dreams A.Keep the client physically safe A nurse is performing an admission assessment for an adolescent client with a diagnosis of schizophrenia. Which of the following findings should the nurse identify as a positive symptom? A.Somatic Delusions B.Anhedonia C.Waxy Posture (immobile posturing) D.Anergia A.Somatic Delusions A 28-year-old client with body dysmorphic disorder (BDD) tells the nurse that they plan to have a surgical procedure that will affect their appearance. The nurse understands that this plan is an effort to A.Suppress intrusive thoughts B.Deal with multiple physical complaints C.Treat associated depression D.Cure the imagined defect D.Cure the imagined defect An unlicensed assistive personnel (UAP) is working with clients that have diagnosis of obsessive compulsive disorder. The UAP understands the reason not to stop the carrying out of compulsions is: A.If this is not done therapeutically the client will have an escalation in anxiety B.The RNs don't trust the UAPs C.Stopping compulsions is not part of the treatment plan D.The obsessions are the client's problems not the compulsions A.If this is not done therapeutically the client will have an escalation in anxiety A client is pacing the hall near the nurse's station, swearing loudly. An appropriate initial intervention for the nurse would be to address the client by name and say: A."Please quiet down." B."You seem upset. Would you like to tell me about it?" C."Hey, why are you so upset?"D."You need to go to your room to get control of yourself." B."You seem upset. Would you like to tell me about it?" A nurse is reviewing the medical histories of four clients. Which of the following clients will be most likely to develop extrapyramidal symptoms from medication therapy? A.A client with depression taking selective serotonin reuptake inhibitors B.A client with schizoaffective disorder taking an atypical antipsychotic C.A client with schizophrenia taking a first-generation antipsychotic D.A client with anxiety disorder taking an anxiolytic medication C.A client with schizophrenia taking a first-generation antipsychotic A client with anorexia nervosa is at increased risk for which of the following? A.Osteopenia B.Increased testosterone C.Hyperglycemia D.Hypertension A.Osteopenia A nurse in the emergency department is implementing a plan of care for an older adult client who is experiencing delirium tremens (Severe alcohol withdrawal symptoms such as shaking, confusion, and hallucinations). Which of the following actions should the nurse take first? A.Administer clonidine B.Lower the bed and raise the side rails C.Obtain a medical history D.Complete CIWA scale B.Lower the bed and raise the side rails A nurse is caring for a client who has a new prescription for Risperidone. Which of the following rating scales should the nurse complete prior to administering the first dose of risperidone? A.Beck's Depression Inventory B.Abnormal Involuntary Movement Scale C.Hamilton Depression Scale D.The Body Attitude Test B.Abnormal Involuntary Movement Scale