NURS 3525 MENTAL HEALTH EXAM 2 AND EXAM 3 PLUS FINAL

NURS 3525 MENTAL HEALTH EXAM 2 AND EXAM 3 PLUS FINAL

EXAM TEST BANK REAL EXAM QUESTIONS AND CORRECT

ANSWERS|KEISER UNIVERSITY

EXAM 2

1.A nursing instructor is teaching about specific phobias. Which student statement indicates that learning has occurred?

• "These clients do not recognize that their fear is excessive, and they rarely seek

treatment."

• These clients have overwhelming symptoms of panic when exposed to the phobic stimulus."
• "These clients experience symptoms that mirror a cerebrovascular accident (CVA)."
• "These clients experience the symptoms of tachycardia, dysphagia, and diaphoresis."

• A client has a history of excessive fear of water. Which term should the nurse use to

describe s specific phobia, and under what subtype is this phobia identified?

• Aquaphobia; a natural environment type of phobia
• Aquaphobia; a situational type of phobia

• Acrophobia; a natural environment type of phobia

• Acrophobia; a situational type of phobia

• How would the nurse differentiate a client diagnosed with a social phobia from a client

diagnosed with a schizoid personality disorder (SPD)?

• Clients diagnosed with social phobia can manage anxiety without medications, whereas

clients diagnosed with SPD can manage anxiety only with medications.

• Clients diagnosed with SPD are distressed by the symptoms experienced in social settings,

whereas clients diagnosed with social phobia are not.

• Clients diagnosed with social phobia avoid interactions only in social settings, whereas clients

diagnosed with SPD avoid interactions in all areas of life.

• Clients diagnosed with SPD avoid interactions only in social settings, whereas clients

diagnosed with social phobias tend to avoid interactions in all areas of life.

• How would the nurse differentiate a client diagnosed with panic disorder from a client

diagnosed with generalized anxiety disorder (GAD)?

• GAD is acute in nature, and panic disorder is chronic.
• Chest pain is a common GAD symptom, whereas this symptom is absent in panic disorders. 1 / 4

• Hyperventilation is a common symptom in GAD and rare in panic disorder.
• Depersonalization is commonly seen in panic disorder and absent in GAD. 2 / 4

• Which treatment should the nurse identify as most appropriate for clients diagnosed with

GAD?

• Long-term treatment with diazepam (Valium)
• Acute symptom control with citalopram (Celexa)
• Long-term treatment with buspirone (BuSpar)
• Acute symptom control with ziprasidone (Geodon)

• A client diagnosed with obsessive-compulsive disorder (OCD) reports to the nurse that he

can't stop thinking about all the potentially life-threatening germs in the environment. Which is the most accurate way for the nurse to document this symptom?

• Client is expressing an obsession with germs.
• Client is manifesting compulsive thinking.
• Client is expressing delusional thinking about germs.
• Client is manifesting arachnophobia of germs.

• A cab driver stuck in traffic is suddenly lightheaded, tremulous, and diaphoretic and

experiences tachycardia and dyspnea. An extensive work-up in an emergency department reveals no pathology. Which medical diagnosis is suspected, and which nursing diagnosis is the priority?

• Generalized anxiety disorder (GAD) and a nursing diagnosis of fear
• Altered sensory perception and a nursing diagnosis of panic disorder
• Pain disorder and a nursing diagnosis of altered role performance

4.Panic disorder and a nursing diagnosis of panic anxiety

• A client diagnosed with panic disorder states, "When an attack happens, I feel like I am

going to die." Which is the nurse's most appropriate reply?

• "I know it's frightening, but try to remind yourself that it will only last a short time."
• "Death from a panic attack happens so infrequently that there is no need to worry."
• "Most people who experience panic attacks have feelings of impending doom."
• "Tell me why you think you are going to die every time you have a panic attack."

• A nursing instructor is teaching about the medications used to treat panic disorder. Which

student statement indicates that learning has occurred?

• AClonazepam (Klonopin) is particularly effective in the treatment of panic disorder."
• "Clozapine (Clozaril) is used off-label for the long-term treatment of panic disorder.
• "Doxepin (Sinequan) can be used in low doses to relieve symptoms of panic attacks."
• "Buspirone (BuSpar) is used for its immediate effect to lower anxiety during panic attacks." 3 / 4

• A client is experiencing a severe panic attack. Which nursing intervention would meet this

client's immediate need?

• Teach deep-breathing relaxation exercises.
• Place the client in a Trendelenburg position.
• Stay with the client and offer reassurance of safety.
• Administer the ordered PRN buspirone (BuSpar).

• A client living on the beachfront seeks help with an extreme fear of crossing bridges,

which interferes with daily life. A psychiatric-mental health nurse practitioner decides to try systematic desensitization. Which explanation of this therapy should the nurse convey to the client?

• "Using your imagination, we will attempt to achieve a state of relaxation that you can

replicate when faced with crossing a bridge."

• "Because anxiety and relaxation are mutually exclusive states, we can attempt to

substitute a relaxation response for the anxiety response." 3Through a series of increasingly anxiety-provoking steps, we will gradually increase your tolerance to anxiety."

• "In one intense session, you will be exposed to a maximum level of anxiety that you

will learn to tolerate."

• A client diagnosed with OCD is admitted to a psychiatric unit. The client has an elaborate

routine for toileting activities. Which should be the initial client outcome during the first week of hospitalization?

• The client will refrain from ritualistic behaviors during daylight hours.

(2) The client will wake early enough to complete rituals prior to breakfast.

• The client will participate in three unit activities by day 3.
• The client will substitute a productive activity for rituals by day 1.

• The nurse is providing discharge teaching to a client taking a benzodiazepine. Which client

statement indicates a need for further instructions?

• "I will need scheduled bloodwork to monitor for toxic levels of this drug."
• "I won't stop taking this medication abruptly, because there could be serious

complications."

• "I will not drink alcohol while taking this medication."
• "I won't take extra doses of this drug because I can become addicted."
• / 4