Nurs 441 Psych-Mental Health Final Questions With
Complete Solutions
A child with a tic disorder is prescribed an antipsychotic agent
as part of his treatment plan. Which of the following would the
nurse expect to be prescribed?
-Ariprazole (Abilify)
-Haloperidol (Haldol)
-Clonidine
-Guanfacine (Intuniv) Correct Answers -Ariprazole (Abilify)
A client diagnosed with Alzheimer's disease, is a new resident in
a long-term care facility. The client has difficulty finding their
room and is seen wandering into the room of others. When
discussing the situation at a multidisciplinary conference, which
client-centered actions would the nurse suggest?
-Restrict the client to the client's room and hallway until they
can recognize the area.
-Ensure that the client has prescribed hearing aids and glasses on
throughout the day.
-Place a box with familiar items outside the client's door for
visual recognition.
-Assign the client to a room close to the nursing station for
closer monitoring.
-Provide a sedative medication to decrease the client's ability to
wander.
-Alzheimer's disease is a chronic, organic, mental disorder that
involves a progressive, irreversible loss of memory. Safety is
,priority. Client-centered actions would focus on interventions to
promote the id Correct Answers -Ensure that the client has
prescribed hearing aids and glasses on throughout the day.
-Place a box with familiar items outside the client's door for
visual recognition.
-Assign the client to a room close to the nursing station for
closer monitoring.
A client has been prescribed naltrexone for treatment of alcohol
dependence. The nurse has explained the drug's purpose to the
client. The nurse determines that the client has understood the
instructions when the client identifies which of the following
about the drug?
-Improves appetite and nutritional status
-Produces the euphoria of alcohol
-Causes itching if alcohol is consumed
-Reduces the appeal of alcohol Correct Answers -Reduces the
appeal of alcohol
A client has started taking haloperidol. What is the most
important instruction for the nurse to give the client?
-"You should report feelings of restlessness or agitation at
once."
-"Use a sunscreen outdoors on a year-round basis."
-"Be aware you will feel increased energy taking this drug."
-"This drug will help control high blood pressure." Correct
Answers -"You should report feelings of restlessness or
agitation at once."
,A client is being seen in the clinic after returning from military
service abroad. The nurse documents restlessness at night with
nightmares leaving the veteran irritable and fatigued during the
day. When discussing the possibility of post traumatic stress
disorder (PTSD), which statements about PTSD are accurate?
-PTSD is a syndrome that affects only those who have
experienced traumatic episodes during war.
-PTSD is characterized by nightmares and flashbacks.
-Hypervigilance is characteristic of clients with PTSD.
-Substance abuse is a common coping mechanism used by
clients with PTSD.
-Psychotic episodes can occur in clients with PTSD.
-Clients with PTSD may complain of feeling empty inside.
Correct Answers -PTSD is characterized by nightmares and
flashbacks.
-Hypervigilance is characteristic of clients with PTSD.
-Substance abuse is a common coping mechanism used by
clients with PTSD.
-Psychotic episodes can occur in clients with PTSD.
-Clients with PTSD may complain of feeling empty inside.
A client is prescribed chlodiazepoxide as needed to control the
symptoms of alcohol withdrawal. Which symptoms may
indicate the need for an additional dose of this medication?
-Tachycardia
-Mood swings
-Elevated blood pressure and temperature
-Piloerection
-Tremors
, -Increasing anxiety Correct Answers -Tachycardia
-Elevated blood pressure and temperature
-Tremors
-Increasing anxiety
A client is prescribed disulfiram (Antibuse) as part of his alcohol
treatment program to prevent relapse. The client asks the nurse,
"How will this drug help me?" Which response by a nurse
would be most appropriate?
-"It makes the withdrawal symptoms less troublesome."
-"It will help to cure your alcoholism."
-"It helps to clear the alcohol out of your body."
-"It can help to prevent you from drinking." Correct Answers
-"It can help to prevent you from drinking."
A client is taaking medication to control schizophrenia asks the
nurse to explain the causes of the disorder. The nurse knows that
an overactive dopamine system in the rain is one of the leading
causes of schizophrenia and tells the client that excessive
dopamine activity is responsible for symptoms. Which
symptoms is the nurse referring to?
-Hallucinations
-Withdrawn behavior
-Grandiosity
-Delusional thinking
-Excessive tearfulness
-Hypotension Correct Answers -Hallucinations
-Grandiosity
-Delusional thinking
Complete Solutions
A child with a tic disorder is prescribed an antipsychotic agent
as part of his treatment plan. Which of the following would the
nurse expect to be prescribed?
-Ariprazole (Abilify)
-Haloperidol (Haldol)
-Clonidine
-Guanfacine (Intuniv) Correct Answers -Ariprazole (Abilify)
A client diagnosed with Alzheimer's disease, is a new resident in
a long-term care facility. The client has difficulty finding their
room and is seen wandering into the room of others. When
discussing the situation at a multidisciplinary conference, which
client-centered actions would the nurse suggest?
-Restrict the client to the client's room and hallway until they
can recognize the area.
-Ensure that the client has prescribed hearing aids and glasses on
throughout the day.
-Place a box with familiar items outside the client's door for
visual recognition.
-Assign the client to a room close to the nursing station for
closer monitoring.
-Provide a sedative medication to decrease the client's ability to
wander.
-Alzheimer's disease is a chronic, organic, mental disorder that
involves a progressive, irreversible loss of memory. Safety is
,priority. Client-centered actions would focus on interventions to
promote the id Correct Answers -Ensure that the client has
prescribed hearing aids and glasses on throughout the day.
-Place a box with familiar items outside the client's door for
visual recognition.
-Assign the client to a room close to the nursing station for
closer monitoring.
A client has been prescribed naltrexone for treatment of alcohol
dependence. The nurse has explained the drug's purpose to the
client. The nurse determines that the client has understood the
instructions when the client identifies which of the following
about the drug?
-Improves appetite and nutritional status
-Produces the euphoria of alcohol
-Causes itching if alcohol is consumed
-Reduces the appeal of alcohol Correct Answers -Reduces the
appeal of alcohol
A client has started taking haloperidol. What is the most
important instruction for the nurse to give the client?
-"You should report feelings of restlessness or agitation at
once."
-"Use a sunscreen outdoors on a year-round basis."
-"Be aware you will feel increased energy taking this drug."
-"This drug will help control high blood pressure." Correct
Answers -"You should report feelings of restlessness or
agitation at once."
,A client is being seen in the clinic after returning from military
service abroad. The nurse documents restlessness at night with
nightmares leaving the veteran irritable and fatigued during the
day. When discussing the possibility of post traumatic stress
disorder (PTSD), which statements about PTSD are accurate?
-PTSD is a syndrome that affects only those who have
experienced traumatic episodes during war.
-PTSD is characterized by nightmares and flashbacks.
-Hypervigilance is characteristic of clients with PTSD.
-Substance abuse is a common coping mechanism used by
clients with PTSD.
-Psychotic episodes can occur in clients with PTSD.
-Clients with PTSD may complain of feeling empty inside.
Correct Answers -PTSD is characterized by nightmares and
flashbacks.
-Hypervigilance is characteristic of clients with PTSD.
-Substance abuse is a common coping mechanism used by
clients with PTSD.
-Psychotic episodes can occur in clients with PTSD.
-Clients with PTSD may complain of feeling empty inside.
A client is prescribed chlodiazepoxide as needed to control the
symptoms of alcohol withdrawal. Which symptoms may
indicate the need for an additional dose of this medication?
-Tachycardia
-Mood swings
-Elevated blood pressure and temperature
-Piloerection
-Tremors
, -Increasing anxiety Correct Answers -Tachycardia
-Elevated blood pressure and temperature
-Tremors
-Increasing anxiety
A client is prescribed disulfiram (Antibuse) as part of his alcohol
treatment program to prevent relapse. The client asks the nurse,
"How will this drug help me?" Which response by a nurse
would be most appropriate?
-"It makes the withdrawal symptoms less troublesome."
-"It will help to cure your alcoholism."
-"It helps to clear the alcohol out of your body."
-"It can help to prevent you from drinking." Correct Answers
-"It can help to prevent you from drinking."
A client is taaking medication to control schizophrenia asks the
nurse to explain the causes of the disorder. The nurse knows that
an overactive dopamine system in the rain is one of the leading
causes of schizophrenia and tells the client that excessive
dopamine activity is responsible for symptoms. Which
symptoms is the nurse referring to?
-Hallucinations
-Withdrawn behavior
-Grandiosity
-Delusional thinking
-Excessive tearfulness
-Hypotension Correct Answers -Hallucinations
-Grandiosity
-Delusional thinking
