PN mental health A 2017, PN Mental Health (B)

A nurse is collecting data from a client who is experiencing severe anxiety. Which of the following manifestations should the nurse expect?

b. sighing

A nurse is colleting data from a client who has paranoid personality disorder. Which of the following manifestations should the nurse expect?

PROJECTS BLAME ON TO OTHERS

client has limited community and financial support. who would the nurse recommend for inclusion in the discharge plan?

social worker

3mg; 5mg/mL

0.6 mL

collecting data on a client who has bullmia nervosa.

dental caries

pt who is experiencing opioid withdraw

pupillary dilation

A nurse is preparing to administer lithium 450 mg PO to a client who has bipolar disorder. Available is lithium 150 mg capsules. How many capsules should the nurse administer? (Round the answer to the nearest while number. Use a leading zero if it applies. Do not use a trailing zero.)

3 capsules

a nurse in a providers office is collecting data from an older adult client whose adult child reports she "seems confused and can't seem to remember much." what suspects delerium

the clients LOC changes during the interview

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

a. elevated blood pressure

A nurse is contributing to the plan of care for a client who has an anxiety disorder. Which of the following interventions should the nurse recommend be included in the plan?

a. help the client to identify situations that trigger his anxiety.

A nurse is assisting with the plan of care for a client who is malnourished due to alcohol use disorder. Which of the following interventions should the nurse include in the plan?

a. restrict the client's sodium intake

A nurse is reinforcing teaching with a client who has a new prescription for phenelzine. The nurse should instruct the client that eating foods containing tyramine can cause which of the following adverse reactions with this medication?

a. hypertensive crisis

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

a. naltrexone

A nurse is collecting data from a client whose home was destroyed by a fire. Which of the following responses should the nurse make first?

a. "Are you experiencing feeling of hopelessness?"

A nurse is assisting in the morning hygiene care of a client who is cognitively impaired. Which of the following statements should the nurse make?

a. "Let me help you get your toothbrush."

A nurse is collecting data from a client who has delirium. The nurse should identify which of the following conditions as a predisposing factor for delirium?

a. Hepatic failure

A nurse is caring for four clients who are displaying the use of defense mechanisms. Which of the following clients should the nurse identify as using a maladaptive defense mechanism?

a. a client who has multiple sclerosis stops taking her medication and says her diagnosis is wrong

A nurse is caring for a client who has depressive disorder and declines electroconvulsive therapy (ECT) despite the provider's recommendation. Which of the following ethical principles is the nurse demonstrating by supporting the client's decision?

a. autonomy -The nurse is demonstrating the principle

A nurse is participating in group therapy for clients who have major depressive disorder. Which of the following topics should the nurse include in the orientation phase of group therapy?

a. confidentiality

A nurse is caring for a client who has bipolar disorder. The client suddenly appears agitated and begins pacing at the end of the hallway with clenched fists. which of the following actions should the nurse take first?

DETERMINE THE CLIENTS INTENTIONS

A nurse is a caring for a client who takes naltrexone for the treatment of alcohol use disorder. The nurse should identify that which of the following client statement indicates the medication is effective?

I drink less alcohol in a day while taking naltrexone.

smoking cessation course indicates an understanding of the info

I will probably feel irritable wi 24 hrs of my last cigarette

pt who has phobia of riding in vechiles. what indications instructs client understands?

I will snap a rubber band on my wrist when I feel anxious about riding in a car

A nurse if caring for a client who has schizophrenia. Which of the following actions by the nurse is a violation of clients confindentalitly?

The nurse places the clients diagnosis on the white board in the clients room.

A nurse on an inpatient unit is collecting data on a group of clients. which finding do you report to the provider?

a client who has borderline personality disorder and is pacing restlessly

A nurse is assisting with screening of a group of clients for major depressive disorder. (MMD).The nurse should identify that Which of the following clients is at an increased risk for development of MMD?

a client who has just given birth

identify the sign of negligence

a nurse does not notify the provider of a change in condition for the client who has schizophrenia.

A nurse is caring for a client who is undergoing behavioral therapy for posttraumatic stress disorder (PTSD). The nurse should identify that which of the following findings indicates an improvement in the client's condition?

a. the client reports about techniques she uses to promote sleep

A nurse is collecting data from a client who has agoraphobia. The nurse should identify that which of the following situations will increase the client's anxiety?

a. traveling in an airplane

a nurse on a mental health unit is prioritizing care for a group of clients. Which of the following actions should the nurse take first?

administer haloperidol to a client who has schizo and is yelling at other

A nurse in a mental health facility is collecting data from a client who has schizophrenia. The nurse should identify that which of the following findings is referred to as a negative symptom of schizophrenia?

apathy

caring for a client with major depression disorder (MMD) the client states I have nothing to live for anymore. what response should the nnurse make

are you thinking about ending your life?

A nurse is reinforcing teaching with an adolescent client who has a history of aggressive behavior. Which of the following statements should the nurse make?

b. "Have you considered participating in a sport to help you control your aggression?"

A nurse is caring for a client who recently lost his child in a motor-vehicle crash. the client is expressing feelings of hopelessness. Which of the following questions is the most important for the nurse to ask?

b. "Have you had any thoughts of harming yourself?"

A nurse is monitoring communication between a client who has alcohol use disorder and her partner. Which of the following communication patterns of the client's partner should the nurse identify as being effective?

b. "I become very angry when you get drunk."

A nurse is caring for a client who states that she does not want to go to physical therapy after having a below-the-knee amputation. Which of the following responses should the nurse make?

b. "What are your feelings about going to physical therapy?"

A nurse is reinforcing teaching about stress management techniques with a client who has mild anxiety. Which of the following statements should the nurse make?

b. "You should listen to music when you feel stress."

A nurse is attempting to resolve an ethical dilemma that involves a client's medical decisions and his own personal values. After collecting data and identifying the problem, which of the following actions should the nurse take next?

b. determine the benefits and consequences of respecting the client's medical decisions

A nurse is contributing to the plan of care for a school-age child who has attention deficit hyperactivity disorder. Which of the following interventions should the nurse recommend?

b. instruct the child to apologize for behavior that negatively affects others

A nurse on a mental health unit is assisting with the plan of care for a newly admitted client who has anorexia nervosa. Which of the following actions should the nurse include in the plan of care?

b. offer liquid supplements to the client

A nurse is contributing to the plan of care for a client who has antisocial personality disorder. Which of the following short-term goals should the nurse recommend be included in the plan?

b. the client will discuss feelings that cause hostility

A nurse is reinforcing teaching with the parent of an adolescent who has amphetamine use disorder. Which of the following statements by the parent should the nurse identify as indicating an understanding of the teaching?

c. "Dilated pupils are a sign my child is using amphetamines."

A nurse is collecting data from a client who uses alcohol "to cope with stress." Which of the following questions should the nurse ask?

c. "What daily activities are disrupted because of your alcohol consumption?"

A nurse on an inpatient mental health unit is supervising a group of clients in the unit's dayroom. The nurse fails to responds to the escalating, aggressive behavior of a client who eventually becomes violent and injures another client. For which of the following is the nurse liable?

c. Negligence

A nurse is reviewing the medical record of a client who has schizophrenia. For which of the following findings should the nurse withhold the client's medications and notify the provider? -BP 102/50, resp 18, HR 100, temp 37.8C (100F), SpO2 96%, weight 77 kg, height 177.8cm -WBC 3000/mm^3, Hgb 14 g/dL, Hct 42%, platelets 150,000/mm^3, Fasting BG 107, Clozapine 200 mg PO daily, Tramadol 50 mg PO Q6HR, Diphenhydramine 50 mg PO Q4HR

c. WBC count

A nurse is caring for a group of clients on a mental health unit. Which of the following client behaviors should the nurse report to the charge nurse?

c. a client who is manic has been pacing the unit for several hours

A nurse is reinforcing teaching with a client who has obsessive-compulsive disorder and performs hand hygiene to decrease anxiety. Which of the following actions should the nurse take to demonstrate modeling as a behavioral intervention strategy?

c. demonstrating performing hand hygiene at appropriate times

A nurse is caring for a client who has psychiatric somatic symptom disorder. Which of the following actions should the nurse take?

c. encourage the client to examine how his illness behavior affects his family

A nurse is assisting with the admission of a client to an acute care mental health facility. Which of the following activities should the nurse plan for the working phase of the therapeutic relationship?

c. evaluate the client's progress toward meeting his goals

A nurse in a community center is caring for a client who has histrionic personality disorder. Which of the following findings should the nurse expect?

c. impulsive behavior

A nurse is caring for a client who reports recent amphetamine use. Which of the following manifestations should the nurse expect?

c. paranoia

A nurse is talking with a client who has borderline personality disorder. The client stats she is lonely and things the other nurses avoid her, but she is afraid to share this concern with the other staff. Which of the following actions should the nurse take?

c. role-play this situation so the client can gain confidence in expressing her feelings

A nurse is caring for a client who has dementia. Which of the following actions should the nurse take?

c. stand in front of the client when speaking

A nurse in a mental health facility is caring for a client who has schizophrenia. The client becomes violent in the dayroom and begins throwing objects at staff and other clients. After calling for assistance, which of the following actions should the nurse take next?

c. tell the client calmly to sit down.

a nurse if assisting in the admission of a client with schizophrenia. which action should you take first

conduct an abnormal involuntary movement scale test.

A nurse is caring for a client who state, "This has been the worst day of my life." Which of the following responses should the nurse make?

d. "Tell me about your day."

A nurse on a mental health unit is reinforcing teaching about informed consent with a newly licensed nurse. Which of the following statements indicates an understanding of the teaching?

d. "The consent form should have the name of the provider who is performing the procedure on the form."

A nurse is collecting data from a client who is experiencing oxycodone toxicity. Which of the following medications should the nurse anticipate the provider to prescribe?

d. Naloxone

A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting for 2 days. Which of the following laboratory values should the nurse report to the provider?

d. Sodium 132 mEq/L

A nurse is caring for a group of clients on a mental health unit. The nurse should identify that which of the following clients can exhibit manifestations that are barriers to communication?

d. a client who has schizophrenia

A nurse is caring for a client who is undergoing outpatient electroconvulsive therapy (ECT) to treat rapid-cycling bipolar disorder. Following the procedure, which of the following actions should the nurse take?

d. administer oxygen to the client

A nurse is collecting data from a client who is taking valproic acid for treatment of bipolar disorder. The nurse should identify that which of the following findings is priority to report to the provider?

d. bleeding gums

A nurse is caring for a client who has antisocial personality disorder. Which of the following actions should the nurse take when caring for this client?

d. remind the client of consequences for unacceptable behavior

A nurse is collecting data from a client who has a history of cocaine use. Which of the following manifestations is an indication that the client is experiencing cocaine toxicity?

d. seizures

A nurse is caring for a client who has schizophrenia and a prescription for haloperidol. The nurse should identify that which of the following findings indicates a potential need for a PRN dose of benztropine?

d. shuffling gait

A nurse is collecting data from a client who has dementia and who's family expresses concern about his increasing "memory problems." Which of the following findings should the nurse identify as the priority?

d. the client sometimes wanders from the house

A nurse on a mental health unit is caring for four clients how have schizophrenia. Which of the following clients should the nurse see first?

d. the client who is experiencing command hallucinations

a nurse if collecting data on a client experiencing alcohol withdraw. what should the nurse expect?

diaphoresis

a nurse is assisting with the planning of an interdisciplinary care conference for a newly admitted client who is in the acute stage of anorexia nervosa. which of the following members of the interdisciplinary team should the nurse include?

dietitian

A nurse is reinforcing discharge teaching with a client who has a new prescription of alprazolam. Which of the following instructions is the priority for the nurse to include.

do not drive until your reaction to the meds is determined

the nurse is collecting data on a newly admitted client. which of the following questions should the nurse include to gather psychosocial information

do you have a hobby that you enjoy

a nurse if collecting data on a patient who is having difficulty coping with the death of their child. which question is the priority

do you think about harming yourself

a nurse caring for an adult who has visable injuries as a result of intimate partner partner violence. Which of the following actions should the nurse take?

encourage the client to develp a safety plan

borderline personality disorder and exibits manuliptive behaviors

establish and explain consequences for the client's behavior.

a nurse is collecting data on pt with MDD. which finding is a priority to report to the provider?

feeling of hopelessness

a nurse if reinforcing teaching on a client how has generalized anxiety disorder and is to start therapy with buspirone. which understands an indication that the client understands the information

full effect in 2-4 weeks (10 days)

A nurse is contributing to the plan of care for a client who has bipolar disorder and is exhibiting mania. Which of the following interventions should the nurse include to improve the nutritional status of the client?

have a clients favorite snacks available at all times.

mental examination for client who has schizophrenia. which one has the client think abstractly

how is an orange similar to an apple

a nurse in an urgent care clinic is collecting data from a client whos friend reports a suspicion of cocaine use. The nurse should identify that which of the following manifestations is an indicator of the clients use of this substance?

hypertension

a nurse in a mental health facility is assisting in a group therapy session. one having difficulty staying seated and states loudly, "I know more than you do about the people in this room." which of the following findings is the likely explanation for the clients behavior

hypomania

A nurse if developing countertransference toward a client during the working phase of the nurse-client relationship. To correct the situation, which of the following actions should the nurse take?

identify personal response to the client

a nurse if reinforcing teaching for a client who has ADHD

initiate a point system

a nurse is caring for a client who gave birth to a still born fetus one week ago. "I'm so angry my doctor didn't take better care of me and my baby. "

it is important to share what you are feeling, even if it is anger.

A nurse in a mental health facility is caring for a client who has dementia. The agitation is increasing. Which of the following actions should the nurse take first?

offer diversionary activities

A nurse is organizing care for a group of client. According to maslows hierchy of needs, which of the following interventions should the nurse plan to perform first.

offer finger foods to a client who is in the maniv phase

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

peripheral edema

A nurse is collecting data from a client who has bipolar disorder and history of mania. Which of the following findings should the nurse identify as an indication that the client is relapsing?

pressured speech

A nurse is attempting to establishing a therapeutic relationship with a newly admitted client. which of the following actions shows the nurse plan to take during the working phase of the nurse-client relationship?

promote the development of problem solving skills

A nurse is speaking with a client who is expressing an intense disapproval for the current social worker. the client states, "now, where is my favorite social worker.". the nurse should identify the client is using which of the following defense mechanism?

reaction formation

A nurse is caring for a client who has bipolar disorder and experiencing manic episode. Which of the following intervention should the nurse take first?

remove harmful objects from the client's room

A nurse is caring for a client in a day treatment program. Which of the following actions should the nurse take? Exhibit

request transport for the client to an emergency room

A nurse is contributing to the plan of care for a client who has obsessive compulsive disorder and continually washes her hands. Which of the following interventions should the nurse include?

schedule times for the client to wash her hands during the day

A nurse is reinforcing teaching with the family of a client who has histrionic personality disorder. Which of the following should the nurse instruct the family to observe for in the client?

seductive behavior

a nurse reinforcing teaching with a client who has schizophrenia and a new prisception for chlorpromazine

the voices you have been hearing should decrease

A nurse is caring for a client who is 2 days postoperative following a hip arthroplasty. When a news report about military action comes on the television, the client says to the nurse, " My youngest child died 6 months ago while serving in the military." Which of the following response should the nurse make? Select all that apply.

this must be a very difficult time for you your son's death must be a terrible loss tell me something you remember about your son

a nurse in a long term care facility is caring for an adult client who has alzhemiers disease and whose partner died several years ago. the client appears upset and asks the nurse when his partner will visit again. the nurse states, "it seems like you are feeling lonely . lets take a walk outside and talk." which on the following communication strategies is the nurse using?

validation therapy

A nurse is preparing to administer clozapine for the first time to a client with schizophrenia. The nurse explains the therapeutic and adverse effects of the medication to the client prior to administer. Which of the following ethical concepts is the nurse demonstrating?

veracity

a nurse is reinforcing teaching with a newly admitted client who has generalized anxiety disorder. which statement should the nurse make?

we will demonstrate for you relaxation techniques

A nurse on an inpatient unit is assisting with a group therapy session. During the session, a client begins to shout , using aggressive language. Which of the following statements should the nurse make to the client?

when you raise your voice it makes me uncomfortable and safe