EX mental h

The nurse is assessing a client whose adult daughter states has not been able to leave her home for weeks because she is afraid to be outdoors alone. The nurse anticipates planning care for managing which of the following phobias?' A. Xenophobia B. Acrophobia C. Mysophobia D. Agoraphobia

D is correct. A = fear of strangers, B=fear of heights, and C= Fear of dirt or germs

Which of the following refers to the maximal therapeutic effect that a drug can achieve?

Efficacy

One week after beginning therapy with thiothixene (Navane), the client demonstrates muscle rigidity, a temperature of 103 °F, an elevated serum creatinine phosphokinase level, stupor, and incontinence. The nurse should notify the physician because these symptoms are indicative of

Neuroleptic malignant syndrome

A 50-year-old client with severe and persistent mental illness has been taking antipsychotic medication for 20 years. The nurse observes that the client's behavior includes repetitive movements of the mouth and tongue, facial grimacing, and rocking back and forth. The nurse recognizes these behaviors as indicative of

Tardive dyskinesia

A client is seen in the clinic with clinical manifestations of involuntary tongue movement, blinking, and facial grimacing. This syndrome would be correctly identified as which of the following?

Tardive dyskinesia

12. The patient states that he is 14 trillion years old and created the world. The nurse documents this statement as an example of which type of thinking displayed by the patient? A) Delusional thinking B) Ideas of reference C) Word salad D) Hallucination

a

15. A patient reported to the nurse that on his way to the clinic, a policeman in a patrol car turned on his lights and pulled him over. When asked what he did next, the patient stated, ìI pulled over, of course.î Which of the following was the nurse trying to assess? A) The client's judgment B) The client's insight C) The client's concentration D) The client's self-concept

a

16. The client spoke of a current event in the national news and described it as it relates to the client. Then the client spoke of a historical event and described it as it relates to the client. Which of the following questions might the nurse ask to determine if the client is experiencing ideas of reference? A) ìWhere were you when this happened?î B) ìWhy do you think that?î C) ìAre you sure?î D) ìThat is unbelievable!î

a

18. The nurse asks the client, ìWhat is similar about a cow and a horse?î and ìWhat do a bus and an airplane have in common?î These questions would best assess which of the following areas? A) Intellectual function B) Insight C) Judgment D) Memory

a

27. The client tells the nurse, ìThat new TV anchor is telling the world about me.î This is an example of A) ideas of reference. B) persecutory delusions. C) thought broadcasting. D) thought insertion.

a

28. During the admission assessment, the nurse asks the client, ìHow are you feeling?î The client responds, ìI was able to purchase gas for 7 cents a gallon less than yesterday, which saved me a total of 84 cents. My car has a 12-gallon gas tank. Usually I am able to put in 11.7 gallons. I am very happy to have saved so much money.î The nurse recognizes this response as which of the following? A) Circumstantial thinking B) Echolalia C) Flight of ideas D) Neologisms

a

32. Sexuality and self-harm behaviors are often difficult areas for nurses to assess. An effective way for nurses to deal with this discomfort includes A) recognizing that these areas may also be uncomfortable for the patient to discuss. B) share feelings of discomfort with the patient. C) defer assessing these areas to a more experienced nurse. D) develop a standard question to ask of all patients during this area of assessment

a

4. A client is being evaluated for dementia. The nurse knows that a client who is able to complete very few tasks is most likely to have A) a greater cognitive deficit. B) A less precise mental status exam. C) more potential for agitation. D) no bearing on mental status.

a

7. The nurse asks a patient to list the days of the week in reverse order. The nurse is assessing which of the following? A) Concentration B) Memory C) Orientation D) Abstract thinking

a

A nurse in a hospital is caring for a client who has agoraphobia. The nurse should evaluate that the client is making progress when the client is able to attend A. a picnic in a local park B. daily group therapy sessions C. recreational therapy in the day room. D. lunch in the hospital cafeteria with family.

a

A nurse is admitting a client who is in the manic phase of bipolar disorder. the nurse should recognize that it is appropriate to admit this client to which of the following? A. A private room in a quiet location on the unit B. A semi-private room with a roommate who has a similar problem C. A private room close to the nursing station D. A seclusion room until the activity level becomes more subdued

a

A nurse is caring for a client three days after admission for treatment of depression. The client leaves her current activity, approaches the nurse and states, "There's no reason to go on living. I just want to end it all." Which of the following nursing interventions is appropriate? A. Ask her if she has a plan to commit suicide. B. Recognize the attempt at manipulation and escort her back to her activity. C. Assist her to her room and allow her to rest before resuming activity. D. Notify her family and request a visitor to stay with her until thoughts of suicide are gone.

a

A nurse is caring for a client who requires a crisis intervention for acute anxiety. Which of the following is the highest priority? A. Protecting the client from injury B.Determining the cause of the client's anxiety C.Ensuring that the client feels safe D.Identifying the client's coping skills.

a

The client who is bipolar is being discharged on lithium. The nurse understands the lithium toxicity can occur if the client A. engages in strenuous exercise. B. discontinues the drug abruptly. C. increases sodium intake. D. eats food high in tyramine.

a

The client with depressive disorder, is in alcohol withdrawal and reports a recent job loss. Which of the following should be the priority nursing intervention? A. Determine the presence and degree of suicidal risk. B. Assist the client to identify negative effects of chemical dependency. C. Identify support groups in the community for long term treatment. D. Refer client to a mental health care provider for evaluation and treatment.

a

The client with schizophrenia states he hears voices telling him to do "bad things." The nurse correctly identifies this finding as which of the following? A. Command hallucination B. Gustatory hallucination C. Automatic obedience. D. Negativism

a

The depressed client refuses to participate in group therapy or perform ADLs. Which statement by the nurse is appropriate? A. I will assist you in getting out of bed and getting dressed. B. You can remain in bed until you feel well enough to join the milieu. C. The unit rules state you may not remain in bed. D. If you don't participate in your care, you will not get better.

a

Which of the following are expected findings in the client with obsessive compulsive disorder (OCD)? Select all that apply. A. Difficulty relaxing B. Irrational fear of certain objects C. Rule-conscious behavior D. Unaware of compulsions E. Perfectionist behavior

a

Which of the following findings should the nurse identify as a negative symptom in the client with schizophrenia? A. Affective flattening B. Bizarre behavior C. Illogicality D. Somatic delusions

a

Which of the following is an expected finding for a client with major depressive disorder (MDD)? A. Significant change in weight B. Hyperexcitability C. Exaggerated response of pleasure to stimuli. D. Attention seeking behavior

a

Which statement indicates concrete thinking in the client who has schizophrenia? A. I am aware that each problem has only one solution. B. I am a prophet of God. C. The voices tell me to avoid large crowds. D. I know you're trying to poison me and you can't convince me otherwise.

a

1. When assessing a patient's mental health status, which of the following describe the purpose of the psychosocial assessment? Select all that apply. A) To assess the client's current emotional state B) To assess the client's mental capacity C) To assess the client's behavioral function D) To assess the client's plan of care E) To assess the client's physical health status

abc

Which of the following would you recognize as manic behavior? Select all that apply. A. Talking in rapid, continuous speech B. Interacting with others in a flirtatious way C. Spending large sums of money D. Sleeping for long periods of time. E. Dressing in black or grey clothing.

abc

21. Which of the following are the types of roles that are usually included when assessing roles and relationships? Select all that apply. A) Family B) Hobbies C) Occupation D) Activities E) Race F) Ethnicity

abcd

20. The nurse plans to assess a patient's self-concept in the admission assessment knowing that self-concept influences which of the following? Select all that apply. A) Body image B) Cognitive processing C) Frequently experienced emotions D) Coping strategies E) Responsiveness to medications

acd

3. Which of the following are components of the assessment of thought process and content? Select all that apply. A) What the client is thinking B) Abstract thinking abilities C) How the client is thinking D) Clarity of ideas E) Self-harm or suicide urges

acde

14. A nurse can best assess a patient's ability to use abstract thinking by asking the patient which of the following questions? A) ìWhat would you do if you found a wallet containing $100 on the sidewalk?î B) ìWhat do I mean when I say, 'Don't sweat the small stuff?'î C) ìWhat are you going to do next time you hear voices?î D) ìCan you begin with the number 100 and subtract 7, and then subtract 7 again?î

b

17. Which of the following questions is best to ask when assessing the client's judgment? A) ìCan you describe your usual daily activities for me?î B) ìIf you found yourself downtown without money or a car, how would you get home?î C) ìOn a scale of 1 to 10, how stressed would you rate yourself?î D) ìWhat problem would you like to work on while you're hospitalized?î

b

19. Which of the following would best assess a client's judgment? A) Counting by serial sevens B) Discussing hypothetical situations C) Interpreting proverbs D) Spelling words backward

b

25. The nurse has completed the psychosocial assessment. Which of the following is the best approach toward analysis of the data to identify nursing diagnoses and develop an appropriate plan of care? A) Focus on each piece of information obtained from the patient. B) Look for patterns reflected in the overall assessment. C) Consider only the abnormal findings in the assessment. D) Present all data obtained in the treatment team meeting.

b

26. The nurse reviews results of the Minnesota Multiphasic Personality Inventory (MMPI) recorded in a patient record. While considering the usefulness of these data, the nurse is mindful that the MMPI has which limitation? A) The patient must be able to read to complete the MMPI. B) The results of the MMPI could be culturally biased. C) The MMPI assesses a narrow scope of functioning. D) The MMPI does not have established validity.

b

33. Which of the following is the most compelling reason for the nurse to discuss matters of sexuality and suicide? A) It is required by the law by the federal government and in most states in the union. B) It is the nurse's professional responsibility to keep safety needs first and foremost. C) This is commonly required documentation for every encounter with every client. D) It allows the nurse to gain valuable experience in these kind of difficult discussions.

b

A client is in the manic phase of bipolar disorder and says he is bored. Which of the following activities is appropriate for the nurse to suggest? A. Watching a video in the day room B. Walking with the nurse in the courtyard C. Participating in a basketball game in the gym D. Reading a book in his room.

b

A client with schizophrenia tells the nurse, "They lie about me all the time and they are trying to poison my food.." Which of the following responses is therapeutic? A. You are mistaken. Nobody is lying about you or trying to poison you. B. You seem to be having very frightening thoughts. C. Why do you think you are being lied about and poisoned? D. Who is lying and trying to poison you?

b

A nurse is caring for a client with obsessive-compulsive disorder. Which of the following actions by the nurse is appropriate? A. Interrupt the compulsive behavior B. Investigate reasons for the behavior C. Encourage avoidance of situations that increase anxiety. D. Provide strict environment that inhibits obsessive-compulsive opportunities.

b

A nurse is developing a plan of care for the client with schizophrenia. Which of the following interventions is appropriate to include in the plan of care? A. Place in seclusion if visual hallucinations are present. B. Limit the number of questions asked during assessments. C. Provide diversion with consistent, stimulating activities. D. Directly tell the client that delusions are not real.b

b

A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches, the client states, "I'm feeling really down and don't want to talk to anyone right now." Which of the following is an appropriate response by the nurse? A. It might help you feel better if you talk about it. B. I'll just sit here with you for a few minutes then. C. I understand. I've felt like that before, too. D. Why are you feeling so down?

b

The client with bipolar disorder states, "I feel like Superman. I can do anything. I can fly home today and then become a US Senator." Which of the following is the client A. flight of ideas B. grandiosity C. reality testing D. derealization

b

The client with chronic anxiety is being discharged. Which of the following should the nurse include in the discharge plan? A. Contact crisis counselor once a week B.identify anxiety-producing situations C. try to repress feelings of anxiety D. eliminate stress and anxiety from daily life.

b

The client with schizophrenia states, "The government is forcing thoughts into my brain through satellites." the nurse should document that the client is experiencing which of the following types of delusions? A. Persecution B. Control C. Erotomanic D. Somatic

b

The nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following is the priority intervention? A. Discuss alternative coping strategies with the client. B. Identify precipitating factors for ritualistic behaviors C. Instruct the client on relaxation techniques for use when anxiety increases D. Provide a structured activity schedule for the client.b

b

Which of the following statements indicates a schizophrenic client's understanding for a relapse prevention plan? A. I can remember when my hallucinations first began. B. I know which of my hallucinations trigger a relapse C. I record the number of hallucinations I have each day. D. I will read as much information as I can about schizophrenia.

b

A nurse is caring for a client who is experiencing a crisis related to anxiety. Which of the following interventions are appropriate? Select all that apply. A. Avoid eye contact to prevent escalation of anxiety. B. Establish rapport with the client C. Identify the cause of the anxiety. D. Validate the client's feelings E. Develop a flexible crisis intervention plan

bcd

2. Which of the following factors influencing assessment is under the nurse's control? A) Client participation and feedback B) Client's health status C) Nurse's attitude and approach D) Client's ability to understand

c

23. A nurse assesses that a depressed patient is lethargic during the day and does not actively participate in unit activities. The notes from the night shift document that the patient did not sleep well. The most probable interpretation of these data is A) the patient's medications are ineffective. B) the patient is being kept awake at night due to noise on the unit. C) the patient's depressed mood is impairing restful sleep patterns. D) the patient is resisting treatment recommendations to participate in unit activities

c

24. A nurse suspects that a patient is abusing alcohol while taking prescribed medications. The nurse plans to educate the patient on the dangers of mixing medicine with alcohol. Which of the following would be the most effective way for the nurse to approach this subject with the patient? A) Firmly inform the patient of the dangers of mixing medications with alcohol. B) Recommend a higher level of care, so the patient can be more closely supervised. C) Emphasize the importance of truthful information using a nonjudgmental approach D) Recognize the patient's right to self-determination and avoid addressing the subject.

c

29. A client is admitted to the psychiatric unit and states, ìI am president of the largest corporation in the world. Everyone comes to me for advice.î The client is exhibiting which of the following? A) Flight of ideas B) Thought broadcasting C) Delusion D) Loose associations

c

3. A patient is known to express tangential thinking. The nurse would assess for which of the following when interacting with the patient? A) Stopping abruptly in the middle of expressing himself B) Jumping from one idea to another C) Wandering off the topic and never answering the question D) Excessive and fast talking about an array of ideas

c

30. In the space of 5 minutes, the client has been laughing and euphoric, then angry, and then crying for no reason that is apparent to the nurse. This behavior would be best described as A) flight of ideas. B) lack of insight. C) labile mood. D) tangential thinking.

c

31. Throughout the assessment, the client displays disorganized thinking, jumping from one idea to another with no clear relationship between the thoughts. The nurse would assess the client as having which of the following? A) Tangential thinking B) Ideas of reference C) Loose associations D) Word salad

c

5. During the assessment, the nurse asks the client to describe his problems. The purpose of this question is to obtain information about the client's A) admitting diagnosis. B) communication skills. C) perception of the problem. D) personal needs.

c

A client with schizophrenia suddenly states, "I'm frightened. Do you hear that? The voices are telling me to do terrible things." Which of the following responses by the nurse is appropriate? A. You need to tell the voices to leave you alone. B. There are no voices. C. What are the voices telling you to do? D. Why do you think you are hearing the voices?

c

A nurse ic caring for a client who is experiencing a manic episode. Other clients begin to complain about her disruptive behavior on the unit. Which of the following nursing interventions is appropriate? A. Warn the client that further disruption will result in seclusion. B. Ignore the client's behavior, realizing it is consistent with her illness. C. Set limits on the client's behavior and be consistent in approach. D. Ask the client to recommend consequences for disruptive behavior.

c

A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state, "I don't know why my wife left me." The client receives a diagnosis of anxiety. His findings support which level of anxiety? A. Mild B. Moderate C. Severe D. Panic

c

A nurse is caring for a client who has depression. After three days of treatment, the nurse notices that the client is suddenly more active and there are not longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care? A. Encourage family to take the client out of the facility for short periods of time. B. Reward the client for her change in behavior. C. Monitor the client's whereabouts at all times. D. Ask the client why her behavior is changed.

c

A nurse is caring for a patient with paranoid schizophrenia. Which of the following interventions should be included in the plan of care? A. rotate staff assignments for this client B. use touch to calm the client during periods of anxiety C. Remove medication from sealed packages at the client's bedside D. Assign assistive personnel to feed the client.

c

A nurse is conducting a group therapy session. the group has been laughing at a story one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling, "You are all making fun of me." The nurse should be aware that the client is displaying A. flight of ideas B. delusions of grandeur C. loss of reference D. looseness of association.

c

A nurse on an inpatient mental health unit is admitting a client who reports feeling depressed, sad, moody, and overly anxious. Which of the following is the nurse's assessment priority? A. Home environments B. Support systems C. Suicide risk D. Psychiatric historyc

c

A nurse overhears a client with schizophrenia talking to herself. The client keeps stating, "The mazukas are coming. The mazukas are coming." The nurse correctly recognizes the use of the word "mazuka" as an example of which of the following alterations in speech? A. echolalia B. clang association C. neologism D. word salad

c

The client with bipolar disorder approaches the nurse and reveals fresh, self-inflicted superficial cuts going up and down his right arm. Which of the following actions should the nurse perform first? A. Implement the client's behavioral modification plan B. Document the size and location of the cuts C. Inspect the cuts for debris. D. Administer a tetanus antitoxin.

c

The nurse is assisting the client who has schizophrenia to develop a relapse plan. Which statement by the nurse is appropriate? A. You should be aware that excessive sleeping is an early sign of relapse. B. Relapse is an indication that you are not taking your medications properly. C. You should keep your provider's and therapist's number with you. D. Taking an additional does of medication is appropriate as soon as signs of relapse appear.

c

The nurse is caring for a client with depression. He observes an improvement in the client's grooming when she comes to breakfast freshly bathed, wearing clean clothes, with combed and styled hair. Which of the following responses by the nurse is therapeutic? A. Everyone feels better after showering B. You must be feeling better. You look great! C. You look very nice after your bath and shampoo. D. Why are you all dressed up today? Is it a special occasion?

c

The nurse is caring for a client with obsessive-compulsive disorder (OCD). Which of the following actions should the nurse use to handle the client's ritualistic behaviors? A. Isolate the client for a period of time. B. Confront the client about the senseless nature of the ritualistic behaviors. C. Plan the client's schedule to allow time for rituals. D. Set strict limits on the behaviors so the client can conform to the unit rules and schedules.

c

The nurse is discussing with a newly licensed nurse the appropriate care for the client with bipolar disorder continuously running around the unit asking people to dance with her. Which statement indicates the new nurse understands the appropriate intervention? A. I will turn on a dance video so she can burn off excess energy. B. I will offer her a low-calorie snack if she stops the behavior. C. I will instruct her to go outside with me and sit in the garden area. D. I will observe her closely for the development of aggressive behavior.

c

The nurse observes that the client with schizophrenia consistently does the opposite of what he is told. The nurse recognizes this as which of the following alterations in behavior? A. automatic obedience B. waxy flexibility C. negativism D. impaired impulse control

c

Which of the following behaviors does the nurse anticipate in a client with schizophrenia? A. Periods of elation with unusual talkativeness B. Preoccupied with folding clothes C. Invents words that have no meaning D. Recurrent thoughts of past trauma

c

Which of the following diagnoses does the nurse identify as presenting the greatest risk for suicide? A. Premenstrual dysphoric disorder B. Seasonal affective disorder C. Recurrent brief depression D. Minor depression

c

Which of the following is the most common behavioral finding among clients who have depression? A. Focus on past failures B. Slowed body movement C. Lack of energy D. Sleep disturbances.

c

Which of the following statements by a client with mood disorder indicates readiness for discharge? A. Right now, I can't bathe myself or dress myself, but I feel good about that. B. Going home will be fun, but if it isn't fun, I can always have my mother to help me. C. I will take my medicines as I should, and know to call the number you gave me if I have bad thoughts. D. Taking care of myself is important, but it's okay if I don't want to do anything.

c

Which of the following statements by the newly licensed nurse indicates an understanding of the underlying reason clients with OCD perform ritualistic behaviors? A. The ritualistic behavior provides sexual satisfaction. B. The client performs ritualistic behavior to boost self-esteem. C. The ritualistic behavior temporarily relieves anxiety. D. The client performs ritualistic behavior to decrease feelings of shame.

c

Which of the following supports the admitting diagnosis of acute mania in the client with bipolar disorder? A. The client's spouse reports that the client has recently gained weight. B. The client is dressed in all black. C. The client responds to questions with disorganized speech. D. The client reports that voices are telling him to write a novel.

c

9. The nurse is assessing suicide potential in a patient who has expressed hopelessness. In what order does the nurse question the patient about suicidal thoughts? A. ìHow would you carry out this plan?î B. ìDo you have a plan to kill yourself?î C. ìAre you thinking of killing yourself?î D. ìHow do you plan to kill yourself?î

cbda

10. The nurse best assesses a patient's memory by asking which of the following questions? A) ìDo you have any problems with memory?î B) ìWhat did you have for lunch yesterday?î C) ìDo you know where you are?î D) ìWho is the current president?î

d

11. A patient shows no facial expression when engaging in a game with peers during an outing at a park. The nurse uses which of the following terms when documenting the patient's affect? A) Blunt affect B) Restricted affect C) Broad affect D) Flat affect

d

2. Knowing that relationships with others are significant to mental health, the nurse effectively assesses a patient's family relationships through which of the following? A) ìDo you feel your family helps you?î B) ìHow many people are in your family?î C) ìWhom are you closest to in your family?î D) ìDescribe your relationships with your family.î

d

6. A delusion represents a problem in which of the following areas? A) Memory B) Motivation C) Orientation D) Thinking

d

8. When the nurse asks the client to restate the following in his or her own words, which sensorium and intellectual process is the nurse attempting to identify? The nurse states, ìA stitch in time saves nine.î A)The client's orientation B)The client's memory C)The client's ability to concentrate D)The client's ability to use abstract thinking

d

A nurse at a walk-in mental health clinic is assessing a client. The client says, "My dad is in town. I am physically ill, haven't been able to sleep, can't concentrate, and have diarrhea, a headache and palpitations. I had to have my husband drive me here today because I didn't trust myself behind the wheel. I was afraid to even come. I just know something bad will happen. My dad can read my thoughts." The nurse should assess the client's anxiety level to be A. mild B. moderate C. severe D. panic

d

A nurse in an acute mental health facility is caring for a client receiving treatment for anxiety. The client begins continuous pacing at a rapid rate. Which of the following interventions is most appropriate? A. Instruct her to sit down and quit pacing. B. Take the client to a quiet area C. Administer a PRN anti-anxiety medication D. Talk calmly to the client.

d

A nurse in the psychiatric unit is caring for a client with moderate anxiety disorder. Which measures should the nurse include in the immediate plan of care? A. Circumvent a discussion about concerns. B. Remain near the client C. Encourage the client to sit for a while D. Foresee anxiety-provoking circumstances

d

The client exhibiting manic behavior reports recent personal stressors including the loss of her mother and a divorce. Which of the following is the priority nursing action? A. Identifying support systems. B. Assisting the client in identifying coping behaviors C. Encouraging self-care. D. Preventing self-directed violence.

d

The client with anxiety has a prescription for alprazolam (Xanax) 0.25mg PO every 8 hr. PRN anxiety. Which of the following is an appropriate situation to administer alprazolam to this client? A. The client states, "I see purple bugs crawling on the wall." B. The client describes an increase in pain after receiving meperidine (Demerol). C. The client pretends to be a government agent. D. The client states, "My heart is pounding out of my chest."

d

The client with bipolar in the psychiatric unit comes to the nurses' station at 0300 demanding that the nurse call the provider immediately. Which is the nurse's most appropriate response? A. You are being very unreasonable and I will not call your doctor at this hour. B. Go back to your room and I'll try to get in touch with your doctor. C. I can't call the doctor in the middle of the night unless it's an emergency. D. You must be very upset about something.

d

The client with obsessive compulsive disorder (OCD) is constantly picking up after others in the day room. The nurse recognizes the client uses this behavior to do which of the following? A. Limit the amount of time available to interact with others. B. focus attention on meaningful tasks. C. manipulate and control others' behaviors. D. decrease anxiety to a tolerable level.

d

The nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse suspects the client is suffering from post-traumatic stress disorder when he states A. A check any room I enter because the enemy is still after me and could be hiding anywhere B. My child was born with a birth defect I believe is due to an exposure I had overseas. C. I killed four enemy soldiers with my bare hands and saved my entire battalion. D. In my dreams, all I can see are the wounded reaching out and trying to grab me.

d

The nurse is caring for a new client who exhibits signs of a major depressive episode. The provider states that she wants to rule out medical conditions which could also be linked to the findings. The nurse should expect diagnostic testing for which of the following medical conditions? A. Pancreatitis B. Cholecystitis C. Tuberculosis D. Hypothyroidism

d

Which of the following is an expected finding in the client with a diagnosis of conversion disorder? A. Frequent manic episodes B. Refusal of medication due to paranoia C. constant desire to talk about personal emotions D. involuntary loss of a sensory function

d

Which of the following is an expected finding in the client with posttraumatic stress disorder following a sexual assault? A. Sleeping 12 hours or more each day B. Increasing sense of attachment to others C. constant need to talk about the event D. increasing feelings of anger

d

nurse is completing an admission assessment for a client who has depression. Findings include an inability to concentrate, an inability to complete everyday tasks, and a preference to sleep all day. Which of the following is an appropriate intervention to include in the plan of care? A. Discourage rest only at bedtime B. Instruct family to avoid visiting during mealtimes C. Offer frequent low calorie snacks D. Develop a structured routine for the client to followd

d

A client with bipolar disorder has been taking lithium, and today his serum blood level is 2.0 mEq/L. What effects would the nurse expect to see?

nausea dirreah and confusion

Which of the following is a symptom of serotonin syndrome?

rigidity

For a client taking clozapine (Clozaril), which of the following symptoms should the nurse report to the physician immediately?

sore throat and malise