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Behavioral Psych Nursing Past Quizzes
Terms in this set (65)
Individuals that experience at least one hypomanic episode and at least one major depressive episode have which type of Bipolar Disorder?
Bipolar 2 Disorder
A period of intense mood disturbance with persistent elevation, expansiveness, irritability and extreme goal-directed activity or energy is called _________.
How long do manic symptoms need to last to be considered abnormal?
Before administering lithium, a complete baseline assessment of renal and thyroid function should be completed.
Which anticonvulsant drug works better with rapid cycling and severely paranoid angry patients?
Which statement factually describes the act of suicide?
A client diagnosed with schizophrenia is at great risk for attempting suicide.
Thinking about personal death, including the wish to be dead, considering methods of accomplishing death, and formulating plans to carry the act out is called _____________.
Protective factors are characteristics that make it less likely that individuals will consider, attempt, or die by suicide.
Which is the greatest protective factor against the risk of suicide?
A sense of responsibility to family
A college student who failed two tests cried for hours and then tried to telephone a parent but got no answer. The student then gave several expensive sweaters to a roommate and asked to be left alone for a few hours. Which behavior provides the strongest clue of an impending suicide attempt?
Giving away sweaters
A student nurse on the psychiatric unit expresses being uncomfortable about discussing possible suicidal ideations with clients because "It might put ideas in their head about suicide." What is the nurse's best response to this student's concern?
"Actually, it's a myth that asking about suicide puts ideas into someone's head."
While intoxicated a client unsuccessfully attempted suicide by using a gun. This method of using a gun to attempt suicide should be described in what terms?
It is high risk, or a hard method.
Prevention is a primary intervention and includes activities that provide support, information, and education to prevent suicide.
Which suicide prevention intervention has the greatest impact on a client's safety?
One-on-one observation by the staff.
A tearful, anxious patient at the outpatient clinic reports, "I should be dead." The initial task of the nurse conducting the assessment interview is to
establish trust with the patient.
Which depressive disorder is characterized by symptoms of constant and severe irritability and anger in individuals between the ages of of 6 and 18?
Disruptive Mood Dysregulation Disorder
All depressive disorders share which of the following symptoms? Select all that apply,
Major depressive disorder, or major depression, is characterized by a persistently depressed mood lasting for a minimum of __________.
There is evidence that genetic factors play a role in the development of depressive disorders.
In cognitive theory, Beck found that people with depression process information in __________ways, and tend to ignore ________aspects of their lives.
An excesses of dopamine, serotonin, and/or norepinephrine is the bases for depression.
A combination of psychotherapies and antidepressant therapy is superior to either psychotherapy or psychopharmacological treatment for depression alone.
Wellbutrin is what type of drug used for major depressive disorder?
NDRIs - Norepinephrine Dopamine Reuptake Inhibitor
Antidepressants work to increase the availability of one or more of which neurotransmitters?
serotonin, norepinephrine, dopamine
A nurse instructs a patient taking a medication that inhibits the action of monoamine oxidase (MASIs) to avoid certain foods and drugs because of the risk of
According to APA, trauma is defined as an emotional response to a terrible event like an accident, rape, or natural disaster.
A 4 year old client is referred to the outpatient clinic after being in a severe care accident during which the child's mother died. The father states that the child is withdrawn, not sleeping, having nightmares, and acts out the car accident over and over when playing. The child states, "It's my fault because I'm bad." What trauma induced disorder does this data support?
When discussing the symptoms of PTSD, what is the best statement for the nurse to make?
the symptoms can occur almost immediately or can take years to manifest.
A child who is able to regain mental stability after a traumatic event is said to be demonstrating what trait?
Which child is at greatest risk for developing attachment problems as a result of a neurobiological development?
A 4-year-old female
Which of the following symptoms would lead a provider to suspect that an adult is experiencing PTSD?
-flashbacks of the accident
A client diagnosed with PTSD shows little symptom improvement after being prescribed a SSRI. The nurse expects that which medication will be prescribed next?
Tricyclic antidepressant (TCA)
After the sudden death of his wife, a man says, "I can't live without her...she was my whole life." Select the nurse's most therapeutic reply.
"Her death is a terrible loss for you."
A person runs from a crowded nightclub after a pyrotechnics show causes the building to catch fire. Which division of the autonomic nervous system will be stimulated in response to this experience?
Sympathetic nervous system
Relaxation techniques help clients who have experienced major traumas because they ________.
engage the parasympathetic nervous system.
Freud believed that individuals cope with anxiety by implementing which mechanism?
Considering Sullivan's term security operations, which statement suggests that the client's specialized treatment goal has been successfully met?
I'm experiencing much less anxiety about school now.
A nurse consistently encourages patient to do his or her own activities of daily living (ADLs). If the patient is unable to complete an activity, the nurse helps until the patient is once again independent. This nurse's practice is most influenced by which theorist?
What is the premise underlying behavioral therapy?
Behavior is learned and can be modified
Role-playing is associated with which type of psychotherapy?
A cognitive based intervention would help a client restructure the thought "I am stupid!" to which statement?
"What I did was stupid."
A nurse is providing care to a 28-year-old patient diagnosed with bipolar disorder who was admitted in a manic state. According to Maslow's Hierarchy of Needs theory, the nurse identifies which patient symptom as having priority?
Lack of sleep
The nurse providing anticipatory operant conditioning guidance to the mother of a toddler states that childhood temper tantrums are best handled by which response?
Ignoring the tantrum and giving attention when the child acts appropriately
Which technique is most applicable to aversion therapy?
Which therapy involves electrical brain stimulation for treatment of mental illness?
Electroconvulsive therapy (ECT)
Which statement made by the nurse acknowledges that they understand the difference between ethnicity and culture?
Ethnicity refers to shared history and heritage, whereas culture refers to sharing the same beliefs and values.
Which nursing behavior best demonstrates the concept of cultural competence?
Adjusting personal practices to meet the patients' cultural preferences, beliefs, and practices
Which statement best explains the term "worldview"?
Beliefs and values held by people of a given culture about what is good, right, and normal
What term is used to describe the process implemented when member of a group are introduced to the culture's worldview, beliefs, values, and practices?
According to the Western scientific view of health, what causes illness?
In the Chinese tradition, disease is believed to be caused by what factor?
Fluctuations in opposing forces
The nurse assesses the wellness beliefs and values of a client from another culture best when asking which question?
What do you think is making you ill?
A patient who has been hospitalized for 3 days with a serious mental illness says, "I've got to get out of here and back to my job. I get 60 to 80 messages a day, and I'm getting behind on my email correspondence." What is this patient's perspective about health and illness?
A Vietnamese patient's family reports that the patient has wind illness. Which menu selection will be most helpful for this patient?
A nurse begins work in an agency that provides care to members of a minority ethnic population. The nurse will be better able to demonstrate cultural competence after ________.
exploring commonly held beliefs and values of the population.
How is anger best defined?
a normal response to a perceived threat
Which behavior best demonstrates aggression?
Stomping away from the nurses' station, going to the hallway, and grabbing a tray from the meal cart.
Which central nervous system structures are most associated with anger and aggression? (Select all that apply)
Amygdala, prefrontal cortex
Which neurotransmitter imbalance has been shown to be related to impulsive aggression?
low levels of serotonin
Nurses coping with angry clients may find it helpful to remember that anger and aggression begin as feelings of which personal characteristic?
A nurse attempts to intervene verbally when an angry client initially threatens to throw a chair but quickly focuses the anger toward the nurse. Several staff members gather behind the nurse, but then the client shouts, "I will calm down when that nurse isn't in my face." The nurse best demonstrates the ability to help the client deescalate by implementing which intervention?
moving outside of the clients personal space
A client has a history of demonstrating aggression physically. What short-term goal will best help the client manage this anger?
Identify situations that precipitate hostility
A 21-year-old client asks the nurse, "What's wrong with my brain causing me to be so angry and aggressive?" The nurse's best response is grounded on what research-supported basis?
The limbic system, the prefrontal cortex, and neurotransmitters have been implicated in playing a part in aggression
What older concept of care is being used currently to help reduce violence in disruptive clients?
When are restraints indicated?
to protect the client from self-harm
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