NR 326 MENTAL HEALTH EXAM 1
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) A GRADE
4 Phases of the Nurse-Client Relationship: - correct
answer- 1. Pre-interaction
2. Orientation
3. Working
4. Termination
A 31-year-old patient admitted with acute mania tells the
staff and the other patients that he is on a secret mission
for the President of the United States. He states, "I am the
only one he trusts, because I am the best!" What term will
the nurse use when documenting this behavior?
a. Unpredictability
b. Rapid cycling
c. Grandiosity
d. Flight of ideas - correct answer- c
,A client admitted with major depression and suicidal
ideation with a plan to overdose is preparing for discharge
and asks you, "Why did I get a prescription for only 7 days
of amitriptyline?" The nurse's response is based on what
fact?
a. Amitriptyline is very expensive, so the patient may have
to buy fewer at a time.
b. The goal is to see how the client responds to the first
week of medication to evaluate its effectiveness.
c. The health care provider wants to see whether any side
effects occur within the first week of administration.
d. Amitriptyline is lethal in overdose. - correct
answer- d, since the patient had a plan to overdose
and TCA is lethal in excessive amounts
A client diagnosed with bipolar disorder has a nursing care
plan that includes several nursing diagnoses listed. Match
the nursing diagnosis to the level of priority (1 to 4):
,self -care deficit, bathing, and hygiene, risk for injury,
nonadherence, knowledge, deficient - correct
answer- 1. Risk for Injury
2. Self-care deficit, bathing, and hygiene
3. knowledge, deficient
4. nonadherence
A client prescribed a monamine oxidase inhibitor (MOA)
has a pass to go out to lunch. Given a choice of the
following entrees, the client can safely eat:
a. avocado salad plate.
b. fruit and cottage cheese plate.
c. kielbasa and sauerkraut.
d. liver and onion sandwich. - correct answer-
b, Fruit and cottage cheese do not contain tyramine
A client prescribed a selective serotonin reuptake
inhibitor mentions taking the medication along with the
St. John's wort daily. The nurse should provide the client
with what information regarding this practice?
, a. Agreeing that this will help the client to remember the
medications.
b. Caution the client to drink several glasses of water
daily.
c. Suggest that the client also use a sun lamp daily.
d. Explain the high possibility of an adverse reaction. -
correct answer- d, due to St. John's wort
interaction
A client prescribed fluoxetine demonstrates an
understanding of the medication teaching when making
which statement?
a. "I will make sure to get plenty of sunshine and not use
sunscreen to avoid a skin reaction."
b. "I will not take any over-the-counter medication while
on the fluoxetine."
c. "I will report any symptoms of high fever, fast
heartbeat, or abdominal pain to my provider right away."
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) A GRADE
4 Phases of the Nurse-Client Relationship: - correct
answer- 1. Pre-interaction
2. Orientation
3. Working
4. Termination
A 31-year-old patient admitted with acute mania tells the
staff and the other patients that he is on a secret mission
for the President of the United States. He states, "I am the
only one he trusts, because I am the best!" What term will
the nurse use when documenting this behavior?
a. Unpredictability
b. Rapid cycling
c. Grandiosity
d. Flight of ideas - correct answer- c
,A client admitted with major depression and suicidal
ideation with a plan to overdose is preparing for discharge
and asks you, "Why did I get a prescription for only 7 days
of amitriptyline?" The nurse's response is based on what
fact?
a. Amitriptyline is very expensive, so the patient may have
to buy fewer at a time.
b. The goal is to see how the client responds to the first
week of medication to evaluate its effectiveness.
c. The health care provider wants to see whether any side
effects occur within the first week of administration.
d. Amitriptyline is lethal in overdose. - correct
answer- d, since the patient had a plan to overdose
and TCA is lethal in excessive amounts
A client diagnosed with bipolar disorder has a nursing care
plan that includes several nursing diagnoses listed. Match
the nursing diagnosis to the level of priority (1 to 4):
,self -care deficit, bathing, and hygiene, risk for injury,
nonadherence, knowledge, deficient - correct
answer- 1. Risk for Injury
2. Self-care deficit, bathing, and hygiene
3. knowledge, deficient
4. nonadherence
A client prescribed a monamine oxidase inhibitor (MOA)
has a pass to go out to lunch. Given a choice of the
following entrees, the client can safely eat:
a. avocado salad plate.
b. fruit and cottage cheese plate.
c. kielbasa and sauerkraut.
d. liver and onion sandwich. - correct answer-
b, Fruit and cottage cheese do not contain tyramine
A client prescribed a selective serotonin reuptake
inhibitor mentions taking the medication along with the
St. John's wort daily. The nurse should provide the client
with what information regarding this practice?
, a. Agreeing that this will help the client to remember the
medications.
b. Caution the client to drink several glasses of water
daily.
c. Suggest that the client also use a sun lamp daily.
d. Explain the high possibility of an adverse reaction. -
correct answer- d, due to St. John's wort
interaction
A client prescribed fluoxetine demonstrates an
understanding of the medication teaching when making
which statement?
a. "I will make sure to get plenty of sunshine and not use
sunscreen to avoid a skin reaction."
b. "I will not take any over-the-counter medication while
on the fluoxetine."
c. "I will report any symptoms of high fever, fast
heartbeat, or abdominal pain to my provider right away."
