ATI Mental Health CMS
A nurse is providing support for the parents of a child who has a new diagnosis of a terminal brain tumor. The nurse should expect the parents to experience which of the following stages of grief first? A. Denial B. Bargaining C. Anger D. Depression
A
A nurse is reviewing the laboratory report of a client who has been taking lithium carbonate for several months. Which of the following levels should the nurse recognize as a therapeutic lithium level? A. 1.2 mEq/L B. 1.6 mEq/L C. 2.0 mEq/L D. 2.5 mEq/L
A
A nurse is assessing a client who has an anxiety disorder and is taking a benzodiazepine. For which of the following adverse effects should the nurse monitor the client? A. Seizures B. Dizziness C. Polyuria D. Insomnia
B
A school nurse is caring for an adolescent client who has a history of a depressive episode 1 year ago. He appears withdrawn from social activities and his school performance is declining. Which of the following actions should the nurse take first? A. Initiate a structured daily schedule of activities. B. Conduct a suicide-risk assessment. C. Encourage the client to express his feelings in a journal. D. Ask teachers to monitor for other signs of depression.
B
A nurse is preparing to administer fluphenazine decanoate 12.5 mg subcutaneous. Available is fluphenazine decanoate 25 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
0.5
A nurse in a mental health facility is caring for a client who has generalized anxiety disorder. Which of the following statements should the nurse make? A. "We'll assist you with making decisions." B. "Someone will work with you when you have flashbacks." C. "You'll be going through aversion therapy to help you cope." D. "The therapy will help you control your impulses."
A
A nurse is assessing a newly admitted client who has generalized anxiety disorder and states, "I drink alcohol to forget the pain." The client is exhibiting a maladaptive response to which of the following defense mechanisms? A. Rationalization B. Conversion C. Projection D. Suppression
A
A nurse is caring for a client at a college mental health counseling center. The client received a failing grade in a course and spends the entire counseling session blaming the teacher. The nurse should recognize this behavior as an example of which of the following defense mechanisms? A. Projection B. Dissociation C. Undoing D. Compensation
A
A nurse is caring for a client who has a severe anxiety disorder and is in a state of panic in the dayroom. Which of the following actions should the nurse take? A. Speak to the client in a calm voice. B. Leave the client alone to regain control. C. Encourage the client to express her feelings. D. Place the client in restraints.
A
A nurse is caring for a client who has been unable to leave the house for the past 10 years without accompaniment. When attempting to go out alone, the client becomes very anxious and must quickly return inside. The nurse should identify that the client is exhibiting which of the following disorders? A. Agoraphobia B. Posttraumatic Stress Disorder C. Panic Disorder D. Obsessive-compulsive disorder
A
A nurse is caring for a client who has borderline personality disorder. The client has previously identified another nurse as his favorite stating, "He's the best nurse ever." When that nurse calls in sick, which of the following statements indicates that the client is using splitting as a method of coping? A. "He's the worst nurse that's ever taken care of me." B. "You're just lying to me. He's not really sick." C. "He's my favorite nurse and I'm really worried about him." D. "If anyone else tries to take care of me, I'm going to get really upset."
A
A nurse is caring for a client who has obsessive-compulsive disorder. The client engages in the repeated handwashing daily. Which of the following should the nurse recognize as the purpose of the client's behavior? A. Relieving anxiety B. Gaining attention C. Avoiding daily responsibilities D. Responding to auditory hallucinations
A
A nurse is caring for a client who has obsessive-compulsive disorder. Which of the following actions should the nurse take when dealing with the client's ritualistic behaviors? A. Plan the client's schedule to allow time to perform rituals. B. Verbalize disapproval of ritualistic behavior. C. Place the client in protective isolation. D. Increase stimuli in the client's immediate surroundings.
A
A nurse is caring for a client who has post-traumatic stress (PTSD). Which of the following actions by the client indicates the current treatment plan is effective? A. The client reports techniques she uses to promote sleep. B. The client shows limited emotion when witnessing a traumatic event. C. The client asks the nurse's opinion about clothes she is wearing. D. The client avoids situations that might trigger memories of past trauma.
A
A nurse is caring for a client who has schizophrenia. The client spends a great deal of time repeating rhyming syllables such as, "Me, see, bee, tree." The nurse recognizes that the client is demonstrating which of the following positive manifestations of schizophrenia? A. Clang Association (rhyming) B. Echolalia (repeat of another's words by imitation) C. Magical Thinking (thoughts or behaviors have control over specific people/situations) D. Word salad (mixture of phrases and words strung together)
A
A nurse is caring for a client who has schizophrenia. The client states, "My internal organs have turned to stone." The nurse should document this finding as which of the following types of delusions? A. Somatic B. Reference C. Persecutory D. Grandiose
A
A nurse is caring for a client who is brought to the clinic by her adult son who states that his father recently died. The client repeatedly yells at her son stating, "Quit lying about your father!" The nurse should recognize that the client is demonstrating which of the following defense mechanisms? A. Denial B. Identification C. Introjection D. Sublimation
A
A nurse is caring for a school-age client who begins wetting the bed after finding out that her parents are getting a divorce. The nurse should identify that the client is exhibiting which of the following defense mechanisms? A. Regression B. Projection C. Repression D. Splitting
A
A nurse is conducting a counseling session with a client who has a substance use disorder. The client repeatedly asks personal questions about the nurse. Which of the following actions should the nurse take? A. Explain that this time is designated to focus on the client. B. Answer the personal inquiry questions matter-of-factly. C. Tell the client that interest in someone besides himself is an indication of improvement. D. Request that personal questions be asked after the counseling session is over.
A
A nurse is establishing a therapeutic relationship with a client who has hallucinations. Which of the following actions should the nurse take during the orientation phase? A. Identify the client's perception of the reason for therapy. B. Ask the client to provide a detailed description of the hallucinations. C. Assist the client with the development of problem-solving skills. D. Explore the client's relationship with family members.
A
A nurse is performing a mental status assessment on an older adult client who has dementia. Which of the following questions should the nurse ask to assess the client's remote memory A. "What year did you graduate from high school?" B. "What is your favorite childhood memory?" C. "What did you have for supper yesterday?" D. "What is today's date?"
A
A nurse is planning reminiscence therapy for an older adult client. The nurse should identify which of the following goals for the client's therapy? A. The client will gain increased self-esteem. B. The client will maintain orientation to place and time. C. The client will independently perform ADLs. D. The client will achieve optimal sensory stimulation.
A
A nurse is providing teaching to a client who has a new prescription for alprazolam. Which of the following is the priority information the nurse should include in the teaching? A. "This medication can affect your ability to drive or handle mechanical equipment." B. "You should avoid drinking beverages that contain caffeine with this medication." C. "You should avoid taking antacids within 2 hours of taking this medication." D. "This medication should be taken with or shortly after meals."
A
A nurse on an inpatient unit is assessing a client who has claustrophobia. The nurse determines the client's condition has improved when he can perform which of following tasks? A. Ride in an elevator. B. Attend a class where several service animals are present. C. Sit in a large room with several people he does not know. D. Go for a swim in an outdoor pool.
A
A nurse asks an older adult client, "Did you have any visitors yesterday?" The client responds, "Yes, several members of my church choir came to se me." The nurse knows that only the client's daughter visited the day before. Which of the following cognitive impairments is the client demonstrating? A. Perseveration (repetition of phrases) B. Confabulation (filling gaps in memory by fabrication) C. Apraxia (loss of purposeful movement) D. Agnosia (loss of sensory ability to recognize objects)
B
A nurse in a pediatric emergency department is caring for four clients. The nurse should suspect possible abuse with which of the following clients? A. A 14-month-old toddler who has recently learned to walk and has many bruises on bony prominences in various stages of healing B. A 9-month-old infant who reportedly nearly drowned after climbing into the tub and turning on the water C. A 6-year-old toddler who has a fracture of the tibia and fibula, which reportedly occurred while riding a bicycle D. A 3-year-old toddler who has burns in a splash pattern over the face and chest, reportedly sustained when a tablecloth was pulled, spilling a teapot
B
A nurse in an emergency department is caring for an 18-month-old toddler who has a fractured left femur. Which of the following statements by the toddler's parent should cause the nurse to suspect child abuse? A. "My child fell down the stairs." B. "My child was riding a bicycle and fell off." C. "My child slipped out of the high chair." D. "My child climbed up on a chair and it tipped over."
B
A nurse is assessing a client who has anorexia nervosa. The nurse should expect the client to display which of the following characteristics? A. Refuses to participate in physical exercise activities B. Possesses feelings of decreased self-worth C. Preoccupied with concerns about personal health D. Avoids discussion of food
B
A nurse is assessing a client who is experiencing moderate-level anxiety. Which of the following findings should the nurse expect? A. The client has a heightened perceptual field. B. The client has difficulty concentrating. C. The client reports shortness of breath. D. The client reports a sense of impending doom.
B
A nurse is caring for a client who has a new diagnosis of colon cancer. Shortly after the client receives the diagnosis, the nurse enters the client's room and the client begins yelling, "I have received terrible care here and no one cares about me." The nurse should recognize that the client is demonstrating which of the following defense mechanisms? A. Denial B. Displacement C. Reaction formation D. Projection
B
A nurse is caring for a client who has acute delirium. Which of the following findings should the nurse expect? A. Progressive deterioration of cognitive function B. Rapid fluctuation in level of consciousness C. Loss of language ability D. Absence of contributing factors to pinpoint cause of delirium
B
A nurse is caring for a client who has alcohol use disorder and is receiving treatment for alcohol withdrawal. The client reports hand tremors 12 hr after admission. Which of the following statements should the nurse make? A. "The tremors are permanent due to nerve damage caused by chronic alcohol use." B. "The tremors will persist for a few days as you are withdrawing from alcohol." C. "Try not to worry about the tremors. Everyone has these during alcohol withdrawal." D. "These tremors are an indication of seizures that are associated with alcohol withdrawal."
B
A nurse is caring for a client who has dementia. The client states to the nurse, "everyone wants to kills me." Which of the following responses should the nurse make? A. "Tell me how everyone wants to hurt you." B. "You must feel very frightened to think someone wants to hurt you." C. "No one here wants to kill you." D. "Who in particular do you think wants to kill you?"
B
A nurse is caring for a client who has dementia. Which of the following findings should the nurse expect? A. Altered level of consciousness B. Impaired judgment C. Rapid change in personality D. Disturbances in perception
B
A nurse is caring for a client who has depression. The nurse observes that the client has not come to breakfast and is still in bed. The client states, "I'm not worth your time. Leave me alone and go help someone else." Which of the following responses should the nurse make? A. "Many people feel this way when they first start treatment." B. "In other words, you seem to be saying that you feel unworthy of help." C. "You'll feel better once you get up and have some breakfast." D. "I disagree with your feeling that you are not worth my time."
B
A nurse is caring for a client who has panic disorder and is experiencing anxiety at the panic level. Which of the following actions should the nurse take first? A. Identify the cause of the anxiety. B. Instruct the client to take slow, deep breaths. C. Teach the client how to use positive self-talk. D. Explain the physical manifestations of anxiety to the client.
B
A nurse is caring for a client who reminds her of a negative person in her past. These memories cause the nurse to unconsciously displace negative feelings towards the client. The nurse should recognize that she is demonstrating which of the following behaviors? A. Suppression B. Countertransference C. Transference D. Assertiveness
B
A nurse is planning care for a client who has thoughts of suicide. Which of the following goals should the nurse include in the client's plan of care? A. The client will identify positive aspects of others. B. The client agrees to notify a staff member of thoughts of self-harm. C. The client will engage in an independent diversional activity. D. The client will not verbalize thoughts or feelings related to suicide.
B
A nurse is providing discharge teaching for a female client who has an anxiety disorder and a new prescription for lorazepam. Which of the following instructions should the nurse include in the teaching? A. "This medication can be safely taken during pregnancy." B. "This medication must be discontinued by gradual tapering over time." C. "An extra dose of the medication can be taken at bedtime if you experience insomnia." D. "You should monitor your blood glucose levels closely while taking the medication."
B
A nurse is providing teaching to a client who has a new prescription for diazepam. Which of the following instructions should the nurse in the teaching? A. "Expect this medication to make you feel anxious." B. "This medication can be habit-forming." C. "Take this medication on an empty stomach." D. "This medication takes 2 to 3 weeks to reach full therapeutic effect."
B
A nurse is providing teaching to a client who has obsessive-compulsive disorder and performs hand hygiene to decrease anxiety. Which of the following actions by the nurse implements modeling as a behavioral interventions strategy? A. Setting a time limit between episodes of hand hygiene B. Demonstrating performance of hand hygiene at scheduled times C. Telling the client to shout "stop" each time there is an urge to perform hand hygiene D. Instructing the client to practice muscle relaxation when experiencing the urge to perform hand hygiene
B
An emergency room nurse is assessing a client who has an anxiety disorder. The client is flushed, perspiring profusely and is experiencing palpitations. The client begins to scream, "I am going to die! This is it! I am having a heart attack!" The nurse should determine the client's level of anxiety to be which of the following? A. Moderate B. Panic C. Severe D. Mild
B
A nurse at a college campus health clinic is caring for a client who reports manifestations of bulimia nervosa. The client tells the nurse, "I know my eating binges and vomiting are not normal, but I cannot control it." Which of the following responses should the nurse make? A. "Why do you think you are experiencing these behaviors of binges and vomiting?" B. "Are other students in your dorm also experiencing this behavior?" C. "You are feeling helpless about changing this behavior?" D. "You know you must stop because you are endangering your health."
C
A nurse enters a client's room and observes that the client is agitated and pacing rapidly. The client looks at the nurse and says, "Back off. Leave me alone." Which of the following statements should the nurse make? A. "I demand that you calm down now. Your behavior is unacceptable." B. "I will close the door to provide privacy, and you can tell me what is bothering you." C. "I will give you space if you calm down. Tell me what is causing you to feel so tense." D. "I will leave you alone for a few minutes while you try to control yourself."
C
A nurse in a mental health clinic is caring for a client who has bipolar disorder and states, "I no longer take my medication because I like the feeing of being manic." Which of the following responses by the nurse is an example of therapeutic communication? A. "You might feel good now, but what about when you get depressed?" B. "Why do you think you like feeling manic?" C. "You feel better when you don't take your medication?" D. "What do you think your provider will say about you going off your medication?"
C
A nurse in an emergency department is caring for a female client who has ecchymosis of the trunk and face. The client reports that her partner hit her, causing the injuries. When offered information about shelters for intimate partner violence, the client declines, stating, "I could never leave my husband because of my kids." Which of the following responses should the nurse make? A. "Aren't you worried about the safety of your children?" B. "Can you identify your behaviors that provoke your partner?" C. "The next time this occurs, what might you do to ensure your safety?" D. "You need to remove yourself and your children from the abusive situation."
C
A nurse is assessing a client who has been taking an antipsychotic medication for 6 years and the provider has started tapering off the dosage. The nurse should monitor the client for which of the following manifestations of tardive dyskinesia? A. Muscular weakness B. Muscle spasms C. Involuntary tongue protrusion D. Uncontrolled rolling of the eyes
C
A nurse is caring for a client who attempted suicide and refuses to sign a no-suicide contract. Which of the following actions should the nurse take when implementing suicide precautions? A. Assign the client to a private room. B. Request that the dietary department provide the client with finger foods. C. Place the client on one-to-one observation. D. Keep the door to the client's room closed.
C
A nurse is caring for a client who has depression and started taking paroxetine one week ago. The client states to the nurse, "My family would be better off without me." Which of the following responses should the nurse make? A. "Why do you feel your family would be better off without you?" B. "Many people feel this way when they are depressed." C. "You sound upset. Are you thinking of hurting yourself?" D. "Your medication hasn't started working yet. Then you'll be feeling differently. "
C
A nurse is caring for a client who has major depressive disorder and recently started taking an antidepressant. The nurse should identify which of the following client statements as the priority? A. "I hate being so helpless. I can't even manage my own finances anymore." B. "At group therapy today I wanted to leave. I didn't feeling like being with other people." C. "I have it all figured out. Everything is going to be okay now." D. "I don't feel like showering. I'd rather just stay in bed today."
C
A nurse is caring for a client who has obsessive-compulsive disorder. Which of the following actions should the nurse take first? A. Encourage the client to verbalize her feelings. B. Teach the client relaxation techniques. C. Determine the client's anxiety level. D. Role-play problem solving behaviors with the client.
C
A nurse is caring for a client whose adolescent child died in a motor-vehicle crash. The client is crying inconsolably. Which of the following actions should the nurse take? A. Suggest that the client call the facility's chaplain. B. Provide a quiet place for the client to be alone. C. Stay with the client and allow the client to cry. D. Express sympathy for the client's loss.
C
A nurse is counseling a client who seems relaxed initially, but then becomes restless and begins wringing his hands. The nurse states that the client seems tense, and the client agrees. Which of the following statements should the nurse make? A. "Did I say something wrong that made you feel tense?" B. "Do you often feel tense when you are talking to a health care provider?" C. "What were we discussing when you began to feel uncomfortable?" D. "It is ok to feel nervous during our counseling sessions."
C
A nurse is performing an admission assessment for a client who has schizophrenia. The nurse notices that the client's appearance is unkempt and he appears to be actively hallucinating. Which of the following should be the nurse's priority assessment? A. Perception of reality B. Ability to follow directions C. Physical needs D. Mental status
C
A nurse is planning a menu for a client who has bipolar disorder and is experiencing an acute manic episode. Which of the following meals should the nurse provide for this client? A. Spaghetti and meat balls, a salad, and apple pie B. Beef and vegetable stew, rice, and vanilla pudding C. Chicken nuggets, crackers with cheese sticks, and a cookie D. Broiled fish fillets, stewed tomatoes, and ice cream
C
A nurse is planning to administer a dose of lithium carbonate to a client who has bipolar disorder. The laboratory report indicates that the client's current lithium level is 1.0 mEq/L. Which of the following actions should the nurse take? A. Contact the provider for a dosage increase. B. Request a repeat of the lithium level. C. Administer the medication. D. Prepare the client for gastric lavage.
C
A nurse is providing discharge teaching for a client who has a new prescription for doxepin. Which of the following adverse effects should the nurse inform the client is a associated with this medication? A. Weight loss B. Diarrhea C. Drowsiness D. Bradycardia
C
A nurse is providing teaching to a client who has a new prescription for chlorpromazine. Which of the following statements should the nurse make? A. "This medication is a tricyclic antidepressant and will improve your mood." B. "This medication is an opioid antagonist that blocks the pleasurable effects of alcohol." C. "This medication is an antipsychotic that controls manifestations of schizophrenia." D. "This medication is a cholinesterase inhibitor that slows the progression of dementia."
C
A nurse is providing teaching to a client who has schizophrenia and is taking quetiapine fumarate. The nurse should instruct the client that which of the following blood tests should be performed periodically? A. Potassium B. Uric Acid C. Glucose D. Calcium
C
A nurse receives a call on a crisis intervention hotline from a client. Which of the following statements should the nurse identify as an overt statement indicating the client's risk for suicide? A. "Everything will be better soon." B. "Soon no one will have to worry about me." C. "There's no point in living any longer." D. "I want to donate my organs to help others."
C
A community mental health nurse is planning strategies to address substances use by adolescents. Which of the following interventions should the nurse plan as a method of primary prevention? A. Offer substance use treatment options for adolescents from low-income households. B. Encourage the use of random testing for substance use for adolescents participating in extracurricular activities. C. Educate high school teachers about how to detect the manifestations of substance use. D. Provide a presentation at area high schools on resisting peer pressure for substance use.
D
A nurse at an acute mental health facility is caring for a client who has acute mania due to bipolar disorder. At 0300, the client runs to the nurse's station and demands to see the provider immediately. Which of the following responses should the nurse make? A. "Your request is unreasonable. We cannot call your provider at 3:00 in the morning." B. "If you can calm down for 5 minutes then I will call your provider for you." C. "Calm down, go back to your room, and come back in 15 minutes and we'll talk about how you're feeling." D. "You must be very upset about something to want to see your provider in the middle of the night."
D
A nurse in a mental health clinic is assessing a client who has a history of mania. Which of the following findings indicates that the client is experiencing a relapse? A. Weight gain B. Ritualistic behavior C. Anhedonia D. Pressured speech
D
A nurse in a mental health clinic is caring for a client who states, "I think I might have a problem with alcohol." Which of the following actions should the nurse take first? A. Provide the client with information about a 12-step recovery program. B. Encourage the client to accept responsibility for his alcohol use. C. Teach the client alternate coping mechanisms to use in place of alcohol. D. Ask the client to complete a CAGE Questionnaire.
D
A nurse in a mental health facility is reviewing confidentiality requirements with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the information? A. "I am legally required to notify a client's employer about a substance use disorder." B. "If a client is involuntarily committed, I can discuss information with the client's next of kin." C. "I can discuss a client's treatment with others as long as they are employees of the facility." D. "I should keep information private even after a client dies."
D
A nurse in an outpatient mental health clinic is interviewing a client who has schizophrenia and appears to be experiencing auditory hallucinations. Which of the following actions should the nurse take first? A. Teach the client strategies to decrease her hallucinations. B. Identify if the client is on antipsychotic medications. C. Distract the client from the hallucination. D. Explore what the voices are saying to the client.
D
A nurse in the emergency department is assessing a client who has cocaine intoxication. Which of the following findings should the nurse expect? A. Pinpoint pupils B. Drowsiness C. Nystagmus D. Hypervigilance
D
A nurse is administering an oral sedative to a client who is receiving care following an involuntary admission. The client states, "I'm not taking any more medication." Which of the following actions should the nurse take? A. Administer the medication by another route. B. Refer the client's refusal to the facility's ethics committee. C. Inform the client that, due to her involuntary admission, she cannot refuse a sedative. D. Document the client's refusal of the medication in the medical record.
D
A nurse is admitting a client in the emergency department for an intentional overdose of opioids. The client state, "I feel so alone. No one can help me." Which of the following responses by the nurse is therapeutic? A. "Let's finish your admission and then talk about your feelings." B. "How come you feel that no one can help you when you are receiving help now?" C. "Why do you feel that no one can help you?" D. "I would like to sit and talk with you."
D
A nurse is assessing a client who has a psychotic disorder and a new prescription for haloperidol. The client is pacing in the hallway and states, "I can't seem to sit still." Which of the following extrapyramidal side effects is the client likely experiencing? A. Dystonia (muscle spasm) B. Parkinsonism (shuffling gait, drooling, stooped posture) C. Tardive dyskinesia (involuntary movements of extremities) D. Akathisia (pacing, rocking back and forth, foot tapping)
D
A nurse is assessing a client who has been taking thioridazine hydrochloride for several days. The client reports hand tremors, drooling, and rigid extremities. Which of the following actions should the nurse take? A. Reassure the client that these effects are expected. B. Administer diazepam. C. Encourage deep breathing and relaxation. D. Administer benztropine.
D
A nurse is assessing a client who has schizophrenia. The client states, "I need to get my gummamoshu from by my house." The nurse recognizes this statement as an example of which of the following? A. Flight of ideas B. Echolalia C. Perseveration D. Neologism
D
A nurse is caring for a client who has borderline personality disorder. The nurse enters the client's room and finds the client cutting into his flesh with a paper clip. After providing first aid, which of the following actions should the nurse take first? A. Encourage the client to discuss feelings about his self-injurious behavior during group therapy. B. Fill out an incident report for risk management about the client's self-injurious behavior. C. Document the client's self-injurious behavior in his medical record. D. Identify the client's feelings that led to the self-injurious behavior.
D
A nurse is caring for a client wo is taking a tricyclic antidepressant. Which of the following adverse effects should the nurse report to the client's provider immediately? A. Dry mouth B. Constipation C. Drowsiness D. Urinary retention
D
A nurse is caring for a newly admitted client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect? A. Bradycardia B. Increased somnolence C. Slurred speech D. Headache
D
A nurse is completing an admission assessment for an adolescent client who has depression. The nurse should identify which of the following finding as the priority? A. The client is confrontational with his parents. B. The client is getting Ds in his classes because he frequently skips school. C. The client states he smokes half a pack of cigarettes per day. D. The client gave his favorite possessions to friends.
D
A nurse is preparing to apply wrist restraints on a client who is threatening to harm others and has not responded to less invasive interventions. Which of the following actions should the nurse plan to take? A. Obtain a PRN prescription for restraints from the client's provider. B. Visually observe the client every 10 min until restraints are removed. C. Ensure that three fingers can fit between the restraint and the client's wrist. D. Document the client's behavior every 15 min while restraints are in place.
D
A nurse is providing teaching to a client who has a new prescription for phenelzine. The nurse should teach the client that which of the following over-the-counter medications can cause a hypertensive crisis when taken concurrently with phenelzine? A. Acetaminophen B. Ranitidine C. Naproxen D. Pseudoephedrine
D
A nurse is providing teaching to a client who has generalized anxiety disorder and a new prescription for buspirone. Which of the following statements by the client indicates an understanding of the teaching? A. "This medication can cause dependence." B. "I should take a dose of my medication when I start to feel anxious." C. "It's important for me to take my medication 30 minutes before bedtime." D. "I should expect to feel the full effect of my medication in 2 to 4 weeks."
D
A nurse is reviewing the health history of a young adult client who has a depressive disorder. Which of the following factors should the nurse identify as increasing the client's risk for depression? A. The client is an only child. B. The client lives in an urban setting. C. The client is married. D. The client is female.
D
