Questions in this set (92)
A nurse is assessing a client who has c. Anhedonia
schizophrenia. Which of the following
findings should the nurse document as a
negative symptom of this disorder?
a.Delusions
b. Neologisms
c.Anhedonia
c. Echopraxia
A nurse is caring for an older adult d. Talk with the client about activities they enjoyed with their partner
client who has dementia and has
wandered into the day room looking for
their deceased partner. Which of the
following actions should the nurse
take?
a.Move the client to a room near
the nurses station
b.Limit visitors until the client is oriented
to the environment
c.Tell the client that their partner
is deceased
d.Talk with the client about activities
they enjoyed with their partner
,A nurse is caring for a client whose child d. It is not uncommon to feel angry toward yourself or others
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?
a.It will be better for you to keep busy
to avoid thinking about your child's
death
b.You will complete the grieving
process about a year after your
child's death
c.The grief process will start once your
child actually dies
d.It is not uncommon to feel angry
toward yourself or others
A nurse is teaching a client who has a b. You might experience difficulties with sexual function while taking this medication
depressive disorder about fluoxetine.
Which of the following information should
the nurse include in the teaching?
a. You might notice an increase
in saliva while taking this medication
b.You might experience difficulties with
sexual function while taking this medication
c.You should expect an improvement
in symptoms of depression in 3 to 4
days
d.You may notice a temporary ringing
in the ears when starting this
medication
A nurse is admitting a client who has a. Clang association
schizophrenia to an acute care setting.
When the nurse questions the client
regarding their admission, the client
states, im red in the head, and I'm
going to bed! The nurse should
document the client's speech patterns
which of the following?
a.Clang association
b.Word salad
c. Neologisms
d. Echolalia
A nurse is obtaining a mental health history c. Interview the client in a private setting
from an older adult client. Which of the
following actions should the nurse plan to
take?
a.Raise the pitch of the voice
when speaking to the client
b.Being the interview by explaining
the plan of care
c. Interview the client in a private setting
d.Ask the client to complete a detailed
questionnaire
, A community health nurse is planning an c. Substance use disorder
education program about depressive
disorders. Which of the following
factors should the nurse include as
increasing the risk for depression?
a.Male gender
b. Hyperthyroidism
c. Substance use disorder
d.Being married
A nurse is planning discharge for a client a. I should eat a regular diet with normal amounts of salt and fluids
who has bipolar disorder and has a
prescription for lithium. Which of the
following client statements indicates
understanding of the teaching about the
medication?
a. I should eat a regular diet with
normal amounts of salt and fluids
b. I should discontinue the lithium when i
being to feel better
c. I need to be careful to avoid becoming
addicted to the lithium
d. I can skip a dose of medication if my
stomach is upset
A nurse is caring for a client who has a a. Do not administer the lorazepam
history of substance use disorder and was
involuntarily admitted to a mental health
facility. When the nurse attempts to
administer oral lorazepam, the client
refuses to take the medication and
becomes physically aggressive. Which of
the following actions should the nurse
take>
a.Do not administer the lorazepam
b.Request a prescription for IV lorazepam
c. Request that another nurse attempt
to administer the lorazepam
d.Place the lorazepam in the clients food
A nurse is caring for a client who has c. Refrains from manipulating others to earn dining room privileges
antisocial personality disorder and is
receiving behavioral therapy through
operant conditioning. Which of the
following client behaviors indicates
effectiveness of the therapy?
a.Controls anger outbursts to avoid being
placed in seclusion
b. No longer exhibits a fear of social
of public situations
c. Refrains from manipulating others to earn
dining room privileges
d.Imitates the therapist's use of a
relaxation technique