QUESTION 21 A hospitalized client who had been taking low-dose…

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Question Answered QUESTION 21 A hospitalized client who had been taking low-dose… QUESTION 21A hospitalized client who had been taking low-dose chlordiazepoxide as a sleep aid for several years has stopped this medication abruptly. The RN can expect to see withdrawal symptoms begin how long after cessation of the medication?a. 3 days afterwardsb. 5-8 days afterwardsc. 2-4 hours afterwards d. 12-24 hours afterwardsQUESTION 22A 40-year-old client with new-onset Schizophrenia has been taking fluphenazine for four days and begins to exhibit symptoms of muscular weakness, which is an indication of:a. Dystoniab. Akinesiac. Akathisiad. PseudoparkinsonismQUESTION 23Which of the following observations should make the RN suspect possible parental child abuse when assessing an 8-year-old child that was brought to the emergency room after a school sports injury?a. Child starts crying, saying he wants to go home.b. Child refuses to allow the nurse to examine him.c. Child complains that his teammates are “mean.”d. Child recoils when father enters the exam room.QUESTION 24Which RN intervention best supports a care plan based on Maslow’s physiological needs?a. Initiating contact precautions.b. Keeping the side rails up on the bed.c. Involving the family in the plan of care.d. Maintaining an oxygen saturation of 95%.QUESTION 25The RN is assessing a newly admitted client using the Michigan Alcoholism Screening Test (MAST). When the client responds affirmatively to the question, “Have you ever lost friends because of your drinking?”, the score of 5 is assigned by the RN. What does this indicate about the client’s use of alcoholic beverages?a. The client has a possible problem with alcohol use.b. The client previously had a problem with alcohol use, but is now recovered.c. The client has no problems with alcohol use.d. The client has a definite problem with alcohol use.QUESTION 26Which medication is contraindicated for adolescents who are being treated for major depressive disorder?a. fluoxetine (Prozac)b. escitalopram (Lexapro)c. imipramine (Tofranil)d. paroxetine (Paxil)QUESTION 27Which behavior would first alert the RN that a co-worker might be impaired due to substance abuse?a. Preferring to eat alone during lunch.b. Unexplained disappearance from the nursing unit.c. Clients reporting unrelieved pain.d. Discrepancies in the end-of-shift count.QUESTION 28Which side effect would the RN address when providing patient teaching for a client taking typical (traditional) antipsychotic medications? a. Hyperactivity b. Excessive energy c. Dystonia d. Urinary frequencyQUESTION 29Which nursing interventions would be appropriate when providing care for a patient who is exhibiting symptoms of a panic attack? Select all that apply.a. Instruct the patient to take slow deep breaths.b. Encourage the patient to attend group therapy.c. Loosen any restrictive clothing.d. Decrease external stimuli and noise.e. Increase the volume on the television to distract the patient.QUESTION 30Why would the RN ask a client about her use of St. John’s Wort as an alternative treatment for Depression?a. The cost of the treatment may be more than that of standard therapies.b. It can interfere with the action and effectiveness of other medications.c. A prescription is required to obtain it from a pharmacy. d. Alternative medicines are not effective in the treatment of depression.QUESTION 31Which statement is accurate about the admission status of a client with a longstanding history of Depression who seeks admission for psychiatric treatment due to thoughts of self-harm?a. The client must have a family member authorize the admission.b. The client relinquishes all rights to have a say in treatment decisions.c. By law, the maximum duration of this admission may only be 72 hours.d. The client may leave the hospital at any time unless deemed a danger to self or others.QUESTION 32An LPN is assisting with the care of a client receiving an antipsychotic medication for the treatment of Schizophrenia. The RN tells the LPN to report immediately if which of the following client symptoms is noticed? a. Excessive drooling of saliva. b. Smacking of the lips. c. Shouting of obscenities. d. Tremors at rest.QUESTION 33Which nursing intervention would the RN include in the plan of care for an autistic client with the nursing diagnosis of Self-mutilation?a. Set time limits for meals.b. Maintain a structured schedule of daily activities.c. Offer sympathy during episodes of self-mutilation.d. Rotate staff members who care for the client.QUESTION 34The RN is conducting a 15-minute mental health assessment for a client in the manic phase of Bipolar Disorder. What is the rationale for limiting the length of the assessment?a. Too many questions can lead to depression.b. A longer period of time may overstimulate the client.c. The client will feel pressured to keep talking.d. The client will lose interest if it is longer.QUESTION 35 The RN is aware that which would occur if needs were not met during the latency stage of Freud’s development? a. Disorganization, untidiness and destructiveness. b. Identification with the opposite-gender parent. c. Inability to trust others. d. Inability to develop relationships with other children.QUESTION 36Which clinical manifestation will the RN expect to observe in a patient taking the medication disulfiram (Antabuse) who presents to the emergency room where a blood alcohol level of 125 mg/dL is obtained?a. Nausea and vomitingb. Sweatingc. Headached. Heart failureQUESTION 37Which behavior would the RN interpret as an inappropriate affect?a. Smiling when receiving news of a birth of a child.b. Crying when being told that the family pet has died. c. Reacting calmly when a child drops food on the floor. d. Giggling while reading the news of a fatal car accident.QUESTION 38Which RN intervention is the priority when caring for a patient with Borderline Personality Disorder who displays occasional self-destructive behaviors?a. Place the patient under continuous observation. b. Minimize physical activity to discourage violent impulses.c. Encourage the patient to explore triggers for the behaviors.d. Contact the healthcare provider for an order for restraints.QUESTION 39To create a safe environment for a client with Alzheimer’s disease who wanders, the RN instructs the LPN to assist with which of the following interventions? a. Encourage independence with preparing meals. b. Provide an enclosed area for pacing. c. Remove all diversions such as television and radio. d. Maintain a varied schedule for meals and toileting.QUESTION 40Which nursing interventions are important for the RN to incorporate into a care plan for a client with an Obsessive-Compulsive Disorder? Select all that apply.a. Tell the patient to spend more time alone.b. Involve the patient in group therapy activities.c. Discourage physical activity as it might cause fatigue.d. Encourage journaling to sort out feelings. e. Teach the patient to breathe slowly and deeply.   Health Science Science Nursing NUR 212 Share QuestionEmailCopy link Comments (0)

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