The nurse is collecting data from a client who has a major…

1. The nurse is collecting data from a client who has a major depressive disorder and a new prescription for bupropion. which of the following findings should the nurse identify as a contraindication for this medication?
2. The client has asthma.
3. The client has a seizure disorder.
4. The client smokes two packs of cigarettes per day.
5. The client has an allergy to peanuts.

 

2.  A nurse in a mental health facility is caring for a client who reports suicidal thoughts. Which of the following actions should the nurse take?

1. Ask the client to sign a no-harm contract
2. Close the client’s door when leaving the room.
3. Check the client’s mood every hour.
4. Assign the client to a private room.

 

3.   A nurse is collecting data from an adult client in an outpatient mental health clinic. The nurse should identify which of the following events as a potential cause of maturational crisis.

1. Divorce
2. Motor-vehicle crash
3. A child leaving for college
4. Loss of job

 

4. A nurse at a mental health clinic is caring for an adolescent client who has posttraumatic stress disorder following a violent episode with a stranger.  Which of the following actions should the nurse take?

1. Direct the client to use regression to cope with the stress caused by flashbacks.
2. Encourage the client to use guided imagery to decrease anxiety.
3. Ask the client’s guardians to go to another room during counseling sessions.
4. Instruct the client to avoid expressions of anger and fear relate to the episode.

 

1. A nurse is reviewing the laboratory results for a client who has been taking lithium for 6 months. Which of the following actions should the nurse take if the client’s lithium value is 1.0 mEq/L?
2. Suggest to the provider that the medication be increased.
3. Administer the medication.
4. Withhold the medication.
5. Suggest to the provider that the medication be decreased.

 

5. A nurse is caring for a client who has an opioid use disorder. The nurse should anticipate that the provider will prescribe which of the following medications for treatment?

1. Chlordiazepoxide
2. Buprenorphine
3. Diazepam
4. phenobarbital

 

 

 

6. a nurse is assisting with a community health education and support service for individuals who have lost loved ones to suicide. Which of the following actions should the nurse take when caring for these individuals?

1. Wait until the individual talks about their decrease loved one before mentioning their name.
2. Recommended that the individual wait at least 3 months before joining a support group.
3. Ask open-ended questions when talking to the individual about their grief.
4. Refer to the deceased person as the client, not the individual.

 

 

 

7.  A nurse is reviewing the medical record of a client who has schizophrenia. Which if the following findings should the nurse report to the provider? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)

1. Blood pressure
2. Temperature
3. WBC count
4. Blood glucose level

 

8. A nurse is caring for a client who has major depression disorder and tells the nurse, although they are feeling better, their future still looks bleak. Which of the following interventions is the nurse’s priority?

1. Spend scheduled periods with the client during the day.
2. Determine if the client has any plans to harm themselves.
3. Use open-ended questions to encourage the client to express their feelings.
4. Assist the client to evaluate positive and negative life experiences.

 

9. A nurse is reinforcing teaching with a client who is experiencing acute mania and has a prescription for lithium. Which of the following information should the nurse include?

1. “Avoid using diuretics.”
2. “Eat a low-sodium diet.”
3. “Take lithium 2 hours before eating.”
4. Restrict your fluid intake to 1,400 milliliters per day day.

 

10. A nurse is collecting data from a client from a client who has been admitted with manifestations of paranoia. Which of the following should the nurse identify as a risk factor for schizophrenia?

a. The client is opioid dependent.

b. The client’s home has lead paint on the walls.

c. The client’s twin sibling has schizophrenia.

d. The client’s mother used tobacco products during pregnancy.

 

 

11. A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer’s disease. The caregiver reports that the client awakens at night and wanders. Which of the following strategies should the nurse suggest?

a. Use light restraints while the client is in bed.

b. Place a lock at the top of the door leading outside.

c. Administer an antianxiety medication before bedtime.

d. Encourage the client to nap during the day.

 

 

12. A nurse is reinforcing teaching with a client who will have electroconvulsive therapy the following day. Which of the following statements should the nurse identify as an indication that the client understands the information?

a. “I will need to have a series of four treatments.”

b. “I could develop epilepsy after the procedure.”

c. “I can expect short-term memory loss after the procedure.”

d. “I will be awake during the procedure.”

 

 

12. A nurse is reinforcing teaching with a newly licensed nurse about the Patient Self-Determination Act (PSDA). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

a. “A witness is legally required to sign a client’s living will.”

b. The PSDA becomes applicable when client reaches 65 years of age.

c. Advance directives do not apply to client receiving mental health care.”

d. “A client can verbally designate a durable power of attorney.”

 

 

13. A nurse in a mental health is collecting data from a client to determine the client’s risk for suicide. Which of the following findings should the nurse identify as a risk factor for suicide? (Select all that apply.)

a. Alcohol use disorder

b. Access to guns in the home

c. Sibling history of suicide

d.  Currently married

1. Terminal liver cancer

 

 

14. A nurse collecting a data from a client who has a new diagnosis of schizophrenia. Which of the following client statements support diagnosis?

 

a. “I just need a couple of hours of sleep each night.”

b. “Counting stairs helps me feel more in control.”

c. “Remembering where I put things has become difficult.”

d. “I won’t eat because I know that the food has been poisoned.”

 

 

15. A nurse is reviewing the laboratory result of a client who has anorexia nervosa. Which of the following results should the nurse report to the provider?

a. Sodium 138 mEq/L

b. HbA1C 4%

c. Potassium 2.8 mEq/L

d. WBC count 6,000/mm^3

 

 

16. A nurse is caring for a client who has dependent personality disorder. Which of the following findings should the nurse expect?

1. Avoid involvement in interpersonal relationships
2. Denies the need for the therapy
3. Exhibits extreme anxiety in social situations
4. Has difficulty expressing disagreement with others

 

17. A nurse is assisting with teaching a group of order adult clients about behavioral expectations. Which of the following actions should the nurse take to help eliminate barriers to learning?

1. Schedule the teaching sessions for long time to promote participation.
2. Assist the clients with the establishing long-term goals.
3. Ensure the teaching sessions occur right before bedtime.
4. Use “I” statements rather that “”your” statements.

 

18. A nurse is visiting the home of a client who has alcohol use disorder. The client smells heavy of alcohol and his clothes are unclean following responses should he nurse make?

 

a. you should stop drinking and seek treatment

b. why isn’t you taking better care of yourself.

c. you seem to be having a difficult time.

d. What could your family think about your drinking.

 

 

28. The nurse is reinforcing teaching with a client who is grieving the recent loss of their partner. Which of the following interventions should the nurse make?

 

a. encourages the client to talk about the death of their partner.

b. informs the client that the acute phase of grief process should last at least 6 months.

c. advises the client to maintain the daily routine they shared with their partner.

d. use sympathy develops a trusting relationship with the client.

 

19. a nurse is speaking with the sibling of a client who refuses to see visitors. Which of the following actions should the nurse take?

 

a. Tell the sibling the client does not want visitors

b. encourages the client to visit with the sibling.

c. arranges for the sibling to visit with the client in the dayroom.

d. refers the sibling to the client provider.

 

20. a nurse is collecting data from a client who has a history of phencyclidine (PCP) use. Which of the following finding is an indication of the acute PCP intoxication?

 

a. pupil constriction

b. hallucinations

c. increase pain response

d. hypotension

 

21. a nurse is assisting with a staff education session about legal issues affecting the care of clients who have mental health diagnoses. Which of the following example should the nurse identify as libel?

 

a. taking the clothes of the client who voluntarily admitted so that they cannot leave

b. Administering an incorrect dosage of a client medication

c. threatening to apply restraints to a client who refuses medication

d. documenting false information about a client’s substance use history.

 

22. a nurse is assisting with screening for child abuse at a preschool. Which of the following factors place a child at risk for abuse?

a. autism spectrum disorder

b. acute bronchitis

c. first born child

bedwetting.

 

23. a nurse is preparing to administer risperidone 5mg po daily divided inti two equal doses. Available is risperidone 0.5 mg. how many tabs should the nurse administer per day? (Round to the nearest whole number. use a leading zero if it applies. Do not use a trailing zero.)

 

24. a nurse is caring for a client who stays in bed, is withdrawn from his surroundings, and rarely speaks. Which of the following is an appropriate statement or the nurse to make?

 

a. our unit policy requires clients to get out of bed each day.

b. I know you feel bed, but everything will be okay if you will get out of bed.

C. I would like to sit with you for a while.

d. it is such a beautiful day outside and you are going to miss it.

 

25. a nurse is reinforcing teaching with a client who has generalizes anxiety disorder about nonpharmacological methods to manage anxiety. Which of the following instruction should the nurse include?

 

a. you should discuss the used of electroconvulsive therapy with your provider.

b. when you begin to have anxious thought say stop! Out loud.

c. Spend time alone when you feel your anxiety escalating.

 

 

 

 

1. The nurse is collecting data from a client who has a major depressive disorder and a new prescription for bupropion. which of the following findings should the nurse identify as a contraindication for this medication?
2. The client has asthma.
3. The client has a seizure disorder.
4. The client smokes two packs of cigarettes per day.
5. The client has an allergy to peanuts.

 

2.  A nurse in a mental health facility is caring for a client who reports suicidal thoughts. Which of the following actions should the nurse take?

1. Ask the client to sign a no-harm contract
2. Close the client’s door when leaving the room.
3. Check the client’s mood every hour.
4. Assign the client to a private room.

 

3.   A nurse is collecting data from an adult client in an outpatient mental health clinic. The nurse should identify which of the following events as a potential cause of maturational crisis.

1. Divorce
2. Motor-vehicle crash
3. A child leaving for college
4. Loss of job

 

4. A nurse at a mental health clinic is caring for an adolescent client who has posttraumatic stress disorder following a violent episode with a stranger.  Which of the following actions should the nurse take?

1. Direct the client to use regression to cope with the stress caused by flashbacks.
2. Encourage the client to use guided imagery to decrease anxiety.
3. Ask the client’s guardians to go to another room during counseling sessions.
4. Instruct the client to avoid expressions of anger and fear relate to the episode.

 

1. A nurse is reviewing the laboratory results for a client who has been taking lithium for 6 months. Which of the following actions should the nurse take if the client’s lithium value is 1.0 mEq/L?
2. Suggest to the provider that the medication be increased.
3. Administer the medication.
4. Withhold the medication.
5. Suggest to the provider that the medication be decreased.

 

5. A nurse is caring for a client who has an opioid use disorder. The nurse should anticipate that the provider will prescribe which of the following medications for treatment?

1. Chlordiazepoxide
2. Buprenorphine
3. Diazepam
4. phenobarbital

 

 

 

6. a nurse is assisting with a community health education and support service for individuals who have lost loved ones to suicide. Which of the following actions should the nurse take when caring for these individuals?

1. Wait until the individual talks about their decrease loved one before mentioning their name.
2. Recommended that the individual wait at least 3 months before joining a support group.
3. Ask open-ended questions when talking to the individual about their grief.
4. Refer to the deceased person as the client, not the individual.

 

 

 

7.  A nurse is reviewing the medical record of a client who has schizophrenia. Which if the following findings should the nurse report to the provider? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)

1. Blood pressure
2. Temperature
3. WBC count
4. Blood glucose level

 

8. A nurse is caring for a client who has major depression disorder and tells the nurse, although they are feeling better, their future still looks bleak. Which of the following interventions is the nurse’s priority?

1. Spend scheduled periods with the client during the day.
2. Determine if the client has any plans to harm themselves.
3. Use open-ended questions to encourage the client to express their feelings.
4. Assist the client to evaluate positive and negative life experiences.

 

9. A nurse is reinforcing teaching with a client who is experiencing acute mania and has a prescription for lithium. Which of the following information should the nurse include?

1. “Avoid using diuretics.”
2. “Eat a low-sodium diet.”
3. “Take lithium 2 hours before eating.”
4. “Restrict your fluid intake to 1,400 milliliters per day day.”

 

10. A nurse is collecting data from a client from a client who has been admitted with manifestations of paranoia. Which of the following should the nurse identify as a risk factor for schizophrenia?

a. The client is opioid dependent.

b. The client’s home has lead paint on the walls.

c. The client’s twin sibling has schizophrenia.

d. The client’s mother used tobacco products during pregnancy.

 

 

11. A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer’s disease. The caregiver reports that the client awakens at night and wanders. Which of the following strategies should the nurse suggest?

a. Use light restraints while the client is in bed.

b. Place a lock at the top of the door leading outside.

c. Administer an antianxiety medication before bedtime.

d. Encourage the client to nap during the day.

 

 

12. A nurse is reinforcing teaching with a client who will have electroconvulsive therapy the following day. Which of the following statements should the nurse identify as an indication that the client understands the information?

a. “I will need to have a series of four treatments.”

b. “I could develop epilepsy after the procedure.”

c. “I can expect short-term memory loss after the procedure.”

d. “I will be awake during the procedure.”

 

 

12. A nurse is reinforcing teaching with a newly licensed nurse about the Patient Self-Determination Act (PSDA). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

a. “A witness is legally required to sign a client’s living will.”

b. “The PSDA becomes applicable when client reaches 65 years of age.”

c. Advance directives do not apply to client receiving mental health care.”

d. “A client can verbally designate a durable power of attorney.”

 

 

13. A nurse in a mental health is collecting data from a client to determine the client’s risk for suicide. Which of the following findings should the nurse identify as a risk factor for suicide? (Select all that apply.)

a. Alcohol use disorder

b. Access to guns in the home

c. Sibling history of suicide

d.  Currently married

1. Terminal liver cancer

 

 

14. A nurse collecting a data from a client who has a new diagnosis of schizophrenia. Which of the following client statements support diagnosis?

 

a. “I just need a couple of hours of sleep each night.”

b. “Counting stairs helps me feel more in control.”

c. “Remembering where I put things has become difficult.”

d. “I won’t eat because I know that the food has been poisoned.”

 

 

15. A nurse is reviewing the laboratory result of a client who has anorexia nervosa. Which of the following results should the nurse report to the provider?

a. Sodium 138 mEq/L

b. HbA1C 4%

c. Potassium 2.8 mEq/L

d. WBC count 6,000/mm^3

 

 

16. A nurse is caring for a client who has dependent personality disorder. Which of the following findings should the nurse expect?

1. Avoid involvement in interpersonal relationships
2. Denies the need for the therapy
3. Exhibits extreme anxiety in social situations
4. Has difficulty expressing disagreement with others

 

17. A nurse is assisting with teaching a group of order adult clients about behavioral expectations. Which of the following actions should the nurse take to help eliminate barriers to learning?

1. Schedule the teaching sessions for long time to promote participation.
2. Assist the clients with the establishing long-term goals.
3. Ensure the teaching sessions occur right before bedtime.
4. Use “I” statements rather that “”your” statements.

 

18. A nurse is visiting the home of a client who has alcohol use disorder. The client smells heavy of alcohol and his clothes are unclean following responses should he nurse make?

 

a. you should stop drinking and seek treatment

b. why isn’t you taking better care of yourself.

c. you seem to be having a difficult time.

d. What could your family think about your drinking.

 

 

28. The nurse is reinforcing teaching with a client who is grieving the recent loss of their partner. Which of the following interventions should the nurse make?

 

a. encourages the client to talk about the death of their partner.

b. informs the client that the acute phase of grief process should last at least 6 months.

c. advises the client to maintain the daily routine they shared with their partner.

d. use sympathy develops a trusting relationship with the client.

 

19. a nurse is speaking with the sibling of a client who refuses to see visitors. Which of the following actions should the nurse take?

 

a. Tell the sibling the client does not want visitors

b. encourages the client to visit with the sibling.

c. arranges for the sibling to visit with the client in the dayroom.

d. refers the sibling to the client provider.

 

20. a nurse is collecting data from a client who has a history of phencyclidine (PCP) use. Which of the following finding is an indication of the acute PCP intoxication?

 

a. pupil constriction

b. hallucinations

c. increase pain response

d. hypotension

 

21. a nurse is assisting with a staff education session about legal issues affecting the care of clients who have mental health diagnoses. Which of the following example should the nurse identify as libel?

 

a. taking the clothes of the client who voluntarily admitted so that they cannot leave

b. Administering an incorrect dosage of a client medication

c. threatening to apply restraints to a client who refuses medication

d. documenting false information about a client’s substance use history.

 

22. a nurse is assisting with screening for child abuse at a preschool. Which of the following factors place a child at risk for abuse?

a. autism spectrum disorder

b. acute bronchitis

c. first born child

bedwetting.

 

23. a nurse is preparing to administer risperidone 5mg po daily divided inti two equal doses. Available is risperidone 0.5 mg. how many tabs should the nurse administer per day? (Round to the nearest whole number. use a leading zero if it applies. Do not use a trailing zero.)

 

24. a nurse is caring for a client who stays in bed, is withdrawn from his surroundings, and rarely speaks. Which of the following is an appropriate statement or the nurse to make?

 

a. our unit policy requires clients to get out of bed each day.

b. I know you feel bed, but everything will be okay if you will get out of bed.

C. I would like to sit with you for a while.

d. it is such a beautiful day outside and you are going to miss it.

 

25. a nurse is reinforcing teaching with a client who has generalizes anxiety disorder about nonpharmacological methods to manage anxiety. Which of the following instruction should the nurse include?

 

a. you should discuss the used of electroconvulsive therapy with your provider.

b. when you begin to have anxious thought say stop! Out loud.

c. Spend time alone when you feel your anxiety escalating.

 

 

 

 

1. The nurse is collecting data from a client who has a major depressive disorder and a new prescription for bupropion. which of the following findings should the nurse identify as a contraindication for this medication?
2. The client has asthma.
3. The client has a seizure disorder.
4. The client smokes two packs of cigarettes per day.
5. The client has an allergy to peanuts.

 

2.  A nurse in a mental health facility is caring for a client who reports suicidal thoughts. Which of the following actions should the nurse take?

1. Ask the client to sign a no-harm contract
2. Close the client’s door when leaving the room.
3. Check the client’s mood every hour.
4. Assign the client to a private room.

 

3.   A nurse is collecting data from an adult client in an outpatient mental health clinic. The nurse should identify which of the following events as a potential cause of maturational crisis.

1. Divorce
2. Motor-vehicle crash
3. A child leaving for college
4. Loss of job

 

4. A nurse at a mental health clinic is caring for an adolescent client who has posttraumatic stress disorder following a violent episode with a stranger.  Which of the following actions should the nurse take?

1. Direct the client to use regression to cope with the stress caused by flashbacks.
2. Encourage the client to use guided imagery to decrease anxiety.
3. Ask the client’s guardians to go to another room during counseling sessions.
4. Instruct the client to avoid expressions of anger and fear relate to the episode.

 

1. A nurse is reviewing the laboratory results for a client who has been taking lithium for 6 months. Which of the following actions should the nurse take if the client’s lithium value is 1.0 mEq/L?
2. Suggest to the provider that the medication be increased.
3. Administer the medication.
4. Withhold the medication.
5. Suggest to the provider that the medication be decreased.

 

5. A nurse is caring for a client who has an opioid use disorder. The nurse should anticipate that the provider will prescribe which of the following medications for treatment?

1. Chlordiazepoxide
2. Buprenorphine
3. Diazepam
4. phenobarbital

 

 

 

6. a nurse is assisting with a community health education and support service for individuals who have lost loved ones to suicide. Which of the following actions should the nurse take when caring for these individuals?

1. Wait until the individual talks about their decrease loved one before mentioning their name.
2. Recommended that the individual wait at least 3 months before joining a support group.
3. Ask open-ended questions when talking to the individual about their grief.
4. Refer to the deceased person as the client, not the individual.

 

 

 

7.  A nurse is reviewing the medical record of a client who has schizophrenia. Which if the following findings should the nurse report to the provider? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)

1. Blood pressure
2. Temperature
3. WBC count
4. Blood glucose level

 

8. A nurse is caring for a client who has major depression disorder and tells the nurse, although they are feeling better, their future still looks bleak. Which of the following interventions is the nurse’s priority?

1. Spend scheduled periods with the client during the day.
2. Determine if the client has any plans to harm themselves.
3. Use open-ended questions to encourage the client to express their feelings.
4. Assist the client to evaluate positive and negative life experiences.

 

9. A nurse is reinforcing teaching with a client who is experiencing acute mania and has a prescription for lithium. Which of the following information should the nurse include?

1. “Avoid using diuretics
   Explanation & Answer

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