Foundations of mental nursing

A resident in a nursing home recently immigrated to the United States from Italy. How does the nurse plan to provide emotional support? 1.)By offering choices consistent with the client's heritage 2.)By ensuring that the client understands American beliefs 3.) By assisting the client in adjusting to the American culture 4.)By correcting the client's misconceptions about appropriate health practices

1.) by offering choices consistent with the client's heritage

Which tool is used to standardize and measure nursing treatments?

-nursing intervention classification

A psychiatric unit uses a behavioral approach to determine a client's level of privileges. Which factor should a nurse use to determine whether an increase in privileges is warranted? 1.)Stating that the depression is lifting 2.)Performing hygiene activities independently 3.)Showing improvement in short-term memory 4.)Verbalizing a desire to change the response to stress

-performing hygiene activities independently

A client who had to be cut out of a car after a motor vehicle collision has no visible physical effects from the ordeal. The client responds to the emergency department nurse's questions factually in a soft voice with a composed manner. This behavior may indicate that the client: 1.)Is controlling the expression of feelings 2.)Has repressed the details of the accident 3.)Has blocked out the events of the last few hours 4.)Is experiencing the reorganization phase of the trauma experience

1.) Is controlling the expression of feelings

A client is admitted to the psychiatric hospital with a diagnosis of obsessive-compulsive disorder. The client's anxiety level is approaching a panic level, and the client's ritual is interfering with work and daily living. Which selective serotonin reuptake inhibitor (SSRI) should the nurse anticipate that the health care provider may prescribe? 1.)Haloperidol (Haldol) 2.)Fluvoxamine (Luvox) 3.)Imipramine (Tofranil) 4.)Benztropine (Cogentin)

2.) fluvoxamine (Luvox)

A client tells the nurse in the mental health clinic that the practitioner said that the cornerstone of therapy used in the clinic is cognitive therapy. The client asks what this therapy entails. What concept should the nurse explain as the basis of cognitive therapy? 1.)Unconscious feelings influence actions." 2.)"Negative thoughts can precipitate anxiety." 3.)"People can act their way into a new way of thinking." 4.)"Maladaptive behaviors will continue as long as they are reinforced."

2.) Negative thoughts can precipitate anxiety

A nurse is caring for a client who has abruptly stopped taking a barbiturate. What should the nurse anticipate that the client may experience? 1.) ataxia 2.)seizure 3.) diarrhea 4.) uriticaria

2.) seizure

To therapeutically relate to parents who are known to have maltreated their child, the nurse must first: 1.)Recognize the emotional needs of the parents 2.) Identify personal feelings about child abusers 3.)Develop a trusting relationship with the child 4.)Gather information about the child's home environment

2.) Identify personal feelings about child abusers

When having a conversation with a nurse, an older client states, "I've lived a good life. I don't want to die, but I accept it as a part of life." What developmental stage, according to Erikson, has the client completed? 1.)Identity 2.)Integrity 3.)Acceptance 4.)Generativity

2.) Integrity

A nurse is caring for a client who is angry and agitated. What is the best approach for the nurse to use with this client? 1.)Confronting the client about the behavior 2.)Turning on the television to distract the client 3.)Maintaining a calm, consistent approach with the client 4.)Explaining to the client why the behavior is unacceptable

3.) Maintaining a calm, consistent approach with the client

A client with depression is to be given fluoxetine (Prozac). What precaution should the nurse consider when initiating treatment with this drug? 1.)It must be given with milk and crackers to avoid hyperacidity and discomfort. 2.)Eating cheese or pickled herring or drinking wine may cause a hypertensive crisis. 3.)The blood level may not be sufficient to cause noticeable improvement for 2 to 4 weeks. 4.)The blood level should be checked weekly for 3 months to monitor for an appropriate level

3.) The blood level may not be sufficient to cause noticeable improvement for 2 to 4 weeks

A nurse is interviewing an 8-year-old girl who has been admitted to the pediatric unit. Which statement by the child needs to be explored? 1.)"Wow! This place has bright colors." 2.) "Is my mother allowed to visit me tonight?" 3.)"Those boys are so cute. I hope their room's next to mine!" 4.)"I'm scared about being here. Can you stay with me awhile?"

3.) Those boys are so cute. I hope their room's next to mine!

A client on the psychiatric unit who is receiving high-dosage risperidone (Risperdal) is exhibiting tremors of the hands. What should be the nurse's first intervention? 1.)Withholding the medication 2.)Telling the client it is transitory 3.)Giving the client finger exercises 4.)Contacting the health care provider

4.) contacting the health care provider

A client with schizophrenia is actively psychotic, and a new medication regimen is prescribed. A student nurse asks the nurse, "Which of the medications will be the most helpful against the psychotic signs and symptoms?" What response should the nurse give? Citalopram (Celexa) Ziprasidone (Geodon) Benztropine (Cogentin) Acetaminophen with Hydrocodone (Lortab)

Ziprasidone (Geodon)