Test Bank - for Introductory Mental Health Nursing
Fifth, Edition by Cynthia Kincheloe, All Chapters |
Complete Guide A+
A nurse is caring for several clients with major thought disorders such as
schizophrenia. They are all being treated with neuroleptic drugs. How do these drugs
act in the body to promote mental health? - ANSWER By blocking access to
dopamine receptors at the postsynaptic receptor site
Which medication is the first choice drug for the treatment of attention deficit
hyperactivity disorder (ADHD)? - ANSWER Methylphenidate
While watching television in the dayroom, a client who has demonstrated withdrawn,
regressed behavior suddenly screams, bursts into tears, and runs from the room to
the far end of the hallway. What is the most therapeutic intervention by the nurse? -
ANSWER Walking to the end of the hallway where the client is standing
A client with an obsessive-compulsive disorder continually walks up and down the
hall, touching every other chair. When unable to do this, the client becomes upset.
What should the nurse do? - ANSWER Allow the behavior to continue for a
specified time, letting the client help set the time limits to be imposed
Which statement is true regarding antipsychotic drugs? - ANSWER Clozapine is
more effective than other second-generation antipsychotics.
Which is a second-generation antidepressant drug? - ANSWER Citalopram
Which toxic effect would the nurse find in a client who has overdosed on
isocarboxazid? - ANSWER Circulatory collapse
Which drug most commonly causes extrapyramidal side effects (EPS)? - ANSWER
Haloperidol
After assessing a client, the nurse suspects that the client has shift-work sleep
disorder (SWSD). Which medication would be prescribed to the client? - ANSWER
Modafinil
Which condition contraindicates the use of ginseng herbal therapy? - ANSWER
Preggo
Which condition is contraindicated for St. John's wort herbal therapy? - ANSWER
Dementia
Which second-generation antidepressant can worsen uncontrolled angle closure
glaucoma? - ANSWER Duloxetine
, During a one-on-one interaction with a client with paranoid-type schizophrenia, the
client says to the nurse, "I've figured out how foreign agents have infiltrated the news
media. They want to shut me up before I spill the beans." How should the nurse
describe this statement when documenting this client's response? - ANSWER
Delusions of persecution
What is the best drug of choice for treating obsessive-compulsive disorder? -
ANSWER Clomipramine
A male client with a history of schizophrenia comes to the emergency department,
accompanied by his wife. What is the emergency department nurse's priority
intervention? - ANSWER Observing and evaluating his behavior
Which antidepressant drug is a selective monoamine oxidase-B inhibitor? -
ANSWER Selegiline
When a newly admitted client with paranoid ideation tells the nurse about people
coming through the doors to commit murder, what should the nurse do? - ANSWER
Listen to what the client is saying.
Which drug may lead to bruxism? - ANSWER Levomilnacipran
A nurse is preparing a teaching plan to educate a relative of a client with
schizophrenia about the early signs of relapse. What signs should the nurse plan to
include? Select all that apply. - ANSWER Appearing disheveled
Staying alone in the house
Exhibiting indifference to family activities
A nurse is caring for a client with the diagnosis of schizophrenia. What should the
nurse plan to do to increase the self-esteem of this client? - ANSWER eward
healthy behaviors
A psychotic male client is admitted to the hospital for evaluation. While obtaining the
history, the nurse asks why he was brought to the hospital by his parents. The client
states, "They lied about me. They said I murdered my mother. You killed her. She
died before I was born." What does the nurse recognize that the client is
experiencing? - ANSWER Persecutory delusions
Which drugs are considered typical antipsychotics? Select all that apply. - ANSWER
Thioridazine
Chlorpromazine
Which antipsychotic drugs have the higher risk of causing tardive dyskinesia? Select
all that apply. - ANSWER Loxapine
Haloperidol
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