Which nursing intervention is most appropriate for a client with Alzheimer’s disease who has frequent episodes of emotional lability? A. Attempt humor to alter the client’s mood. B. Explore reasons for the client’s altered mood. C. Reduce environmental stimuli to redirect the client’s attention. D. Use logic to point out reality aspects. … Read More »
Important teaching for women in their childbearing years who are receiving antipsychotic medications includes which of the following? A. Occurrence of increased libido due to medication adverse effects. B. Increased incidence of dysmenorrhea while taking the drug. C. Continuing previous use of contraception during periods of amenorrhea. D. Instruction that amenorrhea… Read More »
A male client is found sitting on the floor of the bathroom in the day treatment clinic with moderate lacerations on both wrists. Surrounded by broken glass, he sits staring blankly at his bleeding wrists while staff members call for an ambulance. How should Nurse Anuktakanuk approach her initially? A. Enter the room quietly and… Read More »
Which neurotransmitter has been implicated in the development of Alzheimer’s disease? A. Acetylcholine B. Dopamine C. Epinephrine D. Serotonin Correct Answer: A. Acetylcholine A relative deficiency of acetylcholine is associated with this disorder. The drugs used in the early stages of Alzheimer’s disease will act to increase… Read More »
A client is admitted to a psychiatric facility with a diagnosis of chronic schizophrenia. The history indicates that the client has been taking neuroleptic medication for many years. Assessment reveals unusual movements of the tongue, neck, and arms. Which condition should the nurse suspect? A. Tardive dyskinesia B. Dystonia C. Neuroleptic malignant… Read More »
A female client with anorexia nervosa describes herself as “a whale.” However, the nurse’s assessment reveals that the client is 5′ 8″ (1.7 m) tall and weighs only 90 lb (40.8 kg). Considering the client’s unrealistic body image, which intervention should nurse Angel be included in the plan of care? A. Asking the client… Read More »
Which factors are the most essential for the nurse to assess when providing crisis intervention for a client? A. The client’s communication and coping skills. B. The client’s anxiety level and ability to express feelings. C. The client’s perception of the triggering event and availability of situational supports. D. The client’s use of… Read More »
What medication would probably be ordered for the acutely aggressive schizophrenic client? A. chlorpromazine (Thorazine) B. haloperidol (Haldol) C. lithium carbonate (Lithonate) D. amitriptyline (Elavil) Correct Answer: B. haloperidol (Haldol) Haloperidol administered I.M. or I.V. is the drug of choice for acute aggressive psychotic behavior. Haloperidol is… Read More »
Eighteen hours after undergoing an emergency appendectomy, a client with a reported history of social drinking displays these vital signs: temperature, 101.6° F (38.7° C); heart rate, 126 beats/minute; respiratory rate, 24 breaths/minute; and blood pressure, 140/96 mm Hg. The client exhibits gross hand tremors and is screaming for someone to kill the bugs in… Read More »
The nurse considers a client’s response to crisis intervention successful if the client: A. Changes coping skills and behavioral patterns. B. Develops insight into reasons why the crisis occurred. C. Learns to relate better to others. D. Returns to his previous level of functioning. Correct Answer: D.… Read More »