Nurse mental health

Rosana is in the second stage of Alzheimer's disease who appears to be in pain. Which question by Nurse Jenny would best elicit information about the pain? A. "Where is your pain located?" B. "Do you hurt? (pause) "Do you hurt?" C. "Can you describe your pain?" D. "Where do you hurt?"

B. "Do you hurt? (pause) "Do you hurt?"

When teaching the family of a client with schizophrenia, the nurse should provide which information? A. Relapse can be prevented if the client takes the medication. B. Support is available to help family members meet their own needs. C. Improvement should occur if the client has a stimulating environment. D. Stressful family situations can precipitate a relapse in the client.

B. Support is available to help family members meet their own needs.

The nurse is teaching a psychiatric client about her prescribed drugs, chlorpromazine (Thorazine), and benztropine (cogentin). Why is benztropine (Cogintin) administered? A. To reduce psychotic symptoms. B. To reduce extrapyramidal symptoms. C. To control nausea and vomiting. D. To relieve anxiety.

B. To reduce extrapyramidal symptoms.

Jose who is receiving monoamine oxidase inhibitor antidepressant should avoid tyramine, a compound found in which of the following foods? A. Figs and cream cheese B. Fruits and yellow vegetables C. Aged cheese and Chianti wine D. Green leafy vegetables

C. Aged cheese and Chianti wine

A client is unable to get out of bed and get dressed unless the nurse prompts every step. This is an example of which behavior? A. Word salad B. Tangential C. Avolition D. Perseveration

C. Avolition

In clients with a cognitive impairment disorder, the phenomenon of increased confusion in the early evening hours is called: A. Aphasia. B. Agnosia. C. Sundowning. D. Confabulation.

C. Sundowning.

The nurse is providing care to a client with a catatonic type of schizophrenia who exhibits extreme negativism. To help the client meet his basic needs, the nurse should: A. Ask the client which activity he would prefer to do first. B. Negotiate a time when the client will perform activities. C. Tell the client specifically and concisely what needs to be done. D. Prepare the client ahead of time for the activity.

C. Tell the client specifically and concisely what needs to be done.

Positive symptoms of schizophrenia include which of the following? A. Flat affect, avolition, and anhedonia B. Somatic delusions, echolalia, and a flat affect C. Waxy flexibility, alogia, and apathy D. Hallucinations, delusions, and disorganized thinking

D. Hallucinations, delusions, and disorganized thinking

A student nurse was asked which of the following best describes dementia. Which of the following best describes the condition? A. Memory loss occurring as part of the natural consequence of aging. B. Difficulty coping with physical and psychological change. C. Severe cognitive impairment that occurs rapidly. D. Loss of cognitive abilities, impairing ability to perform activities of daily living.

D. Loss of cognitive abilities, impairing ability to perform activities of daily living.

A client refuses to remain on psychotropic medications after discharge from an inpatient psychiatric unit. Which information should the community health nurse assess first during the initial follow-up with this client? A. Income level and living arrangements. B. Involvement of family and support systems. C. Reason for inpatient admission. D. Reason for refusal to take medications.

D. Reason for refusal to take medications.

A man with a 5-year history of multiple psychiatric admissions is brought to the emergency department by the police. He was found wandering the streets disheveled, shoeless, and confused. Based on his previous medical records and current behavior, he is diagnosed with chronic undifferentiated schizophrenia. The nurse should assign the highest priority to which nursing diagnosis? A. Anxiety B. Impaired verbal communication C. Disturbed thought processes D. Self-care deficit: Dressing/grooming

A. Anxiety

The nurse understands that the therapeutic effects of typical antipsychotic medications are associated with which neurotransmitters change? A. Decreased dopamine level B. Increased acetylcholine level C. Stabilization of serotonin D. Stimulation of GABA

A. Decreased dopamine level

A client with chronic schizophrenia receives 20 mg of fluphenazine decanoate (Prolixin Decanoate) by I.M. injection. Three days later, the client has muscle contractions that contort the neck. This client is exhibiting which extrapyramidal reaction? A. Dystonia B. Akinesia C. Akathisia D. Tardive dyskinesia

A. Dystonia

A client with paranoid schizophrenia is admitted to the psychiatric unit of a hospital. Nursing assessment should include careful observation of the client's: A. Thinking, perceiving, and decision-making skills B. Verbal and nonverbal communication processes C. Affect and behavior D. Psychomotor activity

A. Thinking, perceiving, and decision-making skills

Which of the following best explains why tricyclic antidepressants are used with caution in elderly patients? A. Central Nervous System effects B. Cardiovascular system effects C. Gastrointestinal system effects D. Serotonin syndrome effects

B. Cardiovascular system effects

Which ability should Nurse Rebecca expect from a client in the mild stage of dementia of the Alzheimer's type? A. Remembering the daily schedule. B. Recalling past events. C. Coping the anxiety. D. Solving problems of daily living.

B. Recalling past events.

Which information is most important for the nurse to include in a teaching plan for a schizophrenic client taking clozapine (Clozaril)? A. Monthly blood tests will be necessary. B. Report a sore throat or fever to the physician immediately. C. Blood pressure must be monitored for hypertension. D. Stop the medication when symptoms subside.

B. Report a sore throat or fever to the physician immediately.

A client is admitted to the psychiatric unit with active psychosis. The physician diagnoses schizophrenia after ruling out several other conditions. Schizophrenia is characterized by: A. Loss of identity and self-esteem. B. Multiple personalities and decreased self-esteem. C. Disturbances in affect, perception, and thought content and form. D. Persistent memory impairment and confusion.

C. Disturbances in affect, perception, and thought content and form.

Yesterday, a client with schizophrenia began treatment with haloperidol (Haldol). Today, the nurse notices that the client is holding his head to one side and complaining of neck and jaw spasms. What should the nurse do? A. Assume that the client is posturing. B. Tell the client to lie down and relax. C. Evaluate the client for adverse reactions to haloperidol. D. Put the client on the list for the physician to see tomorrow.

C. Evaluate the client for adverse reactions to haloperidol.

A client begins clozapine (Clozaril) therapy after several other antipsychotic agents fail to relieve her psychotic symptoms. The nurse instructs her to return for weekly white blood cell (WBC) counts to assess for which adverse reaction? A. Hepatitis B. Infection C. Granulocytopenia D. Systemic dermatitis

C. Granulocytopenia

An agitated and incoherent client, age 29, comes to the emergency department with complaints of visual and auditory hallucinations. The history reveals that the client was hospitalized for paranoid schizophrenia from ages 20 to 21. The physician prescribes haloperidol (Haldol), 5 mg I.M. The nurse understands that this drug is used for this client to treat: A. Dyskinesia B. Dementia C. Psychosis D. Tardive dyskinesia

C. Psychosis

The home health psychiatric nurse visits a client with chronic schizophrenia who was recently discharged after a prolonged stay in a state hospital. The client lives in a boarding home, reports no family involvement, and has little social interaction. The nurse plan to refer the client to a day treatment program in order to help him with: A. Managing his hallucinations B. Medication teaching C. Social skills training D. Vocational training

C. Social skills training

Which of the following outcome criteria is appropriate for the client with dementia? A. The client will return to an adequate level of self-functioning. B. The client will learn new coping mechanisms to handle anxiety. C. The client will seek out resources in the community for support. D. The client will follow an established schedule for activities of daily living.

D. The client will follow an established schedule for activities of daily living.