Mental Health Unit 2: NCLEX Questions

A nurse assesses an individual who commonly experiences anxiety. Which comment by this person indicates the possibility of obsessive-compulsive disorder? A. "I check where my car keys are eight times." B. "My legs often feel weak and spastic." C. "I'm embarrassed to go out in public." D. "I keep reliving a car accident."

A. "I check where my car keys are eight times."

On the basis of recent findings, which client could the nurse expect to have greater difficulty adjusting to life changes that have occurred over the past year? A. A 32-year-old woman who is pregnant, divorcing her husband, and changing residences. B. A 40-year-old man who has received a promotion and undertaken a weight loss program. C. A 45-year-old woman whose daughter left home to attend college and whose ill mother is moving in. D. A 67-year-old retired man who lost his home in a hurricane.

A. A 32-year-old woman who is pregnant, divorcing her husband, and changing residences.

A nurse plans health teaching for a client diagnosed with generalized anxiety disorder who begins a new prescription for lorazepam. What information should be included? (Select all that apply.) A. Caution in use of machinery B. Foods allowed on a tyramine-free diet C. The importance of caffeine restriction D. Avoidance of alcohol and other sedatives E. Take the medication on an empty stomach

A. Caution in use of machinery C. The importance of caffeine restriction D. Avoidance of alcohol and other sedatives

The client is prescribed a first- generation neuroleptic for his schizophrenia. Discharge teaching by the nurse should include contacting the health provider if which of the following occurs? A. Elevated temperature B. Blurred vision C. Difficulty concentrating D. Inability to remain seated for long period of time

A. Elevated temperature

What side effects should the nurse monitor for when caring for a patient prescribed donepezil (Aricept)? Select all that apply. A. Insomnia B. Constipation C. Bradycardia D. Signs of dizziness E. Reports of headache

A. Insomnia C. Bradycardia D. Signs of dizziness E. Reports of headache

The client has been on Haldol since admission. Which assessment by the nurse would best determine the effectiveness of a client's antipsychotic medication? A. The client no longer has hallucinations B. The client is no longer depressed C. The client has made a friend on the unit D. The client requested discharge

A. The client no longer has hallucinations

Laboratory results show a patient's lithium level is 1.0 mEq/L. Select the correct analysis. A. Within therapeutic limits. B. Below therapeutic limits. C. Above therapeutic limits. D. Above therapeutic limits; toxic.

A. Within therapeutic limits.

A client diagnosed with schizophrenia begins to talks about "macnabs" hiding in the warehouse at work. The client's use of "macnabs" should be documented using what term? A. a neologism. B. concrete thinking. B. thought insertion. C. an idea of reference.

A. a neologism.

An older adult patient takes multiple medications daily. Over 2 days, the patient developed confusion, slurred speech, an unsteady gait, and fluctuating levels of orientation. These findings are most characteristic of A. delirium. B. dementia. C. amnestic syndrome. D. Alzheimer's disease.

A. delirium.

A client fearfully runs from chair to chair crying, "They're coming! They're coming!" The client does not follow the staff's directions or respond to verbal interventions. What is the initial nursing intervention of highest priority? A. providing for the client's safety. B. encouraging clarification of feelings. C. respecting the client's personal space. D. offering an outlet for the client's energy.

A. providing for the client's safety.

The nurse planning to teach a client to use Benson's relaxation techniques to treat hypertension is essentially teaching the client to A. switch from the sympathetic mode of the autonomic nervous system to the parasympathetic mode. B. alter the internal state by acting on electronic signals related to physiologic processes. C. replace stress-producing activities with daily stress-reducing pleasant activities. D. reduce catecholamine production.

A. switch from the sympathetic mode of the autonomic nervous system to the parasympathetic mode.

Which assessment questions would be most appropriate for the nurse to ask a client with possible obsessive-compulsive disorder? (Select all that apply.) A. "Are there certain social situations that cause you to feel especially uncomfortable?" B. "Are there others in your family who must do things in a certain way to feel comfortable?" C. "Have you been a victim of a crime or seen someone badly injured or killed?" D. "Is it difficult to keep certain thoughts out of your awareness?" E. "Do you do certain things over and over again?"

B. "Are there others in your family who must do things in a certain way to feel comfortable?" D. "Is it difficult to keep certain thoughts out of your awareness?" E. "Do you do certain things over and over again?"

A client has had difficulty keeping a job because of arguing with co-workers and accusing them of conspiracy. Today this client shouts, "They're all plotting to destroy me. Isn't that true?" what is the nurse's most therapeutic response? A. "Everyone here is trying to help you. No one wants to harm you." B. "Feeling that people want to destroy you must be very frightening." C. "That is not true. People here are trying to help you if you will let them." D. "Staff members are health care professionals who are qualified to help you."

B. "Feeling that people want to destroy you must be very frightening."

Which hallucination expressed by a client necessitates the nurse to implement safety measures? A. "I hear angels playing harps." B. "The voices say everyone is trying to kill me." C. "My dead father tells me I am a good person." D. "The voices talk only at night when I'm trying to sleep."

B. "The voices say everyone is trying to kill me."

The defense mechanisms that can only be used in healthy ways are A. Suppression and humor. B. Altruism and sublimation. C. Idealization and splitting. D. Reaction formation and denial.

B. Altruism and sublimation.

The nurse is reviewing orders given for a patient with depression. Which order should the nurse question? A. A low starting dose of a tricyclic antidepressants. B. An SSRI given initially with a MAOI C. Electroconvulsive therapy to treat suicidal thoughts. D. Elavil to address the patient's agitation.

B. An SSRI given initially with a MAOI

The nurse is told he will be assigned to an anxious client who is being admitted from the emergency department. The initial action of the nurse should be to A. Assess the client's use of defense mechanisms. B. Assess the client's level of anxiety. C. Limit environmental stimuli. D. Provide anti-anxiety medication.

B. Assess the client's level of anxiety.

The patient was directing traffic and shouting rhymes on a busy city street. The patient's spouse reports that the patient has not slept or eaten for 3 days. Which assessment findings have priority concern for this patient's plan of care? A. Pressured speech and grandiosity. B. Hyperactivity, not eating and sleeping. C. Poor concentration and decision making. D. Insulting, provocative behavior directed at staff.

B. Hyperactivity, not eating and sleeping.

A client experiencing moderate anxiety says, "I feel undone." What would be the appropriate response by the nurse? A. "What would you like me to do to help you?" B. "Why do you suppose you are feeling anxious?" C. "I'm not sure I understand. Give me an example." D. "You must get your feelings under control before we can continue."

C. "I'm not sure I understand. Give me an example."

Which finding constitutes a negative symptom associated with schizophrenia? A. Hostility B. Bizarre behavior C. Poverty of thought D. Auditory hallucinations

C. Poverty of thought

Jim is sometimes seen moving his lips silently or murmuring to himself when he does not realize others are watching. Sometimes when he is conversing with others, he suddenly stops, appears distracted for a moment, and then resumes. Based on these observations, Jim most likely is experiencing which symptom(s)? Select all that apply: A. Illusions. B. Paranoia. C. Delusional thinking. D. Auditory hallucinations. E. Impaired reality testing. F. Stereotyped behaviors.

D. Auditory hallucinations. E. Impaired reality testing.

A client has developed neuroleptic malignant syndrome. A priority nursing intervention would be which of the following? A. Provide comfort and rest B. Measure intake and output C. Encourage client to remain active D. Monitor vital signs and blood pressure

D. Monitor vital signs and blood pressure

Which client will probably be at greatest risk for experiencing untoward effects of stress? A. Mr. A, who sought medical help for his stress-related symptoms and follows a regimen of medication, proper diet, and rest. B. Mr. B, who finds much satisfaction in implementing highly creative innovations in his work. C. Mr. C, who can depend on the interested support of family, friends, and co-workers. D. Mr. D, who chooses not to deal with the stress-producing situation.

D. Mr. D, who chooses not to deal with the stress-producing situation.

A client receiving risperidone reports severe muscle stiffness at 1030. By 1200, the client has difficulty swallowing and is drooling. By 1600, vital signs are 102.8° F; pulse 110; respirations 26; 150/90. The client is diaphoretic. What is the nurse's best analysis and action? A. Agranulocytosis; institute reverse isolation. B. Tardive dyskinesia; withhold the next dose of medication. C. Cholestatic jaundice; begin a high-protein, high-cholesterol diet. D. Neuroleptic malignant syndrome; notify health care provider stat.

D. Neuroleptic malignant syndrome; notify health care provider stat.

A client is admitted to the emergency room with complains of sore throat and fever. The client's mother informs the nurse that the client has been taking Clozaril. Which of the following laboratory tests is a priority at this time? A. Fasting blood sugar B. Cholesterol level C. Blood urea nitrogen D. White blood cell count

D. White blood cell count

During a one-to-one session with a client, the nurse notes that the client is unable to stop moving. He frequently stands-up and begins pacing while answering the nurse's questions. The nurse assesses the client's need to be in constant motion as which of the following? A. Akathesia B. Flight-of-ideas C. Echopraxia D. Neuroleptic syndrome

A. Akathesia

A client diagnosed with schizophrenia is very disturbed and violent. After several doses of haloperidol, the client is calm. Two hours later the nurse sees the client's head rotated to one side in a stiff position, the lower jaw thrust forward, and drooling. Which problem is most likely? A. An acute dystonic reaction B. Tardive dyskinesia C. Waxy flexibility D. Akathisia

A. An acute dystonic reaction

6. A client's care plan includes monitoring for auditory hallucinations. Which assessment findings suggest the client may be hallucinating? A. Detachment and overconfidence B. Darting eyes, tilted head, mumbling to self C. Euphoric mood, hyperactivity, distractibility D. Foot tapping and repeatedly writing the same phrase

A. Detachment and overconfidence

Jeffery is encouraged to attend groups but stays in his room instead. Staff and peers encourage his participation, but his hygiene remains poor. He does not seem to care that others wish that he would behave differently. Which is the most likely explanation for Jeffery failure to respond to others efforts to help him behave in more adaptive fashion? Select all that apply: A. He is avolitional. B. He is displaying anergia. C. He is displaying negativism D. He is experiencing social withdrawal. E. He is apathetic due to his schizophrenia.

A. He is avolitional. B. He is displaying anergia. C. He is displaying negativism D. He is experiencing social withdrawal. E. He is apathetic due to his schizophrenia.

A teaching plan for a patient taking lithium should include instructions to: A. Maintain normal salt and fluids in the diet. B. Drink twice the usual daily amount of fluid. C. Have regular laboratory studies of liver function. D. Avoid eating aged cheese, processed meats, and red wine.

A. Maintain normal salt and fluids in the diet.

A medication plan for Mary who receives lithium should include: A. Periodic monitoring for renal and thyroid function. B. Dietary teaching to restrict daily sodium intake. C. The importance of blood draws to monitor serum potassium level. D. Discontinuing the drug if weight gain and fine hand tremors are noticed.

A. Periodic monitoring for renal and thyroid function.

The nurse is caring for a patient experiencing mania. Which is the most appropriate nursing intervention? A. Provide consistency among staff members when working with the patient. B. Negotiate limits so the patient has a voice in the plan of care. C. Allow only certain staff members to interact with the patient. D. Attempt to control the patient's emotions.

A. Provide consistency among staff members when working with the patient.

What is the priority nursing diagnosis for a patient with fluctuating levels of consciousness, disturbed orientation, and visual and tactile hallucinations? A. Risk for injury related to altered cerebral function, fluctuating levels of consciousness, disturbed orientation, and misperception of the environment B. Bathing/hygiene self-care deficit related to cerebral dysfunction, as evidenced by confusion and inability to perform personal hygiene tasks C. Disturbed thought processes related to medication intoxication, as evidenced by confusion, disorientation, and hallucinations D. Fear related to sensory perceptual alterations as evidenced by visual and tactile hallucinations

A. Risk for injury related to altered cerebral function, fluctuating levels of consciousness, disturbed orientation, and misperception of the environment

When a client diagnosed with schizophrenia was discharged 6 months ago, haloperidol was prescribed. The client now says, "I stopped taking those pills. They made me feel like a robot." What are common side effects the nurse should validate with the client? A. Sedation and muscle stiffness B. Sweating, nausea, and diarrhea C. Mild fever, sore throat, and skin rash D. Headache, watery eyes, and runny nose

A. Sedation and muscle stiffness

What assessment findings mark the prodromal stage of schizophrenia? A. Withdrawal, misinterpreting, poor concentration, and preoccupation with religion B. Auditory hallucinations, ideas of reference, thought insertion, and broadcasting C. Stereotyped behavior, echopraxia, echolalia, and waxy flexibility D. Loose associations, concrete thinking, and echolalia neologisms

A. Withdrawal, misinterpreting, poor concentration, and preoccupation with religion

What critical information should the nurse provide about the use of lithium? A. "You will still have hypersexual tendencies. So be certain to use protection when engaging in intercourse". B. "Lithium will help you to only feel the euphoria of mania but not the anxiety" C. "It will take one to two weeks and may be longer for this medication to start working fully". D. "This medication is a cure for bipolar disorder"

B. "Lithium will help you to only feel the euphoria of mania but not the anxiety"

A woman is 5'7", 160 lbs. and wears a size 8 shoe. She says, "My feet are huge. I've asked three orthopedists to surgically reduce my feet." This person tries to buy shoes to make her feet look smaller and, in social settings, conceals both feet under a table or chair. Which health problem is likely? A. Social anxiety disorder B. Body dysmorphic disorder C. Separation anxiety disorder D. Obsessive-compulsive disorder due to a medical condition

B. Body dysmorphic disorder

A patient with bipolar disorder, mania, relapsed after discontinuing lithium. The health care provider prescribes lithium 600 mg BID and olanzapine (Zyprexa) 10 mg BID. What is the rationale for addition of olanzapine to the lithium regime? It will: A. Minimize the side effects of lithium. B. Bring hyperactivity under rapid control. C. Potentiate the antimanic action of lithium. D. Be used for long-term control of hyperactivity.

B. Bring hyperactivity under rapid control.

A nurse observes a client standing immobile, facing the wall with one arm extended in a salute. The client remains immobile in this position for 15 minutes, moving only when the nurse gently lowers the arm. What is the name of this phenomenon? A. Echolalia B. Catatonia (Waxy flexibility). C. Depersonalization D. Thought withdrawal

B. Catatonia (Waxy flexibility).

During morning care, a nurse asks a patient diagnosed with dementia, "How was your night?" The patient replies, "It was lovely. I went out to dinner and a movie with my friend." Which term applies to the patient's response? A. Sundown syndrome B. Confabulation C. Perseveration D. Delirium

B. Confabulation

A client diagnosed with schizophrenia says, "My co-workers are out to get me. I also saw two doctors plotting to kill me." How does this client perceive the environment? A. Disorganized B. Dangerous C. Supportive D. Bizarre

B. Dangerous

A man keeps his wife's clothing in the closet and bureau of his bedroom although she has been dead for 3 years. This behavior suggests the use of A. Altruism. B. Denial. C. Undoing. D. Suppression.

B. Denial.

While the nurse was doing the assessment, Jeffery turned to an empty chair talking as if someone was sitting there. The nurse was unable to understand what he was mumbling. This, in fact, indicates that the patient has: A. Delusions. B. Hallucinations. C. Illusions. D. Flight of ideas.

B. Hallucinations.

A patient diagnosed as mild stage Alzheimer's disease tires easily and prefers to stay home rather than attend social activities. The spouse does the grocery shopping because the patient cannot remember what to buy. Which nursing diagnosis applies at this time? A. Self-care deficit B. Impaired memory C. Caregiver role strain D. Adult failure to thrive

B. Impaired memory

In general, when a nurse admitting a client experiencing an acute schizophrenia episode, she would most likely assess which of the following? A. Open and outgoing personality B. Loss of contact with reality C. Feelings of guilt and worthlessness D. Logical and precise thinking

B. Loss of contact with reality

A nurse wants to teach alternative coping strategies to a client experiencing severe anxiety. Which action should the nurse perform first? A. Verify the client's learning style. B. Lower the client's current anxiety. C. Create outcomes and a teaching plan. D. Assess how the client uses defense mechanisms.

B. Lower the client's current anxiety.

A client diagnosed with schizophrenia has taken a conventional antipsychotic medication for a year. Hallucinations are less intrusive, but the client continues to have apathy, poverty of thought, and social isolation. The nurse would expect a change to which medication? A. Haloperidol B. Olanzapine C. Chlorpromazine D. Diphenhydramine

B. Olanzapine

The nurse is planning care for a patient experiencing the acute phase of mania. Which is the priority intervention? A. Maintain stable cardiac status. B. Prevent injury. C. Get the patient to demonstrate thought self control. D. Ensure that the patient get sufficient sleep and rest.

B. Prevent injury.

A client tells the nurse "My doctor thinks my problems with stress relate to the negative way I think about things, and he wants me to learn a new way of thinking." The nurse should be prepared to help the client understand and apply a cognitive technique called: A. Priority restructuring. B. Reframing/restructuring. C. Guided imagery. D. Assertiveness.

B. Reframing/Restructuring

A 20-year-old was sexually molested at age10 years by an older man but can no longer remember the incident. The ego defense mechanism in use is A. Projection. B. Repression. C. Displacement. D. Reaction formation.

B. Repression.

The nurse is planning care for a patient with depression who will be discharged to home soon. What aspects of teaching should be the priority on the nurse's discharge plan of care? A. Pharmacological teaching. B. Safety risk. C. Awareness of symptoms increasing depression. D. The need for interpersonal contact.

B. Safety risk.

A client diagnosed with schizophrenia has received fluphenazine decanoate twice a month for 3 years. The clinic nurse notes that the client grimaces and constantly smacks both lips. The client's neck and shoulders twist in a slow, snakelike motion. Which problem would the nurse suspect? A. Agranulocytosis B. Tardive dyskinesia C. Tourette's syndrome D. Anticholinergic effects

B. Tardive dyskinesia

A new graduate has been assigned four patients whom she must perform an assessment on. Her assessment reveals several clients complain. Which client complains should receive priority? A. A client receiving Cogentin who states, "I can't read my book, everything seems blurred." B. The client receiving Clozapine who states, "I think I might be getting the flu, my throat is sore and I feel very tired." C. A client who was admitted for alcoholism and states, " I took my valium but I still feel nervous. D. A client receiving Prozac who states "This medicine makes me sleepy. Is that that normal?"

B. The client receiving Clozapine who states, "I think I might be getting the flu, my throat is sore and I feel very tired."

A withdrawn client is assessed as having distorted thinking that is not reality based. A nursing diagnosis that should be considered for her would be A. impaired verbal communication. B. disturbed thought processes. C. disturbed self-esteem. D. defensive coping.

B. disturbed thought processes.

A patient with bipolar disorder is hyperactive and has not slept for 3 days. Mood and behavior are labile. The patient threatens to hit another patient. Which response by the nurse is appropriate? A. "Stop that now. No one did anything to provoke an attack by you." B. "If you try that again, you will be placed in seclusion immediately." C. "Do not hit anyone. If you are unable to control yourself, we will help you." D. "You know we will not let you hit anyone. Why do you continue this behavior?"

C. "Do not hit anyone. If you are unable to control yourself, we will help you."

A newly admitted client diagnosed with schizophrenia says, "The voices are bothering me. They yell and tell me I am bad. I have got to get away from them." Select the nurse's most helpful reply. A. "Do you hear the voices often?" B. "Do you have a plan for getting away from the voices?" C. "I'll stay with you. Focus on what we are talking about, not the voices. " D. "Forget the voices and ask some other clients to play cards with you."

C. "I'll stay with you. Focus on what we are talking about, not the voices. "

What critical information should the nurse provide about the use of lithium? A. "You will still have hypersexual tendencies, so be certain to use protection when engaging in intercourse". B. "Lithium will help you to only feel the euphoria of mania but not the anxiety." C. "It will take 1 to 2 weeks and maybe longer for this medication to start working fully." D. "This medication is a cure for bipolar disorder."

C. "It will take 1 to 2 weeks and maybe longer for this medication to start working fully."

The patient with acute mania undresses in the day room and dances. Select the best intervention. A. Quietly ask the patient, "Are you embarrassed? Don't you think you should put your clothes on?" B. Let the patient stay in the day room. Move other patients to a different area. C. Cover the patient with a blanket and walk with the patient to a quiet room. D. Tell the patient firmly, "Stop dancing and put on your clothing."

C. Cover the patient with a blanket and walk with the patient to a quiet room.

A patient takes lithium daily. The nurse should monitor the patient for: A. Pharyngitis, mydriasis, and dystonia. B. Alopecia, purpura, and drowsiness. C. Diaphoresis, weakness, and nausea. D. Ascites, dyspnea, and edema.

C. Diaphoresis, weakness, and nausea.

Prior to admission, a patient was directing traffic, shouting "to work, you jerk, for perks," and making obscene gestures at cars. The patient's spouse reports noncompliance with lithium therapy for 3 weeks and not sleeping for 3 days, saying, "I'm too busy." Features characteristic of bipolar disorder the nurse can identify are: A. Increased muscle tension and anxiety. B. Vegetative signs and poor grooming. C. Poor judgment and hyperactivity. D. Cognitive deficits and low mood.

C. Poor judgment and hyperactivity.

The nurse assesses a client diagnosed with schizophrenia. Which assessment finding would the nurse regard as a negative symptom of schizophrenia? A. Auditory hallucinations B. Delusions of grandeur C. Poor personal hygiene D. Psychomotor agitation

C. Poor personal hygiene

A client diagnosed with schizophrenia has taken fluphenazine 5 mg po bid for 3 weeks. The nurse now observes a shuffling propulsive gait, a mask-like face, and drooling. Which term applies to these symptoms? A. Neuroleptic malignant syndrome B. Hepatocellular effects C. Pseudoparkinsonism D. Akathisia

C. Pseudoparkinsonism

A person who recently gave up smoking and now talks constantly about how smoking fouls the air, causes cancer, "burns" money that could be better spent to feed the poor, and so forth is using A. Projection. B. Rationalization. C. Reaction formation. D. Acting out.

C. Reaction formation.

A patient with fluctuating levels of awareness, confusion, and disturbed orientation shouts, "Bugs are crawling on my legs. Get them off!" Which problem is the patient experiencing? A. Aphasia B. Dystonia C. Tactile hallucinations D. Mnemonic disturbance

C. Tactile hallucinations

According to the previous scenario, which of the following symptoms is considered a negative symptom of schizophrenia? A. The patient was mumbling. B. The patient shouted; "They're coming! They're coming!" C. The patient has anergia. D. The patient believes that everything in the environment refer to him.

C. The patient has anergia.

A newly admitted client diagnosed with schizophrenia is hypervigilant and constantly scans the environment. The client states, "I saw two doctors talking in the hall. They were plotting to kill me." The nurse may correctly assess this behavior using which term?***** A. echolalia. B. neologism C. a delusion of reference D. an auditory hallucination.

C. a delusion of reference

When alprazolam is prescribed for a client who experiences acute anxiety, health teaching should include which instruction? A. report drowsiness. B. eat a tyramine-free diet. C. avoid alcoholic beverages. D. adjust dose and frequency based on anxiety level.

C. avoid alcoholic beverages.

The nurse finds a client crying in his room. The client states, "I'm so sad and lonely. I'm sitting here crying like a baby." The nurse's best response is: A. " I think you are a fine man". B. "Why don't you get involved in the activity group?" C. "It's a gray rainy day. That's why you feel down. Everyone is down today." D. "Are you embarrassed because you're crying?"

D. "Are you embarrassing because you're crying?"

A patient with fluctuating levels of consciousness, disturbed orientation, and perceptual alteration begs, "Someone get these bugs off me." What is the nurse's best response? A. "No bugs are on your legs. You are having hallucinations." B. "I will have someone stay here and brush off the bugs for you." C. "Try to relax. The crawling sensation will go away sooner if you can relax." D. "I don't see any bugs, but I can tell you are frightened. I will stay with you."

D. "I don't see any bugs, but I can tell you are frightened. I will stay with you."

A client tells the nurse "I'm told that I should reduce the stress in my life, but I have no idea where to start." The best suggestion for the nurse to make would be A. "Why not start by learning to meditate? That technique will cover everything." B. "In cases like yours, physical exercise works to elevate mood and reduce anxiety. C. "Most stress is related to conflicts in interpersonal relationships. You can work on becoming more assertive." D. "Keeping a journal can help you identify sources of stress by looking at activities that put a strain on energy or time or trigger anger or anxiety."

D. "Keeping a journal can help you identify sources of stress by looking at activities that put a strain on energy or time or trigger anger or anxiety."

A nurse sits with a client diagnosed with schizophrenia. The client starts to laugh uncontrollably, although the nurse has not said anything funny. What is the nurse's most therapeutic response? A. "Why are you laughing?" B. "Please share the joke with me." C. "I don't think I said anything funny." D. "You're laughing. Tell me what's happening."

D. "You're laughing. Tell me what's happening."

A health care provider considers which antipsychotic medication to prescribe for a client diagnosed with schizophrenia who has auditory hallucinations and poor social function. The client is also overweight and hypertensive. Which drug should the nurse advocate? A. Clozapine B. Ziprasidone C. Olanzapine D. Aripiprazole

D. Aripiprazole

The major distinction between fear and anxiety is that A. Fear is a universal experience; anxiety is neurotic. B. Fear enables constructive action; anxiety is dysfunctional. C. Fear is a psychological experience; anxiety is a physiological experience. D. Fear is a response to a specific danger; anxiety is a response to an unknown danger.

D. Fear is a response to a specific danger; anxiety is a response to an unknown danger.

A bipolar client tells the nurse "I have the finest tenor voice in the world. The three tenors who do all those TV concerts are going to retire because they can't compete with me." The nurse would make the assessment that the client is displaying A. flight of ideas. B. Distractibility. C. Limit testing. D. Grandiosity.

D. Grandiosity.

A client diagnosed with schizophrenia has been stable for a year; however, the family now reports the client is tense, sleeps 3 to 4 hours per night, and has difficulty concentrating. The client says, "My computer is sending out infected radiation beams." The nurse can correctly assess this information as an indication of what? A. the need for psychoeducation. B. medication nonadherence. C. chronic deterioration. D. relapse.

D. relapse.