NCLEX 3500 Mental Health Tiger Virgo Exam Questions And Answers 100% Verified

NCLEX 3500 Mental Health Tiger Virgo Exam Questions And Answers 100% Verified The nurse has developed a relationship with a client who has an addiction problem. Which information would indicate that the therapeutic interaction is in the working stage? 1. The client addresses how the addiction has contributed to family distress. 2. The client reluctantly shares the family history of addiction. 3. The client verbalizes difficulty identifying personal strengths. 4. The client discusses the financial problems related to the addiction. 5. The client expresses uncertainty about meeting with the nurse. 6. The client acknowledges the addiction's effects on the children. - answerAnswer: 1, 3 ,6 RATIONALES: Options 1, 3, and 6 are examples of the nurse-client working phase of an interaction. In the working phase, the client explores, evaluates, and determines solutions to identified problems. Options 2, 4 and 5 address what happens during the introductory phase of the nurse-client interaction. The physician orders a new medication for a client with generalized anxiety disorder. During medication teaching, which statement or question by the nurse would be most appropriate? 1. "Take this medication. It will reduce your anxiety." 2. "Do you have any concerns about taking the medication?" 3. "Trust us. This medication has helped many people. We wouldn't have you take it if it were dangerous." 4. "How can we help you if you won't cooperate?" - answerAnswer: 2RATIONALES: Providing an opportunity for the client to express concerns about a new medication and to make a choice about taking it can help the client regain a sense of control over his life. The client has the right to refuse the medication. Instead of simply ordering the client to take it, as in option 1, the nurse should provide the information the client needs to make an informed decision. Attempting to make the client feel guilty, as in option 3, or threatening the client, as in option 4, would increase anxiety The nurse is explaining the Bill of Rights for psychiatric patients to a client who has voluntarily sought admission to an inpatient psychiatric facility. Which of the following rights should the nurse include in the discussion? 1. Right to select health care team members 2. Right to refuse treatment 3. Right to a written treatment plan 4. Right to obtain disability 5. Right to confidentiality 6. Right to personal mail - answerAnswer: 2,3,4,6RATIONALES: An inpatient client usually receives a copy of the Bill of Rights for psychiatric patients, where they would find options 2, 3, 5, and 6 in writing. However, a client in an inpatient setting can't select health team members. A client may apply for disability as a result of a chronic, incapacitating illness; however, disability isn't a patient right, and members of a psychiatric institution don't decide who should receive it. An adolescent, age 17, rarely expresses feelings and usually remains passive. However, when angry, her face becomes flushed and her blood pressure rises to 170/100 mm Hg. Her parents are passive and easygoing. The adolescent may be using which defense mechanism to handle anger? 1. Displacement 2. Introjection 3. Projection 4. Sublimation - answerAnswer: 2 RATIONALES: The adolescent may be introjecting (assuming as her own) her parents' belief that anger shouldn't be outwardly expressed. She may also be holding in and somatizing her angry feelings, as evidenced by her increased blood pressure. (A blood pressure rise is a common physiological reaction to the fight-or-flight response that may be brought on by strong emotions. Habitual failure to express anger may contribute to hypertension.) Displacement is the discharge of negative feelings onto another person or an object. Projection is the attribution of one's own thoughts or impulses to another person. Sublimation is the channeling of unbearable or socially unacceptable behaviors into more socially acceptable outlets. Lorazepam (Ativan) is often given along with a neuroleptic agent. What is the purpose of administering the drugs together? 1. To reduce anxiety and potentiate the sedative action of the neuroleptic 2. To counteract extrapyramidal effects of the neuroleptic 3. To manage depressed clients 4. To increase the client's level of awareness and concentration - answerAnswer 1:RATIONALES: Lorazepam, when given with a neuroleptic such as haloperidol (Haldol), potentiates the sedating effect and is used to treat severely agitated clients. Haloperidol places the client at risk for extrapyramidal effects and, therefore, wouldn't be used to treat extrapyramidal effects. Both drugs can cause depression, so they aren't used to treat depression. Concentration would be decreased because of the depressant effect. Because antianxiety agents such as chlordiazepoxide (Librium) can potentiate the effects of other drugs, the nurse should incorporate which of the following instructions in her teaching plan? 1. Avoid mixing antianxiety agents with alcohol or other central nervous system (CNS) depressants. 2. Avoid taking antianxiety drugs at bedtime. 3. Avoid taking antianxiety drugs on an empty stomach. 4. Avoid consuming aged cheese when taking antianxiety agents. - answerAnswer 1:RATIONALES: Potentiating effect refers to a drug's ability to increase the potency of another drug if taken together. Therefore, the client should be instructed to avoid alcohol while taking Librium because it potentiates the drug's CNS depressant effect. Taken at bedtime, this drug will induce sleep. Librium comes in capsule form and usually can be taken with water. Aged cheese is restricted with monoamine oxidase inhibitors, not Librium. During a shift report, the nurse learns that she will be providing care for a client who's vulnerable to panic attack. Treatment for panic attacks includes behavioral therapy, supportive psychotherapy, and medication such as: 1. barbiturates. 2. antianxiety drugs. 3. depressants. 4. amphetamines. - answerAnswer 2:RATIONALES: Antianxiety drugs provide symptomatic relief. Barbiturates and amphetamines can precipitate panic attacks. Depressants aren't appropriate for treating panic attacks. A client with the nursing diagnosis of Fear, related to being embarrassed in the presence of others, exhibits symptoms of social phobia. What should the goals be for this client? 1. Manage her fear in group situations. 2. Develop a plan to avoid situations that may cause stress. 3. Verbalize feelings that occur in stressful situations. 4. Develop a plan for responding to stressful situations. 5. Deny feelings that may contribute to irrational fears. 6. Use suppression to deal with underlying fears. - answerAnswer: 1,3,4