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me: During an admission interview, a patient informs you that she has been taking an over-thecounter sleeping pill.

She asks you if the pill will interact with any medications. You tell the client that OTC sleep medications may have adverse effects when used with anticholinergic drugs and central nervous system depressants. You made this statement based on the knowledge that most OTC sleeping pills contain which of the following? Answer A. Benzodiazepines B. Opioids C. Antihistamines D. Tricyclic antidepressants Sent at 7:17 PM on Sunday me: A nurse is giving a presentation on mental health promotion to college students. One student asks the nurse to explain the difference between normal anxiety and an anxiety disorder. Which of the following responses is best? Answer A. People with anxiety disorders generally find that the anxiety interferes with daily activities. B. Normal anxiety does not result in feelings of dread or restlessness. C. Normal anxiety occurs in response to everyday stressors. D. People with anxiety disorders experience a fight-or-flight response when threatened. Which of the following conditions involves a persistent, irrational fear attached to an object or situation that objectively does not pose a significant danger? Answer A. Phobic disorders B. Post-traumatic stress disorder C. Obsessive-compulsive disorder D. Stress disorders Sent at 7:18 PM on Sunday me: A 28-year-old woman seeks treatment for sexual dysfunction. She states that she feels aroused and is interested in having intercourse, but that she clamps down and her partner cannot achieve penetration. The nurse tells the client she is suffering from what? Answer A. Sexual aversion disorder B.

Dyspareunia C. Vaginismus D. Female orgasmic disorder Sent at 7:20 PM on Sunday me: A patient states that he has been treated for sleep apnea syndrome. You note this and report to the oncoming evening nurse to be aware of which of the following symptoms? Answer A. Feeling unrested during the day B. Evidence of teeth grinding while asleep C. Loud snoring or gasping while the patient is asleep D. Excessive sleepiness and cataplexy Patients suffering from which sleep disorder may be helped by losing excess weight and using oral appliances during sleep? Answer A. Restless leg syndrome B. Narcolepsy C. Insomnia D. Obstructive sleep apneahypopnea syndrome (OSAHS) Bernie, a 54-year-old man, has been having difficulty sleeping for the past 3 years. He has problems falling asleep and, once asleep, he wakes frequently. After a discussion with his healthcare provider, Bernie is referred to a sleep center. The sleep center places Bernie on continuous monitoring using an electroencephalogram, electro-oculography, and chin electromyography. What is the collective name for this testing? Answer A. Diurnal narcolepsy evaluation techniques B. Multiple sleep latency testing C. Circadian rhythm monitoring D. Nocturnal polysomnography Sent at 7:22 PM on Sunday me: hich of the following statements accurately describes dissociative identity disorder (DID)? Answer A.

The person with DID suffers substantial memory loss, sudden travel from home, and confusion about or adoption of a new identity. B. The person with DID has memory loss not attributable to organic causes or simple forgetfulness. C. The person with DID develops alternative personalities. D. The person with DID experiences feelings of detachment from his or her own body or mind. The hypothalamic-pituitary-adrenal (HPA) axis is considered the stress axis. How is the HPA axis implicated in the etiology of mood disorders? Answer A. Decreased activity of the HPA axis results in excessive amounts of adrenal glucocorticoids and CRH, which contributes to mood disorders. B. Increased activity of the HPA axis results in depletion of adrenal glucocorticoids and CRH, which contributes to mood disorders. C. Increased activity of the HPA axis results in hypersecretion of adrenal glucocorticoids and corticotrophin-releasing hormone (CRH), which contributes to mood disorders. D. Decreased activity of the HPA axis results in hyposecretion of adrenal glucocorticoids and CRH, which contributes to mood disorders. Which of the following individuals has the highest number of risk factors for the development of depression? Answer A. Samantha, a 50-year-old woman who just lost her spouse and has a family history of depression B. David, a 62-year-old man who has had depression in the past and abuses alcohol C. Mary, a 42-year-old woman who has experienced depression before but has a strong support system D. John, a 32-year-old man who has been diagnosed with cancer and has been abusing alcohol Sent at 7:28 PM on Sunday me: Sandra is a 36-year-old woman who tends to be highly emotional. She strives to be the center of attention whenever other people are around. At work, she often flirts with her boss in an attempt for approval. What condition is Sandra suffering from? Answer A. Narcissistic personality disorder B. Schizotypal personality disorder C. Schizoid personality disorder

D. Histrionic personality disorder Sleep is believed to be regulated biologically by which structure? Answer A. Hippocampus B. Caudate nucleus and pineal glands C. Medulla D. Hypothalamus Lindsay is a professional nurse who has just completed a military tour of duty in the Middle East. She has cared for combat victims and has seen trauma that she was never prepared for in her nursing education. She presents to the counseling center with symptoms of post-traumatic stress disorder (PTSD). Which of the following sleep disturbances would the nurse expect Lindsay to report? Answer A. Nightmares B. Daytime sleepiness C. Not feeling rested after sleep D. Insomnia A 30-year-old woman is receiving treatment in a mental health clinic for panic attacks and depression. She states that sometimes she feels like she is outside herself, observing her own life from afar. The nurse recognizes this as a symptom of which of the following dissociative disorders? Answer A. Dissociative fugue B. Depersonalization disorder C. Dissociative identity disorder D. Dissociative amnesia Linn is a 42-year-old woman who has been feeling very anxious and stressed. As a result, her body is going through the fight-or-flight response. Which of the following is a body adaptation that occurs during fight or flight? Answer A. An increased immune response and digestion B.

A decrease in heart rate and blood pressure C. An increase in blood flow to the muscles D. A decrease in blood clotting ability Sent at 7:33 PM on Sunday me: Generalized anxiety disorder (GAD) is characterized by what? Answer A. Flashbacks and feelings of unreality B. Excessive worry or anxiety lasting more than 6 months C. Behavioral changes in response to panic attacks D. Fear of going outdoors ??????What does desensitization refer to? Answer A. Teaching the client to ignore or become immune to anxiety-producing situations B. A cognitive technique for replacing a worry with a positive statement C. A systematic way to replace a panic response with a relaxation response D. Exposing the client to an anxiety-producing stimulus for 1 to 2 hours (flooding) Amanda is a single mother studying broadcast journalism. She works two part-time jobs in addition to school to cover family and educational expenses. Last night driving home from work Amanda drifted off the road and nearly had an accident. Luckily there was no harm, but Amanda realizes she needs to change something, because she is most likely suffering the negative consequences of which of the following? Answer A. Sleep deprivation B. Generalized anxiety disorder C. Insomnia D. Excessive fatigue syndrome The nurse is educating the parents of a client with a personality disorder. They are concerned that their 22-year-old son has never shown an interest in a romantic relationship, has no real hobbies or friends, and is happy being the only guard in a factory on the night shift. Which of the following potential comments by the nurse is accurate? Answer A.

People with dependent personality disorder, which your son has, tend to be lifelong loners. B. People with schizoid personality disorder, which your son has, tend to be lifelong loners. C. People with antisocial personality disorder, which your son has, tend to be lifelong loners. D. People with histrionic personality disorder, which your son has, tend to be lifelong loners. The nurse is interviewing a client with a history of violence. He boasts that he put a kid in a wheelchair once when he was younger and has maimed others. He states, Who cares? Life's tough. Violence and insensitivity are associated with which of the following personality disorders? Answer A. Antisocial personality disorder B. Borderline personality disorder C. Schizoid personality disorder D. Histrionic personality disorder Somatoform disorders are characterized by which of the following? Answer A. Self-inflicted injuries B. Physical symptoms coupled with extreme focus on emotional state C. Self-induced disease states or faked symptoms to garner attention D. Severe physical symptoms that cannot be explained by any organic or physical pathology The adult children of a woman with narcissistic personality disorder meet with the therapist as part of their mother's treatment. The nurse is not surprised when the daughter makes which of the following comments that describes behavior typical of the client with this disorder? Answer A. My mother was always timid and fearful. B. My mother never really seemed to see me as a person with my own thoughts and problems. C. My mother never had any family or friends over to the house. D. My mother was constantly threatening to commit suicide. Mark is a 25-year-old man who is suspicious of his friends and wife. He constantly accuses his wife of cheating on him even though she has always been faithful to him. He accuses his friends of making statements that are insulting to his character. What condition might Mark be suffering from?

Answer A. Schizotypal personality disorder B. Antisocial personality disorder C. Schizoid personality disorder D. Paranoid personality disorder The sum of each person's unique biopsychosocial characteristics is known as which of the following? Answer A. A psychological profile B. Genetic traits C. Personality D. Physical appearance Sent at 7:39 PM on Sunday me: Kalie is a 42-year-old woman who has been prescribed a monoamine oxidase inhibitor (MAOI). Kalie should be informed to avoid foods containing which of the following? Answer A. Sodium B. Calcium C. Tyramine D. Arganine June has been experiencing a persistent absence of sexual desire. This condition is known as which of the following? Answer A. Vaginismus B. Sexual aversion disorder C. Hypoactive sexual desire disorder D. Dyspareunia Sent at 7:41 PM on Sunday me: A nurse is giving a presentation on mental health promotion at a community center. A participant states, My friend tells me I'm depressed because I don't have a lot of energy and

have trouble concentrating. I had to quit my full-time job because I don't seem to have the energy to manage it. But I don't want to kill myself or anything like that. Although more data are needed for diagnosis, the nurse suspects that the client may have which of the following? Answer A. Bipolar II disorder B. Major depressive disorder C. Cyclothymic disorder D. Dysthymic disorder Which of the following statements regarding depression and gender is correct? Answer A. Depressive disorders affect young men more than older women. B. Depressive disorders equally affect men and women. C. Depressive disorders are more common in men than women. D. Depressive disorders are more common in women than men. The nurse is educating the spouse of a client with a somatoform disorder about how to best help his wife. Which of the following strategies should the nurse suggest? Answer A. Ignore the wife's complaints about physical discomfort and help her focus on her feelings instead. B. Encourage his wife to acknowledge his frustration and helplessness. C. Keep a log of his wife's physical symptoms to track improvement. D. Empathize about physical discomfort but encourage independence. Which of the following statements about the etiology of somatoform disorders is accurate? Answer A. They are more common in adults with a history of child abuse. B. They are associated with schizophrenia. C. They are believed to be caused by an interaction of neurobiologic, psychological, and familial factors. D. They are associated with substance abuse. Sent at 7:46 PM on Sunday

me: A 25-year-old woman tells the nurse that she has been worried and tearful lately because of pressures at work. She states, My boyfriend tells me that it's 'stress' and 'anxiety,' but doesn't everyone have that? What is anxiety anyway? Which of the following responses gives the best information about the nature of anxiety? Answer A. Anxiety is an abnormal response to everyday stress. B. Anxiety is a physiologic response to stress. C. Anxiety is a sense of psychological distress. D. Anxiety is a normal response to everyday stress. Clarissa has been prescribed a tricyclic antidepressant (TCA) to treat major depressive disorder. Which of the following statements regarding TCAs is correct? Answer A. TCAs have fewer side effects that selective serotonin reuptake inhibitors. B. TCAs are the preferred medications for clients who have recently had a heart attack. C. TCAs are preferred for clients who are at risk for suicide. D. TCAs have a narrow therapeutic window and can have cardiotoxic effects. Sent at 7:47 PM on Sunday me: Clients with a somatization disorder typically do what? Answer A. Minimize their medical history B. Avoid playing the sick role and resist attention from healthcare providers C. Discuss feelings and express needs verbally D. Have a history of going to many different providers without satisfaction Sent at 7:49 PM on Sunday me: Which of the following biogenic amines have been implicated in depression? Answer A. Epinephrine and serotonin B. Epinephrine and dopamine C. Dopamine and histamine D. Norepinephrine and serotonin

Sent at 7:51 PM on Sunday me: Psychodynamic theory attributes the development of mood disorders to which of the following? Answer A. Repressed sexuality B. Current situational difficulties C. Loss of cultural identity D. Unexpressed and unconscious anger Sent at 7:52 PM on Sunday me: The nurse is conducting an admission assessment for a client with major depressive disorder. Which of the following is the highest priority assessment for the nurse? Answer A. Suicide risk assessment B. Mental status assessment C. Medication compliance assessment D. Violence risk assessment The causes of anxiety disorders are which of the following? Answer A. A heritable predisposition for a lowered threshold B. Alterations in brain structure C. Distorted thinking patterns and learned responses D. Neurobiologic vulnerabilities and psychosocial stress Sent at 7:54 PM on Sunday me: A patient expresses that being diagnosed with narcolepsy has been devastating for him. Which statement by the patient should the nurse focus on initially during the assessment? Answer A. I don't like the way the stimulant medication makes me feel. B. I have had to change my job. I now work from home. C. I sometimes wonder if it is worth living a life that has so many restrictions. D. I hate being so dependent. I have to have somebody drive me everywhere I go.

A client on an inpatient psychiatric unit has features of borderline personality disorder: She is frequently angry, has an unstable sense of herself, and is highly impulsive. She can be verbally abusive to staff, who feel manipulated by her behaviors. Which of the following interventions does the nurse determine as a priority? Answer A. Setting limits B. Social skills training C. Stress management techniques D. Increased recreational therapy A client with a dissociative disorder is admitted to a psychiatric facility. His insurer approves a 3-day hospitalization. Which of the following potential foci of care would the nurse deem important? Answer A. Education and job training B. Socialization and communication skills C. Intensive group therapy D. Safety and structured activity Amanda is a 42-year-old woman who has been diagnosed with severe depression. Which of the following sleep disorders is most likely to coincide with depressive disorders? Answer A. Sleep apnea B. Insomnia C. Narcolepsy D. Parasomnias Sent at 7:57 PM on Sunday me: The nurse is counseling a 28-year-old client, Carol, with avoidant personality disorder. Carol has a good job and can superficially participate in social situations; however, she avoids them to the extent possible and frequently is anxious and lonely. Carol would like to accept a job promotion and eventually have a husband and family, but she can't because of the symptoms associated with avoidant personality disorder. Which of the following therapeutic goals does the nurse establish as a priority? Answer A. Carol will be able to accept her job promotion.

B. Carol will become more perceptive about social situations. C. Carol will experience increased self-esteem. D. Carol will form a romantic relationship. The major difference between somatoform disorders and factitious disorders is what? Answer A. In factitious disorders, clients are unaware that their symptoms are not real. B. Factitious disorders respond much more readily to psychopharmacologic treatment than do somatoform disorders. C. In somatoform disorders, clients are not consciously aware that they are meeting needs through physical complaints. D. In somatoform disorders, clients consciously seek attention. Flashbacks and feelings of unreality are associated with which of the following? Answer A. Panic disorder B. Agoraphobia C. Post-traumatic stress disorder (PTSD) D. Obsessive-compulsive disorder (OCD) A 25-year-old woman is brought in for treatment by her parents. The client has been restricting her activities and avoiding social contacts because she has become preoccupied with her thighs, calling them hideous and disfiguring. She believes that people can't stop staring at them because they are so deformed. Which of the following is the term used to describe these symptoms? Answer A. Hypervigilance B. Body dysmorphic disorder C. Hypochondriasis D. Conversion disorder A woman brings her 28-year-old husband into treatment. She states that he makes her produce receipts for all the household items and food that she buys and makes lists and rules for her to follow each week. He refuses to discard old items even though they have no value. She states that they have a comfortable income, and she can no longer accept his rigid and controlling

behaviors. Based on these data, the nurse suspects that the husband has which of the following? Answer A. Narcissistic personality disorder B. Obsessive-compulsive personality disorder C. Avoidant personality disorder D. Paranoid personality disorder Sent at 8:01 PM on Sunday me: Which of the following statements accurately describes dissociation? Answer A. The act of forcing painful feelings or memories into the unconscious B. An alteration in self-awareness to escape an upsetting event or feeling C. Reversion to a more immature or infantile behavior pattern D. Recalling the painful feelings associated with past events Avoidant, dependent, and obsessive-compulsive personality disorders are characterized by which of the following? Answer A. Manic or withdrawn behaviors B. Odd or eccentric behaviors C. Anxious or overcontrolled behaviors D. Dramatic or erratic behaviors A 27-year-old woman is receiving treatment at an outpatient mental health clinic. She has been severely depressed since her husband and infant daughter were killed in a car accident. She cannot remember any events immediately before or after the accident and reports that she occasionally has trouble recalling her own name and other personal information. This pattern most likely represents which of the following disorders? Answer A. Dissociative fugue B. Post-traumatic stress disorder C. Dissociative amnesia D. Depersonalization disorder

Cheryl is a 46-year-old woman who thinks she might be suffering from depression. Which of the following must be present for a diagnosis of major depressive disorder to be made? Answer A. Disregard for personal hygiene including cleanliness and appearance B. A loss of interest or inability to derive pleasure for previously enjoyed activities C. A stooped posture and nonverbal signs of a depressed mood D. A lack of energy, impaired sleep, and social withdrawal Sent at 8:04 PM on Sunday me: A personality disorder is defined as a collection of personality traits that is what? Answer A. Leading to withdrawn and antisocial behavior B. Malleable and poorly defined C. Leading to aggression and violence D. Causing behavioral dysfunction and inner distress Sent at 8:05 PM on Sunday