1. A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following
... [Show More] responses should the nurse make?
"It sounds like you're having a difficult time."
B. "Have you talked to your parents about this yet?"
C. "Why do you think you are so anxious?"
D. "How long has this been going on?"
2. A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?
A private room in a quiet location on the unit
B. A semi-private room with a roommate who has a similar diagnosis
C. A private room close to the nursing station
D. A seclusion room until the client’s activity level becomes more subdued.
3. A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?
A. Dysrhythmias
B. Cataracts
C. Pancreatitis
D. Bleeding
4. A client becomes very dejected and states, "No one really cares what happens to me. Life isn't worth living anymore." Which of the following responses should the nurse make?
A. "Of course people care. Your family comes to visit every day."
B. "Why do you feel that way?"
C. "Tell me who you think doesn't care about you."
D. "I care about you, and I am concerned that you feel so sad."
5. A school nurse is talking with a 13-year-old female at her annual health-screening visit. Which of the following comments made by the adolescent should be the nurse's priority to address?
A. "My parents treat me like a baby sometimes."
B. "I haven't gotten my period yet, and all my friends have theirs." "None of the kids at this school like me, and I don't like them either."
D. "There's a big pimple on my face, and I worry that everyone will notice it."
6. A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?
The client runs 4 miles outdoors every afternoon.
B. The client drinks 2 liters of liquids daily.
C. The client eats 2 to 3 gm of sodium-containing foods daily.
D. The client eats foods high in tyramine.
7. A nurse is providing teaching for a client who has binge-eating disorder and is morbidly obese. The client has been prescribed orlistat. Which of the following statements indicates to the nurse that the client understands the teaching?
A. "I will take my dose of orlistat every morning an hour before breakfast."
B. "I will eat a no-fat diet to prevent side effects from the medication."
C. "I will stop taking orlistat and call my doctor if my urine gets darker in color."
D. "I will feel less hungry during meals while I am taking orlistat."
8. A nurse is caring for a client who has major depressive disorder and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?
A. Speak to the provider about adding an MAOI to the current medication regimen. Explain that antidepressants often take several weeks to be fully effective.
C. Tell the client that the provider will need to change citalopram to a different medication.
D. Recommend a sleep study be done on the client. [Show Less]