Deck 94: Substance Abuse

Question 1

The nurse is providing hygiene care for a 70-year-old female client in a nursing home who states that she does not like her physician. Later, when the physician enters the room, the nurse notes that the client is very friendly with the physician and compliments him on the care he is giving. Which defense mechanism is this client displaying?

A) Rationalization
B) Reaction-formation
C) Displacement
D) Projection

Answer 1

Reaction-formation

Question 2

A client refuses to talk to anyone about the recent death of her mother. Which defense mechanisms is this client using?

A) Sublimation
B) Intellectualization
C) Displacement
D) Suppression

Answer 2

Suppression

Question 3

The healthcare team works together to determine if a client manifesting signs of a mental disorder has an organic or functional disorder. Which are organic disorders? Select all that apply.

A) Hyperthyroidism
B) Infection
C) Bipolar disorder
D) Brain lesion
E) Schizophrenia
F) Huntington's disease

Answer 3

Hyperthyroidism
Infection
Brain lesion
Huntington's disease

Question 4

The nurse caring for clients with suspected mental illness records the results of the mental status examination in the chart in terms of AMSIT. What are the components of this acronym? Select all that apply.

A) Appearance
B) Attitude
C) Mood
D) Sensorium
E) Intelligence
F) Temperament

Question 5

The nurse is documenting the results of psychometric tests in a client's chart and writes: "A&O×3." What does this abbreviation signify?

A) Alert and oriented to person, place, and time on three tests
B) Alert and oriented to person, place, and time
C) Aggressive and oriented to person, place, and time
D) Alert and oriented to person, place, and time rated 3 on a scale of 1 to 5

Question 6

The nurse is assisting a healthcare team to determine a client's ability to perform activities of daily living (ADL). Which tests would be used to evaluate whether the client needs assistance with ADLs?

A) Kohlman Evaluation of Living Skills (KELS)
B) Millon Clinical Multiaxial Inventory (MCMI)
C) Minnesota Multiphasic Personality Inventory (MMPI)
D) Thematic apperception tests (TAT)

Question 7

A client accused of a serious crime is brought to the mental health unit with severe behavioral changes. The healthcare provider is performing a test to determine if the client is malingering. What reason should the nurse provide for conducting this test?

A) To determine the client's dependence on others
B) To rule out the client who is fabricating symptoms
C) To find if the client needs assistance with daily activities
D) To determine if the client is oriented to time and place

Question 8

A client is displaying the signs and symptoms of a mental disorder. These symptoms include anhedonia, sleep disturbances, psychomotor retardation, fatigue, diminished ability to think/concentrate, and recurrent thoughts of death. Which mental disorders would be suspected?

A) Dysthymia
B) Bipolar disorder (BPD)
C) Major depressive episode (MDE)
D) Personality disorder

Question 9

A client is admitted to the mental healthcare facility with reports of feeling depressed and irritated, and having vague physical complaints. The healthcare provider suspects a case of dysthymia and instructs the nurse to take the client's case history. How long should the symptoms be present to diagnose dysthymia?

A) Less than 6 weeks
B) At least 3 months
C) More than 6 months but less than a year
D) At least 2 consecutive years

Question 10

A male adolescent is brought to the Emergency Department by his parents who report that he has been displaying signs of agitation and hyperactivity. The teenager tells the nurse that his "thoughts are racing through his head and he can't concentrate on anything anymore." The parents also state that their son is being treated for depression. What mental disorder would the nurse suspect?

A) Bipolar disorder (BPD)
B) Paranoid personality disorder
C) Panic attack
D) Phobia

Question 11

The nurse is caring for a client who is diagnosed with schizoid personality disorder. Which is a characteristic of this mental disorder?

A) Pervasive distrust and suspiciousness of others; marked hypervigilance
B) Pattern of detachment from social relationships and restricted range of emotions
C) Pattern of disregard for, and violation of, the rights of others with no remorse
D) Pattern of excessive emotionality and attention-seeking behavior

Question 12

A client being treated for a mental disorder displays a need for admiration, excessive attention to clothing and makeup, and has a lack of empathy. He tells the nurse that the "world owes him a living." What personality disorder is this client manifesting?

A) Avoidant
B) Narcissistic
C) Dependent
D) Antisocial

Question 13

A 28-year-old female client is brought to the mental health unit accompanied by her mother. The mother reports that the client exhibits irritability and marked impulsivity. The healthcare provider suspects the client has borderline personality disorder and instructs the nurse to observe the client's behavior. Which symptoms should the nurse look for in the client?

A) Suicide gestures and self-injurious behavior
B) Excessive emotion and attention-seeking behavior
C) Need for admiration and lack of empathy
D) Inability to stay with other people

Question 14

A client is diagnosed with agoraphobia. This client is afraid of:

A) eating in public.
B) public speaking.
C) open spaces.
D) performing.

Question 15

A war veteran is diagnosed with posttraumatic stress disorder (PTSD). Which are symptoms of this disorder? Select all that apply.

A) Hypervigilance
B) Startle response
C) Flashbacks
D) Catatonia
E) Disorganized speech
F) Flat effect

Question 16

A nurse is caring for a 25-year-old client with no previous history of mental illness. The client is admitted to the mental healthcare unit demonstrating psychotic behaviors. Which mental health intervention should the nurse implement first?

A) Monitor of signs/symptoms of alcohol or drug withdrawal.
B) Document any unusual occurrences, such as injuries or altercations.
C) Check for overuse of defense mechanisms in the client.
D) Observe if the person has unprovoked bursts of temper.

Question 17

A client diagnosed with schizophrenia is discharged to a halfway house. What is the function of these types of facilities?

A) Treating the underlying cause of the mental disorder
B) Providing housing for an extended time
C) Providing entry into the working world
D) Providing a buffer between the inpatient facility and the community

Question 18

A client is placed in a "T-hold." What does this type of admission represent?

A) A physician places a 3-day hold for evaluation of clients who are judged to be dangerous to themselves or others.
B) The police place a hold to bring the person to the hospital in an emergency.
C) A court places a hold to bring the person before a preliminary commitment hearing.
D) A court places an assessment hold while determining competency to stand trial for a crime.

Question 19

The nurse caring for clients with mental disorders discusses the overriding goal of psychiatric care with supervisors. What is the most important consideration when caring for these clients?

A) Ensuring the safety of the client, family and community
B) Enforcing adherence to a medication schedule
C) Locating community services to treat the client
D) Alleviating symptoms and modifying client behavior

Question 20

The nurse is counseling a client who is in a rehabilitation program for alcoholism. Which type of therapy is most effective for the treatment of addictive behaviors?

A) Individual psychotherapy
B) Group psychotherapy
C) Behavior modification
D) Remotivation

Question 21

Which type of therapy focuses less on understanding the reasons clients think or act and more on solving immediate problems and dealing with behaviors?

A) Rational emotive behavior therapy
B) Transactional Analysis
C) One-to-one therapy
D) Reality therapy

Question 22

A mentally disordered client is admitted to the mental health unit for psychotherapy. The nurse providing care for this client comforts the client by saying, "What has happened in the past cannot be changed." Which therapeutic technique is the nurse practicing?

A) Rational emotive therapy
B) One-to-one therapy
C) Remotivation therapy
D) Reality therapy

Question 23

The nurse caring for a client diagnosed with a mental disorder reinforces the fact that he is accepted unconditionally, and nothing is awful or terrible, even though it may be frustrating and difficult. Which therapy is the nurse practicing?

A) Rational emotive behavior therapy
B) Transactional analysis
C) Psychodrama
D) One-to-one therapy

Question 24

A nurse is caring for a client admitted to the healthcare facility with a history of severe depression. The healthcare provider has prescribed electroconvulsive therapy (ECT).What precautions should the nurse take when caring for this client?

A) Assist the client to take an antiseizure medication before ECT.
B) Ask the client to be awake for at least 2 hours after the procedure.
C) Instruct the client not to chew gum before the ECT procedure.
D) Tell the client to restrict fluids after the ECT procedure.

Question 25

A nurse is caring for a client with a history of psychosis. The healthcare provider has placed the client on clozapine. Which measure should the nurse employ when caring for this client?

A) Monitor weekly CBC with differential blood counts.
B) Observe for involuntary, coordinated rhythmic movements.
C) Check for an altered level of consciousness and mental status changes.
D) Monitor the client for changes in renal and thyroid function.

Question 26

The nurse is caring for a client who is diagnosed with bipolar disorder. Which drug would be used to treat this mood disorder?

A) Clonazepam
B) Alprazolam
C) Chlorpromazine
D) Aripiprazole

Question 27

A 21-year-old client is admitted to the mental healthcare unit with a history of psychosis. The client is sexually abused by another client on the unit. Which legislation is applied to protect this client?

A) Civil rights legislation
B) District court hold
C) Advocacy legislation
D) Vulnerable adult law

Question 28

A nurse at a healthcare facility is required to observe for clients who may be inclined toward committing suicide. What type of clients need to be observed closely for suicide prevention?

A) Clients who have been in a mental health unit for a long time
B) Clients experiencing excessive sleepiness or hypersomnia
C) Clients with chronic, progressive illnesses
D) Clients with narcissistic personality disorder