Which statement demonstrates a well-structured attempt at limit setting?
- ...ANSWER..a. "Hitting me when you are angry is unacceptable."
Which activity is most appropriate for a child with ADHD? - ...ANSWER..d. Tennis
Cognitive-behavioral therapy is going well when a 12-year-old patient in therapy
reports to the nurse practitioner: - ...ANSWER..b. "I thought that everyone at school
hated me. That's not true. Most people like me and I have a friend named Todd."
What assessment question should the nurse ask when attempting to determine a
teenager's mental health resilience? Select all that apply. - ...ANSWER..a. "How did
you cope when your father deployed with the Army for a year in Iraq?"
b. "Who did you go to for advice while your father was away for a year in Iraq?"
d. "Where do you see yourself in 10 years?"
Which factors tend to increase the difficulty of diagnosing young children who
demonstrate behaviors associated with mental illness? Select all that apply.
- ...ANSWER..a. Limited language skills
b. Level of cognitive development
c. Level of emotional development
Pam, the nurse educator, is teaching a new nurse about seclusion and restraint.
Order the following interventions from least (1) to most (5) restrictive: - ...ANSWER..
(1) a. With the patient, identify the behaviors that are unacceptable and
consequences associated with harmful behaviors
(2) d. Offering a PRN medication by mouth
(3) c. Allowing the patient to take a time-out and sit in his or her room
(4) e. Placing the patient in a locked seclusion room
(5) b. Placing the patient in physical restraints
In pediatric mental health, there is a lack of sufficient numbers of community-based
resources and providers, and there are long waiting lists for services. This has
resulted in: Select all that apply. - ...ANSWER..a. Children of color and poor
economic conditions being underserved
b. Increased stress in the family unit
d. Premature termination of services
Child protective services have removed 10-year-old Christopher from his parents'
home due to neglect. Christopher reveals to the nurse that he considers the woman
next door his "nice" mom, that he loves school, and gets above average grades. The
strongest explanation of this response is: - ...ANSWER..c. Resilience
April, a 10-year-old admitted to inpatient pediatric care, has been getting more and
more wound up and is losing self-control in the day room. Time-out does not appear
to be an effective tool for April to engage in self-reflection. April's mother admits to
putting her in time-out up to 20 times a day. The nurse recognizes that:
- ...ANSWER..b. Time-out is no longer an effective therapeutic measure.
Adolescents often display fluctuations in mood along with undeveloped emotional
regulation and poor tolerance for frustration. Emotional and behavioral control
, usually increases over the course of adolescence due to: - ...ANSWER..b.
Cerebellum maturation
Which characteristics suggest a man is experiencing the prodromal phase of
schizophrenia? Select all that apply. - ...ANSWER..a. Always afraid that others will
steal his belongings.
b. Displays unusual interest in numbers and specific topics.
c. Has increasingly unusual thoughts and uses words oddly.
d. Demonstrates increasing difficulty with concentration.
Which nursing interventions are particularly well chosen for addressing a population
at high risk for developing schizophrenia? Select all that apply. - ...ANSWER..a.
Screening 15- to 25-year-olds for early symptoms.
c. Teaching ways to cope and build resiliency.
d. Educating about the risk of psychosis with marijuana use.
To provide effective care for the patient who is taking a second-generation
antipsychotic, the nurse should frequently assess for - ...ANSWER..e. Metabolic
syndrome
A female patient diagnosed with schizophrenia has been prescribed a first-
generation antipsychotic medication. What information should the nurse provide to
the patient regarding her signs and symptoms? - ...ANSWER..d. She should
experience a reduction in hallucinations.
Which characteristic presents the greatest risk for injury to others by the patient
diagnosed with schizophrenia? - ...ANSWER..d. Paranoia
Which therapeutic communication statement might a psychiatric-mental health
registered nurse use when a patient's nursing diagnosis is hallucinations? Select all
that apply. - ...ANSWER..a. "I know you say you hear voices, but I cannot hear
them."
c. "Tell me more about what you hear."
When patients diagnosed with schizophrenia suffer from anosognosia, they often
refuse medication, believing that - ...ANSWER..d. They are not actually ill.
Kyle, a patient with schizophrenia, began to take the first-generation antipsychotic
haloperidol (Haldol) a week ago. You find him sitting stiffly and not moving. He is
diaphoretic, and when you ask if he is okay, he seems unable to respond verbally.
His vital signs are: BP 170/100, P 110, T 104.2°F. What is the priority nursing
intervention? Select all that apply. - ...ANSWER..a. Hold his medication and contact
his prescriber stat.
b. Wipe him with a washcloth that has been wetted with cold water or alcohol.
Tomas is a 21-year-old male with a recent diagnosis of schizophrenia. Tomas's
nurse recognizes that self-medicating with excessive alcohol is common in this
disorder and can be an effort to: Select all that apply. - ...ANSWER..a. Self-medicate
for social discomfort.
b. Cope with anxiety.
- ...ANSWER..a. "Hitting me when you are angry is unacceptable."
Which activity is most appropriate for a child with ADHD? - ...ANSWER..d. Tennis
Cognitive-behavioral therapy is going well when a 12-year-old patient in therapy
reports to the nurse practitioner: - ...ANSWER..b. "I thought that everyone at school
hated me. That's not true. Most people like me and I have a friend named Todd."
What assessment question should the nurse ask when attempting to determine a
teenager's mental health resilience? Select all that apply. - ...ANSWER..a. "How did
you cope when your father deployed with the Army for a year in Iraq?"
b. "Who did you go to for advice while your father was away for a year in Iraq?"
d. "Where do you see yourself in 10 years?"
Which factors tend to increase the difficulty of diagnosing young children who
demonstrate behaviors associated with mental illness? Select all that apply.
- ...ANSWER..a. Limited language skills
b. Level of cognitive development
c. Level of emotional development
Pam, the nurse educator, is teaching a new nurse about seclusion and restraint.
Order the following interventions from least (1) to most (5) restrictive: - ...ANSWER..
(1) a. With the patient, identify the behaviors that are unacceptable and
consequences associated with harmful behaviors
(2) d. Offering a PRN medication by mouth
(3) c. Allowing the patient to take a time-out and sit in his or her room
(4) e. Placing the patient in a locked seclusion room
(5) b. Placing the patient in physical restraints
In pediatric mental health, there is a lack of sufficient numbers of community-based
resources and providers, and there are long waiting lists for services. This has
resulted in: Select all that apply. - ...ANSWER..a. Children of color and poor
economic conditions being underserved
b. Increased stress in the family unit
d. Premature termination of services
Child protective services have removed 10-year-old Christopher from his parents'
home due to neglect. Christopher reveals to the nurse that he considers the woman
next door his "nice" mom, that he loves school, and gets above average grades. The
strongest explanation of this response is: - ...ANSWER..c. Resilience
April, a 10-year-old admitted to inpatient pediatric care, has been getting more and
more wound up and is losing self-control in the day room. Time-out does not appear
to be an effective tool for April to engage in self-reflection. April's mother admits to
putting her in time-out up to 20 times a day. The nurse recognizes that:
- ...ANSWER..b. Time-out is no longer an effective therapeutic measure.
Adolescents often display fluctuations in mood along with undeveloped emotional
regulation and poor tolerance for frustration. Emotional and behavioral control
, usually increases over the course of adolescence due to: - ...ANSWER..b.
Cerebellum maturation
Which characteristics suggest a man is experiencing the prodromal phase of
schizophrenia? Select all that apply. - ...ANSWER..a. Always afraid that others will
steal his belongings.
b. Displays unusual interest in numbers and specific topics.
c. Has increasingly unusual thoughts and uses words oddly.
d. Demonstrates increasing difficulty with concentration.
Which nursing interventions are particularly well chosen for addressing a population
at high risk for developing schizophrenia? Select all that apply. - ...ANSWER..a.
Screening 15- to 25-year-olds for early symptoms.
c. Teaching ways to cope and build resiliency.
d. Educating about the risk of psychosis with marijuana use.
To provide effective care for the patient who is taking a second-generation
antipsychotic, the nurse should frequently assess for - ...ANSWER..e. Metabolic
syndrome
A female patient diagnosed with schizophrenia has been prescribed a first-
generation antipsychotic medication. What information should the nurse provide to
the patient regarding her signs and symptoms? - ...ANSWER..d. She should
experience a reduction in hallucinations.
Which characteristic presents the greatest risk for injury to others by the patient
diagnosed with schizophrenia? - ...ANSWER..d. Paranoia
Which therapeutic communication statement might a psychiatric-mental health
registered nurse use when a patient's nursing diagnosis is hallucinations? Select all
that apply. - ...ANSWER..a. "I know you say you hear voices, but I cannot hear
them."
c. "Tell me more about what you hear."
When patients diagnosed with schizophrenia suffer from anosognosia, they often
refuse medication, believing that - ...ANSWER..d. They are not actually ill.
Kyle, a patient with schizophrenia, began to take the first-generation antipsychotic
haloperidol (Haldol) a week ago. You find him sitting stiffly and not moving. He is
diaphoretic, and when you ask if he is okay, he seems unable to respond verbally.
His vital signs are: BP 170/100, P 110, T 104.2°F. What is the priority nursing
intervention? Select all that apply. - ...ANSWER..a. Hold his medication and contact
his prescriber stat.
b. Wipe him with a washcloth that has been wetted with cold water or alcohol.
Tomas is a 21-year-old male with a recent diagnosis of schizophrenia. Tomas's
nurse recognizes that self-medicating with excessive alcohol is common in this
disorder and can be an effort to: Select all that apply. - ...ANSWER..a. Self-medicate
for social discomfort.
b. Cope with anxiety.
