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Crisis Intervention
Eating Disorder
PERSONALITY DISORDERS
RANDOM
Prevention
100

After celebrating a 40th birthday, an individual becomes concerned with the loss of youthful appearance.  

 ➢ A: Maturational

100

A nurse is attempting to differentiate between the symptoms of anorexia nervosa and the symptoms of bulimia. Which statement delineates the difference between these two disorders?  

• A: Clients diagnosed with anorexia nervosa experience extreme nutritional deficits, whereas clients diagnosed with bulimia nervosa do not

100

A patient diagnosed with borderline personality disorder has a history of self?mutilation and suicide attempts. The patient reveals feelings of depression and anger with life. The psychiatrist suggests the use of a medication. Which type of medication should the nurse expect?  

A: Selective serotonin reuptake inhibitor (SSRI)

100
  • Physical assessment of a patient diagnosed with bulimia nervosa often reveals what data?

  • A: prominent parotid glands
100
  • A school nurse provides education on drug abuse to a high school class. This nursing action is an example of which level of preventive care?

  • A: Primary prevention
200

An adolescent comes to the crisis clinic and reports sexual abuse by an uncle. The patient told the parents about the uncle’s behavior, but the parents did not believe the adolescent. What type of crisis?

Adventitious

200

Which nursing intervention has priority as a patient diagnosed with anorexia nervosa begins to gain weight? •

: Observe for adverse effects of refeeding.

200

A client diagnosed with bipolar I disorder is exhibiting severe manic behaviors. A physician prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The client’s spouse questions the Zyprexa order. Which is the appropriate nursing response? ”

A: Zyprexa calms hyperactivity until the Eskalith takes effect.”

200
  • When questioned about bruises, a woman states, “It was an accident. My husband just had a bad day at work. He’s being so gentle now and even brought me flowers. He’s going to get a new job, so it won’t happen again.” This client is in which phase of the cycle of battering?

  • A: PHASE III: THE HONEYMOON PHASE
200
  • A client diagnosed with schizophrenia is hospitalized owing to an exacerbation of psychosis related to non- adherence with antipsychotic medications. Which level of care does the client’s hospitalization reflect?

  • A: Secondary prevention level of care
300

A woman says, “I can’t take anymore! Last year my husband had an affair. Three months ago, I found a lump in my breast. Yesterday my daughter said she’s quitting college.” What type of crisis is this person experiencing ➢  

A: Situational

300

As a patient admitted to the eating disorders unit undresses, a nurse observes that the patient’s body is covered by fine, downy hair. The patient weighs 70 pounds and is 5 feet, 4 inches tall. Which condition should be documented?

lanugo

300
  • : A nurse set limits for a patient diagnosed with a borderline personality disorder. The patient
  • tells the nurse, “You used to care about me. I thought you were wonderful. Now I can see I
  • was mistaken. You’re terrible.” This outburst can be documented using what term?

  • A: Splitting
300
  • A nursing instructor is teaching about reminiscence therapy. What student statement indicates that learning has occurred?


  • A: “Reminiscence therapy encourages members to share both positive and negative significant life memories to promote resolution.”
300
  • : When a home health nurse administers an outpatient’s injection of haloperidol decanoate (Haldol decanoate), which level of care is the nurse providing?

  • A: Tertiary prevention level of care
400

A patient visiting the crisis clinic for the first time asks, “How long will I be coming here?” The nurse’s reply should consider that the usual duration of crisis intervention is how long in weeks?  

A: 4 to 6 weeks

400

The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention “Monitor for complications of refeeding.” Which body system should a nurse closely monitor dysfunction?

cardio

400
  • A preschool child is admitted to a psychiatric unit with the diagnosis autistic spectrum disorder. To help the child feel more secure on the unit, which intervention should a nurse include in this client’s plan of care?

  • A: Provide consistent caregivers
400
  • Which of the following have been assessed as the most common types of mental illness identified among homeless individuals? (Select all that apply.) 3 answers

  • A: 1. Schizophrenia
  • 3. Antisocial personality disorder
  • 4. Neurocognitive disorder
400
  • : A nurse assesses a confused older adult. The nurse experiences sadness and reflects, "The patient is like one of my grandparents...so helpless." Which response is the nurse demonstrating?

  • A: Countertransference
500

A client diagnosed with NCD is disoriented and ataxic and wanders. Which is the priority nursing diagnosis? •  

A: Risk for injury

500

 regarding a client’s home environment what should a nurse associate with the development of anorexia nervosa?

o Elements of power and control present o Comes from perfectionist and demanding families o Perceive as a rebellion against the authority of the parents o The sick child becomes the problem and focus on the conflict is diverted

500
  • Which of the following medications is used to treat Tourette's disorder?

  • A: Haloperidol
500
  • An older client who lives with a caregiver is admitted to an emergency department with a fractured arm. The client is soaked in urine and has dried fecal matter on lower extremities. The client is 6 feet tall and weighs 120 pounds. Which condition should the nurse suspect?

  • A: Abuse and/or neglect
500

: Order the goals of the levels of prevention as they progress through the public health model set forth by Gerald Caplan.

________ Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness

________ Services aimed at reducing the residual defects that are associated with severe and persistent mental illness

________ Services aimed at reducing the incidence of mental disorders within the population



A: 2, 3, 1