Exam Review
- Suicide is attempted three times more frequently by ________ but is more often successfully completed by ________A)adult fathers; mothersB)adult women; menC)adolescent mothers; fathersD)adult men; women
- Suicide in the United States is:A)most prevalent among the middle-aged.B)not a problemC)fully controlled by the use of antidepressantsD)the tenth leading cause of death.
- A nurse enters the community room of an acute mental health unit and observes a client yelling at another client. Which of the following statements should the nurse make to the client?A)"yelling at others is unacceptable."B)"Why did you hit another clientC)I'm taking away your privileges for the rest of the week."D)"Your behavior will be disappointing to your provider."
- In the early 20th century, a frontal lobotomy was a common treatment for violent behaviors. Which descriptions procedure is accurate?A)A surgical procedure that drills holes in the front of the skull to drain fluid.B)A surgical procedure that severs the frontal lobes of the brain from the thalamus.C)A procedure that delivers an electrical stimulus to the frontal lobes of the brain.D)A surgical procedure that inserts implants into the frontal lobes of the brain.
Exam Review
- What is the purpose of using risperidone in psychiatric treatment?A)To treat symptoms of schizophreniaB)To treat symptoms of anxietyC)To treat symptoms of attention-deficit/hyperactivity disorder (ADHD)D)To treat symptoms of depression
- Alprazolam is classified as a medication in which of the following drug classes?A)AntihypertensivesB)AntipsychoticsC)AntidepressantsD)Benzodiazepines
- Recent studies have demonstrated that daily exposure to full-spectrum light (phototherapy) is most effective in improving symptoms in people who are experiencingA)postpartum depression.B)seasonal affective disorder.C)bipolar disorder.D)moderate depression.
- When the patient who overeats insists that weight gain is related to retained fluids, the nurse recognizes the patient is using which defense mechanism?A)CompensationB)RationalizationC)RegressionD)Projection
Exam Review
- The caregiver works with suicidal clients to establish therapeutic rapport. The focused communications and concerned actions encourage suicidal persons toA)feel foolish for thinking about suicide.B)talk about themselves.C)feel in controlD)feel self-worth
- A nurse is caring for a client who has depression. When the nurse encourages the client to join an activity the client states, "What's the use?" Which of the following is an appropriate nursing intervention?A)Tell the client that she has a self-defeating attitude and it will only make her feel worse.B)Sit down with the client and ask her why she doesn't want to participateC)Convince the client how helpful it will be to engage in the activityD)Tell the client that it is time for the activity, and accompany her to the activity.
- Which of the following is an effective communication technique that should be included in the teaching plan for the family members of a woman in whom Alzheimer's disease has been diagnosed recently?A)If the client tends to pace a lot, be sure to encourage her to sit during interactions.B)If she doesn't understand the communication, change key words.C)Use simple, familiar words, along with short and simple sentences.D)Use hand gestures when speaking to try to explain what is being said.
- What is the primary focus of mental health promotion programs?A)To empower communities and individuals to improve mental well-beingB)To increase the risk of mental illnessesC)To treat mental illnessesD)To provide resources for healthcare professionals
Exam Review
- Which client exhibits signs and symptoms of delirium and not dementia or depression?A)The onset is sudden and acuteB)The client's ability to perform ADLs is intact.C)The cognitive changes are hidden by the clientD)The client demonstrates apathetic demeanor or flat affect
- A nurse is caring for a client who has major depressive disorder. Which of the following actions should the nurse take when developing a relationship with the client?A)Share personal information to help the client feel comfortable.B)Set boundaries with the client regarding personal space.C)Tell the client if she reminds the nurse of a personal friend or relative.D)Develop an emotional commitment to the client.
- A client is depressed and has attempted suicide tells the nurse, "I should have died because I am totally worthless which of t responses should the nurse make?A)“It is unusual for people who have depression to feel this way."B)"You've been feeling that your life has no meaning."C)"You have a great deal to live for."D)"Why do you feel you are worthless?"
- Suicide attempts by are more successful because one out of every two attempts results in death.A)adolescentsB)young adultsC)older adultsD)middle-aged adults
Exam Review
- A nurse is preparing to change the dressing on the lower leg of an older adult client who is in a wheelchair, and has a history of maladaptive coping skills. The client begins swearing at and verbally abusing the nurse. Which of the following actions should the nurse to take?A)Place wrist restraints on the client to prevent psychomotor agitation.B)Explain to the client why her behavior is inappropriate.C)Move the client to a seclusion roomD)Tell the client when he will return and leave the room.
- A young man with malaria spikes a temperature of 105 F (40.5°C) and begins to hallucinate. How should the nurse assess this?A)Anxiety disorderB)DeliriumC)Early onset dementiaD)Psychotic break
- A 75-year-old man finds that he continually misplaces items he uses every day. In addition, his wife becomes annoyed when he asks the same question several times because he does not remember the answer. What advice is the most appropriate for his health care provider to give him?A)He has Alzheimer's disease and nothing can be done to help himB)Further assessment is needed to determine the cause of these symptomsC)Admission to a nursing home for more intensive care is needed.D)These symptoms are a normal part of aging and he should accept it.
- A nurse is reinforcing teaching with the family of a client who has a new diagnosis of dementia. Which of the following information should the nurse include in the teaching?A)"Dementia is often caused by a sudden change in environment."B)“The manifestations of dementia are progressive and irreversible."C)“Dementia is characterized by a sudden onset over a few hours or days."D)"An altered level of consciousness is associated with dementia."