When performing a physical examination on a female anxious client, nurse Nelli would expect to find which of the following effects produced by the parasympathetic system? A. Muscle tension B. Hyperactive bowel sounds C. Decreased urine output D. Constipation Correct Answer: B. Hyperactive bowel sounds The parasympathetic… Read More »
Which of the following drugs has been known to be effective in treating obsessive-compulsive disorder (OCD)? A. Divalproex (depakote) and Lithium (lithobid) B. Chlordiazepoxide (Librium) and diazepam (valium) C. Fluvoxamine (Luvox) and clomipramine (anafranil) D. Benztropine (Cogentin) and diphenhydramine (benadryl) Correct Answer: C. Fluvoxamine (Luvox) and clomipramine… Read More »
Tony with agoraphobia has been symptom-free for 4 months. Classic signs and symptoms of phobia include: 1. Severe anxiety and fear. A. Severe anxiety and fear. B. Withdrawal and failure to distinguish reality from fantasy. C. Depression and weight loss. D. Insomnia and inability to concentrate. Correct Answer:… Read More »
Mrs. Mendoza is a 75-year-old client who has dementia of the Alzheimer’s type and confabulates. The nurse understands that this client: A. Denies confusion by being jovial. B. Pretends to be someone else. C. Rationalizes various behaviors. D. Fills in memory gaps with fantasy. Correct Answer: D.… Read More »
Which nursing action is most appropriate when trying to diffuse a client’s impending violent behavior? A. Place the client in seclusion. B. Leaving the client alone until he can talk about his feelings. C. Involving the client in a quiet activity to divert attention. D. Helping the client identify and express feelings of… Read More »
Rosana is in the second stage of Alzheimer’s disease who appears to be in pain. Which question by Nurse Jenny would best elicit information about the pain? A. “Where is your pain located?” B. “Do you hurt? (pause) “Do you hurt?” C. “Can you describe your pain?” D. “Where do you hurt?” … Read More »
Nursing preparation for a client undergoing electroconvulsive therapy (ECT) resemble those used for: A. General anesthesia B. Cardiac stress testing C. Neurologic examination D. Physical therapy Correct Answer: A. General anesthesia The nurse should prepare a client for ECT in a manner similar to that for general… Read More »
Jose who is receiving monoamine oxidase inhibitor antidepressant should avoid tyramine, a compound found in which of the following foods? A. Figs and cream cheese B. Fruits and yellow vegetables C. Aged cheese and Chianti wine D. Green leafy vegetables Correct Answer: C. Aged cheese and Chianti… Read More »
Erlinda, age 85, with major depression undergoes a sixth electroconvulsive therapy (ECT) treatment. When assessing the client immediately after ECT, the nurse expects to find: A. Permanent short-term memory loss and hypertension. B. Permanent long-term memory loss and hypomania. C. Transitory short-term memory loss and permanent long-term memory loss. D. Transitory… Read More »
Barbara with bipolar disorder is being treated with lithium for the first time. Nurse Clint should observe the client for which common adverse effect of lithium? A. Polyuria B. Seizures C. Constipation D. Sexual dysfunction Correct Answer: A. Polyuria Polyuria commonly occurs early in the treatment with… Read More »