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Terms in this set (27)
What defense mechanism is most often used by parents who abuse an infant or toddler?
Which action would be difficult for a client who has borderline personality disorder to complete during the orientation phase of a therapeutic relationship?
a. controlling anxiety
b. terminating the session on time
c. accepting the psychiatric diagnosis
d. setting mutual goals for relationship
Which action would the nurse take for a client diagnosed with schizotypal personality disorder?
a. set limits on manipulative behavior
b. encourage participation in group therapy
c. respect the client's need for social isolation
d. recognize that seductive behavior is expected
Which factors would the nurse find in the client history of a young college student with borderline personality disorder? SATA
b. lability of mood
c. ritualistic behavior
d. psychomotor retardation
e. self-destructive behavior
Which personality disorder would the nurse suspect in a client telling a rambling, lengthy, unclear, and overly detailed story about their dog, who they say is the president? SATA
According to the DSM-5, which behaviors describe an individual with a cluster A personality disorder?
a. odd and eccentric
b. anxious and fearful
c. dramatic and erratic
e. hostile and impulsive
Which personality traits are exhibited in a client who has a diagnosis of borderline personality disorder? SATA
Which DM is considered a conscious measure that is used to cope with anxiety?
Which intervention will the nurse use for a client diagnosed with BPD to develop healthier coping mechanisms?
a. provide a stress free environment
b. encourage healthy relationships with peers
c. allow the client to take responsibility for decisions
d. set realistic limits on maladaptive behavior
Which action would the nurse take for a client who is admitted with conversion disorder?
a. talk about the physical problems
b. explore ways to verbalize feelings
c. explain how stress caused the physical symptoms
d. focus on the client's concerns regarding the symptoms
Which reaction toward the physical symptom would the nurse observe in a client with conversion disorder?
Which verbalization from a client with DID, who is discharged after a 2- week hospitalization, would indicate effectiveness of the short-term therapy?
a. the ability to deal openly with feelings
b. that many of the personalities can be ignored
c. the need for long-term outpatient psychotherapy
d. that the personalities serve no protective purpose
Which responses would a nurse observe in survivors during the period immediately after a traumatic event? SATA
Which nursing intervention is appropriate for an 8-year-old victim of an earthquake who has trouble sleeping, startles easily, and experiences "flashbacks" of the disaster?
a. restraining the child while sleeping
b. referring the child to a clinical psychologist
c. administering sedatives to the child at night
d. placing the child's favorite toys in the bed while sleeping
Which statement made by the nurse indicated understanding of the DSM-5 criteria for PTSD? SATA
a. feelings of self worth remain high
b. PTSD does not occur in children younger than 6 years of age
c. clients will remember all details of the event
d. flashbacks must last longer than 1 month
e. derealization means feeling detached from your body
Which characteristic uniquely associated with psychophysiological disorders would differentiate them from somatic symptom disorders?
a. emotional cause
b. feeling of illness
c. restriction of activities
d. underlying pathophysiology
Which rationale best explains how an addiction to alcohol occurs?
a. person eventually requires alcohol for functioning
b. person lacks the motivation or will to stop drinking
c. person has developed very few coping mechanisms
d. person enjoys the social aspects of drinking alcohol
Which behavior would the nurse observe in a child with oppositional defiant disorder?
a. has excessive anxiety
b. destroys property
c. violates the rights of others
d. deliberately annoys others
Which initial action would the nurse take for a client admitted to an alcohol rehabilitation center who on the 4th day after admission has a strong odor of alcohol on breath?
a. ask where the client got the alcohol
b. locate the alcoholic substance
c. convey the staff's disappointment in this behavior
d. document the client's drinking
Within a few hours of alcohol withdrawal, the nurse would assess the client for the presence of which clinical manifestation? SATA
e. profuse diaphoresis
While assessing an older client before noon, the nurse smells alcohol on the client's breath. Which additional signs and symptoms would the nurse monitor for? SATA
b. poor hygiene
c. family conflict
d. good nutritional habits
e. excessive mood swings
f. strong cognitive skills
Which response would the nurse use when a client is observed hiding a bottle of whiskey in the back of a drawer?
a. wait and try to catch the client drinking the alcohol
b. confiscate the alcohol when the client is not looking
c. wait for the client to bring up the subject of drinking
d. ask the client how much alcohol she or he consumes in a week
The client, who has 4 children, was charged with abusing her 2-year-old son who is in critical condition. Which client behaviors would the nurse anticipate? SATA
a. denies beating the child
b. avoids talking about the situation
c. asks how the other children are doing
d. asks how the 2-year-old is doing
e. exhibits an emotional nonchalance
Which action by the nurse would decrease the risk for child with ODD?
a. redirect anger in other ways
b. assess problem-solving skills
c. explore home support systems
d. determine the presence of substance abuse
Which action would the nurse use to minimize confrontation and the need for seclusion in a client with a conduct disorder?
a. standing close to the client
b. using "I" and "you" statements
c. employing low expressed emotions
d. speaking in an authoritative manner
For a postsurgical client, which data suggest acute alcohol withdrawal? SATA
a. tremors in both hands make it difficult for the client to hold a cup
b. systolic BP has dropped 6 points over the past 6 hours
c. the client is falling asleep while talking on the telephone to family
d. the client's bed linens and pajamas had to be changed during the night because of diaphoresis
e. the client who has been cooperative becomes verbally abusive and irritable
In which time interval do the most serious life threatening effects of alcohol withdrawal occur?
a. 8-12 hours
b. 12-24 hours
c. 24-72 hours
d. 72-96 hours
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