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A client with depression remains in bed most of the day, and declines
activities. Which nursing problem has the greatest priority for this
client?

A. Loss of interest in diversional activity.
B. Social isolation.
C. Refusal to address nutritional needs.
D. Low self-esteem.



The RN is preparing medications for a client with bipolar disorder
and notices that the client discontinued antipsychotic medication for
several days. Which medication should also be discontinued?
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a. Lithium. (Lithotabs)

b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of Magnesia).



The RN is teaching a client about the initiation of the prescribed
abstinence therapy using disulfiram (Antabuse). What information
should the client acknowledge understanding?

A. Completely abstain from heroin or cocaine use.
B. Remain alcohol free for 12 hours prior to the first dose.
C. Attend monthly meetings of alcoholics anonymous.
D. Admit to others that he is a substance user.



A male client with schizophrenia is admitted to the mental health unit
after abruptly stopping his prescription for ziprasidone (Geodon) one
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month ago. Which question is most important for the RN to ask the
client?


A. Have you lost interest in the things that you used to
enjoy?
B. Is your ability to think or concentrate decreased? C. How
many continuous hours do you sleep at night? D. Do you
hear sounds or voices that others do not hear?




A female client requests that her husband be allowed to stay in the
room during the admission assessment. When interviewing the client,
the RN notes a discrepancy between the client’s verbal and nonverbal
communication. What action does the RN take?

A. Pay close attention and document the nonverbal messages.



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B. Ask the client’s husband to interpret the discrepancy.
C. Ignore the nonverbal behavior and focus on the client’s verbal
messages.
D. Integrate the verbal and nonverbal messages and interpret them as
one.



A male client approaches the RN with an angry expression on his face
and raises his voice, saying “My roommate is the most selfish,
selfcentered, angry person I have ever met. If he loses his temper one
more time with me, I am going to punch him out!” The RN recognizes
that the client is using which defense mechanism?

A. Denial.
B. Projection.
C. Rationalization.
D. Splitting.


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