EAQ --> Mental Health

Which time indicates when the nurse would be alert to the possibility of a depressed client acting out suicidal thoughts? a. as the depression lifts b. if the depression is severe c. when the client has recovered from the depression d. after the client understands the cause of the depression

As the depression lifts

Which information would the nurse provide to maintain a positive self-image during treatment of a 13-year-old with idiopathic scoliosis who is upset about the treatment regimen and is worried about being different from peers? a. remind the client of consequences if he or she refuses treatment b. help investigate appropriate clothing to minimize the appearance of the brace c. Disregard negative characteristics and focus on positive attributes d. refer the client for psychological counseling until the treatment program is completed

Help investigate appropriate clothing to minimize appearance of the brace

A client is receiving haloperidol for agitation, and the nurse is monitoring the client for side effects. Which response identified by the nurse is unrelated to an extrapyramidal tract effect? a. akthisia b. opisthotonos c. oculogyric crisis d. hypertensive crisis

Hypertensive Crisis

Which statement accurately describes a health care policy as it relates to health care economics? a. it relates to maintaining standards of health care and achieving outcomes related to the goals of health care b. it provides overarching goals and helps in setting priorities and values for the distribution of health resources c. It governs the insurance industry and plays a very important role in the application of health care funding and reform d. it involves the collaboration of health care workers and other resources required to perform all required client care activities

It provides overarching goals and helps in setting priorities and values for the distribution of health resources

Which guideline would the nurse consider when planning care for a hospitalized older client with Alzheimer disease? a. physical contact will increase dependency needs b. routines behavior should be interrupted immediately c. regressive behavior should be interrupted immediately d. procedures do not have to be explained to clients with neurocognitive disorders

Routines provide stability for clients with neurocognitive disorders

Which area of the client's body would the nurse consider a high risk for developing a pressure injury when caring for an older adult with Alzheimer type of dementia who consistently sleeps in a semi-fowlers position a. sacrum b. scapulae c. ischial spine d. greater trochanter

Sacrum

Which client need would the nurse prioritize while providing care for an older adult client with dementia? a. safety b. self-esteem c. self-actualization d. love and belonging

Safety

Which initial action would the nurse take for a client who believes that doorknobs are contaminated and refuses to touch them expect with a paper tissue? a. supply the client with tissues to maintain function until the anxiety eases b. have the client scrub the doorknobs by removing all available paper tissue until the client learns how to manage the situation c. encourage the client to touch doorknobs by removing all available paper tissue until the client learns how to manage the situation d. explain to the client

Supply the client with tissues to maintain function until the anxiety eases

Which sign indicates a child is a victim of bullying and would be included in a teaching session for teachers? a. the child wants to try out fro the basketball team b. the child as for extra work to make better grades c. the child is participating in several extracurricular activities after school d. the child ask to go to the nurse's office frequently with vague complaints

The child asks to go to the nurse's office frequently with vague complaints

Which behavior is an early sign of an abusive personality? Select all that apply a. Verbal abuse b. Jealous, controlling c. Enforces rigid sex roles d. Hypersensitive, easily insulted e. Isolates partner from family and friends f. Makes others responsible for their feelings

Verbal abuse Jealous, controlling Enforces rigid sex roles Hypersensitive, easily insulted Isolates partner from family and friends Makes others responsible for their feelings

A client with shizophrenia is actively psychotic. Which medication will be the most helpful to manage the psychotic signs and symptoms? a. citalopram b. ziprasidone c. benztropine d. acetaminophen with hydrocodone

Ziprasidone

Which clinical manifestations would the nurse observe in the older client diagnosed with major depressive disorder? Select all that apply a. loss of memory b. decreased appetite c. neglect of personal hygiene d. "i don't know" answers to questions e. " i can't remember" answers to questions

Decreased appetite Neglect of personal hygiene "I don't know" answers to questions " I can't remember" answer to questions

Which condition is contraindicated for St. John's wort herbal therapy? a. anxiety b. seizures c. dementia d. cardiac disease

Dementia

Place the 5 stages of grieving identified and described by Elisabeth Kubler-Ross in order of progression

Denial Anger Bargaining Depression Acceptance

Which aspect of psychosocial development is commonly observed in adolescents? Select all that apply a. a search for personal idenity b. development of an ethical system c. a sense of invincibility d. belief that their parents are materialistic e. emotional dependence on parents

A search for personal identify Development of an ethical system

Which required noninvasive assessment and management skills certification would the nurse need to perform airway maintenance and cardiopulmonary resuscitation (CPR)? a. basic life support (BLS) b. certified emergency nurse (CEN) c. advanced cardiac life support (ACLS) d. pediatric advanced life support (PALS)

Basic Life Support (BLS)

Which antiseizure medication would the nurse identify as being used to stabilize a client's mood by suppressing mania associated with bipolar disorder (BPD) Select all that apply a. lithium b. quetiapine c. ziprasidone d. carbamazepine e. divalproex sodium

Carbamazepine Divalproex sodium

The nurse is caring for a 9-month-old infant with gluten-induced enteropathy. Which common term for this disorder would the nurse use when discussing the infant's diagnosis with the parents? a. megacolon b. celiac disease c. cystic fibrosis d. intussusception

Celiac Disease

Which medication is indicated for treating OCD? a. Imipramine b. Lithium salts c. Amitriptyline d. Clomipramine

Clomipramine

Which drug category applies to cocaine? a. opioids b. stimulants c. barbiturates d. hallucinogens

Stimulants

Which characteristic will the client diagnosed with chronic schizophrenia most likely exhibit? Select all that apply a. apathy b. hostility c. flatness d. elation e. sadness f. depression

Apathy Flatness

Which principle refers to the professional obligation of the nurse to assume responsibility for actions? a. accountability b. individuality c. responsibility d. bioethics

Accountability

Which type of crisis has occurred when a sudden terrorist act causes the deaths of thousands of adults and children and negatively affects their families, friends, communities, adn the nation a. situation-maturational b. situational c. maturational d. aventitious

Adventitious

Which term describes a display of anger that is socially unacceptable a. abuse b. battery c. aggression d. defensiveness

Aggression

Which information would support the nurse's decision for a staff member to remain with a depressed client continuously? Select all that apply a. refusal to eat any food b. inability to concentrate c. agitated pacing in the hall d. hx of suicide attemps e. statements that life is not worth living

Agitated pacing in the hall Hx of suicide attempts Statements that life is not worth living

Which problem would the nurse anticipate when working with a client who has a phobia of black cats? a. denying that the phobia exists b. anger toward the feared object c. anxiety when discussing the phobia d. distortion of reality when completing daily routines

Anxiety when discussing the phobia

Which approach would the nurse when managing the care of a client diagnosed with generalized anxiety disorder (GAD)? a. creating an anxiety-free environment for the client b. assisting the client with the development of healthy, adaptive coping mechanisms c. avoiding triggers that produce anxiety in the client d. providing reinforcement that the client's anxiety issues can be eliminated

Assisting the client with the development of healthy, adaptive coping mechanisms

Which is the most appropriate approach for the school nurse to take regarding children who are to be given medications while in school? a. assuring the children that their privacy will be respected b. teaching each class about taking medications in the school setting c. encouraging the children to tell their friends that they are taking a medication d. asking teachers to answer questions when other students ask about meds given in school

Assuring the children that thier privacy will be respected

Which action would the nurse take to ensure the accuracy of the pulse oximeter reading when prescribed for an adolescent? a. attach the probe to a finger or earlobe b. wait 30 minutes before obtaining a reading c. calibrate the oximeter at least every 8 hours d. place the probe on the abdomen or upper leg

Attach the probe to a finger or earlobe

Which post-traumatic client is in need of counseling after a traumatic event? a. having difficulty recalling the event b. having difficulty sleeping one month after the event c. reporting "feeling numb" 1 week after the event d. feeling exhausted due to a heavy workload

Client B

A client with depression presents with feelings of sadness and is having difficulty sleeping. Which additional signs and symptoms would the nurse monitor for? Select all that apply a. rigidity with a narrowing of perception b. alternating episodes of fatigue and high energy c. diminished pleasure in activities d. excessive socialization e. alteration in appetite

Diminished pleasure in activities Alteration in appetite

Which question is most important to ask a depressed client when assessing current risk of attempting suicide? a. "have you ever wanted to die?" b. "do you have a plan to end your life?" c. "do you have family or friends you can talk to?" d. "When was the last time you felt depressed?"

Do you have a plan to end your life?

Which factor is related to safety when discussing standards for involuntary admission to a mental health facility? a. mental illness b. severe disability c. currently cutting d. needs treatment

Currently Cutting

The serum lithium blood level of a client with a mood disorder, manic episode, is 2.3 mEq/L. What assessment findings would the nurse expect? Select all that apply a. elevation in mood b. decreased coordination c. decreased mania d. vomiting e. diarrhea

Decreased coordination Vomiting Diarrhea

Which adverse effect would the nurse assess for in a client receiving haloperidol? a. ataxia b. asthenia c. insomnia d. gynecomastia

Gynecomastia

Which antipsychotic medication would be contraindicated for a 60-year-old clinet diagnosed with dementia? Select all that apply a. quetiapine b. haloperidol c. aripiprazole d. risperidone e. chlorpromazine

Haloperidol Chlorpromazine

Which statement describes the goal of case management? a. maximizes the skill level of all care providers b. integrates care with cost-effective approaches c. eliminates the need for UAP d. ensure all resources for client care are located within a geographical location

Integrates care with cost-effective approaches

Which signs and symptoms are expected for a client diagnosed with bipolar disorder in the manic phase? Select all that apply a. irritability b. grandiosity c. pressured speech d. thought blocking e. psychomotor retardation

Irritability Grandiosity Pressured speech

Which explanation is true for childhood depression? a. may appear as acting-out behavior b. looks almost identical to adult depression c. does not respond to conventional treatment d. is short in duration and has an early resolution

May appear as acting-out depression

Which assessment findings are suggestive of postpartum depression? Select all that apply a. lethargy b. ambivalence c. emotional lability d. increased appetite e. long periods of sleep

Lethargy Ambivalence Emotional lability

Which medication would the nurse recognize as an effective mood stabilizing medication used in clients with bipolar disorder for the acute treatment of mania and prevention of recurrent mania and depressive episodes? a. doxepin b. amitriptyline c. clozapine d. lithium carbonate

Lithium carbonate

Which term or phrase would the nurse chart about thought processes to describe a client diagnosed with schizophrenia who says, " Yes, it's March. March is Little Women. That's literal, you know"? a. echolalia b. neologisms c. flight of ideas d. loose associations

Loose assoications

Which clinical findings would support the rationale for the addition of valproate and olanzapine to a client's medication regimen? a. euphoric mania b. dysphoric mania c. rapid cycling mania d. mania with psychosis

Mania with psychosis

How are profits used in a for-profit health care organization? a. profits are paid out to shareholders b. profits are used buy new equipment c. profits are used to build additional facilities d. profits are invested in improving health care services

Profits are paid out to shareholders

Which action would the nurse take for a client diagnosed with bipolar 1 disorder, manic episode? a. provide a quiet atmosphere by placing the client in a private room b. ensure a cheerful environment by having bright drapes in the client's room c. promote access to activities by assigning the client to a room near the dayroom d. encourage interaction with others by having the client share a room with other clients

Provide a quiet atmosphere by placing the client in a private room

Which type of setting would the nurse maintain for extremely depressed client? a. multiple stimuli b. varied activities c. simple daily routines d. opportunities for making decisions

Simple daily routines

Which information would the nurse share with an adolescent girl with a seizure disorder refusing to wear a medical alert bracelet that may help her wear the bracelet consistently a. hide the bracelet under long-sleeved clothes b. wear the bracelet when engaging in contact sports c. ask her friends to wear bracelets that look like hers d. select a bracelet similar to bracelets worn be her peers

Select a bracelet similar to bracelets worn by her peers

Which antidepressant medication is a selective monoamine oxidase-B inhibitor? a. selegiline b. phenelzine c. isocarboxazid d. tranylcypromine

Selegiline

The nurse explains to the parents of a 6-year-old with a pinworm infestation how pinworms are transmitted. Which statement indicates that the teaching has been understood a. we need to keep the cat off the bed b. she needs to wash her hands before eating anything c. she needs to cover her mouth whenever she coughs d. we need to tell the school so that the cadeteria can be cleaned

She needs to wash her hands before eating anything

The nurse notes large welts and scars on the back of a toddler who has been admitted for an asthma attack. Which information would the nurse assess further? a. hx of an injury b. signs of child abuse c. presence of food allergies d. recent recovery from chickenpox

Signs of child abuse