Lagniappe I
The main active ingredient in coffee, black teas, most cola drinks, and many other bottled beverages that stimulates the nervous system, relieves fatigue, increases alertness, and increases the body’s metabolic rate is:
Caffeine
__________ is a processed stimulant that reaches the brain immediately and produces an intense but short-lived high.
Crack
The client finds fault in every success she has. She is afraid to try anything new because she “just knows” that she will fail because she is mentally ill. Her behaviors demonstrate:
Low self-esteem
A wife is discussing her co-worker with her husband. The wife states, “I am so tired of her. She is always dressing in flamboyant clothing and pretends to have an accent. She doesn’t relate well to any of our co-workers because she is so superficial.” Which personality disorder is being described?
Histrionic
A drug that is taken daily to help reduce the desire for alcohol is:
Disulfiram (Antabuse)
The 40-year-old woman who works at the same entry level job for many years without seeking advancement and politely declines when friends ask her to try new vacation spots or hobbies may be suffering from which personality disorder?
Avoidant
Those who care for individuals with dissociative disorders must be aware that they often will try to __________ the staff members who are caring for them.
Manipulate
The process of emptying state mental hospitals and placing mentally ill persons in the community is known as:
Deinstitutionalization
Children who are smaller at birth, have small heads (microcephaly), and fail to develop normally have characteristics of:
Fetal alcohol syndrome
The nurse witnesses different personalities emerging in the client with dissociative identity disorder (DID). The primary personality is referred to as the:
Host
The drug most often abused by adolescents is:
Alcohol
Significant complications such as sudden death due to cardiac dysrhythmia or respiratory depression are associated with the use of:
Inhalants
The father of a 6-month-old and a 3-year-old discovers that his wife, who is the mother of the children, has abandoned the family and moved to another state. During this developmental stage, this abandonment will have the strongest negative effect on the children’s:
Self-concept
Abused substances are those chemicals that alter the person’s perception by affecting the _____ system.
Central nervous
Before treatment of an addiction can actually begin, many persons first must go through the process of removing the substance from their bodies under medical supervision. This is known as:
Detoxification
The childhood trait that increases the risk for developing an antisocial personality disorder is:
Poor impulse control
A woman has had several episodes where she finds new clothes in her closet that are much more colorful than the style she usually buys. Today, a co-worker approached her to thank her for hosting a dinner party that she had no recollection of hosting. What is the most appropriate nursing diagnosis for this client?
Personal identity, disturbed
Paranoid personality disorders are diagnosed more often in:
Men
Following the death of his wife of 50 years, the hospice nurse notices that the surviving husband’s affect is flat, he states that he has stopped attending the weekly card club he belongs to, and he voices difficulty in making decisions on a daily basis. The caregiver knows that this client is displaying the characteristics of the dissociative disorder of:
Depersonalization disorder
During assessment of a client with a dissociative disorder, the nurse notices that the client has been cutting herself on both arms. After talking with the client, the nurse, along with other members of the treatment team, decides that the best intervention at this time to prevent further self-destructive behavior would be:
Establishing a signed contract with the client to tell a team member when she is having self-destructive thoughts
The client relies on deceit and manipulation to get his own way. He seems to have a complete lack of conscience. His goal is always self-gratification at the other person’s expense. He is referred to as:
A psychopath
A client with the diagnosis of depersonalization disorder notices that he experiences periods of depersonalization when confronted with certain stressors. When developing the care plan, the nurse is aware that one of the most helpful activities in self-control for this client is for the client to:
Keep a daily journal of his thoughts and feelings, paying special attention to thoughts and feelings during stressful times.
A male client has schizotypal personality disorder. A female client compliments him on his style of dressing, and he interprets this as her caring deeply for him and desiring to date him. What is the client experiencing?
Ideas of reference
The care provider is aware that in addition to assessment, one of the first goals of therapy for the client with a dissociative disorder is:
Stabilization
When developing the nursing care plan for a client with dissociative identity disorder (DID), the nurse knows that one of the major goals of therapy is to assist the client in:
Integrating the personalities into one functional personality