Evolve Psych Quiz

What questions should a nurse ask when, during the assessment of an older adult, the nurse suspects suicidal intent?

"Do you think about killing yourself?" "How often do you have these thoughts?" "Do you have the means to kill yourself?" "How would you kill yourself if you decided to do it?"

A client has been taking escitalopram for treatment of a major depressive episode. On the fifth day of therapy the client refuses the medication, stating, "It doesn't help, so what's the use of taking it?" What is the best response by the nurse?

"It can take 1 to 4 weeks to see an improvement."

A depressed client is prescribed citalopram hydrobromide. Six days later the client tearfully says to the nurse, "I'm taking an antidepressant, but it's not working. I'm hopeless." What is the best response by the nurse?

"It takes 2 or 3 weeks before it begins to relieve depression."

A client asks the nurse how psychotropic medications work. How does the nurse reply?

"These medications affect the chemicals used in communication between nerve cells."

A client is prescribed sertraline, an antidepressant. What does the nurse include when preparing a teaching plan about the side effects of this drug?

Agitation

A client with a diagnosis of bipolar I disorder, depressive episode, is receiving lamotrigine. The nurse concludes that the medication is effective when the client displays which behavior change?

Begins performing activities of daily living

The nurse is teaching a client who is receiving a monoamine oxidase inhibitor about dietary restrictions. The nurse plans to caution the client to avoid which foods?

Cheese, beer, and products with chocolate

Which statement is true regarding antipsychotic drugs?

Clozapine is more effective than other second-generation antipsychotics.

A nurse is teaching a client about tricyclic antidepressants. Which potential side effects does the nurse include?

Dry mouth Drowsiness Constipation Orthostatic hypotension

A client is admitted to the psychiatric hospital with a diagnosis of obsessive-compulsive disorder. The client's anxiety level is approaching a panic level, and the client's ritual is interfering with work and daily living. Which selective serotonin reuptake inhibitor (SSRI) does the nurse anticipate that the primary healthcare provider may prescribe?

Fluvoxamine

Bupropion has a unique side effect not shared by most other drugs of its class. The nurse will assess the client for which unique possible side effect of this drug?

Generalized seizures

A nurse is preparing a client for electroconvulsive therapy. What side effects should the client be told to expect?

Headache Confusion Memory loss

A client with schizophrenia is admitted to an acute care psychiatric unit. Which clinical findings indicate positive signs and symptoms of schizophrenia?

Hyperactivity, auditory hallucinations, loose associations

What is the function of limbic system?

Influence emotional behavior

A couple arrives at the mental health clinic for counseling because the husband consistently believes that his wife is having multiple affairs. After several sessions a delusional disorder is diagnosed. What specific subtype of the delusion does the nurse identify?

Jealousy

Schizophrenia is associated with negative symptoms. In the assessment of a client with schizophrenia, which symptoms are classified as negative symptoms?

Lack of energy Poor grooming

The nurse cares for a client diagnosed with bipolar disorder who was prescribed drug therapy. Laboratory reports reveal that the client's thyroxine levels are low. Which drug might have led to this condition?

Lithium

Which drug does the nurse recognize as an effective mood-stabilizing drug used in clients with bipolar disorder and in the acute treatment of mania and prevention of recurrent mania and depressive episodes?

Lithium carbonate

During an interview a 32-year-old man describes symptoms of decreased appetite, insomnia, anhedonia, and feelings of worthlessness that have been present for the past few weeks. He reports having had a few episodes of feeling depressed in the past but says that the feelings subsided. Recently he has felt worse, and he is now concerned that his symptoms are negatively affecting his job performance and fears he may lose his job "if someone doesn't help me soon." The nurse suspects these symptoms are related to which disorder?

Major Depressive Disorder

The primary healthcare provider prescribes valproate and olanzapine to a client. Which clinical finding would support this intervention?

Mania with psychosis

The primary healthcare provider notices that a client exhibits a period of mania followed by hypomania and depression and prescribes lithium carbonate. What is the mode of administration of the prescribed drug?

Oral Route

Which psychotherapeutic theory uses hypnosis, dream interpretation, and free association as methods to release repressed feelings?

Psychoanalytic model

What should the nurse keep in mind when administering a benzodiazepine to a client?

The medication can cause rebound insomnia if it is discontinued abruptly.

Which pharmacokinetic condition of a drug may result in a high intensity and long duration of response?

When absorption is rapid but elimination is delayed

Four clients are admitted to a hospital with different symptoms associated with depression. Which client would benefit from mirtazapine?

Which ever has insomnia