Mental Health Exam 3 - Evolve Questions And Answers

When intervening with a patient who is intoxicated from alcohol, it is useful to first:
A. Let the patient sober up
B. Decide immediately on care goals
C. Ask what drugs other than alcohol the patient has recently used
D. Gain adherence by sharing your personal drinking habits with the patient - C. Ask what drugs other than alcohol the patient has recently used

You are caring for Mick, a 32-year-old patient with chemical addiction who will soon be preparing for discharge. A principle of counseling interventions that should be observed when caring for a patient with chemical addiction is to:
A. Praise the patient for compliant behavior
B. Communicate that relapses are always possible
C. Confirm that the patient's recovery is considered complete after discharge
D. Encourage Mick to resume his former friendships to regain a sense of normalcy - B. Communicate that relapses are always possible

As you evaluate a patient's progress, which treatment outcome would indicate a poor general prognosis for long-term recovery from substance abuse?

A. Patient demonstrates improved self-esteem
B. Patient demonstrates enhanced coping abilities
C. Patient demonstrates improved relationships with others
D. Patient demonstrates positive expectations for ongoing drug use - D. Patient demonstrates positive expectations for ongoing drug use

You are caring for Leah, a 26-year-old patient who has been abusing CNS stimulants. Which statement provides a basis for planning care for a patient who abuses CNS stimulants?
A. Sx of intoxication include dilation of the pupils, dryness of the oronasal cavity, and excessive motor activity
B. Medical management focuses on removing the drugs from the body
C. Withdrawal is simple and rarely complicated
D. Postwithdrawal symptoms include fatigue and depression - D. Postwithdrawal symptoms include fatigue and depression

The provision of optimal care for patients withdrawing from substances of abuse is facilitated by the nurse's understanding that severe morbidity and mortality are often associated with withdrawal from:
A. Alcohol and CNS depressants
B. CNS stimulants and hallucinogens
C. Narcotic antagonists and caffeine
D. Opiates and inhalants - A. Alcohol and CNS depressants

Which behavior would be inconsistent with defining characteristics for the nursing diagnosis of ineffective coping?
A. Difficulty in relationships
B. High levels of anxiety
C. Manipulation
D. Interdependence - D. Interdependence

The characteristics for the diagnosis of ineffective coping include crisis, high levels of anxiety, anger, and aggression; child, elder, or spouse abuse; and difficulty in relationships and manipulation. Interdependence would not be considered a symptom for ineffective coping.

When providing care for a client diagnosed with borderline personality disorder, the nurse will need to consider strategies for dealing with the client's:
A. mood shifts, impulsivity, and splitting.
B. grief, anger, and social isolation.
C. altered sensory perceptions and suspicion.
D. perfectionism and preoccupation with detail. - A. mood shifts, impulsivity, and splitting.

Borderline personality disorder has the central characteristic of instability in affect, identity, and relationships. Borderline individuals desperately seek relationships to avoid feeling abandoned, but they often drive others away with excessive demands, impulsive behavior, or uncontrolled anger. Their frequent use of the defense of splitting strains personal relationships and creates turmoil in health care settings.

A newly admitted client has an axis II diagnosis of schizoid personality disorder. The nursing intervention of highest priority will be to:

A. set firm limits on behavior.
B. respect need for social isolation.
C. encourage expression of feelings.
D. involve in milieu and group activities. - B. respect need for social isolation.

Schizoid personality disorder has the primary feature of emotional detachment. Individuals do not seek out or enjoy close relationships. They are reclusive, avoidant, and uncooperative. They do not do well with resocialization.

A client diagnosed with obsessive-compulsive personality disorder takes the nurse aside and mentions, "I've observed you interacting with that new patient. You are not approaching him properly. You should be more forceful with him." The best response for the nurse would be
A. "I will be continuing to follow the care plan for the patient."
B. "I see you are trying to control that patient's therapy as well as your own."
C. "Your eye for perfection extends even to my nursing interventions."
D. "That patient's care is really of no concern to you or to other clients." - A. "I will be continuing to follow the care plan for the patient."

Obsessive-compulsive personality disorder has the key factor of perfectionism with a focus on orderliness and control. These individuals get so preoccupied with details and rules that they may not be able to accomplish the tasks. Guard against engaging in power struggles with a client with obsessive-compulsive disorder.