PN Learning System Mental Health Final
Questions and aanswers
A nurse is reviewing the medical history of a client who has a new prescription for
electroconvulsive therapy (ECT). Which of the following findings should the nurse identify as the
priority? - ANSCardiac Arrhythmia
A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new
prescription for buspirone. The nurse should inform the client that which of the following
manifestations is an adverse effect of this medication? - ANSDizziness
A nurse is reviewing the medications of a client who has bipolar disorder and a new prescription
for lithium. The nurse should identify that it is safe to administer which of the following
medications while the client is taking lithium? - ANSValproic Acid
A nurse is contributing to the plan of care for a client who has borderline personality disorder
and self-mutilates. Which of the following treatment approaches should the nurse recommend? -
ANSMaintain close observation of the client
A nurse in an acute mental health facility is assisting with the plan of care for a client who has
obsessive-compulsive disorder (OCD). Which of the following actions should the nurse
recommend? - ANSInstruct the client to practice thought stopping
A nurse in a mental health unit is contributing to the plan of care for a client who is receiving
treatment for self-inflicted injuries. The nurse should identify which of the following interventions
as the priority for this client? - ANSPromoting and maintaining client safety
A nurse in a substance use disorder treatment facility is reviewing the medication records for a
group of clients. The nurse should expect to administer methadone for a client who has a
substance use disorder for which of the following substances? - ANSOpiates
A nurse is collecting data from a client who has post-traumatic stress disorder (PTSD) due to a
sexual assault that occurred 3 months ago. Which of the following findings should the nurse
expect? - ANSDreams about the assault
A nurse is caring for a client who has Alzheimer's disease and a new prescription for donepezil.
Which of the following actions should the nurse take? - ANSAdminister the medication at
bedtime
, A nurse is assisting in the planning of a staff education session about the administration of
antidepressant medications to older adult clients. Which of the following information should the
nurse recommend to include? - ANSOlder adult clients require a lower initial dose of
antidepressant medication than adult clients
A nurse is caring for a client who reports that the television set in the room is really a two-way
radio and states, "Voices are coming from the TV and everything we say in this room is being
recorded." Which of the following responses should the nurse make? - ANS"That must be very
frightening."
A nurse is caring for a client who has cirrhosis of the liver due to alcohol use disorder. Which of
the following findings should the nurse expect? - ANSAscites
A nurse is reinforcing teaching with the parents of a school-age child who has attention deficit
hyperactivity disorder (ADHD). Which of the following instructions should the nurse include? -
ANS"Ignore your child's attention-seeking behaviors that are not dangerous."
A nurse is collecting data from a client who has conduct disorder. Which of the following findings
should the nurse expect? - ANSAggressive behavior towards others
A nurse is caring for a newly admitted client who is receiving treatment for alcohol use disorder.
The client tells the nurse, "I have not had anything to drink for 6 hours." Which of the following
findings should the nurse expect during alcohol withdrawal? - ANSInsomnia
A nurse is reinforcing teaching with a client who has a new prescription for disulfiram for the
management of alcohol dependence. Which of the following dietary choices should the nurse
instruct the client to avoid? - ANSPure vanilla extract
A nurse is caring for a client who has Alzheimer's disease and becomes agitated while refusing
morning hygiene care. Which of the following actions should the nurse take? - ANSTalk to the
client from two arm-lengths away
A nurse is caring for a client who has major depressive disorder and is severely withdrawn.
Which of the following techniques should the nurse use to facilitate communication with the
client? - ANSSpeak to the client using simple and concrete terminology
A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the
following medications should the nurse expect to administer during this phase of the client's
care? - ANSDiazepam
A nurse is caring for a client who has alcohol use disorder. Following alcohol withdrawal, which
of the following medications should the nurse expect to administer to the client during
maintenance? - ANSDisulfiram
Questions and aanswers
A nurse is reviewing the medical history of a client who has a new prescription for
electroconvulsive therapy (ECT). Which of the following findings should the nurse identify as the
priority? - ANSCardiac Arrhythmia
A nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new
prescription for buspirone. The nurse should inform the client that which of the following
manifestations is an adverse effect of this medication? - ANSDizziness
A nurse is reviewing the medications of a client who has bipolar disorder and a new prescription
for lithium. The nurse should identify that it is safe to administer which of the following
medications while the client is taking lithium? - ANSValproic Acid
A nurse is contributing to the plan of care for a client who has borderline personality disorder
and self-mutilates. Which of the following treatment approaches should the nurse recommend? -
ANSMaintain close observation of the client
A nurse in an acute mental health facility is assisting with the plan of care for a client who has
obsessive-compulsive disorder (OCD). Which of the following actions should the nurse
recommend? - ANSInstruct the client to practice thought stopping
A nurse in a mental health unit is contributing to the plan of care for a client who is receiving
treatment for self-inflicted injuries. The nurse should identify which of the following interventions
as the priority for this client? - ANSPromoting and maintaining client safety
A nurse in a substance use disorder treatment facility is reviewing the medication records for a
group of clients. The nurse should expect to administer methadone for a client who has a
substance use disorder for which of the following substances? - ANSOpiates
A nurse is collecting data from a client who has post-traumatic stress disorder (PTSD) due to a
sexual assault that occurred 3 months ago. Which of the following findings should the nurse
expect? - ANSDreams about the assault
A nurse is caring for a client who has Alzheimer's disease and a new prescription for donepezil.
Which of the following actions should the nurse take? - ANSAdminister the medication at
bedtime
, A nurse is assisting in the planning of a staff education session about the administration of
antidepressant medications to older adult clients. Which of the following information should the
nurse recommend to include? - ANSOlder adult clients require a lower initial dose of
antidepressant medication than adult clients
A nurse is caring for a client who reports that the television set in the room is really a two-way
radio and states, "Voices are coming from the TV and everything we say in this room is being
recorded." Which of the following responses should the nurse make? - ANS"That must be very
frightening."
A nurse is caring for a client who has cirrhosis of the liver due to alcohol use disorder. Which of
the following findings should the nurse expect? - ANSAscites
A nurse is reinforcing teaching with the parents of a school-age child who has attention deficit
hyperactivity disorder (ADHD). Which of the following instructions should the nurse include? -
ANS"Ignore your child's attention-seeking behaviors that are not dangerous."
A nurse is collecting data from a client who has conduct disorder. Which of the following findings
should the nurse expect? - ANSAggressive behavior towards others
A nurse is caring for a newly admitted client who is receiving treatment for alcohol use disorder.
The client tells the nurse, "I have not had anything to drink for 6 hours." Which of the following
findings should the nurse expect during alcohol withdrawal? - ANSInsomnia
A nurse is reinforcing teaching with a client who has a new prescription for disulfiram for the
management of alcohol dependence. Which of the following dietary choices should the nurse
instruct the client to avoid? - ANSPure vanilla extract
A nurse is caring for a client who has Alzheimer's disease and becomes agitated while refusing
morning hygiene care. Which of the following actions should the nurse take? - ANSTalk to the
client from two arm-lengths away
A nurse is caring for a client who has major depressive disorder and is severely withdrawn.
Which of the following techniques should the nurse use to facilitate communication with the
client? - ANSSpeak to the client using simple and concrete terminology
A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the
following medications should the nurse expect to administer during this phase of the client's
care? - ANSDiazepam
A nurse is caring for a client who has alcohol use disorder. Following alcohol withdrawal, which
of the following medications should the nurse expect to administer to the client during
maintenance? - ANSDisulfiram
