Chapter 48 Mental Illness

Chapter 48  Mental Illness

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. When caring for clients who have mental illness, the nurse’s priority intervention are focused on:
a.
client advocacy
c.
medication administration
b.
client safety
d.
teaching

ANS: B
Client safety is a prior in the care of those with mental illness. Oftentimes, the client’s judgment is impaired or the environment may pose a safety risk to the client.

PTS: 1 DIF: Comprehension REF: White (2010)

2. A client admitted for treatment of mental illness tells the nurse, “Little green men are coming after me.” Which of these responses would be MOST therapeutic?
a.
“You must know Martians are not real.”
b.
“I’m calling your doctor and reporting this break with reality.”
c.
“Don’t you think the weather is nice today?”
d.
“You think someone is coming after you?”

ANS: D
Nurses must create an atmosphere where the client feels safe and free to express views. The client must feel important. Nonverbal communication is important in establishing rapport. Including the client’s family also helps build a therapeutic relationship and rapport.

PTS: 1 DIF: Application REF: White (2010)

3. A nurse is teaching a client about a complicated care regimen to follow upon discharge. The client appears distracted and cannot recall basic information reviewed yesterday. When the nurse asks the client to describe feelings about leaving the hospital, the client states, “There’s just too much to learn. I know I’m going to get home and mess something up.” The nurse recognizes that the client may be experiencing what level of anxiety?
a.
mild
c.
severe
b.
moderate
d.
panic

ANS: B
Anxiety is a strong sense of dread without a specific source or reason. A client who has mild anxiety may feel irritable and restless but is still able to concentrate and focus on the task at hand. Moderate anxiety causes blood pressure, pulse, and respirations to increase; the person with moderate anxiety also becomes diaphoretic and may have difficulty concentrating or learning new material. The client with severe anxiety has impaired thinking, tunnel vision, low concentration, and limited focus. Physiologic symptoms increase.

PTS: 1 DIF: Application REF: White (2010)

4. A client is to receive pharmacological intervention for anxiety on a long-term basis. Which of these medicines should be tried FIRST because of its lack of addiction potential?
a.
lorazepam (Ativan)
c.
clonazepam (Klonopin)
b.
buspirone hydrochloride (BuSpar)
d.
diazepam (Valium)

ANS: B
Buspirone hydrochloride (BuSpar), a nonbenzodiazepane antianxiety medication, does not appear to have any addictive potential, the therapeutic effects are not reached for 7 to 10 days, and it can be given as a regularly scheduled antianxiety agent.

PTS: 1 DIF: Comprehension REF: White (2010)

5. In addition to flashbacks, clients with post-traumatic stress disorder (PTSD) may exhibit or report which of these signs or symptoms?
a.
diminished startle response
c.
hallucinations
b.
insomnia
d.
hypervigilant

ANS: D
Clients suffering from post-traumatic stress disorder have experienced a serious trauma. The response to trauma is fear or helplessness, and the event is persistently reexperienced through recurrent recollections, dreams, or hallucination-like flashbacks. In addition, they may exhibit exaggerated startle response and be hypervigilant.

PTS: 1 DIF: Comprehension REF: White (2010)