Psychiatric Mental Health Nursing NCLEX Questions (50
Questions)
Terms in this set (50)
Flumazenil (Romazicon) has been ordered A. Seizures
for a male client who has overdosed on Rationale: Seizures are the most common adverse effect
of oxazepam (Serax). Before administering the using flumazenil to reverse benzodiazepine
overdose. The medication, the nurse should be prepared effect is magnified if the client has a
combined tricyclic
for which common adverse effect? antidepressant and benzodiazepine overdose. Less common
A. Seizures adverse effects includer shivering, anxiety, and chest pain.
B.Shivering
C. Anxiety
D.Chest pain
, The nurse is caring for a client diagnosed C. Identify anxiety-causing situations
with bulimia. The most appropriate initial Rationale: Bulimic behavior is generally a maladaptive
coping goal for a client diagnosed with bulimia is to: response to stress and underlying issues. The client
must
A. Avoid shopping for large amounts of identify anxiety-causing situation as that stimulate the bulimic
food behavior and then learn new ways of coping with the
anxiety.
B.Control eating impulses Controlling shopping for large amounts of food isn't a goal
C. Identify anxiety-causing situations early in treatment. Managing eating impulses and replacing
D.Eat only three meals per day them with adaptive coping mechanisms can be integrated into
the plan of care after initially addressing stress and underlying
issues. Eating three meals per day isn't a realistic goal early in
treatment.
A female client who's at high risk for suicideA. Check on the client frequently at irregular
intervals needs close supervision. To best ensure the throughout the night
client's safety, the nurse should: Rationale: Checking the client frequently but at irregular
A. Check on the client frequently at irregular intervals prevents the client from predicting when
observation intervals throughout the night will take place and altering behavior in a misleading way
at
B. Assure the client that the nurse will hold in these
times. Option B may encourage the client to try to confidence anything the client says
manipulate the nurse's or seek attention for having a secret
C. Repeatedly discuss previous suicide suicide plan. Option C may reinforce a suicidal idea.
attempts with the client Decreased communication is a sign of withdrawal that may
D.Disregard decreased communication by indicate the client has decided to commit suicide; the
nurse the client because this is common in suicidal shouldn't disregard it.
clients
Which of the following drugs should the D. acetylcysteine (Mucomyth)
nurse prepare to administer to a client with a Rationale: The antidote for acetaminophen toxicity is
toxic acetaminophen (Tylenol) level? acetylcysteine. It enhances conversion of toxic metabolites to
A. deferoxamine mesylate nontoxic metabolites. Deferoxamine meslyate is the antidote
B.succimer (Chemet) for iron intoxication. Succimer is an antidote for lead
C. flumazenil (Romazicon) poisoning. Flumazenil reverses the sedative effects of
D.acetylcysteine (Mucomyst) benzodiazepines.
A male client is admitted to the substance D. clordiazepoxide (Librium)
abuse unit for alcohol detoxification. Which Rationale: Chlordiazepoxide (Librium) and other tranquilizers
of the following medications is the nurse help reduce the symptoms of alcohol withdrawal. Haloperidol
likely to administer to reduce the symptoms (Haldol) may be given to treat clients with
psychosis, severe of alcohol withdrawal? agitation, or delirium. Naloxone (Narcan) is administered
for
A. naloxone (Narcan) narcotic overdose. Magnesium sulfate and other
B.haloperidol (Haldol) anticonvulsant medications are only administer to treat
C. magnesium sulfate seizures if they occur during the withdrawal.
D. chlordiazepoxide (Librium)
Questions)
Terms in this set (50)
Flumazenil (Romazicon) has been ordered A. Seizures
for a male client who has overdosed on Rationale: Seizures are the most common adverse effect
of oxazepam (Serax). Before administering the using flumazenil to reverse benzodiazepine
overdose. The medication, the nurse should be prepared effect is magnified if the client has a
combined tricyclic
for which common adverse effect? antidepressant and benzodiazepine overdose. Less common
A. Seizures adverse effects includer shivering, anxiety, and chest pain.
B.Shivering
C. Anxiety
D.Chest pain
, The nurse is caring for a client diagnosed C. Identify anxiety-causing situations
with bulimia. The most appropriate initial Rationale: Bulimic behavior is generally a maladaptive
coping goal for a client diagnosed with bulimia is to: response to stress and underlying issues. The client
must
A. Avoid shopping for large amounts of identify anxiety-causing situation as that stimulate the bulimic
food behavior and then learn new ways of coping with the
anxiety.
B.Control eating impulses Controlling shopping for large amounts of food isn't a goal
C. Identify anxiety-causing situations early in treatment. Managing eating impulses and replacing
D.Eat only three meals per day them with adaptive coping mechanisms can be integrated into
the plan of care after initially addressing stress and underlying
issues. Eating three meals per day isn't a realistic goal early in
treatment.
A female client who's at high risk for suicideA. Check on the client frequently at irregular
intervals needs close supervision. To best ensure the throughout the night
client's safety, the nurse should: Rationale: Checking the client frequently but at irregular
A. Check on the client frequently at irregular intervals prevents the client from predicting when
observation intervals throughout the night will take place and altering behavior in a misleading way
at
B. Assure the client that the nurse will hold in these
times. Option B may encourage the client to try to confidence anything the client says
manipulate the nurse's or seek attention for having a secret
C. Repeatedly discuss previous suicide suicide plan. Option C may reinforce a suicidal idea.
attempts with the client Decreased communication is a sign of withdrawal that may
D.Disregard decreased communication by indicate the client has decided to commit suicide; the
nurse the client because this is common in suicidal shouldn't disregard it.
clients
Which of the following drugs should the D. acetylcysteine (Mucomyth)
nurse prepare to administer to a client with a Rationale: The antidote for acetaminophen toxicity is
toxic acetaminophen (Tylenol) level? acetylcysteine. It enhances conversion of toxic metabolites to
A. deferoxamine mesylate nontoxic metabolites. Deferoxamine meslyate is the antidote
B.succimer (Chemet) for iron intoxication. Succimer is an antidote for lead
C. flumazenil (Romazicon) poisoning. Flumazenil reverses the sedative effects of
D.acetylcysteine (Mucomyst) benzodiazepines.
A male client is admitted to the substance D. clordiazepoxide (Librium)
abuse unit for alcohol detoxification. Which Rationale: Chlordiazepoxide (Librium) and other tranquilizers
of the following medications is the nurse help reduce the symptoms of alcohol withdrawal. Haloperidol
likely to administer to reduce the symptoms (Haldol) may be given to treat clients with
psychosis, severe of alcohol withdrawal? agitation, or delirium. Naloxone (Narcan) is administered
for
A. naloxone (Narcan) narcotic overdose. Magnesium sulfate and other
B.haloperidol (Haldol) anticonvulsant medications are only administer to treat
C. magnesium sulfate seizures if they occur during the withdrawal.
D. chlordiazepoxide (Librium)
