Mental Health Disorders
A client with schizophrenia who feels their hands and feet belong to someone else is experiencing this perceptual alteration.
A client with schizophrenia who feels their hands and feet belong to someone else is experiencing depersonalization
A nurse should instruct a client taking a Monoamine Oxidase Inhibitor (MAOI) to avoid foods containing this to prevent a dangerous increase in blood pressure.
A nurse should instruct a client taking a Monoamine Oxidase Inhibitor (MAOI) to avoid foods containing tyramine to prevent a dangerous increase in blood pressure. Examples of these foods include hard cheeses, red wine, and smoked fish
This is the greatest risk to the safety of a client who is depressed.
The greatest risk to the safety of a client who is depressed is self-harm.
This non-therapeutic communication technique implies criticism and fosters defensiveness.
"Why" questions are a non-therapeutic communication technique that implies criticism and fosters defensiveness
This defense mechanism involves escaping unpleasant or anxiety-causing thoughts by ignoring their existence.
Denial is the defense mechanism of escaping unpleasant or anxiety-causing thoughts or feelings by ignoring their existence.
A nurse should serve sealed, individual food items to a client with paranoid delusions to address this concern.
A nurse should serve sealed, individual food items to a client with paranoid delusions to increase their feeling of safety and encourage them to eat.
A client beginning fluoxetine therapy should be taught that full therapeutic effects may take up to this long to develop.
A client beginning fluoxetine therapy should be taught that full therapeutic effects may take up to 12 weeks to develop. Antidepressant effects typically begin in 1 to 3 weeks.
When a client is hyperventilating, wringing their hands, and pacing, the nurse should prioritize this action to provide a feeling of safety.
When a client is hyperventilating, wringing their hands, and pacing, the priority action is to tell the client the nurse will remain with them, which provides a feeling of safety.
This effective communication technique encourages further dialogue by repeating a client's own words back to them in a question format.
Restating is an effective communication technique that encourages further dialogue by repeating a client's own words back to them in a question format. For example, "You feel that you don’t belong here?".
A client who has an involuntary commitment is considered a danger to themselves or to others, not because of this.
The explanation for involuntary commitment is that the client is a danger to themselves or others. It is not based on irrational behavior, breaking the law, or inability to manage personal affairs.
This disorder is characterized by ritualistic behaviors performed to alleviate anxiety, which the client often recognizes as excessive.
This is obsessive-compulsive disorder (OCD). Clients with OCD repeatedly perform ritualistic behaviors as a way to alleviate anxiety
This medication is the first-line treatment for an acute depressive episode of bipolar disorder.
Lithium carbonate is the first-line treatment for an acute depressive episode of bipolar disorder.
When a client is refusing to participate in activities of daily living, the nurse should provide these kinds of directions.
For clients refusing activities of daily living (ADLs), the nurse should provide direct, specific directions, such as, "I will help you sit up and get your slippers on".
Giving advice, using clichés, and offering false reassurance are all examples of this type of communication.
Giving advice, using clichés, and offering false reassurance are all examples of non-therapeutic communication
This is an expected adverse effect of Electroconvulsive Therapy (ECT) that is temporary and usually improves after a few weeks.
Short-term memory loss is an expected, temporary adverse effect of Electroconvulsive Therapy (ECT) that usually improves after a few weeks. Confusion and disorientation upon waking are also expected.
Grandiosity, clang associations, and flight of ideas are symptoms of an acute manic episode in a client with this disorder.
Grandiosity, clang associations, and flight of ideas are symptoms of an acute manic episode in a client with bipolar disorder
A client taking this antipsychotic medication requires frequent blood tests to monitor their white blood cell count due to the risk of agranulocytosis.
Clozapine is an antipsychotic medication used in the treatment of schizophrenia. A serious adverse effect of clozapine is agranulocytosis, which is why clients require frequent blood tests to monitor their white blood cell count
This therapeutic communication technique involves empathizing with a client's feelings about a delusion without validating the truth of the delusion itself.
This is empathetic communication. A nurse should acknowledge and empathize with the client's feelings about the delusion without validating the truth of the delusion itself.
A nurse who displaces feelings toward personal friends or relatives onto a client is experiencing this, and should seek supervision rather than discuss it with the client.
The nurse is experiencing countertransference, which is when a nurse displaces feelings toward personal friends or relatives onto a client. The nurse should recognize this and seek supervision, not discuss it with the client.
A child's reported injuries that are inconsistent with their developmental age or the reported cause are an indicator of this.
Reported injuries that are inconsistent with a child's developmental age or the reported cause are an indicator of physical abuse.
A client who leaves a deceased child's room exactly as it was and is unable to resume normal daily activities is demonstrating this type of grieving.
A client who leaves a deceased child's room exactly as it was and is unable to resume normal daily activities is demonstrating maladaptive grieving
When a client ingests alcohol while taking disulfiram, they will experience these severe symptoms.
When a client ingests alcohol while taking disulfiram, they will experience severe nausea and vomiting.
For a client experiencing a panic attack, the priority action is to remain with them in a quiet area and provide reassurance, which aligns with Maslow's hierarchy of needs by first addressing this need.
The nurse's priority for a client experiencing a panic attack is to remain with the client in a quiet area and reassure them they are safe, as this addresses the client's safety and security needs
This therapeutic technique is demonstrated when a nurse spends time with a client, conveying that they are worth the nurse's time and attention.
Providing presence is a therapeutic technique that involves spending time with the client, which conveys that they are worth the nurse's time and attention.
When a client with Generalized Anxiety Disorder (GAD) has difficulty making decisions and procrastinates, they will frequently seek this from friends and family members.
Clients with Generalized Anxiety Disorder (GAD) will frequently seek reassurance from friends and family members