Category Archives: 705

Comprehensive exams for Mental Health Q 71

Prior to administering chlorpromazine (Thorazine) to an agitated client, the nurse should:         A. Assess skin color and sclera      B. Assess the radial pulse      C. Take the client’s blood pressure      D. Ask the client to void           Correct Answer: C. Take the client’s blood pressure Because chlorpromazine (Thorazine) can… Read More »

Comprehensive exams for Mental Health Q 72

A client with delusional thinking shows a lack of interest in eating at meal times. She states that she is unworthy of eating and that her children will die if she eats. Which nursing action would be most appropriate for this client?         A. Telling the client that she may become sick and die unless she eats.… Read More »

Comprehensive exams for Mental Health Q 73

When monitoring a female client recently admitted for treatment of cocaine addiction, nurse Aaron notes sudden increases in the arterial blood pressure and heart rate. To correct these problems, the nurse expects the physician to prescribe:         A. Norepinephrine (Levophed) and Lidocaine (Xylocaine)      B. Nifedipine (Procardia) and Lidocaine.      C. Nitroglycerin (Nitro-Bid IV) and… Read More »

Comprehensive exams for Mental Health Q 74

The nurse understands that electroconvulsive therapy is primarily used in psychiatric care for the treatment of:         A. Anxiety disorders      B. Depression      C. Mania      D. Schizophrenia           Correct Answer: B. Depression Electroconvulsive therapy (ECT) can provide relief for patients with severe depression who have not been able to feel… Read More »

Comprehensive exams for Mental Health Q 75

Which of the following groups of characteristics would the nurse expect to see in the client with schizophrenia?         A. Loose associations, grandiose delusions, and auditory hallucinations      B. Periods of hyperactivity and irritability alternating with depression      C. Delusions of jealousy and persecution, paranoia, and mistrust      D. Sadness, apathy, feelings of worthlessness, anorexia,… Read More »

Comprehensive exams for Mental Health Q 76

A 25 –year old client experiencing alcohol withdrawal is upset about going through detoxification. Which of the following goals is a priority?         A. The client will commit to a drug-free lifestyle.      B. The client will work with the nurse to remain safe.      C. The client will drink plenty of fluids daily.   … Read More »

Comprehensive exams for Mental Health Q 77

A client taking the MAOI phenelzine (Nardil) tells the nurse that he routinely takes all of the medications listed below. Which medication would cause the nurse to express concern and therefore initiate further teaching?         A. Acetaminophen (Tylenol)      B. Diphenhydramine (Benadryl)      C. Furosemide (Lasix)      D. Isosorbide dinitrate (Isordil)          … Read More »

Comprehensive exams for Mental Health Q 78

The nurse must administer a medication to reverse or prevent Parkinson-type symptoms in a client receiving an antipsychotic. The medication the client will likely receive is:         A. benztropine (Cogentin)      B. diphenhydramine (Benadryl)      C. propranolol (Inderal)      D. haloperidol (Haldol)           Correct Answer: A. benztropine (Cogentin) Benztropine, trihexyphenidyl, or amantadine… Read More »

Comprehensive exams for Mental Health Q 79

A male client is admitted to a psychiatric facility by court order for evaluation for antisocial personality disorder. This client has a long history of initiating fights and abusing animals and recently was arrested for setting a neighbor’s dog on fire. When evaluating this client for the potential for violence, nurse Perry should assess for… Read More »

Comprehensive exams for Mental Health Q 80

The nurse is administering a psychotropic drug to an elderly client who has a history of benign prostatic hypertrophy. It is most important for the nurse to teach this client to:         A. Add fiber to his diet.      B. Exercise on a regular basis.      C. Report incomplete bladder emptying.      D. Take the prescribed dose… Read More »