A client is admitted to the psychiatric unit of a local hospital with chronic undifferentiated schizophrenia. During the next several days, the client is seen laughing, yelling, and talking to herself. This behavior is characteristic of: A. Delusion B. Looseness of association C. Illusion D. Hallucination Correct… Read More »
Nurse Harry is developing a plan of care for a client with anorexia nervosa. Which action should the nurse include in the plan? A. Restrict visits with the family until the client begins to eat. B. Provide privacy during meals. C. Set up a strict eating plan for the client. D.… Read More »
An 11-year-old child diagnosed with conduct disorder is admitted to the psychiatric unit for treatment. Which of the following behaviors would the nurse assess? A. Restlessness, short attention span, hyperactivity. B. Physical aggressiveness, low-stress tolerance, disregard for the rights of others. C. Deterioration in social functioning, excessive anxiety, and worry, bizarre behavior.… Read More »
Which of the following medications would the nurse expect the physician to order to reverse a dystonic reaction? A. prochlorperazine (Compazine) B. diphenhydramine (Benadryl) C. haloperidol (Haldol) D. midazolam (Versed) Correct Answer: B. diphenhydramine (Benadryl) Diphenhydramine, 25 to 50 mg I.M. or I.V., would quickly reverse this… Read More »
Nurse Taylor is aware that the victims of domestic violence should be assessed for what important information? A. Reasons they stay in the abusive relationship (for example, lack of financial autonomy and isolation). B. Readiness to leave the perpetrator and knowledge of resources. C. Use of drugs or alcohol. D. History… Read More »
The nurse understands that if a client continues to be dependent on heroin throughout her pregnancy, her baby will be at high risk for:A. Mental retardation A. Mental retardation B. Heroin dependence C. Addiction in adulthood D. Psychological disturbances Correct Answer: B. Heroin dependence Babies born to… Read More »
A schizophrenic client states, “I hear the voice of King Tut.” Which response by the nurse would be most therapeutic? A. “I don’t hear the voice, but I know you hear what sounds like a voice.” B. “You shouldn’t focus on that voice.” C. “Don’t worry about the voice as long as it doesn’t… Read More »
A male client is hospitalized with fractures of the right femur and right humerus sustained in a motorcycle accident. Police suspect the client was intoxicated at the time of the accident. Laboratory tests reveal a blood alcohol level of 0.2% (200 mg/dl). The client later admits to drinking heavily for years. During hospitalization, the client… Read More »
The emergency department nurse is assigned to provide care for a victim of a sexual assault. When following legal and agency guidelines, which intervention is most important? A. Determine the assailant’s identity B. Preserve the client’s privacy C. Identify the extent of an injury D. Ensure an unbroken chain of evidence … Read More »
A client has been receiving chlorpromazine (Thorazine), an antipsychotic, to treat his psychosis. Which findings should alert the nurse that the client is experiencing pseudoparkinsonism? A. Restlessness, difficulty sitting still, and pacing B. Involuntary rolling of the eyes C. Tremors, shuffling gait, and masklike face D. Extremity and neck spasms, facial… Read More »