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psych exam 2 lock down questions
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Questions in this quiz (38)
1A client who has a major depressive episode tells the nurse that, for the past two weeks, he has been hearing voices and at times thinks that someone is following him. History reveals that he had these alternating symptoms before. He also has experienced time with neither of these symptoms and has been able to function adequately. The nurse interprets these findings as suggesting which of the following?
- AEcholalia
- BSchizoaffective disorder
- Cbody complaints
- Dfever
2A client with schizoaffective disorder is prescribed clozapine to treat her symptoms. Which of the following instructions would the nurse provide?
- A"Keep a record of how often and how long you experience the side effect of dry mouth."
- B"Monitor your urinary output and notify your doctor if your urine changes color."
- C"Keep an eye on your weight, and if you gain weight rapidly, notify your doctor."
- D"If you experience any drowsiness, discontinue taking this medication."
3A family member of a client diagnosed with schizoaffective disorder asks a nurse what
causes the disorder. Which response by the nurse would be most appropriate- A“Dysfunctional family dynamics has been identified as a strong link.”
- B“Research has suggested that the cause is predominately genetic."
- C“Dopamine, a substance in the brain, appears to be underactive.”
- D“Studies have indicated that birth order is strongly associated with this disorder.”
4A family member of an adolescent who has expressed a desire to commit suicide asks the nurse, "What might predict the possibility of future suicide attempts?" Which of the following would the nurse include in the response?
- ADeath of a spouse
- BPrevious suicide attempt
- CPolydrug use
- DUnemployment
5A group of nursing students is reviewing information about open and closed groups. The students demonstrate understanding of the information when they identify which of the following as an example of an open group?
- AOutpatient smoking cessation group
- BCommunity clinic psychoeducation group
- CAmbulatory psychotherapy group
- DInpatient anger management group
6A group of nursing students is reviewing information about grief and bereavement. The students demonstrate understanding of the information when they identify which of the following?
- ABereavement is influenced by culture, but grief is not.
- BGrief involves confronting the stress, but bereavement helps avoid the stresses.
- CGrief and bereavement are used interchangeably as responses to loss.
- Dbereavement is the process of mourning and grief is the emotional reaction.
7A group of nursing students is reviewing information about suicide and associated concepts. The group demonstrates understanding of the information when members identify which as the probability that a person will successfully complete suicide?
- Aparasuicide
- Bsuicidal ideation
- Csuicidality
- Dlethality
8A group of nursing students is reviewing information about the different types of group. The students demonstrate understanding of the information when they identify which of the following as a characteristic of a self-help group that differentiates it from a supportive therapy group?
- AThe group is led by a professional.
- BThe group is led by a consumer.
- CThere is no identified leader.
- DThe group is focused on a specific problem.
9A group of nursing students is reviewing risk and protective factors associated with mental disorders in the older adult population. The students demonstrate understanding of the information when they identify which of the following as a protective factor?
- Aeducation
- Bpoverty
- Closs
- Dchronic illness
10A group of nursing students is reviewing system models used in caring for families. The students demonstrate understanding of the information when they identify which of the following as characteristic of the Calgary Family Model?
- ADifferentiation of self
- BSibling position
- CFamily development
- DSubsystems
11A group of nursing students is reviewing information about the differences that occur with grieving in children, adolescents, and adults. The students demonstrate understanding of this information when they identify which of the following as characteristic of adolescents?
- AView death as reversible
- BMourn by talking about the loss
- CNeed repeated explanations to understand the loss
- DExpress a time limit for socially acceptable grieving
12A group of nursing students is reviewing the physical changes that occur in older adults. The students demonstrate understanding of the information when they identify which of the following as contributing the patient's risk for drug toxicity?
- AReduced liver function
- BReduce brain gray matter volume
- CLower metabolic rate at rest
- DDecreased body water
13A group of students are reviewing the events associated with the fight-or-flight response. They demonstrate understanding of the information when they identify which of the following results from sympathetic nervous stimulation?
- AHypoglycemia
- BTachycardia
- CHypotension
- DHypercoagulability
14A home-health nurse is working with a poverty-stricken family that has two small children, ages 2 and 3 years. The family lives in an isolated rural area. The family's home has a dirt floor, and there are chickens living in the house with the family. Because of a recent wind storm, there is a sizeable hole in the roof that lets rain and snow into the house. Which nursing intervention would be the highest priority in this situation?
- AMake immunization appointments for the children in a nearby town's public health clinic.
- BHelp the family find funding and manpower to patch and repair the roof of their home.
- CDetermine the educational readiness of the two children.
- DReport the family for child abuse because of neglect.
15A nurse has just completed a suicide risk assessment of a 76-year-old widowed man. In addition to documenting the presence or absence of suicidal thoughts, plan, and means, the nurse would also document which of the following?
- AUse of substances 6 hours before the assessment
- BSpeech patterns
- CAvailability of support resources
- DAmount of sleep in past 24 hours
16A nurse is completing an admission assessment of a young adult woman who has a history of depression and who was brought to the hospital by her boyfriend. In response to the nurse's question regarding suicidal ideation, the patient discloses that the she is thinking about killing herself. Which question would be most appropriate for the nurse to ask next?
- A“What does your boyfriend think about your desire to kill yourself?”
- B“What are your spiritual beliefs about suicide?”
- C“What will killing yourself accomplish?”
- D“What thoughts have you had about how you would kill yourself?”
17A nurse is constructing a genogram of a family. Which of the following would the nurse do?
- AUse circles to represent the male members.
- BUse horizontal lines to connect the parents with children.
- CUse horizontal lines to show marriages.
- DUse asterisks to denote ages listed at the bottom.
18A nurse is part of team working with hurricane victims. One of the hurricane victims is staying in a temporary shelter provided by the Red Cross. To determine the extent to which this victim can cognitively cope with his situation and how much support he needs, which question would be most appropriate for the nurse to ask?
- A“What kind of help do you need from us?”
- B“What are your thoughts about what you will do during the next few days?”
- C“How are you feeling about all that you have gone through?”
- D“Are you feeling guilty because you survived and some of your neighbors did not?”
19A son brings his father to the clinic and tells the nurse that his father has begun to act strangely in the past few days and has unprovoked outbursts of anger. After the incidents, the father expresses remorse for his outburst. The son says, “I've never seen him act this way.” Which question would be most appropriate for the nurse to ask next?
- A“Does your father have a history of an anxiety disorder such as panic disorder?”
- BHas your father exhibited previous problems expressing anger appropriately?”
- C“Has your father suffered any traumatic injury to his brain recently?”
- D“Has your father injured the back of his head or next in the past week?”
20After teaching a class about factors that enhance the risk of suicide, the instructor determines the need for additional teaching when the class identifies which of the following?
- AFamily member committing suicide
- BCautiousness
- Cdelusion
- Dloss
21After teaching a group of students about protective factors for mental illness, the instructor determines that the teaching was successful when the students identify which of the following?
- Asocial support
- Bloss
- Ccost
- Deducation
22A client with a panic disorder has been prescribed a benzodiazepine medication. Which of the following would the nurse emphasize as a risk associated with using this medication?
- Aagitation
- Bfecal impaction
- Cwithdrawal symptoms
- Ddietary restrictions
23The nurse determines that a patient is at imminent risk for suicide. Which of the following would be least appropriate to include in the patient's plan of care?
- AListening intently and nonjudgmentally
- BValidating the patient's feelings and experience
- CInstituting strict restriction on the patient's activity
- DUsing cognitive interventions to foster hope
24A patient who has attempted suicide has an underlying diagnosis of depression. Which of the following would the nurse anticipate being ordered for the patient?
- ASelective serotonin reuptake inhibitor
- BMood stabilizer
- CTricyclic antidepressant
- DAtypical antipsychotic
25After teaching a group of students about the various concepts involving suicide, the instructor determines that the teaching was successful when the students describe parasuicide as which of the following?
- AVoluntary act of killing oneself
- BAll suicide related behaviors and suicidal thoughts
- CNonfatal act with the intent to die
- DVoluntary attempt without death as the aim
26The nurse has explained some of the biologic theories of causation to a client diagnosed with borderline personality disorder and his family. The nurse determines that the client and family have understood the instructions when they state which of the following?
- A“The disorder may be caused by increased serotonin activity.”
- B“The disorder is caused by decreased dopamine activity in my brain.”
- C'A frontal lobe dysfunction may be causing this condition.”
- D“A decrease in hormonal substances increases the risk for this illness.”
27A group of nursing students is reviewing information about antisocial personality disorder. The students demonstrate understanding of this disorder when they state which of the following?
- AThe disorder occurs more frequently in women.
- BThe individual must be at least 18 years of age.
- CThe disorder is found primarily in Asian individuals.
- DAlcohol abuse disorder rarely accompanies this disorder.
28A client hospitalized for treatment of schizophrenia has been receiving olanzapine (Zyprexa) for the past 2 months. The nurse would be especially alert for which of the following?
- AWeight loss
- BHypertension
- CDiarrhea
- DDiabetes
29A client has been diagnosed with schizophrenia. Assessment reveals that the client lives alone. His clothing is disheveled, his hair is uncombed and matted, and his body has a strange odor. During an interview, the client's family voices a desire for the client to live with them when he is discharged. Based on the assessment findings, which nursing diagnosis would be the priority?
- AIneffective Role Performance related to symptoms of schizophrenia.
- BSocial Isolation related to auditory hallucinations.
- CDysfunctional Family Processes related to psychosis.
- DBathing Self-Care Deficit related to symptoms of schizophrenia.
30A client with schizoaffective disorder is prescribed clozapine to treat her symptoms. Which of the following instructions would the nurse provide?
- A“Keep a record of how often and how long you experience the side effect of dry mouth.”
- B“Monitor your urinary output and notify your doctor if your urine changes color.”
- C“Keep an eye on your weight, and if you gain weight rapidly, notify your doctor.”
- D“If you experience any drowsiness, discontinue taking this medication.”
31A group of nursing students is reviewing the various theories related to the etiology of schizophrenia. The students demonstrate understanding of the information when they identify which neurotransmitter as being responsible for hallucinations and delusions?
- ADopamine
- BSerotonin
- CNorepinephrine
- DGamma-amino butyric acid (GABA)
32A hospitalized client with schizophrenia is receiving antipsychotic medications. While assessing the client, the nurse identifies signs and symptoms of a dystonic reaction. Which agent would the nurse expect to administer?
- ADiphenhydramine (Benadryl)
- BPropranolol (Inderal)
- CRisperidone (Risperdal)
- DAripiprazole (Abilify)
33A nurse is providing care to a client just recently diagnosed with schizophrenia during an inpatient hospital stay. Throughout the day, the nurse observes the client drinking from the water fountain quite frequently as well as carrying cans of soda and bottles of water with him wherever he goes. Upon entering the client's room, the nurse sees numerous empty cups that had been filled with fluids on his table and in the trash can. The room has an odor of urine. The nurse suspects which of the following?
- ADiabetes mellitus
- BDisordered water balance
- CTardive dyskinesia
- DOrthostatic hypotension
34The nurse is caring for a client with major depression. The client tells the nurse that she “just isn't sure that life is worth living.” The nurse documents which nursing diagnosis as the priority?
- ASelf-esteem, Low, related to depressive episode
- BHopelessness related to symptoms of depression
- CAnxiety related to lack of energy for self-care activities
- DThought Processes, Disturbed, related to memory loss and depression
35A family has recently lost all their belongings when their house burned down. They have been living in temporary housing. Although the parents were previously very supportive and able to help their young children with their homework in the evenings, they have been unable to do so under their present circumstances. Based on this information, which nursing diagnosis would be most appropriate for this family?
- AInterrupted Family Processes
- BCompromised Family Coping
- CIneffective Family Therapeutic Regimen Management
- DCaregiver Role Strain
36A female patient is an adolescent who recently tried to overdose because her boyfriend broke up with her. Her father is a single parent, and he has been drinking excessively to cope with his stress. The patient tells the nurse that whenever she needs to talk to her father, he is always drunk or away drinking with his drinking buddies. Based on this information, which nursing diagnosis would be most appropriate for this patient's family?
- AIneffective Family Therapeutic Regimen Management
- BCompromised Family Coping
- CIneffective Denial
- DCaregiver Role Strain
37A female patient, who is in her late 30s, is describing her home life to the nurse. The nurse determines that the patient is a member of the sandwich generation based on which of the following?
- AShe has a young adult child at home and an elderly parent to care for at the same time.
- BShe has a young adult child who is married and currently living away from home.
- CShe has a young adult child away at college and without any living parents.
- DShe has no responsibilities associated with her young adult children or her parents.
38A group of nursing students is reviewing information about the types of crisis. The students demonstrate understanding of the information when they identify which of the following as a developmental crisis?
- AGoing away to college
- BObtaining a job promotion
- CLoss of a pet
- Dearthquake
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- Quiz on psych exam 2 lock down questions, created by India Curenton on 11/24/2018.
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- India Curenton
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