C. “I just drink to relax after work.” The injury isn’t consistent with the history or the child’s age D. The student reports increased comfort with making choice. Violent clients rarely exhibit depression, silence, or hypervigilance. This type mental mechanism is termed as? Option B: The client should be monitored during meals — not given privacy. C. “I just can’t seem to get down to the weight I want to be. You are given 1 minute per question, a total of 50 minutes for this exam. This is 20 Nursing Quiz Questions having 5 marks for each right answer. Options A, C, and D: Psychotherapy, attendance at AA meetings, and aversion therapy are all adjunctive therapies that can support the client in his efforts to abstain. Most clients with anorexia nervosa don’t like the way they look, and their self-perception may be distorted. B. Procainamide (Pronestyl). Hypnotherapy is least effective in people suffering from? Drug effects are unpredictable and prolonged, and the client may lose control easily. Option B: Focusing discussions on food and weight would give the client attention for not eating. Decreased communication is a sign of withdrawal that may indicate the client has decided to commit suicide; the nurse shouldn’t disregard it (option D). 33. The B.Sc. The effect is magnified if the client has a combined tricyclic antidepressant and benzodiazepine overdose. Positive conflict. An open-ended statement or question is the most therapeutic response. C. Nitroglycerin (Nitro-Bid IV). Psychiatric/Mental Health. B. Suppression A male client with a history of cocaine addiction is admitted to the coronary care unit for evaluation of substernal chest pain. The characteristics described in options B, C, and D isn’t typical of parents of children with anorexia. Option B: The parents may tell different stories because their perception may be different regarding what happened. Options A and B: Lidocaine and procainamide are cardiac drugs that may be indicated for this client at some point but aren’t used for coronary artery dilation. Read each question carefully and choose the best answer. The following sample questions are similar to those on the examination but do not represent the full range of content or levels of difficulty. Dehydration and an elevated temperature may be expected, but a temperature above 101° F indicates an infection rather than alcohol withdrawal. C. Let the client choose her own food. 43. A patient is passing urine every time when he coughs, this istermed as? B. Depression and physical withdrawal The child doesn’t make eye contact with the nurse. Families and couples. B. Thiothixene (Navane) Mental Health and Psychiatric Nursing are a mainstay in the NCLEX-RN. Deferoxamine mesylate is the antidote for iron intoxication. If a cocaine user experiences ventricular fibrillation or asystole, the physician may prescribe epinephrine. Psychiatric nursing Quiz - 1. Later that afternoon, he begins to show signs of alcohol withdrawal. A male client with a history of cocaine addiction is admitted to the coronary care unit for evaluation of substernal chest pain. Option A: She must then eat 100% of what she selected. Answer A. Gain control of one part of her life. This response acknowledges that the client is testing limits and that the nurse is setting them by performing postprandial monitoring to prevent self-induced emesis. The elevated ST segments in this client’s ECG indicate myocardial ischemia. Pruritus rarely occurs in alcohol withdrawal. To promote the client’s physical health, nurse Tair should plan to: severely restrict the client’s physical activities, weigh the client daily, after the evening meal, monitor vital signs, serum electrolyte levels, and acid-base balance, instruct the client to keep an accurate record of food and fluid intake. A nurse performed these actions while caring for patients in an inpatient psychiatric setting. 9. C. “Tell me more about how it felt to get high.” Option A: Naloxone (Narcan) is administered for narcotic overdose. Therefore, the nurse should approach the client cautiously while calling her name and talking to her in a calm, confident manner. A process of redirecting the energy produced by unacceptable desires or activities so that they can become socially acceptable? D. Feels secure in his relationship with his wife. After explaining that the nurse is there to help, the nurse should observe the client’s response carefully. Strict management of dietary intake is necessary. Assessment of the client’s home environment and relationships may reveal the need for family therapy; however, conducting such an assessment isn’t a nursing priority. B. Answer A. Option D: Because of the absence of body fat necessary for proper hormone production, amenorrhea is common for a client with anorexia nervosa. Avoid shopping for large amounts of food Emotions Anonymous is a support group for people experiencing depression, anxiety, or similar conditions. Options C and D aren’t outcome criteria but interventions. Controlling shopping for large amounts of food isn’t a goal early in treatment. Psychiatric-Mental Health Nursing Certification (RN-BC) PracticeIQ . Eighteen hours after undergoing an emergency appendectomy, a client with a reported history of social drinking displays these vital signs: temperature, 101.6° F (38.7° C); heart rate, 126 beats/minute; respiratory rate, 24 breaths/minute; and blood pressure, 140/96 mm Hg. Multiple Choice. Option A: This eating disorder doesn’t represent an attempt to manipulate others or live up to their expectations (although anorexia nervosa has a high incidence in families that emphasize achievement). 22. D. Client’s medical needs. Start today! A. A male client tells the nurse he was involved in a car accident while he was intoxicated. A patient with an alcohol addiction says, “My drinking is all mywife’s fault. He confesses that he drinks 1 qt or more of vodka each day and uses cocaine occasionally. Acetate accumulation, triglyceride buildup, and a below-normal serum potassium level are unrelated to the client’s symptoms. Psychosomatic disorder. Free psychiatric practice questions and answers to pass free psychiatric mental health exam questions. You must try these nursing questions and answers before appearing any nursing interview, staff nurse exam or nursing school exam. Telling the husband to leave would probably be ineffective because of his agitated and irrational state. Hypotension, although rare during the early withdrawal stages, may occur in later stages. Option D: Referring the client to a clergyperson may increase the client’s trust or alleviate guilt; however, it isn’t the highest priority. During hospitalization, the client periodically complains of tingling and numbness in the hands and feet. If you find benefit from our efforts here, check out our premium quality Family Psychiatric & Mental Health Nurse Practitioner study guide to take your studying to the next level. When intervening with this couple, nurse Gerry knows they are at risk for repeated violence because the husband: denies feelings of jealousy or possessiveness, has learned violence as an acceptable behavior, feels secure in his relationship with his wife, Family violence usually is a learned behavior, and violence typically leads to further violence, putting this couple at risk. D. Hypervigilance and talk of past violent acts. Option A is inappropriate because discussing the client’s perceptions and feeling wouldn’t help her to identify, accept, and work through them. Psychiatric-Mental Health Nursing. Nurse Taylor is aware that the victims of domestic violence should be assessed for what important information? Weigh the client daily, after the evening meal Which of the following nurse’s advice is most important for apatient who takes lithium for manic episodes, has been walking daily? D. Pneumonia. “I’m not addicted to alcohol. Instead of giving the client unlimited time to eat, the nurse should set limits and let the client know what is expected. Fill out the client’s menu and make sure she eats at least half of what is on her tray. Nurse Fey is aware that the drug of choice for treating Tourette syndrome? Calling a security guard and another staff member for assistance A 25 –year old client experiencing alcohol withdrawal is upset about going through detoxification. Answer B. This approach makes it clear that the health care worker is in control and may diffuse the situation until the security guard arrives. The client isn’t attempting to commit suicide through starvation; rather, by refusing to eat, she is expressing feelings of despair, worthlessness, and hopelessness. N U R S I N G T B. Nursing (Mental Health) is a fulltime four year degree programme offered by the Department of Nursing and Midwifery, University of Limerick, in conjunction with the Health Service Executive West (Limerick, Clare, Tipperary North). Total abstinence is the only effective treatment for alcoholism. A parent brings a preschooler to the emergency department for treatment of a dislocated shoulder, which allegedly happened when the child fell down the stairs. His history suggests maladaptive coping, which is associated with: A. Antisocial personality disorder 23. 45+ Best Gifts for Nurses: Clever Ideas and Awesome Tips! Primary delusion. B. Nifedipine (Procardia) and Lidocaine. Attention seeking, Using open end question Make Today Count is a support group for people with life-threatening or chronic illnesses. 0. 43. His police record, which dates to his early teenage years, includes delinquency, running away, auto theft, and vandalism. Exploring the nurse’s own feelings about suicide. Nurse Joy is aware that the best nursing intervention at this time? C. Begin anytime within the next one (1) to two (2) days The mother of a 5 year old patient says that she is just mortified by his rude vocabulary since he, The wife of a critically injured husband has been at bedside for 2 days, he has been at bedside. Corresponding chapter-by-chapter to Varcarolis' Foundations of Psychiatric Mental Health Nursing, 8th Edition , Elsevier Adaptive Quizzing (EAQ) is the fun and engaging way to focus your study time and effectively prepare for class, course exams, and summative exams. D. Panic disorder. The highest priority for a client who has ingested PCP is meeting safety needs of the client as well as the staff. When the child’s injuries are inconsistent with the history given or impossible because of the child’s age and developmental stage, the emergency department nurse should be suspicious that child abuse is occurring. Victims of domestic violence must be assessed for their readiness to leave the perpetrator and their knowledge of the resources available to them. PLAY. C. Risk for violence: Self-directed related to impulsive mutilating acts Alcohol withdrawal syndrome includes alcohol withdrawal, alcoholic hallucinosis, and alcohol withdrawal delirium (formerly delirium tremens). Option B: Make Today Count is a support group for people with life-threatening or chronic illnesses. 25. Initially, which nursing intervention is most appropriate for this client? 40. His police record, which dates to his early teenage years, includes delinquency, running away, auto theft, and vandalism. Establishing a consistent eating plan and monitoring the client’s weight are important for this disorder. Asking the client why he drove while intoxicated can make him feel defensive and intimidated. Clonidine (Catapres) can be used to treat conditions other than hypertension. 18. 31. Alcohol withdrawal syndrome includes alcohol withdrawal, alcoholic hallucinosis, and alcohol withdrawal delirium (formerly delirium tremens). The child pulls away from contact with the physician. 34. Tourette Syndrome Children with oppositional defiant disorder frequently violate the rights of others. When planning care for a client who has ingested phencyclidine (PCP), nurse Wayne is aware that the following is the highest priority? Identification. There is no evidence to suggest that previous victimization results in a person’s seeking or causing abusive relationships. The child doesn’t cry when the shoulder is examined. Nursing . Associative looseness. Instead of protecting the client’s health, options A, B, and C may serve to make the client defensive and more entrenched in her unrealistic body image. Be able to verbalize own needs and assert rights. For mental health certification practice questions free you must go through real exam. If you need more clarifications, please direct them to the comments section. A. An open-ended statement or question is the most therapeutic response. B. Direct Conflict. persecution. A. Fluoxetine (Prozac) Answer A. C. Commit suicide 30. If she eats everything she orders, then stay with her for 1 hour after each meal. Restrict visits with the family until the client begins to eat Answer D. Provide objective data and feedback regarding the client’s weight and attractiveness. B. Options A, B, and D: The eating disorder isn’t typically associated with allergies, cancer, or hepatitis A. Match. The injury isn’t consistent with the history or the child’s age. Malnutrition. During postprandial monitoring, a female client with bulimia nervosa tells the nurse, “You can sit with me, but you’re just wasting your time. Assessing the client’s home environment and relationships outside the hospital, Exploring the nurse’s own feelings about suicide, Referring the client to a clergyperson to discuss the moral implications of suicide. D. Acetylcysteine (Mucomyst). B. The client receiving disulfiram must be taught to read ingredient labels carefully to avoid products containing alcohol such as aftershave lotions. B. Answer A. The best choice for preventing or treating alcohol withdrawal symptoms is lorazepam, a benzodiazepine. 36. Disulfiram works by blocking the oxidation of alcohol, inhibiting the conversion of acetaldehyde to acetate. Parkinson’s disease. A 24-year old client with anorexia nervosa tells the nurse, “When I look in the mirror, I hate what I see. The client will commit to a drug-free lifestyle, The client will work with the nurse to remain safe, The client will drink plenty of fluids daily, The client will make a personal inventory of strength. Description; Reviews (0) Description. They are defiant, disobedient, and blame others for their actions. They frequently serve as a patient's primary mental health provider, developing treatment plans and monitoring outcomes. B. Bradyarrhythmias Clonidine is used as adjunctive therapy in opiate withdrawal. Benzodiazepines, such as chlordiazepoxide (Librium), and neuropleptic agents, such as haloperidol, are used to treat alcohol withdrawal. Option D: Bulimic clients should only be allowed to eat food provided by the dietary department. Nurse Trish is working in a mental health facility; the nurse’s priority nursing intervention for a newly admitted client with bulimia nervosa would be… A. If the client shows signs of agitation or confusion or poses a threat, the nurse should retreat and request assistance. B. Haloperidol (Haldol) Today, my goal is to do it twice.” What is the nurse’s best response? Based on this finding, the nurse Lenny should formulate a nursing diagnosis of: A. Sublimation Options A, C, and D: After safety needs have been met, the client’s physical, psychosocial, and medical needs can be met. Because the client with anorexia nervosa may discard food or induce vomiting in the bathroom, the nurse should provide one-on-one supervision during meals and for 1 hour afterward. Option C: Although the nurse should encourage the client to discuss feelings, the discussion should focus on how the client felt before, not during, an episode of substance abuse. Options A, B, and D: Prozac, Luvox, and Paxil are antidepressants and aren’t used to treat Tourette syndrome. Managerial Accounting The Cornerstone of Business Decision-Making, 7th Edition Maryanne M. Mowen, Don R. Hansen, Dan L. Heitger Test Bank $ 35.00 $ 70.00; Essentials of Psychiatric Mental Health Nursing, 3rd Edition Elizabeth M. Varcarolis Test Bank $ 35.00 $ 70.00 A girl with cachexia may perceive herself to be overweight when she looks in the mirror. Quiz 4: Psychiatric Mental Health Nursing in Acute Care Settings. Instead of protecting the client’s health, options A, B, and C may serve to make the client defensive and more entrenched in her unrealistic body image. Following the nurse’s assessment and interventions, what would be the most desirable outcome? Psychiatric Nursing Practice Quiz #1 (50 Questions) Question 1 Flumazenil (Romazicon) has been ordered for a … 19. Psychiatric and Mental Health Nursing Quiz Questions. Which of the following medications is Nurse Alice most likely to administer to reduce the symptoms of alcohol withdrawal? Option C would reinforce control issues, which are central to this client’s underlying psychological problem. Option C: Discussing the future and providing anticipatory guidance can help the client prepare for future stress, but this isn’t a priority. To reverse this problem, the physician is most likely to prescribe an infusion of nitroglycerin to dilate the coronary arteries. Nurse Amy is aware that the client is at highest risk for suicide? Answer C. Providing a quiet environment and administering medication as needed and prescribed. Mometrix Academy is a completely free resource provided by Mometrix Test Preparation. Constant dieting to get down to a “desirable weight” is characteristic of the disorder. Options A, C, and D: Committing to a drug-free lifestyle, drinking plenty of fluids, and identifying personal strengths are important goals, but ensuring the client’s safety is the nurse’s top priority. The extra pyramidal side effects of an antipsychotic agents are managed with following group of drugs except? Authors/Editor: Videbeck, Sheila L. Publisher: Lippincott Williams & Wilkins (LWW) … Common signs of depression are all except? Clonidine is used as adjunctive therapy in opiate withdrawal. C. Opiate withdrawal D. Risk for violence: Directed toward others related to verbal threats. Answer A. Antisocial personality disorder. B. Disorganized schizophrenia C. Alcohol. Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, Psychiatric Nursing Practice Quiz #1 (50 Questions), 3,500+ NCLEX-RN Practice Questions for Free, 20 NCLEX Tips and Strategies Every Nursing Students Should Know, My NCLEX Experience: Study Tips and Resources for Nursing Students, 6 Easy Ways on How Nurses Can Master the Art of Delegation, 12 Tips to Answer NCLEX Select All That Apply (SATA) Questions, Mental Health and Psychiatric Nursing Study Guides. Need an insightful, real-world guide to mental health care concepts? C. “Don’t worry. Which of the following drugs should Nurse Mary prepare to administer to a client with a toxic acetaminophen (Tylenol) level? Low self-esteem is the highest risk factor for anorexia nervosa. Options A and B: Lidocaine, an antiarrhythmic, isn’t indicated because the client doesn’t have an arrhythmia. Therefore, the nurse should approach the client cautiously while calling her name and talking to her in a calm, confident manner. Initial nursing assessment reveals that the client’s wrists are scratched from a recent suicide attempt. Learn. Alcohol withdrawal Check the client frequently at irregular intervals throughout the night. D. Nifedipine and Esmolol. One who plans a violent death and has the means readily available. Making threats (option A) isn’t an effective way to promote self-disclosure or establish a rapport with the client. Option B: Managing eating impulses and replacing them with adaptive coping mechanisms can be integrated into the plan of care after initially addressing stress and underlying issues. Answer C. Risk for violence: Self-directed related to impulsive mutilating acts. “I don’t like the food my mother cooks. C. Avoid discussing unrealistic cultural standards regarding weight D. Giving the client as much time to eat as desired. Ineffective individual coping related to feelings of guilt. Option B: In borderline personality disorder, the client exhibits mood instability, poor self-image, identity disturbance, and labile affect. Checking the client’s blood pressure every 15 minutes and offering juices B. To avoid overstimulating the client, the nurse should check blood pressure every 2 hours. D. Telling the client of the nurse’s concern for her health and desire to help her make decisions to keep her healthy. 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