Professional Documents
Culture Documents
PSYCHIATRIC
1
NURSING MEAL 2
NURSING PRACTICE
5 Enhancement for Adult Learner)
(Memory
ANXIETY DISORDERS
1. Using psychodynamic theory, which intervention would be appropriate
for a client diagnosed with panic disorder?
A. Encourage the client to evaluate the power of distorted thinking.
B. Ask the client to include his or her family in scheduled therapy
sessions.
C. Discuss the overuse of ego defense mechanisms and their impact
on anxiety.
D. Teach the client about the effect of blood lactate level as it relates
to the clients panic attacks.
2. A client diagnosed with posttraumatic stress disorder states to the
nurse, All those wonderful people died, and yet I was allowed to live.
Which is the client experiencing?
A. Denial.
B. Social isolation.
C. Anger.
D. Survivors guilt.
3. Which charting entry documents a subjective assessment of sleep
patterns?
A. Reports satisfaction with the quality of sleep since admission.
B. Slept 8 hours during night shift.
C. Rates quality of sleep as 3/10.
D. Woke up three times during the night.
4. A client diagnosed with hypersomnia states, I cant even function
anymore; I feel worthless. Which nursing diagnosis would take priority?
A. Risk for suicide R / T expressions of hopelessness.
B. Social isolation R / T sleepiness AEB, I cant function.
C. Self-care deficit R / T increased need for sleep AEB being unable
to take a bath without assistance.
D. Chronic low self-esteem R / T inability to function AEB the
statement, I feel worthless.
5. A client has a nursing diagnosis of disturbed sleep patterns R / T
increased anxiety AEB inability to fall asleep. Which short-term outcome
is appropriate for this client?
A. The client will use one coping skill before bedtime to assist in
falling asleep.
B. The client will sleep 6 to 8 hours a night and report a feeling of
being rested.
C. The client will ask for prescribed PRN medication to assist with
falling asleep by day 2.
D. The client will verbalize his or her level of anxiety as less than a
3/10.
6. A client experiencing sleepwalking is newly admitted to an in-patient
psychiatric unit. Which nursing intervention would take priority?
A. Equip the bed with an alarm that is activated when the bed is
exited.
B. Discourage strenuous exercise within 1 hour of bedtime.
C. Limit caffeine-containing substances within 4 hours of bedtime.
D. Encourage activities that prepare one for sleep, such as soft
music.
7. A client diagnosed with posttraumatic stress disorder has a nursing
diagnosis of disturbed sleep patterns R / T nightmares. Which evaluation
would indicate that the stated nursing diagnosis was resolved?
A. The client expresses feelings about the nightmares during group.
Formulated, Compiled & Edited by:
B.
The client asks for PRN trazodone (Desyrel) before bed to fall
asleep.
C. The client states that the client feels rested when awakening and
denies nightmares.
D. The client avoids napping during the day to help enhance sleep.
8. Which teaching need is important when a client is newly prescribed
buspirone (BuSpar) 5 mg tid?
A. Encourage the client to avoid drinking alcohol while taking this
medication because of the additive central nervous system
depressant effects.
B. Encourage the client to take the medication continually as
prescribed because onset of action is delayed 2 to 3 weeks.
C. Encourage the client to monitor for signs and symptoms of anxiety
to determine need for additional buspirone (BuSpar) PRN.
D. Encourage the client to be compliant with monthly lab tests to
monitor for medication toxicity.
SOMATOFORM DISORDERS
9. Which statement describes the etiology of hypochondriasis from a
psychodynamic theory perspective?
A. The client expresses physical complaints, which are less
threatening than facing underlying feelings of poor self-esteem.
B. Emotions associated with traumatic events are viewed as morally
or ethically unacceptable and are transferred into physical
symptoms.
C. The clients family has difficulty expressing emotions openly and
resolving conflicts verbally; this is dealt with by focusing on the ill
family member.
D. The deficiency of endorphins seems to correlate with an increase
of incoming sensory stimuli.
10. Which would the nurse expect to assess in a client with long-term
maladaption to stressful events?
A. Diarrhea.
B. Pulse 100, blood pressure 150/94 mm Hg.
C. Profuse diaphoresis.
D. Ulcerative colitis.
11.A client fearful of an upcoming deployment to Iraq develops a paralytic
conversion disorder. Which nursing diagnosis takes priority?
A. Impaired skin integrity R / T muscle wasting.
B. Body image disturbance R / T immobility.
C. Anxiety R / T fears about a combat injury.
D. Activity intolerance R / T paralysis.
12. A client diagnosed with body dysmorphic disorder has a nursing
diagnosis of disturbed body image R / T reddened face. Which is a longterm outcome for this client?
A. The client will recognize the exaggeration of a reddened face by
day 2.
B. The client will acknowledge the link between anxiety and
exaggerated perceptions.
C. The client will use behavioral modification techniques to begin
accepting reddened face.
D. The client will verbalize acceptance of reddened face by
scheduled 3-month followup appointment.
Mr. Joseph Cef Bahian Abang, AHSE, BSN, RN, MAN (c)
The CEF to SUCCESS book makes no representation about the accuracy, authenticity and reliability of this compilation. It disclaims any and all responsibility
or liability for plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation in the
preparation and compilation thereof such being the sole responsibility of the reviewer concerned. This disclaimer serves as a notice to the public that CEF to
SUCCESS book shall not be liable for any complaints, actions or suits in connection with the contents of the materials of this compilation.
The CEF to SUCCESS book makes no representation about the accuracy, authenticity and reliability of this compilation. It disclaims any and all responsibility
or liability for plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation in the
preparation and compilation thereof such being the sole responsibility of the reviewer concerned. This disclaimer serves as a notice to the public that CEF to
SUCCESS book shall not be liable for any complaints, actions or suits in connection with the contents of the materials of this compilation.
A.
B.
The CEF to SUCCESS book makes no representation about the accuracy, authenticity and reliability of this compilation. It disclaims any and all responsibility
or liability for plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation in the
preparation and compilation thereof such being the sole responsibility of the reviewer concerned. This disclaimer serves as a notice to the public that CEF to
SUCCESS book shall not be liable for any complaints, actions or suits in connection with the contents of the materials of this compilation.
Mr. Joseph Cef Bahian Abang, AHSE, BSN, RN, MAN (c)
The CEF to SUCCESS book makes no representation about the accuracy, authenticity and reliability of this compilation. It disclaims any and all responsibility
or liability for plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation in the
preparation and compilation thereof such being the sole responsibility of the reviewer concerned. This disclaimer serves as a notice to the public that CEF to
SUCCESS book shall not be liable for any complaints, actions or suits in connection with the contents of the materials of this compilation.