Mental Health CMS Exam (100 out of 100) Questions and Answers (Latest Update)

a client who has difficulty carrying on normal activities following the loss of a partner complicated grief a nurse is caring for a client who has dementia. which of the following findings should the nurse expect? a. altered level of consciousness b. impaired judgement c. rapid change in personality d. disturbances in perception b. impaired judgment Brainpower Read More 0:06 / 0:15 a client who has a history of opioid use disorder and is experiencing withdrawal. which S/S should the nurse expect? a. tremulousness b. hyperactivity c. rhinorrhea d. HA c. rhinorrhea; other S/S of opioid withdrawal are lacrimation, pupil dilation, and yawning pt who takes amphetamine for ADHD abruptly stops taking their med. what indicates that the pt is dependent on the drug? a. they experience insomnia b. they have paranoia c. they eat excessively d. they have increased HR c. eat excessively; amphetamine suppresses appetite, if stopped abruptly the pt's appetite will come back client with schizophrenia started taking first- generation antipsychotic medication 3 weeks ago. they report to have restlessness, rock back and forth when sitting down, and paces frequently. what AE is the client experiencing? a. tardive dyskinesia b. dystonia c. akathisia d. akinesia c. akathisia a nurse is assessing a pt who has cocaine intoxication. what should the nurse expect to find? a. decreased body temp b. pin point pupils c. dilated pupils d. low blood pressure c. dilated pupils nurse should be doing the following for a pt with dementia... a. maintain a low- stimulation environment b. assign the pt many tasks at the same time c. ask the family to visit often as a group d. encourage the pt to make decisions regarding car a- low stimulation diazepam is habit forming because its short acting fact pt is dependent on alprazolam and must discontinue the drug. what should the nurse include in the plan? a. implement restraints and seclusion prn b. taper the drug slowly over several weeks c. encourage the pt to participate in stimulating physical activity d. monitor the pt for anxiety unto 72 hrs after discontinuing the drug b. taper off the drug over several weeks nurse is providing teaching to a parent whose child has ADHD and a new px for clonidine. what statement tells the nurse that the parent understands the teaching? a. child can't eat anything within 2 hours of taking the med b. child can expect to be drowsy while being on the med c. child needs a dose of the med at noon every day d. the tablet will be cut in half before giving it to the child b. drowsy nurse is caring for pt who has BD and is experiencing hypomania. when having a conversation with other pts they become agitated and demonstrates a risk for violent behavior. what should the nurse do? a. point out their inappropriate behavior b. reprimand the pt for their bad behavior c. ask the pt to take a walk d. administer trazodone to the pt c. ask the pt to take a walk clients with schizophrenia should not participate in competitive physical activities they should go walking with a staff member fact nurse is caring for a pt who has Wernicke- Korsakoff syndrome due to alcohol use disorder. what findings should the nurse expect? a. esophageal pain b. stomach pain c. dysrhythmia d. confusion d. confusion; this is due to thiamine deficiency; other findings are stupor diplopia, and memory loss pts with dementia has periods of confusion therefore additional time needs to given to them to complete their activities so they can perform them independently fact nurse should advise the parent of a child who has ADHD and has a px for methylphenidate that their child might have a slow growth because the medication (or any other ADHD med) suppresses appetite fact nurse caring for a pt who had OD'D on pentobarbital sodium. which of the following findings should the nurse asses? a. CVA b. liver failure c. respiratory depression d. dysrhythmia c. respiratory depression nursing is doing a risk assessment forest who are px medications that can cause orthostatic hypotension. which of the drugs requires a f/u by the nurse? a. naltrexone b. phenelzine c. escitalopram oxalate d. galantamine b. phenelzine; it is an MAOI and is px for depression and other mental disorders; other S/S are dizziness and lightheadedness which are caused by hypotension Benzodiazepine causes hypotension!!! fact Clomipramine is given to clients with panic disorders; it causes sedation, orthostatic hypotension, and anticholinergic effects FACT ANY ANXIETY DRUGS SUCH AS BENZODIAZEPINE AND CLOMIPRAMINE CAN CAUSE HYPOTENSION!!!! fact When cannabis is moderately used it produces effects that resemble the effects of alcohol and other CNS depressants fact people are at risk for complicated grief when they have an unanticipated death in their life (unanticipated= sudden occurrence of death) fact When pts are taking Phenelzine, which is an MAOI, they can eat yogurt bc it does not contain high amounts of tyramine fact! when should the nurse administer Lorazepam in a pt experiencing alcohol withdrawal? a. increased b. decreased urinary output c. decreased pulse rate d. increased bp d- increased bp the nurse is reviewing the meds of a pt who has BD and a new px for lithium. which of the following medications may be administered safely while the client is taking lithium? a. hydrochlorothiazide b. ibuprofen c. valproic acid d. haloperidol c. valproic acid; valproic acid and lithium are both given to pts with BD Expected finding for a pt who is experiencing alcohol withdrawal a. bradycardia b. HA c. slurred speech d. increased somnolence b. HA; other findings include hand tremors, N/V, sweating, or irritability what drug is indicated for the treatment of opiate use disorder? a. benzodiazepine b. doxepin c. venlafaxine d. methadone d. methadone which drug is given to clients with severe AD? a. mematine b. methadone c. venlafaxine d. varenicline a. mematine; it slows down he progression of manifestations and improves cognitive function for which medication would the nurse advise the pt to check their WBC every 6 months? a. varenicline b. mematine c. clozapine d. doxepin c. clozapine T/F: client with border personality disorder will act provocatively and seductively F; histrionic personality disorder T/F: a pt with moderate AD will forget material that they just read F; this will happen to pt with mild AD this drug is given to a client for smoking cessation. it should not be given to pts with psychiatric disease such as depression bc the drug causes mood change a. varenicline b. doxepine c. clozapine d. phenelzine a. varenicline; pt needs to take this following a meal with a full glass of water to decrease nausea which drug is given to pts after detox from alcohol? a. lorazepam b. phenelzine c. acamprosate d. disulfiram c. acamprosate; it decreases the desire to drink what would the nurse advise the pt not to drink when taking lorazepam for general anxiety disorder? a. wine b. coffee c. milk d. grapefruit juice b. coffee; pt taking lorazepam should avoid drinking caffeinated beverages effects if methamphetamine: increased HR, metabolism, mental alertness, reduced appetite, and paranoia fact any drug that gives you a high everything in your body like HR, metabolism, and mental alertness will go up as well Conversion Disorder occurs during stressful events; pt feels neurological symptoms such as going blind, paralysis, loss of hearing, numbness, movement disorder, and episodes epilepsy you can give older clients antidepressants but its needs to be given in lower doses initially when a pt who is taking disulfiram and drink alcohol at the same time they can experience acetaldehyde syndrome. S/S of the syndrome are N, HA, palpitations, and extreme thirst lorazepam is given for alcohol withdrawal to decrease increasing bp SSRI + MAOI= serotonin syndrome S/S of serotonin syndrome: delirium, muscle spasms, and irritation a person with antisocial personality disorder have low frustration level and can quickly become angry or aggressive when a situation doesn't go their way S/S of cocaine intoxication: paranoid behavior, hypervigilance, dilated pupils, hyperactivity, and hyperalertness everything is hyped! Phenelzine is taken for depression; it can cause elevated bp AE: wt gain, muscle twitching, and peripheral edema AE of risperidone is elevated blood glucose levels