Mental Health Final

A nurse is doing an assessment on a client in the unit after being admitted for several days in the toxification floor point. Which of the following are symptoms of opioid withdrawal

A charge nurse is providing teaching to a staff nurse about assisting the provider with ECT. Which of the following responses by the Staff Nurse indicates understanding of the teaching?

A nurse manager is discussing the grieving process with a nursing staff. Which of the following findings should the nurse manager identify as being a unique component of disenfranchised grieving?

A nurse has recently set limits for a patient with borderline personality disorder. The patient tells the nurse. You used to care about me. I thought you were wonderful. Now I can see I was mistaken. You are hateful. Which defense mechanism is it? Is it being utilized?

The mental health nurse is aware that some of the manifestations of mild cocaine intoxication could be the presenting symptoms. Which of the following are possible symptoms?

A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. Which of the following statements should manager include in the discussion?

A client newly admitted to the inpatient psychiatric unit exhibits peculiar gestures, waxy flexibility, and echolalia. These symptoms are reflective of which schizophrenia subtype?

The client is submitted for suicidal precautions and refuses to sign a no suicide contract. What should be the highest priority intervention?

A patient with stage 2 Alzheimer's disease calls the police, saying an intruder is in her home. The police officer who investigates the call determines that the patient had seen her own reflection in the mirror and thought an intruder was present. This phenomenon can be assessed as

A nurse is caring for a client who has Schizophrenia and tells the nurse. They lie about me all the time and they're trying to poison my food. Based on this statement. Their nurse understands that the patient could be

A patient with schizophrenia, says. There are worms under my skin eating the hair follicles. How would you classify this assessment findings?

The nurse is receiving a client to the behavior unit with a personality disorder. The nurse would document which of the following as characteristics of a Schizotypal Personality?

The nurse is providing care to a client admitted to the hospital with a diagnosis of acute anxiety disorder. The client says to the nurse, I have a secret that I want to tell you. You won't tell anyone about it. Will you? What is the most appropriate nursing response?

A client reports becoming involved with legislation that promotes gun safety after the death of a child by accidental shooting. Which defense mechanism is the client exhibiting?

A nurse is assessing a client who has bipolar disease. Which of the following action is an indication that the client experiencing a manic stage?

A nurse is caring for a client who is experiencing acute alcohol delirium. Which of the following findings should the nurse expect? Select all that apply

A nurse observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. The nurse identifies that the repetitive behavior in a client who has OCD is due to which of the following underlying reasons.

When performing a mental status examination on a client that is diagnosed with bipolar disorder. Which of the following do you document on thought process?

A patient is discussing with the nurse the lack of pleasure that she developed as after her loss. The nurse understands that this symptom can be treated with risperidone and document defining as.

A nurse is working in an alcohol detoxification unit and is aware of the withdrawal symptoms that the client may exhibit. Which of the following symptoms are expected indications that the client has alcohol withdrawal delirium? Select all that apply

A nurse on an acute unit is planning care for a client who has anorexia nervosa with binge- eating and purging behavior. Which of the following nursing action should the nurse include in the client's plan of care?

The nurse recognizes that patients with schizophrenia suffer from cognitive symptoms. Which of the following demonstrates these symptoms?

The nurse in the unit is discussing legal terms. The nurse described that defamation of character occurs when a provider makes a false statement that causes some degree of harm to an individual. She is aware that by doing this should be charged with, which of the following?

A charge nurse is discussing manifestations of schizophrenia with a newly licensed nurse. The newly licensed nurse sees the client exhibiting lip smacking, tongue fasciculations. The newly licensed nurse understands that she is documenting:

The nurse is doing a physical assessment on the client that was recently admitted to the behavioral unit. Which assessment finding is most associated with bulimia nervosa?

When talking with a patient diagnosed with schizophrenia, the healthcare provider notes the patient continually states, "I'm the man with a plan, yes I am." The healthcare provider will document this behavior as which of the following?

A nurse is conducting an in-service on crisis management. Which of the following would be an example of a client experiencing a maturational crisis?

A nurse is caring for a client who is screaming at staff members and other clients. Which of the following is a therapeutic response by the nurse to the client?

The nurse in the unit is doing discharge instructions with a bipolar client. When the nurse is teaching the client regarding lithium, she ensures that patient verbalizes:

A nurse is monitoring a client who has schizophrenia ad is receiving treatment with fluphenazine hydrochloride. Which of the following findings is an indication of neuroleptic malignant syndrome that the nurse should report to the provider? Select all that apply

The nurse educator is teaching new nurse's regarding Alzheimer's disease. Which of the following symptoms can the patient display? Select all that apply.

A nurse is caring for a young adult client who says he is experiencing increased anxiety and an inability to concentrate. Which of the following anxiety levels is the client exhibiting?

A nurse is assessing a client who is receiving treatment with Risperidone. Some of the findings include blood pressure changes, hyperpyrexia, and diaphoresis. The nurse should recognize that, which of the following adverse effects may be occurring?

A nurse is teaching a client who has a new prescription for disulfiram to treat alcohol use disorder. Which of the following statements by the client indicates an understanding o the teaching?

The health care provider has prescribed valproic acid (Depakene) for a client with bipolar disorder who has achieved limited success with lithium carbonate (Lithane). The nurse should instruct the client about which of the following?

A client is experiencing depression; another client is diagnosed with cyclothymia. The nursing student understands that these clients are exhibiting similar characteristics. Select all that apply?

A nurse is caring for a client who is taking amitriptyline. The nurse should monitor for which of the following adverse effects?

During group therapy, a client diagnosed with somatization pain disorder monopolizes the group by discussing back pain. Which nursing statement is an appropriate response in this situation?

A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is conducting a class for group of newly licensed nurses on caring for clients who are at risk for suicide. Which of the following information should the nurse include in the teaching?

The nurse is checking the laboratory values for a client admitted with anorexia nervosa. Which of the following are common laboratory findings associated with anorexia?

The nurse is receiving a client to the behavioral unit with a personality disorder. The nurse will document which of the following as characteristics of an Antisocial personality?

The nurse in the behavioral unit is performing a physical assessment of a client with Anorexia. Which physical assessment finding is most associated with Anorexia Nervosa? (Select all that apply)

The nurse administers each of the following medications to various clients on the behavioral health unit. The nurse knows that the client who should be most carefully monitored for fluid and electrolyte imbalance is the one receiving:

A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions are an example of which of the following torts?

A nurse is conducting an in-service on crisis management. Which of the following would be an example of a client experiencing adventitious crisis?

A nurse is reviewing the medical record of a client who has a new prescription for bupropion for depression. Which of the following findings is the priority for the nurse to report to the provider?

The nurse is working in the emergency department and is conducting an assessment on a client with opioid intoxication. Which of the following is the nurse documenting?

A nurse is teaching a client who has agoraphobia about systematic desensitization. Which of the following comments should the nurse include in the teaching?

A nurse in an acute mental health facility is planning care for a client who has obsessive compulsive disorder (OCD). Which of the following actions should the nurse include in the plan of care?

A nurse is assessing a client who has schizophrenia. Which of the following statements by the client should the nurse recognize as an erotomaniac delusion?

The nurse is working in the detox unit. She is aware that which of the following are consistent with delirium? (Select all that apply)

A nurse is caring for a client who has schizophrenia. The client sates" Aliens came into my room last night and took a sample of my blood." Which of the following should the nurse make?

The nurse is working in the behavioral unit. The nurse is aware that which of the following demonstrates the ethical principle of beneficence?

A nurse is assessing a client who has schizophrenia and takes haloperidol 3 times daily. The client has developed involuntary writhing movements of the tongue and constant lip smacking. The nurse should identify that these manifestations indicate which of the following adverse effects of haloperidol?

A nurse is reviewing the medical record of a client who has conversion disorder. Which of the following findings should the nurse identify as placing the client at risk for conversion disorder?

A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the following statements indicates an understanding by the newly licensed nurse?

A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and flat affect. The nurse should anticipate a prescription of which of the following medications?

A patient in a support group says, "I'm tired of being sick. Everyone always helps me, but I will be glad when I can help someone else". This statement reflects, which of the following defense mechanisms?

A nurse is planning care for a client who has completed detoxification from opioids abuse disorder. The nurse should plan to teach about which of the following medications?

During admission, the client describes feeling depressed, "for as long as I can remember." The nurse understands this symptom is indicative of what type of depression?

During a home visit, a client who is 75 years of age tells the community health nurse, "Lately I'm getting forgetful about things. For one thing, I cannot remember names. Do you think I am getting Alzheimer disease?" Which of the following responses by the nurse is the most therapeutic?

A nurse is caring for a client who is depressed and refuses to participate in group therapy or perform activities of daily living. Which of the following statements should the nurse make to the client?

A nurse is caring for a client who has post-traumatic stress disorder (PTSD). Which of the following actions by the client indicates the current treatment plan is effective?

The nurse is reviewing the medical record and noticed that the client’s history has under subjective data: "My throat is painful". From the list below, which medication is most likely to cause fatal agranulocytosis?

A client with a diagnosis of borderline personality disorder is admitted with self-inflicted scratches on her forearms. The nurse is assessing the client's suicidal plan. It is important to assess which of the following? Select all that apply.

Which therapeutic communication technique is being used in the following example: Client: Every time I get angry, I wind up getting into a fistfight with my wife.” Nurse: You express your anger through physical violence directed at you family.”

A client diagnosed with schizophrenia is experiencing anhedonia. The nurse understands that the client is exhibiting which of the following?

A nurse is providing teaching to a client who has a new prescription form disulfiram for the management of alcohol dependence. Which of the following dietary items should the nurse instruct the client to avoid?

A home health nurse is speaking to a group of acute care nurses about domestic violence. Which of the following statements by one of the acute care nurses indicate a need for clarification?

The nurse taking care of the schizophrenic client in the unit and hears the client having verbigeration. Which of the following will you point out?

A nurse is caring for a client who has schizophrenia. Which of the following client statements indicates word salad?

A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling, "You are all making fun of me!" The nurse should identify this behavior as which of the following characteristics of schizophrenia?

A nurse is communicating with a newly admitted client. Which of the following is a barrier to therapeutic communication?

A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

A client is admitted with diagnosis of dementia (Alzheimer type). Which nursing intervention is the priority when caring for the client?

A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (Select all that apply).

A nurse in an emergency department is caring for a female adolescent who has a diagnosis of bulimia nervosa and had a fainting episode during a ballet performance. Which of the following statements by the mother acknowledges her daughter's diagnosis?

A nurse is providing teaching to a client who has a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is instructing a client on toxicity of using lithium carbonate for their bipolar disorder. The nurse provides the following teaching that lithium may cause polyuria and muscle weakness. Which other sign of toxicity should the nurse include in the teaching?

A nurse is caring for a client who has post-traumatic stress disorder (PTSD). Which of the following actions by the client indicates the current treatment plan is effective?

A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check for? (Select all that apply).

The nurse is receiving a client to the behavioral unit with a personality disorder. The nurse will document which of the following as characteristics of a Narcissistic personality?

A nurse is conducting an in-service on crisis management. Which of the following would be an example of a client experiencing a situational/adventitious crisis?

A nurse is assessing a client who experienced a sexual assault 3 months ago. Which of the following findings should the nurse report to the provider as an indication of rape-trauma syndrome?

The nurse is teaching a client being discharge home with a prescription of Phenelzine. Which of the following interactions will the nurse be mostly concerned when discussing a meal plan with the client?

A nurse is caring for a client who is on suicide precautions. Which of the following interventions should the nurse include in the plan of care?

A nurse is caring for a client who has bipolar disorder. The client states, "I am very rich, and I feel I must give my money to you." Which of the following responses should the nurse make?

An 18-year-old woman is admitted to an inpatient mental health unit with the diagnosis of anorexia nervosa. A cognitive behavioral approach is used as part of her treatment plan. A nurse understands that the purpose of this approach is to:

A nurse in an outpatient mental health clinic is interviewing a client who has schizophrenia and appears to be experiencing auditory hallucinations. Which of the following actions should the nurse take first?

A client with schizophrenia is unable to get out of bed and get dressed unless the nurse prompts him to do so. This is an example of which behavior?

A nurse is planning care for the termination phase of a nurse- client relationship. Which of the following actions should the nurse include in the plan of care?

A client is coming into the ER with signs of alcohol withdrawal. Which of the following medications would the nurse anticipate administering, as per physicians’ orders?

A nurse is administering risperidone (Risperdal) to a client who is scheduled to be discharged. Before discharge, which of the following should the nurse teach the client?

A nurse is caring for a client who is dying. The client says, "My mother died in the hospital, but I did not get there before she died." Which type of crisis is the family experiencing?