1. A nurse is reviewing the health hx of a young adult client who has a depressive disorder. What factors should the nurse identify as increasing the clien
... [Show More] t's risk for depression?
a. client is an only child
b. client lives in an urban setting
c. client is married
d. client is female - d. client is female
2. A nurse is caring for a client who has OCD. The client engages in repeated hand washing daily. What should the nurse recognize as the purpose of the client's behavior?
a. relieving anxiety
b. gaining attention
c. avoiding daily responsibilities
d. responding to auditory hallucinations - a. relieving anxiety
3. A nurse is caring for a newly admitted client who is experiencing alcohol withdrawal. What finding should the nurse expect?
a. bradycardia
b. increased somnolence
c. slurred speech
d. headache - d. headache
4. A nurse is caring for a client who has schizophrenia. The client spends a great deal of time repeating rhyming syllables such as me, see, bee, tree. The nurse recognizes that the client is demonstratting what positive manifestations of schizophrenia?
a. clang association
b. echolalia
c. magical thinking
d. word salad - a. clang association
5. A nurse is assessing a client who has been taking thioridazine for several days. The client reports hand tremors, drooling, rigid extremities. What actions should the nurse take?
a. reassure the client that these effects are expected
b. administer diazepam
c. encourage deep breathing and relaxation
d. administer benztropine - d. administer benztropine
6. A nurse is caring for a client who has OCD. What actions should the nurse take when dealing with the client's ritualistic behaviors?
a. plan the client's schedule to allow time to perform rituals
b. verbalize disapproval of ritualistic behavior
c. place the client in protective isolation
d. increase stimuli in client's immediate surroundings - a. plan the client's schedule to allow time to perform rituals
7. A nurse is assessing a client who has an anxiety disorder and is taking benzodiazepine. For what adverse effect should the nurse monitor the client?
a. seizures
b. dizziness
c. polyuria
d. insomnia - b. dizziness
8. A nurse in a mental health clinic is assessing a client who has a hx of mania. What finding indicates that the client is experiencing a relapse?
a. weight gain
b. ritualistic behavior
c. anhedonia
d. pressured speech - d. pressured speech
9. A nurse is caring for a client who has panic disorder and is experiencing anxiety at the panic level. What action should the nurse take first?
a. identify the cause of anxiety
b. instruct the client to take slow, deep breaths
c. teach the client how to use positive self-talk
d. explain the physical manifestations of anxiety to the client - b. instruct the client to take slow, deep breaths
10. A nurse is providing teaching to a client who has a new script for phelezine. The nurse should teach the client that which of the following OTC meds can cause hypertensive crisis when taken with phenelzine?
a. acetaminophen
b. ranitidine
c. naproxen
d. pseudoephedrine - d. pseudoephedrine
11. A nurse is providing teaching to a cleint who has a new script for alprazolam. What is the priority info the nurse should include in teaching?
a. this med can affect yourability to drive or handle mechanical equipment
b. you should avoid drinking beverages that contain caffeine with this medication
c you should avoid taking antacids within 2 hrs of taking this med
d. this med should be taken with/shortly after meals - a. this med can affect yourability to drive or handle mechanical equipment
12. A nurse in the ED is assessing a client who has cocaine intoxication. What finding should the nurse expect?
a. pinpoint pupils
b. drowsiness
c. nystagmus
d. hypervigilance - d. hypervigilance
13. A nurse in an outpt mental health clinic is interviewing a client who has schizophrenia and appears to be experiencing auditory hallucinations. What action should the nurse take first?
a. teach the client strategies to decrease hallucinations
b. identify if the client is on antipsychotic meds
c. distract the client from the hallucination
d. explore what the voices are saying to the client - d. explore what the voices are saying to the client
14. A nurse is providing d/c teaching for a client who has a new script for doxepin. What adverse effects should the nurse inform the client is associated with this medication?
a. wt loss
b. diarrhea
c. drowsiness
d. bradycardia - c. drowsiness
15. A school nurse is caring for an adolescent client who has a hx of depressive episode 1 yr ago. He appears withdrawn from social activities and his school performance is declining. What action should the nurse take first?
a. initiate a structured daily schedule of activities
b. conduct a suicide-risk assessment
c. encourage the client to express his feelings in a journal
d. ask teacher to monitor for other signs of depression - b. conduct a suicide-risk assessment
16. A nurse is assessing a client who has schizophrenia. The client states, I need to get my gummamoshu from by my house. The nurse recognizes this statement as an example of what?
a. flight of ideas
b. echolalia
c. perseveration
d. neologism - d. neologism
17. A nurse is providing teaching to a client who has generalized anxiety disorder and a new script for buspirone. What statement by the client indicates an understanding of the teaching?
a. this medication can cause dependence
b. i should take a dose of my med when i start to feel anxious
c. its important for me to take my med 30 min before bedtime
d. i should expect to fell the full effect of my med in 2-4 weeks - d. i should expect to fell the full effect of my med in 2-4 weeks
18. A nurse is caring for a client who is taking a tricyclic antidepressant. What adverse effect should the nurse report to the provider immediately?
a. dry mouth
b. constipation
c. drowsiness
d. urinary retention - d. urinary retention
19. A nurse is caring for a client who has dementia. What finding should the nurse expect?
a. altered LOC
b. impaired judgment
c. rapid change in personality
d. disturbances in perception - b. impaired judgment
20. A nurse in a mental health facility is caring for a client who has generalized anxiety disorder. What statement should the nurse make?
a. we'll assist you with making decisions
b. someone will work with you when you have flashbacks
c. you'll be going through aversion therapy to help you cope
d. the therapy will help you control your impulses - a. we'll assist you with making decisions
21. A nurse is caring for a client who has been unable to leave the house for the past 10 years without accompainment. What attempting to go out alone, the client becomes very anxious and must quickly return inside. The nurse should identify that the client is exhibiting what disorder?
a. agoraphobia
b. PTSD
c. panic disorder
d. OCD - a. agoraphobia
22. A nurse is providing teaching to a client who has a new script for diazepam. What instructions should the nurse include in the teaching?
a. expect this med to make you feel anxious
b. this med can be habit-forming
c. take this med on an empty stomach
d. this med takes 2-3 weeks to reach full therapeutic effect - b. this med can be habit-forming
23. A nurse is providing teaching to a client who has a new script fo chlorpromazine. What statement should the nurse make?
a. this med is a tricyclic antidepressant and will improve your mood
b. this med is an opioid antagonist that blocks the pleasurable effects of alcohol
c. this med is an antipsychotic that controls manifestations of schizophrenia
d. this med is a cholinesterase inhibitor that slows the progression of dementia - c. this med is an antipsychotic that controls manifestations of schizophrenia
24. A nurse is reviewing the lab report of a client who has been taking lithium carbonate for several months. What level should the nurse recognize as a therapeutic lithium level?
a. 1.2
b. 1.6
c. 2.0
d. 2.5 - a. 1.2
25. A nurse is assessing a client who has been taking an antipsychotic med for 6 years and the provider has started tapering off the dosage. The nurse should monitor the client for what manifestation of tardive dyskinesia?
a. muscular weakness
b. muscle spasms
c. involuntary tongue protrusion
d. uncontrolled eye rolling - c. involuntary tongue protrusion
26. A nurse is caring for a client who has severe anxiety disorder and is in a state of panic in the dayroom. What action should the nurse take?
a. speak to the client in a calm voice
b. leave the client alone to regain control
c. encourage the client to express her feelings
d. place the client in restraints - a. speak to the client in a calm voice
27. A nurse is assessing a client who has a psychotic disorder and a new script for haloperidol. The client is pacing in the hallway and states, I can't seem to sit still. What extrapyramidal side effect is the client likely experiencing?
a. dystonia
b. parkinsonism
c. tardive dyskinesia
d. akathisia - d. akathisia [Show Less]