A client being worked up for personality disorder reports isolating themselves after being fired from a government job. They watch out their window daily for the "Black cars that come by spying on me."
What is paranoid personality disorder
100
The nurse documents the following client description:
"25 yo male presents wearing multiple layers of clothing. Skin pale, eyes appear sunken into sockets, low muscle mass. Reports 'always feeling cold despite layering clothing'. States they only agreed to be seen because their parents are worried about them."
What is anorexia nervosa
100
A mental health tech has asked a manic client to be quiet twice during group. The client interrupts a resident for a third time.
The next appropriate action...
What is remove the client from the situation
100
Three weeks after witnessing a shooting a client reports to the mental health clinic with nightmares, paranoia, and flashbacks of the traumatic event.
What is post traumatic stress disorder (PTSD)
100
This medication doubles as an anti-hypertensive and aids opiate withdrawal symptoms
What is clonidine
200
A client presents for admission to a mental health facility after being removed from a provider's office.
They state, "All I did was demand a prescription for radiation. Didn't they tell you I have a brain tumor? I have headaches all the time!"
What is illness anxiety disorder
200
An elderly client reports to the nurse as they enter the room, "You're just in time! I am about to have tea with the Queen. Let me pour you a cup."
The client is experiencing...
What is a delusion
200
The nurse asks a client what they were thinking about right before they felt the need to wash their hands three times in a row.
What is obsessive compulsive disorder
200
A young adult seeks treatment for anxiety, insomnia, and guilt following a forced sexual encounter.
What is Rape trauma syndrome
200
The nurse provides education for a client on the need to return for monthly CBC and differential counts after being started on this medication.
What is clozapine
300
Nurses are providing secondary prevention at a community health fair. They are approached by a person reporting, "I think I may be an alcoholic."
What will the nurse choose to assess them?
What is the CAGE questionnaire
300
A client with factitious disorder is frequently injuring themselves. They report them as "at work injuries" to get compensation so they don't have to return to work.
What is a secondary gain
300
A anxious manic client is constantly in motion, rarely able to sit in place for 1-2 minutes and paces while on the unit and in the dining hall.
What is offer finger foods and hydration
300
A violence victim relieves flattery from the abuser and is overly-affectionate with the victim around others.
What is the honeymoon period
300
This medication is ordered STAT IV for a BP of 210/102 and 182/99 mm/Hg, drooling, and a temperature of 102.5.
What is dantrolene
400
A client presents for admission reporting SI due to frequent panic attacks; they state, "I just worry about everything..."
What is generalized anxiety disorder
400
A borderline client states, "My boyfriend is worthless. Here I am locked up in this place and he has to get off the phone to go to work! I thought he loved me."
What is splitting
400
The nurse keeps this theory in mind as they dress the wounds of client admitted for SA.
What is Maslow's hierarchy of needs
400
A client's CT scan comes back positive for an acute head injury after reporting they "tripped over a rug and bumped their head on the coffee table".
What is acute battering stage
400
This is added to a medication record after a manic client has an adverse reaction to lithium carbonate.
What is carbamazepine
500
An anorexic client receiving scheduled tube feedings plus PO meals reports muscle cramping and a "fluttering sensation" in their chest.
What is re-feeding syndrome
500
A concerned parent reports their 11 yo spends a lot of time with their imaginary "best friend" Tommy. They talk to themselves frequently and are having trouble completing their school work because they are distracted.
What is prodromal symptoms of schizophrenia
500
A client reports to the nurse their head "feels cloudy" and they feel anxious. The nurse notices the client has a mild hand tremor. In the client's chart they see the client's last drink was 48 hours ago.
What is CIWA protocol
500
A group is called together after treating clients in a mass causality incident.
What is critical incident stress debriefing (CISD)
500
A client selects the following dinner items: baked chicken breast, steamed potatoes, green beans, and vanilla cake.