Which of the following symptoms of post-traumatic stress disorder would indicate that hypnosis is an appropriate treatment modality

Psychiatric Mental Health Nursing Model Question

1. Which of the following symptoms of post-traumatic stress disorder would indicate that hypnosis is an appropriate treatment modality?
(a) Addiction
(b) Confabulation
(c) Dissociation
(d) Hallucinations

2. Which of the following communication guidelines should the nurse use when talking with a client experiencing mania?
(a) Address the client in a light and joking manner
(b) Focus and redirect the conversation as necessary
(c) Allow the client to talk about several different topics
(d) Ask only open-ended questions to facilitate conversation

3. A client who has just had electroconvulsive (ECT) therapy asks for a drink. Which of the following assessments is a priority when meeting the client’s request?
(a) Take the client’s blood pressure
(b) Monitor the gag reflex
(c) Obtain a body temperature
(d) Determine the level of consciousness

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4. A client with bipolar disorder who complaints of headache, agitation, and indigestion most likely experiencing which of the following problems?
(a) Depression
(b) Cyclothymia
(c) Hypomania
(d) Mania

5. Which of the following adverse reactions does the client with bipolar disorder taking lithium need to report?
(a) Black tongue
(b) Increased lacrimation
(c) Periods of disorientation
(d) Persistent GI upset

6. Which of the following facts does the nurse need to include when teaching the client with bipolar disorder and his family about the drug carbamazepine (Tegretol)?
(a) The risk of losing hair is a problem for clients taking the drug
(b) Clients most be closely monitored for nephrogenic diabetes insipidus
(c) Hematologic toxicity and bone marrow depression are serious adverse effects
(d) To avoid toxic reactions, most other drugs shouldn’t be taken concurrently

7. Which of the following mental disorders is associated with the gamma aminobutyric acid (GABA) complex?
(a) Alzheimer’s
(b) Anxiety
(c) Depression
(d) Posttraumatic stress disorder

8. Serotonin has been associated with depression because it plays which of the following rules?
(a) It plays a role in cerebral function
(b) It has a proposed role in mood states
(c) It is found widely in the hippocampus
(d) It regulates the sleep and wakefulness cycle

9. A lack of dietary salt intake can have which of the following effects on lithium levels?
(a) Decrease
(b) Increase
(c) Increase then decrease
(d) No effect at all

10. Which of the following discharge instructions is most important for a client taking lithium (Eskalith)?
(a) Limit fluids to 1,500ml daily
(b) Maintain a high fluid intake
(c) Take advantage of the warm weather by exercising outside whenever possible
(d) When feeling a cold coming, it’s okay take over-the-counter (OTC) cold remedies

11. A pervasive pattern of grandiosity, lack of empathy, and need for admiration suggests the diagnosis of which of the following personality disorders?
(a) Borderline
(b) Narcissistic
(c) Paranoid
(d) Passive-aggressive

12. The defense mechanism most often associated with paranoid personality disorder is_____
(a) Splitting
(b) Projection
(c) Isolation
(d) hypochondriasis

13. A nurse is caring for a client with schizotypical personality disorder. The nurse would expect to observe which of the following?
(a) Exhibitionism
(b) Impulsiveness
(c) Body illusions
(d) Repetitive behaviours

14. Which two words describe cluster C personality disorder?
(a) Odd and eccentric
(b) Anxious and fearful
(c) Dramatic and emotional
(d) Erratic and eccentric

15. Which of the following behaviors patterns would a nurse expect to observe in a client with an obsessive compulsive personality disorder?
(a) Inflexible and lack of spontaneity
(b) Submissive and clinging
(c) Impulsive and unstable emotionally
(d) Cheerful and carefree

16. “Splitting” by the client with borderline personality disorder denotes:
(a) Evidence of precocious development
(b) A primitive defense mechanism in which the client sees objects as all good or all bad
(c) A brief psychotic episode in which the client loses contact with reality
(d) Two distinct personalities within the borderline client

17. According to Margaret Mahler, predisposition to borderline personality disorder occurs when developmental tasks go unfulfilled in which of the following phases?
(a) Autistic phase, during which the child’s needs for security and comfort go unfulfilled
(b) Symbiotic phase, during which the child fails to bond with the mother
(c) Differentiation phase, during which the child fails to recognize a separateness between self and mother
(d) Rapprochement phase, during which the mother withdraws emotional support in response to the child’s increasing independence

18. Which of the following behavioral patterns is characteristic of individuals with histrionic personality disorder?
(a) Belittling themselves and their abilities
(b) Overreacting inappropriately to minor stimuli
(c) Suspicious and mistrustful of others
(d) A lifelong pattern of social withdrawal

19. The expected behavior pattern of in a client with schizoid personality disorder is ____
(a) Submissive and clinging
(b) Emotional coldness and flattened affect
(c) Impulsive and unstable emotionally
(d) Cheerful and carefree

20. A client, diagnosed with an antisocial personality disorder, is given a nursing diagnosis of defensive coping R/T a dysfunctional family system AEB denial of obvious problems and weaknesses. Which client statement would confirm this nursing diagnosis?
(a) “I know what I did was wrong, and I understand the consequences.”
(b) “I don’t see how I can afford follow-up therapy.”
(c) “I’m an angel compared with the rest of my family.”
(d) “I go to church, but only when it suits me.”