Question 1

A 24-year-old client with body dysmorphic disorder (BDD) tells the nurse that he plans to have a surgical procedure that will affect his appearance. The nurse understands that this plan is an effort to:

Accepted Answer

Individuals with BDD have an obsessive preoccupation with or belief about an imagined, but often slight or non-existent, physical defect in their appearance. They seek surgical procedures to "fix" or cure the defect. However, the surgery is unlikely to relieve their distress or satisfy their concerns about their appearance. Therefore, option D is the correct answer as the client's plan is to cure the imagined defect.

Question 2

The nursing instructor is discussing theories to explain sexual dysfunction. The nurse states that behavioral theorists believe sexual dysfunction may be related to learned responses to:

Accepted Answer

Behavioral theorists suggest that sexual dysfunction may be related to poor communication skills, which can lead to misunderstandings, anxiety, and difficulties in expressing sexual desires and needs. In turn, this can lead to a decreased interest in sexual activity and ultimately sexual dysfunction. The other options do not align with the theories proposed by behavioral theorists.

Question 3

The client states, "I was reared in a chaotic, alcoholic family situation." The nurse knows that the most useful theory for explaining the client's somatoform disorder would come from:

Accepted Answer

Psychosocial theory would be the most useful in explaining the client's somatoform disorder because it takes into account the influence of early life experiences, such as growing up in a chaotic, alcoholic family situation, on the development of psychological symptoms. This theory emphasizes the interaction between social and psychological factors in the development and maintenance of mental health disorders.

Question 4

A client admits to engaging in sexually arousing mutual spanking with a partner following intercourse. The nurse charts this as a(n):

Accepted Answer

Mutual spanking following consensual intercourse is a noncoercive paraphilia, as it involves a sexual activity that is not harmful or non-consensual. Bondage activity and coercive paraphilias involve elements of coercion or non-consent. Intense stimulation is a general description and not a specific term used in paraphilias.

Question 5

A polysomnogram was ordered for a client. The nurse will instruct the client that it requires an overnight stay in a sleep lab and:

Accepted Answer

A polysomnogram records several physiologic parameters during sleep, such as brain activity, eye movements, muscle activity, heart rhythm, and breathing patterns. It does not require nap trials, occur after awakening, or involve sleep deprivation.

Question 6

To intervene effectively with clients with somatoform disorders, it is essential that the nurse:

Accepted Answer

Understanding the client's self-perception as demonstrating an inability to cope is essential for effective intervention with somatoform disorders. This understanding allows the nurse to work with the client to develop coping strategies and to address any underlying psychological issues contributing to the physical symptoms. Encouraging the client's expression of feelings symbolically through physical symptoms (option A) may reinforce maladaptive behavior, while helping the client express a decreased degree of comfort regarding physical symptoms (option B) may invalidate the client's experience and hinder therapeutic rapport. Addressing client anxiety at a later time (option C) may also hinder progress in therapy.

Question 7

Which of the following cultural beliefs or practices conflict with the law in many countries?

Accepted Answer

Female genital mutilation is a cultural practice that violates the law in many countries as it involves the partial or total removal of external female genitalia, which can cause physical and psychological harm to girls and women. It can also lead to complications during childbirth and interfere with sexual function. Choices A, B, and C are not commonly practiced or accepted cultural beliefs or practices that conflict with the law in many countries.

Question 8

The client with a sleep disorder has been reading that older adults tend to go to bed earlier at night and arise earlier in the morning. On the other hand, adolescents stay up later and sleep in. The client asks the nurse why this happens. The nurse responds that it is due to:

Accepted Answer

This is due to physiologic factors such as changes in the body's internal clock and changes in hormone levels that occur with aging. Adolescents, on the other hand, experience a shift in their circadian rhythm during puberty, causing them to stay up later and sleep in. Environmental, behavioral, and situational factors can also play a role, but physiologic factors are the primary explanation.

Question 9

A client is being admitted to the mental health unit. When completing the affective assessment of the client's sexual history, the nurse asks:

Accepted Answer

The answer of A client is being admitted to the...

Question 10

The client states that she has been ill and in pain since childhood. Her many symptoms are not caused intentionally, nor are they feigned. She has seen many doctors. Consistent with this client's disorder, the nurse believes the pain the client experiences is:

Accepted Answer

The client's history and statement indicate that her pain is real and not intentionally caused or feigned. Therefore, the nurse should believe and validate the client's experience.

Question 11

A client with gender dysphoria asks the nurse, "What caused this?" Which biopsychosocial theory would describe gender dysphoria as a problem occurring within the individual?

Accepted Answer

The intrapersonal theory describes gender dysphoria as a problem occurring within the individual, focusing on internal psychological processes.

Question 12

The nurse is providing in-depth treatment to help clients resolve serious sexual problems and sexual disorders. According to the PLISSIT model, this level of intervention would be:

Accepted Answer

The PLISSIT model includes four levels of intervention: Permission giving, Limited Information, Specific Suggestions, and Intensive Therapy. Intensive therapy is the highest level of intervention and involves providing in-depth treatment to help clients resolve serious sexual problems and sexual disorders.

Question 13

The nurse recognizes that some groups believe their sexual values and behaviors are superior to others. This viewpoint is explained by:

Accepted Answer

Sociocultural theory's ethnocentrism refers to the belief that one's own culture or group is superior to others. This can lead to the belief that one's own sexual values and behaviors are superior to those of others. The other answer choices are not relevant to this concept.

Question 14

A nurse who leads a support group for clients with coercive paraphilias should include teaching that lack of behavioral change will likely result in:

Accepted Answer

Coercive paraphilias involve non-consenting victims and are considered illegal behaviors. Lack of behavioral change may result in involvement with the criminal justice system. Mandated therapy may be a consequence of the legal system, but it is not the only possible outcome. General group therapy may not specifically address the issues related to coercive paraphilias. The use of antiandrogen drugs is a treatment option, but it is not the only consequence of lack of behavioral change.

Quiz 2: Psychiatric-Mental Health Nursing Processes, and Clients With Mental Disorders