Psych Test Practice Question
The nurse is prioritizing nursing diagnoses in the plan of care for a patient experiencing manic episodes. Number the diagnoses in order the appropriate priority a. Disturbed sleep pattern evidenced by sleeping only 4 to 5 hours per night b. Risk for injury related to manic hyperactivity c. Impaired social interaction evidenced by manipulation of others d. Imbalanced nutrition: Less than body requirements evidenced by a loss of weight and poor skin turgor
1- b. Risk for injury related to manic hyperactivity 2- d. Imbalanced nutrition: Less than body requirements evidenced by a loss of weight and poor skin turgor 3- a. Disturbed sleep pattern evidenced by sleeping only 4 to 5 hours per night 4- c. Impaired social interaction evidenced by manipulation of others
Which of the following behavioral patterns is characteristic of individuals with narcissistic personality disorder? a. Overly self-centered and exploitative of others b. Suspicious and mistrustful of others c. Rule conscious and disapproving of change d. Anxious and socially isolated
Overly self-centered and exploitative of others
A client diagnosed with major depressive episode is being discharged from the hospital with a prescription for fluoxetine (Prozac). The nurse's discharge teaching should include which of the following? Select all that apply. a. "It may take a few weeks before you begin to feel better; however, continue taking Prozac as prescribed" b. "Make sure that you follow up with scheduled outpatient psychotherapy." c. "If significant mood elevation is noted, your psychiatrist may discontinue this medication within 6 months to a year." d. "You should avoid foods with tyramine, including beer, beans, processed meats, and red wine." e. "You can discontinue the Prozac when you are feeling better."
a. "It may take a few weeks before you begin to feel better; however, continue taking Prozac as prescribed" b. "Make sure that you follow up with scheduled outpatient psychotherapy." c. "If significant mood elevation is noted, your psychiatrist may discontinue this medication within 6 months to a year."
An adolescent confides that he had been sexually experimenting with a male peer. He reports feeling ambivalent about the encounters and wonders if he is "gay." Which is the nurse's best response? a. "This phase of your development includes experimentation. It doesn't necessarily mean it's a lifelong commitment." b. "After you've had a homosexual experience, you can never be considered exclusively heterosexual." c. "There's nothing to be ashamed about. It's okay to be homosexual." d. "You need to understand why some people are homosexuals and others are not."
a. "This phase of your development includes experimentation. It doesn't necessarily mean it's a lifelong commitment."
The physician orders lithium carbonate 600 mg tid for a newly diagnosed client with BP 1 disorder. There is a narrow margin between the therapeutic and toxic levels of lithium. Therapeutic range for acute mania is: a. 1.0 to 1.5 mEq/L b. 10 to 15 mEq/L c. 0.5 to 1.0 mEq/L d. 5 to 10 mEq/L
a. 1.0 to 1.5 mEq/L
Which of the following nursing interventions are appropriate when caring for a suicidal client? Select all that apply. a. Accept the client with unconditional positive regard b. Encourage the client to talk about his or her pain c. Have the client identify areas of life that are within his or her control d. Provide the client with ample privacy e. Allow the client to isolate himself
a. Accept the client with unconditional positive regard b. Encourage the client to talk about his or her pain c. Have the client identify areas of life that are within his or her control
Which comorbid condition would the nurse identify as most common in a 10-year-old client who has been diagnosed with a bipolar disorder? a. Attention Deficit Hyperactivity Disorder (ADHD) b. Conduct Disorder (CD) c. Oppositional Defiant Disorder (ODD) d. Antisocial Personality Disorder (APD)
a. Attention Deficit Hyperactivity Disorder (ADHD)
A client with depression has just been prescribed the antidepressant phenelzine (Nardil). She says to the nurse, "The doctor says I will need to watch my diet while I'm on the medication. What foods should I avoid?" a. Blue cheese, red wine, raisin b. Black beans, garlic, pears c. Pork, shellfish, egg yolks d. Milk, peanuts, tomatoes
a. Blue cheese, red wine, raisin
A nurse is preparing a client who is a potential candidate for ECT and providing information about the treatments. The nurse may do which of the following? Select all that apply. a. Encourage the client to express fears about ECT b. Discuss with the client and family the possibility of short-term memory loss c. Remind the client and family that injury from the induced seizure is common d. Monitor any cardiac alterations (current or past) to avoid possible negative outcomes e. Ensure the client will be awake during the entire procedure
a. Encourage the client to express fears about ECT b. Discuss with the client and family the possibility of short-term memory loss d. Monitor any cardiac alterations (current or past) to avoid possible negative outcomes
A client diagnosed with a substance use disorder is experiencing delirium related to alcohol withdrawal syndrome. Which nursing intervention should be prioritized? a. Maintain seizure precautions. b. Restrict fluid intake. c. Increase sensory stimuli. d. Apply ankle and wrist restraints.
a. Maintain seizure precautions.
A client comes into a mental health clinic with a complaint of lack of sexual desire. In the initial interview, what assessment would the nurse make? Select all that apply. a. Mood b. Level of Energy c. Medications being taken d. Previous level of sexual activity
a. Mood b. Level of Energy c. Medications being taken d. Previous level of sexual activity
Although historically lithium has been the drug of choice for mania, several other drugs have been used with good results. Which of the following are used in the treatment of bipolar disorder? (Select all that apply) a. Olanzepine (Zyprexa) b. Paroxetine (Paxil) c. Carbamazepine (Tegretol) d. Gabapentin (Neurontin) e. Tranylcypromine (Parnate)
a. Olanzepine (Zyprexa) c. Carbamazepine (Tegretol) d. Gabapentin (Neurontin)
In the initial stages of caring for a client experiencing an acute manic episode, what should the nurse consider to be the priority nursing diagnosis? a. Risk for injury related to excessive hyperactivity b. Disturbed sleep pattern related to manic hyperactivity c. Imbalanced nutrition, less than body requirements, related to inadequate intake d. Situational low self-esteem related to embarrassment secondary to high-risk behaviors
a. Risk for injury related to excessive hyperactivity
A client has just been admitted to the psychiatric unit with a diagnosis of Major Depressive Disorder. Which of the following behavioral manifestations might the nurse expect to assess? Select all that apply. a. Slumped posture b. Delusional thinking c. Feelings of despair d. Feels best early in morning and worse as the day progresses e. Anorexia
a. Slumped posture b. Delusional thinking c. Feelings of despair e. Anorexia
A client has been diagnosed with major depressive episode. The psychiatrist prescribes imipramine (Tofranil). Which of the following medication information should the nurse include in discharge teaching? Select all that apply. a. The medication may cause dry mouth. b. The medication may cause urinary incontinence. c. The medication should not be discontinued abruptly. d. The medication may cause photosensitivity. e. The medication may cause nausea.
a. The medication may cause dry mouth. c. The medication should not be discontinued abruptly. d. The medication may cause photosensitivity. e. The medication may cause nausea.
The physician has ordered lithium carbonate (Eskalith) for a client diagnosed with bipolar disorder. What is the most likely rationale for prescribing this drug? a. To decrease hyperactivity b. To control anger c. To elevate the mood d. To diminish anxiety
a. To decrease hyperactivity
John has a history of violence and is hospitalized with substance use disorder. One evening, the nurse hears John yelling in the day room. The nurse observes his increased agitation, clenched fists, and loud demanding voice. He is challenging and threatening staff and the other clients. The nurse's priority intervention would be to a. call for assistance b. draw up a syringe of prn haloperidol c. ask John if he would like to talk about his anger d. tell John that if he does not calm down, he will have to be restrained
a. call for assistance
The goal of cognitive therapy with depressed clients is to a. identify and change dysfunctional patterns of thinking b. resolve the symptoms and initiate or restore adaptive family functioning c. alter the neurotransmitters that are creating the depressed mood d. provide feedback from peers who are having similar experiences
a. identify and change dysfunctional patterns of thinking
Kim, a client diagnosed with Borderline Personality Disorder, manipulates staff in an effort to fulfill her own desires. All of the following may be examples of manipulative behaviors in the borderline client except a. refusal to stay in room alone, stating, "It's so lonely." b. asking Nurse Jones for cigarettes after 30 minutes, knowing the assigned nurse has explained she must wait one hour c. stating to Nurse Jones, "I really like having you for my nurse. You're the best one around here." d. cutting arms with razor blade after discussing dismissal plans with physician.
a. refusal to stay in room alone, stating, "It's so lonely."
The nurse is preparing a patient for an electroconvulsive therapy (ECT) treatment. About 30 minutes prior to the treatment the nurse administers atropine sulfate 0.4 mg IM. Rationale for this order is a. to decrease secretions and increase heart rate b. to relax muscles c. to produce a calming effect d. to induce anesthesia
a. to decrease secretions and increase heart rate
The physician orders sertraline (Zoloft) 50mg bid for Margaret, a 68-year old woman with Major Depressive Disorder. After 3 days taking the medication, Margaret says tot he nurse, "I don't think this medicine is doing any good. I don't feel a bit better." What is the most appropriate response by the nurse? a. "Cheer up, Margaret. You have so much to be happy about." b. "Sometimes it takes a few weeks for the medicine to bring about an improvement in the system." c. "I'll report that to the physician, Margaret. Maybe he'll order something different." d. "Try not to dwell on your symptoms, Margaret. Why don't you join the others down in the dayroom."
b. "Sometimes it takes a few weeks for the medicine to bring about an improvement in the system."
A client diagnosed with bipolar disorder has been hospitalized for 2 weeks. The client asks the nurse, "Do you think that the doctor is ever going to discharge me?" Which is the appropriate nursing response? a. "Ask your doctor when you can be discharged." b. "Tell me more about your feelings about being hospitalized." c. "You are not ready to go yet." d. "Let the doctor know your feelings."
b. "Tell me more about your feelings about being hospitalized."
A client is considering electroconvulsive therapy (ECT) and questions the nurse about the side effects of the treatment. What is the nurse's best response? a. "The most common side effect is weight gain" b. "The most common side effect is transient memory loss and confusion" c. "There are no side effects to ECT treatments" d. "The most common side effect is depression"
b. "The most common side effect is transient memory loss and confusion"
Which individual is at lowest risk for suicide? a. A single, 65-year-old male b. A married, middle-class women c. A male teenager who hunts d. A 70-year-old Caucasian woman whose father committed suicide
b. A married, middle-class women
When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior? a. Odd beliefs and magical thinking b. Grandiose sense of self-importance c. Pattern of intense and chaotic relationships d. Extremely shy and fears rejection
b. Grandiose sense of self-importance
A client newly diagnosed with bipolar disorder: manic phase tells the nurse, "Now that I'm only sleeping 4 hours a night, I can get so much more work accomplished." Which ego defense mechanism is this client using? a. Denial b. Intellectualization c. Rationalization d. Suppression
b. Intellectualization
In teaching a client about his antidepressant medication, fluoxetine, which of the following would the nurse include? Select all that apply. a. Don't eat chocolate while taking this medication b. Keep taking this medication, even if you don't feel it is helping. It sometimes takes a while to take effect. c. Don't take this medication with the migraine drugs "triptans." d. Go to the lab each week to have your blood drawn for therapeutic level of this drug e. This drug causes a high degree of sedation, so take it just before bedtime.
b. Keep taking this medication, even if you don't feel it is helping. It sometimes takes a while to take effect. c. Don't take this medication with the migraine drugs "triptans."
A nursing home resident is often argumentative with other residents and staff and frequently exhibits loss of emotional control. Which nursing intervention should the nurse implement? a. Confront the argumentative behavior. b. Redirect attention and set limits on maladaptive, abusive behavior. c. Administer prn medications to subdue the client. d. Isolate the client until the behavior improves.
b. Redirect attention and set limits on maladaptive, abusive behavior.
Margaret, a 68-year-old widow, is brought to the emergency department by her sister-in-law. Margaret has a history of bipolar disorder and has been maintained on medication for many years. Her sister-in-law reports that Margaret quit taking her medication a few months ago, thinking she didn't need it anymore. She is agitated, pacing, demanding, and speaking very loudly. Her sister-in-law reports that Margaret eats little, is losing weight, and almost never sleeps: "I'm afraid she's going to just collapse!" Margaret is admitted to the psychiatric unit. The priority nursing diagnosis for Margaret is: a. Imbalance nutrition: less than body requirement related to not eating b. Risk for injury related to hyperactivity c. Disturbed sleep pattern related to agitation d. Ineffective coping related to denial of depression
b. Risk for injury related to hyperactivity
A suicidal client with a history of manic behavior is admitted to the emergency department. The client's diagnosis is documented as bipolar I disorder: depressive state. What is the rationale for this diagnosis versus a diagnosis of major depressive episode? a. The physician does not believe the client is suffering from major depression. b. The client has experienced a manic episode in the past. c. The client does not exhibit psychotic symptoms. d. There is no history of major depression in the client's family.
b. The client has experienced a manic episode in the past.
Which should a nurse recognize as being a projected outcome of electroconvulsive therapy (ECT)? a. The client's anxiety disorder should improve b. The client's mood will be elevated c. The client's visual hallucinations will decrease d. The client's personality disorder symptoms will improve
b. The client's mood will be elevated
When teaching about the tricyclic group of antidepressant medications, which information should the nurse include? a. Strong or aged cheese should not be eaten while taking this group of medications b. The full therapeutic potential of tricyclics may not be reached for four weeks c. Tricyclics may cause hypomania or recent memory impairment d. Tricyclics should not be given with antianxiety agents
b. The full therapeutic potential of tricyclics may not be reached for four weeks
A nurse is educating a client about his lithium therapy. She is explaining signs and symptoms of lithium toxicity. For which of the following would she instruct the client to be on the alert? a. Fever, sore throat, malaise b. Tinnitus, severe diarrhea, ataxia c. Occipital head ache, palpitations, chest pain d. Skin rash, marked rise in blood pressure, bradycardia
b. Tinnitus, severe diarrhea, ataxia
John, who has a history of verbal and physical abuse of his girlfriend, is hospitalized with substance use disorder. One evening, during a visit from his girlfriend, she and John are overheard having a loud argument. Which behavior by John would indicate he is learning to adaptively problem solve his frustrations? a. John says to the nurse, "Give me some of that medication before I end up in restraints!" b. When his girlfriend leaves, John goes to the exercise room and punches on the punching bag. c. John says to the nurse, "I guess I'm going to have to dump that broad!" d. John says to his girlfriend, "You'd better leave before I do something I'm sorry for."
b. When his girlfriend leaves, John goes to the exercise room and punches on the punching bag.
Milieu therapy is a good choice for clients with antisocial personality disorder because it a. provides a system of punishment and reward for behavior modification b. emulates a social community in which the client may learn to live harmoniously with others c. provides mostly one-to-one interactions between clients and therapists d. provides a very structured setting in which the clients have very little input into the planning of their care
b. emulates a social community in which the client may learn to live harmoniously with others
Margaret, a 68-year-old widow with bipolar mania, is admitted to the psychiatric unit after being brought to the ED by her sister in law. Margaret yells, "My sister in law is just jealous of me! She's trying to make it look like I'm insane!" This behavior is an example of a delusion of: a. grandeur b. persecution c. reference d. control or influence
b. persecution
After receiving three ECT treatments, a client says to the nurse, "I feel so much better, but I'm having trouble remembering some things that happened last week." The nurse's best response would be a. "Don't worry about that. Nothing important happened." b. "Memory loss is just something you have to put up with in order to feel better." c. "Memory loss is a side effect of the ECT, but it is only temporary. Your memory should return within a few weeks." d. "Forget about last week, Mr. C. You need to look forward from here."
c. "Memory loss is a side effect of the ECT, but it is only temporary. Your memory should return within a few weeks."
An initial electroconvulsive therapy (ECT) treatment has been scheduled for a client diagnosed with major depressive episode. After the nurse explains the procedure, the client states, "I'm too scared and can't decide what to do." Which is the appropriate nursing response? a. "There is no room for concern. You will be all right." b. "ECT is a safe, effective treatment. There is no degree of risk." c. "Tell me a little more about your fears." d. "Let your family make the decision for you."
c. "Tell me a little more about your fears."
A client diagnosed with borderline personality disorder presents to the mental health clinic and demands to see a counselor immediately. Which is the appropriate nursing action? a. Instruct the client to leave the clinic. b. Confront demanding behaviors. c. Explain the rules and set limits. d. Help the client problem solve.
c. Explain the rules and set limits.
A client demonstrating manic behavior has become demanding and hyperactive. Which is the most appropriate nursing intervention to address these client behaviors? a. Help lessen the client's feelings of guilt and rejection. b. Warn the client that restraints may be necessary if behavior does not improve. c. Maintain supportive, structured environment, setting firm limits in a nonthreatening manner. d. Introduce the client to peers in order to increase interpersonal contacts.
c. Maintain supportive, structured environment, setting firm limits in a nonthreatening manner.
In evaluating the progress of Jack, a client diagnosed with Antisocial Personality Disorder, which of the following behaviors would be considered the most significant indication of positive changes? a. Jack got angry only once in group this week b. Jack was able to wait a whole hour for a cigarette without verbally abusing the staff c. On his own initiative, Jack sent a note of apology to a man he had injured in a recent fight d. Jack stated that he would no longer start fights anymore
c. On his own initiative, Jack sent a note of apology to a man he had injured in a recent fight
Which statement is correct concerning personality disorders? a. Personality disorders generally emerge during adolescence. b. Individuals diagnosed with personality disorders have insight into their disorder. c. Personality disorders occur when personality traits become inflexible, maladaptive, and cause dysfunctional patterns of behavior. d. Individuals diagnosed with personality disorders demonstrate adaptive ability to perceive and relate to themselves and the environment.
c. Personality disorders occur when personality traits become inflexible, maladaptive, and cause dysfunctional patterns of behavior.
A client diagnosed with bipolar disorder is experiencing hyperactive behavior and weight loss. Which nutritional intervention would be most therapeutic for this client? a. Allow the client full kitchen privileges to eat anything prn. b. Initiate tube feedings with nutritional supplements. c. Provide small, frequent feedings of finger foods. d. Provide a quiet place where the client can sit down to eat meals.
c. Provide small, frequent feedings of finger foods.
A client diagnosed with bipolar mania enters the milieu area dressed in a provocative and physically revealing outfit. Which of the following is the most appropriate intervention by the nurse? a. Tell the client she cannot wear this outfit while she is in the hospital b. Do nothing and allow her to learn from the responses of her peers c. Quietly walk with her back to her room and help her change into something more appropriate d. Explain to her that, if she wears this outfit, she must remain in her room
c. Quietly walk with her back to her room and help her change into something more appropriate
A child with bipolar disorder also has attention-deficit/hyperactivity disorder (ADHD). How would these comorbid conditions most likely be treated? a. No medication would be given for either condition b. Medication would be given for both conditions simultaneously c. The bipolar condition would be stabilized first before medication for the ADHD would be given d. The ADHD would be treated before consideration of the bipolar disorder
c. The bipolar condition would be stabilized first before medication for the ADHD would be given
ECT is thought to effect a therapeutic response by a. stimulation of the CNS b. decreasing the levels of acetylcholine and monoamine oxidase c. increasing the levels of serotonin, norepinephrine, and dopamine d. altering sodium metabolism within nerve and muscle cells
c. increasing the levels of serotonin, norepinephrine, and dopamine
Margaret, age 68, is diagnosed with Bipolar Disorder, manic episode. She is extremely hyperactive and has lost weight. One way to promote adequate nutritional intake for Margaret is to: a. sit with her during meals to ensure that she eats everything on her tray b. have her sister-in-law bring all her food from home because she knows her likes and dislikes c. provide high-calorie, nutritious finger foods and snacks that she can eat "on the run" d. tell her that she will be on room restriction until she starts gaining weight
c. provide high-calorie, nutritious finger foods and snacks that she can eat "on the run"
Margaret, age 68, is a widow of 6 months. Since her husband died, her sister reports that Margaret has become socially withdrawn, has lost weight, and does little more each day than visit the cemetery where her husband was buried. She told her sister today that she "didn't have anything more to live for." She has been hospitalized with Major Depressive Disorder. The priority nursing diagnosis for Margaret would be: a. imbalanced nutrition; less than body requirements b. complicated grieving c. risk for suicide d. social isolation
c. risk for suicide
Anne, age 24, and her husband are seeking treatment at a sex therapy clinic. They have been married for 3 weeks and have never had sexual intercourse together. Pain and vaginal tightness prevent penile entry. Sexual history reveals Anne was raped when she was 15 years old. The most appropriate nursing diagnosis for Anne would be a. pain related to vaginal constriction b. ineffective sexuality patterns related to inability to have sexual intercourse c. sexual dysfunction related to history of sexual trauma d. complicated grieving related to loss of self-esteem because of rape
c. sexual dysfunction related to history of sexual trauma
Andrew, a New York City firefighter, and his entire unit responded to the terrorist attacks at the World Trade Center. Working as a team, he and his best friend, Carlo, entered the area together. Carlo was killed when the building collapsed. Andrew was injured but survived. Since that time, Andrew has had frequent nightmares and anxiety attacks. He says to the mental health worker, "I don't know why Carlo had to die and I didn't!" This statement by Andrew suggests that he is experiencing a. spiritual distress. b. night terrors. c. survivor's guilt. d. suicidal ideation.
c. survivor's guilt.
__________ disorder is a chronic mood disturbance of at least 2 years' duration, involving numerous periods of elevated mood that do not meet the criteria for a hypomanic episode and numerous periods of depressed mood of insufficient severity or duration to meet the criteria for major depressive episode.
cyclothymic
A client diagnosed with major depressive episode is scheduled for electroconvulsive treatment (ECT) in the morning. Upon awakening, prior to the treatment, the client asks, "Can I please get something to eat?" Which is the appropriate nursing response? a. "You may have something light, such as crackers" b. "You'll need to ask the doctor. He'll be in shortly" c. "Just don't eat anything containing tyramine, such as aged meats and yellow cheeses" d. "I know you'd like breakfast, but eating before your treatment may lead to complications"
d. "I know you'd like breakfast, but eating before your treatment may lead to complications"
When assessing suicidal risk, which nursing question is most appropriate? a. "Can you tell me about your lifestyle?" b. "You say that you won't be around much longer. Tell me what that means" c. "Have you written any suicide notes?" d. "You seem desperate. Do you have a plan and a method for ending your life."
d. "You seem desperate. Do you have a plan and a method for ending your life."
The most common comorbid condition in children with bipolar disorder is: a. Schizophrenia b. Substance disorders c. Oppositional defiant disorder d. Attention-deficit/hyperactivity disorder
d. Attention-deficit/hyperactivity disorder
John is a client at the mental health clinic. He is depressed, has been expressing suicidal ideations, and has been seeing the psychiatric nurse every 3 days. He has been taking 100 mg of sertraline daily for about a month, receiving small amounts of the medication from his nurse at each visit. Today he comes to the clinic in a cheerful mood, much different than he seemed just 3 days ago. How might the nurse assess this behavioral change? a. The sertraline is finally taking effect. b. He is no longer in need of antidepressant medication. c. He has completed the grief response over loss of his wife. d. He may have decided to carry out his suicide plan.
d. He may have decided to carry out his suicide plan.
When teaching about suicide, which information should the nurse include? a. People who talk about suicide do not commit suicide b. Suicide is inherited c. You cannot stop a suicidal individual d. Individuals who want to kill themselves are only suicidal for a limited time
d. Individuals who want to kill themselves are only suicidal for a limited time
A client is diagnosed with bipolar disorder. Which medication is the drug of choice to treat this diagnosis? a. Risperidone (Risperdal) b. Clozapine (Clozaril) c. Lorazepam (Ativan) d. Lithium carbonate (Eskalith)
d. Lithium carbonate (Eskalith)
Carol is a new nursing graduate being oriented on a medical/surgical unit by the head nurse, Mrs. Carey. When Carol describes a new technique she has learned for positioning immobile clients, Mrs. Carey states, "What are you trying to do... tell me how to do my job? We have always done it this way on this unit, and we will continue to do it this way until I say differently!" This is an example of which type of personality characteristic? a. Antisocial b. Paranoid c. Passive-aggressive d. Obsessive-compulsive
d. Obsessive-compulsive
A suicidal client diagnosed with borderline personality disorder exhibits both fear and anger during the intake interview. Which nursing intervention would be appropriate for this client? a. Confine the client to a single room to promote calmness. b. Medicate client with antipsychotic medication to decrease fear and anger. c. Within 7 days, client will verbalize strategies to interrupt escalation of fear and anger. d. Start supportive counseling to identify sources of anger.
d. Start supportive counseling to identify sources of anger.
Education for the client who is taking MAOIs should include which of the following? a. Fluid and sodium replacement when appropriate, frequent drug blood levels, signs and symptoms of toxicity. b. Lifetime of continuous use, possible tardive dyskinesia, advantages of an injection every 2 to 4 weeks. c. Short-term use, possible tolerance to beneficial effects, careful tapering of the drug at end of treatment. d. Tyramine-restricted diet, prohibitive concurrent use of over the counter medications without physician notification.
d. Tyramine-restricted diet, prohibitive concurrent use of over the counter medications without physician notification.
The activity therapist is planning an individualized program for a client diagnosed with bipolar disorder: manic phase, exhibiting hostility and excessive energy. Which activity would be most appropriate? a. Writing memoirs b. Participating in team sports c. Playing table tennis d. Walking
d. Walking
A depresses client is receiving an ECT treatment. In the treatment room, the anesthesiologist administers methohexital sodium (Brevital) followed by IV succinylcholine (Anectine). The purpose of these medications are to a. decrease secretions and increase heart rate b. prevent nausea and induce a calming effect c. minimize memory loss and stabilize mood d. induce anesthesia and relax muscles
d. induce anesthesia and relax muscles
Kim has a diagnosis of Borderline Personality Disorder. She often exhibits alternating clinging and distracting behaviors. The most appropriate nursing intervention with this type of behavior would be to a. encourage Kim to establish trust in one staff person, with whom all therapeutic interaction should take place b. secure a verbal contract with Kim that she will discontinue these behaviors c. withdraw attention if these behaviors continue d. rotate staff members who work with Kim so that she will learn to relate to more than one person
d. rotate staff members who work with Kim so that she will learn to relate to more than one person
Intervention with Andrew (from question above) would include a. encouraging expression of feelings b. anti-anxiety medications. c. participation in a support group. d. a and c. e. all of the above.
e. all of the above.
