Exam 3

A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and flat affect. The nurse should expect a prescription for which of the following medications?

risperidone

A nurse is reviewing the medical record of a client who has a new prescription for bupropion for depression. which of the following findings is the priority for the nurse to report to the provider?

the client had a motor vehicle crash last year and sustained a head injury

A nurse is caring for a client who schizoaffective disorder. which of the following statements indicates the client is experiencing depersonalization?

"I am no one, and everyone is me."

A nurse is providing teaching to a client who has a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?

" I may feel drowsy for a few weeks after starting this medication"

A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription for iloperidone. which of the following clients statements indicates understanding of the teaching?

" I will be careful not to gain too much weight while taking this medication."

A nurse is caring for a client who is prescribed lithium therapy. The client tells of the plan to take ibuprofen for osteoarthritis pain relief. Which of the following statements should the nurse make?

" regular aspirin would be a better choice than ibuprofen "

A nurse is teaching a newly licensed nurse about the use of ECT for treatment of bipolar disorder. Which of the following statements by the newly licensed nurse indicates understanding

"ECT is effective for clients who are experiencing severe mania"

A nurse is teaching a client who has a new diagnosis of premenstrual dysphoric disorder. Which of the following statements by the client i indicates understanding of the teaching?

"I am aware that my PMDD causes me to have rapid mood swing"

A nurse is caring for.a client who has bipolar disorder. the client state, "I am very rich, and i feel I must give my money to you." Which of the following responses should the nurse make?

"I am here to provide care and cannot accept this from you"

A nurse is discussing free association as a therapeutic tool with a client who has major depressive disorder. Which of the following client statements indicates understanding of this technique

"I should say the first thing that comes to my mind"

A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior. The client tells the nurse about fears of gaining weight. Which of the following responses should the nurse make?

"I understand you have concerns about your weight, but first, lets talk about your recent accomplishments"

A nurse is providing teaching for a client who is scheduled to receive ECT for treatment of major depressive disorder. Which of the following client statements indicates understanding of the teaching?

"I will receive a muscle relaxant to protect me from injury during ECT"

A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching

"I will schedule the client for TMS treatment 3 to 5 times a week for the first several weeks"

A charge nurse is discussing the care of a client who has major depressive disorder with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"The client is at greatest risk for suicide during the first week of an MDD episode"

A nurse is teaching a client who has anxiety disorder and is scheduled to begin classical psychoanalysis. which of the following client statements indicates an understanding of this form of therapy?

"The therapist will focus on my past relationships during our sessions"

A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to begin lithium therapy. When collecting a medical history from the clients caregiver, which of the following statements in the priority is to report to the provider?

"current medications include furosemide for congestive heart failure"

A nurse is assessing a client who has major depressive disorder. The nurse should identify which of the following client statements as an overt comment about suicide?

- "my family would be better off if I'm dead" - "I wish my life was over" - " If I kill myself then my problems will go away"

A nurse in a pediatric clinic is caring for a preschool age child who has a new diagnosis of ADHD. When teaching the guardians about this disorder, which of the following statements should the nurse include in the teaching?

"because of this disorder, your child is at an increased risk for injury"

A charge nurse is discussing the manifestation of schizophrenia with a newly licensed nurse. Which of the following manifestation should the charge nurse identify as being effectively treated by first-generation antipsychotics?

- Auditory hallucination - delusions of grandeur - severe agitation

A nurse is teaching a child who has intermittent explosive disorder about a new prescription for fluoxetine. Which of the following information should the nurse provide?

- administer the medication in the morning - monitor for weight loss while taking this medication - this medication blocks the synaptic reuptake of serotonin in the brain.

A nurse is completing an admission assessment for a client who has schizo[hrenia. which of the following findings should the nurse document as positive symptoms?

- auditory hallucination - use of clang associations - delusions of persecution - constantly waving arms

A nurse is teaching a group of guardians about the manifestation of conduct disorder. Which of the following findings should the nurse include?

- bullying of others - threats of suicide - law breaking activities

A nurse is assisting with the development of protocols to address the increasing number of suicide attempts in the community. Which of the following interventions should the nurse include as a primary interventions

- conducting a suicide risk screening on all new clients - educating high school teens about suicide prevention - teaching middle school educators about warning indicators of suicide

A nurse is assisting the guardians of a school age child who has oppositional defiant disorder in identifying strategies to promote positive behavior. which of the following strategies should the nurse recommend?

- develop a reward system for acceptable behavior - encourage the child to participate in school sports - be consistent when addressing unacceptable behavior

A nurse is caring for a client who has major depressive disorder. which of the following should the nurse identify as a risk factor for depression?

- history of chronic bronchitis - recent death in clients family - family history of depression - personal history of panic disorder

A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. which of the following is an expected finding?

- hypokalemia - slightly elevated body weight

A nurse is assessing a client immediately following an ECT procedure. Which of the following findings should the nurse expect?

- memory loss - confusion

A nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode. which of the following interventions should the nurse include in the plan of care?

- offer concise explanations - establish consistent limits - use a firm approach with communication

A nurse is caring for a client who takes ziprasidone. The client reports difficulty swallow the oral medication and becomes extremely agitated with injectable administration. The nurse should contact the provider to discuss a change to which to which of the following medications?

- olanzapine - aripiprazole - clozapine - asenapine

A nurse is discussing early indications of toxicity with a client who has a new prescription for lithium carbonate for bipolar disorder. The nurse should include which of the following manifestations in the teaching?

- polyuria - muscle weakness

A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. which of the following techniques should the nurse include in the plan of care?

- priority restructuring - monitoring thoughts - journal keeping

A nurse is teaching the guardians of a child who has autism spectrum disorder about indications of imipramine toxicity. Which of the following should the nurse include in the teaching?

- seizures - agitation - irregular pulse

A nurse is performing an admission assessment on an adolescent client who has depression. Which of the following findings are expected for this disorder

- substance use - irritability - aggressiveness

A nurse is planning care for a client following surgical implantation of a VNS device. The nurse should plan to monitor which of the following adverse effects?

- voice changes - cough - neck pain

A nurse is obtaining a nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the following questions should the nurse include in the assessment?

- what is your relationship with your family? - would you describe your current eating habits? - can you discuss your feelings about your appearance?

A nurse is caring for a client who has a substance-induced psychotic disorder and is experiencing auditory hallucinations. The client states, "The voices won't leave me alone!" Which of the following statements should the nurse make

- when did you start hearing these things - it must be scary to hear voices - are the voices you hear telling you to hurt yourself?

A nurse is providing teaching to an adolescent client who is to begin taking atomoxetine for ADHD. The nurse should instruct the client to monitor for which of the following adverse effects?

- yellowing skin - fever - malaise

A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90lb. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing?

-Life isn't worth living if I gained weight

A nurse is discussing relapse prevention with a client who has bipolar disorder. Which of the following information should the nurse include in the teaching?

-difficulty sleeping can indicate a relapse -participating in psychotherapy can help prevent a relapse - anhedonia is a clinical manifestation of a depressive relapse

A nurse is assessing. a client who is currently taking perphenazine. Which of the following findings should the nurse identify as an extrapyramidal symptom?

-drooling - involuntary arm movements - continual pacing

A nurse is caring for a client who is taking phenelzine for which of the following manifestations should the nurse monitor as an adverse effect of this medication?

-orthostatic hypotension - hypomania

A nurse is teaching a client who has a new prescription for imipramine how to minimize anticholinergic effects. Which of the following instructions should the nurse include in the teaching?

-void just before taking the medication - wear sunglasses when outside - chew sugarless gum

A nurse is conducting a class for a group of newly licensed nurses on caring for clients who are at risk for suicide. Which of the following information should the nurse include in the teaching?

A no-suicide contract decreases the clients risk for suicide

A nurse is discussing routine follow up needs with a client who has a new prescription for valproate. The nurse should inform the client of the need for routine monitoring of which of the following>

AST/ALT and LDH

A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to administration of lithium carbonate, the clients lithium blood level is 1.2 mEq/L. Which of the following actions should the nurse take?

Administer the next dose of lithium carbonate as scheduled.

A nurse is speaking with.a client who has schizophrenia when the client suddenly seems to stop focusing on the nurse's questions and begin to look at the ceiling and talking to themselves. Which of the following actions should the nurse take?

Ask the client, "are you seeing something on the ceiling?"

A nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol use disorder. The nurse informs the client that this medication can cause nausea and vomiting when alcohol is consumed. which of the following types of treatment is this method an example?

Aversion therapy

A nurse is leading a peer group discussion about the indications for ECT. Which of the following indications should the nurse include in the discussion?

Bipolar disorder with rapid cycling

A nurse is caring for a school age child who has conduct disorder and a new prescription for methylphenidate transdermal patches. Which of the following information should the nurse provide about the medication?

remove the patch each day after 9hr

A nurse is assessing a 4 year old child for indications of autism spectrum disorder. For which of the following manifestation should the nurse assess?

repetitive counting

A nurse is providing teaching to an adolescent client who has new prescription for clomipramine for OCD. Which of the following information should the nurse provide?

Eat a diet high in fiber

A nurse is caring for a client who is on suicide precautions. Which of the following interventions should the nurse include in the plan of care?

Ensure that the client swallows medications

A nurse is caring for a client who states, "i plan to commit suicide." Which of the following assessments should the nurse identify as the priority

Lethality of the method and availability of means

A nurse is caring for a client who has bipolar disorder. which of the following is the priority nursing action?

Monitor the client for escalating behavior

A nurse is interviewing a client who has a new diagnosis of persistent depressive disorder. Which of the following findings should the nurse expect?

Presence of manifestation for at least 2 years.

A nurse is assisting with systemic desensitization for a client who has an extreme fear of elevators. which of the following actions should the nurse implement with this form of therapy?

gradually expose the client to an elevator while practicing relaxation techniques

A nurse is planning care for a client who has anorexia nervosa with binge eating and purging behavior. which of the following actions should the nurse include in the client's plan of care?

implement one to one observation during meal time

A nurse is caring for a client on an acute mental health unit. The client reports hearing voices that are stating, "kill your doctor." Which of the following actions should the nurse take first?

initiate one to one observation of the client

A nurse working on an acute mental health unit is admitting a client who has major depressive disorder and comorbid anxiety disorder. Which of the following actions is the nurse's priority

placing the client on one to one observation

A charge nurse is discussing mirtazapine with a newly licensed nurse. which of the following statements by the newly licensed nurse indicates understanding?

this medication increases the release of serotonin and norepinephrine