Mental Health Proctored Practice A
14 mL
110 lb x (1 kg/2.2 lb) = 50 kg
50 kg x 0.55 mg = 27.5 mg
27.5 mg x(5 mL/10 mg) = 14 mL - answer A nurse is preparing to administer
chlorpromazine 0.55 mg/kg PO to an adolescent who weighs 110 lb. Available is
chlorpromazine syrup 10 mg/5 mL. How many mL should the nurse administer? (Round
the answer to the nearest whole number)
B. "She won't let me take the trash from her room. I'm concerned about what she has in
there."
The client might be binge eating and attempting to hide her food containers, which is a
common behavior among clients who have bulimia nervosa. The mother's statement
indicates awareness of her daughter's behavior. - answerA nurse in an emergency
department is caring for a female adolescent who has a diagnosis of bulimia nervosa
and had a fainting episode during a ballet performance. Which of the following
statements by the mother acknowledges her daughter's diagnosis?
A. "She works so hard at ballet. Will she still be able to perform?"
B. "She won't let me take the trash from her room. I'm concerned about what she has in
there."
C. "She told me she was tired, so I did her chores for her today."
D. "She is happier with her appearance now that she's lost some weight."
A. The client needs excessive external input to make everyday decisions.
Clients who have dependent personality disorder need excessive input from others to
make everyday decisions. - answerWhile observing group therapy, a nurse recognizes
that a client is behaving in a way suggestive of dependent personality disorder. Which
of the following behaviors is consistent with this condition?
A. The client needs excessive external input to make everyday decisions.
B. The client demonstrates a dedication to his job that excludes time for leisure
activities.
C. The client adheres to a rigid set of rules.
D. The client has difficulty starting new relationships unless he feels accepted.
C. Tachycardia
,The nurse should monitor the child for tachycardia, which is an adverse effect of
methylphenidate. - answerA nurse is caring for a child who is taking methylphenidate.
The nurse should monitor the child for which of the following findings as an adverse
effect of methylphenidate?
A. Weight gain
B. Tinnitus
C. Tachycardia
D. Increased salivation
B. "To whom do you talk when you feel overwhelmed?"
By asking this question, the nurse is assessing the client's support systems, which is an
important factor in the client's ability to cope with the situation. - answerA nurse is
interviewing a client at a temporary shelter after surviving the destruction of her home
by a tornado. When assessing the client, the nurse should ask which of the following
questions to determine the client's ability to cope with this situation?
A. "Don't you think you'll get through this in time?"
B. "To whom do you talk when you feel overwhelmed?"
C. "Have you thought about rebuilding your home on the same site?"
D. "Would you like me to find a therapist for you to speak with?"
A. Shuffling gait
Benztropine is used to treat parkinsonism manifestations, such as shuffling gait. -
answerA nurse is caring for a client who has schizophrenia and was prescribed a
conventional antipsychotic medication yesterday. Which of the following findings
indicates the nurse should administer benztropine 2 mg IM?
A. Shuffling gait
B. Hypotension
C. Decreased WBC count
D. Blurred vision
B. A client who has a sodium level of 128 mEq/L
A sodium level of 128 mEq/L should alert the nurse that the client is at risk for lithium
toxicity because renal excretion of lithium is decreased in the presence of a low sodium
level. - answerA nurse is reviewing routine laboratory values for several clients who are
taking lithium carbonate. Which of the following clients should the nurse assess further
for findings indicating lithium toxicity?
A. A client who has a fasting blood sugar of 80 mg/dL
B. A client who has a sodium level of 128 mEq/L
C. A client who has a BUN of 18 mg/dL
, D. A client who has a potassium level of 3.6 mEq/L.
B. "You're saying that you think you are fat and are using laxatives because you are
afraid of gaining weight."
The nurse is using the therapeutic technique of summarizing to review the key points of
the discussion. - answerA nurse is counseling an adolescent who has anorexia nervosa
and reports excessive laxative use and a fear of gaining weight. The client states, "I'm
so fat I can't even stand to look at myself." Which of the following therapeutic responses
demonstrates the nurse's use of summarizing?
A. "You've discussed several concerns about your weight. Let's go back and talk about
your belief that you are fat."
B. "You're saying that you think you are fat and are using laxatives because you are
afraid of gaining weight."
C. "You don't want to look at yourself because you think you are fat."
D. "You and I can work together to overcome your fears of gaining weight."
D. Mild
The nurse should plan to teach the client relaxation techniques during the mild level of
anxiety, The is when the client will be able to concentrate and process information. -
answerA nurse is planning care for a client who has generalized anxiety disorder. At
which of the following levels of anxiety should the nurse plan to teach the client
relaxation techniques?
A. Panic
B. Moderate
C. Severe
D. Mild
C. Hand tremors
Fine hand tremors are an expected adverse effect of lithium and can interfere with the
client's ADLs, causing the client to stop taking the medication. - answerA nurse in a
mental health clinic is caring for a client with bipolar disorder and reports that she
stopped taking lithium 2 weeks ago. The nurse should recognize which of the following
as an expected adverse effect that might have caused the client to stop taking the
medication?
A. Sore throat
B. Photophobia
C. Hand tremors
D. Constipation
D. Easily distracted
14 mL
110 lb x (1 kg/2.2 lb) = 50 kg
50 kg x 0.55 mg = 27.5 mg
27.5 mg x(5 mL/10 mg) = 14 mL - answer A nurse is preparing to administer
chlorpromazine 0.55 mg/kg PO to an adolescent who weighs 110 lb. Available is
chlorpromazine syrup 10 mg/5 mL. How many mL should the nurse administer? (Round
the answer to the nearest whole number)
B. "She won't let me take the trash from her room. I'm concerned about what she has in
there."
The client might be binge eating and attempting to hide her food containers, which is a
common behavior among clients who have bulimia nervosa. The mother's statement
indicates awareness of her daughter's behavior. - answerA nurse in an emergency
department is caring for a female adolescent who has a diagnosis of bulimia nervosa
and had a fainting episode during a ballet performance. Which of the following
statements by the mother acknowledges her daughter's diagnosis?
A. "She works so hard at ballet. Will she still be able to perform?"
B. "She won't let me take the trash from her room. I'm concerned about what she has in
there."
C. "She told me she was tired, so I did her chores for her today."
D. "She is happier with her appearance now that she's lost some weight."
A. The client needs excessive external input to make everyday decisions.
Clients who have dependent personality disorder need excessive input from others to
make everyday decisions. - answerWhile observing group therapy, a nurse recognizes
that a client is behaving in a way suggestive of dependent personality disorder. Which
of the following behaviors is consistent with this condition?
A. The client needs excessive external input to make everyday decisions.
B. The client demonstrates a dedication to his job that excludes time for leisure
activities.
C. The client adheres to a rigid set of rules.
D. The client has difficulty starting new relationships unless he feels accepted.
C. Tachycardia
,The nurse should monitor the child for tachycardia, which is an adverse effect of
methylphenidate. - answerA nurse is caring for a child who is taking methylphenidate.
The nurse should monitor the child for which of the following findings as an adverse
effect of methylphenidate?
A. Weight gain
B. Tinnitus
C. Tachycardia
D. Increased salivation
B. "To whom do you talk when you feel overwhelmed?"
By asking this question, the nurse is assessing the client's support systems, which is an
important factor in the client's ability to cope with the situation. - answerA nurse is
interviewing a client at a temporary shelter after surviving the destruction of her home
by a tornado. When assessing the client, the nurse should ask which of the following
questions to determine the client's ability to cope with this situation?
A. "Don't you think you'll get through this in time?"
B. "To whom do you talk when you feel overwhelmed?"
C. "Have you thought about rebuilding your home on the same site?"
D. "Would you like me to find a therapist for you to speak with?"
A. Shuffling gait
Benztropine is used to treat parkinsonism manifestations, such as shuffling gait. -
answerA nurse is caring for a client who has schizophrenia and was prescribed a
conventional antipsychotic medication yesterday. Which of the following findings
indicates the nurse should administer benztropine 2 mg IM?
A. Shuffling gait
B. Hypotension
C. Decreased WBC count
D. Blurred vision
B. A client who has a sodium level of 128 mEq/L
A sodium level of 128 mEq/L should alert the nurse that the client is at risk for lithium
toxicity because renal excretion of lithium is decreased in the presence of a low sodium
level. - answerA nurse is reviewing routine laboratory values for several clients who are
taking lithium carbonate. Which of the following clients should the nurse assess further
for findings indicating lithium toxicity?
A. A client who has a fasting blood sugar of 80 mg/dL
B. A client who has a sodium level of 128 mEq/L
C. A client who has a BUN of 18 mg/dL
, D. A client who has a potassium level of 3.6 mEq/L.
B. "You're saying that you think you are fat and are using laxatives because you are
afraid of gaining weight."
The nurse is using the therapeutic technique of summarizing to review the key points of
the discussion. - answerA nurse is counseling an adolescent who has anorexia nervosa
and reports excessive laxative use and a fear of gaining weight. The client states, "I'm
so fat I can't even stand to look at myself." Which of the following therapeutic responses
demonstrates the nurse's use of summarizing?
A. "You've discussed several concerns about your weight. Let's go back and talk about
your belief that you are fat."
B. "You're saying that you think you are fat and are using laxatives because you are
afraid of gaining weight."
C. "You don't want to look at yourself because you think you are fat."
D. "You and I can work together to overcome your fears of gaining weight."
D. Mild
The nurse should plan to teach the client relaxation techniques during the mild level of
anxiety, The is when the client will be able to concentrate and process information. -
answerA nurse is planning care for a client who has generalized anxiety disorder. At
which of the following levels of anxiety should the nurse plan to teach the client
relaxation techniques?
A. Panic
B. Moderate
C. Severe
D. Mild
C. Hand tremors
Fine hand tremors are an expected adverse effect of lithium and can interfere with the
client's ADLs, causing the client to stop taking the medication. - answerA nurse in a
mental health clinic is caring for a client with bipolar disorder and reports that she
stopped taking lithium 2 weeks ago. The nurse should recognize which of the following
as an expected adverse effect that might have caused the client to stop taking the
medication?
A. Sore throat
B. Photophobia
C. Hand tremors
D. Constipation
D. Easily distracted
