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    Exam Review

    1. A 25-year-old male with schizophrenia is brought to the emergency department by his family. He is exhibiting severe agitation, auditory hallucinations, and paranoid delusions. What are the nursing priorities for managing this patient in an acute situation? (Select All that Apply.)
      (SATA)
      A)
      Administer prescribed antipsychotic medication as ordered.
      B)
      Ensure the patient is in a safe environment to prevent harm to himself or others.
      C)
      Monitor the patient for any side effects of medications.
      D)
      Leave the patient alone to calm down in a quiet room.
      E)
      Establish a relationship by using calm and clear communication.
      F)
      Encourage the patient to participate in group therapy immediately.
      G)
      Ignore the patient’s hallucinations and delusions to avoid reinforcing them.
      H)
      Provide the patient with detailed explanations of their condition and treatment plan.
    2. A nurse is attending a group therapy session and listening to clients who have bipolar disorder discuss coping strategies. Which of the following statements by the clients indicate adaptive coping? (Select All that Apply.)
      (SATA)
      A)
      "I get 7 hours of sleep at night by skipping afternoon naps."
      B)
      "I exercise aerobically three times a day for 30 minutes at a time."
      C)
      "I think about my favorite beach vacation when I get anxious."
      D)
      "I see the glass as half-full when it starts looking empty."
      E)
      "I tense and release my muscles, starting with my feet."
    3. A school nurse is talking with a 13-year-old female at her annual health-screening visit. Which of the following comments made by the adolescent should be the nurse's priority to address?
      A)
      "I haven't gotten my period yet and all my friends have theirs."
      B)
      "None of the kids at this school like me, and I don't like them either."
      C)
      "My parents treat me like a baby sometimes."
      D)
      "There's a big pimple on my face, and I worry that everyone will notice it."
    4. A nurse is assessing a client who has schizophrenia. Which of the following behaviors should the nurse anticipate?
      A)
      Preoccupied with folding clothes.
      B)
      Periods of elation with unusual talkativeness.
      C)
      Recurrent thoughts of past trauma.
      D)
      Invents words that have no meaning.
    Page 1 of 19

    Exam Review

    1. A patient is prescribed 300 mg of Risperidone divided into two doses daily. If Risperidone is available in 50 mg tablets, how many tablets should be administered per dose?
      A)
      3 tablets.
      B)
      5 tablets.
      C)
      6 tablets.
      D)
      4 tablets.
    2. A patient is prescribed 150 mg/day of Lithium, divided into two equal doses. How much Lithium should be given per dose?
      A)
      150 mg.
      B)
      75 mg.
      C)
      50 mg.
      D)
      100 mg.
    3. A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. Findings include blood pressure changes, hyperpyrexia, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?
      A)
      Pseudoparkinsonism.
      B)
      Tardive dyskinesia.
      C)
      Neuroleptic malignant syndrome.
      D)
      Acute dystonia.
    4. A nurse is assessing a client who is receiving treatment with multiple antipsychotic medications and who suddenly became ill. Findings include blood pressure changes, hyperpyrexia, and diaphoresis. The nurse should recognize that which of the following adverse effects may be occurring?
      A)
      Pseudoparkinsonism.
      B)
      Tardive dyskinesia.
      C)
      Neuroleptic malignant syndrome.
      D)
      Acute dystonia.
    Page 2 of 19

    Exam Review

    1. A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, "I'm being kept in this prison against my will. Please try to get me out." Which of the following responses should the nurse make?
      A)
      "You feel that you don't belong here?"
      B)
      "We are here to help you and give you the care that you need right now."
      C)
      "Try to take some deep breaths and you will feel better."
      D)
      "Why do you feel that you need to leave?"
    2. A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, "I'm being kept in this prison against my will. Please try to get me out." Which of the following responses should the nurse make?
      A)
      "You feel that you don't belong here?"
      B)
      "We are here to help you and give you the care that you need right now."
      C)
      "Try to take some deep breaths and I'm sure you'll feel better."
      D)
      "Why do you feel that you need to leave?"
    3. A nurse notices that a client who has moderate anxiety is pacing the hall and mumbling. As the nurse approaches the client, he states, "I am at the end of my rope. I don't think I can take any more bad news." Which of the following responses should the nurse make?
      A)
      "An antianxiety pill works best for situations like this."
      B)
      "Providers usually recommend relaxation exercises for clients who are as upset as you are."
      C)
      "Most clients with anxiety issues benefit from tying down."
      D)
      "Come with me to an area where we can talk without interruption."
    4. A nurse is caring for a client who is taking amitriptyline. The nurse should monitor for which of the following adverse effects?
      A)
      Drooling
      B)
      Orthostatic hypotension
      C)
      Diarrhea
      D)
      Metallic taste in mouth
    Page 3 of 19

    Exam Review

    1. A nurse is providing teaching for a client who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching?
      A)
      "Have your blood pressure checked frequently for hypertension."
      B)
      "Increase your fluid and fiber intake to prevent constipation."
      C)
      "Expect to have your blood checked weekly for serum electrolyte imbalances."
      D)
      "Increase caloric intake to prevent weight loss."
    2. A nurse is reading the medical record for a client who has schizophrenia, which indicates that the client exhibits depersonalization. Which of the following statements by the client confirms that she is experiencing depersonalization?
      A)
      "Everything in this room has changed and I don't recognize it anymore."
      B)
      "I hear voices telling me that I have been bad."
      C)
      "I have broken off all my past relationships because my friends and family are trying to kill me."
      D)
      "My hands and feet are much smaller than they used to be."
    3. A nurse is caring for a client who is experiencing a crisis related to anxiety. Which of the following actions should the nurse take? (Select all that apply).
      A)
      Validate the client’s feelings.
      B)
      Identify the cause of the anxiety.
      C)
      Establish rapport with the client.
      D)
      Avoid eye contact to prevent escalation of anxiety.
      E)
      Develop a flexible crisis intervention plan.
    4. If a patient is prescribed 500 mg/day of Sertraline and the medication is available in 250 mg tablets, how many tablets should be administered each day?
      A)
      3 tablets
      B)
      2 tablets
      C)
      1 tablet
      D)
      4 tablets
    Page 4 of 19

    Exam Review

    1. A 45-year-old client with a delusional disorder believes that their neighbor is spying on them through hidden cameras in their home. The client is anxious but willing to discuss their belief. What is the most appropriate nursing response to support reality testing?
      A)
      "That’s impossible. Your neighbor wouldn’t do that."
      B)
      "You should stop worrying about this; it’s not real."
      C)
      "If you think there are cameras, we should find them together."
      D)
      "I understand this is frightening for you. I haven’t seen any cameras, and the police haven’t found anything. Let’s talk about what might help you feel more secure."
    2. Luis, a nursing student, is explaining to his patient the mechanism of action of selective serotonin reuptake inhibitors (SSRIs). What should he include?
      A)
      SSRIs increase norepinephrine levels to elevate mood.
      B)
      SSRIs inhibit serotonin production in the brain.
      C)
      SSRIs decrease dopamine levels to improve mood.
      D)
      SSRIs increase serotonin levels by preventing its reuptake into neurons.
    3. A nurse is caring for a client who has a new diagnosis of human immunodeficiency virus (HIV). He states, "I don't care what the doctors say, there is no way I can have HIV, and I don't need treatment for something I don't have." The nurse identifies that the client is experiencing which of the following types of crisis?
      A)
      Internal
      B)
      Situational
      C)
      Maturational
      D)
      Adventitious
    4. Carlos is discussing with his patient the potential interactions between antianxiety medications and alcohol. What should he warn them about?
      A)
      Antianxiety medications protect the liver from alcohol damage.
      B)
      Alcohol negates the effects of antianxiety medications.
      C)
      Combining the two causes increased alertness.
      D)
      Combining antianxiety medications with alcohol can increase sedation and respiratory depression.
    Page 5 of 19

    Exam Review

    1. A nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching?
      A)
      "We will monitor your lithium levels closely while you are taking this medication."
      B)
      "Weight gain should be reported to your provider as an indication of lithium toxicity."
      C)
      "This medication is addictive, so you will need to discontinue it in six months."
      D)
      "Your provider may prescribe a diuretic if you have trouble urinating while taking lithium."
    2. A nurse is conducting a group therapy meeting and is sharing a humorous story. When the group laughs at the story, a client who has schizophrenia jumps up and runs out while yelling, "You are all making fun of me." Which of the following behaviors is this client displaying?
      A)
      Grandeur
      B)
      Erotomania
      C)
      Flight of ideas
      D)
      Ideas of reference
    3. A nurse in a mental health clinic is assessing a client who was brought in by her adult daughter, stating that her mother has not been able to leave her home for weeks because she is afraid to be outdoors alone. The nurse should anticipate planning care for managing which of the following phobias?
      A)
      Mysophobia
      B)
      Xenophobia
      C)
      Acrophobia
      D)
      Agoraphobia
    4. A 30-year-old male patient, John, presents to the clinic with his wife. She reports that John has been experiencing periods of extreme energy and euphoria, followed by episodes of deep depression over the past several months. During his manic episodes, John engages in risky behaviors such as excessive spending and reckless driving. During his depressive episodes, he isolates himself and has expressed feelings of hopelessness. Based on this scenario, what is the priority nursing action for John?
      A)
      Administer a mood stabilizer immediately.
      B)
      Conduct a thorough assessment to evaluate John's safety and risk of harm to himself or others.
      C)
      Schedule John for regular therapy sessions to manage his mood swings.
      D)
      Educate John and his wife about the signs and symptoms of Bipolar Spectrum Disorder.
    Page 6 of 19