PSYCH EAQ
A team approach is used to help a 6-year-old boy with attention deficit-hyperactivity disorder (ADHD). What behaviors indicate that the interventions have been effective? Select all that apply. 1 Is not inhibited by rules or routines 2 Has fun playing with toys by himself Incorrect3
Is no longer enuretic during the night Correct4
Has an increased attention span in school Correct5
Is able to wait his turn when in line with others
A nurse is assigned to lead a relaxation group. Which techniques should the nurse incorporate? Select all that apply. Correct1
Meditation Correct2
Mental imagery 3 Token economy 4 Operant conditioning Correct5
Deep-breathing exercises
How should a nurse characterize a sudden terrorist act that causes the deaths of thousands of adults and children and negatively affects their families, friends, communities, and the nation? 1 Recurring 2 Situational Incorrect3
Maturational Correct4
Adventitious
A nurse has just completed a mental status examination on a newly admitted psychiatric client and returns to the nurses’ station to document the results. The nurse reflects on the client’s drawn-out explanation of the reason for the admission and concludes that excessive detail was given before the client eventually answered the questions. What mental process does the nurse identify? 1 Flight of ideas Correct2
Circumstantiality
When talking with a client who has alcoholism, the nurse notes that the client becomes irritable, makes excuses, and blames family and friends for the drinking problem. Which defense mechanisms does the nurse conclude that the client is using? Select all that apply. Correct1
Projection Incorrect2
Suppression 3 Sublimation 4
Identification Correct5
Rationalization
The registered nurse managing the care of four clients is determining individual priorities. Place the following clients in order of priority, with 1 as the highest priority. Incorrect
1. A client whose auditory hallucinations are saying, “They’re going to get you.” Correct
2. A manic client who has spent the last 8 hours refusing liquids and pacing around the unit. Incorrect
3. A depressed client who shares with the roommate that the client is “very happy today.” Correct
4. A cognitively impaired older adult who believes that the deceased spouse will visit today.
A newly admitted client with schizophrenia has a treatment plan that includes participation in a physical activity group for several days before assignment to an analytical group. The basis for this decision is that the client will do what? Incorrect1
Develop skills in managing leisure time 2 Have time to develop insight into personal problems 3 Be too disruptive to benefit from group therapy at this time Correct4
Cultivate trust before moving into a potentially anxiety-producing group
The mother of an 18-year-old man comes to the local mental health center. She is extremely upset because of her son’s behavior since the young man returned from his freshman year at college. He takes his brother’s clothing, comes in at all hours, and refuses to get a job. Sometimes he is happy and outgoing, but at other times he is withdrawn. The mother asks why her son is like this. While contemplating this situation, the nurse considers that which adjectives usually apply to adolescents? 1 Anxious and unhappy
2 Angry and irresponsible Correct3
Impulsive and self-centered
A young adult is being treated in the emergency department for injuries sustained as a result of physical battering by her partner. On learning that there is a history of such abuse, the nurse plans which tertiary nursing interventions? Select all that apply. Incorrect1
Contacting family members to provide support 2 Discussing the legal ramifications of not pressing charges Incorrect3
Offering to discuss the abusive behavior with the woman's partner Correct4
Identifying the benefits of attending a support group for battered women Correct5
Providing her with information regarding local domestic violence shelters
Certain questions are applicable in determining nursing negligence. Select all that apply. Correct1
"Was reasonable care provided?" Correct2
"Was there a breach of nursing duty?" Correct3
"Was there an act of omission that resulted in harm?" Correct4
"Except for the nurse’s action, would the injury have occurred?"
The parents of a toddler with recently diagnosed moderate cognitive impairment state, "Our child should be able to attend college with help and medication." What should the nurse conclude? 1 They accept the child’s diagnosis. Correct2
Denial is being used as a defense mechanism.
A nurse is caring for a 20-year-old client. According to Erikson’s developmental psychosocial theory, what is expected by 20 years of age? 1 Having the capacity for love and a commitment to work Incorrect2
Being creative and productive and having concern for others Correct3
Having a coherent sense of self and plans for self-actualization
A small fire has been set in the dayroom garbage can by a client who is currently demonstrating manic behavior. Place the following nursing interventions in the appropriate order to best ensure client and milieu safety. Incorrect
1. Administer appropriate medications as prescribed if indicated. Incorrect
2. Move all clients to a safe, controlled area. Incorrect
3. Activate the unit's fire alarm system. Incorrect
4. Place the manic client in a quiet environment with low stimulation. Ensuring the safety of the milieu is the priority. The fire alarm is activated immediately after all clients and staff have been removed from the area of the fire. The next intervention is providing the manic client with a quiet, low-stimulation environment. If the nursing assessment indicates a need for medication to manage the client's behavior, it should then be administered.
After an electroconvulsive therapy treatment, a client complains of loss of memory. What is the nurse's best response?