Exam (elaborations) NURS 1102 PASSPOINT MOOD ADJUSTMENT AND DEMENTIA DISORDERS

NURS 1102 PASSPOINT MOOD ADJUSTMENT AND DEMENTIA DISORDERS Question 1 See full question A depressed client tells a nurse, "I want to die. Life just isn't worth living." Which response by the nurse is most appropriate? You Selected: • "Of course life is worth living. You'll feel better soon." Correct response: • "This must be a very difficult time for you." Explanation: Remediation: Question 2 See full question A professional artist is admitted to the psychiatric unit for treatment of bipolar disorder. During the previous 2 weeks, the client has created 154 paintings, slept only 2 to 3 hours every 2 days, and lost 18 lb (8.2 kg). Based on Maslow's hierarchy of needs, what should the nurse provide this client with first? You Selected: • Help with reestablishing a normal sleep pattern Correct response: • Help with reestablishing a normal sleep pattern Explanation: Remediation: Question 3 See full question For the client receiving outpatient treatment for depression and suicidal ideation, what is the correct amount of imipramine to have at one time? You Selected: • a 30-day supply Correct response: • a 7-day supply Explanation: NURS 1102 PASSPOINT MOOD ADJUSTMENT AND DEMENTIA DISORDERS Remediation: Question 4 See full question When developing appropriate assignments for the staff, which client should the nurse manager judge to be at highest risk for suicide completion? You Selected: • an 85-year-old Caucasian man who lives alone after his wife's death Correct response: • an 85-year-old Caucasian man who lives alone after his wife's death Explanation: Remediation: Question 5 See full question Which statement by a client taking valproic acid for bipolar disorder indicates that further teaching about this medication is necessary? You Selected: • "I can chew the pills if necessary." Correct response: • "I can chew the pills if necessary." Explanation: Remediation: Question 6 See full question During the nurse’s conversation with a depressed client, the client states, “I have no reason to be sad. I have a great job and a wonderful wife and family.” Which comment would be best for the nurse to make at this time? You Selected: • "Depression can be caused by a chemical imbalance in the brain." Correct response: • "Depression can be caused by a chemical imbalance in the brain." Explanation: Remediation: Question 7 See full question When educating a client who has been diagnosed with dysthymia about possible treatment for the disorder, which information should the nurse include? You Selected: • "Antidepressants offer you the best treatment for your disorder." Correct response: • "Dysthymia often responds to the combination of psychotherapy and antidepressants." Explanation: Question 8 See full question The family of a client diagnosed with Alzheimer's disease wants to keep the client at home. They say that they have the most difficulty in managing his wandering. What should the nurse instruct the family to do? Select all that apply. You Selected: • Ask the health care provider (HCP) for a sleeping medication. • Install door alarms and high door locks. Correct response: • Install motion and sound detectors. • Have the client wear a Medical Alert bracelet. • Install door alarms and high door locks. Explanation: Remediation: Question 9 See full question During the initial assessment, a female client exhibits pressured speech. She points to certain patterns on the wallpaper and says, "This is the writing about the tsunami. Thousands of people died because I read the writing. I should never have read the writing; it was my fault." Which of the following would be central to the nurse’s interventions? You Selected: • Replying to the client with feedback about reality and the client's behaviors Correct response: • Replying to the client with feedback about reality and the client's behaviors Explanation: Remediation: Question 10 See full question A client taking tranylcypromine sulfate for depression was treated in the emergency department for a headache, vomiting, and blood pressure of 190/100 mm/Hg following dinner at a restaurant. At discharge, the nurse evaluated the client’s understanding of diet instructions. For what menu choice will the nurse provide further education? You Selected: • Carrot cake and black coffee Correct response: • Mexican sausage soup with guacamole and chips Explanation: Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - TAKE A PRACTICE QUIZ uestion 1 See full question A physician orders electroconvulsive therapy (ECT) for a severely depressed client who fails to respond to drug therapy. When teaching the client and family about his treatment, the nurse should include which point about ECT? You Selected: • ECT will induce a seizure. Correct response: • ECT will induce a seizure. Explanation: Remediation: Question 2 See full question A nurse is working on a unit with individuals who have eating disorders. She is interviewing a new female client. The client has lost a significant amount of weight over the past months and complains of being "sick to my stomach" when around food. The client reports that she hasn't menstruated in 3 months. What is the priority nursing intervention? You Selected: • Requesting an order for a pregnancey test Correct response: • Requesting an order for a pregnancey test Explanation: Remediation: Question 3 See full question A physician orders a tricyclic antidepressant for a client who has suffered an acute myocardial infarction (MI) within the previous 6 months. Which action should the nurse take? You Selected: • Discontinue the medication. Correct response: • Question the physician about the order. Explanation: Remediation: Question 4 See full question A client with a diagnosis of major depression is ordered clonazepam for agitation in addition to an antidepressant. Client teaching should include which statement? You Selected: • Clonazepam may interact with organ meats. Correct response: • Clonazepam may have a slight depressant effect. Explanation: Remediation: Question 5 See full question Which characteristic would make the nurse suspect that a client with changes in cognition has delirium? You Selected: • disturbances in cognition and consciousness that fluctuate during the day Correct response: • disturbances in cognition and consciousness that fluctuate during the day Explanation: Remediation: Question 6 See full question The nurse is counseling a client regarding treatment of the client's newly diagnosed depression. The nurse emphasizes that full benefit from antidepressant therapy usually takes how long? You Selected: • 2 to 4 weeks Correct response: • 2 to 4 weeks Explanation: Remediation: Question 7 See full question The unlicensed assistive personnel (UAP) approaches the nurse and states, “The client does not know what caused him to be so depressed. He must not want to tell me because he does not trust me yet.” In responding to this staff member, which statement by the nurse will help the UAP understand the client’s illness? You Selected: • “Endogenous depression comes from within the person. It is a reaction to a loss. You need to give the client more time to identify the cause or loss.” Correct response: • ”Endogenous depression is biochemical and is not caused by an outside stressor or problem. The client cannot tell you why he is depressed because he really does not know.” Explanation: Remediation: Question 8 See full question A client diagnosed with a cognitive disorder is showing signs of confusion, short-term memory loss, and a short attention span. Which therapy group would be best suited for this client? You Selected: • reality orientation Correct response: • reality orientation Explanation: Remediation: Question 9 See full question A client with dementia is eating off of other clients' meal trays. After the client with dementia is asked to stop, which of the following actions should be taken? You Selected: • Distract the client Correct response: • Distract the client Explanation: Remediation: Question 10 See full question A young adult client with severe depression and suicide ideation has been started on the selective seratonin reuptake inhibitor (SSRI) sertraline. Which client statement would indicate the client needs further teaching about seratraline? You Selected: • “Being on sertraline will significantly decrease the chances that I might hurt myself.” Correct response: • “Being on sertraline will significantly decrease the chances that I might hurt myself.” Explanation: Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - - TAKE A PRACTICE QUIZ Question 1 See full question One day after being admitted with bipolar disorder, a client becomes verbally aggressive during a group therapy session. Which response by the nurse is most therapeutic? You Selected: • "Your behavior is disturbing to the other clients. I'll walk with you around the patio to help you release some of your energy." Correct response: • "Your behavior is disturbing to the other clients. I'll walk with you around the patio to help you release some of your energy." Explanation: Remediation: Question 2 See full question A client is admitted to the local psychiatric facility with bipolar disorder in the manic phase. The physician decides to start the client on lithium carbonate therapy. One week after this therapy starts, the nurse notes that the client's serum lithium level is 1 mEq/L. What should the nurse do? You Selected: • Continue to administer the medication as ordered. Correct response: • Continue to administer the medication as ordered. Explanation: Remediation: Question 3 See full question A client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to: You Selected: • fold towels and pillowcases. Correct response: • fold towels and pillowcases. Explanation: Remediation: Question 4 See full question Which statement should be included when teaching clients about monoamine oxidase (MAO) inhibitors? You Selected: • Don't take any prescribed or over-the-counter medications without consulting a physician and pharmacist. Correct response: • Don't take any prescribed or over-the-counter medications without consulting a physician and pharmacist. Explanation: Question 5 See full question A nurse is frustrated by her inability to make much progress establishing a therapeutic relationship with a client with bipolar disorder. Her most professional response would be to: You Selected: • discuss the situation with a more experienced peer. Correct response: • discuss the situation with a more experienced peer. Explanation: Question 6 See full question A client taking paroxetine 40 mg PO every morning tells the nurse that her mouth “feels like cotton.” Which statement by the client necessitates further assessment by the nurse? You Selected: • "I am drinking 12 glasses of water every day." Correct response: • "I am drinking 12 glasses of water every day." Explanation: Remediation: Question 7 See full question A client with bipolar disorder, manic phase, is scheduled for a chest radiograph. Before taking the client to the radiology department, the nurse should: You Selected: • explain the procedure in simple terms. Correct response: • explain the procedure in simple terms. Explanation: Remediation: Question 8 See full question The client with bipolar disorder, manic phase, appears at the nurse's station wearing a transparent shirt, miniskirt, high heels, 10 bracelets, and eight necklaces. Her makeup is overdone and she is not wearing underwear. The nurse should: You Selected: • Escort the client to her room and assist with choosing appropriate attire. Correct response: • Escort the client to her room and assist with choosing appropriate attire. Explanation: Remediation: Question 9 See full question A client with bipolar disorder is monopolizing the use of the telephone by making several calls each day, interfering with the ability of other clients to use the telephone. The nurse should: You Selected: • limit the amount of calls the client can make each day. Correct response: • limit the amount of calls the client can make each day. Explanation: Remediation: Question 10 See full question The client with acute mania has been admitted to the inpatient unit voluntarily. The nurse approaches the client with medication to be taken orally as prescribed by the health care provider (HCP). The client states, "I do not need that stuff." Which response by the nurse is best? You Selected: • "If you do not take it orally, I will give you a shot." Correct response: • "The medication will help you feel calmer." Explanation: Remediation: Question 11 See full question A client's wife states, "I do not know what to do sometimes. It is so hard having a husband with a mental illness like bipolar disorder." After talking with the client's wife about her feelings and difficulties, which action is most appropriate? You Selected: • Give the wife information about a support group. Correct response: • Give the wife information about a support group. Explanation: Remediation: Question 12 See full question A client who was recently discharged from the psychiatric unit telephones the unit to speak to the nurse. The client states that she took her children to the neighbors' house and has turned on the gas to kill herself. She is home alone and gives the nurse her address. Which action should the nurse take next? You Selected: • Tell the caller that another nurse will telephone the police. Correct response: • Tell the caller that another nurse will telephone the police. Explanation: Remediation: Question 13 See full question The health care provider (HCP) prescribes risperidone for a client with Alzheimer’s disease. The nurse anticipates administering this medication to help decrease which behavior? You Selected: • agitation and assaultiveness Correct response: • agitation and assaultiveness Explanation: Remediation: Question 14 See full question A client with severe depression states, "My heart has stopped and my blood is black ash." The nurse interprets this statement to be evidence of which problem? You Selected: • delusion Correct response: • delusion Explanation: Remediation: Question 15 See full question A client was admitted with a diagnosis of schizophrenia and exhibiting behaviors of hostility, paranoia and isolation. The student nurse discussed with the nurse what the most therapeutic approach to take with the client would be. Which of the following would indicate to the nurse that the student understands the best approach? You Selected: • Respect the client's need for personal space and avoid physical contact with the client. Correct response: • Respect the client's need for personal space and avoid