LATEST NR 326 Mental Health CMS REAL EXAM QUESTIONS AND CORRECT ANSWERS|AGRADE|

A nurse is assisting with obtaining consent for a client who has been declared legally incompetent . Which of the following actions should the nurse take? Request that the client's guardian sign the consent A nurse in a mental health facility is reviewing a client's medical record. Which of the following actions should the nurse take first? (Click on the exhibit button for additional information about the client. There are 3 tabs that contain separate categories of data) A nurse is assessing a client who has delirium . Which of the following findings requires immediate intervention by the nurse? Rapid mood swings A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline ? Fluoxetine A nurse in a long-term care facility is assessing a client who has dementia . Which of the following findings should the nurse identify as a risk for this client? The room has an area rug A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder . The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique ? "Snap a rubber band on your wrist when you think about checking the locks" A nurse is providing teaching about relapse prevention to a client who has schizophrenia . Which of the following statements by the client indicates an understanding of the teaching? "I should let my counselor know if I am having trouble sleeping" A nurse is assessing a client for negative manifestations of schizophrenia . Which of the following findings should the nurse expect? Anergia A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder . Which of the following findings obtained during the initial assessment is the priority to report to other disciplines? Psychomotor retardation A nurse is preparing to administer methylphenidate 25 mg PO to a school age child who has ADHD. Available is methylphenidate 10mg/5mL liquid. How many mL should the nurse administer? (Round to nearest tenth) 12.5 A nurse is caring for a school age child who has a *fractured arm. The child has other injuries that cause the nurse to suspect abuse* . Which of the following actions is appropriate for the nurse to take when assessing the child's situation? Ask clarifying questions as the child explains how the injuries occured A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking haloperidol . Which of the following clinical findings is the nurse's priority ? High fever A nurse is caring for a client who has Alzheimer's disease . Which of the following findings should the nurse expect ? Failure to recognize familiar objects A nurse in a mental health facility is interviewing a new client. Which of the following outcomes must occur if the nurse is to establish a therapeutic nurse-client relationship ? The nurse maintains confidentiality unless the client's safety is compromised A nurse is teaching a client who has a new prescription for disulfiram . Which of the following statements by the client indicates an understanding of the teaching? "I can continue to eat aged cheese and chocolate" A nurse is planning care for a client who has narcissistic personality disorder . Which of the following actions is appropriate for the nurse to include in the plan of care? Remain neutral when communicating with the client A nurse is reviewing the laboratory report of a client who is taking carbamazepine for bipolar disorder. Which of the following laboratory results should the nurse report to the provider ? Platelets 90,000/ mm3 A nurse is developing a teach plan for the family of an older adult client who is to *receive transcranial magnetic stimulation . Which of the following information should the nurse include in the teaching plan* ? The client might have a headache after treatment A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation . Which of the following assessment findings in the client's history should the nurse report to the provider? Recent head injury A nurse is developing a plan of care for a client who has paranoid personality disorder . Which of the following actions should the nurse include in the plan ? Isolate the client from social or group interactions A nurse is caring for a client who receives lamotrigine daily for bipolar disorder and reports a rash on his arm . Which of the following actions should the nurse take? Withhold the next dose of the medication A nurse is caring for a client who begins yelling and pacing around the room . Which of the following actions should the nurse take? (select all that apply) Identify the client's stressors Talk to the client using short, simple sentences A nurse is developing a plan of care for a school-age child who has *autism spectrum disorder . Which of the following interventions* should the nurse include in the plan? Use a reward system for appropriate behavior A nurse is caring for a client who has post-traumatic stress disorder . Which of the following clinical findings is associated with this disorder? Depersonalization A nurse is teaching a client about the use of cognitive reframing for stress management Which of the following statements by the client indicates an understanding of the teaching? "I will practice replacing negative thoughts with positive self-statements." A nurse is caring for a client who has schizophrenia and has been taking chlorpromazine for 5 years. Which of the following assessment too