NUR 326 Exam 1- jennifer fox/Lewis 10th
Chapter 63 Musculoskeletal Problems Evolve
NCLEX practice
"Chosen from the World’s Leading
Educational Institutions"
d. Monitor the client for escalating behavior. - -correct ans- -D (Monitoring for escalating behavior
addresses the client's priority need for safety and is therefore the priority nursing action.)
A nurse is caring for a client who has bipolar disorder. The client states," I am very rich, and I feel I must
give my money to you." Which of the following responses should the nurse make?
a. "Why do you think you feel the need to give money away?"
b. "I am here to provide care and cannot accept this from you."
c. "I can request that your case manager discuss appropriate charity options with you."
d. "You should know that giving away you money is inappropriate." - -correct ans- -B
A nurse is discussing relapse prevention with a client who has bipolar disorder. Which of the following
information should the nurse include in the teaching? (Select all that apply.)
a. Use caffeine in moderation to prevent relapse.
b. Difficulty sleeping can indicate a relapse.
c. Begin taking your medications as soon as a relapse begins.
d. Participating in psychotherapy can help prevent a relapse.
e. Anhedonia is a clinical manifestation of a depressive relapse. - -correct ans- -B D E
,The most common SSRI - -correct ans- -Fluoxetine
A nurse is reviewing the health history of a young adult client who has a depressive disorder. Which of
the following factors should the nurse identify as increasing the clint's risk for depression?
a. The client is an only child.
b. The client lives in an urban setting.
c. The client is married.
d. The client is female. - -correct ans- -D (The nurse should identify female gender as a primary risk
factor for depression. The incidence of depressive disorders is greater in women than in men by almost
2 to 1.)
A nurse is caring for a client who has schizophrenia. The client spends a great deal of time repeating
rhyming syllables such as, "Me, see, bee, tree." The nurse recognized that the client is demonstrating
which of the following positive manifestations of schizophrenia?
a. Clang association
b. Echolalia
c. Magical thinking
d. Word salad - -correct ans- -A (The stringing and repeating of words together because of their rhyming
sounds is called clang association. Clang association is a positive manifestation of schizophrenia.)
A syndrome of neurocognitive symptoms that impairs cognitive capacity leading to deficits of
perception, functioning, and social relatedness. - -correct ans- -Psychosis
An alteration in sensory perception. An experience involving the apparent perception of something not
present. - -correct ans- -Hallucination
, *Fixed beliefs that are not amenable to change in light of conflicting evidence.* An idiosyncratic belief or
impression that is firmly maintained despite being contraindicated by what is generally accepted as
reality or rational argument, typically a symptom of mental disorder. An altered state of thinking. Ex.
Thinking you're a spy working for the government. - -correct ans- -Delusion
Most commonly inferred from speech, defined by derailment, loose associations, tangentially, and
incoherence - -correct ans- -Disorganized thinking
Markedly abnormal behavior ranging from agitation to catatonia that is commonly situationally
incongruent - -correct ans- -Disorganized/abnormal motor behavior
Lack of motivation - -correct ans- -Avolition
Poverty of speech, reduction in the amount of speech. Negative symptom of psychosis and
schizophrenia. - -correct ans- -Alogia
Schizophrenia accounts for ___ __ ___ of the homeless population. - -correct ans- -30 to 50%
The form of muscle rigidity characteristic of tremor in which muscles move with slight hesitations, in a
pattern of ratcheting movement that resembles that of a wheel. - -correct ans- -Cogwheeling
Blocking dopamine may cause these three side effects. - -correct ans- -1. Cog wheeling
2. Pin rolling
3. Drooling
A resting tremor - -correct ans- -Pinrolling
The neurobiology of psychosis involves the dysregulation of these three neurotramitters. - -correct ans- -
1. Dopamine
Chapter 63 Musculoskeletal Problems Evolve
NCLEX practice
"Chosen from the World’s Leading
Educational Institutions"
d. Monitor the client for escalating behavior. - -correct ans- -D (Monitoring for escalating behavior
addresses the client's priority need for safety and is therefore the priority nursing action.)
A nurse is caring for a client who has bipolar disorder. The client states," I am very rich, and I feel I must
give my money to you." Which of the following responses should the nurse make?
a. "Why do you think you feel the need to give money away?"
b. "I am here to provide care and cannot accept this from you."
c. "I can request that your case manager discuss appropriate charity options with you."
d. "You should know that giving away you money is inappropriate." - -correct ans- -B
A nurse is discussing relapse prevention with a client who has bipolar disorder. Which of the following
information should the nurse include in the teaching? (Select all that apply.)
a. Use caffeine in moderation to prevent relapse.
b. Difficulty sleeping can indicate a relapse.
c. Begin taking your medications as soon as a relapse begins.
d. Participating in psychotherapy can help prevent a relapse.
e. Anhedonia is a clinical manifestation of a depressive relapse. - -correct ans- -B D E
,The most common SSRI - -correct ans- -Fluoxetine
A nurse is reviewing the health history of a young adult client who has a depressive disorder. Which of
the following factors should the nurse identify as increasing the clint's risk for depression?
a. The client is an only child.
b. The client lives in an urban setting.
c. The client is married.
d. The client is female. - -correct ans- -D (The nurse should identify female gender as a primary risk
factor for depression. The incidence of depressive disorders is greater in women than in men by almost
2 to 1.)
A nurse is caring for a client who has schizophrenia. The client spends a great deal of time repeating
rhyming syllables such as, "Me, see, bee, tree." The nurse recognized that the client is demonstrating
which of the following positive manifestations of schizophrenia?
a. Clang association
b. Echolalia
c. Magical thinking
d. Word salad - -correct ans- -A (The stringing and repeating of words together because of their rhyming
sounds is called clang association. Clang association is a positive manifestation of schizophrenia.)
A syndrome of neurocognitive symptoms that impairs cognitive capacity leading to deficits of
perception, functioning, and social relatedness. - -correct ans- -Psychosis
An alteration in sensory perception. An experience involving the apparent perception of something not
present. - -correct ans- -Hallucination
, *Fixed beliefs that are not amenable to change in light of conflicting evidence.* An idiosyncratic belief or
impression that is firmly maintained despite being contraindicated by what is generally accepted as
reality or rational argument, typically a symptom of mental disorder. An altered state of thinking. Ex.
Thinking you're a spy working for the government. - -correct ans- -Delusion
Most commonly inferred from speech, defined by derailment, loose associations, tangentially, and
incoherence - -correct ans- -Disorganized thinking
Markedly abnormal behavior ranging from agitation to catatonia that is commonly situationally
incongruent - -correct ans- -Disorganized/abnormal motor behavior
Lack of motivation - -correct ans- -Avolition
Poverty of speech, reduction in the amount of speech. Negative symptom of psychosis and
schizophrenia. - -correct ans- -Alogia
Schizophrenia accounts for ___ __ ___ of the homeless population. - -correct ans- -30 to 50%
The form of muscle rigidity characteristic of tremor in which muscles move with slight hesitations, in a
pattern of ratcheting movement that resembles that of a wheel. - -correct ans- -Cogwheeling
Blocking dopamine may cause these three side effects. - -correct ans- -1. Cog wheeling
2. Pin rolling
3. Drooling
A resting tremor - -correct ans- -Pinrolling
The neurobiology of psychosis involves the dysregulation of these three neurotramitters. - -correct ans- -
1. Dopamine
