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Learning system, Mental Health final

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A nurse is caring for a client who has been diagnosed with antisocial personality disorder. Which of the following client behaviors should indicate to the nurse that he is making progress with treatment
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Assisting another client to complete a menu, requesting a weekend pass to go home
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A client is in counseling for generalized anxiety and is prescribed buspirone (BuSpar) to control extreme restlessness and irritability. During client teaching about the medication, the nurse should inform the client that the most common side effect of BuSpar is
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Drowsiness
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A nurse is caring for a client who has been taking lithium (Lithane) for the past 6 months. The clients provider determines that the client is no longer responding well to the medication. After discontinuing the lithium, the provider prescribes valporic acid (Depakote). What instructions should the nurse give the client regarding vampiric acid
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Liver function and hematology must be monitored regularly
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A depressed clie nt tells the nurse \”I am too tired and depressed to attend group therapy today\”. How should the nurse respond to the client
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Attending group therapy, even if you’re tired, may help your depression
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A nurse is caring for a client who is prescribed methadone (dolophine). The nurse should recognize that methadone maintenance can be effective drug replacement for individuals addicted to which of the following
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Opiates
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An elderly client with alzheimers disease has begin to strike out at staff members when they try to assist the client to bed at night. In addition, the staff members report that the client is awake and restless most of the night After frusta assessment, the nurse decides to contact the provider for a medication order. Which of the following medications should the nurse anticipate that the provider will prescribe
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Haloperidol (Haldol) at bed time- can be ativan, ask instructor
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A nurse is caring for a client admitted for alcohol detoxification. Which of the following medications is commonly used to manage alcohol withdrawal
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Antianxiety agents
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A client has been admitted to the emergency department following rape. The nurse expects that the client may manifest symptoms of post traumatic stress disorder. The nurse should be aware that this syndrome can best be described as which of the following
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Re-experiencing the fear and hopelessness of the original trauma
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A home care nurse is speaking to a church on the diagnosis and treatment of Alzheimers disease. The nurse should conclude that a member of the group requires further teaching when she states that Alzheimers disease is characterized by which of the following
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Acute confusion and inattention
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A nurse is required to report any suspected child abuse. Which of the following is the most important observation that a nurse can use as justification for reporting suspected abuse
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There is inconsistency between the history and the injury
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An older adult client is admitted to the hospital for diagnostic confirmation and management of probable delirium. Which of the following statements by the clients son would best support the diagnosis of delirium
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The change in behavior came on so quickly! I wasn’t sure what was happening to her
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A nurse is caring for an elderly client in an inpatient mental health facility. The nurse should understand which of the following with regard to this clients antidepressant medication
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Elderly clients require lower doses of antidepressants than younger clients
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A client is transferred to a psychiatric unit from the emergency department, where she was treated for self-inflicted injuries. Which of the following is the highest priority when planning care for this client
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Promoting and maintaining client safety
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Initially, a nurse should expect a client to react to a diagnosis of cancer with
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denial
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A nurse has an order to administer donepezil (Aricept) daily to a client with early Alzheimers disease. The nurse should understand that this drug should be administered
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At bedtime
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A nurse is interviewing an elderly client who may have been abused by her neighbor, who provides much of the clients care. The nurses interview questions should
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Be nonthreatening and nonjudgemental
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The nurse is admitting a client to the outpatient department for a second series of electroconvulsive therapy treatments (ECT). The nurse should give immediate consideration to which of the following statements by the client
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I only ate a light breakfast this morning
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Several teenagers bring an unconscious friend to the emergency room and tell the nurse that the client \”uses drugs, but we don’t know what this time.\” When assessing the clients eyes, the nurse should suspect a cocaine overdose when she observes which of the following
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Dilated pupils
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A nurse is caring for a hospitalized client. The client is exhibiting antisocial behavior. Which of the following is a therapeutic treatment approach
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Participation is group therapy
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A male client is admitted to the psychiatric hospital under court order with a diagnosis of antisocial personality disorder. The client had been arrested for stealing a car and then pushing it over a cliff. Which of the following behaviors should the nurse expect the client to display
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Little responsibility or concern for his current situation
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A nurse should understand that the best justification for involuntary admission of a client for psychiatric treatment is which of the following
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The client exhibits behavior that is a threat to either himself or others
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A client who has Alzheimers disease becomes agitated and combative when the nurse approaches her for morning care. Which of the following is an appropriate nursing action
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Remain calm and talk quietly to the client
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A nurse should know that an appropriate short term goal for a client exhibiting manic behaviors which of the following
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Painting alone for 15 minutes
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After a depressed client is discharged, the clients spouse stops attending family counseling sessions. The spouse tells the nurse, \”I don’t have time for all the talking.\” Which of the following is a therapeutic response by the nurse
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It must be difficult for you to talk about these family problems
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A client who was admitted yesterday for alcoholism tells the nurse, \”I have not had anything to drink for 24 hours.\” The client reports feeling anxious and shaky. Based on knowledge of alcohol withdrawal, that other behaviors should the nurse expect the client to display during the early phase of alcohol withdrawal
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Coarse tremors, tachycardia, insomnia
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A nurse should expect a prescription for which of the following to manage a client withdrawal from alcohol
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Chlordiazepoxide (Librium)
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A nurse should recognize that which of the following is a typical characteristic of clients with anorexia nervosa
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Relentless exercise
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A nurse in an out ptient mental health clinic is caring for a client diagnosed with antisocial personality disorder. which of the following is the most appropriate nursing intervention for this client
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Set limits on the inappropriate behavior
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A nurse should understand that which of the following medication say be safely prescribed for a client already taking Lithium (Lithane)
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Valporic acid (Depakene)
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An unconscious client is brought to the emergency room due to a heroin overdose. After regaining consciousness, the client is transferred to the substance eabuse treatment unit. Which of the following should the nurse anticipate early in the withdrawal process
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Restlessness and irritability
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A nurse is caring for a client who was admitted recently with a diagnosis of schizophrenia, paranoid type. Since admission, the client has had several verbal outbursts of anger but has not been violent. The nurse notices that the client is pacing up and down the hall very rapidly and muttering in an angry manner. Which of the following should the nurse do first Observe the clients behavior, and approach him in a nonthreatening manner
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Observe the clients behavior, and approach him in a nonthreatening manner
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A nurse is caring for a client with agoraphobia. Which of the following techniques should the nurse recognize as the most effective technique of agoraphobia
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Gradual desensitization by controlled exposure to the situation the clients fears
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A nurse is caring for a client who is in the early stages of Alzheimers disease. The nurse should understand that the client is capable of performing which of the following tasks
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Recalling events of the distant past
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A client is admitted with a history of extremely elevated, irritable mood for a week. On assessment the nurse notes grandiosity, insomnia, flight of ideas, and psychomotor agitation. Which of the following is the priority short term goal for the client
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Adequate nutrition and rest patterns
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An unconscious client is brought to the emergency room by two friends who report that the client took an overdose of heroin. The narcotic antagonist, naloxone (Narcan), is administered. After administering the medication, the nurse should monitor the client closely for which of the following
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Respiratory depression
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A client tells the nurse that the television set in the room is really a two way radio and states that,, \”voices are coming from the tv, and everything we say in this room is being recorded.\” Which of the following is an appropriate nursing response
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That must be very frightening
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A provider admits a client to an eating disorder program. The admitting nurse learns that the client has lost 25 pounds over the past month and now weighs 85 pounds. When assessing the client, the nurse should observe for which of the following as an early manifestations of anorexia nervosa
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Amenorrhea
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A nurse is administering a benzodiazepine antianxiety medication. Which of the following is the most common side effect of benzodiazepines
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Sedation
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A nurse is caring for a client who is diagnosed with antisocial personality disorder. The nurse should understand that which of the following manifestations is inconsistent with this diagnosis
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Intense guilt
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A nurse in an acute care mental health facility is caring for a client newly diagnosed with antisocial personality disorder. Which of the following actions should the nurse plan to include in the clients care
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Setting clear rules and expectations for the clients behaviors
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Which of the following should a nurse observe in a client exhibiting impulsive behaviors
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Low tolerance for frustration
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A nurse is providing teaching to a client who is taking disulfiram (Antabuse) for the management of alcohol dependence. Which of the following should the nurse encourage the client to avoid
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vanilla extract
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A nurse is caring for a client diagnosed with Wernicke Korsakoff syndrome. Which of the following should the nurse expect the client to exhibit
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Short term memory loss and disorientation
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The nursing staff decides to develop a behavior medification program to help a young anorexic client gain weight. Which of the following interventions is contraindicated for this client
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Permitting the client to spend some quiet time alone after each meal
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A nurse is caring for a hospitalized client who is experiencing an acute manic episode. Which of the following is the priority nursing intervention
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Protect the client from impulsive behavior
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During the assessment of a newly admitted client, a nurse learns of the clients long term use and dependence on lorzapam (Ativan). Which of the following nursing actions is appropriate for this client
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Taper the medication gradually
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A client on the psychiatric unit is unresponsive or mumbles incoherently whiner the nurse asks the client questions. Which of the following actions will facilitate communications
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Continuing to speak with the client using short, clear statements or open ended questions
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A nurse should question an order if a provider has prescribed a benzodiazepine for a client for the treatment of which of the following
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Chronic pain syndrome
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The nurse is providing family teaching about the medication donepzil (Aricept) in the treatment of alzheimers disease. Which of the following is an accurate statement about Aricept
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Aricept prolongs the time and functioning of the earlier stages of the disease
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A nurse on a surgical unit is providing postoperative care to an older adult client. The client has begun having periods of agitation at night that includes screaming out loudly for help. Which of the following nursing intervention should be avoided
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Request an order for a sedative medication
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An unconscious client is brought to the emergency room due to a heroin overdose. After regaining consciousness, the client is transferred to the substance abuse treatment unit. Which of the following findings should the nurse identify as a manifestation of opioid withdrawal?
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Rhinorrhea