Addiction
Which of the following neurochemical influences is a probable cause of substance abuse?
What is :Stimulation of dopamine pathways in the brain
Which disorder is characterized by pervasive mistrust and suspiciousness of others?
What is Paranoid personality disorder
A 15-year-old female is admitted for treatment of anorexia nervosa. Which is characteristic of anorexia nervosa?
Body weight less than normal for age, height, and overall physical health
The client asks the nurse, "What does somatization mean?" What should the nurse reply?
What is "It means that stress and/or emotions are causing your symptoms."
The nurse is assessing a 16-month-old child during a well-baby checkup. Which of the following behaviors would be consistent with autism spectrum disorder? Select all that apply.
1The child displays little eye contact with others.
2The child makes few facial expressions toward others.
3The child does not like spontaneous play.
4The child thrives on changes in routine.
What is 1,2,3,
Which patient is most likely suffering from dementia?
90 year old male who has a progressive mental decline that started with forgetfulness
OR
An 80-year-old female who has been in excellent health until she was admitted through the emergency department with a severe urinary tract infection and is now very anxious and is threatening staff
What is 90 year old male who has a progressive mental decline that started with forgetfulness
The nurse is assessing a client's risk factors for developing a substance abuse disorder. Which family characteristic would the nurse identify as the most significant risk factor?
What is: One parent who is an alcoholic
Which would most likely be a type of behavior that would be manifested by a client who has a histrionic personality disorder?
What is Having a tantrum if not getting enough attention?
A client has an eating disorder characterized by consuming an amount of food much larger than a person would normally eat. Afterward, the client often purges the food or exercises excessively. Between binges, the client often eats low-calorie foods or fasts. What is the client's most likely diagnosis?
What is Bulimia Nervosa
The husband of a woman with a somatic symptom illness asks the nurse why the doctors cannot find anything wrong with her. Which would be the appropriate explanation for the nurse to offer?
What is "There is no physical cause. Mental distress is causing the symptoms, even though she is not aware of it."
A mother expresses concern to the nurse that the child's regularly scheduled vaccines may not be safe. The mother states that she has heard reports that they cause autism. The most appropriate response by the nurse is,
"There has been no research to establish a relationship between vaccines and autism."
The daughter of a woman with dementia asks the nurse if her mother will ever be able to live independently again. Which would be the most appropriate response by the nurse?
"Symptoms of dementia gradually get worse. Unfortunately, she will not be independent again."
A client reports drinking one to two drinks when drinking behavior first began. Now the client reports drinking at least six drinks with every episode in order to "have a good time." Which term would best describe this phenomenon?
What is Tolerance?
A person with temperament traits of high harm avoidance would most likely suffer from which personality disorder?
What is Avoidant
The nurse is assessing a client with an eating disorder. Which of the following personality characteristic would the nurse expect to detect when interacting with the client?
What is Eager to please?
A client with somatic symptom illness tells the nurse that she is sick so often that her husband and children take over most of the household duties, such as cooking, cleaning, doing laundry, and so forth. Which is this evidence of?
What is Secondary Gain?
The parents of a child are concerned about their child's behavior now that he has started school. The nurse assesses and evaluates the child. Which of the following symptoms are characteristic of ADHD? Select all that apply.
1. Enuresis
2.Inattentiveness
3. Overactivity
4I.mpulsiveness
What is 2,3,4
The nurse is questioning the family of a client brought in with cognitive impairment as she assesses and evaluates the client's condition. Which distinguishes delirium from dementia?
Dementia has a gradual onset and is progressive in course. Delirium has a sudden onset, and the underlying cause is treatable or self-limiting;
A client is being discharged on disulfiram. Which instruction for Antabuse should the client receive?
What is: Read products labels carefully to avoid all products containing alcohol.
The nurse explains to the client that therapy will be a long process. Which of the following is a realistic outcome for the care of a person with a personality disorder?
What are Outcomes that focus on change in behavior
All of the following nursing diagnoses are appropriate for the care of a client with anorexia nervosa. Which nursing diagnosis has the highest priority?
1Activity intolerance
2Ineffective coping
3Chronic low self-esteem
4Imbalanced nutrition: less than body requirements
What is # 4 Imbalanced nutrition: less than body requirements
Which of the following accurately describes how somatic symptoms are distinguished from factitious disorders and malingering?
In malingering or factitious disorders, people willfully control the symptoms, and in somatic symptom illnesses clients do not voluntarily control their physical symptoms.
The mother of a 15-year-old boy tells the nurse that her son is becoming more assertive in conflict situations and wants to get a job. She asks if it is healthy for a 15-year-old to be so independent. Which is valid information for the nurse to offer the mother?
What is His behaviors reflect normal growth and development.
The nursing supervisor in an extended care facility is managing the environment to best help the clients with dementia. Which should the nurse include in planning the living environment regarding staffing?
What is the continuity of staff
A client is admitted for treatment of trauma sustained in a fall. The client believes bugs are crawling on the bed. The client is anxious, agitated, diaphoretic, and has a history of chronic drinking. The nurse can anticipate that the physician will order which medication?
What is : Benzos such as diazepam (Valium)or chlordiazepoxide ( Librium)
A female client with borderline personality was formerly cooperative with the treatment regimen. Suddenly, the client believes the staff is working against her and is refusing all interaction and participation in treatment. The nurse feels very frustrated by this client's behavior. What is the best action for the nurse to take regarding personal frustration with this client?
Discuss the frustration with a colleague or supervisor in a private setting.
A nurse is presenting information to a community group about health. Which information should the nurse provide regarding calorie restriction diets at an early age in children?
What is dieting at an early age may lead to the development of an eating disorder
A mother rushes her infant to the ED and states "Help, my baby is unresponsive!" Which of the following terms is applicable when a person inflicts illness or injury on someone else to gain the attention of emergency medical personnel or to be a "hero" for saving the victim?
What is Munchausen's syndrome by proxy
A nurse is discussing a client's condition with the client's family. A family member states that the client has a long history of mental retardation. The nurse corrects the family member by explaining that which is the correct term for this condition?
What is intellectual disability?
The daughter of a client with dementia has been the primary caregiver for 5 months. The daughter expresses to the nurse, "At times it is so overwhelming! I feel I do not have a life anymore!" Which is the most helpful response by the nurse?
What is "Here is the number of a caregivers' support group. How do you think you would feel talking with others in the same situation?"