When is body image disturbance considered improved or resolved

When Pt is consistently satisfied with own appearance & body

Pt Dx with bipolar says “I am using my entire check to buy lotto” Nurses best response

Confer the treatment team about appointing a legal guardian

Bipolar pt say “I put request on internet for a ride to my daughters. Nurse best response

Im concerned about ur safety riding with strangers

For which physical manifestations of anorexia nervosa should a nurse assess

Peripheral edema. Constipation, hypotension, Lanugo

What would a Pt who is using Emotional reasoning (Subjective emotions determine reality) say

I know I am fat because I feel fat

Pt say to nurse “when I have manic episode a feeling of gloom & depression. Nurse best response

Your comment indicates you have an understanding & insight

What will the nurse observe in a patient In middle insomnia

Walking up during the night/difficulty returning to sleep

What are the characteristic features of persons who have eating disorders

Low self-esteem, self-doubts about personal worth

Pt state to nurse “ I am so six I need 6 different doctors. What should the nurse say to the pt

Let’s review your medications

nurse hears a psych tech say “I wish I had a eating disorder to loose wt”. nurse best action is

Privately discuss importance of sensitivity with psych tech

Which comment would a nurse expect to hear from the adolescent Dx with anorexia nervosa ?

I’ve lost 60lb but I’m still a size 2. I want to be a size 0

A Pt Dx with conversion disorder, seen by the doctor three times. C/O chest pain on discharge.

Interrupt the discharge, arrange additional medical test

What is waxy flexibility

Assuming & maintaining awkward position for long period

What are the symptoms of alcohol withdrawal delirium. A medical emergency.

agitation, elevated pulse, and perceptual distortions

What is the medication Naltrexone used for

reduces the cravings for alcohol & opioid intake & desires

new pt suspected of having a schizotypal personality disorder. question answered affirmatively

Is anyone in your family Dx with a mental illness

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Psychology finals

125 termsStudBud Administration56 plays

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Questions 125

Answers

1
Physical assessment of a pt with bulimia often reveals
Prominent parotid glands
Peripheral edema
Thin brittle hair
Amenorrhea
2
What neurotransmitter are involved in the patho physiology of major depressive episode
GABA
All of the above
Acetylcholine
Dopamine
3
What are the characteristics of a person with antisocial personality disorders
Manipulative
Callous, guilt-instilling behavior
All of the above
Exploitive, aggressive
4
What is avoidant personality disorder
reticence, low self-esteem,
characterized by a pervasive pattern of social discomfort
All of the above
hypersensitivity to negative evaluation
5
When is body image disturbance considered improved or resolved
Weight reaches established norms
Calorie intake is within the required parameters
None of the above
When Pt is consistently satisfied with own appearance & body
6
What insomnia is the pt in when they wake too early & unable to return to sleep
None of the above
Hypersomnia
Middle insomnia
Terminal insomnia
7
Pt Dx with bipolar says “I am using my entire check to buy lotto” Nurses best response
Confer the treatment team about appointing a legal guardian
All of the above
Educate the pt on low odds of Winning
Tell pt there money will run out it they buy lottery
8
A combat veteran states that unlike the other men with posttraumatic stress. He doesn’t. Why
Indications of derealization & depressionalization
All of the above
Veterans may be rationalizing reaction to memory of combat
Veterans may have amnesia
9
Bipolar pt say “I put request on internet for a ride to my daughters. Nurse best response
Your not likely to get a rede
Im concerned about ur safety riding with strangers
Have you asked friends & family to donate money for ur afare
Have you asked your daughter if she wants you to come visit
10
What screening tool is used once alcohol withdrawal is suspected. Can help see severity
CIWA-Ar
Mini mental
All of the above
Cage
11
For which physical manifestations of anorexia nervosa should a nurse assess
Checkers feet
Parotid swelling, dental caries
Peripheral edema. Constipation, hypotension, Lanugo
All of the above
12
What is an example of nihilistic delusions
I can’t eat I have no mouth or stomach
Mood concurrent delusions
All of the above
13
What is histrionic personality disorder
pervasive pattern
excessive emotionality
attention seeking
All of the above
14
What would a Pt who is using Emotional reasoning (Subjective emotions determine reality) say
I was happy when I wore size 6
All of the above
I know everyone is watching me eat
I know I am fat because I feel fat
15
What plays a significant role in development of schizotypal personality disorder
Smoking
Genetics
All of the above
Modifiable risk factors
16
What is narcissistic personality disorder
need for admiration,
All of the above
a pervasive pattern of grandiosity (in fantasy or behavior)
lack of empathy
17
Pt say to nurse “when I have manic episode a feeling of gloom & depression. Nurse best response
Your comment indicates you have an understanding & insight
None of the above
It is normal
Most pt report the same thing
18
What will the nurse observe in a patient In middle insomnia
Difficulty falling asleep
All of the above
Prolonged sleep
Walking up during the night/difficulty returning to sleep
19
Conversion disorder is characterized by
Sudden deficits in sensory
Unexpected
All of the above
Sudden deficit in motor function
20
Delirium tremendous May occur how many hours after pt last drink
24-72 hours
2-3 hours
12-24 hours
1-2 hours
21
What is the direct external benefits that being sick provide
No gain
Secondary gain
All of the above
Primary gain
22
Which personality disorder consider themselves special & expect special treatment
Narcissistic person
Borderline
All of the above
Antisocial
23
What are the characteristic features of persons who have eating disorders
High self-esteem, and confidence
Low self-esteem, self-doubts about personal worth
Grandiose
None of the above
24
What is a significant component in the stress reaction
Early life trauma
Old one
Mid life crisis
People
25
Somatic delusion involves bodily functions & sensations
False
True
26
Which cluster of personality disorders is represented by individuals who appear anxious/fearful
Cluster A
Cluster C
Cluster B
Cluster D
27
Which therapeutic communication skill most likely to encourage pt to verbalize pt feelings
Reality orientation
Direct confrontation
All of the above
Silence & active listening
28
What is anhedonia
Loss of interest or pleasure
False fixed belief
Chronic depression
All of the above
29
Pt state to nurse “ I am so six I need 6 different doctors. What should the nurse say to the pt
Tell me about your allergies to the medication
Selecting one primary care provider would be better
How can you afford so many doctors
Let’s review your medications
30
Monoamine neurotransmitter deficiencies associated with depression
Dopamine
None of the above
GABA
serotonin norepinephrine
31
Which adolescent would meets one criteria for anorexia Nervosa with mild severity ?
5’2” tall; weight 104 lb
5’8” tall; weight 127lb
5’7” tall; weight 110 lb
All of the above
32
patient with mania has not eaten or slept for 3 days. Which nursing diagnosis has priority?
Risk for injury
Ineffective coping
Impaired social interaction
Impaired cardiac output
33
nurse hears a psych tech say “I wish I had a eating disorder to loose wt”. nurse best action is
Ask the tech what did he mean by that comment
Privately discuss importance of sensitivity with psych tech
None of the above
Report the clinical observation to nurse supervisor
34
Which comment would a nurse expect to hear from the adolescent Dx with anorexia nervosa ?
I’ve lost 60lb but I’m still a size 2. I want to be a size 0
I love sweets. I make myself throw up so I can eat more
I’ve hidden my eating disorder from everyone, even my parent
All of the above
35
What does Korsakoffs psychosis involve
Disorientation/delirium
Gait disturbance/short term memory loss/
Confabulation & Neuropathy
All of the above
36
What is a the drug of choice to manage alcohol withdrawal
Haloperidol
Chlordiazepoxide
All of the above
Carbamazepine
37
What are the psychiatric criteria for hospital admission of individuals with eating disorders
Uncontrollable use of laxative/emetics/diuretics/street drug
Suicidal/severe irrepressible, self mutilating behavior
All of the above
Severe depression/psychosis/family crisis/failure to comply
38
Which diagnosis is associated with a pervasive disregard for the rights of others
Antisocial personality
Borderline personality
All of the above
Schizophrenia
39
What is a hallmark of mania
Depression
All of the above
Insomnia
Hyperactivity
40
A Pt Dx with conversion disorder, seen by the doctor three times. C/O chest pain on discharge.
Interrupt the discharge, arrange additional medical test
Remind the Pt. Dx test shows no medical problems
Assess Pt most current lab values
Tell Pt being in the ED a long time can be distressing
41
When a PT has elevated self-esteem/pressured speech/with flight of ideas or racing thoughts
Depression
Anxiety
Grandiosity
Anorexia
42
What is waxy flexibility
All of the above
Difficulty walking
Assuming & maintaining awkward position for long period
Forgetting to sleep
43
What are the symptoms of alcohol withdrawal delirium. A medical emergency.
All of the above
Calm, bradycardia, bradyapnea
agitation, elevated pulse, and perceptual distortions
Relaxed, confused, alert
44
Which prescription refill should be considered first
Hydroxyzine 25mg po TID PRN
Codine 10 mg po q4h PRN
None of the above
Lorazepam 1 mg po BID
45
alcohol-dependent patient was hospitalized at 0200 today. withdrawal symptoms will peak
Peaks between 12-24 hours
peaks between 24 and 48 hours
Peaks 8-9 hours
All of the above
46
Labs associated with major depression
TSH, CBC, Chem7,
ESR/CRP
LFT, Urine drug screen,
All of the above
47
What is the medication Naltrexone used for
All of the above
Calm indigestion
Increase cravings for alcohol and opioids
reduces the cravings for alcohol & opioid intake & desires
48
new pt suspected of having a schizotypal personality disorder. question answered affirmatively
Do you often have episodes of crying
None of the above
Is anyone in your family Dx with a mental illness
Do some type of situation frighten you
49
What side effect could a pt receiving methadone maintenance therapy experience
Headache
All of the above
Nausea
Leg cramps
50
What is a commonly occurring problem in persons Dx with antisocial personality disorders
Alcohol abuse
Smoking
DUIs
None of the above
51
the 12 yr old child shot a dog with a pellet gun. The child’s behavior indicates what.
conduct disorder CD.
anxiety over separation from a parent.
defiance of authority
attention deficit ADHD
52
What do people Dx with borderline personality disorders frequently use
Compulsive
Lack of empathy
All of the above
Defense of splitting (which strains personal relationships)
53
Can the drug Disulfram be administered to a pt who is acutely intoxicated
Yes
No
54
Gradual subtle behavioral changes appear during proximal phase of schizophrenia
True
False
55
What are the common characteristics in a person Dx with antisocial personality disorder
All of the above
Callousness, entitlements
Disregard for the rights of others
Lack of remorse
56
What is the thought process that accompany anorexia nervosa
Judging one’s self-worth by one’s wt or size
Gaining wt,
All of the above
Viewing oneself as fat even when emaciated
57
Which personality disorder would have a family history of similar problems
Schizotypal personality disorder
Antisocial personality disorder
All of the above
obsessive compulsive disorders
58
What comment by a pt Dx with bipolar disorder best indicates the pt is experiencing mania ?
I’m having dreams about my dead father
My appetite is so robust that I’ve gained 4 lb
I have been sleeping about 6 hrs each night
Yesterday I made 489 post on my social network page
59
Lorazepam is better for older adults experiencing alcohol withdrawal with liver disease
False
True
60
What is a pt with anergia experiencing
Inability to find pleasure
Insomnia
Inability to identify players
Reduction in or lack of energy
61
What is a Patient having difficulty with during initial insomnia
None of the above
Waking up to early
Falling asleep
Waking during the night
62
What is an example of a person with an eating disorders that is personalization
I know I’m fat because I feel fat
I know everyone is watching me eat
He didn’t ask me out. It’s must be because I’m fat
All of the above
63
Is hopelessness sometimes a finding in major depressive disorders
Yes
No
64
patient asks for information about Alcoholics Anonymous (AA)
“It is a form of group therapy led by a psychiatrist.”
“It is a group that learns about drinking from each other
It is a network that advocates strong punishment for drunks
“It is a self-help group with the goal of sobriety.”
65
Pattern of chronic mild depressive symptoms, , At least 2 years worth of symptoms,
Dysthymic disorder
Anxiety
Depression
None of the above
66
The child most likely to receive propranolol (Inderal)
Separation anxiety.
Posttraumatic stress disorder.
Attention deficit hyperactivity disorder ADHD.
Autistic disorder ASD.
67
SSIRs show a strong association with reduction in suicide
False
True
68
What personality disorder would be placed in cluster B
Schizoid
Borderline
Paranoid
Avoidant
69
Dust syndrome is a hypochondriachal syndrome seen in India. Pt fears loss of
Legs
Semen
70
A pt with bipolar disorders is demonstrating angry & pleasant behavior. Nurse says pt mood is
Excessively happy & confident
Labile & Euphoric
Highly suspicious & arrogant
Irritable & belligerent
71
What is the cardinal symptoms for a pt with anorexia nervosa
Dangerously low body wt measurement relative to age & gender
Dangerously high body weight
Broken skin on knuckles
None of the above
72
adolescent Dx with anorexia nervosa tell nurse “being fat is bad I hope it never happens to me.
All of the above
Nurse: your attractiveness isn’t defined by the # on a scale
Nurse: you need to gain wt to be healthy
Nurse: tell me how ur world would be different if u were fat
73
What is the primary risk factor for suicide
Poverty
Economic deprivation
Unemployment
Social isolation
74
A pt with Hx of melingering & doctor-shopping C/O multiple problems. Nurses best comment to pt
Dx shows no medical problem
A Tx team discussed your case. A special case manager for U
Rx team believes U would benefit from mental health prof
None of the above
75
What is the most serious risk of doctor-shopping
Medication interaction & duplicate medications
Your doctors don’t know each other
Not finding the right doctor in time
None of the above
76
What assessment findings mark the prodromal stage of schizophrenia
Withdrawal, misinterpreting/poor concentration/ focus on God
Auditory hallucination/ideas of references/thought insertion
All of the above
Loose association/concrete thinking
77
Propranolol is useful for controlling what in some autistic children.
aggression, deliberate self-injury, and temper tantrums
None of the above
Insomnia
Hypoactivity
78
What does the Stress-diathesis model explain
Depression from an environmental/interpersonal
All of the above
Combination of biological vulnerability or predisposition
Life events perspectives
79
Bipolar l is characterized by
An elevated mood that last for at least 1 week
The clients admission of a mood disorder
All of the above
The present of objects
80
28yr/abused Pt/father committed suicide, she was 12/new city. Stress-diathesis model factors ?
Female gender coupled with the stressful profession
Cold climate coupled with Hx of abuse
Current age of 28 coupled with family Hx of depression
Family Hx of mental illness coupled with Hx of abuse
81
In consideration of warning about use of antidepressants in younger pt the nurse should employ
Diarrhea
Vomiting
Monitor closely for adverse effects & suicidal thoughts
Urinary incontinence
82
What is the adolescent doing when she says “being fat is the worst thing in the world.
Cognitive y
Castastrophizing
Expressing distress about fat persons
None of the above
83
During a manic episode what is the nurses priority to a patient
Anorexia
Dehydration
None of the above
Safety
84
dissociative identity disorder after suicide attempt. What nurse comments needs intervention
I think this pt is misdiagnosed & probably has schizophrenia
I have never taken care of a pt Dx with this disorder
I recently read an autobiography someone with this issue
I am fascinated with this pt & engage more than with others
85
The vast majority of people who commit suicide have a diagnosed mental disorder
True
False
86
What instructions does the nurse provide for pt who r prescribed lithium during flu season
Remember that lithium lowers you immunity
Lithium May give you flu symptoms
The flue iscontagious
Stop taking meds & contact me for N/V & or diarrhea
87
A nurse plans care for pt Dx with borderline personality disorder. nursing Dx is likely used is
Ineffective impulse control R/T violence
All of the above
Ineffective relationships related to frequent splitting
Social isolation related to fear of embarrassment/rejection
88
What should the nurse observe carefully in patients consuming antidepressants
Cough
Worsening of depression & suicidal thoughts
Bleeding from the gums
Cardiac catheterization
89
What would a nurse tell the family members of a pt scheduled for ECT(electroconvulsive therapy)
Safe & effective
Rapid, definitive response in pt suicidal or homicidal
All of the above
Can achieve 70-90% remission rate in depressed pt in 1-2 wks
90
Why would the doctor order lithium & Zyprexa together for a pt with mania
Zyprexa helps control the hyperactivity
All of the above
Lithium starts working when therapeutic level is reached
A drug with rapid onset is used initially for hyperactivity
91
The nursing facility service only sandwiches after power outage. The narcissistic would say
You should have ordered a to-go meal from restaurant for me
I suppose it’s the best we can hop for under the conditions
These sandwiches are probably contaminated
I would rather wait for the dietary department
92
The nurse that helps there patients to advocate for self is empowering the patients
False
True
93
Depressed pt says HCP prescribed talk therapy he want antidepressant meds. Nurse best response
None of the above
Let’s consider some ways to address ur concerns with ur HCP
Which antidepressant meds do you think will work
There are different types of talk therapy
94
What is an example of All-or-nothing thinking
None of the above
I was happy when I was a size 6. I must get back to that wt
When I am thin I feel powerful
If I allow myself to gain wt, I’ll blow up like a balloon
95
Psychosis: a PT experience symptoms like hallucinations/delusions/disorganized thoughts/speech
True
False
96
Is Dysthmic disorder a milder but chronic depression
No
Yes
97
gauge level of severity/degree of functional disability/need of supervision in anorexia nervosa
None of the above
ECG
EKG
BMI (body mass index)
98
Is it true that the vast majority of people who commit suicide have a Dx of mental disorder
Falsely
True
99
Is bipolar l disorder often more disruptive than bipolar ll disorder
No
Yes
100
Wernicke’s encephalopathy is characterized by what
Ophthalmoplegia
Mental status change
Ataxia/nystagmus
All of the above
101
A pt taking Clozaril must get WBC count drawn weekly for the first
2 months
1 years
8 years
6 months
102
What is “la belle indifference “
Concern & distress about functional loss
No concern/distress about functional loss
Complete failure
None of the above
103
A pt say “No matter what I do, I feel like a dark cloud is following me”. Nurse initial respond
Assess current sleeping and eating patterns
Tell me more about what you mean by a dark cloud
Explain to Pt everyone feels down from time to time
All the
104
When a pat has a false, fixed belief
Dysthymic
Delusion
Anhedonia
All of the above
105
What disorders are among the most common somatic symptoms disorders; prevalent in women & elder
Conversion disorder
None of the above
Factitious
La belle indifference
106
What are the key criteria of schizophrenia
Delusions present for a significant time in 1 month
Continuous signs for 6 months
All of the above
Reduction of function below previous activitied levels
107
Can the effects of Illicit substance use mimic the symptoms of mania
Yes
No
108
Can family serve as an important allies in treatment of patients with eating disorders
Yes
No
109
Neurobiological theories identify an association between
Eating disorders
Depression
All of the above
Neuroendocrine abnormalities
110
What is an example of a patient who is catastrophizing
People won’t like me unless I’m thin
If I have one popsicle, I must eat five
I know I’m fat because I feel fat
When people say I look better, I know they think I’m fat
111
What is an example of overgeneralization (A single event affecting unrelated situations)
I know I am fat because I feel fat
He didn’t ask me out. It’s because I’m fat
If I have one popsicle, I must eat five
If I gain weight my entire weekend will be ruined
112
What is the term for a pt with anorexia who is severely underweight with muscle wasting
Cachectic
All of the above
Lanugo
Purging
113
A nurse presents reality while demonstrating compassion to young adolescent. Ataxic Gait/cane
It is time to face your addiction
Addictions powerful/ need to change or ur health will suffer
Addiction is a fatal disease
None of the above
114
Why should the nurse monitor for in a dehydrated pt taking lithium
Anxiety
CARDIOGENIC SHOCK
Mania
Signs of serum lithium level toxicity
115
A shoplifter of a thrift shop state when caught. This stuff is donated so I can take it.
Schizotypal
Borderline
Antisocial
Histrionic
116
What is verbigeration
repetitions of words/phrases with/without meanings
Ideas that are related
Words invented by the pt
All of the above
117
Does a pt with conversion disorder show concern or distress about functional loss
Yes
No
118
Codine is most effective for which symptom of opioid withdrawal
Muscle aches
Restlessness
Diarrhea
Anxiety
119
What are the main characteristics of mania
Insomnia & mania
Wondering
None of the above
Hyperactivity & poor judgment
120
Are genetics a cause or predisposition of depression?
predisposition
Cause
121
What are the physical criteria for hospital admission of individuals with eating disorders
All of the above
HR <40 beats per minute/ body temp <96.8f/SBP <70 mm Hg
Hypokalemia <3 mEq/L/dysrhythmias/inability to gain weight
Wt lose >30% over 6 months/rapid decline in wt
122
The nurse knows the most dangerous time following suicide attempts is first 3 months
True
False
123
Which child shows behaviors indicative of mental illness
All of the above
3yr old is mute/passive around adults/twirls while walking
3-month-old who cries after feeding/sucks a thumb
9-month-old who does not eat vegetables/likes to be rocked
124
Which cluster of disorders corresponds to symptoms of being dramatic & emotional
Cluster D
Cluster B
Cluster A
Cluster C
125
Functional Neurological Disorder
Depression
Pt pretend to be ill to have emotional needs met
All of the above
Pt is ill and needs medical treatment

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