MENTAL HEALTH EXAM 2 VERSION 1

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MENTAL HEALTH EXAM 2 VERSION 1 A nurse working in an outpatient clinic believes the client has been non-compliant with the prescribed medication regime, when assessing the client's mood, the resp ... onse is better but letter, post office, doctors' office, shrink and sink, pick, the nurse recognizes. which of the following symptoms. ANSWER Clanging A client has received a new prescription for quetiapine (Seroquel). Which statement by the client reflects an understanding of this teaching? ANSWER My weight will be closely monitored while taking this medication. Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective? ANSWER "Converses with few interruptions; clothing matches; participates in activities." A nurse is providing education to a client recently prescribed buspirone. Which of the following statement by the client indicates further education is needed. ANSWER This medication will be effective by next week A client with past traumatic experiences uses sublimation. Which of the following would demonstrate sublimation. ANSWER The client speaks at high school about her story When educating a client and his family about taking a selective serotonin reuptake inhibitor (SSRI). Which statement from the family shows an understanding of a priority for client education? ANSWER If he talks about wanting to hurt himself, we will call the doctor. A client diagnosed with nyctophobia has recently started systematic desensitization therapy. The nurse understands this therapy will help the client through which of the following techniques. ANSWER The client will gradually be exposed to the situation until they do not experience panic level anxiety A client is diagnosed with major depressive disorder (MDD) takes propranolol/Inderal for hypertension and imipramine/tetralin for depression... the side effects of these drugs. what would be an essential teaching by the nurse? ANSWER Rise slowly when you change from lying to sitting to standing A client with schizophrenia is about to start medication therapy with clozapine (Clozaril). Which of the following would be most important for the nurse to do? ANSWER Obtain a baseline white blood cell count A client diagnosed with major depressive disorder is considering cognitive behavioral therapy. The client asks the nurse how the therapy would help alleviate depressive thoughts, what is the best response by the nurse? ANSWER This therapy will help learn to think more positively, and thereby reduce depressive thoughts and symptoms Which of the following is most important to teach a client with a new prescription for lithium? ANSWER Speak to your provider if you have nausea, vomiting, or become dehydrated The nurse is providing health teaching for a client who has been prescribed phenelzine/ Nardil for depression and provided education about the types of food to avoid. Which statement by clients indicates the need for further education? ANSWER If I eat food with tyramine. It could cause severe hypertension A nurse is assessing a client who has schizophrenia and has been treated with a first-generation antipsychotic. Which of the following findings should the nurse document as manifestation of tardive dyskinesia ANSWER Constant tapping of feet when sitting A nurse is caring for a client who has been rejecting personal hygiene, observes an improvement in the client, wearing clean clothes, with combed and styled hair. Which of the following is the most therapeutic responses by the nurse? ANSWER I see you have done some grooming today which individual of the following should be considered at highest risk for completing suicide? ANSWER A 79-year-old single white male with cancer of the prostate Which of the following is a therapeutic communication strategy to use when working with a client who has auditory hallucinations? ANSWER Asking the client to describe his hallucination. A client has mass in the left upper lobe and a biopsy is scheduled today. As the nurse explain the procedure, the client does not respond asked question and cannot focus on the current situation. The client is shaking and appear immobile. The nurse recognizes the client is experiencing which level of anxiety? ANSWER Panic A client is admitted with general disorder (GAD) becomes increasingly confused and agitated over 3 hours. What is the priority nurse action by the nurse. ANSWER Decrease the stimulus and continue to monitor The nurse is caring for a patient who experiences orthostatic hypotension related to taking chlorpromazine. The nurse should suggest which of the following interventions for managing this side effect? ANSWER Sit on the side of the bed before standing up A patient with depression is receiving imipramine (Tofranil) 200 mg every night at bedtime. Which assessment finding would prompt the nurse to collaborate with the health care provider regarding potentially hazardous side effects of this drug? ANSWER Urinary retention A nur [Show More]

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