Question 1

The nursing student knows that involving families with the client's treatment is an important aspect of family nursing. Certain biases, such as believing families are responsible for the client's mental illness, prevents:

Accepted Answer

Believing families are responsible for the client's mental illness leads to a violation of family rights and can prevent social interaction between the client and their family. It can also cause families to be excluded from participating in the client's treatment and may prevent the family from providing support and hope for the client's recovery. This bias can further impact the relationship between the family and the client and lead to future episodes of negative behavior. Therefore, involving families and recognizing their importance in the client's treatment is crucial in family nursing.

Question 2

A nurse has been working one-to-one therapy with a client but now tells the client it would be beneficial for the client to be part of a group. The nurse knows that the advantage of group therapy is:

Accepted Answer

Group therapy provides the advantage of having multiple people participate in a therapeutic experience, allowing clients to gain insights from others' experiences and support from peers.

Question 3

A nurse comes to the mental health clinic tired, angry, and in a hurry. After making several minor mistakes, the nurse realizes that in order to help clients and improve their functioning through the development of behavioral contracts, he must first take his time and change his attitude in order to:

Accepted Answer

Formulating practical and measurable objectives is an essential step in developing behavioral contracts. The nurse's tiredness, anger, and rush may result in mistakes that could affect the development of these objectives. Taking time and changing attitude is therefore necessary to ensure that behavioral contracts are effective in improving clients' functioning.

Question 4

The nursing student working on a group project brings healthy snacks to the meeting so he and his fellow classmates will not gain unwanted pounds as they did on a previous massive assignment. The student has employed:

Accepted Answer

The nursing student is using behavior modification by providing healthy snacks in order to modify the behavior of his fellow classmates and prevent them from gaining unwanted weight.

Question 5

A client complains of feeling angry whenever he sees families relating well with one another. During a family group session, the nursing student observes a family member belittling every statement made by the client. The nursing student knows that the client's thinking is often:

Accepted Answer

The client's thinking is likely automatic and unconscious, leading to negative feelings and behaviors. This may be due to past experiences or deeply ingrained beliefs. The observed family member belittling the client's statements may be reinforcing these negative thoughts and feelings.

Question 6

The night nurse at the mental health clinic is designing a behavioral contract for a client diagnosed with panic attacks. During the assessment phase, the client is negative and exhibits low self-esteem. However, the nurse knows that in order to develop an effective contract, the focus must be on:

Accepted Answer

The focus of a behavioral contract should be on the client's abilities and strengths in order to build confidence and self-esteem. Focusing on negative factors or weaknesses can further exacerbate the client's low self-esteem and hinder progress towards achieving goals. While family and discharge goals may be important considerations, they should not be the primary focus when designing a behavioral contract for a client with panic attacks.

Question 7

The nurse knows that a client who has panic attacks when she sees waterfalls because she had been physically assaulted in a park with a waterfall, would benefit from the feature of cognitive and behavioral treatment of:

Accepted Answer

Reframing involves changing the way a person thinks about a particular situation or fear. In this case, the client associates waterfalls with a traumatic event, so reframing their thinking about waterfalls can help them see it as a neutral or positive feature. Suggesting alternative behavior, seeking social support or expressing affection may not be as effective in addressing the client's fear of waterfalls caused by the past trauma.

Question 8

A client diagnosed with depression states, "Even in high school I was a failure. It's a wonder I was associated with successful friends." The nurse knows this client is making:

Accepted Answer

The answer of A client diagnosed with depression states, "Even...

Question 9

A nursing student is praised for the comprehensive assessment of a client diagnosed with suicidal ideation. Based on the assessment interview, the student develops a plan to keep the client safe, and the client signs the resulting:

Accepted Answer

The best choice is for the nursing student to have the client sign a behavioral contract, which outlines the agreed-upon plan to keep the client safe and prevent future suicidal ideation or attempts. This type of contract is commonly used in mental health settings as a collaborative tool between the client and healthcare professionals to promote safety and adherence to treatment plans. Neither A, B, nor C are appropriate or relevant documents in this scenario.

Question 10

The nurse is assessing a client with nicotine addiction. The nurse knows the client plans to compete in a marathon several months away and asks the client to imagine snapping a cigarette in half and winning the marathon whenever the urge to smoke occurs. The nurse knows that shaping one's thoughts so that they have control over a particular situation, thereby creating a successful behavior change, is called:

Accepted Answer

Mastery imagery involves visualizing oneself successfully overcoming obstacles and achieving specific goals, which in this scenario is the client imagining breaking a cigarette in half and winning a marathon to overcome nicotine addiction and achieve a healthier lifestyle.

Question 11

Which of the following is an indication that the client understands the teaching related to buspirone (Buspar)?

Accepted Answer

Drinking grapefruit juice while taking buspirone can lead to increased blood levels of the medication, which can cause side effects. This indicates that the client understands the teaching related to buspirone. Choices A, B, and C are incorrect as they demonstrate misconceptions or unrealistic expectations of the medication.

Question 12

When in the course of treatment with an antipsychotic medication would the nurse be most likely to assess tardive dyskinesia?

Accepted Answer

Tardive dyskinesia is a side effect of long-term use of antipsychotic medications, typically developing after months or years of treatment. Therefore, the nurse would be most likely to assess for tardive dyskinesia after long-term use of the medication. Choices A, B, and D are incorrect because they do not align with the timeline of this side effect.

Question 13

The nurse would expect that the client would not need which of the following medications after taking buspirone (Buspar) for two weeks?

Accepted Answer

Buspirone is a non-benzodiazepine anxiolytic medication, which means it does not interact with the same receptors in the brain as benzodiazepines like lorazepam (Ativan). Therefore, a client who has been taking buspirone for two weeks would not need lorazepam for anxiety. However, the client may still need medications such as donepezil (Aricept) for dementia, lithium carbonate for mood stabilization, or aripiprazole (Abilify) for antipsychotic and mood-stabilizing effects, depending on their individual needs and medical history.

Question 14

Which of the following is a priority assessment for a child in the initial stages of antidepressant treatment?

Accepted Answer

Suicide assessment is the priority assessment for a child in the initial stages of antidepressant treatment due to the increased risk of suicidal ideation and behavior. Monitoring for signs of worsening depression and suicidal thoughts is crucial during this time. School successes, food preferences, and family functioning may be important considerations for overall treatment, but are not as urgent in the initial stages of treatment as assessing for safety concerns.

Question 15

The client is taking a medication to help cope with EPSEs but can not remember the name of the medication. The nurse would give the client information about which of the following medications that the client is receiving?

Accepted Answer

Benztropine (Cogentin) is a medication used to help cope with extrapyramidal side effects (EPSEs) caused by antipsychotic medications.

Question 16

Which of the following laboratory studies is performed because the client is taking lithium?

Accepted Answer

Lithium can affect thyroid function, leading to hypothyroidism in some clients. Therefore, monitoring of thyroid function is necessary for clients taking lithium.

Question 17

Clients taking an MAOI should be taught to avoid completely which of the following foods?

Accepted Answer

Clients taking an MAOI should avoid foods containing high levels of tyramine, such as liver, sauerkraut, and yogurt, as consumption of these foods can lead to dangerously high blood pressure levels.

Question 18

The spouse of a client on an antipsychotic medication asks the nurse why they routinely assess the client for movements, especially around the mouth and extremities. What nursing response is correct?

Accepted Answer

Abnormal involuntary movements, such as those seen in tardive dyskinesia, can be an irreversible side effect of antipsychotic medications, making routine assessment crucial for early detection and intervention.

Question 19

Meditation, with or without cognitive behavioral therapy (CBT): Select all that apply.

Accepted Answer

A) Meditation has been shown to produce a relaxation response in the body, which is equivalent to a state of rest. 
B) Some studies have found that meditation can increase levels of dopamine, which is a neurotransmitter associated with feelings of pleasure and reward. 
C) There is some evidence to suggest that regular meditation can have a positive impact on cognitive function and may reduce cognitive decline associated with aging. There is less support for the other options. 
D) While meditation can be challenging at first, with practice it can become easier to manage. 
E) Meditation has been found to decrease mood disturbance in many cases, not increase it.

Question 20

Introspective or meditative techniques may be useful for clients who:

Accepted Answer

Introspective or meditative techniques are typically recommended for clients who are mentally and emotionally healthy, as they can help improve self-awareness and promote overall well-being. They may not be as effective or appropriate for clients with multiple problems, severe mental illness, or high levels of anxiety.

Quiz 4: Vulnerable Populations