Mental Health Quiz 4
A nurse is teaching a client who has tobacco use disorder about nicotine replacement therapy. Which of the following statements by the client indicates an understanding of the teaching? A. "I should avoid eating right before I chew a piece of nicotine gum" B. "I will need to stop using the nicotine gum after 1 year" C. "I know that nicotine gum is a safe alternative to smoking if I become pregnant" D. "I must chew the nicotine gum quickly for about 15 minutes"
A. "I should avoid eating right before I chew a piece of nicotine gum"
A nurse is discussing the care of a client following a sexual assault with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. "I will administer prophylactic treatment for sexually transmitted infections, like chlamydia" B. "I am not required to obtain informed consent before the sexual assault nurse examiner collects forensic evidence" C. "I can expect manifestations of rape-trauma syndrome to be similar to bipolar disorder" D. "I should use narrative documentation when documenting subjective data"
A. "I will administer prophylactic treatment for sexually transmitted infections, like chlamydia"
A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? A. "Life isn't worth living if I gain weight" B. "Don't pretend like you don't know how fat I am" C. "If I could be skinny, I know I'd be popular" D. "When I look I the mirror, I see myself as obese"
A. "Life isn't worth living if I gain weight"
A nurse is discussing the use of methadone with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A. "Methadone is a replacement for physical dependence to opioids" B. "Methadone reduces the unpleasant effects associated with abstinence syndrome" C. "Methadone can be used during opioid withdrawal and to maintain abstinence" D. "Methadone increases the risk for acetaldehyde syndrome" E. "Methadone must be prescribed and dispensed by an approved treatment center"
A. "Methadone is a replacement for physical dependence to opioids" B. "Methadone reduces the unpleasant effects associated with abstinence syndrome" C. "Methadone can be used during opioid withdrawal and to maintain abstinence" E. "Methadone must be prescribed and dispensed by an approved treatment center"
A nurse is providing teaching to a client who has alcohol use disorder and a new prescription for carbamazepine. Which of the following information should the nurse include in the teaching? A. "This medication will help prevent seizures during alcohol withdrawal" B. "Taking this medication will decrease your cravings for alcohol" C. "This medication maintains your blood pressure at a normal level during alcohol withdrawal" D. "Taking this medication will improve your ability to maintain abstinence from alcohol"
A. "This medication will help prevent seizures during alcohol withdrawal"
A nurse is obtaining a nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the following questions should the nurse include in the assessment? (Select all that apply) A. "What is your relationship like with your family" B. "Why do you want to lose weight?" C. "Would you describe your current eating habits?" D. "At what weight do you believe you will look better?" E. "Can you discuss your feelings about your appearance?"
A. "What is your relationship like with your family" C. "Would you describe your current eating habits?" E. Can you discuss your feelings about your appearance?"
A nurse is teaching the guardians and their school-age child about a new prescription for lisdexamfetamine. Which of the following information should the nurse include in the teaching? (Select all that apply) A. An adverse effect of this medication is CNS stimulation B. Administer the medication before bedtime C. Monitor blood pressure while taking this medication D. Therapeutic effects of this medication will take 1-3 weeks to fully develop E. This medication raises the levels of dopamine in the brain
A. An adverse effect of this medication is CNS stimulation C. Monitor blood pressure while taking this medication E. This medication raises the levels of dopamine in the brain
A nurse is teaching a group of guardians about manifestations of conduct disorder. Which of the following findings should the nurse include (Select all that apply) A. Bullying of others B. Threats of suicide C. Law-breaking activities D. Narcissistic behavior E. Flat affect
A. Bullying of others B. Threats of suicide C. Law-breaking activities
A nurse is providing teaching to an adolescent client who has a new prescription for clomipramine for OCD. Which of the following information should the nurse provide? A. Eat a diet high in fiber B. Check temperature daily C. Take medication first thing in the morning before eating D. Add extra calories to the diet as between-meal snacks
A. Eat a diet high in fiber
A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which of the following medications should the charge nurse include in the discussion? (Select all that apply) A. Lorazepam B. Diazepam C. Disulfiram D. Naltrexone E. Acamprosate
A. Lorazepam B. Diazepam
A nurse is teaching the guardians of a child who has autism spectrum disorder about indications of imipramine toxicity. Which of the following should the nurse include in the teaching? (Select all that apply) A. Seizures B. Agitation C. Photophobia D. Dry mouth E. Irregular pulse
A. Seizures B. Agitation E. Irregular pulse
A nurse is teaching an adolescent client who has a new prescription for clomipramine for OCD. Which of the following instructions should the nurse include to minimize an adverse effect of his medication? A. Wear sunglasses when outdoors B. Check your temperature daily C. Take this medication in the morning D. Add extra calories to your diet
A. Wear sunglasses when outdoors
A community health nurse is leading a discussion about rape with a neighborhood task force. Which of the following statements by a neighborhood citizen indicates an understanding of the teaching? A. "Rape is a crime of passion" B. "Acquaintance rape often involves alcohol" C. Young adults are the typical victims of sexual assault" D. "The majority of rapists are unknown to the victims"
B. "Acquaintance rape often involves alcohol"
A nurse is evaluating a client's understanding of a new prescription for clonidine for the treatment of opioid use disorder. Which of the following statements by the client indicates an understanding of the teaching? A. "Taking this medication will help reduce my craving for heroin." B. "While taking this medication, I should keep a pack of sugarless gum" C. "I can expect some diarrhea from taking this medication" D. "Each dose of this medication should be placed under my tongue to dissolve"
B. "While taking this medication, I should keep a pack of sugarless gum"
A nurse is teaching a child who has intermittent explosive disorder about a new prescription for fluoxetine. Which of the following information should the nurse provide? (Select all that apply) A. An adverse effect of this medication is CNS depression B. Administer the medication in the morning C. Monitor for weight loss while taking this medication D. Therapeutic effects of this medication will take 1-3 weeks to fully develop E. This medication blocks the synaptic reuptake of serotonin in the brain
B. Administer the medication in the morning C. Monitor for weight loss while taking this medication E. This medication blocks the synaptic reuptake of serotonin in the brain
A nurse is teaching a client who has a new prescription for clonidine to assist with maintenance of abstinence from opiods. The nurse should instruct the client to monitor for which of the following adverse effects? A. Diarrhea B. Dry mouth C. Insomnia D. Hypertension
B. Dry mouth
A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. Which of the following is an expected finding? (Select all that apply) A. Amenorrhea B. Hypokalemia C. Yellowing of the skin D. Slightly elevated body weight E. Presence of lanugo on the face
B. Hypokalemia D. Slightly elevated body weight
A nurse is teaching the caregiver of a school-age child about transdermal methylphenidate. Which of the following instructions should the nurse include? A. Apply one patch twice per day B. Leave the patch on for 9 hours C. Apply the patch to the child's waist D. Use opened tray within 6 months
B. Leave the patch on for 9 hours
A nurse is caring for a school-age child who has a new prescription for atomoxetine. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? A. Kidney toxicity B. Liver damage C. Seizure activity D. Adrenal insufficiency
B. Liver damage
A nurse is reviewing the medical record of multiple clients at a community mental health facility. Which of the following events is an example of client experiencing a maturation crisis? A. Rape B. Marriage C. Severe physical illness D. Job loss
B. Marriage
A nurse is caring for a client who is experiencing a crisis. Which of the following medications might the provider prescribe? (Select all that apply) A. Lithium carbonate B. Paroxetine C. Risperidone D. Haloperidol E. Lorazepam
B. Paroxetine E. Lorazepam
A nurse is assessing a 4-year-old child for indications of autism spectrum disorder. For which of the following manifestations should the nurse assess? A. Impulsive behavior B. Repetitive counting C. Destructiveness D. Somatic problems
B. Repetitive counting
A nurse is performing an admission assessment on an adolescent client who has depression. Which of the following findings are expected for this disorder? (Select all that apply) A. Fear of being alone B. Substance use C. Weight gain D. Irritability E. Aggressiveness
B. Substance use D. Irritability E. Aggressiveness
A nurse is teaching the guardians of a child who has a new prescription for desipramine. The nurse should include that which of the following adverse effects is the priority to report to the provider? A. Constipation B. Suicidal thoughts C. Photophobia D. Dry mouth
B. Suicidal thoughts
A nurse is providing teaching to an adolescent client who is to begin taking atomoxetine for ADHD. The nurse should instruct the client to monitor for which of the following adverse effects? (Select all that apply) A. Somnolence B. Yellowing skin C. Increased appetite D. Fever E. Malaise
B. Yellowing skin D. Fever E. Malaise
A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior. The client tells the nurse about fears of gaining weight. Which of the following responses should the nurse make? A. "Many clients are concerned about their weight. However, the dietitian will ensure that you don't get too many calories in your diet" B. "Instead of worrying about your weight, try to focus on other problems at this time" C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments" D. "You are not overweight, and the staff will ensure that you do not gain weight while you are in the hospital. We know that is important to you"
C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments"
A nurse is caring for a client who was recently sexually assaulted. The client states, "I never should have been out on the street alone at night." Which of the following responses should the nurse make? A. "Your actions had nothing to do with what happened" B. "You should focus on recovery rather than blaming yourself for what happened" C. "You believe this wouldn't have happened if you hadn't been out alone?" D. "I should use narrative documentation when documenting subjective data"
C. "You believe this wouldn't have happened if you hadn't been out alone?"
A nurse is teaching a client who has tobacco use disorder about the use of nicotine gum. Which of the following information should the nurse include in the teaching? A. Chew the gum for no more than 10 minutes B. Rinse out the mouth immediately before chewing the gum C. Avoid eating 15 minutes prior to chewing the gum D. Use of the gum is limited to 90 days.
C. Avoid eating 15 minutes prior to chewing the gum
A nurse is providing teaching for a client who is withdrawing from alcohol and has a new prescription for propranolol. Which of the following information should the nurse include in the teaching? A. Increased the risk for seizure activity B. Provides a form of aversion therapy C. Decreases cravings D. Can increase blood pressure
C. Decreases cravings
A nurse is assisting the guardians of a school-age child who has oppositional defiant disorder in identifying strategies to promote positive behavior. Which of the following strategies should the nurse recommend? (Select all that apply) A. Allow the child to choose which behaviors are unacceptable B. Use role-playing to act out unacceptable behavior C. Develop a reward system for acceptable behavior D. Encourage the child to participate in school sports E. Be consistent when addressing unacceptable behavior
C. Develop a reward system for acceptable behavior D. Encourage the child to participate in school sports E. Be consistent when addressing unacceptable behavior
A nurse is assisting in the discharge planning for a client following alcohol detoxification. The nurse should expect prescriptions for which of the following medications to promote long-term abstinence from alcohol? (Select all that apply) A. Lorazepam B. Diazepam C. Disulfiram D. Naltrexone E. Acamprosate
C. Disulfiram D. Naltrexone E. Acamprosate
A nurse in a pediatric clinic is caring for a preschool-age child who has a new diagnosis of ADHD. When teaching the guardian about this disorder, which of the following statements should the nurse include in the teaching? A. "Behaviors associated with ADHD are present prior to age 3" B. "This disorder is characterized by argumentativeness" C. "Below-average intellectual functioning is associated with ADHD" D. "Because of this disorder, your child is at an increased risk for injury"
D. "Because of this disorder, your child is at an increased risk for injury"
A nurse is assessing a client who experienced sexual assault. Which of the following findings indicate the client is experiencing an emotional reaction of rape-trauma syndrome? (Select all of that apply) A. Genitourinary soreness B. Difficulties with low self-esteem C. Sleep disturbances D. Emotional outbursts E. Difficulty making decisions
D. Emotional outbursts E. Difficulty making decisions
A nurse is planning care for a client who has anorexia nervosa with binge-eating and purging behavior. Which of the following actions should the nurse include in the client's plan of care? A. Allow the client to select preferred meal times B. Establish consequences for purging behavior C. Provide the client with a high-fat diet at the start of treatment D. Implement one-to-one observation during meal times
D. Implement one-to-one observation during meal times
A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. Which of the following actions should the nurse identify as the priority? A. Administer the clonidine on the prescribed schedule B. Provide ice chips at the client's bedside C. Educate the client on the effects of clonidine D. Obtain baseline vital signs.
D. Obtain baseline vital signs.
A nurse is caring for a school age child who has conduct disorder and a new prescription for methylphenidate transdermal patches. Which of the following information should the nurse provide about the medication? A. Apply the patch once daily at bedtime B. Place the patch carefully in a trash can after removal C. Apply the transdermal patch to the anterior waist area D. Remove the patch each day after 9 hours.
D. Remove the patch each day after 9 hours.
