Mental health ati
A nurse in a mental health facility is assisting with the care of a client who has antisocial personality disorder. Which of the following behaviors should the nurse expect the client to exhibit? A. Lack of remorse B. Self mutilation C. Delusional behavior D. Splitting
A
A nurse is assisting with the admission of a client who has opioid use disorder. Which of the following manifestations should indicate to the nurse that the client is experiencing opioid withdrawal? A. Hypertension B. Sedation C. Hypothermia D. Bradycardia
A
A nurse is assisting with the care of a client who has a substance use disorder and was involuntarily annoyed by court order for 90 days. When the nurse attempts to administer prescribed oral lorazepam to decrease the clients manifestations of withdrawal, the client aggressively refuses. Which of the following actions should the nurse take? A. Place the lorazepam on hold B. Request a prescription for IM lorazepam C. Request that another nurse attempt to administer the lorazepam D. Place the lorazepam in the clients food
A
A nurse is caring for a client who has a neurocognitive disorder and wanders at night. Which of the following actions should the nurse take to promote the clients safety? A. Put the clients mattress on the floor B. Keep the lights off in the clients room at night C. Limit snacks during the evening hours D. Turn off the clients radio or music player at night
A
A nurse is caring for a client who has alcohol use disorder and claims that her family is exaggerating the problem. The nurse should identify this behavior as which of the following defense mechanisms? A. Denial B. Introjection C regression D rationalization
A
A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal psychosis. Which of the following medications should the nurse prepare to administer? A. Lorazepam B. Methadone C. Thiamine D. Haloperidol
A
A nurse is caring for a client who has bipolar disorder and a new prescription for valproic acid. Which of the following actions should the nurse take? A. Monitor the clients liver function B. Avoid giving the medication with food or milk C. Counsel the client regarding medication dependency D. Limit intake of foods containing tyramine
A
A nurse is caring for a client who has conduct disorder and is displaying violent behavior. After several attempts to provide a diversion the nurse applies a physical restraint. Which of the following actions should the nurse take? A. Check the clients physical needs every 30 minutes B. Obtain the clients vital signs once per shift C. Tie the restraints to the side rails of the clients bed D. Use square knots to secure the clients restraint
A
A nurse is caring for a client who has excoriation disorder. Which of the following statements by the client should the nurse expect? A. I pick my face when I am nervous B. I have bald patches from pulling out my hair C. I inspect my body in the mirror several times a day D. I am unable to part with any of my belongings
A
A nurse is caring for a client who has schizophrenia and is hearing voices. Which of the following actions is the nurses priority? A. Ask the client what the voices are saying B. Focus the clients attention on reality based activities C. Make eye contact when speaking with the client D. Encourage the client to listen to music through headphones
A
A nurse is caring for a client who is taking olsnzapine. For which of the following adverse effects should the nurse monitor? A. Orthostatic hypotension B. Tinnitus C. Hypoglycemia D. Tachycardia
A
A nurse is caring for a client with anorexia nervosa who has light skin. Which of the following findings should the nurse expect? A. Presence of lanugo B. Flushed skin tone C. Hyperactive bowel sounds D. Clubbing of the fingernails
A
A nurse is collecting data from a client who has a history of methamphetamine use. Which of the following findings indicates that the client is currently under the influence of this drug ? A. Paranoia B. Slurred speech C. Marked lethargy D. Bradycardia
A
A nurse is collecting data from a client who has schizophrenia and is experiencing delusions. The nurse should identify that the client is experiencing which of the following types of symptoms? A. Positive B. Cognitive C. Negative D. Affective
A
A nurse is collecting data from a client who has schizophrenia. The client suddenly states, I'm blue so are you and I'm leaving on a choo choo! The nurse should identify the clients statement as which of the following speech patterns A. Clang association B. Word salad C. Neogolism D. Echolalia
A
A nurse is collecting data from a client who was in a motor vehicle crash that killed here sibling. The client is shaking and asks, what can I do now? Which of the following questions is the nurse priority? A. Are you thinking about hurting yourself B. Do you have someone who could come here to be with you C. How will this situation affect your life D. What qualities have helped you cope with a crisis in the past
A
A nurse is contributing to the plan of care for a client who has suicidal ideation and is being transferred to the mental health unit. Which of the following interventions should the nurse recommend? A. Search the client and his belongings upon arrival B. Assign the client to a private room near the nurses station C. Instruct assistive personnel to check on the client every 15 min D. Keep the door to the clients room closed
A
A nurse is planning care for a client who has a dissociative disorder and is experiencing flashbacks while in public. Which of the following interventions should the nurse include in the plan to help the client recognize and counter the flashbacks? A. Encourage reality testing B. Provide opportunities for socialization C. Consistently remind the client of past traumatic events D. Discourage client expressions of negative feelings
A
A nurse is providing discharge teaching to the parent of an adolescent client who has bulimia nervosa and has been hospitalized for several weeks. Which of the following statements should the nurse identify as an indication that the parent understands the teaching? A. I should allow my child to make independent decisions B. I should give my child a laxative every evening C. I should make sure my child takes the antipsychotic medication several times daily D. I should discourage my child from exercising
A
A nurse is reinforcing teaching with the parents of a school aged child who has adhd which of the following instructions should the nurse include? A. Ignore your child's attention seeking behaviors that are not dangerous B. Administer adhd. Medications within 39 min of your child's bedtime C. Continue with an activity as planned even if your child becomes frustrated D. Expect your child to gain weight after starting adhd medications
A
A home health nurse is reinforcing teaching for the family of a client who has moderate Alzheimer's disease. The family plans to care for the client in their home. Which of the following recommendations should the nurse include in the teaching? A. Place nonskid throw rugs over smooth surface floors B. Install locks at the tops of exterior doors C. Provide clothing that has zippers instead of buttons D. Encourage frequent naps during the day
B
A newly admitted who has major depressive disorder states to the nurse, I'm a failure. I can't even cope with little things anymore. Which of the following responses should the nurse make? A. What happened in your life to make you feel like such a failure B. You sound like your feeling pretty overwhelmed right now. C. Do you feel like you don't deserve to feel good about yourself D. I know you feel like that now, but you'll feel differently when you get better.
B
A nurse delegates a newly licensed nurse to provide one on one observation for a client who requires suicide precautions. Which of the following actions by the newly licensed nurse indicates the need for further reinforcement of teaching? A. Accompanies the client to physical and occupational therapy B. Ambulates the clients roommate while the client sleeps C. Ask the nurse at lunch time to assign another newly licensed nurse to perform this task D remains with the client while family members are visiting
B
A nurse in a community mental health facility is caring for a group of client's. Which of the following clients should the nurse identify as experiencing an adventious crisis? A. A client who has a new diagnosis of severe bipolar disorder B. A client who is depressed following a devastating fire in her home C. A client who is experiencing acute grief following his fathers death D. A client who is experiencing postpartum depression following the birth of her first child
B
A nurse in a mental health facility is planning to promote the development of a therapeutic relationship with a newly admitted client. Which of the following actions should the nurse plan to take? A. Begin each interaction by sharing a personal story B. Identify professional boundaries during the initial interaction C. Agree with the clients perceptions and emotions to encourage free expression D. Allow the client to meet with the nurse at any time during the day
B
A nurse in a providers office is reinforcing teaching with a client who is experiencing stress due to the loss of a job. Which of the following instructions should the nurse give? A. Drink no more than 6 cups of coffee per day B. Exercise for 140 minutes each week C. Get 6 hours of sleep every night D. Sleep 30 minutes later each evening
B
A nurse in an acute care mental health facility is assisting with the evaluation of the plan of care for a client who has major depressive disorder and was admitted 1 week ago following a suicide attempt. Which of the following client statements should indicate to the nurse that the treatment plan has been effective? A. I just don't want to talk about anything that happened before my admission B. I was feeling completely hopeless when I tried to kill myself C. I am feeling really great today and I think I am ready to go home D. I want to punch the doctors who put me in this hospital
B
A nurse in an acute substance disorder unit is collecting data from a client who received treatment in the emergency department for an opioid overdose. Which of the following findings should the nurse anticipate during opioid withdrawal? A calmness B. Anxiety C. Hypotension D. Bradycardia
B
A nurse in the emergency room is collecting data from a client who has a heroin intoxication. Which of the following findings should the nurse expect? A. Seizure activity B. Respiratory depression C. Hypersensitivity to pain D. Increased mental illness
B
A nurse is assisting with the care of a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect? A. Hyporeflexia B. Muscle spasms C. Constipation D. Decreased respiratory rate
B
A nurse is caring for a client who has Alzheimer's disease. The clients adult son reports that the client has begun wandering away from home. Which of the following responses should the nurse make? A. You should plan to move your mother into your home soon B. Place a complex lock at the top of each door that leads outside C. It is time to place your mother in a long term care facility D. Have you reminded your mother about the dangers of wandering away from home
B
A nurse is caring for a client who has alcohol use disorder. Following alcohol withdrawal. Which of the following medications should the nurse expect to administer to the client during maintenance? A. Methadone B. Disulfiram C. Chlordiazrpoxide D. Naloxone
B
A nurse is caring for a client who has been taking fluoxetine for anxiety. Which of the following adverse effects of this medication should the nurse report to the provider immediately? A. Mydriasis B. Hallucinations C. Arthralgia D. Sexual dysfunction
B
A nurse is caring for a client who has generalized anxiety disorder. Which of the following goals should the nurse include in the discharge plan of care for this client? A. Use whistling or singing as a distraction to control hallucinations B. Make independent decisions about daily events C. Verbalize a realistic perception of personal appearance D. Decrease the use of ritualistic behavior
B
A nurse is caring for a client who has schizophrenia and states , my doctor is trying to kill me. Which of the following responses should the nurse make? A. Why would you say that your doctor is trying to kill you B. It must be frightening to feel that your doctor is trying to kill your C. Your doctor wants to help you not kill you D. How long has your doctor been trying to kill your
B
A nurse is caring for a client with schizophrenia who started talking a first generation antipsychotic medication 3 weeks ago. The client reports a feeling of inner restlessness, rocks back and forth when sitting down and paces frequently. The nurse should identify that the client is experiencing which of the following adverse effects of antipsychotic medications? A. Neuroleptic malignant syndrome B. Akathisia C anticholinergic toxicity D Opisthotonos
B
A nurse is caring for a newly admitted client who is receiving treatment for alcohol use disorder. The client tells the nurse, I have not had anything to drink for 6 hours. Which of the folding findings should the nurse expect during alcohol withdrawal? A. Low body temperature B. Insomnia C. Muscle flaccidity D. Bradycardia
B
A nurse is collecting data for a client who has anorexia nervosa. Which of the following findings should the nurse expect? A hyperthermia B. Alopecia C. Hypertension D. Warm skin
B
A nurse is collecting data from a client who has binge eating disorder. Which of the following findings should the nurse expect? A. Amennorhea B. Abdominal pain C. Restricted Caloric intake D. Frequent use of laxatives
B
A nurse is collecting data from a client who has cocaine intoxication. Which of the following findings should the nurse expect? A. Low blood pressure B. Increased mental alertness C. Flat affect D. Decreased body temperature
B
A nurse is collecting data from a client who has major depressive disorder regarding suicide risk factors and protecting factors. Which of the following client statements should the nurse identify as a protective factor that decreases the clients risk for suicide? A. I am a college graduate and make a lot of money at my profession B. I consider myself a good problem solver C. My family lives out of state and I spend my spare time at home D. I enjoy restoring antique weapons and have a nice collection
B
A nurse is collecting data from a client who has schizophrenia. Which of the following statements by the client should the nurse recognize as an erotomaniac delusion? A. My coworker is trying to poison me because her is afraid I'll take his job B. I have only met Jenny twice but I know she loves me C. I am selling my house before the earthquake hits in may D. The foil on my walls prevent the government from controlling me
B
A nurse is collecting data from a client who was brought to the emergency department by a friend. The friend reports that the client inhaled a large amount of cocaine. Which of the following findings should the nurse expect? A. Depressed mood B. Hallucinations C. Severe hypotension D. Bradycardia
B
A nurse is communicating with a newly admitted client. Which of the following rationales identifies the nurse's purpose for using therapeutic communication with the client? A. Therapeutic communication identifies and analyzed the clients problems B. Therapeutic communication builds a relationship that will allow expression of mutual concerns C. Therapeutic communication provides a foundation for the client's relationship with the provider D. Therapeutic communication ensures the client will remain cooperative with care in the facility
B
A nurse is discussing the benefits of group therapy with a client who has bipolar disorder. The nurse should identify which of the following as an advantage of this form of treatment? A. Decreased pressure from others to engage in unacceptable behaviors B. The chance to learn from the experiences of other individuals C. An outlet for increased energy during episodes of mania D. The opportunity to have increased participation time during therapy
B
A nurse is reinforcing teaching with a client who has a prescription for lithium which of the following instructions should the nose include in the teaching A. Take this medication on an empty stomach B. Drink 2 L of fluid each day C. Use a salt substitute to season food D. Take ibuprofen for headaches
B
A nurse is reinforcing teaching with a client who has anxiety and a new prescription for buspirone. Which of the following pieces of information should the nurse include in the teaching? A. Buspirone B. Avoid consuming grapefruit juice when taking this medication C. Take this medication 4 times daily D. The peak effects of Buspirone occur within 2 week
B
A nurse is reinforcing teaching with a client who has panic disorder and a new prescription for clomipramine. Which of the following adverse effects should the nurse include in the teaching? A. Diarrhea B. Sedation C. Hypertension D. Urinary frequency
B
A nurse is reinforcing teaching with a client who has schizophrenia and a new prescription for haloperidol. Which of the following adverse effects should the nurse instruct the client to report to the provider immediately? A. Constipation B. Fever C. Weight gain D. Dry eyes
B
A nurse is reinforcing teaching with a client who wants to stop smoking by using nicotine gum. The nurse should inform the client that which of the collecting adverse effects can occur from using nicotine gum? A. Itching B. Throat irritation C. Hiccups D. Teary eyes
B
A nurse is reinforcing teaching with the caregiver of a client who has dementia. Which of the following instructions should the nurse include in the teaching? A. Offer the client a list of activities to choose from B. Offer finger foods to the client C. Discourage naps throughout the day D. Turn on the television when the client is in the room
B
A nurse is reinforcing teaching with the guardian of a school aged child who has adhd and a new prescription for clonidine. Which of the statements by the guardian indicates an understanding of the teaching? A. I will not allow my child to eat anything within 2 hours of taking the medication B. I can expect my child to be drowsy while taking this medication C. I will give my child a dose of the medication at noon every day D. I will cut the tablet in half before giving it to my child
B
A nurse is reviewing the medical record of a client who has a new prescription for tranylcypromine. The client still has a current prescription for setraline. The nurse should notify the provider because taking these medications concurrently increased the client risk of which of the following adverse effects? A. Increased intracranial B. Serotonin syndrome C. Acute kidney inquiry D. Hypertensive crisis
B
A client who has cognitive impairment tells the nurse I'm leaving now, I have to be home by 5 pm because dinner will be ready, which of the following responses by the nurse demonstrates the use of validation therapy? A. It is 5:30 pm now. You are in the hospital and we will bring you dinner soon B. Don't worry about dinner. Your father is bringing dinner here for you tonight C. At home you had dinner at 5 pm. Was your father a good cook? D. Your father was born around the year 1920. Can you tell me what year it is now
C
A nurse Is administering alprazolam for the first time to a client who has anxiety. The nurse should monitor the client for which of the following adverse effects of this medication? A. Tinnitus B. Elevated blood pressure C. Drowsiness D. Bleeding gums
C
A nurse in a mental facility is meeting with a client who has diagnosis of major depression. During the conversation the client stops speaking and the nurse Sits silently next to the client for several minutes. The nurse should identify that the therapeutic communication technique of silence is used for which of the following purposes? A. To show approval of the clients desire not to talk B. To give the client time to evaluate the nurse C. To encourage the client to express feelings or concerns D. To prevent the nurse from offering a non therapeutic response
C
A nurse in a provider office is collecting data from a client who has been taking Vareniciline. Which of the following reports from the client indicates a therapeutic response to the medication? A. The client is taking fewer opioids pain reliever B. The client no longer has delirium tremors C. The client has reduced cravings for cigarettes D. The client is less hyperactive
C
A nurse in a providers office is collecting data for a client who has been taking donepezil for Alzheimer's disease. The data indicates that the clients disease is progressing and becoming more severe. Which of the following medications should the nurse expect the provider to prescribe? A. Megestrol B. Galantamine C. Memantine D. Haloperidol
C
A nurse in an acute mental health facility is casting for a client who is experiencing an acute manic episode. Which of the following actions is the nurses priority? A. Maintain the clients contact with her family B. Discourage the clients use of vulgar language C. Protect the client from impulsive behavior D. Redirect excessive energy to creative tasks
C
A nurse is assessing a client who has schizophrenia and takes haloperidol 3 times daily. The client has developed involuntary writhing movements of the tongue and constant lip smacking. These manifestations indicate which of the following adverse electors of haloperidol? A. Akathisia B. Acute dystonia C. Tardive. Dyskinesia D. Pseudoparkinsonism
C
A nurse is caring for a client who reports that the television set in the room is really a a 2 way radio states, voices are coming from the tv and everything we say in this room is being recorded which of the following responses should the nurse make? A. What we say is not being recorded B. Let's ignore the voices and talk about something else C. That must need very frightening D. Why do you think the tv is a 2 way radio
C
A nurse is caring for a client who request information about smoking cessation using nicotine gum. For which of the following reasons should the nurse recommend another over the counter smoking cessation product to the client ? A. The client is overweight B. The client filed a vegan diet C. The client has dentures D. The client has insomnia
C
A nurse is caring for a client who returns to the unit from a day pass 2 hours late. The client has slurred speech, and the nurse smells alcohol on the clients breath. What should the nurse say to the client in response to this situation? A. Why are you returning late from your day pass B. How much did you drink? You know drinking is against the rules C. We will need to discuss your actions after you've had a chance to sleep D. I'm disappointed that you were not more responsible while on a day pass
C
A nurse is collecting data from a newly admitted client who has schizophrenia. The client suddenly looks at an empty chair and appears to be listening to something. Which of the following responses should the nurse make? A. I thought I heard something too B. Is something telling you something C. What are you hearing D. There is nobody in that chair for you to listen to
C
A nurse is interacting with a client in an substance use disorder program. Which of the following statements indicates that the client is using intellectualization as a way of coping with the anxiety of admission? A. I was just using the medication to help me out during a rough time in my life. I can stop whenever I want B. This all happened because my spouse is unemployed. That puts an enormous amount of stress on me C. I have read that problems with substance can have a variety of predisposing factors D. I just don't want to talk about it. Anyway there is nothing you can do to help
C
A nurse is reinforcing teaching about stress management with a client who is experiencing anxiety. Which of the following techniques should the nurse recommend to assist the client in identifying his stressors? A. Biofeedback B. Intellectualization C. Journaling D. Cognitive reframing
C
A nurse is reinforcing teaching with a client who has a new prescription for lorazepam to treat alcohol withdrawal. Which of the following should the nurse identify as an adverse effect of lorazepam that the client should report to the provider? A. Increased thirst B. Sweating C. Blurred vision D. Facial flushing
C
A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescription for lorazepam. Which of the following statements should the nurse include? A. Taking an antacid with the medication will decrease stomach upset B. Expect the medication to cause insomnia for the first 1 to 2 weeks C. Drinking caffeinated beverages will decreased the effectiveness of the medication D. Increase the dosage of the effectiveness of the medication decreases
C
A nurse is reinforcing teaching with the partner of a client who has cardioversion disorder. Which of the following statements by the partner shows an understanding of the teaching? A. My partner is pretending to be Ill to get attention B. My partner is purposefully making our child sick C. The stress of losing our child caused my partner to go blind D. My partner is worried that he has cancer even though his tests are normal
C
A nurse is reviewing the medical record of a client who has a new prescription for benzodiazepine. For which of the following findings should the nurse question prescription? A. Skeletal muscle injury B. History of status epilepticus C. Hypotension D. Insomnia
C
A nurse on a mental health unit is observing a client who has schizophrenia. Which of the following client statements should the nurse recognize as clang association? A. Her mannerologies are poor B. My dog blank a boat to supreme heights C. I can play the flute while wearing a suit. You are cute D. My joints ache. My friend is the joint
C
A nurse on a pediatric mental health unit is receiving reports on 4 children. Which of the following reports should the nurse expect for a child who has an autism spectrum disorder? A. The child cannot sit still to be read to B. The child displays neck jerking tics C. The child has a ritualized behavior pattern D. The child bullies the other children on the unit
C
A nurse on an acute care unit is providing postoperative care to an older adult client who develops delirium. Which of the following actions should the nurse take? A. Withhold prn anti anxiety medication B. Provide the client with a stimulating activity prior to bedtime C. Keep the client room well lit at night D encourage the client to make decisions about her daily routine
C
A nurse on an acute mental health unit is caring for a client who is experiencing a manic episode with agitation. Which of the following actions should the nurse take? A. Schedule the client for group therapy B. Discourage the client from napping during the day C. Encourage the client to participate in physical activity D. Allow the client to spend time alone
C
A public health nurse is planning methods of providing health assistance for community members. Which of the following community interventions is an example of primary prevention? A. Serving as a staff member in a rape crisis center B. Provide referrals to local 12 step programs for community members being discharged from rehabilitation centers C. Demonstrating stress release exercises to members of the community D. Leading a support group for newly divorced community members
C
A school nurse is providing care to a student who is angry and states, my parents don't know I'm gay so I can't visit my girlfriend in the hospital while she receives cancer treatment. Which of the following forms of grief is the client experiencing? A. Chronic grief B. Uncomplicated grief C. Disenfranchised grief D. Delayed grief
C
A nurse in a health clinic is treating a child who has bruises. The nurse suspects child abuse but the provider disagrees and sends the client home. Which of the following actions should the nurse take A. Request a social services consultation B. Contact the child's guardian to discuss the suspicion C. Report the provider actions to the state medical board D. Report the suspected abuse to law enforcement
D
A nurse in a rehabilitation center is planning to reinforce medication teaching with a client who is being discharged following treatment for opioid use disorder. Which of the following medications should the nurse expect the provider to prescribe for the client? A. Diazepam B. Disulfiram C. Bupropion D. Methadone
D
A nurse in an acute mental health facility is reviewing the medication records of a group of clients. The nurse should expect a prescription for memantine for a client who has which of the following diagnosis? A. Depression B. Schizophrenia C. Obesity D. Alzheimer's disease
D
A nurse in an ambulatory clinic is caring for a client who has an injured arm and periorbital ecchymosis. The nurse suspects intimate partner violence. Which of the following nursing interventions should the nurse take first? A. Notify the nursing supervisor B. Prepare the client for an x ray C. Contact social services D. Check the clients injuries
D
A nurse is assisting with the admission of a client who has alcohol use disorder and is experiencing withdrawal. Which of the following actions is the nurses priority? A. Pad the side rails of the clients bed B. Assign the client to a private room C. Collect a urine sample from the client D. Determine the clients level of disorientation
D
A nurse is assisting with the care of a client who is experiencing acute alcohol withdrawal. Which of the following medications should the nurse prepare to administer A. Carbamazepine B. Clonidine C. Propranolol D. Lorazepam
D
A nurse is assisting with the collection of admission data for a client who has anorexia nervosa. The client has lost 11.4 kg over the past month and currently weighs 38.6 kg. The nurse should expect which of the following findings? A. Flushed extremities B. Hyperkalemia C. Loose stools D. Amennorhea
D
A nurse is assisting with the plan of care for a client who is scheduled for ECT. Which of the following interventions should the nurse add to the plan of care for this client? A. Maintain a clear liquid diet for 6 to 8 hours prior to ect B. Allow the client to sleep for 3 to 4 hours following ect C. Administer IM epinephrine to the client prior to ect D. Reorient there client to the environment after ECT
D
A nurse is caring for a client who has delirium. Which of the following items should the nurse use to promote optimal cognitive function for this client? A. Identification bracelet B. Menu for the cafeteria C. Map of the facility D. Wall calendar
D
A nurse is caring for a client who has major depressive disorder and is severely withdrawn. Which of the following techniques should the nurse use to facilitate communication with the client? A. Continue to talk if the client does not provide an immediate verbal response B. Use platitudes when talking with the client C. Ask the client direct questions D. Speak to the client using simple and concrete terminology
D
A nurse is caring for a client who has schizophrenia and has been admitted to the mental Health unit. The client has a history of aggression and has been continually pacing the hallway in an agitated manner over the past hour. Which of the following responses should the nurse make? A. It's a beautiful day outside. Let's take a walk together B. Sit down so we can try a relaxation exercise C. Would you like your anti anxiety medication now? D. You are pacing back and forth. Can you tell me what you are feeling
D
A nurse is caring for a client who has schizophrenia. Which of the following client statements indicates clang association? A. I am the king and everyone should bow to me B. I'm feeling schmoolizious today C. Option contrary moose allergic D. Basketball in the hall very tall
D
A nurse is collecting data about the lethality of a client plan for committing suicide. Which of the following plans should the nurse identify as a soft method of suicide? A jumping off a bridge B inhaling carbon monoxide C hanging with a rope D. Swallowing antidepressant pills
D
A nurse is collecting data from a client who reports being abused by his partner. Which of the following actions should the nurse take? A. Tell the client he is morally obligated to press charges against his partner B. Inform the client that photographs of his injuries must be taken C. Tell the client that he will be taken to a safe house D. Give the client a detailed explanation of all of the procedures that must be performed
D
A nurse is collecting data from a client whose partner died 4 months ago. Which of the following statements indicates that the client is at risk for complicated grief? A. I wish I had been nicer and more generous to my wife before she died B. I told my wife to go to the doctor but she wouldn't listen to me C. I think about my wife all the time when I go on outings with my family D. I feel so empty without my wife that it's hard to get up every morning
D
A nurse is contributing to the plan of care for a client who has alcohol use disorder. Which of the following medications should the nurse plan to administer? A. Methadone B. Vareniciline C. Buprenorphine D. Diazepam
D
A nurse is reinforcing teaching about decreasing codependent behaviors with the family of a client who has alcohol use disorder. Which of the following statements by a family member indicates an understanding of the teaching? A. We will help her financially if she loses her job B. We will not hold her responsible for her alcohol use C. We will routinely search for and remove any alcohol in her home D. We will not let our moods be changed but behavior
D
A nurse is reinforcing teaching with a client who has a new prescription for Buspirone. Which of the following statements by the client indicates an understanding of the teaching? A. I need to watch for signs of dehydration B. I need to have my kidney function motor while taking this medication C. I should take this medication on an empty stomach D. I might not notice the effects of this medication for several weeks
D
A nurse is reinforcing teaching with a client who reports depression and has a new prescription for an SSRI medication. Which of the following statements should the nurse make? A You should avoid food with tyramine while taking this medication B if the adverse effects are too bothersome stop taking the medication C drinking alcohol is allowed with this type of medication D the effects of this medication may take several weeks to be felt
D
A nurse is reinforcing teaching with the partner of a client who is at risk for alcohol withdrawal after 6 hours of cessation. Which of the following statements by the patient indicates and understanding of the teaching? A. My partner might experience seizure after 3 days of abstinence B. Delirium tremens generally occurs within 24 hours C. Hypotension is a manifestation of alcohol withdrawal D. My partner might begin to shake
D
A nurse is talking with a client who has major depressive disorder. Which of the following client statements should the nurse identify as a covert statement of suicidal ideation? A. I don't want to be alive any longer B. I think every day about killing myself C. My parents will be happier when I'm dead D. I won't have to deal with things much longer
D
A nurse on a mental health unit is caring for a client who begins throwing objects at other clients. Which of the following actions is the priority nursing interventions? A. Attempt to restrain the clients arm B. Administer an anti anxiety medication C. Place the client in seclusion D. Tell the client to stop the behavior
D
A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the following medications should the nurse expect to administer during this phase of the clients care? A. Buprenorphine B. Diazepam C. Vareniciline D. Rimonabant
Diazepam
A nurse is caring for a client with bipolar disorder who is experiencing a manic episode. Which of the following actions should the nurse take? A. Discourage the client from taking naps during the day B. Allow the client to choose which items of clothing to wear each day C. Encourage the client to participate in group therapy D. Provide high calorie finger foods frequently
Provide high-calorie finger-foods frequently
