Nurse Fey is aware that the drug of choice for treating Tourette syndrome? A. Fluoxetine (Prozac) B. Fluvoxamine (Luvox) C. Haloperidol (Haldol) D. Paroxetine (Paxil) Correct Answer: C. Haloperidol (Haldol) Haloperidol is the drug of choice for treating Tourette syndrome. Antipsychotic medications have been the most extensively… Read More »
When providing family therapy, the nurse analyzes the functioning of healthy family systems. Which situations would not increase stress on a healthy family system? A. An adolescent’s going away to college B. The birth of a child C. The death of a grandparent D. Parental disagreement Correct… Read More »
The nurse formulates a nursing diagnosis of Impaired social interaction related to disorganized thinking for a client with schizotypal personality disorder. Based on this nursing diagnosis, which nursing intervention takes the highest priority? A. Helping the client to participate in social interactions. B. Establishing a one-on-one relationship with the client. C. Exploring the effects… Read More »
A male client tells the nurse he was involved in a car accident while he was intoxicated. What would be the most therapeutic response from nurse Julia? A. “Why didn’t you get someone else to drive you?” B. “Tell me how you feel about the accident.” C. “You should know better than to drink… Read More »
A client taking the monoamine oxidase inhibitor (MAOI) antidepressant isocarboxazid (Marplan) is instructed by the nurse to avoid which foods and beverages? A. Aged cheese and red wine B. Milk and green, leafy vegetables C. Carbonated beverages and tomato products D. Lean red meats and fruit juices … Read More »
A client with schizophrenia hears a voice telling him he is evil and must die. The nurse understands that the client is experiencing: A. A delusion B. Flight of ideas C. Ideas of reference D. Hallucination Correct Answer: D. Hallucination A hallucination is a sensory perception, such… Read More »
A female client who’s at high risk for suicide needs close supervision. To best ensure the client’s safety, Nurse Mary should: A. Check the client frequently at irregular intervals throughout the night. B. Assure the client that the nurse will hold in confidence anything the client says. C. Repeatedly discuss previous suicide… Read More »
The nurse observes a client pacing in the hall. Which statement by the nurse may help the client recognize his anxiety? A. “I guess you’re worried about something, aren’t you? B. “Can I get you some medication to help calm you?” C. “Have you been pacing for a long time?” D.… Read More »
A client receiving haloperidol (Haldol) complains of a stiff jaw and difficulty swallowing. The nurse’s first action is to: A. Reassure the client and administer as needed lorazepam (Ativan) I.M. B. Administer as needed dose of benztropine (Cogentin) I.M. as ordered. C. Administer as needed dose of benztropine (Cogentin) by mouth as ordered. … Read More »
A male adult client voluntarily admits himself to the substance abuse unit. He confesses that he drinks one (1) qt or more of vodka each day and uses cocaine occasionally. Later that afternoon, he begins to show signs of alcohol withdrawal. What are some early signs of this condition? A. Vomiting, diarrhea, and bradycardia… Read More »