Psychiatric/mental Health Nursing with Complete Questions and Accurate Solutions
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Course
Psychiatric Mental Health Nursing
Institution
Psychiatric Mental Health Nursing
Psychiatric/mental Health Nursing with
Complete Questions and Accurate Solutions
The nurse is caring for a client who has been abusing opiates.
Data collection findings in a client abusing opiates such as
morphine include: Correct Answer 4. euphoria and constricted
pupils.
A client is bei...
Psychiatric/mental Health Nursing with
Complete Questions and Accurate Solutions
The nurse is caring for a client who has been abusing opiates.
Data collection findings in a client abusing opiates such as
morphine include: Correct Answer 4. euphoria and constricted
pupils.
A client is being treated for alcoholism. After a family meeting, the
client's spouse asks the nurse about ways to help the family deal
with the effects of alcoholism. The nurse should suggest that the
family join which organization? Correct Answer "1. Al-Anon
A client is admitted to the inpatient adolescent unit after being
arrested for attempting to sell cocaine to an undercover police
officer. The nurse assists in writing a behavioral contract. To best
promote compliance, the contract should be written: Correct
Answer "3. jointly by the client and nurse.
A client begins to experience alcoholic hallucinosis. What is the
appropriate nursing intervention at this time? Correct Answer "3.
Providing a quiet environment and administering medication as
needed and prescribed
The nurse is caring for an adolescent female who reports
amenorrhea, weight loss, and depression. Which additional data
collection finding would suggest that the woman has an eating
disorder? Correct Answer 4. Excessive and ritualized exercise"
A client is admitted to the psychiatric unit with a diagnosis of
anorexia nervosa. Although she is 5' 8" (1.7 m) tall and weighs
only 103 lb (46.7 kg), she talks incessantly about how fat she is.
Which approach should the nurse take first when caring for this
,client? Correct Answer "2. Establish a trusting relationship with
the client.
"Which task is most important when developing a plan of care for
a client with anorexia nervosa? Correct Answer "4. Evaluating
exercise activities
While collecting data on a client who was diagnosed with impulse
control disorder (and who displays violent, aggressive, and
assaultive behavior), the nurse can expect to find which of the
following assessments? Correct Answer 1. client functions well in
other areas of his life 2. The degree of aggressiveness is out of
proportion to the stressor. 4. The client has a history of parental
alcoholism and a chaotic, abusive family life.
A client with a history of alcoholism returns to the hospital 3 hours
later than the time specified on his day pass. His breath smells of
alcohol and his gait is unsteady. What should the nurse say?
Correct Answer "Please go to bed now. We'll talk in the morning."
A client voluntarily admits himself to the substance abuse unit. He
confesses that he drinks 1 qt or more of vodka each day. Later
that afternoon, he begins to show signs of alcohol withdrawal.
What are some early signs of this condition? Correct Answer "4.
Diaphoresis, tremors, and nervousness
One of the goals for a client with anorexia nervosa is that the
client will demonstrate increased coping by responding to stress
in constructive ways. Which of the following actions is a positive
indicator that the client is working toward meeting the goal?
Correct Answer "3. The client keeps a journal and discusses it
with the nurse.
A local high school recently identified a problem with alcohol-
related accidents among student drivers; two of these accidents
,resulted in death. School officials developed a plan to address the
problem. The school nurse begins her part by addressing primary
prevention. Which intervention by the school nurse is
appropriate? Correct Answer "4. Arranging for a presentation by a
local teenager who was involved in an alcohol-related traffic
fatality
During postprandial monitoring, a client with bulimia nervosa tells
the nurse, "You can sit with me, but you're just wasting your time.
After you sat with me yesterday, I was still able to purge. Today,
my goal is to do it twice." What is the nurse's best response?
Correct Answer "4. ""I know it's important for you to feel in control,
but I'll monitor you for 90 minutes after you eat.""
The nurse is caring for a client diagnosed with bulimia. The most
appropriate initial goal for a client diagnosed with bulimia is to:
Correct Answer 3. identify anxiety-causing situations.
"Which assessment finding is most consistent with early alcohol
withdrawal? Correct Answer 1. Heart rate of 120 to 140
beats/minute
"Which client is at highest risk for suicide? Correct Answer 2. One
who plans a violent death and has the means readily available
A 15-year-old client is brought to the clinic by her mother. Her
mother expresses concern about her daughter's weight loss and
constant dieting. The nurse conducts a health history interview.
Which of the following comments indicates that the client may be
suffering from anorexia nervosa? Correct Answer "3. ""I just can't
seem to get down to the weight I want to be. I'm so fat compared
to other girls.""
A nurse is caring for a client who just separated from her husband
because of his alcohol abuse problem. Which statement by the
, nurse conveys empathy? Correct Answer "2. ""You made a very
difficult decision. I'll be here if you want to talk.""
A client has approached the nurse asking for advice on how to
deal with his alcohol addiction. The nurse should tell the client
that the only completely effective treatment for alcoholism is:
Correct Answer "2. total abstinence.
Which nursing interventions should be included in the treatment
plan of a client diagnosed with bulimia nervosa? Correct Answer
1. Establish a contract with the client that specifies the amounts
and types of food she must eat at each meal. 4. Reward the client
for satisfactory weight gain.
Which psychosocial influence has been causally related to the
development of aggressive behavior and conduct disorder?
Correct Answer "2. Rejection by peers
"When planning care for a client who has ingested phencyclidine
(PCP), which of the following is the highest priority? Correct
Answer "2. Client's safety needs
A client is being admitted to the substance abuse unit for alcohol
detoxification. As part of the intake interview, the nurse asks him
when he had his last alcoholic drink. He says that he had his last
drink 6 hours before admission. Based on this response, the
nurse should expect early withdrawal symptoms to: Correct
Answer "2. begin anytime within the next 1 to 2 days.
Eighteen hours after undergoing an emergency appendectomy, a
client with a reported history of social drinking displays these vital
signs: temperature, 101.6° F (38.7° C); heart rate, 126
beats/minute; respiratory rate, 24 breaths/minute; and blood
pressure, 140/96 mm Hg. The client exhibits gross hand tremors
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