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A nurse is reviewing the health hx of a young adult client who has a depressive disorder. What
factors should the nurse identify as increasing the client's risk for depression?
a. client is an only child
b. client lives in an urban setting
c. client is married
d. client is female ✔✔d. client is female
A nurse is caring for a client who has OCD. The client engages in repeated hand washing daily.
What should the nurse recognize as the purpose of the client's behavior?
a. relieving anxiety
b. gaining attention
c. avoiding daily responsibilities
d. responding to auditory hallucinations ✔✔a. relieving anxiety
A nurse is caring for a newly admitted client who is experiencing alcohol withdrawal. What
finding should the nurse expect?
,a. bradycardia
b. increased somnolence
c. slurred speech
d. headache ✔✔d. headache
A nurse is caring for a client who has schizophrenia. The client spends a great deal of time
repeating rhyming syllables such as me, see, bee, tree. The nurse recognizes that the client is
demonstratting what positive manifestations of schizophrenia?
a. clang association
b. echolalia
c. magical thinking
d. word salad ✔✔a. clang association
A nurse is assessing a client who has been taking thioridazine for several days. The client reports
hand tremors, drooling, rigid extremities. What actions should the nurse take?
a. reassure the client that these effects are expected
b. administer diazepam
c. encourage deep breathing and relaxation
d. administer benztropine ✔✔d. administer benztropine
, A nurse is caring for a client who has OCD. What actions should the nurse take when dealing
with the client's ritualistic behaviors?
a. plan the client's schedule to allow time to perform rituals
b. verbalize disapproval of ritualistic behavior
c. place the client in protective isolation
d. increase stimuli in client's immediate surroundings ✔✔a. plan the client's schedule to allow
time to perform rituals
A nurse is assessing a client who has an anxiety disorder and is taking benzodiazepine. For what
adverse effect should the nurse monitor the client?
a. seizures
b. dizziness
c. polyuria
d. insomnia ✔✔b. dizziness
A nurse in a mental health clinic is assessing a client who has a hx of mania. What finding
indicates that the client is experiencing a relapse?
a. weight gain