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A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant conditioning. which of the following client behaviors indicates effectiveness of the therapy - - correct ans- Refrains from manipulating others to earn dining room privileges (goal of operant conditioning is to provide positive reinforcement in return for a desired behavior. Refraining from manipulative behavior is a desired response. A nurse is caring for a client who has schizophrenia and began taking a conventional antipsychotic medication yesterday. Which of the following findings indicates the nurse should administer benztropine 2 mg IM? - - correct ans- Shuffling gait (benztropine is used to treat Parkinsonism manifestations such as shuffling gait A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing mania. Which of following is the priority action by the nurse? - - correct ans- Provide frequent high-calorie snacksanhe A nurse is planning care for a client who is experiencing acute mania. Which of the following interventions should the nurse include in the plan to promote sleep? - - correct ans- Encourage frequent rest periods throughout the day. A nurse is caring for a group of clients. Which of the following findings should the nurse report? - correct ans- A client who is taking lamotrigine and has developed a rash. (Anticonvulsant med that is used as a mood stabilizer. Rash is a potentially life threatening adverse effect of the med A nurse is caring for a client whose child has a terminal illness. The client requests information about how to deal with the upcoming loss. Which of the following statements should the nurse make? - - correct ans- It is not uncommon to feel angry toward yourself or others
A nurse is caring for a client who has borderline personality disorder. Which of the following goals is the priority when planning care for this client? - - correct ans- The client will refrain from self-mutilation. Greatest risk to the client is injury to self and others A nurse is planning care for a 7 y/o child who has ADHD. Which of the following interventions should the nurse identify as the priority? - - correct ans- Remove unnecessary equipment from the child's surroundings A nurse ina mental health clinic is caring for a client who has bipolar disorder and reports that they stopped taking lithium 2 weeks ago. The nurse should recognize which of the following as an expected adverse effect that might have caused the client to stop taking the medication - correct ans- Hand tremors A nurse is establishing a therapeutic relationship with a client who has antisocial personality disorder. Which of the following strategies should the nurse use when communicating with this client - - correct ans- Set realistic limits on the client's behavior A nurse is communicating with a client in an inpatient mental health facility. Which of the following actions by the nurse demonstrates the use of active listening - - correct ans- Attention to body language R: active listening involves identifying verbal and nonverbal communication A nurse is caring for an older adult client who has dementia and has wandered into the day room looking for their deceased partner. Which of the following actions should the nurse take? - correct ans- talk with the client about activities they enjoyed with their partner A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as a negative symptom of this disorder - - correct ans- Anhedonia A nurse in a community health center is working with a group of clients who have PTSD. Which of the following interventions should the nurse include to reduce anxiety among the group members - - correct ans- Guided imagery
A nurse is planning discharge teaching for a client who has severe schizoaffective disorder. The nurse should identify that which of the following treatment options can offer interdiscplinary services for the client at home? - - correct ans- Assertive community treatment A nurse is assessing a client who has major depressive disorder and has been receiving amitriptyline for 1 week. Which of the following outcomes should the nurse expect? - - correct ans- Greater risk of attempting suicide as affect and energy improve. A nurse is reviewing the medication administration record for a client who is experiencing adverse effects of chlorpromazine. The nurse should administer benztropine to relieve which of the following adverse effects? - - correct ans- Acute dystopia (anticholinergic agent to relieve acute dystopia: an extrapyramidal adverse effect of chlorpromazine) A nurse is planning overall strategies to address problems for a client who has a borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate into the plan of care? a. discuss the appropriate use of assertive behavior with the client b. encourage the client to attend weekly support group meetings c. assist the client to maintain awareness of her thoughts and feelings d. implement measures to prevent intentional self-inflicted injury - - correct ans- d. implement measures to prevent intentional self-inflicted injury A nurse is admitting a client who has a generalized anxiety disorder. Which of the following actions should the nurse plan to take first? a. Provide the client with a quiet environment b. Determine how the client handles stress. c. Teach the client to use guided imagery. d. Ask the client to identify her strengths - - correct ans- a. Provide the client with a quiet environment
A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following should the nurse report to the provider? a. States that he hasn't bathed in 2 days b. Reports eating twice in the past two weeks. c. Makes inappropriate sexual comments. d. Speaks in rhyming sentences. - - correct ans- b. Reports eating twice in the past two weeks. A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the following recommendation should the nurse include in the client's plan of care? a. Validation therapy b. Thought stopping c. Operant conditioning d. Reality orientation therapy - - correct ans- b. Thought stopping A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take? a. Encourage the client to join group activities b. Dim the lights in the client's room c. Provide detailed explanations to the client d. Administer methylphenidate - - correct ans- b. Dim the lights in the client's room A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first?
a. b. c. d. A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan care? Meets own needs without manipulating others. Initiates social interactions with caregivers. Changes behavior as a result of peer pressure. Acknowledges his delusions are not real. - - correct ans- b. Initiates social interactions with caregivers. A nurse is providing behavior therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique? a. Snap a rubber band on your wrist when you think about checking the locks. b. Ask a family member to check the locks for you at night. c. Focus on abdominal breathing whenever you go to check the locks. d. Keep a journal of how often you check the locks each night. - - correct ans- a. Snap a rubber band on your wrist when you think about checking the locks. A nurse is caring for a client who is starting treatment for substance use disorder. Which of the following actions indicates the nurse is practicing the ethical principle of nonmaleficence? a. Provide the client with quality care regardless of their ability to pay for treatment. b. Educating the client about legal rights concerning treatment. c. Withholding the prescribed medication that is causing adverse effects for the client.
a. b. c. d. d. Being truthful with the client about the manifestations of withdrawal. - - correct ans- c. Withholding the prescribed medication that is causing adverse effects for the client. A nurse in a group home facility is caring for a client who is developmentally disabled. The client has been stealing belongings from other clients. Which of the following techniques should the nurse use? Crisis intervention to decrease anxiety. Aversion therapy to provide distraction Positive reinforcement to increase desired behavior. Systematic desensitization to extinguish the behavior. - - correct ans- c. Positive reinforcement to increase desired behavior. A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? a. Ask the client to discuss precipitating events b. Speaks to the client in a high-pitched voice. c. Place the client in seclusion d. Have the client breathe into a paper bag. - - correct ans- d. Have the client breathe into a paper bag. The nurse is caring for a client following a physical assault. The client states "I don't remember what happened to me." The nurse should recognize that the client is using which of the following defense mechanisms?
b. BUN 21 mg dL c. Lanugo covering the body d. Blood pH 7.60 - - correct ans- d. Blood pH 7. A nurse is caring for a client in a mental health facility. The client is agitated and threatens to harm herself and others. Which of the following is the priority intervention? a. Place the client in restraints b. Administer an anti-anxiety medication to the client c. Put the client in seclusion d. Set limits on the client's behavior - - correct ans- d. Set limits on the client's behavior Dosage Calculation: A nurse is preparing to administer Haloperidol 7mg IM to a client who is severely agitated. Available is Haloperidol injection 5mg/mL. How many mL should the nurse administer? - - correct ans- 1.4 mL
- A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the healthcare team. Which of the following actions should the nurse take? a. Ask the clients family to encourage the client to receive ECT b. Inform the client that ECT does not require a consent. c. Document the client's refusal of the treatment in the medical record. d. Tell the client he cannot refuse the treatment because he was involuntarily committed. - - correct ans- c. Document the client's refusal of the treatment in the medical record.
a. b. c. d. A nurse in the emergency department is caring for a client who reports feeling sad, worthless, and hopeless 9 months after the death of her son. Which of the following actions should the nurse take first? a. Request a mental health consult for the client. b. Ask the client if she has thought about harming herself. c. Encourage the client to attend a grief support group. d. Discuss the clients coping skills. - - correct ans- c. Encourage the client to attend a grief support group. A nurse is caring for a client who has borderline personality disorder and has been engaging in self- mutilation. The nurse should encourage the client to participate in which of the following groups. a. Dual diagnosis treatment group b. Dialectical Behavior treatment group c. Desensitization therapy - - correct ans- b. Dialectical Behavior treatment group The nurse is reviewing the medication administration record of a client who has schizophrenia. The nurse should plan to initiate the Abnormal Involuntary Movement Scale to monitor for adverse effects of which of the following medications.? a. Amantadine b. Diphenhydramine c. Benztropine d. Haloperidol - - correct ans- d. Haloperidol
a. b. c. d. A nurse is creating a plan of care for a client who has a major depressive disorder. Which of the following interventions should the nurse include in the plan?
a. b. c. d. Encourage physical activity for the client during the day Discourage the client from expressing feelings of anger Keep a bright light on in the client's room at night. Identify and schedule alternative group activities for the client. - - correct ans- a. Encourage physical activity for the client during the day A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role as the monopolizer? a. The mother who expresses hostility toward her spouse. b. The adolescent son who refuses to share personal feelings. c. The father who intervenes whenever the siblings argue. d. The adolescent daughter who attempts to dominate the conversation. - - correct ans- d. The adolescent daughter who attempts to dominate the conversation. A nurse is developing a teaching plan for the family of an older adult client who is to receive transcranial magnetic stimulation. Which of the following information should the nurse include in the teaching plan? a. The client might have a headache after treatment. b. The client will experience seizure during treatment. c. The client will require intubation after treatment. d. The client is at risk for aspiration during treatment. - - correct ans- a. The client might have a headache after treatment.
b. Gender c. Depression d. Birth order - - correct ans- d. Birth order A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching? a. The client exhibits an inflated sense of self b. The client develops an inability to concentrate c. The client increases participation in social activities d. The client begins sleeping more than usual - - correct ans- b. The client develops an inability to concentrate A nurse is assessing a client who is restless and constantly mutters to himself. Which of the following findings should lead the nurse to suspect delirium? a. The client is unable to recognize objects. b. The client manifestations developed suddenly c. The client has a flat affect d. The client's speech is slow and repetitious - - correct ans- b. The client manifestations developed suddenly A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make? a. " You know that's not true, because it is against the law for others to read your mail" b. "All of your letters come sealed, so that seems unlikely"
a. b. c. d. c. "It must be frightened to think that someone is reading your mail" d. "why do you think the government wants to read your mail?" - - correct ans- c. "It must be frightened to think that someone is reading your mail"
a. A community meeting b. A medication group c. A self-help meeting d. A symptom-management group - - correct ans- a. A community meeting A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take? a. Request that the client's guardian sign the consent b. Ask the charge nurse to obtain informed consent c. Contact the facility social worker to obtain the consent d. Explain implied consent to the client's family - - correct ans- a. Request that the client's guardian sign the consent A nurse is caring for a client who has cocaine use disorder. Which of the following manifestations should the nurse expect the client to have during withdrawal? a. Hand tremors b. Rapid speech c. Fatigue d. Seizures - - correct ans- c. Fatigue A nurse is providing teaching about disorder management for a client who has posttraumatic stress disorder (PTSD). Which of the following statements should the nurse include in the teaching? a. "Avoiding stimuli that trigger memories of the trauma can help you overcome your PTSD" b. "Talking about the traumatic experience is recommended"
c. "Response prevention is an effective treatment for PTSD" d. "You should try to limit the number of hours that you sleep each day" - - correct ans- b. "Talking about the traumatic experience is recommended" A nurse is assessing a client who has bipolar disorder and is taking lamtropine. Which of the following findings is the nurse's priority? a. Thyroid-stimulating hormone (TSH) 4.0 microunits per mL b. Alanine transaminase (ALT) 20 IU per L c. Skin rash d. Epistaxis - - correct ans- c. Skin rash A nurse is caring for a client who has schizophrenia and displays severe negative symptoms of the disorder. Which of the following actions should the nurse take? a. Manage the client's loud, rambling, and incoherent communication patterns b. Direct the client to perform her own daily hygiene and grooming tasks c. Assist the client to identify somatic and thought-broadcasting delusions d. Use medication to decrease frequency of auditory and visual hallucination. - - correct ans- b. Direct the client to perform her own daily hygiene and grooming tasks A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase? a. Inform the client about confidentiality rights
