N322 Exam 2 Mental Health Practice Questions With 100% Correct Answers

A nurse in the outpatient mental health clinic is interviewing a client with schizophrenia 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 - Answer 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 - Answer 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. - Answer 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). - Answer 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." - Answer 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 - Answer 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) - Answer 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." - Answer 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 - Answer d. Clanging An eyewitness to a violent crime is unable to give police an account of the crime and complains of blindness and a severe headache when asked to view "mug shots." Which of the following defense mechanisms is the client using? a. Rationalization b. Denial c. Conversion d. Regression - Answer c. Conversion Which of the following defense mechanisms does a client with obsessive compulsive disorder exhibit when performing rituals? a. projection b. undoing c. rationalization d. sublimation - Answer b. undoing What information about diet should a nurse give all clients taking lithium? a. Sodium and fluid intake should be increased. b. Fluid intake should not exceed 1000 mL per day. c. Sodium intake should be restricted to 1200 mg per day. d. An adequate daily intake of sodium and fluids should be maintained. - Answer d. An adequate daily intake of sodium and fluids should be maintained. A client is hospitalized for an obsessive compulsive disorder with recurring thoughts of mouth odors that are offensive to others. The client also has mouth care rituals that occupy a good deal of the client's waking hours and caused him to be fired from his last job. The nurse understands that these manifestations most likely represent which of the following? a. Method of reducing anxiety b. Form of manipulation to avoid work c. Strategy to get attention d. Rationalization for avoiding social contact - Answer a. Method of reducing anxiety An emergency room nurse is admitting a client who is complaining of chest pain and dyspnea. The client is also flushed and perspiring profusely, screaming, "I am going to die! This is it! I am having a heart attack!" The medical exam and lab work are negative. The client is diagnosed with anxiety. The nurse should assess the client's level of anxiety to be which of the following? a. moderate b. panic c. severe d. mild - Answer b. panic The nurse discovers that a client who is depressed is an expert at crewel embroidery. After gathering some embroidery materials, the client is asked to teach the nurse this skill. Which of the following is the best rationale for this nursing intervention? a. Assess the client's ability to communicate clearly. b. Discourage the client from focusing on personal problems. c. Reinforce the client's identity as a homemaker. d. Use the client's personal strengths to build self-esteem. - Answer d. Use the client's personal strengths to build self-esteem. A nurse is caring for a client in the day treatment program who is diagnosed with hypochondriasis. The client constantly reports physical problems, and the other clients in the unit are beginning to avoid the client. Which of the following should be the nurse's primary intervention to decrease social isolation? a. Ask other clients to be more sympathetic of the complaining client. b. Encourage the client to participate in group diversional activities. c. Ask the client to stop talking about physical complaints. d. Encourage the client to rest alone when upset. - Answer b. Encourage the client to participate in group diversional activities. A nurse is planning a menu for a client with bipolar disorder who was admitted for an acute manic episode. Which of the following is an appropriate meal for this client? a. Spaghetti and meat balls, salad, banana b. Beef and vegetable stew, bread, vanilla pudding c. Chicken nuggets, ear of corn, apple d. Fish fillets, stewed tomatoes, cake - Answer c. Chicken nuggets, ear of corn, apple A nurse is providing discharge teaching for a client who takes lithium (Lithane). The nurse should inform the client that which of the following could precipitate lithium toxicity? a. Increasing sodium intake b. Mild exercise c. Fasting d. Carbamazepine (Tegretol) therapy - Answer c. Fasting A nurse is providing medication teaching to a client who is prescribed the monoamine oxidase inhibitor (MAOI) Phenelzine (Nardil). The nurse should caution the client against concurrent use of which of the following over the counter medications? a. Acetaminophen (Tylenol) b. Ranitidine (Zantac) c. Benztropine (Cogentin) d. Pseudoephedrine (Sudafed) - Answer d. Pseudoephedrine (Sudafed) A client is admitted with a diagnosis of acute schizophrenia. The client is started on chlorpromazine (Thorazine) 100 mg 3 times a day for agitation. When the client is calmer, the nurse begins client teaching about the medication. The nurse knows it is appropriate to state which of the following? a. "Thorazine is an antipsychotic that can cure your disorder." b. "Thorazine is a sedative that helps to calm you down." c. "Thorazine will help to control the symptoms of your illness." d. "Thorazine controls the side effects of antipsychotic drugs." - Answer c. "Thorazine will help to control the symptoms of your illness." A nurse should understand that a common side effect of benzodiazepine antianxiety medications is which of the following? a. Seizures b. Dizziness c. Flatulence d. Insomnia - Answer b. Dizziness A nurse plans to teach important information about the anxiolytic agent diazepam (Valium) to a client for whom it has just been prescribed. The nurse should include in the teaching plan which of the following? a. Side effects include insomnia and seizures. b. Valium can be habit forming. c. This medication is administered solely by mouth. d. It takes 2 to 3 weeks to reach full therapeutic effect. - Answer b. Valium can be habit forming. A nurse is caring for a client who is taking a tricyclic antidepressant. Which of the following side effects should the nurse report promptly to the client's provider? a. Fine hand tremor b. Constipation c. Drowsiness d. Urinary retention - Answer d. Urinary retention An emergency room nurse is assessing a client for cocaine intoxication. The nurse should know that which of the following is associated with cocaine intoxication? a. Pinpoint pupils b. Drowsiness c. Nystagmus d. Paranoia - Answer d. Paranoia A client is receiving lorazepam (Ativan) for anxiety. In reviewing the client's discharge plans, the nurse should emphasize that lorazepam a. should not be taken during pregnancy. b. must be discontinued by gradual tapering over time. c. is contraindicated for clients with asthma. d. is a safe medication with no known adverse effects. - Answer b. must be discontinued by gradual tapering over time.