Neurodevelopmental Disorders
A nurse is caring for a client who has ADHD. Which of the following findings should the nurse expect to observe?
What are symptoms such as difficulty focusing, impulsive behavior, and hyperactivity?
This part of the autonomic nervous system is stimulated in a client experiencing severe anxiety when going to work, activating the "fight or flight" response.
What is the sympathetic nervous system
Which of the following conditions is considered a reversible neurocognitive disorder?
A. Alzheimer's disease
B. Parkinson's disease
C. Delirium
D. Vascular dementia
What is Delirium
What eating disorder is characterized by recurrent episodes of binge eating followed by compensatory behaviors such as self-induced vomiting, excessive exercise, or misuse of laxatives?
What is bulimia nervosa
What is malingering?
A client intentionally faking or exaggerating symptoms for secondary gain i.e. financial compensation or avoiding work.
A nurse is assessing a 10-year-old child who has an autism spectrum disorder. Which of the following findings are expected?
A. Continuous rocking of the body
B. Difficulty reading instructions for a game.
C. Difficulties in remembering facts and numbers
D. Difficulties in mastering the rules of spelling
What is Continuous rocking of the body
A nurse is assessing a client who reports feeling stress and anxiety. The client appears restless and is pacing in the room. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?
A. Anxiety
B. Pacing
C. Alert
D. Restless
What is Anxiety
Which of the following is a characteristic feature of neurocognitive disorders?
A. Gradual onset and progression of cognitive decline
B. Abrupt onset and rapid improvement of cognitive function.
C. Stable cognitive function without any decline
D. Intermittent and fluctuating cognitive decline
What is Gradual onset and progression of cognitive decline
What key physical characteristic differentiates anorexia nervosa, purging type, from bulimia nervosa?
What is a significantly low BMI in anorexia nervosa, purging type, compared to a typically normal or above-normal BMI in bulimia nervosa.
You are caring for a client who reports numbness and tingling in both hands however the medical workup has been unremarkable, what disorder is this client likely exhibiting?
Functional Neurological Disorder
A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?
A. Hyperkalemia
B. Dental decay
C. Amenorrhea
D. Lower than normal expected reference range of body weight
What is Dental decay
After admitting a client with panic-level anxiety to an inpatient mental health unit, what is the most therapeutic nursing action to take immediately?
A. Suggest that the client rest in bed.
B. Remain with the client for a while
C. Medicate the client with a sedative.
D. Have the client join a therapy group.
What is Remain with the client for a while
What are side effects of cholinesterase inhibitors?
Nausea and vomiting
What is the most effective evidence-based psychotherapy for addressing eating disorders, including anorexia nervosa, bulimia nervosa, and binge eating disorder?
What is cognitive-behavioral therapy (CBT)
Factitious disorder
.A nurse is caring for a client who has an eating disorder. The nurse should identify that eating disorders are challenging to treat due to which of the following factors?
A. The treatment of an eating disorder depends primarily on psychotropic medication.
B. Eating disorders have an abrupt onset.
C. Clients who have an eating disorder struggle with eating, which is necessary to live.
D. Clients who have an eating disorder must be treated on an inpatient basis.
What is Clients who have an eating disorder struggle with eating, which is necessary to live.
A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following responses should the nurse make?
A. "It sounds like you're having a difficult time."
B. "Have you talked to your parents about this yet?"
C. "Why do you think you are so anxious?"
D. "How long has this been going on?"
What is "It sounds like you're having a difficult time."
.A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?
A. Traumatic brain injury
B. Prion disease
C. HIV infection
D. Lewy body disease
What is Lewy body disease
What are key physical assessment findings that may indicate anorexia nervosa in a patient?
What are:
You are caring for a client who describes extreme fear of having or acquiring a disease. The client is exhibiting symptoms of what disorder?
Illness Anxiety Disorder
A nurse has attended an in-service regarding the care of adolescent clients who have behavioral disruptive disorders. Which statement by the nurse indicates an understanding of these disorders?
A. "Behavioral disruptive disorders result in difficulty controlling emotions and behaviors that are often manifested in acts of aggression."
B. "Behavioral disruptive disorders are characterized by acts of self-directed harm and aggression."
C. "Behavioral disruptive disorders are generally diagnosed in children and adolescents who often outgrow the behaviors later in life."
D. "Disruptive behavioral disorders are generally first diagnosed in early young adulthood."
What is "Behavioral disruptive disorders result in difficulty controlling emotions and behaviors that are often manifested in acts of aggression."
A patient with OCD is frequently washing their hands for fear of germs, what is the primary purpose of this compulsive behavior?
To temporarily relieve anxiety caused by obsessive thoughts.
A nurse is discussing Alzheimer's disease medications with a patient's family. Which statement by the family indicates a need for further education?
A. "Donepezil can cure Alzheimer's disease if taken regularly."
B. "We should monitor for side effects such as dizziness and confusion with memantine."
C. "The medications may help with symptoms, but they won't stop the progression of the disease."
D. "Memantine is used for severe stages of Alzheimer's disease."
What is "Donepezil can cure Alzheimer's disease if taken regularly."
When weighing a client recently admitted to an eating disorder treatment program, which action should the nurse take to ensure accurate measurement?
A) Ensure the client is weighed at the same time each day.
B) Monitor for extra fluids the client may have consumed before being weighed.
C) Allow the client to self-report their weight if they feel comfortable.
D) Weigh the client while they are fully clothed, including shoes.
B) Monitor for extra fluids the client may have consumed before being weighed.
How would you describe somatic symptom disorder to a clients family?
"Individuals with somatic symptom disorder experience real physical symptoms, but these manifestations are due to emotional causes rather than physical ones."