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    Exam Review

    1. A nurse on a mental health unit is assisting with the care of a client. Exhibits The nurse is continuing to assist with the care of the client. Select the four actions the nurse should take.(SATA)
      A)Ask the provider for a PRN prescription for restraints.
      B)Administer diazepam when the client exhibits anxiousness.
      C)Place the client in a room near the nurse's station.
      D)Determine if the client is experiencing command hallucinations.
      E)Establish clear limits for expected behaviors.
    2. A nurse is assisting with the teaching of a group of newly licensed nurses about personality disorders. Which of the following information should be included?
      A)Strict parental guidelines contribute to the development of personality disorders.
      B)Personality disorders are often seen in children under the age of 10.
      C)Personality disorders often manifest from childhood emotional trauma.
      D)Clients of higher socioeconomic status are less likely to be diagnosed with personality disorders.
    3. A nurse is collecting data from a client who has paranoid personality disorder. Which of the following findings should the nurse expect?
      A)Lack of feelings of remorse
      B)Inflated sense of self
      C)Requiring frequent reassurance from others
      D)Suspiciousness of others
    4. A nurse is preparing an in-service for a group of staff members about dissociative identity disorder. Which of the following should the nurse identify as a risk factor for this disorder?
      A)A history of schizophrenia
      B)Borderline personality disorder
      C)History of trauma during the developmental years
      D)A history of self-injurious behavior
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    Exam Review

    1. A nurse is discussing the three clusters of personality disorders. Which of the following personality disorders is part of cluster C?
      A)Dependent personality disorder
      B)Antisocial personality disorder
      C)Borderline personality disorder
      D)Paranoid personality disorder
    2. A nurse is assisting in teaching a client who has been newly diagnosed with schizophrenia. Which of the following information should the nurse include?
      A)Co-occurring mental health illnesses are rarely diagnosed.
      B)Diagnosis typically occurs after 40 years of age.
      C)Life expectancy is greater than the general population.
      D)The need for resources increases as the disease progresses into adulthood.
    3. A nurse is caring for a client who frequently breaks their arms and other bones on purpose. The nurse understands that the client likely has which diagnosis?
      A)Dissociative amnesia
      B)Factitious disorder
      C)Illness anxiety disorder
      D)Functional neurological symptom disorder
    4. A nurse is speaking to a group of nurses about the difference between schizoaffective disorder and schizophrenia. Which of the following findings is associated with the active phase of schizoaffective disorder?
      A)Symptoms of major depression or mania
      B)Absence of delusions or hallucinations
      C)More severe negative symptoms
      D)Anosognosia is more severe
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    Exam Review

    1. A nurse is caring for a client who was recently diagnosed with an opioid use disorder. They were a student in a local community college but were recently dismissed for failing their classes. Their previous diagnoses include anxiety, Crohn's disease, and chronic back pain due to a gymnastics injury in high school. Which of the following should the nurse identify as potential underlying reasons why the client might have started using opioids?
      A)To treat pain and ease anxiety
      B)To promote sleep and rest
      C)Because they witnessed their parents using drugs or alcohol to cope
      D)To treat hallucinations and perform better at work
    2. A nurse is caring for a client who has schizophrenia. Exhibits Select the "3" findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.(SATA)
      A)Blood pressure
      B)Lack of motivation
      C)Change in behavior
      D)Lack of energy
      E)Withdrawn
    3. A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select all that apply).(SATA)
      A)Lack of emotional expression
      B)Impaired interpersonal relationships
      C)Disorganized behavior
      D)Inability to initiate activities
      E)Hallucinations
      F)Antisocial personality
    4. A nurse on a mental health unit is caring for a client who has a new diagnosis of borderline personality disorder. The client states "I will just see my regular doctor at my annual checkup after I am discharged." Which of the following responses should the nurse make?
      A)"You should follow up with your regular doctor in the next few months so they can manage your new diagnosis."
      B)"It is recommended that you receive follow-up care from a mental health provider after you are discharged."
      C)"Since you have such a good relationship with your family practice provider, you do not need to see a mental health provider."
      D)"You have made such great progress here. I can see why you feel so well."
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    Exam Review

    1. A nurse is reviewing the medical record of a client who has somatic symptom disorder. Which of the following would be a likely comorbidity of somatic symptom disorder?
      A)Schizophrenia
      B)Borderline personality disorder
      C)Bipolar disorder
      D)Major depressive disorder
    2. A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti-psychotic medication use would be expected for the client?
      A)Seizures and tremors
      B)Uncontrolled movements around the mouth
      C)Hallucinations and delusions
      D)Nausea and vomiting
    3. A nurse is interviewing a client who is experiencing negative symptoms of psychosis about their family history of schizophrenia. In which of the following phases of the nursing process should this take place?
      A)Evaluation
      B)Planning
      C)Assessment
      D)Implementation
    4. A nurse is discussing medication used for maintaining alcohol abstinence with a client who is undergoing this type of treatment. Which of the following statements by the client indicates an understanding of their prescriptions?
      A)"I know that when taking disulfiram that I can only have 3 alcohol drinks a day."
      B)"I know I need to take benzos several times a day to keep from drinking alcohol."
      C)“I understand that my medication will help me cut down to 2 drinks a day."
      D)“I know I will be taking naltrexone in accordance with my provider's instructions to help me avoid using alcohol."
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    Exam Review

    1. A nurse in an emergency department is collecting data from a client who has a personality disorder and reports that they recently used illicit drugs. Which of the following screening tools should the nurse use to determine if the client has recently used an illicit substance?
      A)Personality Diagnostic Questionnaire
      B)Eysenck Personality Inventory
      C)Toxicology test
      D)Minnesota Multiphasic Personality Inventory (MMP)
    2. A nurse is caring for a client who states, "I have no interest in sexual activity or finding a partner. The nurse should identify that this statement is consistent with which of the following personality disorders?
      A)Paranoid personality disorder
      B)Antisocial personality disorder
      C)Schizotypal personality disorder
      D)Schizoid personality disorder
    3. A nurse is caring for a client who reports frequent social use of alcohol. The client tells the nurse that they have been reprimanded at work for being late several times after they had been out late drinking. Which of the following statements by the client might indicate that the client has developed a substance use disorder?
      A)‘I have lost 15 pounds! I just don't want to eat lately."
      B)"I have been hanging out with friends who are my support system."
      C)"I am so focused right now. I have a lot of goals."
      D)"I am taking art lessons to relieve stress."
    4. A nurse is preparing a presentation about alcohol withdrawal. Which of the following findings should the nurse include in the presentation?
      A)Muscle aches
      B)Hallucinations
      C)Respiratory depression
      D)Decreased blood pressure
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