When a nurse develops feelings toward a client that are based on the nurse

Mental Health Nursing Questions Answers

1. When a nurse develops feelings toward a client that are based on the nurse’s past experience, it is called______
(a) Countertransference
(b) Role reversal
(c) Transference
(d) Unconditional regard

2. A child is taking pemoline (Cylert) for ADHD. The nurse must be aware of which of the following side effects?
(a) Decreased thyroid-stimulating hormone
(b) Decreased red blood cell count
(c) Elevated white blood cell count
(d) Elevated liver function tests

3. Teaching for methylphenidate (Ritalin) should include which of the following?
(a) Give the medication after meals
(b) Give the medication when the child becomes overactive
(c) Increase the child’s fluid intake when he or she is taking the medication
(d) Take the child’s temperature daily

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4. The nurse would expect to see all the following symptoms in a child with ADHD except
(a) Easily distracted and forgetful
(b) Excessive running, climbing, and fidgeting
(c) Moody, sullen, and pouting behavior
(d) Interrupts others and can’t take turns

5. Which of the following is normal adolescent behavior?
(a) Critical of self and others
(b) Defiant, negative, and depressed behavior
(c) Frequent hypochondriacal complaints
(d) Unwillingness to assume greater autonomy

6. Which of the following is used to treat enuresis?
(a) Imipramine (Tofranil)
(b) Methylphenidate (Ritalin)
(c) Olanzapine (Zyprexa)
(d) Risperidone (Risperdal)

7. An effective nursing intervention for the impulsive and aggressive behaviors that accompany conduct disorder is____
(a) Assertiveness training
(b) Consistent limit setting
(c) Negotiation of rules
(d) Open expression of feelings

8. The nurse recognizes which of the following as a common behavioral sign of autism?
(a) Clinging behavior toward parents
(b) Creative imaginative play with peers
(c) Early language development
(d) Indifference to being hugged or held

9. The nurse observes a client who is becoming increasingly upset. He is rapidly pacing, hyperventilating, clenching his jaw, wringing his hands, and trembling. His speech is high pitched and random; he seems preoccupied with his thoughts. He is pounding his fist into his other hand. The nurse identifies his anxiety level as
(a) Mild
(b) Moderate
(c) Severe
(d) Panic

10. When assessing a client with anxiety, the nurse’s questions should be
(a) Avoided until the anxiety is gone
(b) Open ended
(c) Postponed until the client volunteers information
(d) Specific and direct

11. During the assessment, the client tells the nurse that she cannot stop worrying about her appearance and that she often removes “old” makeup and applies fresh makeup every hour or two throughout the day. The nurse identifies this behavior as indicative of a(n)
(a) Acute stress disorder
(b) Generalized anxiety disorder
(c) Panic disorder
(d) Obsessive–compulsive disorder

12. The best goal for a client learning a relaxation technique is that the client will
(a) Confront the source of anxiety directly
(b) Experience anxiety without feeling overwhelmed
(c) Report no episodes of anxiety
(d) Suppress anxious feelings

13. Which of the four classes of medications used for panic disorder is considered the safest because of low incidence of side effects and lack of physiologic dependence?
(a) Benzodiazepines
(b) Tricyclics
(c) Monoamine oxidase inhibitors
(d) Selective serotonin reuptake inhibitors

14. Which of the following would be the best intervention for a client having a panic attack?
(a) Involve the client in a physical activity.
(b) Offer a distraction such as music.
(c) Remain with the client.
(d) Teach the client a relaxation technique.

15. A client with generalized anxiety disorder states, “I have learned that the best thing I can do is to forget my worries.” How would the nurse evaluate this statement?
(a) The client is developing insight
(b) The client’s coping skills have improved
(c) The client needs encouragement to verbalize feelings
(d) The client’s treatment has been successful

16. A client with anxiety is beginning treatment with lorazepam (Ativan). It is most important for the nurse to assess the client’s
(a) Motivation for treatment
(b) Family and social support
(c) Use of coping mechanisms
(d) Use of alcohol

17. Thought-stopping technique is developed by ___________to eliminate and intrusive unwanted thoughts.
(a) Egen Bluler
(b) Simund Freud
(c) Joseph Wolpe
(d) Thomas Schnider

18. According to Albert and Emmons, the seven behavioral components of assertive behavior all, EXCEPT
(a) Eye contact
(b) Posture
(c) Physical contact
(d) Perception

19. The characteristic of Non assertive behavior is _____________
(a) Violate the other rights to fulfill their wish
(b) Express their view and wish without violating other rights and privileges
(c) Denying their own rights and pleasing others
(d) They always focus on achieving their own goals than others

20. ____________ is characterised by episodes of wandering away (usually away from home). During the episode, the person usually adopts a new identity with complete amnesia for the earlier life.
(a) Dementia
(b) Alzhemers’s disease
(c) Multiple personality disorder
(d) Dissociative fugue