New Material
What is the best time of the day to administer a stimulant to a client with ADHD.
What is in the morning after a client has eaten breakfast? (Some clients will require an additional dose in the afternoon. Do not administer at bedtime!!)
A client with opioid intoxication is ordered for naloxone 0.04mg IVP STAT. The naloxone vial is 0.4mg/ml. How many mL's should the nurse administer?
What is 1 mL
A client is brough to the emergency room for anxiety. Upon assessment, the client is pacing the halls and appears to be losing control. What level of anxiety would the nurse document.
What is panic level of anxiety?
A nurse administers a medication against the client's will. What ethical principle was violated in this situation.
What is autonomy?
A nurse is caring for a client with PICA. What are some medical issues these clients at risk for.
What is poisoning and intestinal obstructions?
The client in AA or NA understands that the main message of the program is.
What is clients are powerless against their addiction and need to derive support from a higher power?
A client is refusing to leave their house saying they do not want to be trapped in a place where they would not be able to escape. What anxiety disorder is this client experiencing?
What is agoraphobia?
A client has a lithium level of 1.8. What are some signs of toxicity should the nurse assess for.
What is tremor, sedation, confusion, incoordination, GI distress and EKG changes?
What is the only SSRI that is FDA approved to treat bulimia nervosa?
What is fluoxetine?
A client with a CIWA score of 20 is experiencing hallucinations, delusions and autonomic instability. The nurse understands the patient is experiencing what serious syndrome from alcohol withdrawal.
What is delirium tremens (DT's)?
A nurse is caring for a client with bipolar disorder who is jumping from topic to topic. What part of the mental status exam would this client be experiencing an abnormality in.
What is thought process?
A nurse is caring for a client with schizophrenia who is experiencing persecutory delusions. What is the most therapeutic response the nurse can make when the client states "Everyone wants to kill me".
What is I can't imagine how scary you must feel to think everyone wants to kill you?
A client presents with inability to maintain a close relationship for fear of being rejected or criticized. What personality disorder would they be diagnosed with.
What is avoidant personality disorder?
The client is withdrawing from opioids. What are some of the signs and symptoms the nurse would expect to see.
What is anxiety, muscle aches, abdominal cramping, dilated pupils, tachycardia and runny nose? (there are other symptoms that are not listed here. we use the COWS to assess for levels of withdrawal)
The nurse knows that a normal lithium level would fall into what range.
What is 0.8-1.2?
The nurse is caring for a client with schizophrenia who is experiencing catatonia. Which of the following manifestations would catatonia fall under?
What is disorganized behavior?
What are some of the clinical manifestations the nurse would expect to see in a client who is withdrawing from alcohol?
What is nausea, headache, sweating, tachycardia, hypertension, sensory changes, anxiety and confusion? (these are all the symptoms we assess for using the CIWA)
The nurse understands that the DT's from alcohol withdrawal will occur within what timeframe?
What is within the first 72 hours of when the client stops consuming alcohol?
What stage of Erick Erickson's 8 stages of development would a client be in when they express, I have done nothing with my life and I feel very sad about it.
What is integrity vs. dispair?
The nurse understands that clients with mental health challenges can experience periods of recovery and relapse. What is the scale that we use to assess where the client is along this trajectory.
What is the mental health continuum?