Mr. Peterson, 35, is admitted for bipolar illness, manic phase, after assaulting his landlord in an argument over Mr. Peterson is staying up all night playing loud music. Mr. Peterson is hyperactive, intrusive, and has rapid, pressured speech. He has not slept in three days and appears thin and disheveled. Which of the following is… Read More »
Which of the following would best indicate to the nurse that a depressed client is improving? A. Reduced levels of anxiety B. Changes in vegetative signs C. Compliance with medications D. Requests to talk to the nurse Correct Answer: B. Changes in vegetative signs Vegetative signs such as insomnia,… Read More »
An elderly man is admitted to the hospital. He was alert and oriented during the admission interview. However, his family states that he becomes disruptive and disoriented around dinnertime. One night he was shouting furiously and didn’t know where he was. He was sedated and the next morning he was fine. At dinnertime, the disruptive… Read More »
Nurse Wilma is teaching a client about disulfiram (Antabuse), which the client is taking to deter his use of alcohol. She explains that using alcohol when taking this medication can result in: A. Abdominal cramps and diarrhea B. Drowsiness and decreased respiration C. Flushing, vomiting, and dizziness D. Increased pulse and… Read More »
The nurse is discussing electroconvulsive therapy (ECT) with a client who asks how long it will be before she feels better. The nurse explains that the beneficial effects of ECT usually occur within: A. One week B. Three weeks C. Four weeks D. Six weeks Correct Answer:… Read More »
The nurse is assessing a 17-year-old female who is admitted to the eating disorders unit with a history of weight fluctuation, abdominal pain, teeth erosion, receding gums, and bad breath. She states that her health has been a problem but there are no other concerns in her life. Which of the following assessments will be… Read More »
A 34-year-old woman is admitted for treatment of depression. Which of these symptoms would the nurse be least likely to find in the initial assessment? A. Inability to make decisions B. Feelings of hopelessness C. Family history of depression D. Increased interest in sex Correct Answer: D. Increased interest… Read More »
The nurse is planning care for a client who has a phobic disorder manifested by a fear of elevators. Which goal would need to be accomplished first? A. The client will demonstrate the relaxation response when asked. B. The client will verbalize the underlying cause of the disorder. C. The client will ride… Read More »
A teenage female is admitted with the diagnosis of anorexia nervosa. Upon admission, the nurse finds a bottle of assorted pills in the client’s drawer. The client tells the nurse that they are antacids for stomach pains. The best response by the nurse would be: A. “These pills aren’t antacids since they are all different.” … Read More »
A mother with a Roman Catholic belief has given birth in an ambulance on the way to the hospital. The neonate is in very critical condition with little expectation of surviving the trip to the hospital. Which of these requests should the nurse in the ambulance anticipate and be prepared to do? A. The… Read More »