NR 326: MENTAL HEALTH Nursing Board Review: Psychiatric Nursing Practice Test papers 1 & 2 with ANSWERS.

This is a NR 326: MENTAL HEALTH Nursing Board Review: Psychiatric Nursing Practice Test paper with correct answers and rationale for test paper 1 and 2. 1. The nurse closely observes the client who has been displaying aggressive behavior. The nurse observes that the client’s anger is escalating. Which approach is least helpful for the client at this time? ▪ a. Acknowledge the client’s behavior ▪ b. Maintain a safe distance from the client ▪ c. Assist the client to an area that is quiet ▪ d. Initiate confinement measures The proper procedure for dealing with harmful behavior is to first try to calm patient verbally. When verbal and psychopharmacologic interventions are not adequate to handle the aggressiveness, seclusion or restraints may beapplicable. Options A, B and C are appropriate approaches during the escalation phase of aggression 1. A male client with a history of medication noncompliance is receiving outpatient treatment for chronic undifferentiated schizophrenia. The physician is most likely to prescribe which medication for this client? ▪ a. Chlorpromazine (Thorazine) ▪ b. Imipramine (Tofranil) ▪ c. Lithium carbonate (Lithane) ▪ d. Fluphenazine decanoate (Prolixin Decanoate) Fluphenazine decanoate is a long-acting antipsychotic agent given by injection. Because it has a 4-week duration of action, it’s commonly prescribed for outpatients with a history of medication noncompliance. Chlorpromazine, also an antipsychotic agent, must be administered daily to maintain adequate plasma levels, which necessitates compliance with the dosage schedule. Imipramine, a tricyclic antidepressant, and lithium carbonate, a mood stabilizer, are rarelyused to treat clients with chronic schizophreni