Mental health booklet questions

A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to beginlithium therapy. When collecting a medical history from the client's caregiver, which of the following statements is the priority to report to the provider?

"Current medications include furosemide for congestive heart failure."

A nurse is teaching a newly licensed nurse about the use of electroconvulsive therapy (ECT) for the treatment of bipolar disorder. Which of the following statements by the newly licensed nurse indicates understanding?

"ECT is effective for clients who are experiencing severe mania."

A nurse is counseling several clients. Which of the following client statements should the nurse identify as expected for factitious disorder imposed on another?

"I needed to make my child sick so that someone else would take care of them for a while."

A nurse working on an acute mental health unit is admitting a client who has major depressive disorder and comorbid anxiety disorder. Which of the following actions is the nurse's priority?

placing the client on one‐to‐one observation

early sign of lithium toxicity?

polyuria

A nurse is discussing early indications of toxicity with a client who has a new prescription for lithium carbonate for bipolar disorder. The nurse should include which of the following manifestations in the teaching? (Select all that apply.)

polyuria Muscle weakness

A nurse is interviewing a client who has a new diagnosis of persistent depressive disorder. Which of the following findings should the nurse expect?

presence of manifestations for at least 2 years

A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following techniques should the nurse include in the plan of care? (Select all that apply.)

priority restructuring Monitoring thoughts Journal keeping

a nurse is preparing to implement cognitive reframing for a patient who has an anxiety disorder. which of the following techniques should the nurse include in the plan of care?

priority restructuring, monitoring thoughts, journal keeping

Carbamazepine is prescribed for a patient admitted for rapid-cycling bipolar disorder, nursing education of this medication includes teaching the client which symptoms to report?

report skin rashes severe gi effects severe thirst weight gain (more than 5 lb in 3 months) report nystagmus, staggering gait, excessive bruising, lethargy

anxiety disorders

risk factors: Most anxiety disorders are more likely to occur in females. Obsessive-compulsive and related disorders also affect females more than males with the exception of hoarding disorder -Clients can experience anxiety due to an acute medical condition, (hyperthyroidism or pulmonary embolism).

a nurse admits a client who states "I tried to hang myself to end the pain, but it didn't work" the nurse knows that during the admission, an assessment of the client's protective factors is important. an example of protective factors would be which of the following?

the patients feelings of support from family, spiritual beliefs, problem solving skills

a nurse is caring for a client who has bipolar disorder and is taking lithium. the client reports blurred vision, polyuria, and ataxia. which of the following actions should the nurse take?

withhold the medication, administer an emetic, gavage if necessary, and obtain lithium and sodium levels

A nurse is preparing to teach a client about his prescription for lithium for the treatment of bipolar disorder. which of the following statements should there nurse include in the teaching?

you will need to stop this medication if you experience diarrhea or vomiting

A nurse is teaching a client who has a new diagnosis of premenstrual dysphoric disorder (pMDD).Which of the following statements by the client indicates understanding of the teaching?

"I am aware that my pMDD causes me to have rapid mood swings."

A nurse is caring for a client who has bipolar disorder. The client states, "I am very rich, and I feel I must give my money to you." Which of the following responses should the nurse make?

"I am here to provide care and cannot accept this from you."

A nurse is discussing normal grief with a client who recently lost a child. Which of the following statements made by the client indicates understanding? (Select all that apply.)

"I may experience feelings of resentment." "I will probably withdraw from others." "I can expect to experience changes in sleep."

A nurse is providing teaching to a client who has a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?

"I may feel drowsy for a few weeks after starting this medication."

A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior. The client tells the nurse about fears of gaining weight. Which of the following responses should the nurse make?

"I understand you have concerns about your weight, but first, let's talk about your recent accomplishments."

A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription for iloperidone. Which of the following client statements indicates understanding of the teaching?

"I will be careful not to gain too much weight while taking this medication."

A nurse is caring for a client who is to begin taking fluoxetine for treatment of panic disorder. Which of the following statements indicates the client understands the use of this medication?

"I will need to discontinue this medication slowly."

A nurse is providing teaching for a client who is scheduled to receive ECT for the treatment of major depressive disorder. Which of the following client statements indicates understanding of the teaching?

"I will receive a muscle relaxant to protect me from injury during ECT."

A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"I will schedule the client for TMS treatments 3 to 5 times a week for the first several weeks."

A charge nurse is discussing the care of a client who has major depressive disorder (MDD) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"The client is at greatest risk for suicide during the first weeks of an MDD episode."

A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lb. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing?

"Life isn't worth living if I gain weight."

A nurse is caring for a client who is prescribed lithium therapy. The client tells of the plan to take ibuprofen for osteoarthritis pain relief. Which of the following statements should the nurse make?

"Regular aspirin would be a better choice than ibuprofen."

A nurse is caring for a client who has generalized anxiety disorder and is experiencing severe anxiety. Which of the following statements actions should the nurse make?

"Tell me about how you are feeling right now."

A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical psychoanalysis. Which of the following client statements indicatesan understanding of this form of therapy?

"The therapist will focus on my past relationships during our sessions."

A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding?

"This medication increases the release of serotonin and norepinephrine."

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 all that apply.)

"What is your relationship like with your family?" "Would you describe your current eating habits?" "Can you discuss your feelings about your appearance?"

A nurse is caring for a client who lost a guardian to cancer last month. The client states, "I'dstill have my guardian if the doctor wouldhave made a diagnosis sooner." Which of the following responses should the nurse make?

"You sound angry. Anger is a normal feeling associated with loss."

SSRI antidepressants

(sertraline or paroxetine), are the first line of treatment for anxiety and obsessive- compulsive disorders.

SNRI antidepressants

(venlafaxine or duloxetine), are effective in the treatment of anxiety disorders

a nurse is attending a group therapy session and is listening to clients who have bipolar disorders discuss coping strategies. which is adaptive coping?

-I get 7 hours of sleep at night by skipping afternoon naps -I think about being on my favorite beach vacation when I get anxious -I tense and relate my muscles, starting with my feel -I see the glass as half-full when it starts to look empty

Rivastigmine effect

-Prevent breakdown of acetylcholine -Used in Alzheimer's -Patch - increase compliance

A nurse is working with an established group and identifies various member roles. Which of the following should the nurse identify as an individual role?

A member who brags about accomplishments

A nurse is discussing routine follow‐up needs with a client who has a new prescription for valproate. The nurse should inform the client of the need for routine monitoring of which of the following?

AST/ALT and LDH

A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. prior to administration of lithium carbonate, the client's lithium blood level is 1.2 mEq/L. Which of the following actions should the nurse take?

Administer the next dose of lithium carbonate as scheduled.

A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect? (Select all that apply.)

Excessive worry for 6 months Restlessness Sleep disturbance

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 all that apply.)

Hypokalemia Slightly elevated body weight

A nurse is discussing the factors for somatic symptom disorder with a newly licensed nurse. Which of the following risk factors should the nurse include? (Select all that apply.)

Anxiety disorder Childhood trauma

A nurse wants to use democratic leadership witha group whose purpose is to learn appropriate conflict resolution techniques. The nurse is correct in implementing this form of group leadership when demonstrating which of the following actions?

Asks for group suggestions of techniques and then supports discussion

A nurse is planning care for a client who has body dysmorphic disorder. Which of the following actions should the nurse plan to take first?

Assess the client's risk for self‐harm

A nurse is discussing free association as a therapeutic tool with a client who has major depressivedisorder. Which of the following client statements indicates understanding of this technique?

I should say the first thing that comes to my mind."

which medication should the nurse anticipate to administer prior to the ECT procedure?

Atropine

A nurse observes a client who has OCD repeatedly applying, removing, and then reapplyingmakeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following underlying reasons?

Attempt to reduce anxiety

A charge nurse is discussing manifestations of schizophrenia with a newly licensed nurse. Whichof the following manifestations should the charge nurse identify as being effectively treated by first‐generation antipsychotics? (Select all that apply.)

Auditory hallucinations Delusions of grandeur Severe agitation

A nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol use disorder. The nurse informs the client thatthis medication can cause nausea and vomiting when alcohol is consumed. Which of the following types of treatment is this method an example?

Aversion therapy

A nurse is leading a peer group discussion about the indications for ECT. Which of the following indications should the nurse include in the discussion?

Bipolar disorder with rapid cycling

a nurse is reviewing medications for a newly admitted client who has bipolar disorder and is experiencing mania. which of the following clients prescriptions should the nurse realize is expected to reduce the clients mania?

Carbamazepine

A nurse is caring for a client who takes paroxetine to treat post traumatic stress disorder. The client states, "I grind my teeth during the night, which causes pain in my mouth." The nurse should identify which of the following interventions as possible measures to manage the client's bruxism? (Select all that apply.)

Concurrent administration of buspirone Use of a mouth guard Changing to a different class of antianxiety medication

A nurse is assessing a client immediately following an ECT procedure. Which of the following findings should the nurse expect? (Select all that apply.)

Confusion

A nurse is reviewing the medical record of a client who has conversion disorder. Which of the following findings should the nurse identify as placing the client at risk for conversion disorder?

Death of a child 2 months ago

A nurse is planning group therapy for clients dealing with bereavement. Which of the following activities should the nurse include in the initial phase? (Select all that apply.)

Define the purpose of the group. Discuss termination of the group. Establish an expectation of confidentiality within the group.

A charge nurse is reviewing Kübler‐Ross: Five Stages of Grief with a group of newly licensed nurses. Which of the following stages should the charge nurse include in the teaching? (Select all that apply.)

Denial Bargaining Anger Depression

A nurse is discussing relapse prevention with a client who has bipolar disorder. Which of the following information should the nurse include in the teaching? (Select all that apply.)

Difficulty sleeping can indicate a relapse. Participating in psychotherapy can help prevent a relapse. Anhedonia is a clinical manifestation of a depressive relapse.

A nurse is developing a plan of care for a client who has conversion disorder. Which of the following actions should the nurse include?

Discuss alternative coping strategies with the client.

A nurse is assessing a client who is currently taking perphenazine. Which of the following findings should the nurse identify as an extrapyramidal symptom (EpS)? (Select all that apply.)

Drooling Involuntary arm movements Continualpacing

A nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators. Which of the following actions should thenurse implement with this form of therapy?

Gradually expose the client to an elevator while practicing relaxation techniques.

A nurse is assessing a client 4 hr after receiving an initial dose of fluoxetine Which of the following findings should the nurse report to the provider as indications of serotonin syndrome? (Select all that apply.)

Hallucinations Diaphoresis Agitation

A nurse is caring for a client who has major depressive disorder. Which of the following should the nurse identify as a risk factorfor depression? (Select all that apply.)

History of chronic bronchitis Recent death in client's family Family history of depression personal history of panic disorder

A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity. Which of the following actions is the nurse's priority?

Identify the client's level of orientation.

A nurse is planning care for a client who has anorexia nervosa with binge‐eating and purging behavior. Which of the following actions should the nurse include in the client's plan of care?

Implement one‐to‐one observation during meal times.

A nurse is assessing a client who has illness anxiety disorder. Which of the following are expectedfor this disorder? (Select all that apply.)

Obsessive thoughts about disease History of childhood abuse Avoidance of health care providers Depressive disorder

A nurse is working with a client who has recently lost a guardian. The nurse recognizes that which of the following factors influence a client's grief and coping ability? (Select all that apply.)

Interpersonal relationships Culture Religious beliefs prior experience with loss

A nurse is conducting a family therapy session. The younger child tells the nurse about plans to make the older sibling look bad, believing this will earn more freedom and privileges. The nurse should identify this dysfunctional behavior as which of the following?

Manipulation

A nurse is caring for a client who has bipolar disorder. Which of the following is the priority nursing action?

Monitor the client for escalating behavior.

A nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)

Offer concise explanations. Establish consistent limits. Use a firm approach with communication.

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 all that apply.)

Olanzapine Aripiprazole Clozapine Asenapine

A nurse is caring for a client who is taking phenelzine For which of the following manifestations should the nurse monitor as an adverse effectof this medication? (Select all that apply.)

Orthostatic hypotension Hypomania

A nurse is teaching a client who has a new prescription for alprazolam for generalized anxiety disorder. Which of the following information should the nurse provide?

Report confusion as a potential indication of toxicity.

A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flataffect. The nurse should expect a prescriptionfor which of the following medications?

Risperidone

PTSD first line treatment

SSRIs- Paroxetine -treats anxiety and depression

A nurse is caring for a client following the loss of a partner due to a terminal illness. Identify the sequence of Engel's five stages of grief that the nurse should expect the client to experience. (Select the stages of grief in order of occurrence. All steps must be used.)

Shock and disbelief Developing awareness Restitution Resolution of the loss Recovery

A nurse is reviewing the medical record of a client who has a new prescription for bupropion for depression. Which of the following findings is the priority for the nurse to report to the provider?

The client had a motor vehicle crash last year and sustained a head injury.

A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take?

Stay with the client and remain quiet.

A nurse on an acute mental health unit forms a group to focus on self‐management of medications. At each of the meetings, two of the members conspire together to exclude the rest of the group. This is an example of which of the following concepts?

Subgroup

A nurse is planning care for a client following surgical implantation of a VNS device. The nurse should plan to monitor for which of the following adverse effects? (Select all that apply.)

Voice changes Cough Neck pain

A nurse is teaching a client who has a new prescription for imipramine how to minimize anticholinergic effects. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Void just before taking the medication. Wear sunglasses when outside. Chew sugarless gum.

a nurse is looking up lab results for a client on lithium. which of the following indicates advanced lithium toxicity?

a lithium level of 2.0-2.5 mEq/L

PTSD medications

alprazolam propranolol prazosin

Antianxiety medications

are helpful in treating the manifestations of anxiety disorders. Benzodiazepines (diazepam) are indicated for short-term use. Buspirone is effective in managing anxiety and can be taken for long-term treatment of anxiety.

a nurse is conducting an assessment of a client, admitted involuntarily, who recently attempted suicide over the last 24 hours. the nurse will assess for which of the following during an assessment for suicide risk?

assess thought assess means assess ability assess plan assess intent

which indicates lithium toxicity?

ataxia, tremors, seizures