A nurse is teaching a client who has a new prescription for phenelzine
to treat depression. The nurse instructs the client to avoid foods with
tyramine to prevent which of the following?
a. Hypertensive crisis
b. Cardiac toxicity
c. Serotonin Syndrome
d. Urinary retention - ✔✔✔ Correct Answer > a. Hypertensive crisis
A nurse is caring for a client who is experiencing a panic attack. Which
of the following actions should the nurse take?
a. Ask the client to discuss precipitating events
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion
,d. Have the client breathe into a paper bag. - ✔✔✔ Correct Answer >
d. Have the client breathe into a paper bag.
A nurse is obtaining a medical history from a client who is requesting a
prescription for bupropion for smoking cessation. Which of the
following assessment finding in the client's history should the nurse
report to the provider?
a. Hepatitis B Infection
b. Hypothyroidism
c. Knee arthroplasty 1 month ago
d. Recent head injury - ✔✔✔ Correct Answer > d. Recent head injury
The nurse is caring for a client following a physical assault. The client
states "I don't remember what happened to me." The nurse should
recognize that the client is using which of the following defense
mechanisms?
a. Repression
b. Displacement
c. Rationalization
d. Denial - ✔✔✔ Correct Answer > a. Repression
,A nurse in an outpatient clinic is assessing a client who has anorexia
nervosa. Which of the following findings indicates the need for
hospitalization?
a. Potassium 3.8mEq per L
b. Heart Rate 56 per min
c. Temperature 35.6C (96.1F)
d. Weight 10% below ideal weight - ✔✔✔ Correct Answer >
c. Temperature 35.6C (96.1F)
A nurse is providing crisis intervention for a client who was involved in a
violent mass casualty situation in the community. Which of the
following actions should the nurse take during the initial session with
the client?
a. help the client focus on a wide variety of topics regarding the crisis
b. identify the client's usual coping style
c. tell the client that his life will soon return to normal
d. encourage the client to display anger toward the cause of the crisis -
✔✔✔ Correct Answer > b. identify the client's usual coping style
A nurse in the community health facility is interviewing a client who
recently lost his job. The client states "I was fired because my boss
doesn't like me" Which of the following defense mechanisms is the
client displaying?
, a. Rationalization
b. Displacement
c. Dissociation
d. Repression - ✔✔✔ Correct Answer > a. Rationalization
A nurse is providing teaching to a client who has depressive disorder
and a new prescription for doxepin. Which of the following instructions
should the nurse include in the teaching?
a. sit on the side of the bed for a few minutes before standing
b. decrease the prescribed dose by half when mood improves
c. avoid over the counter magnesium when taking this medication
d. eat a snack before going to bed - ✔✔✔ Correct Answer > a. sit
on the side of the bed for a few minutes before standing
A nurse is planning care for a client who has dementia. Which of the
following interventions should the nurse include in the plan?
a. give detailed instructions for completion of self-care activities
b. confront the client when he exhibits inappropriate behavior
c. provide finger foods to enhance caloric intake
to treat depression. The nurse instructs the client to avoid foods with
tyramine to prevent which of the following?
a. Hypertensive crisis
b. Cardiac toxicity
c. Serotonin Syndrome
d. Urinary retention - ✔✔✔ Correct Answer > a. Hypertensive crisis
A nurse is caring for a client who is experiencing a panic attack. Which
of the following actions should the nurse take?
a. Ask the client to discuss precipitating events
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion
,d. Have the client breathe into a paper bag. - ✔✔✔ Correct Answer >
d. Have the client breathe into a paper bag.
A nurse is obtaining a medical history from a client who is requesting a
prescription for bupropion for smoking cessation. Which of the
following assessment finding in the client's history should the nurse
report to the provider?
a. Hepatitis B Infection
b. Hypothyroidism
c. Knee arthroplasty 1 month ago
d. Recent head injury - ✔✔✔ Correct Answer > d. Recent head injury
The nurse is caring for a client following a physical assault. The client
states "I don't remember what happened to me." The nurse should
recognize that the client is using which of the following defense
mechanisms?
a. Repression
b. Displacement
c. Rationalization
d. Denial - ✔✔✔ Correct Answer > a. Repression
,A nurse in an outpatient clinic is assessing a client who has anorexia
nervosa. Which of the following findings indicates the need for
hospitalization?
a. Potassium 3.8mEq per L
b. Heart Rate 56 per min
c. Temperature 35.6C (96.1F)
d. Weight 10% below ideal weight - ✔✔✔ Correct Answer >
c. Temperature 35.6C (96.1F)
A nurse is providing crisis intervention for a client who was involved in a
violent mass casualty situation in the community. Which of the
following actions should the nurse take during the initial session with
the client?
a. help the client focus on a wide variety of topics regarding the crisis
b. identify the client's usual coping style
c. tell the client that his life will soon return to normal
d. encourage the client to display anger toward the cause of the crisis -
✔✔✔ Correct Answer > b. identify the client's usual coping style
A nurse in the community health facility is interviewing a client who
recently lost his job. The client states "I was fired because my boss
doesn't like me" Which of the following defense mechanisms is the
client displaying?
, a. Rationalization
b. Displacement
c. Dissociation
d. Repression - ✔✔✔ Correct Answer > a. Rationalization
A nurse is providing teaching to a client who has depressive disorder
and a new prescription for doxepin. Which of the following instructions
should the nurse include in the teaching?
a. sit on the side of the bed for a few minutes before standing
b. decrease the prescribed dose by half when mood improves
c. avoid over the counter magnesium when taking this medication
d. eat a snack before going to bed - ✔✔✔ Correct Answer > a. sit
on the side of the bed for a few minutes before standing
A nurse is planning care for a client who has dementia. Which of the
following interventions should the nurse include in the plan?
a. give detailed instructions for completion of self-care activities
b. confront the client when he exhibits inappropriate behavior
c. provide finger foods to enhance caloric intake
