Psychiatric Nursing Practice Test 1 (Practice Mode)

Appropriate nursing interventions for an anxiety attack include using short sentences, staying with the client, decreasing stimuli, remaining calm and medicating as needed.

Delusion of grandeur is a false belief that one is highly famous and important.

In an emergency, lives saving facts are obtained first. The name and the amount of medication ingested are of outmost important in treating this potentially life threatening situation.

The Nurse has a responsibility to observe continuously the acutely suicidal client. The Nurse should watch for clues, such as communicating suicidal thoughts, and messages; hoarding medications and talking about death.

The expression of these feeling may indicate that this client is unable to continue the struggle of life.

The nurse needs to set limits in the client’s manipulative behavior to help the client control dysfunctional behavior. A consistent approach by the staff is necessary to decrease manipulation.

Electroconvulsive therapy is an effective treatment for depression that has not responded to medication..

When hallucination is present, the nurse should reinforce reality with the client.

Bulimia disorder generally is a maladaptive coping response to stress and underlying issues. The client should identify anxiety causing situation that stimulate the bulimic behavior and then learn new ways of coping with the anxiety.

Establishing a consistent eating plan and monitoring client’s weight are important to this disorder.

Regular coffee contains caffeine which acts as psychomotor stimulants and leads to feelings of anxiety and agitation. Serving coffee top the client may add to tremors or wakefulness.

Limiting unnecessary interaction will decrease stimulation and agitation.

These are the major signs of anorexia nervosa. Weight loss is excessive (15% of expected weight).

Clients who are withdrawn may be immobile and mute, and require consistent, repeated interventions. Communication with withdrawn clients requires much patience from the nurse. The nurse facilitates communication with the client by sitting in silence, asking open-ended question and pausing to provide opportunities for the client to respond.

Experiencing the actual trauma in dreams or flashback is the major symptom that distinguishes post traumatic stress disorder from other anxiety disorder.

Recognizing situations that produce anxiety allows the client to prepare to cope with anxiety or avoid specific stimulus.

The rituals used by a client with obsessive compulsive disorder help control the anxiety level by maintaining a set pattern of action.

Neuromuscular Blocker, such as SUCCINYLCHOLINE (Anectine) produces respiratory depression because it inhibits contractions of respiratory muscles.

Any suicidal statement must be assessed by the nurse. The nurse should discuss the client’s statement with her to determine its meaning in terms of suicide.

Environmental (MILIEU) therapy aims at having everything in the client’s surrounding area toward helping the client.

Children have difficulty verbally expressing their feelings, acting out behavior, such as temper tantrums, may indicate underlying depression.

Discussion of the feared object triggers an emotional response to the object.

Hallucinations are visual, auditory, gustatory, tactile or olfactory perceptions that have no basis in reality.

Confabulation or the filling in of memory gaps with imaginary facts is a defense mechanism used by people experiencing memory deficits.

The nurse presence may provide the client with support & feeling of control.

Clients with schizotypal personality disorder experience excessive social anxiety that can lead to paranoid thoughts.

Nurse Trish should inform Marco that the only effective treatment for alcoholism is Total abstinence. Alcoholism, or alcohol dependence, is a condition that can cause significant physical and psychological harm, and the most effective way to manage it is by completely abstaining from alcohol. While treatments like Aversion Therapy, Psychotherapy, and support groups like Alcoholics Anonymous (A.A.) can be very helpful in the recovery process, they are typically aimed at supporting the individual's journey towards and maintenance of abstinence, rather than being cures in themselves.

The nurse would most likely administer benzodiazepine, such as lorazepan (ativan) to the client who is experiencing symptom: The client’s experiences symptoms of withdrawal because of the rebound phenomenon when the sedation of the CNS from alcohol begins to decrease.

These clients have severely depleted levels of sodium and potassium because of their starvation diet and energy expenditure, these electrolytes are necessary for cardiac functioning.

Individual with dependent personality disorder typically shows indecisiveness submissiveness and clinging behavior so that others will make decisions with them.

Structure tends to decrease agitation and anxiety and to increase the client’s feeling of security.

Dental enamel erosion occurs from repeated self-induced vomiting.

When the staff member ask the client if he wonders why others find him repulsive, the client is likely to feel defensive because the question is belittling. The natural tendency is to counterattack the threat to self image.

Depression usually is both emotional & physical. A simple daily routine is the best, least stressful and least anxiety producing.

Open ended questions and silence are strategies used to encourage clients to discuss their problem in descriptive manner.

Ritualistic behavior seen in this disorder is aimed at controlling guilt and inadequacy by maintaining an absolute set pattern of behavior.

A short acting skeletal muscle relaxant such as succinylcholine (Anectine) is administered during this procedure to prevent injuries during seizure.

The client statement is an example of the use of denial, a defense that blocks problem by unconscious refusing to admit they exist.

The autistic child repeat sounds or words spoken by others.

Loose associations are thoughts that are presented without the logical connections usually necessary for the listening to interpret the message.

Moving to a client’s personal space increases the feeling of threat, which increases anxiety.

Personal characteristics of abuser include low self-esteem, immaturity, dependence, insecurity and jealousy.

With depression, there is little or no emotional involvement therefore little alteration in affect.

The nurse would specifically use supportive confrontation with the client to point out discrepancies between what the client states and what actually exists to increase responsibility for self.

Helping the client to develop feeling of self worth would reduce the client’s need to use pathologic defenses.

These clients often hide food or force vomiting; therefore they must be carefully monitored.

Children who have experienced attachment difficulties with primary caregiver are not able to trust others and therefore relate superficially

A person with this disorder would not have adequate self-boundaries.

Vomiting and diarrhea are usually the late signs of heroin withdrawal, along with muscle spasm, fever, nausea, repetitive, abdominal cramps and backache.

An adult age 31 to 45 generates new level of awareness.