1. A nurse is reviewing the medication administration record of a client who has major
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depressive disorder and a new prescriptionfor selegiline.The nurse should recognizeth
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at which of the following client medications is contraindi-
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z cated when taken with selegiline?
z z z z
a. Wafarin
b. Fluoxetine
c. Calcium carbonate z
d. Acetaminophen
ANS b. Fluoxetine
z z
2. A nurse in a long-
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term care facility is assessing a client who has dementia. Which of the following finding
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s should the nurse identify as a risk for this client?
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a. Outside doors have locks z z z
b. The bed is in the low position
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c. Hallways are long distances z z z
d. The room has an area rug
z z z z z
ANS d. The room has an area rug
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,3. A nurse is providing behavioral therapy for a client who has obsessive-com-
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z pulsive disorder.The client repeatedly checks that the doors are locked at night. Whi
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ch of the following instructions should the nurse give the client when using thought-
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stopping technique? z
a. "Ask a family member to check the locks for you at night"
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b. "Keep a journal of how often you check the locks each night"
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c. "Snap a rubber band on your wrist when you think about checking the locks"
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d. "Focus on abdominal breathing whenever you go to check the locks" ANS c. "S
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nap a rubber band on your wrist when you think about checking the locks"
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4. A nurse in an inpatient mental health facility is assessing a client who has schizop
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hrenia and is taking haloperidol.Which of the following clinical findings is the nurse's
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priority?
a. Insomnia
b. Urinary hesitancy z
c. Headache
d. High fever z
ANS d. High fever z z z
5. A nurse is caring for a client who has Alzheimer's disease.Which of the following
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findings should the nurse expect?
z z z z
a. Failure to recognize familiar objects
z z z z
b. Altered level of consciousness z z z
c. Excessive motor activity z z
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, d. Rapid mood swings
z z
ANS a. Failure to recognize familiar objects
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3z/z28