Reference no: EM133845129

Questions

1. A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode which of the following actions should the nurse take

a. administer methylphenidate to the client

b. encourage the client to join group activities

c. provide detailed explanations to the client

d. dim the lights in the clients room

2. A nurse is creating a plan for a client who has major depressive disorder. Which of the following should the nurse include in the plan?

a. identify and schedule alternative group activities for the client

b. keep a bright light on in the clients room at night

c. discourage the client from expressing feelings of anger

d. encourage physical activity for the client during the day

3. A nurse is planning care for a client who has a major depressive disorder and serotonin syndrome. Which of the following actions should the nurse plan to take?

a. administer naloxone to reverse respiratory depression

b.place the client in a prone position to prevent dizziness

c. prepare to administer atropine for a low heart rate

d. use a tepid water bath to lower body temp

4. A nurse is speaking to a former high school friend . the friend states "I heard one of our high school teachers was admitted to your hospital is everything okay?' which of the following responses should the nurse make?

a. I can only discuss the status of a client with the clients family

b. I recommend you contact the hospital to see if she has been admitted

c. I cannot discuss the care of anyone who might be hospitalized in our facility

d. I think that you should contact the high school for information about her

5. A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference?

a. the client asked me to go on a date with him but I refused

b. the client is just like my brother who finally overcame his habit

c. the client generally shares his feelings during group therapy sessions

d. the client needs to accept responsibility for his substance use

6. A nurse is interviewing a client who was recently sexually assaulted. The client cannot recall the attack. The nurse should identify that the client is using which of the following defense mechanism

a. repression

b. suppression

c. reaction formation

d. sublmiation

7. A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?

a. obtain consent from the client's family member

b. encourage the client to have the procedure

c. request another nurse to review the procedure with the client

d. inform the client that they have the legal right to refuse treatment at any time

8. A nurse is assessing a client who has post-traumatic stress disorder. Which of the following findings should the nurse expect? Select all that apply

a. has diffulty concentrating on set tasks

b. talks excessively

c. holds persistent negative beliefs about self

d. blames others for own mistakes'

e. difficulty falling or staying asleep

9. A nurse is providing teaching for a newly licensed nurse the construction use of defense mechanisms. Which of the following examples should the nurse include in the teaching?

a. a student who is upset with her teacher writes a story about an excellent student

b. a school age child whose mother died 2 years ago talks about her in present tense

c. an adult who was sexually abused as a child is unable to remember the incident

d. a woman who has a health concern postpones amedical appointment until after a vacation

10. A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?

a. refuses to engage in conversation

b. reports a lack of sleep

c. isolates self from others

d. writes a detailed daily activity schedule

11.. A nurse manager Is observing a newly licensed nurse preparing to administer an IM medication to a client who is manic and refuses the medication. Which of the following actions should the nurse manager take first

a. assess the need for physical restraints

b. stop the newly licensed nurse form administering the medication

c. discuss the purpose of the medication with the client

d. demonstrate how to verbally de-escalate the situation

12. A nurse is caring for a client who has bipolar disorder. The client is walking in and out of rooms, speaking inappropriately and giggling. Which of the following actions should the nurse take?

a. have the client return to her room and read a book

b. tell the client there will be negative consequences for her behavior

c. take the client to the day room to watch a movie with other clients

d. lead the client outside for a walk

13. A nurse in an acute care mental health facility is planning discharge care for a client who sustained a traumatic brain injury, for which of the following needs should the nurse collaborate with a clinical psychologist?

a. the client needs a prescription to promote nighttime sleep while in the facility

b. the client needs to begin a group therapy program prior to discharge

c. the client needs to relearn how to perform skills that require fine motor coordination

d. the client needs to find a place to live after discharge

14. A nurse is teaching a client who has a new prescription for disulfiram. Which of the following statements by the client indicates an understanding of the teaching

a. I can wear my cologne on special occasions

b. when I bake my favorite cookies, I can use pure vanilla extract for flavoring

c. if I cut myself. I can clean the wound with isopropyl alcohol

d. I can contribute to eat aged cheeses and chocolate

15. A nurse is caring for a client who has been placed in restraints. Which of the following actions should the nurse take?

a. Request a PRN client prescriptions for restraints from the provider

b. Remove the restraints when the client calmly follows commands

c. document the client's behavior hourly on a flow sheet

d. observe the clients behavior once every 15min

16. A nurse is caring for a client who was involuntarily commited and is scheduled to receive electroconvulsive therapy. The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?

a. inform the client that ECT does not require client consent

b. document the client refusal of the treatment in the medical record

c. ask the client family to encourage the client tor recieve ECT

d. tell the client he cannot refuse the treatment because he was involutariy committed

17. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following intervention should the nurse include in the plan?

a. set a weight gain goal of 2.2kg per week

b. weigh the client twice per day

c. prepare the client for electroconvulsive therapy

d. encourage the client to participate in family therapy

18. A nurse is caring for a client who was just placed in mechanical restraints. Which of the following actions should thenurse take

a. withhold food and drink until the restraints are removed from the client

b. notify the provider about the use of restraints after the restraints are remved

c. request that the provider provides an as needed prescription for restraints

d. offer the client the oppurtuity to use the toilet ever 15 min while in restraints

19. A nurse is caring for a client who states, "I have been having traumatic sleeping for the last several months' which of the following response should the nurse makes?

a. you should avoid stressful activities prior to going to sleep

b. you should relax by watching a television show in bed before going to sleep

c. you should plan to exercise 2 hours before going to sleep

d. you should take a 2hour nap during the afternoon

20. A nurse is providing discharge teaching about manifestation of relapse to the family of a client who has schizophrenia which of the following information should the nurse include in the teaching?

a. the client exhibits an inflated sense of self

b. the client develops an inability to concentrate

c. the client begins sleeping more than usual

d. the client increases participation in social activities

21. A nurse in the emergency department is caring for a client who reports feeling sad, worthless and hopeless 9 months after the death of her son. Which of the following actions should the nurse take first

a. encourage the client to attend a grief support group

b. discuss the clients coping skills

c. request a mental health consult for the client

d. ask the client if she thought about harming herself.