Mental health ( hard) first 29 questions!

A nurse is collecting data from a client who has ADHD and reports abruptly discontinuing his amphetamine treatment. Which of the following assessments indicates that the client is physically dependent on the amphetamines?

C. The client reports eating excessively

A nurse is an acute care mental health facility observes a client who has bipolar disorder begin to shout and use offensive language towards a visitor. Which of the following actions should the nurse take?

A. Give the client 2 options for ending the situation

A nurse is reinforcing teaching with the Parent of a child who has a new prescription for methylphenidate to treat ADHD. Which of the following instructions should the nurse include in the teaching?

A. "Weigh your child 3 times per week"

A nurse is collecting data from a client who is receiving disulfiram for alcohol adversion therapy. The client is experiencing palpitations and report nausea, a headache, and extreme thirst. The nurse should identify that which of the following situations is occurring?

A. The client is experiencing mild acetaldehyde syndrome

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

A. Thrombocytopenia

A nurse is assisting with the admission of a client who has alcohol use disorder and is experiencing withdrawal. Which of the following actions is the nurses priority?

D. Determine the clients level of disorientation.

A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for lithium. Which of the following directions should the nurse provide?

D. Increase fluid intake to 2000mL (67.6) daily

A nurse is collecting data from a client who is experiencing post-traumatic stress disorder (PTSD) following a traumatic event. Which of the following medications should the nurse expect the provider to prescribe?

D. Paroxetine

A nurse was reinforcing discharge teaching with the guardians of an adolescent who has bipolar disorder. Which for the following manifestations should the nurse identify as an indication of acute mania? Select all that apply.

D. Spends excessive amounts of money E. Speaks using a loud and crass voice.

A nurse is caring for a client who has schizophrenia. The client states " Aliens came into my room last night and took a sample of my blood." Which of the following responses should the nurse make?

D. That does not sound real

A nurse is collecting data from a client who was recently admitted for treatment of major depressive disorder (MDD). Which of the following findings should the nurse expect the client to report? (Select all that apply)

A. Difficutly sleeping for several weeks B. Inability to concentrate on simple tasks. D. Not bathing for severa day E. Lack of enjoyment from a long-time hobby of gardening.

A nurse in an urgent care clinic is collecting data from a client who reports recent cocaine use. Which of the following manifestations should the nurse expect?

A. Hypertension

A nurse is teaching a client who has seasonal affective disorder (SAD) about the use of light therapy. Which of the following statements should the nurse make?

A. Light therapy suppresses the natural nighttime release of melatonin.

A nurse is contributing to the plan of care for a client who has anorexia nervosa. Which of the following actions should the nurse recommend including in the plan?

A. Schedule specific times for the client to eat

A nurse is reinforcing teaching about stress management techniques with a parent who has admitted to verbally abusing her children. Which of the following strategies is the nurse providing?

A. Tertiary prevention

A mental health nurse is reviewing a process recording of a therapy session with a client. Which of the following statements should the nurse identify as an example of the communication technique of reflection?

B. "That statement made by the other client appears to have upset you."

A nurse is caring for a client who has been taking lithium for the past several months. Which of the following findings should indicate that the client is experiencing advanced lithium toxicity?

B. Ataxia

A nurse is assessing a 6 year old child who began treatment for pneumococcal pneumonia 4 days ago. Which to the following findings should the nurse identify as an indication the treatment is effective?

B. Heart rate of 118/min

A nurse is contributing to the plan of care for a client who has binge- eating disorder. Which of the following interventions should the nurse recommend?

B. Provide the client with small, frequent meals

A nurse is reinforcing teaching with a client who has depression and is scheduled for transcranial magnetic stimulation (TMS). The nurse should reinforce with the client that TMS can cause which fo the following adverse effects?

B. Seizures

A nurse is caring for a client who is experiencing a panic level anxiety. Which of the following actions should the nurse take?

B. Speak to the client firmly and authoritaively

A nurse in a providers office is reviewing the medical record of a client who has major depressive disorder and a new prescription for phenelzine. Which of the following items in the clients history should the nurse report to the provider?

B. The client has frequent headaches

A nurse is caring for a client who has schizophrenia. Which of the following statements by the client indicates that the client is displaying cognitive symptoms?

C. "I am unable to remember to brush my teeth"

A nurse is caring for a client who is receiving cognitive behavioral therapy. The client tells the nurse, " nothing good ever happened during my marriage". When using cognitive reframing, which of the following responses should the nurse provide?

C. "What did you learn from your marriage to help you in the future?"

A nurse is planning care for a client who is experiencing complicated grief following the unexpected death of his partner. Which of the following actions should the nurse plan to take first?

C. Determine which stage of grief the client is experiencing.

A nurse is reviewing the medical record of a client who has a new prescription for a benzodiazepine. For which of the following findings should the nurse question the providers prescription?

C. Hypotesnion

A nurse on an inpatient mental health unit is planning care for a client who was admitted following a suicide attempt. Which of the following actions should the nurse include in the plan?

C. Observe the client swallow medications

A nurse at a long-term care facility notes that a client with dementia is having problems with orientation. Which of the following actions should the nurse take to improve the clients level of orientation?

C. Post a large calendar on the bulletin board

A nurse is caring for a client with ADHD who recently started taking lithium. For which of the following findings should the nurse monitor when evaluating the effectiveness of the medication?

C. Reduced aggression