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Questions and Answers
A client diagnosed with avoidant personality disorder receives a compliment from a nurse. How would the client most likely respond?
A client diagnosed with avoidant personality disorder receives a compliment from a nurse. How would the client most likely respond?
- Wondering what deep meaning and purpose are attached to the compliment
- Grateful for the compliment but fearing later rejection and humiliation (correct)
- Interpreting the compliment as a secret code used to increase personal power
- Feeling the compliment was well deserved
A client taking lithium therapy is at high risk of developing which condition due to the narrow margin between therapeutic doses and toxic levels?
A client taking lithium therapy is at high risk of developing which condition due to the narrow margin between therapeutic doses and toxic levels?
- Lithium-induced seizures
- Lithium toxicity (correct)
- Lithium-induced tachycardia
- Lithium-induced psychosis
What instruction should the nurse include in the discharge teaching for a client taking lithium therapy regarding fluid intake?
What instruction should the nurse include in the discharge teaching for a client taking lithium therapy regarding fluid intake?
- Increase fluid intake to 4,000 mL per day
- Restrict fluids to 1,500 mL per day
- Avoid fluid intake for 2 hours before bedtime
- Consume at least 2,500 to 3,000 mL of fluid per day (correct)
A client prescribed with lithium therapy should avoid which of the following to prevent lithium toxicity?
A client prescribed with lithium therapy should avoid which of the following to prevent lithium toxicity?
Why is it essential for a client taking lithium therapy to maintain a consistent sodium intake?
Why is it essential for a client taking lithium therapy to maintain a consistent sodium intake?
What is the primary reason a client taking lithium therapy should consume adequate amounts of fluid per day?
What is the primary reason a client taking lithium therapy should consume adequate amounts of fluid per day?
Which nursing diagnosis is most appropriate for a client with schizoid personality disorder?
Which nursing diagnosis is most appropriate for a client with schizoid personality disorder?
What is a common behavioral trait of clients with schizoid personality disorder?
What is a common behavioral trait of clients with schizoid personality disorder?
Which client statement may indicate schizotypal personality disorder?
Which client statement may indicate schizotypal personality disorder?
What is a characteristic of a client with schizoid personality disorder?
What is a characteristic of a client with schizoid personality disorder?
What is a potential nursing diagnosis for a client with schizoid personality disorder?
What is a potential nursing diagnosis for a client with schizoid personality disorder?
Which of the following is NOT a characteristic of schizoid personality disorder?
Which of the following is NOT a characteristic of schizoid personality disorder?
What is the term used to describe a client's overall emotional tone?
What is the term used to describe a client's overall emotional tone?
A client who demonstrates a variety of emotions is said to have an affect that has what?
A client who demonstrates a variety of emotions is said to have an affect that has what?
What is characterized by a lack of emotional tone?
What is characterized by a lack of emotional tone?
What is the term used to describe a client who does not speak or make verbal responses?
What is the term used to describe a client who does not speak or make verbal responses?
What is the term used to describe a client's verbal behavior not correlating with nonverbal behavioral responses?
What is the term used to describe a client's verbal behavior not correlating with nonverbal behavioral responses?
What would be documented if a client's emotional tone remains unchanged?
What would be documented if a client's emotional tone remains unchanged?
A client with a high level of a particular brain chemical may experience which of the following?
A client with a high level of a particular brain chemical may experience which of the following?
From a cognitive perspective, what is fear described as?
From a cognitive perspective, what is fear described as?
A staff nurse assigns her assistant a new task. The assistant initially agrees but feels irritated. A day later, when asked about the work, she says, 'I have been working on other things.' When asked 3 hours later, she replies, 'Someone else was using the copier, so I couldn’t finish it.' Which of the following behaviors is the assistant exhibiting?
A staff nurse assigns her assistant a new task. The assistant initially agrees but feels irritated. A day later, when asked about the work, she says, 'I have been working on other things.' When asked 3 hours later, she replies, 'Someone else was using the copier, so I couldn’t finish it.' Which of the following behaviors is the assistant exhibiting?
A 26-year-old client with obsessive-compulsive disorder reports to the nurse that he can’t stop thinking about all the potentially life-threatening germs in the environment. How should the nurse document this symptom?
A 26-year-old client with obsessive-compulsive disorder reports to the nurse that he can’t stop thinking about all the potentially life-threatening germs in the environment. How should the nurse document this symptom?
What is the term for the conscious denial of a disturbing situation or feeling?
What is the term for the conscious denial of a disturbing situation or feeling?
A client is experiencing a distorted and unrealistic appraisal of a situation. From a cognitive perspective, what is the client exhibiting?
A client is experiencing a distorted and unrealistic appraisal of a situation. From a cognitive perspective, what is the client exhibiting?
Which of the following assessment findings presents the greatest risk for violent behavior?
Which of the following assessment findings presents the greatest risk for violent behavior?
According to the best predictor of patients who may become violent, what is the most significant factor?
According to the best predictor of patients who may become violent, what is the most significant factor?
What is the best medication to administer to a psychotic client with escalating aggressive behavior?
What is the best medication to administer to a psychotic client with escalating aggressive behavior?
Which of the following patients is more prone to violent behavior?
Which of the following patients is more prone to violent behavior?
What is the primary reason why Lithium is not administered to a psychotic client with aggressive behavior?
What is the primary reason why Lithium is not administered to a psychotic client with aggressive behavior?
Which of the following is a characteristic of patients diagnosed with anxiety disorders?
Which of the following is a characteristic of patients diagnosed with anxiety disorders?
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Study Notes
Schizoid Personality Disorder
- Characterized by an inability to form personal relationships.
- Nursing diagnosis: Social isolation R/T inability to relate to others is appropriate for clients.
Schizotypal Personality Disorder
- Symptoms include distorted thinking and distorted appraisal of reality.
- Example of a client statement indicating possible schizotypal traits: “I really don’t have a problem. My family is inflexible, and every relative is out to get me.”
Passive-Aggressive Behavior
- Defined by indirect expressions of aggression toward others despite surface-level compliance.
- Common behaviors include procrastination, inefficiency, and stubbornness when completing tasks.
Obsessive-Compulsive Disorder (OCD)
- Common symptom: Persistent thoughts about germs.
- Documentation phrase: Patient is expressing an obsession with germs.
Affect in Psychiatric Clients
- Affect refers to a client’s overall emotional tone.
- Flat affect indicates a lack of emotional expression.
Avoidant Personality Disorder
- Clients often fear rejection and humiliation in social situations.
- Typical response: Grateful for a compliment but fearing later rejection.
Lithium Therapy Discharge Instructions
- Avoid excessive consumption of caffeine.
- Maintain consistent sodium intake to prevent toxicity.
- Consume 2,500 to 3,000 mL of fluid daily.
Risk Factors for Violent Behavior
- A history of aggression or violence is the strongest predictor of future violent behavior.
- Patients with anxiety disorders, unless in panic, generally do not exhibit violence.
Antipsychotic Medication
- Olanzapine (Zyprexa) is used for immediate intervention in escalating aggressive behavior in psychotic clients.
- Lithium is primarily for bipolar disorder treatment and not for immediate calming effects.
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