A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of the following statements should the nurse include
... [Show More] in the teaching" 2.The nurse is caring for a client following a physical assault. The client states "I don't remember what happened to me." The nurse should recognize that the client is using which of the following defense mechanisms 3.A nurse is caring for a client who has anorexia nervosa. Which of the following findings require immediate intervention by the nurse? 4.A nurse is caring for a client in a mental health facility. The client is agitated and threatens to harm herself and others. Which of the following is the priority intervention?.A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take6.A nurse in the emergency department is caring for a client who reports feeling sad, worthless, and hopeless 9 months after the death of her son. Which of the following actions should the nurse take first7.A nurse is caring for a client who has borderline personality disorder and has been engaging in self- mutilation. The nurse should encourage the client to participate in which of the following groups.. 8.The nurse is reviewing the medication administration record of a client who has schizophrenia. The nurse should plan to initiate the Abnormal Involuntary Movement Scale to monitor for adverse effects of which of the following medications.?.A nurse is counseling a client following the death of a clients partner 8 months ago. Which of the following client statements indicates maladaptive grieving10.A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan 11.A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states "I can’t stand to be touched by another person." Which of the following responses should the nurse make?12.A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan13.A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify asacting in the role as the monopolizer? 14.A nurse is developing a teaching plan for the family of an older adult client who is to receive transcranial magnetic stimulation. Which of the following information should the nurse include in the teaching plan15.A nurse is providing teaching about disulfiram to a client who has a history of alcohol use. Which of the following instructions should the nurse include in the teaching? 16.A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following actions should the nurse take 17.A nurse is assessing a young adult female client for schizophrenia. Which of thefollowing findings should the nurse identify as a risk factor for this condition 18.A nurse is providing discharge teaching about manifestations of relapse to the family ofa client who has schizophrenia. Which of the following information should the nurse include in the teaching 19.A nurse is assessing a client who is restless and constantly mutters to himself. Which ofthe following findings should lead the nurse to suspect delirium 20.A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses shouldthe nurse make? 21.A nurse is assessing a client who has neuroleptic malignant syndrome. Which of the following clinical findings should the nurse expect 22.A nurse is reviewing the medical record of a client who is taking clozapine. For which of the following findings should the nurse withhold the medication and notify the provider? 23.A nurse is caring for a client who has personality disorder and is using transference to cope. Which of the following behaviors should the nurse expect 24.A nurse in a mental health facility is caring for a newly admitted client. Which of the following resources should the nurse recommend to help the client adapt to the healthcare setting?.A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take26.A nurse is admitting a client who has generalized anxiety disorder. Which of the following actions should the nurse plan to take first? 27.A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following should the nurse report to the provider28.Dosage Calculation Question. - Dosage calc29.A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the following recommendation should the nurse include in the clients plan of care? 30.A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take? 31.A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first 32.A nurse overhears a client saying "I am a spy, a spy for the FBI. I am an I, an eye for aneye in the sky. Sky is up high." The nurse should document the client’s statement as which of the following speech alterations 33.An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states "I’m so worried that my mother is depressed" which of thefollowing responses should the nurse make34.A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan care35.A nurse is providing behavior therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique36.A nurse is caring for a client who is starting treatment for substance use disorder. Which of the following actions indicate the nurse is practicing the ethical principle of nonmaleficence37.A nurse in a group home facility is caring for a client who is developmentally disabled. The client has been stealing belongings from other clients. Which of the following techniques should the nurse use38.A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take39.A nurse is caring for a client who has cocaine use disorder. Which of the following manifestations should the nurse expect the client to have during withdrawal 40.A nurse is providing teaching about disorder management for a client who has posttraumatic stress disorder (PTSD). Which of the following statements should the nurse include in the teaching41.A nurse is assessing a client who has bipolar disorder and is taking lamotrigine. Which of the following findings is the nurse’s priority 42.A nurse is caring for a client who has schizophrenia and displays severe negative symptoms of the disorder. Which of the following actions should the nurse take 43.A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase 44.A nurse in a mental health facility is making plans for a client's discharge. Which of the following interdisciplinary team members should the nurse contact to assist the client with housing placement? 45.A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanism is the client demonstrating? 46.A charge nurse is discussing the care of a client who has a substance use disorder with astaff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference 47.A nurse is caring for a client who is admitted to a mental health facility after attempting suicide. Which of the following actions should the nurse take first?.A nurse in an inpatient mental health facility is assessing a client who has schizophreniaand is taking haloperidol. Which of the following clinical findings is the nurse's priority 49.A nurse is providing teaching for a newly licensed nurse about the constructive use of defense mechanism. Which of the following examples should the nurse include in the teaching 50. nurse is planning care for a client who has a recent diagnosis of antisocial personality disorder. Which of the following outcomes should the nurse include in the care plan? 51.A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan 52.A client is fearful of driving and enters a behavioral therapy program to help him overcome his anxiety. Using systematic desensitization, he is able to drive down a familiar street without experience a panic attack. The nurse should recognize that to continue positive results, the client should participate in which of the following? 53.A nurse in the emergency department is counseling a client who reports experiencing intimate partner violence. Which of the following actions should the nurse take 54.A nurse is caring for a client who has prescription for phenelzine. The nurse should instruct the client to avoid which of the following over-the-counter medications 55.A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take? 56.A nurse is caring for a client who has just returned to the unit after receiving an electroconvulsive therapy treatment. Which of the following assessments is the nurse's priority? a) First voiding b) Short-term memory c) Presence of gag reflex d) Return of bowel sounds 57.A nurse is talking to a client following a group therapy session. The client tells the nurse that one of the other clients in the group made an inappropriate comment. Which of the following responses should the nurse make? a) "I think you should ignore the comment" b) "You sound upset about today's session" c) "Why do you think that he said that to you?" d) "I agree that the comment was inappropriate" 58.A nurse is assessing a client who is experiencing acute alcohol withdrawal. Which of thefollowing findings should the nurse expect? a) Hypotension b) Insomnia c) Bradycardia d) Diminished reflexes 59.A nurse is teaching a client who has bipolar disorder and a new prescription for lithium carbonate. Which of the following statements by the client indicates an understanding of the teaching? a) "I should drink at least 6 liters of water per day" b) "I should be on a low-sodium diet" c) "I will call my doctor if I have diarrhea" d) "I will see my doctor to check my lithium levels annually" 60.A nurse in an acute care mental health facility is planning discharge care for a client who sustained a traumatic brain injury. For which of the following needs should the nurse collaborate with a clinical psychologist? a) The client needs a prescription for medication to promote nighttime sleep whilein the facility b) The client needs to find a place to live after discharge c) The client needs to begin a group therapy program prior to discharge d) The client needs to relearn how to perform skill that require fine motor coordination 61.A nurse is reviewing the laboratory report of a client who is taking carbamazepine for bipolar disorder. Which of the following laboratory results should the nurse report tothe provider? a) Urine specific gravity 1.029 b) Platelets 90,000 per mm3 c) Urine pH 5.6 d) RBC 4.7 per mm3 62.A nurse is teaching the caregiver of a client who has advanced Alzheimer's disease about home safety. Which of the following statements by the caregiver indicates an understanding of the teaching? a) I will ensure the bedroom is dark while he is sleeping at night b) I will place a sliding bolt lock just above the doorknob c) I will notify law enforcement within 2 hours if he cannot be found d) I will give his most recent photo to the police 63.A nurse is teaching a client who has a new prescription for phenelzine to treat depression. The nurse instructs the client to avoid foods with tyramine to prevent whichof the following? a) Hypertensive crisis b) Cardiac toxicity c) Serotonin Syndrome d) Urinary retention 64.A nurse in an outpatient clinic is assessing a client who has anorexia nervosa. Which of the following findings indicates the need for hospitalization? a) Potassium 3.8mEq per L b) Heart Rate 56 per min c) Temperature 35.6C (96.1F) d) Weight 10% below ideal weight 65.A nurse us obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment finding in the client's history should the nurse report to the provider? a) Hepatitis B Infection b) Hypothyroidism c) Knee arthroplasty 1 month ago d) Recent head injury 66.A nurse is providing crisis intervention for a client who was involved in a violent mass causality situation in the community. Which of the following actions should the nursetake during the initial session with the client? a) Help the client focus on a wide variety of topics regarding the crisis b) Identify the client's usual coping style c) Tell the client that his life will soon return to normal d) Encourage the client to display anger toward the cause of the crisis 67.A nurse in the community health facility is interviewing a client who recently lost his job. The client states "I was fired because my boss doesn't like me" Which of the following defense mechanisms is the client displaying? a) Rationalization b) Displacement c) Dissociation d) Repression 68.A nurse is providing teaching to a client who has depressive disorder and a new prescription for doxepin. Which of the following instructions should the nurse include in the teaching? a) Sit on the side of the bed for a few minutes before standing b) Decrease the prescribed dose by half when mood improves c) Avoid over the counter magnesium when taking this medication d) Eat a snack before going to bed lOMoAR cPSD|3920845 69.A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse include in the plan? a) Give detailed instructions for completion of self-care activities b) Confront the client when he exhibits inappropriate behavior c) Provide finger foods to enhance caloric intake d) Remove clocks from the client's room 70.A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care? a) Discuss the appropriate use of assertive behavior with the client b) Encourage the client to attend weekly support group meetings c) Assist the client to maintain awareness of her thoughts and feelings d) Implement measures to prevent intentional self-inflicted injury lOMoAR cPSD|3920845 Ati Mental Health B 1.A nurse is caring for a school-aged child who has conduct disorder and is being physically aggressive toward other children in the unit. Which of the following actions should the nurse take first? a) Place the child in seclusion b) Use therapeutic hold technique c) Apply wrist restraints d) Administer risperidone 2.A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan? a) Discouraged client from expressing feelings of anger b) Identify and schedule alternative group activities for the client c) Encourage physical activity for the client during the day d) Keep a bright light on in the client’s room at night 3.A nurse is caring for a client who has posttraumatic stress disorder related to military service. Which of the following actions should the nurse take? a) Encourage the client to suppress feelings of trauma b) Assign the same staff to care for the client each day c) Address the client in an authoritative manner d) Limit the amount of time spent with the client lOMoAR cPSD|3920845 4.A nurse is providing teaching for school age child and his parents regarding a new prescription for risperidone. Which of the following statements by the parent indicatesan understanding of the teaching? a) I will provide a low sodium diet for my son b) I will make sure my son takes the last dose of the day by 4 PM c) I should expect my son to develop hand tremors d) I should contact my doctor if my son urinates excessively 5.A nurse is caring for a client who has a lithium level of 0.8 mEq L. Which of the following actions should the nurse take? a) Withhold the next does of lithium b) Repeat the lithium level test c) Administer the next does of lithium d) Recommended a low sodium diet 6.A nurse in a community mental health clinic is caring for a group of clients. The nurse should encourage participation in cognitive behavioral family therapy in response to which of the following client statements. a) I want to learn how to change the way I react to problems within my family b) I want to understand why my past experiences are affecting my family relationships c) I want to improve my family's understanding of each other's boundaries d) I want each of my family members to be more aware of each other's feelings 7.A nurse is reviewing laboratory values for a client who has bipolar disorder and a prescription for lithium. The nurse should identify that which of the following laboratory results places the client at risk for lithium toxicity? a) Calcium 9.0 mg dL b) Sodium 130 mEq L c) Chloride 98 mEq L d) Potassium 5.0 mEq L lOMoAR cPSD|3920845 8.A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wonders at night and hasa history of previous falls. Which of the fund instructions should nurse including? (Selectall) in the teaching a) Position the mattress on the floor b) Install sensor devices on outside doors c) Encourage physical activity prior to bedtime d) Put locks at top of doors e) Place the client in a reclining chair 9.A nurse is assisting with obtaining informed consent from client who has been declared legally incompetent. Which of the following actions should the nurse take? a) Contact the facility social worker to obtain the consent b) Explain implied consent to the client’s family c) Request that the clients Guardian signed the consent d) Ask the charge nurse to obtain an informed consent 10.A nurse is giving a presentation about intimate partner abuse for community group. Which of the following statements buy a group member indicates understanding of teaching? a) Survivors of abuse often feel guilty b) Abusers often have high self-esteem c) The honeymoon stage of violence usually gets longer over time d) As abuse continues, victims become more determined to be independent 11.A nurse is planning care for a client who has experienced intimate partner abuse. Thenurse should identify which of the following outcomes as the priority? a) The client joins a support group b) The client identifies techniques to reduce her stress c) The client develops a safety plan d) The client identify support systems lOMoAR cPSD|3920845 12.A nurse is developing a behavioral contract with the client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract? a) Use projection during group therapy b) Increase self-esteem c) Use bargaining skills for behavioral consequences d) Decrease the number of verbal outbursts 13.A nurse is caring for a client who has schizophrenia and takes clozapine. Which of thefollowing findings is a priority for the nurse to report to the provider? a) Nausea b) Random blood glucose 130 mg Dl c) Heart rate 104 per minute d) Sore throat 14.A nurse is counseling and adult client whose parent just died. The client states, "My son is 4, and I don't know how he'll react when he finds out that grandpa died." The nurse should inform the client that the preschool age child commonly has which of the following concepts of death? a) Death is not permanent and the loved one may come back to life b) Death is contagious and can cause other people he loves to die c) Death creates an interest in the physical aspects of dying d) Death is a part of life that eventually happens to everyone 15.A nurse is reviewing the medical records for clients. Which of the following findings should the nurse identified as a risk factor for violent behavior? a) Schizoid personality disorder b) Alcohol intoxication c) Dysthymic disorder d) Long-term isolation lOMoAR cPSD|3920845 16.A nurse in a provider's office is assessing a school age child who has a spiral fracture. The parent of the child provides different accounts for the cause of the injury. Which ofthe following actions should the nurse take first? a) Request that the parent leaves the room while you interview the child b) Report suspected abuse to child protective services c) Ask the child how the injury occurred d) Determine the immediate safety needs of the child 17.An older adult client is brought to the mental clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states, I'm so worried that my mother is depressed. Which of the following responses should the nurse make? a) Older adults are usually diagnosed with depressive disorder as they age b) Everyone gets depressed from time to time c) You shouldn't worry about this, because depressive disorder is easily treated d) Tell me the reasons you think your mother is depressed 18.A nurse in a mental health facility is caring for a client. Which of the following actions the nurse take during though working phase of the nurse-client relationship? a) Summarize goals and objectives b) Address confidentiality c) Promote problem-solving skills d) Establish a participation contract 19.A nurse is caring for a client who suddenly directs profanities at her, then abruptly hangs his head and says, "please forgive me, I'm not sure what came over me I don't know why said those things." The nurse interprets this behavior as which of the following? a) Emotional lability b) Confabulation c) Flight of ideas d) Neologism lOMoAR cPSD|3920845 20.A nurse is providing teaching for the family of a client who has dementia. Which of the following should the nurse include in the teaching as a contributing factor for this disorder? a) Hypotension b) Alcohol use disorder c) Dehydration d) Change in environment 21.A nurse is caring for a client who has been taking valproic acid. Which of the following is expected outcome of the medication? a) The client reports improved short-term memory b) The client has a decreased euphoric mood c) The client reports absence of auditory hallucinations d) The client has decreased anxiety 22.A nurse is teaching a client who has major depressive disorder about electroconvulsive therapy. Which of the phone information should the nurse include? a) This therapy works as a cure for major depressive disorders b) You will be awake and alert during the procedure c) You might experience confusion for a few hours after treatment d) This therapy will stimulate the vagus nerve to improve your mood 23.A nurse emergency department is assessing a client who has major depressive disorder. Which of the following actions should the nurse take? (Exhibit question) a) Ask the client if she has eaten foods containing tyramine b) Give regular insulin subcutaneously to the client c) Prepare the client for electroconvulsive therapy d) Administer dantrolene IV bolus to the client lOMoAR cPSD|3920845 24.A nurse is reviewing the laboratory report of a client who is taking carbamazepine for bipolar disorder. Which of the following laboratory results should the nurse report tothe provider? a) Urine specific gravity 1.029 b) Platelets 90,000 mm3 c) Urine pH 5.6 d) RBC 4.7/mm3 25.A nurse is caring for a client who has schizophrenia and started taking clozapine two months ago. Which of the following laboratory results should the nurse report to the provider? a) WBC 3,000 mm3 b) Potassium 4.2 mEq L c) Hgb 16 g Dl d) Platelets 300,000 mm3 26.A nurse is caring for a client who has a new diagnosis of bulimia nervosa. Which of the following diagnosis procedures should the nurse anticipate, the provider should describe during the medical evaluation? a) Chest x-ray b) ECG c) Coagulation studies d) Liver function test 27.A nurse is caring for a client who exhibits excessive compliance, passivity, and self denial. The nurse should recognize that these findings are associated with which of the following personality disorders? a) Dependent b) Paranoid c) Borderline d) Histrionic lOMoAR cPSD|3920845 28.A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take prescribed antianxiety medication. Which of the following actions should the nurse take? a) Inform the client that he does not have the right to refuse medication b) Administer the medication to the client via IM injection c) Offer the client the medication at the next scheduled dose time d) Implement consequences until the client take the medication 29.A nurse is caring for a client in the emergency department who states she was beaten and sexually assault by her partner. After a rapid assessment, which of the following actions should the nurse plan to take next? a) Conduct a pregnancy test b) Requests mental health consultation for the client c) Provide a trained advocate to stay with the client d) Offer prophylactic medication to prevent STI's
outcomes must occur if the nurse is to establish a therapeutic nurse-client relationship? a) The nurse is seen as an authority figure b) A written contract is established to clarify the steps of the treatment plan c) The nurse maintains confidentiality unless the client's safety is compromised d) The nurse is seen as a friend 35.A nurse is teaching a client who has a new prescription for disulfiram. Which of the following statements by the client indicates an understanding of the teaching? a) "If I cut myself, I can clean the wound with isopropyl alcohol" b) "I can wear my cologne on special occasions" c) "When I bake my favorite cookies, I can use pure vanilla extract for flavoring" d) "I can continue to eat aged cheese and chocolate" lOMoAR cPSD|3920845 36.A nurse is planning care for a client who has narcissistic personality disorder. Which of the following actions is appropriate for the nurse to include in the plan of care? a) Ask the client to sign a no-suicide contract b) Remain neutral when communicating with the client c) Request an antipsychotic medication from the provider d) Provide the client with high-calorie finger foods 37.A nurse is reviewing the laboratory report of a client who is taking carbamazepine for bipolar disorder Which of the following laboratory results should the nurse report to the provider? a) Urine specific gravity 1.029 b) Platelets 90,000/mm c) Urine pH 5.6 d) RBC 4.7/mm 38.A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching? a) "I should avoid being around others if I think I'm having a relapse" b) "I should let my counselor know if I am having trouble sleeping" c) "I shouldn't worry about the voices because they are a part of my illness" d) "I should increase my carbohydrate intake to maintain my energy level" 39.A nurse is assessing a client for negative manifestations of schizophrenia. Which of thefollowing findings should the nurse expect? a) Echopraxia b) Delusions c) Anergia d) Tangentiality lOMoAR cPSD|3920845 40.A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines? a) Poor problem-solving skills b) Markedly neglected hygiene c) Significant weight loss d) Psychomotor retardation 41.A nurse is preparing to administer methylphenidate 25 mg PO to a school age child who has ADHD. Available is methylphenidate 10mg/5ml liquid. How many ml should the nurse administer? (Round to nearest tenth) - 12.5 42.A nurse is caring for a school age child who has a fractured arm. The child has otherinjuries that cause the nurse to suspect abuse. Which of the following actions is appropriate for the nurse to take when assessing the child's situation? a) Ask the parents directly if the child's fracture is due to physical abuse b) Direct the parents to the waiting room before interviewing the child c) Interview the child with the provider and social worker present d) Ask clarifying questions as the child explains how the injuries occurred 43.A nurse is assisting with obtaining consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take? a) Ask the charge nurse to obtain informed consent b) Contact the facility social worker to obtain consent c) Request that the client's guardian sign the consent d) Explain implied consent to the client’s family lOMoAR cPSD|3920845 44.A nurse in a mental health facility is reviewing a client's medical record. Which of the following actions should the nurse take first? (Click on the exhibit button for additional information about the client. There are 3 tabs that contain separate categories of data) a) [Show Less]