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    Exam Review

    1. A nurse is caring for a client who has schizophrenia and is preparing for discharge. Exhibits The nurse is providing discharge teaching to the client. Which of the following information should the nurse include when educating the client about relapse prevention? Select all that apply.(SATA)
      A)Ask a trusted person to watch for manifestations of illness.
      B)Notify your provider within 48 hr of manifestations of a relapse.
      C)Go for a walk to decrease anxiety during times of increased stress.
      D)Report any adverse effects of the medication to the provider immediately.
      E)Limit alcohol consumption to no more than two drinks per week.
      F)Take a dose of the medication as soon as delusions or hallucinations begin.
    2. A nurse is caring for a client who has cocaine use disorder. Which of the following manifestations should the nurse expect the client to have during withdrawal?
      A)Fatigue
      B)Hand tremors
      C)Rapid speech
      D)Seizures
    3. A nurse is caring for a client who is in the emergency department. Exhibits The nurse is preparing to use a standardized screening tool to assess the client for partner violence.
      (Highlight — findings requiring follow-up are marked)

      A nurse is caring for a client who is in the emergency department.

      Exhibits

      The nurse is preparing to use a standardized screening tool to assess the client for partner violence. Click to highlight the actions the nurse should take during the assessment. To deselect an action, click on the action again.

      Interview the client with another nurse present.

      Ask questions in different ways until the client provides an answer.

      Ask the client if they have been hit, slapped, or kicked within the past year.

      Refrain from asking the client if they are afraid of their partner.

      Ask the client to clarify the circumstances of their injuries.

      Assure the client that their medical team feels sympathy for their injuries and disapproval for the person responsible for inflicting them.

      Inform the client that they should have fought back.

      Discuss with the client the factors that precipitate violence.

    4. A nurse is reviewing the medical records for a group of clients prior to administering the clients' medications. For which of the following clients should the nurse withhold the prescribed medication and notify the provider?
      A)A client who is taking venlafaxine and exhibits frequent yawning and weight loss
      B)A client who is taking olanzapine and reports frequent urination
      C)A client who is taking fluoxetine and exhibits muscle rigidity and tachycardia
      D)A client who is taking nortriptyline and reports nausea and dry mouth
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    Exam Review

    1. A nurse in an inpatient mental health facility is caring for a client who is showing indications of becoming violent. Which of the following actions should the nurse take?
      A)Call security guards to the scene for a show of force.
      B)Escort the client to a secluded area to speak privately.
      C)Offer the client several options for a time-out period.
      D)Place the client in restraints before they escalate further.
    2. A nurse is discussing with a newly licensed nurse the mental health resources available to meet the needs of a client who has schizoaffective disorder, no transportation, and lives at home with their parents. Which of the following resources should the nurse identify as meeting the needs for the client?
      A)Partial Hospitalization Programs (PHP)
      B)Assertive Community Treatment
      C)Crisis Stabilization/Observation Units
      D)Intensive Outpatient Programs (IOPs)
    3. A nurse is assisting a provider in obtaining informed consent from a client who has depressive disorder and is scheduled to have electroconvulsive therapy (ECT). The signature of the nurse on the consent form indicates which of the following?
      A)The nurse has witnessed the client's signature on the form
      B)The nurse has assessed the client's knowledge of alternative treatments.
      C)The nurse has discussed the risks of ECT with the client
      D)The nurse has provided information about the benefits of ECT.
    4. A nurse is caring for a client who refuses to attend group therapy. Which of the following statements should the nurse make?
      A)"If I were you, I would go to a few therapy sessions to give them a try."
      B)"One of my friends went to group therapy and they improved significantly."
      C)"You have the right to refuse to attend group therapy."
      D)"You should go to group therapy if you want to get better.
    Page 2 of 5

    Exam Review

    1. A nurse is preparing to administer methylphenidate 25 mg PO to a school-age child who has ADHD. Available is methylphenidate 10 mg/5 mL liquid. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero)
    2. A nurse is caring for a client who has a substance use disorder. The client states. "The state took my child away after my overdose. I don't want to go on living without them." Which of the following therapeutic responses should the nurse make?
      A)"We can ask the physician to prescribe a sedative."
      B)"Have you thought about harming yourself?"
      C)"Can a family member try to obtain temporary custody of your child?"
      D)"If you attend counseling, you will get your child back."
    3. A nurse is giving a presentation about intimate partner abuse for a community group. Which of the following statements by a group member indicates an understanding of the teaching?
      A)"The honeymoon stage of violence usually gets longer over time."
      B)"Survivors of abuse often feel guilty."
      C)"As abuse continues, victims become more determined to be independent"
      D)"Abusers often have high self-esteem."
    4. A nurse is assessing a client who has paranoid personality disorder. Which of the following findings should the nurse expect?
      A)Shows exaggerated expression of emotions
      B)Believes that others are deceiving her
      C)Takes advantage of others for her own benefit
      D)Demonstrates detachment from others
    Page 3 of 5

    Exam Review

    1. A nurse is caring for a client who has alcohol use disorder. Which of the following statements made by the client indicates the client has a support system?
      A)"My boss fired me due to my frequent absence."
      B)"My friends frequently drink alcohol, so I do not see them anymore."
      C)"I have a sibling who attends Al-Anon”
      D)"I take care of my parent who has Wernicke-Korsakoff syndrome."
    2. A nurse on a mental health unit is preparing an in-service about ethical concepts when providing client care. Which of the following definitions should the nurse include when discussing advocacy?
      A)Helping a client fulfil a need that they are unable to complete independently
      B)Assuring that the health care provider tells the truth and does not mislead
      C)Avoiding intentionally or unintentionally harming clients
      D)Maintaining the premise that all clients are to be treated equally
    3. A nurse is performing a home visit on a client who has Alzheimer's disease and their partner. The partner states, "I wish I had some time to myself and run errands, but I need to be here all the time." Which of the following referrals should the nurse recommend to the client's partner?
      A)Occupational therapy
      B)Palliative care
      C)Respite care
      D)Hospice care
    4. A nurse is caring for a client who has severe depression and is scheduled to receive electroconvulsive therapy. The nurse should recognize that the client will receive succinylcholine to prevent which of the following adverse effects?
      A)Aspiration
      B)Decreased heart rate
      C)Elevated blood pressure
      D)Muscle distress
    Page 4 of 5

    Exam Review

    1. A nurse is caring for a client who has a personality disorder. Which of the following statements made by the client indicate they are coping with the maladaptive defense mechanism of displacement?
      A)"The night shift nurse is terrible."
      B)"If I do what I am supposed to do, it will go away."
      C)"I am so angry with my spouse."
      D)"I don't know why I am here in the first place."
    2. A nurse is teaching the family of a client who has Alzheimer's disease about safety interventions for nighttime wandering. Which of the following interventions should the nurse include?
      A)Encourage the client to take naps during the day
      B)Install locks at the bottom of the exit doors.
      C)Place the client's mattress on the floor.
      D)Place rubber-backed throw rugs on tile floors.
    3. A nurse is caring for a client who is in physical restraints. Which of the following actions should the nurse take?
      A)Secure the client in bed by tightly tucking in sheets.
      B)Obtain a prescription to renew the restraint prescription every 48 hr.
      C)Document the interventions used before applying restraints.
      D)Delegate assistive personnel to check on the client regularly.
    4. A nurse is assessing a client following treatment for serotonin syndrome caused by an antidepressant medication. Which of the following findings indicates the treatment has been effective?
      A)Decrease in blood pressure
      B)Muscle rigidity
      C)Нуреrreflexia
      D)Altered mental status
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