Question 1

What change,if any,should the nurse expect in the dietary patterns of a client who is clinically depressed?

Accepted Answer

A)  either overeating or eating little to nothing
B)  intake is decreased
C)  intake is increased
D)  none A

Question 2

Most hospital readmissions for the client who has schizophrenia are the result of which of these factors?

Accepted Answer

A)  injuries caused by self-harming behaviors
B)  noncompliance with the prescribed medication regimen
C)  side effects of pharmacological therapies
D)  worsening of symptoms despite medication and outpatient therapy B

Question 3

When a nurse is teaching a client for whom Parnate,a monoamine oxidase inhibitor,has been prescribed,which of these instructions is essential?

Accepted Answer

A)  Drink plenty of fluids.
B)  Get at least 8 hours of sleep daily.
C)  Do not take any medications unless they are prescribed by a health care provider.
D)  The drug is contraindicated during pregnancy and breastfeeding. C

Question 4

A nurse suspects a 7-year-old client whose injuries are being treated is being physically abused.Which of these actions must the nurse take?

Accepted Answer

A)  Discuss suspicions with the child's legal guardian prior to making any type of report.
B)  Ensure that the appropriate state-designated agency is notified.
C)  Notify the health care provider.
D)  Notify the immediate nursing supervisor.

Question 5

When a central nervous system stimulant such as Adderall is prescribed for a client who has attention-deficit hyperactivity disorder (ADHD),the nurse must instruct the client's parents to assess the medication's immediate effectiveness by looking for:

Accepted Answer

A)  a paradoxical reaction
B)  improved grades at school
C)  increased activity level
D)  increased insomnia and decreased appetite

Question 6

A client who is experiencing complications of anorexia nervosa has a nursing diagnosis of Fluid volume deficit related to inadequate intake of liquids,self-induced vomiting,laxative,and diuretic use.What is an appropriate nursing goal for this diagnosis?

Accepted Answer

A)  The client's intake and output will be approximately equal by the 4th hospital day.
B)  The client will demonstrate increased consumption of nutrients as evidenced by daily weight gain.
C)  The client will verbalize feelings regarding the disease and coping strategies by the time of discharge.
D)  The client will verbalize plans for the future.

Question 7

Which of these statements about elder abuse,neglect,or exploitation is TRUE?

Accepted Answer

A)  Federal legislation has been enacted to protect older adults.
B)  Documentation indicates elder abuse has been overreported.
C)  The majority of abusers are family members.
D)  Most of the abuse inflicted is physical in nature.

Question 8

Which of the following nursing behaviors is appropriate when interacting with a client who may have been the victim of interpersonal abuse?

Accepted Answer

A)  Ask permission to call the client's family or friends.
B)  Leave the client alone to sort out thoughts.
C)  Place the client in a group setting.
D)  React with surprise at the details the client reveals.

Question 9

In addition to depressed mood or loss of interest in previously enjoyable activities,to be diagnosed as having a major depressive episode a client must exhibit at least four other symptoms,such as:

Accepted Answer

A)  changes in appetite or weight,sleep disturbance,fatigue,and feelings of worthlessness
B)  flight of ideas,body aches,feeling empty,and overeating
C)  suicidal ideations,threatening behavior,loss of control,and moderate anxiety
D)  difficulty making decisions,hallucinations,hyperactivity,and irritability

Question 10

The nurse should monitor the client taking antipsychotic medications for which adverse reactions? (Select all that apply. )

Accepted Answer

A)  arrhythmias
B)  extrapyramidal side effect
C)  fatal hypertensive crisis
D)  neuroleptic malignant syndrome
E)  tardive dyskinesia

Question 11

When a nurse is developing a no-suicide contract with a client,which of these aspects MUST be considered?

Accepted Answer

A)  To increase client accountability,ask the client to promise the nurse or another significant friend or family member to avoid self-harm.
B)  To communicate belief in the client,establish a minimum time frame of at least 1 week for the first contract.
C)  To make the agreement more official and binding,have the document typed,signed by the client,and notarized.
D)  To decrease impulsive behavior,include a detailed plan of action with the names and phone numbers of persons to call and the number of the local suicide crisis hotline to call if experiencing suicidal thoughts.

Question 12

A client has a nursing diagnosis of Risk for self-directed violence related to emotional status and suicidal plan.Which of these nursing interventions should be initiated FIRST?

Accepted Answer

A)  determining if the client has a specific plan
B)  assisting the client in developing a no-suicide contract
C)  evaluating the degree of risk associated with the client's verbalization of suicide intent
D)  notifying the health care provider of the client's intention and current condition

Question 13

A nurse is teaching the parents of a teenage client,who is undergoing therapy after a suicide attempt,about the warning signs of potential adolescent suicide,which include:

Accepted Answer

A)  withdrawal
B)  reclaiming of possessions and gifts previously bestowed upon friends and loved ones
C)  statements such as not being around much longer
D)  increased interest in personal appearance and hygiene

Question 14

An older adult client has been taking lithium for several months.The nurse should recognize that the client's age increases susceptibility to which of these potential complications?

Accepted Answer

A)  "breakthrough" episodes despite appropriate medical management
B)  developing lithium toxicity
C)  noncompliance with drug regime
D)  sodium depletion

Question 15

In determining whether a client has dysthymic disorder or a major depressive disorder,which of these characteristics would be associated with the client who has dysthymic disorder?

Accepted Answer

A)  The client feels depressed nearly all the time.
B)  An actual physical imbalance is the cause.
C)  It occurs more commonly than major depressive disorders.
D)  It occurs more often in men than in women.

Question 16

A client is to receive pharmacological intervention for anxiety on a long-term basis.Which of these medicines should be tried FIRST because of its lack of addiction potential?

Accepted Answer

A)  lorazepam (Ativan) 
B)  buspirone hydrochloride (BuSpar) 
C)  clonazepam (Klonopin) 
D)  diazepam (Valium)

Question 17

Which of the following nursing interventions may be used for a client with potentially violent tendencies,to facilitate expression of anger in an adaptive,nonviolent manner?

Accepted Answer

A)  anger control assistance
B)  brief dynamic therapy
C)  cognitive behavior therapy
D)  psychotherapy

Question 18

The nurse is caring for a client taking phenothiazine medications.The client teaching should include which of the following? (Select all that apply. )

Accepted Answer

A)  Stop the medication if side effects occur.
B)  Do not take other medications unless prescribed by your physician.
C)  Decrease fluid intake to prevent the side effect of edema.
D)  Wear sunscreen and protective clothing while outdoors.
E)  Increase dietary fiber to prevent the side effect of constipation.F) Do not drink alcohol while taking this medication.

Question 19

A client admitted for treatment of mental illness tells the nurse,"Little green men are coming after me." Which of these responses would be MOST therapeutic?

Accepted Answer

A)  "You must know Martians are not real."
B)  "I'm calling your doctor and reporting this break with reality."
C)  "Don't you think the weather is nice today?"
D)  "You think someone is coming after you?"

Question 20

Before initiating antidepressant therapy,the health care provider should order which of these tests for the client?

Accepted Answer

A)  CAT scan
B)  complete blood count
C)  electrocardiogram
D)  electrolyte panel

Exam 48: Mental Illness