Mental Health
5. A nurse is assessing a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?
Increasing feelings of anger
14. A nurse is teaching the parents of a school-age child who has ADHD about atomoxetine. Which of the following instructions should the nurse include in the teaching?
"Give the dose in the morning to help prevent insomnia."
11. A nurse is teaching a client who has a new prescription for chlorpromazine. Which of the following client statements indicates an understanding of the teaching?
"I may have a dry mouth while taking this medication."
3. A nurse is assessing an adolescent client who has anorexia nervosa. Which of the following client statements is a sign of cognitive distortion?
"If I eat one piece of candy, I may as well eat ten."
19.A nurse is caring for a young adult client who says he is experiencing increasing anxiety and the inability to concentrate. Which of the following is an appropriate response by the nurse?
"It sounds like you are having a difficult time."
6. A nurse is providing teaching for a patient who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching?
Increase your fluid and fiber intake to prevent constipation.
9. A nurse is caring for a client who is undergoing ECT. Which of the following client statements indicates to the nurse a need for further teaching?
My memory loss will last several minutes after treatment
20. A nurse is caring for a client who is taking amitriptyline. The nurse should monitor for which of the following adverse effects?
Orthostatic hypotension
1. A nurse in a drug and alcohol detoxification center is planning care for a client who has alcohol use disorder. Which of the following interventions should the nurse identify as the priority?
Providing for adequate hydration and rest.
2. A nurse is caring for a client who has anorexia nervosa and over-exercises to avoid gaining weight. Which of the following nursing actions should the nurse take?
Ask the client to agree to talk to a nurse whenever she feels the urge to exercise.
16. A nurse is planning care for a client who is scheduled to receive electroconvulsive therapy (ECT). Which of the following medications should the nurse anticipate administering prior to the procedure?
Atropine
18. 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.)
Ability to perform calculations Recall ability Long-term memory Level of orientation
7. A nurse in the emergency department is planning care for a client who is admitted for an overdose of phencyclidine (PCP). Which of the following actions should the nurse plan to take?
Administer ammonium chloride
15. A nurse is teaching a client about adverse effects of zolpidem. Which of the following adverse effects should the nurse include in the teaching?
Daytime sleepiness
13. A nurse is caring for a client who has generalized anxiety disorder and is taking buspirone. Which of the following adverse effects should the nurse report to the provider?
Sweating
8. A nurse is assessing a client who is experiencing acute cocaine toxicity. Which of the following findings should the nurse expect?
Tremors
4. A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?
Urinary frequency
17. A nurse is reviewing the medical record of a client who has a new prescription for clozapine for the treatment of schizophrenia. Which of the following findings indicates a contraindication of clozapine?
WBC count 3,300mm3
12.A nurse is teaching a client who has a depressive disorder about fluoxetine. Which of the following information should the nurse include in the teaching?
You may experience a decreased sex drive while taking this medication
10. A nurse is teaching a client who plans to take St. Johns wort to treat her depression. Which of the following information should the nurse include in the teaching?
You may experience vivid dreams while taking St. John's wort.
