1. 1. A nurse is reviewing the medication administration record of a client
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who has major depressive disorder and a new prescription for selegiline. The nurse
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should recognize that which of the following client medications is contraindicated
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m when taken with selegiline?
m m m
a. Wafarin
b. Fluoxetine
c. Calcium carbonate m
d. Acetaminophen
m Ans>> b. m
m Fluoxetine
,2. 2. A nurse in a long-term care facility is assessing a client who has dementia.
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Which of the following findings
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should the nurse identify as a risk for this client?
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a. Outside doors have locks m m m
b. The bed is in the low position
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c. Hallways are long distances m m m
d. The room has an area rug
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Ans>> c. Hallways are long distances
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3. A nurse is providing behavioral therapy for a client who has obsessive-com- pulsive
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m disorder. The client repeatedly checks that the doors are locked at night. Which of
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m thefollowing instructions should the nurse
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give the client when using thought stopping technique?
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a. "Ask a family member to check the locks for you at night"
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b. "Keep a journal of how often you check the locks each night"
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c. "Snap a rubber band on your wrist when you think about checking the locks"
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d. "Focus on abdominal breathing whenever you go to check the locks"
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Ans>> c. "Snap a rubber band on your wrist when you think about checking the locks"
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,4. A nurse in an inpatient mental health facility is assessing a client who has
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m schizophrenia and is taking haloperidol. Which of the following clinical findings is
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m thenurse's priority?
m m
a. Insomnia
b. Urinary hesitancy m
c. Headache
d. High fever
m
Ans>> d. High fever
m m m
5. A nurse is caring for a client who has Alzheimer's disease. Which of the
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m followingfindings should the nurse expect?
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, a. Failure to recognize familiar objects
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b. Altered level of consciousness m m m
c. Excessive motor activity m m
d. Rapid mood swings m m
Ans>> failure to recognize familiar objects
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6. A nurse in a mental health facility is interviewing a new client. Which of the
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m following outcomes must occur if the nurse is to establish a therapeutic nurse-
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clientrelationship?
m
a. The nurse is seen as an authority figure
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b. A written contract is established to clarify the steps of the treatment plan
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c. The nurse maintains confidentiality unless the client's safety is compro- mised
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d. The nurse is seen as a friend
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Ans>> c. The nurse maintains confidentiality unless the client's safety is compromised
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7. A nurse is teaching a client who has a new prescription for disulfiram.Which of the
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following statements by the client indicates an understanding of the teaching?
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a. "If I cut myself, I can clean the wound with isopropyl alcohol"
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