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Homework answers / question archive / Question 1) Which defense mechanism is always construction? Compensation Identification Rationalization Sublimation Question 2) Which of the following diagnoses is considered a dissociative disorder? Bipolar disorder Borderline personality disorder Depersonalization/de-realization disorder Schizophreniform disorder Question 3) The patient is receiving non-vesicant IV fluids via peripheral IV and asks for pain medication

Question 1) Which defense mechanism is always construction? Compensation Identification Rationalization Sublimation Question 2) Which of the following diagnoses is considered a dissociative disorder? Bipolar disorder Borderline personality disorder Depersonalization/de-realization disorder Schizophreniform disorder Question 3) The patient is receiving non-vesicant IV fluids via peripheral IV and asks for pain medication

Nursing

Question 1)

Which defense mechanism is always construction?

Compensation

Identification

Rationalization

Sublimation

Question 2)

Which of the following diagnoses is considered a dissociative disorder?

Bipolar disorder

Borderline personality disorder

Depersonalization/de-realization disorder

Schizophreniform disorder

Question 3)

The patient is receiving non-vesicant IV fluids via peripheral IV and asks for pain medication. Prior to giving the medication, the nurse discovers that the site is cool and blanched, edematous with taut skin, and there is fluid leaking from the site. The patient reports that the area is tender and uncomfortable and that the IV pump keeps beeping. The nurse knows that this patient's IV site is likely displaying signs of:

Extravasation.

Infiltration

Normality

Phlebitis.

Question 4)

The nurse is caring for a client with obsessive compulsive disorder (OCD). The nurse knows that OCD is closely related to disorders.

Adjustment

Anxiety 3

Delusional

Mood

Question 5)

After taking lithium for 3 days to treat bipolar disorder, the client reports being thirsty and experiencing fine hand tremors. The most appropriate response by the nurse is:

"Stop taking your lithium until after you speak with your provider."

"These are normal side effects when starting lithium; they should subside in the next 2 weeks."

"You are suffering from lithium toxicity and should stop taking the medication immediately.

"You do not have fine hand tremors; it is just your imagination."

Question 6)

Mr. Sloan is a 32-year-old client who was admitted with bipolar disorder. During a conversation, Mr. Sloan tells the behavioral health nurse that she is "very sexy" and touches her leg. The best response by the behavioral health nurse is:  

"Do you realize that what you just said and did is sexual harassment? Please refrain from any type of sexually suggestive behavior."

"I'm not comfortable with you calling me 'sexy' and touching my leg. This time is for you to focus on your problems and concerns."

"I'm sorry, Mr. Sloan. I can see that sexuality is an issue for you, I will remove myself and ask male nurse Darren to work with you."

"Thank you, Mr. Sloan. I am going to change the subject now and let's talk about what brought you here and how you are feeling."

Question 7)

A psychotic client was banging his head against the wall and had to be physically restrained by staff. It is the nurse's responsibility to document:

That immediate family members were notified of the restraint.

That restraints were applied PRN for client agitation.

The behavior and situation leading to the restraint of the client.

The names of the staff members who restrained the client.

Question 8)

The nurse should apply a topical medication to:

Cutaneous surface

One consistent spot

The arm

The shoulder.

Question 9)

Infection prevention is a primary focus when caring for a patient with a central vascular access device (CVAD), especially if the patient has cancer or is otherwise immunocompromised. What should the nurse do to prevent infection when finished using an accessed CVAD?

Clamp the extension tubing; cover the open tubing end with a sterile 4x4 gauze pad.

Clamp the extension tubing; leave its distal end uncovered.

Flush the CVAD with an antibiotic; cover the open tubing with a gauze pad.  

Flush the CVAD with normal saline or heparin; remove the access needle.

Question 10)

Which of the following is an example of an open-ended question?

"Are you doing all right?"

"How are you doing?"

"You'll let me know if you're not well, won't you?"

"You're doing well, aren't you?"

Question 11)

Bruce, a 26-year-old client, has been in and out of the hospital with psychotic episodes for the last 5 years. The nurse enters his room and notices that he is drowsy and has stiffened muscles; his body feels warm. The nurse should notify the primary OW care provider and administer:

Bromocriptine (ParlodelÒ)

loratadine (ClaritinÒ)

Methylphenidate (RitalinÒ)

Naloxone (NarcanÒ).

Question 12)

The behavioral health nurse is caring for Kyle, an 8-year-old boy with conduct problems in school. During a private interaction with Kyle, he tells the nurse that when he gets in trouble, his mother will force him to stay alone in a dark closet for hours with no light. The nurse prepares to interview Kyle's mother. Which of the following questions would be the most appropriate to ask when speaking with Kyle's mother?

"Did you know that isolating a child for long periods of time is psychologically damaging and considered abuse?"

"Do you understand that I will need to report what happened to social services?'

"Kyle has told us that you isolate him as a form of punishment. Can you please tell me about this?"

"What about Kyle's behavior bothers you the most and how do you discipline Kyle?"

Question 13)

Which drug, used in the treatment of supraventricular tachycardia, has a very short half-life and may cause brief flushing and chest tightness with infusion?

Adenosine

 Dopamine

Procainamide

Verapamil

Question 14)

An individual has a history of intense and unstable relationships, self-injurious relationships, and chronic feelings of emptiness and boredom. Which diagnosis is most closely related to these symptoms?

Bipolar disorder

Borderline personality disorder

Major depressive disorder

Post-traumatic stress disorder

Question 15)

When the nurse is caring for a client with suicidal ideation, the priority nursing diagnosis should be:

Chronic low self-esteem.

Dysfunctional grieving.

Hopelessness.

Risk for violence, self-directed.

Question 16)

A 24-year-old male who was admitted to an inpatient psychiatric unit with a diagnosis of major depression tells the behavioral health nurse, "I'll never find somebody to love; there is no one out there for me." His plan of care indicates a nursing diagnosis of situational low self-esteem. Which of the following is an appropriate response to this statement by the behavioral health nurse?

"Focus on helping yourself right now rather than starting a new relationship."

"Not true; I've seen you with others and I know that people really like you."

"That's one point of view. Can you tell me how you arrived at that conclusion?'

"This is normal. Don't you think everyone feels like this at some point in time?'

Question 17)

A client taking a MAO inhibitor for the treatment of depression should avoid eating:

cheddar cheese.

oat bran cereal.

potato chips.

white rice.

Question 18)

The nurse says to the client, 'Mr. Jones, you seem upset. You are grinding your teeth and clenching your fists.' The communication technique being used by the nurse is:

accepting.

clarifying.  

exploring.

making observations.

Question 19)

When developing the care plan for clients hospitalized with the diagnosis of antisocial personality disorder, nurses should:

allow clients to establish their own limits.

set clear and enforceable limits.

set limits that are convenient for the nursing staff.

work with clients to set mutually acceptable limits.

Question 20)

A client is being discharged home taking quetiapine (Seroquel®), an antipsychotic. The nurse knows the client understands the teaching about the medication when the client:

explains the purpose, timing, dosage, and potential side effects of the medication.

says, "I take it like any other pill, but I'm not supposed to drive."

says, "Thank you for explaining. I understand what I need to know now."  

voices that she understands and has received written information about it.

Question 21)

Bob is a 70-year-old Caucasian male who is retired and lives alone. He reports that over the last few years, he has been having more medical problems; he had a stroke about a year ago that he believes has affected his cognition. The nurse evaluates this information and understands that Bob is at an increased risk for:

anxiety.

insomnia.

psychosis.

suicide.

Question 22)

The nurse has received an order for an antibiotic suspension (0.75 g). The drug is a. milliliters should be given?

3 mL

10 mL

15 mL

20 mL

Question 23)

The nurse is caring for a client with bipolar H disorder. The nurse understands that an according to the North American Nursing Diagnosis Association (NANDA) guidelines is risk for:

death.

despair.

injury.

mania.

Question 24)

The behavioral health nurse is caring for a client who was admitted with mania. The nurse understands that it is not unusual for a mental status examination (MSE) to be performed on acutely disturbed clients. Which of the following is assessed dung an MSE?

0The cognitive level, including memory and orientation status  

The level of acute anxiety that the client is experiencing  

The medical conditions that may mimic psychiatric illness  

The psychosocial assessment, including family history

Question 25)

The nurse is caring for Myra, a 34-year-old client who was recently started on lamotrigine (Lamictal®) fore bipolar II disorder. The nurse knows it is important to educate Myra to call her primary care provider immediately if she experiences:

bruising.

chills.

rash.

tremor.

Question 26)

Which of the following would be used to reverse the signs and symptoms of adrenal crisis and restore adequate metabolic function?

Hydrocortisone

Insulin

Normal saline

Sodium bicarbonate

Question 27)

What should the patient do first when using an MDI?

Exhale through pursed lips

Hold the inhaler 2 in. from the mouth

Inhale deeply

Shake the container

Question 28)

As the patient's digoxin level reaches a therapeutic range, now does the heart rate respond?

It will decrease to normal.

It will increase to normal.

It will initially increase, then decrease.

It will stay the same.

Question 29)

A practitioner prescribes potassium chloride 10 mEq stat for a patient. The vial of the Medication is labeled 20 mEq/10 ml.

How much will the nurse administer to give the patient?

5 mL

10 mL

15 mL

20 mL

Question 30)

The RN is working on a busy inpatient psychiatric unit with a LPN/VN and two psychiatric technicians. A new admission has just arrived during breakfast. One patient is becoming agitates and multiple medications are due. The nurse appropriately delegates most of the above-mentioned tasks but determines that only the RN may:

administer the medications.

de-escalate the agitated patient.

monitor the clients during breakfast.

perform the admission assessment.

Question 31)

When clients are in crisis, nurses should initially help them to identify:

future action plans.

others potentially affected by the crises.

 the factual nature of the events.

their feelings.

Question 32)

Kevin is a 27-year-old client with alcoholism. The most appropriate expected outcome will be for Kevin to:

attend weekly alcoholic support groups.

maintain an alcohol-free household.

reduce alcohol consumption by 50%.

Refuse to drink alcohol when socializing at bars.

Question 33)

Which thrombolytic drug is more likely to cause an allergic reaction?

Alteplase

Reteplase

Streptokinase

Tenecteplase

Question 34)

A nurse scheduled to perform a blood draw to monitor a client’s serum lithium level. The nurse understands the best time to draw the client’s blood is:

12 hours after the last given lithium dose

An hour before the next scheduled lithium dose.

At least 6 hours after initial starting dose.

Early in the morning prior to taking medications.

Question 35)

An individual is assessed as having an exaggerated sense of self-importance, a preoccupation with success and power, requiring constant admiration, and having an inability to recognize the needs of others. Which is the diagnosis that is most likely associated with these symptoms?

0 Borderline personality disorder

0 Histrionic personality disorder

0 Narcissistic personality disorder

0 Schizotypal personality disorder

 

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