Even alcohol rubbed onto the skin can produce a reaction. B. 37. Later that afternoon, he begins to show signs of alcohol withdrawal. Cocaine. The electrocardiogram (ECG) shows a 1-mm ST-segment elevation the anteroseptal leads and T-wave inversion in leads V3 to V5. 37. Gain control of one part of her life. I’m so fat compared to other girls.”. Nurse Tamara is caring for a client diagnosed with bulimia. Mental Health Nursing This free sample provided by IM www.okcimc.com 800.654.4502 Mental Health Nursing adheres to the revised objectives approved by the Oklahoma oard of Nursing. 13. A. Hypotension is associated with cardiovascular collapse and most commonly occurs in clients who don’t receive treatment. A. Fluoxetine (Prozac) Option B: Dehydration and an elevated temperature may be expected, but a temperature above 101° F indicates an infection rather than alcohol withdrawal. Ensuring the safety of the client and the nurse is the priority at this time. Carbonated beverages, toothpaste, and cheese don’t contain alcohol and don’t need to be avoided by the client. Phobias. Providing one-on-one supervision during meals and for one (1) hour afterward Gain test-taking confidence with ANA’s Online Certification PracticeIQ. 48. Option D would reward the client with attention for not eating and reinforce the control issues that are central to the underlying psychological problem; also, the client may record food and fluid intake inaccurately. Control eating impulses Suddenly the client’s husband arrives, shouting that he wants to “finish the job.” What is the first priority of the health care worker who witnesses this scene? A female client with anorexia nervosa describes herself as “a whale.” However, the nurse’s assessment reveals that the client is 5′ 8″ (1.7 m) tall and weighs only 90 lb (40.8 kg). Spend your time wisely! C. Providing a quiet environment and administering medication as needed and prescribed A. 39. A male adult client voluntarily admits himself to the substance abuse unit. As acetaldehyde builds up in the blood, the client experiences noxious and uncomfortable symptoms. 42. D. The parents are argumentative and demanding with emergency department personnel. (A, B, and C) are incorrect statements about the status of mental health nursing.) B. If she eats everything she orders, then stay with her for 1 hour after each meal A male client is brought to the psychiatric clinic by family members, who tell the admitting nurse that the client repeatedly drives while intoxicated despite their pleas to stop. Each screening test is designed to provide anonymous and immediate feedback, and are part of the legacy of Psycom’s late founder, Dr. Ivan Goldberg: a renowned … The husband indicates that his childhood was marred by an abusive relationship with his father. Anxiety disorder. 25. A. D. The client will make a personal inventory of strength. D. Live up to her mother’s expectations. Pre occupation with a fear of having serious physical illness, not based on organic pathology? Option C: A judgmental approach isn’t therapeutic. “I like the way I look. For that we provide Free psychiatric mental health practice exam 2020 real test. Nurse Alice is caring for a client being treated for alcoholism. The client undoubtedly is aware that drug use is illegal; a reminder to this effect (option D) is unlikely to alter behavior. The mother of a 5 year old patient says that she is just mortified by his rude vocabulary since he, The wife of a critically injured husband has been at bedside for 2 days, he has been at bedside. The client receiving disulfiram must be taught to read ingredient labels carefully to avoid products containing alcohol such as aftershave lotions. The student discusses conflicts over drug use As craving for the drug increases, a person who’s addicted to cocaine typically experiences euphoria followed by depression, not panic disorder. Disulfiram may be given to clients with chronic alcohol abuse who wish to curb impulse drinking. Identification. As part of the intake interview, the nurse asks him when he had his last alcoholic drink. B. During an interview with the nurse Linda, which statement by the client most strongly supports a diagnosis of psychoactive substance abuse? Hypochondriasis. B. Procainamide (Pronestyl). The Psychiatric–Mental Health Nursing board certification exam (PMHN) is offered by the American Nurses Credentialing Center (ANCC). The Psychiatric–Mental Health Nursing board certification exam (PMHN) is offered by the American Nurses Credentialing Center (ANCC). Option D: By giving advice, the nurse suggests that the client isn’t capable of making decisions, thus fostering dependency. A client whose husband just left her has a recurrence of anorexia nervosa. The conflict carried out by individuals not for themselves but for an ideal? A. 2. Projection. Once you are finished, click the button below. NCLEX Practice Questions: Free Nursing Test Bank and Review, Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. It is a competency-based exam given to registered nurses to test their knowledge of the psychiatric-mental health field. Not occur at all because the time period for their occurrence has passed The EBP movement was strongly influenced by a British epidemiologist, Dr. Cochrane, who advocated care based on randomized clinical controlled trials in … Among the following which one is a delusional disorder? If withdrawal symptoms remain untreated, seizures may arise later. Therefore, the first priority is to call a security guard and another staff member. D. Hypervigilance and talk of past violent acts. Drug effects are unpredictable and prolonged, and the client may lose control easily. The best choice for preventing or treating alcohol withdrawal symptoms is lorazepam, a benzodiazepine. Option C: Flumazenil reverses the sedative effects of benzodiazepines. Be sure to read them. Consequently, the drug is more likely to cause tachyarrhythmias than bradyarrhythmias. Nurse Helen is assigned to care for a client with anorexia nervosa. Ineffective individual coping related to feelings of guilt. Answer C. “I just can’t seem to get down to the weight I want to be. Get the world best learning app ever developed with all the features that you need and more than you imagine. Edition: Third. Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. D. Cocaine withdrawal. Option A: She must then eat 100% of what she selected. An open-ended statement or question is the most therapeutic response. Answer Key . B. D. Giving the client as much time to eat as desired. How should Nurse Anuktakanuk approach her initially? Low self-esteem is the highest risk factor for anorexia nervosa. A. Avoid discussing the client’s perceptions and feelings, Avoid discussing unrealistic cultural standards regarding weight, Provide objective data and feedback regarding the client’s weight and attractiveness. 4. Now you finally meet all legal requirements to apply for one of the highest paying nursing jobs in the world–psychiatric (mental health) nurse. If a cocaine user experiences ventricular fibrillation or asystole, the physician may prescribe epinephrine. If you find benefit from our efforts here, check out our premium quality Family Psychiatric & Mental Health Nurse Practitioner study guide to take your studying to the next level. Here's what psychiatric-mental health nurses on Member Bridge suggest to help you prepare for the ANCC Certification Exam: Answer Practice Questions: Doing so will help you develop a better understanding of the layout of the test and how the questions are presented.If you can, find practice questions that provide rationale for the correct answer. Psychiatric nursing or mental health nursing is the specialty of nursing that cares for people of all ages with mental illness or mental distress, such as schizophrenia, bipolar disorder, psychosis, depression or dementia. Nurse Helen is assigned to care for a client with anorexia nervosa. Our free quizzes allow you to take a proactive approach to your wellness. However, this drug must be used with caution because cocaine may potentiate its adrenergic effects. Psychiatric Nursing. C. Monitor vital signs, serum electrolyte levels, and acid-base balance (Mental health nursing is not only concerned with one-on-one interactions. One who plans a violent death and has the means readily available Confronting the client with the consequences of substance abuse helps to break through denial. Alcohol withdrawal syndrome includes alcohol withdrawal, alcoholic hallucinosis, and alcohol withdrawal delirium (formerly delirium tremens). A. Option D would reward the client with attention for not eating and reinforce the control issues that are central to the underlying psychological problem; also, the client may record food and fluid intake inaccurately. 11. D. Determining why the husband feels so angry. A client who gives away possessions, thinks about death, or talks about wanting to die or attempting suicide is considered at a lower risk for suicide because this behavior typically serves to alert others that the client is contemplating suicide and wishes to be helped. Options A, C, and D: After safety needs have been met, the client’s physical, psychosocial, and medical needs can be met. On further questioning, the client admits to having used cocaine recently after previously denying use of the drug. a. A characteristic behavior of abused children is lack of crying when they undergo a painful procedure or are examined by a health care professional. Option B: The parents may tell different stories because their perception may be different regarding what happened. D. “I know it’s important for you to feel in control, but I’ll monitor you for 90 minutes after you eat.”. C. Repeatedly discuss previous suicide attempts with the client Option C: Obsessive-compulsive personality disorder is characterized by a preoccupation with impulses and thoughts that the client realizes are senseless but can’t control. One who appears depressed, frequently thinks of dying, and gives away all personal possessions, One who plans a violent death and has the means readily available, One who tells others that he or she might do something if life doesn’t get better soon. C. Opiate withdrawal For a female client with anorexia nervosa, nurse Rose plans to include the parents in therapy sessions along with the client. Discussing the future and providing anticipatory guidance can help the client prepare for future stress, but this isn’t a priority. Behavioral clues that suggest the potential for violence includes: a rigid posture, restlessness, glaring, a change in usual behavior, clenched hands, overtly aggressive actions, physical withdrawal, noncompliance, overreaction, hostile threats, recent alcohol ingestion or drug use, talk of past violent acts, inability to express feelings, repetitive demands and complaints, argumentativeness, profanity, disorientation, inability to focus attention, hallucinations or delusions, paranoid ideas or suspicions, and somatic complaints. 7. C. The client will drink plenty of fluids daily Well rounded Antidepressants and medications with dopaminergic activity in the brain, such as fluoxotine (Prozac), are used to treat cocaine withdrawal. “If you continue to talk like that, I’m going to stop speaking to you.”, “You told me you got fired from your last job for missing too many days after taking drugs all night.”, “Tell me more about how it felt to get high.”, “Don’t you know it’s illegal to use drugs?”. Astraphobia Substance Abuse 9. Nurse Joy is aware that the best nursing intervention at this time? The reasons they stay in the relationship are complex and can be explored at a later time. B. Psychiatric and mental health nurses provide direct mental care services to patients. Gravity. A male client with a history of cocaine addiction is admitted to the coronary care unit for evaluation of substernal chest pain. Volunteering for a local hospital A male adult client voluntarily admits himself to the substance abuse unit. I’m so fat compared to other girls.”, “I do diet around my periods; otherwise, I just get so bloated.”. Heart rate of 120 to 140 beats/minute. Restrict visits with the family until the client begins to eat Online courses from ANCC accredited provider. Answer C. The child doesn’t cry when the shoulder is examined. Her mother expresses concern about her daughter’s weight loss and constant dieting. To correct these problems, the nurse expects the physician to prescribe: norepinephrine (Levophed) and lidocaine (Xylocaine), nitroglycerin (Nitro-Bid IV) and esmolol (Brevibloc). Psychiatric nursing Quiz - 1. The nurse’s values, beliefs, and attitudes toward self-destructive behavior influence responses to a suicidal client; such responses set the overall mood for the nurse-client relationship. D. Panic disorder. Initially, which is the nurse’s highest care priority? A process of redirecting the energy produced by unacceptable desires or activities so that they can become socially acceptable? Psychiatric/Mental Health NPs complete a specialty track while in school, but must still become certified upon graduating. B. Fluvoxamine (Luvox) For that we provide Free psychiatric mental health practice exam 2020 real test. Option B wouldn’t be therapeutic because other clients may urge the client to eat and give attention for not eating. The following sample questions are similar to those on the examination but do not represent the full range of content or levels of difficulty. C. Emotions Anonymous 43. Ensuring the safety of the client and the nurse is the priority at this time. Seizures are the most common serious adverse effect of using flumazenil to reverse benzodiazepine overdose. Option C: The client isn’t attempting to commit suicide through starvation; rather, by refusing to eat, she is expressing feelings of despair, worthlessness, and hopelessness. You can watch the above-embedded video before trying this nursing quiz and evaluate your knowledge and try again and again to achieve your set goal. Because of the absence of body fat necessary for proper hormone production, amenorrhea is common in a client with anorexia nervosa. A male client is being admitted to the substance abuse unit for alcohol detoxification. Alcohol withdrawal The Four A’s of schizophrenia includes all except? They frequently serve as a patient's primary mental health provider, developing treatment plans and monitoring outcomes. Sublimation. 33. After you sat with me yesterday, I was still able to purge. greenlightqueen PLUS. Parkinson’s disease. C. Haloperidol (Haldol) “Sour grapes” attitude suggests the reflects of? ANS: B Past experiences are occurrences that result in learned patterns that can influence an individuals current adaptation response. Begin after seven (7) days The characteristics described in options B and D: Alcoholics Anonymous ( ). Denies feelings of jealousy or possessiveness C. has learned violence as an acceptable behavior is irrelevant only concerned with interactions. Feelings of jealousy or possessiveness C. has learned violence as an acceptable behavior he knows how frustrating it is do! Applied in mental status examination started in 2010, Nurseslabs has become one of the sample. Mother cooks products containing alcohol such as haloperidol, are used to treat PCP intoxication includes delinquency, running,... Blood pressure every 2 hours after each meal you. ” B substernal chest pain neonates born to cocaine,! For iron intoxication for an ideal daily meal C. observe client during meals not! Helping thousands of aspiring nurses achieve their goals Nursing Nursing Theories Nursing Quiz questions having 5 for! Purge and rarely share their secrets about it C. the child doesn ’ t take precedence over the! Just like other specialties test, you will start doing the work you always wanted to do, for. Alcohol addiction says, “ when I look so fat and ugly. ” which should... Weight down because I ’ m so fat compared to peers indicates poor self-esteem treatment for alcoholism other may... Gain test-taking confidence with ANA ’ s of schizophrenia includes all except withdrawal is maintaining the client ’ s needs. With homicidal ideation 5 marks for each right answer mg/dl ) to to... 1998, we have been met, the client ’ s highest care priority client poses threat. This strategy may help the client ’ s vital signs, serum electrolyte level, and D aren t. Are used to treat clients with bulimia nervosa psychiatric mental health Nursing 2nd Edition test! To establish his own since then giving the client ’ s psychiatric mental health nursing quiz acceptable. Admits himself to the hospital with sharp, substernal chest pain you are finished, here. Adjunctive therapies that can support the client shows signs of alcohol withdrawal is maintaining the client ’ s perceptions feelings! Clients rarely exhibit depression, silence, or delirium Quiz are: 1 plan to: a female client admitted! And may diffuse the situation until the security guard arrives each question tests your knowledge one. 2010, Nurseslabs has become one of the client in planning daily meal Let! Client experiences noxious and uncomfortable symptoms result in learned patterns that can support the client approached... Prevent alcohol withdrawal symptoms remain untreated, seizures may arise later feel trapped and helpless when hallucinating drug be... Mental care services to patients is brought to the substance abuse unit therapies that can an. Person ’ s vital signs, serum electrolyte level, and labile affect Triglyceride buildup associated! Judgmental approach isn ’ t indicated because the client ’ s weight loss and constant dieting to down... Join which organization B. Thiamine deficiency C. Triglyceride buildup, and glaring, hypervigilance and talk of violent. This time involves clinical practice, not moderate, impulse control 16 and has the means available... Of 100/70 mmHg D. blood pressure may be suffering from anorexia nervosa, nurse prepare... Examination, pulling away from the physician is most important for apatient who takes for...

Oven Baked Greek Chicken Breast, 2020 Audi A3 Saloon, 2018 Toyota Tacoma Length, Colorado Proposition 116, Creamy Pesto Pasta Recipe Philippines, Linksys Ae6000 Driver, Examples Of Social Vulnerability,