30 Questions
A client diagnosed with avoidant personality disorder receives a compliment from a nurse. How would the client most likely respond?
Grateful for the compliment but fearing later rejection and humiliation
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 toxicity
What instruction should the nurse include in the discharge teaching for a client taking lithium therapy regarding fluid intake?
Consume at least 2,500 to 3,000 mL of fluid per day
A client prescribed with lithium therapy should avoid which of the following to prevent lithium toxicity?
Excessive use of beverages containing caffeine
Why is it essential for a client taking lithium therapy to maintain a consistent sodium intake?
To reduce the risk of lithium toxicity
What is the primary reason a client taking lithium therapy should consume adequate amounts of fluid per day?
To reduce the risk of lithium toxicity
Which nursing diagnosis is most appropriate for a client with schizoid personality disorder?
Social isolation R/T inability to relate to others
What is a common behavioral trait of clients with schizoid personality disorder?
They prefer to work in isolation and are unsociable.
Which client statement may indicate schizotypal personality disorder?
I really don’t have a problem. My family is inflexible, and every relative is out to get me.
What is a characteristic of a client with schizoid personality disorder?
They are cold, aloof, and indifferent to others.
What is a potential nursing diagnosis for a client with schizoid personality disorder?
Social isolation R/T inability to relate to others
Which of the following is NOT a characteristic of schizoid personality disorder?
They are highly sensitive to the feelings of others.
What is the term used to describe a client's overall emotional tone?
Affect
A client who demonstrates a variety of emotions is said to have an affect that has what?
Range
What is characterized by a lack of emotional tone?
Flat affect
What is the term used to describe a client who does not speak or make verbal responses?
Muted behavior
What is the term used to describe a client's verbal behavior not correlating with nonverbal behavioral responses?
Incongruent behavior
What would be documented if a client's emotional tone remains unchanged?
Flat affect
A client with a high level of a particular brain chemical may experience which of the following?
Distorted thinking
From a cognitive perspective, what is fear described as?
The result of faulty cognitions
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?
Passive aggression
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?
Patient is expressing an obsession with germs.
What is the term for the conscious denial of a disturbing situation or feeling?
Suppression
A client is experiencing a distorted and unrealistic appraisal of a situation. From a cognitive perspective, what is the client exhibiting?
Faulty cognitions
Which of the following assessment findings presents the greatest risk for violent behavior?
has a history of intimate partner violence
According to the best predictor of patients who may become violent, what is the most significant factor?
history of prior aggression or violence
What is the best medication to administer to a psychotic client with escalating aggressive behavior?
Olanzapine (Zyprexa)
Which of the following patients is more prone to violent behavior?
a patient with paranoid delusions
What is the primary reason why Lithium is not administered to a psychotic client with aggressive behavior?
it requires long-term use to reduce anger
Which of the following is a characteristic of patients diagnosed with anxiety disorders?
they are not particularly prone to violence unless panic occurs
Test your understanding of cognitive perspective in nursing, including distorted thinking and appraisal of situations. This quiz covers the role of brain chemicals, faulty cognitions, and their impact on behavior and decision-making.
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