Mental Health Quiz 2 (6-11)

A client comes to the outpatient mental health clinic 2 days after being discharged from the hospital. The client was given a 1-week supply of clozapine (Clozaril). The nurse reviews information about clozapine with the client. Which client statement indicated an accurate understanding of the nurse's teaching about this medication?

"I need to keep my appointment this week for a blood test to monitor my white blood cells."

The Mental Health Status Exam takes place in what step of the nursing process?

Assessment

Nurse Arlene recognizes that the focus of environmental (MILIEU) therapy is to:

Ensure that the environment is settled to bring about a positive behavior change

When planning care for a female patient diagnosed with obsessive and compulsive behavior, Nurse Barbara and case manager Marc must recognize that the ritual:

Helps the patient to be in control of their anxiety.

A 17-year-old client whose boyfriend has recently broken their engagement is brought into the emergency department after taking a handful of lorazepam (Ativan). Which nursing intervention would take priority during this psychiatric crisis?

Monitor vital signs and note any signs of central nervous system depression.

Use of a logical-sounding excuse to cover up true thoughts and feelings" describes this defense mechanism:

Rationalization

Nurse Jane is aware that the symptoms that distinguish post-traumatic stress disorder (PTSD) from anxiety disorders include:

Re-experiencing the trauma in dreams or flashback.

A client diagnosed with post traumatic stress disorder states to the nurse, " All those wonderful people died, and yet I was allowed to live." Which is the client experiencing?

Survivor's Guilt

When a client experiences a panic attach, which outcome takes priority?

The client will remain safe throughout the duration of the panic attack.

A client who has been scheduled for electroconvulsive therapy (ECT) in the morning tells the nurse, "I'm really nervous about having ECT tomorrow." Which would be the best nursing response?

"Its okay to be nervous. What are your concerns about the procedure."

A client is newly prescribed lithium carbonate (lithium). Which teaching point by the nurse takes priority?

"Make sure your salt intake is consistent."

Which of the following defense mechanisms do people typically use in times of stress: SELECT ALL THAT APPLY

1. Denial 3. Compensation 4. Rationalization

Nursing preparations for client undergoing electroconvulsive therapy (ECT) resemble those used for general anesthesia: SELECT ALL THAT APPLY

1. Monitor the patient's vital signs before and after the procedure 2. Medicate prior to procedure if ordered 3. Educate patient and patient's family 5. The patient may be slightly confused after the procedure.

An in-patient psychiatric client recently diagnosed with bipolar disorder has been prescribed lithium carbonate (Lithium). When the nurse is functioning in the role of a teacher, which of the following nursing interventions is appropriate to teach the client? SELECT ALL THAT APPLY

1. Teaching the benefits of taking this medication as prescribed 2. Teaching signs and symptoms of lithium toxicity 3. Teaching dietary and fluid intake considerations 4. Teaching reportable side effects

The nurse has received the evening patient report. Which client would the nurse need to assess first?

A client pacing the hallways and stating that his anxiety is an 8/10

Which of the following assessment data would support the disorder of acrophobia?

A client refused to go to the top of the Empire State to overlook the city.

A client diagnosed with hypochondriasis complains to the nurse about others doubting the seriousness of the client's disease. The client is angry, frustrated, and anxious. Which nursing intervention takes priority?

Acknowledge the client's frustration without fostering continued focus on physical illness.

A female client's husband in whom a chronic illness was recently diagnosed is hospitalized. She states that she cannot stop worrying about what is going to happen with her husband's treatment and how they are going to pay the bills because he will not be working. What reaction is the client most likely experiencing?

Anxiety

A client diagnosed with major depressive disorder is bein considered for electroconvulsive therapy (ECT). Which client teaching should the nurse prioritize?

Discuss with the client and family expected short-term memory loss.

Your patient is sternly criticized by her doctor for not complying with the medication regimen. The patient walks out of the office and yells at the parking attendant. This may be an example of which defense mechanism?

Displacement

You find a patient on the floor at shift change. She is awake and alert. She is confused now and was not confused prior to the being found on the floor. What is your first step in the nursing process in this situation?

Gather more information by making observations about the patient.

The component of the Mental Health Status Examination that focuses on the way a person experiences reality is assessing the person's:

Perception

Which of the following is a priority in dealing with a high anxious patient?

Provide support to reinforce a sense of security.

When teaching Mary, who has depression, about foods to avoid while taking phenelzine (Nardil), which of the following would Audrey LPN include?

Salami

The nurse is attempting to establish a therapeutic relationship with an angry, depressed client on a psychiatric unit. Which is the most appropriate nursing intervention?

Show respect that is not based on the client's behaviors.

During the admission of the patient, Nurse Toni will get specific information from the patient. This method of getting information is known as the:

The patient interview

When observing a patient receiving tricyclic antidepressant therapy,__________ would bring attention to the nurse that the patient was undergoing anticholinergic effects.

Urine retention and changes in blood glucose