Term
|
Definition
| supportive network providing a sense of common goals within safe and secure surroundings |
|
|
Term
|
Definition
| Behavioral method with a mutually obligated agreement between the therapist and the client |
|
|
Term
|
Definition
| focuses on identifying and correcting distorted thinking patterns |
|
|
Term
|
Definition
| psychopharmacologic and electroconvulsive methods of treating mental disorders |
|
|
Term
|
Definition
| fosters reinforcement and observational modeling to resolve problems |
|
|
Term
| The role of the nurse working with the client who has a mental disorder includes? |
|
Definition
| Monitoring behavioral responses to therapy |
|
|
Term
| When caring for the client with outbursts of uncontrolled anger, which of the following nursing actions would most reinforce the desired outcome? |
|
Definition
| Model an appropriate response to the situation |
|
|
Term
| Which of the following metal health team members will be most involved in securing placement for the client? |
|
Definition
|
|
Term
| The nurse who demonstrates an empathetic positive regard for the client's needs is functioning in which of the following roles of the nurse-client relationship? |
|
Definition
|
|
Term
| The nurse observes a client having thrusting tongue movements that were not present on admission and reports this to the charge nurse and the physician. In which of the following roles is the nurse functioning? |
|
Definition
|
|
Term
| A client has contracted with a therapist to demonstrate decreased inappropriate language outbursts on the nursing unit. Which of the following nursing actions would best support the client toward a positive outcome? |
|
Definition
| Modeling appropriate ways to communicate feelings |
|
|
Term
| While observing a client receiving behavioral therapy, the nurse would recognize a positive treatment response when the client? |
|
Definition
| Demonstrates noticeable behavioral change within a relatively shot time |
|
|
Term
| A therapist is utilizing pet therapy as an approach to a group of clients with dementia. Which of the following behaviors would indicate a positive response to the therapy? |
|
Definition
| Client with little of no verbal response smiles and reaches out to the animal |
|
|
Term
| While administering medications, the nurse reminds the client what side effects may occur and what to report to the physician. In this situation, the nurse is functioning in the role of? |
|
Definition
|
|
Term
| The nursing administering a psychotropic agent to a client with a mental disorder would recognize that the primary goal of pharmacologic treatment is to? |
|
Definition
| control or reduce symptoms of the disorder |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| The nurse is providing client teaching to a client from whom the antipsychotic agent risperidone has been prescribed. Which statement by the client would indicate a need for further teaching? |
|
Definition
| I can still go riding on my bike in the afternoon like I usually do |
|
|
Term
| The physician has ordered the drug benztropine for a client who has been taking the antipsychotic medication haloperidol. Which of the following would the nurse expect to assess in the client? |
|
Definition
| Protruding tongue movements |
|
|
Term
| The nurse is caring for a client whose serum lithium carbonate level is 1.5 mEq/L. The nurse would expect the physician to do which of the following? |
|
Definition
| Order the next dose of the drug to be held |
|
|
Term
| The nurse administering the antipsychotic agent haloperidol to a client would recognize the importance of which additional intervention to combat the adverse effects of this drug? |
|
Definition
| Offering sugar free hard candy or frequent liquids |
|
|
Term
| It is important for the nurse to include which of the following instructions when teaching the client taking a TCA? |
|
Definition
| The medication can be discontinued after a few weeks of therapy |
|
|
Term
| The nurse observes protruding tongue movements and finger rolling in a client taking the drug haloperidol. The nurse would recognize this as which of the following? |
|
Definition
| Signs of extrapyramidal side effects to the drug |
|
|
Term
| The client for whom an MAOI is prescribed should be taught to avoid which of the following dietary items? |
|
Definition
| Smoked or processed meats |
|
|
Term
| Which of the following clients would require additional health teaching regarding the effects of a prescribed benzodiazepine drug agent? |
|
Definition
| A 32 year old client who smokes 2 packs of cigarettes a day |
|
|
Term
| The nurse in doing a client teaching for a client taking a newly prescribed antianxiety medication. Which statement by the client would alert the nurse to the need for future teachings? |
|
Definition
| Maybe now I can enjoy an evening of wine and dinner with my wife |
|
|
Term
| A newly diagnosed client with bipolar disorder is prescribed several psychotropic drugs. which of the following would best guide the nurse to teach the client about the actions of the medications? |
|
Definition
| These drugs will reduce symptoms and assist to restore functional levels of living |
|
|
Term
| The nurse is caring for an older adult client who is taking a psychotropic agent. Which of the following is a contributing factor to the increased risk of adverse effects in the client? |
|
Definition
| Slowed metabolic rate and renal excretion time |
|
|
Term
| A nurse working in an outpatient clinic is preparing an older client to be seen by the physician. Which of the following statements by the client would alert the nurse to a need for future questioning? |
|
Definition
| I take so much medication everyday but I just seem to feel worse later |
|
|
Term
| A nurse working in a long term care facility is preparing to administer an antidepressant medication to an older client. Which of the following assessments would alert the nurse to an increased potential for accumulated effects of this drug? |
|
Definition
| Dry skin with decreased intake of fluids |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Fear of crossing a bridge |
|
|
Term
|
Definition
|
|
Term
| Initially, which of the following nursing interventions would be the most important to implement when a client is experiencing a panic attack? |
|
Definition
| Assure the client that you will remain until the panic attack subsides |
|
|
Term
| A client with generalized anxiety disorder approaches the nurse and states that he feels dizzy. Which of the following would be the best response for the nurse to make? |
|
Definition
| Can you tell me what happened when you started feeling this way |
|
|
Term
| A client has just been diagnosed with panic disorder. Which of the following would the nurse expect to observe? |
|
Definition
|
|
Term
| Which of the following would be the most appropriate direct question for the nurse to use during an initial interview with a client who has just experienced a panic attack? |
|
Definition
| Tell me what you are feeling now |
|
|
Term
| When planning care for the client experiencing a panic level of anxiety, which of the following is the most appropriate initial outcome for the nurse to set for the client? |
|
Definition
| Will reduce anxiety at least one level |
|
|
Term
| The nurse is documenting progress in the client who is experiencing agoraphobia. Which entry would best apply to this client? |
|
Definition
| Participated in outing to park this afternoon |
|
|
Term
| Initially, which nursing intervention would receive the highest priority for the client with OCD? |
|
Definition
| Allow extra time for the client to performrituals |
|
|
Term
| A client has been seen for increasing symptoms of panic attacks. The client asks for something for my nerves. Which of the following comments by the client should the nurse report to the physician as data that suggests a drug should not be prescribed? |
|
Definition
| I am happiest when u I am breast feeding my 2 month old daughter |
|
|
Term
| Excessive fear of bridges causes a young man to turn down a promotion that would require him to cross a major bridge that connects his home location with the job site. Which term best applies to the intense fear that causes this client to decline a chance for self improvement? |
|
Definition
|
|
Term
| A college student with known social phobia or social anxiety disorder receives an assignment that requires a class presentation. The student is so distraught over the assignment that he drops the class even though it is required for his degree plan. What term would be applied to the dread felt by this student that leads to his actions? |
|
Definition
|
|
Term
|
Definition
| Excessive feeling of happiness |
|
|
Term
|
Definition
| Lack of pleasure in previously enjoyed activites |
|
|
Term
|
Definition
| Strings of words in rhyming phrases |
|
|
Term
|
Definition
| Holding medication in the mouth without swallowing |
|
|
Term
|
Definition
| Being tired with decreased energy |
|
|
Term
|
Definition
| learned sense of helplessness |
|
|
Term
|
Definition
| 4 or more mood shifts in one year |
|
|
Term
|
Definition
| Thinking of self as excessively important |
|
|
Term
|
Definition
| Action that indicates that self harm may be imminent |
|
|
Term
|
Definition
| Depressive episode without hypomania or mania |
|
|
Term
| The nurse is monitoring a client with mania who is constantly pacing the hallway and unable to be seated when the other clients are eating. Which of the following nurse interventions would best meet the needs of the client at this time? |
|
Definition
| Providing finger sandwiches and juice for the client during activiy |
|
|
Term
| The nurse is documenting observation of a client experiencing a manic episode who is very talkative, extremely happy, and laughing. Which of the following would be most appropriate to include regarding this client? |
|
Definition
| Euphoric with appropriate affect |
|
|
Term
| When caring for a client with a manic episode, which of the following nursing interventions would convey a therapeutic attitude of acceptance? |
|
Definition
| Walk alongside the client at intervals as long as pacing continues |
|
|
Term
| When assessing a client for indication that suicide might be a possibility,which of the following would pose the most risk? |
|
Definition
|
|
Term
| A client tells the nurse how difficult recent weeks have been. She states that she used to enjoy taking her grandchildren to the park but this is no longer pleasurable for her. The client is describing feelings related to which of the following symptoms? |
|
Definition
|
|
Term
| A client who has been admitted after a suicide attempt from an overdose of antidepressant medication tells the nurse, why couldn't I just die? There is nothing left here for me, The most therapeutic response for the nurse is? |
|
Definition
| You are feeling as though life is meaningless right now? |
|
|
Term
| The nurse is planning interventions for a client with major depressive disorder would give first priority to which of the following individual needs? |
|
Definition
|
|
Term
|
Definition
| Lack of motivation to make decisions or do self care |
|
|
Term
|
Definition
| Loose association that are off track or not connected to each other |
|
|
Term
|
Definition
| Take the pill up the hill winter kill |
|
|
Term
|
Definition
| I know all the judges can hear what I'm thinking |
|
|
Term
|
Definition
| Our bowl is loud star to a wet red noodle carried by the military in excess of the earth |
|
|
Term
|
Definition
| person remains in one position until changed by another person |
|
|
Term
|
Definition
| Matt lauer is telling me I hold the key to security in outer space |
|
|
Term
| The nurse is assessing a client who states, the raido is sending signals to my intellectual processes to inflict damage to myself, Which of the following would the nurse include in documenting the delusional pattern of this client? |
|
Definition
| Having delusions of persecution |
|
|
Term
| Which of the following statements best describes poverty of speech? |
|
Definition
| Decrease in the amount or speed with which a person talks |
|
|
Term
| A client approaches the nurse and states, This little elf keeps following me with a leash and it really is getting on my nerves, Which of the following would be the most appropriate response for the nurse to make at this time? |
|
Definition
| I know seeing the elf is frustrating to you, but no one else sees it. |
|
|
Term
| The nurse is documenting observations made during an initial contact with a client who has recently been diagnosed with acute schizophrenia, undifferentiated type. Which of the following behavior assessments would be considered a positive symptom of schizophrenia? |
|
Definition
| Having auditory hallucinations |
|
|
Term
| The nurse is planning care for a client who has been newly diagnosed with paranoid schizophrenia. Which of the following perceptual changes should the nurse anticipate? |
|
Definition
| Client frequently misinterprets social and environmental stimuli |
|
|
Term
| A client with paranoid schizophrenia believes her medications are tainted with poisonous substances and refuses to take them. Which action should the nurse take? |
|
Definition
| Matter of factly reinforce the need to take the medication |
|
|
Term
|
Definition
| persistent ways of viewing and relating to the world |
|
|
Term
|
Definition
| Extreme view of all good or all bad |
|
|
Term
|
Definition
| Grandiose sense of self importance |
|
|
Term
|
Definition
| Perceived state of helplessness leasing to extreme reliance on others |
|
|
Term
|
Definition
| Defense mechanism in which faults are attributed to others |
|
|
Term
|
Definition
| Aggressive response to underlying negative feelings |
|
|
Term
| Jekyll and Hyde characteristic |
|
Definition
| Extreme mood shift from clingy dependent behavior to angry out bursts |
|
|
Term
|
Definition
| Person who disregards the rights of others without remorese |
|
|
Term
|
Definition
| Withdrawal related to extreme self doubt and fear of disapproval |
|
|
Term
| The nurse is caring for a client admitted with self inflicted burns to her abdomen. While the nurse is doing an assessment of the wounds, the client says, I deserve to be in pain, Which of the following best describes the underlying feelings in this statement? |
|
Definition
|
|
Term
| The nurse notes that a client is monopolizing most of the conversation during breakfast. He is loud and criticizing other clients. Which of the following is the most appropriate intervention for the nurse to make at this time? |
|
Definition
| Redirected and reinforced limits on his behavior |
|
|
Term
| Which of the following statements is true regarding clients with personality disorders? |
|
Definition
| Manipulative patterns often render treatment ineffective |
|
|
Term
| Which of the following types of behavior could be interpretive as a form of self destruction? |
|
Definition
| Involvement in no win relationships |
|
|
Term
| A young man who loudly demands to see the manager of a restaurant when he and his date are not seated immediately upon their arrival is displaying the narcissistic behavior referred to as? |
|
Definition
|
|
Term
| Which of the following indicators is most demonstrative that improvement has occurred related to treatment strategies? |
|
Definition
| Client demonstrates behavior changes following discharge |
|
|
Term
| The individual with an antisocial personality disorder demonstrates a false sense of privileged revenge against others. Which of the following best describes the result of this thinking? |
|
Definition
| Persistent disregard and indifference to laws of society and humanity |
|
|
Term
| Creating an overly dramatic scene of emotional behavior to attract the attention of others is typical in which of the following personalities? |
|
Definition
|
|
Term
| Which of the following correctly describes the person with a narcissistic personality disorder? |
|
Definition
| May use other people unfairly to satisfy a selfish need for lavish attention |
|
|
Term
| Which of the following terms would be characteristics common to all personality disorders? |
|
Definition
| Inflexible and maladaptive behaviors |
|
|
