Mr. Garcia, an attorney who throws books and furniture around the office after losing a case, is referred to the psychiatric nurse in the law firm’s employee assistance program. Nurse Beatriz knows that the client’s behavior most likely represents the use of which defense mechanism? A. Regression B. Projection C. Reaction-formation D. Intellectualization… Read More »
Ricardo, an outpatient in a psychiatric facility is diagnosed with dysthymic disorder. Which of the following statements about dysthymic disorder is true? A. It involves a mood range from moderate depression to hypomania. B. It involves a single manic depression. C. It’s a form of depression that occurs in the fall and… Read More »
Which of the following activities would Nurse Trish recommend to the client who becomes very anxious when thoughts of suicide occur? A. Using exercise bicycle B. Meditating C. Watching TV D. Reading comics Correct Answer: A. Using exercise bicycle Using exercise bicycle is appropriate for the client… Read More »
Nurse Anne is caring for a client who has been treated long term with antipsychotic medication. During the assessment, Nurse Anne checks the client for tardive dyskinesia. If tardive dyskinesia is present, Nurse Anne would most likely observe: A. Abnormal movements and involuntary movements of the mouth, tongue, and face. B. Abnormal breathing through the… Read More »
The nurse is aware that the following ways in vascular dementia different from Alzheimer’s disease is: A. Vascular dementia has a more abrupt onset. B. The duration of vascular dementia is usually brief. C. Personality change is common in vascular dementia. D. The inability to perform motor activities occurs in vascular… Read More »
When developing the plan of care for a client receiving haloperidol, which of the following medications would nurse Monet anticipate administering if the client developed extrapyramidal side effects? A. olanzapine (Zyprexa) B. paroxetine (Paxil) C. benztropine mesylate (Cogentin) D. lorazepam (Ativan) Correct Answer: C. benztropine mesylate (Cogentin)… Read More »
Dennis has a lithium level of 2.4 mEq/L. The nurse immediately would assess the client for which of the following signs or symptoms? A. Weakness B. Diarrhea C. Blurred vision D. Fecal incontinence Correct Answer: C. Blurred vision At lithium levels of 2 to 2.5 mEq/L the… Read More »
Loretta, a newly admitted client was diagnosed with delirium and has a history of hypertension and anxiety. She had been taking digoxin, furosemide (Lasix), and diazepam (Valium) for anxiety. This client’s impairment may be related to which of the following conditions? A. Infection B. Metabolic acidosis C. Drug intoxication D. Hepatic… Read More »
Jon, a suspicious client, states that “I know you nurses are spraying my food with poison as you take it out of the cart.” Which of the following would be the best response of the nurse? A. Giving the client canned supplements until the delusion subsides. B. Asking what kind of poison the client suspects… Read More »
Nurse Jannah is monitoring a male client who has been placed in restraints because of violent behavior. Nurse determines that it will be safe to remove the restraints when: A. The client verbalizes the reasons for the violent behavior. B. The client apologizes and tells the nurse that it will never happen again.… Read More »