Mental Health Nursing Psychosis Exam - Questions with Verified Answers A 56-year-old man is admitted to the inpatient unit after family members report
... [Show More] that he seems to be experiencing auditory hallucinations. The man has a history of schizophrenia and has had several previous admissions. Which statement indicates to the nurse that the client is experiencing auditory hallucinations? Devil What are the priority nursing interventions for a grieving client? Select all that apply. Allowing the client to express feelings Respecting the feelings of the client and creating a comfortable environment The primary healthcare provider prescribes an atypical antipsychotic drug to a client and asks the nurse to set up an appointment for the client to see an ophthalmologist. Which drug was prescribed to the client? Quetiapine A client with schizophrenia is admitted to a psychiatric unit. The client is talking while walking in the hall, is unkempt, and obviously has not washed in several days. What should the nurse say when trying to help this client shower? "I'll help you take your shower now." The nurse suspects serotonin syndrome in a client prescribed second-generation antidepressants for depression. Which assessment findings observed by the nurse would be beneficial in diagnosing the severity of the syndrome? Select all that apply. Hyperthermia Rhabdomy A client who is taking haloperidol has developed tardive dyskinesia. Which therapy is beneficial for the client? Administering benzodiazepines A man is admitted to the psychiatric unit after attempting suicide. The client's history reveals that his first child died of sudden infant death syndrome 2 years ago, that he has been unable to work since the death of the child, and that he has attempted suicide before. When talking with the nurse he says, "I hear my son telling me to come over to the other side." What should the nurse conclude that the client is experiencing? Command hallucination What is the priority nursing action for a client with delirium? Creating...safety What should a nurse do when caring for a client whose behavior is characterized by pathologic suspicion? Help the client feel accepted by the staff on the unit. A confused, hallucinating client says, "My arms are turning to stone." What is the most therapeutic response by the nurse? it can be frightening The nurse is caring for a client with chronic pain who is on opioid treatment. The client has constipation, nausea, vomiting, level 3 sedation, respiratory rate of 8 breaths per minute, and pruritus. Which conditions of the client should the nurse consider as highest priority? Select all that apply. Sedation Respiratory rate A pediatric client with a history of chickenpox is undergoing treatment for mental illness with psychotherapeutic drugs. Which is the expected adverse effect of the psychotherapeutic drug in the pediatric client? Reye's syndrome A client is admitted to the acute psychiatric unit of the local community hospital. The client is guarded and suspicious. After a thorough evaluation, a diagnosis of schizophrenia, paranoid type, is made. What initial approach should be used by the nurse assigned to establish a therapeutic one-on-one relationship with this client? Casual and honest The nurse advises the client to refrain from skin contact of the prescribed liquid formulation. Which antipsychotic drug is prescribed to the client? Thorazine After 2 days on the unit a client with the diagnosis of schizophrenia refuses to take a shower. What is the most appropriate intervention by the nurse? gentle basin hands face The nurse observed seizures in a client who is taking lithium for cycles of mania. Which laboratory parameters may lead to this condition? 3 meq/L The nurse cares for a client with bipolar disorder who is receiving drug therapy. The laboratory report reveals that the client's serum sodium level is 132 mEq/L (132 mmol/L). Which drug might have led to this condition? Fluoxetine In preparation for medication administration, the nurse is reviewing the results of diagnostic laboratory tests on a newly admitted client. In light of this information, what is the initial nursing intervention? Holding the morning dose of clozapine A client is on antipsychotic therapy for schizophrenia. During a follow-up visit, the nurse suspects acute akathisia. Which symptoms in the client support the nurse's suspicion? Select all that apply. Anxiety Agitation Restless moment A nurse is assessing a client with the diagnosis of schizophrenia, undifferentiated type. What defense mechanisms should the nurse anticipate that this client might use? Regression A client is hospitalized with social anxiety disorder. The client has a history of exhibiting intense, irrational fear of being scrutinized by others. Which primary anxiolytic medications would be prescribed to the client? Select all that apply. Alprazolam Clonazepam Which client characteristic is an initial concern for the nurse when caring for a client with the diagnosis of paranoid schizophrenia? Suspicious feelings A client on the psychiatric unit tells the nurse, "I'm a movie star, and the other clients are my audience." What is an appropriate conclusion for the nurse to document about what the client is experiencing? Grandeur Which drugs are used as the first-line treatment for posttraumatic stress disorder (PTSD)? Select all that apply. Sertraline Paroxetine A nurse plans to establish a trusting relationship with a client who is using paranoid ideation. How should the nurse begin to accomplish this? By being available on the unit but waiting for the client to approach A client and a nurse are standing next to each other in the mental health clinic when the client gets down on hands and knees and says, "I'm a table." What is the best response by the nurse? [Show Less]