Terry with mania is skipping up and down the hallway practically running into other clients. Which of the following activities would the nurse in charge expect to include in Terry’s plan of care? A. Watching TV B. Cleaning dayroom tables C. Leading group activity D. Reading a book … Read More »
Kathleen is admitted to the psychiatric clinic for treatment of anorexia nervosa. To promote the client’s physical health, the nurse should plan to: A. Severely restrict the client’s physical activities. B. Weigh the client daily, after the evening meal. C. Monitor vital signs, serum electrolyte levels, and acid-base balance. D. Instruct… Read More »
Mark, with a diagnosis of generalized anxiety disorder, wants to stop taking his lorazepam (Ativan). Which of the following important facts should nurse Betty discuss with the client about discontinuing the medication? A. Stopping the drug may cause depression. B. Stopping the drug increases cognitive abilities. C. Stopping the drug decreases sleeping… Read More »
When assessing a male client for suicidal risk, which of the following methods of suicide would the nurse identify as most lethal? A. Wrist cutting B. Headbanging C. Use of gun D. Aspirin overdose Correct Answer: C. Use of gun A crucial factor in determining the lethality of a… Read More »
During postprandial monitoring, a female client with bulimia nervosa tells the nurse, “You can sit with me, but you’re just wasting your time. After you had sat with me yesterday, I was still able to purge. Today, my goal is to do it twice.” What is the nurse’s best response? A. “I trust you not to… Read More »
Which nursing intervention is most appropriate for a client with anorexia nervosa during initial hospitalization on a behavioral therapy unit? A. Emphasize the importance of good nutrition to establish normal weight. B. Ignore the client’s mealtime behavior and focus instead on issues of dependence and independence. C. Help establish a plan using privileges and… Read More »
A client with catatonic schizophrenia is mute, can’t perform activities of daily living, and stares out the window for hours. What is the nurse’s first priority? A. Assist the client with feeding B. Assist the client with showering C. Reassure the client about safety D. Encourage socialization with peers … Read More »
Celia with a history of polysubstance abuse is admitted to the facility. She complains of nausea and vomiting 24 hours after admission. The nurse assesses the client and notes piloerection, pupillary dilation, and lacrimation. The nurse suspects that the client is going through which of the following withdrawals? A. Alcohol withdrawal B. Cannabis… Read More »
Jennifer, an adolescent who is depressed and reported by her parents as having difficulty in school is brought to the community mental health center to be evaluated. Which of the following other health problems would the nurse suspect? A. Anxiety disorder B. Behavioral difficulties C. Cognitive impairment D. Labile moods … Read More »
Jun has been hospitalized for major depression and suicidal ideation. Which of the following statements indicates to the nurse that the client is improving? A. “I’m of no use to anyone anymore.” B. “I know my kids don’t need me anymore since they’re grown.” C. “I couldn’t kill myself because I don’t… Read More »