MH exam 2

The nurse is caring for a client in the prenominal phase of schizophrenia. What behaviors should the nurse expect to observe?

Depression and social Withdrawal

The nurse is caring for a patient who experiences orthostatic hypotension related to taking chlorpromazine. The nurse should suggest which of the following interventions for managing this side effect?

Sit on the side of the bed before standing up.

Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective?

"Converses with few interruptions; clothing matches; participates in activities."

A nurse is providing medication teaching for a client who has a new prescription for clozapine. Which of the following statements indicates a need for further teaching?

"This medication will help prevent seizures."

A nurse is preparing to administer buspirone 7.5 mg PO every 12 hr. to a client. The amount available is buspirone15 mg/tablet. How many tablets should the nurse administer per dose? (Write the number only, do not include the label. Round to the nearest 10th. Do not include a trailing zero. Put a leading zero if applicable

0.5

A nurse is preparing to administer clozapine 300 mg PO daily to a client who has schizophrenia. The amount available is clozapine 200 mg tablets. How many tablets should the nurse administer? (Write the number only, do not include the label. Round to the nearest 10th. Do not include a trailing zero. Put a leading zero if applicable).

1.5

A nurse is preparing to administer fluoxetine 30 mg PO daily to a client. The amount available is fluoxetine 10 mg/tablet. How many tablets should the nurse administer per dose? (Write the number only, do not include the label. Round to the nearest 10th. Do not include a trailing zero. Put a leading zero if applicable)

3

A nurse is preparing to administer imipramine 200 mg PO daily divided equally every 12 hr. The amount available is imipramine 25 mg tablets. How many tablets should the nurse administer with each dose? (Write the number only, do not include the label. Round to the nearest 10th. Do not include a trailing zero. Put a leading zero if applicable)

4

Which individual of the following should be considered at highest risk for completing suicide?

A 79-year-old single white male with cancer of the prostate

You are the nurse responsible for assessing for extrapyramidal side effects in a patient who has been taking chlorpromazine. Which of the following may be side effects for this medication? (Select all that apply.)

Akathisia Acute dystonia Tardive Dyskinesia

Which condition suggests that caution is necessary for prescribing benzodiazepine to an anxious client?

Alcohol dependence

A client tells the nurse that psychotropic medicines are dangerous and refuses to take them. Which intervention should the nurse use first?

Ask the client about any previous problems with psychotropic medication

Which of the following is a therapeutic communication strategy to use when working with a client who has auditory hallucinations?

Asking the client to describe his hallucination

A client is admitted with general disorder (GAD) becomes increasingly confused and agitated over 3 hours. What is the priority nurse action by the nurse

Assess the client to determine the possible cause.

A client is diagnosed with obsessive compulsive disorder (OCD), which action by the nurse would be more likely to increase the client's anxiety?

Changing the schedule throughout the day

A nurse working in an outpatient clinic believes the client has been non- compliant with the prescribed medication regime, when assessing the client's mood, the response is better but letter, post office, doctors' office, shrink and sink, pick, the nurse recognizes. which of the following symptoms.

Clanging

The client is experiencing a manic episode. which of the following activities will be included in the plan of care?

Coloring activity and assist as needed

Which of the following are potential complications that the patient receiving Lithium should be assessed for?

Diaphoresis, weakness, and nausea

A client asks the nurse what is the difference between posttraumatic stress disorder (PTSD) and acute stress disorder? Which response by the nurse is accurate?

Hypervigilance and flashbacks are less frequent in acute stress disorder

The nurse is evaluating the effectiveness of an antipsychotic on positive symptoms of psychosis. which statement by the client would stick improvement of positive symptoms

I believe the federal bureau of investigation (FBI) has stopped monitoring my calls

The nurse is providing health teaching for a client who has been prescribed phenelzine/ Nardil for depression and provided education about the types of food to avoid. Which statement by clients indicates the need for further education?

I can have glass of wine as long as it's before I take my next dose

In acute phase of major depressive disorder, which statement by the client most likely expresses their outlook on life?

I deserve to be this way

A client is very stressed about work and has started taking yoga classes. Which comment would indicate this physical activity has been successful?

I haven't needed to take my anxiety medication as often.

Nurses evaluate the effectiveness of an antipsychotic for negative symptoms

I noticed I've had more energy lately

A nurse working at a primary physician's office. The nurse enters the room of a 67-year-old male client who is there for a primary check. Which statement by the client alerts the nurse that this client is at risk for suicide?

I recently have found that I find very little pleasure in the activities I partake in

A nurse is caring for a client who has been rejecting personal hygiene, observes an improvement in the client, wearing clean clothes, with combed and styled hair. Which of the following is the most therapeutic responses by the nurse?

I see you have done some grooming today

client has been observed having minimal interaction, constantly remains in their room, and the physician documented the client is experiencing anergia. Which statement would reflect these findings?

I'm just too tired to get up

When educating a client and his family about taking a selective serotonin reuptake inhibitor (SSRI). Which statement from the family shows an understanding of a priority for client education?

If he talks about wanting to hurt himself, we will call the doctor

A client is being triaged in the emergency department admits her spouse punched her, which statement from the client reflects rationalization?

It's hard for him to control his reaction"

A client has received a new prescription for quetiapine (Seroquel). Which statement by the client reflects an understanding of this teaching?

My weight will be closely monitored while taking this medication.

A client with schizophrenia begins to talk about triangularity hiding in the warehouse at work. Which of the following should the term triangularity be assessed as?

Neologism

The nurse is caring for a patient who takes antipsychotic medications and has developed muscle rigidity, hyperpyrexia, diaphoresis, and drooling. Which of the following adverse effects of antipsychotic medications is most likely causing these symptoms?

Neuroleptic malignant syndrome

A client with schizophrenia is about to start medication therapy with clozapine (Clozaril). Which of the following would be most important for the nurse to do?

Obtain a baseline white blood cell count.

A client is diagnosed with major depressive disorder (MDD) takes propranolol/Inderal for hypertension and imipramine/tetralin for depression... the side effects of these drugs. what would be an essential teaching by the nurse?

Rise slowly when you change from lying to sitting to standing

A client has mass in the left upper lobe and a biopsy is scheduled today. As the nurse explain the procedure, the client does not respond asked question and cannot focus on the current situation. The client is shaking and appear immobile. The nurse recognizes the client is experiencing which level of anxiety?

Severe

Which of the following is most important to teach a client with a new prescription for lithium?

Speak to your provider if you have nausea, vomiting, or become dehydrated

A 39-year-old woman is recently divorced and is learning to cope with additional stressors. Which of the following best demonstrate(s) that she is utilizing positive coping strategies to manage her stress? (Select all that apply)

Starting an exercise program Using cognitive behavioral therapy techniques

A client with past traumatic experiences uses sublimation. Which of the following would demonstrate sublimation?

The client speaks at high school about her story.

A client diagnosed with nyctophobia has recently started systematic desensitization therapy. The nurse understands this therapy will help the client through which of the following techniques?

The client will gradually be exposed to the situation until they do not experience panic level anxiety

A client diagnosed with obsessive-compulsive disorder (OCD) has recently started thought stopping as part of therapy. The nurse understands that therapy will help the client through which of the following techniques?

The client will snap a rubber band on their wrist to stop the obsessive thought from occurring

A nurse is providing education to a client recently prescribed buspirone. Which of the following statement by the client indicates further education is needed.

This medication will be effective by next week

A client diagnosed with major depressive disorder is considering cognitive behavioral therapy. The client asks the nurse how the therapy would help alleviate depressive thoughts, what is the best response by the nurse?

This therapy will help learn to think more positively, and thereby reduce depressive thoughts and symptoms

A nurse is assessing a client who has schizophrenia and has been treated with a first-generation antipsychotic. Which of the following findings should the nurse document as manifestation of tardive dyskinesia?

Twisting tongue movement

which of the following is a therapeutic response by the nurse when a client state "I no longer need my medication since I don't hear voices?

What happened the last time you stopped taking your medication?

Trial pass to new group home, severe anxiety

You seem anxious, would you like to talk about.

A patient is undergoing a series of diagnostic tests. The patient says, "Nothing is wrong with me except a stubborn chest cold." The spouse reports the patient smokes and coughs a lot, has lost 15 pounds, and is easily fatigued. Which defense mechanism is the patient using?

denial

When educating a client and their family about taking a serotonin reuptake inhibitor (SSRI), which should the nurse prioritize for teaching purposes?

report increased suicidal thoughts

The nurse is providing health teaching for a patient who has been prescribed phenelzine for depression and provides a written list of foods that should not be eaten while taking this medication. What is the potential problem if the patient is not compliant with these dietary restrictions?

the foods may precipitate a life-threatening hypertensive crisis

A patient with depression is receiving imipramine (Tofranil) 200 mg every night at bedtime. Which assessment finding would prompt the nurse to collaborate with the health care provider regarding potentially hazardous side effects of this drug?

urinary retention