weekly quiz

Question 1

A nurse is teaching a group of older adult clients about complimentary and alternative therapies. Which of the following interventions should the nurse recommend to improve balance?

Answer 1

Tai Chi

Question 2

Nurses working in community care programs help to stabilize or improve client’s mental functioning within a community. They also teach, support, and make referrals in order to promote positive social activities.

True or Flase

Answer 2

True

Question 3

Criteria to justify admission into an Acute Care facility include:

Answer 3

Criteria to justify admission into an Acute Care facility include:

1. A clear risk of the client’s danger to self or others.
2. An inability to meet own basic needs.
3. Failure to meet expected outcomes of community-based treatment.
4. A dangerous decline in the mental health status of a client undergoing long-term treatment.
5. A client having a medical need in addition to a mental illness.

Question 4

Attending behaviors or active listening are:

Answer 4

Attending behaviors or active listening are:

1. Nonverbal means of conveying interest in another
2. Eye content typically conveys interest and respect but varies by situation and culture.
3. Body language and posture can demonstrate level of comfort and ease.
4. Vocal quality enhances rapport and emphasize particular topics or issues.
5. Verbal tracking provides feedback by restating or summarizing a client’s statements.

Question 5

A nurse is helping a client who has an anxiety disorder select a nonpharmacological stress-reduction therapy for home use. Which of the following therapies engages the insular cortex of the brain to allow the client to focus on a single thought that is important to the client in the present moment?

Answer 5

Mindfulness

Question 6

A nurse in and acute mental health facilty is caring for a client who states, “This place is ridiculous. I can’t stand spending another day here!” Which of the following response should the nurse make?”

Answer 6

“Let’s talk about the events of your day.”

Question 7

A mental health nurse is reviewing a process recording of a therapy session with a client. Which of the following statements should the nurse identify as an example of the communication technique of reflection?

Answer 7

“That statement made by the other client appears to have upset you.”

Question 8

Which referral would the nurse first prioritize for a patient being discharged.

Answer 8

Assertive community group

Question 9

A patient has to be on restraints, what should the nurse do next?

Answer 9

Document patient’s behavior every 15 minutes

Question 10

a nurse is caring for a client who is experiencing a crisis. which medications might the MD prescribe?

Answer 10

paroxetine : an antidepressant (SSRI)
lorazepam: an anti anxiety (benzo)

Question 11

what are findings if client is in the preassaultive stage of violence?

Answer 11

1. defensive response to questions.
2. facial grimming.
3. agitation

Question 12

findings of a shaken baby syndrome.

Answer 12

1. retinal hemorrhage
2. increase head circumference.
3. respiratory distress.
4. altered LOC.

Question 13

a nurse is performing an admission assessment on an adolescent client who has depression. Which finding is expected for this disorder?

Answer 13

weight loss

Question 14

manifestations of conduct disorder

Answer 14

1. bullying others
2. law breaking activities

Question 15

what is a nursing teaching for methylphenidate transdermal patch?

Answer 15

remove patch each day after the 9th hour.

Question 16

what level of anxiety: Respirations 30/min, difficult to comprehend, shaky and nervous.

Answer 16

Moderate

Question 17

what is true about stress?

Answer 17

excessive stressors cause clients to experience distress

Question 18

teaching about stress reduction

Answer 18

cognitive reframing can help irrational thoughts to something positive.

Question 19

what can be recommended to promote change in a situation?

Answer 19

use assertive techniques

Question 20

manifestation of PTSD

Answer 20

recurring nightmares.
difficulty concentrating on tasks.
negative self image.

Question 21

A nurse is caring for a client who has avoidant personality disorder. Which of the following statements is expected from a client who has this type of personality disorder?

Answer 21

“I’m scared that you’re going to leave me.”

Question 22

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?

Answer 22

Attempts to convince other clients to relinquish their belongings.

Blames others for personal past and current problems

Question 23

Which of the following personality characteristics associated with all of the personality disorders

Answer 23

Difficulty in getting along with other members of a group.

Display of defense mechanisms when routines are changed.

Difficulty understanding why it is inappropriate to have a personal relationship with staff

Question 24

risk factors of somatic symptom disorder

Answer 24

Anxiety disorder

Childhood trauma

Age 16 to 25 years

Question 25

risk for functional neurological symptom disorder

Answer 25

Death of a child 2 months ago. PTSD can be a risk factor. History of depression can be a risk factor..

Question 26

A nurse is assessing a client who has illness anxiety disorder. Which of the following are expected for this disorder?

Answer 26

Obsessive thoughts about disease. History of childhood maltreatment. Avoidance of health care providers. Depressive disorder

Question 27

A nurse is developing a plan of care for a client who has functional neurological symptom disorder. Which of the following actions should the nurse include?

Answer 27

Discuss alternative coping strategies with the client.

Question 28

Which of the following client statements should the nurse identify as expected for factitious disorder imposed on another?

Answer 28

“I needed to make my child sick so that someone else would take care of them for a while.” A client who has factitious disorder imposed on another often consciously injures another person or causes them to be sick due to a personal need for attention or relief of responsibility.

Question 29

A charge nurse is discussing the care of a client who has major depressive disorder (MDD) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Answer 29

“The client is at greatest risk for suicide during the first weeks of an MDD episode.”

Question 30

A nurse is caring for a client who has major depressive disorder. Which of the following should the nurse identify as a risk factor for depression? Select all that apply.

Answer 30

History of chronic bronchitis. Recent death in client’s family. Family history of depression. Personal history of panic disorder.

Question 31

A nurse is interviewing a client who has a new diagnosis of persistent depressive disorder. Which of the following findings should the nurse expect?

Answer 31

Presence of manifestations for at least 2 years.

Question 32

A nurse working on an acute mental health unit is admitting a client who has major depressive disorder and comorbid anxiety disorder. Which of the following actions is the nurse’s priority?

Answer 32

Placing the client on one-to-one observation (due to self harm).

Question 33

A nurse is assessing a client 4 hr after receiving an initial dose of fluoxetine Which of the following findings should the nurse report to the provider as indications of serotonin syndrome?

Answer 33

Hallucinations. Agitations. Diaphoresis.

Question 34

A nurse is discussing relapse prevention with a client who has bipolar disorder. Which of the following information should the nurse include in the teaching?

Answer 34

Difficulty sleeping can indicate a relapse.. Participating in psychotherapy can help prevent a relapse. Anhedonia is a clinical manifestation of a depressive relapse.

Question 35

A nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode. Which of the following interventions should the nurse include in the plan of care? Move the interventions into the below categories.

Answer 35

Include: Offer concise explanations. V Establish consistent limits. Use a firm approach with communication. Not Include: Provide flexible client behavior expectations. Disregard client concerns

Question 36

Early indications of toxicity with a client who has a new prescription for lithium carbonate for bipolar disorder.

Answer 36

polyuria, muscle weakness, and diarrhea.

Question 37

A nurse is discussing routine follow-up needs with a client who has a new prescription for valproate. The nurse should inform the client of the need for routine monitoring of which of the following?

Answer 37

liver function tests: AST/ALT and LDH

Question 38

A nurse is discussing manifestations of schizophrenia with a newly licensed nurse. Which of the following manifestations should the nurse identify as being effectively treated by first-generation antipsychotics? ​​​​​​​ Select all that apply.

Answer 38

Auditory hallucinations. Delusions of grandeur. Severe agitation.

Question 39

A nurse is caring for a client who is currently taking perphenazine. Which of the following findings should the nurse identify as an extrapyramidal symptom (EPS)?

Answer 39

Drooling. Involuntary arm movements. Continual pacing (indicates akathisia).

Question 40

Atypical antipsychotics

Answer 40

Risperidone Quetiapine Olanzapine V Clozapine

Question 41

Typical antipsychotics

Answer 41

Haloperidol Loxapine

Question 42

A nurse is assessing a client who has major depressive disorder. The nurse should identify which of the following client statements as an overt comment about suicide?

Answer 42

“My family will be better off if I’m dead.” “I wish my life was over.” “If I kill myself then my problems will go away.”

Question 43

A nurse is assisting with the development of protocols to address the increasing number of suicide attempts in the community. Which of the following interventions should the nurse include as a primary intervention?

Answer 43

Informing high school teens about suicide prevention. Reinforcing teaching middle-school educators about warning indicators of suicide.

Question 44

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?

Answer 44

Ensure that the client swallows medication.

Question 45

Identify the sequence of Engel’s five stages of grief

Answer 45

Question 46

A charge nurse is reviewing Kübler-Ross: Five Stages of Grief with a group of newly licensed nurses. Which of the following stages should the charge nurse include in the teaching? Select all that apply.

Answer 46

Bargaining. Depression. Denial. Anger.

Question 47

A nurse is working with a client who has recently lost a guardian. The nurse recognizes that which of the following factors influence a client’s grief and coping ability?

Answer 47

Interpersonal relationships. Culture. Religious beliefs. Prior experience with loss.

Question 48

A nurse is discussing normal grief with a client who recently lost a child. Which of the following statements made by the client indicates understanding?

Answer 48

“I may experience feelings of resentment.” “I will probably withdraw from others.” “I can expect to experience changes in sleep.”

Question 49

A nurse is caring for a client who lost a guardian to cancer last month. The client states, “I’d still have my guardian if the doctor would have made a diagnosis sooner.” Which of the following responses should the nurse make?

Answer 49

“You sound angry. Anger is a normal feeling associated with loss.” This is a therapeutic response for the nurse to make.

Question 50

A nurse is planning a staff education program on substance use in older adults. Which of the following information should the nurse to include in the presentation?

Answer 50

Older adults are at an increased risk for substance use following retirement.​​​​​​​ Retirement and other life change stressors increase the risk for substance use in older adults, especially if there is a prior history of substance use.

Question 51

A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect?

Answer 51

Fine tremors of both hands. Vomiting. Restlessness.

Question 52

A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the following interventions should the nurse identify as the priority?

Answer 52

Implement seizure precautions.​​​​​​​ The greatest risk to the client is injury. Implementing seizure precautions is the priority intervention.

Question 53

A nurse is caring for a client who has alcohol use disorder. The client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol?

Answer 53

Disulfiram​​​​​​​ The nurse should expect to administer disulfiram to help the client maintain abstinence from alcohol. * NOT Bupropion (which is for nicotine withdrawal).

Question 54

A nurse is providing teaching to the family of a client who has a substance use disorder. Which of the following statements by a family member indicates an understanding of the teaching?

Answer 54

“Eliminating codependent behavior will promote recovery.”​​​​​​​ Families should be aware of codependent behavior (enabling) that can promote substance use rather than recovery. “The primary goal of treatment is abstinence from substance use.”​​​​​​​ Abstinence is the primary treatment goal for a client who has a substance use disorder. “Our sibling needs to discuss personal feelings about substance use to help with recovery.” Clients must acknowledge their feelings about substance use as part of a substance use recovery program.

Question 55

A nurse is assisting in the discharge planning for a client following alcohol detoxification. The nurse should expect prescriptions for which of the following medications to promote long-term abstinence from alcohol?

Answer 55

Disulfiram: Disulfiram promotes abstinence through aversion therapy. Naltrexone: Naltrexone promotes abstinence by suppressing the craving and pleasurable effects of alcohol. Acamprosate: Acamprosate decreases the unpleasant effects resulting from abstinence.