Question 1

A client diagnosed with bipolar disorder and experiencing mania is admitted to the inpatient psychiatric setting. During the acute phase of mania, which medication would the nurse expect to most likely administer?

Accepted Answer

Haloperidol lactate (Haldol) is an antipsychotic medication often used to manage acute mania symptoms in bipolar disorder due to its rapid calming effects.

Question 2

When assessing a client for possible disordered water balance, the nurse checks the clients urine specific gravity. Which result would lead the nurse to suspect that the client is experiencing severe disordered water balance?

Accepted Answer

A urine specific gravity of 1.002 is significantly lower than the normal range (1.010-1.025), indicating a dilute urine and possibly a severe disordered water balance, such as overhydration or an inability of the kidneys to concentrate urine.

Question 3

A nurse is working with a group of clients diagnosed with schizophrenia in a community setting. Which of the following would least likely be a priority?

Accepted Answer

Managing psychosis is a priority for clients in an acute care setting, but less so in a community setting.

Question 4

The nurse is preparing to assess a client with a paranoid personality trait. The nurse integrates knowledge of this condition, anticipating that the clients affect and behavior will most likely be which of the following?

Accepted Answer

Clients with paranoid personality traits often exhibit angry and hostile behaviors due to their pervasive distrust and suspicion of others.

Question 5

A nurse is developing a plan of care for a client diagnosed with an antisocial personality disorder who has been admitted to the inpatient psychiatric unit. Which of the following would the nurse most likely include? Select all that apply.

Accepted Answer

Developing a therapeutic relationship is crucial for clients with antisocial personality disorder to build trust and promote engagement in treatment. Holding the client responsible for their behavior is important to help them understand the consequences of their actions and to encourage accountability.

Question 6

The nurse is reviewing the medical record of a client diagnosed with antisocial personality disorder. The nurse notes that the client has had numerous episodes involving irritability, aggressiveness, and impulsivity and has exhibited callousness toward others. Based on this information, which nursing diagnosis would the nurse most likely identify as a priority?

Accepted Answer

Given the client's history of irritability, aggressiveness, impulsivity, and callousness toward others, the priority nursing diagnosis is "Risk for Other-Directed Violence," as these behaviors indicate a higher likelihood of the client harming others.

Question 7

A client is brought into the emergency department because of complaints from the neighbors that the client was acting strangely. The nurse assesses the client and suspects schizotypal personality disorder based on assessment of which of the following? Select all that apply.

Accepted Answer

Schizotypal personality disorder is characterized by peculiar behaviors, beliefs, and interpersonal difficulties. Magical beliefs (A) indicate an odd or eccentric way of thinking, which is common in schizotypal personality disorder. Paranoia (C) reflects the suspiciousness and interpersonal discomfort seen in these individuals. Avoidance of eye contact (D) is indicative of the social anxiety and lack of close relationships typical of this disorder. Hallucinations (B) are not a primary feature of schizotypal personality disorder; they are more associated with psychotic disorders. Meticulous dress (E) is not specifically associated with schizotypal personality disorder; individuals with this disorder may have peculiar dress but not necessarily meticulous.

Question 8

A group of nursing students is reviewing information about schizoid personality trait. The students demonstrate understanding of the information when they identify which disorder as the most common comorbid disorder?

Accepted Answer

Avoidant personality disorder is the most common comorbid disorder with schizoid personality trait.

Question 9

A nurse is reading an article about a young girl who developed gastrointestinal symptoms from a hair ball because of a ritual that she engaged in. The girl would pull out hair over several hours to relieve tension and anxiety and then eat the hair. The nurse most likely is reading an article about which of the following?

Accepted Answer

Trichotillomania is a disorder characterized by the compulsive urge to pull out one's hair, leading to hair loss and distress. Eating the pulled hair can lead to the formation of a hairball in the gastrointestinal tract, known as trichobezoar.

Question 10

A nurse is working with a client who is a compulsive gambler. Which of the following would the nurse emphasize as crucial for relapse prevention? Select all that apply

Accepted Answer

Family involvement is crucial as it provides a support system and helps in creating a stable environment. Identification of triggers is essential for the client to recognize situations or emotions that may lead to gambling, allowing for the development of coping strategies to prevent relapse.

Question 11

A nursing instructor is describing depressive and negativistic personality traits to a group of nursing students. The instructor determines that the teaching was successful when the students identify which of the following as characteristic of negativistic personality traits? Select all that apply.

Accepted Answer

The answer of A nursing instructor is describing depressive and...

Question 12

An adolescent client tells the nurse that he or she occasionally sniffs airplane glue. When discussing the effects of long-term use of inhalants, which of the following would the nurse most likely include?

Accepted Answer

Inhalants, such as airplane glue, can lead to brain damage and cognitive abnormalities due to their toxic effects on the central nervous system and brain. Long-term use can result in a variety of health issues, including neurological damage.

Question 13

A client tells the nurse that he is committed to trying to quit smoking. When teaching the client about smoking cessation, which of the following would the nurse include?

Accepted Answer

Success in smoking cessation often involves a combination of interventions, such as behavioral therapy, medication, and support groups, to effectively address the physical and psychological aspects of addiction.

Question 14

A nurse is preparing an inservice program about substance abuse and its etiology. Which of the following would the nurse most likely include in the presentation when discussing possible psychologic etiologies?

Accepted Answer

Low self-esteem is considered a psychological factor that can contribute to substance abuse, as individuals may use substances to cope with feelings of inadequacy or to boost their self-worth.

Question 15

A client is brought to the emergency department after having overdosed on cocaine. When assessing the client, which of the following would the nurse expect to find? Select all that apply.

Accepted Answer

The answer of A client is brought to the emergency...

Question 16

A nursing instructor is reviewing the various theories related to anorexia nervosa. Which of the following would the instructor include when describing theories related to the biologic domain? Select all that apply.

Accepted Answer

The answer of A nursing instructor is reviewing the various...

Question 17

While talking with a client with an eating disorder, the client states, Ive gained 2 pounds, so soon Ill be over 100 pounds. The nurse interprets this as which of the following?

Accepted Answer

The answer of While talking with a client with an...

Quiz 5: Medication Management for Bipolar Disorder During Mania