Deck 40: Mental Health Challenges

Question 1

The nurse is interviewing and reviewing the health history of a 43-year-old client recently diagnosed with posttraumatic stress disorder (PTSD). Which of the following incidents would likely cause PTSD? (Select all that apply.)

A) Being inundated with a persistent, recurrent impulse to brush her teeth
B) Being raped as a freshman in college
C) Being slapped and punched by her husband 5 years ago
D) Being criticized by a coworker for missing a deadline
E) Being sexually molested when 7 years old

Answer 1

B, C, E

Question 2

Which personality traits are associated with the presence of eating disorders and concomitant mood disorders? (Select all that apply.)

A) High self-esteem
B) Perfectionism
C) Perceived ineffectiveness
D) Low IQ
E) Lack of athletic skill

Answer 2

B, C

Question 3

A nurse is assessing a client who is complaining of fatigue and insomnia in recent months. The client denies any mood disorders but appears depressed to the nurse. What measures should the nurse take to help reveal any underlying mental health conditions in this client? (Select all that apply.)

A) Investigate possible causes of the client's fatigue and insomnia
B) Convey empathy and respect while questioning the client
C) Take the client's blood pressure
D) Ask about mood changes in the client related to her menstrual cycle
E) Give the client a business card referring to a local psychiatrist

Answer 3

A, B, D

Question 4

Which of the following is the median age of onset for anxiety disorders?

A) 11 years
B) 14 years
C) 17 years
D) 20 years

Question 5

Which of the following are common symptoms of panic disorder? (Select all that apply.)

A) A recurrent, persistent impulse to wash one's hands
B) A sense of having a heart attack
C) Dizziness
D) Anxiety over being in a large crowd at a concert
E) A sense of imminent doom

Question 6

What is the normal duration of a panic attack?

A) 5 to 10 minutes
B) 20 to 30 minutes
C) 40 to 60 minutes
D) 1 to 2 hours

Question 7

Wanda is a client who was recently diagnosed with generalized anxiety disorder. Which of the following symptoms are consistent with that diagnosis? (Select all that apply.)

A) Muscle tension
B) Sudden onset and rapid progression of anxiety
C) Irritability
D) Headaches
E) Excessive worrying about everyday life

Question 8

Paige, a 16-year-old client, tells her nurse that she dreads going to her high school every day because she fears that her fellow classmates will criticize her appearance or what she says in class. She says that the anxiety is so bad some days that she is unable to get out of bed in the morning. Which anxiety disorder should the nurse expect most in Paige?

A) Generalized anxiety disorder
B) Social anxiety disorder
C) Panic disorder
D) Obsessive?compulsive disorder

Question 9

Melanie, a 24-year-old client, tells her nurse that she brushes her teeth up to 20 times per day. Her dentist has told her that it is causing a loss of the tooth enamel and gum recession, but Melanie feels that she has to do it. The nurse should recognize this phenomenon as which of the following?

A) An obsession
B) A compulsion
C) A manic episode
D) A panic attack

Question 10

What percentage of women experience major depression in their lifetimes?

A) 11.3%
B) 21.3%
C) 31.3%
D) 41.3%

Question 11

Kellen is a client with a history of major depression. Lately, however, she describes having experienced some "manic" episodes and wonders whether she might be bipolar. Which of the following symptoms described by Kellen should the nurse recognize as consistent with a manic episode? (Select all that apply.)

A) Feelings of worthlessness
B) Reduced need for sleep
C) Racing thoughts
D) Loss of interest in sex
E) Talkativeness

Question 12

Mindy is a 28-year-old client who gave birth 2 weeks ago. She currently complains of fatigue, unexplained crying spells, and hallucinations, all of which began just a few days after birth. What condition should the nurse expect most in Mindy?

A) Postpartum depression
B) Postpartum psychosis
C) Bipolar disorder
D) Schizophrenia

Question 13

The nurse is assessing a client suspected of having anorexia nervosa, restricted type. Which of the following are DSM-5 diagnostic criteria for anorexia nervosa that the nurse should consider in her assessment of the client? (Select all that apply.)

A) Refusal to keep body weight at or above minimal body weight for age and height
B) Consuming a larger-than-normal quantity of food in a short period of time and feeling no control over eating during the event
C) Marked fear of gaining weight and becoming obese, although underweight
D) Recurring episodes of self-induced vomiting to reduce weight gain
E) Amenorrhea-defined as the absence of menses over three consecutive months

Question 14

Katie is a 17-year-old client who has just been diagnosed with anorexia nervosa. She is 20% below her expected weight but is currently medically and nutritionally stable. Which intervention should the nurse expect to make for Katie?

A) Admission to the hospital
B) Referral to a 2-week inpatient program
C) Referral to a 6-month inpatient program
D) Prescription for a selective serotonin reuptake inhibitor (SSRI) medication