Mental Health Nursing Exam 1 - Jersey College Questions With Correct Solutions, Already Passed!!

information regarding shelters - The emergency department nurse is caring for an adult client who is a victim of family violence. Which priority instruction should be included in the discharge instructions? "Tell me more about the incident that causes you to feel like the rape just occurred." - A female victim of sexual assault is being seen in the crisis center. The client states that she feels "as though the rape just happened yesterday", even though it has been a few months since the incident. Which is the most appropriate nursing response? -monitor vital signs -provide a safe environment -address hallucinations therapeutically -provide reality orientation as appropriate - Which interventions are most appropriate for caring for a client in alcohol withdrawal? SATA -monitor vital signs -provide a safe environment -address hallucinations therapeutically -provide stimulation in the environment -provide reality orientation as appropriate -maintain NPO status -dental decay -loss of tooth enamel at the same time each evening - A client's medication sheet contains a prescription for Sertraline (Zoloft). To ensure safe administration of the med, how should the nurse administer the drug?crackers and tossed salad - A hospitalized client is started on phenalzine for the tx of depression. The nurse should instruct the client that which foods are acceptable to consume while taking this medication? SATA -figs -yogurt -crackers -aged cheese -tossed salad -oatmeal raisin cookies white blood cell count - A client with schizophrenia has been started on medication therapy with clozapine. The nurse should assess the results of which laboratory study to monitor for adverse effects from this medication? avoid alcohol while taking this medication - A client is scheduled for discharge and will be taking phenobarbital for an extended period. The nurse would place the highest priority on teaching the client which point that directly relates to client safety? constipation - Side effect of oxazepam: get up slowly when changing positions avoid sunlight 2nd generation/atypical anti-psychotic - Discharge instructions for a patient taking risperidone? 2-3 weeks TCA - trycyclic antidepressant - The nurse is teaching a client who is being started on imipramine about the medication. The nurse should inform the client to expect maximum desired effects at which time period following initiation of the medication? tardive dyskinesia - The nurse notes that the client with schizophrenia and receiving an antipsychotic medication is moving her mouth, protruding her tongue, and grimacing as she watches television. The nurse determines that the client is experiencing which medication complication?GI dysfunction CNS dysfunction Sleeplessness and/or drowsiness during day SSRI - The nurse is performing a follow up teaching session with a client discharged one month ago. The client is taking fluoxetine (Prozac). Which information would be important for the nurse to obtain during this client visit regarding the side and adverse effects of this medication? rapid heartbeat or anxiety - A client who has been taking busprione for 1 month returns to the clinic for a follow up assessment. The nurse determines that the medication is effective if the absence of which manifestation has occurred? toxic - A client taking lithium reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level is 2.5 mEq/L. The nurse plans the care based on which representation of this level? 0.4 to 1 mEq/L - Therapeutic level of lithium? frequent hand washing with hot, soapy water. TCA used to treat OCD - A client gives the home health nurse a bottle of clomipramine. The nurse notes that the medication has not been taken by the client in 2 months. Which behavior observed in the client would validate noncompliance with this medication