MENTAL HEALTH EXAM 3

A nurse is reinforcing teaching for a client who is depressed and has a prescription for fluoxetine 20 mg PO twice daily. The nurse should identify that which of the following statements by the client demonstrates an understanding of the teaching?

- "I need to report weight loss or gain to my provider while taking this medication"

A patient who was prescribed citalopram (Celexa) 1 week ago for depression reports feeling no different now from 1 week ago and wants to stop taking the drug. What is the nurse's best response?

- "Most drugs for depression take at least 2 weeks to start making you feel better."

A nurse is collecting data from a group of clients who have an anxiety disorder and have descriptions for versus psychotropic medication. The nurse recognizes which of the following is increased the risk for suicide :

- A client who has obsessive-compulsive disorder and takes Fluoxetine

A nurse is reviewing laboratory findings and notes that a client's plasma lithium level is 1.2 mEq/L. Which of the following is an appropriate action by the nurse?

- Administer the medication

Nurse is reinforcing dietary teaching for a client who is to start taking a monoamine oxidase inhibitor (MAOI). Which of the following food choices should the nurse identify as having high tyramine content

- Avocadoes

A nurse is reinforcing teaching w/ a client who takes diazepam. Which of the following information should the nurse include ?

- Can cause drowsiness

The client (schizophrenia) is receiving clozaril (Clozapine) for the treatment of schizophrenia. The nurse evaluates the effectiveness of the medication when the client makes which statement?

- Decrease hallucination

A nurse is assisting with admission assessment for a client who has vegetative signs of depression, which of the following is an appropriate intervention recommended for including in the care plan?

- Develop a structured routine for the client to follow.

A nurse is collecting data from a client who is taking clozapine. Which of the following findings indicate that the client is experiencing adverse effects of this medication? (select all that apply): (3 things)

- Drooling - Muscle rigidity - Elevated temperature

A nurse is caring for a client who has paranoid schizophrenia and is taking quetiapine (Seroquel) . The nurse should observe the patient for which of the following adverse effects?

- Drowsiness

A nurse is caring for a client who is taking clozapine for the treatment of schizophrenia. The nurse should monitor the client for which of the following potential adverse effects of clozapine?

- Dry mouth

A nurse is caring for a client who has panic disorder. The client states that he feels very apprehensive and has a sense of catastrophe is going to happen. She sees bugs flying around in her room. Which of the following actions should the nurse make first?

- Encourage deep breathing

A nurse is a caring for a client who is experiencing acute anxiety .Which of the following action should the nurse state:

- Establish ??? - Identify what causes the anxiety of pt. - Validate the feelings

The nurse reinforces teaching to clients who have prescription lithium carbonate to tread by polar disorder .Which of the following strategies should the nurse include?

- Full effect of medication in 3 wk

A nurse is administered buspirone for a client who has anxiety disorder. Which of the following adverse reactions should the nurse monitor?

- Headache

A nurse is assisting w/ the admission of a client to the medical unit. The client takes a ginkgo biloba. The client states he takes a dose each day to improve his memory. Which of the following statements should the nurse make?

- I will check with your doctor to be sure it's okay for you to take it while you are in the hospital ?

The nurse is reinforcing teaching for a client who is taking lithium carbonate to manage the bipolar disorder at home . Which instruction should the nurse include in the teaching?

- If pt. has fine hand tremors , withhold the dose.

A nurse is caring for an older adult client who has a prescription for lorazepam 0.5 mg, which of the following findings should the nurse report to the provider immediately?

- Increased anxiety

A nurse is reinforcing teaching with a client who is taking haloperidol. What should the client need to know about haloperidol? What is the effectiveness of the medication?

- Increased attention span

A nurse is collecting data for a client who is receiving multiple antipsychotic medications, the client exhibits muscle rigidity, hyperpyrexia, and diaphoresis. The nurse should identify the client may be experiencing which of the following effects?

- Neuroleptic malignant syndrome

Which drug to use to treat psychotic that will turn their urine either red, pink or brown.

- Prochlorperazine (Compazine)

The nurse is collecting data from a client who has just begun therapy with alprazolam to treat anxiety. The nurse should observe the client for which of the following adverse effects of these medications?

- Sedation , drowsiness

A nurse in an acute care mental health facility is contributing to the care plan for a patient who is newly diagnosed with schizophrenia and is verbalizing paranoid delusions. Which of the following interventions should the nurse include in the care plan?

- Set limits on the amount of time the client talks about delusions.

What is the most common side effect of benzodiazepine used to treat anxiety?

- Sleepiness

A nurse is reinforcing teaching w/ a client who has a new prescription for lithium carbonate to treat bipolar disorder. The nurse should make sure the client understands that he must maintain consistency in his intake of which of the following dietary elements

- Sodium

A nurse is reinforcing teaching with a client who is beginning taking an MAOI in addition to an SSRI. What should the nurse include in the teaching?

- Stop the SSRI. 2 weeks interval before starting the MAOI. Otherwise serotonin syndrome.

A nurse is reinforcing teaching has a prescription for clozapine, which of the following adverse effects should the nurse include in the teaching?

- Tachycardia

A nurse is collecting data from a client who has schizophrenia and is taking fluphenazine, the nurse observes that the clients tongue is retreating and he has irregular movements of his limbs. The nurse should identify that the patient is exhibiting manifestations of?

- Tardive Dyskinesia

If a client states that :"I am not going to take any medication any more". What response nurses need to make.

- Tell me more about your decision

A nurse in an acute mental healthcare facility is caring for a hospitalized patient who has agoraphobia. The nurse observes the client as making progress when he is able to participate in which of the following activities?

- The client attending a picnic in a local park.

Why should women avoid using benzodiazepine receptor agonists during lactation?

- The sedating effects also occur in the infant.

The nurses are in person teaching with a client who takes lithium carbonate for bipolar depression. For which of the following findings should the nurse monitor as an adverse effect of lithium carbonate?

- Thyroid enlargement

A nurse is reinforcing teaching about alprazolam with a client who has a generalized anxiety disorder.Which of the following instructions should the nurse give to the client?

- Watch out for drowsiness and dizziness=> - Headache

A nurse is reinforcing teaching with a client who is prescribed olanzapine. For which of the following adverse effects should the nurse instruct the client to monitor?

- Weight gain

Which of the statements by the patient with chronic depression who is prescribed paroxetine indicate needs of additional teaching?

- When I am feeling better and no longer depressed, I stop taking paroxetine.

A nurse is reviewing laboratory findings and notes that a client's plasma lithium level is 1.8 mEq/L. Which of the following is an appropriate action by the nurse?

- Withholding the medication

A nurse is reinforcing teaching with a client who is to start taking perphenazine. Which of the following information should the nurse include in the teaching?

- change position slowly

A nurse at a mental health facility is discussing antidepressant medications with a newly licensed nurse, comparing selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs). Which of the following information should the nurse include about TCAs?

- increased risk of cardiovascular adverse effects

A nurse is administering risperidone to a client who has schizophrenia. For which of the following adverse effects should the nurse monitor ?

- increased triglyceride level

A nurse is caring for a client who has schizophrenia and is taking haloperidol. The nurse observes that the client developed a stuporous posture and shuffling gait. The nurse should document the findings as which of the following adverse effects of haloperidol?

- pseudoparkinsonism

The client has been receiving chlorpromazine (Thorazine) for the treatment of schizophrenia and has stopped taking med.The nurse assesses unusual repetitive rapid jerky movement, facial distortion and lip smacking. How should the nurse document?

- tardive dyskinesia

A nurse is reinforcing teaching with a client about manifestations of lithium toxicity, which of the manifestations should the nurse include in the teaching? (3 things)

- vomiting - diarrhea - fine hand tremors

A nurse in an acute mental health center is performing a physical assessment which of the following findings should the nurse record under the integumentary system? (3 things)

1. Track marks on the arms 2. Ecchymosis 3. Alopecia

A nurse is caring for a group of clients in a mental health facility, which of the following clients should the nurse see first?

A client taking clozapine who has a sore throat and a mild fever.

Which food or beverage should you teach a patient who is prescribed quetiapine (Seroquel) to avoid?

Grapefruit and grapefruit juice

Which is the side effect of antidepressant to children and adolescents?

Risk for suicide