Psych questions review

The nurse administered haloperidol (Haldol) to a client with dementia who was experiencing severe agitation. It is most important for the nurse to assess the client for which adverse effects? Select all that apply. 1. Photosensitivity 2. Bradycardia, apnea, and hypotension 3. Urinary output 4. Skin irritation 5. Insomnia, nightmares, and early morning awakenings 6. Dizziness

1, 3, and 6 1. Photosensitivity 3. Urinary output 6. Dizziness

the effectiveness of MAOI drug therapy in a client with ptsd can be demonstrated by which client self-report? 1. "im sleeping better and dont have nightmares" 2. "im not losing my temper as much" 3. "ive lost my craving for alcohol" 4. "ive lost my phobia for water"

1. "im sleeping better and dont have nightmares"

The preceptor is teaching a graduate nurse about electroconvulsive therapy(ECT). The preceptor determines that further teaching is not needed when the graduate nurse makes which statement? 1. ECT is used to treat clients with major depression. 2. ECT is used to treat antisocial personality disorder. 3. ECT is used to treat clients diagnosed with schizophrenia 4. ECT is used to treat clients diagnosed with somatoform disorders.

1. ECT is used to treat clients with major depression.

A nurse is caring for a client with delirium. Which nursing intervention has the highest priority? 1. Provide a safe environment. 2. Offer recreational activities. 3. Provide structured environment. 4. Institute measure to promote sleep.

1. Provide a safe environment.

A client is prescribed sertraline(Zoloft). It is most important for the nurse to provide information to the client about which adverse effects? Select all that apply. 1. agitation 2. agranulocytosis 3. sleep disturbance 4. intermittent tachycardia 5. dry mouth 6. seizures`

1. agitation 3. sleep disturbance 5. dry mouth

The nurse is teaching a student nurse about somatoform disorders. which of the following statements by the nurse would be most accurate in describing somatoform disorders? 1. individuals experience physical symptoms without an organic cause. 2. individuals attend psychotherapy sessions 3. individuals are considered to be hypochondriacs 4. individuals are frustrated about the inability to find the source of their symptoms.

1. individuals experience physical symptoms without an organic cause.

the nurse is developing a plan of care for a client with depression who has been admitted to the inpatient unit because of an attempted suicide. what is the priority goal for this client? 1. the client will seek out the nurse when feeling self-destructive 2. the client will identify and discuss actual and percieved losses 3. the client will learn strategies to promote relaxation and self-care. 4. the client will establish healthy and mutually caring relationships.

1. the client will seek out the nurse when feeling self-destructive

A nurse is assigned a client with anxiety disorder. what is the most appropriate intervention by the nurse to demonstrate caring? 1. verbalize concern about the client. 2. arrange group activities for the client 3. have the client sign the treatment plan 4. hold psychoeducational groups on medications.

1. verbalize concern about the client.

A nurse is caring for a client with schizotypal personality disorder. What is the most appropriate response by the nurse? 1. "You are to participate in all of the classes offered here on the unit." 2. "You may work on your assigned work sheets in your room." 3. "You are to conduct the community meeting this morning." 4. "You will help teach our medication class today to the entire group."

2. "You may work on your assigned work sheets in your room." Schizotypal personality disorders tend to isolate, this should be respected by the nurse.

A client whose wife recently died in an automobile accident is now being treated at the outpatient psychiatric clinic. The nurse anticipates that the most effective treatment would be? 1. Electroconvulsive therapy 2. group therapy 3. hypnotherapy 4. individual therapy

2. group therapy

After interviewing a client diagnosed with recurrent depression, the nurse determines the client's potential to commit suicide. what factors should the nurse consider as contributing to the clients suicidal potential? select all that apply. 1. psychomotor retardation 2. impulsive behaviors 3. overwhelming feelings of guilt 4. chronic, debilitating illness 5. decreased physical activity 6. repression of anger

2. impulsive behaviors, 3. overwhelming feelings of guilt, 4. chronic, debilitating illness, 6. repression of anger

a client who has just had ECT asks the nurse for a drink of water. what is the most important intervention by the nurse? 1. take the clients blood pressure 2. monitor the gag reflex 3. obtain a body temp. 4. determine the LOC

2. monitor the gag reflex

The nurse has taught a family about the medication donepezil (Aricept). The nurse determines that teaching was successful when the family makes which statement? 1. "We will need to figure out a schedule to get dad's blood work done weekly." 2. "When dad's Alzheimer's worsens, he will need to stop taking the drug." 3. "This drug may slow down dad's pulse, since he has preexisting heart disease." 4. "Aricept acts as a diuretic, so dad should take it in the morning."

3. "This drug may slow down dad's pulse, since he has preexisting heart disease."

A newly admitted client diagnosed with delirium has a history of hypertension and anxiety. The client had been taking digoxin, furosemide (Lasix), and diazepam (Valium) for anxiety. The nurse suspects that this client's impairment may be the result of which of the following? 1. Opportunistic infection 2. Metabolic acidosis 3. Drug intoxication 4. Hepatic encephalopathy

3. Drug intoxication

The nurse explains that the therapeutic action of tricyclics for clients experiencing PTSD is to: 1. prevent hyperactivity and purposeless movements. 2. increase the client's ability to concentrate. 3. help prevent experiencing the trauma again 4. faciltate the grieving process

3. help prevent experiencing the trauma again

a nurse is providing teaching for a client with bipolar disorder who is scheduled for electroconvulsive therapy. The client asks the nurse if there are any adverse effects from the therapy. what is the best response by the nurse? 1. cholestatic jaundice 2. hypertensive crisis 3. mouth ulcers 4. respiratory distress

4. respiratory distress

A delirious client is shouting for someone to get the bugs off of her. Which response by the nurse is the most appropriate? 1. "Don't worry. I'll stay here and talk to you while I brush the bugs away from you." 2. "You need to try and relax. The crawling sensation will go away sooner if you can relax." 3. "There are no bugs on your legs or in the bed. It's just your imagination playing tricks on you." 4. "I see that you are frightened, and I will stay with you. I don't see any bugs crawling on you."

4. "I see that you are frightened, and I will stay with you. I don't see any bugs crawling on you."

A client diagnosed with bipolar disorder becomes verbally agressive during group therapy. The client states "I hate all of you." What is the most appropriate response by the nurse? 1. youre behaving in an unacceptable manner. 2. if you continue to talk like that, i will dismiss you from the group. 3. other people are not comfortable with your statement, please stop it. 4. youre frightening the group; lets walk down the hall to release some energy.

4. youre frightening the group; lets walk down the hall to release some energy.

A client diagnosed with Alzheimer's tells the nurse that today she has a luncheon date with her daughter, who is not visiting that day. Which response by the nurse would be most appropriate? 1. "Where are you planning on having your lunch?" 2. "You're confused and don't know what you're saying." 3. "I think you need some more medication, I'll bring it to you." 4. "Today is Monday, March 8, and we'll be eating lunch in the dining room."

4. "Today is Monday, March 8, and we'll be eating lunch in the dining room."

The home health nurse notices that the elderly, diabetic client she sees every week is starting to demonstrate some difficulty answering questions about her chronic disease strategies and self-management activities. Which action would the nurse take to validate her suspicion of the client have cognitive changes and possibly the beginning stages of dementia? 1. Speak to the doctor about ordering cardiac diagnostic studies. 2. Petition the insurance company for a weekly home health aide. 3. Request that another nurse visit and perform a mental status exam. 4. Arrange to speak to a family caregiver as soon as possible.

4. Arrange to speak to a family caregiver as soon as possible.

Which intervention should help a client with Alzheimer's disease perform activities of daily living? 1. Have client perform all basic care without help. 2. Tell the client morning care must be done by 9am. 3. Give the client a written list of activities he is expected to do. 4. Encourage the client and give ample time to complete basic tasks.

4. Encourage the client and give ample time to complete basic tasks.

A client with paranoid personality disorder makes an inappropriate and unreasonable report to a nurse. What is the most appropriate intervention by the nurse? 1. Use logic to address this concern. 2. Confront the client about the stated misconception. 3. Use nonverbal communication to address the issue. 4. Tell the client matter-of-factly that you don't share his interpretation.

4. Tell the client matter-of-factly that you don't share his interpretation.

what is the priority nursing action for a client with generalized anxiety disorder who is working to develop coping skills? 1. determine whether the client has fears or obsessive thinking. 2. monitor the client for overt and covert signs of anxiety. 3. teach the client how to use effective communication skills 4. assist the client to identify coping mechanisms used in the past.

4. assist the client to identify coping mechanisms used in the past.

the nurse is developing a plan of care for a client with bipolar disorder. it would be most important for the nurse to include which suggestion? 1. obtain a medication for sleep 2. work on solving a problem 3. exercise before bedtime 4. develop a sleep ritual

4. develop a sleep ritual

what is the most important information for the nurse to include when providing nutritional counseling for family members of a client with bipolar disorder? 1. if insufficient roughage isnt eaten while taking lithium, bowel problems will occur. 2. if the intake of carbohydrates increases, the lithium level will increase 3. if the intake of calories is reduced, the lithium level will increase. 4. if the intake of sodium increases, the lithium level will decrease.

4. if the intake of sodium increases, the lithium level will decrease.

A client with a somatoform disorder may obtain primary and secondary gain. which statment best describes secondary gain? 1. it brings some stability to the family 2. it decreases the preoccupation with the physical illness 3. it enables the client to avoid some unpleasant activity. 4. it promotes emotional support or attention for the client

4. it promotes emotional support or attention for the client

A client with a diagnosis of somatoform disorder has been admitted to the psychiatric unit and has difficulty breathing, numbness, and loss of movement in his left arm. he seems unusually calm and unconcerned about his loss. the nurse recognizes these symptoms as which disorder? 1. conversion disorder 2. hypochondriasis 3. body dysmorphic disorder 4. pain disorder

conversion disorder