RN LEARNING SYSTEM MENTAL HEALTH PRACTICE QUIZ LATEST UPDATE

RN LEARNING SYSTEM MENTAL HEALTH PRACTICE QUIZ LATEST UPDATEA nurse is providing discharge teaching for a female client who has an anxiety disorder and a new prescription for lorazepam. Which of the following instructions should the nurse include in the teaching? "This medication can be safely taken during pregnancy." "This medication must be discontinued by gradual tapering over time." "An extra dose of the medication can be taken at bedtime if you experience insomnia." "You should monitor your blood glucose levels closely while taking the medication." - CORRECT ANSWER "This medication must be discontinued by gradual tapering over time." Rapid withdrawal from lorazepam has been associated with manifestations of withdrawal, such as anxiousness, sleeplessness, and irritability. It is discontinued by gradually tapering it off over time to avoid any adverse responses. lorazepam (Ativan): central nervous system agent; anxiolytic; sedative-hypnotic; potent benzodiazepine A nurse is reviewing the laboratory report of a client who has been taking lithium carbonate for several months. Which of the following level should the nurse recognizes the therapeutic lithium level? 1.2 mEq/L 1.6 mEq/L 2.0 mEq/L 2.5 mEq/L - CORRECT ANSWER 1.2 mEq/L A lithium level of 1.2 mEq/L is within the expected reference range. Clients taking lithium should drink six to eight glasses of water a day to maintain a normal state of hydration. Clients should also consume an adequate amount of sodium to prevent lithium toxicity. (Chapt 26 Bipolar and Related Disorders) Normal Lithium Range 0.6 to 1.5 mEq/L A nurse is caring for a client who has dementia. Which of the following findings should the nurse expect? Altered level of consciousness Impaired judgment Rapid change in personality Disturbances in perception - CORRECT ANSWER Impaired judgment Impaired judgment occurs in clients who have dementia because they lose their ability to reason, think abstractly, and have rational thoughts. A nurse is reviewing the health history of a young adult client who has depressive disorder. Which of the following factors should the nurse identify as increasing the clients risk for depression? The client is an only child. The client lives in an urban setting. The client is married. The client is female. - CORRECT ANSWER The client is female. The nurse should identify female gender as a primary risk factor for depression. The incidence of depressive disorders is greater in women than in men by almost 2 to 1. I nurse is caring for a client who has a possessive compulsive disorder the client engages in repeated handwashing daily. Which of the following should the nurse recognize as the purpose of the clients behavior? Relieving anxiety Gaining attention Avoiding daily responsibilities Responding to auditory hallucinations - CORRECT ANSWER Relieving anxiety Ritualistic and compulsive behaviors, such as repeated handwashing, are associated with obsessive-compulsive disorder. The client has a strong urge to perform these acts in an attempt to reduce anxiety. Performing these acts only temporarily reduces the anxiety; therefore, the compulsive act must be repeatedly performed over and over again.