NURS 258 Psychology Final Review_2020
1. A depressed 21 year old Client has lived with his mother ever since the death of his father three years
... [Show More] ago. After the client received a college acceptance, the mother repeatedly states, “That's wonderful. I'll be fine all alone”. how would the nurse interpret the mother statement?
1. The mother is withholding supportive statements
2. the mother is expressing denigrating remarks
3. the mother is communicating indirectly
4. the mother is using double bind communication
b. A 30 year old client seeking therapy okay great thank states, “My Mom cries when she is not included in all my social activities and thinks my friends are her own”. how would the nurse describe the boundaries between the families parent-and-child subsystems?
1. the boundaries are rigid
2. the boundaries are restructured
3. the boundaries are enmeshed
4. the boundaries are disengaged
b. A six-year-old boy was just diagnosed with ADHD by the physician you work for in a pediatric practice he'll be prescribed a non-narcotic medication, atomoxetine (Strattera) 40mg po OD. What will you teach his mother about the medication before they leave the office?
1. Take on an empty stomach give as close to bedtime as possible expect an increase in behaviors
2. Take on an empty stomach give frequent snacks expect significant weight gain
3. take first thing in the morning with breakfast, offer extra snacks, weigh weekly and report significant weight loss to doctor
4. Give a bedtime, report increased sedation to doctor immediately, keep him occupied with lots of stimulating activities
b. when assessing a child with autism, the nurse identifies which of the following as behavioral signs of autism? Select all the apply.
1. Poor eye contact 2. limited speech
3. lack of age appropriate social skills
4. smiling back at you
5. organizing or lining object up in a particular order
b. in planning care for a child diagnosed with autistic disorder, which would be a realistic client outcome?
1. the client will communicate all needs verbally by discharge
2. the client will participate with peers and a team sport by day 4
3. the client will establish trust with at least one caregiver day 5
4. the client will perform most self care task independently
b. Only approve medications to cure autism are risperidone (Risperdal) and aripiprazole (Abilify).
1. True 2. False
b. Correct terminology for repeating of what someone else has said is:
1. Palilalia 2. Echolalia
3. Word Salad
4. Paraphilias
b. An effective nursing intervention for the impulsive and aggressive behaviors that accompany conduct disorder is:
1. assertiveness training
3. negotiation of rules
4. open expression of feelings
b. Typical behavior in children with Oppositional Defiant Disorder (ODD). As and example of this behavior, when told to “take out the trash” is:
1. Doing as requested
2. Saying “take out the trash yourself”
3. Saying “I’m not doing it, I always do it, it's Alex’s turn!”
4. Ignoring the request repeatedly and continue playing on Xbox
b. A child has been diagnosed with mild intellectual disability (ID). what information about this diagnosis should a nurse include when teaching the child's mother?
1. children with mild ID need constant supervision
2. children with mild ID develop academic skills up to a sixth grade level
3. children with mild idea appear different from their peers
4. children with mild ID has significant sensorimotor impairment
b. Which developmental characteristic should a nurse identify as typical of a client diagnosed with severe intellectual disability?
1. the client can perform some self-care activities independently
2. the client has advanced speech development
3. other than possible coordination problems, the client psychomotor skills are not affected
4. the client communicates wants and needs by “acting out” behaviors.
b. When planning care for a client, which medication classification should a nurse recognize as effective in the treatment of Tourette syndrome?
1. neuroleptic medication
2. antimanic medication
3. tricyclic antidepressants
4. monoamine oxidase inhibitor medications
13. A woman with bruises on her face and neck and is swollen right eye arrives at the emergency departments and tells the nurse, “He’s been getting more and more violent lately. He's been under a lot of stress at work so he drinks a lot when he gets home. He always gets mean when he drinks, I was getting scared, so I just finally told him I was going to take the kids and leave. He got serious when I said that and began beating me” With knowledge about the cycle of battering, what does this situation represent?
1. Phase 1. The client was desperately trying to stay out of his way and keep everything calm
2. Phase 1. A minor battering incident for which the client assumes all the blame
3. Phase 2. the acute battering incident that the client provoked with her threat to leave
4. phase 3. The honeymoon phase where the husband believes that he has “taught her a lesson and she won't act up again.”
13. when counseling the twenty-year-old parent of a 13 month old, the nurse is aware that the defense mechanism most often used by the physically abusive parent is
1. Idealization
2. Transference
3. Manipulation
13. When planning care for women in abusive relationships, which of the following
information is important for the nurse to consider? Select all that apply
1. It often takes several times before a woman leaves an abusive situation
2. substance abuse is a common factor in abusive relationships
3. until children reach school age, they're usually not affected by parental discord
4. women in abusive relationships usually feel isolated and unsupported
5. economic factors rarely play a role in the decision to stay in abusive relationships
13. ?
13. The kindergarten student is frequently violent toward other children. A school nurse notices bruises and burns on the child's face and arms. What other symptoms should indicate to the nurse that the child might have been physically abused?
1. Shrinks at adults
13. Tommy was a 12-year-old boy, the oldest in the family of 6 children. his parents both worked so he was expected to take care of his siblings when his parents were not there and he was not in school. the youngest child was two. Tommy's father continually put him down, calling him stupid and saying that he can never do anything right. Both parents are quite Young. Tommy's mother was 16 when she found out she was pregnant. What form of child abuse in my Tommy be experiencing?
1. physical abuse
2. sexual abuse
3. Neglect
4. emotional abuse
13. after the interview, the nurse suspects that there is child abuse going on in the home. What is a nurse's legal responsibility?
1. the visit Tommy's home and talk to his parents
2. to disregard her suspicions because the doctor disagrees
3. to report her suspected suspicions of Tommy's abuse
4. to record her interview with Tommy and her Clinic record
Match the items related to the types of grief reactions to the behaviors
20. Anticipatory Grief D
20. Delayed grief B
20. Prolonged grief A
20. Distorted grief E
20. Grief C
A. Intense preoccupation with the memories of the disease many years after the death
B. may not experience the pain of loss until later or in indirect ways
C. experiences good and bad days, open the expresses anger, relates this depression to loss, and maintains feelings of hope
D. Grief that occurs prior to an actual loss
E. showing exaggerated symptoms of grief including hopelessness, guilt, and somatic complaints [Show Less]