Mental Health Practice Questions #1

Which of the following are potential complications that the patient receiving Lithium should be assessed for?

Diaphoresis, weakness and nausea.

The nurse knows that sedation is a side effect of many antipsychotics. Which of the following medication should a nurse question if ordered for patient taking antipsychotics?

Diphenhydramine

The nurse is caring for a female client diagnosed with schizophrenia who believes that her thoughts are broadcast to others. What is the most appropriate nursing diagnosis for this patient?

Disturbed thought process.

You are the nurse responsible for assessing extrapyramidal side effects in a patient who has been taking chlorpromazine. Which of the following are side effects for the medication? -3

Dyskinesia (2) Akathisia (3) Acute dystonia

. Which comment by a patient experiencing severe anxiety would indicate the possibility of obsessive compulsive disorder?

I have to keep checking to see where my car key is

A patient with acute mania approaches the nurse, waves a newspaper and says "I must make a phone call right this minute, I need to call a store while their sale is going on. I need to order a dress and a pair of shoes. Which of the following would be the most appropriate intervention for the nurse to implement?

Invite the patient to sit with the nurse, and look at new fashion magazines as a distraction

Which statement by the patient in the continuation phase of treatment for bipolar disorder indicate that referral may still be needed

It is difficult to live down all the crazy stuff I did during my last manic episode (It is difficult to live down everything).

A patient with schizophrenia anxiously says "I can see the left side of my body merging with the wall, then my face appears and disappears in the mirror. Which of the following best describes what the nurse should do while actively listening to this patient?

Maintain at least an arms length form the patient.

Your patient is very stress about work and stated taking yoga classes. Which comment would indicate that this physical activity has been successful?

My doctor said my blood pressure has gone down

12. The nurse is caring for a patient who takes anti-psychotic medications and has developed muscle rigidity hyperpyrexia, diaphoresis and drooling. which of the following adverse effects of antipsychotic medications is most likely causing these symptoms?

Neuroleptic malignant syndrome (NMS)

At a unit meeting, staff discusses décor for a special bedroom manic patient. Which is the best suggestion related to caring for an acutely manic patient?

Neutral colors for walls and upholstery

A veteran of the Iraq war describes that he is having intuitive thought of missiles, screaming, explosions, and the same feelings of terror first experienced in combat. Which of the following clinical disorder would the patient most likely be describing symptoms of?

Post traumatic stress disorder.

Which instructions should the nurse prioritize to be given to a patient with depression and his family when the patient begins SSRI antidepressant therapy?

Report increase suicidal thoughts.

A patient with catatonic schizophrenia exhibits little spontaneous movement and demonstrate waxy flexibility according to Maslow's hierarchy of needs. Which needs are priority important to this patient?

Sit on the side of the bed before standing up.

. An adult with depression has been treated with medication and cognitive behavioral therapy. The patient now verbalizes that being passive and letting others make decision for her contributed to the depression. What referrals could the nurse make to help the patient prevent recurrence or depression?

Social skills training

During the maintenance phase of treatment, a patient with bipolar disorder asks the nurse, do I have to keep taking Lithium even though my mood is stable now? What is the most appropriate response?

Taking this medication everyday helps prevent relapses and recurrences.

The nurse is admitting a client with the diagnosis of schizophreniform. What history should the nurse expect to find? A. The client is able to accomplish all activities of daily living B. The client is smiling and happy with their current lifestyle C. The client has been experiencing hallucinations and delusions for less than six months D. The client is euphoric with excessive energy

The client has been experiencing hallucinations and delusions for less than six months

. The nurse is providing health teaching for a patient who has been prescribed phenelzine for depression and provide a written list of food that should be eaten while taking this medication. Which is the potential problem if the patient does not follow the food list? T

The foods may precipitate a life threatening hypertensive crises.

A nurse is teaching a patient with paranoid schizophrenia and her family regarding modification management. The patient states "I don't like taking pills" and the family conforms

The nurse should; Use an injectable form of the medication.

A nurse implement medication education for a client who takes phenlzine?(MAOIs) for depression. Which information indicate the patient has effectively implemented the information provided?

The patient checks with the pharmacist or his physician before selecting over the counter medication.

A patient was admitted with PTSD and a history of violence. He has been having problem sleeping and reports flashback. He has also reported feeling anger toward other patient who looks and acts like his former employer

The priority nursing diagnosis would be? Risk for other direct violence.

A patient with depression is evaluated at the clinic and stated on citalopram. The patient tells the nurse "I have some pills I previously took for depression. They're called MAOIs I think. I should them along with the new medication. Which information is essential for the nurse to communicate regarding her statement?

The risk of a serious reaction of SSRI and MOAs are combined.

A sales person has had difficulty keeping a job because of arguing with co-workers and accusing them of conspiracy. Today the salesperson was hospitalized after threatening a co-worker. When greeted by the nurse, the person shouts. They're all plotting to destroy me. Isn't that true? Select the nurse's most therapeutic response;

Thinking that people want to destroy you must be frightening

A nurse is providing medicating teaching to a client who has a new prescription for clozapine. Which of the following has a need for further teaching?

This medication will help prevent seizure.

A patient with depression is receiving imipramine 200 mg everyday at bedtime. Which assessment findings would require the nurse to promptly collaborate with the health care provider regarding side effects of this drug?

Urinary retention.

A patient says to the nurse "my life doesn't have any happiness in it anymore. I once enjoyed going out with friends, but now don't care if they even invite me. "Which term best describes the patient's feelings? A

anhedonia

The nurse is caring for a client diagnosed with premenstrual dysphoric disorder. What is the primary manifestation of this disorder? A. Loss of appetite B. Insomnia C. Emotional lability D. Anxiety

anxiety

Which nursing diagnosis is likely to apply to an individual with a severe and persistent mentally illness who is homeless?

chronic low self esteem

A patient is undergoing series of diagnostic tests. The patient says "noting is wrong with me, except a stubborn chest cold. The spouse reports the patient smokes and cough a lot, has lost 15 pounds and is easily fatigued. Which defense mechanism is the patient using?

denial

A patient tells the nurse "I wanted my health care provider to prescribe diazepam for my anxiety disorder, but buspirone was prescribed instead." Why is this better? The nurse replies that buspirone

does not cause dependence.

A nurse works at a telephone suicide crisis line. A caller says "I live alone in a house several miles from my nearest neighbor. I have been considering suicide for 2 months. I have several drinks and my shotgun is loaded. I am going to shot myself in the heart. How would the nurse assess the lethality of this plan?

high level

A patient with generalized anxiety disorder comes to the clinic with severe anxiety. Of this medication in the patients' medical record, which is the most appropriate to give as a PRN anxiolytic medication;

lorazepam

. Which beverage should be offered to a patient with depression who has been refusing to eat solid food because it provides the most nutrients?

milk

1. A patient has a mass in the left upper lobe and a biopsy is scheduled. As the nurse plans the procedure, the patient has difficulty understanding the information and ask the question "what do you mean I am going to have surgery? What are they going to do? Assessment findings include tremulous voice, respiratory 28, and pulse 110. What is the patient level of anxiety?

moderate

A patient with bipolar disorder commands another patient to "get me that book". Take the other stuff out there and make other similar demands. The nurse wants to interrupt this behavior without entering into a power struggle with the patient. Which is the best approach? P

providing distraction

Which statement indicates a patient with major depression is most likely outlook to life during the acute phase of the illness?

"I deserve to be this way"

. If a cruel and abusive person often uses rationalized to explain the behavior. Which comment would be the most characteristic of rationalization as a defense mechanism?

"That person shouldn't have proved me".

A nurse encourages an anxious patient to talk about feelings and concerns. What is/are the rationale(s) to the intervention? (Select all that apply) -3

(1) Concerns stated aloud become less overwhelming and help problem solving begin (2) Encourage patient to explore alternatives increases the sense of control and lessen anxiety' (3) Anxiety can be reduced by focusing on and validating what is occurring in the environment.

A 39-year-old woman is recently divorced and is learning to cope with additional stressor. Which of the following best demonstrate that she is utilizing positive coping strategies to manage her stress?

(1) Starting and exercise program (2) Using cognitive behavioral therapy techniques.

A nurse plans health teaching for a patient with panic disorder who takes lorazepam. What information should the nurse provide? -2

(1) Use caution when driving or operating a machinery (2) Avoidance of alcohol and other sedativ

A client is a frequent user of cocaine and states he cannot stop using. Which statements by the nurse are accurate when asked questions by the client and family regarding cocaine? (Select all that apply) A. When withdrawing from cocaine, there will be excessive cravings, depression, agitation, and fatigue. B. Withdrawal from cocaine often results in irritability, increased appetite and hypervigilance C. Withdrawal begins with diaphoresis, rhinorrhea, progressing to piloerection and rush of euphoria. D. Severe effects of cocaine are tachycardia, hypertension, possible cardiovascular collapse and death.

) A. When withdrawing from cocaine, there will be excessive cravings, depression, agitation, and fatigue. . D. Severe effects of cocaine are tachycardia, hypertension, possible cardiovascular collapse and death.

A patient with suicidal impulses is placed on the highest level of suicidal precautions. Which measure should be incorporated into the plan of care by the nurse caring for this patient? Select all that apply -3

1) Remove all harmful objects from patient possession (2) Maintain arms length distance, institute one-one nursing observation around the clock (3) Allow no glass or metal on meal tray.

Bases on the understanding risk factor of suicide. Which individual in the emergency department should be considered at highest risk for complementing suicide

A 79-year-old single white male with cancer of the prostate.

A patient with schizophrenia begins to talk about "volmer's "hiding in the warehouse at work. Which of the following term volmer's be assessed as?

A neologism

. Which statement by the client indicates a lack of understanding of the nurse's teaching regarding antipsychotic medications? (Select all that apply ) A. "These medications may cause negative side-effects" B. "These drugs may cause me to gain weight." C. "My symptoms may return if I don't take these medications." D. One day I won't have to take these medications. E. "I can become addicted to these medications."

A. "These medications may cause negative side-effects" B. "These drugs may cause me to gain weight." C. "My symptoms may return if I don't take these medications." D. One day I won't have to take these medications

A newly admitted client has a diagnosis of schizoaffective disorder. Based on this diagnosis, the nurse would expect to find which of the following symptoms? Pics 21 A. Delusional thinking and mood changes B. Waxy flexibility and catatonic excitement C. Bizarre mannerisms and hostility D. Agitation and ideas of reference

A. Delusional thinking and mood changes

The client is experiencing a manic episode. Which of the following activities will be included in the plan of care? A. Encourage coloring activity and assist as needed. B. Encourage participation in a group game card. C. Encourage participation in a Bingo game. D. Encourage the creation of a routine to promote sleep

A. Encourage coloring activity and assist as needed.

A client is showing early signs of dementia. The client's wife asks" what may I expect next"? what is the best response? A. He may begin to try to cover recognition of his memory loss by creating events B. He may have difficulty in a motor skill such as walking C. The inability to communicate with speech comes immediately after the early signs D. He may not recognize you and other people who have been in his life

A. He may begin to try to cover recognition of his memory loss by creating events

A client diagnosed major depressive disorder (MDD) takes propranolol for hypertension and imipramine for depressive. Given the side effects of these drugs, what would be the essential teaching by the nurse? A. Rise slowly when you change from lying to sitting to standing B. wear sunscreen and avoid mid-day direct sun C. Report extremital symptoms (EPS) symptoms D. Taking both of these drugs may cause increase agitation

A. Rise slowly when you change from lying to sitting to standing

A client diagnosed with major depressive disorder is considering cognitive behavior therapy. The client asks the nurse how this therapy would alleviate depressive thoughts. What is the best response by the nurse? Pics 10 A. This therapy helps you learn to think more positively and thereby reduce depressive thoughts and symptoms B. In this therapy you will explore past events and analyze how this event have affected your behavior and thoughts C. This type of therapy focuses on how you use defense mechanisms to feel more comfortable and content D. the purpose of this therapy is to determine how to get psychological needs met through interpersonal relationships

A. This therapy helps you learn to think more positively and thereby reduce depressive thoughts and symptoms

What are the nursing interventions that are most effective when caring for a client who is very suspicious and experiencing delusional of persecution? Select all that apply) A. Use the same staff as much as possible B. Avoid laughing or whispering where the client can see, but not hear you. C. Conduct a mouth search after medication administration D. Physical contact is encouraged E. Encourage the client to elaborate on the plot against them

A. Use the same staff as much as possible B. Avoid laughing or whispering where the client can see, but not hear you. C. Conduct a mouth search after medication administration

Which of the following is the most therapeutic response by the nurse when a client states. "I no longer need my medication since I do not hear voices."? A. What happened the last time you stopped taking your medication?" B. "Why don't you discuss that with your physician?" C. "The physician prescribed that medication to help you." D. "I would rather you reconsider that decision.'

A. What happened the last time you stopped taking your medication?"

What are the symptoms of neuroleptic malignant syndrome (NMS)? A. muscle rigidity and hyperpyrexia B. orthostatic hypotension and drowsiness\ C. bizarre facial and tongue movements D. Dystonia and akinesia

A. muscle rigidity and hyperpyrexia

The nurse receives this laboratory result Lithium level 1.6MEq/L. How should the nurse interpret this lab value?

Above therapeutic limits.

An adult says, "when I was child, I took medication because I couldn't follow my teachers direction. I stopped taking it when I was about 13. I didn't make good grade in high school and barely graduated. I still have trouble getting organized, which causes difficulty doing my job. Which clinical disorder does this scenario suggest

Adult attention deficit hyperactively disorder.

The nurse is evaluating the effectiveness of an antipsychotic on negative symptoms of psychosis. Which of the following symptoms would be classified as negative symptoms of psychosis?

Affective flattening

Which of the following is a therapeutic communication strategy to use when working with a client who has auditory hallucination?

Asking the patient to describe his hallucination

When assessing a patient's plan for suicide, what aspect has priority

Availability of means and lethality of method.

A new nurse on psychiatric unit asked the nurse manager how the drug memantine helps to improve the cognitive ability of the client with Alzhemers disease, which is the best response by the nurse manager? A. "It functions like Ancept and increases the neurotransmitter acetylcholine in the brain." B. "It decreases glutamate and glutamate allows too much calcium into the nerve cells." C. We do not know how this medication works to prevent neuron damage." D. "It is the newest vaccine against Alzheimer's disease."

B. "It decreases glutamate and glutamate allows too much calcium into the nerve cells."

A client experiencing delusions of influence. How is the client expressing these delusion? A. "I am the prophet, Isaiah, reincarnated." B. "The FBI is looking for me and will harm me." C. "I am 77 years old, and I am having a baby." D. "My new tooth filing is controlling my thoughts."

B. "The FBI is looking for me and will harm me."

. A client is showing symptoms of alcohol intoxication. What question should the nurse ask first? Pics 65 A. "Are you having any liver problems?" B. "What time was your last drink?" C. "How long have you had a problem with alcohol?" D. "Are you experiencing a relapse?

B. "What time was your last drink?"

The client is prescribed phenelzine and is on a tyramine-free diet. What foods cannot be eaten? (select all that apply) PICS 55 A. Chicken and mashed potatoes. B. A pepperoni and cheese pizza. C. Smoked turkey and beans. D. A banana and iced coffee. E. Plain ground beef patty with an apple.

B. A pepperoni and cheese pizza. C. Smoked turkey and beans. D. A banana and iced coffee.

Which assessment finding by the nurse would indicate the client diagnosed with schizophrenia is not tolerating the stimulation on the unit? A. Increase in demands for attention. B. An increase in pacing and hallucinations. C. Creating a disorganized project in the art group. D. Using confabulations when asked a question.

B. An increase in pacing and hallucinations.

An 82-year-old client is diagnosed with Alzheimer's disease(stage7). His daughter states, no one told me my dad will be unable to talk to me, what information should the nurse include in her response to this comment? A. Loss of muscle coordination decreases as the disease progresses B. Communication decreases as the disease progresses C. Clients have an inability to feed themselves as the disease progresses D. The ability to recognize objects decreases as the disease progresses

B. Communication decreases as the disease progresses

The nurse is conducting an educational program for families who have a family member diagnosed with schizophrenia disorder. What would be necessary to teach? A. The negative symptoms are easier to treat than positive symptom B. Ignoring command hallucinations will assist the client in nonresponse C. Physical contact will help the client stay calm less agitated D. Medical compliance is necessary to prevent relapse

B. Ignoring command hallucinations will assist the client in nonresponse

A nurse is teaching a group of clients regarding the use of naltrexone in treating alcoholism. What would she teach about the effectiveness of this drug? A. It prevents withdrawal symptoms B. It reduces the craving for alcohol C. it is useful in managing heightened anxiety D. It treats depressive symptoms

B. It reduces the craving for alcohol

What are the possible physiological changes in the brain of a client diagnosed with Alzheimer's disease? (Select all that apply) A. Brain atrophy B. Overabundance of plaques (amyloid beta) C. Overabundance of tangles (tau protein) D. Enlargement of the hippocampus E. Enlarged cerebral cortex

B. Overabundance of plaques (amyloid beta) C. Overabundance of tangles (tau protein)

You have received a report on a male client diagnosed with schizoaffective disorder. The nurse informs you that his verbal communication includes circumstantiality, what intervention is most therapeutic when caring for this client? A. Allow him to continue the conversation at his own pace B. Redirect the conversation to assist him in focusing on the topic C. Stop him and tell him how his conversation sounds to others D. Use the communication technique of reflecting

B. Redirect the conversation to assist him in focusing on the topic

Which of the following symptoms might the nurse identify in a client who is a chronic cocaine user? (select all that apply) A. Euphoria B. Rhinorrhea C. Poor appetite D. Calm demeanor

B. Rhinorrhea C. Poor appetite D. Calm demeanor

What is a SMART short-term goal for a client diagnosed with Alzheimer's disease who has lost 5 pounds in the last month? A. The client will eat more at each meal. B. The client will eat 25% of each meal for the next 24 hours . C. The client will increase oral intake at every meal. D. The client will eat higher caloric foods with each meal

B. The client will eat 25% of each meal for the next 24 hours.

A client is admitted to the hospital for alcohol intoxication. The family reports that he is a heavy drinker and has been admitted several times for alcohol detoxification. When can the nurse expect to observe the first symptom of withdrawal? A. Within 24 hours B. Within 8 hrs. C. Within 48 hrs. D. Within 72 hrs

B. Within 8 hrs.

The nurse is teaching a client a bout electroconvulsive therapy (ECT) which instruction is correct? Pics 29 A. You will be on bed rest immediately after your treatment B. You may experience recent memory loss after the treatment C. Once your gag reflex has returned. You will have a light meal D. you can expect three treatment in the first two weeks

B. You may experience recent memory loss after the treatment

Which statement made by a client who has agoraphobia and does not leave her home identifies the thinking typical of a client with this disorder

Being afraid to go out sounds ridiculous, but I can't go out the door.

Which statement by the client indicates an understanding of the nurse's teaching regarding antipsychotic medication? ( select all that apply.) A. "I can become addicted to these medications" . B. "One day, I won't have to take these medications." C. "These drugs may cause me to gain weight." D. "My symptoms may return if I don't take these medications." E. "These medications may cause negative side-effects."

C. "These drugs may cause me to gain weight." D. "My symptoms may return if I don't take these medications." E. "These medications may cause negative side-effects."

In educating the family, what would the nurse teach regarding the negative symptoms of schizophrenia? Pic 30 A. "These symptoms are under the control of the client." B. "These symptoms are temporary and will resolve in 3-6months." C. "These symptoms should not be confused with laziness." D. "Negative symptoms reflect an excess of normal functioning."

C. "These symptoms should not be confused with laziness."

A client diagnosed with major depressive disorder is considering cognitive behavioral therapy. The client asks the nurse if this therapy would alleviate depressive thoughts. What is the best response by the nurse? A. "The purpose of this therapy is to determine how to get psychological needs met through interpersonal relationships." B. "In this therapy, you will explore past events and analyze how these events have affected your behavior and thoughts." C. "This therapy helps you learn to think more positively, and thereby reduce depressive thoughts and symptoms." D. "This type focuses on how you use defense mechanisms to feel more comfortable and content."

C. "This therapy helps you learn to think more positively, and thereby reduce depressive thoughts and symptoms."

Which of the following is a therapeutic response by the nurse when a client states, "I no longer need my medications since I do not hear voices?" A. "Why don't you discuss that with your physician"? B. "I would rather you reconsider that decision"? C. "What happened the last time you stopped taking your medications"? D. "The physician prescribed that medication to help you"

C. "What happened the last time you stopped taking your medications"?

The nurse observes a client drooling during mealtime. The client complains his tongue feels swollen, and his jaw feels tight. What is the first action by the nurse? A. Check to see what medications the client is taking. B. Encourage the client to eat more slowly. C. Assess the client more thoroughly and immediately report any concerns to the provider.

C. Assess the client more thoroughly and immediately report any concerns to the provider.

What intervention is a priority when the client is experiencing auditory hallucinations? A. Determine what precipitates these hallucinations. B. Distract the client when hallucinating. C. Determine the content of the hallucinations. D. Let the client know you do not hear the voices

C. Determine the content of the hallucinations.

The nurse is caring for a client who is withdrawing from long-term use of opioids. The nurse will monitor the use of a clinical opioid withdrawal screening Tool (cows). Which of the following cluster of symptoms would indicate to the nurse the client was withdrawing from opioids? A. Diaphoresis, hypertension, hand tremors, hallucination/illusions, and potential seizures B. Heightened sense of self, hallucinations, flashbacks, incoordination, and panic attacks C. Diaphoresis, piloerection, tremors, irritability. Insomnia, nausea, and vomiting. D. Cravings, Depression, fatigue, hypersomnolence, and impaired judgment.

C. Diaphoresis, piloerection, tremors, irritability. Insomnia, nausea, and vomiting.

A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. What information should be included in the teaching? A. Do not participate in strenuous activity in the heat. B. Drink 1500 ml of water per day. C. Ensure 4 grams of sodium per day. D. Routine bloodwork is not required.

C. Ensure 4 grams of sodium per day.

The nurse states in the report that the client is experiencing positive symptoms of schizophrenia. What symptoms would the nurse receiving the report expect to observe? A. Flat affect and hygiene needs B. Social isolation and anhedonia C. Hallucinations and delusions D. Withdrawal and avolition

C. Hallucinations and delusions

A female client staggers to day treatment smelling strongly of alcohol. She uses the defense mechanisms rationalization when approached by the nurse and questioned about her recent alcohol consumption. How is this expressed? A. I have not drunk anything in the last day B. I can't worry about that problem right now C. I have to drink to relax to come to day treatment D. Why does it matter to you if I drink?

C. I have to drink to relax to come to day treatment

After assessing a client and determining the impact on of his alcohol addiction on the family members, the nurse suggests family therapy. The client states, my son doesn't need to attend. He is only 13. He has never seen me drunk, what is the nurse's best response? A. I'm sure your son knows you are an alcoholic B. You know your son has seen you drinking C. It is important that all family members who could be impacted are present D. It is good that you have these concerns for your son.

C. It is important that all family members who could be impacted are present

The nurse is caring for a client with poor self-esteem. What interventions would be important for the nurse to include in the plan of care? A. Encourage descriptions of perceived failures. B. Set limits on manipulative behaviors. C. Provide activities that can be accomplished. D. Teach aggressive communication skills.

C. Provide activities that can be accomplished.

A female client is experiencing delusions of grandeur and is highly suspicious of others. What is the most therapeutic approach to use? Pics 66 A. Reassure her and let her know others care. B. Provide an activity in which she can excel. C. Recognize her feelings and assure her that she is safe. D. Use "approving" communication technique.

C. Recognize her feelings and assure her that she is safe.

. What is a short-term goal for a client diagnosed with Alzheimer's disease who has lost 5 pounds in the last month? Pics 52 A. The client will eat 25% of each meal by the end of the month. B. The client will eat more at each meal. C. The client will eat higher caloric foods with each meal. D. The client will increase oral intake at every mea

C. The client will eat higher caloric foods with each meal.

A 76-year-old client is diagnosed with major depressive disorder; she expresses feelings of hopelessness in her dependence on her family. What is the most critical question for the nurse to ask the client? A. Have you ever acted on a plan to harm yourself? B. Can you make changes that would change how you feel? C. What is your support system other than your family? D. Do you know others that are in a similar situation?

C. What is your support system other than your family?

Which of the following intervention should the nurse patronize for a patient with severe depression

Careful unobtrusive observation around the clock

Which documentation indicates that the treatment plan for a patient with acute mania has been effective?

Converse without interrupting, clothing matched, participate in activities

A client asks the nurse to give her information regarding the detoxification process of alprazolam. What is the best response by the nurse? pics 59 A. "The reduction process is very short." B. "This depends on the frequency of usage only." C. "A planned reduction is not necessary." D. "Gradual downward tapering off this drug is necessary".

D. "Gradual downward tapering off this drug is necessary".

Which symptom will not be included when the nurse teaches the client regarding negative symptoms in group therapy? A. Alogia B. Anhedonia C. Avolition D. Ataxia

D. Ataxia

A client who has been suicidal is beginning to respond to the anti-depressant and reports improved appetite and sleep. Which nursing intervention is most important at this time? A. Encourage the client to become more active in the unit B. Recognize the client's suicidal potential has decreased C. Discontinue suicidal risks assessments D. Continue vigilance regarding client's suicidal precautions

D. Continue vigilance regarding client's suicidal precautions

The nurse is caring in the prodromal phase of schizophrenia. What behaviors should the nurse expect to observe? A. Agitation and violent outbursts B. Hypomania and insomnia C. Delusional and hallucinations D. Depression and social withdrawal

D. Depression and social withdrawal

A client is prescribed haloperidol and has taken it for three days. What symptoms would the nurse look for if assessing for extrapyramidal symptoms (EPS)? A. Unsteadiness and drowsiness B. Sedation and hypotension C. Confusion and difficult swallowing D. Dystonia and restlessness

D. Dystonia and restlessness

The nurse is caring for a client who has become increasingly agitated. He is pacing in the hallways and shouting at other clients. What is the priority actions of the nurse? 67 PICS A. Attempt to deescalate the client. B. Continue to observe the client for increased agitation. C. Offer medications to help the client control behavior. D. Ensure safety in the environment for the client and others

D. Ensure safety in the environment for the client and others

The nurse is admitting a client with dual diagnosis of major depressive disorder and alcohol abuse. What is the primary intervention? A. Administer Thiamine (IM). B. Assist client with personal hygiene needs. C. Place the client on continuous observation. D. Explain the milieu therapy.

D. Explain the milieu therapy.

Benztropine is ordered as needed for a client diagnosed with schizoaffective disorder. Which of the following assessment by the nurse would indicate a need for this medication? A. Increasing aggression B. Elevated blood pressure C. Complaints of dizziness D. Extreme restlessness

D. Extreme restlessness

A client diagnosed with schizophrenia is experiencing delusions of persecution. How would the client be expressing persecution? A. The message from the television is that he is a burden to everyone B. The president of the united states is his brother C. The voice he hears is telling him to hurt someone D. The CIA is hunting for him to destroy him.

D. The CIA is hunting for him to destroy him.

A client with schizophrenia has begun a new prescription of clozapine. The nurse should assess the results of which laboratory study to monitor for adverse effects? A. Kidney function studies B. Red Blood cell count C. Liver function studies D. White Blood cell count

D. White Blood cell count