Psych Mental Health Remediation 100%
answered
Quiz> During a follow-up visit to the mental health clinic, the mother of a 7-year-old
client reports that her son has been having side effects from the medication that was
ordered to treat ADHD. The mother states that the client has a decreased appetite,
complains of abdominal pain, and has been unable to sleep. The health care provider
recommends that the medication be changed to a nonstimulant ADHD drug. Which
medication should be recommended for this client?
Atomoxetine (Strattera).
Methylphenidate (Ritalin).
Fluphenazine (Prolixin).
Fluoxetine (Prozac).
{{Answer}}( Atomoxetine (Strattera).
Rationale
Stimulant medications are often prescribed to treat ADHD. Atomoxetine (Strattera) is a
nonstimulant selective norepinephrine reuptake inhibitor that is approved for childhood
and adult ADHD disorders.)
Quiz> A client with stage 3 Alzheimer's disease is living with his son and daughter-in-
law. The visiting nurse is educating the family about the progression of the illness,
including "sundown syndrome," and is assisting with care planning and comfort
measures. Which statement by the daughter-in-law reflects that the teaching has been
effective?
"We will have locks placed at the top of all the outside doors."
"We will not take him out in public because it increases his confusion."
"We will remove the TV from his room."
"We will limit visitors because he does not recognize anyone."
{{Answer}}( "We will have locks placed at the top of all the outside doors."
Rationale
,Placing locks at the top of the doors is an important safety intervention. The term
"sundown syndrome" refers to behaviors that become more pronounced in the evening.
Clients with late stage dementia are prone to wandering, especially at night.)
Quiz> A client was admitted to the inpatient unit 48 hours ago with a diagnosis of a
Cluster "C" personality disorder. The client is well rested, but refuses to attend meals or
group sessions. The client has been started on a SSRI for anxiety but has not
demonstrated an effective response. Which other category of anxiolytic medication may
be prescribed to produce a more immediate decrease in symptoms?
{{Answer}}( Benzodiazipenes)
Quiz> A client seeks assistance at a crisis center. The client describes being extremely
anxious and unable to sleep since helping with clean-up duties at a school where a
student fatally shot a teacher and some classmates. Which intervention is the priority
when assisting this client?
Allow ventilation of feelings.
Refer the client to a member of the clergy.
Advise the client to avoid going near the school for at least six weeks.
Send the client to an emergency department for further evaluation.
{{Answer}}( Allow ventilation of feelings.)
Quiz> A client with delirium keeps attempting to get out of bed and has fallen twice,
despite being under close-observation. The charge nurse calls the health care provider
to obtain an order for mechanical restraints. Which statement is correct regarding the
mechanical restraint policy?
The client will need to remain on close-observation with a documentation note every 15
minutes.
The client no longer require close-observation, but must be checked at regular intervals.
The client may be sedated and left alone as long as the restraints remain in place.
Restraints may be applied based on verbal orders received over the phone.
{{Answer}}( The client will need to remain on close-observation with a documentation
note every 15 minutes.
Rationale
Restraints are the last option to use to ensure client safety. A written order is required
by a health care provider and the client require continued close-observation, even if
mechanical restrained.)
, Quiz> An 85-year-old client is bought to the emergency department after a fall at home.
The client appears confused, malnourished, and is severely dehydrated. The client
appears reluctant to explain how the fall happened. The client's daughter speaks for the
client and does not allow the client to answer questions. Based on this information,
which nursing intervention is a priority?
Interview the client alone and assess for abuse.
Take the history from the daughter because the client is confused.
Provide the daughter with nutritional counseling.
Request a psychiatric evaluation for the client.
{{Answer}}( Interview the client alone and assess for abuse
Rationale
The client's physical signs, appearance and reluctance to talk, in addition to the
daughter's behavior indicate possible abuse or neglect. The client should be interviewed
alone and then assess for signs of possible abuse and neglect. If upon conclusion of
interviewing and assessing the client, the nurse suspects elderly abuse it is required by
law the abuse to be reported to "Adult Protective Services".)
Quiz> The school nurse is providing an in-service program to high school girls about
date rape drugs. A student expresses interest about particular drugs and asks the nurse
what these drugs look like and how they affect the body. Which response by the nurse it
correct?
Flunitrazepam (Rohypnol) is a pill that dissolves in liquids and causes muscle relaxation
and amnesia.
Diphenhydramine (Compose) is a pill or capsule that is used to induce sleep.
Acetaminophen plus ephedrine (NyQuil) comes in pill and liquid form and causes
drowsiness.
Cyclobenzaprine (Flexeril) comes in a pill form and causes drowsiness and relaxation.
{{Answer}}( Flunitrazepam (Rohypnol) is a pill that dissolves in liquids and causes
muscle relaxation and amnesia.
Rationale
Flunitrazepam (Rohypnol) is a date rape pill that is also called "forget-me-not." It
dissolves in water, becomes more potent when combined with alcohol, and causes
relaxation and amnesia.)
answered
Quiz> During a follow-up visit to the mental health clinic, the mother of a 7-year-old
client reports that her son has been having side effects from the medication that was
ordered to treat ADHD. The mother states that the client has a decreased appetite,
complains of abdominal pain, and has been unable to sleep. The health care provider
recommends that the medication be changed to a nonstimulant ADHD drug. Which
medication should be recommended for this client?
Atomoxetine (Strattera).
Methylphenidate (Ritalin).
Fluphenazine (Prolixin).
Fluoxetine (Prozac).
{{Answer}}( Atomoxetine (Strattera).
Rationale
Stimulant medications are often prescribed to treat ADHD. Atomoxetine (Strattera) is a
nonstimulant selective norepinephrine reuptake inhibitor that is approved for childhood
and adult ADHD disorders.)
Quiz> A client with stage 3 Alzheimer's disease is living with his son and daughter-in-
law. The visiting nurse is educating the family about the progression of the illness,
including "sundown syndrome," and is assisting with care planning and comfort
measures. Which statement by the daughter-in-law reflects that the teaching has been
effective?
"We will have locks placed at the top of all the outside doors."
"We will not take him out in public because it increases his confusion."
"We will remove the TV from his room."
"We will limit visitors because he does not recognize anyone."
{{Answer}}( "We will have locks placed at the top of all the outside doors."
Rationale
,Placing locks at the top of the doors is an important safety intervention. The term
"sundown syndrome" refers to behaviors that become more pronounced in the evening.
Clients with late stage dementia are prone to wandering, especially at night.)
Quiz> A client was admitted to the inpatient unit 48 hours ago with a diagnosis of a
Cluster "C" personality disorder. The client is well rested, but refuses to attend meals or
group sessions. The client has been started on a SSRI for anxiety but has not
demonstrated an effective response. Which other category of anxiolytic medication may
be prescribed to produce a more immediate decrease in symptoms?
{{Answer}}( Benzodiazipenes)
Quiz> A client seeks assistance at a crisis center. The client describes being extremely
anxious and unable to sleep since helping with clean-up duties at a school where a
student fatally shot a teacher and some classmates. Which intervention is the priority
when assisting this client?
Allow ventilation of feelings.
Refer the client to a member of the clergy.
Advise the client to avoid going near the school for at least six weeks.
Send the client to an emergency department for further evaluation.
{{Answer}}( Allow ventilation of feelings.)
Quiz> A client with delirium keeps attempting to get out of bed and has fallen twice,
despite being under close-observation. The charge nurse calls the health care provider
to obtain an order for mechanical restraints. Which statement is correct regarding the
mechanical restraint policy?
The client will need to remain on close-observation with a documentation note every 15
minutes.
The client no longer require close-observation, but must be checked at regular intervals.
The client may be sedated and left alone as long as the restraints remain in place.
Restraints may be applied based on verbal orders received over the phone.
{{Answer}}( The client will need to remain on close-observation with a documentation
note every 15 minutes.
Rationale
Restraints are the last option to use to ensure client safety. A written order is required
by a health care provider and the client require continued close-observation, even if
mechanical restrained.)
, Quiz> An 85-year-old client is bought to the emergency department after a fall at home.
The client appears confused, malnourished, and is severely dehydrated. The client
appears reluctant to explain how the fall happened. The client's daughter speaks for the
client and does not allow the client to answer questions. Based on this information,
which nursing intervention is a priority?
Interview the client alone and assess for abuse.
Take the history from the daughter because the client is confused.
Provide the daughter with nutritional counseling.
Request a psychiatric evaluation for the client.
{{Answer}}( Interview the client alone and assess for abuse
Rationale
The client's physical signs, appearance and reluctance to talk, in addition to the
daughter's behavior indicate possible abuse or neglect. The client should be interviewed
alone and then assess for signs of possible abuse and neglect. If upon conclusion of
interviewing and assessing the client, the nurse suspects elderly abuse it is required by
law the abuse to be reported to "Adult Protective Services".)
Quiz> The school nurse is providing an in-service program to high school girls about
date rape drugs. A student expresses interest about particular drugs and asks the nurse
what these drugs look like and how they affect the body. Which response by the nurse it
correct?
Flunitrazepam (Rohypnol) is a pill that dissolves in liquids and causes muscle relaxation
and amnesia.
Diphenhydramine (Compose) is a pill or capsule that is used to induce sleep.
Acetaminophen plus ephedrine (NyQuil) comes in pill and liquid form and causes
drowsiness.
Cyclobenzaprine (Flexeril) comes in a pill form and causes drowsiness and relaxation.
{{Answer}}( Flunitrazepam (Rohypnol) is a pill that dissolves in liquids and causes
muscle relaxation and amnesia.
Rationale
Flunitrazepam (Rohypnol) is a date rape pill that is also called "forget-me-not." It
dissolves in water, becomes more potent when combined with alcohol, and causes
relaxation and amnesia.)
