Mental Health DL Assignment 4
A nurse is caring for a client who has depressive disorder, is in alcohol withdrawal, and reports a recent job loss. Which of the following should be the priority nursing intervention?
determine the presence and degree of suicide
A nurse is reinforcing teaching with a client who is prescribed haloperidol decanoate IM every 4 weeks. Which of the following manifestations should the nurse instruct the family to monitor for to determine effectiveness of the medication?
improved attention span
A nurse is collecting data from a client who is taking alprazolam. For which of the following adverse effects should the nurse closely monitor?
inability to recall events
A nurse is caring for a client who is undergoing Electroconvulsive therapy ECT. which of the following client statements indicates to the nurse a need for further teaching?
my memory loss will last several mins after treatment
A client is in long term facility says to the nurse. "I really cant stand my roommate. Is there anything you can do to get me a bed with another room?" When the roommate comes back into the room, the client offers to share cookies with the roommate. Which of the following defense mechananisms is the client demonstrating?
reaction formation
A nurse is assisting with a conflict-resolution group for adolescent clients in a community clinic facility. Which of the following clients should the nurse identify as being high risk for suicide?
A client who attempted suicide the year before
A nurse is collecting data from a client who is taking clozapine. Which of the findings indicates the client is experiencing adverse effects of this medication?
1) Drooling 2) muscle rigidity 3) elevated temp
A nurse is caring for school age child who has a history of conduct disorder. Which of the following actions should the nurse take? select all that apply
1) Introduce some humor during interactions with the child. 2) explain to the child the need to pick crayons when thrown on the floor. 3) Shorten reading activity when the child appears to become frustrated 4) Redirect with physical activites when the child's disrupted behavior begins
A nurse is caring for a group of clients on a mental health unit. Which of the following clients should the nurse recognize as utilizing a maladaptive defense mechanism?
A client is a afraid to begin Chemotherapy and forgets to make an appointment
A provider tells a client who has an anterior cruciate ligament that he may not play football for the remainder of the season. The client yells that the provider doesn't know what he's talking about and kicks the chair. Which of the following defense mechanisms is the client demonstrating?
Displacement
A nurse is collecting data from client who is taking bupropion. Which is the following findings indicates the medication is effective?
Decrease the urge to smoke
A nurse is reviewing the Laboratory reports of a client who has bipolar disorder and notes a serum lithium level of 2.0mEq/L. Which of the following actions should the nurse take?
Determine the clients vital signs
A nurse is caring for a client who has obsessive compulsive disorder OCD. Which of the following actions is appropriate for the nurse to take?
Determine the level of anxiety
a nurse is caring for a client who has had a spinal cord injury and is at risk for depression. Which should the nurse identify as an indication that the client is developing depression?
Difficulty concenterating
During a group therapy session, a nurse observes several clients using multiple defense mechanisms. Which of the following client statements demonstrates the use of maladaptive coping mechanisms?
I don't care about work anymore since I wasn't given a promotion.
A nurse is reinforcing teaching with a client who is to begin taking paroxetine. Which of the statements by the client indicates an understanding?
I might not feel like eating as much
A nurse is reviewing a pamphlet about sertraline with a client who post-traumatic stress disorder. Which of the following client statements indicates understanding of the information?
I should call my provider if I have excessive sweating and shakes or tremors
A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine. Which of the following statements by the client indicates an understanding of the treatment?
I will contact my provider if I have difficulty urinating
A nurse is caring for an adolescent on an inpatient mental health unit who is undergoing detoxification for a substance abuse use disorder. He tells the nurse that he first began illicit drugs when his parents wouldn't allow him to get a tattoo. Which of the following defense mechanisms is the client demonstrating?
Projection
A nurse is collecting data from a newly admitted client who has a major depressive disorder. Which of the following should the nurse expect?
Psychomotor retardation
A nurse is assisting a client who has multiple injuries from a motor vehicle crash as a result of driving under he influence of alcohol. The client tells the nurse,"I had a few drinks after my boss fired me, but that okay. Everything will work out somehow next week". Which of the following defense mechanisms is the client demonstrating?
Supression
A nurse is collecting data from a client who is experiencing moderate anxiety. Which of the following findings should the nurse expect?
The client has a narrowed focus of attention
A nurse is speaking with the partner who has an alcohol disorder. The partner says "I just don't know what to do about my wife's drinking? Every time I see her drinking beer I start to feel extremely anxious". Which of the following responses should the nurse make?
The next time she starts drinking what is something you might do to decrease your Anxiety?
A nurse is assisting with a group therapy session for clients who are newly diagnosed with cancer. Which of the following statements should the nurse make?
What do you mean when you say you cannot return to work?