Mental Health Midtem - Moodle Quizzes

An acutely depressed client is receiving cognitive-behavioral therapy. The nurse is developing a plan of care for the client and includes interventions that focus on this type of therapy. Which of the following interventions would the nurse include? Select all that apply. a. Assisting the client to develop alternative thinking patterns b. Assisting the client to identify and test negative cognition c. Assisting the client to rehearse new cognitive and behavioral responses d. Assisting the client to participate in the treatment process e. Assisting the client's family to participate in group therapy on a regular basis f. Assisting the client with the administration of antidepressant medications

- Assisting the client to develop alternative thinking patterns - Assisting the client to identify and test negative cognition - Assisting the client to rehearse new cognitive and behavioral responses - Assisting the client to participate in the treatment process

A nurse is caring for a patient in acute mania who is being treated with carbamazepine (Tegretol).The nurse reviews the laboratory report for the results of the drug plasma level and determines that the plasma level is in a therapeutic range if which of the following is noted? a. 10 mcg/ml b. 1 mcg/ml c. 18 mcg/ml d. 20 mcg/ml

10 mcg/ml

A patient who has been diagnosed with Schizoaffective Disorder, Bipolar Type has an order to receive valproicacid (Depakene) 500mg once daily.To maximize the patient's safety, the nurse schedules administration of the medication: a. With lunch b. before breakfast c. At bedtime d. With breakfast

At bedtime

The nurse in the pediatric unit is admitting a 2-year-old child. The nurse plans care, knowing that the child is in which stage of Erikson's psychosocial stages of development? a. Trust versus mistrust b. Initiative versus guilt c. Autonomy versus shame and doubt d. Industry versus inferiority

Autonomy versus shame and doubt

A benefit of using the style and skills of motivational interviewing in settings: a. Increases individual's engagement b. Provides praise to each individual c. Provides an assessment of their behaviors d. Saves time as all individuals are treated the same

Increases individual's engagement

The nurse is preparing for the arrival of a new client at a drug abusers' residential treatment center and prepares to explain to the client that the emphasis of the center is on group and social interaction, and that rules and expectations are mediated by peer pressure. The most likely focus of therapy of this residential center is: a. Aversion conditioning b. Cognitive-behavioral therapy c. Milieu therapy d. Systematic desensitization

Milieu therapy

A client looks at a mirror and cries out, "I look like a bird. This is not my face." The nurse responds therapeutically by saying: a. "What kind of a bird do you think you are?" b. "Why do you think that you look like a bird?" c. "Maybe the light is playing tricks on you." d. "That must be very distressing to you, your face does not look different to me."

That must be very distressing to you, your face does not look different to me.

With conventional (typical) antipsychotics, the higher the potency, a. The lower the risk for EPS b. the higher the risk for sedation c. the higher the risk of EPS d. The lower the risk for dystonia

the higher the risk of EPS

In the shift-change report, an off-going nurse criticizes a patient who wars heavy makeup. Which comment by the nurse who receives the report best demonstrates advocacy? a. "Your comments are inconsiderate and inappropriate. Keep the report objective." b. "Our patients need our help to learn behaviors that will help them get along in society." c. "This is a psychiatric hospital. Craziness is what we are all about." d. "Let's all show acceptance of this patient by wearing lots of makeup too."

"Our patients need our help to learn behaviors that will help them get along in society."

The nurse has been caring for a client with a diagnosis of depression. The client says to the nurse, "I wish you would just be my friend." The appropriate response by the nurse is: a. "I can't be your friend. I'm the nurse, and you're the client." b. "Our relationship is a therapeutic and helping one." c. "I am your friend." d. "You have plenty of friends. You don't need me to be your friend, too."

"Our relationship is a therapeutic and helping one."

Cognitive therapy was provided for a patient who frequently said, "I'm stupid." Which statement by the patient indicates the therapy was effective? a. "Sometimes I do stupid things." b. "Things always go wrong for me." c. "I always fail when I try new things." d. "I'm disappointed in my lack of ability."

"Sometimes I do stupid things."

A client with a potential for violence is exhibiting aggressive gestures, making belligerent comments to the other clients, and is continuously pacing in the hallway. Which of the following comments by the nurse would be therapeutic at this time? a. "You are going to be restrained if you do not change your behavior." b. "What is causing you to become agitated?" c. "Please stop so I don't have to put you in seclusion." d. "Why are you intent on upsetting the other clients?"

"What is causing you to become agitated?"

A client receiving long-term therapy with lithium carbonate (Lithobid) exhibits muscle tremors, confusion, vomiting, and diarrhea. The nurse anticipates that the results of the latest test of the serum lithium level will be between: a. 1.0 and 1.3 mEq/L b. 0.6 and 1.0 mEq/L c. 1.5 and 2.0 mEq/L d. 0 and 0.5 mEq/L

1.5 and 2.0 mEq/L

Two students fail their introductory nursing course. One student plans to seek tutoring and retake the course next fall. The second student attempts suicide. Which of the following factors would have been influential in the development of the second student's crisis? a.A lack of adequate coping mechanisms b. The time of year in which the event occurred c. The presence of support systems d. The individual's family birth order

A lack of adequate coping mechanisms

A mental health nurse who has been meeting with a client with a diagnosis of post-traumatic stress disorder is in the termination phase of the nurse-client relationship. The nurse notes that the client has been quiet and withdrawn and interprets the client's behavior as: a. An inability of the client to terminate from the nurse b. A normal behavior that can occur during termination c. An indication of the need for additional therapy sessions d. An indication of the need for antidepressants

A normal behavior that can occur during termination

A Nurse is developing a teaching plan for a client who will be receiving phenelzine sulfate (Nardil). The nurse plans to tell the client to avoid: a. Aged cheeses b. Digitalis preparations c. Cherries and blueberries d. Vasodilators

Aged cheese

Two staff nurses applied for promotion to nurse manager. The nurse not promoted initially had feelings of loss but then became supportive of the new manager by helping make the transition smooth and encouraging others. Which term best describes this nurse's response? a. sublimination b. altruism c. suppression d. passive agression

Altruism

"Dry as a bone, red as a beat, hot as a hare, blind as a bat, and mad as a hatter" describes the symptoms of: a. Serotonin Syndrome b. Anticholinergic toxicity c. Lithium toxicity d. Neurleptic melignant syndrome

Anticholinergic toxicity

he nurse is describing medication side effects to a client who is taking a benzodiazepine. The nurse tells the client to take the medication only as prescribed because of the most serious risk of: a. Dependence b. Skin rashes c. Headache d. Gastrointestinal side effects

Dependence

The following patients are seen in the emergency department. Which of the following patients meets the severity of illness and intensity of care required for the admitting officer to recommend admission to the psychiatric unit? The patient who: a. experiencing anxiety and a sad mood after a separation from a spouse of 10 years. b. who is a single parent and hears voices saying, "Smother your infant." c. who self inflicted a superficial cut on the forearm after a family argument. d. experiencing dry mouth and tremor related to side effects of haloperidol (Haldol)

who is a single parent and hears voices saying, "Smother your infant."

A 22-year old college student presented to the ER with hypertension (BP= 200/110), tachycardia, cramping, hyperreflexia, and myoclonus. He was taking phenelzine (Nardil) and had been out to a restaurant with friends. What is the most likely food/drink that could have interacted with the medication? a. Eggs b. red wine c. Grapefruit juice d. Cucumbers

Red wine

A patient begins therapy with a phenothiazine medication. What teaching should a nurse provide related to the drug's strong dopaminergic effects? a.Arise slowly from bed. b. Report muscle stiffness. c. Chew sugarless gum. d. Increase dietary fiber.

Report muscle stiffness

The client who is diagnosed with a borderline personality is admitted to the psychiatric unit. Based on a thorough understanding of personality disorders, the nurse would select which nursing diagnosis as the priority? a. Chronic low self-esteem b. Social isolation c. Risk for self-mutilation d. Ineffective coping

Risk for self-mutilation

A nurse is caring for a hospitalized patient who has been taking clozapine (Clozaril) for the treatment of a schizophrenic disorder, and the nurse reviews the laboratory studies that have been prescribed for the patient. Which laboratory study will the nurse specifically review to monitor for an adverse effect associated with the use of this medication? a. Hemoglobin level b. Blood urea nitrogen c. White blood cell count d. Cholesterol level

White blood cell count

The nurse is working with a client who shows signs of benzodiazepine withdrawal. The nurse suspects that the client has suddenly discontinued taking which of the following prescribed medications? a. Fluoxetine (Prozac) b. Haloperidol (Haldol) c. Sertraline (Zoloft) d. Diazepam (Valium)

Diazepam (Valium)

A client has recently been diagnosed with mild to moderate NCD due to Alzheimer's disease.Which medication would the nurse expect the physician to order for the client's cognitive impairment? a. Zaleplon (Sonata) b. Donepezil (Aricept) c. Quetiapine (Seroquel) d. Nortriptyline (Pamelor)

Donepezil (Aricept)

In preparing for the orientation phase of the therapeutic relationship, the nurse suggests addressing which of the following subjects? a. Facilitating behavioral change b. Promoting problem solving skills in the client c. Promoting self-esteem in the client d. Establishing the parameters of the relationship

Establishing the parameters of the relationship

The most therapeutic response a nurse could make to a student who begins to cry upon learning that a failing grade was received on a final exam is: a. "Failing an exam is an upsetting thing to happen." b. "How close were you to passing?" c. "You'll make it next time." d. "It won't seem so important 5 years from now."

Failing an exam is an upsetting thing to happen

When providing information which strategy is the most helpful? a. Make sure the participants know you are the expert in this area b. Find out what the participants already know before giving information c. Provide data from research studies d. Make sure all the participants have the same question before informing

Find out what the participants already know before giving information

A nursing student is conducting a clinical conference and is describing the characteristics associated with milieu therapy. Which of the following statements, if made by the student, indicates an understanding of the focus of this form of therapy? a. "Milieu therapy provides a cognitive approach to changing behavior." b. "A behavioral approach to changing behavior is the focus of milieu therapy." c. "Milieu therapy provides a behavior modification approach type of therapy." d. "A living, learning, or working environment is the focus of milieu therapy."

"A living, learning, or working environment is the focus of milieu therapy."

The nurse is talking with a male client who is actively hallucinating. The client is fearful that the voices he hears will direct him to kill himself or will hurt him directly. Which of the following nursing statements would be therapeutic at this time? a. "I can hear the voices too, but they are telling you to go to bed now." b. "I know you believe they are going to cause you harm, but it's not true." c. "I know whose voices you are hearing and told them not to hurt you." d. "I don't hear them, but it must be frightening to hear voices that others can't hear."

"I don't hear them, but it must be frightening to hear voices that others can't hear."

A client hates her mother because of childhood neglect.The nurse determines which client statement represents the use of the use of the defense mechanism of reaction formation? a. "I have a very wonderful mother whom I love very much." b. "My mom always loved my sister more than she loved me." c. "My mother hates me." d. "I don't like to talk about my relationship with my mother."

"I have a very wonderful mother whom I love very much."

The nurse is preparing a client for discharge who was hospitalized following a suicide attempt. The nurse evaluates that the client could benefit from further development of coping strategies if the client was overheard making which of the following statements prior to discharge? a. "I know now that I can't be all things to all people all the time." b. "It is important for me to take my medications just as prescribed." c. "It's been good to learn better ways to deal with the stresses in my life." d. "I know that I won't become depressed again after the treatment I received here."

"I know that I won't become depressed again after the treatment I received here."

A voluntarily hospitalized patient tells the nurse, "Get me the forms for discharge against medical advice so I can leave now." What is the nurse's best initial response? a. "I can't give you those forms without your health care provider's knowledge." b. "Since you signed your consent for treatment, you may leave if you desire." c. "I will get them for you, but let's talk about your decision to leave treatment." d. "I'll get the forms for you right now and bring them to your room."

"I will get them for you, but let's talk about your decision to leave treatment."

A client admitted to the inpatient unit is being considered for electroconvulsive therapy (ECT). The client is calm, but the client's daughter is hypervigilant and anxious. The daughter says to the nurse, "My mother's brain will be shocked with electricity. How can the doctor even think about doing this to her?" Which of the following responses by the nurse would be therapeutic? a. "It sounds as though you are very concerned about the procedure. Let's discuss the procedure." b. "I think you need to speak directly to the psychiatrist." c. "Maybe you'll feel better if you see the ECT room and speak to the staff." d. "Your mother has decided to have this treatment. You should support her."

"It sounds as though you are very concerned about the procedure. Let's discuss the procedure."

The nurse is developing a care plan that will include goals that will help the client achieve an optimal level of functioning and appropriate resource utilization. When the nurse enters the client's room, the client asks the nurse, "Could you ask the physician to let me have a pass for the weekend?" The nursing response that assists the client in achieving these goals is: a. "When the physician arrives on the unit, I will let him or her know that you have a question." b. "I will call the doctor and find out if you can have a pass so that you can make your arrangements." c. "When your doctor comes in, I will ask for a pass for the weekend." d. "You can't have a pass for the weekend. You are not ready, and I'm sure that your doctor will say no."

"When the physician arrives on the unit, I will let him or her know that you have a question."

A person who is speaking about a rival for a significant other's affection says in a gushy, syrupy voice, "What a lovely person. That's someone I simply adore." The individual is demonstrating: a. projection b. reaction formaiton c. denial d. repression

Reaction Formation

Psychotherapy involves all below except: a. neural plasticity b. none of the above c. a therapeutic relationship d. appropriate medications e. positive expectancy

Appropiate medications

A client who attempted suicide by hanging is brought to the emergency department by emergency medical services. The immediate nursing action is which of the following? a. Call the mental health crisis team and notify them that a client who attempted suicide is being admitted to the hospital. b. Take the client's vital signs. c. Perform a focused assessment, paying particular attention to the client's neurological status. d. Assess the client's respiratory status and for the presence of neck injuries.

Assess the client's respiratory status and for the presence of neck injuries.

The nurse notes that a client receiving lithium therapy is drowsy, has slurred speech, and is experiencing muscle twitching and impaired coordination. The nurse takes which of the following actions? :a. Increase fluids to 2000 ml per day b. Doubles the next lithium dose c. Holds one dose of lithium d. Calls the physician

Calls the physician

A client has been admitted to the inpatient psychiatric unit because the client has displayed violent behavior and is at risk for potentially harming others. Which of the following should the nurse avoid doing when caring for this client? a. Arranging for a security officer to be available in the general area b. Facing the client while speaking and providing nursing care c. Admitting the client to a room near the nurses' station d. Closing the door to the client's room when giving care to the client

Closing the door to the client's room when giving care to the client

When caring for a client who is experiencing a panic attack, which of the following nursing actions should be implemented? a. Sit with the client in the day room to provide comfort b. Leave the client alone to maintain privacy. c. Communicate with simple words and brief message d. Instruct the client regarding unit rules and regulations.

Communicate with simple words and brief message

A person who feels unattractive repeatedly says, "Although I'm not beautiful, I am smart." This is an example of: a. Identification b. Repression c. Devaluation d. Compensation

Compensation

A client is admitted to the psychiatric unit with a diagnosis of bipolar affective disorder and mania. The nurse would prioritize that which of the following symptoms or behaviors requires immediate intervention? a. Constant, incessant talking, with sexual innuendoes b. Grandiose delusions of being a czar of Russia c. Constant physical activity and poor oral intake d. Outlandish behaviors and wearing odd and eccentric clothing

Constant physical activity and poor oral intake

The nurse is told that the result of a serum carbamazepine (Tegretol) level for a client who is receiving the medication for the control his mood swings is 10mcg/mL. Based on this laboratory result, the nurse anticipates that the physician will prescribe: a. Discontinuation of the medication b. A decrease of the dosage of the medication c. Continuation of the presently prescribed dosage d. An increase of the dosage of the medication

Continuation of the presently prescribed dosage

For the last year, a college student continually and unrealistically worries about academic performance and love life performance. The student is irritable and suffers from severe insomnia.This behavior is associated with which diagnosis? a. Generalized Anxiety Disorder (GAD) b. Agoraphobia c. Obsessive-Compulsive Disorder (OCD) d. Social Phobia Disorder

Generalized Anxiety Disorder (GAD)

The client says to the nurse "I am going to die, I wish my family would stop hoping for a cure! I get so angry when they carry on like this! After all, I'm the one who's dying." The most therapeutic response is: a. "I think we should talk more about your anger with your family." b. "You're feeling angry that your family continues to hope for you to be cured." c. "Have you shared your feelings with your family?" d. "Well, it sounds like you're being pessimistic. After all, years ago people died of pneumonia."

Have you shared your feelings with your family?

A client is taking a monoamine oxidase inhibitor (MAOI). The nurse assesses the client closely because: a. Hypotensive crisis may be precipitated by foods rich in tyramine and typtophan. b. These medications increase the amount of MAOI in the liver. c. Headache, hypertension, and nausea and vomiting may indicate toxicity. d. Hypotension may indicate toxicity

Headache, hypertension, and nausea and vomiting may indicate toxicity.

A nurse is providing medication instructions to a patient who is taking doxepin (Sinequan) daily. Which statement by the patient indicates a need for further instructions? a. "The effects of the medication may not be noticed for at least two weeks." b. "If I miss a dose, I need to take it as soon as possible unless it is almost time for the next dose." c. "I need to avoid alcohol while taking the medication." d. "I need to take the medication in the morning before breakfast."

I need to take the medication in the morning before breakfast

A patient who is experiencing moderate anxiety says, "I feel undone." An appropriate response for the nurse would be: a. What would you like me to do to help you? b. "Why do you suppose you are feeling anxious?" c. "I'm not sure I understand. Give me an example." d. "You must get your feelings under control before we can continue."

I'm not sure I understand. Give me an example.

A home care nurse visits a client at home. Clonazepam (Klonopin) has been prescribed for the client, and the nurse teaches the client about the medication. Which statement by the client indicates that further teaching is necessary? a. "I can take my medication at bedtime if it tends to make me feel drowsy." b. "I should take my medication with food to decrease stomach problems." c. "My drowsiness will decrease over time with continued treatment." d. "If I experience slurred speech, it will disappear in about 8 weeks."

If I experience slurred speech, it will disappear in about 8 weeks.

Which nursing diagnosis is written correctly? a. Conduct disorder related to childhood sexual abuse evidenced by hostile and aggressive behaviors. b. Risk for social isolation related to low self-esteem evidenced by staying in room during the day. c. Imbalanced nutrition: less than body requirements related to suspiciousness evidenced by 20 lbs. d. Low self-esteem related to major depressive disorder evidenced by childhood abuse.

Imbalanced nutrition: less than body requirements related to suspiciousness evidenced by 20 lbs.

A client who has sustained severe injuries in a motorcycle accident was diagnosed with intensive care unit (ICU) psychosis. The nurse would be most likely to conclude that the client's status is improving if the client: a. Increases the number of hours slept at one time and is increasingly alert b. Tells his wife, "I feel better, but the doctors want to give me a lethal injection." c. Appears to be delirious but has stopped trying to pull out the nasogastric tube d. Keeps his eyes fixed on the nurses while they are working in the room but has stable vital signs

Increases the number of hours slept at one time and is increasingly alert

The nurse is meeting a new client on the unit. Which action, by the nurse, is most effective in initiating the nurse-client relationship? a. Ask the client why he/she was brought to the hospital. b. Wait until the client indicates a readiness to establish a relationship. c. Introduce self and explain the purpose and the plan for the relationship. d. Describe the nurse's family and ask the client to describe his/her family.

Introduce self and explain the purpose and the plan for the relationship.

During the termination phase of the nurse-client relationship, the clinic nurse observes that the client continuously demonstrates bursts of anger. The most appropriate interpretation of the behavior is that the client... a. Needs to be admitted to the hospital. b. needs to be referred to the psychiatrist as soon as possible. c. Requires further treatment and is not ready to be discharged. d. Is displaying typical behaviors that can occur during termination.

Is displaying typical behaviors that can occur during termination

The nurse is caring for a Native American client who says, "I don't want you to touch me. I'll take care of myself." Which nursing response is most therapeutic? a. "Okay, if that's what you want. I'll just leave this cup for you to collect your urine." b. "If you don't want our care, why did you come here?" c. "It sounds as though you want to take care of yourself. Let's work together so you can do things for yourself." d. "Why are you being so difficult? I only want to help you."

It sounds as though you want to take care of yourself. Let's work together so you can do things for yourself.

The nurse is preparing the client for the termination phase of the nurse-client relationship. The nurse prepares to implement which nursing task is most appropriate for this phase? a. Making appropriate referrals. b. Developing realistic solutions. c. Identifying expected outcomes. d. Planning short term goals.

Making appropiate referrals

Mrs. F. has remained close to the nurse all day. When the nurse talked with other clients during dinner, Mrs. F. tried to regain the nurse's attention and began to shout, "You're just like my mother. You pay attention to everyone but me!" The best interpretation of this behavior is that. a. the nurse has failed to meet Mrs. F's needs. b. Mrs. F. is demonstrating transference. c. Mrs. F. is exhibiting resistance. d. Mrs. F. has been spoiled by her family.

Mrs. F is demonstrating transference

A patient on tranylcypromine (Parnate) requests information on foods that are acceptable to eat while taking the medication.The nurse tells the patient that it is safe to eat: a. Smoked fish b. Oranges c. Raisins d. Cheddar cheese

Oranges

A supervisor assigns a worker a new project. The worker initially agrees but feels resentful. The next day when asked about the project, the worker says, "I've been working on other things." When asked 4 hours later, the worker says, "Someone else was using the copier, so I couldn't finish it." The worker's behavior demonstrates: a. Projection b. Rationalization c. Passive aggression d. Acting out

Passive aggression

Larazepam (Ativan) is prescribed for a client to manage anxiety.Which of the following, if noted on the client's record, would indicate the need to consult with the physician before administering the medication? a. Positive pregnancy test b. History of coronary artery disease c. History of hypothyroidism d. History of diabetes millitus

Positive pregnancy test

A general principle of motivational interviewing is: a. Advising on what the participant should do. b. Problem Solving for participants c. Providing data when giving information d. Expressing empathy through compassionate conversation

Problem solving for participants

A mental health nurse is assigned to care for a client with a diagnosis of undifferentiated schizophrenia with acute exacerbation. The nurse uses which of the following approaches when planning care for this client? a. Let the client act out initially, and use the quiet room and restraints as needed. b. Repeatedly point out inconsistencies in the client's communication during initial treatment. c. Allow the client to set the goals for the plan of care. d. Provide assistance with grooming and nutrition until the client's thinking has cleared.

Provide assistance with grooming and nutrition until the client's thinking has cleared.

The nurse is assigned to a client who is psychotic, pacing, agitated, and using aggressive gestures and rapid speech. The nurse determines that the priority of care at this time is which of the following? a. Providing safety for the client and other clients on the unit b. Assisting in caring for the client in a controlled environment, such as a quiet room c. Offering the client a less stimulated area in which to calm down and gain control d. Providing the other clients on the unit with a sense of comfort and safety by isolating the client

Providing safety for the client and other clients on the unit

An individual experiences sexual dysfunction and blames it on a partner by calling the person unattractive and unromantic. Which defense mechanism is evident? a. Regression b. Compensation c. Introjection d. Rationalization

Rationalization

The client admitted to the mental health unit with major depression 3 days ago could hardly get out of bed without coaxing and needed constant encouragement to get dressed and participate in unit activities. Today, the client appears in the dayroom dressed and well-groomed, without any guidance from the staff. The client appears to be calm and relaxed, yet more energetic than before. The nurse should take which initial action after noting this client's behavior? a. Continue to monitor the client's behavior from a distance. b. Notify the staff of these observations at the team meeting, which will begin in 3 hours. c. Speak to the client personally about the nurse's observations, and ask if the client is thinking about suicide. d. Document that the client is adapting to the unit and is feeling safe.

Speak to the client personally about the nurse's observations, and ask if the client is thinking about suicide.

A nurse in the emergency department is preparing to care for a female client who has just been sexually assaulted. Which of the following client behaviors would demonstrate denial? a. The client is verbalizing generalizations about the incident. b. The client is justifying unacceptable self-behaviors. c. The client is blaming her sister for the incident. d. The client is calm and quiet.

The client is calm and quiet.

A patient is started on a regimen of lamotrigine (Lamictal) 50 mg daily for bipolar depression. The client shows the nurse a red and purple rash on his arm that is blistering and peeling. What is the most likely explanation? a. The rash is a rare adverse effect which causes a toxic epidermal necrolysis. b. The patient is experiencing a benign rash to the medication which can be treated with diphenhydramine (Benadryl). c. The medication increases the patient's sensitivity to sunlight resulting in a sunburn from not using protection. d. he rash is a common side effect which resolves after the medication reaches therapeutic range.

The rash is a rare adverse effect which causes a toxic epidermal necrolysis.

A patient who is on chlorpromazine (Thorazine) is preparing for discharge. In developing a health promotion plan for the patient, the nurse instructs the patient: a. To adhere to a strict tyramine-resticted diet b. To avoid prolonged exposure to the sun. c. To have the therapeutic blood levels drawn because there is a narrow range between the therapeutic and toxic levels of the medication. d. On the signs and symptoms of relapse for depression.

To avoid prolonged exposure to the sun.

The nurse is assisting in developing a plan of care for a client with a psychotic disorder who is experiencing altered thought processes that include the belief that the food is being poisoned. The nurse develops strategies that will encourage the client to discuss feelings and plans to: a. Instruct the client about the need for adequate nutrition. b. Use open-ended questions and silence. c. Focus on the components of adequate nutrition. d. Focus on the fact that the client's beliefs are untrue.

Use open-ended questions and silence.

A client relates angrily to the nurse that his wife says he is selfish. Which response by the nurse would be most helpful? a. "You sound angry - tell me more about what went on." b. "That's just her opinion." c. "Everyone is a little bit selfish." d. "I don't think that you are selfish."

You sound angry - tell me more about what went on

A nurse is having a conversation with a depressed client on an inpatient psychiatric unit. The client says to the nurse, "Things would be so much better for everyone if I just weren't around." Which of the following responses by the nurse would be appropriate at this time? a. "I know what you mean; everyone gets that way when they are depressed." b. "Have you talked to anyone specifically about what is bothering you?" c. "You sound very unhappy. Are you thinking of harming yourself?" d. "Those feelings will go away when your medication really takes effect."

You sound very unhappy. Are you thinking of harming yourself?"

The goal for a patient is to increase resiliency. Which outcome should a nurse add to the plan of care? Within 3 days, the patient will: a. meet own needs without considering the rights of others. b. identify healthy coping behaviors in response to stressful events. c. describe feelings associated with loss and stress. d. allow others to assume responsibility for major areas of own life.

identify healthy coping behaviors in response to stressful events.