HC3B Exam 2

Which is a second-generation antidepressant drug? 1. Doxepin 2. Citalopram 3. Protriptyline 4. Trimipramine

2. Citalopram

Which adverse effect is least likely to occur in a client who is prescribed clozapine? 1. Seizures 2. Sedation 3. Akathisia 4. Myocarditis

4. Myocarditis

A client with schizophrenia is speaking made-up words that have no meaning to other people. What term should the nurse use to document these verbalizations? 1. Avolition 2. Echolalia 3. Anhedonia 4. Neologisms

4. Neologisms

A nurse is counseling a client who abuses cocaine. The nurse recognizes that this drug is representative of which drug category? 1. An opioid 2. A stimulant 3. A barbiturate 4. A hallucinogen

2. A stimulant

A client with depression is to be given fluoxetine. What precaution will the nurse consider when initiating treatment with this drug? 1. It must be given with milk and crackers to prevent hyperacidity and discomfort. 2. Eating cheese or pickled herring or drinking wine may cause a hypertensive crisis. 3. The blood level may not be sufficient to cause noticeable improvement for 2 to 4 weeks. 4. The blood level should be checked weekly for 3 months to monitor for an appropriate level.

3. The blood level may not be sufficient to cause noticeable improvement for 2 to 4 weeks.

Imipramine, 75 mg three times per day, is prescribed for a client. What nursing action is appropriate when this medication is being administered? 1. Telling the client that barbiturates and steroids will not be prescribed 2. Warning the client not to eat cheese, fermented products, and chicken liver 3. Monitoring the client for increased tolerance and reporting when the dosage is no longer effective 4. Having the client checked for increased intraocular pressure and teaching about glaucoma symptoms

4. Having the client checked for increased intraocular pressure and teaching about glaucoma symptoms

Which drug may lead to bruxism? 1. Vilazodone 2, Isocarboxazid 3. Clomipramine 4. Levomilnacipran

4. Levomilnacipran

Which drug may lead to bruxism? 1. Vilazodone 2. Isocarboxazid 3. Clomipramine 4. Levomilnacipran

4. Levomilnacipran

Which drug is contraindicated in clients with blood dyscrasias? 1. Duloxetine 2. Bupropion 3. Mirtazapine 4. Chlorpromazine

4. Chlorpromazine

Which client condition is contraindicated for prescribing clozapine? 1. Seizures 2. Glaucoma 3. Dysrhythmias 4. Bone marrow depression

4. Bone marrow depression

The nurse is assessing a client who enters a walk-in mental health clinic. Which statements support an existent crisis situation? Select all that apply. 1. "I feel so overwhelmed. I don't know what to do." 2. "I feel very tense and irritable. I can't concentrate." 3. "I have these vague feelings of uneasiness that come and go." 4. "This has been building up slowly. I don't know what's causing it." 5. "Nothing I have tried has helped the situation. It keeps getting worse."

1. "I feel so overwhelmed. I don't know what to do." 2. "I feel very tense and irritable. I can't concentrate." 5. "Nothing I have tried has helped the situation. It keeps getting worse."

A nursing assistant interrupts the performance of a ritual by a client with obsessive-compulsive disorder. What is the most likely client reaction? 1. Anxiety 2. Hostility 3. Aggression 4. Withdrawal

1. Anxiety

A nurse is preparing a teaching plan to educate a relative of a client with schizophrenia about the early signs of relapse. What signs should the nurse plan to include? Select all that apply. 1. Appearing disheveled 2. Socializing with peers 3. Staying alone in the house 4. Joining a local church singing group 5. Exhibiting indifference to family activities

1. Appearing disheveled 3. Staying alone in the house 5. Exhibiting indifference to family activities

A hyperactive client with bipolar I disorder becomes loud and insulting and says to a staff member, "Get lost, you old buzzard!" How can the nurse can best handle this situation? 1. Asking the client to come along on a walk 2. Asking the client to explain the anger 3. Pointing out that the staff member is neither old nor a buzzard 4. Telling the client that if the rude behavior does not change there will be consequences

1. Asking the client to come along on a walk

A nurse in a mental health facility is caring for a client with the diagnosis of borderline personality disorder. What should the nurse plan to do to maintain a therapeutic relationship? 1. Be firm, consistent, and understanding, because there is a need for structure. 2. Provide an informal environment, because the client seeks outlets for self-expression. 3. Use an authoritarian approach, because the client must learn to conform to the rules of society. 4. Ignore marked shifts in mood, suicidal threats, and temper displays, because they are short lived

1. Be firm, consistent, and understanding, because there is a need for structure.

The nurse would recognize which behavior as being characteristic of the panic phase of crisis behavior? 1. Being physically immobile 2. Sobbing for no apparent reason 3. Reporting great difficulties falling asleep 4. Startling easily to loud noises and being touched

1. Being physically immobile

Which food should be avoided by a client who is prescribed monoamine oxidase inhibitors (MAOIs)? 1. Bologna 2. Potatoes 3. Citrus fruit 4. Grapefruit juice

1. Bologna

Which drug is contraindicated in clients with eating and seizure disorders? 1. Bupropion 2. Trazodone 3. Amitriptyline 4. Lithium citrate

1. Bupropion

During an interview and assessment, a 60-year-old client reports to the nurse, "I've been using St. John's wort to try to feel more like myself again. I'm not sure whether it's going to work." The nurse will pursue an assessment related to the client's report of which symptom? 1. Depression 2. Sleep disturbances 3. Diminished cognitive ability 4. Sensory-perceptual disturbances

1. Depression

Which medications are used to treat generalized anxiety disorder (GAD)? Select all that apply. 1. Duloxetine 2. Venlafaxine 3. Clonazepam 4. Escitalopram 5. Clomipramine

1. Duloxetine 2. Venlafaxine 4. Escitalopram

A mother whose child has been killed in a school bus accident tells the nurse that her child was just getting over the chickenpox and did not want to go to school but she insisted that the child go. The mother cries bitterly and says that her child's death is her fault. The nurse understands that perceiving a death as preventable most often will influence the grieving process in that it may do what? 1. Grow in intensity and duration 2. Progress to a psychiatric illness 3. Be easier to understand and to accept 4. Cause the mourner to experience a pathological grief reaction

1. Grow in intensity and duration

The nurse is admitting a client with a history of bipolar disorder. The nurse determines that the client is in the manic phase. Which signs and symptoms contribute to the nurse's conclusion? Select all that apply. 1. Irritability 2. Grandiosity 3. Pressured speech 4. Thought blocking 5. Psychomotor retardation

1. Irritability 2. Grandiosity 3. Pressured speech

Which drug may cause Ebstein anomaly as a teratogenic effect and is also contraindicated in breast-feeding clients? 1. Lithium 2. Ibuprofen 3. Vitamin A 4. Nitrofurantoin

1. Lithium

Which antipsychotic drugs have the higher risk of causing tardive dyskinesia? Select all that apply. 1. Loxapine 2. Quetiapine 3. Haloperidol 4. Ziprasidone 5. Olanzapine

1. Loxapine 3. Haloperidol

A male client with a history of schizophrenia comes to the emergency department, accompanied by his wife. What is the emergency department nurse's priority intervention? 1. Observing and evaluating his behavior 2. Writing a plan of care for the mental health team 3. Obtaining a copy of the client's past medical records 4. Meeting separately with his wife and exploring why he came to the hospital

1. Observing and evaluating his behavior

A client who attempted suicide by slashing the wrists is transferred from the emergency department to a mental health unit. What important nursing interventions must be implemented when the client arrives on the unit? Select all that apply. 1. Obtaining vital signs 2. Assessing for suicidal thoughts 3. Instituting continuous monitoring 4. Initiating a therapeutic relationship 5. Inspecting the bandages for bleeding 6. Tell the client, "You have so much to live for. Your life isn't that bad."

1. Obtaining vital signs 2. Assessing for suicidal thoughts 3. Instituting continuous monitoring 4. Initiating a therapeutic relationship 5. Inspecting the bandages for bleeding

Which atypical antipsychotics are approved for long-term use to prevent the recurrence of mood episodes in clients with bipolar disease? Select all that apply. 1. Olanzapine 2. Quetiapine 3. Ziprasidone 4. Risperidone 5. Aripiprazole

1. Olanzapine 3. Ziprasidone 5. Aripiprazole

Which antidepressant drug is a selective monoamine oxidase-B inhibitor? 1. Selegiline 2. Phenelzine 3. Isocarboxazid 4. Tranylcypromine

1. Selegiline

Which drug would the nurse administer transdermally to treat a client with major depression? 1. Selegiline 2. Phenelzine 3. Isocarboxazid 4. Tranylcypromine

1. Selegiline

Which monoamine oxidase inhibitor is used to treat Parkinson disease? 1. Selegiline 2. Phenelzine 3. Isocarboxazid 4. Tranylcypromine

1. Selegiline

A client with a diagnosis of borderline personality disorder (BPD) has negative feelings toward the other clients on the unit and considers them all "bad." Which defense mechanism is the client using when identifying the other clients? 1. Splitting 2. Ambivalence 3. Passive aggression 4. Reaction formation

1. Splitting

What manifestations does the nurse expect to identify when taking a health history from a client with moderate dementia? Select all that apply. 1. Sundowning 2. Hypervigilance 3. Increased inhibition 4. Exaggeration of premorbid traits 5. Inability to recognize family members

1. Sundowning 4. Exaggeration of premorbid traits

A disturbed client who has been out of touch with reality has been hospitalized for several weeks. One day the nurse notes that the client's hair is dirty and asks whether the client wants to wash it. The client answers, "Yes, and I'd like to shower and change my clothes, too." What can the nurse conclude about the client in relation to this response? 1. The client has some feelings of self-worth. 2. The client is open to suggestions from others. 3. The client may be entering a hyperactive phase. 4. The client has a need for social reassurance from others

1. The client has some feelings of self-worth.

A disturbed client who has been out of touch with reality has been hospitalized for several weeks. One day the nurse notes that the client's hair is dirty and asks whether the client wants to wash it. The client answers, "Yes, and I'd like to shower and change my clothes, too." What can the nurse conclude about the client in relation to this response? 1. The client has some feelings of self-worth. 2. The client is open to suggestions from others. 3. The client may be entering a hyperactive phase. 4. The client has a need for social reassurance from others.

1. The client has some feelings of self-worth.

A client who has been taking a conventional antipsychotic for several days comes to the clinic complaining of neck spasms. The figure illustrates the client's physical status observed by the nurse. What extrapyramidal side effect has the client developed? 1. Torticollis 2. Tardive dyskinesia 3. Pseudoparkinsonism 4. Neuroleptic malignant syndrome

1. Torticollis

A client has been receiving fluphenazine for several months. The nurse will assess the client for which side effects? Select all that apply. 1. Tremors 2. Excess salivation 3. Rambling speech 4. Reluctance to converse 5. Uncoordinated movement of extremities

1. Tremors 5. Uncoordinated movement of extremities

What clinical findings may be expected when a nurse assesses an individual with an anxiety disorder? Select all that apply. 1. Worrying about a variety of issues 2. Acting out with antisocial behavior 3. Converting the anxiety into a physical symptom 4. Displacing the anxiety onto a less threatening object 5. Demonstrating behavior common to an earlier stage of development

1. Worrying about a variety of issues 3. Converting the anxiety into a physical symptom 4. Displacing the anxiety onto a less threatening object 5. Demonstrating behavior common to an earlier stage of development

A client with dementia who feels highly anxious and confused believes that the current day is actually different than what it is. Which statement made by the nurse is an example of validation therapy? 1. "No, try to be in your sense of reality." 2. "Yes, today is the day that you just mentioned." 3. "You should try improving your awareness level." 4. "Try to recall your past memories associated with the day."

2. "Yes, today is the day that you just mentioned."

One week after an above-the-knee amputation, a client refuses to go to physical therapy and tells the nurse, "I'll never be a whole person again!" What is the nurse's best response? 1. "You're still the same person you've always been. Just relax." 2. "You've lost a part of yourself. That must be very difficult for you." 3. "You may feel that way, but I'm sure your family considers you a whole person." 4. "You must go to physical therapy every day or you will develop muscle contractures."

2. "You've lost a part of yourself. That must be very difficult for you."

A client with the diagnosis of schizophrenia who has been hospitalized on a mental health unit for 2 weeks is to be discharged home. The client is vacillating between being happy and sad about going home. What term best describes these conflicting emotions? 1. Double bind 2. Ambivalence 3. Loose association 4. Inappropriate affect

2. Ambivalence

A nurse is monitoring a client with the diagnosis of schizophrenia who is experiencing opposing emotions simultaneously. When providing a change-of-shift report, how should the nurse refer to this emotional experience of the client? 1. Double bind 2. Ambivalence 3. Loose association 4. Inappropriate affect

2. Ambivalence

A client with a borderline personality disorder is admitted to the mental health unit. What should the nurse do to maintain a therapeutic relationship with the client? 1. Provide an unstructured environment to promote self-expression. 2. Be firm, consistent, and understanding and focus on specific target behaviors. 3. Use an authoritarian approach, because this type of client needs to learn to conform to the rules of society. 4. Record but ignore marked shifts in mood, suicidal threats, and temper displays, because these last only a few hours.

2. Be firm, consistent, and understanding and focus on specific target behaviors.

A client with depression has not responded to a tricyclic antidepressant and outpatient electroconvulsive therapy (ECT). The healthcare provider prescribes selegiline, and the nurse teaches the client about food to be avoided while taking this medication. Which foods identified by the client allow the nurse to conclude that the instructions have been understood? Select all that apply. 1. Fresh fish 2. Beer 3. Fried chicken 4. Licorice 5. Leafy vegetables

2. Beer 4. Licorice

During a one-on-one interaction with a client with paranoid-type schizophrenia, the client says to the nurse, "I've figured out how foreign agents have infiltrated the news media. They want to shut me up before I spill the beans." How should the nurse describe this statement when documenting this client's response? 1. Nihilistic delusion 2. Delusions of persecution 3. Delusions of control 4. Delusions of grandeur

2. Delusions of persecution

A client who had an abdominoperineal resection and colostomy refuses to allow any family members to see the incision or stoma. The client is noncompliant with most of the dietary recommendations. The nurse concludes that the client is experiencing what response? 1. Reaction formation; this is related to the client's recent altered body image 2. Denial; the client is having difficulty accepting reality 3. Impotency resulting from the surgery; sexual counseling may be indicated 4. Suicidal thoughts; consultation with a psychiatrist should be prescribed

2. Denial; the client is having difficulty accepting reality

Which drug worsens uncontrolled angle-closure glaucoma when used for the treatment of generalized anxiety disorder? 1. Buspirone 2. Duloxetine 3. Chlorpromazine 4. Lithium carbonate

2. Duloxetine

Which drug most commonly causes extrapyramidal side effects (EPS)? 1. Clozapine 2. Haloperidol 3. Risperidone 4. Aripiprazole

2. Haloperidol

Which suicide method is the least lethal? 1. Hanging 2. Ingesting pills 3. Jumping from a tall bridge 4. Poisoning with carbon monoxide

2. Ingesting pills

After assessing a client, the nurse suspects that the client has shift-work sleep disorder (SWSD). Which medication would be prescribed to the client? 1. Caffeine 2. Modafinil 3. Atomoxetine 4. Methylphenidate

2. Modafinil

A client is started on chlorpromazine. To prevent life-threatening complications from the administration of this medication to an anxious, restless client, it is important that the nurse take which action? 1. Provide adequate restraint. 2. Monitor the client's vital signs. 3. Protect against exposure to direct sunlight. 4. Watch the client for extrapyramidal side effects

2. Monitor the client's vital signs.

A nurse is caring for depressed older adults. What precipitating factors for depression are most common in the older adult without cognitive problems? Select all that apply. 1. Dementia 2. Multiple losses 3. Declines in health 4. A milestone birthday 5. An injury requiring hospitalization

2. Multiple losses 3. Declines in health

A nurse notes that haloperidol is most effective for clients who exhibit which type of behavior? 1. Depressed 2. Overactive 3. Withdrawn 4. Manipulative

2. Overactive

The nurse can identify the most commonly demonstrated comorbid disorders associated with generalized anxiety disorder (GAD) by assessing the client for which of the following? Select all that apply. 1. Obesity 2. Phobias 3. Suicidal ideations 4. Impaired cognitive function 5. Signs of alcohol withdrawal

2. Phobias 3. Suicidal ideations 5. Signs of alcohol withdrawal

What defense mechanism should the nurse anticipate that a client with the diagnosis of schizophrenia, undifferentiated type, will most often exhibit? 1. Projection 2. Regression 3. Repression 4. Rationalization

2. Regression

The primary healthcare provider prescribes a neuroleptic drug to a client diagnosed with schizophrenia. On what basis would the primary healthcare provider choose the drug? 1. Symptoms 2. Side effects 3. Therapeutic effects 4. Underlying pathology

2. Side effects

What is the correct sequence of stages of behavior change according to the stages of change model? 1.Maintenance 2.Precontemplation 3.Contemplation 4.Preparation 5.Relapse 6.Action

2.Precontemplation 3.Contemplation 4.Preparation 6.Action 1.Maintenance 5.Relapse

The primary healthcare provider prescribes "bathroom privileges only" for a client with pulmonary edema. The client becomes irritable and asks the nurse whether it is really necessary to stay in bed so much. What would be the best reply by the nurse? 1. "Why do you want to be out of bed?" 2. "Bed rest plays a role in most therapy." 3. "Rest helps your body direct energy toward healing." 4. "Would you like me to ask your primary healthcare provider to change the prescription?"

3. "Rest helps your body direct energy toward healing."

A client tells the nurse, "I'm a terrible, evil person. The voices are telling me that God needs to punish me." What is the most therapeutic initial response by the nurse? 1. "God is loving and won't punish you." 2. "Those voices you're hearing are a fantasy." 3. "Tell me what you're thinking about yourself." 4. "You aren't wicked—both God and I love you."

3. "Tell me what you're thinking about yourself."

A client with chronic renal failure has been on hemodialysis for 2 years. The client communicates with the nurse in the dialysis unit in an angry, critical manner and is frequently noncompliant with medications and diet. The nurse can best intervene by first considering that the client's behavior is most likely for which reason? 1. An attempt to punish the nursing staff 2. A constructive method of accepting reality 3. A defense against underlying depression and fear 4. An effort to maintain life and to live it as fully as possible

3. A defense against underlying depression and fear

How can a nurse minimize agitation in a disturbed client? 1. By ensuring constant staff contact 2. By increasing environmental sensory stimulation 3. By limiting unnecessary interactions with the client 4. By discussing the reasons for the client's suspicions

3. By limiting unnecessary interactions with the client

The nurse is teaching a client who is receiving a monoamine oxidase inhibitor about dietary restrictions. The nurse plans to caution the client to avoid which foods? 1. Pork, spinach, and fresh oysters 2. Milk, grapes, and meat tenderizers 3. Cheese, beer, and products with chocolate 4. Leafy green vegetables, fresh apples, and ice cream

3. Cheese, beer, and products with chocolate

Which condition is contraindicated for St. John's wort herbal therapy? 1. Anxiety 2. Seizures 3. Dementia 4. Cardiac disease

3. Dementia

A client's history demonstrates a pervasive pattern of unstable and intense relationships, impulsiveness, inappropriate anger, manipulation, offensive behavior, and hostility. The admitting diagnosis is borderline personality disorder. What does the nurse anticipate that this client may attempt to do? 1. Act out to intimidate others. 2. Cooperate with the staff to gain praise. 3. Divide the staff into opposing factions to gain self-esteem. 4. Remain removed from others to avoid interacting with them

3. Divide the staff into opposing factions to gain self-esteem.

Which second-generation antidepressant can worsen uncontrolled angle closure glaucoma? 1. Trazodone 2. Bupropion 3. Duloxetine 4. Mirtazapine

3. Duloxetine

The nursing staff is discussing the best way to develop a relationship with a new client who has antisocial personality disorder. What characteristic of clients with antisocial personality should the nurses consider when planning care? 1. Engages in many rituals 2. Independence of others 3. Exhibits lack of empathy for others 4. Possesses limited communication skills

3. Exhibits lack of empathy for others

Which drug is a high-potency medication used to treat schizophrenia? 1. Loxapine 2. Thioridazine 3. Fluphenazine 4. Perphenazine

3. Fluphenazine

A client tells the nurse, "That man on the television is talking only to me." What should the nurse document that the client is exhibiting? 1. Illusion 2. Hallucination 3. Idea of reference 4. Autistic thinking

3. Idea of reference

Which drugs may cause an increase in the serum clozapine level? Select all that apply. 1. Rifampin 2. Phenytoin 3. Ketoconazole 4. Erythromycin 5. Bromocriptine

3. Ketoconazole 4. Erythromycin

Which clinical manifestation is found in a client with a deficiency of adrenocorticotropic hormone? 1. Anovulation 2. Dehydration 3. Malaise and lethargy 4. Menstrual abnormalities

3. Malaise and lethargy

A delusional client is actively hallucinating and worried about being stalked by a terrorist group. What defense mechanism does the nurse identify as the most prominent in this situation? 1. Splitting 2. Undoing 3. Projection 4. Sublimation

3. Projection

A client with an organic mental disorder becomes increasingly agitated and abusive. The primary healthcare provider prescribes haloperidol. For which potential adverse effects will the nurse monitor this client? 1. Tremors, ataxia, and paresthesias 2. Syndrome of inappropriate antidiuretic hormone (SIADH) 3. Pseudoparkinsonism and urinary retention 4. Type 2 diabetes mellitus and palpitations

3. Pseudoparkinsonism and urinary retention

A client is admitted to the hospital with a diagnosis of depression. What clinical manifestations of depression does the nurse expect when assessing this client? 1. Flight of ideas 2. Suspicion of others 3. Psychomotor retardation 4. Intrusive social behaviors

3. Psychomotor retardation

What is most important for a nurse to do when initially helping clients resolve a crisis situation? 1. Encourage socialization. 2. Meet dependency needs. 3. Support coping behaviors. 4. Involve them in a therapy group

3. Support coping behaviors.

What clinical manifestation best indicates to the nurse that the mental status of a client with the diagnosis of schizophrenia, paranoid type, is improving? 1. Absence of mild to moderate anxiety 2. Development of insight into the problem 3. Decreased need to use defense mechanisms 4. Ability to function effectively in activities of daily living

4. Ability to function effectively in activities of daily living

A psychologist has been a client on a mental health unit for 3 days. The client has questioned the authority of the treatment team, advised other clients that their treatment plans are wrong, and been disruptive in group therapy. What is the most appropriate nursing intervention? 1. Telling the other clients to disregard what the client is saying 2. Ignoring the client's disruptive behavior and waiting for it to subside 3. Restricting the client's contact with other clients until the disruptive behavior ceases 4. Accepting that the client is unable to control this behavior and setting appropriate limits

4. Accepting that the client is unable to control this behavior and setting appropriate limits

A nurse is caring for several clients with major thought disorders such as schizophrenia. They are all being treated with neuroleptic drugs. How do these drugs act in the body to promote mental health? 1. By inhibiting enzymes at the postsynaptic receptor site 2. By decreasing serotonin at the postsynaptic receptor site 3. By increasing dopamine uptake at the postsynaptic receptor site 4. By blocking access to dopamine receptors at the postsynaptic receptor site

4. By blocking access to dopamine receptors at the postsynaptic receptor site

What is the best drug of choice for treating obsessive-compulsive disorder? 1. Imipramine 2. Lithium salts 3. Amitriptyline 4. Clomipramine

4. Clomipramine

Which statement is true regarding antipsychotic drugs? 1. All first- and second-generation antipsychotics are equally effective. 2. Second-generation antipsychotics pose a risk of extrapyramidal symptoms. 3. First-generation antipsychotics pose a significant risk of metabolic side effects. 4. Clozapine is more effective than other second-generation antipsychotics

4. Clozapine is more effective than other second-generation antipsychotics

A client is admitted to the mental health unit because of a progressively increasing depression over the past month. What clinical finding does a nurse expect during the initial assessment of the client? 1. Elated affect related to reaction formation 2. Loose associations related to thought disorder 3. Physical exhaustion resulting from decreased physical activity 4. Diminished verbal expression caused by a slowed thought process

4. Diminished verbal expression caused by a slowed thought process

Which medication is the first choice drug for the treatment of attention deficit hyperactivity disorder (ADHD)? 1. Clonidine 2. Guanfacine 3. Atomoxetine 4. Methylphenidate

4. Methylphenidate

A child with acute lymphoid leukemia is started on a chemotherapy protocol that includes prednisone. What side effect of this medication does the nurse anticipate? 1. Alopecia 2. Anorexia 3. Weight loss 4. Mood changes

4. Mood changes

A client with recurrent episodes of depression comes to the mental health clinic for a routine follow-up visit. The nurse suspects that the client is at increased risk for suicide. What is a contributing factor to the client's risk for suicide? 1. Psychomotor retardation 2. Decreased physical activity 3. Deliberate thoughtful behavior 4. Overwhelming feelings of guilt

4. Overwhelming feelings of guilt

A nurse takes into consideration that the key factor in accurately assessing how a client will cope with body image changes is what? 1. Suddenness of the change 2. Obviousness of the change 3. Extent of the change 4. Perception of the change

4. Perception of the change

What should the nurse include when developing a plan of care for a client in the manic phase of bipolar disorder? 1. Focusing the client's interest in reality 2. Encouraging the client to talk as much as needed 3. Persuading the client to complete any task that has been started 4. Redirecting the client's excess energy to more constructive activities

4. Redirecting the client's excess energy to more constructive activities

An individual whose employment has been terminated because his company has been acquired by another company is brought by a family member to the mental health clinic because of extreme depression. While talking with the nurse the client says, "I'm a useless, worthless person. No wonder I lost my job." What type of delusion does the nurse identify? 1. Reference 2. Persecution 3. Alien control 4. Self-deprecation

4. Self-deprecation

A client confides to the nurse, "I've been thinking about suicide lately." What conclusion should the nurse make about the client? 1. The client intends to frighten the nurse. 2. The client wants attention from the staff. 3. The client feels safe and can share feelings with the nurse. 4. The client is fearful of the impulses and is seeking protection from them

4. The client is fearful of the impulses and is seeking protection from them

Which drugs are considered typical antipsychotics? Select all that apply. 1. Asenapine 2. Lurasidone 3. Aripiprazole 4. Thioridazine 5. Chlorpromazine

4. Thioridazine 5. Chlorpromazine

The spouse of a client who had a brain attack (cerebrovascular accident) tells the home health nurse that the client cries easily and without provocation. The spouse asks why the client is so emotionally fragile. What is the nurse's best response? 1. This is a way of getting attention that should be ignored. 2. The client can remember only depressing events from the past. 3. The client feels guilty about the demands being placed on the family. 4. This behavior is a common response over which the client has very little control.

4. This behavior is a common response over which the client has very little control.

Place these crisis interventions in the order the nurse would implement them for a client experiencing escalating levels of anxiety. 1.Encourage deep breathing and relaxation techniques. 2.Place the client in restraints if deemed dangerous 3.Provide firm but kind directions. 4.Attempt to identify the source of the anxiety.

4.Attempt to identify the source of the anxiety. 1.Encourage deep breathing and relaxation techniques. 3.Provide firm but kind directions. 2.Place the client in restraints if deemed dangerous