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?

Accepted Answer

B

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?

Accepted Answer

Body dysmorphic disorder is characterized by an excessive preoccupation with one or more perceived flaws in physical appearance that are not observable or appear slight to others. The client's concern about one ear being obviously bigger, which is not apparent to the nurse, aligns with symptoms of 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?

Accepted Answer

Body dysmorphic disorder (BDD) is characterized by an obsessive focus on perceived flaws in one's appearance, often leading to significant distress and impairment in daily functioning. Individuals with BDD may experience severe emotional distress about their appearance, which can lead to suicidal ideation and behaviors. While BDD can be associated with other mental health issues, the direct and most concerning risk related to BDD itself is the potential for suicidal thoughts and actions.

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?

Accepted Answer

Disturbed Body Image is the most directly related diagnosis to body dysmorphic disorder, as this condition involves a preoccupation with one or more perceived defects or flaws in physical appearance, which are not observable or appear slight to others.

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?

Accepted Answer

The answer of A client with premature ejaculation is prescribed...

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?

Accepted Answer

The symptoms described, particularly the spasms of the perineal and outer vaginal muscles during attempted vaginal intercourse, are indicative of vaginismus. Vaginismus is a condition where there is involuntary spasm of the muscles around the vagina, making intercourse painful or impossible. This condition can be related to psychological factors such as a history of sexual trauma, which is mentioned in the scenario.

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?

Accepted Answer

Desensitization is a treatment technique that focuses on decreasing anxiety and fear by gradually exposing the client to the feared stimulus. In the case of male orgasmic dysfunction, desensitization would be used to help the client overcome the anxiety and fear that is preventing them from achieving orgasm.

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?

Accepted Answer

Autism Spectrum Disorder (ASD) is typically identified early in a child's life, with many children showing signs before the age of 2.5 years. This early onset is a key characteristic of autism, distinguishing it from conditions that might be identified later as a child develops. The other options are incorrect: A) Autism is not caused by parenting practices; B) While some cases may not be diagnosed until a child enters school, signs often appear much earlier; D) Boys are more frequently affected by autism than girls.

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?

Accepted Answer

Children with Asperger syndrome typically display age-appropriate intelligence or may even have above-average intelligence, which differentiates it from autism disorder where there may be intellectual disabilities.

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?

Accepted Answer

Haloperidol, an antipsychotic medication, can cause sedation as a side effect, which is why the child feeling "so sleepy" would lead the nurse to suspect a side effect of the 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?

Accepted Answer

Conduct disorder is an example of an externalizing disorder, characterized by a pattern of behavior that violates the rights of others or major societal norms. Externalizing disorders involve outward-directed behaviors, such as aggression, defiance, or antisocial behavior, unlike internalizing disorders, which involve inward-focused symptoms such as anxiety and depression.

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.

Accepted Answer

Conduct disorder is characterized by a repetitive and persistent pattern of behavior that violates the rights of others or major age-appropriate societal norms or rules. Destruction of property (A), theft (B), and deceitfulness or theft (E) are indicative of conduct disorder.

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?

Accepted Answer

Switching to a longer-acting preparation of methylphenidate can help maintain more consistent control of ADHD symptoms throughout the day, reducing the gap of symptom control before the second dose is due.

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?

Accepted Answer

Interacting with others in the environment is indicative of mental health and wellness because it demonstrates the individual's ability to engage and connect with their surroundings, which is a key component of social health and overall well-being.

Quiz 6: Mental Health Disorders and Treatment Considerations