Which information is the most essential in the initial teaching session for the family of a young adult recently diagnosed with schizophrenia? A. Symptoms of this disease imbalance in the brain. B. Genetic history is an important factor related to the development of schizophrenia. C. Schizophrenia is a serious disease affecting every aspect of… Read More »
Benztropine (Cogentin) is used to treat the extrapyramidal effects induced by antipsychotics. This drug exerts its effect by: A. Decreasing the anxiety causing muscle rigidity. B. Blocking the cholinergic activity in the central nervous system (CNS). C. Increasing the level of acetylcholine in the CNS. D. Increasing norepinephrine in the CNS.… Read More »
Nurse Mary is assigned to care for a suicidal client. Initially, which is the nurse’s highest care priority? A. Assessing the client’s home environment and relationships outside the hospital. B. Exploring the nurse’s own feelings about suicide. C. Discussing the future with the client. D. Referring the client to a clergyperson to discuss… Read More »
A nurse is working with a client who has schizophrenia, paranoid type. Which of the following outcomes related to the client’s delusional perceptions would the nurse establish? A. The client will demonstrate realistic interpretation of daily events in the unit. B. The client will perform daily hygiene and grooming without assistance. C.… Read More »
A dopamine receptor agonist such as bromocriptine (Parlodel) relieves muscle rigidity caused by antipsychotic medication by: A. Blocking dopamine receptors in the central nervous system (CNS) B. Blocking acetylcholine in the CNS C. Activating norepinephrine in the CNS D. Activating dopamine receptors in the CNS Correct Answer:… Read More »
A 24-year old client with anorexia nervosa tells the nurse, “When I look in the mirror, I hate what I see. I look so fat and ugly.” Which strategy should the nurse use to deal with the client’s distorted perceptions and feelings? A. Avoid discussing the client’s perceptions and feelings. B. Focus discussions… Read More »
A client with bipolar disorder, manic type, exhibits extreme excitement, delusional thinking, and command hallucinations. Which of the following is the priority nursing diagnosis? A. Anxiety B. Impaired social interaction C. Disturbed sensory-perceptual alteration (auditory) D. Risk for other-directed violence Correct Answer: D. Risk for other-directed violence… Read More »
Most antipsychotic medications exert the following effects on the central nervous system (CNS)? A. Stimulates the CNS by blocking postsynaptic dopamine, norepinephrine, and serotonin receptors. B. Sedate the CNS by stimulating serotonin at the synaptic cleft. C. Depress the CNS by blocking the postsynaptic transmission of dopamine, serotonin, and norepinephrine. D.… Read More »
Nurse Alice is caring for a client being treated for alcoholism. Before initiating therapy with disulfiram (Antabuse), the nurse teaches the client that he must read labels carefully on which of the following products? A. Carbonated beverages B. Aftershave lotion C. Toothpaste D. Cheese Correct Answer: B.… Read More »
A client who abuses alcohol and cocaine tells a nurse that he only uses substances because of his stressful marriage and difficult job. Which defense mechanisms is this client using? A. Displacement B. Projection C. Rationalization D. Sublimation Correct Answer: C. Rationalization Rationalization is the defense mechanism… Read More »