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College Questions
the stereotyped repetition of words or phrases that may or may not have meaning to the listener - Correct Answers ✅verbigeration ideas that are related to one another based on sound or rhyming rather than meaning. - Correct Answers ✅Clang associations words invented by the client. - Correct Answers ✅Neologisms a combination of jumbled words and phrases that are disconnected or incoherent and make no sense to the listener. - Correct Answers ✅A word salad is: Injustice that must be remedied by legal action - Correct Answers ✅Which is the central focus of persecutory delusions? oculogyric crisis. - Correct Answers ✅A nurse is caring for a hospitalized client who has schizophrenia. The client has been taking antipsychotic medications for 1 week when the nurse observes that the client's eyes are fixed on the ceiling. The nurse interprets this finding as: suicide - Correct Answers ✅When developing the plan of care for a client with schizophrenia who is in the acute phase of illness, the nurse understands that the client is at high risk for what?
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Clients are often misdiagnosed as having schizophrenia. - Correct Answers ✅A psychiatric-mental health nurse is conducting a review class for a group of colleagues about schizoaffective disorder. The nurse determines that the class was successful based on which description of the condition by the group? Depression - Correct Answers ✅The nurse is caring for a client with somatic symptom disorder. When assessing this client, the nurse would be especially alert for symptoms of what? The etiology is unknown - Correct Answers ✅Which statement about the etiology of somatic symptom disorder is accurate? "It means that stress and/or emotions are causing your symptoms." - Correct Answers ✅The client asks the nurse, "What does having psychosomatic symptoms mean?" What is the nurse's best reply? Conversion disorder - Correct Answers ✅Which disorder is characterized by unexplained, sudden deficits in sensory or motor function? -The client is preoccupied with the self. -The client reports having visited many physicians or hospitals.
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The first symptom usually appears during adolescence. - Correct Answers ✅A nursing instructor is describing somatic symptom disorder to a group of nursing students. The instructor determines that the education was successful when the students state what? The drug helps to satisfy the craving for the opioid. - Correct Answers ✅A client with opioid addiction is prescribed methadone maintenance therapy. When explaining this treatment to the client, which of the following would the nurse need to keep in mind? Wernicke-Korsakoff syndrome - Correct Answers ✅the coexistence of Wernicke's encephalopathy and Korsakoff's psychosis. Wernicke's encephalopathy is characterized by ataxia, nystagmus, ophthalmoplegia, and mental status changes. Korsakoff's psychosis involves gait disturbances, short-term memory loss, disorientation, delirium, confabulation, and neuropathy. Situational low self-esteem related to medical condition - Correct Answers ✅A nurse who started recovering from alcohol abuse 3 months earlier is ready to return to work. When speaking with the therapist, the nurse states the nurse is nervous about how coworkers will respond to the nurse now that "they all know I'm a drunk." Which diagnosis best targets the problem implicit in the nurse's remarks?
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Diarrhea - Correct Answers ✅Clonidine is most effective for which symptom of opioid withdrawal? 12 - Correct Answers ✅Symptoms of withdrawal usually begin within ____ hours after cessation or marked reduction of alcohol intake. Lorazepam (Ativan) - Correct Answers ✅Which medication is used to prevent alcohol withdrawal symptoms? Elevated vital signs and nervousnes - Correct Answers ✅The nurse is assessing a client admitted for drug and alcohol abuse. Which data from the assessment will increase the nurse's suspicion that the client may experience withdrawal symptoms? Supervision may be required to protect the person. - Correct Answers ✅Although a psychotic episode can be brief, the client impact can last a long time. For this reason, the nurse is aware of what? Native America - Correct Answers ✅The nurse must be aware that individuals from diverse ethnic groups might describe troubling experiences in terms of physical problems or specific culture-bound syndromes. The syndrome of ghost sickness is exhibited by which culture?
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medication to a patient diagnosed with a borderline personality disorder, the patient says, "Just leave it on the table. I'll take it when I finish combing my hair." What is the nurse's best response? Ability to evoke interpersonal conflict - Correct Answers ✅Which characteristic of individuals diagnosed with personality disorders makes it most necessary for staff to schedule frequent meetings? acknowledge manipulative behavior when it is called to his or her attention. - Correct Answers ✅What is an appropriate initial outcome for a patient diagnosed with a personality disorder who frequently manipulates others? The patient will: urges a suspicious patient to hit anyone who stares. - Correct Answers ✅For which behavior would limit setting be most essential? The patient: splitting - Correct Answers ✅A nurse set limits for a patient diagnosed with a borderline personality disorder. The patient tells the nurse, "You used to care about me. I thought you were wonderful. Now I can see I was mistaken. You're terrible." This outburst can be assessed as: engage in trust building - Correct Answers ✅A patient who has been diagnosed with schizoid personality disorder is newly admitted to the unit. The best initial nursing intervention is to:
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Refer the patient's requests and questions to the case manager. - Correct Answers ✅Which intervention is appropriate for a patient diagnosed with an antisocial personality disorder who frequently manipulates others? Aggression Callous Attitude - Correct Answers ✅A nurse plans the care for an individual diagnosed with antisocial personality disorder. Which characteristic behaviors will the nurse expect? Respect the patient's need for periods of social isolation. - Correct Answers ✅What is the priority intervention for a nurse beginning a therapeutic relationship with a patient diagnosed with a schizotypal personality disorder? Obsessive-compulsive Antisocial Schizotypal - Correct Answers ✅For which patients diagnosed with personality disorders would a family history of similar problems be most likely? Marsha Linehan - Correct Answers ✅Who developed dialectical behavior therapy (DBT)?
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flight of ideas - Correct Answers ✅An alteration in though processes that's characterized by skipping from one topic to another, unrelated topic. La belle indifference - Correct Answers ✅The lack of concern for a profound disability, such as blindness or paralysis that may occur in a patient who has a conversion disorder. moderate - Correct Answers ✅What level of anxiety decreases a person's ability to perceive and concentrate. The person is selectively inattentive (focuses on immediate concerns), and the perceptual field narrows. correction of nutritional and electrolyte imbalances - Correct Answers ✅In a patient who has anorexia nervosa, what is the highest treatment priority? once a month - Correct Answers ✅A person who is taking lithium must undergo monitoring of the blood lithium level how often? 0.5-1.5 meq/L - Correct Answers ✅What is the therapeutic level for Lithium? anxiety
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anorexia tremors insomnia - Correct Answers ✅Early signs and symptoms (4) of alcohol withdrawal; may begin up to 8 hours after the last alcohol intake. Al-anon - Correct Answers ✅What is the support group for families of alcoholics called? chlorpromazine (Thorazine) - Correct Answers ✅A patient who has ingested alcohol can not have what drug bc it may cause over-sedation and respiratory depression? insufficient sodium and fluid intake - Correct Answers ✅These imbalances can cause lithium retention and lead to lithium toxicity. No - Correct Answers ✅Does a cure for alcoholism exist? Echolalia - Correct Answers ✅Parrot-like repetition of another person's words or phrases is called? Ego - Correct Answers ✅The part of the psyche that controls internal demands and interacts with the outside world at the conscious, preconscious, and unconscious levels.
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sensory overload - Correct Answers ✅A state in which sensory stimulation exceeds the individual's capacity to tolerate or process it is called? feeling of distress and hyperarousal with impaired thinking or concentration - Correct Answers ✅Symptoms of sensory overload? nausea, vomiting, lethargy - Correct Answers ✅Clinical signs of lithium toxicity? (3) bipolar II - Correct Answers ✅What type of bipolar disorder is characterized by at least one manic episode that is accompanied by hypomania? silence and active listening - Correct Answers ✅Therapeutic communication techniques that promote interactions with a depressed patient (2)? succinylcholine (Anectine) - Correct Answers ✅Before ECT, the patient is given what skeletal muscle relaxer via IV? amenorrhea excessive weight loss
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lanugo (fine body hair) abdominal distention electrolyte disturbances - Correct Answers ✅S/S of anorexia nervosa (5) 2.0 meq/L - Correct Answers ✅A serum lithium level above this is considered toxic? "It can help to prevent you from drinking." - Correct Answers ✅A client is prescribed disulfiram as part of the alcohol treatment program to prevent relapse. The client asks the nurse, "How will this drug help me?" Which response by a nurse would be most appropriate? Traditional methods of treatment have not been very successful for these clients. - Correct Answers ✅Which statement about clients with a dual diagnosis is accurate? "What negative consequences have resulted from your drinking?" - Correct Answers ✅A client has entered treatment for alcohol dependency at the client's spouse's insistence. The client's spouse has threatened to leave the marriage unless the client seeks treatment. The client admits that the client drinks every day, but that the drinking is well in control. The nurse recognizes the client's comments as denial. What is the best response by the nurse?
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autism - Correct Answers ✅Schizophrenia may also be diagnosed as what other disorder? separation anxiety disorder - Correct Answers ✅Developmentally inappropriate fear of separation from the person to whom the child is most attached is known as what disorder? Selective Mutism - Correct Answers ✅Consistent failure to speak in situations where speaking is an expectation, although the child is able to speak at other times. This is known as? Trichotillomania - Correct Answers ✅Recurrent twisting or pulling out one's hair resulting in hair loss and sometimes damage. Excoriation disorder - Correct Answers ✅Recurrent skin picking resulting in skin lesions, infection, and scarring. This disorder is known as? Reactive Attachment Disorder - Correct Answers ✅Consistent pattern of inhibited, emotionally withdrawn behavior. Child rarely seeks comfort or responds to comforting. What is this disorder called? limited positive affect
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irritability sadness fearfulness minimal social responsiveness - Correct Answers ✅What are the symptoms of reactive attachment disorder? inconsistent care, frequent changes in caregivers - Correct Answers ✅What are the causes of reactive attachment disorder? bibliotherapy - Correct Answers ✅Therapy involving books relating to the individual child's situation is called? dissociative disorders - Correct Answers ✅This group of disorders may present in childhood or adolescence as the result of abuse or trauma, or modeling of behavior in the family. If a child appears spaced out or withdrawn, abuse or trauma should be considered. What type of disorders are these? stomach ache, headaches, frequent visits to the school nurse - Correct Answers ✅How will a somatic disorder present in a child? pica - Correct Answers ✅Persistent eating of non-food substances, not part of a culturally accepted ritual or practice.
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A 12 year old boy with Tourettes - Correct Answers ✅Which child is most likely to benefit from CBIT? -An 8 year old boy with enuresis -A 14 year old girl with pica -A 12 year old boy with tourettes -A 17 year old boy with OCD Comprehensive Behavioral Intervention for Tics (CBIT) - Correct Answers ✅A new treatment that includes habit reversal, insight, education, and relaxation techniques and has been shown to reduce tics. What is this type of therapy called? sleep walking, night terror, nightmares - Correct Answers ✅What are three sleep-wake disorders seen in children? soothing music, nightlights, books ab fears, relaxation, guided imagery, hypnosis aimed at feeling safe or addressing stress. A regular sleep schedule, calm and comfortable room, and good sleep hygiene. Scheduled awakenings 15 minutes before usual night incident can help.
- Correct Answers ✅Treatments for sleep-wake disorders? gender dysphoria - Correct Answers ✅Feeling of being in the wrong gender body is termed?
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Paraphilic Disorders - Correct Answers ✅recurrent, intense sexual fantasies, urges or behaviors involving sexual activity with a prepubescent child or children; individual is at least 16 years old and at least 5 years older than the child. These disorders are called? antisocial personality disorder - Correct Answers ✅This personality disorder can not be diagnosed before the age of 18?
