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A nurse is obtaining a mental health history from an older adult client. Which of the following
actions should the nurse plan to take?
Raise the pitch of the voice when speaking to the client
Begin the interview by explaining the plan of care
Interview the client in a private setting
Ask the client to complete a detailed questionnaire ✔✔Interview the client in a private setting
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following
medications should the nurse administer first?
Diazepam 5 mg IV bolus
Clonidine 0.1 mg transdermal patch
Naltrexone 380 mg IM
Bupropion 150 mg PO ✔✔Diazepam 5 mg IV bolus
A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an adolescent who weighs
110 lbs. Available is chlorpromazine syrup 10mg/5ml. How many ml should the nurse
administer? ✔✔14 ml
,A nurse in an outpatient mental health setting is collecting a health history from a client who is
taking paroxetine for depression. The client reports to the nurse that he also takes herbal
supplements. The nurse should advise the client that which of the following supplements
interacts adversely with paroxetine?
St. John's wort
Saw palmetto
Echinacea
Ginkgo ✔✔St. John's wort
A nurse is caring for a client in a mental facility. The nurse overhears another staff member make
derogatory comments to the client. Which of the following actions should the nurse take?
Confront the staff member
Encourage the client to report the incident
Document the incident in the client's health record
Report the occurrence to the charge nurse ✔✔Report the occurrence to the charge nurse
A nurse is in a mental health clinic is planning care for a client who has a new prescription for
olanzapine. Which of the following interventions should the nurse identify as the priority?
,Advise the client to take frequent sips of water
Instruct the client to avoid driving during initial therapy
Consult a dietitian for a calorie-controlled diet plan
Recommend that the client exercise regularly ✔✔Instruct the client to avoid driving during
initial therapy
A nurse is providing teaching to a client who is to begin undergoing light therapy at home.
Which of the following information should the nurse include in the teaching?
Ensure a family member can be present during treatment
Increase fluid intake for 24 hour before the treatment starts
Change position slowly when the treatment is complete
Avoid looking directly at the light during treatment ✔✔Avoid looking directly at the light during
treatment
A charge nurse is preparing an educational session for a group of newly licensed nurses to
review client rights under the law. Which of the following statements should the nurse make?
"Information regarding clients should remain confidential until after their death"
"Failure to report suspected maltreatment or neglect of a disabled adult is a felony in all states"
, "As long as the client identity is disguised, their health information can be shared between
professionals on the internet"
"In the event a client threatens harm to others, medications can be administered without consent"
✔✔"In the event a client threatens harm to others, medications can be administered without
consent"
While observing group therapy, a nurse recognizes that a client is behaving in a way suggestive
of dependent personality disorder. Which of the following behaviors is consistent with this
condition?
The client needs excessive external input to make everyday decisions
The client demonstrates a dedication to their job that excludes time for leisure activities
The client adheres to a rigid set of rules
The client has difficulty starting new relationships unless they feel accepted ✔✔The client needs
excessive external input to make everyday decisions
A nurse in a mental health facility is planning discharge for a client who has a history of alcohol
use disorder. Which of the following post discharge activities should the nurse plan to include?
Taking the oral medication buprenorphine to prevent alcohol use
Attending a relapse prevention group several times each week
Beginning a methadone treatment program at a local center