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Test Bank - Psychiatric Nursing: Contemporary Practice,
7th Edition (Ann Boyd, 2023), Chapter 1-43 | All Chapters Covered/ Complete Guide Rated A+ Chapter 1 • Multiple Questions
1.Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal?Milk Orange Juice Soda Regular Coffee - Correct Answer - D . Regular coffee contains caffeine which acts as psychomotor stimulants and leads to feelings of anxiety and agitation. Serving coffee top the client may add to tremors or wakefulness.
2.Cely is experiencing alcohol withdrawal exhibits tremors, diaphoresis and hyperactivity. Blood pressure is 190/87 mmhg and pulse is 92 bpm. Which of the medications would the nurse expect to administer?Naloxone (Narcan) Benzlropine (Cogentin) Lorazepam (Ativan) Haloperidol (Haldol) - Correct Answer - C . The nurse would most likely administer benzodiazepine, such as lorazepan (ativan) to the client who is experiencing symptom: The client's experiences symptoms of withdrawal because of the rebound phenomenon when the sedation of the CNS from alcohol begins to decrease.
3.Which of the following approaches would be most appropriate to use with a client suffering from narcissistic personality disorder when discrepancies exist between what the client states and what actually exist? 1 / 4
pg. 2 Rationalization Supportive confrontation Limit setting Consistency - Correct Answer - B . The nurse would specifically use supportive confrontation with the client to point out discrepancies between what the client states and what actually exists to increase responsibility for self.
4.Joey a client with antisocial personality disorder belches loudly. A staff member asks Joey, "Do you know why people find you repulsive?" this statement most likely would elicit which of the following client reaction?Depensiveness Embarrassment Shame Remorsefulness - Correct Answer - A . When the staff member ask the client if he wonders why others find him repulsive, the client is likely to feel defensive because the question is belittling. The natural tendency is to counterattack the threat to self image.
5.Conney with borderline personality disorder who is to be discharge soon threatens to "do something" to herself if discharged. Which of the following actions by the nurse would be most important?Ask a family member to stay with the client at home temporarily Discuss the meaning of the client's statement with her Request an immediate extension for the client Ignore the clients statement because it's a sign of manipulation - Correct Answer - B .Any suicidal statement must be assessed by the nurse. The nurse should discuss the client's statement with her to determine its meaning in terms of suicide.
6.Mario is complaining to other clients about not being allowed by staff to keep food in his room. Which of the following interventions would be most appropriate?Allowing a snack to be kept in his room Reprimanding the client Ignoring the clients behavior 2 / 4
pg. 3 Setting limits on the behavior - Correct Answer - D . The nurse needs to set limits in the client's manipulative behavior to help the client control dysfunctional behavior. A consistent approach by the staff is necessary to decrease manipulation.
7.A 39 year old mother with obsessive-compulsive disorder has become immobilized by her elaborate hand washing and walking rituals. Nurse Trish recognizes that the basis of
O.C. disorder is often:
Problems with being too conscientious Problems with anger and remorse Feelings of guilt and inadequacy Feeling of unworthiness and hopelessness - Correct Answer - C . Ritualistic behavior seen in this disorder is aimed at controlling guilt and inadequacy by maintaining an absolute set pattern of behavior.
- A client reports a vague feeling of apprehension and states, "I feel scared." He also
has an increased pulse rate and blood pressure. Which of the following diagnoses is most appropriate in this situation?
- Anxiety
- Fear
- Ineffective coping
- Disturbed sleep pattern
Correct Answer - A. Anxiety
- During assessment, the psychologist will find that the client who has a diagnosis of
body dysmorphic disorder will have which of the following symptoms?
- Dissatisfaction with body shape and size
- Preoccupation with an imagined defect in appearance
- Fantasizing oneself as changed into an ideal
- A history of eight or more plastic surgeries on various body part 3 / 4
pg. 4 Correct Answer - B. Preoccupation with an imagined defect in appearance
- The primary gain from a conversion symptom is best represented by which of the
following?
- Feelings of being important to family, caregivers, and others
- Attention from the caregivers at home, friends, or health care staff C.
- Getting out of negative, undesired, or stress-producing responsibilities
- Reduction of anxiety by resolution of an unconscious psychological conflict
Correct Answer - D. Reduction of anxiety by resolution of an unconscious psychological conflict
- When scenario best typifies a client with somatoform disorder?
- A client describes multiple gastrointestinal complaints without organic pathology.
- A client exhibits a morbid preoccupation with the fear of cancer.
- A client has recurrent episodes of intense anxiety that keep her from activities.
- A client recognizes an overwhelming and uncontrollable fear of episodes.
Correct Answer - A. A client describes multiple gastrointestinal complaints without organic pathology.
- La belle indifference is a common manifestation of which disorder?
- Conversion disorder
- Dissociative disorder
- Posttraumatic stress syndrome
- Somatization disorder
- / 4
Correct Answer - A. Conversion disorder