89 Item Psychiatric Nursing Exam II : Substance Abuse, Eating disorders andImpulse control disorders
http://www.pinoybsn.tk 1. An unemployed woman, age 24, seeks help because she feels depressed andabandoned and doesn't know what to do with her life. She says she has quit her last five jobs because her coworkers didn't like her and didn't train her adequately. Last week, her boyfriend broke up with her after she drove his car into a tree after an argument. Theclient's initial diagnosis is borderline personality disorder. Which nursing observationssupport this diagnosis?A. Flat affect, social withdrawal, and unusual dressB. Suspiciousness, hypervigilance, and emotional coldnessC. Lack of self-esteem, strong dependency needs, and impulsive behavior D. Insensitivity to others, sexual acting out, and violence2.In a toddler, which of the following injuries is most likely the result of child abuse?A. A hematoma on the occipital region of the headB. A 1-inch forehead lacerationC. Several small, dime-sized circular burns on the child's back D. A small isolated bruise on the right lower extremity3. A client is admitted to the emergency department after being found unconscious. Her blood pressure is 82/50 mm Hg. She is 5
4" (1.6 m) tall, weighs 79 lb (35.8 kg), andappears dehydrated and emaciated. After regaining consciousness, she reports that shehas had trouble eating lately and can't remember what she ate in the last 24 hours. Shealso states that she has had amenorrhea for the past year. She is convinced she is fat andrefuses food. The nurse suspects that she has:A. bulimia nervosa.B. anorexia nervosa.C. depression.D. schizophrenia.4. A 15-year-old girl with anorexia has been admitted to a mental health unit. She refusesto eat. Which of the following statements is the best response from the nurse?A. "You don't have to eat. It's your choice."B. "I hope you'll eat your food by mouth. Tube feedings and I.V. lines can beuncomfortable."C. "Why do you think you're fat? You're underweight. Here — look in the mirror."D. "You really look terrible at this weight. I hope you'll eat."5. A client with a history of substance abuse has been attending Alcoholics Anonymousmeetings regularly in the psychiatric unit. One afternoon, the client tells the nurse, "I'mnot going to those meetings anymore. I'm not like the rest of those people. I'm not adrunk. "What is the most appropriate response?