NursGuru

    Exam Review

    1. A nurse is administering an antidepressant medication to a client. The nurse should understand that which of the following is the major difference between selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCA)?
      A)
      SSRIs are more effective in relieving manifestations.
      B)
      SSRIs produce a more sedative effect
      C)
      TCAs are lethal in overdose.
      D)
      TCAS have fewer cardiovascular effects
    2. A nurse is caring for a client in the outpatient mental health facility. Exhibits Drag words from the choices below to fill in each blank in the following sentence The nurse should include in the teaching to the client that behavioral therapy will ▾ Involve incremental exposure while using relaxation techniquesand▾ Encourage the client to face their fears in a safe environment
      Dropdown 1:
      Option 1: Involve incremental exposure while using relaxation techniques
      Option 2: Involves increasing their Interpersonal effectiveness
      Option 3: Help the client to practice the new skill in a role- playing situation
      Option 4: Target behaviour with a negative stimulus to extinguish undesirable
      Option 5: Encourage the client to face their fears in a safe environment
      Dropdown 2:
      Option 1: Involve incremental exposure while using relaxation techniques
      Option 2: Involves increasing their Interpersonal effectiveness
      Option 3: Help the client to practice the new skill in a role- playing situation
      Option 4: Target behaviour with a negative stimulus to extinguish undesirable
      Option 5: Encourage the client to face their fears in a safe environment
    3. A nurse in an acute care facility is assessing a client who has schizophrenia. The client states, "Walk tall broom short dog bell" The nurse should document the client's speech as which of the following speech patterns?
      A)
      Flight of ideas
      B)
      Word salad
      C)
      Neologisms
      D)
      Clang associations
    4. A nurse on a mental health unit is leading a group therapy session for a group of clients. Which of the following statements should the nurse expect from a client who has an anxiety disorder?
      A)
      "I check my breasts for lumps every day, but I'm still really scared about getting breast cancer."
      B)
      "I have had several negative pregnancy tests, but I know they are all wrong.
      C)
      "I double-check my pills because I think the pharmacist may be putting poison in them."
      D)
      “I feel really nervous when my partner goes to work, and I am home alone during the day.”

    Exam Review

    1. A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?
      A)
      "ECT is contraindicated in clients who have psychotic symptoms."
      B)
      "ECT is delivered through electrodes attached to the head."
      C)
      "ECT cannot be administered to clients who have suicidal ideation
      D)
      "ECT is conducted under regional anesthesia.
    2. A nurse is completing medication reconciliation on a client. Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated, or contraindicated for the client.
      AnticipatedContraindicated
      Melatonin 5 mg orally at bedtime✓
      Memantine 10 mg orally twice daily✓
      Donepezil 10 mg orally once daily✓
      Haloperidol 2 mg orally every 12 hours✓
    3. A nurse is teaching the guardian of a school-age child who has autism spectrum disorder about a new prescription for risperidone. Which of the following statements by the guardian demonstrates an understanding of the teaching?
      A)
      "This medication will help control my child's aggressive behavior.
      B)
      "This medication can cause my child to have low blood sugar
      C)
      "This medication won't require my child to have routine lab tests
      D)
      "This medication might need to be increased if my child has muscle spasms.
    4. A charge nurse is planning an in-service for newly licensed nurses on tort law in mental health care. Which of the following scenarios should the charge nurse provide as an example of an unintentional tort?
      A)
      A nurse did not clarity a client's prescription that was difficult to read resulting in a medication error.
      B)
      A nurse posted private information on social media about a client who has substance use disorder.
      C)
      A nurse placed a client in mechanical restraints without obtaining a prescription, resulting in injury.
      D)
      A nurse threatened a client with physical harm after the client became verbally abusive to staff members.

    Exam Review

    1. A nurse in an urgent-care clinic is caring for a school-age child who has several visible bruises. The child's parent states, "My partner got fired today and came home angry. I don't think this will happen again." Which of the following responses should the nurse make?
      A)
      “I agree with you. I'm sure this will never happen again."
      B)
      "This is awful. You should file charges against your partner".
      C)
      "This is clearly child endangerment I will have to call the police."
      D)
      "I'd like to know more about what happened. Let's sit and talk"
    2. A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse recommend a referral for assertive community treatment (ACT)?
      A)
      A client who has a new diagnosis of major depressive disorder.
      B)
      A client who has repeated acute care admissions due to schizophrenia.
      C)
      A client who has requested family therapy following the death of a family member.
      D)
      A client who has physical injuries following an incident of partner violence.
    3. A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following interventions should the nurse include?
      A)
      Use detailed explanations when providing education to the client.
      B)
      Maintain a stimulating environment for the client.
      C)
      Provide the client with a structured schedule of daily activities.
      D)
      Limit time for rituals to 30 min each day.
    4. A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?
      A)
      Document the client's behavior once every hour.
      B)
      Keep the client in restraints until the prescription expires.
      C)
      Conduct a debriefing regarding the client with the unit staff.
      D)
      Request an evaluation of the client within 12 hours of application of restraints.

    Exam Review

    1. A nurse is discussing discipline techniques with the parent of a pre-schooler. Which of the following statements by the parent indicates an understanding of time-out as a form of discipline?
      A)
      “I place my child in time-out for 15 minutes when they misbehave”
      B)
      "I send my child to their room for the time out period."
      C)
      "I make use of time-out after giving three warnings"
      D)
      "I use a kitchen timer to mark the end of the time-out period."
    2. A nurse is creating a plan of care for a client who has panic disorder. Which of the following interventions should the nurse include?
      A)
      Encourage the client to attend group therapy sessions.
      B)
      Allow the client to choose scheduled daily activities.
      C)
      Use simple words to describe procedures to the client.
      D)
      Avoid discussing topics that can trigger a panic attack.
    3. A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?
      A)
      Keep the client hospitalized until there is no longer a threat.
      B)
      Ensure the client's ex-partner is notified of the threat
      C)
      Ask a friend or family member to monitor the client.
      D)
      Transfer the client to a mental health facility.
    4. A nurse is caring for a client who has a history of suicide attempts. Which of the following findings places the client at risk for another suicide attempt? (Select all that apply)
      A)
      Hallucinations
      B)
      Depression
      C)
      Delusions
      D)
      Catatonia
      E)
      Tinnitus

    Exam Review

    1. A nurse is caring for a client who has a new diagnosis of major depressive disorder. Which of the following medications should the nurse expect the provider to prescribe to the client as a first-line treatment?
      A)
      Midazolam
      B)
      Fluoxetine
      C)
      Cyclobenzaprine
      D)
      Valproic acid
    2. A nurse is reviewing the medical record of a newly admitted client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for this condition?
      A)
      The client has a serotonin deficiency.
      B)
      The client has acute bronchitis
      C)
      The client has an elevated calcium level
      D)
      The client is an only child.
    3. A nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training?
      A)
      A client who has new-onset delirium.
      B)
      A client who is experiencing auditory hallucinations.
      C)
      A client who is experiencing mania.
      D)
      A client who has somatic symptom disorder.
    4. The nurse is caring for a client admitted to an inpatient eating disorder unit. Exhibits Complete the following sentence by using the lists of options. The nurse anticipates that the client might have dropdownevidenced by the client'sdropdown

    Exam Review

    1. The nurse is caring for a client admitted to an inpatient eating disorder unit. Exhibits For each potential provider's assessment finding, click to specify if the finding is consistent with anorexia nervosa or bulimia nervosa. Each finding may support more than 1 disease process. Note: Each category must have at least 1 response option selected.
      A)
      Skin color
      B)
      Past medical history
      C)
      Potassium level
      D)
      Lanugo
      E)
      Extremity assessment
      F)
      Body Mass Index
    2. The nurse is caring for a client admitted to an inpatient eating disorder unit. Exhibits Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The nurse should first address the client's dropdownbydropdown
    3. The nurse continues to care for the client Exhibits The nurse is planning care for the client. Which of the following parameters should the nurse plan to monitor throughout the client's stay? Select all that apply.
      A)
      Participation in group therapy
      B)
      Body weight
      C)
      Oral intake
      D)
      White blood cell count
      E)
      Self-esteem
      F)
      Anxiety level
      G)
      Blood Pressure
    4. The nurse continues to care for the client Exhibits The nurse is discussing the plan of care with the client. Select the 3 statements the nurse should make.
      A)
      "We will create an exercise plan once you reach your target weight."
      B)
      "We will monitor your blood pressure every other day until it is stable."
      C)
      "We would like you to eat independently to limit distractions during mealtime."
      D)
      "We will explore your thoughts that trigger you to participate in a rigorous exercise regimen."
      E)
      "We will weigh you every evening to monitor your progress."
      F)
      "We will set a goal for you to gain 2 to 3 pounds per week."