233 MH EXAM 2 (HONDROS)
QUESTIONS AND ANSWERS
A client with schizophrenia became aggressive in response to a visible hallucination and
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is doing something to another client. The nurse manager instructs the nurse to seclude
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the client for safety. Which client is the patient considered secluded? - ANSWER: The
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client is warned of the consequence if he or she leaves the room.
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An adult client whose treatment is for major depressive disorder met with the doctor and
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signed an informed consent for ECT. What ECT education will the nurse provide? -
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ANSWER: The nurse will teach you that you may experience short-term memory loss,
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and a headache after the procedure.
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The nurse is preparing to document following an assessment of a client with
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schizophrenia, which assessment finding will the nurse document as a negative
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symptom? Select all that apply. - ANSWER: Verbal communication was almost non-
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existent.
The client needs frequent redirection because of his short attention span.
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Which education should the nurse provide to a client prescribed 1st generation
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antipsychotic? Select all that apply? - ANSWER: Change positions slowly.
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Avoid alcohol consumption while on medication therapy.
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Refrain from driving until medication affects are known.
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Which of the following factors place a client in the highest risk of mood spectrum
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disorder? Select all that apply. - ANSWER: Late 20's.
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Female.
Dual Diagnosis. bf
History of abuse. bf bf
A nurse receives a report of a client with psychosis. the client smells rotting flesh and
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feels bugs on her. She states the voices tell her she should kill herself because of the
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way she smells. During the assessment, the client confirms the report. Which of the
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following hallucinations will the nurse document? - ANSWER: Tactile.
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Olfactory.
Command.
A client with depression was prescribed fluoxetine. During the nurse's assessment the
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nurse notes the client is experiencing serotonin syndrome. - ANSWER: Hyperactivity.
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, Abnormally High Fever. bf bf
Altered Mental state. bf bf
A client is diagnosed with depression and presents to the ER having suicidal ideation
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with a plan and intent to attempt suicide. Which of the following methods has the
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highest level of lethality? - ANSWER: Using a gun.
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Jumping from a building. bf bf bf
Hanging themselves. bf
The nursing supervisor is giving a presentation on substance abuse to new RN's, the
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supervisor asks the new nurses what most substance abuse disorders are
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characterized as. Which response indicates the need for further instruction? -
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ANSWER: Co-dependent.
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The Nurse just admitted a client with chronic alcoholism, the client has Wernicke's
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Encephalopathy. The nurse expects the physician to order which medication to address
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this condition? - ANSWER: Thiamine-B1.
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A nurse at a community Mental Health Center is interviewing a client who demonstrates
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a disorganized speech pattern the client is exhibiting clanging association and
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echolalia. Which nursing diagnosis will the nurse formulate to address these? -
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ANSWER: Impaired verbal communication.
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A client with a history of bipolar disorder with psychotic features has been prescribed
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Risperidone, the client has been admitted for symptom exacerbation during the nursing
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assessment the nurse notices stiffness restlessness and fidgeting, the nurse reports
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the finding to the physician, which medication should she anticipate the physician
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ordering? - ANSWER: Cogentin.
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The nurse is caring for a client who has alcohol abuse disorder, the client is
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experiencing, agitation, tremors, and sweating. Which medication should the nurse
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expect to implement? - ANSWER: Alprazolam-Xanax.
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When assessing a client with possible dependence on alcohol the nurse should ask
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which priority question? - ANSWER: How do you feel when you have not had a drink all
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day?
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The nurse should be prepared to manage which occurrences unique to hallucinogenic
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drugs? - ANSWER: Flashback.
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When discussing an individual's likelihood of substance abuse, the nurse should identify
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which assessment data as a primary factor? - ANSWER: The client has two family
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members who have abused substances.
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QUESTIONS AND ANSWERS
A client with schizophrenia became aggressive in response to a visible hallucination and
bf bf bf bf bf bf bf bf bf bf bf bf
is doing something to another client. The nurse manager instructs the nurse to seclude
bf bf bf bf bf bf bf bf bf bf bf bf bf bf
the client for safety. Which client is the patient considered secluded? - ANSWER: The
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client is warned of the consequence if he or she leaves the room.
bf bf bf bf bf bf bf bf bf bf bf bf bf
An adult client whose treatment is for major depressive disorder met with the doctor and
bf bf bf bf bf bf bf bf bf bf bf bf bf bf
signed an informed consent for ECT. What ECT education will the nurse provide? -
bf bf bf bf bf bf bf bf bf bf bf bf bf bf
ANSWER: The nurse will teach you that you may experience short-term memory loss,
bf bf bf bf bf bf bf bf bf bf bf bf bf
and a headache after the procedure.
bf bf bf bf bf bf
The nurse is preparing to document following an assessment of a client with
bf bf bf bf bf bf bf bf bf bf bf bf
schizophrenia, which assessment finding will the nurse document as a negative
bf bf bf bf bf bf bf bf bf bf bf
symptom? Select all that apply. - ANSWER: Verbal communication was almost non-
bf bf bf bf bf bf bf bf bf bf bf bf
existent.
The client needs frequent redirection because of his short attention span.
bf bf bf bf bf bf bf bf bf bf
Which education should the nurse provide to a client prescribed 1st generation
bf bf bf bf bf bf bf bf bf bf bf
antipsychotic? Select all that apply? - ANSWER: Change positions slowly.
bf bf bf bf bf bf bf bf bf bf
Avoid alcohol consumption while on medication therapy.
bf bf bf bf bf bf
Refrain from driving until medication affects are known.
bf bf bf bf bf bf bf
Which of the following factors place a client in the highest risk of mood spectrum
bf bf bf bf bf bf bf bf bf bf bf bf bf bf
disorder? Select all that apply. - ANSWER: Late 20's.
bf bf bf bf bf bf bf bf bf
Female.
Dual Diagnosis. bf
History of abuse. bf bf
A nurse receives a report of a client with psychosis. the client smells rotting flesh and
bf bf bf bf bf bf bf bf bf bf bf bf bf bf bf
feels bugs on her. She states the voices tell her she should kill herself because of the
bf bf bf bf bf bf bf bf bf bf bf bf bf bf bf bf bf
way she smells. During the assessment, the client confirms the report. Which of the
bf bf bf bf bf bf bf bf bf bf bf bf bf bf
following hallucinations will the nurse document? - ANSWER: Tactile.
bf bf bf bf bf bf bf bf bf
Olfactory.
Command.
A client with depression was prescribed fluoxetine. During the nurse's assessment the
bf bf bf bf bf bf bf bf bf bf bf
nurse notes the client is experiencing serotonin syndrome. - ANSWER: Hyperactivity.
bf bf bf bf bf bf bf bf bf bf bf
, Abnormally High Fever. bf bf
Altered Mental state. bf bf
A client is diagnosed with depression and presents to the ER having suicidal ideation
bf bf bf bf bf bf bf bf bf bf bf bf bf
with a plan and intent to attempt suicide. Which of the following methods has the
bf bf bf bf bf bf bf bf bf bf bf bf bf bf bf
highest level of lethality? - ANSWER: Using a gun.
bf bf bf bf bf bf bf bf bf
Jumping from a building. bf bf bf
Hanging themselves. bf
The nursing supervisor is giving a presentation on substance abuse to new RN's, the
bf bf bf bf bf bf bf bf bf bf bf bf bf
supervisor asks the new nurses what most substance abuse disorders are
bf bf bf bf bf bf bf bf bf bf bf
characterized as. Which response indicates the need for further instruction? -
bf bf bf bf bf bf bf bf bf bf bf
ANSWER: Co-dependent.
bf bf
The Nurse just admitted a client with chronic alcoholism, the client has Wernicke's
bf bf bf bf bf bf bf bf bf bf bf bf
Encephalopathy. The nurse expects the physician to order which medication to address
bf bf bf bf bf bf bf bf bf bf bf bf
this condition? - ANSWER: Thiamine-B1.
bf bf bf bf bf
A nurse at a community Mental Health Center is interviewing a client who demonstrates
bf bf bf bf bf bf bf bf bf bf bf bf bf
a disorganized speech pattern the client is exhibiting clanging association and
bf bf bf bf bf bf bf bf bf bf bf
echolalia. Which nursing diagnosis will the nurse formulate to address these? -
bf bf bf bf bf bf bf bf bf bf bf bf
ANSWER: Impaired verbal communication.
bf bf bf bf
A client with a history of bipolar disorder with psychotic features has been prescribed
bf bf bf bf bf bf bf bf bf bf bf bf bf
Risperidone, the client has been admitted for symptom exacerbation during the nursing
bf bf bf bf bf bf bf bf bf bf bf bf
assessment the nurse notices stiffness restlessness and fidgeting, the nurse reports
bf bf bf bf bf bf bf bf bf bf bf
the finding to the physician, which medication should she anticipate the physician
bf bf bf bf bf bf bf bf bf bf bf bf
ordering? - ANSWER: Cogentin.
bf bf bf bf
The nurse is caring for a client who has alcohol abuse disorder, the client is
bf bf bf bf bf bf bf bf bf bf bf bf bf bf
experiencing, agitation, tremors, and sweating. Which medication should the nurse
bf bf bf bf bf bf bf bf bf bf
expect to implement? - ANSWER: Alprazolam-Xanax.
bf bf bf bf bf bf
When assessing a client with possible dependence on alcohol the nurse should ask
bf bf bf bf bf bf bf bf bf bf bf bf
which priority question? - ANSWER: How do you feel when you have not had a drink all
bf bf bf bf bf bf bf bf bf bf bf bf bf bf bf bf bf
day?
bf
The nurse should be prepared to manage which occurrences unique to hallucinogenic
bf bf bf bf bf bf bf bf bf bf bf
drugs? - ANSWER: Flashback.
bf bf bf bf
When discussing an individual's likelihood of substance abuse, the nurse should identify
bf bf bf bf bf bf bf bf bf bf bf
which assessment data as a primary factor? - ANSWER: The client has two family
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members who have abused substances.
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