Mental health practice test

And there's is participating and group therapy for client to have major depressive disorder, which of the following topics should the nurse include in the orientation phase of Group Therapy

Confidentiality. the nurse should establish the expectations of confidentialitiy during the orientation phase of group therapy

A nurse is caring for a client who has dementia which of the following action should the nurse take

Stand in front of client when speaking, the nurses stand in front of the client when speaking to them to maintain eye contact and maximize the clients understanding of the conversation

A nurse is caring for a client who is undergoing behavioral therapy for post traumatic stress disorder. The nurse should identify that which of the following findings indicates an improvement in the clients condition.

The client reports about techniques they used to promote sleep clients who have PTSD frequently experience disrupted sleep, therefore reporting about techniques to use remote to sleep demonstrates that the clients condition has improved

A nurse is collecting data from a client who has a major depressive disorder and is taking pheneizine which of the following findings should the nurse identify as an adverse effect of this medication

Weight gain, insomnia, and muscle cramps are adverse effects of Pheneizine

A nurse is collecting data from a client whose home was destroyed by a fire, which of the following responses should the nurse make first

"Are you experiencing feelings of hopelessness?"when using Maslow's hierarchy of needs the priority action for the nurse to take is determine if the client is safe the nurse should collect data about the clients feelings to determine if the client is having feelings of hopelessness or suicidal ideations.

A nurse is caring for four clients who are displaying the use of defensive mechanisms, which of the following client should the nurse identify as using a maladaptive defensive mechanism

A client who has multiple sclerosis stopped taking the medication and says their diagnosis is wrong. Suppression is the blocking of thoughts or feelings that a client finds unacceptable denying the presence of an illness is a maladaptive use of defensive mechanism.

A nurse is caring for a client who is scheduled for electroconvulsive therapy which of the following action should the nurse take prior to this procedure

Administer atropine sulfate, I am in preparation for ECT. The nurse should administer atropine sulfate. I am 30 minutes prior to the procedure. This will decrease secretions in order to prevent aspiration that can be caused by the vagal stimulation induced by ECT.

A nurse is reinforcing teaching with the caregiver of a client who has histrionic personality disorder, which of the following manifestations should the nurse tell the caregiver to expect

Attention seeking behavior. The nurse should identify that the attention seeking behavior, self-centeredness and excessive emotionality are expected manifestations in a client who has histrionic personality disorder.

A nurse is attempting to resolve an ethical dilemma that involves the clients medical decisions in their own personal values after collecting data and identifying the problem which of the following actions, should the nurse take next?

Determine the benefits and consequences of respecting the client's medical decisions. After the nurse collect the data and identifies the problem, the nurse should determine the benefits and consequences of respecting the clients medical decisions as the next step in the ethical decision making model.

A nurse is performing a health history for a client prior to administering olanzapine for which of the following condition should the nurse with all the medication and notify the provider

Diabetes mellitus, the nurse should hold the olanzapine and notify the provider for client who has diabetes mellitus because this medication has an adverse effect of hyperglycemia

A nurse is collecting data from a client who had major depressive disorder, which of the following findings should the nurse recognize as an indication of relapse

Difficulty sleeping the nurse should recognize that difficulty sleeping as an indication of relapse in a client who has major depressive disorder. Other findings that indicate a relapse for client who has major depressive disorder, include excessive, sleeping, depressed mood, decreased ability to concentrate feelings of hopelessness, indecisiveness, and Miletiy to feel pleasure increase or decrease motor activity and suicidal ideations.

A nurse is reinforcing teaching with the parent of an adolescent who has amphetamine use disorder. The nurse indemnified, that which of the following statements by the parent, indicates an understanding of the teaching.

Dilated pupils are sign that my child is using amphetamines. The nurse should instruct the parent to monitor the adolescent for my addresses or dilated peoples because this is a manifestation of amphetamine use.

A nurse is assisting with planning a group therapy session which of the following action should the nurse plan to include in the orientation phase

Discuss a termination plan for the group. The nurse should discuss a termination plan for the group during the orientation phase of the group therapy session. This topic should also be discussed throughout each group therapy session.

A nurse is collecting data from a client who is experiencing alcohol withdrawal, which of the following findings should the nurse expect

Elevated blood pressure hypertension is an expected findings of alcohol withdrawal and can occur within 4 to 12 hour of sensation of alcohol ingestion

A nurse is assisting with the admission of a client to an acute care mental health facility, which of the following activities. Should the nurse plan for the working phase of the therapeutic nurse client relationship.

Evaluate the clients progress toward meeting their goals the nurse should evaluate progress. The client is making toward the Kohl's. They have established as part of the working phase of the therapeutic relationship during the working fees. The nurse in the client identifying implement measures to help the client meet their goals their goals

A nurse is assisting with planning group therapy for a group of clients, which of the following actions should the nurse include in the working phase of the group session

Facilitate behavioral changes the nurse should facilitate behavioral changes during the working phase of group therapy. Additionally, sharing information gathering data, promoting self-esteem and evaluating progress should occur during the working phase of group therapy.

A nurse is reinforcing, teaching with an adolescent client who has a history of aggressive behavior, which of the following statement should the nurse make

Have you considered participating in a sport to help control your aggression? The nurse should encourage the client to participate in sports and other physical activities because they can provide a safer outlet for aggression.

A nurse is collecting data from a client who has delirium the nurse should identify which of the following conditions as a predisposing factor for delirium

Hepatic failure, hepatic failure can be a predisposing factor for the development of delirium. Other potential predisposing factors include febrile, illness, hypoxia, head trauma, and stroke.

A nurse is reinforcing, teaching with a client who has a new prescription for pheneizine. The nurse instruct the client that eating foods containing tyramine can cause which of the following adverse reactions with this medication.

Hypertensive crisis, tyramine can cause severe, hypertension and clients who are taking pheneizine an MAOI. manifestations include palpitations, stiff neck, headache, nausea, vomiting, and elevated temperature

A nurse is collecting data from a client who has anger management issues. The nurse should recognize which of the following findings as a manifestation of anger.

Intense iContact the nurse should be aware of clinical manifestations associated with a potential crisis while caring for a client who has anger management issues. These manifestations can include intense, iContact, clenched, fists, passive, aggressive behaviors, flushed face, shouting, pacing restlessness, loud voice, angry mood, and threatening body language.

A nurse is assisting in the morning hygiene care of a client who is cognitively impaired which of the following statement should the nurse make

Let me help you get your toothbrush, a client who is cognitively impaired needs guidance and performing ADLs, and should be given one simple task at a time

A nurse is caring for a client who is experiencing acute mania, which of the following actions should the nurse take to enhance the therapeutic Milleu

Limit the number of visitors for the client, the nurse or decrease environmental stimuli for a client who is experiencing acute mania by limiting the number of visitors for the client. The nurse should also work to decrease the noise level of other clients, visitors, music, and television because this environmental stimuli can worsen the clients condition.

A nurse is reviewing the laboratory values of a client who has anorexia nervosa, which of the following result should the nurse expect?

Potassium three mil equivalence the nurse should expect a client who has anorexia nervosa to have hypokalemia which is indicated by decreased potassium level. This value is below the expected reference range of 3.5 to 5.

A nurse is assisting with the plan, a peer for a client who is malnourished to the alcohol use disorder, which of the following intervention should the nurse include in the plan

Restrict the client sodium intake, a client who is malnourished due to alcohol. Use disorder is at risk for ascites. Therefore, the nurse should restrict the clients sodium intake to decrease the risk for fluid retention.

A nurse is assisting with the care of a client who is becoming agitated which of the following action should the nurse take

Set verbal limits for the client the nurse it's at verbal limits for the client behavior and clearly identify the consequences of inappropriate expressions of anger or agitation

A nurse is caring for a client who has schizophrenia and a prescription for halopirodol. All the nurse identifies which of the following findings indicate a potential need for a PRN does a benzotropine

Shuffling gait the nurse identifies that a shuffling gait can be indicative of a presence of pseudoparkinsonism which can be treated with a PRN dose of benzo tropine

A nurse is reinforcing teaching about food that contains tyramine with a client who has a prescription for phenitizine which of the following foods should the nurse instruct the client to avoid

Smoked sausage is high in tyramine clients who are prescribed, and MAOIs should avoid food that contain tyramine, because consuming them can cause a hypertensive crisis

A nurse is caring for a client who is taking lithium and reports persistent nausea, and vomiting for two days which of the following laboratory values. Should the nurse report to the provider.

Sodium 132 the nurse should identify that his sodium level of 132 is not within the expected reference range of 136 to 145. This finding indicates hyponatremia which can lead to lithium accumulation and places the client at risk for lithium toxicity the nurse should report this finding to the provider.

A nurse is contributing to the plan of care for a client who has antisocial personality disorder, which of the following short term goals. Should the nurse recommend be included in the plan?

The client will discuss feelings that caused hostility clients who have antisocial personality disorder are frequently aggressive, and are at risk for injuring themselves or others. A short term goal for these client should be to discuss feelings that precipitate, aggression or hostility.

A nurse is reviewing the medical record of a client who has schizophrenia for which of the following findings. Should the nurse with all the clients medication and notify the provider.

WBC count the nurse at indemnified that a WBC count of 3000 is below the expected reference range of 5 to 10,000. The nurse identify that clozapine can cause agranulocytosis a decrease in white blood cells which can be life-threatening. Therefore the nurse should be told the clients medications, and notify the provider of the findings

A nurse is collecting data from a client who is taking the valporic aicd for the treatment of bipolar disorder which of the following findings is the priority to report to the provider

Yellow sclera when using the urgent versus non-urgent approach the client care the nurse should determine that the party, finding as yellow sclera because of the risk for hepatotoxcity