Final Quiz
Afnursefinfanfacutefmentalfhealthffacilityfisfreviewingfthefmedicationfrecordsfforfafgroupfoffclients.fThef
nursefshouldfexpectfafprescriptionfforfmemantinefforfafclientfwhofhasfwhichfofftheffollowingfdiagnoses?
f-fANSWERfAlzheimer'sfdisease
Rationale:
ThefnursefshouldfexpectfafprescriptionfforfmemantinefforfafclientfwhofhasfmoderateftofseverefAlzheime
r'sfdisease.fMemantine,fanfNMDAfreceptorfagonist,fisfshownftofslowfthefprogressionfoffmanifestationsfa
ndftofimprovefcognitiveffunction.
AfnursefisfcollectingfdataffromfafclientfwhoftakesfanfMAOIfforftheftreatmentfoffdepression.fWhichfoffthe
ffollowingffindingsfisfthefpriorityfforfthefnurseftofreportftofthefprovider?f-
fANSWERfElevatedfbloodfpressure
Rationale:
Thefnursefshouldfidentifyfthatfthefgreatestfriskftofthefclientfisfanfelevatedfbloodfpressure,fwhichfincreas
esfhisfriskfforfafhypertensivefcrisisfthatfcanfresultffromftakingfanfMAOI.fThefnursefshouldfapplyfthefsafet
yfandfriskfreductionfpriority-
settingfframeworkfwhenfcollectingfdataffromfthisfclient.fThisfframeworkfassignsfpriorityftoftheffactorforf
situationfposingfthefgreatestfsafetyfriskftofthefclient.fWhenftherefarefseveralfrisksftofclientfsafety,fthefon
efposingfthefgreatestfthreatfisfthefhighestfpriority.fThefnursefshouldfusefMaslow'sfhierarchyfoffneeds,fth
efABCfpriority-
settingfframework,forfnursingfknowledgeftofidentifyfwhichfriskfposesfthefgreatestfthreatftofthefclient.
Afnursefisfreviewingfthefmedicationsfoffafclientfwhofhasfbipolarfdisorderfandfafnewfprescriptionfforflithi
um.fThefnursefshouldfidentifyfthatfitfisfsafeftofadministerfwhichfofftheffollowingfmedicationsfwhilefthefcl
ientfisftakingflithium?f-fANSWERfValproicfacid
, Rationale:
Valproicfacidfandflithiumfarefbothfindicatedfforftheftreatmentfoffbipolarfdisorder.fItfisfsafefforfthefnursef
tofadministerfbothfoffthesefmedicationsftofthefclient.
Afnursefisfcollectingfdataffromfafclientfwhofhasfcocainefintoxication.fWhichfofftheffollowingffindingsfsho
uldfthefnursefexpect?f-fANSWERfIncreasedfmaternalfalertness
Rationale:
Thefnursefshouldfexpectfafclientfwhofhasfcocainefintoxicationftofhavefincreasedfmentalfalertnessfdueftof
itsfstimulantfproperties.
Afnursefisfcaringfforfafclientfwhofhasfschizophrenia.fThefnursefnoticesfthatfthefclientfisfpacingfupfandfdo
wnfthefhallfveryfrapidlyfandfmutteringfinfanfangryfmanner.fWhichfofftheffollowingfactionsfshouldfthefnu
rseftakeffirst?f-fANSWERfApproachfthefclientfinfafnonfthreateningfmanner
Rationale:
Theffirstfactionfthefnursefshouldftakefisftofapproachfthefclientfcalmly,finfafnonfthreateningfmanner,ftofcr
eatefafnonfthreateningfenvironment.fThefnursefshouldfapplyfthefleastfrestrictivefpriority-
settingfframeworkfwhenfcaringfforfthisfclient.fThisfframeworkfassignsfpriorftofnursingfinterventionsfthatf
arefleastfrestrictiveftofthefclient,fasflongfasfthosefinterventionsfdofnotfjeopardizefclientfsafety.fLeastfrest
rictivefinterventionsfpromotefclientfsafetyfwithoutfusingfrestraints.fThefnursefshouldfonlyfusefphysicalfo
rfchemicalfrestraintsfwhenfthefsafetyfoffthefclient,fstaff,forfothersfisfatfrisk.
Afnursefinfanfacutefmentalfhealthffacilityfisfparticipatingfinfafnursingfstafffdiscussionfaboutftheflegalfaspe
ctsfoffinvoluntaryfadmissions.fWhichfofftheffollowingfinformationfshouldfthefnursefinclude?f-
fANSWERfAnfinvoluntaryfadmissionfisfjustifiedfiffthefclientfisfafdangerftofothers
Rationale:
Afclientfwhofisfafdangerftofothersforftofhimselffqualifiesfforfanfinvoluntaryfadmission.fThefinabilityftofme
etfbasicfneedsfdueftofthefneedfforfmentalfhealthftreatmentfisfalsofafjustificationfforfanfinvoluntaryfadmi
ssion.