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NURSING 404 mental healt practice test A Questions/Answers

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Bateria A MENTALLLL 1. A nurse is assessing a client who recently used cocaine. Which of the following ndings should the nurse expect? • Hypertension Polyphagia Decreased temperature Depressed mood 2. A nurse is caring for a group of clients. Which of the following ndings should the nurse report? A client who is taking clozapine and has a WBC count of 7,500/mm3 A client who is taking lamotrigine and has developed a rash A client who is taking valproate and has a platelet count of 150,000/mm3 A client who is taking lithium and has a lithium level of 1.2 mEq/L 3. A nurse on a mental health unit is admitting a client who is anxious and tells the nurse, "I hear voices telling me what to do." Which of the following actions should the nurse take? Tell the client that the voices do not really exist. Touch the client to help reduce feelings of anxiety. Instruct the client to go to a quiet room when the voices start talking. Ask the client what the voices are saying 4. A nurse is communicating with a client in an inpatient mental health facility. Which of the following actions by the nurse demonstrates the use of active listening? Oering self Use of silence Attention to body language • body language Reection of feelings 5. A client who has paranoid schizophrenia is attending a treatment planning conference with a family member. During the discussion of the medication adherence portion of the plan, a nurse notices that the family member seems distracted. Which of the following actions should the nurse take? Call the family member to the side to inquire if they have questions or concerns about the treatment plan. Advise the family member that this treatment plan has been developed specically for the client to follow Ask the family member if they have any thoughts or questions about the treatment plan. Document that the family member does not support the medication treatment plan. 6. A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse should identify that which of the following founding’s indicates a potential psychiatric emergency? 7. The client is exhibiting echolalia. The client reports command hallucinations. The client reports loss of motivation The client is exhibiting blunted affect 8. A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse administer first? (Click on the "Exhibit" button below for additional client information. There are three tabs that contain separate categories of data.) Diazepam 5 mg IV bolus Clonidine 0.1 mg transdermal patch Naltrexone 380 mg IM Bupropion 150 mg PO 9. A nurse is reviewing the electronic medical record of a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to notify the provider? The client's chart indicates a 1.36-kg (3-lb) weight gain in 1 month The client reports an inability to breathe easily The client's laboratory results indicate a fasting blood glucose level of 130 mg/dL. The client reports having recently started smoking cigarettes. 10. A nurse in a community health center is counseling a family of two parents and two children. Which of the following statements by a family member indicates manipulative behavior? "If you do my homework for me, I won't bother you for the rest of the day." "Mom is always upset." "It's not the children's fault. It's mine." "It's your fault that we're having problems as a family." 11. A nurse is caring for a client who has schizophrenia and began taking a conventional antipsychotic medication yesterday. Which of the following findings indicates the nurse should administer benztropine 2 mg IM? 12. Shuing gait Hypotension Decreased WBC count Blurred vision

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Bateria IA I MENTALLLL

1. A Inurse Iis Iassessing Ia Iclient Iwho Irecently Iused Icocaine. IWhich Iof Ithe Ifollowing Indings Ishould Ithe
Inurse Iexpect?

• Hypertension

Polyphagia
I

Decreased Itemperature

Depressed Imood
I

2. A Inurse Iis Icaring Ifor Ia Igroup Iof Iclients. IWhich Iof Ithe Ifollowing Indings Ishould Ithe Inurse Ireport?IA
Iclient Iwho Iis Itaking Iclozapine Iand Ihas Ia IWBC Icount Iof I 7,500/mm3

A Iclient Iwho Iis Itaking Ilamotrigine Iand Ihas Ideveloped Ia Irash
A Iclient Iwho Iis Itaking Ivalproate Iand Ihas Ia Iplatelet Icount Iof I150,000/mm3IA

client Iwho Iis Itaking Ilithium Iand Ihas Ia Ilithium Ilevel Iof I1.2 ImEq/L
I

3. A Inurse Ion Ia Imental Ihealth Iunit Iis Iadmitting Ia Iclient Iwho Iis Ianxious Iand Itells Ithe Inurse, I"I Ihear
Ivoices Itelling Ime Iwhat Ito Ido." IWhich Iof Ithe Ifollowing Iactions Ishould Ithe Inurse Itake?

Tell Ithe Iclient Ithat Ithe Ivoices Ido Inot Ireally Iexist.
ITouch Ithe Iclient Ito Ihelp Ireduce Ifeelings Iof Ianxiety.

Instruct Ithe Iclient Ito Igo Ito Ia Iquiet Iroom Iwhen Ithe Ivoices Istart Italking.IAsk
Ithe Iclient Iwhat Ithe Ivoices Iare Isaying

4. A Inurse Iis Icommunicating Iwith Ia Iclient Iin Ian Iinpatient Imental Ihealth Ifacility. IWhich Iof Ithe
Ifollowing Iactions Iby Ithe Inurse Idemonstrates Ithe Iuse Iof Iactive Ilistening?

Oering Iself
IUse Iof Isilence

Attention Ito Ibody Ilanguage I•
Ibody Ilanguage

Reection Iof Ifeelings

5. A Iclient Iwho Ihas Iparanoid Ischizophrenia Iis Iattending Ia Itreatment Iplanning Iconference Iwith Ia
Ifamily Imember. IDuring Ithe Idiscussion Iof Ithe Imedication Iadherence Iportion Iof Ithe Iplan, Ia Inurse

Inotices Ithat Ithe Ifamily Imember Iseems Idistracted. IWhich Iof Ithe Ifollowing Iactions Ishould Ithe

Inurse Itake?

Call Ithe Ifamily Imember Ito Ithe Iside Ito Iinquire Iif Ithey Ihave Iquestions Ior Iconcerns Iabout Ithe
Itreatment Iplan.

Advise Ithe Ifamily Imember Ithat Ithis Itreatment Iplan Ihas Ibeen Ideveloped Ispecically Ifor Ithe IclientIto
Ifollow

Ask Ithe Ifamily Imember Iif Ithey Ihave Iany Ithoughts Ior Iquestions Iabout Ithe Itreatment Iplan.IDocument
Ithat Ithe Ifamily Imember Idoes Inot Isupport Ithe Imedication Itreatment Iplan.

, 6. A Inurse Iis Icaring Ifor Ia Iclient Iwho Ihas Ischizophrenia Iand Iis Iexperiencing Ipsychosis. IThe Inurse
Ishould Iidentify Ithat Iwhich Iof Ithe Ifollowing Ifounding’s Iindicates Ia Ipotential Ipsychiatric

Iemergency?

7.
The Iclient Iis Iexhibiting Iecholalia.
The Iclient Ireports Icommand Ihallucinations.
IThe Iclient Ireports Iloss Iof Imotivation

The Iclient Iis Iexhibiting Iblunted Iaffect

8. A Inurse Iis Icaring Ifor Ia Iclient Iwho Iis Iexperiencing Ialcohol Iwithdrawal. IWhich Iof Ithe Ifollowing
Imedications Ishould Ithe Inurse Iadminister Ifirst? I(Click Ion Ithe I"Exhibit" Ibutton Ibelow Ifor Iadditional

Iclient Iinformation. IThere Iare Ithree Itabs Ithat Icontain Iseparate Icategories Iof Idata.)

Diazepam I5 Img IIV Ibolus
Clonidine I0.1 Img Itransdermal Ipatch
INaltrexone I380 Img IIM

Bupropion I150 Img IPO

9. A Inurse Iis Ireviewing Ithe Ielectronic Imedical Irecord Iof Ia Iclient Iwho Ihas Ischizophrenia Iand Iis Itaking
Iclozapine. IWhich Iof Ithe Ifollowing Ifindings Iis Ithe Ipriority Ifor Ithe Inurse Ito Inotify Ithe Iprovider?

The Iclient's Ichart Iindicates Ia I1.36-kg I(3-lb) Iweight Igain Iin I1 Imonth
IThe Iclient Ireports Ian Iinability Ito Ibreathe Ieasily

The Iclient's Ilaboratory Iresults Iindicate Ia Ifasting Iblood Iglucose Ilevel Iof I130 Img/dL.
IThe Iclient Ireports Ihaving Irecently Istarted Ismoking Icigarettes.

10. A Inurse Iin Ia Icommunity Ihealth Icenter Iis Icounseling Ia Ifamily Iof Itwo Iparents Iand Itwo Ichildren.
IWhich Iof Ithe Ifollowing Istatements Iby Ia Ifamily Imember Iindicates Imanipulative Ibehavior?

"If Iyou Ido Imy Ihomework Ifor Ime, II Iwon't Ibother Iyou Ifor Ithe Irest Iof Ithe Iday."I"Mom
Iis Ialways Iupset."

"It's Inot Ithe Ichildren's Ifault. IIt's Imine."
"It's Iyour Ifault Ithat Iwe're Ihaving Iproblems Ias Ia Ifamily."

11. A Inurse Iis Icaring Ifor Ia Iclient Iwho Ihas Ischizophrenia Iand Ibegan Itaking Ia Iconventional
Iantipsychotic Imedication Iyesterday. IWhich Iof Ithe Ifollowing Ifindings Iindicates Ithe Inurse Ishould

Iadminister Ibenztropine I2 Img IIM?

12. IIShuing Igait
IHypotension

IDecreased IWBC Icount

IBlurred Ivision

13. A Inurse Iis Idelegating Iclient Icare Itasks Ito Ia Ilicensed Ipractical Inurse I(LPN) Iand Iassistive Ipersonnel.
IWhich Iof Ithe Ifollowing Itasks Ishould Ithe Inurse Iassign Ito Ithe ILPN?

Obtain Ithe Iweight Iof Ia Iclient Iwho Ihas Ibipolar Idisorder Iand Iis Iexperiencing Imania.

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NURSING 404 mental healt practice test A Questions/Answers

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