Evolve Questions Psych Exam 3

Which statement made by the client demonstrates an understanding of the benefit of clozapine?

"I'm at a risk for developing infections"

Recognizing that somatic symptom disorders focus on physical symptoms, which client statement best demonstrates the unique characteristic of this type of disorder?

"I've been to so many doctors but none can find out what's wrong with me"

Which statement by a client scheduled for a series of electroconvulsive therapy (ECT) treatments indicates to the nurse that the client has an understanding of the goals of this treatment?

"It is expected that my chance for remission is very good"

The nurse is preparing a client with schizophrenia a history of command hallucinations for discharge by providing instructions on interventions for managing hallucinations and anxiety. Which statement in response to these instructions suggests to the nurse that the client has a need for additional information?

"When I have command hallucination, I'll call a friend for help."

A client is admitted to a medical nursing unity with a diagnosis of acute blindness after being involved in a hit-and-run accident. When diagnostic testing cannot identify any organic reason why this client cannot see, a mental health consult is prescribed. The nurse plans care based on which mental health condition?

Conversion disorder

A hospitalized client is started on a monamine oxidase inhibitor (MAOI) for the treatment of depression. The nurse should instruct the client that which foods are acceptable to consume while taking this medication? Select all that apply Figs Yogurt Crackers Aged Cheese Tossed salad Oatmeal rasin cookies

Crackers Tossed salad

The nurse concludes that the treatment plan for a client diagnosed with a somatic disorder best demonstrates success when which observation is made?

Reports of physical pain has lessened substantially

Which teaching-focused intervention will have the greatest impact on reducing the risk of relapsing for a client diagnosed with bipolar disorder?

Role of family as support

Lithium is prescribed for a client admitted with a diagnosis of bipolar disorder. Which other therapy is also initially prescribed to temporarily help manage the client's symptoms?

Antipsychotic medications

The police arrive at the ED with a client who has lacerated both wrists. Which is the initial nursing action?

Assess and treat the wound sites

The nurse is managing a group of clients diagnosed with somatic symptom disorders. Which client behavior best demonstrates the nurse's ability to manage manipulative behaviors therapeutically?

Clients direct all questions to a designated nurse

Which intervention associated with bipolar disorder best minimizes the risk for the development of suicidal ideations?

Early diagnosis

A client has been prescribed an antipsychotic medication for the management of symptoms associated with schizophrenia. Which behaviors will show improvement as a result of adhering to the medication therapy? (Select all that apply.) Fears being abducted by alien creatures. Consistently avoids the dayroom when other clients are there. Regularly discusses his or her alter identity as a spy for Hitler. Acknowledges regularly hearing voices. Stays in his or her room most of the day staring out the window.

Fears being abducted by alien creatures. Acknowledges regularly hearing voices.

The nurse is administering risperidone to a client with schizophrenia who is scheduled to be discharged. Before discharge, which instruction should the nurse provide to the client?

Get up slowly when changing positions

When planning the discharge of a client with chronic anxiety, the nurse directs the goals at promoting a safe environment at home. Which is the most appropriate maintenance goal?

Identifying anxiety-producing situations

Which nursing intervention is generally included in the plan of care for any hospitalized client experiencing a severe psychotic episode associated with schizophrenia to address safety issues?

Implementing institution's suicide precautions

The nurse is planning care for a client being admitted to the nursing unit who attempted suicide. Which priority nursing intervention should the nurse include in the plan of care?

One-to-one suicide precautions

Which nursing intervention has priority during the acute phase of a client's manic episode?

Providing fluids frequently to promote hydration

The nurse is caring for a client just admitted to the mental health unit and diagnosed with catatonic stupor. The client is lying on the bed in a fetal position. Which is the most appropriate nursing intervention?

Sit beside the client in silence with simple open-ended questions

Which behavior observed by the nurse indicates a suspicion that a depressed adolescent client may be suicidal?

The adolescent gives away a DVD and a cherished autograph picture of a performer

A client with schizophrenia has been started on medication therapy with clozapine. The nurse should assess the result of which laboratory study to monitor for adverse effects from this medication?

White Blood Cell Count

A client says to the nurse, "The federal guards were sent to kill me." Which is the best response by the nurse to the client's concern?

"Do you feel afraid that people are trying to hurt you?"

Which statement demonstrates a characteristic of depression-associated behaviors that is especially associated with children and adolescents?

"I don't care that my friends say I'm grumpy"

The nurse observes that a client with a potential for violence is agitated, pacing up and down the hallway, and making aggressive and belligerent gestures at other clients. Which statement would be most appropriate to make to this client?

"You seem restless, tell me what is happening"

A depressed client on an inpatient unity says to the nurse, "My family would be better off without me." Which is the nurse's best response?

"You sound very upset. Are you thinking of hurting yourself?"

The nurse will encourage the client to engage in regular involvement with which formalized groups as an intervention directed toward the treatment of a primary risk factor associated with depression? (Select all that apply.)

-Alcoholics Anonymous (AA) -Sexual Assault Survivors Group -New moms support group

Which statement reflects successful achievement of a therapeutic long-term goal for a client diagnosed with somatic symptom disorder?

"I haven't missed a day of work in the last 6 months"

A client is currently expressing suicidal ideations. Which statement made by the client demonstrates knowledge of appropriate crisis management techniques that are focused on safety?

"I need you to stay with me"

Which nursing interventions are appropriate for a hospitalized client with mania who is exhibiting manipulative behavior? Select all that apply. Communicate expected behaviors to the client Ensure that the client knows that they are not in charge of the nursing unit. Assist the client in identifying ways of setting limits on personal behaviors Follow through about the consequences of behavior in a non punitive manner. Enforce rules by informing the client that he/she will not be allowed to attend therapy groups. Have the client state the consequences for behaving in ways that are viewed as unacceptable.

- Communicate expected behaviors to the client - Assist the client in identifying ways of setting limits on personal behaviors - Follow through about the consequences of behavior in a non punitive manner. - Have the client state the consequences for behaving in ways that are viewed as unacceptable.

A client is admitted to the mental health uint with a diagnosis of depression. The nurse should develop a plan of care for the client that includes which intervention?

A structured program of activities in which the client can participate.

How will the nurse best assess a client for the current presence of suicidal ideations?

Ask the client directly, "Are you thinking of killing yourself"

When considering comorbid conditions, which nursing intervention is most appropriate for a client diagnosed with a somatic symptom disorder?

Assessing the client for suicidal ideation

A client is admitted to the mental health unit after an attempted suicide by hanging. The nurse can best ensure client safety by which action?

Assigning to the client a staff member who will remain with the client at all times.

A client is unwilling to go to his church because his ex-girlfriend goes there and he feels that she will laugh at him if she sees him. Because of his hypersensitivity to a reaction from her, the client remains homebound. The home care nurse develops a plan of care that addresses which personality disorder?

Avoidant

A client receiving tricyclic antidepressant arrives at the mental health clinic. Which observation would indicate that the client is following the medication plan correctly?

Client arrives at the clinic neat and appropriate in appearance

A manic client begins to make sexual advance towards visitors in the dayroom. When the nurse firmly states that this is inappropriate and will not be allowed, the client becomes verbally abusive and threatens physical violence to the nurse. Based on the analysis of this situation, which intervention should the nurse implement?

Escort the client to their room, with the assistance of other staff.

A moderately depressed client who was hospitalized 2 days ago suddenly begins smiling and reporting that the crisis is over. The client says to the nurse, "I'm finally cured." Based on the client's behavior and statement, which intervention should the nurse include in the plan?

Increasing the level of suicide precautions

A client diagnosed with depression has been prescribed various first-line antidepressant agents but has demonstrated only minimal improvement. In preparation for the prescription of a second-line agent, the nurse will educate the client on which classification of antidepressant?

Monoamine oxidase inhibitors

Which interventions should be considered appropriate for a patient in the withdrawn phase of catatonia? (Select all that apply.) Perform passive range of motion once each shift. Administer nasogastric feedings as prescribed. Require autonomy regarding activities of daily living. Arrange for group activities. Reposition every 2 hours.

Perform passive range of motion once each shift Reposition every 2 hours.

The nurse observes that a client is pacing, agitated, and presenting aggressive gestures. The client's speech pattern is rapid, and affect is belligerent. Based on these observations, which is the nurse's immediate priority of care?

Provide safety for the client and other clients on the unit.

The nurse in the emergency department is caring for a young female victim of sexual assault. The client's physical assessment is complete, and physical evidence has been collected. The nurse notes that the client is withdrawn, distracted, tremulous, and bewildered at times. How should the nurse interpret these behaviors?

Reactions to a devastating event

Which life event related to a client demonstrating depressive symptoms supports a diagnosis of persistent depressive disorder (PDD)?

Recognized symptoms of depression over 2 years ago

A hospitalized client has begun taking bupropion as an antidepressant agent. The nurse determines that which is an adverse effect, indicating that the client is taking an excessive amount of medication?

Seizure Activity

Which nursing intervention will have the greatest impact on both the management of care and on milieu environment when considering the clients diagnosed with bipolar disorder?

Setting and maintaining consistent unit policies that are enforced by all staff

The nurse is conducting a group therapy session. During the session, a client diagnosed with mania consistently disrupts the group's interactions. Which intervention should the nurse initially implement?

Setting limits on the client's behavior

A client has made a successful suicide attempt while hospitalized on a unit that specializes on the treatment of depression. When considering both milieu control and crisis management, which intervention will the nursing staff implement?

Suicide precautions for a full 24hrs will be implemented for all clients

The nurse notes that a client with schizophrenia and receiving an antipsychotic medication is moving her mouth, protruding her tongue, and grimacing as she watches television. The nurse determines that the client is experiencing which medication complication?

Tardive dyskinesia

A client demonstrating delusional behavior is escalating as a result of increasing anxiety regarding his or her safety. Which action demonstrates that the client has an understanding of actions to de-escalate his personal anxiety?

The client asks to be allowed to voluntary seclude

A client diagnosed with delirium becomes disoriented and confused at night. Which intervention should the nurse implement initially?

Use an indirect light source and turn off the television.

When considering the lethality of a client's suicide plan, what is the basic principle the nurse will consider?

if the action is reversible, the plan is less lethal