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restlessness, irritability, nail biting, and fidgeting.

answer

Clinical findings of mild anxiety can include

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Clinical findings of moderate anxiety can include tension, palpitation, increased heart rate, and diaphoresis

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Clinical findings of moderate anxiety

question

Foods containing tyramine can interact with tranylcypromine, an MAOI, which can lead to hypertensive crisis. CHICKEN IS GOOD THIS IS THE MAOI

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client receiving tranylcypromine what foods hould be avoided?

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anticholinergic

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Imipramine, a tricyclic antidepressant, has what general effects?

question

... constricted pupils, and a decreased blood pressure.

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Clients who have heroin intoxication typically have what pupils and what blood pressure?

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Clinical findings of pseudoparkinsonism such as shuffling gait may occur 5 hr to 30 days after beginning treatment. The client should notify the provider who might prescribe an antiparkinsonism agent.

answer

halperidol side efefct?

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When a client has difficulty carrying on normal activities following a loss, it is an indication that there is a risk for complicated grief. *LYNN*

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what it is an indication that there is a risk for complicated grief.

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sdf

answer

review notes on nurse client relationship

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The greatest risk is injury to the client, staff, and others; therefore, creating a large, personal space between the nurse and the client to ensure safety for the nurse and the client is the priority intervention.

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A nurse is developing a plan of care for a client who exhibits anger, aggression, and violent behavior on the unit. The priority nursing intervention is to

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NO...they will have ILLUSIONS OF HALLUCINATIONS!

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do PTSD have delusions?

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YES

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do PTDS have difficulty concentrating

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A child who has oppositional defiant disorder is more likely to demonstrate hostile behavior.

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A child who has oppositional defiant disorder is more likely to demonstrate hostile behavior.

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A child who has Tourette's disorder is more likely to demonstrate motor and verbal tics.

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A child who has Tourette's disorder is more likely to demonstrate motor and verbal tics.

question

This intervention decreases environmental stimuli, which should reduce the client's agitation. It also allows the nurse to develop a therapeutic relationship with the client and make the client feel safe.

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A nurse is admitting a client to an inpatient unit who is in the acute stages of schizophrenia. The nurse observes the following findings: restlessness, pacing with clenched fists, eyes darting to one side, and muttering. Which of the following interventions should the nurse initiate?

question

The client experiences a maturational crisis during a natural life event.

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The client's youngest son leaves for college.

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A nurse is planning a teaching session regarding the code of ethics for registered nurses. Which of the following should the nurse include in the teaching?

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Communication, which is privileged, protects professional staff from divulging communication between clients and professional staff, not between nurses.

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A client who has just received morphine, an opioid analgesic, is functionally incompetent due to the effect on the CNS.

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A nurse is caring for four clients in an inpatient mental health facility. Which of the following clients can give informed consent?

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The client demonstrates conversion if she unconsciously converted her anxiety into physical symptoms.

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conversion defense mech

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The client is suppressing her feelings about dealing with having a chronic illness when she consciously denies her current health status.

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supression defense mech

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The client demonstrates displacement if she transferred her feelings about her illness to another less threatening situation.

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displacement defense?

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The client demonstrates reaction formation if she demonstrated the opposite behavior of what she is really feeling.

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reaction formation defense mechanism

question

40/min

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Criteria for hospitalization is a heart rate less than

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Substance use increases the likelihood of family violence. The use of alcohol by this client's adult son places this client at greatest risk for abuse.

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A nurse is performing an assessment on a 78-year-old client who has injuries consistent with suspected abuse. Which of the following statements indicates the greatest potential risk factor for abuse?

question

The nurse should administer chlordiazepoxide for acute alcohol withdrawal to prevent withdrawal symptoms. AKA librium

answer

Chlordiazepoxide

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The nurse should administer naltrexone after alcohol detoxification to assist the client to maintain abstinence. AKA REVIA

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naltrexone

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The nurse should administer disulfiram after alcohol detoxification to assist the client to maintain abstinence. AKA antabuse

answer

disulfiram

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The nurse should monitor for decreased episodes of pressured speech, insomnia, grandiose thoughts and hyperactivity for a client who has mania and is taking valproic acid.

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A nurse is caring for a client in a mental health facility who has recently started a new prescription for valproic acid. For which of the following should the nurse monitor to determine effectiveness of the medication?

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Tell the client to calm down or he will be dismissed from the session. It is important for the nurse to provide clear expectations and set limits for the client; therefore, this is an appropriate action for the nurse to take.

answer

A nurse is conducting a group therapy session for clients who have bipolar disorder. One of the clients begins bragging and dominating the conversation. Which of the following actions should the nurse take?

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Alcoholics Anonymous promotes taking responsibility for recovery rather than the addiction.

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Alcoholics Anonymous promotes taking ___ for recovery

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A technique that replaces negative thoughts with positive self-statements is the correct use of cognitive reframing and will reduce the client's anxiety.

answer

cognitive reframing

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Anhedonia is correct. The nurse should document the inability to experience pleasure as a clinical manifestation of major depressive disorde

answer

Anhedonia

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Provide frequent high-calorie snacks. The priority action the nurse should take when using Maslow's Hierarchy of Needs is to meet the client's need for adequate nutrition; therefore, providing high-calorie snacks is the priority action.v

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A nurse is planning care for a newly admitted client who has bipolar disorder. Which of the following is the priority action by the nurse?

question

df

answer

review what serotonin syndrome is

question

Remove unnecessary equipment from the child's surroundings. The greatest risk to the child who has ADHD is injury from impulsive behavior and the decreased ability to perceive self-harm; therefore, the priority intervention is to remove unnecessary equipment from the child's surroundings.

answer

A nurse is planning care for a preschool-age child who has ADHD. Which of the following interventions is the highest priority

question

Permit the client daily rituals to decrease anxiety. Allowing clients who have delirium to practice daily rituals will decrease frustration and anxiety.

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A nurse is planning care for an older adult client who is experiencing delirium. Which of the following interventions will meet the needs of this client?

question

what dysthymic disorder is

answer

look up

question

patients

answer

review delirium

question

Provide assistance with ambulation A client who has Korsakoff's syndrome has a secondary dementia caused by a thiamine deficiency, often caused by long-term alcohol use. Safety precautions are necessary to protect the client from injury. remember care plan patient K IS NON REVERSIBLE weirnickes is reversible

answer

A nurse is admitting a client who has a history of alcohol use and a new diagnosis of Korsakoff's syndrome. Which of the following should the nurse include in the client's plan of care?

question

Stiff and stooped posture is a manifestation of pseudoparkinsonism, which is an extrapyramidal side effect of haloperidol that can be treated with benztropine.

answer

A nurse is caring for a client who has paranoid schizophrenia, has been physically violent toward others and received several as needed doses of haloperidol IM. The nurse is preparing to administer benztropine to treat which of the following adverse effects of haloperidol?

question

mbnm

answer

t3 and t4 level norma

question

?The nurse should expect the client who has acute pancreatitis to have decreased, and possibly absent, bowel sounds due to the risk for paralytic ileus.

answer

bowel sounds for pancreatitis

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Clients receiving end-of-life care prefer that discussions of spirituality occur in ordinary conversation.

answer

bn

question

nstruct the client to avoid driving during initial therapy. The greatest risk to this client is injury resulting from drowsiness or dizziness; therefore, the nurse's priority intervention is to instruct the client to avoid activities that require mental alertness during initial medication therapy.

answer

A nurse in a mental health clinic is planning care for a client who has a new prescription for olanzapine. Which of the following interventions is the highest priority?

question

"This medication may cause an elevated blood sugar." "Menstrual irregularities may occur while taking this medication." "You may experience dizziness while taking this medication."

answer

teachings for risperdol?

question

s and m

answer

masochism

question

feelings of uselessness "I'm not going to the reunion because no one asked me to help plan it."

answer

early finding of depression in older adults?

question

antianxiety...DIFFERENT from buproprion which is the wellbutrin,zyban for depression. the former increases with grapefruit

answer

busprione (buspar)

question

Obtain a no-suicide contract is incorrect. The nurse should obtain a no-suicide contract when the client is no longer angry and when the nurse has developed a rapport with the client. The no-suicide contract is beneficial by assisting the client to explore alternative solutions for his problems, but does not negate the necessity for other suicide precautions.

answer

when should a no suicide contract be signed?

question

sdf

answer

looks up the satges of grief realted to dying

question

Wear sunglasses when outdoors. Light therapy, or phototherapy, can cause eye strain and sensitivity to light.

answer

light therapy causes what sensitivity?

question

The nurse should use yes-or-no and simple response questions if the older adult client becomes anxious or fatigued during the interview.

answer

what kind of qustions for the older adult interview?

question

uninterrupted rest

answer

alcohol withdrawal means you need

question

The nurse recommends instructing the child to return the environment to its original state when using simple restitution as a behavioral management technique.

answer

simple restituition?

NOTES FROM PRACTICE TESTS…review – Flashcards

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