NU334 Exam 2 Questions and Answers Latest Updated

NU334 Exam 2 Questions and Answers Latest Updated The nurse assigns a client with obsessive compulsive disorder a nursing diagnosis of "ineffective impulse control" related to recurrent thoughts and demonstrated by constant hand washing with hand wipes. Nursing interventions will be aimed at: - Ans:-Helping patient maintain anxiety at a manageable level in order to reduce the need for ritualistic behavior A female client who is at high risk for suicide needs close supervision. To best ensure the client's safety, the nurse will: - Ans:-Check the client frequently at irregular intervals throughout the day A newly admitted client who is diagnosed with major depressive disorder isolates herself in her room and stares out the window. Which nursing intervention would be the most appropriate to implement when first establishing a nurse client relationship? - Ans:-Sit with client and offer support frequently. Provide positive feedback on accomplishments achieved. A depressed client is on reglan a common antiemetic which is known to interact with SSSRIs and increase the risk of serotonin syndrome. The prescribing provider orders paxil anyway. - Ans:-Constipation ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/8 A newly admitted client is experiencing a manic episode. He is pacing and has extreme psychomotor agitation. The client's nursing dx is imbalance nutrition, less than body req. Which meal is most appropriate for this client? - Ans:-sandwich, granola bar, carrot stick, A client with bipolar disorder is prescribed lamictal a mood stabilizer. What statement by the patient indicates an understanding of proper measures to be taken with lamictal. - Ans:-I should call my doctor if I have a rash. A 17-year-old female client is brought to an inpatient psychiatric unit by her parents. She has been given a provisional dx of Major Depressive Disorder. Which assessment finding best indicates that she is experiencing a depressive disorder? - Ans:-parents state that she is no longer enjoys cheer practice and states she feels sad all the time for more than 2 weeks A client is admitted to the behavioral health unit with a diagnosis of major depression (MAOI) - Ans:- red wine A male diagnosed with schizophrenia denies any homicidal or suicidal ideations. He has no history of violent behaviors. His voices are telling him that he is a kind and benevolent king and master. He states that all he wants to do is "sit on his golden throne" pointing to the chair in his room. Based upon this data and history, what might be the nurses primary diagnosis: - Ans:-Disturbed thought processes as evidenced by auditory hallucinations, illusions, and delusions. A newly admitted client is dx'd with anxiety disorder. Which short term outcome is appropriate? - Ans:-The client will rate anxiety as 3 out of 10 by day 4 of admission ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/8 A client is newly diagnosed with obsessive compulsive disorder and spends 45 minutes folding and rearranging them in drawers. Which nursing intervention would best address this clients problem? - Ans:-Discuss the anxiety-provoking triggers that precipitate the ritualistic behaviors How would a nurse differentiate a client diagnosed with panic disorder from a client diagnosed with generalized anxiety disorder (GAD)? - Ans:-Hyperventilation is common in GAD and rare in panic disorder A client presents to the OP clinic complaining of "severe PMS" Which assessment factors lead the nurse clinician to suspect premenstrual dysphoric disorder? - Ans:-the client describes symptoms which usually start the week prior A client prescribed lithium is experiencing an excessive output of dilute urine, tremors, mental confusion, and muscular irritability. These sxs would lead the nurse to expect? *(0.6-1.2 normal range) - Ans:-1.5mEq/L or 2.6mEq/L a 25 year old female client present with a diagnosis of schizophrenia. Initially she was placed on this medication, Geodon. It is an atypical, second generation antipsychotic. Given the medication Geodon, what test should she have expected that the physician would order prior to prescribing Geodon? - Ans:-??? The nurse observes that a client is pacing, agitated, aggressive gestures. Client's speech is rapid, affect is belligerent. What is the nurse's immediate priority of care? - Ans:-provide safety