practice questions for mood/affect

A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect? (SATA) •A. Excessive worry for 6 months •B. Impulsive decision making •C. Delayed reflexes •D. Restlessness •E. Need for reassurance

A,D,E

A nurse is caring for a client who has acute stress disorder and is experiencing severe anxiety. Which of the following statement actions should the nurse make? •A. "Tell me about how you are feeling right now?" •B. "You should focus on the positive things in your life to decrease your anxiety." •C. "Why do you believe you are experiencing this anxiety?" •D. "Let's discuss the medications your provider is prescribing to decrease your anxiety."

A Why? •Asking an open-ended question is therapeutic and assists that client in identifying anxiety.

The risk of experiencing serotonin syndrome when SSRI's are given with MAOIs such as phenelzine. Serotonin syndrome is best characterized in which of the following? •A. Hypotension and urinary retention. •B. Muscle rigidity and high fever. •C. A productive cough and vomiting. •D. Tea-colored urine and constipation.

A why? •Serotonin syndrome symptoms include high body temperature. agitation. muscle rigidity. tremor. sweating. dilated pupils. and diarrhea.

. A nurse is teaching a client who has a new prescription for lorazepam to treat insomnia. Which of the following instructions should the nurse included? •A. "Take this medication every night before sleep." •B. "Take this mediation with a high fat meal." •C. "Avoid activities that require alertness such as driving." •D. "Monitor for urinary retention."

C why? The client should avoid activities that require alertness. Diazepam is a benzodiazepine that causes sedation and dizziness.

A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include? •A. "Take this medication on an empty stomach." •B. "Expect optimal therapeutic effects within 24 hours." •C. "Take this medication when needed for anxiety." •D. "This medication has a low risk for dependency."

D Why? •Buspirone has a low risk for physical or psychological dependence or tolerance.

a home health nurse is assessing an OA client who reports falling a couple of times over the past week. Which of the following findings should the nurse suspect is contributing to the clients falls? •A. The client takes alprazolam. •B. The client has a nonslip bath mat in his shower. •C. The client uses a raised toilet seat. D. The client wears fitted slippers.

the client takes alprazolam

what is alprazolam

•Alprazolam is a CNS depressant that can cause dizziness and orthostatic hypotension, which can cause the client to lose his balance and fall.

A nurse is teaching a client who has a new prescription for fluoxetine to treat depression. Which of the following statements by the client indicates an understanding of the teaching? •A. "I should expect to feel better after 24 hours of starting this medication •B. "I should not take this medicine with grapefruit juice." •C. "I'll take this medicine with food •D. "I'll take this medicine first thing in the morning."

D. why? The client should take fluoxetine in the morning to reduce the risk for insomnia

A nurse is assessing a client who has schizophrenia and has been on long-term treatment with haliperidol. He notes the client is experiencing some involuntary movements of the tongue and face. The nurse should suspect the client has developed which of the following adverse effects? •A. Tardive dyskinesia •B. Rheumatoid Arthritis •C. Dystonia •D. Akathisia

A why? •These findings indicate tardive dyskinesia, which can develop in clients during long-term therapy with haloperidol. For many clients, the manifestations are irreversible.