Test 2 - schizo, eating, addiction

B

A nurse is caring for a client on an acute mental health unit. The client reports hearing voices that are stating, Kill your doctor. Which of the following action s should the nurse take first? a. encourage the client to participate in group therapy b. initiate one-to-one observation of the client c. focus the client on reality d. notify the provider of the clietnts statements.

C

A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The nurse should expect a prescription for which of the following medication? a. Chlorpromazine b. thiothixene c. risperidone d. haloperidol

ACDE

A nurse is caring for a client who takes ziprasidone. The client reports difficulty swallowing the oral medication and becomes extremely agitated with injectable administration. The nurse should contact the provider to discuss a change to which of the following medications? (select some) a. olanzapine b. Quetiapine c. Aripiprazole d. Clozapine e. Asenapine

ACDE

A nurse is completing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse document as positive (select all) a. auditory hallucinations b. lack of motivation c. use of clang associations d. delusion of persecution e. constantly waving arms f. flat affect.

ACE

A nurse is obtaining a nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the following questions should the nurse include in the assessment? (select some) a. what is your relationship like with your family b. why do you want to lose weight c. would you describe your current eating habits? d. at what weight do you believe you will look better? e. can you discuss your feelings about your appearance.

BD

A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. Which of the following is an expected finding? (select some) a. amenorrhea b. hypokalemia c. yellowing of the skin d. slightly elevated body weight e. presence of lanugo on the face

C

A nurse is planning care for a client who is experiencing benzodiazepine withdrawal .Which of the following interventions should the nurse identify as the priority?

D

A pt diagnosed with borderline personality disorder has cause of self-mutilation probably related to? a. inherited disorder that manifests itself as an incapacity to tolerate stress. b. use of projective identification and splitting to bring anxiety to manageable levels c. constitutional ability to regulate affect, predisposing to psychic disorganization d. fear of abandonment associated with progress toward autonomy and independence.

C

The nurse is conducting an initial assessment of a client in crisis. When assessing the client's perception of the precipitating event that led to the crisis, which 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

A

What is the priority intervention for a nurse beginning a therapeutic relationship with a patient diagnosed with a schizotypal personality disorder? a. respect the patients need for periods of social isolation b. prevent the patient from violating nurses rights c. engage the patient in many community activities d. teach the patient how to match clothing

D

When assessing a patirent who has ingested flunitrazepam, the nurse would expect a. acrophobia b. hypothermia c. hallucinations d. anterograde amnesia

C

Which assessment findings best correlate to the withdrawal from central nervous system depressants a. dilated pupils, tachycardia, elevated blood pressure, elation b. labile mood, lack of coordination, fever, drowsiness c. nausea, vomiting, diaphoresis, anxiety, tremors d. excessive eating, constipation, headache

D

Which assessment findings will the nurse expect in an individual who has just injected heroin? a. anxiety, restlessness, paranoid delusions b. heightened sexuality, insomnia, euphoria c. muscle aching, dilated pupils, tachycardia d. drowsiness, constricted pupils, slurred speech

B

Which information would be important for the nurse to obtain during this client visit regarding the side and adverse effects of fluoxetine? a. cardiovascular symptoms b. gastrointestinal dysfunctions c. problems with mouth dryness d. problems with excessive sweating

ABCE

Which interventions are most appropriate for caring for a client in alcohol wirthdrawal? (SATA) a. monitor vital signs b. provide a safe environment c. address hallucinations therapeutically d. provide stimulation in the environment e. provide reality orientation as appropriate f. maintain NPO status

C

Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? a. chlordiazepoxide b. bupropion c. disulfiram d. carbamazepine

ACD

Which of the following menifestations should the charge nurse identify as being effectively treated by first-generation antipsychotics? (select some) a. auditory hallucinations b. withdrawal from social situations c. delusions of grandeur d. severe agitation e. anhedonia

D.

a health care provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory hallucinations and poor social functioning. The patient is also overweight and has hypertension. Which drug should the nurse advocate? a. clozapine b. ziprasidone c. olanzapine d. aripiprazole

B

a newly admitted patient diagnosed with schizophrenia is hypervigilant and constantly scans the environment. The patient states, I saw two doctors talking in the hall. They were plotting to kill me. The nurse may correctly asses this behavior as: a. echolalia b. an idea of reference c. a delusion of infidelity d. an auditory hallucination

BDE

a nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? (select all that apply) a. bradycardia b. fine tremors of both hands c. hypotension d. vomiting e. restlessness

BD

a nurse plans the care for an individual diagnosed with antisocial personality disorder. which characteristic behaviors will the nurse expect? (SATA) a. reclusive behavior b. callous attitude c. perfectionism d. aggression e. clinginess f. anxiety

C

a nurse teaches a patient diagnosed with an alcohol addiction about a new prescription for naltrexone. WHich comment by the patient indicates the teaching was effective? a. this medicine will stop my cravings for alcohol b. I should take this medication only when I feel cravings to drink alcohol c. this medicine is one part of a bigger treatment plan to help me stay sober. d. I should not use products that contain alcohol, such as cough medicine, and aftershave lotion.

D

a young adult has heavily abused alcohol and prescription drugs since mid-adolescence. This individual now has an ataxic gait and uses a cane. Which comment by the nurse presents reality while demonstrating compassion a. I know you must feel self-conscious about using a cane at your age but it will hellp prevent falls b. addiction is a fatal disease. If you continue to drink like you have done in the past, you will not live another 10 years. c. its time to face your addiction. You are disappointing your family and must stop drinking for the sake of the people who love you d. addiction is powerful. You are young yet cannot walk without a cane. If you don't make changes, your health will continue to suffer.

akathisia

another term for restlessness

cluster c

anxious or fearful traits, insecurity and inadequacy is the definition of what cluster

cluster b

dramatic, emotional, or erratic traits is the definition of what cluster

ABD

for which patients diagnosed with personality disorders would a family history of similar problems be most likely? (SATA) a. obsessive-compulsive b. antisocial c. dependent d. schizotypal e. narcissistic

tardive dyskinesia

involuntary movements of the facial muscles, tongue, and limbs; LIP SMACKING lower dosage after,

cluster a

odd or eccentric traits is the definition of what cluster

acute dystonia

sever spasms of the tongue, neck face and back. Requires rapid treatment, such as benztropine

resperidone

should not be used if client has dementia, atypical antipsychotic, treats negative and positive symptoms,

B

the nurse is describing the medication side and adverse effects to a client who is taking amitriptyline. Which information should the nurse incorporate in 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. walk if you have difficulty urinating because this is a normal side effect.

chlorpromazine

treats psychotic disorders, watch for agranulocytosis, dry mouth, photophobia, and tachycardia. Other versions include haloperidol and loxapine

D

which medication si the nurse most likely to see prescribed as part of the treatment plan for both a patient in an alcoholism treatment program and a patient in a program for the treatment of opioid addiction a. methadone b. bromocriptine c. disulfiram d. naltrexone