Mental Health Dynamic Quizzes

A home health nurse is talking with the partner of a client who has dementia. Which of the following statements by the partner indicated that the client is displaying signs of apraxia? A. "Yesterday my partner put on a jacket upside down" B. "My partner has trouble reading the newspaper." C. "My partner often repeats words." D. "Last week, my partner did not recognize the sound of the alarm clock."

A. "Yesterday my partner put on a jacket upside down"

A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) to treat major depression. Following the procedure, which of the following actions should the nurse take? A. Administer oxygen B. Administer an anticonvulsant C. Administer an opioid antagonist D. Administer IV fluids

A. Administer oxygen

A nurse in an ER is assessing a client who has bipolar disorder and is in a manic state. Which of the following findings is the highest priority? A. The client reports sleeping 2 to 3 hrs per night B. The client speaks to the nurse in a demanding tone C. The client reports not attending group therapy D. The client reports not taking medication for the past 2 weeks

A. The client reports sleeping 2 to 3 hrs per night

A nurse is caring for a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect? A. Hyporeflexia B. Muscle spasms C. Constipation D. Decreased respiratory rate

B. Muscle spasms

A nurse is talking with an adolescent client who has major depressive disorder. The client tells the nurse about a situation in which he feels a friend betrayed him. Which of the following responses should the nurse make? A. "Why do you feel betrayed by this friend?" B. "You'll get over this friend in time." C. "How does this situation make you feel?" D. "Jealousy will not help this situation."

C. "How does this situation make you feel?"

A nurse is caring for a client who has major depressive disorder and recently started taking an antidepressant. The nurse should identify which of the following client statements as the priority? A. "I hate being so helpless. I can't even manage my own finances anymore." B. "At group therapy today I wanted to leave I didn't feel like being with other people." C. "I have it all figured out everything is going to be ok now." D. "I don't feel like showering I'd rather just stay in bed today"

C. "I have it all figured out everything is going to be ok now."

A nurse is assessing a newly admitted client who has schizophrenia. The client suddenly look at an empty chair and appears to be listening to something. Which of the following responses should the nurse make? A. "I thought I heard something too." B. "Is someone telling you something?" C. "What are you hearing?" D. "There is nobody in that chair for you to listen to."

C. "What are you hearing?"

A nurse is assessing a client who experienced a sexual assault 6 months ago. Which of the following findings should the nurse report to the provider as an indication of rape-trauma syndrome? A. Flat affect B. Refusal to accept help from others C. Report of intense guilt D. Denial of the sexual assault

C. Report of intense guilt

A nurse is assessing a client who is taking buspirone to treat generalized anxiety disorder. Which of the following findings should the nurse identify as an adverse effect of this medication? A. Arthralgia B. Photophobia C. Xerostomia D. Bradycardia

C. Xerostomia

A nurse was caring for a client who has delirium. Which for the following items should the nurse use to promote optimal cognitive function for this client? A. Identification bracelet B. Menu for the cafeteria C. Map of the facility D. A wall calendar

D. A wall calendar

A nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode. Which of the following interventions should the nurse include in the plan? A. Discourage the client from taking naps during the day B. Allow the client to choose which items of clothing to wear each day C. Encourage the client to participate in group therapy D. Provide the client frequently with high calorie finger foods

D. Provide the client frequently with high calorie finger foods

A nurse is caring for a client who has anxiety disorder. The client states that she forgot her partner's birthday after they had an argument. The nurse recognizes this actions as which of the following defense mechanisms? A. Repression B. Splitting C. Conversion D. Projection

A. Repression

A nurse on a rehabilitation unit is reinforcing teaching with the partner of a client who is experiencing stimulant withdrawal. Which of the following statements by the partner indicates an understanding of the teaching? A. "Increased energy is a sign of withdrawal." B. "Depression is a manifestation of withdrawal." C. "Decreased appetite is a manifestation of withdrawal." D. "Delirium tremens can occur during withdrawal."

B. "Depression is a manifestation of withdrawal."

A nurse is assessing a client who was in a motor vehicle crash that killed her sibling. the client is shaking and asks "what can i do now?" Which of the following questions is the nurse's priority? A. "Are you thinking about hurting yourself?" B. "Do you have someone who could come be here with you?" C. "What qualities have helped you cope with a crisis in the past?" D. "What qualities have helped you cope with a crisis in the past?"

A. "Are you thinking about hurting yourself?"

A nurse is caring for a client who has depression. The client states, "I am too tired and depressed to attend group therapy today." Which of the following responses should the nurse make? A. "Attending group therapy even if you're tired is an important part of your treatment." B. "It's okay if you're too tired to attend group therapy today, but you will have to go tomorrow." C. "It is normal to be tired when you're feeling depressed. The others in group therapy feel the same way." D. "I agree with your decision to wait to participate in group therapy until you begin to feel better."

A. "Attending group therapy even if you're tired is an important part of your treatment."

A nurse is providing teaching to a client who has anxiety and a new prescription for diazepam. Which of the following statements should the nurse make? A. "Feelings of sedation should resolve in about 1 week." B. "There is no risk of physical dependence with this medication." C. "You can increase the dose when you feel especially anxious." D. "It will take several months for you to feel the maximum benefit of the medication."

A. "Feelings of sedation should resolve in about 1 week."

A nurse is providing teaching to the partner of a client who has alcohol use disorder. Which of the following statements by the Partner indicate an understanding of the teaching? A. "Having six beers in two hours is considered too much." B. "My partner is not at risk for cancer due to alcohol consumption." C. "My partner should consume no more than 20 drinks of alcohol in a week." D. "There is no genetic risk with abuse alcohol."

A. "Having six beers in two hours is considered too much."

A nurse is caring for a client who has excoriation disorder. Which of the following statements by the client should the nurse expect? A. "I pick my face when I am nervous." B. "I have bald patches from pulling out my hairs." C. "I inspect my body in the mirror several times a day." D. "I am unable to part with any of my belongings."

A. "I pick my face when I am nervous."

A nurse is giving discharge teaching to a parent of a adolescent that has been hospitalized for bulimia nervosa for the past few weeks. Which statement identifies that the parent understands the teaching ? A. "I should allow my child to make independent decisions" B. "I should gibe my child laxative routinely" C. "I should make sure my child takes their meds daily" D. "I should discourage my child from exercising"

A. "I should allow my child to make independent decisions"

A nurse is reinforcing teaching with the parents of a school-age child who has attention deficit hyperactive disorder (ADHD). Which of the following instructions should the nurse include? A. "Ignore your child's attention-seeking behaviors that are not dangerous" B. "Administer ADHD medications within 30 min of your child's bedtime." C. "Continue with an activity as planned, even if your child becomes frustrated." D. "Expect your child to gain weight after starting ADHD medications."

A. "Ignore your child's attention-seeking behaviors that are not dangerous"

A nurse is teaching a client who has seasonal affective disorder (SAD) about the use of light therapy. Which of the following statements to the nurse make? A. "Light therapy suppresses the natural night time release of melatonin" B. "You should plan your light therapy session before going to bed." C. "You should begin with 2-minute light therapy sessions and gradually progress to 10 minute sessions." D. "Light therapy is less effective at treating SAD than antidepressant medications."

A. "Light therapy suppresses the natural night time release of melatonin"

A nurse is caring for a client who is postoperative following an amputation of the left lower leg. The client states, "I can't believe this has happened to me. I don't deserve this." Which of the following responses should the nurse provide? A. "Tell me what you're feeling about what has happened." B. "The feelings you're having a normal following an amputation." C. "I agree with you. You did not deserve this." D. "What makes you say that you don't deserve this?"

A. "Tell me what you're feeling about what has happened."

A nurse is caring for a client who has an alcohol use disorder and is currently undergoing alcohol detoxification. Which of the following interventions should the nurse provide at this time? A. Administer substitution therapy medications B. Teach the client the physical symptoms of withdrawal C. Provide the client with information about a 12-step program D. Identify the causes of the client's alcohol use disorder

A. Administer substitution therapy medications

A nurse on an eating disorders acute care unit is assessing a client and observes the presence of lanugo on her skin. The nurse should identify that this finding is consistent with which of the following eating disorders? A. Anorexia nervosa B. Bulimia nervosa C. Binge eating disorder D. Pica

A. Anorexia nervosa

A nurse is caring for a client who has chronic alcohol use disorder and claims that her family is exaggerating the problem. The nurse should identify this behavior as which of the following defense mechanisms? A. Denial B. Introjection C. Regression D. Rationalization

A. Denial

A nurse is providing support for the parents of a child who has a new diagnosis of a terminal brain tumor. The nurse should expect the parents to experience which of the following stages of grief first? A. Denial B. Bargaining C. Anger D. Depression

A. Denial

A nurse in an emergency department is teaching newly licensed nurses about planning interventions for clients who experience sexual assault. Which of the following actions should be included in the teaching? A. Determine if the client is experiencing thoughts of self-harm B. Postpone collection of forensic evidence is a sexual assault nurse examiner is not available C. Encourage the client to shower before undergoing a physical examination D. Assess the client for the presence of a maturational crisis

A. Determine if the client is experiencing thoughts of self-harm

A nurse is performing an admission assessment on a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect the client to report? (Select all that apply.) A. Difficulty sleeping for several weeks B. Inability to concentrate on simple tasks C. Desire for sexual activity with multiple partners D. Absence of bathing for several days E. Lack of enjoyment from a long-time hobby of gardening

A. Difficulty sleeping for several weeks B. Inability to concentrate on simple tasks D. Absence of bathing for several days E. Lack of enjoyment from a long-time hobby of gardening

A nurse is planning care for a client who has dissociative disorder and is experiencing flashbacks while in public. Which of the following interventions should the nurse include in the plan to help the client recognize and counter the flashbacks? A. Encourage reality testing B. Provide opportunities for socialization C. Consistently remind the client of past traumatic events D. Discourage client expressions of negative feelings

A. Encourage reality testing

A nurse in an acute care mental health facility observes a client who has bipolar disorder begin to shout and use offensive language toward a visitor. Which of the following actions should the nurse take? A. Give the client 2 options for ending the situation B. Move quickly to stand directly in front of the client before speaking C. Direct other clients to move toward the client as a show of force D. Tell the client that the conversation will be ended if the shouting continues

A. Give the client 2 options for ending the situation

A nurse is caring for a client who presents with a fractured wrist. The nurse suspects intimate partner violence. Which of the following interventions is the nurse's priority? A. Help the client develop a safety plan. B. Teach the client empowerment skills C. Provide information about a support group for intimate partner abuse D. Make a follow-up appointment with the primary provider

A. Help the client develop a safety plan.

A nurse in an emergency department is assessing a client who reports recent cocaine use. Which of the following manifestations should the nurse expect? A. Hypertension B. Drowsiness C. Bradycardia D. Pinpoint pupils

A. Hypertension

A nurse is caring for a child who has Tourette's disorder. Which of the following behaviors should the nurse expect? A. Multiple motor and vocal tics B. Areas of baldness on the scalp C. Insatiable hunger D. Exaggerated startle response

A. Multiple motor and vocal tics

A nurse is assessing a client who has a history of methamphetamine use. Which of the following findings indicates that the client is currently under the influence of this drug? A. Paranoia B. Slurred speech C. Marked therapy D. Bradycardia

A. Paranoia

A nurse is caring for a client who has a neurocognitive disorder and wanders at night. Which of the following actions should the nurse take to promote the client's safety? A. Put the client's mattress on the floor B. Keep the lights off in the client's room at night C. Limit snacks during the evening hours D. Turn off the client's radio or music player at night

A. Put the client's mattress on the floor

A nurse is caring for a client who has obsessive-compulsive disorder. The client engages in repeated handwashing daily. What is the purpose of the client's behaviors? A. Relieving anxiety B. Gaining attention C. Avoiding daily responsibilities D. Responding to auditory hallucinations

A. Relieving anxiety

A nurse is assessing a client prior to administering lithium. The client began taking lithium one week ago for the treatment of mania. For which of the findings should the nurse withhold the dose? A. Report of nausea with frequent episodes of emesis B. Weight gain of 4lbs during the start of the treatment C. Fine hand tremors in both hands D. Serum lithium level of 1.1 mEq/L

A. Report of nausea with frequent episodes of emesis

A nurse is collecting data from a client who has generalized anxiety disorde (GAD). Which of the following findings should the nurse expect? A. Restlessness B. Choking sensations C. Paresthesias D. Excessive sleepiness

A. Restlessness

A nurse is speaking with a client whose partner was killed unexpectedly. The client states "I just don't know what to do now" Which of the following actions should the nurse take? A. Talk to the client about available community resources B. Distract the client by discussing events not related to the crisis C. Reassure the client that he will feel better soon D. Give the client advice about what to do during the next few days

A. Talk to the client about available community resources

A nurse is counseling a client following a recent death in the family. Which of the following situations should the nurse identify as a risk factor for maladaptive grieving? A. The death was a result of violence B. The client expresses anger over the loss C. This is the client's first experience of the loss of a family member D. The client demonstrates reorganization of behavior

A. The death was a result of violence

A nurse in the emergency department is caring for a toddler who has a fractured arm. Which of the following findings should the nurse identify as a possible indication of physical abuse? A. The parent provides a history that is inconsistent with the child's injury B. The child is brought to the emergency department immediately following the injury C. The parent requests to remain present with the child throughout the treatment of the injury D. The child clings to the parent when the nurse begins to assess the injury

A. The parent provides a history that is inconsistent with the child's injury

A nurse is assisting with planning recreational activities for a young adult client who has an acute exacerbation of schizophrenia. Which of the following activities should the nurse recommend for this client? A. Walking with a staff member B. Playing ping-pong in the dayroom with another client C. Playing basketball with other clients in the gym D. Riding on a stationary bike alone in the fitness room

A. Walking with a staff member

A nurse is teaching a client who has acrophobia about the use of systematic desensitization as a method of behavioral therapy. Which of the following client statements indicates an understanding of the teaching? A. "I will snap a rubber band on my wrist when heights scare me." B. "I will slowly be exposed to places of increasing height." C. "I will need to stand on a very high place until I'm calm." D. "I will be asked to imitate my therapist's actions around heights."

B. "I will slowly be exposed to places of increasing height."

A nurse in an emergency department is caring for an 18-month-old toddler who has a fractured left femur. Which of the following statements by the toddler's parent should cause the nurse to suspect child abuse? A. "My child fell down the stairs." B. "My child was riding their bicycle, and fell off" C. "My child slipped out of the high chair." D. "My child climbed on a chair and it tipped over."

B. "My child was riding their bicycle, and fell off"

A nurse is caring for a client who has Alzheimer's disease. The client's adult son reports that the client has begun wandering away from home. Which of the following responses should the nurse make? A. "You should plan to move your mother into your home soon." B. "Place a complex lock at the top of each door that leads outside." C. "It is time to place your mother in a long-term care facility." D. "Have you reminded your mother about the dangers of wandering away from home?"

B. "Place a complex lock at the top of each door that leads outside."

A nurse is interacting with a client in the dayroom of an acute mental health facility. The client accuses the nurse of being "too bossy" and states the nurse does not have the right to pressure anyone. Which of the following responses should the nurse offer? A. "What makes you say that?" B. "Tell me what I said to make you uncomfortable." C. "Why are you feeling pressured by me?" D. "You shouldn't make negative statements since I'm trying to help you."

B. "Tell me what I said to make you uncomfortable."

A nurse is providing discharge Teaching for a female clients with anxiety disorder who has a new prescription for lorazepam. Which of the following instructions should the nurse include in the teaching? A. "This medication can be safely taken during pregnancy" B. "This medication must be discontinued by gradual tapering over time" C. "An extra dose of the medication can be taken at bedtime if you experience insomnia" D. "You should monitor your blood glucose levels closely and while taking the medication"

B. "This medication must be discontinued by gradual tapering over time"

A nurse is caring for a client who has depression. The nurse observes that the client has not come to breakfast and is still in bed. The client states, "I'm not worth your time. Leave me alone and go help someone else." Which of the following responses should the nurse make? A. "Many people feel this way when they first start treatment." B. "You seem to be saying that you feel unworthy of help." C. "You'll feel better once you get up and have some breakfast." D. "I disagree. You are certainly worth my time."

B. "You seem to be saying that you feel unworthy of help."

A nurse is caring for a client who spent the past several minutes mumbling about being "doomed to die" and is now pacing in an increasingly agitated and angry manner. Which of the following actions should the nurse take first? A. Administer PRM medication for agitation B. Attempt to reduce environmental stimuli C. Request a prescription for physical restraints D. Place the client in seclusion

B. Attempt to reduce environmental stimuli

A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the following medication should the nurse expect to administer during this phase of client care? A. Buprenorphine B. Diazepam C. Varenicline D. Rimonabant

B. Diazepam

A nurse is caring for a child who has a diagnosis of terminal brain cancer. The mother states, "I feel numb and can't believe this is happening to us." Which of the following interventions by the nurse is the first priority? A. Explore effective ways of family coping B. Encourage the family's expression of their feelings. C. Discuss the disease and its manifestations with family members D. Instruct the family about anticipatory grieving

B. Encourage the family's expression of their feelings.

A nurse is reviewing the plan of care for a client who has bipolar disorder. Which of the following is an effect of using cognitive behavioral therapy (CBT) for a client who has bipolar disorder? A. Prevents the need for mood-stabilizing medications B. Helps the client deal with distorted thought processed C. Aids communication among family members D. Replaces the need for lifestyle interventions

B. Helps the client deal with distorted thought processed

A nurse is caring for a newly admitted client who is receiving treatment for alcohol use disorder. The client tells the nurse, "I have not had anything to drink for 6 hours." Which of the following findings should the nurse expect during alcohol withdrawal? A. Low body temp B. Insomnia C. Muscle flaccidity D. Bradycardia

B. Insomnia

A nurse in a provider's office is assessing a client who is crying and states "It's my child's first day of school" The nurse should recognize that the client is experiencing which of the following types of loss? A. Acute loss B. Maturational loss C. Perceived loss D. Situational loss

B. Maturational loss

A nurse in an acute substance disorder unit is assessing a client who received treatment in the emergency department for a heroin overdose. Which of the following findings should the nurse anticipate during heroin withdrawal? A. Excessive sleeping B. Muscle aches C. Papillary constriction D. Absent bowel sounds

B. Muscle aches

A nurse in a substance use disorder treatment facility is reviewing the medication records for a group of clients. The nurse should expect to administer methadone for a client who has a substance use disorder for which of the following substances? A. Amphetamines B. Opiates C. Barbiturates D. Hallucinogens

B. Opiates

An emergency room nurse is assessing a client who has anxiety disorder. The client is flushed, perspiring profusely, and experiencing palpitations. The client begins to scream, "I am going to die! This is it! I am having a heart attack!" The nurse should determine the client's level of anxiety to be which of the following? A. Moderate B. Panic C. Severe D. Mild

B. Panic

A nurse is caring for a client who has acute delirium. Which of the following findings should the nurse expect? A. Progressive deterioration of cognitive function B. Rapid fluctuation in level of consciousness C. Loss of language ability D. Absence of contributing factors to pinpoint the cause of delirium

B. Rapid fluctuation in level of consciousness

A nurse in the emergency room is collecting data from a client who has heroin intoxication. Which of the following findings should the nurse expect? A. Seizure activity B. Respiratory depression C. Hypersensitivity to pain D. Increased mental alertness

B. Respiratory depression

New prescription for tranylcypromine and pt still has a current prescription for sertraline. The nurse should notify the provider because taking these meds together increases the risk for? A. Increased intracranial pressure B. Serotonin syndrome C. Acute kidney injury D. Hypertensive crisis

B. Serotonin syndrome

A charge nurse is discussing ethics with a newly licensed nurse. Which of the following actions should the charge nurse include as an example of beneficence? A. Taking a continuing education course about recognizing risk factors of suicide B. Spending extra time reorienting a client who is experiencing command hallucinations C. Acknowledging and accepting a client's refusal of a psychotropic medication D. Describing the purpose, action, and side effects of a psychotropic medication

B. Spending extra time reorienting a client who is experiencing command hallucinations

A nurse is discussing the benefits of group therapy with a client who has bipolar disorder. Which of the following is an advantage of this form of treatment? A. Decreased pressure from others to engage in unacceptable behaviors B. The chance to learn from the experiences of other individuals C. An outlet for increased energy during episodes of mania D. The opportunity to have increased participation in therapy

B. The chance to learn from the experiences of other individuals

A nurse is teaching a client who wants to stop smoking by using nicotine gum. The nurse should inform the client that which of the following adverse effects can occur from using nicotine gum? A. Itching B. Throat irritation C. Hiccups D. Teary eyes

B. Throat irritation

A nurse enters a client's room, and observes that the client is agitated and pacing rapidly. The pt looks at the nurse and says, "back off. Leave me alone" What statement should the nurse make? A. "I demand that you calm down now. Your behavior is unacceptable." B. "I will close the door to provide privacy, and you can tell me what is bothering you." C. "I will give you some space if you calm down. Tell me what is making you feel so tense." D. "I will leave you alone for a few minutes while you try to control yourself."

C. "I will give you some space if you calm down. Tell me what is making you feel so tense."

A nurse is caring for a client who has antisocial personality disorder. The client uses manipulation to gain access to a smoking area from which his access has been limited as a behavioral intervention. Which of the following statements should the nurse make? A. "You know you shouldn't use the smoking area." B. "You know that manipulation is not the right thing to do." C. "Let's review the consequences of your actions" D. "I can talk with the provider about reducing your smoking restriction."

C. "Let's review the consequences of your actions"

A nurse receives a call on a crisis intervention hotline from a client. Which of the following statements should the nurse identify as an overt statement indicating the client's risk for suicide? A. "Everything will be better soon B. "Soon, no one will have to worry about me." C. "There is no point in living any longer" D. "I want to donate my organs to help others."

C. "There is no point in living any longer"

A nurse is caring for a client who has depression and started taking paroxetine one week ago. The client states to the nurse, "My family would be better off without me." Which of the following responses should the nurse make? A. "Why do you feel your family would be better off without you?" B. "Many people feel this way when they are depressed." C. "You sound upset. Are you thinking of hurting yourself?" D. "Your medication hasn't started working yet. Soon you'll be feeling differently."

C. "You sound upset. Are you thinking of hurting yourself?"

A nurse is providing teaching to the parent of a school aged child who has ADHD and a new prescription for methylphenidate IR. Which of the following pieces of information should the nurse provide? A. "Have your child take the medication once daily." B. "This medication might make your child gain weight." C. "Your child's growth might slow while using this medication" D. "Avoid giving your child food when taking this medication."

C. "Your child's growth might slow while using this medication"

"A nurse is caring for a client who has schizophrenia. The client states, I like to play ball. Walk down the hall. Be careful; don't fall." The nurse should identify that the client is using which of the following speech patterns? A. Pressured speech B. Circumstantial speech C. Clang Association D. Flight of ideas

C. Clang Association

A nurse is caring for a client who has newly diagnosed with breast cancer that has metastasized in to the spine. The client refuses to discuss treatment options. The nurse should identify that the client is experiencing which of the following stages of Kubler-Ross' grief theory? A. Anger B. Bargaining C. Denial D. Depression

C. Denial

A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the following initial reactions should the nurse expect from the cancer? A. Bargaining B. Acceptance C. Denial D. Anger

C. Denial

A school nurse is providing care to a student who is angry and states, "My parents don'tknow I'm gay, so I can't visit my girlfriend in the hospital while she receives cancer treatment."Which of the following forms of grief is the client experiencing? A. Chronic grief. B. Uncomplicated grief. C. Disenfranchised grief. D. Delayed grief.

C. Disenfranchised grief.

A nurse is providing teaching to a client who has generalized anxiety disorder and a new prescription for buspirone. Which of the following manifestations is a common adverse effect of this medication? A. Confusion B. Bradycardia C. Dizziness D. Insomnia

C. Dizziness

A nurse is caring for a client with borderline personality disorder (BPD) who exhibits a pattern of behavior of playing a staff member against another. Which of the following actions should the nurse take? A. Have the same staff members work with the client on a long-term basis B. Sit down and listen to the client's feelings about other staff members C. Explore with the client his use of clinging and distancing behaviors D. Arrange for the client to share complaints regarding staff members with the nursing supervisor

C. Explore with the client his use of clinging and distancing behaviors

A nurse is providing teaching to a client who has schizophrenia and is taking quetiapine fumarate. Which of the following blood tests should be performed periodically? A. Potassium B. Uric acid C. Glucose D. Calcium

C. Glucose

A nurse is an acute mental health facility is assisting with the plan of are for a client who has obsessive compulsive disorder (OCD). Which of the following actions should the nurse recommend? A. Encourage the client to focus on personal hygiene B. Limit the hours the client sleeps each day. C. Instruct the client to practice thought stopping. D. Make negative statements about the client's behavior.

C. Instruct the client to practice thought stopping.

A nurse is assessing a client who has been taking an antipsychotic medication for 6 years. The provider has started tapering off the client's dosage. The nurse should monitor the client for which of the following manifestations of tardive dyskinesia? A. Muscular weakness B. Muscle spasms C. Involuntary tongue protrusion D. Uncontrolled rolling of the eyes

C. Involuntary tongue protrusion

A nurse is reinforcing teaching about stress management with a client who is experiencing anxiety. Which of the following techniques should the nurse recommend to assist the client in identifying his stressors? A. Biofeedback B. Intectuallization C. Journaling D. Cognitive reframing

C. Journaling

A nurse is interviewing an older adult client about possible abuse by her caregiver. Which of the following techniques should the nurse use? A. Avoid directly asking the client if she has been abused B. Use a confrontational approach C. Maintain a non judgemental tone D. Avoid being in the room alone with the client

C. Maintain a non judgemental tone

A nurse is contributing to the plan of care for a client who has anorexia nervosa. The nurse should identify that which of the following actions is contraindicated for this client? A. Explaining that tube feeding will be necessary if the client refuses oral intake B. Weighing the client each day prior to any oral intake C. Permitting the client to spend some quiet time alone after each meal D. Refraining from commenting about the client's eating during meal times

C. Permitting the client to spend some quiet time alone after each meal

A nurse is performing an admission assessment for a client who has schizophrenia. The nurse notices that the client's appearance is unkempt, and he appears to be actively hallucinating. Which of the following should be the nurse's priority assessment? A. Perception of reality B. Ability to follow directions C. Physical needs D. Mental status

C. Physical needs

A nurse is caring for a client with ADHD who has recently started taking lithium. For which of the following findings should the nurse monitor when evaluating the effectiveness of the med? A. Increased attention span B. Decreased anxiety C. Reduced aggression D. Weight loss

C. Reduced aggression

A home health nurse is speaking with a caregiver of a client who has Alzheimer's disease. The caregiver asked the nurse why the client becomes disoriented, confused, and often combative later in the day. Which of the following conditions should the nurse plan to report to the provider? A. Electrolyte imbalance B. Hypothyroidism C. Sundowning D. Adverse effect of medication

C. Sundowning

A nurse is assessing a client who has schizophrenia and take haloperidol 3 times daily. The client has developed involuntary writhing movements of the tongue and constant lip smacking. The nurse should identify that these manifestations indicate which of the following adverse effects of haloperidol? A. Akathisia B. Acute dystonia C. Tardive dyskinesia D. Pseudoparkinsonism

C. Tardive dyskinesia

A nurse is assessing a client who has ADHD and reports abruptly discontinuing his amphetamine treatment. Which of the following assessments indicate that the client is physically dependent on Amphetamines? A. The client exhibits paranoia B. The client reports having insomnia C. The client reports eating excessively D. The client has an increased heart rate

C. The client reports eating excessively

A nurse is caring for a client who just received a diagnosis of cancer. The client states,"I just don't know what I'm going to do now." Which of the following responses should the nurse make? A. "In time you'll know the right thing to do." B. "I am sorry. Would you like me to call someone for you?" C. "There are multiple treatment options for you to consider" D. "Can you explain the concerns you're having right now."

D. "Can you explain the concerns you're having right now."

A nurse is providing teaching to a client about cannabis use disorder. Which of the following client statements indicates an understanding of the teaching? A. "Withdrawal of cannabis occurs 3 days after cessation." B. "There are no physical manifestations of withdrawal from cannabis." C. "Drug screens can detect cannabis for up to 8 weeks after use." D. "Cannabis use can produce effects resembling the effects of alcohol use."

D. "Cannabis use can produce effects resembling the effects of alcohol use."

A nurse is talking with a client who has an anxiety disorder. The client states, "I have something important to tell you, but you have to keep it a secret." Which of the following responses should the nurse make? A. "Anything you tell me is kept private between the two of us." B. "I feel uncomfortable being asked to keep a secret for you." C. "Why do you feel that this information needs to be kept private?" D. "I might have to share this information with your provider."

D. "I might have to share this information with your provider."

A nurse is providing teaching to a client who has a new prescription for buspirone. Which of the following statements by the client indicates an understanding of the teaching? A. "I need to watch for signs of dehydration." B. "I need to have my kidney function monitored while taking this medication." C. "I should take the medication on an empty stomach." D. "I might not notice the effects of this medication for several weeks."

D. "I might not notice the effects of this medication for several weeks."

A nurse is discussing exercise activities with an acute care client who has schizophrenia and is overweight due to psychotropic medications. The client refuses to participate in an aerobic exercise class and instead requests to walk in the facility's gym. Which of the following responses should the nurse make? A. "Can you tell me why you do not want to participate in the planned group activity?" B. "Do you understand that psychotropic medications cause weight gain?" C. "The aerobic class will be more effective at burning calories than walking." D. "It sounds like you have come up with an alternative exercise that works for you."

D. "It sounds like you have come up with an alternative exercise that works for you."

A nurse in an acute mental health facility is caring for a client who states, "This place is ridiculous. I can't stand spending another day here!" Which of the following responses should the nurse make? A. "You should focus on the good things so the bad things seem less important." B. "I'm sure tomorrow will be a better day." C. "Don't be so negative when you are young and physically healthy." D. "Let's talk about the events of your day."

D. "Let's talk about the events of your day."

A nurse caring for a client who is confused and wanders at night. The nurse asks the nurse manager if the client can be placed in physical restraints at bedtime. Which of the following responses should the nurse manager make? A. "Restraints can be used if the client is having verbal outbursts." B. "Restraints have been effective in reducing the number of client falls." C. "Restraints can used only when the unit manager approves." D. "Restraining the client can increase confusion."

D. "Restraining the client can increase confusion."

A nurse is caring for a client who has schizophrenia and is being discharged from an acute mental health setting. Which of the following should be included in the discharge plan? A. Refer the client to respite care services B. Provide a list of primary preventive mental health groups C. Enroll the client in a 12-step program D. Contact an intensive outpatient program

D. Contact an intensive outpatient program

A nurse is caring for a client with alcohol use disorder who has undergone detoxification. Which of the following medication should the nurse expect the provider to prescribe to assist the client in maintaining sobriety? A. Varenicline B. Clonidine C. Buprenorphone D. Disulfiram

D. Disulfiram

A nurse is admin an oral sedative to a pt who is receiving care following an involuntary admission. the pt states "I'm not taking any more med". What action should the nurse perform? A. Administer the medication by another route B. Refer the client's refusal to the facility's ethics committee C. Inform the client that, due to her involuntary admission, she cannot refuse a sedative D. Document the client's refusal of the med in the record.

D. Document the client's refusal of the med in the record.

A nurse in the emergency department is assessing a client who has cocaine intoxication. Which of the following findings should the nurse expect? A. Pinpoint pupils B. Drowsiness C, Nystagmus D. Hypervigilance

D. Hypervigilance

A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following medications should the nurse prepare to administer? A. Carbamazepine B. Clonidine C. Propanolol D. Lorazepam

D. Lorazepam

A nurse is helping a client who has an anxiety disorder select a nonpharmacological stress-reduction therapy for home use. Which of the following therapies engages the insular cortex of the brain to allow the client to focus on a single thought that is important to the client in the present moment? A. Guided imagery B. Progressive relaxation C. Cognitive refraining D. Mindfulness

D. Mindfulness

A nurse is preparing to administer a benzodiazepine to a client who has generalized anxiety disorder. The nurse should tell the client to expect which of the following adverse effects? A. Tinnitus B. Bradycardia C. Halitosis D. Sedation

D. Sedation

A nurse is providing dietary teaching to a client who has a new prescription for a monoamine oxidase inhibitor (MAOI). Which of the following food selections by the client indicates an understanding of the teaching? A. Cheddar cheese B. Avocados C. Pepperoni D. Yogurt

D. Yogurt