OCD
A client with obsessive-compulsive disorder tells the nurse, "I never thought I'd be able to survive the feeling of leaving a room without going back through the door eight times, but I just did it with my therapist!" This client's treatment most likely included:
exposure and response prevention.
A nurse is aware that the likelihood a client will be in adherence with psychotropic medications is affected by what?
Receiving education and information about the medication.
Which type of setting is used for clients who continue to need supervision but not long-term admission?
The nurse is working with a client seeking treatment for bulimia and determines that cognitive restructuring will help build the client's self-esteem. Which best describes the goals of cognitive restructuring?
Change distorted thinking and the subsequent behaviors
The nurse is demonstrating countertransference with a client with which behavior?
relating to the client because the client resembles a favorite cousin
Which statement made by the nurse to the family of a client diagnosed with obsessive-compulsive disorder (OCD) demonstrates the best general understanding of the chronic nature of the disorder and its management?
Benzodiazepines increase which neurotransmitter function?
The nurse works for a psychiatric–mental health facility that utilizes traditional milieu therapy. Which stage of milieu therapy allows for control and limitation of maladaptive behaviors including yelling and screaming?
Structure
A client is undergoing individual psychotherapy. The client is yelling at the therapist because of a fight with the client's spouse about their children several years ago. In this instance, the client is exhibiting which response?
An instructor is teaching a class about the use of cognitive therapies in psychiatric nursing. Which statement made by a student identifies a need for further instruction?
Lengths of stay for clients in inpatient settings are becoming longer each year."
The nurse is providing education to a client prescribed clomipramine to help with obsessive-compulsive disorder. Which statement by the client indicates the teaching was effective?
"I may have a risk of suicidal thoughts with the medication."
Antipsychotics function by blocking receptors of which neurotransmitter?
Dopamine
A client will soon be completing a course of inpatient treatment for the treatment of schizophrenia. At what point should the care team review the client's eligibility for additional services, coverage, and programs in the community?
Upon admission to the inpatient setting
Which concept states that if a certain behavior is rewarded with praise, the behavior will probably be repeated?
When a therapist is interviewing a client diagnosed with depression, the client's feelings toward the client's parents as a child are being directed at the therapist. This is an example of:
The nurse is teaching a client with obsessive-compulsive disorder about cognitive restructuring. Which client statement best demonstrates effectiveness of teaching?
Benzodiazepines and buspirone are included in which therapeutic category?
The nurse is caring for a group of clients in a residential treatment facility. While the intensive outpatient programs promote education in the areas of stress management and relapse prevention, the residential treatment facility emphasizes what?
Ensuring a sustainable living situation
A client refuses to talk to anyone about the recent death of the client's mother. Which defense mechanism is this client using?
A basic function of psychiatric nurses is to implement a group that focuses on helping individuals coping with their illness. This refers to ...
a supportive therapy group.
A nurse is providing care to several clients with obsessive-compulsive disorder. Which client would the nurse identify as most likely to benefit from psychosurgery?
a client with severe obsessive compulsive disorder who has not responded to conservative treatment
A client receives the first dose of fluphenazine. The next day, during the follow-up appointment, the nurse finds the client is confused and mute, and the client's temperature is 103°F. The client also presents with rigidity and diaphoresis. The nurse should investigate further for which condition?
The nurse is conducting an admission assessment on a client in a forensic setting. Which is a priority care issue?
Risk assessment
Two staff nurses in a psychiatric emergency department are being considered for a promotion that will be announced via memo on a unit bulletin board. They work in a collaborative team environment, have been colleagues for 15 years, and socialize outside work. Nurse A hears from a third colleague that Nurse B was promoted. Nurse A responds, “I knew I’d never get the job. The nurse manager hates me.” Nurse A is most likely demonstrating:
projection.
A nurse is leading a group. During the session, the nurse observes the members testing each other to see if they can trust each other. The nurse leader also notes that the members are testing the nurse, too. The nurse interprets this behavior as characteristic of which phase?