mental health questions

Which behavior observed by the nurse indicates a suspicion that a depressed adolescent client may be suicidal? a. The adolescent gives away a DVD and a cherished autographed picture of a performer b. The adolescent runs out of the therapy group, swearing at the group leader, and runs to her room. c. The adolescent becomes angry while speaking on the phone and slams down the receiver. d. The adolescent gets angry with her roommate when the roommate borrows the client's clothes without asking

a. The adolescent gives away a DVD and a cherished autographed picture of a performer

A hospitalized client with a history of alcohol abuse tells the nurse, "I am leaving now. I have to go. I don't want any more treatment. I have things that I have to do right away." The client has not been discharged and is scheduled for an important diagnostic test to be performed in 1 hour. After the nurse discusses the client's concerns with the client, the client dresses and begins to walk out of the hospital room. What action should the nurse take? a. Call the nursing supervisor b. Call security to block all exit areas c. Restrain the client until the health care provider can be reached d. Tell the client that the client cannot return to this hospital again if the client leaves now

a. Call the nursing supervisor

After several days of hospitalization on an inpatient unit for clinical depression, the client is discharged with a prescription for imipramine (Tofranil) 75mg by mouth daily. The nurse should include which information in client teaching? Select all that apply a. Change positions slowly b. Avoid driving until clear vision is restored c. Report urinary retention d. Cardiac dysrhythmias are uncommon e. Drug may decrease levels of liver enzymes

a. Change positions slowly b. Avoid driving until clear vision is restored c. Report urinary retention

Which nursing interventions are appropriate for a hospitalized client with mania who is exhibiting manipulative behavior? Select all that apply a. Communicate expected behaviors to the client b. Ensure that the client knows that they are not in charge of the nursing unit c. Assist the client in identifying ways of setting limits on personal behaviors d. Follow through about the consequences of behavior in a nonpunitive manner e. Enforce rules by informing the client that they will not be allowed to attend therapy groups f. Have the client state the consequences for behaving in ways that are viewed as unacceptable

a. Communicate expected behaviors to the client c. Assist the client in identifying ways of setting limits on personal behaviors d. Follow through about the consequences of behavior in a nonpunitive manner f. Have the client state the consequences for behaving in ways that are viewed as unacceptable

The nurse is preparing to perform an admission assessment on a client with a diagnosis of bulimia nervosa. Which assessment findings does the nurse expect to note? Select all that apply a. Dental decay b. Moist oily skin c. Loss of tooth enamel d. Electrolyte imbalances e. Body weight well below ideal range

a. Dental decay c. Loss of tooth enamel d. Electrolyte imbalances

The nurse determines that the wife of an alcoholic client is benefiting from attending Al-Anon group if the nurse hears the wife make which statement? a. I no longer feel that I deserve the beatings my husband inflicts on me b. My attendance at the meetings has helped me to see that I provoke my husband's violence c. I enjoying attending the meetings because they get me out of the house and away from my husband d. I can tolerate my husband's destructive behaviors now that I know they are common with alcoholics

a. I no longer feel that I deserve the beatings my husband inflicts on me

The emergency department nurse is caring for an adult client who is a victim of family violence. Which priority instruction should be included in the discharge instructions? a. Information regarding shelters b. Instructions regarding calling the police c. Instructions regarding self-defense classes d. Explaining the importance of leaving the violent situation

a. Information regarding shelters

The nurse has been observing a client closely who has been displaying aggressive behaviors. The nurse observes that the behavior displayed by the client is escalating. Which nursing intervention is least helpful to this client at this time? a. Initiate confinement measures b. Acknowledge the client's behavior c. Assist the client to an area that is quiet d. Maintain a safe distance from the client

a. Initiate confinement measures

A client reports during and initial interview that the healthcare provider prescribed trazodone (Desyrel) 50mg TID. The nurse assesses for which important item in the client's history? a. Insomnia b. Panic attacks c. Mania d. Anxiety

a. Insomnia

Which interventions are most appropriate for caring for a client in alcohol withdrawal? Select all that apply a. Monitor vital signs b. Maintain NPO status c. Provide safe environment d. Address hallucinations therapeutically e. Provide stimulation in the environment f. Provide reality orientation as appropriate

a. Monitor vital signs c. Provide safe environment d. Address hallucinations therapeutically f. Provide reality orientation as appropriate

The nurse is planning care for a client being admitted to the nursing unit who attempted suicide. Which priority nursing intervention should the nurse include in the plan of care? a. One-to-one suicide precautions b. Suicide precautions with 30 minute checks c. Checking the whereabouts of the client every 15 minutes d. Asking the client to report suicidal thoughts immediately

a. One-to-one suicide precautions

The nurse observes that a client is pacing, agitated, and presenting aggressive gestures. The client's speech pattern is rapid, and affect is belligerent. Based on these observations, what is the nurse's immediate priority of care? a. Provide safety for the client and other clients on the unit b. Provide clients on the unit with a sense of comfort and safety c. Assist the staff in caring for the client in a controlled environment d. Offer the client a less stimulating area to calm down and gain control

a. Provide safety for the client and other clients on the unit

The nurse is conducting a group therapy session. During the session, the client diagnosed with mania consistently disrupts the group's interactions. Which intervention should the nurse initially implement? a. Setting limits on the client's behavior b. Asking the client to leave the group session c. Asking another nurse to escort the client out of the group session d. Telling the cline that they will not be able to attend any future group sessions

a. Setting limits on the client's behavior

A 46 yr old client newly diagnosed with schizophrenia will be discharged in 5 days. The client lives in a 2 bedroom apartment with his elderly mother who is frail but self-sufficient. To promote adherence to medication therapy, the nurse would include which of the following in the care plan? a. Teach the client and his mother how adherence to the drug therapy contributes to the client's ongoing recovery process b. Teach the client's mother the importance of regular meals so that the client can take his medication after meals c. Instruct the mother to be sure that the client is taking his medication daily as prescribed d. Teach the client that the medication regime will help him remain symptom-free indefinitely

a. Teach the client and his mother how adherence to the drug therapy contributes to the client's ongoing recovery process

A client taking lithium carbonate reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus and tremors. The lithium level is 2.5mEq/L. This level is indicative of which finding? a. Toxic b. Normal c. Slightly above normal d. Excessive below normal

a. Toxic

A nurse working on an inpatient psychiatric unit is most likely to monitor which of the following clients closely for neuroleptic malignant syndrome (NMS)? a. 76 yr old female with typical psychotic clinical profile b. 30 yr old male presenting with a very complex clinical profile c. Native American who has been taking antipsychotic drugs for several months d. Male client who has type 1 diabetes mellitus

b. 30 yr old male presenting with a very complex clinical profile

A client with a diagnosis of anorexia nervosa, who is in a state of starvation, is in a two-bed room. A newly admitted client will be assigned to this client's room. Which client would be the best choice as a roommate for the client with anorexia nervosa? a. A client with pneumonia b. A client undergoing diagnostic tests c. A client who thrives on managing others d. A client who could benefit from the client's assistance at mealtime

b. A client undergoing diagnostic tests

The home health nurse visits a client at home and determines that the client is dependent on drugs. During the assessment, which action should the nurse take to plan appropriate nursing care? a. Asks the client why he started taking illegal drugs b. Ask the client about the amount of drug use and its effect c. Ask the client how long he thought that he could take drugs without someone finding out d. Not ask any questions for fear that the client is in denial and will throw the nurse out of the home

b. Ask the client about the amount of drug use and its effect

A client's medication sheet contains a prescription for sertaline (Zoloft). To ensure safe administration of the medication, how should the nurse administer the dose? a. On an empty stomach b. At the same time each evening c. Evenly space around the clock d. As needed when the client complains of depression

b. At the same time each evening

The nurse is caring for a client who is experiencing disturbed thought processes as a result of paranoia. In formulating nursing interventions with the members of the health care team, what best instruction should the nurse provide to the staff? a. Increase socialization if the client with peers b. Avoid laughing or whispering in from of the client c. Begin to educate the client about social supports in the community d. Have the client sign a release of information to appropriate parties for assessment purposes

b. Avoid laughing or whispering in from of the client

The psychiatrist prescribed chlorpromazine (Thorazine) 50mg IM as an initial dose for a client hospitalized with psychosis. The primary focus of the nursing care should include assessment of which of the following? a. Blood pressure and pulse b. Decrease in psychotic symptoms c. Ability to ambulate independently d. Appetite and ability to eat meals

b. Decrease in psychotic symptoms

A client with anorexia nervosa is a member of a pre-dischage support group. The client verbalizes that she would like to buy some new clothes, but her finances are limited. Group members have brought some used clothes to the client to replace the client's old clothes. The client believes that the new clothes were much too tight and has reduced her caloric intake to 800 calories daily. How should the nurse evaluate this behavior? a. Normal behavior b. Evidence of the client's disturbed body image c. Regression as the client is moving toward the community d. Indicative of client's ambivalence about hospital discharge

b. Evidence of the client's disturbed body image

The police arrive at the ED with a client who has lacerated both wrists. What is the initial nursing action? a. Administering an antianxiety agent b. Examine and treat the wound sites c. Secure and record a detailed history d. Encourage and assist the client to ventilate feelings

b. Examine and treat the wound sites

The nurse is performing a follow-up teaching session with a client discharged 1 month ago. The clien tis taking fluoxetine (Prozac). What information would be important for the nurse to obtain during this client visit regarding the side/adverse effects of the medication? a. Cardiovascular symptoms b. GI symptoms c. Problems with mouth dryness d. Problems with excessive sweating

b. GI symptoms

Because a client is taking a psychotropic medication, the nurse is most likely to teach family members to report which of the following signs and symptoms immediately? a. Hyperprolactinemia, gynecomastia b. Hyperpyrexia and muscle rigidity c. Parkinson's syndrome d. Akathisia

b. Hyperpyrexia and muscle rigidity

A client is admitted with a recent history of severe anxiety following a home invasion and robbery. During the initial assessment interview, which statement by the client would indicate to the nurse ht possible diagnosis of posttraumatic stress disorder? Select all that apply a. I'm afraid of spiders b. I keep reliving the robbery c. I see his face everywhere I go d. I don't want anything to eat right now e. I might have died over a few dollars in my pocket f. I have to wash my hands over and over again many times

b. I keep reliving the robbery c. I see his face everywhere I go e. I might have died over a few dollars in my pocket

When a client taking Wellbutrin 100mg twice daily for 2 weeks returns to the clinic, the nurse would make which of the following the priority communication with the client? a. You may now have a martini with your evening meal b. I need to listen to your heart with a stethoscope c. Has the number of your mood swings decreased? d. Are you still hearing voices?

b. I need to listen to your heart with a stethoscope

When planning the discharge of a client with chronic anxiety, the nurse directs the goals at promoting a safe environment at home. Which is the most appropriate maintenance goal? a. Suppressing feelings of anxiety b. Identifying anxiety producing situations c. Continued contact with a crisis counselor d. Eliminating all anxiety from daily situations

b. Identifying anxiety producing situations

The nurse is teaching a client who is being started on imipramine (Tofranil) about the medication. The nurse should inform the client to expect maximum desired effects at what time period following initiation of this medication? a. In 2 months b. In 2-3 weeks c. During the first week d. During the 6th week of administration

b. In 2-3 weeks

The nurse is describing the medication side and adverse effects to a client who is taking oxazepam (Serax). What information should the nurse incorporate into the discussion? a. Consume a low-fiber diet b. Increase fluids and bulk in the diet c. Rest if the heart begins to beat rapidly d. Take antidiarrheal agents if diarrhea occurs

b. Increase fluids and bulk in the diet

The nurse is caring for a female client who was admitted to the mental health unit recently for anorexia nervosa. The nurse enters the client's room and notes that the client is engaged in rigorous push-ups. Which nursing action is most appropriate? a. Interrupt the client and weigh her immediately b. Interrupt the client and offer to take her for a walk c. Allow the client to complete her exercise program d. Tell the client that she is not allowed to exercise rigorously

b. Interrupt the client and offer to take her for a walk

The nurse in the ED is caring for a young female victim of sexual assault. The client's physical assessment is complete and physical evidence has been collected. The nurse notes that the client is withdrawn, confused, and at times physically immobile. How should the nurse interpret these behaviors? a. Signs of depression b. Normal reaction to devastating event c. Evidence that the client is high suicide risk d. Indicative of the need for hospital admission

b. Normal reaction to devastating event

A client who has been taking buspirone (Buspar) for 1month returned to the clinic for a follow up assessment. The nurse determines that the medication is effective if the absence of which manifestation has occurred? a. Paranoid though process b. Rapid heartbeat or anxiety c. Alcohol withdrawal symptoms d. Thought broadcasting or delusions

b. Rapid heartbeat or anxiety

A hospitalized client has begun taking bupropion (Wellbutrin) as an antidepressant. The nurse understands that which is an adverse effect, indicating that the client is taking an excessive amount of the medication? a. Constipation b. Seizure activity c. Increase weight d. Dizziness when getting upright

b. Seizure activity

Because a client is ingesting haloperidol (Haldol) 2 mg TID, the nurse instructs the unlicensed assistive personnel to do which of the following? Select all that apply a. Set the room up for bleeding precautions b. Set the room up for seizure precautions c. Set the room up for safety precautions d. Report s/s of psychotic break e. Monitor sleeping respiratory rate

b. Set the room up for seizure precautions e. Monitor sleeping respiratory rate

A client is unwilling to go out of the house for fear of "making a fool of myself in public." Because of this fear, the client remains homebound. Based on these data, which mental health disorder is the client experiencing? a. Agoraphobia b. Social phobia c. Claustrophobia d. Hypochondriasis

b. Social phobia

The nurse notes that a client with schizophrenia and receiving an antipsychotic medication is moving her mouth, protruding her tongue and grimacing as she watches television. The nurse determines that the client is experiencing which medication complication? a. Parkinsonism b. Tardive dyskinesia c. Hypertensive crisis d. Neuroleptic malignant syndrome

b. Tardive dyskinesia

The nurse is reviewing the assessment data of a client admitted to the mental health unit. The nurse notes that the admission nurse documented that the client is experiencing anxiety as a result of a situational crisis. The nurse determines that this type of crisis could be caused by which event? a. Witnessing a murder b. The death of a loved one c. A fire that destroyed the client's home d. A recent rape episode experienced by the client

b. The death of a loved one

A client diagnosed with delirium becomes disoriented and confused at night. Which intervention should the nurse implement initially? a. Move the client next to the nurse's station b. Use an indirect light source and turn off the television c. Keep the television and a soft light on during the night d. Play soft music during the night and maintain a well-lit room

b. Use an indirect light source and turn off the television

A home health nurse is most likely to request that a prescriber consider discontinuing a phenothiazine prescribed for the client with psychosis after assessing which of the following client data? a. Urinary hesitation b. WBC count <3000 cells/mm3 c. Blurred vision d. Photophobia

b. WBC count <3000 cells/mm3

The spouse of a client admitted to the mental health unit for alcohol withdrawal says to the nurse, "I should get out of this bad situation." What is the most helpful response by the nurse? a. Why don't you tell your wife about this? b. What do you find difficult about this situation? c. This is not the best time to make that decision? d. I agree with you. You should get out of this situation

b. What do you find difficult about this situation?

The nurse is planning activities for a client diagnosed with bipolar disorder with aggressive social behavior. Which activity would be most appropriate for this client? a. Chess b. Writing c. Ping ping d. Basketball

b. Writing

A client is admitted to the mental health unit after an attempted suicide by hanging. The nurse can best ensure client safety by which action? a. Requesting that a peer remain with the client at all times b. Removing the client's clothing and placing the client in a hospital gown c. Assigning a staff member to the client who will remain with the client at all times d. Admitting the client to a seclusion room where all potentially dangerous articles are removed

c. Assigning a staff member to the client who will remain with the client at all times

Two months after beginning drug therapy with alprazolam (Xanax) 2mg PO BID for generalized anxiety, an adult client states, "I feel much better, but I can't believe how dry my mouth gets and how dizzy and lightheaded I get." Which of the following would be the priority response by the nurse? a. You can use gum or candy that is sugarless to relieve some of those symptoms b. The dosage of them medication will be lowered to decrease the side effects c. Because the dizziness and lightheadedness are side effects of the drug, avoid dangerous activities d. You will need to take this medication with food from now on

c. Because the dizziness and lightheadedness are side effects of the drug, avoid dangerous activities

Because a client is experiencing frequent, recurrent hiccups, the nurse contacts the healthcare provider. While the nurse waits for the prescriber to respond, the nurse would prepare for client teaching by obtaining an information sheet about which of the following drugs? a. Risperidone (Risperdal) b. Molindone (Moban) c. Chlorpromazine (Thorazine) d. Thioridazine (Mellaril)

c. Chlorpromazine (Thorazine)

A client receiving tricyclic antidepressants arrives at the mental health clinic. Which observation would indicate that the client is following the medication plan correctly? a. Client reports not going to work this past week b. Client complains of not being able to "do anything" anymore c. Client arrives at the clinic neat and appropriate in appearance d. Client reports sleeping 12 hours per night and 3-4 hours during the day

c. Client arrives at the clinic neat and appropriate in appearance

A client is admitted to a medical nursing unit with a diagnosis of acute blindness after being involved in a hit-and-run accident. When diagnostic testing cannot identify any organic reason why this client cannot see, a mental health consult is prescribed. Which condition will be the focus of this consult? a. Psychosis b. Repression c. Conversion disorder d. Dissociative disorder

c. Conversion disorder

A hospitalizes client is started on phenlzine (Nardil) for treatment of depression. The nurse should instruct the client that which foods are acceptable to consume while taking this medication? Select all that apply a. Figs b. Yogurt c. Crackers d. Aged cheese e. Tossed salad f. Oatmeal raisin cookies

c. Crackers e. Tossed salad

A client says to the nurse, "The federal guards were sent to kill me." What is the best nursing response to the client's concern? a. I don't believe this is true b. The guard are not out to kill you c. Do you feel afraid that people are trying to hurt you d. What makes you think the guards were sent to hurt you

c. Do you feel afraid that people are trying to hurt you

A manic client begins to make sexual advance toward visitors in the dayroom. When the nurse firmly states that this is inappropriate and will not be allowed, the client becomes verbally abusive and threatens physical violence to the nurse. Based on the analysis of this situation, which intervention should the nurse implement? a. Place the client in seclusion for 30 minutes b. Tell the client that the behavior is inappropriate c. Escort the client to their room, with the assistance of other staff d. Tell the client that their telephone privileges are revoked for 24 hours

c. Escort the client to their room, with the assistance of other staff

A moderately depressed client who was hospitalized 2 days ago suddenly begins smiling and reporting that the crisis is over. The client says to the nurse, "I'm finally cured." How should the nurse interpret this behavior as a cue to modify the treatment plan? a. Suggesting a reduction of medication b. Allowing increased "in room" activities c. Increasing the level of suicide precautions d. Allowing the client off-unit privileges as needed

c. Increasing the level of suicide precautions

The home care nurse is visiting a client discharged yesterday from an impatient unit with a prescription for a 10 day supply of olanzapine (Zyprexa) 10mg daily. The client states that a prescription refill is needed because the prescription provided yesterday is all gone. The nurse would then assess the client for which signs? a. Headache and psychosis b. Lightheadedness and diarrhea c. Nervousness and dizziness d. Hypoglycemia and dehydration

c. Nervousness and dizziness

Because a client is being discharged today with a prescription for lithium (Carbolith), the nurse collaborates with the interdisciplinary team to prevent which of the following, which would most likely result in the client's readmission to an inpatient unit? a. Development of a family crisis b. Diet regime to lose weight c. Nonadherence to lithium therapy d. Development of serious illness in the family

c. Nonadherence to lithium therapy

The nurse is caring for a client diagnosed with catatonic stupor who is lying on the bed in a fetal position. What is the most appropriate nursing intervention? a. Ask direct questions to encourage talking b. Leave the client alone so as to minimize external stimuli c. Sit beside the client in silence with occasional open-ended questions d. Take the client into the dayroom with other clients so that they can help watch him

c. Sit beside the client in silence with occasional open-ended questions

Because there is a higher risk of successful suicide in clients receiving selected antidepressant drugs, the nurse is most likely to instruct the nursing staff to monitor clients receiving which type of antidepressant drug? a. SSRIs b. MAOIs c. TCAs d. Anxiolytics

c. TCAs

A female victim of sexual assault is being seen in the crisis center. The client states that she still feels" as though the rape just happened yesterday," even though it has been a few months since the incident. What is the most appropriate nursing response? a. You need to try to be realistic. The rape did not just occur. b. It will take some time to get over these feelings about your rape. c. Tell me more about the incident that causes you to feel the rape just occurred. d. What do you think that you can do to alleviate some of your fears about being raped again?

c. Tell me more about the incident that causes you to feel the rape just occurred.

Because the prescribed changed the antipsychotic drug for a client diagnosed with schizophrenia, the nurse should monitor for which of the following predicted outcomes? a. New drug is likely to be more effective in controlling symptoms of schizophrenia b. New drug is likely to becomes effective at a more rapid rate c. There should be a reduction in the severity and type of side effects experienced d. Client should find drug easier to take and have a better taste.

c. There should be a reduction in the severity and type of side effects experienced

The nurse is conducting an initial assessment on a client in crisis. When assessing the client's perception of the precipitating event that the led to crisis, what is the most appropriate question? a. With whom do you live? b. Who is available to help you? c. What leads you to seek help now? d. What do you usually do to feel better?

c. What leads you to seek help now?

A client is discharged with a prescription for phenelzine (Nardil). Which of the following should the nurse focus on as a priority during client teaching? a. Written instructions on how to take daily doses of the medication b. How family members can contact appropriate health care provider c. Written and oral instructions for use that include food and drug interactions d. That family members should administer the client's medication

c. Written and oral instructions for use that include food and drug interactions

A client taking lithium carbonate (Eskalith) is confused, agitated, has blurred vision and is having difficulty walking. The nurse expects the lithium level drawn earlier in the day to be within which of the following ranges? a. 0.5-0.8 mEq/L b. 1.2-1.5 mEq/L c. 1.5-1.8 mEq/L d. 2.0-3.0 mEq/L

d. 2.0-3.0 mEq/L

The nurse is developing a plan of care for a client in a crisis state. When developing the plan, the nurse should consider which factor? a. A crisis state indicates that the client has a mental illness b. A crisis state indicates that the client has an emotional illness c. Presenting symptoms in a crisis situation are similar for all clients experiencing crisis d. A client's response to a crisis is individualized and what constitutes a crisis for one client may not constitute a crisis for another client

d. A client's response to a crisis is individualized and what constitutes a crisis for one client may not constitute a crisis for another client

A client is admitted to the mental health unit with a diagnosis of depression. The nurse should develop a plan of care for the client that includes which intervention? a. Encouraging quiet reading and writing for a few days b. Identification of physical activities that will provide exercise c. No socializing activities until the client asks to participate in milieu d. A structured program of activities in which the client can participate

d. A structured program of activities in which the client can participate

A client enters the ED vomiting profusely and smelling of alcohol. The client states several time, "It's the medicine that's doing it, if I live through this I'll never drink again." The nurse should ask which assessment questions first? a. When was the last time you drank alcohol? b. Are you taking antihypertensive medications? c. Have you eaten today? d. Are you taking disulfiram (Antabuse)?

d. Are you taking disulfiram (Antabuse)?

A client is scheduled for discharge and will be taking phenobarbital sodium (Luminal) for an extended period. The nurse would place highest priority on teaching the client which point that directly relates to client safety? a. Take the medication only with meals b. Take the medication at the same time each day c. Use a dose container to help prevent missed doses d. Avoid drinking alcohol while taking this medication

d. Avoid drinking alcohol while taking this medication

A client gives the homes health nurse a bottle of clomipramine (Anafranil). The nurse notes that the medication has not been taken by the client in 2 months. Which behavior observed in the client would validate non-compliance with this medication? a. Complains of insomnia b. Complains of hunger & fatigue c. A pulse rate less than 60 beats/minute d. Frequent hand-washing with hot soapy water

d. Frequent hand-washing with hot soapy water

The nurse is administering risperidone (Risperdal) to a client who is scheduled to be discharged. Before discharge, which instruction should the nurse provide to the client? a. Get adequate sunlight b. Continue driving as usual c. Avoid foods rich in potassium d. Get up slowly when changing positions

d. Get up slowly when changing positions

The nurse is monitoring a hospitalized client who abuses alcohol. Which findings should alert the nurse to the potential for alcohol withdrawal delirium? a. Hypotension, ataxia, hunger b. Stupor, lethargy, muscular rigidity c. Hypotension, course hand tremors, lethargy d. Hypertension, changes in level of consciousness, hallucinations

d. Hypertension, changes in level of consciousness, hallucinations

The healthcare provider has ordered a benzodiazepine for a 74-year-old client. The acute care nurse anticipates that which of the following medications will be transcribed onto the medication administration record and filled by the hospital pharmacy? a. Diazepam (Valium) b. Chlordiazepoxide (Librium) c. Trazodone (Desyrel) d. Lorazepam (Ativan)

d. Lorazepam (Ativan)

The nurse is preparing a client with a history of command hallucinations for discharge by providing instructions on interventions for managing hallucinations and anxiety. Which statement in response to these instructions suggests to the nurse that the client understands the instructions? a. My medications aren't likely to make me anxious b. I'll go to support group and talk so that I don't hurt anyone c. It's not likely that I'll get anxious or hear things if I get enough sleep and eat well d. When I begin to hallucinate, I'll call my therapist and talk about what I should do

d. When I begin to hallucinate, I'll call my therapist and talk about what I should do

A client with schizophrenia has been started on medication therapy with clozapine (Clozaril). The nurse should assess the results of which lab study to monitor for adverse effects from this medication? a. Platelet count b. Blood glucose level c. Liver function studies d. White blood cell count

d. White blood cell count

A depressed client on an impatient unit says to the nurse, "My family would be better off without me." What is the nurse's best response? a. Have you talked to your family about this? b. Everyone feels this way when they are depressed. c. You will feel better once your medication begins to work. d. You sound very upset. Are you thinking of hurting yourself?

d. You sound very upset. Are you thinking of hurting yourself?

The nurse observes that a client with a potential for violence is agitated, pacing up and down the hallway, and is making aggressive and belligerent gestures at other clients. Which statement would be most appropriate to make this client? a. You need to stop that behavior now b. You will need to be placed in seclusion c. You seem restless; tell me what is happening d. You will need to be restrained if you do not change your behavior

d. You will need to be restrained if you do not change your behavior