Psychiatric Nursing Pt. 9

2.

Five months after the incident the client complains of difficulty to concentrate, poor appetite, inability to sleep and guilt. She is likely suffering from:

Adjustment disorder
Somatoform Disorder
Generalized Anxiety Disorder
Post traumatic disorder

Correct Answer

A. Post traumatic disorder

Explanation

Post traumatic disorder
Post traumatic stress disorder is characterized by flashback, irritability, difficulty falling asleep and concentrating following an extremely traumatic event. This lasts for more that one month A. Adjustment disorder is the maladaptive reaction to stressful events characterized by anxiety, depression and work or social impairments. This occurs within 3 months after the event B. Somatoform disorders are anxiety related disorders characterized by presence of physical symptoms without demonstrable organic basis C. Generalized anxiety disorder is characterized by chronic, excessive anxiety for at least 6 months

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3.

Anxiety is caused by:

An objective threat
A subjectively perceived threat
Hostility turned to the self
Masked depression

Correct Answer

A. A subjectively perceived threat

Explanation

a subjectively perceived threat
Anxiety is caused by a subjectively perceived threat A. Fear is caused by an objective threat C. A depressed client internalizes hostility D. Mania is due to masked depression

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4.

Which of the following is included in the health teachings among clients receiving Valium?:

Avoid foods rich in tyramine.
Take the medication after meals.
It is safe to stop it anytime after long term use.
Double up the dose if the client forgets her medication.

Correct Answer

A. Take the medication after meals.

Explanation

Take the medication after meals.
Antianxiety medications cause G.I. upset so it should be taken after meals. A. This is specific for antidepressant MAOI. Taking tyramine rich food can cause hypertensive crisis. C. Valium causes dependency. In which case, the medication should be gradually withdrawn to prevent the occurrence of convulsion. D The dose of Valium should not be doubled if the previous dose was not taken. It can intensify the CNS depressant effects.

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5.

It would be most helpful for the nurse to deal with a client with severe anxiety by:

Give specific instructions using speak in concise statements.
Ask the client to identify the cause of her anxiety.
Explain in detail the plan of care developed
Urge the client to focus on what the nurse is saying

Correct Answer

A. Give specific instructions using speak in concise statements.

Explanation

Give specific instructions using speak in concise statements.
The client has narrowed perceptual field. Lengthy explanations cannot be followed by the client. B. The client will not be able to identify the cause of anxiety C and D. The client has difficulty concentrating and will not be able to focus.

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6.

The nurse acts as a patient advocate when she does one of the following:

She encourages the client to express her feeling regarding her experience.
She assesses the client for injuries.
She postpones the physical assessment until the client is calm
Explains to the client that her reactions are normal

Correct Answer

A. She postpones the physical assessment until the client is calm

Explanation

She postpones the physical assessment until the client is calm
The nurse acts as a patient advocate as she protects the client from psychological harm A. The nurse acts a a counselor B. The nurse acts as a technician D. This exemplifies the role of a teacher

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7.

Which of the following medications will likely be ordered for the client?”

Prozac
Vaium
Risperdal
Lithium

Correct Answer

A. Vaium

Explanation

Valium
Antianxiety A. Antidepressant C. Antipsychotic D. Antimanic

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8.

Situation: A 29 year old client newly diagnosed with breast cancer is pacing, with rapid speech headache and inability to focus with what the doctor was saying. The nurse assesses the level of anxiety as:

Mild
Moderate
Severe
Panic

Correct Answer

A. Severe

Explanation

Severe
The client’s manifestations indicate severe anxiety. A Mild anxiety is manifested by slight muscle tension, slight fidgeting, alertness, ability to concentrate and capable of problem solving. B. Moderate muscle tension, increased vital signs, periodic slow pacing, increased rate of speech and difficulty in concentrating are noted in moderate anxiety. D. Panic level of anxiety is characterized immobilization, incoherence, feeling of being overwhelmed and disorganization

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9.

Crisis intervention carried out to the client has this primary goal:

Assist the client to express her feelings
Help her identify her resources
Support her adaptive coping skills
Help her return to her pre-rape level of function

Correct Answer

A. Help her return to her pre-rape level of function

Explanation

Help her return to her pre-rape level of function
The goal of crisis intervention to help the client return to her level of function prior to the crisis. A,B and C are interventions or strategies to attain the goal

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10.

Situation: An 18 year old female was sexually attacked while on her way home from work. She is brought to the hospital by her mother. Rape is an example of which type of crisis:

Situational
Adventitious
Developmental
Internal

Correct Answer

A. Adventitious

Explanation

Adventitious
Adventitious crisis is a crisis involving a traumatic event. It is not part of everyday life. A. Situational crisis is from an external source that upset ones psychological equilibrium C and D. Are the same. They are transitional or developmental periods in life

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Psychiatric Nursing Pt. 9

During the initial care of rape victims the following are to be considered EXCEPT:

Quiz Preview

Five months after the incident the client complains of difficulty to concentrate, poor appetite, inability to sleep and guilt. She is likely suffering from:

Anxiety is caused by:

Which of the following is included in the health teachings among clients receiving Valium?:

It would be most helpful for the nurse to deal with a client with severe anxiety by:

The nurse acts as a patient advocate when she does one of the following:

Which of the following medications will likely be ordered for the client?”

Situation: A 29 year old client newly diagnosed with breast cancer is pacing, with rapid speech headache and inability to focus with what the doctor was saying. The nurse assesses the level of anxiety as:

Crisis intervention carried out to the client has this primary goal:

Situation: An 18 year old female was sexually attacked while on her way home from work. She is brought to the hospital by her mother. Rape is an example of which type of crisis: