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    Exam Review

    1. A client with schizophrenia tells the nurse that he knows the doctor is trying to kidnap him and sell him as a slave. Which of the following responses by the nurse are therapeutic? (Select all that apply.)
      (SATA)
      A)
      I think you should give the doctor a chance.
      B)
      Tell me more about your feelings towards the doctor.
      C)
      That is absolutely not true, sir
      D)
      Why would the doctor want to do that?
      E)
      You seem to be worried about seeing the doctor.
    2. The nurse would recognize that a client understands the provided education regarding risperidone when the client states which of the following
      A)
      If I have a severe headache coupled with confusion, I’ll try and take a nap
      B)
      If I promptly stop the medication if I have difficulty sleeping
      C)
      If I’m feeling a little dizzy in the morning. I’ll be sure to get out of bed slowly.
      D)
      I’ll call my doctor immediately with any early signs of congestion.
    3. A nurse is preparing to administer furosemide 2 mg/kg/day IV bolus divided in equal doses every 8hr to a toddler who weighs 22 lb . Available is furosemide injection 5 mg/mL. how many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)
      Correct Answer:1.3 mL
    4. A client is experiencing a severe psychotic episode, and is newly admitted to the psychiatric unit. Which action by the nurse should be priority?
      A)
      Ensure the client does not injure themselves
      B)
      Ensure the client has information regarding their diagnosis
      C)
      Call the family and discuss a family therapy session
      D)
      Call the doctor to request loxapine
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    Exam Review

    1. A patient on the psychiatric unit took his first dose of chlorpromazine last night. The following morning, he approaches the nursing station complaining of severe spasms in his neck and back. The psych nurse informs the provider, and can expect an order for which medication?
      A)
      Olanzapine
      B)
      Flumazenil
      C)
      Fluphenazine
      D)
      Benztropine
    2. A nurse is preparing to administer ceftriaxone 1 g IM every 12 hr. Available is ceftriaxone injection 450 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)
      Correct Answer:2.2 mL
    3. A client states to the nurse, "I'm using my telepathic brain power to force the doctor to discharge me." This is likely an example of which delusion?
      A)
      Grandeur
      B)
      Persecution
      C)
      Magical thinking
      D)
      Thought withdrawal
    4. A patient states to the nurse, "I have no idea what typical antipsychotics but now I've been asked to take them." What symptoms should the nurse be prepared to discuss with the client?
      A)
      Delirium and anxiety
      B)
      Dry mouth and blurry vision
      C)
      Dysrthythmia and headache
      D)
      Diarrhea and flatus
    Page 2 of 5

    Exam Review

    1. A nurse is caring for a client who is taking clozapine. For which of the following findings should the nurse withhold the medication?
      A)
      The client has gained 1.4 kg (3 lb) in the past month.
      B)
      The client reports a sore throat.
      C)
      The client reports being constipated for 2 days.
      D)
      The client reports feeling dizzy when getting out of bed.
    2. A nurse is caring for an adolescent client who begins to cry and states, "Nobody loves me. I don't deserve to be here!" Which of the following responses should the nurse make?
      A)
      Why do you think nobody loves you?
      B)
      I am sure your parents love you"
      C)
      "Don't worry, things will get better."
      D)
      Let's talk about what is upsetting you."
    3. A nurse is caring for a client on the adult psychiatric unit who is complaining that small children are playing on the floor his room. The care aide informs the nurse that the room is empty. How should the nurse therapeutically respond to the client?
      A)
      I have kids at home, sometimes think t hear them too
      B)
      The children may be gone when you're done with therapy, would you like to join the others in the day room?
      C)
      Do you know the names of the children?
      D)
      That'd be quite odd; this nursing units just for adults.
    4. The client exhibits a flat affect, psychomotor retardation, and a depressed mood. The nurse attempts to engage the client in an interaction, but the client does not respond to the nurse. Which response by the nurse is most therapeutic?
      A)
      I will sit here with you for 10 minutes.
      B)
      will find someone else for you to talk with.
      C)
      I will come back a little bit later
      D)
      I will get you something to read
    Page 3 of 5

    Exam Review

    1. After taking fluphenazine for several days, a client states to the nurse, "For some reason I can't sit still restless all the time." The nursing assessment of this client is likely to indicate which of the following?
      A)
      Tardive dyskinesta
      B)
      Pseudoparkinsonism
      C)
      Akathisia
      D)
      Acute dystonia
    2. A nurse is assessing a client in an inpatient mental health unit. Which of the following findings should the nurse expect if the client I in the preassaultive stage of violence? (Select all that apply.)
      A)
      Defensive responses to questions
      B)
      Lethargy
      C)
      Disorientation
      D)
      Agitation
      E)
      Facial grimacing
    3. The admitting nurse asks a client, "Hi John, what would you like to talk about in group today? The client replies, "Hi john, what would you like to talk about in group today." The nurse should recognize this response as an example of which of the following?
      A)
      Echolalia
      B)
      Word salad
      C)
      Flight of ideas
      D)
      Clanging
    4. A nurse is caring for client who spent the past several minutes mumbling about being doomed to die" and is now pacing in an increasingly agitated and angry manner. Which of the following actions is should the nurse take?
      A)
      Administer PRN medication for agitation
      B)
      Request a prescription for physical restraints
      C)
      Place the client in seclusion
      D)
      Attempt to reduce environmental stimuli
    Page 4 of 5

    Exam Review

    1. A nurse in an acute care mental health facility is caring for a client who has paranoid schizophrenia and suddenly becomes angry and uncontrollably violent toward staff. Which of the following medications should the nurse expect the provider to prescribe?
      A)
      Paroxetine hydrochloride
      B)
      Haloperidol
      C)
      Lithium carbonate
      D)
      Propranolol
    2. A nurse is caring for a client in an inpatient psychiatry unit Exhibits Drag words from the choices below to fill in each blank in the following sentence. Which of the following actions should the nurse take first The nurse should dropdownfollowed bydropdown
    Page 5 of 5