A nurse is admitting a female client who has anorexia nervosa. Which of the following manifestations should the nurse
expect during the admission assessment?
Diarrhea
Constipation is a manifestation of anorexia nervos
...
A nurse is admitting a female client who has anorexia nervosa. Which of the following manifestations should the nurse
expect during the admission assessment?
Diarrhea
Constipation is a manifestation of anorexia nervosa. Decreased food and fluid intake cause constipation.
Heavy menstrual bleeding
Amenorrhea is a manifestation of anorexia nervosa. Low weight, decreased body fat, and poor nutrition cause
amenorrhea.
Tachycardia
Bradycardia is a manifestation of anorexia nervosa. Starvation and dehydration cause cardiovascular abnormalities,
including bradycardia.
Orthostatic hypotension
Low weight, electrolyte imbalances, starvation, and dehydration cause orthostatic hypotension.
Question: 2 of 60
A nurse is caring for four clients in an inpatient mental health facility. Which of the following clients can give informed
consent?
A 17-year-old client who lives with friends
Individuals younger than 18 years of age can only provide informed consent if they are married, pregnant, parents, or
emancipated.
A 50-year-old client who has a blood alcohol level of 0.08
A client who is intoxicated cannot legally give informed consent.
A 35-year-old client who has major depressive disorder
A client who has major depressive disorder is capable of making health care decisions unless the client is determined to
be legally incompetent.
A 65-year-old client who just received a dose of morphine
A client who has just received morphine, an opioid analgesic, is functionally incompetent due to the medication's effect
on the CNS.
Question: 3 of 60
A nurse is caring for a client who was admitted following an overdose of amitriptyline. The nurse should monitor the
client for which of the following adverse effects associated with this medication?
Loose stools
An overdose of amitriptyline can result in anticholinergic effects and the client is more likely to experience constipation
rather than loose stools.
Urinary retention
Urinary retention is an anticholinergic effect of amitriptyline. Therefore, the nurse should monitor for this as an adverse
effect.
Fever
Fever is not an adverse effect of an overdose of amitriptyline.
Dyspnea
Dyspnea is not an adverse effect of an overdose of amitriptyline.
Question: 4 of 60
A nurse who is working on a mental health unit should recognize that which of the following are indications for the use
of electroconvulsive therapy (ECT)? (Select all that apply.)
A client who is suicidal and in need of rapid treatment
A client who has recently been diagnosed with severe depression
A client who has bipolar disorder with rapid cycling
A client who has mania and has not responded to medication therapy
A client whose depression is secondary to situational difficulties
A client who is suicidal and in need of rapid treatment is correct. ECT can be used when there is a need for a rapid,
definitive response for a client who is suicidal.
A client who has recently been diagnosed with severe depression is incorrect. ECT is not an appropriate first-line
treatment for a client with a recent diagnosis of depression.
A client who has bipolar disorder with rapid cycling is correct. ECT works best for a client who has bipolar disorder
with rapid cycling.
A client who has mania and has not responded to medication therapy is correct. ECT is indicated for clients who
have mania and have not responded to medication therapy.
A client whose depression is secondary to situational difficulties is incorrect. ECT is not effective for clients whose
depression stems from situational or social problems.
Question: 5 of 60
A nurse is teaching coping strategies to a client who is expe
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