Chapter 6
A child who is the victim of domestic violence refuses to talk about the experience. He is doing poorly in school and having trouble sleeping. Which therapy would he benefit from?
Massage
Art therapy
Aromatherapy
Biofeedback
what is
Art Therapy
Routine health screenings, regular educational discussions, and support groups are nursing responsibilities that are:
Restorative
Curative
Educational
Preventive
What is
preventive
In preparing discharge planning for a client who has been prescribed lithium for the treatment of bipolar disorder, the nurse must be sure that the client demonstrates an understanding of the need to monitor his or her diet for intake of:
Carbohydrates
Sodium
Protein
Potassium
What is
Sodium
A nurse has just graduated from nursing school and has been hired on a mental health unit. The nurse wants to practice good communication skills with clients but knows that a mistake made by many new nurses in trying to communicate effectively involves:
Focusing
Parroting
Clarifying
Restating
Parroting
What is
Parroting
Which are key features of anorexia nervosa? (Select all that apply.)
Introverted Personality
Hunger is denied
Severe weight loss
Purging
Excessive Laxative use
What is
Introverted Personality
Hunger is denied
Severe weight loss
A therapy that once was denounced by the scientific community but now is being used to successfully treat victims of the events of 9/11, Hurricane Katrina, and the South Asian tsunami of 2004 and that helps the rational left side of the brain bond with a traumatic memory from the emotional right side of the brain is known as:
Doshas
Hypnosis therapy
Shiatsu
Eye movement desensitization and reprocessing (EDMR)
What is
Eye Movement Desensitization and Reprocessing (EMDR)
A woman whose culture believes her depression is the result of being possessed by the spirit of a deceased relative is considered to have a(n):
Culture-bound disorder
Projection-based disorder
Impaired coping mechanism
Medically diagnosed disorder
What is
Culture-bound disorder
Selective serotonin reuptake inhibitors (SSRIs) are most health care providers’ drug of choice for the treatment of depression because:
This is the oldest class of antidepressants.
The side effects are more manageable than with other antidepressants.
They are only class safe for long- term therapy.
What is
The side effects are more manageable than with other antidepressants
What is the usual approach to care for individuals who practice folk medicine?
Disjointed
Personalized
Impersonal
Fragmented
What is
Personalized
A person’s self-concept, or how a person sees himself or herself, comprises which of the following? (Select all that apply.)
Personal identity
Self-ideal
Identity diffusion
Body image
Self-esteem
What is:
Personal Identity
Self-ideal
Body image
Self-esteem
Color therapy has been found to be especially effective in the treatment of:
Bipolar disorder
Generalized anxiety disorder
Drug addiction
Seasonal affective disorder
What is
Seasonal Affective Disorder
To implement the concept of the least restrictive treatment environment, health care team members:
Assess available community resources
Asses available financial resources
Monitor the medications
Assess the client's ability to live alone
What is
Assess available community resources
Psychotropic medications can cause a parasympathetic and/ or sympathetic response from the autonomic nervous system. Which of the following is considered a sympathetic response?
Increased saliva production.
Pupil dilation.
Decreased heart rate.
Constricted airway.
What is
Pupil Dilation
A treatment team member works with a client who is living in a residential treatment facility with a diagnosis of severe paranoid schizophrenia. The team member who collaborates with the physician to coordinate the client’s therapy and medications and necessary referrals is the:
Nurse case manager
Certified nursing assistant
Home health care provider
Psychiatric technician
What is
Nurse Case Manager
It is important for the nurse to ensure that the client understands the physical reactions associated with drinking alcohol while taking disulfiram (Antabuse). Which of the following are reactions that may result from ingesting alcohol while taking Antabuse? (Select all that apply.)
Blurred vision
Vomiting
Headache
Nausea
Double vision
High blood pressure
Chills
What is
Blurred vision
Vomiting
Headache
Nausea
What is the main function of the National Center for Complementary and Alternative Medicine (NCCAM)?
To monitor the production of dietary and herbal supplements used in CAM therapies
To seek scientific validation of and be a resource for the public for CAM therapies (this is the main function)
To investigate and develop new CAM therapies
To produce a monthly newsletter on new CAM therapies
What is
To seek scientific validation of and be a resource for the public for CAM therapies (this is the main function)
An aging population, an overburdened welfare system, and a cost conscious U.S. Congress exerting its influence on the health care system are all examples of ___ changes.
Culture
Environmental
Social
Technological
What is
Social
During client teaching, the nurse must inform the client prescribed a tricyclic antidepressant (TCA) to not expect to see a difference in mood or anxiety level for up to:
5 days.
6 weeks
2 to 3 weeks
4 to 5 weeks
What is
2 to 3 weeks
The behavioral state of thoughts, feelings, and activities that follow a loss is called:
Greif
Bereavement
Anxiety
Mourning
What is
Bereavement?
Which mental health problems are categorized as anger control disorders? (Select all that apply.)
Conduct disorder
Adjustment disorder
Dissociative disorder
Dysthymic disorder
Conversion disorder
Impulse-control disorder
Oppositional defiant disorder
What is
Conduct disorder
Adjustment disorder
Impulse-control disorder
Oppositional defiant disorder
Relaxation and visualization (this would be the best form of energy therapy)
Hypnosis therapy
Music and sound therapy
Spiritual healing
What is
Relaxation and visualization (this would be the best form of energy therapy)
Families without a home now make up _______% of the homeless population in the United States.
14
44
28
38
What is
38
While completing the history portion of an admission assessment of a client with schizophrenia, the nurse notices that the client is continually moving in the chair and frequently stands and then sits back down. The nurse knows that this client most likely is experiencing the side effect of:
Akinesia
Dystonia
Akathisia
Drug- induced parkinsonism
What is
Akathisia
One of the developmental tasks of adolescence is to establish intimacy and relationships. By the age of 14, what percentage of teens have experienced sexual intercourse?
10%
25%
50%
85%
What is
50%
Which of the following are indicative of hypochondriasis?
Symptoms most commonly appear in early childhood
More frequent in person exposed to a serious illness in childhood
Sufferers usually have strained interpersonal relationships
First diagnosed following a severe stressor.
What is:
Sufferers usually have strained interpersonal relationships
More frequent in person exposed to a serious illness in childhood
First diagnosed following a severe stressor.