QUESTIONS & ACTUAL ANSWERS
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A nurse in an acute mental health facility is reviewing the medication records for a group
of clients. The nurse should expect a prescription for memantine for a client who has
which of the following diagnoses? - Correct Answer ✔✔ Alzheimer's disease
A nurse is collecting data from a client who takes an MAOI for treatment of depression.
Which of the following findings is the priority for the nurse to report to the provider? -
Correct Answer ✔✔ Elevated blood pressure
A nurse is reviewing the medications of a client who has bipolar disorder and a new
prescription for lithium. The nurse should identify that it is safe to administer which of
the following medications while the client is taking lithium? - Correct Answer ✔✔
Valproic acid
A nurse is collecting data fro, a client who has cocaine intoxication. Which of the
following findings should the nurse expect? - Correct Answer ✔✔ Increased mental
alertness
A nurse is caring for a client who has schizophrenia. 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 actions should the nurse take first? - Correct Answer ✔✔ Approach the
client in a nonthreatening manner.
A nurse in an acute mental health facility is participating is participating in a nursing staff
discussion about the legal aspects of involuntary admissions. Which of the following
information should the nurse include? - Correct Answer ✔✔ An involuntary admission is
justified if the client is a danger to others.
A nurse is reinforcing teaching with a client who has a new prescription for disulfiram for
the management of alcohol dependence. Which of the following dietary choices should
the nurse instruct the client to avoid? - Correct Answer ✔✔ Pure vanilla extract
A nurse is reinforcing teaching with the family of a client who has Alzheimer's disease
about donepezil. Which of the following statements should the nurse include? - Correct
Answer ✔✔ "Donepezil can improve cognitive functioning during the earlier stages of
the disease."
, A nurse is reviewing the medical history of a client who has a new prescription for
electroconvulsive therapy (ECT). Which of the following findings should the nurse
identify as the priority? - Correct Answer ✔✔ Cardiac arrhythmia
A nurse is contributing to the plan of care for a client who has anorexia nervosa. The
nurse should identify that which of the following actions is contraindicated for this client?
- Correct Answer ✔✔ Permitting the client to spend some quiet time alone after each
meal
A nurse is reinforcing teaching with the parents of a school-age child who has attention
deficit hyperactivity disorder (ADHD). Which of the following instructions should the
nurse include? - Correct Answer ✔✔ "Ignore your child's attention-seeking behaviors
that are not dangerous."
A nurse is assisting in the planning of a staff education session about the administration
of antidepressant medications to older adult clients. Which of the following information
should the nurse recommend to include? - Correct Answer ✔✔ Older adults clients
require a lower initial dose of antidepressant medication than adult clients.
A nurse in an acute substance disorder unit is collecting data from a client who received
treatment in the emergency department for an opioid overdose. Which of the following
findings should the nurse anticipate during opioid withdrawal? - Correct Answer ✔✔
Anxiety
A nurse is caring for a client who has major depressive disorder and is severely
withdrawn. Which of the following techniques should the nurse use to facilitate
communication with the client? - Correct Answer ✔✔ Speak to the client using simple
and concrete terminology.
A nurse is reviewing the medical record of a client who has a new prescription for
benzodiazepine. For which of the following findings should the nurse question the
provider's prescription? - Correct Answer ✔✔ Hypotension
A nurse is caring for a client who has cirrhosis of the liver due to alcohol use disorder.
Which of the following findings should the nurse expect? - Correct Answer ✔✔ Ascites
A nurse is caring for a client who has Alzheimer's disease and becomes agitated while
refusing morning hygiene care. Which of the following actions should the nurse take? -
Correct Answer ✔✔ Talk to the client form two arm-lengths away.
A nurse is collecting data from a client who has conduct disorder. Which of the following
findings should the nurse expect? - Correct Answer ✔✔ Aggressive behavior towards
others
A nurse is caring for a client who has depression. The client states, "I am too tired and
depressed to attend group therapy today." Which of the following responses should the