Rasmussen: Mental Health Exam 2 Latest Version(Updated 2024) with complete solution

2024 RASMUSSEN MENTAL HEALTH EXAM 2 REAL EXAM QUESTIONS AND CORRECT ANSWERS 1) lA lpatient lwith lschizophrenia lbegins lto ltalks labout l"volmers" lor labout l"frangularity" lhiding lin lthe lwarehouse lat lwork. lThe lterm l"volmers" lshould lbe ldocumented las l- l- lA lneologism 2) lA lpatient lwith lsuicidal limpulses lis lplaced lon lthe lhighest llevel lof lsuicide lprecautions. lWhich lmeasures lshould lbe lincorporated linto lthe lplan lof lcare lby lthe lnurse lcaring lfor lthe lpatient? l(More lthan lone lanswer lis lcorrect.) l- lA.Maintain larm's-length, lone-on-one lnursing lobservation laround lthe lclock. b. lAllow lno lglass lor lmetal lon lmeal ltrays. f. lRemove lall lpotentially lharmful lobjects lfrom lthe lpatient's lpossession. 3) lA lpatient ldiagnosed lwith lschizophrenia lanxiously lsays, l"I lcan lsee lthe lleft lside lof lmy lbody lmerging lwith lthe lwall, lthen lmy lface lappears land ldisappears lin lthe lmirror." lWhile llistening, lthe lnurse lshould: l- lmaintain la lnormal lsocial linteraction ldistance lfrom lthe lpatient. 4) lWhich lstatement lindicates la lpatient lwith lmajor ldepression lis lmost llikely loutlook lon llife lduring lthe lacute lphase lof lthe lillness? l- lDuring lan lacute lphase lof lmajor ldepression, lthe lclient lmay lfeel lworthless land ldeserve lbad lthings lto lhappen lpersonally. 5) lA lpatient ldiagnosed lwith lbipolar ldisorder lis lin lthe lmaintenance lphase lof ltreatment. lThe lpatient lasks, l"Do lI lhave lto lkeep ltaking lthis llithium leven lthough lmy lmood lis lstable lnow?" lSelect lthe lnurse's lappropriate lresponse. l- lb. l"Taking lthe lmedication levery lday lhelps lreduce lthe lrisk lof la lrelapse." 6) lA lperson lhas lhad ldifficulty lkeeping la ljob lbecause lof larguing lwith lco-workers land laccusing lthem lof lconspiracy. lToday lthe lperson lshouts, l"They're lall lplotting lto ldestroy lme. lIsn't lthat ltrue?" lSelect lthe lnurse's lmost ltherapeutic lresponse. l- lb. l"Feeling lthat lpeople lwant lto ldestroy lyou lmust lbe lvery lfrightening."7) lA lpatient lis lundergoing la lseries lof ldiagnostic ltests. lThe lpatient lsays, l"Nothing lis lwrong lwith lme lexcept la lstubborn lchest lcold." lThe lspouse lreports lthe lpatient lsmokes land lcoughs la llot, lhas llost l15 lpounds, land lis leasily lfatigued. lWhich ldefense lmechanism lis lthe lpatient lusing? l- lDenial 8) lA lcab ldriver, lstuck lin ltraffic, lbecomes llightheaded, ltremulous, ldiaphoretic, ltachycardia land ldyspneic. lA lworkup lin lan lemergency ldepartment lreveals lno lpathology. lWhich lmedical ldiagnosis lshould la lnurse lsuspect, land lwhat lnursing ldiagnosis lshould lbe lthe lnurse's lfirst lpriority? l- lPanic ldisorder land la lnursing ldiagnosis lof lanxiety 9) lThe lnurse lis lproviding lhealth lteaching lfor la lpatient lwho lhas lbeen lprescribed lPhenelzine l(Nardil) lfor ldepression land lprovides la lwritten llist lof lfoods lthat lshould lnot lbe leaten lwhile ltaking lthis lmedication. lWhat lis lthe lpotential lproblem lif lthe lpatient lis lnot lcompliant lwith lthese ldietary lrestrictions? l- lhypertensive lcrisis foods lwith ltyramine lin lit l- lAged lmeats lor laged lcheeses, lprotein lextracts, lsour lcream, lalcohol, lanchovies, lliver, lsausages, loverripe lfigs, lbananas, lavocados, lchocolate, lsoy lsauce, lbean lcurd, lnatural lyogurt, lfava lbeans—tyramine-containing lfoods—may lprecipitate lhypertensive lcrisis. lAvoid lchocolate lor lcaffeine. l Herbal: lGinseng, lephedra, lma lhuang, lSt. lJohn's lwort lmay lcause lhypertensive lcrisis. For ldepression lthat lis lrefractory lto lTCAs. lAvoid lcertain lfoods lsuch las l- lcheese, lsour lcream, lwine, lbeer, lfigs, lanchovies, lshrimp, lbananas, land lchocolate, land lavoid ldrugs l(e.g., lTCAs). Risk lfor lhypertensive lcrisis: Avoid lself-medication. lWHY? l- lOTC lpreparations lcontaining ldextromethorphan, lsympathomimetic lagents, lor lantihistamines l(e.g., lcough, lcold, land lhay lfever lremedies, lappetite lsuppressants) lcan lprecipitate lsevere lhypertensive lreactions lif ltaken lduring ltherapy lor lwithin l2-3 lwk lafter ldiscontinuation lof lan lMAO linhibitor. 10) lWhich lpiece lof lsubjective ldata lobtained lduring lthe lnurse's lpsychosocial lassessment lof la lclient lexperiencing lsevere lanxiety lwould lindicate lthe lpossibility lof lobsessive-compulsive ldisorder? l- la. l"I lhave lto lkeep lchecking lto lsee lwhere lmy lcar lkeys lare." 11) lThe lnurse lis levaluating lthe leffectiveness lof lpsychotropic lmedication lon lnegative lsymptoms lof lpsychosis. lThe lnurse llooks lfor la ldecrease lin lwhich lof lthe lfollowing? l- lA: lAffective lflattening.11) lThe lnurse lis levaluating lthe leffectiveness lof lan lantipsychotic lon lnegative lsymptoms lof lpsychosis. lWhich lof lthe lfollowing lsymptoms lwould lbe lclassified las lnegative lsymptoms lof lpsychosis? llBlunted laffect Poverty lof lthought Loss lof lmotivation Inability lto lexperience lpleasure lor ljoy 12) lA l39-year-old lwoman lis lrecently ldivorced land lis llearning lto lcope lwith ladditional lstressors. lWhich lof lthe lfollowing lbest ldemonstrate(s) lthat lshe lis lutilizing lpositive lcoping lstrategies lto lmanage lher lstress? l(Select lall lthat lapply). l- l3. lcontrol lstress lby lincreased lphysical lactivity. 4. lchange lher lreactions lto lstress lwith lcognitive lbehavioral therapy. 13) lWhich lnursing ldiagnosis lis llikely lto lapply lto lan lindividual lwith lsevere land lpersistent lmental lillness lwho lis lhomeless l- lChronic llow lself-esteem 14) lA lpatient lwith ldepression lis lreceiving limipramine l(Tofranil) l200 lmg levery lnight lat lbedtime. lWhich lassessment lfinding lwould lprompt lthe lnurse lto lcollaborate lwith lthe lhealth lcare lprovider lregarding lpotentially lhazardous lside leffects lof lthis l- lUrinary lretention 15) lWhich lindividual lin lthe lemergency ldepartment lshould lbe lconsidered lat lthe lhighest lrisk lfor lcompleting lsuicide? l- ld. lA l79-year-old lsingle lwhite lman lwith lcancer lof lthe lprostate lgland. 16) lThe lnurse lis lcaring lfor la lpatient lwho ltakes lantipsychotic lmedications land lhas ldeveloped lmuscle lrigidity, lhyperpyrexia, ldiaphoresis, land ldrooling. lWhich lof lthe lfollowing ladverse leffects lof lantipsychotic leducations lis lmost llikely lcausing lthese lsymptoms? l- lNeuroleptic lmalignant lsyndrome 17) lA lpatient lwith lcatatonic lschizophrenia lexhibits llittle lspontaneous lmovement land ldemonstrates lwaxy lflexibility. lWhich lpatient lneeds lare lof lpriority limportance l- lPhysiologic18) lA lnurse lworks lwith la lpatient lwith lparanoid lschizophrenia lregarding lthe limportance lof lmedication lmanagement. lThe lpatient lrepeatedly lsays, l"I ldon't llike ltaking lpills." lFamily lmembers lsay lthey lfeel lhelpless lto lfoster lcompliance. lWhich ltreatment lstrategy lshould lthe lnurse ldiscuss lwith lthe lhealth lcare lprovider? l- lUse lof la llong-acting lantipsychotic lpreparation 19) lWhich ldocumentation lindicates lthat lthe ltreatment lplan lfor la lpatient ldiagnosed lwith lacute lmania lhas lbeen leffective? l- lConverses lwith lfew linterruptions; lclothing lmatches; lparticipates lin lactivities." 20) lA lpriority lnursing lintervention lfor la lpatient ldiagnosed lwith lmajor ldepressive ldisorder lis llcarefully land linconspicuously lobserving lthe lpatient laround lthe lclock. 21) lA lnurse lplans lhealth lteaching lfor la lpatient lwith lgeneralized lanxiety ldisorder lwho lbegins la lnew lprescription lfor llorazepam l(Ativan). lWhat linformation lshould lbe lincluded? l(Select lall lthat lapply). lla. lCaution lin luse lof lmachinery c. lThe limportance lof lcaffeine lrestriction d. lAvoidance lof lalcohol land lother lsedatives 22) lA lpatient lis lexperiencing lmoderate lanxiety. lThe lnurse lencourages lthe lpatient lto ltalk labout lfeelings land lconcerns. lWhat lis lthe lrationale lfor lthis lintervention? l- lb. lConcerns lstated laloud lbecome lless loverwhelming land lhelp lproblem lsolving lbegin. 23) lA lpatient ldiagnosed lwith lmajor ldepressive ldisorder lbegins lselective lserotonin lreuptake linhibitor l(SSRI) lantidepressant ltherapy. lPriority linformation lgiven lto lthe lpatient land lfamily lshould linclude la ldirective lto: l- lreport lincreased lsuicidal lthoughts. 24) lA lveteran lof lthe llraq lWar ldescribes lthat lhe lis lhaving lintrusive lthoughts lof lmissiles, lscreaming, lexplosions, land lthe lsame lfeelings lof lterror lfirst lexperienced lin lcombat. lWhich lof lthe lfollowing lclinical ldisorders lwould lthis lpatient lmost llikely lbe ldescribing lsymptoms lof? l- lANS: lPost-traumatic lstress ldisorder l(PTSD) 25) lA lpatient lwith lacute lmania lapproaches lthe lnurse, lwaves la lnewspaper, land lsays, l"I lwant lthe lphone lright lnow. lI lneed lto lcall lthis lstore lwhile ltheir lsale lis lgoing lon. lI lneed lten ldresses land lfour lpairs lof lshoes." lSelect lthe lnurse's lbest lintervention. l- l. lDistracting lthe lpatient lcan lavoid lpower lstruggles.26) lA lpatient ltells lthe lnurse, l"I lwanted lmy lhealth lcare lprovider lto lprescribe ldiazepam l(Valium) lfor lmy lanxiety ldisorder, lbut lbuspirone l(BuSpar) lwas lprescribed linstead. lWhy?" lThe lnurse's lreply lshould lbe lbased lon lthe lknowledge lthat lbuspirone: l- ldoes lnot lcause ldependence. 27) lA lclient lwith lgeneralized lanxiety ldisorder land ldepression lcomes lto lthe lanxiety ldisorders lclinic ldisplaying lsevere lanxiety. lOf lthe lmedications llisted lin lthe lclient's lmedical lrecord, lwhich lone, lwith lan lappropriate lorder, lcan lbe lgiven las la lprn lanxiolytic? l- lLorazepam( lAtivan) 28) lThe lnurse lis lcaring lfor la lfemale lpatient ldiagnosed lwith lschizophrenia lwho lbelieves lthat lher lthoughts lare lbroadcast lfrom lher lhead. lThe lnurse lidentifies lwhich lof lthe lfollowing las lthe lmost lappropriate lnursing ldiagnosis lfor lthis lpatient? l- lDisturbed lthought lprocesses 29) lWhat lis lthe lbest lintervention lwhen la lpt lis lresponding lto lan lauditory lhallucination? l- lCan lyou ltell lme lwhat lyou lare lhearing 30) lA lpatient lwith ldepression lis levaluated lat lthe lclinic land lstarted lon lcitalopram. lThe lpatient ltells lthe lnurse, l"l lhave lsome lpills lI lpreviously ltook lfor ldepression. lThey're lcalled lMAOIs. lI lthink lI lshould ltake lthem lalong lwith lthis lnew lmedication." lWhat linformation lis lessential lfor lthe lnurse lto lcommunicate lregarding lher lstatements? l- lMake lsure lto leducate lyour lpatients labout lthe lexpected lside leffects lof lMAOI linhibitors, lwhich lare: - lDizziness - lWeakness/fainting lresulting lfrom lan labrupt lpositional lchange - lDrowsiness - lBlurred lvision l(reversible) - lNausea land lvomiting - lLoss lof lappetite - lEmotional lor lmental lchanges - lIrritability/ lnervousness Patients lshould lbe linformed labout lthe lwarning lsigns lthat lwarrant limmediate lphysician/nurse lattention las lwell. lThey linclude: - lA lheadache- lRashes - lDarkened lurine - lPale lstools - lEye/skin lyellowing - lChills land lfever - lA lsore lthroat 31) lThe lnurse lis lcaring lfor la lpatient lwho lexperiences lorthostatic lhypotension lrelated lto ltaking lchlorpromazine l(Thorazine). lThe lnurse lshould lsuggest lwhich lof lthe lfollowing linterventions lfor lmanaging lthis lside leffect. l- lRise lslowly lwhen lgetting lout lof lbed. 32) lAn ladult lsays, l"When lI lwas la lchild, lI ltook lmedication lbecause lI lcouldn't lfollow lmy lteachers' ldirections. lI lstopped ltaking lit lwhen lI lwas labout l13. lI lstill lhave ltrouble lgetting lorganized, lwhich lcauses ldifficulty ldoing lmy ljob." lWhich lclinical ldisorder ldoes lthis lscenario lsuggest? a. lStress lintolerance ldisorder b. lGeneralized lanxiety ldisorder c. lBorderline lpersonality ldisorder d. lAdult lattention ldeficit lhyperactivity ldisorder l(AADHD) l- lANS: ld. l Adult lattention ldeficit lhyperactivity ldisorder l(AADHD) 33) llf la lcruel land labusive lperson lrationalizes lthe lbehavior, lwhich lcomment lwould lbe lmost lcharacteristic lof lrationalization las la ldefense lmechanism? 33) lIf la lcruel land labusive lperson lrationalizes lthe lbehavior, lwhich lcomment lwould lbe lmost lcharacteristic? l- lThat lperson lshouldn't lhave lprovoked lme." 34) lAt la lunit lmeeting, lstaff ldiscusses ldecor lfor la lspecial lbedroom lfor lmanic lpatients- lWhich lis lthe lbest lsuggestion lrelated lto lcaring lfor lan lacutely lmanic lpatient? l- lNeutral lwalls lwith lpale, lsimple laccessories35) lTwo ldays lago, la lclient lwas ladmitted lto lthe linpatient lpsychiatric lunit lwith la ldiagnosis lof lPTSD land la lhistory lof lviolence. lCurrently, lhe lcontinues lto lhave lsleep lproblems, ltrouble lwith lconcentration, land lhas lbeen lfeeling lincreased langer ltoward lanother lpatient lwho lreminds lhim lof la lformer lcolleague. lThe lpriority lnursing ldiagnosis lwould lbe: l- lRisk lfor lviolence 36) lA lnurse lis lproviding lteaching lfor la lclient lwho lhas la lnew lprescription lfor lclozapine l(Clozaril). lWhich lof lthe lfollowing lclient lstatements lindicates la lneed lfor lfurther lteaching? l- lThis lmedication lwill lhelp lprevent lseizures." 37) lYou lare lthe lnurse lresponsible lfor lassessing lfor lextrapyramidal lside leffects lin la lpatient lwho lhas lbeen ltaking lchlorpromazine. lWhich lof lthe lfollowing lmay lbe lside leffects lfor lthis lmedication? l(Select lall lthat lapply.) l- lA.acute ldystonia B. lakathisia E. lTardive ldyskinesia F. lParkinsonism 38) lA lnurse lanswers la lsuicide lcrisis lline. lA lcaller lsays, l"I llive lalone lin la lhome lseveral lmiles lfrom lmy lnearest lneighbors. lI lhave lbeen lconsidering lsuicide lfor l2 lmonths. lI lhave lhad lseveral ldrinks land lnow lmy lgun lis lloaded. lI'm lgoing lto lshoot lmyself lin lthe lheart." lHow lwould lthe lnurse lassess lthe llethality lof lthis lplan? l- lHigh llevel 39) lA lnurse lprovided lmedication leducation lfor la lpatient lwho ltakes lphenelzine l(Nardil) lfor ldepression. lWhich lbehavior lindicates leffective llearning? lThe lpatient: l- lc. lconsults lthe lpharmacist lwhen lselecting lover-the-counter lmedications. A lnurse lis lpreparing ladminister lclozapine l300 lmg lPO ldaily lto la lpatient lwith lschizophrenia. lAvailable lis lclozapine l200 lmg. lHow lmuch ladministered lper ldose? l- l1.5 42) lWhen lassessing la lpatient's lplan lfor lsuicide, lwhat laspect lhas lpriority? l- lAvailability lof lmeans land llethality lof lmethod 43) lA lnurse lreceives lthis llaboratory lresult: llithium llevel l1.7 lmEq/L. lHow lshould lthe lnurse linterpret lthis llab lvalue? lA lnurse lreceives lthis llaboratory lresult lfor la lpatient ldiagnosed lwith lbipolar ldisorder: llithium llevel l1 lmEq/L. lThis lresult lis: l- lwithin ltherapeutic llimits44) lA lpatient ldiagnosed lwith lmajor ldepression lrefuses lsolid lfoods. lIn lorder lto lmeet lnutritional lneeds, lwhich lbeverage lwill lthe lnurse loffer lto lthis lpatient? l- lMilk 45) lA lpatient lsays lto lthe lnurse, l"My llife ldoesn't lhave lany lhappiness lin lit lanymore. lI lonce lenjoyed lgoing lout lwith lfriends, lbut lnow lI ldon't lcare lif lthey leven linvite lme." lWhich lterm lbest ldescribes lthis lpatient's lfeelings? l- lanhedonia. 46) lA lpatient lreceiving llithium lshould lbe lassessed lfor lwhich levidence lof lcomplications? llDiaphoresis, lweakness, land lnausea 47) lThe lnurse lknows lthat lsedation lis la lside leffect lof lmany lantipsychotics. lWhich lof lthe lfollowing lmedications lshould lthe lnurse lquestion lif lordered lfor la lpatient ltaking lantipsychotics? llDiphenhydramine l(Benadryl) 48) lA lpatient ldiagnosed lwith lbipolar ldisorder lcommands lother lpatients, l"Get lme la lbook. lTake lthis lstuff lout lof lhere," land lother lsimilar ldemands. lThe lnurse lwants lto linterrupt lthis lbehavior lwithout lentering linto la lpower lstruggle. lSelect lthe lbest linitial lapproach lby lthe lnurse. l- lDistraction: l"Let's lgo lto lthe ldining lroom lfor la lsnack." 49) lWhich lstatement lmade lby la lclient lwho lhas lagoraphobia land ldoes lnot lleave lher lhome lidentifies lthe lthinking ltypical lof la lclient lwith lthis ldisorder? l- lBeing lafraid lto lgo lout lseems lridiculous, lbut lI lcan't lgo lout lthe ldoor." 50) lAn ladult lwith ldepression lhas lbeen ltreated lwith lmedication land lcognitive lbehavioral ltherapy. lThe lpatient lnow lverbalizes lthat lbeing lpassive land lletting lothers lmake ldecisions lfor lher lcontributed lto lthe ldepression. lWhat lreferrals lcould lthe lnurse lmake lto lhelp lthis lpatient lprevent lrecurrence lof ldepression?Which lintervention lshould lthe lnurse lsuggest? l- lSocial lskills ltraining A lnurse lcaring lfor la lclient ldiagnosed lwith lschizophrenia lrecognizes lthe lclient lis lexperiencing lauditory lhallucinations. lWhich lof lthe lfollowing lare lways lto lintervene lwith la lclient lexperiencing lhallucinations? lSATA l- l-Validate lthat lyou ldo lnot lhear lany lvoices -Avoid lasking lthe lclient lif lthey lare lexperiencing lhallucinations -Keep lthe lclient lsafe lby limplementing lhospital lprotocolSince llearning lthat lhe lwill lreceive la ltrial lpass lto la lnew lgroup lhome ltomorrow, la lclient lhas lbeen lhaving lbehavioral lchanges. lThe lnurse lrecognizes lthat lsymptoms lof lsevere lanxiety. lWhich linitial lresponse lis lthe lmost lappropriate lby lthe lnurse? l- lSlow ldown. lListen lto lme. lYou lare lin la lsafe lplace. lTake la ldeep lbreath land llets lgo lto la lquieter lplace. Which lof lthe lfollowing lis la ltherapeutic lcommunication lstrategy lto luse lwhen lworking lwith la lclient lwith lauditory lhallucinations? l- l-Asking lthe lclient lto ldescribe lthe lhallucinations A lclient lwith lschizophrenia lis labout lto lstart lmedication ltherapy lwith lclozapine. lWhich lof lthe lfollowing lwould lbe la lpriority lfor lthe lnurse lto levaluate? l- lObtain la lbaseline lwhite lblood lcell lcount A lnurse lis lpreparing lto ladminister lfluoxetine l40 lmg lPO ldaily. lAvailable lto l20mg/5mL. lHow lmany lmL lshould lbe ladministered? l- l10 lml When leducating la lclient land lhis lfamily labout ltaking lselective lserotonin lreuptake linhibitor, lwhich lstatement lfrom lthe lfamily lshows lan lunderstanding lof lpriority lfor lthe lclient? l- lIf lhe ltalks labout lwanting lto lhurt lhimself, lwe lwill lcall lthe ldoctor A lpatient lbeing ltriaged lin lthe lemergency ldepartment ladmits lher lspouse lpunched lher. lWhich lstatement lfrom lthe lclient lreflects lrationalization? l- lIts lhard lfor lhim lto lcontrol lhis lreactions A lclient lasks lthe lnurse l"What lis lthe ldifference lbetween lpost ltraumatic lstress ldisorder land lacute lstress ldisorder?" lWhich lresponse lby lthe lnurse lis laccurate? l- lhypervigilance land lflashbacks lare lless lfrequent lin lacute lstress ldisorder A lnurse lworking lan loutpatient lclinic lbelieves lthe lclient lhas lbeen lnon-compliant lwith lthe lprescription lmedication lregimen. lWhen laddressing lthe lclients lmood, lthe lresponse lis l"better lbut lletter, lpost loffice, ldoctors loffice, lshrink land lsink, lpink. lThe lnurse lrecognizes lwhich lof lthe lfollowing lsymptoms? llClanging The lclient lis lexperiencing la lmanic lepisode. lWhich lof lthe lfollowing lactivities lwill lbe lincluded lin lthe lplan lof lcare? lSATA l- lColoring lactivity land lassist las lneededA lclient ldiagnosed lwith lnyctophobia lhas lrecently lstarted lsystematic ldesensitization ltherapy. lThe lnurse lunderstands lthe ltherapy lwill lhelp lthe lclient lthrough lwith lof lthe lfollowing ltechniques. llThe lclient lwill lgradually lbe lexposed lto lthe lsituation luntil lthey ldo lnot lexperience lpanic llevel lanxiety. What lare lthe lnursing linterventions lthat lare lmost leffective lwhen lcaring lfor la lclient lwho lis lvery lsuspicious land lexperiencing ldelusions lof lpersecution? l- lUse lthe lsame lstaff las lmuch las lpossible. -Avoid llaughing lor lwhispering lwere lthe lclient lcan lsee lbut lnot lhear lyou -Encourage lthe lclient lto lelaborate lon lthe lplot lagainst lthem What lcondition lsuggests lthat lcaution lis lnecessary lfor lprescribing lbenzodiazepine lto lan lanxious lclient? l- l-Alcohol lDependance A lclient lhas lreceived la lnew lprescription lfor lquetiapine. lWhich lstatement lby lthe lclient lreflects lan lunderstanding lof lthe lteaching? l- lMy lweight lwill lbe lclosely lmonitored lwhile ltaking lthis lmedication. Which ldocumentation lindicates lthat lthe ltreatment lplan lfor la lclient lwith lacute lmania lhas leen leffective. l- lTalking lwithout linterrupting, lclothing lmatched, lparticipates lin lactivities A lnurse lis lplanning lcare lfor la lclient lwho lhas lOCD. lWhich lof lthe lfollowing lactions lshould lthe lnurse lplan lto ltake? l- lexplore lsituations lthat lprecipitate lanxiety A lclient ldiagnosed lwith lmajor ldepressive ldisorder ltakes lpropranolol lfor lhypertension land limipramine lfor ldepression. lGiven lthe lside leffects lof lthese ldrugs, lwhat lwould lbe lthe lessential lteaching lby lthe lnurse? l- lRise lslowly lwhen lyou lchange lfrom llying lto lsitting lto lstanding. A lnurse lis lpreparing lto ladminister limipramine l200 lmg lPO ldaily ldivided lequally levery l12 lhr. lThe lamount lavailable lis limipramine l25 lmg ltablets. lHow lmany ltablets lshould lthe lnurse ladminister lwith leach ldose? l- l4 The lnurse lis lproviding lhealth lteaching lfor la lclient lthat lhas lbeen lprescribed lphenelzine lfor ldepression land lprovided leducation labout lthe ltypes lof lfood lto lavoid. lWhich lstatement lby lthe lclientlindicates la lneed lfor lfurther lteaching? l- l-I lcan lhave la lglass lof lwine las llong las lit lis lbefore lmy lnext ldose A lnurse lis lpreparing lto ladminister lfluoxetine l30 lmg lPO ldaily lto la lclient. lAvailable lis lfluoxetine l10 lmg. lHow lmany ltablets lper ldose? l- l3 The lnurse lis levaluating leffectiveness lof lan lantipsychotic lfor lpositive lsymptoms lof lpsychosis. lWhich lstatement lby lthe lclient lwould lshow lan limprovement lof lpositive lsymptoms? l- lI lbelieve lthe lFBI lhas lstopped lmonitoring lmy lcalls. lI've lbeen lvisiting lwith lmy lfriends llately The lnurse lis lcaring lfor la lclient lwho lexperiences lorthostatic lhypotension lrelated lto ltaking lchlorpromazine. lThe lnurse lshould lsuggest lwhich lof lthe lfollowing linterventions lfor lmanaging lthis lside leffect? l- lSit lon lthe lside lof lthe lbed lbefore lgetting lup A lclient ldiagnosed lwith lobsessive-compulsive ldisorder l(OCD) lhas lrecently lstarted lthought lstopping las lpart lof ltherapy. lThe lnurse lunderstands lthis ltherapy lwill lhelp lthe lclient lthrough lwhich lof lthe lfollowing ltechniques? l- lThe lclient lwill lsnap la lrubber lband lon ltheir lwrist lto lstop lthe lobsessive lthought lfrom loccurring. A l39-year-old lwoman lis lrecently ldivorced land lis llearning lto lcope lwith ladditional lstressors. lWhich lof lthe lfollowing lbest ldemonstrate(s) lthat lshe lutilizes lpositive lcoping lstrategies lto lmanage lher lstress? l(Select lall lthat lapply.) l- l-Starting lan lexercise lprogram -Using lCognitive lBehavioral ltechniques -States lthat lshe lhas lbeen lfeeling lless lstressed lat lwork A lnurse lis lreviewing la lclient's lchart lbefore lmedication ladministration. lThe lclient lis lscheduled lfor llithium lwith lthe lmorning lmed lpass. lThe lnurse lrecognizes lwhich lof lthe lfollowing lmedications lwould lrequire lfurther lclarification lfrom lthe lprovider? l- lFurosemide The lnurse lis lcaring lfor la lclient lin lthe lprodromal lphase lof lschizophrenia. lWhat lbehaviors lshould lthe lnurse lexpect lto lobserve? l- l-Depression land lsocial lwithdrawal In lthe lacute lphase lof lmajor ldepression, lwhich lstatement lby lthe lclient lmost llikely lexpresses ltheir loutlook lon llife? l- lI ldeserve lto lbe lthis lwayA lclient ladmitted lwith lgeneral lanxiety ldisorder l(GAD) lbecomes lincreasingly lconfused land lagitated lover l3 lhours. lWhat lis lthe lpriority laction lby lthe lnurse? l- l-Assess lthe lclient lto ldetermine lthe lpossible lcause After lbeing lcalled linto lthe lboss's loffice lto lbe lreprimanded, lthe lemployee lslams lthe ldoor lon lthe lway lout lof lthe lmeeting. lThis lis lan lexample lof lwhich ldefense lmechanism? l- lDisplacement A lclient lwith lpast ltraumatic lexperiences luses lsublimation. lWhich lof lthe lfollowing lwould ldemonstrate lsublimation? l- l-The lclient lspeaks lat la lhigh-school labout lher lstory A lnurse lworking lat la lprimary lphysician's loffice. lThe lnurse lenters lthe lroom lof la l67-year-old lmale lclient lwho lis lthere lfor la lroutine lcheckup. lWhich lstatement lby lthe lclient lalerts lthe lnurse lthat lthis lclient lis lat lrisk lfor lsuicide? l- lI lrecently lfound lthat lI lfind lvery llittle lpleasure lin lthe lactivities lI lpartake lin. A lclient lis lvery lstressed labout lwork land lhas lstarted ltaking lyoga lclasses. lWhich lcomment lwould lindicate lthis lphysical lactivity lhas lbeen lsuccessful? l- l-I lhaven't lneeded lto ltake lmy lanxiety lmedication las loften A lclient lhas la lmass lin lthe lleft lupper llobe, land la lbiopsy lis lscheduled ltoday. lAs lthe lnurse lexplains lthe lprocedure, lthe lclient ldoes lnot lrespond lwhen lasked la ldirect lquestion land lcannot lfocus lon lthe lcurrent lsituation. lThe lclient lis lshaking land lappears limmobile. lThe lnurse lrecognizes lthe lclient lis lexperiencing lwhich llevel lof lanxiety? l- lPanic A lnurse lis lassessing la lclient lwho lhas lschizophrenia land lhas lbeen ltreated lwith la lfirst-generation lantipsychotic. lWhich lof lthe lfollowing lfindings lshould lthe lnurse ldocument las la lmanifestation lof lakathisia? l- lConstant ltapping lof lfeet lwhen lsitting A lnurse lis lpreparing lto ladminister lbuspirone l7.5 lmg lPO levery l12 lhr lto la lclient. lAvailable lis lbuspirone l15 lmg/tablet. lHow lmany ltablets lshould lthe lnurse ladminister lper ldose? l- l0.5 The lnurse lis levaluating lthe leffectiveness lof lan lantipsychotic lon lnegative lsymptoms lof lpsychosis. lWhich lstatement lby lthe lclient lwould lshow limprovement lof lnegative lsymptoms? l- l-I lnoticed lI lhave la llot lmore lenergy llatelyA lclient lhas lbeen lobserved lhaving lminimal linteraction, lconstantly lremains lin ltheir lroom, land lthe lphysician ldocumented lthe lclient lis lexperiencing lanergia. lWhich lstatement lby lthe lclient lwould lreflect lthese lfindings? l- l-I'm ljust ltoo ltired lto lget lup A lclient lis ldiagnosed lwith lobsessive-compulsive ldisorder l(OCD). lWhich laction lby lthe lnurse lwould lbe lmore llikely lto lincrease lthe lclient's lanxiety? l- lChanging lthe lschedule lthroughout lthe lday A lclient ltells lthe lnurse lthat lpsychotropic lmedicines lare ldangerous land lrefuses lto ltake lthem. lWhich lintervention lshould lthe lnurse luse lnext? l- lAsk lthe lclient labout lany lprevious lproblems lwith lpsychotropic lmedications The lclient lis lprescribed lphenelzine land lis lon la ltyramine-free ldiet. lWhich lfood lselections lshould lthe lclient lavoid? l(Select lall lthat lapply.) l- l-A lpepperoni land lcheese lpizza -Smoked lturkey land lbeans -A lbanana land liced lcoffee A lnurse lis lproviding leducation lto la lclient lrecently lprescribed lbuspirone. lWhich lof lthe lfollowing lstatements lby lthe lclient lindicates lfurther leducation lis lneeded? l- lThis lmedication lwon't lcause lsevere ldrowsiness A lclient ldiagnosed lwith lmajor ldepressive ldisorder lis lconsidering lcognitive lbehavioral ltherapy. lThe lclient lasks lthe lnurse lhow lthis ltherapy lwould lhelp lalleviate ldepressive lthoughts. lWhat lis lthe lbest lresponse lby lthe lnurse? l l- l-"This ltherapy lhelps lyou llearn lto lthink lmore lpositively, land lthereby lreduce ldepressive lthoughts land lsymptoms. A lnurse lcaring lfor la lclient, lwho lhas lbeen lneglecting lpersonal lhygiene, lobserves lthe lclient lcoming lto lbreakfast lfreshly lbathed, lwearing lclean lclothes, land lcombed land lstyled lhair. lWhich lof lthe lfollowing lis lthe lmost ltherapeutic lresponse lby lthe lnurse? l- lI lsee lyou lhave ldone lsome lgrooming ltoday Which lof lthe lfollowing lwould lbe lthe lbest ltherapeutic lresponse lby lthe lnurse lwhen la lclient lstates, l"I lno llonger lneed lmy lmedication lsince lI ldo lnot lhear lvoices."? l- l-"What lhappened lthe llast ltime lyou lstopped ltaking lyour lmedication?"Which ldocumentation lindicates lthat lthe ltreatment lplan lfor la lpatient ldiagnosed lwith lacute lmania lhas lbeen leffective l- l"Converses lwith lfew linterruptions; lclothing lmatches; lparticipates lin lactivities." A lnurse lis lproviding leducation lto la lclient lrecently lprescribed lbuspirone. lWhich lof lthe lfollowing lstatement lby lthe lclient lindicates lfurther leducation lis lneeded l- lThis lmedication lwill lbe leffective lby lnext lweek When leducating la lclient land lhis lfamily labout ltaking la lselective lserotonin lreuptake linhibitor l(SSRI). lWhich lstatement lfrom lthe lfamily lshows lan lunderstanding lof la lpriority lfor lclient leducation? l- l. lIf lhe ltalks labout lwanting lto lhurt lhimself, lwe lwill lcall lthe ldoctor . lA lclient ldiagnosed lwith lnyctophobia lhas lrecently lstarted lsystematic ldesensitization ltherapy. lThe lnurse lunderstands lthis ltherapy lwill lhelp lthe lclient lthrough lwhich lof lthe lfollowing ltechniques? llThe lclient lwill lgradually lbe lexposed lto lthe lsituation luntil lthey ldo lnot lexperience lpanic llevel lanxiety A lnurse lis lassessing la lclient lwho lhas lschizophrenia land lhas lbeen ltreated lwith la lfirst-generation lantipsychotic. lWhich lof lthe lfollowing lfindings lshould lthe lnursedocument las lmanifestation lof ltardive ldyskinesia l- lb. lTwisting ltongue lmovement