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Question 1 of 25
1. Question
Which nursing intervention would be most appropriate if a male client develops orthostatic hypotension while taking amitriptyline (Elavil)?
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Question 2 of 25
2. Question
Mr. Cruz visits the physician’s office to seek treatment for depression, feelings of hopelessness, poor appetite, insomnia, fatigue, low self-esteem, poor concentration, and difficulty making decisions. The client states that these symptoms began at least 2 years ago. Based on this report, the nurse Tiffany suspects:
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Question 3 of 25
3. Question
After taking an overdose of phenobarbital (Barbita), Mario is admitted to the emergency department. Dr. Trinidad prescribes activated charcoal (Charcocaps) to be administered by mouth immediately. Before administering the dose, the nurse verifies the dosage ordered. What is the usual minimum dose of activated charcoal?
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Question 4 of 25
4. Question
What herbal medication for depression, widely used in Europe, is now being prescribed in the United States?
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Question 5 of 25
5. Question
Cely with manic episodes is taking lithium. Which electrolyte level should the nurse check before administering this medication?
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Question 6 of 25
6. Question
Nurse Josefina is caring for a client who has been diagnosed with delirium. Which statement about delirium is true?
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Question 7 of 25
7. Question
Edward, a 66-year-old client with slight memory impairment and poor concentration, is diagnosed with primary degenerative dementia of the Alzheimer’s type. Early signs of this dementia include subtle personality changes and withdrawal from social interactions. To assess for progression to the middle stage of Alzheimer’s disease, the nurse should observe the client for:
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Question 8 of 25
8. Question
Isabel with a diagnosis of depression is started on imipramine (Tofranil), 75 mg by mouth at bedtime. The nurse should tell the client that:
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Question 9 of 25
9. Question
Kathleen is admitted to the psychiatric clinic for treatment of anorexia nervosa. To promote the client’s physical health, the nurse should plan to:
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Question 10 of 25
10. Question
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?
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Question 11 of 25
11. Question
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?
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Question 12 of 25
12. Question
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:
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Question 13 of 25
13. Question
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?
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Question 14 of 25
14. Question
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:
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Question 15 of 25
15. Question
Nurse Irish is aware that Ritalin is the drug of choice for a child with ADHD. The side effects of the following may be noted by the nurse:
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Question 16 of 25
16. Question
Kitty, a 9-year-old child has a very limited vocabulary and interaction skills. She has an I.Q. of 45. She is diagnosed to have Mental retardation of this classification:
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Question 17 of 25
17. Question
The therapeutic approach in the care of Armand an autistic child includes the following EXCEPT:
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Question 18 of 25
18. Question
Jeremy is brought to the emergency room by friends who state that he took something an hour ago. He is actively hallucinating, agitated, with irritated nasal septum.
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Question 19 of 25
19. Question
Nurse Pauline is aware that Dementia unlike delirium is characterized by:
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Question 20 of 25
20. Question
A 35-year-old female has intense fear of riding an elevator. She claims “ As if I will die inside.” The client is suffering from:
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Question 21 of 25
21. Question
Nurse Myrna develops a counter-transference reaction. This is evidenced by:
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Question 22 of 25
22. Question
Tristan is on Lithium and has suffered from diarrhea and vomiting. What should the nurse in-charge do first:
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Question 23 of 25
23. Question
Nurse Sarah ensures a therapeutic environment for all the clients. Which of the following best describes a therapeutic milieu?
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Question 24 of 25
24. Question
Anthony is very hostile toward one of the staff for no apparent reason. He is manifesting:
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Question 25 of 25
25. Question
Marielle, 17 years old was sexually attacked while on her way home from school. She is brought to the hospital by her mother. Rape is an example of which type of crisis:
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