1. A client with schizophrenia became aggressive in responds to visible hallucination is doing
something to another client the nurse manager instructed the nurse to seclude the client
for safety which condition is the client consider secluded.
- The client is warned of the consequence if he or she try to leave the room
2. An adult client who treatment is for major depressive order met with doctor and signed an
informed consent for ECT. What ECT education will the nurse provide
- The nurse will teach you may experience short term memory loss, and a headache
after the procedure.
3. The RN is prepared to document following an assessment of a client with schizophrenia,
which assessment finding will the nurse document as a negative symptoms? Select all that
apply
- Verbal communication was almost non-existent
- The client needs frequent redirection because of his short attention span
4. Which education should the nurse provide to a client prescribed 1st generation
antipsychotics? Select all that apply
- Change position slowly
- Avoid alcohol consumption while on medication therapy
- Reframe from driving until medication affects are know
5. Which of the following factor place a client in the highest risk of mood spectrum disorder?
Select all that apply
- Late 20’s
- Female
- Dual diagnosis
- History of abuse
6. A nurse receive report of a client with psychosis the client of smell rotten flesh and feeling
bugs on her, she say the voices tell her she should kill herself because of the way she smell,
during assessment the client confirms the report. Which of the following hallucination will
the nurse document? Select all that apply
- Tactile
- Olfactory
- Command
7. A client with depression was prescribe fluoxetine, on regular examine the nurse identify that
the client is experiencing serotonin syndrome. Which client symptom supports the nurse
assumption? Select all that apply
- Hyperactivity
- Abnormal high fever
- Alter mental state
8. A client diagnosed with depression present to the emergency room having suicidal Ideation
with a plan and intent to attempt suicide. Which of following methods has the highest level
of lethality?
- Using a gun
- Jumping from a building roof
- Hanging self
This study source was downloaded by 100000903111493 from CourseHero.com on 03-06-2026 12:10:25 GMT -06:00
https://www.coursehero.com/file/122639979/233-Exam-2-Bueprintpdf/
, 9. The nursing supervisor is giving a presentation on substance abuse to new RN’s, the
supervisor asks the new nurses what most substance use disorders are characterized as.
Which response indicate the need for further instruction
- Co-dependent
10. The nurse just admitted a client with chronic alcoholism, the client has Wernicke’s
Encephalopathy. The nurse expects the physician to order which medication to address this
condition?
- Thiamine B-1
11. A nurse in a community Mental Health Center is interviewing a client who demonstrate
disorganized speech pattern the client is exhibiting clanging association and echolalia, which
nursing diagnosis will the nurse formulated to address on these?
- Impaired verbal communication
12. A client with a history bipolar disorder with psychotic features have been prescribed
Risperidone, the client has been admitted for symptom exacerbation during the nursing
assessment the nurse note stiffness, restless and fidgeting, the nurse reports the finding to
the physician, which medication should she anticipate the physician prescribing
- Cogentin
13. The nurse is caring for a client who has an alcohol abuse disorder the client is experiencing
anxiety, agitation, tremors, and sweating. Which medication should the nurse expect to
implement?
- Alprazolam (Xanax)
14. When assessing a client with a possible dependence on alcohol the nurse should ask which
priority question
- How do you feel when you not had a drink all day ?
15. The nurse should be prepared to manage which occurrence unique to the hallucinogenic
drugs
- Flashback
16. When discussing an individual tendency to substance abuse, the nurse should identify which
assessment data as a primary factor?
- The client has 2 family members who has abused substances
17. Which is the appropriate nursing intervention to address the poor nutritional intake
demonstrated by a client with depression
- Arrange for the client to have several small meals a day and plan to be present while
meals are served
18. The nurse is assigned to care a chemically dependent client whose has the potential for
violent episodes in planning care which action by the nurse should receive priority?
- Projecting attitude of calmness
19. The emergency department nurse is caring for a client who reports insomnia, loss of
appetite, helpless, and hopeless. What is the priority nursing intervention for this client?
- Assess for depression and ask directly about suicidal ideation
20. A client’s family express concern that the client is developing Alzheimer disease, the client is
now 65 and was once a professional wrestler. How might his history affect his diagnosis?
- History of head trauma, risk factor for dementia
This study source was downloaded by 100000903111493 from CourseHero.com on 03-06-2026 12:10:25 GMT -06:00
https://www.coursehero.com/file/122639979/233-Exam-2-Bueprintpdf/
something to another client the nurse manager instructed the nurse to seclude the client
for safety which condition is the client consider secluded.
- The client is warned of the consequence if he or she try to leave the room
2. An adult client who treatment is for major depressive order met with doctor and signed an
informed consent for ECT. What ECT education will the nurse provide
- The nurse will teach you may experience short term memory loss, and a headache
after the procedure.
3. The RN is prepared to document following an assessment of a client with schizophrenia,
which assessment finding will the nurse document as a negative symptoms? Select all that
apply
- Verbal communication was almost non-existent
- The client needs frequent redirection because of his short attention span
4. Which education should the nurse provide to a client prescribed 1st generation
antipsychotics? Select all that apply
- Change position slowly
- Avoid alcohol consumption while on medication therapy
- Reframe from driving until medication affects are know
5. Which of the following factor place a client in the highest risk of mood spectrum disorder?
Select all that apply
- Late 20’s
- Female
- Dual diagnosis
- History of abuse
6. A nurse receive report of a client with psychosis the client of smell rotten flesh and feeling
bugs on her, she say the voices tell her she should kill herself because of the way she smell,
during assessment the client confirms the report. Which of the following hallucination will
the nurse document? Select all that apply
- Tactile
- Olfactory
- Command
7. A client with depression was prescribe fluoxetine, on regular examine the nurse identify that
the client is experiencing serotonin syndrome. Which client symptom supports the nurse
assumption? Select all that apply
- Hyperactivity
- Abnormal high fever
- Alter mental state
8. A client diagnosed with depression present to the emergency room having suicidal Ideation
with a plan and intent to attempt suicide. Which of following methods has the highest level
of lethality?
- Using a gun
- Jumping from a building roof
- Hanging self
This study source was downloaded by 100000903111493 from CourseHero.com on 03-06-2026 12:10:25 GMT -06:00
https://www.coursehero.com/file/122639979/233-Exam-2-Bueprintpdf/
, 9. The nursing supervisor is giving a presentation on substance abuse to new RN’s, the
supervisor asks the new nurses what most substance use disorders are characterized as.
Which response indicate the need for further instruction
- Co-dependent
10. The nurse just admitted a client with chronic alcoholism, the client has Wernicke’s
Encephalopathy. The nurse expects the physician to order which medication to address this
condition?
- Thiamine B-1
11. A nurse in a community Mental Health Center is interviewing a client who demonstrate
disorganized speech pattern the client is exhibiting clanging association and echolalia, which
nursing diagnosis will the nurse formulated to address on these?
- Impaired verbal communication
12. A client with a history bipolar disorder with psychotic features have been prescribed
Risperidone, the client has been admitted for symptom exacerbation during the nursing
assessment the nurse note stiffness, restless and fidgeting, the nurse reports the finding to
the physician, which medication should she anticipate the physician prescribing
- Cogentin
13. The nurse is caring for a client who has an alcohol abuse disorder the client is experiencing
anxiety, agitation, tremors, and sweating. Which medication should the nurse expect to
implement?
- Alprazolam (Xanax)
14. When assessing a client with a possible dependence on alcohol the nurse should ask which
priority question
- How do you feel when you not had a drink all day ?
15. The nurse should be prepared to manage which occurrence unique to the hallucinogenic
drugs
- Flashback
16. When discussing an individual tendency to substance abuse, the nurse should identify which
assessment data as a primary factor?
- The client has 2 family members who has abused substances
17. Which is the appropriate nursing intervention to address the poor nutritional intake
demonstrated by a client with depression
- Arrange for the client to have several small meals a day and plan to be present while
meals are served
18. The nurse is assigned to care a chemically dependent client whose has the potential for
violent episodes in planning care which action by the nurse should receive priority?
- Projecting attitude of calmness
19. The emergency department nurse is caring for a client who reports insomnia, loss of
appetite, helpless, and hopeless. What is the priority nursing intervention for this client?
- Assess for depression and ask directly about suicidal ideation
20. A client’s family express concern that the client is developing Alzheimer disease, the client is
now 65 and was once a professional wrestler. How might his history affect his diagnosis?
- History of head trauma, risk factor for dementia
This study source was downloaded by 100000903111493 from CourseHero.com on 03-06-2026 12:10:25 GMT -06:00
https://www.coursehero.com/file/122639979/233-Exam-2-Bueprintpdf/
