PN Mental Health Midterm. Anatomy And
Physiology for Nursing 1, University of Kentucky
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS
A nurse is caring for a client who has prescription for alprazolam o.25 mg PO every 8 hr PRN
anxiety. For which of the following situations should the nurse administer the alprazolam? -
answer: The client reports his heart is beating out of his chest.
A nurse at a mental health facility is discussing antidepressant medications with a newly
licensed nurse, comparing selective serotonin reuptake inhibitors (SSRIs) and tricyclic
antidepressants (TCAs). Which of the following information should the nurse include about
TCAs? - answer: Increased risk of cardiovascular adverse effects.
A nurse is preparing an education program about herbal supplements. Which of the following
information should the nurse include when discussing St. John's Wort? - answer: "St. John's
wort may improve symptoms of depression."
A nurse is reinforcing dietary teaching with a client who has a new prescription for a
monoamine oxidase inhibitor (MAOI). Which of the following foods should the nurse instruct
the client to avoid while taking an MAOI? - answer: Aged cheese
A nurse is caring for a client on an acute care mental health unit who was involuntarily admitted
72 hr after attacking a neighbor. To keep the client in the hospital when the initial time to hold
the client expires, which of the following must be determined? - answer: Whether the client is a
danger to herself or others.
, A nurse is preparing to administer buspirone to a client who has generalized anxiety disorder.
The nurse should plan to monitor the client for which of the following adverse reactions? -
answer: Headache
A nurse is reinforcing discharge teaching with a client who has bipolar disorder and is to begin
taking lithium. Which of the following instructions should the nurse include in the teaching? -
answer: "Avoid dieting."
A nurse is collecting data an from an adolescent client who has attention deficit hyperactivity
disorder (ADHD). Which of the following manifestations should the nurse expect to find? -
answer: Difficulty maintaining sustained attention
A nurse is collecting data from a client who is receiving multiple antipsychotic medications. The
client exhibits muscle rigidity, hyperpyrexia, and diaphoresis. The nurse should identify that the
client may be experiencing which of the following adverse effects? - answer: Neuroleptic
malignant syndrome
A nurse is assisting with the admission of an older adult who is confused. Which of the following
statements by the client's partner indicates that the client may be experiencing delirium? -
answer: "Her behavior changed so quickly, I wasn't sure what was happening."
A nurse is caring for a group of older adult clients. Which of the following client findings
indicates delirium? - answer: A client asks when family members will be arriving after visiting 1
hr earlier.
A nurse is caring for a client who reports a state of increasing anxiety and the inability to sleep
and concentrate. Which of the following is an appropriate response by the nurse? - answer: "It
sounds like you're having a difficult time."
A nurse is collecting data from a client who has schizophrenia and is taking fluphenazine. The
nurse observes that the client's tongue is protruding and he has irregular movements of his
Physiology for Nursing 1, University of Kentucky
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS
A nurse is caring for a client who has prescription for alprazolam o.25 mg PO every 8 hr PRN
anxiety. For which of the following situations should the nurse administer the alprazolam? -
answer: The client reports his heart is beating out of his chest.
A nurse at a mental health facility is discussing antidepressant medications with a newly
licensed nurse, comparing selective serotonin reuptake inhibitors (SSRIs) and tricyclic
antidepressants (TCAs). Which of the following information should the nurse include about
TCAs? - answer: Increased risk of cardiovascular adverse effects.
A nurse is preparing an education program about herbal supplements. Which of the following
information should the nurse include when discussing St. John's Wort? - answer: "St. John's
wort may improve symptoms of depression."
A nurse is reinforcing dietary teaching with a client who has a new prescription for a
monoamine oxidase inhibitor (MAOI). Which of the following foods should the nurse instruct
the client to avoid while taking an MAOI? - answer: Aged cheese
A nurse is caring for a client on an acute care mental health unit who was involuntarily admitted
72 hr after attacking a neighbor. To keep the client in the hospital when the initial time to hold
the client expires, which of the following must be determined? - answer: Whether the client is a
danger to herself or others.
, A nurse is preparing to administer buspirone to a client who has generalized anxiety disorder.
The nurse should plan to monitor the client for which of the following adverse reactions? -
answer: Headache
A nurse is reinforcing discharge teaching with a client who has bipolar disorder and is to begin
taking lithium. Which of the following instructions should the nurse include in the teaching? -
answer: "Avoid dieting."
A nurse is collecting data an from an adolescent client who has attention deficit hyperactivity
disorder (ADHD). Which of the following manifestations should the nurse expect to find? -
answer: Difficulty maintaining sustained attention
A nurse is collecting data from a client who is receiving multiple antipsychotic medications. The
client exhibits muscle rigidity, hyperpyrexia, and diaphoresis. The nurse should identify that the
client may be experiencing which of the following adverse effects? - answer: Neuroleptic
malignant syndrome
A nurse is assisting with the admission of an older adult who is confused. Which of the following
statements by the client's partner indicates that the client may be experiencing delirium? -
answer: "Her behavior changed so quickly, I wasn't sure what was happening."
A nurse is caring for a group of older adult clients. Which of the following client findings
indicates delirium? - answer: A client asks when family members will be arriving after visiting 1
hr earlier.
A nurse is caring for a client who reports a state of increasing anxiety and the inability to sleep
and concentrate. Which of the following is an appropriate response by the nurse? - answer: "It
sounds like you're having a difficult time."
A nurse is collecting data from a client who has schizophrenia and is taking fluphenazine. The
nurse observes that the client's tongue is protruding and he has irregular movements of his
