NURS 1102 Passpoint-Mood, adjustment and dementia disorders – Fairleigh Dickinson University | NURS1102 Passpoint-Mood, adjustment and dementia disorders

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NURS 1102 Passpoint-Mood, adjustment and dementia disorders – Fairleigh Dickinson University Question 1   See full question A depressed client tells a nurse, "I want to die. Life just isn't wo... rth living." Which response by the nurse is most appropriate? You Selected: • "Of course life is worth living. You'll feel better soon." Correct response: • "This must be a very difficult time for you."  Explanation:  Remediation: Question 2   See full question A professional artist is admitted to the psychiatric unit for treatment of bipolar disorder. During the previous 2 weeks, the client has created 154 paintings, slept only 2 to 3 hours every 2 days, and lost 18 lb (8.2 kg). Based on Maslow's hierarchy of needs, what should the nurse provide this client with first? You Selected: • Help with reestablishing a normal sleep pattern Correct response: • Help with reestablishing a normal sleep pattern  Explanation:  Remediation: Question 3   See full question For the client receiving outpatient treatment for depression and suicidal ideation, what is the correct amount of imipramine to have at one time? You Selected: • a 30-day supply Correct response: • a 7-day supply  Explanation:  Remediation: Question 4   See full question When developing appropriate assignments for the staff, which client should the nurse manager judge to be at highest risk for suicide completion? You Selected: • an 85-year-old Caucasian man who lives alone after his wife's death Correct response: • an 85-year-old Caucasian man who lives alone after his wife's death  Explanation:  Remediation: Question 5   See full question Which statement by a client taking valproic acid for bipolar disorder indicates that further teaching about this medication is necessary? You Selected: • "I can chew the pills if necessary." Correct response: • "I can chew the pills if necessary."  Explanation:  Remediation: Question 6   See full question During the nurse’s conversation with a depressed client, the client states, “I have no reason to be sad. I have a great job and a wonderful wife and family.” Which comment would be best for the nurse to make at this time? You Selected: • "Depression can be caused by a chemical imbalance in the brain." Correct response: • "Depression can be caused by a chemical imbalance in the brain."  Explanation:  Remediation: Question 7   See full question When educating a client who has been diagnosed with dysthymia about possible treatment for the disorder, which information should the nurse include? You Selected: • "Antidepressants offer you the best treatment for your disorder." Correct response: • "Dysthymia often responds to the combination of psychotherapy and antidepressants."  Explanation: Question 8   See full question The family of a client diagnosed with Alzheimer's disease wants to keep the client at home. They say that they have the most difficulty in managing his wandering. What should the nurse instruct the family to do? Select all that apply. You Selected: • Ask the health care provider (HCP) for a sleeping medication. • Install door alarms and high door locks. Correct response: • Install motion and sound detectors. • Have the client wear a Medical Alert bracelet. • Install door alarms and high door locks.  Explanation:  Remediation: Question 9   See full question During the initial assessment, a female client exhibits pressured speech. She points to certain patterns on the wallpaper and says, "This is the writing about the tsunami. Thousands of people died because I read the writing. I should never have read the writing; it was my fault." Which of the following would be central to the nurse’s interventions? You Selected: • Replying to the client with feedback about reality and the client's behaviors Correct response: • Replying to the client with feedback about reality and the client's behaviors  Explanation:  Remediation: Question 10   See full question A client taking tranylcypromine sulfate for depression was treated in the emergency department for a headache, vomiting, and blood pressure of 190/100 mm/Hg following dinner at a restaurant. At discharge, the nurse evaluated the client’s understanding of diet instructions. For what menu choice will the nurse provide further education? You Selected: • Carrot cake and black coffee Correct response: • Mexican sausage soup with guacamole and chips  Explanation:  Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - TAKE A PRACTICE QUIZ uestion 1   See full question A physician orders electroconvulsive therapy (ECT) for a severely depressed client who fails to respond to drug therapy. When teaching the client and family about his treatment, the nurse should include which point about ECT? You Selected: • ECT will induce a seizure. Correct response: • ECT will induce a seizure.  Explanation:  Remediation: Question 2   See full question A nurse is working on a unit with individuals who have eating disorders. She is interviewing a new female client. The client has lost a significant amount of weight over the past months and complains of being "sick to my stomach" when around food. The client reports that she hasn't menstruated in 3 months. What is the priority nursing intervention? You Selected: • Requesting an order for a pregnancey test Correct response: • Requesting an order for a pregnancey test  Explanation:  Remediation: Question 3   See full question A physician orders a tricyclic antidepressant for a client who has suffered an acute myocardial infarction (MI) within the previous 6 months. Which action should the nurse take? You Selected: • Discontinue the medication. Correct response: • Question the physician about the order.  Explanation:  Remediation: Question 4   See full question A client with a diagnosis of major depression is ordered clonazepam for agitation in addition to an antidepressant. Client teaching should include which statement? You Selected: • Clonazepam may interact with organ meats. Correct response: • Clonazepam may have a slight depressant effect.  Explanation:  Remediation: Question 5   See full question Which characteristic would make the nurse suspect that a client with changes in cognition has delirium? You Selected: • disturbances in cognition and consciousness that fluctuate during the day Correct response: • disturbances in cognition and consciousness that fluctuate during the day  Explanation:  Remediation: Question 6   See full question The nurse is counseling a client regarding treatment of the client's newly diagnosed depression. The nurse emphasizes that full benefit from antidepressant therapy usually takes how long? You Selected: • 2 to 4 weeks Correct response: • 2 to 4 weeks  Explanation:  Remediation: Question 7   See full question The unlicensed assistive personnel (UAP) approaches the nurse and states, “The client does not know what caused him to be so depressed. He must not want to tell me because he does not trust me yet.” In responding to this staff member, which statement by the nurse will help the UAP understand the client’s illness? You Selected: • “Endogenous depression comes from within the person. It is a reaction to a loss. You need to give the client more time to identify the cause or loss.” Correct response: • ”Endogenous depression is biochemical and is not caused by an outside stressor or problem. The client cannot tell you why he is depressed because he really does not know.”  Explanation:  Remediation: Question 8   See full question A client diagnosed with a cognitive disorder is showing signs of confusion, short-term memory loss, and a short attention span. Which therapy group would be best suited for this client? You Selected: • reality orientation Correct response: • reality orientation  Explanation:  Remediation: Question 9   See full question A client with dementia is eating off of other clients' meal trays. After the client with dementia is asked to stop, which of the following actions should be taken? You Selected: • Distract the client Correct response: • Distract the client  Explanation:  Remediation: Question 10   See full question A young adult client with severe depression and suicide ideation has been started on the selective seratonin reuptake inhibitor (SSRI) sertraline. Which client statement would indicate the client needs further teaching about seratraline? You Selected: • “Being on sertraline will significantly decrease the chances that I might hurt myself.” Correct response: • “Being on sertraline will significantly decrease the chances that I might hurt myself.”  Explanation:  Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - TAKE A PRACTICE QUIZ Question 1   See full question One day after being admitted with bipolar disorder, a client becomes verbally aggressive during a group therapy session. Which response by the nurse is most therapeutic? You Selected: • "Your behavior is disturbing to the other clients. I'll walk with you around the patio to help you release some of your energy." Correct response: • "Your behavior is disturbing to the other clients. I'll walk with you around the patio to help you release some of your energy."  Explanation:  Remediation: Question 2   See full question A client is admitted to the local psychiatric facility with bipolar disorder in the manic phase. The physician decides to start the client on lithium carbonate therapy. One week after this therapy starts, the nurse notes that the client's serum lithium level is 1 mEq/L. What should the nurse do? You Selected: • Continue to administer the medication as ordered. Correct response: • Continue to administer the medication as ordered.  Explanation:  Remediation: Question 3   See full question A client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to: You Selected: • fold towels and pillowcases. Correct response: • fold towels and pillowcases.  Explanation:  Remediation: Question 4   See full question Which statement should be included when teaching clients about monoamine oxidase (MAO) inhibitors? You Selected: • Don't take any prescribed or over-the-counter medications without consulting a physician and pharmacist. Correct response: • Don't take any prescribed or over-the-counter medications without consulting a physician and pharmacist.  Explanation: Question 5   See full question A nurse is frustrated by her inability to make much progress establishing a therapeutic relationship with a client with bipolar disorder. Her most professional response would be to: You Selected: • discuss the situation with a more experienced peer. Correct response: • discuss the situation with a more experienced peer.  Explanation: Question 6   See full question A client taking paroxetine 40 mg PO every morning tells the nurse that her mouth “feels like cotton.” Which statement by the client necessitates further assessment by the nurse? You Selected: • "I am drinking 12 glasses of water every day." Correct response: • "I am drinking 12 glasses of water every day."  Explanation:  Remediation: Question 7   See full question A client with bipolar disorder, manic phase, is scheduled for a chest radiograph. Before taking the client to the radiology department, the nurse should: You Selected: • explain the procedure in simple terms. Correct response: • explain the procedure in simple terms.  Explanation:  Remediation: Question 8   See full question The client with bipolar disorder, manic phase, appears at the nurse's station wearing a transparent shirt, miniskirt, high heels, 10 bracelets, and eight necklaces. Her makeup is overdone and she is not wearing underwear. The nurse should: You Selected: • Escort the client to her room and assist with choosing appropriate attire. Correct response: • Escort the client to her room and assist with choosing appropriate attire.  Explanation:  Remediation: Question 9   See full question A client with bipolar disorder is monopolizing the use of the telephone by making several calls each day, interfering with the ability of other clients to use the telephone. The nurse should: You Selected: • limit the amount of calls the client can make each day. Correct response: • limit the amount of calls the client can make each day.  Explanation:  Remediation: Question 10   See full question The client with acute mania has been admitted to the inpatient unit voluntarily. The nurse approaches the client with medication to be taken orally as prescribed by the health care provider (HCP). The client states, "I do not need that stuff." Which response by the nurse is best? You Selected: • "If you do not take it orally, I will give you a shot." Correct response: • "The medication will help you feel calmer."  Explanation:  Remediation: Question 11   See full question A client's wife states, "I do not know what to do sometimes. It is so hard having a husband with a mental illness like bipolar disorder." After talking with the client's wife about her feelings and difficulties, which action is most appropriate? You Selected: • Give the wife information about a support group. Correct response: • Give the wife information about a support group.  Explanation:  Remediation: Question 12   See full question A client who was recently discharged from the psychiatric unit telephones the unit to speak to the nurse. The client states that she took her children to the neighbors' house and has turned on the gas to kill herself. She is home alone and gives the nurse her address. Which action should the nurse take next? You Selected: • Tell the caller that another nurse will telephone the police. Correct response: • Tell the caller that another nurse will telephone the police.  Explanation:  Remediation: Question 13   See full question The health care provider (HCP) prescribes risperidone for a client with Alzheimer’s disease. The nurse anticipates administering this medication to help decrease which behavior? You Selected: • agitation and assaultiveness Correct response: • agitation and assaultiveness  Explanation:  Remediation: Question 14   See full question A client with severe depression states, "My heart has stopped and my blood is black ash." The nurse interprets this statement to be evidence of which problem? You Selected: • delusion Correct response: • delusion  Explanation:  Remediation: Question 15   See full question A client was admitted with a diagnosis of schizophrenia and exhibiting behaviors of hostility, paranoia and isolation. The student nurse discussed with the nurse what the most therapeutic approach to take with the client would be. Which of the following would indicate to the nurse that the student understands the best approach? You Selected: • Respect the client's need for personal space and avoid physical contact with the client. Correct response: • Respect the client's need for personal space and avoid physical contact with the client.  Explanation:  Remediation: Question 16   See full question A client admitted to the inpatient psychiatric unit changes clothes eight or nine times a day, wears heavy eye makeup, is intrusive with other clients, and makes inappropriate sexual advances toward staff members. Which of the following client goals would be most appropriate? You Selected: • The client will refrain from hugging other clients and change clothing only twice per day. Correct response: • The client will refrain from hugging other clients and change clothing only twice per day.  Explanation:  Remediation: Question 17   See full question An adolescent client took 300 acetaminophen tablets in an attempt to kill herself after a relationship breakup. The client is admitted to the adolescent psychiatric unit and is refusing to talk with the nurse. What is the most important nursing approach at this stage of the helping relationship? You Selected: • Supporting suicide precautions and safety measures for the client on the unit Correct response: • Supporting suicide precautions and safety measures for the client on the unit  Explanation:  Remediation: Question 18   See full question A nurse is counseling an adolescent client for depression. The client’s father died 2 months ago of cancer, and the client's mother died when the client was 11 years old. During the interview the client states, “I just feel like I can't do anything.” Which of the following would be most appropriate response to this client? You Selected: • “I will stay here with you.” Correct response: • “I will stay here with you.”  Explanation:  Remediation: Question 19   See full question In assessing an adolescent client at an outpatient clinic, the nurse is able to recognize that depression in adolescents is often which of the following? You Selected: • Similar in symptomology to that of adult clients Correct response: • Often masked by aggressive behaviors  Explanation:  Remediation: Question 20   See full question A client diagnosed with primary degenerative dementia of the Alzheimer's type may be progressing to the middle stage of the disease. To assess for progression to the middle stage of Alzheimer's disease, the nurse should observe for which behavioral changes? Select all that apply. You Selected: • Impaired communication Correct response: • Occasional irritable outbursts • Impaired communication • Refusing to cooperate with the nursing staff  Explanation:  Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - TAKE A PRACTICE QUIZ Question 1   See full question A depressed client in the psychiatric unit hasn't been getting adequate rest and sleep. To encourage restful sleep at night, the nurse should: You Selected: • gently but firmly set limits on how much time the client spends in bed during the day. Correct response: • gently but firmly set limits on how much time the client spends in bed during the day.  Explanation:  Remediation: Question 2   See full question A client in the manic phase of bipolar disorder constantly belittles other clients and demands special favors from the nurses. Which nursing intervention is most appropriate for this client? You Selected: • Set limits with consequences for belittling or demanding behavior. Correct response: • Set limits with consequences for belittling or demanding behavior.  Explanation:  Remediation: Question 3   See full question Modafinil has been ordered for a client diagnosed with narcolepsy. The nurse understands that this medication: You Selected: • promotes wakefulness. Correct response: • promotes wakefulness.  Explanation:  Remediation: Question 4   See full question A nurse notices that a client admitted for treatment of major depression is pacing, agitated, and becoming verbally aggressive toward other clients. What is the immediate care priority? You Selected: • Ensuring the safety of this client and other clients on the unit Correct response: • Ensuring the safety of this client and other clients on the unit  Explanation:  Remediation: Question 5   See full question The nurse is caring for a client with acute mania who is euphoric and flirtatious. The nurse overhears the client describing a sexual exploit with a group of clients seated at a table . What should the nurse do next? You Selected: • Tell the client others may not want to hear about sex, and invite him to play a game of ping-pong. Correct response: • Tell the client others may not want to hear about sex, and invite him to play a game of ping-pong.  Explanation:  Remediation: Question 6   See full question A client has just been admitted with acute delirium of unknown etiology. The client's daughter states that she is worried about her mom because she has never been this sick before. Which would be the most helpful statement to make to the daughter? You Selected: • “The health care provider will prescribe tests to find out what is causing her condition.” Correct response: • “The health care provider will prescribe tests to find out what is causing her condition.”  Explanation:  Remediation: Question 7   See full question A health care provider (HCP) has prescribed valproic acid for a client with bipolar disorder who has achieved limited success with lithium carbonate. Which information should the nurse teach the client about taking valproic acid? You Selected: • Follow-up blood tests are necessary while on this medication. Correct response: • Follow-up blood tests are necessary while on this medication.  Explanation:  Remediation: Question 8   See full question A client taking disulfiram during alcohol rehabilitation therapy reports to the nurse that he has a mild cold and plans to use a cough medicine. Which statement made by the client indicates understanding of the nurse's teaching? You Selected: • "I may experience vomiting and an upset stomach if I take cough medicine while taking this medicine." Correct response: • "I may experience vomiting and an upset stomach if I take cough medicine while taking this medicine."  Explanation:  Remediation: Question 9   See full question A nurse is completing a health history on a psychiatric client brought to the emergency department. The client states that he is a relative of the president of the United States and has very important business to attend to that involves national security. What is the nurse’s best intervention? You Selected: • Respect the client’s point of view while refocusing on issues based in the immediate reality. Correct response: • Respect the client’s point of view while refocusing on issues based in the immediate reality.  Explanation:  Remediation: Question 10   See full question Which of the following behaviors from a client with dementia would prompt nursing intervention? You Selected: • Attempting to hit others Correct response: • Attempting to hit others  Explanation: question 1   See full question After a third arrest for abusing a neighbor's cat, a client is admitted to the psychiatric unit for treatment of antisocial personality disorder. This client has a history of conduct disorder. Which action is most appropriate for the nurse assigned to this client? You Selected: • Administering antianxiety medication as ordered Correct response: • Examining personal feelings toward the client  Explanation:  Remediation: Question 2   See full question A nurse is instructing a new group of mental health aides. The nurse should teach the aides that setting limits is most important for: You Selected: • a manic client. Correct response: • a manic client.  Explanation:  Remediation: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Question 1   See full question Which foods are contraindicated for a client taking tranylcypromine? You Selected: •  Chicken livers, Chianti wine, and beer Correct response: •  Chicken livers, Chianti wine, and beer   Explanation:   Remediation: Question 2   See full question A nurse is monitoring a client receiving tranylcypromine sulfate. Which serious adverse reaction can occur with high dosages of this monoamine oxidase (MAO) inhibitor? You Selected: •  Muscle flaccidity Correct response: •  Hypertensive crisis   Explanation:   Remediation: Question 3   See full question A nurse is prioritizing care for four new admissions to the inpatient psychiatric unit. Which client should the nurse assess first? You Selected: •  A significantly depressed client with decreased energy who isolated himself in his room. Correct response: •  A client with new-onset confusion and disorientation.   Explanation:   Remediation: Question 4   See full question A nurse is caring for a veteran, who exhibits signs and symptoms of posttraumatic stress disorder (PTSD). Signs and symptoms of posttraumatic stress disorder include: You Selected: •  hyperalertness and sleep disturbances. Correct response: •  hyperalertness and sleep disturbances.   Explanation:   Remediation: Question 5   See full question A client diagnosed with bipolar disorder asks the nurse why it is necessary to have a serum lithium level drawn every 3 to 4 months. The nurse's response should be based on which factor? You Selected: •  to prevent toxicity related to the drug's therapeutic range Correct response: •  to prevent toxicity related to the drug's therapeutic range   Explanation:   Remediation: Question 6   See full question When assisting a new nurse plan a psychoeducational group for family members about depression, which topic would the nurse suggest omitting? You Selected: •  drug classifications Correct response: •  drug classifications   Explanation: Question 7   See full question A client states that her “life has gone down the tubes” since her divorce 6 months ago. Then, after she lost her job and apartment, she took an overdose of barbiturates so she “could go to sleep and never wake up.” Which statement by the nurse should be made first? You Selected: •  "I know you took an overdose of barbiturates. Are you thinking of suicide now?" Correct response: •  "I know you took an overdose of barbiturates. Are you thinking of suicide now?"   Explanation:   Remediation: Question 8   See full question A client has been taking 30 mg of duloxetine hydrochloride twice daily for 2 months because of depression and vague aches and pains. While interacting with the nurse, the client discloses a pattern of drinking a 6-pack of beer daily for the past 10 years to help with sleep. What should the nurse do first? You Selected: •  Report the client's beer consumption to the health care provider (HCP). Correct response: •  Report the client's beer consumption to the health care provider (HCP).   Explanation:   Remediation: Question 9   See full question A client hospitalized for depression remains extremely depressed and expresses increasing suicidal ideation to her primary nurse. What should be the nurse’s priority intervention? You Selected: •  Encouraging the client to express his/her feelings of isolation Correct response: •  Ensuring that the client is not permitted to use anything that would be potentially dangerous   Explanation:   Remediation: Question 10   See full question A depressed client on a psychiatric unit asks the nurse to call the hospital lawyer to discuss writing out a will. What is the nurse’s priority intervention? You Selected: •  Discuss thoughts and explore intent for suicide with the client. Correct response: •  Discuss thoughts and explore intent for suicide with the client.   Explanation:   Remediation: Question 6   See full question After the nurse teaches a client about bipolar disorder, which statement indicates that the client has developed insight about the diagnosis? You Selected: •  "My medicine really helped me. I know I will not need it in about another week." Correct response: •  "I know I am getting sick when I do not need much sleep and start buying things."   Explanation:   Remediation: Question 1   See full question A client in the manic phase of bipolar disorder constantly belittles other clients and demands special favors from the nurses. Which nursing intervention is most appropriate for this client? You Selected: •  Set limits with consequences for belittling or demanding behavior. Correct response: •  Set limits with consequences for belittling or demanding behavior.   Explanation:   Remediation: Question 2   See full question Which statement should be included when teaching clients about monoamine oxidase (MAO) inhibitors? You Selected: •  Don't take any prescribed or over-the-counter medications without consulting a physician and pharmacist. Correct response: •  Don't take any prescribed or over-the-counter medications without consulting a physician and pharmacist.   Explanation: Question 3   See full question During an interaction with a nurse, a client with bipolar disorder states that she doesn't have anything to contribute to the art therapy group. On exploration of the client's concerns, the nurse recognizes the client's pattern of withdrawal and nonparticipation in situations requiring her to communicate with others. Which nursing diagnosis is appropriate for this client? You Selected: •  Impaired social interaction Correct response: •  Impaired social interaction   Explanation: Question 4   See full question A client diagnosed with major depression has sleep and appetite disturbances, a flat affect and is withdrawn. The client has been taking fluvoxamine 50 mg twice daily for 5 days. Which client behavior is most important to report to the next shift? You Selected: •  client sleeping from 2300 hours to 0600 hours Correct response: •  client sleeping from 2300 hours to 0600 hours   Explanation:   Remediation: Question 5   See full question A nursing student and a charge nurse of a psychiatric unit are discussing the outcomes of clients with depression. Which of the following, if stated by the student, indicates that the student understands depression outcomes? You Selected: •  “There are patterns with this illness. If a person has one depressive episode, he/she has a 60% chance of experiencing another.” Correct response: •  “There are patterns with this illness. If a person has one depressive episode, he/she has a 60% chance of experiencing another.”   Explanation:   Remediation: Question 6   See full question The family of a 22-year-old client with bipolar disorder is having difficulty coping with the client's rapid mood swings, irritability, grandiose delusions, and overly inclusive behaviors. Following a visit to the unit, the parents and the nurse discuss how the family can deal with the client’s behaviors and help their child. Which of the following responses, if made by the family, would indicate to the nurse that the teaching was effective? You Selected: •  "We need to help him/her establish a routine for work and school and monitor his/her mood." Correct response: •  "We need to help him/her establish a routine for work and school and monitor his/her mood."   Explanation:   Remediation: Question 7   See full question A nurse is taking an admission history, including a medication list, from a client. The listing of which herbal medication would prompt the nurse to ask the client more questions regarding any history of depressive symptoms? You Selected: •  St. John's wort Correct response: •  St. John's wort   Explanation:   Remediation: Question 8   See full question The nurse is assessing a client who has been admitted to the acute care facility. The client experiences an acute onset of altered level of consciousness and recent memory loss. Which of the following does the nurse anticipate the client will be evaluated for? You Selected: •  Delirium Correct response: •  Delirium   Explanation:   Remediation: Question 9   See full question A client begins clozapine therapy after several other antipsychotic agents fail to relieve her psychotic symptoms. The client is instructed to return to the office laboratory weekly for 6 months to have blood drawn. Which of the following laboratory results would be of concern to the nurse after the third test? You Selected: •  White blood count (WBC) of 3000 Correct response: •  White blood count (WBC) of 3000   Explanation:   Remediation: Question 10   See full question A client visits the mental health clinic and tells the nurse that she is lethargic, experiences pain in her back, cannot concentrate, and is depressed. The nurse observes patches of hair loss on the client’s scalp. Which referral should the nurse make first? You Selected: •  a health care provider (HCP) Correct response: •  a health care provider (HCP)   Explanation:   Remediation: Question 1   See full question A client, age 87, with major depression undergoes a sixth electroconvulsive therapy (ECT) treatment. When assessing the client immediately after ECT, the nurse expects to find: You Selected: •  transitory short- and long-term memory loss and confusion. Correct response: •  transitory short- and long-term memory loss and confusion.   Explanation:   Remediation: Question 2   See full question A nurse is monitoring a client receiving tranylcypromine sulfate. Which serious adverse reaction can occur with high dosages of this monoamine oxidase (MAO) inhibitor? You Selected: •  Hypertensive crisis Correct response: •  Hypertensive crisis   Explanation:   Remediation: Question 3   See full question A client was found unconscious on the floor of his bathroom with self-inflicted wrist lacerations. An ambulance was called and the client was transferred to the inpatient psychiatric unit for observation and treatment with antidepressants. Which nursing intervention is most appropriate? You Selected: •  Continue suicide precautions. Correct response: •  Continue suicide precautions.   Explanation:   Remediation: Question 4   See full question A nurse is frustrated by her inability to make much progress establishing a therapeutic relationship with a client with bipolar disorder. Her most professional response would be to: You Selected: •  discuss the situation with a more experienced peer. Correct response: •  discuss the situation with a more experienced peer.   Explanation: Question 5   See full question The client with a depressive disorder has been consistent with taking 12.5 mg of paroxetine extended release daily. The nurse judges the client to be benefiting from this drug therapy when the client demonstrates which behaviors? Select all that apply. You Selected: •  completes homework assignments •  decreases pacing •  verbalizes feelings Correct response: •  completes homework assignments •  decreases pacing •  verbalizes feelings   Explanation:   Remediation: Question 6   See full question A client with bipolar disorder is monopolizing the use of the telephone by making several calls each day, interfering with the ability of other clients to use the telephone. The nurse should: You Selected: •  limit the amount of calls the client can make each day. Correct response: •  limit the amount of calls the client can make each day.   Explanation:   Remediation: Question 7   See full question A depressed client remains alone in his room most of the time. Which statement by the nurse would most help the client become involved with a unit activity? You Selected: •  "Would you like to go to the movie with me today?" Correct response: •  "I will be back at 4 o'clock to take you to the movie."   Explanation:   Remediation: Question 8   See full question The client is taking 50 mg of lamotrigine daily for bipolar depression. The client shows the nurse a rash on his arm. What should the nurse do? You Selected: •  Report the rash to the health care provider (HCP). Correct response: •  Report the rash to the health care provider (HCP).   Explanation:   Remediation: Question 9   See full question A client is admitted to a psychiatric unit after a suicide attempt. The client is withdrawn, has poor hygiene, and appears underweight. What is the priority for a nurse in keeping a therapeutic milieu for this client? You Selected: •  Give the client structure and support until the client is able to function. Correct response: •  Give the client structure and support until the client is able to function.   Explanation:   Remediation: Question 10   See full question In assessing an adolescent client at an outpatient clinic, the nurse is able to recognize that depression in adolescents is often which of the following? You Selected: •  Often masked by aggressive behaviors Correct response: •  Often masked by aggressive behaviors   Explanation:   Remediation: Question 1   See full question A client is brought to the crisis intervention center by his wife, who states that he has recently become increasingly listless and less involved with his family. She reports that he sleeps poorly, eats little, and can barely perform basic self-care. She also reveals that 3 months ago he was in a car accident in which his best friend was killed. After the physician diagnoses acute depression, the nurse should anticipate administering: You Selected: •  imipramine, 500 mg daily. Correct response: •  paroxetine, 20 mg by mouth (P.O.) every morning.   Explanation:   Remediation: Question 2   See full question During the manic phase of bipolar disorder, a client's lithium carbonate level measures 0.15 mEq/L. The client dresses flamboyantly, acts provocatively, and has seriously impaired judgment. What is the nurse's priority when planning this client's care? You Selected: •  Initiate suicide precautions because the client's judgment is impaired. Correct response: •  Observe the client's behavior closely in the milieu.   Explanation:   Remediation: Question 3   See full question A man found wandering in a local park is unable to state who or where he is or where he lives. He is brought to the emergency department, where his identification is eventually discovered. The client's wife states that he was diagnosed with Alzheimer's disease 3 years earlier and has experienced increasing memory loss. She tells a nurse she is worried about how she'll continue to care for him. Which response by the nurse is most helpful? You Selected: •  "What aspect of caring for your husband is causing you the greatest concern?" Correct response: •  "What aspect of caring for your husband is causing you the greatest concern?"   Explanation:   Remediation: Question 4   See full question The client is receiving 6 mg of selegiline transdermal system every 24 hours for major depression. The nurse should judge teaching about selegiline to be effective when the client makes which statement? You Selected: •  "I need to avoid using the sauna at the gym." Correct response: •  "I need to avoid using the sauna at the gym."   Explanation:   Remediation: Question 5   See full question What should the nurse expect to include as a priority in the plan of care for a client with delirium based on the nurse’s understanding of the disturbances in orientation associated with this disorder? You Selected: •  identifying self and making sure that the nurse has the client's attention Correct response: •  identifying self and making sure that the nurse has the client's attention   Explanation:   Remediation: Question 6   See full question The nurse is teaching the client about the appropriate use of lorazepam to manage anxiety. Which statement indicates that the client understands the nurse's teaching? You Selected: •  "My medicine is not for the everyday stress of life." Correct response: •  "My medicine is not for the everyday stress of life."   Explanation:   Remediation: Question 7   See full question After the nurse teaches a client and family about lithium therapy, which client statements indicates the need for further teaching? You Selected: •  “I need to eliminate salt in my diet.” Correct response: •  “I need to eliminate salt in my diet.”   Explanation:   Remediation: Question 8   See full question The family of a client diagnosed with Alzheimer's disease wants to keep the client at home. They say that they have the most difficulty in managing his wandering. What should the nurse instruct the family to do? Select all that apply. You Selected: •  Install door alarms and high door locks. •  Install motion and sound detectors. •  Have the client wear a Medical Alert bracelet. Correct response: •  Install motion and sound detectors. •  Have the client wear a Medical Alert bracelet. •  Install door alarms and high door locks.   Explanation:   Remediation: Question 9   See full question During the initial assessment, a female client exhibits pressured speech. She points to certain patterns on the wallpaper and says, "This is the writing about the tsunami. Thousands of people died because I read the writing. I should never have read the writing; it was my fault." Which of the following would be central to the nurse’s interventions? You Selected: •  Replying to the client with feedback about reality and the client's behaviors Correct response: •  Replying to the client with feedback about reality and the client's behaviors   Explanation:   Remediation: Question 10   See full question The nurse is assisting a client diagnosed with dementia during meal time. Which nursing would best prevent complications? You Selected: •  Serve one course at a time with the appropriate utensil. Correct response: •  Serve one course at a time with the appropriate utensil. [Show More]

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