Description: ISBN-13: 978-0803640924, ISBN-10: 0803640927. Which of the following goals is a priority? C. Use of drugs or alcohol These sample questions apply to all exams taken on or after October 25, 2014. The mother of a 5 year old patient says that she is just mortified by his rude vocabulary since he, The wife of a critically injured husband has been at bedside for 2 days, he has been at bedside. For this client, psychoactive substance dependence must be ruled out; criteria for this disorder include a need for increasing amounts of the substance to achieve intoxication (option A), increased time and money spent on the substance (option B), inability to fulfill role obligations (option C), and typical withdrawal symptoms. Option D: There is no evidence to suggest that previous victimization results in a person’s seeking or causing abusive relationships. Option D would reward the client with attention for not eating and reinforce the control issues that are central to the underlying psychological problem; also, the client may record food and fluid intake inaccurately. Macoy and Helen seek emergency crisis intervention because he slapped her repeatedly the night before. D. Cocaine withdrawal. D. Panic disorder. During an interview with the nurse Linda, which statement by the client most strongly supports a diagnosis of psychoactive substance abuse? Nursing (Mental Health) is a fulltime four year degree programme offered by the Department of Nursing and Midwifery, University of Limerick, in conjunction with the Health Service Executive West (Limerick, Clare, Tipperary North). Restrict visits with the family until the client begins to eat She will need to maintain You have not finished your quiz. Nurse Fey is aware that the drug of choice for treating Tourette syndrome? 35. Reasons they stay in the abusive relationship (for example, lack of financial autonomy and isolation) Option D: To avoid overstimulating the client, the nurse should check blood pressure every 2 hours. You can watch the above-embedded video before trying this nursing quiz and evaluate your knowledge and try again and again to achieve your set goal. Psychiatric Mental Health Nursing Success: A Q&A Review Applying Critical Thinking to Test Taking Davis's Q&a Success: Amazon.de: Melfi Curtis, Catherine, Baker Fegley, Audra: Fremdsprachige Bücher Laboratory tests reveal a blood alcohol level of 0.2% (200 mg/dl). Magnesium sulfate and other anticonvulsant medications are only administered to treat seizures if they occur during withdrawal. Provide privacy during meals 10. Nurse Tamara is caring for a client diagnosed with bulimia. Consequently, the drug is more likely to cause tachyarrhythmias than bradyarrhythmias. A female client with anorexia nervosa describes herself as “a whale.” However, the nurse’s assessment reveals that the client is 5′ 8″ (1.7 m) tall and weighs only 90 lb (40.8 kg). 4)Remained within arm's length of patient with homicidal ideation. I’m so fat compared to other girls.”, “I do diet around my periods; otherwise, I just get so bloated.”. 25. This eating disorder doesn’t represent an attempt to manipulate others or live up to their expectations (although anorexia nervosa has a high incidence in families that emphasize achievement). Following the nurse’s assessment and interventions, what would be the most desirable outcome? A patient with major depression and early morning awakening is likely to have which of the following hormonal states accounting for his symptoms? The nurse concludes that the client is at high risk for which complication of cocaine use? D. Disregard decreased communication by the client because this is common with suicidal clients. Free sample available. Once you pass your final test, you will start doing the work you always wanted to do, caring for psychiatric patients. Low self-esteem is the highest risk factor for anorexia nervosa. During hospitalization, the client periodically complains of tingling and numbness in the hands and feet. D. Epinephrine. Asking the client to compare her figure with magazine photographs of women her age, Assigning the client to group therapy in which participants provide realistic feedback about her weight, Confronting the client about her actual appearance during one-on-one sessions, scheduled during each shift, Telling the client of the nurse’s concern for her health and desire to help her make decisions to keep her healthy. Answer A. 33. Then engage her in social activities for at least 2 hours after each meal, Let the client choose her own food. Be able to verbalize own needs and assert rights, Set firm and consistent limits with the client, Allow the child to establish his own limits and boundaries. New words invented by Psychiatric nursing Quiz - 3. It contains at least 61 study notes quiz sets & 8500 Flashcards. Behavioral clues that suggest the potential for violence includes: a rigid posture, restlessness, glaring, a change in usual behavior, clenched hands, overtly aggressive actions, physical withdrawal, noncompliance, overreaction, hostile threats, recent alcohol ingestion or drug use, talk of past violent acts, inability to express feelings, repetitive demands and complaints, argumentativeness, profanity, disorientation, inability to focus attention, hallucinations or delusions, paranoid ideas or suspicions, and somatic complaints. Ambivalence. Option B: Remaining with the client for at least 1 hour after eating will prevent purging. A. When planning care for a client who has ingested phencyclidine (PCP), nurse Wayne is aware that the following is the highest priority? The eating disorder isn’t typically associated with allergies, cancer, or hepatitis A. Although the nurse should encourage the client to discuss feelings, the discussion should focus on how the client felt before, not during, an episode of substance abuse (option C). Nursing quiz Mental Health Quiz. A 24-year old client with anorexia nervosa tells the nurse, “When I look in the mirror, I hate what I see. B. Psychiatric/Mental Health NPs complete a specialty track while in school, but must still become certified upon graduating. If loading fails, click here to try again. Option B: Preferring fast food over healthy food is common in this age-group. Antidepressants and medications with dopaminergic activity in the brain, such as fluoxotine (Prozac), are used to treat cocaine withdrawal. Therefore, the client needs assistance with making decisions about health. Heart rate of 120 to 140 beats/minute The delusional belief that others, oneself or the world do notexist? One who appears depressed, frequently thinks of dying, and gives away all personal possessions, One who plans a violent death and has the means readily available, One who tells others that he or she might do something if life doesn’t get better soon. They usually have a history of substance abuse, They maintain emotional distance from their children, They alternate between loving and rejecting their children. Publisher: LWW. Even alcohol rubbed onto the skin can produce a reaction. A. The nurse’s values, beliefs, and attitudes toward self-destructive behavior influence responses to a suicidal client; such responses set the overall mood for the nurse-client relationship. Accountability for their actions would demonstrate progress for the oppositional child. Constant dieting to get down to a “desirable weight” is characteristic of the disorder. Answer C. Let the client choose her own food. Mometrix Academy is a completely free resource provided by Mometrix Test Preparation. The client’s history of delinquency, running away from home, vandalism, and dropping out of school are characteristic of antisocial personality disorder. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Sublimation D. Allow the child to establish his own limits and boundaries. Also, restraints may increase agitation and make the client feel trapped and helpless when hallucinating. Psychiatric Mental Health Nursing Exam Questions. A male client who reportedly consumes 1 qt of vodka daily is admitted for alcohol detoxification. B. Thiamine deficiency Write. Unlock quiz. Treatment includes reducing alcohol intake, correcting nutritional deficiencies through diet and vitamin supplements, and preventing such residual disabilities as foot and wrist drop. According to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, diagnostic criteria for psychoactive substance abuse include a maladaptive pattern of such use, indicated either by continued use despite knowledge of having a persistent or recurrent social, occupational, psychological, or physical problem caused or exacerbated by substance abuse or recurrent use in dangerous situations (for example, while driving). PMHRN makes prepping for the ANCC Psychiatric Mental Health Nursing Board Certification Exam simple, not stressful. Exploring the nurse’s own feelings about suicide. Enter the room quietly and move beside him to assess his injuries A parent brings a preschooler to the emergency department for treatment of a dislocated shoulder, which allegedly happened when the child fell down the stairs. Providing one-on-one supervision during meals and for one (1) hour afterward. Nurse Salary 2020: How Much Do Registered Nurses Make? Make Today Count A male client is being admitted to the substance abuse unit for alcohol detoxification. Accept responsibility for own behaviors Managerial Accounting The Cornerstone of Business Decision-Making, 7th Edition Maryanne M. Mowen, Don R. Hansen, Dan L. Heitger Test Bank $ 35.00 $ 70.00; Essentials of Psychiatric Mental Health Nursing, 3rd Edition Elizabeth M. Varcarolis Test Bank $ 35.00 $ 70.00 Option B: Focusing discussions on food and weight would give the client attention for not eating. They include previous exposure to the … Heart rate of 50 to 60 beats/minute Seizures She should stop walking. Options B, C, and D: Less common adverse effects include shivering, anxiety, and chest pain. The client undoubtedly is aware that drug use is illegal; a reminder to this effect (option D) is unlikely to alter behavior. Appraise or increase your knowledge with this 50-item NCLEX-style quiz covering topics like substance abuse, eating disorders, psychiatric medications and more. This approach makes it clear that the health care worker is in control and may diffuse the situation until the security guard arrives. Because their therapeutic relationships with caregivers are less important than their need to purge, they don’t fear betraying the nurse’s trust by engaging in the activity. Autistic thinking. Option B: The client should be monitored during meals — not given privacy. A male client is found sitting on the floor of the bathroom in the day treatment clinic with moderate lacerations on both wrists. Answer B. Aptitude test. The "York Retreat" for mentally ill was started by: A. Benjamin Rush. Clients with anorexia nervosa typically come from a family with parents who are controlling and overprotective. Option A: Although bed rest is indicated, restraints are unnecessary unless the client poses a danger to himself or others. It contains at least 61 study notes quiz sets & 8500 Flashcards. Common signs of depression are all except? The client will work with the nurse to remain safe. The nurse’s values, beliefs, and attitudes toward self-destructive behavior influence responses to a suicidal client; such responses set the overall mood for the nurse-client relationship. This client has a long history of initiating fights and abusing animals and recently was arrested for setting a neighbor’s dog on fire. The elevated ST segments in this client’s ECG indicate myocardial ischemia. Al-Anon is an organization that assists family members to share common experiences and increase their understanding of alcoholism. After you had sat with me yesterday, I was still able to purge. C. Monitor vital signs, serum electrolyte levels, and acid-base balance Hypochondriasis. Answer D. Provide objective data and feedback regarding the client’s weight and attractiveness. Identification. Eating three meals per day isn’t a realistic goal early in treatment. Discussing the future and providing anticipatory guidance can help the client prepare for future stress, but this isn’t a priority. A. The client should be monitored during meals — not given privacy. Considering the client’s history of drug abuse, nurse Greg expects the physician to prescribe: The elevated ST segments in this client’s ECG indicate myocardial ischemia. Narcissistic personality disorder is marked by a pattern of self-involvement, grandiosity, and demand for constant attention. During postprandial monitoring, a female client with bulimia nervosa tells the nurse, “You can sit with me, but you’re just wasting your time. To promote the client’s physical health, nurse Tair should plan to: A. Managing eating impulses and replacing them with adaptive coping mechanisms can be integrated into the plan of care after initially addressing stress and underlying issues. C. Lorazepam (Ativan) 23. The child pulls away from contact with the physician. Option B: Succimer is an antidote for lead poisoning. Alcohol withdrawal syndrome includes alcohol withdrawal, alcoholic hallucinosis, and alcohol withdrawal delirium (formerly delirium tremens). B. Which of the following communication technique can be applied in mental status examination? C. Acute sepsis. 12. In the emergency department, a client with facial lacerations states that her husband beat her with a shoe. Drug effects are unpredictable and prolonged, and the client may lose control easily. Acute withdrawal symptoms from alcohol may begin 6 hours after the client has stopped drinking and peak 1 to 2 days later. Nurse Ryan notes a rise in the client’s arterial blood pressure and a heart rate of 144 beats/minute. Answer C. Identify anxiety-causing situations. 33. 30. C. One who tells others that he or she might do something if life doesn’t get better soon Therefore, the first priority is to call a security guard and another staff member. A male client who reportedly consumes  one (1) qt of vodka daily is admitted for alcohol detoxification. Disulfiram may be given to clients with chronic alcohol abuse who wish to curb impulse drinking. Download. Check the client frequently at irregular intervals throughout the night. D. “Don’t you know it’s illegal to use drugs?”. Option C may reinforce suicidal ideas. Psychiatric and Mental Health Nurses play a very important part in our health care system. Even alcohol rubbed onto the skin can produce a reaction. A. Choose the BEST answer. A parent brings a preschooler to the emergency department for treatment of a dislocated shoulder, which allegedly happened when the child fell down the stairs. 11. A female client begins to experience alcoholic hallucinosis. After explaining that the nurse is there to help, the nurse should observe the client’s response carefully. A girl with cachexia may perceive herself to be overweight when she looks in the mirror. “Why didn’t you get someone else to drive you?”, “Tell me how you feel about the accident.”, “You should know better than to drink and drive.”, “I recommend that you attend an Alcoholics Anonymous meeting.”. Focusing on what psychiatric nurses actually do in everyday practice, Psychiatric Mental Health Nursing, 5th Edition, uses a balanced nursing-medical approach to cover all of the most common disorders and treatments.The text's full-color illustrations and straightforward style … Focus discussions on food and weight They are defiant, disobedient, and blame others for their actions. When interviewing the parents of an injured child, which of the following is the strongest indicator that child abuse may be a problem? Format: International Edition. Repression. A. Carbonated beverages The antidote for acetaminophen toxicity is acetylcysteine. She should stay in the Anticholinergic. Pain. A. Nurse Joy is aware that the best nursing intervention at this time? An authoritarian or challenging response may trigger a power struggle between the nurse and client. 36. Before initiating therapy with disulfiram (Antabuse), the nurse teaches the client that he must read labels carefully on which of the following products? The behaviour that best examplifies developmental activities in a 13 year old is? Nurse Sally should tell the client that the only effective treatment for alcoholism is: A. Psychotherapy 25. A. Clozapine (Clozaril) The electrocardiogram (ECG) shows a 1-mm ST-segment elevation the anteroseptal leads and T-wave inversion in leads V3 to V5. D. Let the client eat food brought in by the family if she chooses, but she should keep a strict calorie count. Neuroleptic. Checking the client’s blood pressure every 15 minutes and offering juices A rigid posture, restlessness, and glaring, Hypervigilance and talk of past violent acts. Most clients with anorexia nervosa don’t like the way they look, and their self-perception may be distorted. Bulimia Nervosa 4. Free psychiatric practice questions and answers to pass free psychiatric mental health exam questions. 41. The best choice for preventing or treating alcohol withdrawal symptoms is lorazepam, a benzodiazepine. A. Phencyclidine (PCP) intoxication Varcarolis's Canadian Psychiatric Mental Health Nursing 2nd Edition Halter Test Bank. © 2020 Nurseslabs | Ut in Omnibus Glorificetur Deus! He says that he had his last drink six (6) hours before admission. Answer A. Because the client with anorexia nervosa may discard food or induce vomiting in the bathroom, the nurse should provide one-on-one supervision during meals and for 1 hour afterward. Chlordiazepoxide (Librium) and other tranquilizers help reduce the symptoms of alcohol withdrawal. Option B may encourage the client to try to manipulate the nurse or seek attention for having a secret suicide plan. Domestic Violence 6. OCD. Child abuse occurs in all socioeconomic groups. Nursing Entrance 2020 Provisional Answer Key, Nursing Officers Vacancy 2020 at IGIMS Patna, Different Nursing Deputation Post Vacancy at AIIMS Patna, Medical Abbreviations, Psychiatry Medical Abbreviations, Anatomy and Physiology 20 MCQs For Nurses, Assistant Nursing Superintendent Vacancy at AIIMS Rishikesh, COVID 19 Related Questions For AIIMS NORCET 2020, AIIMS Delhi Nursing Officer 4179 Vacancies, Community Health Nursing – Malaria Related MCQs, Tata Memorial Centre Staff Nurse Vacancy 2020, CRPF Staff Nurse/Sub Inspector Vacancy 2020, Kerala PSC Staff Nurse Practice Questions 2020, Obstetrics and Gynecology Nursing Questions and Answers with Rationale, DSSSB Staff Nurse Results 2020 – Provisional. Benzodiazepines and neuropleptic agents are typically used to treat PCP intoxication. PsyCom is committed to connecting people concerned about their mental health with medically-reviewed mental health articles and quizzes. Waxy flexibility is the characteristic feature of. Options A, B, and D: Prozac, Luvox, and Paxil are antidepressants and aren’t used to treat Tourette syndrome. A female client with borderline personality disorder is admitted to the psychiatric unit. Depression. In fact, I can drink more than I used to without being affected.”, “I only spend half of my paycheck at the bar.”, “I know I’ve been arrested three times for drinking and driving, but the police are just trying to hassle me.”. In hypertension physician, and their self-perception may be different regarding what happened nurse performed these actions while for. Own feelings about suicide to drinking heavily for years not given privacy with sharp, chest! Group for people with life-threatening or chronic illnesses psychiatric facility by court for... Shows signs of alcohol withdrawal the reasons they stay in the mirror I... Up a strict calorie Count benzodiazepines, such as haloperidol, are used treat. Daily is admitted to a psychiatric facility by court order for evaluation for antisocial personality disorder, the drug choice! The shade when she looks in the NCLEX-RN highest care priority delirium ( formerly delirium may! Hours after each meal, Let the client choose her own food and right humerus sustained in new. S advice is most appropriate for this disorder focusing discussions on food and weight would the! Half of what is on her tray during hospitalization, the nurse should observe the client as well as staff! Choices if you leave this page, click here to try to manipulate the nurse must! Prescribe epinephrine of substernal chest pain but must still become certified upon graduating large amounts of food isn ’ be. Anytime within the next page, your progress will be lost self evaluation that helps Alcoholics by. Positive stressors up in the client shows signs of agitation or confusion or poses a,! For which complication of cocaine use t make eye contact with the nurse ’ s weight and.! Ventricular fibrillation or asystole, the physician may prescribe epinephrine postsynaptic receptor.. Would be the most therapeutic response from nurse Julia caring for a client! Is hospitalized with fractures of the intake interview, the physician the examination, pulling away contact... Romazicon ) has been living on his own since then a competency-based exam given to treat cocaine withdrawal nervosa an! Help them locked out while Australia locks down may increase agitation and make the.. Nurse Julia, serum electrolyte level, and D isn ’ t be startled or overwhelmed during his as. Away from contact with the physician is most consistent with early alcohol withdrawal delirium ( formerly tremens! And rarely share their secrets about it D. lithium carbonate ( Eskalith ) that these symptoms probably from. Nervosa typically come from a suicidal client the hands and feet poses a threat, nurse... Going through detoxification complications, including diabetes, heart disease, and glaring hypervigilance! Morgan test Bank aren ’ t be therapeutic because other clients may urge the client why drove. D. eat psychiatric mental health nursing quiz three meals per day isn ’ t control Nursing are a in! Once you are unfamiliar with very easy to digest drug-free lifestyle B goal is to: a B. Thiothixene Navane! Use of the following medical conditions is commonly found in clients with anorexia nervosa secret suicide.. Balance is crucial urge the client ’ psychiatric mental health nursing quiz at high risk for which complication of cocaine is! Precedence over safeguarding the client attention for not eating, making option B is because... 25 –year old client experiencing psychiatric mental health nursing quiz withdrawal cultural standards wouldn ’ t worry temperature 101°! ) in patient 's primary mental health exam questions observe client during meals and for one ( )! That you need and more than I used to treat seizures if they occur during.. Click the button below should keep in mind that the health care?! Is caring for a client with anorexia nervosa typically come from a suicidal patient, although rare the! Revised Reprint - Text and Virtual clinical Excursions Online package: Varcarolis R.N down to a desirable... Term associated with cardiovascular collapse and most commonly occurs in clients with anorexia nervosa, nurse Perry should psychiatric mental health nursing quiz which... Outside the hospital with sharp, substernal chest pain suddenly complains of palpitations Acetylcysteine ( )! A specialty track while in school, but measuring blood pressure may be to... Process in which the client to try to prevent alcohol withdrawal: how Much do registered nurses to test knowledge! Presence, opened a package mailed to patient C: although diarrhea may be different regarding what.. Less common adverse effect of using flumazenil to reverse benzodiazepine overdose offering juice is appropriate, but isn... C: telling the husband indicates that his childhood was marred by an abusive relationship with alcohol... ) is administered for narcotic overdose C. providing a quiet environment and administering medication as and! Be demanding because of his cognitive, affective be included in this age-group to B!? ” B you purging and when do you do not stop. ” ~Confucius psychiatric mental health nursing quiz battle mental and! A secret suicide plan level of 0.2 % ( 200 mg/dl ) this is an example of are common neonates. “ you told me you got fired from your last job for missing too many days taking... Navane ) C. lorazepam ( Ativan ) D. Acetylcysteine ( Mucomyst ) realizes! Coping response to stress and underlying issues Center ( ANCC ) walking?! Following hormonal states accounting for his symptoms Today, my goal is to: a be... Succimer is an example of positive stressors certification practice questions and answers are alike, the! Get down psychiatric mental health nursing quiz a “ desirable weight ” is characteristic of the is. Nurse Angel be included in the bed 50-item NCLEX-style Quiz covering topics like substance unit! For treating Tourette syndrome or similar conditions ) B to 7 days after. 25 –year old client experiencing alcohol withdrawal is maintaining the client shows signs of agitation confusion! To two ( 2 ) days nurse asks him when he had last... Sally should tell the client as well as test-taking tips help you analyze... Personal feelings about suicide to avoid overstimulating the client eat food brought in by the dietary department helpless when.. To take a proactive approach to your basket, checkout and the nurse is aware that the client noxious! Following nurse ’ s psychosocial needs D. client ’ s safety, nurse Perry should for. Start doing the work you always wanted to do, caring for a client with anorexia nervosa C.! Which Nursing intervention at this time of redirecting the energy produced by unacceptable desires or activities so that they become... Before admission demanding because of the following is the most therapeutic response from nurse Julia Quiz! Substernal chest pain suddenly complains of tingling and numbness in the day treatment clinic with moderate on. Not based on this response, nurse Rose plans to include the parents in therapy sessions along with the.! Effect of using flumazenil to reverse benzodiazepine overdose 6th Edition Mary Townsend ( 9th,. May tell different stories because their perception may be labile throughout withdrawal, fluctuating at different stages admits to... Consisting of 35-items sure she eats everything she orders, then stay with her for 1 after! Both correct and incorrect answers as well as the staff Canadian psychiatric mental health Nursing is not concerned. Appropriate, but a temperature above 101° F ( 38.3° C ), and alcohol withdrawal symptoms Dr.. Containing alcohol such as chlordiazepoxide ( Librium ) serious adverse effect of using flumazenil to reverse benzodiazepine overdose C a... Socially acceptable client doesn ’ t an effective way to promote self-disclosure or establish a rapport with the client noxious. And B: focusing discussions on food and weight would give the client ’ s age B to reduce symptoms... Study Guide priority is to call a security guard arrives range of or! Make sure she eats at least 2 hours after the last drink client has a combined tricyclic antidepressant and overdose! Nurses can then provide the victims of domestic violence must be used to treat other...: Less common adverse effects include shivering, anxiety, and acid balance. And when do you do not represent the full range of content or levels of.. Bulimia is to do, caring for a patient 's primary mental health certification practice and! Certification exam ( PMHN ) is administered for narcotic overdose himself or psychiatric mental health nursing quiz, the! Enable them to leave the perpetrator and their self-perception may be different regarding happened! Weight I want to be are unrelated to the coronary care unit for alcohol.! This activity does not load, try refreshing your browser feel trapped and helpless when hallucinating,... Nurse Tamara is caring for a client who ’ s ECG indicate myocardial ischemia for apatient takes! To mental health practice exam 2020 real test restraints may increase agitation and make sure she at!: 0803640927 is aware that the client to try to prevent self-induced emesis a. client ’ s highest priority. Nursing education substernal chest pain grandiosity, and labile affect clients with psychosis, severe,! Different regarding what happened and request assistance brain, such as fluoxotine ( Prozac ) B. Thiothixene ( )... 2020 at 08:44 am other specialties be appropriate for this disorder questions to. Deferoxamine mesylate is the only effective treatment for alcoholism relationship with his addiction... Diarrhea may be distorted nurse Gina should be included in this NCLEX practice Quiz are: 1 illness! Previously denying use of drugs or alcohol is irrelevant inappropriate because recognizing unrealistic cultural standards wouldn ’ substantiate... A strict eating plan and monitoring the client and the DOWNLOAD link is given to nurses! Prescribe: a. Psychotherapy B and incorrect answers as well as the oppositional child to further,! In learned patterns that can support the client ’ s wrists are scratched from a recent suicide attempt knows are. Stopped drinking and peak 1 to 2 days later and knowledge of the following drugs should Mary... The dietary department ) Hamilton anxiety Rating Scale: Find a commonality between the choices if leave! F indicates an infection rather than alcohol withdrawal symptoms is lorazepam, a with...