RN MENTAL HEALTH FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE VERIFIED SOLUTIONS GRADED A+

RN MENTAL HEALTH FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE VERIFIED SOLUTIONS GRADED A+ For each potential assessment finding, click to specify if it is a positive or negative symptom of schizophrenia. Positive: Delusions of grandeur, clang associations, and catatonia are consistent with positive symptoms of schizophrenia Negative: Absence of intonation in speech, alogia, and withdrawal from social activities are consistent with negative symptoms of schizophrenia. A nurse in a n 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 A nurse is caring for a group of clients. Which of the following findings is the nurse required to report? A client who has borderline personality disorder threatened to harm their roommate. 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? "In the event a client threatens harm to others, medications can be administered without consent." A community health nurse is planning an education program about depressive disorders. Which of the following factors should the nurse include as increas RN MENTAL HEALTH FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE VERIFIED SOLUTIONS GRADED A+ For each potential assessment finding, click to specify if it is a positive or negative symptom of schizophrenia. Positive: Delusions of grandeur, clang associations, and catatonia are consistent with positive symptoms of schizophrenia Negative: Absence of intonation in speech, alogia, and withdrawal from social activities are consistent with negative symptoms of schizophrenia. A nurse in a n 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 A nurse is caring for a group of clients. Which of the following findings is the nurse required to report? A client who has borderline personality disorder threatened to harm their roommate. 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? "In the event a client threatens harm to others, medications can be administered without consent." A community health nurse is planning an education program about depressive disorders. Which of the following factors should the nurse include as increasing the risk for depression? Substance use disorder A nurse is planning care for a 7-year-old child who has ADHD. Which of the following interventions should the nurse identify as the priority? Remove unnecessary equipment from the child's surroundings. A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports that they stopped taking lithium 2 weeks ago. he nurse should recognize which of the following as an expected adverse effect that might have caused the client to stop taking the medication? Hand tremors A client who has a diagnosis of depression is attending group therapy. During the group meeting, the nurse asks each member to identify one goal for the day. When it is the client's turn they do not respond. Which of the following actions should the nurse take before repeating the request to the client? Allow the client time to formulate an answer The nurse is assessing the client. Select the 5 findings that require follow-up. Nausea and vomiting Temperature Level of consciousness (LOC) BAC Respiratory rate For each of the client assessment findings below, click to specify if the finding is consistent with alcohol toxicity or major depressive disorder. Each finding may support more than one disease process. Alcohol Toxicity: Level of consciousness, nausea and vomiting, mental status, and respiratory rate. Major depressive disorder: Weight change, mental status. Complete the following sentence by choosing from the lists of options ALCOHOL WITHDRAWL SYNDROME MENTAL STATUS For each of the providers potential prescriptions, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client. CT scan of brain is nonessential Monitor vital signs every 30 min is anticipated. Obtain an Alcohol Use Disorders Identification Test (AUDIT) is nonessential. Initiate IV access is anticipated. Administer an anti-anxiety medication is anticipated. Wake the client every 30 min for neurological assessment is contraindicated. Complete the following sentence by using the lists of options. INITIATE SUICIDE PRECAUTIONS INITIATING IV ACCESS The nurse is evaluating the client after interventions for alcohol withdrawal syndrome have been implemented. Which of the following findings indicate a positive response to therapy? (Select all that apply.) Slept with minimal disruption for 8 hr Blood pressure Temperature Heart rate Tremors Respiratory Rate A nurse is caring for a client who has a history of substance use disorder and was involuntarily admitted to a mental health facility. When the nurse attempt to administer oral lorazepam, the client refuses to take the medication and becomes physically aggressive. Which of the following actions should the nurse take? Do not administer lorazepam A nurse is updating the client's plan of care. For each of the following potential nursing interventions, click to specify if the potential intervention is anticipated, nonessential, or contraindicated for the client. When addressing the client, approach them from the front when possible is anticipated. Use a vest restraint to keep the client in a medical recliner is contraindicated. Ensure the bed is kept at a working height for the nurse is contraindicated. Provide the client with high-calorie protein drinks hourly is nonessential. Give directions to the client slowly and in a moderate tone of voice is anticipated. Decrease sensory stimulation is anticipated. Keep the lights off in the client's bedroom and bathroom at night is contraindicated. Assign the client to a room near the nurses' station is anticipated a nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant conditioning. Which of the following client behaviors indicates effectiveness of the therapy? Refrains from manipulating others to earn dining room privileges A nurse is caring for a client whose child has a terminal illness. The client requests information about how to deal with the upcoming loss. Which of the following statements should the nurse make? "It is no uncommon to feel angry toward yourself or other's." A nurse is planning care for an adolescent who is being admitted to an acute care unit following a suicide attempt. Which of the following interventions should the nurse identify as the priority? Arrange one-to-one observation of the client. A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? A client was administered one-half of the prescribed dose of medication During a client's initial interview in a mental health inpatient setting, a nurse identifies that the client is maintaining eye contact and leaning forward. Which of the following assumptions should the nurse make based on the client's nonverbal behaviors? The client is interested in what the nurse is saying. A nurse is documenting admission assessment findings for a client who has major depressive disorder. The nurse should identify which of the following findings as clinical manifestations? (Select all that apply.) Feelings of hopelessness Anhedonia Flat facial expression 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? Ask the client what the voices are saying. A nurse is caring for a client who is undergoing electroconvulsive therapy (ECT) and will receive succinylcholine. The client asks the nurse about this medication. Which of the following responses should the nurse make? "Succinylcholine is given to reduce muscle movement during therapy." A nurse is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect? Emotional lability Complete the following sentence by using the list of options VIOLENT BEHAVIOR AGITATION A nurse is caring for a client in a mental health facility. The nurse overhears another staff member make derogatory comments to the client. Which of the following actions should the nurse take? Report the occurrence to the charge nurse 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? Avoid looking directly at the light during treatment A nurse is caring for a client who has schizophrenia and is experiencing psychosis. The nurse should identify that which of the following findings indicates a potential psychiatric emergency? The client reports command hallucinations A nurse is establishing a therapeutic relationship with a client who has antisocial personality disorder. which of the following strategies should the nurse use when communicating with this client? Set realistic limits on the clients behavior A nurse is caring for a client who has borderline personality disorder. Which of the following goals is the priority when planning care for this client? The client will refrain from self-mutilation. 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." A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing mania. which of the following is the priority action by the nurse? Provider frequent high-calorie snacks. A nurse in a mental health clinic is planning car for a client who has a new prescription for olanzapine. Which of the following interventions should the nurse identify as the priority? Instruct the client to avoid driving during initial therapy. Click to highlight the information in the client's medical record that indicate the client's condition is deteriorating. To deselect information, click on the information again. QT prolongation Exercise regimen Hematemesis BMI 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 reports an inability to breathe easily A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse questions the client regarding their admission, the client states, "I'm red, in the head, and I'm going to bed!" The nurse should document the client's speech pattern as which of the following? Clang association A nurse is caring for a group of clients. Which of the following findings should the nurse report? A client who is taking lamotrigine and has developed a rash A nurse is a provider's office is collecting a health history from the guardian of a school-age child who has been taking atomoxetine. Which of the following adverse effects reported by the guardian is the priority for the nurse to report to the provider? Dark urine 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? Attention to body language A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as a negative symptom of this disorder? Anhedonia A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an adolescent who weighs 110 lb. Available is chlorpromazine syrup 10 mg/ 5 mL. How many mL should the nurse administer? 14 A nurse is planning discharge for a client who has bipolar disorder and has a prescription for lithium. Which of the following client statements indicates understanding of the teaching about the medication? "I should eat a regular diet with normal amounts of salt and fluid." A nurse is planning care for a client who has depression and has made frequent suicide attempts. Which of the following statements indicates the client has a decreased risk for suicide? "It is easier to talk about my feelings now." Complete the following sentence by using the lists of options. HYPERTENSIVE CRISIS CONSUMING FOODS HIGH IN TYRAMINE ing the risk for depression? Substance use disorder A nurse is planning care for a 7-year-old child who has ADHD. Which of the following interventions should the nurse identify as the priority?