metal health review

A nurse is reviewing the laboratory reports for a client and notes an elevated thyroid-stimulating hormone (TSH) level. When collecting data from the client, which of the following findings should the nurse expect?

Bradycardia

A nurse is caring for a client who has alcohol use disorder and was admitted with lower-extremity fractures following a motor-vehicle crash. A few hours after admission, the client develops restlessness and tremors. Which of the following medications should the nurse anticipate administering to the client first?

Chlordiazepoxide

A nurse is caring for a client who is experiencing acute alcohol withdrawal. The nurse should expect to administer which of the following medications?

Chlordiazepoxide

A nurse is completing the admission history for a client who reports drinking 1 pint of whiskey every day for 6 years. The client's last drink was 10 hours ago. Which of the following medications should the nurse plan to administer upon admission?

Chlordiazepoxide

A nurse is assisting with the care of 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?

Contact an intensive outpatient program

A nurse is caring for a client who has a stimulant use disorder. Which of the following manifestations should indicate to the nurse that the client is experiencing withdrawal?

Depression

A nurse is caring for client who has terminal pancreatic cancer. When the client states, "It's devastating that I will not be here to see my child graduate," the nurse should identify that the client is in which of the following stages of grief as defined by Kubler-Ross?

Depression

A nurse is monitoring a client who has schizophrenia and is receiving treatment with fluphenazine hydrochloride. Which of the following findings is an indication of neuroleptic malignant syndrome that the nurse should report to the provider?

Elevated temperature

A nurse is caring for a client who has schizophrenia and is experiencing auditory and visual hallucinations. Which of the following actions should the nurse take?

Encourage the client to use reality testing

A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following clinical findings should the nurse expect?

Exaggerated reflexes

A nurse is reviewing risk factors for postpartum depression with a newly licensed nurse. Which of the following risk factors should the nurse include?

Gestational diabetes

A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as negative symptoms?

Inability to experience pleasure

A nurse is collecting data from a client who is experiencing alcohol withdrawal. For which of the following findings should the nurse anticipate the administration of lorazepam?

Increased blood pressure

A nurse is caring for a client who is receiving care at an inpatient alcohol treatment facility. Which of the following actions should the nurse identify as an example of an intentional tort?

Informing the client that an injection will be administered if the client remains agitated

A nurse is determining the total score for a client's Alcohol Use Disorders Identification Test (AUDIT) by assigning a score of 0 to 4 for each of the client's answers. For which of the following self-reported findings should the nurse assign the client a score of 4?

Last month, the provider suggested that the client reduce his alcohol intake.

A nurse is assisting with planning care for a client who has completed detoxification from opioid abuse disorder. The nurse should plan to teach about which of the following medications?

Naltrexone

A nurse is contributing to the plan of care for a group of clients. Which of the following interventions is the priority for the nurse to include?

Offer high-calorie beverages to a client who is in the manic phase of bipolar disorder

A nurse is assessing a client who was recently admitted and has a history of alcohol use disorder. The client displays ataxia, an altered level of consciousness, and nystagmus. Which of the following medications should the nurse anticipate administering to the client?

Parenteral thiamine

A nurse is collecting data from clients who are prescribed medications that can cause orthostatic hypotension. Which of the following medications requires a follow-up by the nurse?

Phenelzine

A nurse is caring for a preschooler who experienced a febrile seizure. Which of the following actions should the nurse take?

Prepare the child for a lumbar puncture

A nurse is assisting with the plan of care for a client who has vegetative signs of depression. Which of the following actions should the nurse include in the plan?

Provide decaffeinated beverages

A nurse on an inpatient rehabilitation unit is assessing a client who has a history of opioid use disorder and is experiencing withdrawal. Which of the following manifestations should the nurse expect?

Rhinorrhea

A nurse is reinforcing teaching with a client who has depression and is scheduled for transcranial magnetic stimulation (TMS). The nurse should reinforce with the client that TMS can cause which of the following adverse effects?

Seizures

A nurse is caring for a client who has schizophrenia and is experiencing negative symptoms. Which of the following manifestations should the nurse expect?

Social discomfort

A nurse is collecting data from a client who is receiving clozapine to treat schizophrenia. The nurse should identify that an increase in which of the following parameters is an early indication of agranulocytosis?

Temperature

A nurse is reinforcing teaching about stress management techniques with a parent who has admitted to verbally abusing her children. Which of the following strategies is the nurse providing?

Tertiary prevention

A nurse is collecting data from a client who is receiving disulfiram for alcohol aversion therapy. The client is experiencing palpitations and reports nausea, a headache, and extreme thirst. The nurse should identify that which of the following situations is occurring?

The client is experiencing mild acetaldehyde syndrome

A nurse is reinforcing teaching with a client who recently completed detoxification from alcohol and has a new prescription for acamprosate. Which of the following statements should the nurse make?

The medication might cause you to have episodes of diarrhea."

A nurse is reinforcing teaching with a client who has a new prescription for buspirone to treat anxiety. Which of the following statements should the nurse include in the teaching?

"Buspirone causes nausea in some people."

A nurse is reinforcing teaching with a client about cannabis use disorder. Which of the following client statements indicates an understanding of the teaching?

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

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?

"Depression is a manifestation of withdrawal."

A nurse is caring for a client who has schizophrenia. Which of the following statements by the client indicates that the client is displaying cognitive symptoms?

"I am unable to remember to brush my teeth."

A nurse is talking with the partner of a client who has alcohol use disorder. Which of the following statements by the client's partner should the nurse identify as an indication of codependence?

"I call my partner's boss when she's had too much to drink to go to work."

A nurse is caring for a client who has schizophrenia. The client tells the nurse that he hears voices in his head right now, telling him that he has to purchase a knife today. He states that he knows purchasing the knife will make him "do something bad." Which of the following responses should the nurse offer?

"I don't hear any voices, just yours and mine. But, I understand that you are fearful."

A nurse is reinforcing teaching with the parent of a 4-year-old child who has a tracheostomy. Which of the following parent statements indicates an understanding of the teaching?

"I should cover the tracheostomy tube with a thin cloth whenever we go outside."

A nurse is reinforcing teaching with the family of a client who has schizophrenia. Which of the following statements by a family member indicates an understanding of the teaching?

"She might be having a relapse if she stops attending social events."

A nurse is caring for a client who has schizophrenia. The client states, "Aliens came into my room last night and took a sample of my blood." Which of the following responses should the nurse make?

"That does not sound real."

A nurse is reinforcing teaching about meperidine hydrochloride with a client who is in labor. Which of the following statements should the nurse make to the client?

"This medication can make you sleepy."

A nurse is reinforcing teaching with a client who is postpartum and breastfeeding. Which of the following statements should the nurse include?

A reduction in sexual interest could indicate postpartum depression."

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?

Administer substitution therapy medications

A nurse is applying EMLA cream to a child's hand prior to the insertion of an intravenous catheter. Which of the following interventions should the nurse perform?

Apply the EMLA cream 60 minutes prior to the procedure

A nurse is observing a client who has schizophrenia. The client is in the dayroom when another client asks him if 2 items of clothing match. He replies, "A match. I like matches. They are the givers of light, the light of the world. God will light the world. Let your light shine on." The nurse should identify these statements as which of the following speech alterations?

Associative looseness