8/17/25, 9:37
AM
NUR 221 PREPU PSYCHIATRIC AND MENTAL
HEALTH NURSING. EXAM ACTUAL QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED
Terms in this set (70)
A client is in the C. Provide frequent, supportive reorientation after the
geriatric psychiatry treatment.
inpatient unit. The
client has bilateral Rationale: Common side effects of bilateral ECT
electroconvulsive treatments are confusion,
therapy (ECT) scheduled
disorientation, and short-term memory loss.
for tomorrow. Which
The nurse should plan frequent, brief, and
intervention would be
succinct reorientation statements. The client
most important for the
is frequently NPO after midnight prior to ECT
nurse to implement for
therapy. Caffeine augmentation to ECT
this client?
therapy would occur
A. Encourage fluids 6 to 8
immediately prior to the procedure via
hours before the
intravenous administration. Family would be
treatment.
helpful for the client postprocedure but would
B. Encourage caffeine
not necessarily be part of the plan of care for
intake the day
the procedure.
before treatment.
C. Provide
frequent,
1/69
,8/17/25, 9:37
AM
supportive
reorientation after
the treatment.
D. Encourage the family to
accompany the
client to the treatment.
The nurse is collecting A. The progression of symptoms is slow.
data to determine D. The family cannot identify when symptoms first
whether a client is appeared.
experiencing dementia E. The client's basic personality has changed.
or depression. Which
F. The client has great difficulty paying attention to
findings indicate
others.
dementia? Select all that
apply.
Rationale: Common characteristics of dementia
A. The progression of
include slow onset of symptoms, difficulty
symptoms is slow.
identifying when symptoms first occurred,
B. The client answers
noticeable changes in the
questions with, "I don't
client's personality, and impaired ability to pay
know."
attention to others. Options 2 and 3 are
C. The client acts apathetic
symptoms of depression, not dementia.
and pessimistic.
D. The family cannot
identify when
symptoms first
appeared.
E. The client's basic
personality has
2/69
,8/17/25, 9:37
AM
changed.
F. The client has great
difficulty paying
attention to others.
While shopping, a nurse B. "I'm sorry, I can't disclose client information."
meets a neighbor who
asks about a friend Rationale: The nurse is bound by the rules of
receiving confidentiality and can't reveal any information
treatment at the nurse's about a client or treatment, and should state
clinic. What is the nurse's this fact to the neighbor. Suggesting that the
most appropriate neighbor call the client is inappropriate
response? because the nurse is inadvertently disclosing
A. "It might be best if you information and acknowledging the client's
discuss this with the presence at the clinic. Saying that the client is
client directly." stable and doing well is a blatant violation of
B. "I'm sorry, I can't the
disclose client client's right to absolute confidentiality.
information."
C. "You should
probably try to call
your friend for an
update."
D. "I can only say your
friend is stable and
seems to be doing
well."
The client with major C. Suicide attempt.
depression and suicidal
3/69
, 8/17/25, 9:37
AM
ideation has been
taking Rationale: The nurse must monitor the client for
bupropion 100 mg PO a suicide attempt at this time when the client
3 times daily for 5 is starting to feel better because the
days. Assessment depressed client may now have enough
reveals the client to be energy to carry out an attempt. Bupropion
somewhat less inhibits dopamine reuptake; it is an activating
withdrawn, able to antidepressant and could cause agitation.
perform activities of Although bupropion lowers the seizure
daily living with threshold, especially at doses greater than 450
minimal assistance, and mg/day, and visual
eating 50% of each meal. disturbances and increased libido are possible adverse
At this time, the nurse effects, the nurse must
should monitor the
closely monitor the client for a suicide attempt.
client specifically for
As the client with major depression begins to
which behavior?
feel better, the client may have enough energy
A. Visual disturbances. to carry out an attempt.
B. Increased libido.
C. Suicide attempt.
D. Seizure activity.
D. Sit with the client.
The nurse attempts to
interact with a client who Rationale: The nurse sits in silence with the
barely responds with client who is severely depressed. The nurse's
yes or no. The presence conveys concern for and
client states, "Don't acceptance of the client, provides security,
bother me. I want to die." increases self-worth, and gives some structure
What action should the to the client's day.
nurse take? Leaving the client alone ignores the client's
4/69
AM
NUR 221 PREPU PSYCHIATRIC AND MENTAL
HEALTH NURSING. EXAM ACTUAL QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED
Terms in this set (70)
A client is in the C. Provide frequent, supportive reorientation after the
geriatric psychiatry treatment.
inpatient unit. The
client has bilateral Rationale: Common side effects of bilateral ECT
electroconvulsive treatments are confusion,
therapy (ECT) scheduled
disorientation, and short-term memory loss.
for tomorrow. Which
The nurse should plan frequent, brief, and
intervention would be
succinct reorientation statements. The client
most important for the
is frequently NPO after midnight prior to ECT
nurse to implement for
therapy. Caffeine augmentation to ECT
this client?
therapy would occur
A. Encourage fluids 6 to 8
immediately prior to the procedure via
hours before the
intravenous administration. Family would be
treatment.
helpful for the client postprocedure but would
B. Encourage caffeine
not necessarily be part of the plan of care for
intake the day
the procedure.
before treatment.
C. Provide
frequent,
1/69
,8/17/25, 9:37
AM
supportive
reorientation after
the treatment.
D. Encourage the family to
accompany the
client to the treatment.
The nurse is collecting A. The progression of symptoms is slow.
data to determine D. The family cannot identify when symptoms first
whether a client is appeared.
experiencing dementia E. The client's basic personality has changed.
or depression. Which
F. The client has great difficulty paying attention to
findings indicate
others.
dementia? Select all that
apply.
Rationale: Common characteristics of dementia
A. The progression of
include slow onset of symptoms, difficulty
symptoms is slow.
identifying when symptoms first occurred,
B. The client answers
noticeable changes in the
questions with, "I don't
client's personality, and impaired ability to pay
know."
attention to others. Options 2 and 3 are
C. The client acts apathetic
symptoms of depression, not dementia.
and pessimistic.
D. The family cannot
identify when
symptoms first
appeared.
E. The client's basic
personality has
2/69
,8/17/25, 9:37
AM
changed.
F. The client has great
difficulty paying
attention to others.
While shopping, a nurse B. "I'm sorry, I can't disclose client information."
meets a neighbor who
asks about a friend Rationale: The nurse is bound by the rules of
receiving confidentiality and can't reveal any information
treatment at the nurse's about a client or treatment, and should state
clinic. What is the nurse's this fact to the neighbor. Suggesting that the
most appropriate neighbor call the client is inappropriate
response? because the nurse is inadvertently disclosing
A. "It might be best if you information and acknowledging the client's
discuss this with the presence at the clinic. Saying that the client is
client directly." stable and doing well is a blatant violation of
B. "I'm sorry, I can't the
disclose client client's right to absolute confidentiality.
information."
C. "You should
probably try to call
your friend for an
update."
D. "I can only say your
friend is stable and
seems to be doing
well."
The client with major C. Suicide attempt.
depression and suicidal
3/69
, 8/17/25, 9:37
AM
ideation has been
taking Rationale: The nurse must monitor the client for
bupropion 100 mg PO a suicide attempt at this time when the client
3 times daily for 5 is starting to feel better because the
days. Assessment depressed client may now have enough
reveals the client to be energy to carry out an attempt. Bupropion
somewhat less inhibits dopamine reuptake; it is an activating
withdrawn, able to antidepressant and could cause agitation.
perform activities of Although bupropion lowers the seizure
daily living with threshold, especially at doses greater than 450
minimal assistance, and mg/day, and visual
eating 50% of each meal. disturbances and increased libido are possible adverse
At this time, the nurse effects, the nurse must
should monitor the
closely monitor the client for a suicide attempt.
client specifically for
As the client with major depression begins to
which behavior?
feel better, the client may have enough energy
A. Visual disturbances. to carry out an attempt.
B. Increased libido.
C. Suicide attempt.
D. Seizure activity.
D. Sit with the client.
The nurse attempts to
interact with a client who Rationale: The nurse sits in silence with the
barely responds with client who is severely depressed. The nurse's
yes or no. The presence conveys concern for and
client states, "Don't acceptance of the client, provides security,
bother me. I want to die." increases self-worth, and gives some structure
What action should the to the client's day.
nurse take? Leaving the client alone ignores the client's
4/69
