Mental Health questions

A nurse is providing teaching to a client who has a new prescription for diazepam which of the following instruction should the nurse include in the teaching

expect this medication to make you feel anxious this medication can be habit-forming*** take this medication on an empty stomach This medication takes 2 to 3 weeks to reach for therapeutic effect

I nurse and the emergency department is assessing a client who has cocaine intoxication which of the following findings should the nurse expect

pinpoint pupils drowsiness nystagmus hypervigilance***

A nurse is caring for a newly admitted client who is experiencing alcohol withdrawal which of the following findings should the nurse expect

Bradycardia increased somnolence slurred speech headache ***

A nurse is caring for a client with schizophrenia the client spends a great deal of time repeating rhyming syllable such as me See bee tree the nurse recognizes that the client is demonstrating which of the following positive manifestations of schizophrenia

Clang association *** echolalia magical thinking word salad

A nurse is planning to administer a dose of lithium carbonate to a client who has bipolar disorder the laboratory report indicates that the clients current lithium level is one which of the following actions should the nurse take

Contract the provider for a dosage increase request a repeat of the lithium level administer the medication *** prepare the client for gastric Lavage

A nurse is providing teaching to a client with schizophrenia and it's taking quetiapine the nurse should instruct the client that which of the following blood test should be performed periodically

Potassium uric acid glucose *** calcium

I nurse on an inpatient unit is assessing a client who has claustrophobia the nurse determines the clients condition has improved when he can perform which of the following task

Ride in an elevator *** attend a class were several service animals are present sit in a large room with several people he does not know go for a swim in an outdoor pool

A nurse is reviewing the laboratory report of a client who has been taking lithium carbonate for several months which of the following level should the nurse recognizes the therapeutic lithium level

1.2 *** 1.6 2.0 2.5

A nurse is providing teaching to a client who has a new prescription for phenelzine the nurse should teach the client that which of the following over-the-counter medications can cause hypertensive crisis when taken concurrently with phenelzine

Acetaminophen Ranitidine naproxen pseudoephedrine***

A nurse is caring for a client who has dementia which of the following findings should the nurse expect

Altered level of consciousness impaired judgment*** rapid change in personality disturbances in perception

A nurse is assessing a new lead minute client who has generalized anxiety disorder and states I drink alcohol to forget the pain the client is exhibiting a maladaptive responses to each of the following defense mechanisms

Compensation *** conversion projection suppression

I nurse is caring for a client who is taking tricyclic antidepressant which of the following adverse effects should the nurse report to the client provider immediately

Drive mouth constipation drowsiness urinary retention***

A nurse is assessing a client who has a psychotic disorder in a new prescription of haloperidol the client is pacing in the hallway and states I can't seem to set still which of the following extrapyramidal side effects is the client likely experiencing

Dystonia parkinsonism tardive dyskinesia akathisia***

A nurse is caring for a client who has a possessive compulsive disorder which of the following actions should the nurse take first

Encourage the client to verbalize her feelings teach the client relaxation techniques determine the clients Anxiety level *** role play problem-solving behaviors with the client

I nurse is assessing a client with schizophrenia the client states I need to get my gummamoshu from by my house the nurse recognizes the statement as an example of which of the following

Flight of ideas echolalia Perspiration neologism***

I nurse is caring for a client who has panic disorder and is experiencing Anxiety at the panic levelwhich of the following actions should the nurse take first

Identify the cause of the anxiety instruct the client to take slow deep breath's*** teach the client how to use positive self talk explain the physical manifestations of anxiety to the client

A school nurse is caring for an adolescent client who has a history of depressive episode one year ago he appears to be drawn from social activities in a school performance is declining which of the following actions should the nurse take first

Initiating structure daily schedule of activities conduct a suicide risk assessment *** encourage the client to express his feelings in a journal ask teachers to monitor for other signs of depression

An emergency room nurse is assessing a client who has an anxiety disorder the client has flashed perspiring profusely and is experiencing palpitations the client begins to scream I am going to die this is it I'm having a heart attack and nursery determine that the clients level of anxiety to be which of the following

Moderate panic *** severe mild

The nurse is assessing a client who has been taking an antipsychotic medication for six years in the provider has started tapering off the dosage The nurse should monitor the client for which of the following manifestations of part of Tardive dyskinesia

Muscular weakness muscle spasms in voluntary tongue protrusion*** Uncontrolled rolling of the eyes

A nurse is performing an admission assessment for a client who has schizophrenia the nurse notices that the clients appearances unkempt and he appears to be actively hallucinating which of the following should be the nurses priority assessment

Perception of reality ability to follow directions physical needs *** mental status

I nurse asked an older dog quiet did you have any visitors yesterday a client responds yes several members of my church choir came to see me the nurse knows that only the clients daughter visited the day before which of the following cognitive impairment is the client demonstrating

Perseveration confabulation *** apraxia agnosia

I nurse is Kenny for a client who has obsessive-compulsive disorder which of the following action should the nurse take when dealing with the clients ritualistic behaviors

Plan the clients schedule to allow time to perform rituals*** Verbalized disapproval of ritualistic behavior place the client protective isolation Increase stimuli in the clients immediate surroundings

A nurse is caring for a client who has acute delirium which of the following findings should the nurse expect

Progressive deterioration of cognitive function rapid fluctuation in level of consciousness *** loss of language ability Absence of contributing factors to pinpoint cause of delirium

I nurse is assessing a client who is been taking thioridazinefor several days the client reports hand tremors drooling and rigid extremities. Which of the following actions should the nurse take

Reassure the client that these effects are expected administer diazepam encourage deep breathing relaxation administer a benzotropine***

I nurse is caring for a client who has a possessive compulsive disorder the client engages in repeated handwashing daily which of the following should the nurse recognize as the purpose of the clients behavior

Relieving anxiety *** gaining attention avoiding daily responsibilities responding to auditory hallucinations

A nurse is assessing a client who has anxiety disorder and is taking benzo diazepine for which of the following adverse affects of the nurse manager the client

Seizures dizziness *** polyuria insomnia

Nurse is providing teaching to a client who has obsessive-compulsive disorder and performs hand hygiene to decrease anxiety which of the following actions by the nurse implement modeling as a behavioral intervention strategy

Setting a time limit between episodes of hand hygiene demonstrating performance of hand hygiene at schedule times *** telling the client to shout stop each time there is an urge to perform hand hygiene instruct the client to practice muscle relaxation when experiencing the urge to perform hand hygiene

A nurse is planning a menu for a client who has bipolar disorder and is experiencing acute manic episode which of the following meal should the nurse provide for this client

Spaghetti and meatballs and a salad and apple pie beef and vegetable stew rice and vanilla pudding chicken nuggets crackers with cheese sticks and a cookie *** broiled fish fillet stewed tomatoes and ice cream

I nurse is caring for a client who has severe anxiety disorder and is in a state of panic in the day room which of the following action should the nurse take

Speak to the client in a calm voice *** leave the client alone to regain control encourage the client to express her feelings place the client in restraints

I nurse in an outpatient mental Health clinic is interviewing a client who has schizophrenia and appears to be experiencing auditory hallucinations which of the following action should the nurse take first

Teach the client strategies to decrease her hallucinations Identify if The client is on antipsychotic medications distract the client from the hallucination explore what the voices are saying to the client***

A nurse is reviewing the health history of a young adult client who has depressive disorder which of the following factors should the nurse identify as increasing the clients risk for depression

The client is an only child the client lives in an urban setting the client is married the client is female***

And I just caring for a client who has poster medic stress disorder in which of the following actions by the client indicates the current treatment plan is effective

The client reports techniques she uses to promote sleep *** the client shows limited emotion when witnessing a Trumatic event the client asked the nurse opinion about clothes she was wearing The client avoid situations that might trigger memories of post trauma

A nurse is providing teaching to a client who has a new prescription for alprazolam which of the following is the priority information but no should include in the teaching

This medication can affect your ability to drive or handle mechanical equipment *** you should avoid drinking beverages that contain caffeine with this medication you should avoid taking antacids with two hours of taking this medication this medication should be taken with or shortly after meals

A nurse is providing discharge teaching for a female client who has an anxiety disorder and a new prescription for lorazepam which of the following instructions should the nurse include in the teaching

This medication can be safely taken during pregnancy this medication must be discontinued by gradual tapering overtime*** an extra dose of the medication can be taken at bedtime if you experience insomnia you should monitor your blood glucose levels while taking this medication

A nurse is providing teaching to a client who has generalized anxiety disorder in a new prescription for buspirone which of the following statements by the client indicates an understanding of the teaching

This medication can cause dependence I should take a dose of my medication when I start to feel anxious it's important for me to take my medication 30 minutes before bedtime I should expect to feel the full effect of my medication in two to four weeks***

I nurse is providing teaching to a client who has a new prescription for chlorpromazine which of the following statements should the nurse make

This medication is a tricyclic antidepressant and will improve your mood this medication is an opioid antagonist that blocks the pleasurable effects of alcohol this medication as an antipsychotic that controls manifestations of schizophrenia *** this medication is a cholinesterase inhibitor that slows the progression of dementia

A nurse in a mental health clinic is assessing a client who has a history of mania which of the following findings indicates that the client is experiencing a relapse

Weight gain ritualistic behavior anhedonia pressured speech***

I nurse is providing discharge teaching for a client who has a new prescription for doxepin which of the following adverse affects should the nurse informed the client is associated with this medication

Weight loss diarrhea drowsiness*** bradycardia

I nurse and a mental health facility is caring for a client who has generalized anxiety disorder or which of the following statement to the nurse make

Will assist you with making decisions *** someone will work with you when you have flashbacks you'll be going through aversion therapy to help you cope the therapy will help you control your impulses

A nurse is caring for a client who has been unable to leave the house for the past 10 years without accompaniment when attempting to go out aloneThe client becomes very anxious and must quickly return inside the nurse should identify that the client is exhibiting which of the following disorders

agoraphobia*** post dramatic stress disorder panic disorder obsessive compulsive disorder