PN Mental Health Online Practice 2020/2022 A Exam Questions And Answers

Document Content and Description Below

PN Mental Health Online Practice 2020/2022 A Exam Questions And Answers A nurse is reinforcing teaching with a client whose provider has prescribed electroconvulsive therapy (ECT). Which of the... following information should the nurse include? - Answer- C. ECT is an option for clients after medication has been unsuccessful. (Medication is the first-line of treatment for depression. ECT is prescribed when medication has been unsuccessful.) A nurse is assisting with discharge planning for a client who needs to attend a day treatment center ad has limited community and financial support. Which of the following referrals should the nurse recommend including in the client's discharge plan? - Answer- A. Social worker (Social workers can assist clients with building a support structure to help promote and preserve mental health, including contacting day treatment centers and arranging for financial and other community resources.) A nurse is developing countertransference toward a client during the working phase of the nurse-client relationship. To correct the situation, which of the following actions should the nurse take? - Answer- D. identify personal response to the client. (Countertransference is an emotional response toward the client by the nurse. This response might be related to the nurse's past unresolved feelings or relationships. These feelings can interfere with the nurse-client therapeutic relationship. In order to correct the situation of countertransference, the nurse must recognize personal reactions to the client in an attempt to work through these feelings.) A nurse is collecting data from a client who has bipolar and a history of mania. Which of the following findings should the nurse identify as an indication that the client is relapsing? - Answer- B. Pressured speech (The nurse should identify that rapid or pressured speech, provocative behavior, and insomnia are indications of potential relapse in a client who has bipolar disorder and a history of mania.) History and Physical Subjective: Client states, "My stomach hurts."; "I feel sadder and more alone every day." Client's adult child stated to the nurse upon dropping the client off today, "I've been meaning to tell you, I started giving my dad St. John's wort several weeks ago to improve his mood." Objective: Episodes of speech incoherency, rapid mood swings, 3 episodes of vomiting in the past 40 min Moderate Alzheimer's disease. Provider Prescriptions Fluoxetine 20 mg PO daily Trazodone 50 mg PO daily at bedtime Omeprazole 20 mg PO daily Diagnostic Results Blood pressure 172/94 mm Hg Temperature 38.2° C (100.8° F) Pulse rate 110/min Respiratory rate 24/min A nurse is caring for a client in a day treatment program. Which of the following actions should the nurse take? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data) A. Request transport for the client to an emergency department. B. Place a hypothermia blanket on the client. (There is no indication that a hypothermia blanket is necessary for this client.) C. Discontinue the client's fluoxetine therapy immediately. (Fluoxetine should not be discontinued abruptly because this can cause the client to exhibit manifestations of withdrawal.) D. Implement droplet precautions for the client. (There is no indication for the implementation of droplet precautions for this client. Droplet precautions are used for clients who have diseases that are transmitted by large droplets that are expelled into the air.) - Answer- A. Request transport for the client to an emergency department. (The nurse should request transport for the client to the nearest emergency department because the client has manifestations of serotonin syndrome. Serotonin syndrome is a life-threatening syndrome and is caused by an over activation of the central serotonin receptors. This is related to interactions with taking an SSRI and trazodone along with St. John's wort. Manifestations of serotonin syndrome include hypertension, tachycardia, vomiting, abdominal pain, and mental status changes.) A nurse is preparing to administer clozapine for the first time to a client who has schizophrenia. The nurse explains the therapeutic and adverse effects of the medication to the client prior to administration. which of the following ethical concepts is the nurse demonstrating? A. Autonomy (Autonomy involves respecting the client's right to make their own decision. The nurse is currently providing information. The client has not made a decision yet about taking the medication.) B. Justice (Justice means distributing care or resources equally among clients or groups of clients. The nurse is currently caring for an individual client who requires information about a prescribed medication.) C. Veracity D. Confidentiality (Confidentiality means respecting the client's privacy regarding personal issues. The nurse should uphold this ethical principle when making decisions about sharing client information with others.) - Answer- C. Veracity (Veracity is the duty to tell the truth. The nurse should uphold this ethical principle when administering a new medication to a client by explaining the therapeutic effects as well as the adverse effects. This action promotes a trusting relationship between the nurse and the client, which enhances the nurse's primary commitment to the client of providing optimum, quality care.)...... [Show More]

Last updated: 2 years ago

Preview 1 out of 17 pages