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Chapters 18, 21, 27, and 24

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
When anxiety is a maladaptive response in an individual, it has the characteristic of   show
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When a client has a mild level of anxiety, his or her emotional response is   show
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A female college student is seeking help from the counseling for test anxiety. She reports that during an exam, she freezes & says It feels like the time I have to take the exam is racing by, and I can’t answer any of the questions.This is what level   show
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A male client with an anxiety disorder sometimes experiences panic attacks following high levels of anxiety. The nurse would expect his physiological responses to include:   show
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show Signal anxiety  
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show Physical  
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show Subsitution  
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show Interpersonal model  
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show Avoidance behavior, situational anxiety  
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Adolescents who ineffectively cope with anxiety often express their anxiety through:   show
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show Somatize  
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Which term best describes an individual’s feelings of anxiety that are broad, long-lasting, and excessive?   show
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A female client tells the nurse that she is terrified to go to the grocery store. The nurse is aware that this client most likely has:   show
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show OCD  
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Which is a typical symptom of posttraumatic stress disorder?   show
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show Systematic desentization (step by step)  
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show This is a GI side effect  
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show Social isolation  
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Of individuals who suffer from panic attacks, __________% are women.   show
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show 3 years  
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Which statements best describe an anxiety disorder?   show
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Which symptoms may be seen in a person who is having a panic attack? Select all that apply.   show
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__________ refers to a vague, uneasy feeling of uncertainty and helplessness   show
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show defense mechanisms  
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show Displacement  
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A prolonged emotional state that influences one’s whole personality and life functioning is called:   show
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Most depressive responses in children are tied to:   show
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The moods of adolescents:   show
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show Very common. (40%) but is not a normal consequence of aging. Most likely linked to a physical cause  
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show Behavioral  
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Clients with bipolar I, bipolar II, or cyclothymic disorders exhibit different types of:   show
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Feelings of worthlessness, guilt, and despair are expressed in a female client’s every thought, movement, and activity. Her physical appearance has declined, and she is commonly unable to eat. What is the client experiencing?   show
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show increasing  
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show dysthymic  
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show cyclothymia  
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show Symptoms of sadness and social withdrawal in people with seasonal affective D/O or late luteal phase D/O  
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show Reduce symptoms and inappropriate behaviors  
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show Report signs to physician. These are serious side effects.  
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show Lithium competes with sodium, so increase in salt decreases lithium. decrease salt increases lithium  
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The nurse must be alert to signs of suicidal thoughts with clients in whom major depressive disorders have been diagnosed because approximately __________ die from suicide.   show
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show Prevent relapse into distressing emotional stress  
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show Increased levels of neurotransmitter norepinephrine. Last 15 min. but shocks just a few seconds. 6-12 treatments are administered over a course of several weeks  
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show SSRIs  
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show Tricyclic Antidepressants  
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A male client with bipolar disorder who takes lithium tells the nurse that he has been “nauseous a lot lately,” feels tired, and has had “some blurry vision.” The client most likely is suffering from what level of lithium toxicity?   show
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In which groups does postpartum depression occur more frequently? Select all that apply.   show
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show Elevated, expansive irritable mood accopanied by loss of identity, increased activity, grandiose thoughts and actions  
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__________ is the electrolyte that the nurse must teach the client to monitor in his or her diet when taking lithium.   show
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show Safety and security  
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The person who is at greatest risk for committing suicide is a(n):   show
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Bob drives fast everywhere he goes, especially when he is drinking. Last night, he was arrested for gambling and loud behavior. Bob is engaging in ____ behavior.   show
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show 11th leading cause of death in the US  
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The theory that suicide rates are affected by group support, social changes, regulations, religion, legal sanctions or limitations, and philosophical beliefs is known as the ____ theory.   show
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Because of the emotions attached to a suicidal act, the loss of a loved one through suicide compares with the grief reaction of a natural death in that it is ____ stressful.   show
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Children are at greater risk for committing suicide if they have ____ problems.   show
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show women, men  
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show suicidal ideations  
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show "Do you have any plans", "Do you think that you can control your behavior and refrain from acting your thoughts or impulses?"  
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The first priority for the care of clients who may be suicidal is:   show
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show Develop more effective strategies for living satisfying lives  
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show Firearms?  
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When the environment lacks security or presents dangers, the perception that life will be short or will end in violence is most compelling for:   show
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show False/myth  
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show Question patient, as a sudden good mood usually indicates that the decision to commit suicide has been made  
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show Refusal to accept diminished quality, style or pace of life  
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show Relieve distress related to situations that threaten the intactness of a person. Rational suicide.  
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An elderly male client’s wife of 50 years recently died from cancer. He suffers from a chronic debilitating illness and has been refusing to eat, drink, or take his medications. This client is displaying behavior characteristic of:   show
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In the __________ dimension, an individual who is considering suicide experiences distorted thinking and self-defeating thoughts   show
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Which of the following are included in the continuum of self-protective responses? Select all that apply.   show
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Which are facts about suicide? Select all that apply   show
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Standard interventions implemented in a mental health facility to prevent a client from attempting suicide are called __________.   show
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show Parasuicidal  
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__________ is when a client thinks or fantasizes about death with no definite intent to commit suicide.   show
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show Self concept  
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Dissociative disorders most often result when an individual is attempting to cope with:   show
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show Dissociative Fugue  
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show Host  
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When developing the nursing care plan for a client with dissociative identity disorder (DID), the nurse knows that one of the major goals of therapy is to assist the client in:   show
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The pt tells the nurse that she feels that her meds is not helping her dissociative dx of depersonalization disorder b/c she is not thinking clearly, having memory problems and judgment, and disoriented to the time. This client most likely will be:   show
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The nurse is aware that in addition to assessment, one of the first goals of therapy for the client with a dissociative disorder is:   show
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show Manipulate/Divide  
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Which of the following is considered a primary nursing diagnosis for a client with a dissociative disorder?   show
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show Ask the client. Journals  
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show One on one support, protect from harm  
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show Journaling  
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The 15-year-old son of a single, full-time working mother frequently is left at home alone to care for himself. According to Erikson’s theory, the nurse is aware that this adolescent most likely would have difficulty in developing a comfortable   show
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A male client with a diagnosis of depersonalization disorder tells the nurse that when confronted with stressful times, he often feels insecure and doesn’t know what he really wants to do with his life. Most appropriate nursing diagnosis for this pt?   show
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What is the first nursing priority in a client with the nursing diagnosis of “Personal identity, disturbed”?   show
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show Cultural influences  
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show Emotionally support. Help to clarify faulty beliefs about self  
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show Attitude, notions, beliefs, convictions. Influenced by culture, society, significant people, experiences, body image, role performances  
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A client with a dissociative disorder has the nursing diagnosis of disturbed body image. Which nursing interventions would address the nursing priority of determining the coping abilities and skills of this client? Select all that apply.   show
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show Dissociative identity disorder (DID)  
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show Disorder  
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