1. A client has been diagnosed with schizophrenia. Assessment reveals that the clients lives alone. His clothing is disheveled, his hair is uncombed and
... [Show More] matted and his body has a strange odor. During an interview the clients family voices a desire for the client to live with them when he is discharged. Based on the assessment findings, which nursing diagnosis would be a priority.
A. social isolation rt auditory hallucinations
B. bathing self care deficit rt symptoms of schizophrenia
C. dysfunctional family process rt psychosis
D. ineffective role performance rt symptoms of schizophrenia: B
2. A client with depression is prescribed fluoxetine (Prozac) and begins taking St. Johns Wort without consulting a primary care provider. which of the following conditions would most likely occur?
A. Serotonin syndrome
B. Increased depressive symptoms
C. Hypertensive Crisis
D. Water intoxication: A
3. which of the following statements it true regarding a client diagnosed with dysthymic disorder?
A. the client typically experiences an elevated mood
B. The clients condition is considered to be of a shorter duration
C. The client experiences symptoms that are intermittent.
D. the client symptoms are less intense than with major depression.: D
4. A client hospitalized for treatment of schizophrenia has been receiving olanzapine (Zyprexa) for the past two months. The nurse would be especially alert for which of the following?
A. Diarrhea
B. Weight loss
C. Diabetes
D. Hypertension: C
5. A client has come to the clinic to discuss the stress she is experiencing because of failing two exams at school. Initially she described her failures as "the worst thing that has ever happened to me," and she stated there is nothing I can do to pass this course now. which of the following statements by the client indicates the use of emotion-focused coping?
A. "Ive got to figure out a way to do better on the next test!"
B. "I overreacted, surely i can figure out something for me to do"
C. "This is the worst thing that could ever happen to me. I am nothing but a
failure"
D. "This is a waste of time because nothing i can do will make it any better": B
6. A nurse is developing a plan of care for a client diagnosed with schizo- phrenia. Which neurotransmitter is primarily involved?
A. Serotonin
B. Acetylcholine
C. Norepinephrine
D. Dopamine: D
7. A client is being released from the inpatient psychiatric unit with a diag- nosis of schizophrenia in treatment with antipsychotic medications. After teaching the client and family about managing the disorder, the nurse deter- mines that the education was effective when they stay which of the following should be reported immediately?
A. Elevated temperature
B. Decrease blood pressure
C. Trimmer
D. Weight gain: A
8. A hospitalize client with schizophrenia is receiving antipsychotic med- ications. While assessing a client, the nurse identifies signs and symptoms of cogwheeling, dystonic reaction. Which PRN medication should the nurse administer?
A. Propranolol
B. Risperidone C.Aripiprazole
D. Benztropine: B
9. Which of the following statements about intimate partner violence is true? A.The reactions to intimate partner violence are similar in male and female victims.
B. Men may not consider behavior such as slapping or shoving as abuse.
C. Intimate partner violence in same-sex couples occurs less frequently as compared with heterosexual relationships
D. Men are more likely to be seriously injured even though more women are typically victims.: B
10. The nurse is preparing to interview a client who has delusional disorder. Which of the following with the nurse expect?
A. Labile affect space
B. Evidence of motor symptoms space
C. Normal behavior space
D. Cognitive impairment: C
11. A client who is consistently depressed is hospitalized following a suicide attempt. Which of the following statements indicates that the client suicidal risk has worsened space
a. he tells the nurse that he feels more depressed than ever.
B. He is lethargic, remaining isolated from other clients.
C. The client appears to become energized overnight.
D. His energy level and degree of depression remain the same: C
12. A nurse is providing inpatient care to a client with a recent diagnosis
of schizophrenia. Throughout the day, the nurse observes the client ringing frequently if in the water fountain and caring cups and water bottles around with him. Upon entering the clients room, the nurse seed numerous empty cups I have been filled with fluid on his table and it in the trashcan. The client has shown increased confusion throughout the day. The nurse suspects which of [Show Less]