2393513
Pregunta 1
Pregunta
A patient presents with intense worry and concern regarding a potential disaster for the past 7 months. The was a recent job loss in her family and she is concerned about health and financial issues. The nurse would expect this patient is presenting with
Respuesta
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panic anxiety disorder
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generalized anxiety disorder
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separation anxiety disorder
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mild anxiety disorder
Pregunta 2
Pregunta
Risk factors for anxiety include (SATA)
Respuesta
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Neurotransmitter imbalance
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Loss of employment
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Isolation and personality factors
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Acute illness
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Family incidence, childhood adversity including witnessing traumatic events
Pregunta 3
Pregunta
A patient that presents with feeling of doom, increased heart rate, sweating and difficulty breathing is likely experiencing what level of anxiety?
Respuesta
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mild
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moderate
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severe
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panic
Pregunta 4
Pregunta
A student sits down at the NCLEX with increased alertness, motivation and restlessness. This is prime testing mode and she passes with 75 questions. Way to go Ruth, Jess & Liza WOOHOO, you are rock stars! What level of anxiety is the student presenting?
Respuesta
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Mild
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Moderate
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Severe
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Panic
Pregunta 5
Pregunta
The patient that presents self absorbed, increased restlessness, and loud speech is at severe level of anxiety.
Respuesta
- True
- False
Pregunta 6
Pregunta
Which of the following are priority nursing diagnosis for a patient presenting with severe anxiety? (SATA)
Respuesta
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Anxiety
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Risk for ineffective coping
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Interrupted family processes
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Impaired social interaction
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Impaired physical mobility
Pregunta 7
Pregunta
When teaching a patient with anxiety disorders, the nurse will (SATA)
Respuesta
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limit noise
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decrease stimuli
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explain teaching in great detail to ensure the patient understands
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ensure the patient feels safe
Pregunta 8
Pregunta
A patient presents with the following, which apply to depression?
Respuesta
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Hx of anxiety disorder
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Alcohol or drug abuse
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increased energy
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traumatic event
Pregunta 9
Pregunta
Which of the following indicate that the nurse understands the priority nursing assessments for depression?
Respuesta
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"The first thing I am going to do is check your vital signs."
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"Tell me, are you thinking about suicide or death?"
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"Tell me about your mood and how you are feeling."
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"Please complete this Beck's depression inventory assessment and I will be back in 15 minutes to check on you."
Pregunta 10
Pregunta
Identify the priority nursing diagnosis for a patient that states, "I'm feeling better now, I just want to do whatever I can to get out of here."
Respuesta
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risk for self-directed violence
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ineffective health maintenance
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hopelessness
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social isolation
Pregunta 11
Pregunta
What is the most common chronic psychotic disorder that requires lifelong treatment in which individuals interpret reality abnormally?
Respuesta
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Delusional Disorder
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Bipolar Disorder
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Psychotic Depression
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Schizophrenia
Pregunta 12
Pregunta
Schizophrenia risk factors include maternal exposure to virus, toxins or malnutrition and paternal age father (>40 2x, >50 3x).
Respuesta
- True
- False
Pregunta 13
Pregunta
Positive symptoms of schizophrenia include (SATA)
Respuesta
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Anhedonia
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Hallucinations
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Clang
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Avolition
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Catatonia
Pregunta 14
Pregunta
Negative symptoms of schizophrenia include (SATA)
Respuesta
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anhedonia
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monotone voice
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hyper-focused
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poor hygiene
Pregunta 15
Pregunta
An individual with schizophrenia presents with apathy, lack of focus, lack of motivation and poor personal hygiene. This is identified as positive symptoms.
Respuesta
- True
- False
Pregunta 16
Pregunta
An individual presents at the mental health facility with extreme mood swings and emotional high and lows. This is a form of schizophrenia.
Respuesta
- True
- False
Pregunta 17
Pregunta
Risk factors for bipolar include (SATA)
Respuesta
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Periods of high stress such a loss of a loved one or major life event
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Periods of low stress and boredom
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Moderate alcohol use
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genetics
Pregunta 18
Pregunta
A patient presents with three depressive episodes 15 days apart and one hypomanic episode that lasts 5 days. This is indicative which psychosis:
Respuesta
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Bipolar I disorder
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Bipolar II disorder
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Bipolar III disorder
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schizophrenia
Pregunta 19
Pregunta
The triad of characteristics for Autism Spectrum Disorder (ASD) include (SATA)
Respuesta
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strange repetitive behaviors
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Impaired ability to communicate
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increased imagination
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social isolation
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Aversion to touch and loud noises
Pregunta 20
Pregunta
Without specific etiology for Autism Spectrum Disorder, determining risk is difficult. Which of the following are linked risk factors for ASD? (SATA)
Respuesta
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maternal age (>40)
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paternal age (>50)
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Gender: girls
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Genetics: familial
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Extremely late childbirth (<42 wks gestation)
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Down syndrome
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maternal smoking or EtOH use
Pregunta 21
Pregunta
Traumatic life event, such as loss of loved one or abuse, is a risk factor for which of the following (SATA)
Respuesta
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Anxiety Disorder
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Depression
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Schizophrenia
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Bipolar Disorder
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Autism Spectrum Disorder
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