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    Exam Review

    1. A nurse is assessing an adolescent client who has attention deficit hyperactivity disorder (ADHD). Which of the following findings should the nurse expect?
      A)
      Emotional numbing
      B)
      Elevated mood
      C)
      Impulsivity
      D)
      Anxiety
    2. A nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?
      A)
      Identify anxiety-producing situations
      B)
      Eliminate stress and anxiety from daily life
      C)
      Try to repress feelings of anxiety
      D)
      Contact the crisis counselor once a week
    3. A patient on lithium therapy presents to the emergency department. When should you hold the lithium medication and notify the healthcare provider?
      A)
      A lithium lab level of 0.9 mEq/L
      B)
      When the patient complains of dry mouth and increased thirst
      C)
      When the patient reports mild hand tremors
      D)
      When the patient has symptoms such as nausea, vomiting, diarrhea, and coarse tremors
    4. A nurse is caring for a client who has schizophrenia and is taking haloperidol. The nurse should monitor for which of the following adverse effects of haloperidol?
      A)
      Fever
      B)
      Intractable hiccups
      C)
      Excessive salivation
      D)
      Extrapyramidal symptoms
    Page 1 of 9

    Exam Review

    1. A nurse is teaching a client who has a depressive disorder about fluoxetine (Prozac). Which of the following information should the nurse include in the teaching?
      A)
      You may experience a decreased sex drive while taking this medication.
      B)
      You may experience drooling while taking this medication.
      C)
      You will notice an improvement in your depressive symptoms in 2 to 3 days.
      D)
      You may notice that you have less appetite while taking this medication.
    2. A nurse is providing dietary teaching for a client who has a new prescription for a monoamine oxidase inhibitor (MAOI). When the client develops a sample lunch menu, which of the following items requires intervention by the nurse?
      A)
      Bologna sandwich
      B)
      Sliced apples
      C)
      Cheese
      D)
      Glass of whole milk
    3. A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first?
      A)
      Provide a structured activity schedule for the client.
      B)
      Instruct the client on relaxation techniques for use when anxiety increases.
      C)
      Identify precipitating factors for ritualistic behaviors.
      D)
      Discuss alternative coping strategies with the client.
    4. Which of the following medications is most commonly associated with the development of agranulocytosis?
      A)
      Clonidine
      B)
      Haloperidol
      C)
      Clozapine
      D)
      Lithium
    Page 2 of 9

    Exam Review

    1. A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client has a prescription for 0.25 mg PO every 8 hr PRN anxiety. For which of the following client statements should the nurse consider administering alprazolam?
      A)
      The client states, "I see purple bugs crawling on the wall."
      B)
      The client tells the nurse he is a government agent.
      C)
      The client states, "My heart is pounding out of my chest."
      D)
      The client tells the nurse that he is too tired to attend the group meeting.
    2. A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client has a prescription for 0.25 mg PO every 8 hr PRN anxiety. For which of the following client statements should the nurse consider administering alprazolam?
      A)
      The client states, "I see purple bugs crawling on the wall."
      B)
      The client tells the nurse he is a government agent.
      C)
      The client states, "My heart is pounding out of my chest."
      D)
      The client tells the nurse that he is too tired to attend the group meeting.
    3. A nurse is discussing comorbidities associated with eating disorders with a newly admitted client. Which of the following conditions should the nurse include in the discussion? (Select all that apply.)
      A)
      Obsessive-compulsive disorder
      B)
      Breathing-related sleep disorder
      C)
      Depression
      D)
      Schizophrenia
    4. A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and finds that the client demonstrates constant cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?
      A)
      Decrease anxiety
      B)
      Limit time available for interaction with people
      C)
      Manipulate others
      D)
      Prevent aggressive and impulsive behaviors
    Page 3 of 9

    Exam Review

    1. You are most concerned about extrapyramidal symptoms (EPS) if your patient is on which of the following? (Select all that apply.)
      A)
      First-generation antipsychotics
      B)
      Abilify (Aripiprazole)
      C)
      Haloperidol (Haldol)
      D)
      Chlorpromazine (Thorazine)
      E)
      Zyprexa (Olanzapine)
    2. A nurse in an emergency department is assessing a client who has been taking haloperidol for 3 months. The client has a temperature of 39.7° C (103.4° F), blood pressure of 150/110 mm Hg, and muscle rigidity. Which of the following complications should the nurse suspect?
      A)
      Agranulocytosis
      B)
      Tardive dyskinesia
      C)
      Akathisia
      D)
      Neuroleptic malignant syndrome
    3. What is an appropriate nursing intervention for a patient experiencing serotonin syndrome?
      A)
      Monitoring vital signs and neurologic status frequently
      B)
      Administering flumazenil
      C)
      Administering a benzodiazepine to manage agitation
      D)
      Encouraging the patient to increase their SSRI dosage
    4. Why is it important for patients to understand the time frame in which antidepressants begin to work?
      A)
      Patients should stop taking their antidepressant if they feel it is not working after the first few days.
      B)
      Patients should know that antidepressants typically start showing their full effects after several weeks.
      C)
      Patients should expect significant improvement within the first 48 hours of starting an antidepressant.
      D)
      If there is no improvement in symptoms within a week, patients should contact their provider.
    Page 4 of 9

    Exam Review

    1. A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from antipsychotic use. Which of the following adverse effects from antipsychotic medication use would be expected for the client?
      A)
      Hallucinations and delusions
      B)
      Nausea and vomiting
      C)
      Uncontrolled movements around the mouth
      D)
      Seizures and tremors
    2. A nurse is providing teaching for a client who has a new prescription for alprazolam to treat insomnia. Which of the following instructions should the nurse include?
      A)
      "Take this with a high-fat meal."
      B)
      "Monitor for peripheral edema."
      C)
      "Avoid activities that require alertness, such as driving."
      D)
      "Take this medication every night before sleep."
    3. What is an important consideration when educating a patient about taking Sertraline (Zoloft), an SSRI?
      A)
      It is safe to take with any other medication without consulting a healthcare provider.
      B)
      It may take a few weeks to start experiencing the full benefits of Sertraline.
      C)
      It should be abruptly stopped if the patient feels better.
      D)
      It can be taken with alcohol without any negative effects.
    4. A nurse is providing teaching for a client who has a new prescription for clozapine. Which of the following statements indicates the client understands the teaching?
      A)
      "I should expect to develop ringing in my ears while taking this medication."
      B)
      "This medication will help prevent seizures."
      C)
      "I will rise slowly from a lying position to prevent fainting while taking this medication."
      D)
      "This medication will be administered by intramuscular injection every 2 weeks."
    Page 5 of 9

    Exam Review

    1. A nurse is planning to administer haloperidol to a client who has acute psychosis. The nurse should monitor the client for which of the following findings as an adverse effect of the medication?
      A)
      Dystonia
      B)
      Increased agitation
      C)
      Excess salivation
      D)
      Diarrhea
    2. A nurse is admitting a client who reports anorexia and malnutrition. Which of the following laboratory findings should the nurse expect to be altered?
      A)
      Creatine kinase
      B)
      Troponin
      C)
      Total bilirubin
      D)
      Albumin
    3. A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine. Which of the findings should the nurse recognize as EPS? (Select all that apply.)
      A)
      Tremors of the hands
      B)
      Fidgeting behavior
      C)
      Muscle spasms of the neck
      D)
      Sexual dysfunction
      E)
      Blurred vision
    4. A nurse is caring for an adolescent female who has an eating disorder. The client is 162.6 cm (64 in) tall and weighs 38.56 kg (85 lb). In assessment, which of the following manifestations should the nurse expect? (Select all that apply.)
      A)
      Amenorrhea
      B)
      Bradycardia
      C)
      Altered body image
      D)
      Hyperactivity
      E)
      Verbalized desire to gain weight
    Page 6 of 9