Solutions
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? Correct Answers
Increased risk of cardiovascular adverse effects.
A nurse in an acute care mental health facility is caring for a
client who begins to have a panic attach. Which of the following
actions should the nurse take first? Correct Answers Stay with
the client in a quite place.
A nurse is assisting with a client with a conflict-resolution group
for adolescent clients in a community clinic facility. Which of
the following clients should the nurse identify as being the
highest risk for a suicide attempt? Correct Answers A client
who attempted suicide in the previous year
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?
Correct Answers "Her behavior changed so quickly, I wasn't
sure what was happening."
A nurse is caring for a client following major spinal surgery who
is reporting pain. The client's partner tells the nurse, "Which of
the following responses should the nurse make? Correct
, Answers "It must be very difficult for you to see your wife in
pain."
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?
Correct Answers Whether the client is a danger to herself or
others.
A nurse is caring for a client on an acute care mental health unit
who was involuntarily admitted for 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? Correct Answers Whether the client is a danger to
herself or others.
A nurse is caring for a client who has an anxiety disorder.
Which of the following findings should the nurse recognize as a
manifestation of mild anxiety? Correct Answers Irritability
A nurse is caring for a client who has depression and is taking a
monoamine oxidase inhibitor (MAOI). The nurse should inform
the client that his diet may include which of the following
foods? Correct Answers Cottage cheese and bananas
A nurse is caring for a client who has moderate anxiety disorder.
The client is pacing in the hallway and states, " I am at the end
of my rope, I can't take it anymore." Which of the following
responses should the nurse make? Correct Answers "Walk with
me to an area where we can talk about how you're feeling."