Deck 6: Mental Health Disorders and Treatment Considerations

Question 1

A client diagnosed with complex somatic symptom disorder and depression is prescribed medication therapy to treat both the pain and the symptoms of depression. When teaching the client about the medication, which of the following would the nurse emphasize?

A) Need for signing a no-suicide contract
B) Avoidance of foods that contain aged cheese
C) Use of sunscreen when exposed to bright sunlight
D) Limiting of the amount of water ingested

Answer 1

Avoidance of foods that contain aged cheese

Question 2

The nurse is caring for a client in the neighborhood clinic. The client tells the nurse that ever since he was an adolescent, he has avoided social situations because he has one ear that is obviously bigger than the other ear. The nurse observes that one of the clients ears does not appear to be larger than the other ear. The nurse suspects that the client may be experiencing which of the following?

A) Complex somatic symptom disorder
B) Functional neurologic symptoms
C) Factitious disorder
D) Body dysmorphic disorder

Answer 2

Body dysmorphic disorder

Question 3

A client with body dysmorphic disorder is admitted to the inpatient unit. Based on the nurses understanding about this disorder, the nurse would assess this client closely for which of the following?

A) Suicidal ideation
B) Escalating violence
C) Anorexia
D) Psychosis

Answer 3

Suicidal ideation

Question 4

A nurse is preparing a plan of care for a client diagnosed with body dysmorphic disorder. Which nursing diagnosis would the nurse most likely identify as the priority?

A) Disturbed Body Image
B) Ineffective Coping
C) Low Self-Esteem
D) Risk for Other-Directed Violence

Question 5

A client with premature ejaculation is prescribed sertraline as part of the treatment plan. The nurse explains the medication to the client, informing him that the effectiveness of the drug will most likely be evident in approximately which time frame?

A) 5 to 7 days
B) 1 to 2 weeks
C) 3 to 4 weeks
D) 6 to 8 weeks

Question 6

A sexual history of a female client reveals that the client has a normal sex drive and reports of orgasm through means other than intercourse. The client also has a history of being raped several years ago. The client reports spasms of the perineal and outer vaginal muscles when vaginal intercourse is attempted. The nurse interprets these findings as suggesting which of the following?

A) Priapism
B) Dyspareunia
C) Sexual aversion disorder
D) Vaginismus

Question 7

A client diagnosed with male orgasmic dysfunction is receiving desensitization as part of the treatment plan. The nurse understands that this treatment focuses on achieving which of the following?

A) Decrease the pressure to perform
B) Increase awareness of pleasurable sensations
C) Eliminate spectatoring
D) Decrease anxiety and fear

Question 8

The nurse is counseling a family whose child has autism. When describing this condition, which of the following would the nurse most likely include?

A) Connection to ineffective parental practices
B) Detection after the child enters school
C) Onset before child is 2.5 years old
D) Girls are more frequently affected than boys

Question 9

The nurse is giving a presentation comparing and contrasting autism disorder and Asperger syndrome. Which of the following would the nurse include as differentiating Asperger syndrome from autism disorder?

A) Children typically do not engage in stereotypic behavior.
B) They display age-appropriate intelligence.
C) The children often reverse pronouns when speaking.
D) They appear aloof and indifferent to others.

Question 10

A 10-year-old child with Tourettes disorder is receiving haloperidol as part of his treatment plan. When assessing the child at a follow up visit, which statement by the child would lead the nurse to suspect that he is experiencing a side effect of the drug?

A) Sometimes I feel like Im so sleepy.
B) Im eating about the same amount as before.
C) My muscles seem pretty flexible lately.
D) I think Im much more alert with this drug.

Question 11

A group of nursing students is reviewing information about disruptive behavior disorders. The students demonstrate understanding of the topic when they identify which of the following as an externalizing disorder?

A) Anxiety
B) Depression
C) Schizophrenia
D) Conduct disorder

Question 12

A 12-year-old child is brought to the mental health clinic by his parents because of a court-ordered evaluation. When assessing the child, which of the following would lead the nurse to suspect that the child has a conduct disorder? Select all that apply.

A) Destruction of neighbors car on two separate occasions
B) Arrests for petty larceny several times
C) Repetitive disobedience of parents
D) Blaming of others for problems
E) Evidence of overt lying

Question 13

The parents of a child with ADHD bring the child for a follow-up visit. During the visit, they tell the nurse that the child receives his first dose of methylphenidate (Ritalin) at about 7:30 AM every morning before leaving for school. The teacher and school nurse have noticed a return in the childs overactivity and distractibility just before lunch. The childs second dose is scheduled for about 12 noon. Which of the following might the nurse suggest as a possible solution to control the childs symptoms a bit more effectively?

A) Giving the second dose at 1 PM or later.
B) Switching to a longer acting preparation.
C) Splitting the early morning dose in half.
D) Switching to another class of medication.

Question 14

A nurse is assessing an older adult client. Which of the following would the nurse interpret as most indicative of mental health and wellness?

A) Keeping social contacts to a minimum
B) Interacting with others in the environment
C) Relying solely on family for assistance
D) Experiencing bereavement