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Psychiatric Nursing Test - 3
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Psychiatric Nursing
Test - 3
1. To further assess a client’s suicidal potential. Nurse Katrina should be especially alert to the client expression of:
Anxiety & loneliness
Frustration & fear of death
Anger & resentment
Helplessness & hopelessness
2. Nurse Claire is caring for a client diagnosed with bulimia. The most appropriate initial goal for a client diagnosed with bulimia is?
Avoid shopping plenty of groceries
Identify anxiety causing situations
Eat only three meals a day
Encourage to avoid foods
3. Which information is most important for the nurse to include in a teaching plan for a schizophrenic client taking clozapine (Clozaril)?
Stop the medication when symptoms subside.
Blood pressure must be monitored for hypertension.
Report a sore throat or fever to the physician immediately.
Monthly blood tests will be necessary.
4. Propranolol (Inderal) is used in the mental health setting to manage which of the following conditions?
The manic phase of bipolar illness as a mood stabilizer
Delusions for clients suffering from schizophrenia
The manic phase of bipolar illness as a mood stabilizer
Antipsychotic-induced akathisia and anxiety
5. A client with chronic schizophrenia receives 20 mg of fluphenazine decanoate (Prolixin Decanoate) by I.M. injection. Three days later, the client has muscle contractions that contort the neck. This client is exhibiting which extrapyramidal reaction?
Akinesia
Dystonia
Tardive dyskinesia
Akathisia
6. A client is unable to get out of bed and get dressed unless the nurse prompts every step. This is an example of which behavior?
Avolition
Perseveration
Tangential
Word salad
7. Which of the following is one of the advantages of the newer antipsychotic medication risperidone (Risperdal)?
Photosensitivity and sedation
A lower incidence of extrapyramidal effects
No incidence of neuroleptic malignant syndrome
The absence of anticholinergic effects
8. A client with paranoid schizophrenia is admitted to the psychiatric unit of a hospital. Nursing assessment should include careful observation of the client's:
verbal and nonverbal communication processes
psychomotor activity.
affect and behavior.
thinking, perceiving, and decision-making skills.
9. A client begins clozapine (Clozaril) therapy after several other antipsychotic agents fail to relieve her psychotic symptoms. The nurse instructs her to return for weekly white blood cell (WBC) counts to assess for which adverse reaction?
Granulocytopenia
Infection
Systemic dermatitis
Hepatitis
10. How soon after chlorpromazine (Thorazine) administration should the nurse expect to see a client's delusional thoughts and hallucinations eliminated?
Several weeks
Several hours
Several minutes
Several days
11. The etiology of schizophrenia is best described by:
psychological, and environmental factors
genetics due to a faulty dopamine receptor.
A combination of biological, psychological, and environmental factors
structural and neurobiological factors.
12. Positive symptoms of schizophrenia include which of the following?
Waxy flexibility, alogia, and apathy
Somatic delusions, echolalia, and a flat affect
Hallucinations, delusions, and disorganized thinking
Flat affect, avolition, and anhedonia
13. Which nonantipsychotic medication is used to treat some clients with schizoaffective disorder?
imipramine (Tofranil)
lithium carbonate (Lithane)
chlordiazepoxide (Librium)
phenelzine (Nardil)
14. A client with a diagnosis of paranoid schizophrenia comments tothe nurse, "How do I know what is really in those pills?" Which of the following is the best response?
Say, "Don't worry about what is in the pills. It's what is ordered."
Say, "You know it's your medicine."
Ignore the comment because it's probably a joke.
Allow him to open the individual wrappers of the medication.
15. A client diagnosed with schizoaffective disorder is suffering from schizophrenia with elements of which of the following disorders?
Mood disorder
Thought disorder
Amnestic disorder
Personality disorder
16. Important teaching for a client receiving risperidone (Risperdal) would include advising the client to:
discontinue the drug if the client reports weight gain.
be sure to take the drug with a meal because it's very irritating to the stomach.
double the dose if missed to maintain a therapeutic level.
notify the physician if the client notices an increase in bruising.
17. Irrational fear related to closed spaces is referred to as-
Nosophobia
Agroaphobia
Acrophobia
Claustrophobia
18. The voltage needed to produce seizures while giving ECT is-
180 to 220 volts
150 to 180 volts
40 to 70 volts
70 to 150 volts
19. The drug which is used to create aversion in alcohol dependence-
Disulfiram
Propanolol
Diazepam
Apomorphine
20. Drug of choice for rapid-cycling PDP is-
Lithium
Sodium vaporate
Haloperiodol
Carbamazepine
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