Nurse Daisy is aware that the following pharmacologic agents are sedative-hypnotic medication is used to induce sleep for a client experiencing a sleep disorder is: A. triazolam (Halcion) B. paroxetine (Paxil) C. fluoxetine (Prozac) D. risperidone (Risperdal) Correct Answer: A. triazolam (Halcion) Triazolam is one of a… Read More »
When assessing a female client who is receiving tricyclic antidepressant therapy, which of the following would alert the nurse to the possibility that the client is experiencing anticholinergic effects? A. Urine retention and blurred vision B. Respiratory depression and convulsion C. Delirium and Sedation D. Tremors and cardiac arrhythmias … Read More »
Nurse Josefina is caring for a client who has been diagnosed with delirium. Which statement about delirium is true? A. It’s characterized by an acute onset and lasts about 1 month. B. It’s characterized by a slowly evolving onset and lasts about 1 week. C. It’s characterized by a slowly evolving onset… Read More »
Aldo, with a somatoform pain disorder may obtain secondary gain. Which of the following statements refers to a secondary gain? A. It brings some stability to the family. B. It decreases the preoccupation with the physical illness. C. It enables the client to avoid some unpleasant activity. D. It promotes emotional… Read More »
For a male client with dysthymic disorder, which of the following approaches would the nurse expect to implement? A. ECT B. Psychotherapeutic approach C. Psychoanalysis D. Antidepressant therapy Correct Answer: B. Psychotherapeutic approach Dysthymia is a less severe, chronic depression diagnosed when a client has had a… Read More »
Edward, a 66-year-old client with slight memory impairment and poor concentration, is diagnosed with primary degenerative dementia of the Alzheimer’s type. Early signs of this dementia include subtle personality changes and withdrawal from social interactions. To assess for progression to the middle stage of Alzheimer’s disease, the nurse should observe the client for: A.… Read More »
David is diagnosed with panic disorder with agoraphobia and is talking with the nurse in-charge about the progress made in treatment. Which of the following statements indicates a positive client response? A. “I went to the mall with my friends last Saturday” B. “I’m hyperventilating only when I have a panic attack” … Read More »
Danny, who is diagnosed with bipolar disorder and acute mania, states the nurse, “Where is my daughter? I love Louis. Rain, rain go away. Dogs eat dirt.” The nurse interprets these statements as indicating which of the following? A. Echolalia B. Neologism C. Clang associations D. Flight of ideas … Read More »
Isabel with a diagnosis of depression is started on imipramine (Tofranil), 75 mg by mouth at bedtime. The nurse should tell the client that: A. This medication may be habit-forming and will be discontinued as soon as the client feels better. B. This medication has no serious adverse effects. C. The client… Read More »
The effectiveness of monoamine oxidase (MAO) inhibitor drug therapy in clients with posttraumatic stress disorder can be demonstrated by which of the following client self–reports? A. “I’m sleeping better and don’t have nightmares”. B. “I’m not losing my temper as much”. C. “I’ve lost my craving for alcohol”. D. “I’ve lost… Read More »