A charge nurse is preparing an educational session for a group of newly licensed nurses to review

1.A charge nurse is preparing an educational session for a

group of newly licensed nurses to review client rights

under the law. Which of the following statements should the

nurse make?: "In the event a client threatens to harm others,

medications can be administered without consent"

2.A client who has a diagnosis of depression is attending group

therapy. During the group meeting, the nurse asks each

member to identify one goal for the day. When it is the

client's turn they do not respond. Which of the following

actions should the nurse take before repeating the request

to the client?: Allow the client time to formulate an answer

3. A client who has paranoid schizophrenia is attending a

treatment planning conference with a family member.

During the discussion of the medication adherence portion

of the plan, a nurse notices that the family member seems

distracted. which of the following actions should the nurse

take?: Ask the family member is they have any thoughts or

questions about the treatment plan

4.A community health nurse is planning an education program

about depressive disorders. Which of the following factors

should the nurse include as increasing the risk for

depression?: Substance use disorder

5.During a client's initial interview in a mental health inpatient

setting, a nurse identifies that the client is maintaining eye

contact and leaning forward. Which of the following

assumptions should the nurse make based on the client's

nonverbal behaviors?: The client is interested in what the

nurse is saying

6.During morning rounds, a nurse finds a client who has

schizophrenia trembling and tearful in their bed. The client

reports that a bomb was placed in their room by a family

member during visiting hours. which of the following actions

should the nurse take?: Assess the client for evidence of a

perceptual disturbance

7.A home health nurse is assessing an older adult client whose

sibling is the primary caregiver. Which of the following

findings should the nurse identify as a possible indicator of

neglect?: Inappropriate dress

8.A nurse in a clinic is assessing a client whose partner died 4

months ago. Which of the following statements indicates

that the client is at risk or complicated grief?: "I feel so

empty without my wife that it's hard to get p every morning."

9. A nurse in a community health center is counseling a family

of two parents and two children. Which of the following

statements by a family member indicates manipulative

behavior?: "If you do my homework for me, I won't bother to

for the rest of the day."

10.A nurse in a mental health clinic is caring for a client who

has bipolar disorder and reports that they stopped taking

lithium 2 weeks ago. he nurse should recognize which of the

following as an expected adverse effect that might have

caused the client to stop taking the medication?: Hand

tremors

11.A nurse in a mental health clinic is planning car for a client

who has a new prescription for olanzapine. Which of the

following interventions should the nurse identify as the

priority?: Instruct the client to avoid driving during initial

therapy

12.A nurse in a mental health facility is planning discharge for a

client who has a history of alcohol use disorder. Which of

the following post discharge activities should the nurse plan

to include?: Attending a relapse prevention group several

times each week

13.A nurse in an emergency department is admitting a client

who reports experiencing a headache and heart palpitations

after having a glass of wine 1 hr ago. The client has a history

of depresion and a blood pressure of 210/105 mm Hg and a

temperature of 39.9 C (103.8 F). Which of the following

actions should the nurse take first?: Determine the clients

prescribed medication regimen

14.A nurse in a n outpatient mental health setting is collecting

a health history from a client who is taking paroxetine for

depression. the client reports to the nurse that he also

takes herbal supplements. The nurse should advise the

client that which of the following supplements interacts

adversely with paroxetine?: St. John's wort

15.A nurse in a provider's office is collecting a health history

from the guardian of a school-age child who has been

taking atomoxetine. Which of the following adverse effects

reported by the guardian is the priority for the nurse to

report to the provider?: Dark urine

16.A nurse in the emergency department is caring for a client

who has alcohol toxicity and is unresponsive. which of the

following interventions should the nurse take?: Gather

supplies for endotracheal intubation

17.A nurse is admitting a client who has alcohol use disorder.

Which of the following statements by the client indicates

that the client is using denial as a defense mechanism'?: "I

am able to go to work every day, so I don't have a problem."

18.A nurse is admitting a client who has anorexia nervosa and is

at 60% of ideal body weight. Which of the following

interventions should the nurse include in the plan of care?:

Encourage the client to drink 125 mL of fluid each hour while

awake

19.A nurse is admitting a client who has schizophrenia to an

acute care setting. When the nurse questions the client

regarding their admission, the client states, "I'm red, in the

head, and I'm going to bed!" The nurse should document

the client's speech pattern as which of the following?:

Clang association

20.a nurse is admitting a female client who has anorexia

nervosa. Which of the following manifestations should the

nurse expect during the admission assessment?: Orthostatic

hypotension

RN Mental Health Online Practice 2019 A

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