Mental Health Quiz 3

A nurse is caring for a client who reports an upset stomach after taking chlorpromazine. Which of the following responses should the nurse make? - Drink a glass of milk with each dose of your medication A nurse is reviewing the medical histories of four clients. Which of the following clients may develop extrapyramidal symptoms from medication therapy? - A client who has schizophrenia and is taking antipsychotic medication. A nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching? - We will monitor your lithium levels closely while you are taking this medication. A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviours should alert the nurse that the adolescent still has suicidal intent? - Planning to give his CD collection to his girlfriend. A nurse is caring for a client who has generalized anxiety disorder and is taking buspirone. Which of the following adverse effects should the nurse report to the provider? - Sweating A nurse in an acute care mental health facility is admitting a client who reports feeling depressed, sad, moody, and overly anxious. Which of the following is the nurse's assessment priority? - Suicide risk A nurse is caring for a client who has anorexia nervosa and overexercises to avoid gaining weight. Which of the following nursing actions should the nurse take? - Ask the client to agree to talk to a nurse whenever she feels the urge to exercise. A nurse is providing teaching to a client who has schizophrenia and is to begin taking haloperidol. Which of the following information should the nurse include in the teaching? - "You make experience dizziness upon standing while taking this medication." A nurse is reviewing the medical record of a client who performs self-injury. Which of the following information should the nurse identify as placing the client at risk for self-harm behaviours? - The client has a co-occurring borderline personality disorder. A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine. Which of the following findings should the nurse recognize as EPS? - Muscle spasms of neck fidgeting behaviour tremors of the hands A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of amitriptyline." Which of the following responses should the nurse make? - I'm glad you called, and I want to send an ambulance to help you. A nurse in an acute care mental health facility is preparing to administer morning medication for a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L.