Nurse Fred is assessing a client who has just been admitted to the ER department. Which signs would suggest an overdose of an antianxiety agent? A. Suspiciousness, dilated pupils, and incomplete BP B. Agitation, hyperactivity, and grandiose ideation C. Combativeness, sweating, and confusion D. Emotional lability, euphoria, and impaired memory … Read More »
Discharge instructions for a male client receiving tricyclic antidepressants include which of the following information? A. Restrict sodium intake. B. Don’t consume alcohol. C. Discontinue if dry mouth and blurred vision occur. D. Restrict fluid. Correct Answer: B. Don’t consume alcohol Drinking alcohol can potentiate the sedating… Read More »
Important teaching for women in their childbearing years who are receiving antipsychotic medications includes which of the following? A. Increased incidence of dysmenorrhea while taking the drug. B. Occurrence of incomplete libido due to medication adverse effects. C. Continuing previous use of contraception during periods of amenorrhea. D. Instruction that amenorrhea… Read More »
A client refuses to remain on psychotropic medications after discharge from an inpatient psychiatric unit. Which information should the community health nurse assess first during the initial follow-up with this client? A. Income level and living arrangements. B. Involvement of family and support systems. C. Reason for inpatient admission. D. Reason for refusal… Read More »
Which ability should Nurse Rebecca expect from a client in the mild stage of dementia of the Alzheimer’s type? A. Remembering the daily schedule. B. Recalling past events. C. Coping the anxiety. D. Solving problems of daily living. Correct Answer: B. Recalling past events Recent memory loss… Read More »
The nurse understands that the therapeutic effects of typical antipsychotic medications are associated with which neurotransmitters change? A. Decreased dopamine level B. Increased acetylcholine level C. Stabilization of serotonin D. Stimulation of GABA Correct Answer: A. Decreased dopamine level Excess dopamine is thought to be the chemical… Read More »
Which of the following best explains why tricyclic antidepressants are used with caution in elderly patients? A. Central Nervous System effects B. Cardiovascular system effects C. Gastrointestinal system effects D. Serotonin syndrome effects Correct Answer: B. Cardiovascular system effects The TCAs affect norepinephrine as well as other neurotransmitters and… Read More »
A client with depressive symptoms is given prescribed medications and talks with his therapist about his belief that he is worthless and unable to cope with life. Psychiatric care in this treatment plan is based on which framework? A. Behavioral framework B. Cognitive framework C. Interpersonal framework D. Psychodynamic framework … Read More »
A nurse who explains that a client’s psychotic behavior is unconsciously motivated understands that the client’s disordered behavior arises from which of the following? A. Abnormal thinking B. Altered neurotransmitters C. Internal needs D. Response to stimuli Correct Answer: C. Internal needs The concept that behavior is… Read More »
A client with depression has been hospitalized for treatment after taking a leave of absence from work. The client’s employer expects the client to return to work following inpatient treatment. The client tells the nurse, “I’m no good. I’m a failure”. According to cognitive theory, these statements reflect: A. Learned behavior. B. Punitive… Read More »