Lagniappe I
A male client is being discharged from a mental health facility and is worried about what to tell his friends and co-workers regarding his time away. The nurse helps the client plan what to say to others about his disease. The nurse is functioning in the role of:
Teacher
During client teaching, the nurse must inform the client prescribed a tricyclic antidepressant (TCA) to not expect to see a difference in mood or anxiety level for up to:
2 to 3 weeks
When the adolescent client is asked about the magazine she is reading, she responds, “It’s an article about my favorite movie star. Did you see all the stars out last night? I used to be afraid of the dark at night.” Which speech pattern is this an example of?
Loose association
The CMA is administering an antianxiety medication to a client. Monitoring side effects is the responsibility of which member of the health care team?
Nurse
The nurse asks the client a series of questions upon entry into a mental health care system. This action is an example of which phase of the nursing process?
Assessment
When should the nurse begin preparations for the termination phase of a therapeutic relationship?
Prior to the last meeting
Selective serotonin reuptake inhibitors (SSRIs) are most health care providers’ drug of choice for the treatment of depression because:
Side effects are more manageable than with most antidepressants
During the mental status examination, the nurse observes that the client rapidly changes from one idea to another related thought. Which disordered thinking process is the client displaying?
Flight of ideas
A nurse has just graduated from nursing school and has been hired on a mental health unit. The nurse wants to practice good communication skills with clients but knows that a mistake made by many new nurses in trying to communicate effectively involves:
Parroting
In preparing discharge planning for a client who has been prescribed lithium for the treatment of bipolar disorder, the nurse must be sure that the client demonstrates an understanding of the need to monitor his or her diet for intake of:
Sodium
Which is the best way that a nursing unit manager can assist his or her staff in maintaining a professional commitment to their job and profession?
Frequently offering and requiring a specific number of hours of in-service training on new care modalities within the facility
The nurse is aware that he or she may be administering the new antianxiety medication pregabalin (Lyrica) to clients without an anxiety disorder for the purpose of treating:
Neuropathic pain
While completing the history portion of an admission assessment of a client with schizophrenia, the nurse notices that the client is continually moving in the chair and frequently stands, then sits back down. The nurse knows that this client most likely is experiencing the side effect of:
Akathisia
A male client with a history of schizophrenia was admitted to the mental health facility after he was found on the street in a confused state and was uncooperative when approached by the police. One of the first assessments that should be performed on this client upon admission is a _____ assessment.
Physical
A nurse administers antidepressant medication to a client in an assisted-living facility. This is an example of which phase of the nursing process?
Intervention
A caregiver is said to be practicing __________ care not only when she takes into consideration the client’s actual or potential problems but also when she considers the client’s family, work responsibilities, and social aspects of life.
Holistic
A male client with the diagnosis of depression is taking a monoamine oxidase inhibitor (MAOI). Which is the most important teaching point the nurse must include in his care plan?
Avoid alcoholic beverages
__________ coping mechanisms are a means of successfully solving a problem or reducing one’s stress level.
Constructive
Without assessment of six specific aspects of an individual’s being, the mental health nurse’s scope of care is narrow and limited in effectiveness. These aspects include social, physical, cultural, intellectual, emotional, and spiritual areas of a person’s life, known as a(n) __________ assessment.
Holistic
A male client with a diagnosis of schizophrenia begins to have hallucinations during a conversation with the nurse; this prevents him from receiving the message that the nurse is trying to communicate to him. According to Ruesch’s theory of communication, this unsuccessful interaction is called _____ communication.
Disturbed
A busy community mental health center treats a client who is in crisis. The client is provided with instruction on relaxation exercises, but throws them away. Two weeks later the staff is dismayed when the client returns with her condition worsened. This lack of success after the previous visit is due to which of the following factors?
Pseudoresolution
A female client is 3 days postoperative and has been receiving meperidine (Demerol) for pain control. The family mentions to the nurse that the client has been taking phenelzine (Nardil) for years for her depression. The client did not list this medication on admission. What signs and symptoms should the nurse look for in case of reaction between these two medications?
Sedation, disorientation, and hallucinations
__________ is a side effect that can occur while a client is taking an antipsychotic medication, causing muscle rigidity, high fever, unstable vital signs, confusion, and agitation.
Neuroleptic malignant syndrome (NMS)
A male client with schizophrenia lives in an assisted-living complex for individuals with mental health disorders. He is tired of the Parkinson-like symptoms he experiences with his antipsychotic medication and therefore stops taking his medication after much discussion with his treatment team. He is progressively withdrawing from reality but is not a safety risk at this point to himself or others. What is the best response of the nurse and treatment team?
Ensure that the client and those around him are safe, and monitor for additional symptoms of his schizophrenia while maintaining trust with the client
The theorist Eric Berne theorized that an individual’s three ego states of parent, child, and adult make up one’s:
Personality