a young adult explains he had to drive home from a party after drinking alcohol because he had to feed his dog.
What is rationalization?
100
This medication has a high risk for agranulocytosis and the patient's WBC count should be closely monitored.
What is Clozapine (Clozaril)?
100
Symptoms include:
-Does not respond to own name by 1 year
-Avoids eye contact
-Delayed speech & language
-Upset by minor changes in routine
-Flaps hands, rocks or spins in circle
-Unusual reactions to sounds, smells, & other sensory
What is autism?
100
Threatening to give a client an injection if they do not calm down.
What is assault?
100
A nurse administers this medication for a patient taking scheduled opioids and experiencing respiratory depression.
What is naloxone (Narcan)?
200
A young adult blames his substance use disorder on his parents refusal to buy him a new car.
What is projection?
200
Medication class that causes hypertensive crisis if the client eats food containing tyramine.
What are MAO-Is?
200
A client with a diagnosis of borderline personality disorder is admitted to the psychiatric unit. The nurse expects the assessment to reveal:
A. unpredictable behavior and intense interpersonal relationships
B. inability to function as a responsible parent
C. Somatic symptoms
D. Coldness, detachment, and lack of tender feelings
What is A?
200
How often must you document on a patient on suicide precautions?
What is 15 minutes?
200
A medication causing overdose symptoms of sweating, rhinorrhea, piloerection, tremors, irritability, diarrhea, fever, pupil dilation, N&V, muscle spasms, and pain in bones. Withdrawal symptoms will last 7-10 days.
What are opioids?
300
This technique facilitates spontaneous responses and interactive discussion.
What are open-ended questions?
300
What is the therapeutic range of Lithium?
What is 0.4 to 1.0 mEq/L
300
A nurse is completing an admission assessment for a client who has schizophrenia. Which or the following findings should the nurse document as positive symptoms? (select all that apply)
A. Auditory hallucinations
B. Lack of motivation
C. Use of clang association
D. Delusion of persecution
E. Constantly waving arms
F. Flat affect
What is A, C, D, E?
300
A nurse is conducting a class for a group of newly licensed nurses on identifying risk factors for suicide. Which of the following individuals should the nurse include as having the highest risk for suicide? (select all that apply)
A. older adult females
B. adolescents
C. Native Americans
D. Clients who have depressive disorder
E. clients who have hypomania
What is B, C, D, E?
300
Withdrawal manifestations begin 4-12 hours after last ingestion of this substance.
What is alcohol?
400
Directs the focus back to the client in order for the client to examine his feelings.
Ex: Client: "Do you think I should tell the doctor?"
Nurse: "Do you think you should."
What is reflecting?
400
A medication that can be used as a tobacco cessation tool or as an antidepressant.
What is bupropion?
400
A nurse observes a client who is pacing and wringing his hands. The client states, "I don't know why, but I've worried every day for over a year that my son will die in a horrible death." The nurse identifies that this finding is consistent with what psychiatric disorder.
What is generalized anxiety disorder?
400
A nurse is caring for a client who is speaking in a loud voice with clenched fists. Which of the following actions should the nurse take?
A. Insist that the client stop yelling.
B. Request that other staff members remain close by.
C. Move as close to the client as possible.
D. Walk away from the client.
What is B?
Rationale: Request that other staff members remain close to assist if necessary. Don't make demands of the client, angry clients need a large personal space, don't walk away from an angry client.
400
A 34 year old female patient is brought into the E.R., after reportedly taking 60-10mg diazepam. The patient presents with drowsiness, agitation, slurred speech, respiratory depression and uncoordinated motor activity, what drug antidote should be given?
A. Narcan
B. Flumazenil
C. Librium
D. Activated Charcoal
What is B?
500
Misjudging the degree of the client's discomfort.
Ex: Client: "I have nothing to live for, I wish I was dead."
Nurse: "Everybody gets down in the dumps."
What is belittling feelings expressed?
500
A nurse is caring for a client who is experiencing a crisis. Which of the following medications might the provider prescribe? (select all that apply)
A. Lithium carbonate (Lithobid)
B. Paroxetine (Paxil)
C. Risperidone (Risperdal)
D. Haloperidol (Haldol)
E. Lorazepam (Ativan)
What is B & E.
Rationale: Paxil is an antidepressant and may be prescribed for the depression that may follow a crisis situation. A benzo may be useful to minimize the anxiety that a client might feel in a crisis situation.
500
A nurse is working on an acute mental health unit is admitting a client who has major depressive disorder and comorbid anxiety disorder. Which of the following is the highest priority action by the nurse?
A. Placing the client on one-to-one observation.
B. Assisting the client to perform ADLs.
C. Encouraging the client to participate in counseling.
D. Teaching the client about medication adverse effects.
What is A?
Rationale: greatest risk is for self harm.
500
A 23-year-old patient with borderline personality disorder reports a frequent desire to cut him- or herself and insists that only a specific psychiatric and mental health nurse can help the patient. The nursing care plan for the patient includes:
A. allowing the patient to choose the nurse assigned to him or her.
B. decreasing the patient's stimuli.
C. holding frequent, interdisciplinary staff meetings to provide consistent care.
D. providing one-to-one suicide precautions.
What is C?
500
A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the following is the priority nursing intervention?
A. Orient the client frequently to time, place, and person.
B. Offer fluids and nourishing diet as tolerated.
C. Implement seizure precautions.
D. Encourage participation in group therapy sessions.