Exam Review
- Seasonal Affective Disorder is a disturbance of mood and behavior accompanied by at least 5 key features for at least 2 weeks.A)TrueB)False
- Bobby is an 8-year-old patient who is to receive Amoxicillin 250 mg every 8 hours. You have 250 mg/5 mL. How many teaspoons will you tell his mother to administer every 8 hours?A)2 tspB)3 tspC)1 tspD)4 tsp
- The nurse has been teaching the caregiver about Aricept. The nurse knows teaching has been effective by which of the following statements?A)Let's hope this medication will stop the Alzheimer's disease from progressing any furtherB)It is important to take this medication on an empty stomachC)I'll be eager to see if this medication makes any improvement in concentrationD)This medication will slow the progress of Alzheimer's disease temporarily
- When assessing a client with delirium, the nurse will expect to see (Select all that apply)(SATA)A)AphasiaB)ConfusionC)Impaired level of consciousnessD)Long-term memory impairmentE)Mood fluctuationsF)Rapid onset of symptoms
Exam Review
- Which of the following statements by the caregiver of a client newly diagnosed with dementia requires further intervention by the nurse?A)I will remind mother of things she has forgottenB)I will keep mother busy with favorite activities as long as she can participateC)I will try to find new and different things to do every dayD)I will encourage mother to talk about friends and family
- Tylenol with Codeine 1T is equivalent to how many mL?A)15.5 mLB)15 mLC)40 mLD)30 mL
- A client has been admitted in withdrawal delirium. He is dehydrated and has a bruised, swollen tongue. He is experiencing illusions and auditory hallucinations and is confused. In developing a care plan for this client, what measure should the nurse include to ensure physiologic stability?A)Monitoring vital signsB)Keeping the room darkC)Withholding oral fluidsD)Applying ice to the tongue
- Which nursing diagnosis should be most useful for clients with anxiety disorders for whom the following defining characteristics have been identified: avoidance, poor concentration, nightmares, hypervigilance, exaggerated startle response, detachment, numbing, and flashbacks?A)Disturbed Sensory PerceptionB)AnxietyC)Post-Trauma SyndromeD)Powerlessness
Exam Review
- Which of the following principles should the nurse apply when planning nursing care for a client who was admitted after a suicide attempt?A)Clients who talk about suicide are less likely to attempt itB)Clients who attempt suicide and fail will not try againC)Clients who attempt suicide and fail did not really want to dieD)The more specific the plan, the greater the risk of suicide
- All of the following are true about the etiology of Post-Traumatic Stress Disorder (PTSD), exceptA)Previous psychiatric history can increase the risk of developing PTSDB)PTSD is associated only with personal characteristics, not event exposureC)There has to be causative traumaD)Lack of social support can increase the risk of developing PTSD
- The nurse is caring for a client admitted with severe exacerbation of posttraumatic stress disorder that is experiencing flashbacks and hypervigilance. Which is the priority for the nurse to address when caring for this client?A)Promote the client’s safetyB)Help to promote the client's self-esteemC)Help the client cope with stress and emotionsD)Establish a support system in the client's community
- Three years ago, the nurse's parent died in an intensive care unit (ICU). The nurse is caring for a client in the ICU with the same diagnosis and similar features to the nurse's parent. Which manifestation of posttraumatic stress disorder (PTSD) did the nurse likely experience when feeling a sense of panic confronting the client?A)DerealizationB)HyperarousalC)A flashbackD)Emotional numbing
Exam Review
- A client voluntarily admitted to the inpatient psychiatric unit is currently experiencing mild delirium. The client approaches the nurse and states, "I’m going to take a walk outside. I'll be back in about 10 minutes." Which is the most appropriate nursing action?A)Designate a staff member to accompany the client on the walkB)Tell the client the walk is not allowed and restrict him to the unitC)Further assess the client's motives for wanting to walkD)Give the client permission to go on a walk on the grounds
- A nurse working in an assisted living facility is holding an in-service for the nursing assistants. The nurse reviews common behaviors associated with cognitive deterioration associated with dementia. Which would cause the nurse to know that the assistants correctly understood if it were expressed during a posttest?A)The clients should be able to ask us for items they needB)The clients who are ambulatory can still carry out activities of daily living independentlyC)The clients should know when to come to the dining room for mealsD)The clients may not recognize their family when they come to visit
- A 68-year-old client who is hospitalized with pneumonia is disoriented and confused 3 days after admission. Which information indicates that the client is experiencing delirium rather than dementia?A)The client is oriented to person but disoriented to place and timeB)The client’s speech is fragmented and incoherentC)The client has a history of increasing confusion over several yearsD)The client was oriented and alert when admitted
- The caregiver of a client with Alzheimer's disease reports to the nurse that often the client will suddenly become angry during meals and nothing seems to calm him down. The nurse teaches the caregiver to use distraction techniques. Which response would be best to teach as an example of this technique?A)If you stop yelling, I will get your dessertB)Don’t you want to finish your meal?C)Let's look at what is on televisionD)I don't understand what you are saying
Exam Review
- A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing acute mania. Which of the following client goals should the nurse identify as the priority?A)Understanding of medication regimenB)Maintaining adequate hydrationC)Practicing problem-solving skillsD)Identifying indications of relapse
- A client who has a diagnosis of depression is attending group therapy. During the group meeting, the nurse asks each member to identify one goal for the day. When it is the client's turn, she does not respond. Which of the following actions should the nurse take before repeating the request to the client?A)Allow the client time to collect her thoughtsB)Prompt the client to give a responseC)Move on to the next clientD)Offer the client a suggestion for a goal
- A nurse in an outpatient mental health setting is collecting a health history from a client who is taking paroxetine for depression. The client reports to the nurse that he also takes herbal supplements. The nurse should advise the client that which of the following supplements interacts adversely with paroxetine?A)EchinaceaB)GinkgoC)St. John's WortD)Saw palmetto
- A nurse is planning care for a client who is to undergo electroconvulsive therapy (ECT). Which of the following actions should the nurse include in the plan?A)Administer phenytoin 30 min prior to the procedureB)Instruct the client to expect a headache following the procedureC)Monitor the client's cardiac rhythm during the procedureD)Place the client in four-point restraints prior to the procedure
Exam Review
- A nurse is reviewing routine laboratory values for several clients who are taking lithium carbonate. Which of the following clients should the nurse assess further for findings indicating lithium toxicity?A)A client who has a BUN of 18 mg/dLB)A client who has a fasting blood glucose of 80 mg/dLC)A client who has a potassium level of 3.6 mEq/LD)A client who has a sodium level of 128 mEq/L
- A nurse is planning care for an adolescent who is being admitted to an acute care unit following a suicide attempt. Which of the following interventions should the nurse identify as the priority?A)Arrange one-to-one observation of the clientB)Encourage interaction with the client's peersC)Encourage the client to attend a support groupD)Administer medication for depressive disorder
- A nurse is providing teaching to a client who is to start taking valproic acid. Which of the following instructions should the nurse include?A)You should undergo thyroid function tests every 6 months while taking valproic acidB)You should expect the provider to gradually decrease your dosage of valproic acidC)You should take aspirin for pain you have while taking valproic acidD)You should have your liver function levels monitored regularly while taking valproic acid
- A client with bipolar disorder begins taking lithium carbonate, 300 mg four times a day. After 3 days of therapy, the client says, "My hands are shaking." The best response by the nurse is which of the following?A)Fine motor tremors are an early effect of lithium therapy that usually subsides in a few weeksB)It is nothing to worry about unless it continues for the next monthC)You can expect tremors with lithium. You seem very concerned about such a small tremorD)Tremors can be an early sign of toxicity, but we'll keep monitoring your lithium level to make sure you're okayE)The correct answer is: a) Fine motor tremors are an early effect of lithium therapy that usually subsides in a few weeks