Exam (elaborations)
NUR 1023 Mental Health Exam 1 Questions With Complete Solutions
- Course
- NUR 1023
- Institution
- Florida State College At Jacksonville
NUR 1023 Mental Health Exam 1 Questions With Complete Solutions
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NUR 1023 Mental Health Exam 1 Questions With CompleteSolutions
A 14-year-old child reports to the school nurse, "My mind goes
blank and I get shaky and sweaty while taking tests." Which
medication would be beneficial for the child in this situation?
1.Clonidine
2.Duloxetine
3.Propranolol
4.Alprazolam Correct Answer 3.Propranolol
Propranolol is an antianxiety agent used in the treatment of acute
situational anxiety, such as performance anxiety or test anxiety.
A client diagnosed with anxiety disorder is prescribed cognitive
therapy. However, after an interactive session with the client, the
therapist postpones the cognitive therapy. Which client
statement might have led to the therapist postponing the
cognitive therapy?
1."I feel like I am keyed up on most days."
2."I start becoming restless ahead of my meetings."
3."I don't have any problem. I am just a little stressed."
4."I don't want to meet people. I feel like hiding from them."
Correct Answer 3."I don't have any problem. I am just a little
stressed."
Cognitive therapy is an effective therapy for anxiety. However,
it may be ineffective if a client is not willing to speak openly
about his or her fears and feelings related to the anxiety.
,A client is receiving treatment for generalized anxiety disorder.
What client outcomes indicate that the nursing interventions are
effective? Select all that apply.
1. The client recognizes the signs of escalating anxiety.
2. The client manages anxiety while taking a challenging exam.
3.The client manages anxiety without using repetitive behaviors.
4.The client expresses that he or she has a good physique and
attractive eyes.
5.The client is able to make independent decisions about future
studies. Correct Answer 1,2,5
A client who is being treated for anxiety develops sexual
dysfunction. Which medication in the prescription would need
to be replaced?
1. Diazepam
2.Fluoxetine
3.Propranolol
4.Pentobarbital Correct Answer 2.Fluoxetine
Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that
may lead to sexual dysfunction as a side effect.
A client who is experiencing frequent manic episodes has a
delusional thought process and low self-esteem. The nurse finds
that the client is trying to manipulate others for self-gratification.
Which interventions included in the client's care plan would the
nurse expect to improve the client's self-esteem?
1.Setting limits on manipulative behaviors
, 2.Maintaining a calm and matter-of-fact attitude
3.Reinforcing acceptable behaviors in the client
4.Helping the client accept the consequences of manipulative
behaviors Correct Answer 3.Reinforcing acceptable behaviors
in the client
The nurse would provide positive reinforcement for the client's
acceptable behaviors. This helps improve the client's self-esteem
and thereby minimizes the manipulative behaviors of the client.
A competent, voluntary client has stated he wants to leave the
hospital. The nurse hides his clothes in an effort to keep him
from leaving. With which of the following legal actions might
the nurse be charged because of this nursing action?
A. Assault
B. Battery
C. False imprisonment
D. Breach of confidentiality Correct Answer C. False
imprisonment
A patient with OCD spends many hours each day washing her
hands. What is the most likely reason she washes her hands so
much?
a. to relieve her anxiety
b. to reduce the probability of infection
c. to gain a feeling of control over her life
d. to increase her self-concept Correct Answer a. to relieve her
anxiety
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