Question 1 See full question
A depressed client tells a nurse, "I want to die. Life just isn't worth living." Which response by the nurse is most
... [Show More] appropriate?
Question 2 See full question
A professional artist is admitted to the psychiatric unit for treatment of bipolar disorder. During the previous 2 weeks, the client has created 154 paintings, slept only 2 to 3 hours every 2 days, and lost 18 lb (8.2 kg). Based on Maslow's hierarchy of needs, what should the nurse provide this client with first?
Question 3 See full question
For the client receiving outpatient treatment for depression and suicidal ideation, what is the correct amount of imipramine to have at
one time?
Question 4 See full question
When developing appropriate assignments for the staff, which client should the nurse manager judge to be at highest risk for suicide completion?
Question 5 See full question
Which statement by a client taking valproic acid for bipolar disorder indicates that further teaching about this medication is necessary?
Question 6 See full question
During the nurse’s conversation with a depressed client, the client states, “I have no reason to be sad. I have a great job and a wonderful wife and family.” Which comment would be best for the nurse to make at this time?
Question 7 See full question
When educating a client who has been diagnosed with dysthymia about possible treatment for the disorder, which information should the nurse include?
Question 8 See full question
The family of a client diagnosed with Alzheimer's disease wants to keep the client at home. They say that they have the most difficulty in managing his wandering. What should the nurse instruct the family to do? Select all that apply.
Question 9 See full question
During the initial assessment, a female client exhibits pressured speech. She points to certain patterns on the wallpaper and says, "This is the writing about the tsunami. Thousands of people died because I read the writing. I should never have read the writing; it was my fault." Which of the following would be central to the nurse’s interventions?
Question 10 See full question
A client taking tranylcypromine sulfate for depression was treated in the emergency department for a headache, vomiting, and blood pressure of 190/100 mm/Hg following dinner at a restaurant. At discharge, the nurse evaluated the client’s understanding of diet instructions. For what menu choice will the nurse provide further education?
uestion 1 See full question
A physician orders electroconvulsive therapy (ECT) for a severely depressed client who fails to respond to drug therapy. When teaching the client and family about his treatment, the nurse should include which point about ECT?
Question 2 See full question
A nurse is working on a unit with individuals who have eating disorders. She is interviewing a new female client. The client has lost a significant amount of weight over the past months and complains of being "sick to my stomach" when around food. The client reports that she hasn't menstruated in 3 months. What is the priority nursing intervention?
Question 3 See full question
A physician orders a tricyclic antidepressant for a client who has suffered an acute myocardial infarction (MI) within the previous 6 months. Which action should the nurse take?
You Selected:
Question 4 See full question
A client with a diagnosis of major depression is ordered clonazepam for agitation in addition to an antidepressant. Client teaching should include which statement?
Question 5 See full question
Which characteristic would make the nurse suspect that a client with changes in cognition has delirium?
Question 6 See full question
The nurse is counseling a client regarding treatment of the client's newly diagnosed depression. The nurse emphasizes that full benefit from antidepressant therapy usually takes how long?
Question 7 See full question
The unlicensed assistive personnel (UAP) approaches the nurse and states, “The client does not know what caused him to be so depressed. He must not want to tell me because he does not trust me yet.” In responding to this staff member, which statement by the nurse will help the UAP understand the client’s illness?
Question 8 See full question
A client diagnosed with a cognitive disorder is showing signs of confusion, short-term memory loss, and a short attention span. Which therapy group would be best suited for this client?
Question 9 See full question
A client with dementia is eating off of other clients' meal trays. After the client with dementia is asked to stop, which of the following actions should be taken?
Question 10 See full question
A young adult client with severe depression and suicide ideation has been started on the selective seratonin reuptake inhibitor (SSRI) sertraline. Which client statement would indicate the client needs further teaching about seratraline?
Question 1 See full question
One day after being admitted with bipolar disorder, a client becomes verbally aggressive during a group therapy session. Which response by the nurse is most therapeutic?
Question 2 See full question
A client is admitted to the local psychiatric facility with bipolar disorder in the manic phase. The physician decides to start the client on lithium carbonate therapy. One week after this therapy starts, the nurse notes that the client's serum lithium level is 1 mEq/L. What should the nurse do?
Question 3 See full question
A client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to:
Question 4 See full question
Which statement should be included when teaching clients about monoamine oxidase (MAO) inhibitors?
Question 5 See full question
A nurse is frustrated by her inability to make much progress establishing a therapeutic relationship with a client with bipolar disorder. Her most professional response would be to:
Question 6 See full question
A client taking paroxetine 40 mg PO every morning tells the nurse that her mouth “feels like cotton.” Which statement by the client necessitates further assessment by the nurse?
Question 7 See full question
A client with bipolar disorder, manic phase, is scheduled for a chest radiograph. Before taking the client to the radiology department, the nurse should:
Question 8 See full question
The client with bipolar disorder, manic phase, appears at the nurse's station wearing a transparent shirt, miniskirt, high heels, 10 bracelets, and eight necklaces. Her makeup is overdone and she is not wearing underwear. The nurse should:
Question 9 See full question
A client with bipolar disorder is monopolizing the use of the telephone by making several calls each day, interfering with the ability of other clients to use the telephone. The nurse should:
Question 10 See full question
The client with acute mania has been admitted to the inpatient unit voluntarily. The nurse approaches the client with medication to be taken orally as prescribed by the health care provider (HCP). The client states, "I do not need that stuff." Which response by the nurse is best?
Question 11 See full question
A client's wife states, "I do not know what to do sometimes. It is so hard having a husband with a mental illness like bipolar disorder." After talking with the client's wife about her feelings and difficulties, which action is most appropriate?
You Selected:
Question 12 See full question
A client who was recently discharged from the psychiatric unit telephones the unit to speak to the nurse. The client states that she took her children to the neighbors' house and has turned on the gas to kill herself. She is home alone and gives the nurse her address. Which action should the nurse take next?
Question 13 See full question
The health care provider (HCP) prescribes risperidone for a client with Alzheimer’s disease. The nurse anticipates administering this medication to help decrease which behavior?
Question 14 See full question
A client with severe depression states, "My heart has stopped and my blood is black ash." The nurse interprets this statement to be evidence of which problem?
Question 15 See full question
A client was admitted with a diagnosis of schizophrenia and exhibiting behaviors of hostility, paranoia and isolation. The student nurse discussed with the nurse what the most therapeutic approach to take with the client would be. Which of the following would indicate to the nurse that the student understands the best approach?
Question 16 See full question
A client admitted to the inpatient psychiatric unit changes clothes eight or nine times a day, wears heavy eye makeup, is intrusive with other clients, and makes inappropriate sexual advances toward staff members. Which of the following client goals would be most appropriate?
Question 17 See full question
An adolescent client took 300 acetaminophen tablets in an attempt to kill herself after a relationship breakup. The client is admitted to the
adolescent psychiatric unit and is refusing to talk with the nurse. What is the most important nursing approach at this stage of the helping relationship?
Question 18 See full question
A nurse is counseling an adolescent client for depression. The client’s father died 2 months ago of cancer, and the client's mother died when the client was 11 years old. During the interview the client states, “I just feel like I can't do anything.” Which of the following would be most appropriate response to this client?
You Selected:
Question 19 See full question
In assessing an adolescent client at an outpatient clinic, the nurse is able to recognize that depression in adolescents is often which of the following?
Question 20 See full question
A client diagnosed with primary degenerative dementia of the Alzheimer's type may be progressing to the middle stage of the disease. To assess for progression to the middle stage of Alzheimer's disease, the nurse should observe for which behavioral changes? Select all that apply.
Question 1 See full question
A depressed client in the psychiatric unit hasn't been getting adequate rest and sleep. To encourage restful sleep at night, the nurse should:
Question 2 See full question
A client in the manic phase of bipolar disorder constantly belittles other clients and demands special favors from the nurses. Which nursing
intervention is most appropriate for this client?
Question 3 See full question
Modafinil has been ordered for a client diagnosed with narcolepsy. The nurse understands that this medication:
Question 4 See full question
A nurse notices that a client admitted for treatment of major depression is pacing, agitated, and becoming verbally aggressive toward other clients. What is the immediate care priority?
Question 5 See full question
The nurse is caring for a client with acute mania who is euphoric and flirtatious. The nurse overhears the client describing a sexual exploit with a group of clients seated at a table . What should the nurse do next?
Question 6 See full question
A client has just been admitted with acute delirium of unknown etiology. The client's daughter states that she is worried about her mom because she has never been this sick before. Which would be the most helpful statement to make to the daughter?
Question 7 See full question
A health care provider (HCP) has prescribed valproic acid for a client with bipolar disorder who has achieved limited success with lithium carbonate. Which information should the nurse teach the client about taking valproic acid?
Question 8 See full question
A client taking disulfiram during alcohol rehabilitation therapy reports to the nurse that he has a mild cold and plans to use a cough medicine. Which statement made by the client indicates understanding of the nurse's teaching?
Question 9 See full question
A nurse is completing a health history on a psychiatric client brought to the emergency department. The client states that he is a relative of the president of the United States and has very important business to attend to that involves national security. What is the nurse’s best intervention?
Question 10 See full question
Which of the following behaviors from a client with dementia would prompt nursing intervention?
question 1 See full question
After a third arrest for abusing a neighbor's cat, a client is admitted to the psychiatric unit for treatment of antisocial personality disorder. This client has a history of conduct disorder. Which action is most appropriate for the nurse assigned to this client?
Question 2 See full question
A nurse is instructing a new group of mental health aides. The nurse should teach the aides that setting limits is most important for:
Question 3 See full question
A nurse is caring for a severely depressed client who is barely functioning. The priority nursing goal for this client would be to:
You Selected:
Question 4 See full question
The client with a diagnosis of bipolar disorder, manic phase, states to the nurse, "I am the Queen of England. Bow before me." The nurse interprets this statement as important to document as which area of the mental status examination?
Question 5 See full question
After the nurse teaches a client with bipolar disorder about lithium therapy, which client statement indicates the need for additional teaching?
Question 6 See full question
A client with major depression and suicidal ideation is suddenly calmer and more energetic. Which conclusion should the nurse reach?
Question 7 See full question
A 16-year-old client has been taking the antidepressant fluoxetine for the past week. The client’s mother is concerned that the client is not
showing any signs of improvement and may be having increased suicidal thoughts. Which of the following statements would the nurse include when replying to the mother's concern?
Question 8 See full question
A depressed client on a psychiatric unit asks the nurse to call the hospital lawyer to discuss writing out a will. What is the nurse’s priority intervention?
Question 9 See full question
The nurse is conducting a small-group counseling session on depression. Which of the following client statements would indicate to the nurse that a client is at high risk for suicide?
Question 10 See full question
The nurse is educating a client who insists that the newly prescribed imipramine is not working for her feelings of depression. When evaluating the client’s statement, which question is most important to ask first?
Question 1 See full question
A depressed client in the psychiatric unit hasn't been getting adequate rest and sleep. To encourage restful sleep at night, the nurse should:
Question 2 See full question
One day after being admitted with bipolar disorder, a client becomes verbally aggressive during a group therapy session. Which response by the nurse is most therapeutic?
Question 3 See full question
A client with major depression is frequently irritable, abrasive, and uncooperative and refuses to participate in group activities. When working with this client, the nurse should use which approach?
Question 4 See full question
A client, age 87, with major depression undergoes a sixth electroconvulsive therapy (ECT) treatment. When assessing the client immediately after ECT, the nurse expects to find:
Question 5 See full question
A client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to:
Question 6 See full question
A man found wandering in a local park is unable to state who or where he is or where he lives. He is brought to the emergency department, where his identification is eventually discovered. The client's wife states that he was diagnosed with Alzheimer's disease 3 years earlier and has experienced
increasing memory loss. She tells a nurse she is worried about how she'll continue to care for him. Which response by the nurse is most helpful?
Question 7 See full question
A nurse is assessing a client who has just been admitted to the emergency department. Which signs suggest an overdose of an antianxiety agent?
Question 8 See full question
The son of a client with Alzheimer's disease reports feeling guilty for wishing, at times, that his father would die. What is the nurse's best response?
Question 9 See full question
A client whose husband has left her is admitted to the hospital with severe depression. The nurse suspects that this client is at risk for suicide. Which question is most appropriate and helpful for the nurse to ask during an assessment for suicide risk?
Question 10 See full question
A nurse is caring for a veteran, who exhibits signs and symptoms of posttraumatic stress disorder (PTSD). Signs and symptoms of posttraumatic stress disorder include:
Question 11 See full question
A nurse is caring for a client who has been diagnosed with somatic symptom disorder. The client attributes his cough to tuberculosis. A chest X-ray and skin test are negative for tuberculosis. The client begins to complain about the sudden onset of chest pain. How should the nurse react initially?
Question 12 See full question
A nurse is caring for a client diagnosed with antisocial personality disorder. This client has a history of fighting, cruelty to animals, and stealing. Which trait is the nurse likely to uncover during assessment?
Question 13 See full question
Which statement should be included when teaching clients about monoamine oxidase (MAO) inhibitors?
Question 14 See full question
A client was admitted to the inpatient unit 3 days ago with a flat affect, psychomotor retardation, anorexia, hopelessness, and suicidal ideation. The health care provider (HCP) prescribed 75 mg of venlafaxine extended release to be given every morning. The client interacted minimally with the staff and spent most of the day in his room. As the nurse enters the unit at the beginning of the evening shift, the client is smiling and cheerful and appears to be relaxed. What should the nurse interpret as the most likely cause of the client’s behavior?
Question 15 See full question
Which statement by a client taking trazodone as prescribed by the health care provider (HCP) indicates to the nurse that further teaching about the medication is needed?
Question 16 See full question
A client taking mirtazapine is disheartened about a 20 lb (9 kg) weight gain over the past 3 months. The client tells the nurse, "I stopped taking my mirtazapine 15 days ago. I do not want to get depressed again, but I feel awful about my weight." Which response by the nurse is mostappropriate?
Question 17 See full question
A client taking paroxetine 40 mg PO every morning tells the nurse that her mouth “feels like cotton.” Which statement by the client necessitates further assessment by the nurse?
Question 18 See full question
The client with a diagnosis of bipolar disorder, manic phase, states to the nurse, "I am the Queen of England. Bow before me." The nurse interprets this statement as important to document as which area of the mental status examination?
Question 19 See full question
The husband of a client who is experiencing acute mania and is swearing and using profanity apologizes to the nurse for his wife's behavior. Which reply by the nurse is most therapeutic?
Question 20 See full question
The wife of a client with bipolar disorder, manic phase, states to the nurse, "He is acting so crazy. What did he do to get this way?" The nurse bases the response on which understanding of this disorder?
Question 21 See full question
The history of a female client who has just been admitted to the unit and is very depressed reveals a weight loss of 10 lb (4.5 kg) in 2 weeks, sleeping 3 hours a night, and poor hygiene. The client states, "I am no good to anyone. Everyone would be better off without me." Which question should the nurse ask first?
Question 22 See full question
A client diagnosed with major depression and substance dependence is being admitted to the concurrent disorder treatment unit. In explaining the focus of this program, the nurse should tell what information to the client?
Question 23 See full question
The nurse is meeting weekly with an adolescent recently diagnosed with depression to monitor progress with therapy and antidepressant medication. The nurse should be most concerned when the client reports what information?
Question 24 See full question
The husband of a client who was diagnosed 6 years ago with Alzheimer’s disease approaches the nurse and says, “I am so excited that my wife is starting to use donepezil for her illness.” The nurse should tell the husband:
Question 25 See full question
A grandson calls the crisis center expressing concern about his grandmother, who lost her husband a month ago. He states, “She has been in bed for a week and is not eating or showering. She told me that she did not want to kill herself, but it is not like her to do nothing for herself. She will not even talk to me when I visit her.” The nurse encourages the grandson to bring his grandmother to the center for evaluation based on which reason? [Show Less]