N322 Exam 2 Mental Health Practice Questions 100% Verified

who appears to be experiencing auditory hallucinations. Which of the following should be the nurse's initial action? a. teach the client strategies to decrease the hallucinations b. check that the client is on antipsychotic meds c. establish rapport with the client d. explore what the voices are saying to the client - c. establish rapport with the client Four days after admission, a client who is taking haloperidol (Haldol) is pacing up and down the hallway. The nurse observes and assesses further by asking how the client feels. The client replies "I am very restless and can't seem to sit still." The nurse should understand that the client is experiencing which of the following extrapyramidal side effects? a. dystonia b. parkinsonism c. tardive dyskinesia d. akathisia - d. akathisia Which of the following is the best approach for a nurse to take initially with a client who is experiencing severe anxiety? a. Move the client to a calm, nonstimulating environment. b. Encourage expression of feelings. c. Lower the client's level of anxiety by offering medication. d. Suggest the client engage in some automatic behavior, such as pacing, to reduce anxiety levels. - a. Move the client to a calm, nonstimulating environment. A nurse is administering the neuroleptic medication thioridazine hydrochloride (Mellaril) 150 mg four times a day. The client reports hand tremors, drooling, and restlessness. Which of the following is an appropriate nursing action? a. Chart observations and reassure the client that these manifestations are normal. b. Administer diazepam (Valium) 5 mg PO (ordered PRN). c. Encourage deep breathing and relaxation. d. Administer benztropine Mesylate (Cogentin) 1 mg PO (ordered PRN). - d. Administer benztropine Mesylate (Cogentin) 1 mg PO (ordered PRN). A client with a history of psychosis is prescribed quetiapine fumarate (Seroquel) 150 mg four times a day. Which of the following statements should the nurse include when providing the client education about this medication? a. "You will need to be careful of exposure to the sun and wear a sunscreen when outdoors." b. "While you are taking Seroquel, you will need to have weekly blood counts." c. "Weight gain is less common with Seroquel than with other atypical antipsychotics." d. "Seroquel is effective in managing rapid-cycling manic episodes." - c. "Weight gain is less common with Seroquel than with other atypical antipsychotics." A nurse should understand that clients who are diagnosed with agoraphobia display which defense mechanism? a. displacement b. isolation c. denial d. undoing - a. displacement A nurse is caring for a client who has been diagnosed with bipolar disorder. The client is pregnant. Which of the following medications is appropriate for this client to take? a. Carbamazepine (Tegretol) b. Valproic acid (Depakote) c. Paroxetine (Paxil) d. Lithium (Lithane) - c. Paroxetine (Paxil) A nurse is planning care for a client with panic disorder who is taking alprazolam (Xanax) 0.25 mg t.i.d.. Which of the following instructions should the nurse give the client? a. "You should increase your fluid intake to prevent dry mouth." b. "You should take this medication with food to prevent GI upset." c. "You will need to watch your caloric intake to prevent weight gain." d. "You will have to read food labels careful to eliminate tyramine from your diet." - a. "You should increase your fluid intake to prevent dry mouth." The admitting nurse asks a client what factors, such as recent life changes, have contributed to the need for hospitalization. The client replies, "Change...change the range, manage the change." The nurse should recognizes this response as an example of which of the following? a. Flight of ideas b. Echolalia c. Perseveration d. Clanging - d. Clanging