Psychiatric Nursing Pt. 3

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| By C23lemon

C23lemon

Community Contributor

Quizzes Created: 20 | Total Attempts: 65,553

Questions: 10 | Attempts: 546 | Updated: Mar 22, 2023

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Questions and Answers

1.

The nurse teaches the parents of a mentally retarded child regarding her care. The following guidelines may be taught except:
- A.
  
  Overprotection of the child
- B.
  
  Patience, routine and repetition
- C.
  
  Assisting the parents set realistic goals
- D.
  
  Giving reasonable compliments
Correct Answer
A. Overprotection of the child

Explanation
overprotection of the child
The child with mental retardation should not be overprotected but need protection from injury and the teasing of other children. B,C, and D Children with mental retardation have learning difficulty. They should be taught with patience and repetition, start from simple to complex, use visuals and compliment them for motivation. Realistic expectations should be set and optimize their capability.

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2.

The parents express apprehensions on their ability to care for their maladaptive child. The nurse identifies what nursing diagnosis:
- A.
  
  Hopelessness
- B.
  
  Altered parenting role
- C.
  
  Altered family process
- D.
  
  Ineffective coping
Correct Answer
B. Altered parenting role

Explanation
altered parenting role
Altered parenting role refers to the inability to create an environment that promotes optimum growth and development of the child. This is reflected in the parent’s inability to care for the child. A. This refers to lack of choices or inability to mobilize one’s resources. C. Refers to change in family relationship and function. D. Ineffective coping is the inability to form valid appraisal of the stressor or inability to use available resources

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3.

A 5 year old boy is diagnosed to have autistic disorder. Which of the following manifestations may be noted in a client with autistic disorder?
- A.
  
  Argumentativeness, disobedience, angry outburst
- B.
  
  Intolerance to change, disturbed relatedness, stereotypes
- C.
  
  Distractibility, impulsiveness and overactivity
- D.
  
  Aggression, truancy, stealing, lying
Correct Answer
B. Intolerance to change, disturbed relatedness, stereotypes

Explanation
intolerance to change, disturbed relatedness, stereotypes
These are manifestations of autistic disorder. A. These manifestations are noted in Oppositional Defiant Disorder, a disruptive disorder among children. C. These are manifestations of Attention Deficit Disorder D. These are the manifestations of Conduct Disorder

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4.

The therapeutic approach in the care of an autistic child include the following EXCEPT:
- A.
  
  Engage in diversionary activities when acting -out
- B.
  
  Provide an atmosphere of acceptance
- C.
  
  Provide safety measures
- D.
  
  Rearrange the environment to activate the child
Correct Answer
D. Rearrange the environment to activate the child

Explanation
Rearrange the environment to activate the child
The child with autistic disorder does not want change. Maintaining a consistent environment is therapeutic. A. Angry outburst can be rechannelled through safe activities. B. Acceptance enhances a trusting relationship. C. Ensure safety from self-destructive behaviors like head banging and hair pulling.

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5.

According to Piaget a 5 year old is in what stage of development:
- A.
  
  Sensory motor stage
- B.
  
  Concrete operations
- C.
  
  Pre-operational
- D.
  
  Formal operation
Correct Answer
C. Pre-operational

Explanation
Pre-operational
Pre-operational stage (2-7 years) is the stage when the use of language, the use of symbols and the concept of time occur. A. Sensory-motor stage (0-2 years) is the stage when the child uses the senses in learning about the self and the environment through exploration. B. Concrete operations (7-12 years) when inductive reasoning develops. D. Formal operations (2 till adulthood) is when abstract thinking and deductive reasoning develop.

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6.

Situation : The nurse assigned in the detoxification unit attends to various patients with substance-related disorders. A 45 years old male revealed that he experienced a marked increase in his intake of alcohol to achieve the desired effect This indicates:
- A.
  
  Withdrawal
- B.
  
  Tolerance
- C.
  
  Intoxication
- D.
  
  Psychological dependence
Correct Answer
B. Tolerance

Explanation
tolerance
tolerance refers to the increase in the amount of the substance to achieve the same effects. A. Withdrawal refers to the physical signs and symptoms that occur when the addictive substance is reduced or withheld. B. Intoxication refers to the behavioral changes that occur upon recent ingestion of a substance. D. Psychological dependence refers to the intake of the substance to prevent the onset of withdrawal symptoms.

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7.

The client admitted for alcohol detoxification develops increased tremors, irritability, hypertension and fever. The nurse should be alert for impending:
- A.
  
  Delirium tremens
- B.
  
  Korsakoff’s syndrome
- C.
  
  Esophageal varices
- D.
  
  Wernicke’s syndrome
Correct Answer
A. Delirium tremens

Explanation
delirium tremens
Delirium Tremens is the most extreme central nervous system irritability due to withdrawal from alcohol B. This refers to an amnestic syndrome associated with chronic alcoholism due to a deficiency in Vit. B C. This is a complication of liver cirrhosis which may be secondary to alcoholism . D. This is a complication of alcoholism characterized by irregularities of eye movements and lack of coordination.

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8.

The care for the client places priority to which of the following:
- A.
  
  Monitoring his vital signs every hour
- B.
  
  Providing a quiet, dim room
- C.
  
  Encouraging adequate fluids and nutritious foods
- D.
  
  Administering Librium as ordered
Correct Answer
A. Monitoring his vital signs every hour

Explanation
Monitoring his vital signs every hour
Pulse and blood pressure are usually elevated during withdrawal, Elevation may indicate impending delirium tremens B. Client needs quiet, well lighted, consistent and secure environment. Excessive stimulation can aggravate anxiety and cause illusions and hallucinations. C. Adequate nutrition with sulpplement of Vit. B should be ensured. D. Sedatives are used to relieve anxiety.

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9.

Another client is brought to the emergency room by friends who state that he took something an hour ago. He is actively hallucinating, agitated, with irritated nasal septum.
- A.
  
  Heroin
- B.
  
  Cocaine
- C.
  
  LSD
- D.
  
  Marijuana
Correct Answer
B. Cocaine

Explanation
cocaine
The manifestations indicate intoxication with cocaine, a CNS stimulant. A. Intoxication with heroine is manifested by euphoria then impairment in judgment, attention and the presence of papillary constriction. C. Intoxication with hallucinogen like LSD is manifested by grandiosity, hallucinations, synesthesia and increase in vital signs D. Intoxication with Marijuana, a cannabinoid is manifested by sensation of slowed time, conjunctival redness, social withdrawal, impaired judgment and hallucinations.

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10.

A client is admitted with needle tracts on his arm, stuporous and with pin point pupil will likely be managed with:
- A.
  
  Naltrexone (Revia)
- B.
  
  Narcan (Naloxone)
- C.
  
  Disulfiram (Antabuse)
- D.
  
  Methadone (Dolophine)
Correct Answer
B. Narcan (Naloxone)

Explanation
Narcan (Naloxone)
Narcan is a narcotic antagonist used to manage the CNS depression due to overdose with heroin. A. This is an opiate receptor blocker used to relieve the craving for heroine C. Disulfiram is used as a deterrent in the use of alcohol. D. Methadone is used as a substitute in the withdrawal from heroine

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Psychiatric Nursing Pt. 3

The nurse teaches the parents of a mentally retarded child regarding her care. The following guidelines may be taught except:

The parents express apprehensions on their ability to care for their maladaptive child. The nurse identifies what nursing diagnosis:

A 5 year old boy is diagnosed to have autistic disorder. Which of the following manifestations may be noted in a client with autistic disorder?

The therapeutic approach in the care of an autistic child include the following EXCEPT:

According to Piaget a 5 year old is in what stage of development:

Situation : The nurse assigned in the detoxification unit attends to various patients with substance-related disorders. A 45 years old male revealed that he experienced a marked increase in his intake of alcohol to achieve the desired effect This indicates:

The client admitted for alcohol detoxification develops increased tremors, irritability, hypertension and fever. The nurse should be alert for impending:

The care for the client places priority to which of the following:

Another client is brought to the emergency room by friends who state that he took something an hour ago. He is actively hallucinating, agitated, with irritated nasal septum.

A client is admitted with needle tracts on his arm, stuporous and with pin point pupil will likely be managed with: