N450 Mental Health LSRN score A

1. A client on the psychiatric unit is unresponsive or mumbles incoherently whenever the nurse asks the client questions. Which of the following actions will facilitate communication? a. Filling silent periods by talking about topics interesting to the nurse b. Sitting quietly with the client until the client indicates a willingness to talk c. Encouraging the client to talk by asking direct questions d. Continuing to speak with the client using short, clear statements or open-ended questions 2. The nurse is providing family teaching about the medication donepezil (Aricept) in the treatment of Alzheimer’s disease. Which of the following is an accurate statement about Aricept? a. "Aricept prolongs the time and functioning of the earlier stages of the disease." b. "This medication halts the disease process if it is started upon first recognition of dementia." c. "Aricept prevents memory loss evident in the last phase of the disease." d. "This medication works most effectively when administered slowly with increasing daily dosages." 3. A nurse should understand that which of the following medications may be safely prescribed for a client already taking lithium (Lithane)? a. Ibuprofen (Advil) b. Succinylcholine (Anectine) c. Valproic acid (Depakene) d. Hydrochlorothiazide (HydroDIURIL) 4. 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? a. Peppermint candy b. Vanilla extract c. Salt d. Chocolate 5. A nurse is caring for a client with agoraphobia. Which of the following techniques should the nurse recognize as the most effective technique for treatment of agoraphobia? a. Repeated exposure to situations that the client fears b. Distraction each time the client brings up the problem c. Teaching relaxation techniques d. Gradual desensitization by controlled exposure to the situation the client fears 6. A client is in counseling for generalized anxiety disorder 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 a. Confusion b. Arrhythmias c. Drowsiness d. Ataxia 7. A nurse is caring for a client who has been taking lithium (Lithane) for the past 6 months. The client's provider determines that the client is no longer responding well to the medication. After discontinuing the lithium, the provider prescribes valproic acid (Depakote). What instructions should the nurse give the client regarding valproic acid? a. White blood cell counts must be monitored regularly. b. A pretreatment EEG must be performed and repeated in 6 months. c. Thyroid function tests must be performed every 6 months. d. Liver function and hematology levels must be monitored regularly. 8. 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