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Mental Health Exam 2 Quizlet- practice questions and Answers 2024
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Mental Health Exam 2 Quizlet- practicequestions and Answers 2024
The nurse finds a client crying in his room. The client states, "I'm so sad and
lonely. I'm sitting here crying like a baby." The nurse's best response is:
a. "I think you are a fine man".
b. "Why don't you get involved in the activity group?"
c. "It's a gray rainy day. That's why you feel down. Everyone is down today."
d. "Are you embarrassed because you're crying?" - -d. "Are you embarrassed
because you're crying?"
-A withdrawn client is assessed as having distorted thinking that is not
reality based. A nursing diagnosis that should be considered for her would be
a. impaired verbal communication.
b. disturbed thought processes.
c. disturbed self-esteem.
d. defensive coping. - -b. disturbed thought processes
-Jim is sometimes seen moving his lips silently or murmuring to himself
when he does not realize others are watching. Sometimes when he is
conversing with others, he suddenly stops, appears distracted for a moment,
and then resumes. Based on these observations, Jim most likely is
experiencing which symptom(s)? Select all that apply:
a. Illusions.
b. Paranoia.
c. Delusional thinking.
d. Auditory hallucinations.
e. Impaired reality testing.
f. Stereotyped behaviors. - -d. Auditory hallucinations.
e. Impaired reality testing.
-Looseness of associations in a person with schizophrenia indicate
a. paranoia.
b. mood instability.
c. depersonalization.
d. poorly organized thinking. - -d. poorly organized thinking.
-Which assessment finding represents a negative symptom of
schizophrenia?
,a. Apathy
b. Delusion
c. Motor tic
d. Hallucination - -a. Apathy
-In general, when a nurse admitting a client experiencing an acute
schizophrenia episode, she would most likely assess which of the following?
a. Open and outgoing personality
b. Loss of contact with reality
c. Feelings of guilt and worthlessness
d. Logical and precise thinking - -b. Loss of contact with reality
-While the nurse was doing the assessment, Jeffery turned to an empty chair
talking as if someone was sitting there. The nurse was unable to understand
what he was mumbling. This, in fact, indicates that the patient has:
a. Delusions.
b. Hallucinations.
c. Illusions.
d. Flight of ideas. - -b. Hallucinations.
-According to the previous scenario, which of the following symptoms is
considered a negative symptom of schizophrenia?
a. The patient was mumbling.
b. The patient shouted; "They're coming! They're coming!"
c. The patient has anergia.
d. The patient believes that everything in the environment refer to him - -c.
The patient has anergia.
-lack of energy which should be present
-a,b,d are all unwanted symptoms that shouldn't be present
-The client is prescribed a first- generation neuroleptic for his schizophrenia.
Discharge teaching by the nurse should include contacting the health
provider if which of the following occurs?
a. Elevated temperature
b. Blurred vision
c. Difficulty concentrating
d. Inability to remain seated for long period of time - -a. Elevated
temperature
-Neuroleptic malignant syndrome
, -The client has been on Haldol since admission. Which assessment by the
nurse would best determine the effectiveness of a client's antipsychotic
medication?
a. The client no longer has hallucinations
b. The client is no longer depressed
c. The client has made a friend on the unit
d. The client requested discharge - -a. The client no longer has
hallucinations
-first generation antipsychotic
-A client has developed neuroleptic malignant syndrome. A priority nursing
intervention would be which of the following?
a. Provide comfort and rest
b. Measure intake and output
c. Encourage client to remain active
d. Monitor vital signs and blood pressure - -d. Monitor vital signs and blood
pressure
-1A client is admitted to the emergency room with complains of sore throat
and fever. The client's mother informs the nurse that the client has been
taking Clozaril. Which of the following laboratory tests is a priority at this
time?
a. Fasting blood sugar
b. Cholesterol level
c. Blood urea nitrogen
d. White blood cell count - -d. White blood cell count
-8. A new graduate has been assigned four patients whom she must perform
an assessment on. Her assessment reveals several clients complain. Which
client complains should receive priority?
a. A client receiving Cogentin who states, "I can't read my book, everything
seems blurred."
b. The client receiving Clozapine who states, "I think I might be getting the
flu, my throat is sore and I feel very tired."
c. A client who was admitted for alcoholism and states, " I took my valium
but I still feel nervous.
d. A client receiving Prozac who states "This medicine makes me sleepy. Is
that that normal?" - -b. The client receiving Clozapine who states, "I think I
might be getting the flu, my throat is sore and I feel very tired."
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