Exam 7: Mental Health

A client with schizophrenia is started on clozapine.  Which periodic measurements take priority in this client?

A client with generalized anxiety disorder is referred to outpatient mental health department for cognitive behavioral therapy (CBT).  The CBT includes which interventions and strategies?  Select all that apply.

Yesterday, the client was weaned from the mechanical ventilator and an intravenous infusion of lorazepam.  The client has been alert and oriented for 24 hours but is now experiencing confusion.  The nurse now evaluates new-onset confusion by assessing the client's sense of place and time, difficulty focusing, short-term memory loss, and increasing lethargy.  The nurse suspects which condition in this client?

The school nurse is called to the classroom to assist with a 7-year-old with attention-deficit hyperactivity disorder who is throwing books and hitting the other children.  What is the best initial action for the nurse to take?

The nurse in the outpatient treatment facility evaluates the plan of care for a client with alcohol use disorder.  Which of the following client statements indicate positive progress toward recovery?  Select all that apply.

The nurse is presenting an in-service educational session on child abuse and neglect to a class of certified home health aides.  Which of the following statements should the nurse include when discussing the characteristics of the typical perpetrator of child abuse?  Select all that apply.

The nurse in a psychiatric clinic is evaluating the client's response to treatment for somatic symptom disorder with cardiac manifestations.  Which client statement indicates a need for further treatment?

The nurse is caring for a client with a history of heroin abuse.  Which clinical finding may indicate withdrawal?

A nurse performs the initial assessments for 4 assigned clients.  The nurse identifies which client as being at greatest risk for the development of delirium?

The home health aide reports to the nurse care manager that the client has been trying to give away possessions.  When the nurse asks the client about this behavior, the client says, "With my spouse dead, there's no reason for me to go on."  What is the best priority response by the nurse?

A client with social anxiety disorder is receiving treatment at the local community mental health center.  Which situation most likely caused the client to seek therapy?

The nurse provides teaching for a client newly prescribed disulfiram for alcohol abstinence.  Which information is the priority for the nurse to include?

The nurse is caring for a client with paranoid personality disorder.  When the nurse directs the client to go to the dining room for dinner, the client says, "And eat that poisonous food?  You better not make me go anywhere near that room."  Which statement best explains the client's behavior?

The nurse speaks with a client diagnosed with schizophrenia who begins to look away toward the door and grimace.  Which statement by the nurse is most therapeutic at this time?

The nurse is conducting a seminar for parents of adolescents about health issues common to this age group.  Which parent's statement indicates that the adolescent may have bulimia nervosa?

A client recently diagnosed with schizophrenia is brought to the mental health clinic by the identical twin sibling for the first follow-up visit after hospitalization.  The client's sibling says to the nurse, "I read that schizophrenia runs in families.  I guess I'm doomed."  Which is the bestresponse by the nurse?

The nurse is caring for a client admitted with abdominal pain, who has been diagnosed with somatic symptom disorder after a thorough evaluation finds no medical cause for the symptoms.  Which intervention should the nurse include in the plan of care?

A nurse working at a mental health clinic is reviewing four messages from clients requesting a same-day appointment.  Which client does the nurse prioritize to call back first?

A new nurse is caring for an adolescent transgender client.  What question would be appropriate when assessing the client's gender identity?

The partner of a client with borderline personality disorder calls the clinic and reports coming home from work to find the client with self-inflicted superficial cuts to the arm.  The partner tells the nurse, "My partner does something like this every time I have to go away on business.  My partner is not serious about doing something really harmful, just trying to stop me from going away."  What is the best response by the nurse?