30 Questions
What is the most likely reason for the client's change in mental status?
Drug actions and interactions
What action should the nurse take on learning that a manic client's serum lithium level is 1.8 mEq/L?
Withhold medication and notify the physician
Which of the following personality disorders is part of cluster C?
Dependent personality disorder
What is a comorbidity of histrionic personality disorder?
General Anxiety Disorder
What core morbidity should the nurse anticipate when reviewing the client's medical record for obsessive-compulsive disorder?
Tics
What is a potential side effect of digoxin?
Confusion and slurred speech
When teaching about personality disorders, what should a nurse include?
Personality disorders often manifest from childhood emotional trauma
What can a nurse expect when interacting with a client who verbalizes the use of coping mechanisms when experiencing stress?
The client adapts well to change
What personality disorder is characterized by a client who refuses to follow instructions and states that unit rules do not apply to them?
Antisocial personality disorder
What screening tool should a nurse use to determine if a client has recently used an illicit drug?
Toxicology test
What personality disorder is characterized by a client who screams 'I can read your mind!'?
Schizotypal personality disorder
What personality disorder is characterized by a client who states 'I have no interest in sexual activity or finding a partner'?
Schizoid personality disorder
A client is unable to make decisions and needs constant reassurance. Which personality disorder is likely to be diagnosed?
Dependent personality disorder
A client with paranoid personality disorder is likely to exhibit which of the following behaviors?
Suspiciousness of others
Which type of therapy is likely to be used for a client with avoidant personality disorder?
Interpersonal therapy
When teaching a family about borderline personality disorder, what information should the nurse prioritize?
The potential for self-harm
A client with borderline personality disorder is likely to use which of the following defense mechanisms?
Splitting
A client with dependent personality disorder is likely to exhibit which of the following behaviors?
Fear of making decisions
What would be the initial intervention to support medication adherence for a client who has run out of their antipsychotic medication?
Arrange for a dose of the client's medication immediately
What is the expected effect of a medication that potentiates the action of α-aminobutyric acid (GABA)?
Reduced anxiety
What is the goal of medications used to treat memory difficulties?
Prevent destruction of acetylcholine
What is the response to the therapeutic action of neurotransmitter inhibitors that block reuptake?
Increased concentration of the blocked neurotransmitter in the central nervous system
Why is immediate care necessary for a client who has run out of their antipsychotic medication?
To prevent further decompensation
What is the purpose of neurotransmitter inhibitors that block reuptake?
To increase the concentration of the blocked neurotransmitter
What should the nurse respond to the client who says 'I will just see my regular doctor at my annual check up after I am discharged'?
It is recommended that you receive follow up care from a mental health provider after you are discharged.
What disorder is consistent with the finding of becoming aggressive at a local bar?
Antisocial personality disorder
What action should the nurse take when providing discharge teaching to a client with borderline personality disorder who is a single parent?
Offer the client information about a support group for parents.
When is a client with borderline personality disorder at the highest risk for self-harm?
When discharged from the hospital.
What is a characteristic of antisocial personality disorder?
A pattern of disregard for others' rights.
What is a goal of discharge teaching for a client with borderline personality disorder?
To help the client develop coping strategies for managing stress.
A client is experiencing restlessness and agitation after missing a medication dose. What should the case manager do to support medication adherence? Test your knowledge of psychology and case management with this quiz.
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