NR 326 Week 2 Quiz 1

NR 326 Week 2 Quiz 1 Question: A nurse is monitoring a client in restraints. Which of the following findings should indicate to the nurse that the client is ready to reintegrate into the unit? Question: A client during a therapeutic group session led by the nurse suddenly jumps up, screams, and runs out of the room. What is the nurse’s priority of action? Question: Which of the following is true about clients admitted for involuntary admission? (SATA) Question: A mandatory educational session is conducted on an inpatient mental health unit for all nurses about seclusion and restraints. Seclusion is contraindicated in which of the following clients? Question: A nurse is reviewing the protocol for restraints and seclusion (r/s). Included in the protocol are which of the following? (SATA) Question: A nurse is caring for an adolescent client with a history of violent behavior. The client asked the nurse to keep information confidential about the desire to kill several classmates and a school teacher. Which statement by the nurse is the best response? Question: A nurse on a behavioral health unit is monitoring an adult client who was placed in 4 point restraints. Nursing care for the client in restraint includes which of the following? (SATA) Question: The nurse initiating a therapeutic relationship with clients knows which of the following defense mechanisms are always adaptive and never maladaptive? Question: A client tells a nurse that the nurse is the only one who cares about them, yet the following day, the client refuses to talk to that nurse. This is an example of which of the following defense mechanisms? Question: A nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to give necessary information to the client? (Select all that apply) Question: Which of the following should the nurse include in the nursing assessment of a client’s ability to cope during a crisis? Question: A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity. Which of the following actions is the nurse’s priority? Question: Nursing considerations when giving a benzodiazepine medication to a client exhibiting severe to panic anxiety include which of the following? Question: Which of the following is a correct assumption regarding the concept of crisis? Question: A nurse is conducting group therapy with a group of clients. Which of the following statements made by a client is an example of aggressive- communication? Question: A nurse is caring for a client who is speaking in a loud voice with clenched fists. Which of the following actions should the nurse take? Question: A nurse is assessing a client in an inpatient mental health unit. Which of the following findings should the nurse expect if the client is in the pre-assaultive stage of violence? (Select all that apply) Question: A nurse is caring for a client in an inpatient mental health facility who gets up from a chair and throws it across the day room. Which of the following is the priority nursing action? Question: Jenny reports to the high school nurse that her mom drinks too much. She is drunk every afternoon when Jenny comes home from school and her mom throws objects at the wall, yells at Jenny, and blames her for everything wrong. Jenny is afraid to invite her friends over because of her mother’s behavior. What defense mechanisms is Jenny’s mom exhibiting and which of the following nursing interventions would the nurse include? Question: Selective serotonin reuptake inhibitors, such as fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft), specifically inhibit which of the following neurotransmitters? Bonus Questions: Question: Common side effects of SNRI include which of the following? Question: Antipsychotics relieve symptoms of psychosis by which of the following? (SATA) Question: A nurse is caring for a client who has a prescription for an Anti-anxiety, alprazolam 0.25 mg PO every 8 hr PRN anxiety. Which of the following is an appropriate situation to administer alprazolam to this client? Question: A nurse is caring for a client who lost all his possessions in a house fire and states, “I have no idea what I am going to do. I cannot think right now.” Which of the following is an immediate priority nursing action? Question: Common side effects of a serotonin norepinephrine reuptake inhibitor (SNRI) medication include which of the following? Question: Antipsychotics relieve symptoms of psychosis by which of the following? (SATA)