MH Practice A
A nurse is planning discharge for a client who has bipolar disorder and has a prescription for lithium. Which of the following client statements indicates understanding of the teaching about the medication?
"I should eat a regular diet with normal amounts of salt and fluids."
A nurse is planning care for a client who has depression and has made frequent suicide attempts. Which of the following statements indicates the client has a decreased risk for suicide?
"It is easier to talk about my feelings now."
A nurse is caring for a group of clients. Which of the following findings is the nurse required to report?
A client who has borderline personality disorder threatened to harm their roommate.
A nurse is assessing a school-age child who has conduct disorder. Which of the following characteristics should the nurse expect the child to demonstrate?
Aggression toward animals
A client who has a diagnosis of depression is attending group therapy. During the group meeting, the nurse asks each member to identify one goal for the day. When it is the client's turn, they do not respond. Which of the following actions should the nurse take before repeating the request to the client?
Allow the client time to formulate an answer.
A nurse in a mental health facility is planning discharge for a client who has a history of alcohol use disorder. Which of the following post discharge activities should the nurse plan to include?
Attending a relapse prevention group several times each week
A nurse in a provider's office is collecting a health history from the guardian of a school-age child who has been taking atomexetine. Which of the following adverse effects reported by the guardian is the priority for the nurse to report to the provider?
Dark urine
A nurse in an emergency department is admitting a client who reports experiencing a headache and heart palpitations after having a glass of wine 1 hr ago. The client has a history of depression and a blood pressure of 210/105 mm Hg and temperature of 39.9 C (103.8 F). Which of the following actions should the nurse take first?
Determine the client's prescribed medication regimen.
A nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempts to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive. Which of the following actions should the nurse take?
Do not administer the lorazepam.
A nurse is planning care for a client who is experiencing acute mania. Which of the following interventions should the nurse include in the plan to promote sleep?
Encourage frequent rest periods throughout the day.
A nurse is caring for a client who has a recent diagnosis of mild Alzheimer's disease. The client's partner asks the nurse about expected manifestation. The nurse should teach the partner to expect which of the following manifestations to occur first?
Frequently misplaces objects
A nurse in a mental health clinic is planning care for a client who has a new prescription for olanzapine. Which of the following interventions should the nurse identify as the priority?
Instruct the client to avoid driving during initial therapy.
During a client's initial interview in a mental health inpatient setting, a nurse identifies that the client is maintaining eye contact and leaning forward. Which of the following assumptions should the nurse make based on the client's nonverbal behaviors?
The client is interested in what the nurse is saying.
