“family assessment? My teenager is the patient, not the rest of us.” Select best response.

“member’s perception of events is different; more info.”

Which technique will best communicate to a patient that the nurse is interested in listening?

Restating a feeling or thought the patient has expressed.

“I’ve been supplementing my Paxil with St. John’s wort.” What is the nurse’s priority action?

Educate the pt on the risks of selective serotonin syndrome

Select the best desired outcome for a patient who uses valerian. The patient will report:

undisturbed sleep throughout the night.

Which best indicates that the goal “Demonstrate mentally healthy behavior” was achieved?

sees self as capable of achieving ideals and meeting demands

Which intervention would be most helpful for assuring mutual respect within a group?

Describe the importance of respect make it a group norm

Which documentation of family assessment indicates a healthy and functional family?

Members provide mutual support.

Which individual is demonstrating the highest level of resilience?

takes a temporary job to maintain financial stability

Symptoms of withdrawal from opioids for which the nurse should assess include:

nausea, vomiting, diaphoresis, anxiety, and hyperreflexia.

A pt wants to learn more about integrative therapies. Which resource should the nurse suggest?

NationalCenterforComplementaryand AlternativeMedicine NCCAM

corrective recapitulation of the primary family group is?

emotional attachment that mirrors patterns within family

Best response: pt w/ premature ejaculation says “It’s so awful for both me and my partner."

I can refer you to a practitioner who can help

Pt wants to supplement SSRI w/ st johns wart. Best response from nurse?

Advise the patient of the danger of serotonin syndrome.

What is the most important aspect of the family’s assessment of parent w addiction?

Interactions among family members

Which dinner menu is best suited for a patient with acute mania?

Broiled chicken breast on a roll, an ear of corn, an apple

What assessment findings mark the prodromal stage of schizophrenia?

Withdrawal, misinterpreting, poor concentration

What outcome would be appropriate for a symptom-management group for persons w/ schizophrenia?

describe ways to cope with their illness.

initial interaction with a pt with a long history of methamphetamine abuse. Best first action?

Self-assess attitude, values, and beliefs about problem

group working phase; pt ridicules another pts statement; what is the best response from the rn?

Meet privately with the member to discuss the anger

59 yr man w/ hypertension. why do you include ?s about meds and effects on sexual function?

sexual dysfunction may result from hypertension meds.

health teaching plan for a patient taking lithium should include instructions to

maintain normal salt and fluids in the diet

pt w/ AIDS and pneumonia. Family are very anxious. Select the best outcome for family:

Identify and describe methods for coping with anxiety.

Which assessment findings suggest the patient may be having an auditory hallucination?

Darting eyes, tilted head, mumbling to self

The nurse should assess a pt taking an anticholinergic drug for inhibited function of the

parasympathetic nervous system.

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MH Final

99 termsStudBud Administration72 plays

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Questions 99

Answers

1
Diazepam (Valium) has a rapid onset of calming and sedation.
False
True
2
“family assessment? My teenager is the patient, not the rest of us.” Select best response.
“member’s perception of events is different; more info.”
“Family dysfunction might have caused the mental illness.”
“Families provide more accurate information than the pt”
“Family assessment is part of the protocol"
3
Thrombocytopenia is not a side effect of amitriptyline (Elavil).
True
False
4
projects blame for family problems onto a member who is less powerful
role-playing
double-blind message
Scapegoatting
manipulation
5
Which technique will best communicate to a patient that the nurse is interested in listening?
Asking a direct question, such as “Did you feel angry?”
Making a judgment about the patient’s problem.
Saying, “I understand what you’re saying.”
Restating a feeling or thought the patient has expressed.
6
“I’ve been supplementing my Paxil with St. John’s wort.” What is the nurse’s priority action?
Educate the pt on the risks of selective serotonin syndrome
Assess changes in the patient’s level of depression.
Remind the patient to use a secondary form of birth control.
Suggest adding valerian to the tx regimen to improve results
7
"I think I can conquer my fears.” Which therapeutic factor is evident by this statement?
catharsis
hope
Cohesiveness
altruism
8
Which type of group is a nurse with 2 months’ psychiatric experience best qualified to conduct?
Family therapy group
Medication education group
Existential/Gestalt group
Psychodynamic/psychoanalytic group
9
Select the best desired outcome for a patient who uses valerian. The patient will report:
stress level is lower
increased interest in recreational activities
undisturbed sleep throughout the night.
early morning waking without an alarm clock.
10
Which finding constitutes a negative symptom associated with schizophrenia?
Auditory hallucinations
Hostility
Bizarre behavior
Poverty of thought
11
A pt tells the nurse that he can only get off when his wife wears red. What term describes this
frotteurism
voyeurism
fetishism
exhibitionism
12
Which best indicates that the goal “Demonstrate mentally healthy behavior” was achieved?
seeks help from others when assuming responsibility for life
meets own needs without considering the rights of others
behaves without considering the consequences actions
sees self as capable of achieving ideals and meeting demands
13
med class may cause the following: Addiction, Additive Sensation, Amnesia, Ataxia, Abjection?
SSRIs.
MAOIs
TCAs
BENZOs
14
Which intervention would be most helpful for assuring mutual respect within a group?
confront those that are not respectful
Exclude potentially disrespectful members
Describe the importance of respect make it a group norm
Provide a brochure of expectations
15
what drug action causes restlessness and an uncontrollable need to be in motion?
Endocrine-stimulating effects
Dopamine-blocking effects
Anticholinergic effects
Ability to stimulate spinal nerves
16
Which documentation of family assessment indicates a healthy and functional family?
Members believe there are specific causes for events.
Power is distributed equally among all members.
Members provide mutual support.
Under stress, members turn inward and become enmeshed.
17
newly coined word having special meaning to the patient.
concrete thinking
neologism
an idea of reference
though insertion
18
Which individual is demonstrating the highest level of resilience?
is able to repress stressors
becomes depressed after the death of a spouse
takes a temporary job to maintain financial stability
lives in a shelter for two years after the home is destroyed
19
Symptoms of withdrawal from opioids for which the nurse should assess include:
nausea, vomiting, diaphoresis, anxiety, and hyperreflexia.
dilated pupils, tachycardia, elevated bp, and elation.
excessive eating, constipation, and headache.
mood lability, incoordination, fever, and drowsiness.
20
A therapy group adds new members as others leave. What type of group is evident?
homogeneous
heterogeneous
closed
open
21
A pt wants to learn more about integrative therapies. Which resource should the nurse suggest?
Internet
Food and Drug Administration (FDA)
American Nurses Association (ANA)
NationalCenterforComplementaryand AlternativeMedicine NCCAM
22
A pt is hospitalized for severe depression. What med will the nurse teach the pt about?
tacrine (Cognex).
.sertraline (Zoloft)
chlordiazepoxide (Librium)
clozapine (Clozaril)
23
corrective recapitulation of the primary family group is?
involves gaining social skills through the group’s feedback
conveying optimism and sharing progress
knowing certain existential experiences are part of life
emotional attachment that mirrors patterns within family
24
pt consulted a np in r/t inability to achieve orgasm. what nurse dx is most applicable?
disturbed sensory perception, tactile
defensive coping
Sexual dysfunction
ineffective sexuality pattern
25
Which medication would you want to observe for hypotension?
amitriptyline (Elavil)
rispenridone (Risperdal)
ventalflaxine (Effexor)
escitalopram (Lexapro)
26
Which nursing intervention is in the scope of an advanced practice mental health nurse only?
Psychotherapy
Health teaching
Coordination of care
Milieu therapy
27
Benzodiazepines and SSR’s/SNRI’s should never be prescribed together to treat anxiety.
true
false
28
Serotonin syndrome and Sexual Dysfunction could be a side effect when taking SSRI’s
true
false
29
Best response: pt w/ premature ejaculation says “It’s so awful for both me and my partner."
I can refer you to a practitioner who can help
Have you discussed this problem with your partner?
There are some techniques in this pamphlet that might help
Have you asked your provider for prescription medication?
30
Pt wants to supplement SSRI w/ st johns wart. Best response from nurse?
Assess the patient for depression and risk for suicide
Suggest the patient decrease the antidepressant dose.
Suggest that aromatherapy may produce better results.
Advise the patient of the danger of serotonin syndrome.
31
Pt reaches climax by placing hidden cameras in women's showers. What is the term for this?
homosexuality
Pedophilia
voyeurism
exhibitionism
32
What is the most important aspect of the family’s assessment of parent w addiction?
Patient’s reaction to the family’s anger
Interactions among family members
Spouse’s codependent behaviors
Children’s responses to the family sessions
33
Which dinner menu is best suited for a patient with acute mania?
Broiled chicken breast on a roll, an ear of corn, an apple
Spaghetti and meatballs, salad, and a banana
Chicken casserole, green beans, and gelatin w/ whipped cream
Beef and vegetable stew, a roll, and chocolate pudding
34
Sertaline (Zoloft) eases depression by increasing levels of serotonin in the brain.
not true
True
35
What assessment findings mark the prodromal stage of schizophrenia?
Loose associations, concrete thinking,echolalia neologisms
Stereotyped behavior, echopraxia echolalia, waxy flexibility
Withdrawal, misinterpreting, poor concentration
Auditory hallucinations ideas of reference thought insertion
36
What outcome would be appropriate for a symptom-management group for persons w/ schizophrenia?
rate anxiety at least two points lower.
resolve conflicts within their families.
describe ways to cope with their illness.
state the names of their medications.
37
initial interaction with a pt with a long history of methamphetamine abuse. Best first action?
Verify that security services are immediately available
Obtain a face shield because hygiene is poor in meth users
Self-assess attitude, values, and beliefs about problem
Perform a thorough assessment of the patient.
38
group working phase; pt ridicules another pts statement; what is the best response from the rn?
Change to a more positive topic of discussion
hostility is inappropriate Remove the member if it continues
Keep the group’s focus on so they can express anger
Meet privately with the member to discuss the anger
39
59 yr man w/ hypertension. why do you include ?s about meds and effects on sexual function?
Sexual dysfunction can cause stress and increased bp
ease the transition to questions about sexual practices
indirect way of learning about pt's medication adherence.
sexual dysfunction may result from hypertension meds.
40
SNRI’s are used to treat major depression and anxiety disorders.
True
False
41
What is the most prevalent mental disorder in the United States?
Dissociative fugue
Alzheimer’s disease
Schizophreniac
Bipolar disorder
42
An intentional tort in which one individual violates the rights of another through touching
battery
assault
43
To reduce the nausea most effectively, the nurse suggests that the lithium be taken with:
antacid
meals
juice
antiemetic
44
health teaching plan for a patient taking lithium should include instructions to
maintain normal salt and fluids in the diet
avoid eating aged cheese, processed meats, and red wine.
drink twice the usual daily amount of fluid
double the lithium dose if diarrhea or vomiting occurs
45
“Red chair out town board.” Which term should the nurse use to document this finding?
Word salad
Echolalia
Neologism
Anhedonia
46
pt w/ AIDS and pneumonia. Family are very anxious. Select the best outcome for family:
Identify and describe methods for coping with anxiety.
Recognize ways dysfunctional communication is expressed
Describe the stages of the anticipatory grieving process.
Examine previous feelings about pt’s sexuality.
47
Which assessment findings suggest the patient may be having an auditory hallucination?
Foot tapping and repeatedly writing the same phrase
Euphoric mood, hyperactivity, distractibility
Darting eyes, tilted head, mumbling to self
Detachment and overconfidence
48
The nurse should assess a pt taking an anticholinergic drug for inhibited function of the
sympathetic nervous system
medulla oblongata.
parasympathetic nervous system.
reticular activating system
49
“I used to think I was the only one who felt afraid. I’m not as alone as I thought.” TERM?
cohesiveness
ventilation
altruism
universality
50
One should avoid foods containing thyamine when taking phenelzine (Nardil).
False
True
51
fair distribution of care, which includes tx w/ the least restrictive methods for both patients
fidelity
justice
autonomy
beneficence
52
When the nurse assesses mental status of a pt using kava kava, expected findings would be:
intact cognitive function.
slurred speech.
paranoid thinking.
slow verbal responses.
53
For which patient would it be most important for the nurse to urge discontinuation of kava?
cirrhosis
chronic back pain.
multiple sclerosis
osteoarthritis
54
Which med maintains abstinence for patients with an addiction to either alcohol or opioids?
Bromocriptine (Parlodel)
Methadone (Dolophine)
Naltrexone (ReVia)
Disulfiram (Antabuse)
55
What is the drug of choice in antianxiety agent for acute management of violent behavior?
diphenhydramine (Benadryl)
lorazepam (Ativan)
diazepam (Valium)
alprazolam (Xanax)
56
pts gain insight from hearing about the experiences of others: interpersonal learning
False
True
57
Phenelzine (Nardil) may cause some cholinergic side effects.
true
False
58
A pt taking ginkgo biloba and low-dose aspirin. Which complication should the nurse focus on?
Spontaneous bleeding
Drowsiness
Thromboembolism
Gastrointestinal distress
59
Which resource should the MH nurse consult to determine criteria used to establish a diagnosis?
ICD-10
DSM-5
60
Which nursing action should occur 1st w/ a pt experiencing sexual dysfunction/disorder?
assess the patient’s sexual functioning and needs.
develop an understanding of human sexual response.
clarify own personal values about sexuality.
acquire knowledge of the patient’s sexual roles.
61
While taking duloxetine (Cymbalta) you don’t have to worry about suicidal thoughts
true
false
62
Married couple having problems draws their teenage daughter into the middle of the fight. TERM
Enmeshment
Triangulation
Blaming
Multigenerational dysfunction
63
Pt can't reach orgasm. Which shows tx was successful?
“No complaints related to sexual function.”
“achieving orgasm occasionally; relationship is adequate.”
“satisfaction with encounters; feels partner is supportive.”
“Patient reports achieving orgasm last week; seems happy.”
64
A 10yr boy is dx with gender dysphoria. Which assessment finding would the nurse expect?
Having tea parties with dolls
Intense urges to watch his parents have sex
A compromised sexual response cycle
Identifying with boys who are athletic
65
When a hyperactive patient dx w/ acute mania is hospitalized, what is the initial intervention?
Allow the patient to act out feelings
Set limits on patient behavior as necessary.
Restrain the patient to reduce hyperactivity and aggression.
Provide verbal instructions to the patient to remain calm.
66
A patient experiencing moderate anxiety says, “I feel undone.” An appropriate response?:
“What would you like me to do to help you?”
“You must get your feelings control before we can continue.”
“I’m not sure I understand. Give me an example.”
“Why do you suppose you are feeling anxious?”
67
med potentiates the action of gamma-aminobutyric acid (GABA). Which effect is expected?
More organized thinking
Improved memory
Fewer sensory perceptual alterations
Reduced anxiety
68
Which scenario best demonstrates a healthy family?
required church 3x a week
Renewing vows when children move out
strick family roles
one parent takes care of children
69
Teen attempted suicide. When performing a family assessment, the nurse must first determine:
how the family expresses and manages emotion.
the meaning that the suicide attempt has for family members.
the communication patterns between the patient and parents.
names and relationships of the family’s members.
70
Which patient meets criteria for involuntary hospitalization?
fraudulently files for bankruptcy
threatens to harm self and others.
is noncompliant with the treatment regimen.
sold and distributed illegal drugs
71
Which alternative therapy may be combined with traditional medicine to treat anxiety disorder?
Electroconvulsive therapy
Megadoses of vitamins
Meditative practices
Herbal therapy
72
A double-bind communication is one that is inherently contradictory
true
false
73
pt has bragged about a new business venture on a street corner. Which nursing dx has priority?
Ineffective coping
Impaired social interaction
Ineffective therapeutic regimen management
Risk for injury
74
anticholinergic medications may be used to tx dystonias
false
True
75
Which is correct considerations when administering diazepam (Valium)?
All of the above
Rapid onset of calming and sedating
Long half-life
Use with caution in elderly
76
Rigid boundaries change or flex with changing circumstances
False
True
77
RN leads psychoeducational group for pts dx w/ schizophrenia. A outcome for members is?
demonstrate insight about development of their illness.
discuss ways to manage their illness.
understand unconscious motivation for behavior.
develop a high level of trust and cohesiveness.
78
A patient’s medical record documents sexual masochism. This patient derives sexual pleasure:
from inanimate objects.
from touching a non-consenting person.
when sexually humiliated by a partner.
by inflicting pain on a partner.
79
Acts of paraphilia are common b/c pts commit the acts repeatedly, but the disorder is uncommon.
True
False
80
civil wrong against a person that violates his or her rights.
maleficence
battery
tort
assault
81
treatment for a patient with memory difficulties might include medications designed to:
increase dopamine activity.
reduce serotonin metabolism
prevent destruction of acetylcholine
inhibit gamma-aminobutyric acid (GABA)
82
Which characteristic fits usual profile of an individual diagnosed with pedophilic disorder?
Self-confident professional
Ritualistic behaviors
Seeks access to children
Homosexual
83
For a patient experiencing panic, which nursing intervention should be implemented first?
Teach relaxation techniques
Provide calm, brief, directive communication.
Prepare to implement physical controls.
Administer an anxiolytic medication.
84
Complete this analogy. NANDA: clinical judgment: NIC: ____
nursing actions
patient outcomes
symptoms
diagnosis
85
Adult was arrested for touching child. What is most important right after arrest?
Assess self-perception of problem and needs.
Determine whether other children were harmed.
Determine the nature and extent of the sexual disorder.
Assess perpetrator for suicide or other self-harm.
86
A nurse can anticipate anticholinergic side effects are likely when a patient takes:
risperidone (Risperdal).
buspirone (BuSpar)
a.lithium (Lithobid)
imipramine (Tofranil)
87
why should people taking MAOIs avoid eating foods high in tyramine?
hypoglycemia
cardiac dysrhythmias
hypotensive shock
Hypertensive crisis
88
Select the best question for the nurse to ask to assess a family’s ability to cope.
How do you think the current problem should be resolved?
What strengths does your family have?
Do you think your family copes effectively?
Describe how you successfully handled one problem?
89
Which finding most clearly indicates that a pt may be experiencing a mental illness? The pt:
can difference between “as if” and “for real.”
reports a consistently sad, discouraged, and hopeless mood.
reports occasional sleeplessness and anxiety
difficulty making a decision about whether to change jobs.
90
What is the purpose of asking the pt if they have any ?s about childhood sex information?
identify areas of sexual dysfunction for treatment.
introduce the topic of masturbation.
identify sexual misinformation
determine possible homosexual urges.
91
“It’s beat. Time to eat. No room for the cat.” What type of verbalization is evident?
Idea of referenced
Associative looseness
Neologismc
Thought broadcasting
92
Which initial assessment question should the nurse ask of family members?
“What changes are most important to you?”
“How are feelings expressed in your family?”
“What types of family education would benefit your family?”
“Can you identify a long-term goal for improved functioning”
93
which antipsychotic med would you keep a Pt hydrated, check vs, and test for muscle rigidity?
chlorpromazine (Thorazine)
alprazolam (Xanax)
risperidone (Risperdal)
haloperidol (Haldol)
94
Which CAM method is associated with using allergy injections?
Naturopathyc
Homeopathy
Shiatsu
Chiropractic
95
A drug causes muscarinic receptor blockade. The nurse will assess the patient for:
pseudoparkinsonism
orthostatic hypotension.
dry mouth
gynecomastia
96
Which information is most likely when assessing the family of a pt with serious mental illness?
Power is maintained in the parental dyad; rarely delegated.
Many family members have problems with physical health.
Family exhibits characteristics of dysfunctional families.
Stress from mentally ill member has challenged the function.
97
“I dreamed I was stoned.” Which response clarifies patient’s comment?
“Can you give me an example of what you mean by ‘stoned’?”
“Bad dreams leave me feeling tired, too.”
“It sounds as though you were uncomfortable your dream.”
“So you feel like you did not get enough sleep?”
98
Which second generation antipsychotics should be avoided when using lorazepam (Ativan)?
risperdione (Risperdal)
olanzapine (Zyprexa)
ziprasidone (Geodon)
olanzapine (Zyprexa) and ziprasidone (Geodon)
99
“People have described feeling angry. Who has other feelings?” Which group role is evident?
Energizer
Self-confessor
Compromiser
Encourager

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