Psych PrepU 3

When conducting a focused assessment on a newly admitted client who attempted suicide, which question should the nurse include to ensure the client's safety? Select all that apply.

"Do you still have a plan to harm yourself?" "Are you willing to tell use if you plan to harm yourself again?" "Have you ever tried to hurt yourself before?"

A nursing instructor is teaching about different depressive disorders and identifies a need for further instruction when a student states what?

"Dysthymic disorder is less chronic than major depression."

A client is receiving methadone maintenance therapy. After teaching the client about this treatment, the nurse determines that the education was successful when the client states what?

"I should eat small frequent meals if I get nauseated."

The spouse of a client diagnosed recently with a mood disorder calls the nurse therapist to report a change in the client's mood. The spouse states, "The client is clearly in a better mood than usual. I would say the client seems mildly elated. The client is functioning fine at work and home. The client is energetic, up and doing things at 5:00 a.m. and really confident again. It seems fantastic, but unusual. Is this something to worry about?" Which potential response by the nurse accurately assesses the situation?

"The client sounds hypomanic. Lets schedule an appointment for this week for an evaluation. The client may need additional or different medication."

A client with borderline personality disorder tells a nurse, "I'm afraid to get on a train because we'll probably get into a wreck." Which response by the nurse would be most appropriate?

"What are the chances of that actually happening?"

A client comes to the emergency department reporting a severe pounding headache in the temples and a stiff neck. The client is flushed and diaphoretic, and the client's pulse is racing. The client states that the client is being treated for depression with an MAOI. Which question by the nurse would be most important to ask at this time?

"What have you had to eat or drink today?"

Which must be present in a client diagnosed with serotonin syndrome? Select all that apply.

Agitation Diaphoresis Ataxia Fever

A nurse is assessing a client with borderline personality disorder. Which response pattern would the nurse most likely assess? Select all that apply.

Anger issues Fear of abandonment Impulsive behavior Mood lability

The nurse is caring for a psychiatric-mental health client who has just been diagnosed with bipolar disorder. The physician has ordered medication for the client. Which class of medications, if prescribed, would the nurse question?

Antidepressants

A client with borderline personality disorder is prescribed pharmacotherapy. The nurse understands that this treatment aims to control which of the following? Select all that apply.

Anxiety Cognitive disturbances Impulsive aggression Emotional dysregulation

Most suicides occur in which month?

April

A mental health nurse is planning a psychotherapy group for clients with personality disorders. The nurse knows the group will be compromised of a significant number of clients from Arab and Asian ethnicity. Which should the nurse consider when planning the group?

Be aware of the how each client's personality has been affected by his or her cultures values and beliefs.

A nursing instructor is reviewing a case study with students about a client with mania who was admitted to a mental health unit. The instructor asks the students what medical diagnosis is most likely responsible for the mania. Which would be the best answer by a student?

Bipolar Disorder

While conducting an admission interview with a client, the nurse suspects the client may in alcohol withdrawal. Which screening tool can help the nurse identify the severity of withdrawal symptoms?

CIWA-Ar

A client is brought to the emergency department after having overdosed on cocaine. When assessing the client, which would the nurse expect to find? Select all that apply.

Cardiac arrhythmia Seizures

A client has just been diagnosed with a major depressive disorder following recent problems with the client's mood, work performance, and sleep quality. When planning this client's care, the nurse should anticipate what interventions? Select all that apply.

Cognitive therapy Administration of a sustained serotonin reuptake inhibitor (SSRI)

A client taking Lithium for bipolar disorder comes to the clinic and reports symptoms which the nurse interprets as consistent with moderate Lithium toxicity. Which action should the nurse perform? Select all that apply.

Contact the physician. Obtain a blood sample for Lithium level. Push fluids. Withhold additional doses of Lithium.

A nurse is developing an education plan for a client who is prescribed escitalopram. Which side effect would the nurse include in this plan? Select all that apply

Dry mouth Weight Gain Decreased Sexual Interest

A nurse is describing the effects of inhalants to a group of high school students attending a substance abuse prevention class. Which effects would the nurse include in the description? Select all that apply.

Euphoria Slurred speech Hallucinations Dizziness

After several visits to the primary care provider, a client has been diagnosed with depression. Within the context of the behavioral theorists' beliefs about this disorder, which factors may underlie the client's diagnosis?

Exaggerated response to stressful life event

A nurse is developing a plan of care for a client diagnosed with an antisocial personality disorder who has been admitted to the inpatient psychiatric unit. Which would the nurse likely include? Select all that apply.

Holding the client responsible for behavior Developing a therapeutic relationship

Which statements identify positive aspects of methadone as a substitute for heroin? Select all that apply.

It is available in IV form.

An older adult client with liver disease is experiencing alcohol withdrawal. Based on the nurse's understanding of drug therapy, which of the following would the nurse expect to be prescribed?

Lorazepam

A client is experiencing severe alcohol withdrawal. Which would the nurse most likely assess? Select all that apply.

Marked diaphoresis Auditory hallucinations Gross uncontrollable tremors

A client who otherwise is healthy is admitted for depression and reports feeling all alone. The client says the client recently lost the client's spouse to divorce. The client admits to drinking at least 12 beers every day. The client is at risk for which problem?

Medical Comorbidity

A client is admitted to the detoxification unit of Sunday evening. The client discloses the client's last alcoholic drink was just before the client was admitted to the unit. When would the nurse expect that the client's alcohol withdrawal symptoms will begin?

Monday morning

A 20-year-old client arrives at the emergency department by ambulance. The client is unconscious, with slow respirations and pinpoint pupils. There are "tracks" visible on the client's arms. The friend who came with the client reports that the client has just "shot up" heroin when the client became unconscious. Which medication would the nurse most likely expect to administer?

Naloxone

A group of nursing students is reviewing information about nutritional supplementation during alcohol detoxification. The students demonstrate the need for additional review when they identify which of the following as being used?

Naloxone

A client with bipolar disorder is experiencing a major depressive episode. Which would the nurse expect to assess? Select all that apply.

Obsessive rumination Hypersomnia Difficulty concentrating

How are psychosocial and environmental factors implicated in the development if substance abuse disorders?

Psychosocial and environmental factors increase the client's vulnerability to drug or alcohol abuse.

In the past year, a client's parent reports the client has experienced six manic episodes, each lasting for 3 weeks. This is best described as what?

Rapid Cycling

When assessing a client with borderline personality disorder (BPD), which behaviors would the nurse expect to find? Select all that apply.

Repeated, frequent crisis episodes Self-directed anger Learned helplessness Deceptive competence

When developing the plan of care for a client with borderline personality disorder (BPD), which areas would the nurse identify as likely problematic? Select all that apply.

Self-harm Nutrition Sleep

A nurse who started recovering from alcohol abuse 3 months earlier is ready to return to work. When speaking with her therapist, she states she is nervous about how her co-workers will respond to her now that "they all know I'm a drunk." Which of the following diagnoses best targets the problem implicit in the nurse's remarks?

Situational low self-esteem related to medical condition.

A nurse is preparing an educational session for family members affected by substance abuse. Which point should the nurse include in the session? Select all that apply.

Substance abuse is an illness like any other. An individual with substance abuse issues typically cannot use drugs socially.

The psychiatric nurse managing the care of a client experiencing alcohol withdrawal instructs unit staff to anticipate that the client may experience which neurological response?

Tactile hallucinations

Which factor would contraindicate the use of disulfiram in the treatment of a client who has an alcohol use disorder?

The client had six drinks a few hours ago.

A client is hospitalized on a psychiatric unit secondary to a suicide attempt. The client has been diagnosed with depression and its consistently depressed. When assessing the client, which finding would alert the nurse that the client's suicidal risk has increased?

The client says the client feels better, with more energy to interact with others.

The nurse is providing care for a client who has been diagnosed with antisocial personality disorder. Which outcome should the nurse prioritize when planning this client's care?

The client to express anger in an adaptive, nonviolent manner

The nurse is performing an assessment of a client with depression. It took more than four sessions to complete. What is the likely reason for needing multiple sessions?

The client was too tired to answer all of the nurse's questions in one session.

A client with opioid addiction is prescribed methadone maintenance therapy. When explaining this treatment to the client, which of the following would the nurse need to keep in mind?

The drug helps to satisfy the craving for the opioid.

A client is in treatment for depression and alcohol abuse. The client is unwilling to confront substance abuse issues .......

The spouse will refrain from the enabling the client's drinking behaviors.

A 51-year-old client with a history of an alcohol use disorder and depression has committed suicide. The care team has subsequently taken steps to organize a postvention. What is the goal of a postvention?

To allow the client's family and other close acquaintances to express their feelings about the suicide.

Which statement about clients with a dual diagnosis is accurate?

Traditional methods of treatment have not been very successful for these clients.

A nurse is conducting a class for a group of high school students about marijuana use and abuse. The nurse determines that the class needs further discussion when they state which of the following?

Use of marijuana does not lead to addiction.