MH AM Questions 1-136

A nursing is preparing to administer alprazolam 4 mg PO divided equally every 12 hours for a client who has generalized anxiety disorder. The amount available is alprazolam 2 mg tab. How many tablets should the nurse administer per dose?

1 Tab

A nurse is heling evaluate the plan of care for a client who has antisocial personality disorder. Which of the following client actions indicates that he is making progress with the treatment? (select all that apply)

1. Assisting another client who has depression to fill out a menu 2. Requesting a weekend pass to go home

A nurse is collecting data from a client who was recently admitted for treatment of major depressive disorder (MDD). Which of the following findings should the nurse expect the client to report? (Select all that apply)

1. Difficulty sleeping for several weeks 2. Inability to concentrate on simple tasks 3. Not bathing for several days 4. Lack of enjoyment from a long-time hobby of gardening

A nurse is reinforcing teaching with the family of a client who has Alzheimer's disease about donepezil. Which of the following statements should the nurse include?

A. "Donepezil can improve cognitive functioning during the earlier stages of the disease."

A nurse is reinforcing teaching with a client who has anxiety and a new prescription for diazepam. Which of the following statements should the nurse make?

A. "Feelings of sedation should resolve in about 1 week."

A nurse is caring for a client who has social anxiety disorder. Which of the following client statements should the nurse expect?

A. "I am embarrassed to eat in public."

A nurse is caring for a client who attends family counseling with his partner and their children. The client tells the nurse that he isn't going to attend any further sessions and states, "I don't have time for all that talking." Which of the following responses should the nurse provide?

A. "It must be difficult for you to talk about family problems."

A nurse is talking with a client about his admission to a mental health unit. The client states, "I just don't know if I should be here. What will my family think?" Which of the following responses by the nurse uses the therapeutic communication technique of reflection?

A. "It sounds like you are concerned about your family's reaction."

A nurse is teaching a client who has seasonal affective disorder (SAD) about the use of light therapy. Which of the following statements should the nurse make?

A. "Light therapy suppresses the natural nighttime release of melatonin."

A nurse is caring for a client who is dying. The client's son appears visibly upset when he visits. Which of the following statements should the nurse make to the client's son?

A. "Tell me how you're feeling about your mother's illness."

A nurse is caring for a client who is postoperative following an amputation of the left lower leg. The client states, "I can't believe this happened to me. I don't deserve this." Which of the following responses should the nurse make?

A. "Tell me what you're feeling about what has happened?"

A nurse is reinforcing teaching with the parent of a child who has a new prescription for methylphenidate to treat ADHD. Which of the following instructions should the nurse include in the teaching?

A. "Weigh your child 3 times per week."

A nurse is caring for an adolescent male client who has anorexia nervosa. The client asks, "Have I done any permanent damage to my body?" Which of the following responses should the nurse make?

A. "What concerns do you have about your physical health?"

A home health nurse is talking with the partner of a client who has dementia. Which of the following statements by the partner indicates that the client is displaying signs of apraxia?

A. "Yesterday, my partner put on a jacket upside down."

A nurse is caring for a client who left the facility without permission and has had outside privileges revoked for 1 week. The client asks the nurse if she can take a short walk outside the facility. Which of the following responses should the nurse provide?

A. "Your privileges have been revoked. I'd be glad to help you find something to do inside the unit."

A nurse on an eating disorders acute care unit is collecting data from a client and observes the presence of lanugo on her skin. The nurse should identify that this finding is consistent with which of the following eating disorders?

A. Anorexia nervosa

A nurse is collecting data from a client who takes an MAOI for the treatment of depression. Which of the following findings is the priority for the nurse to report to the provider?

A. Elevated blood pressure

A nurse is collecting fata from a client who was diagnosed with schizophrenia. The nurse should identify that which of the following findings is considered a positive symptom of schizophrenia?

A. Hallucinations

A nurse in an urgent care clinic is collecting data from a client who reports recent cocaine use. Which of the following manifestations should the nurse expect?

A. Hypertension

A nurse is assisting with the care of a client who has a substance use disorder and was involuntarily admitted by court order for 90 days. When the nurse attempts to administer prescribed oral lorazepam to decrease the client's manifestations of withdrawal, the client aggressively refuses. Which of the following actions should the nurse take?

A. Place the lorazepam on hold

A nurse is contributing to the plan of care for a client who has anorexia nervosa. Which of the following actions should the nurse recommend including in the plan?

A. Schedule specific times for the client to eat

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

A nurse is speaking with a client whose partner was killed unexpectedly. The client states, "I just don't know what to do now." Which of the following actions should the nurse take?

A. Talk to the client about available community resources

A nurse is contributing to the plan of care for a client who has a physical dependence on alprazolam and must discontinue the medication. Which of the following actions should the nurse recommend?

A. Taper the medication gradually over several weeks

A nurse is collecting data from a toddler who has a fractured arm. Which of the following findings should the nurse identify as a possible indication of physical abuse?

A. The parent provides a history that is inconsistent with the child's injury

A nurse is caring for a client who is taking carbamazepine. The nurse should monitor the client for which of the following adverse effects of carbamazepine?

A. Thrombocytopenia

A nurse is assisting with the planning of a therapeutic support group for individuals who have bulimia nervosa. Which of the following tasks should the nurse include during the orientation phase of group development?

A. determine the rules that the group will follow

A nurse is providing support for a client who is grieving the loss of her mother who died from Alzeimer's disease. Which of the following statements should the nurse offer?

B. "Dealing with your mother's death must be difficult for you."

A nurse is assisting with a support group for clients who are nearing discharge from an acute care mental health facility. During a group session, a client states, "I'm scared about being discharged." Which of the following responses should the nurse offer?

B. "Are there others in the group who have similar feelings they would like to share?"

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?

B. "Avoid consuming grapefruit juice when taking this medication."

A nurse on a rehabilitation unit is reinforcing teaching with the partner of a client who is experiencing stimulant withdrawal. Which of the following statements by the partner indicates an understanding of the teaching?

B. "Depression is a manifestation of withdrawal."

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?

B. "I have only met Jenny twice, but I know she'll love me."

A nurse is reinforcing teaching with the guardian of a female adolescent client who has bulimia nervosa. Which of the following statements by the guardian indicates an understanding of the teaching?

B. "It is important for my daughter to have regular dental checkups."

A nurse is teaching with a client in the day room of an acute care mental health facility. The client accuses the nurse of being "too bossy" and states the nurse does not have the right to pressure anyone. Which of the following responses should the nurse provide?

B. "Tell me what I said that made you feel uncomfortable."

A nurse in a community mental health facility is caring for a group of clients. Which of the following clients should the nurse identify as experiencing an adventitious crisis?

B. A client who is depressed following a devastating fire in her home

A nurse is collecting data from a client who has binge-eating disorder. Which of the following findings should the nurse expect?

B. Abdominal pain

A nurse is contributing to the plan of care for a client with bipolar disorder who has acute mania. Which of the following interventions should the nurse recommend including in the plan?

B. Encourage the client to have frequent rest periods

A nurse is caring for a client who has schizophrenia and is experiencing auditory and visual hallucinations. Which of the following actions should the nurse take?

B. Encourage the client to use reality testing

A nurse is caring for a child who has a diagnosis of terminal brain cancer. The mother states, "I feel numb and can't believe this is happening to us." Which of the following interventions is the nurse's priority?

B. Encourage the family's expression of their feelings

A nurse is reviewing the plan of care for a client who has bipolar disorder. Which of the following is an effect of using cognitive behavioral therapy (CBT) for a client who has bipolar disorder?

B. Helps the client deal with distorted thought processes

A nurse is caring for a client who has schizophrenia. Which of the following findings should the nurse identify as negative symptoms?

B. Inability to experience pleasure

A nurse is collecting data from a client who has cocaine intoxication. Which of the following findings should the nurse expect?

B. Increased mental alertness

A nurse is collecting data on a client who has paranoid personality disorder. Which of the following manifestations should the nurse expect?

B. Is always on guard around other people

A nurse is caring for a client who has dementia. Which of the following actions should the nurse take?

B. Maintain a low-stimulation environment

A nurse is assisting with planning care for a client who has completed detoxification from opioid abuse disorder. The nurse should plan to teach about which of the following medications?

B. Naltrexone

A nurse is caring for a client in a mental health facility and overhears the client discussing plans to harm her father-in-law physically when she is discharged. Which of the following interventions should the nurse take?

B. Notify the provider of the client's threat

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?

B. Offer finger foods to the client

A nurse in a substance use disorder treatment facility is reviewing the medication records for a group of clients. The nurse should expect to administer methadone for a client who has a substance use disorder for which of the following substances?

B. Opiates

A nurse in the emergency room is collecting data from a client who has heroin intoxication. Which of the following findings should the nurse expect?

B. Respiratory depression

A nurse is collecting data from a client who is experiencing opioid withdrawal. Which of the following clinical manifestations should the nurse expect?

B. Rhinorrhea

A nurse in a provider's office is reviewing the medical history of a client who asks about the use of varenicline for smoking cessation. Which of the following items in the client's medical history indicates a precaution for the use of varenicline?

B. The client has a history of depression

A nurse on a mental health unit is caring for a client who is displaying signs of anger. Which of the following pieces of information about the client is the strongest indicator that the client might become aggressive?

B. The client has a history of violence

A nurse in a provider's office is reviewing the results of a mental status exam for a client who has early manifestations of dementia. Which of the following pieces of information from the examination describes the client's cognitive status?

B. The client shows a deficit in recent memory

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?

C. Journaling

A nurse is teaching a client who has schizophrenia about involuntary commitment. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

C. "At least 2 doctors must support the commitment application."

A nurse is caring for a client who has schizophrenia. Which of the following statements by the client indicates that the client is displaying cognitive symptoms?

C. "I am unable to remember to brush my teeth."

A nurse is interacting with a client who has a psychotic disorder when the client suddenly turns her head as if listening to something and says, "The boss says she is going to hit me with a stick!" Which of the following responses should the nurse offer?

C. "I don't see anyone, but it sounds like you are frightened."

A nurse is reinforcing teaching with a client who has insomnia. Which of the following statements should the nurse make?

C. "If you aren't able to sleep, you can get out of bed and read a book."

A nurse is reinforcing teaching with a client who has a prescription for a tricyclic antidepressant. Which of the following instructions should the nurse share?

C. "It can take 6 weeks to achieve the full therapeutic effect of this medication."

A nurse on an acute care mental health unit is collecting data from a client who was admitted following an opioid overdose. The client states that he wants his admission to remain confidential. Which of the following responses should the nurse make?

C. "Only the staff involved in your care will know the details of your admission."

A nurse is collecting data from a client who has schizophrenia. The client suddenly stops talking and begins staring intently at a chair in the corner of the room. Which of the following responses should the nurse make?

C. "Tell me what you are seeing by that chair."

A nurse is caring for a client who returns to the unit from day pass 2 h ours late. The client has slurred speech, and the nurse smells alcohol on the client's breath. What should the nurse say to the client in response to this situation?

C. "We will need to discuss your actions after you've had a chance to sleep."

A nurse is caring for 4 clients in a community mental health facility. For which of the following clients should the nurse provide a tertiary care intervention?

C. A client who is recovering from a crisis and asks for help in completing the recovery process

A nurse is caring for a client who has tardive dyskinesia. Which of the following tools should the nurse use in performing an assessment on the client?

C. Abnormal Involuntary Movement Scale (AIMS)

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?

C. Blurred vision

A nurse is caring for a client who just received a terminal diagnosis of cancer. Which of the following initial reactions should the nurse expect from the client?

C. Denial

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?

C. Encourage the client to participate in physical activity

A nurse is collecting data from a client who has oppositional defiant disorder. Which of the following findings should the nurse expect?

C. Ignoring unit rules

A nurse in an acute mental health facility is assisting with the plan of care for a client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse recommend?

C. Instruct the client to practice thought-stopping

A nurse in a provider's office is collecting data for a client who has been taking donepezil for Alzheimer's disease. The data indicate that the client's disease is progressing and becoming more severe. Which of the following medications should the nurse expect the provider to prescribe?

C. Memantine

A nurse on a mental health unit is caring for a client who has antisocial personality disorder and is becoming increasingly loud and belligerent. Which of the following approaches should the nurse use to manage this client's behavior?

C. Speak to the client with clear, calm, caring statements

A nurse is caring for a client who is having an acute panic attack. Which of the following actions should the nurse take?

C. Use repetition when speaking with the client

A nurse is reinforcing teaching with a family member of a client who has newly diagnosed with nyctophobia. Which of the following statements by the family member shows an understanding of the teaching?

D. "He is unable to sleep without a light on."

A nurse is assisting with the admission of a client who has alcohol use disorder. Which of the following statements indicates that the client is using denial as a coping mechanism?

D. "I am able to go to work every day, so I don't have a problem."

A nurse in a mental health clinic is caring for a client who is grieving over the sudden death of his child. Which of the following statements should the nurse offer?

D. "I cannot imagine how you are feeling right now."

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?

D. "I might not notice the effects of this medication for several weeks."

A nurse is reinforcing teaching with a client who has a new prescription for varenicline for smoking cessation. Which of the following statements by the client indicates an understanding of the teaching?

D. "I will take the medication after eating a meal."

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?

D. "I won't have to deal with things much longer." -

A nurse is assisting with the care of a client who has a terminal illness. The client yells at the nurse, "Get out of my sight. You've always bothering me about something!" Which of the following responses should the nurse offer?

D. "I'll be here if you would like to talk about how you feel."

A nurse at a long term care facility hears an assistive personnel (AP) talking with an older adult client who has dementia with periods of confusion. Which of the following statements indicates that the AP requires further instructions?

D. "It's almost time for your appointment. Let me do your hair for you and brush your teeth."

A nurse in an acute mental health facility is caring for a client who states, "This place is ridiculous. I can't stand spending another day here!" Which of the following responses should the nurse make?

D. "Let's talk for a while about the events of your day."

A nurse is reinforcing teaching with the family of a client who has schizophrenia. Which of the following statements by a family member indicates an understanding of the teaching?

D. "She might be having a relapse if she stops attending social events."

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?

D. "The effect of the medication may take several weeks to be felt."

A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescription for venlafaxine. Which of the following statements should the nurse make?

D. "This medication should not be stopped abruptly."

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?

D. "You are pacing back and forth. Can you tell me what you are feeling?"

A nurse on a mental health unit is caring for a client who has social anxiety disorder and is exhibiting signs of panic. Which of the following actions should the nurse take to reduce the client's level of anxiety?

D. Encourage the client to practice deep breathing

A nurse is preparing to meet with a client who has borderline personality disorder. Which of the following actions should the nurse plan to take during the working phase of the therapeutic relationship?

D. Facilitate change in the client's behavior

A nurse on a mental health unit is preparing to discharge a client who has bulimia nervosa. Which of the medications should the nurse expect the provider to prescribe for the client?

D. Fluoxetine

A nurse is preparing to care for a client who was brought to a community health facility by her caregiver, who states that the client refuses to eat. The nurse notes the client has lost weight, avoids making eye contact, and defers questions to the caregiver. Which of the following actions should the nurse take?

D. Identify sources of stress for the caregiver

A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for lithium. Which of the following directions should the nurse provide?

D. Increase the fluid intake to 2000 mL (67.6 oz) daily

A nurse is determining the total score for a client's Alcohol Use Disorders Identification Test (AUDIT) by assigning a score of 0 to 4 for each of the client's answers. For which of the following self-reported findings should the nurse assign the client a score of 4?

D. Last month, the provider suggested that the client reduce his alcohol intake

A nurse is reinforcing teaching with a client who has bipolar disorder and a new prescription for valproic acid. The nurse should explain that the provider will routinely prescribe which of the following tests while the client is taking valproic acid?

D. Liver function levels

A nurse is assisting with the care of a client who is experiencing acute alcohol withdrawal. Which of the following medication should the nurse prepare to administer?

D. Lorazepam

A nurse is contributing to the plan of care for a newly admitted client who has bipolar disorder and is experiencing acute mania. Which of the following client goals should the nurse identify as the priority?

D. Maintaining adequate hydration

A nurse is caring for a client who has dementia and paces during meals. Which of the following actions should the nurse take?

D. Provide finger foods for the client

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?

D. Report the suspected abuse to law enforcement

A nurse is caring for a client who has schizophrenia and is experiencing negative symptoms. Which of the following manifestations should the nurse expect?

D. Social discomfort -

A nurse is collecting data about the lethality of a client's plan for committing suicide. Which of the following plans should the nurse identify as a soft method of suicide?

D. Swallowing antidepressant pills

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 intervention?

D. Tell the client to stop the behavior

A nurse is collecting data from a client who has moderate cognitive decline due to stage 4 Alzheimer's disease. Which of the following findings should the nurse expect?

D. The client is able to identify the names of family members