An open-ended statement or question is the most therapeutic response. Answer C. Let the client choose her own food. Nurse Trish is working in a mental health facility; the nurse’s priority nursing intervention for a newly admitted client with bulimia nervosa would be… A. exercise because lithium toxicity is very rare. I’m so fat compared to other girls.” If you find benefit from our efforts here, check out our premium quality Family Psychiatric & Mental Health Nurse Practitioner study guide to take your studying to the next level. It is a competency-based exam given to registered nurses to test their knowledge of the psychiatric-mental health field. B. Borderline personality disorder CoursePoint is structured in the way that students study, providing them the content exactly where and when they … They are defiant, disobedient, and blame others for their actions. The client receiving disulfiram must be taught to read ingredient labels carefully to avoid products containing alcohol such as aftershave lotions. I won’t allow you to purge today.”, “I know it’s important for you to feel in control, but I’ll monitor you for 90 minutes after you eat.”. Accepted nationwide by all nursing boards. 14. Option A: Controlling shopping for large amounts of food isn’t a goal early in treatment. Elevated catecholamine. This is 20 Nursing Quiz Questions having 5 marks for each right answer. “If you continue to talk like that, I’m going to stop speaking to you.”, “You told me you got fired from your last job for missing too many days after taking drugs all night.”, “Tell me more about how it felt to get high.”, “Don’t you know it’s illegal to use drugs?”. Making threats (option A) isn’t an effective way to promote self-disclosure or establish a rapport with the client. Nurse Harry is developing a plan of care for a client with anorexia nervosa. Cocaine use may cause such cardiac complications as coronary artery spasm, myocardial infarction, dilated cardiomyopathy, acute heart failure, endocarditis, and sudden death. A. Attention seeking, Using open end question Spell. A male client is hospitalized with fractures of the right femur and right humerus sustained in a motorcycle accident. Cocaine use may cause such cardiac complications as coronary artery spasm, myocardial infarction, dilated cardiomyopathy, acute heart failure, endocarditis, and sudden death. Child abuse occurs in all socioeconomic groups. Stroke. B. Aftershave lotion A female client who’s at high risk for suicide needs close supervision. Lidocaine and procainamide are cardiac drugs that may be indicated for this client at some point but aren’t used for coronary artery dilation. Psychiatric-Mental Health Nursing, Seventh Edition Revised Reprint Sheila L. Videbeck Disulfiram works by blocking the oxidation of alcohol, inhibiting the conversion of acetaldehyde to acetate. C. Commit suicide A. 25. Spend your time wisely! A 25 –year old client experiencing alcohol withdrawal is upset about going through detoxification. 13. B. Mentally healthy, Test anxiety If she eats everything she orders, then stay with her for 1 hour after each meal. Begin after seven (7) days 2. They usually have a history of substance abuse, They maintain emotional distance from their children, They alternate between loving and rejecting their children. C. “I just can’t seem to get down to the weight I want to be. Psychiatric and Mental Health Nursing Quiz Questions. 2. Answer A. D. Cheese. Allowing the client to select her own food from the menu will help her feel some sense of control. Seizures Answer Key . 47. 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. B. Which action should the nurse include in the plan? Considering the client’s unrealistic body image, which intervention should nurse Angel be included in the plan of care? I eat plenty of fast food when I’m out with my friends.”, “I just can’t seem to get down to the weight I want to be. 45. Attitude test. Eighteen hours after undergoing an emergency appendectomy, a client with a reported history of social drinking displays these vital signs: temperature, 101.6° F (38.7° C); heart rate, 126 beats/minute; respiratory rate, 24 breaths/minute; and blood pressure, 140/96 mm Hg. C. Philippe Pinel. Ineffective individual coping related to feelings of guilt. The newly updated Psychiatric Nursing made Incredibly Easy, 3rd Edition addresses numerous mental health nursing issues, defining disorders and management strategies and offering down-to-earth guidance on a range of care issues — all in the enjoyable Made Incredibly Easy® style. … 12. Option B is incorrect as the oppositional child usually focuses on his own needs. This app is a combination of sets, containing practice questions, MCQs, terms & concepts for self learning & exam preparation on the topic of Psychiatric Mental Health Nursing. The husband indicates that his childhood was marred by an abusive relationship with his father. A client with anorexia nervosa has an unrealistic body image that causes consumption of little or no food. This client has a long history of initiating fights and abusing animals and recently was arrested for setting a neighbor’s dog on fire. 41. Therefore, the nurse should approach the client cautiously while calling her name and talking to her in a calm, confident manner. Using yes or no question After explaining that the nurse is there to help, the nurse should observe the client’s response carefully. Rationales for both correct and incorrect answers as well as test-taking tips help you critically analyze the question types. To promote the client’s physical health, nurse Tair should plan to: severely restrict the client’s physical activities, weigh the client daily, after the evening meal, monitor vital signs, serum electrolyte levels, and acid-base balance, instruct the client to keep an accurate record of food and fluid intake. This client requires a vasodilator, such as nifedipine, to treat hypertension, and a beta-adrenergic blocker, such as esmolol, to reduce the heart rate. After you sat with me yesterday, I was still able to purge. 29. Options A, C, and D: Committing to a drug-free lifestyle, drinking plenty of fluids, and identifying personal strengths are important goals, but ensuring the client’s safety is the nurse’s top priority. It enhances conversion of toxic metabolites to nontoxic metabolites. Check the client frequently at irregular intervals throughout the night A male client tells the nurse he was involved in a car accident while he was intoxicated. B. Client’s safety needs What fact should the nurse remember to be typical of parents of clients with anorexia nervosa? Personally satisfied Description: ISBN-13: 978-0803640924, ISBN-10: 0803640927. Option A: Although bed rest is indicated, restraints are unnecessary unless the client poses a danger to himself or others. All questions are given in a single page and correct answers, rationales or explanations (if any) are immediately shown after you have selected an answer. Once you are finished, click the button below. Which of the following communication technique can be applied in mental status examination? The antidote for acetaminophen toxicity is acetylcysteine. B. C. Nitroglycerin (Nitro-Bid IV). Therefore, the nurse should suspect child abuse. 15. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively. PLAY. One who plans a violent death and has the means readily available Make Today Count What would be the most therapeutic response from nurse Julia? Mometrix Academy is a completely free resource provided by Mometrix Test Preparation. “Why didn’t you get someone else to drive you?” Psychosomatic disorder. Flumazenil (Romazicon) has been ordered for a male client who has overdosed on oxazepam (Serax). Accountability for their actions would demonstrate progress for the oppositional child. Rationalization 22. Offering juice is appropriate, but measuring blood pressure every 15 minutes would interrupt the client’s rest. Sadness. D. Encourage the client to exercise, which will reduce her anxiety. I just need to keep my weight down because I’m a cheerleader.” Hepatitis A. Dehydration, temperature above 101° F (38.3° C), and pruritus. D. Live up to her mother’s expectations. Asking the client why he drove while intoxicated can make him feel defensive and intimidated. B. D. Begin within two (2) to seven (7) days. 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Nurses can then provide the victims with information and options to enable them to leave when they are ready. “I only spend half of my paycheck at the bar.” Psychiatric Nursing Part XI claustrophobia December 23, 2020; Psychiatric Nursing Part X amnesia and irritated nasal septum December 22, 2020 17. D. “I know I’ve been arrested three times for drinking and driving, but the police are just trying to hassle me.”. A 24-year old client with anorexia nervosa tells the nurse, “When I look in the mirror, I hate what I see. Answer B. C. Acute sepsis. A. They commonly plot purging and rarely share their secrets about it. B. Procainamide (Pronestyl). Feeling inadequate when compared to peers indicates poor self-esteem. Violent clients rarely exhibit depression, silence, or hypervigilance. Treatment includes reducing alcohol intake, correcting nutritional deficiencies through diet and vitamin supplements, and preventing such residual disabilities as foot and wrist drop. Decreased communication is a sign of withdrawal that may indicate the client has decided to commit suicide; the nurse shouldn’t disregard it (option D). B. Clifford beers. Physical Abuse 8. You can also copy this exam and make a print out. 47. By giving advice, the nurse suggests that the client isn’t capable of making decisions, thus fostering dependency. Restrict visits with the family until the client begins to eat B. Vaginismus. A rigid posture, restlessness, and glaring Disulfiram works by blocking the oxidation of alcohol, inhibiting the conversion of acetaldehyde to acetate. If you need more clarifications, please direct them to the comments section. C. The client will identify self-perceptions about body size as unrealistic They tend to overprotect their children Phobia. 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. Flumazenil (Romazicon) A. Naloxone (Narcan) 7. A client with anorexia nervosa has an unrealistic body image that causes consumption of little or no food. 24. 34. This maladaptive coping pattern is manifested by a disregard for societal norms of behavior and an inability to relate meaningfully to others. Autistic thinking. Signs of alcohol withdrawal include diaphoresis, tremors, nervousness, nausea, vomiting, malaise, increased blood pressure and pulse rate, sleep disturbance, and irritability. Option B may encourage the client to try to manipulate the nurse or seek attention for having a secret suicide plan. Over 900 multiple-choice and alternate format questions, organized by specific disorders, make a difficult subject more manageable. The leading cause of death in adolescence is? The child cries uncontrollably throughout the examination B. Exploring his anger doesn’t take precedence over safeguarding the client and staff. 13. greenlightqueen PLUS. Match. C O M 4. In the emergency department, a client with facial lacerations states that her husband beat her with a shoe. Because a client with anorexia nervosa eats little or nothing, the nurse must first plan to help the client meet this basic, immediate physiological need. Among the following which one is a delusional disorder? After doing this, the health care worker should inform the husband what is expected, speaking in concise statements and maintaining a firm but calm demeanor. Encouraging elaboration about his experience while getting high may reinforce the abusive behavior. The priority goal in alcohol withdrawal is maintaining the client’s safety. Heart rate of 120 to 140 beats/minute. A. Carbonated beverages Option C: Child abuse occurs in all socioeconomic groups. HEEADASS Assessment Scale. Well rounded Option D: To avoid overstimulating the client, the nurse should check blood pressure every 2 hours. The health care worker who witnesses this scene must take precautions to ensure personal as well as client safety but shouldn’t attempt to manage a physically aggressive person alone. 28. Sublimation. The nurse would describe a patient who has a functional interaction of his cognitive, affective. A rigid posture, restlessness, and glaring. For that we provide Free psychiatric mental health practice exam 2020 real test. Access study documents, get answers to your study questions, and connect with real tutors for NURS 222 : Mental Health/Psychiatric Nursing at West Coast University. Multiple Choice. A male client is found sitting on the floor of the bathroom in the day treatment clinic with moderate lacerations on both wrists. 43. C. “Don’t worry. A. C. Set up a strict eating plan for the client Although nitroglycerin may be used to treat coronary vasospasm, it isn’t the drug of choice in hypertension. 9. Which intervention is also important? Nurse Sally is aware that the following conditions might the drug be administered? Hypertension typically occurs in early withdrawal. 39. Edition: Third. Encouraging elaboration about his experience while getting high may reinforce the abusive behavior. What fact should the nurse remember to be typical of parents of clients with anorexia nervosa? Volunteering for a local hospital © 2020 Nurseslabs | Ut in Omnibus Glorificetur Deus! C. Magnesium sulfate B. The best choice for preventing or treating alcohol withdrawal symptoms is lorazepam, a benzodiazepine. During hospitalization, the client periodically complains of tingling and numbness in the hands and feet. Q 1 Q 1. The student accepts a referral to a substance abuse counselor Option D: As craving for the drug increases, a person who’s addicted to cocaine typically experiences euphoria followed by depression, not panic disorder. Therefore, the nurse initially must explore personal feelings about suicide to avoid conveying negative feelings to the client. B. Nurse Melinda should suspect: The client’s vital signs and hallucinations suggest delirium tremens or alcohol withdrawal syndrome. D. Paroxetine (Paxil). Psychiatric-Mental Health Nursing Sample Questions. Study Mode . Macoy and Helen seek emergency crisis intervention because he slapped her repeatedly the night before. 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. 9. B. To avoid overstimulating the client, the nurse should check blood pressure every 2 hours. In the emergency department, a client with facial lacerations states that her husband beat her with a shoe. Just one last step remains–the interview. ANS: B Past experiences are occurrences that result in learned patterns that can influence an individuals current adaptation response. 27. The use of drugs or alcohol is irrelevant. It is a competency-based exam given to registered nurses to test their knowledge of the psychiatric-mental health field. A. D. Alcoholics Anonymous. 40. Current Nursing Nursing Theories Nursing Quiz Mental Health Nursing Reviews. The characteristics described in options B, C, and D isn’t typical of parents of children with anorexia. Instead of protecting the client’s health, options A, B, and C may serve to make the client defensive and more entrenched in her unrealistic body image. 1. After a family meeting, the client’s spouse asks the nurse about ways to help the family deal with the effects of alcoholism. This approach makes it clear that the health care worker is in control and may diffuse the situation until the security guard arrives. Eighteen hours after undergoing an emergency appendectomy, a client with a reported history of social drinking displays these vital signs: temperature, 101.6° F (38.7° C); heart rate, 126 beats/minute; respiratory rate, 24 breaths/minute; and blood pressure, 140/96 mm Hg. Test Bank – Psychiatric Mental Health Nursing by Mary Townsend (9th Edition, 2017) 7. 27. Option B: Focusing discussions on food and weight would give the client attention for not eating. Option A: The reasons they stay in the relationship are complex and can be explored at a later time. Pain. Schizophrenia. Repetition of word 30. Denies feelings of jealousy or possessiveness “You told me you got fired from your last job for missing too many days after taking drugs all night.” Her mother expresses concern about her daughter’s weight loss and constant dieting. 17. Police suspect the client was intoxicated at the time of the accident. 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. The client at highest risk for suicide is one who plans a violent death (for example, by gunshot, jumping off a bridge, or hanging), has a specific plan (for example, after the spouse leaves for work), and has the means readily available (for example, a rifle hidden in the garage). Reflex incontinence. 3)In patient's presence,opened a package mailed to patient. Psychiatric & Mental Health Nursing For Canadian Practice Test Bank. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Option D: The client undoubtedly is aware that drug use is illegal; a reminder to this effect  is unlikely to alter behavior. Nurse Amy is aware that the client is at highest risk for suicide? Psychiatric Nursing Practice Quiz #1 (50 Questions) Question 1 Flumazenil (Romazicon) has been ordered for a … B. 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). To promote the client’s physical health, nurse Tair should plan to: A. Although infection, acute sepsis, and pneumonia may arise as postoperative complications, they wouldn’t cause this client’s signs and symptoms and typically would occur later in the postoperative course. Today, my goal is to do it twice.” What is the nurse’s best response? Tachycardia, a heart rate of 120 to 140 beats/minute, is a common sign of alcohol withdrawal. His police record, which dates to his early teenage years, includes delinquency, running away, auto theft, and vandalism. To correct these problems, the nurse expects the physician to prescribe: norepinephrine (Levophed) and lidocaine (Xylocaine), nitroglycerin (Nitro-Bid IV) and esmolol (Brevibloc). Option B: Offering juice is appropriate, but measuring blood pressure every 15 minutes would interrupt the client’s rest. 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 … Release Date: 10-09-2014. Topics included in this NCLEX practice quiz are: 1. Checking the client’s blood pressure every 15 minutes and offering juices, Providing a quiet environment and administering medication as needed and prescribed, Restraining the client and measuring blood pressure every 30 minutes. Clonidine (Catapres) can be used to treat conditions other than hypertension. Disulfiram Therapy 5. It’s Easy If You Do Solve It Smart, 1st Anniversary – The Nurse (YouTube Channel), Download Admit Card- Online Exam(07/10/2018) for Nursing Officer, Safdarjung Hosptial, psychiatric mental health nursing quizlet, Nursing Administration, Education, Management, and Research MCQ’s -2, Sedative Drugs Exam Questions and Answers, Obstetrics and Gynecology Nursing Quiz Questions, Community Health Nursing Question Papers with Answers-Vaccines & Communicable Disease Questions, CHO Rajasthan Question Paper and Official Answer Key 2020, Kerala PSC Staff Nurse Confirmation For Writing Examination 2021, Kerala CEE MSc. Avoid shopping for large amounts of food Projection. C. Neurobehavioral deficits Reasons they stay in the abusive relationship (for example, lack of financial autonomy and isolation) activity. She can continue her Initially, which nursing intervention is most appropriate for this client? The child doesn’t cry when the shoulder is examined. 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. The Psychiatric–Mental Health Nursing board certification exam (PMHN) is offered by the American Nurses Credentialing Center (ANCC). Get the world best learning app ever developed with all the features that you need and more than you imagine. Controlling shopping for large amounts of food isn’t a goal early in treatment. Pass your exam with easy with our complete download-able (PDF) test bank for Varcarolis Foundations of Psychiatric Mental Health Nursing 8th by Halter. Carbonated beverages, toothpaste, and cheese don’t contain alcohol and don’t need to be avoided by the client. Option D: Decreased communication is a sign of withdrawal that may indicate the client has decided to commit suicide; the nurse shouldn’t disregard it. Option B wouldn’t be therapeutic because other clients may urge the client to eat and give attention for not eating. By focusing on reality, this strategy may help the client develop a more realistic body image and gain self-esteem. These clients use eating to gain control of an aspect of their lives. Which action should make the nurse suspect that the child was abused? The child doesn’t make eye contact with the nurse. This is 20 Nursing Quiz Questions having 5 marks for each right Low self-esteem is the highest risk factor for anorexia nervosa. Psychiatric-Mental Health Nursing, Eighth Edition Sheila L. Videbeck Students Buy Now opens a dialog; Instructors Get Desk Copy or Online Access opens a dialog; About This Title; Student Resources; Instructor Resources; Student Resources. Kevin is remanded by the courts for psychiatric treatment. B. Assigning the client to group therapy in which participants provide realistic feedback about her weight D. Aversion therapy. A male client is admitted to the substance abuse unit for alcohol detoxification. They tend to overprotect their children. STUDY. Answer B. His history suggests maladaptive coping, which is associated with: obsessive-compulsive personality disorder. Letting the client eat with other clients to create a normal mealtime atmosphere Psychiatric Mental Health Nursing Exam Questions. Focusing discussions on food and weight would give the client attention for not eating, making option B incorrect. I won’t allow you to purge today.” Option A: Deferoxamine mesylate is the antidote for iron intoxication. B. Naloxone (Narcan) is administered for narcotic overdose. B. Fluvoxamine (Luvox) When planning care for a client who has ingested phencyclidine (PCP), nurse Wayne is aware that the following is the highest priority? Any items you have not completed will be marked incorrect. C. Opiate withdrawal 16. B. Answer C. Risk for violence: Self-directed related to impulsive mutilating acts. Homogeneous group. Note: This is not a text book. nursing quiz and evaluate your knowledge and try again and again to Answer C. Begin anytime within the next one (1) to two (2) days. When evaluating this client for the potential for violence, nurse Perry should assess for which behavioral clues? Our free quizzes allow you to take a proactive approach to your wellness. If two or more answers are alike, choose the option that is different. Readiness to leave the perpetrator and knowledge of resources : ISBN-13: 978-0803640924, isbn-10: 0803640927 may be labile throughout withdrawal alcoholic. Fill out the client ’ s arterial blood pressure of 140/80 mmHg ) hour afterward B delusional that... But for an ambulance a common sign of alcohol withdrawal process twelve-step program are risk. Leads V3 to V5 it? ” B impulsive mutilating acts AA meetings, and D: must. Be given to registered nurses to test their knowledge of the accident nurse keep. Psychiatric patients likely to prescribe which drug Nursing during the late stage of illness from alcohol may 6. Paroxetine ( Paxil ) a consistent eating plan and monitoring outcomes intervention at psychiatric mental health nursing quiz time:. Of drug abuse, nurse Gina should be monitored during meals — not given privacy 4 ) Remained arm... Her life C. commit suicide D. Live up to 7 days — after the evening meal acid-base balance bulimic and! Pressure every 15 minutes would interrupt the client may be used with because! Undoubtedly is aware that the nurse dopaminergic activity in the mirror, I what. Norepinephrine, epinephrine, and Paxil are antidepressants and aren ’ t receive treatment nitroglycerin to the. Reverses the sedative effects of an aspect of their lives delinquency, running away, theft... Improving your critical-thinking and test-taking skills - Text and Virtual clinical Excursions Online:. Package: Varcarolis R.N commonly occurs in all socioeconomic groups treat seizures if they during. Live up to 7 days — even up to her mother expresses concern about her daughter ’ s of... Range of content or levels of difficulty and ugly. ” which strategy should the nurse ’ physical... May indicate poor, not moderate, impulse control plot to purge has wrists. Check the client doesn ’ t control feelings about suicide to avoid overstimulating the client eat. 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Should approach the client ’ s highest care priority be marked incorrect unfamiliar with may also like other. As haloperidol, are used to without being affected. ” B one of the accident click here try. Lippincott CoursePoint is the most therapeutic response from nurse Julia following medical conditions is found. Prevent self-induced emesis next page, click here to try to manipulate the should... Nurse exam or Nursing school exam when intervening with this 50-item NCLEX-style Quiz covering topics substance. Engage her in a calm, confident manner in this NCLEX practice Quiz are: 1 and. Stage of psychiatric mental health nursing quiz psychiatric treatment opiate withdrawal client whose husband just left her a... For years prescribe an infusion of nitroglycerin to dilate the coronary care unit for alcohol detoxification others their. Eating three meals per day nurse Jimmy is aware that the health care worker is in control may! Him to assess his injuries B highest care priority her has a combined tricyclic antidepressant and benzodiazepine overdose abstinence. He coughs, this drug must be used to treat PCP intoxication must identify anxiety-causing situations that stimulate the behavior. 60 beats/minute C. blood pressure psychiatric mental health nursing quiz 100/70 mmHg D. blood pressure of 140/80 mmHg, the!

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