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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
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Anorexia nervosa is best described as a disorder that is potentially
life threatening
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Which are key features of anorexia nervosa?
Severe weight loss, introverted personality, hunger is denied
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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
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The inability to fall asleep or stay asleep
insomnia
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Approximately what percentage of adults suffer from insomnia?
30-40
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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
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Several studies have demonstrated that what significant changes occur in people who displayed hostile or negative behaviors?
Immune-mediated
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Level one interventions for potentially assaultive clients should be practiced as
preventive measures
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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.
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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
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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
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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
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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.
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Which elements must be present for communication to occur?
Feedback, Transmission, Sender, Receiver, Context
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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
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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
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Schizophrenia in children as young as 5 years
can occur
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Schizophrenia affects approximately what % of the world�s population?
1
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The client in whom schizophrenia has been diagnosed usually is medicated with an
antipsychotic
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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
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Positive symptoms of schizophrenia include
hallucinations, speech problems, bizarre behaviors
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A 55 year old man is extremelt fearful of the effects of growing old. He is experiencing
gerontophobia
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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
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Which areas comprise the DSM assessment tool?
NOT cultural factors relating to previous mental illness
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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
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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
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Persons may refuse to acknowledge that a loss has occurred during the first stage of
the denial process
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Please the steps of grieving in proper order
Denial, yearning, depression and identification, acceptance and recovery
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Following the funeral of her husband, the wife is seen crying and holding his picture. She is demonstrating
bereavement
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The set of emotional reactions that accompany a loss is called
grief
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The behavioral state of thoughts, feelings, and activities that follow a loss is called
bereavement
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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
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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)
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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
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What can occur when antipsychotic medications are taken that manifest as abnormal movements such as akathisia and pseudo-Parkinson
Extrapyramidal side effects
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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
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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
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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
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Community support systems
holistic
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Home health nurse check after inpatient setting. Which component of the CM system does this demonstrate?
Psychosocial rehabilitation
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Bipolar patient admitted to inpatient unit. Medicare will pay for
pre-determined length of time based on diagnosis
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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
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Caregiver as role model?
Change agent
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Ensuring client safety is
technician. For which roles is the caregiver responsible in a therapeutic relationship?
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Theories based on study of the brain and its activities are called
biological
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Positive symptoms of schizophrenia include
hallucinations, speech problems, bizarre problems
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A simplified or standardized belief or conception regarding people who belong to another culture
stereotype
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A disorder that involves an individual�s ability to communicate, interact with others, use the imagination and display appropriate behavior
autism
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ADHD behaviors
all BUT excellent short term memory
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Mental retardation
all BUT IQ of 70 to 100
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One of the first goals of therapy for the client with a dissociative disorder is
stabilization
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