114 Psych PrepU Quiz

During the interview at a crisis center, a newly widowed client reveals the wish "to join my husband in Heaven." The nurse determines that the client doe not plan to hurt herself. Which question is appropriate to use next?

"Tell me what feelings you have been experiencing."

A client comes to the emergency department reporting a severe pounding headache in the temples and a stiff neck. The client is flushed and diaphoretic, and the client's pulse is racing. The client states that the client is being treated for depression with an MAOI. Which question by the nurse would be most important to ask at this time?

"What have you had to eat or drink today?"

A nurse is preparing an education plan for the family members of a client who has been diagnosed with bipolar disorder. After teaching them about potential indicators for relapse, the nurse determines that the education was effective when the family members identify which as suggesting mania? Select all that apply:

-Talking faster than usual -Being hungry all the time -Reading several books at once

A client on a psychiatric care unit has muscle spasms in the neck, stiffness in other muscles, and the eyes rolling upward. The client had two PRN doses of haloperidol in the last 6 hours. Of the drugs that have been prescribed for the client as needed, the nurse should administer:

Benztropine

A 42-year-old client with major depression is in an inpatient psychiatric hospital. The client has been taking phenelzine, a monoamine oxidase inhibitor (MAOI), for depression. The therapist writes an order to discontinue the phenelzine and begin fluoxetine. Which action by the nurse is indicated?

Call the therapist to discuss the need for a washout period before starting the fluoxetine

A nurse is preparing for the discharge of a client who has been hospitalized for schizophrenia. The client's husband expresses concern over whether his wife will continue to take her daily ordered medication. The nurse should inform him that:

His wife can be given a long-acting medication that is administered every 1 to 4 weeks

A client receiving lithium therapy has a plasma blood concentration of 2.2 mEq/L. Which would the nurse expect to assess?

Slurred speech

A client comes to the emergency department while experiencing a panic attack. What action by the nurse is most appropriate?

Staying with the client until the attack subsides

A nursing instructor is teaching about different depressive disorders and identifies a need for further instruction when a student states what?

"Dysthymic disorder is less chronic than major depression"

A 52-year-old client with bipolar disorder tells the nurse, "I read that there are chemicals in my brain that cause my symptoms." Knowing that the client is referring to neurotransmitters, which would be the best response by the nurse?

"Low levels of the neurotransmitter serotonin are associated with mania."

Which medication can control the extrapyramidal effects associated with antipsychotic agents?

Amantadine

The client is taking risperidone to treat the positive and negative symptoms of schizophrenia. Improvement of which negative symptoms indicate the drug is effective?

Asocial behavior and anergia

A client with schizophrenia is mute, can't perform activities of daily living, and stare out the window for hours. What is the nurse's first priority?

Assist the client with feeding

The nurse is providing care for a client who has been diagnosed with antisocial personality disorder. Which outcome should the nurse prioritize when planning this client's care?

The client will express anger in an adaptive, nonviolent manner

A client reports that men in blue clothes keep looking in her window and talking about her. Which response by the nurse is most appropriate?

"Those men are groundskeepers. They are talking about their work, not you."

The nurse is working with a group of parents of children who are obese. What action would the nurse include in her teaching plan for this group to aid them in helping their children to lose weight? Select all that apply

-Keep a supply of healthy low-calorie snacks around the house, such as carrot sticks and raw vegetables -Recommend that the child eat all meals at the table with the family -Help the child get involved in an enjoyable activity such as bike riding or swimming for exercise, and make it a family adventure.

A 51-year-old client has been severely depressed and has been contemplating suicide. While feeling like the client has no other way out, the client also wishes someone would help. What is this known as?

Ambivalence

A client with schizophrenia tells a nurse preparing him for discharge that he has no home or family and he has been living on the street. Which action is most appropriate?

Asking the physician to refer the client to social services for further evaluation

The nurse is planning care for client with schizophrenia. The nurse understands that the client will need the most extensive laboratory monitoring regiment if which medication is prescribed?

Clozapine

An infant is diagnosed as having organic failure to thrive. What client history finding would be contributory to this diagnosis?

Cystic fibrosis