MH exam 2

A nurse on an inpatient mental health unit is evaluating a client who was admitted for suicidal ideation for readiness for discharge. Which of the following statements by the client indicated they may be ready for discharge? -I plan to go hunting when I go home -When I get home, I will reach out to my friends if I start feeling down -I am going to make a will as soon as I get home -When I get home, I will get even with my boss for firing me from my job

-When I get home, I will reach out to my friends if I start feeling down

A school nurse is preparing a presentation about suicide prevention for high school. Which should the nurse include as modifiable risk factors for suicide? -sexual orientation -access to firearms -ethnicity -race

-access to firearms

A nurse is caring for a client who has schizophrenia. Which should the nurse identify as a social determinant of health for the client? -health hx -ability to take oral meds -adherence to the med regimen -access to healthy foods

-access to healthy foods

A school nurse is creating a presentation about mental health for a group of middle school students. Which of the following topics should the nurse prioritize when preparing this presentation? -tyramine restrictions when taking a MAOI -the prevalence of postpartum depression -signs and manifestations of lithium toxicity -factors that contribute to suicide

-factors that contribute to suicide

A public health nurse is preparing a suicide prevention program for patrons of the local library. The nurse should inform the attendees that suicide is the second leading cause of death in which of the following age groups? -10-34 35-44 45-54 -over 65

-10-34

A nurse on a mental health unit is using the SAD PERSONS scale to assess the risk of suicide among several clients. Which should the ensure identify as having the highest risk? -43 yo female -21 yo female -35 yo male -15 yo male

-15 yo male

A nurse is caring for a client who has been dx's with schizophrenia. The client is exhibiting delusional behavior stating that a new nurse is from the FBI and is stealing their thoughts and ideas. Which statement should the nurse make? -wow since the FBI is involved now, you are safe. Tell me more about the FBI wanting to take your thoughts -dont worry, you are perfectly safe. the walls and ceiling are lined with lead and can't be penetrated -you should stop these thoughts because they are making things worse for you. Take a deep breath -I can see you are very concerned. The new nurse is not from the FBI and will not harm you

-I can see you are very concerned. The new nurse is not from the FBI and will not harm you

The nurse is providing education to the client regarding phenelzine. Which of the following 3 statements indicates the need for further teaching? -I love overripe bananas. Im glad I don't have to give them up -it is okay is I drink imported beer, but I must avoid wine -I will check with my provider before taking cold meds -I need to avoid smoked meats when taking this med -I can expect my blood pressure to go up with this med

-I love overripe bananas. Im glad I don't have to give them up -it is okay is I drink imported beer, but I must avoid wine -I can expect my blood pressure to go up with this med

A nurse as a community tx center asks a client about their use of a dx'd anti-psychotic medication that should be taken daily. which statement should suggest to the nurse that the client is not adhering to their medication tx plan? -I sometimes go a few days without taking my medication -I take my medication at a different time every day -I sometimes forget to take my medication with food like it says to on the bottle -I don't usually refill my medication until im down to the last dose or two

-I sometimes go a few days without taking my medication

A nurse on an inpatient mental health unit is teaching a newly licensed nurse about suicide prevention. Which statement made indicated an understanding of the information presented? -the client can eat their meal alone in their room -the blinds in the clients room will need to stay closed to prevent overstimulation -all sharp objects should be removed from the clients room -family members should be encouraged to look up the warning signs of suicide

-all sharp objects should be removed from the clients room

What requires immediate f/u when taking lithium?

-altered mental status -blurred vision -dry oral mucous membranes, poor skin turgor, pronounced intention tremor -ibuprofen 600mg TID -BUN 48 -creatinine 2.4 -lithium 2.5 -bradycardia

A nurse is instructing a client who is experiencing hallucinations about medication use. Which statement should the nurse make? -OTC meds generally do not cause hallucinations -both rx and OTC meds can sometimes cause hallucinations in some people -hallucinations from medication are extremely rare -hallucination are only caused by acute toxicity from a med

-both rx and OTC meds can sometimes cause hallucinations in some people

A nurse is reviewing assessment findings for a 22 yo client who was found wandering in the street. Which manifestation suggests the client is experiencing positive symptoms of psychosis? -clanging speech -positive toxicology screen for opioids -flat affect -large bruise on face

-clanging speech

The nurse is reviewing the medical record of a client who has major depressive disorder. Which of the following assessment findings should the nurse expect? -client is hyperactive -client has had a recent intentional weight loss -client reports sleeping 8hrs each night -client reports having thoughts of death

-client reports having thoughts of death

A nurse is caring for a client who is being evaluated for schizophrenia spectrum disorder. Which of the following is used to determine a dx for schizophrenia? -reality testing -lab testing -neurological imaging -clinical observation

-clinical observation

A nurse is caring for a client who was admitted with suicidal ideation. The client tells the nurse they have several guns in their home. Which of the following types of interventions is the priority for the nurse to initiate? -teach coping and problem-solving skills -strengthen access to and delivery of suicide care -promote connectedness -create a protective environment

-create a protective environment

a nurse is caring for a client who has been dx'd with schizophrenia. Which of the following findings indicates that the client is in the residual phase of the disorder? -no longer showing any noticeable negative symptoms -experiencing regular hallucinations and delusions -extended periods of disorganized thought and speech -decline on symptoms of psychosis

-decline on symptoms of psychosis

A nurse is caring for a client who has schizophrenia. Which of the following describes the physiological changes caused by exposure to risk factors for this disorder? -increased volume in the hippocampus -decreased gray matter volume in the brain -structures changes in the part of the brain that regulates impulse control -increased volume of the frontal cortex

-decreased gray matter volume in the brain

A nurse is caring for a client who has been taking risperidone and reports experiencing muscle spasms in their neck and difficulty opening their mouth. Which medication should the nurse anticipate the provider to prescribe for this client? -diphenhydramine -valbenazine -escitalopram -naloxone

-diphenhydramine

A nurse in an outpatient clinic is caring for a client who has major depressive disorder and has reported suicidal thoughts. Which is the first information the nurse should try to obtain from the client? -how lethal are the client's thoughts of self-harm -does the client have access to committing self-harm -does the client have a suicide plan -does the client have someone to call when they are feeling suicidal

-does the client have a suicide plan

A nurse is working in a community health center is providing an in-service to a group of residents about schizophrenia. Which should the nurse include as an environmental risk factor for this condition? -living in a rural community -experiencing poverty -smoking cigarettes -managing extreme weather conditions

-experiencing poverty

A nurse is providing education to a group of staff members about risk factors fro schizophrenia. Which risk factor should the nurse include? -having a twin sibling who has the disorder -hx of seasonal allergies -living in a rural community -raised in a middle-class income family

-having a twin sibling who has the disorder

A nurse is caring for a client experiencing psychosis. Which is a positive symptom of schizophrenia? -flat affect -hearing voices -difficulty concentrating -withdrawn socially

-hearing voices

A nurse is providing information about hallucinations to a client who has schizophrenia. Which of the following statements should the nurse make? -it is a belief that something is real when in reality it is not -it is when behaviors that you typically display are abnormally absent -it is when you see or hear things that others are not experiencing -it is when you experience symptoms that affect your memory

-it is when you see or hear things that others are not experiencing

A nurse is reviewing the serum lithium report for a client who is bipolar. Which manifestation should the nurse expect the client to have with a lithium level of 2.2? -severe respiratory complications -jerking motor movements -GI discomfort -abnormal involuntary movements of tongue

-jerking motor movements

A nurse is caring for a client who is experiencing alternating periods of elevated and depressed mood. Which medication should the nurse anticipate the provider prescribe? -benzodiazepine -dopamine antagonist -SSRI -mood stabilizer

-mood stabilizer

A nurse is caring for a client who has bipolar disorder and begun lithium therapy. Which manifestation should the nurse identify as indicative of early lithium toxicity -blurred vision and tinnitus -muscle jerking and stupor -nausea and coarse tremors -respiratory distress and comatose state

-nausea and coarse tremors

A nurse is caring for a client who is dx'd a tricyclic antidepressant medication. Which of the following topics should the nurse prepare to discuss with the client? -it is important to take the medication first thing in the morning -relief of manifestations should not be expected for a few weeks -there are benefits associated with combining a tricyclic antidepressant with st johns wort -foods that are known to be high in dietary tyramine should be avoided

-relief of manifestations should not be expected for a few weeks

a client who has schizophrenia shares with their nurse that they are feeling lonely and isolated. Which action is the nurse's priority? -share information about support groups for people who have serious mental illness (SMI) -teach the client stress reduction techniques so they feel more in control of their social situation -help the client focus on recovery so that their relationships can improve down the road -suggest adding another type of tx for the client

-share information about support groups for people who have serious mental illness (SMI)

A nurse is assessing a client who has a dx of mania related to bipolar disorder. Which behavior should the nurse expect the client to exhibit? -the client is giving away their possessions -the client is demonstrating risky behavior -the client is sleeping excessively -the client states they feel worthless

-the client is demonstrating risky behavior

The nurse is discussing findings of depression with a group of clients. Which client statements indicated an understanding of the information? -thyroid problems can cause depression -staying awake for days can be finding of depression -hyperactivity is a finding associated with depression -impulsiveness is a finding that is commonly associated with depression

-thyroid problems can cause depression

A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as a cognitive symptom? -unable to express emotions -hearing voices -unable to concentrate -withdrawing from social situations

-unable to concentrate

A nurse is caring for a client who is at risk for developing schizophrenia. Which finding should the nurse identify as an environmental risk factor? -tobacco use -drinking alcohol -exposure to lead -using cannabis

-using cannabis

A nurse is providing discharge instructions for a client who is prescribed clozapine. Which information should the nurse include? -the med only treats negative symptoms -the med takes full effect in one week -weekly blood draws will need to be done while taking this med -the med requires the monitoring of RBCs

-weekly blood draws will need to be done while taking this med

A nurse is caring for a client who has schizophrenia. Which of the following questions should the nurse ask during the exploitation phase of the nurse-client relationship? -which stress reduction techniques are you finding helpful alongside your medication -when would you like your first appointment to take place -do you have any religious or cultural beliefs that should be aware of to support you -do you feel safe in your home environment

-which stress reduction techniques are you finding helpful alongside your medication

A nurse is talking with the family of a 28 yo client who has been dx'd with schizophrenia. The clients parents ask if their child will ever be able to have a good quality of life. which response should the nurse make? -with tx and support your child can live a productive and rewarding life -your child will require care and tx for the remainder of their life -I see this is difficult for you. it really depends on if your child responds to tx

-with tx and support your child can live a productive and rewarding life

A nurse is providing teaching to a client who is to undergo electroconvulsive therapy (ECT) for depression. Which of the following information should the nurse provide? -electrical current will flow through electrode placed on your torso -you will be awake during the procedure -your provider will likely schedule you or several treatments over a period of weeks -it is not necessary to fast before the procedure

-your provider will likely schedule you or several treatments over a period of weeks

A nurse is creating a presentation about depression for a community health fair. The nurse should plan to report that depression is more prevalent among which of the following demographics? -adult males -adult females -adolescents between ages of 15-17 -children ages 10-14

adult females

A school nurse is preparing a presentation for high school students on the relationship between substances and depression. Which of the following substances should the nurse plan to include as a contributing factor in the development of substance-induced depressive disorder? -amphetamines -SSRIs -nonsteroidal anti-inflammatory drugs -MOAIs

amphetamines

A nurse is caring for a client who has schizophrenia and is unaware of their own mental health. Which of the following is the client experiencing? -catatonia -anosognosia -tardive dyskinesia -seizure

anosognosia

A nurse is caring for a client who has been dx'd with schizophrenia which should the nurse identify as a positive symptom? -alogia -hallucination -avolition -anhedonia

hallucination

A nurse is caring for a client who has major depressive disorder. Which of the following findings should indicate to the nurse the client is experiencing psychosis? -depressed mood -anxiety symptoms -mania -hallucinations

hallucinations

a nurse is caring for a client who is hyperactive, pacing down the hallway, and exhibiting poor concentration during group therapy. Which of the following is characteristic of the client's manifestations? -mania -depression -hallucinations -delusions

mania