PSYCH QUIZZES FOR EXAM 1
A nurse is caring for a client who has schizophrenia and is experiencing a hallucination. Which of the following actions should the nurse take? A- Act to the client as if the hallucination is real/ B- Instruct the client to argue with the voices that are a part of the hallucination. C- Ask the client direct questions about the hallucination. D- Tell the client that the hallucination is not a part of reality.
C- Ask the client direct questions about the hallucination.
A nurse is caring for a client who has schizophrenia and is experiencing hallucinations. The provider prescribes chlorpromazine 50 mg IM q4h as needed. Available is chlorpromazine injection 25 mg/mL. How many mL should the nurse administer per dose? Round to the nearest whole number.
2 mL
A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following responses should the nurse make first? A- "What are the voices telling you?" B- "How often do you hear the voices?" C- "I know you hear the voices, but I do not." D- "The voices are part of your illness."
A- "What are the voices telling you?"
A nurse on an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated? A- An adult client following a suicide attempt B- A school-age client who attempts to repeatedly bite staff C- An adolescent client who throws objects at other clients D- An older adult client who is manic and crying due to overstimulation
A- An adult client following a suicide attempt
A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE) the nurse should include which of the following data? Select all that apply A- Ability to perform calculations B- Coping skills C- Recall ability D- Long-term memory E- Level of orientation
B- Coping skills C- Recall ability D- Long-term memory E- Level of orientation
A nurse is providing care to a client who is on strict bed rest following surgery. the nurse assists the pt to the bedside commode and the client sustains an injury to the operative area. Which of the following types of torts had the nurse committed? A- Battery B- Negligence C- Malpractice D- Assault
B- Negligence
A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. Findings include blood pressure changes, hyperexia, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring? A- Tardive dyskinesia B- Neuroleptic malignant syndrome C- acute dystonia D- Pseudoparkinsonism
B- Neuroleptic malignant syndrome
A client commits suicide in an acute mental health facility. Which of the following is the priority intervention for staff following this incident? A- Provide professional counseling for staff members. B- Change policies for staff observation of clients who are suicidal. C- Identify cues in the client's behavior that might have warned them that he was contemplating suicide. D- Give the family an opportunity to talk about their feelings.
C- Identify cues in the client's behavior that might have warned them that he was contemplating suicide.
A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrated the ethical concept of autonomy? A- Encouraging client feedback about satisfaction with the facility experience B- Explaining unit rules and policies regarding unacceptable behaviors C- Supporting the client's wish to refuse prescribed medications D- Making sure the client understands expectations for client participation
C- Supporting the client's wish to refuse prescribed medications
A nurse is caring for a client who is dying. the nurse should incorporate the principle of nonmaleficence into practice by taking which of the following actions? A- Discussing advance directives with the client and the client's family. B- Providing comfort care measures to the client C- Withholding a dose of narcotic pain medication when the client has respiratory depression D- Allowing the client's family unlimited visitation at the time of death
C- Withholding a dose of narcotic pain medication when the client has respiratory depression
A nurse is teaching a class on torts. The nurse should instruct the class that administering an antibiotic medication to a competent client after the client has refused it is an example fo which of the following torts? A- Assault B- False imprisonment C- Negligence D- Battery
D- Battery
