Chapters 22,23,&30 Competency Quiz

"Fluphenazine is most effective with the positive symptoms of schizophrenia"

A client diagnosed with paranoid schizophrenia is still withdrawn, unkempt, and unmotivated to get out of bed. An unlicensed assistive personnel (UAP) asks the nurse why the client is behaving this way after being on fluphenazine 10 mg for 7 days. What should the nurse tell the UAP?

"Those men are groundskeepers. They are talking about their work, not you."

A client with schizophrenia reports that men in blue clothes keep looking in her window and talking about her. Which response by the nurse is most appropriate?

"Telling sexual jokes and touching other is not permitted here."

A nurse observes a male client with bipolar who is hyperactive and intrusive sitting very close to a female client with his arm around her shoulders. The nurse hears the male client tell a sexually explicit joke. The nurse approaches the client and asks him to walk down the hallway. Which statement by the nurse should benefit the client?

Avolition

A patient is taking haloperidol (Haldol) for the management of schizophrenia. When evaluating the efficacy of this treatment, the nurse knows this medication is least likely to address which manifestation of the illness?

"The medication will help you feel calmer."

The client with acute mania has been admitted to the inpatient unit voluntarily. The nurse approaches the client with medication to be taken orally as prescribed by the health care provider. The client states "I don't need that stuff." Which response by the nurse is best?

Members take advantage of opportunities for cohesion and engagement

The community health nurse is working on an initiative to reduce the incidence of violence in an impoverished urban neighborhood. Which evaluation finding best indicates that a risk factor for community violence has been addressed?

-declining academic performance -social alienation -withdrawal from family and friends

The nurse caring for a pediatric patient will be alert to which signs that indicate the possibility of a mood disturbance? (SATA)

Cognitive Symptoms

The nurse is assisting a patient with schizophrenia to complete activities of daily living. Which category of symptoms is being addressed when the nurse lists all the steps that the patient needs to carry out?

-Valproic acid (Depakote) -Oxcarbazepine (Trileptal) -Lithium carbonate (Lithobid)

The nurse is caring for a patient who has been taking lamotrigine (Lamictal) for the management of a mood disorder. The patient is going to be switched to a new medication. Which drugs would the nurse anticipate having a comparable therapeutic action to the lamotrigine? (SATA)

-determining if the patient is adhering to the usual medication regimen -medical testing to determine if the patient has an underlying neurologic tissue -assessing for disruption to daily activities -assessing patient anxiety level

The nurse is caring for an older adult who has had well-controlled bipolar disorder for 40 years. In the last 3 days, the patient has experienced symptoms of a manic episode. The nurse is aware that assessment of this patient should include what areas? (SATA)

Past episodes of violence

The nurse is completing an assessment of a patient being admitted to the inpatient mental health unit. Which initial assessment is most useful for identifying the risk that the patient will become violent or assaultive?

Work with the patient to develop simple, manageable goals related to portion control and healthy choices

The nurse is developing a plan of care for the patient in the rehabilitation phase of treatment of schizophrenia who is struggling to maintain a healthy weight. Which approach is most likely to be effective?

-irritability -impulsivity

The nurse is planning care for a patient with bipolar I disorder. The patient is currently in the manic phase of the illness. The nurse understands that interventions will be geared toward the management of which manifestations? (SATA)

An unmet need with anxiety

The nurse is working on an inpatient psychiatric unit and notices a patient pacing with fists clenched. The nurse approaches the patient with the understanding that this behavior is usually a manifestation of which of the following?

Composure and self-control

The nurse is working with a population of anxious and potentially aggressive patients. Which intrapersonal factor is most essential to the nurse's capacity to promote a safe and effective care environment?

-inadequate screening for family history -neurocognitive dysfunction -inadequate screening for history of mania

The nurse working at a mental health clinic is aware that which factors place patients with bipolar disorders at risk for misdiagnosis?