• Mental Health Care 09/15/2026
Test Bank For Foundations of Mental Health Care
8th Edition Morrison Valfre | 9780323810296 | All
Chapters with Answers and Rationals
A nurse is evaluating the medication regimens of clients to determine whether the therapeutic levels have been
achieved. For which medication should the nurse review the client's serum blood level?
1
Olanzapine (Zyprexa)
2
Sertraline (Zoloft)
3
Lorazepam (Ativan)
4
Valproic acid (Depakene –
P 1
, • Mental Health Care 09/15/2026
Correct Answer :4Valproic acid (Depakene) must reach a therapeutic level to be effective, and the serum level
must be monitored to ensure that it remains in the therapeutic range rather than the toxic range. The serum
drug level is not monitored with lorazepam (Ativan) or olanzapine (Zyprexa).
A practitioner prescribes haloperidol (Haldol) 10 mg by mouth twice a day for a client who is also receiving
phenytoin (Dilantin) for control of epilepsy. When planning the client's care, the nurse considers that
anticonvulsants may interact with haloperidol to:
1
Mask its therapeutic effect.
2
Interfere with its absorption.
3
Enhance its rate of metabolism.
4
Potentiate its central nervous system depressant effect. –
Correct Answer :4Antiseizure medications and haloperidol (Haldol) exert a synergistic central nervous system
depressant effect. The effect is potentiated, not masked. Anticonvulsants do not affect the absorption of
haloperidol. Anticonvulsants do not affect the metabolism of haloperidol.`
On the psychiatric unit a client has been receiving high doses of haloperidol (Haldol) for 2 weeks. The client says,
"I just can't sit still, and I feel jittery." Which side effect does the nurse suspect that the client is experiencing?
1
Torticollis
2
Tardive dyskinesia
3
Parkinsonian syndrome
4
Akathisia - Correct Answer :4
Akathisia, a side effect of haloperidol (Haldol), develops early in therapy and is characterized by restlessness and
agitation. Torticollis is characterized by a stiff neck (wry neck). Tardive dyskinesia is characterized by gross
P 2
, • Mental Health Care 09/15/2026
involuntary movements of the extremities, tongue, and facial muscles that develop after prolonged therapy.
Pseudoparkinsonism is characterized by motor retardation, rigidity, and tremors; the reaction resembles
Parkinson's syndrome but usually responds to decreasing the dose, the administration of an antidyskinetic
medication, or discontinuation of the haloperidol.
Lithium carbonate 600 mg by mouth three times a day is prescribed for a client. The nurse concludes that the
teaching about its side effects is understood when the client says that she will call her primary health care
provider immediately if she notices any:
1
Difficulty urinating
2
Sensitivity to bright light or sun
3
Sexual dysfunction or breast enlargement
4
Fine hand tremor or slurred speech - Correct Answer :4
Fine hand tremor or slurred speech in a person taking lithium may signal the development of toxicity; signs of
toxicity include marked tremors, lack of coordination, sluggishness, and confusion. Lithium carbonate can cause
polyuria and incontinence, not urine retention. Sensitivity to bright light or sun is a side effect of the
phenothiazine group of medications. Neither sexual dysfunction nor breast enlargement is associated with
lithium carbonate intake.
In the process of development the individual strives to maintain, protect, and enhance the integrity of the self.
The nurse determines that this is usually accomplished through the use of:
1
Affective reactions
2
Withdrawal patterns
3
Ritualistic behaviors
4
Defense mechanisms –
P 3
, • Mental Health Care 09/15/2026
Correct Answer :4When the individual experiences a threat to self-esteem, anxiety increases, and defense
mechanisms are used to protect the self. Affective reactions are mood disorders. Withdrawal patterns are
deviant ways of coping with stress; if carried to an extreme, behavior may become pathological. Ritualistic
behaviors are not an aspect of the developmental process.
A woman who is frequently physically abused tells the nurse in the emergency department that it is her fault that
her husband beats her. What is the most therapeutic response by the nurse?
1
"Maybe it was your husband's fault, too."
2
"I can't agree with that—no one should be beaten."
3
"Tell me why you believe that you deserve to be beaten."
4
"You say that it was your fault—help me understand that." –
Correct Answer :4Paraphrasing and clarifying are interviewing techniques that promote communication
between the nurse and client and help the client hear and explore her words and gain insight into her behavior.
Asking a "why" question is generally not therapeutic because most clients cannot respond to these questions
with logical explanations. "Maybe it was your husband's fault, too" is a declarative statement that is closed, will
limit dialog, and is not therapeutic.
A person mowing a lawn is badly disfigured by the lawnmower blade. According to Erikson's theory, which age at
the time of injury will be associated with the greatest risk of long-term psychological effects?
1
35 years
2
55 years
3
70 years
4
11 years –
P 4
Test Bank For Foundations of Mental Health Care
8th Edition Morrison Valfre | 9780323810296 | All
Chapters with Answers and Rationals
A nurse is evaluating the medication regimens of clients to determine whether the therapeutic levels have been
achieved. For which medication should the nurse review the client's serum blood level?
1
Olanzapine (Zyprexa)
2
Sertraline (Zoloft)
3
Lorazepam (Ativan)
4
Valproic acid (Depakene –
P 1
, • Mental Health Care 09/15/2026
Correct Answer :4Valproic acid (Depakene) must reach a therapeutic level to be effective, and the serum level
must be monitored to ensure that it remains in the therapeutic range rather than the toxic range. The serum
drug level is not monitored with lorazepam (Ativan) or olanzapine (Zyprexa).
A practitioner prescribes haloperidol (Haldol) 10 mg by mouth twice a day for a client who is also receiving
phenytoin (Dilantin) for control of epilepsy. When planning the client's care, the nurse considers that
anticonvulsants may interact with haloperidol to:
1
Mask its therapeutic effect.
2
Interfere with its absorption.
3
Enhance its rate of metabolism.
4
Potentiate its central nervous system depressant effect. –
Correct Answer :4Antiseizure medications and haloperidol (Haldol) exert a synergistic central nervous system
depressant effect. The effect is potentiated, not masked. Anticonvulsants do not affect the absorption of
haloperidol. Anticonvulsants do not affect the metabolism of haloperidol.`
On the psychiatric unit a client has been receiving high doses of haloperidol (Haldol) for 2 weeks. The client says,
"I just can't sit still, and I feel jittery." Which side effect does the nurse suspect that the client is experiencing?
1
Torticollis
2
Tardive dyskinesia
3
Parkinsonian syndrome
4
Akathisia - Correct Answer :4
Akathisia, a side effect of haloperidol (Haldol), develops early in therapy and is characterized by restlessness and
agitation. Torticollis is characterized by a stiff neck (wry neck). Tardive dyskinesia is characterized by gross
P 2
, • Mental Health Care 09/15/2026
involuntary movements of the extremities, tongue, and facial muscles that develop after prolonged therapy.
Pseudoparkinsonism is characterized by motor retardation, rigidity, and tremors; the reaction resembles
Parkinson's syndrome but usually responds to decreasing the dose, the administration of an antidyskinetic
medication, or discontinuation of the haloperidol.
Lithium carbonate 600 mg by mouth three times a day is prescribed for a client. The nurse concludes that the
teaching about its side effects is understood when the client says that she will call her primary health care
provider immediately if she notices any:
1
Difficulty urinating
2
Sensitivity to bright light or sun
3
Sexual dysfunction or breast enlargement
4
Fine hand tremor or slurred speech - Correct Answer :4
Fine hand tremor or slurred speech in a person taking lithium may signal the development of toxicity; signs of
toxicity include marked tremors, lack of coordination, sluggishness, and confusion. Lithium carbonate can cause
polyuria and incontinence, not urine retention. Sensitivity to bright light or sun is a side effect of the
phenothiazine group of medications. Neither sexual dysfunction nor breast enlargement is associated with
lithium carbonate intake.
In the process of development the individual strives to maintain, protect, and enhance the integrity of the self.
The nurse determines that this is usually accomplished through the use of:
1
Affective reactions
2
Withdrawal patterns
3
Ritualistic behaviors
4
Defense mechanisms –
P 3
, • Mental Health Care 09/15/2026
Correct Answer :4When the individual experiences a threat to self-esteem, anxiety increases, and defense
mechanisms are used to protect the self. Affective reactions are mood disorders. Withdrawal patterns are
deviant ways of coping with stress; if carried to an extreme, behavior may become pathological. Ritualistic
behaviors are not an aspect of the developmental process.
A woman who is frequently physically abused tells the nurse in the emergency department that it is her fault that
her husband beats her. What is the most therapeutic response by the nurse?
1
"Maybe it was your husband's fault, too."
2
"I can't agree with that—no one should be beaten."
3
"Tell me why you believe that you deserve to be beaten."
4
"You say that it was your fault—help me understand that." –
Correct Answer :4Paraphrasing and clarifying are interviewing techniques that promote communication
between the nurse and client and help the client hear and explore her words and gain insight into her behavior.
Asking a "why" question is generally not therapeutic because most clients cannot respond to these questions
with logical explanations. "Maybe it was your husband's fault, too" is a declarative statement that is closed, will
limit dialog, and is not therapeutic.
A person mowing a lawn is badly disfigured by the lawnmower blade. According to Erikson's theory, which age at
the time of injury will be associated with the greatest risk of long-term psychological effects?
1
35 years
2
55 years
3
70 years
4
11 years –
P 4
