Unit 2 Quiz - 211

A client is prescribed phenelzine (Nardil). Which of the following statements by the client should indicate to a nurse that discharge teaching about this medication has been successful? (Select all that apply.) A. "I'll have to be very careful about reading food and medication labels." B. "I'll be sure not to stop this medication abruptly." C. "I guess I will have to give up my glass of red wine with dinner. D. "I'll still be able to enjoy my normal chocolate bars every day." E. "I'll have to let my surgeon know about this medication before I have my gall bladder removed."·

A. "I'll have to be very careful about reading food and medication labels." B. "I'll be sure not to stop this medication abruptly." C. "I guess I will have to give up my glass of red wine with dinner. E. "I'll have to let my surgeon know about this medication before I have my gall bladder removed."·

15. A client diagnosed with major depressive episode and substance use disorder has an altered sleep pattern and demands a psychiatrist to prescribe a sedative. Which rationale explains why a nurse should encourage the client to first try nonpharmacological interventions? A. Sedative-hypnotics are potentially addictive, and their effectiveness will be compromised owing to tolerance B. Sedative-hypnotics are expensive and have numerous side effects. C. Sedative-hypnotics interfere with necessary REM (rapid eye movement) sleep D. Sedative-hypnotics are known not to be as effective in promoting sleep as antidepressant medications.

A. Sedative-hypnotics are potentially addictive, and their effectiveness will be compromised owing to tolerance

Which of the following instructions regarding lithium therapy should be included in a nurse's discharge teaching? A. consume at least 1,500 to 3,000 mL of fluid per day B. Maintain a consistent sodium intake C. restrict sodium content D. Restrict fluids to 1,000 mL per day E. Refrain from participating in all athletic sports

A. consume at least 1,500 to 3,000 mL of fluid per day B. Maintain a consistent sodium intake

A patient experiencing acute mania undresses in the group room and dances. The nurse intervenes initially by: A. putting a blanket around the patient and walking with the patient to a quiet room B. quietly asking the patient, "Why don't you put your clothes on?" C. firmly telling the patient, "Stop dancing and put on your clothing." D. letting the patient stay in the group room and moving the other patients to a different area

A. putting a blanket around the patient and walking with the patient to a quiet room

A nurse recently admitted a client to an inpatient unit after a suicide attempt. A health-care provider orders amitriptyline (Elavil) for the client. Which intervention related to this medication should be initiated if possible to maintain this clients safety upon discharge? A. Provide a 6-month supply of Elavil to ensure long-term compliance. B. Provide a 1-week supply of Elavil with refills contingent on follow-up appointments. C. Provide a pill dispenser as a memory aid. D. Provide education regarding the avoidance of foods containing tyramine.

B. Provide a 1-week supply of Elavil with refills contingent on follow-up appointments.

A patient diagnosed with bipolar disorder has rapidly changing mood cycles. The health care provider prescribes an anticonvulsant medication. To prepare teaching materials, which drug should the nurse anticipate will be prescribed? A. clonidine (Catapres) B. Phenytoin (Dilantin) C. Carbamazepine (Tegretol) D. Risperidone (Risperdal)

C. Carbamazepine (Tegretol)

A 38 year old married mother of two was admitted to the psychiatric unit. Recently she has spent $10,000 on new furniture, made excessive long-distance phone calls, and has not slept for three days. She is presently dressed in a green bathing suit and singing loudly in the examining room. The nurse would initially plan to focus on: A. Obtaining a complete psychosocial assessment B. Conducting an in-depth suicide assessment C. Setting strict limits on dress and behavior D. Assessing needs for food, liquids, and rest

D. Assessing needs for food, liquids, and rest

Which principle should the nurse apply when planning nursing care for a patient who was voluntarily admitted after a suicide attempt? A. Clients who attempt suicide and fail will not try again. B. Clients who attempt suicide and fail do not really want to die. C. Clients who talk about suicide are less likely to attempt it D. The more specific the plan, the greater the risk for suicide.

D. The more specific the plan, the greater the risk for suicide.

A patient comes to the crisis clinic after an unexpected job termination. The patient paces around the room sobbing, cringes when approached, and responds to questions with only shrugs or monosyllables. Choose the nurse's best initial comment to this patient. a. "Everything is going to be all right. You are here at the clinic, and the staff will keep you safe." b. "I see you are feeling upset. I'm going to stay and talk with you to help you feel better." c. "You need to try to stop crying and pacing so we can talk about your problems." d. "Let's set some guidelines and goals for your visit here."

b. "I see you are feeling upset. I'm going to stay and talk with you to help you feel better."

A patient says to the nurse, "My life doesn't have any happiness in it anymore. I once enjoyed holidays, but now they're just another day." The nurse documents this report as an example of: a. dysthymia. b. anhedonia. c. euphoria. d. anergia.

b. anhedonia.