In the field of psychiatry, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) was developed as a means to provide a common language for the classification of mental health disorders. Which of the following would be the main reason for a student nurse to use the DSM-5-TR?  

The client diagnosed with paranoid schizophrenia is preoccupied. He is pacing back and   forth in the hall, periodically looking to his right side, clenching his fist and saying, “I told you to go away.”  What should be the nurse’s IMMEDIATE plan of action at this time?                

Patients under the influence of opioids or stimulants experience varied, differing   identifiable signs and symptoms. You are performing an assessment on your client believed to be under the influence of heroin. During your assessment you would expect to see all of the following EXCEPT?  

Refer to medication label below. Order: Diphenhydramine (Benadryl) 10mg IM every 6 hours PRN itching.  How many mls does the nurse administer per dose?

Assertive Community Treatment (ACT) offers clients with mental illness support and services within the community setting.  Benefits of ACT include which of the following?   Select ALL that apply.  

The newly diagnosed schizophrenic client is a Native American. Some members of the family express concern that the client has what their culture calls ghost sickness because the symptoms coincided with the death of a loved one. How does the nurse demonstrate cultural sensitivity to this client’s family?

A client’s husband has asked that his wife be cared for exclusively by female nurses, a request that the client herself agrees with. Knowing that the couple is of Middle Eastern culture, what action should the care team take in response to this request?    

To encourage a child in Piaget’s Preoperational Stage of Development, to express anxious feelings, the nurse engages the child with toys in a play situation. What is the reason for using this approach?    

Maintaining a therapeutic environment and promoting growth through role modeling behaviors are components of which of the following?

Client’s with a dual diagnosis are particularly difficult to treat.  Dual diagnosed clients must address both the psychiatric diagnoses and the substance abuse together in order to have even a limited amount of success.  Which of the following has shown a positive outcome for this population?