MH Multiple choice.txt

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MH Multiple choice.txt
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2012-12-11 22:14:19
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MH MC test
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MH MC test
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  1. A 7-yr old male client displays behaviors such as an inability to make eye contact with others, inappropriate facial expressions, difficulty in making friends, and showing little emotion with family members. He talks with adults but is awkward in his conversation. Given these behaviors, what is this client most likely experiencing?
    ASPERGER�S SYNDROME
  2. Anorexia nervosa is best described as a disorder that is potentially
    life threatening
  3. Which are key features of anorexia nervosa?
    Severe weight loss, introverted personality, hunger is denied
  4. The nurse is caring for a 79 y/o client with dementia. The client worked as an OB nurse before retiring. Despite her dementia, she still remembers terms and procedures and basic nursing care interventions from her past career. This is an example of
    crystallized intelligence
  5. The inability to fall asleep or stay asleep
    insomnia
  6. Approximately what percentage of adults suffer from insomnia?
    30-40
  7. A disorder that interrupts normal sleep patterns and is characterized by repeated, brief jerks of the arms and legs that occur every 20 to 60 seconds during the beginning of sleep is called
    nocturnal myoclonus
  8. Several studies have demonstrated that what significant changes occur in people who displayed hostile or negative behaviors?
    Immune-mediated
  9. Stephanie
  10. Level one interventions for potentially assaultive clients should be practiced as
    preventive measures
  11. The nursing student is assigned a client to interview and is asked to practice the therapeutic communication technique of sharing perceptions. Which statement made by the student nurse best describes this technique?
    I noticed that you pace the hall and you have a tense look on your face. I sense that you are anxious about something.
  12. Therapeutic communication techniques support effective communication between the client and the nurse. Which group of therapeutic techniques is most likely to be effective when one is conversing with a client?
    Listening, silence, and reflection
  13. While the nurse is talking with a female client, the client becomes silent for several seconds. Which is the nurse�s best response?
    To remain silent and be attention to the client�s nonverbal communication
  14. A female client tells the nurse that she feels very depressed about her recent divorce. Which is the nurse�s best response?
    I know this must be difficult for you
  15. Which nurse response in the best example of the therapeutic principle of respect?
    I hear how worried you are about your future and can imagine how you feel.
  16. Which elements must be present for communication to occur?
    Feedback, Transmission, Sender, Receiver, Context
  17. Which interventions assist the nurse to effectively communicate with clients from other cultures?
    The nurse adapts his or her behavior to accommodate the difference in communication styles and the nurse identifies and clarifies confusion during the interaction
  18. Which nurse responses could block effective communication with a client?
    This is what I think you should say, don�t stress over it-everything will turn out fine, why did you do that, most people in your circumstance
  19. Schizophrenia in children as young as 5 years
    can occur
  20. Schizophrenia affects approximately what % of the world�s population?
    1
  21. The client in whom schizophrenia has been diagnosed usually is medicated with an
    antipsychotic
  22. To cope with the devastating effects of schizophrenia and other serious mental illnesses, family members or significant others and clients will benefit most from
    ongoing treatment and support
  23. Positive symptoms of schizophrenia include
    hallucinations, speech problems, bizarre behaviors
  24. A 55 year old man is extremelt fearful of the effects of growing old. He is experiencing
    gerontophobia
  25. A mental health care provider who is aware of her cultural views and attitudes toward other cultures wand who strives to understand, communicate, and effectively work with clients of other clutures is considered to be
    culturally competent
  26. Which areas comprise the DSM assessment tool?
    NOT cultural factors relating to previous mental illness
  27. The nurse observes the client as he paces the floor and talks to himself. The nurse documents, �Client confused and agitated.� This is an example of
    a judgment
  28. During an admission assessment, a male client states that he has been having auditory hallucinations and difficulty concentration at work. This type of data is
    subjective
  29. Persons may refuse to acknowledge that a loss has occurred during the first stage of
    the denial process
  30. Please the steps of grieving in proper order
    Denial, yearning, depression and identification, acceptance and recovery
  31. Following the funeral of her husband, the wife is seen crying and holding his picture. She is demonstrating
    bereavement
  32. The set of emotional reactions that accompany a loss is called
    grief
  33. The behavioral state of thoughts, feelings, and activities that follow a loss is called
    bereavement
  34. The father of three young children died. The wife expresses how worried she is about how to raise the children on her own without the support of her husband. She finds herself crying and living though each day without accomplishing anything. In which grieving stage is this behavior typically experienced?
    Yearning
  35. Side effect that can occur while a client is taking an antipsychotic medication causing muscle rigidity, high fever, unstable vital signs, confusion and agitation
    Neuroleptic malignant syndrome (NMS)
  36. A female client has been taking an antipsychotic medication for several years. It is of vital importance for the nurse to observe the client for tardive dyskinesia. S/S of tardive dyskinesia include
    repetitious involuntary muscle movements in the face and extremities
  37. What can occur when antipsychotic medications are taken that manifest as abnormal movements such as akathisia and pseudo-Parkinson
    Extrapyramidal side effects
  38. A female client is taking an antipsychotic medication for her schizophrenia. The nurse monitors this client for the peripheral nervous system side effects of
    dry mouth, photophobia and hypotension
  39. The client who is taking a low potency antipsychotic medication should be informed by the nurse that the most common side effects are
    dry mouth, blurred vision, urinary retention
  40. A male client is visiting his family in the US and experiences a �breakdown.� His family takes him to see a psychiatrist and usually practices folk medicine. Which care providers is he used to?
    Healers, shamans, spiritualists, lay unlicensed therapists
  41. Community support systems
    holistic
  42. Home health nurse check after inpatient setting. Which component of the CM system does this demonstrate?
    Psychosocial rehabilitation
  43. Bipolar patient admitted to inpatient unit. Medicare will pay for
    pre-determined length of time based on diagnosis
  44. During the preparation phase of a therapeutic relationship with a client, what is the main task to be completed by the nurse?
    To gather and review all possible information regarding the client
  45. Caregiver as role model?
    Change agent
  46. Ensuring client safety is
    technician. For which roles is the caregiver responsible in a therapeutic relationship?
  47. Theories based on study of the brain and its activities are called
    biological
  48. Positive symptoms of schizophrenia include
    hallucinations, speech problems, bizarre problems
  49. A simplified or standardized belief or conception regarding people who belong to another culture
    stereotype
  50. A disorder that involves an individual�s ability to communicate, interact with others, use the imagination and display appropriate behavior
    autism
  51. ADHD behaviors
    all BUT excellent short term memory
  52. Mental retardation
    all BUT IQ of 70 to 100
  53. One of the first goals of therapy for the client with a dissociative disorder is
    stabilization

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