Mod 4 1-5 Foundations and Practice of Mental Health Nursing

A depressed client is prescribed tricyclic antidepressant. Which length of time will he nurse tell the client it will take before a change in depression is noticed?

2 to 4 weeks

Which drug category represents cocaine?

A stimulant

A sudden terrorist act that causes the deaths of thousands of adults and children, negatively affecting families, friends, communities, and the nation is categorized as which type of crisis?

Adventitious

Which basic principle represents Alcoholics Anonymous (AA)?

Amends must be made to each person who has been harmed.

An 18-year-old woman is brought to the emergency department by her two roommates after being found unconscious in the bathroom. Urinalysis is positive for flunitrazepam. The nurse knows that flunitrazepam is often used how?

As a date rape drug

Which information should be taken into consideration by the nurse when caring for adolescent clients who attempt suicide?

Boys are more likely to use lethal methods than girls.

Which drug will cause a heightened skin reaction to sunlight?

Chlorpromazine

While speaking with the nurse, an Asian client with symptoms of moderate anxiety makes very little eye contact. Which characteristic will the nurse identify?

Cultural variation

A nurse concludes that a client is using displacement. Which behavior would the nurse identify as evidence of a client using displacement?

Directing pent-up emotions at someone other than the primary source.

Which second-generation antidepressant can worsen uncontrolled angle-closure glaucoma?

Duloxetine

Which technique is the nurse using when projecting the self into he client's emotions?

Empathy

Which relaxation technique is the nurse using when advising a client with anxiety to focus on a positive scene?

Guided imagery

According to Erikson's developmental psychosocial theory, which task should be achieved by 20 years of age?

Having a coherent sense of self and plans for self-actualization.

Which antianxiety medication would be administered to control itching during an allergic reaction?

Hydroxyzine

According to Erikson, a 6-year-old child who has attained an acceptable level of psychosocial development will have achieved trust, autonomy, and resolution of which other developmental conflict?

Initiative versus guilt

A nurse is assessing a middle-aged client whose children have left home in the search of work. Which family life cycle stage is the client going through?

Launching children and moving on.

Which action will best limit confusion resulting from sleep deprivation in a client diagnosed with dementia?

Leaving a dim light on in the client's room at night.

An older client, with a history of multiple admissions for heart failure, is returned to the hospital by an adult child. After admission for observation to the coronary care unit, the client calmly states, "I know I'm sick, but I really can take care of myself at home." Which result will the nurse conclude the client is attempting to achieve?

Maintain independence

A nurse is assigned to lead a relaxation group. Which technique would the nurse incorporate? Select all that apply. One, some, or all responses may be correct.

Meditation, Mental imagery, Deep-breathing exercises

Which level of anxiety will best enhance a client's learning abilities?

Mild

Which drug category includes heroin?

Opioids

Which action addresses the potential for fluid overload if a client with schizophrenia is receiving intravenous (IV) fluids after becoming dehydrated?

Perform auscultation of lungs.

Which medication is commonly prescribed for schizophrenia?

Promazine

Which service type is the nurse using when coordinating multidisciplinary services to help clients gain skills needed to carry out activities of daily living as actively and independently as possible?

Psychosocial rehabilitation

Which condition is a physical condition in an alcoholic client?

Risk for poisoning

Which intervention would be appropriate for a client who believes his or her food is poisoned?

Serve each food item in single-serving, disposable containers.

Which precaution would the nurse consider when initiating treatment with fluoxetine?

The blood level may not be sufficient to cause noticeable improvement for 2 to 4 weeks.

A teenager who attempted suicide is admitted to a psychiatric center for care. On assessment, the teenager tells the nurse the reason was the end of a romantic relationship. Which member of the rehabilitation care team may play a major role in providing care to this teenager?

Therapeutic recreation therapist

A secretary in a home health agency gossips about coworker and then writes them notes to tell them how valuable they are to the organization and how much she likes working with them. Which defense mechanism is the secretary using?

Undoing

Which intervention is a major component of behavior modification?

rewarding positive behavior