Mental Health Practice Exam B with NGN

A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in an acute care facility undergoing detoxification. Which of information should the nurse include in the teaching? - the client should obtain a sponsor before discharge for an increased chance of recovery. A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe depression. The client who has depression reports to the nurse, "my roommate never sleeps and keeps me up, too." which of the following actions should the nurse take? - move the client who has bipolar disorder to a private room. A nurse is caring for a child who is taking methylphenidate. The nurse should monitor the child for which of the following findings as an adverse effect of methylphenidate? - tachycardia A nurse is preparing to administer diazepam 7.5 mg iv bolus to a client for alcohol withdrawal. Available is diazepam injection 5mg/ml. How many ml should the nurse administer? - 1.5ml A nurse in the emergency department is caring for four clients. Which of the following clients is the nurse required to report as a potential victim of abuse? - an older adult client who is bed bound and has a stage iv pressure ulcer A nurse is providing teaching to the partner of a client who is in a rehabilitation program for alcohol use disorder. The nurse should identify that which of the following statements by the client's partner indicates an understanding of the teaching? - i will not take charge of my partner's work responsibilities. A nurse is caring for an older adult client who begins to cry and states, "i knew god would punish me and i deserve this horrible sickness!" which of the following responses should the nurse make? - let's talk about what is upsetting you. A nurse is caring for a client who is in an abusive relationship and is assisting in the development of a safety plan. Which of the following actions is the first component of a safety plan? - identify signs of escalation of violence A nurse on a medical-surgical unit is assessing a cite who sustained injuries 12hr ago following a motor-vehicle crash. The client's admission blood alcohol level was 325mg/dl. Which of the following findings should indicate to the nurse that the client is experiencing alcohol withdrawal? - blood pressure 154/96 mm hg A nurse on a mental health unit observes a client who has acute mania hit another client. Which of the following actions should the nurse take first? - call for a team of staff members to help with the situation A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the following statement should the nurse make? - it appears as though you would like to open the door A charge nurse on a mental health unit is discussing client rights with a client newly licensed nurse. Which of the following statements should the charge nurse make? - clients who are admitted involuntarily maintain the right to give informed consent for procedures. A nurse on a mental health unit is caring for a group of clients. Which of the following actions by the following actions by the nurse is an example of the ethical principle of justice? - spending adequate time with a client who is verbally abusive A nurse is assessing a client who has bulimia nervosa. The nurse should expect which of the following findings? - tooth erosion A nurse is preparing to discharge to home an older adult client who attempted suicide. The client lives alone and has difficulty performing adls. Which of the following referrals should the nurse initiate? Sata - occupational therapy, meal delivery services, physical therapy, home health services A nurse is creating a plan of care for a client who has been placed in seclusion after threatening to harm others on the unit. Which of the following interventions should the nurse include in the plan? - renew the prescription for the client every 4hr A nurse in a community health center is working with a group of clients who have post-traumatic stress disorder. Which of the following interventions should the nurse include to reduce anxiety among the group members? - guided imagery A nurse is assessing a family's dynamics during a counseling session. The nurse should recognize which of the following findings as an indication of a boundary issue? - older children who are responsible for their younger siblings A nurse is planning care for a client who has generalized anxiety disorder. At which of the following levels of anxiety should the nurse plan to teach the client relaxation techniques? - mild A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose family reports episodes of confusion. Which of the following assessments findings supports the nurse's suspicion of delirium? - easily distracted A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse plan to see? - a client who is taking clozapine and reports a sore throat and chills A nurse is teaching coping strategies to a client who is experiencing depression related to partner violence. Which of the following statements by the client indicates an understanding of the teaching? - i will talk about my feelings with a close friend. A nurse is assisting a client who has a terminal illness adjust to progressive loss of independence. Which of the following statements by the client indicates acceptance of illness? - i am going to order a wheelchair for when i'm unable to walk Select the 6 findings found in the client's medical record that are manifestations of the client's diagnosed personality disorder. - stealing money from family to cover credit card charges, anxious if left alone, hypersexualization, married multiple times, incidences of self-injury, physical altercations For each potential provider's prescription, click to specify if the prescribed therapy is expected with obsessive compulsive disorder, dementia, or borderline personality disorder. Each therapy can support more than one disease process. - systematic desensitization; ocd Validation therapy; dementia. Dialectal behavior therapy; bpd Donepezil; dementia Fluoxetine; ocd and bpd Complete the following sentence by using the lists of options - the client is at risk for developing violent behavior as evidenced by the client's increased agitation For each potential nursing intervention, click to specify potential intervention is anticipated, nonessential, or contraindicated for the client. - haldol im anticipated. Hold buspirone; contraindicated. Request change of diet; nonessential. Digoxin iv bolus stat; contraindicated. Calmly approach client; anticipated. The nurse is caring for the client. Which of the following actions should the nurse take? Sata - continuous observation, debriefing with the client and other staff. The nurse is caring for the client, who is in seclusion and under mechanical restraints. For each potential assessment finding, click to specify if the findings indicates the client's condition has improved, not changed, or has declined. - client attempts to bite staff; declined. Client follows instructions; improved. Silent and glaring; not changed. Client verbalizes precipitating factors; improved.