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13 Cards in this Set
- Front
- Back
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The nurse must provide discharge teaching to a patient in the inpatient mental health unit who has had a stroke involving the hippocampus. The nurse should adjust the teaching plan to account for the patient's problem with:
A. Expressive aphasia B. Short-term memory C. Attention and learning D. Balance and coordination |
B. Short Term Memory
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A patient with anorexia denies hunger despite taking in less than 400 cal per day. Research suggests that patients may have a problem in the:
A. Parietal lobe B. medulla oblongata C. Hypothalamus D. Reticular activating system |
C. Hypothalamus
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A clients disturbance of body image is evidenced by her claims of "feeling fat" even though she is emaciated. Which is the appropriate outcome criterion for this target behavior?
A. Consuming adequate calories to sustain normal weight B. Ceasing a strenuous exercise program C. Perceiving ideal body weight and shape as normal D. Demonstrating an absence of preoccupation with food |
C. Perceiving ideal body weight and shape as normal
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What rationale explains why inspection of the teeth and gums of a client with bulimia will most likely revealed deterioration?
A. The high acidity of emesis B. A lack of dietary calcium C. Rapid ingestion of food without proper mastication D. Poor dental and oral hygiene |
A. The high acidity of emesis
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A patient with antisocial personality disorder has been very manipulative since admission. He has been constantly pushing the rules and now is insisting he be allowed to watch the late movie instead of adhering to 10 PM bedtime. Your best response is:
A. I won't allow you to manipulate me again B. If you ask again I'll make bedtime 9 PM tomorrow C. I will allow it tonight but just this once D. Bed time is 10 PM it is a unit rule |
D. Bed time is 10 PM it is a unit rule
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A patient has borderline personality disorder with erratic behavior, self mutilating episodes, and inappropriate expression of anger. The statement you would evaluate as an improvement in this patient's condition is:
A. I think you are the nicest nurse I know B. I got drunk last night. I know I won't ever do that again. C. I feel as if I have to cut myself right now, so I called you. D. I hate my mother. I called her today and she wasn't even home |
C. I feel as if I have to cut myself right now, so I called you.
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The DSM-IV defines of sessions and compulsions as criteria for excessive compulsive disorder. The definition that is correct for obsession is:
A. A thinking process that equates thinking with doing B. A recurrent, persistent thought, idea, impulse, or image. C. An intense, irrational fear in response to an object or situation. D. A recurrent, persistent behavior performed in a particular manner |
B. A recurrent, persistent thought, idea, impulse, or image.
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The distinguishing feature between dissociative amnesia and dissociative fugue is that:
A. Fugue involves flight and memory loss of past events B. Amnesia involves flight and memory loss of past events C. Amnesia and you have essentially the same meaning D. Fugue disorders also includes psychotic features while amnesia does not |
A. Fugue involves flight and memory loss of past events
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A patient who is having a panic attack is hyperventilating and not responding to your nursing interventions. Your concern if this continues is:
A: metabolic acidosis B: metabolic alkalosis C: respiratory acidosis D: respiratory alkalosis |
D: respiratory alkalosis
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A common side effect of the SSRIs that patients may be reluctant to report is:
A: sexual dysfunction B: paranoid delusions C: aggressive impulses D: nausea and vomiting |
A: sexual dysfunction
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A benzodiazepine may be preferred over BuSpar because:
A: it is less sedating B: there is no cross tolerance to alcohol C: therapeutic effects may be achieved faster D: there is less potential for drug dependence |
C: therapeutic effects may be achieved faster
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Traditional antipsychotic drugs work by:
A: blocking postsynaptic dopamine receptors B: increasing the production of dopamine in the substantia nigra C: blocking the breakdown of dopamine by monoamine oxidase D: stimulating the release of dopamine from presynaptic neurons |
A: blocking postsynaptic dopamine receptors
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A patient has been on lithium 600 mg TID and Haldol 2 mg every day for two weeks to control mania and now complains to the nurse of diarrhea, vomiting, and blurred vision. The nurse observes a course hand tremor. The nurse should first:
A: hold the next dose and obtain an order for a stat serum lithium level B: recognize this is a drug interaction and hold the next dose of Haldol C: give the patient a PRN Cogentin injection for the EPS side effects D: reassure the patient that these are common, temporary side effects of lithium therapy. |
A: hold the next dose and obtain an order for a stat serum lithium level
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