MH PrepU exam 2

Which are examples of monoamine oxidase inhibitors (MAOIs)? Select all that apply. Sertraline Phenelzine Paroxetine Fluoxetine Isocarboxazid

Isocarboxazid Phenelzine

The nurse is providing counseling to a client who has been experiencing anxiety and sleep disturbance. While providing education to the client, in which way can the nurse best describe allostatic load?

"It is the wear and tear on your body from having stress over a long period of time.

A client who is taking lithium is scheduled to come to the community mental health center to have a blood level obtained. The client takes the last dose of lithium each day at 10 p.m. The nurse tells the client to hold the morning dose. At which time would the nurse tell the client to come to the center to have the specimen drawn?

10 AM

A psychiatric-mental health nurse will soon begin a medication group for clients who have been prescribed atypical antipsychotics. What is the nurse's best initial action?

Assess each member's knowledge of his or her drug regimen.

Which term is used to describe an activity used to release anger?

Catharsis

A client is receiving risperidone as part of the treatment plan for schizophrenia. Assessment reveals breast enlargement and evidence of galactorrhea. The nurse interprets this effect as due to which occurrence?

Increased prolactin levels

Which is the most commonly seen adverse side effect of typical antipsychotics?

Extrapyramidal symptoms and tardive dyskinesia

An elderly man tells the nurse that his wife died 1 year ago and that he cannot stop grieving her loss. Social assessment reveals that the loss of his wife has left the client without a key supportive member of his social network. The nurse should encourage the client to consider which action?

Join a lawn bowling league

For a psychiatric client's expected outcomes to be appropriate they must be ...

Measurable and realistic

Dietary modifications are most likely necessary when a client is being treated with which antidepressant?

Monoamine oxidase inhibitors (MAOIs)

The nurse is caring for a client on a medical unit who is homeless. The client's lab values indicate a high fasting blood sugar, dyslipidemia, and low thyroid stimulating hormone. What do these results indicate?

The client has a high allostatic load

A client's frequent night awakenings, early morning rising, and daytime drowsiness have prompted the nurse to add a diagnosis of "disturbed sleep pattern" to the client's plan of care. What information should immediately follow this diagnosis?

The evidence supporting the diagnosis

The nurse caring for the client taking clozapine should advocate for monitoring using which diagnostic test?

WBC count

The nurse is beginning a small group session in an inpatient psychiatric setting. During the initial session, the nurse can anticipate that the members will most likely be

polite

What is part of the social component in a psychiatric-mental health nursing assessment?

quality of life

The nurse is seeing a male client who reports he initially found relief from the demands of work by drinking two glasses of wine each night. He tells the nurse he has now decided to quit drinking wine. The client's decision is an example of which type of coping?

reappraisal

If the client provides a literal explanation of a proverb and cannot interpret its meaning, which thought process is lacking?

abstract thinking

According to Yalom (2005), there are 11 therapeutic factors through which changes occur in group psychotherapy. Which factor correlates with learning to give to others?

altruism

A 26-year-old client receiving inpatient care tells the nurse, " I'm a police informant but I'm being threatened by organized crime members. I can't sleep at all." The client has also been observed pacing frequently with tremulous hands and pressured speech. Which issue would the nurse most likely identify as the client's nursing diagnosis?

anxiety

When teaching a client about restrictions for tranylcypromine, the nurse will tell the client to avoid which food?

fava beans

Structural damage to which of the following lobes of the brain may alter the person's ability to modulate aggression?

frontal

Which is the interaction that moves the group toward its goals?

group process

A nurse is leading a group and realizes participants are overly invested in maintaining the status quo and feelings of unity become too intense. This refers to ...

groupthink

A psychiatric-mental health nurse is working to ensure that the decision-making group the nurse is leading is effective. The nurse implements an open leadership style and ensures that time pressures are avoided. The nurse is working to prevent which situation?

groupthink

The nurse is caring for a client hospitalized in an inpatient psychiatric setting for a history of violent behaviors and delusions. The nurse should instruct the client's family that aggression has been linked to low levels of which bodily chemical?

serotonin

Prior to undergoing ECT, brief general anesthesia is given to prevent what?

severe muscle contractions

When completing a physical assessment of an individual's response to stress, the nurse should observe and inquire about what?

appetite and sleep

A nurse administers haloperidol to a client to promote deescalation. The nurse finds that after administering the drug, the client has started having jerky and involuntary movements of the head and arms. Which medication would be useful in treating this problem?

benztropine

When interacting with a client in the day room, the nurse determines that a violent outburst is imminent. Which should the nurse do first?

call for assistance

The nurse states "I know this must be frightening for you" to a client who is angry and has a potential for violence. Which communication technique is the nurse utilizing with this statement?

validation

While conducting a group therapy session, the nurse observes that one participant consistently mediates differences among the participants. The nurse determines that this client is performing a group role termed ...

maintenance

When explaining the term "pharmacokinetics" to a client who is being educated on a newly prescribed medication, it would be appropriate to define it as

The way the body handles the medication

When responsible for the recovery care of a client receiving electroconvulsive therapy (ECT), the psychiatric nurse provides care until the client is ...

oriented to time place self

A son brings his father to the mental health clinic following the father's head trauma from an automobile accident. The son tells the nurse that his father has recently become very impulsive and has frequent angry outbursts. The nurse suspects that the client has most likely had an injury to the which brain structure?

cerebral cortex

A nurse is observing a group session. The group consists of a leader and six other members. Member A sits directly next to the leader. Member B sits directly across from the leader. Member C sits to the right of member B and member D sits to the left of member B. Which member would the nurse identify as having the most power in the group?

member A

The nurse is working with a client who has the tendency to "tend and befriend." The nurse identifies this is characteristic of:

the female response to stress

Clients taking monoamine oxidase inhibitors (MAOIs) for depression must be placed on a diet that is low in:

tyramine

A 36-year-old client has been receiving a selective serotonin reuptake inhibitor for treatment of depression. The client is exhibiting manifestations of serotonin syndrome. The nurse should be aware of which symptom of this syndrome?

hyperreflexia

A nurse must assess for characteristics that are predictive of violent behavior. Research suggests violent behavior is influenced by possession of which attribute?

low self esteem

The nurse encourages an older adult client to write a letter to an old friend. What therapy is the nurse utilizing as an intervention?

reminiscence

Which side effect is associated with selective serotonin reuptake inhibitors (SSRIs)?

sexual dysfunction

The nurse is seeing a male client who has experienced difficulty initiating sleep three months after his mother's funeral. The client states he has begun drinking one glass of wine each evening and finds this helpful with his sleep. The nurse recognizes the client is in which stage of general adaptation syndrome?

stage of resistance

A psychiatric-mental health nurse is interviewing the family members of a client diagnosed with Alzheimer's disease. The members mention that they feel all alone and are having problems dealing with the everyday and long-term issues of caring for the client. The nurse determines that a referral to a group would be beneficial. Which type of group would be most appropriate for the nurse to suggest?

supportive therapy group

A client tells the nurse, "I'm taking care of a friend who is ill." The nurse interprets thist statement as reflecting which function of social support?

tangible