Mental Health Remediation

Phenytoin

A nurse is caring for a client who is scheduled for electroconvulsive therapy (ECT). Which of the following medications should the nurse plan to administer prior to ECT therapy?

My memory loss will last several minutes after treatment

A nurse is caring for a client who is undergoing ECT. Which of the following client statements indicates to the nurse a need for further teaching?

The client is easily startled by loud voices

A nurse is caring for a client who witnessed her brother's homicide and has PTSD. Which of the following findings should the nurse expect?

A client asks when family members will be arriving after visiting 1 hr earlier

A nurse is caring for a group of older adult clients. Which of the following client findings indicates delirium?

Autonomy

A nurse is caring for a client who has anorexia nervosa. The client refuses a high-calorie nutritional supplement. Which of the following ethical principles is the nurse utilizing when respecting the clients decision?

Peanut Butter Sandwich

A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. Which of the following is an appropriate food choice for this client?

Walk with me to an area where we can talk about how you're feeling

A nurse is caring for a client who has moderate anxiety disorder. The client is pacing in the hallway and stated, "I am at the end of my rope. I can't take it anymore." Which of the following responses should the nurse make?

Atenolol

A nurse is caring for a client who has substance use disorder and undergoing detoxification for alcohol use. Which of the following medications should the nurse administer to minimize the client's craving for alcohol

Establish Rapport Identify cause of anxiety Validate clients feelings

A nurse is caring for a client who is experiencing acute anxiety. Which of the following actions should the nurse take?

Methadone

A nurse is caring for a client who is experiencing opioid withdrawal. Which of the following medications should the nurse anticipate the provider to prescribe?

Walking with the nurse on the grounds of the facility

A nurse is caring for a client who is in the acute manic phase of bipolar disorder. Which of the following activities is appropriate for the nurse to suggest to the client?

Prevent the client from harming herself or others

A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following interventions is the nurse's priority?

Actions to reduce stress Social Support systems Available community resources Legal services

A nurse in a community center is assisting with an educational session for caregivers of older adult clients who have dementia. Which of the following topics should the nurse include in the teaching session?

A picnic in a local park

A nurse in an acute care mental health facility is caring for a hospitalized client who has agoraphobia. The nurse observes the client making progress when he is able to participate in which of the following activities?

Needle Tracks Ecchymosis Alopecia

A nurse in an acute mental health center is performing a physical assessment on a client. Which of the following findings should the nurse document under the integumentary system?

Determine the client's level of disorientation

A nurse in an addiction rehabilitation center is contributing to the plan of care for a newly admitted client who has alcohol use disorder. Which of the following interventions is the nurse's priority?

Paranoia

A nurse is assisting in collecting data from a client who has acute phencyclidine (PCP) intoxication. Which of the following findings should the nurse expect?

Dental Caries

A nurse is assisting in the development of a community education course about the physical complications related to substance use disorder. Which of the following complications should the nurse include in the discussion about heroin use?

Initiate one-to-one nursing observation

A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?

Conversion disorder can be caused by posttraumatic stress disorder

A nurse is assisting with the development of an in-service about conversion disorder in adolescents. Which of the following information should the nurse include in the teaching?

Protecting the client from self-harm behavior

A nurse is assisting with the plan of care for a client who is newly diagnosed with borderline personality disorder. Which of the following interventions is the nurses priority?

It seems like you are feeling helpless about this behavior

A nurse is caring for a 20 yr old college student who has a 2 yr history of bulimia nervosa. She tells the nurse, " I know my eating binges and vomiting are not normal, but I can't do anything about them." Which of the following is a therapeutic response by the nurse?

"I don't see any bugs, but you seem frightened."

A nurse is caring for a client who has a history of alcohol use disorder and has been hospitalized for alcohol intoxication. The nurse enters the room and finds the client shouting, "Get those bugs off of me!" Which of the following responses should the nurse make?

Validation

A nurse is caring for an older adult client who has dementia and is agitated. The client says, "I have to go home to see my mother." The nurse replies, "You miss your mother." Which of the following therapeutic techniques is the nurse using?

Difficulty maintaining sustained attention

A nurse is collecting data an adolescent client who has ADHD. Which of the following manifestations should the nurse expect?

Amenorrhea

A nurse is collecting data from a client newly admitted for anorexia nervosa. Which of the following findings should the nurse expect?

Increasing feeling of anger

A nurse is collecting data from a client who has PTSD following a sexual assault. Which of the following is an expected finding?

Involuntary loss of a sensory function

A nurse is collecting data from a client who has conversion disorder. Which of the following findings should the nurse expect?

1. visual hallucinations 2. paranoid delusions 3. tremors

A nurse is collecting data from a client who is experiencing alcohol withdrawal delirium. Which of the following finding should the nurse expect?

Neuroleptic Malignant Syndrome

A nurse is collecting data from a client who is receiving multiple antipsychotic medications. The client exhibits muscle rigidity, hyperpyrexia, and diaphoresis. The nurse should identify that the client may be experiencing which of the following adverse effects?

Decreased gastric motility

A nurse is collecting data from a client who underwent a stressful event and is experiencing fight or flight syndrome. Which of the following findings should the nurse expect as an immediate response in the client?

Talking in rapid, continuous speech Interacting with others in a flirtatious way Reports spending large sums of money Exhibiting clang associations

A nurse is collecting data from a newly-admitted client who has bipolar disorder and is displaying manic behavior. Which of the following findings should the nurse expect?

Amenorrhea Altered body image Hypokalemia

A nurse is collecting data from an adolescent client who has anorexia nervosa. Which of the following findings should the nurse expect?

Atropine

A nurse is contributing to the plan of care for a client who has a prescription for ECT. Which of the following medications should the nurse prepare to administer prior to the treatment?

Instruct the client about methods to achieve goals

A nurse is developing a therapeutic relationship with a client. The nurse should perform which of the following actions during the working phase of a therapeutic relationship.

Substance Use

A nurse is discussing cultural concepts in mental health nursing with staff nursing. When discussing Native American clients, the nurse should identify which of the following as an increased risk for this cultural group?

Seizures Illusions Tremors

A nurse is discussing the possible physical effects of alcohol withdrawal with a newly licensed nurse. Which of the following effects should the nurse include?

Albumin

A nurse is planning care for a client who has anorexia and has manifestations of malnutrition. When reviewing the client's laboratory values, which of the following test results should the nurse expect to be low?

2 cap(s)

A nurse is preparing to administer lithium 300 mg PO to a client who has bipolar disorder. Available is lithium 150 mg capsules. How many capsules should the nurse administer?

I should expect hand tremors to start less than 24 hrs after I stop drinking

A nurse is reinforcing teaching about alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicated an understanding of the teaching?

Wait up to 3 weeks to see the full effects of the medication

A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder. Which of the following instructions should the nurse include?

You may feel a bit confused and disoriented when you first wake up

A nurse is reinforcing teaching with a client who is scheduled to receive ECT. Which of the following statements should the nurse include in the teaching?

Difficulty Voiding

A nurse is reinforcing teaching with a client who is taking benztropine to treat Parkinson's disease. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

Forgetfulness gradually progressing to disorientation

A nurse is reinforcing teaching with the family of a client who has primary dementia. Which of the following manifestations of dementia should the nurse include in the teaching?

Potassium 2.8 mEq/L

A nurse is reviewing the admission laboratory values for a client who has a history of bulimia nervosa. Which of the following findings is the nurse's priority?

Veracity

A nurse makes a medication error. She immediately collects data from the client and finds no adverse effects from the error. The nurse decides not to report the error because no harm came to the client. Which of the following ethical principles did the nurse violate?

1.Monitor the client's weight daily after first voiding 2. Encourage the client to keep a diary of daily food intake. 3. Stay with the client during meals and after for 1 hr 4. Offer specific privileges for sustained weight gain

A nurse on an inpatient unit is caring for a newly-admitted client who has anorexia nervosa. Which of the following actions should the nurse take?

I expect you to speak to me in a civil tone of voice

As part of the plan of care for a client with borderline personality disorder, the nurse reviews the days schedule with him each morning. While doing so, the client states, "Why don't you shut up already! I can read it myself, you know!" Which of the following is an appropriate nursing response?

I dont think about work anymore since I was not given a promotion

During a group therapy session, a nurse observes several clients using multiple defense mechanisms. Which of the following client statements demonstrates the use of maladaptive coping mechanisms?

Her behavior changed so quickly, I wasn't sure what was happening

a nurse is assisting with the admission of an older adult client who is confused. Which of the following statement made by the client partner indicated that the client may be experiencing delirium?