Mental heath (hard) *29 questions continue*

A nurse is preparing to administer alprazolam 4mg po divided equally every 12 hours for a client who has generalized anxiety disorder. The amount available is alprozolam 2 mg/tab. How many tablets should the nurse administer per dose?

1 tablet

A nurse in a providers office is reviewing the laboratory reports of a client who has bulimia nervosa. Which of the following laboratory values indicates a therapeutic response to the treatment plan?

A. BUN 15 mg/dL

A nurse is caring for a client who is terminally ill. The client states, " if only I had gone to my doctor earlier". The nurse should identify that the client is which of the following Kubler Ross stages of grief?

A. Bargaining

A nurse is reinforcing teaching with a client who has anxiety and a new prescription for diazepam. Which of the following statements should the nurse make?

A. Feeling of sedation should resolve in 1 week.

A nurse is contributing to the plan of care for a group of clients. Which of the following interventions is the priority for the nurse to include?

A. Offer high-calorie beverages to a client who is in the maniac phase of bipolar disorder.

A nurse is collecting data from a client prior to the administration of lithium. The client began taking lithium 1 week ago for the treatment of mania. For which of the following findings should the nurse withhold the dose?

A. Report of nausea with frequent episode of emesis.

A nurse is observing a client who has historic personality disorder. Which of the following behaviors should the nurse expect?

A. The client whispers in the providers ears

A nurse is counseling a client following a recent death in the family. Which of the following situations should the nurse identify as a risk factor for maladaptive grieving?

A. The death was a result of violence

A nurse is collecting data on a client who has antisocial personality disorder. Which of the following manifestations should the nurse expect in the clients personality?

A. Unconcerned about obeying the laws

A home health nurse is talking with the partner of a client who has dementia. Which of the following statements by the partner indicates that the clients is displaying signs of apraxia?

A. Yesterday my partner put on a jacket upside down.

A nurse in a community mental health facility is caring for group of clients. Which of the following client should the nurse identify as experiencing an adventitious crisis?

B. A client who is depressed following a devastating fire in her home

A nurse is caring for a client who has schizophrenia and is experiencing auditory and visual hallucinations. Which of the following actions should the nurse take?

B. Encourage the client to use reality testing.

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

B. Ensure staff members set limits on the clients behavior.

A nurse is caring for a client who has been taking fluoxetine for anxiety. Which of the following adverse effects of this medication should the nurse report to the provider immediately?

B. Hallucinations

A nurse is reinforcing teaching about ethics with a new licensed nurse. Which of the following actions should the nurse include as an example of beneficence?

B. Spending extra time reorienting a client who is experiencing command hallucinations.

A nurse is caring for a client who has a stimulant use disorder. Which of the following manifestations should the indicate to the nurse that the client is experiencing withdrawal?

C. Depression

A nurse is reinforcing teaching for a client who has generalized anxiety disorder and a new prescription for buspirone. The nurse should inform the client that which of the following manifestations is an adverse effect of this medication?

C. Dizziness

A nurse is caring for a client with borderline personality disorder (BPD) who exhibits a pattern of behavior of playing staff members against each other. Which of the following actions should the nurse take?

C. Explore the clients use of clinging and distancing behaviors with him.

A nurse is caring for a client who requests information about smoking cessation using nicotine gum. For which of the following reasons should the nurse recommend another over-the-counter smoking cessation product to the client?

C. The client has dentures

A nurse is collecting data from a client who has been using a nicotine transdermal patch for smoking cessation. The client reports itching of the skin where the patch is applied. Which of the following statements should the nurse make?

C. You should discontinue using the patch

A nurse is teaching a client who has bipolar disorder and a new prescription for lithium. The nurse should identify which of the following statements by the client indicates an understanding of the teaching?

D. " I am likely to gain weight while taking lithium".

A nurse is reviewing a client who is seeking help for intimate partner violence. Which of the following client statements should the nurse identify as an indication that the client is in the tension building phase of the cycle of violence?

D. "I only got shoved a little bit, and it was my fault for coming home late".

A nurse is reinforcing teaching with a client who has a new prescription for buspirone to treat anxiety. Which of the following statements should the nurse include in the teaching?

D. Buspirone causes nausea in some people

A nurse is caring for a client who has anorexia nervosa. The client states " if I gain weight, I'll never have a boyfriend". Which of the following cognitive distortions is the client displaying?

D. Catastrophizing

A nurse is reinforcing teaching with a client who has an anxiety disorder about non pharmacological ways to promote good sleep habits. Which of the following recommendations should the nurse make?

D. Eat a light snack containing carbohydrates before bedtime.

A nurse on a mental health unit is preparing to discharge a client who has bulimia nervosa. Which of the following medications should the nurse expect the provider to prescribe for the client?

D. Fluoxetine

A nurse is determining the total score of a clients alcohol use disorder identification test (AUDIT) by assigning a score of 0 to 4 each of the clients answers. For which of the following self-reported findings should the nurse assign the client a score of 4?

D. Last month the provider suggested that the client reduce his alcohol intake.

A nurse is caring for a client who has schizophrenia and is experiencing negative symptoms. Which of the following manifestations should the nurse expect?

D. Social discomfort

A nurse is collecting data from a client who has moderate cognitive decline due to stage 4 Alzheimer's disease. Which of the following findings should the nurse expect?

D. The client is able to identify the names of family members.