(Test Bank) Passpoint Mood, adjustment and dementia disorders 2021

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Nursing

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Test Bank for Passpoint Mood, adjustment and dementia disorders 2021, The downloadable file consists of 174 pages, and the total size of the file is 494.5 KB. Purchase now only for highly discounted price.

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Question 1 See full question A depressed client tells a nurse, "I want to die. Life just isn't worth living." Which response by the nurse is most appropriate? You Selected: •"Of course life is worth living. You'll feel better soon." Correct response: •"This must be a very difficult time for you." Explanation: Remediation: Question 2 See full question A professional artist is admitted to the psychiatric unit for treatment of bipolar disorder. During the previous 2 weeks, the client has created 154 paintings, slept only 2 to 3 hours every 2 days, and lost 18 lb (8.2 kg). Based on Maslow's hierarchy of needs, what should the nurse provide this client with first? You Selected: •Help with reestablishing a normal sleep pattern Correct response: •Help with reestablishing a normal sleep pattern Explanation: Remediation: Question 3 See full question For the client receiving outpatient treatment for depression and suicidal ideation, what is the correct amount of imipramine to have at one time? You Selected: •a 30-day supply Correct response: •a 7-day supply Explanation: Remediation: Question 4 See full question When developing appropriate assignments for the staff, which client should the nurse manager judge to be at highest risk for suicide completion? You Selected: •an 85-year-old Caucasian man who lives alone after his wife's death Correct response: •an 85-year-old Caucasian man who lives alone after his wife's death Explanation: Remediation: Question 5 See full question Which statement by a client taking valproic acid for bipolar disorder indicates that further teaching about this medication is necessary? You Selected: •"I can chew the pills if necessary." Correct response: •"I can chew the pills if necessary." Explanation: Remediation: Question 6 See full question During the nurse’s conversation with a depressed client, the client states, “I have no reason to be sad. I have a great job and a wonderful wife and family.” Which comment would be best for the nurse to make at this time? You Selected: •"Depression can be caused by a chemical imbalance in the brain." Correct response: •"Depression can be caused by a chemical imbalance in the brain." Explanation: Remediation: Question 7 See full question When educating a client who has been diagnosed with dysthymia about possible treatment for the disorder, which information should the nurse include? You Selected: •"Antidepressants offer you the best treatment for your disorder." Correct response: •"Dysthymia often responds to the combination of psychotherapy and antidepressants." Explanation: Question 8 See full question The family of a client diagnosed with Alzheimer's disease wants to keep the client at home. They say that they have the most difficulty in managing his wandering. What should the nurse instruct the family to do? Select all that apply. You Selected: •Ask the health care provider (HCP) for a sleeping medication. •Install door alarms and high door locks. Correct response: •Install motion and sound detectors. •Have the client wear a Medical Alert bracelet. •Install door alarms and high door locks. Explanation: Remediation: Question 9 See full question During the initial assessment, a female client exhibits pressured speech. She points to certain patterns on the wallpaper and says, "This is the writing about the tsunami. Thousands of people died because I read the writing. I should never have read the writing; it was my fault." Which of the following would be central to the nurse’s interventions? You Selected: •Replying to the client with feedback about reality and the client's behaviors Correct response: •Replying to the client with feedback about reality and the client's behaviors Explanation: Remediation: Question 10 See full question A client taking tranylcypromine sulfate for depression was treated in the emergency department for a headache, vomiting, and blood pressure of 190/100 mm/Hg following dinner at a restaurant. At discharge, the nurse evaluated the client’s understanding of diet instructions. For what menu choice will the nurse provide further education? You Selected: •Carrot cake and black coffee Correct response: •Mexican sausage soup with guacamole and chips Explanation: Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - -- TAKE A PRACTICE QUIZ uestion 1 See full question A physician orders electroconvulsive therapy (ECT) for a severely depressed client who fails to respond to drug therapy. When teaching the client and family about his treatment, the nurse should include which point about ECT? You Selected: •ECT will induce a seizure. Correct response: •ECT will induce a seizure. Explanation: Remediation: Question 2 See full question A nurse is working on a unit with individuals who have eating disorders. She is interviewing a new female client. The client has lost a significant amount of weight over the past months and complains of being "sick to my stomach" when around food. The client reports that she hasn't menstruated in 3 months. What is the priority nursing intervention? You Selected: •Requesting an order for a pregnancey test Correct response: •Requesting an order for a pregnancey test Explanation: Remediation: Question 3 See full question A physician orders a tricyclic antidepressant for a client who has suffered an acute myocardial infarction (MI) within the previous 6 months. Which action should the nurse take? You Selected: •Discontinue the medication. Correct response: •Question the physician about the order. Explanation: Remediation: Question 4 See full question A client with a diagnosis of major depression is ordered clonazepam for agitation in addition to an antidepressant. Client teaching should include which statement? You Selected: •Clonazepam may interact with organ meats. Correct response: •Clonazepam may have a slight depressant effect. Explanation: Remediation: Question 5 See full question Which characteristic would make the nurse suspect that a client with changes in cognition has delirium? You Selected: •disturbances in cognition and consciousness that fluctuate during the day Correct response: •disturbances in cognition and consciousness that fluctuate during the day Explanation: Remediation: Question 6 See full question The nurse is counseling a client regarding treatment of the client's newly diagnosed depression. The nurse emphasizes that full benefit from antidepressant therapy usually takes how long? You Selected: •2 to 4 weeks Correct response: •2 to 4 weeks Explanation: Remediation: Question 7 See full question The unlicensed assistive personnel (UAP) approaches the nurse and states, “The client does not know what caused him to be so depressed. He must not want to tell me because he does not trust me yet.” In responding to this staff member, which statement by the nurse will help the UAP understand the client’s illness? You Selected: •“Endogenous depression comes from within the person. It is a reaction to a loss. You need to give the client more time to identify the cause or loss.” Correct response: •”Endogenous depression is biochemical and is not caused by an outside stressor or problem. The client cannot tell you why he is depressed because he really does not know.” Explanation: Remediation: Question 8 See full question A client diagnosed with a cognitive disorder is showing signs of confusion, short-term memory loss, and a short attention span. Which therapy group would be best suited for this client? You Selected:•reality orientation Correct response: •reality orientation Explanation: Remediation: Question 9 See full question A client with dementia is eating off of other clients' meal trays. After the client with dementia is asked to stop, which of the following actions should be taken? You Selected: •Distract the client Correct response: •Distract the client Explanation: Remediation: Question 10 See full question A young adult client with severe depression and suicide ideation has been started on the selective seratonin reuptake inhibitor (SSRI) sertraline. Which client statement would indicate the client needs further teaching about seratraline? You Selected: •“Being on sertraline will significantly decrease the chances that I might hurt myself.” Correct response: •“Being on sertraline will significantly decrease the chances that I might hurt myself.” Explanation: Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - -TAKE A PRACTICE QUIZ Question 1 See full question One day after being admitted with bipolar disorder, a client becomes verbally aggressive during a group therapy session. Which response by the nurse is most therapeutic? You Selected: •"Your behavior is disturbing to the other clients. I'll walk with you around the patio to help you release some of your energy." Correct response: •"Your behavior is disturbing to the other clients. I'll walk with you around the patio to help you release some of your energy." Explanation: Remediation: Question 2 See full question A client is admitted to the local psychiatric facility with bipolar disorder in the manic phase. The physician decides to start the client on lithium carbonate therapy. One week after this therapy starts, the nurse notes that the client's serum lithium level is 1 mEq/L. What should the nurse do? You Selected: •Continue to administer the medication as ordered. Correct response: •Continue to administer the medication as ordered. Explanation: Remediation: Question 3 See full question A client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. T o help redirect the client's attention, the nurse should encourage the client to: You Selected: •fold towels and pillowcases. Correct response: •fold towels and pillowcases. Explanation: Remediation: Question 4 See full question Which statement should be included when teaching clients about monoamine oxidase (MAO) inhibitors? You Selected: •Don't take any prescribed or over-the-counter medications without consulting a physician and pharmacist. Correct response: •Don't take any prescribed or over-the-counter medications without consulting a physician and pharmacist. Explanation: Question 5 See full question A nurse is frustrated by her inability to make much progress establishing a therapeutic relationship with a client with bipolar disorder. Her most professional response would be to: You Selected: •discuss the situation with a more experienced peer. Correct response: •discuss the situation with a more experienced peer. Explanation: Question 6 See full questionA client taking paroxetine 40 mg PO every morning tells the nurse that her mouth “feels like cotton.” Which statement by the client necessitates further assessment by the nurse? You Selected: •"I am drinking 12 glasses of water every day." Correct response: •"I am drinking 12 glasses of water every day." Explanation: Remediation: Question 7 See full question A client with bipolar disorder, manic phase, is scheduled for a chest radiograph. Before taking the client to the radiology department, the nurse should: You Selected: •explain the procedure in simple terms. Correct response: •explain the procedure in simple terms. Explanation: Remediation: Question 8 See full question The client with bipolar disorder, manic phase, appears at the nurse's station wearing a transparent shirt, miniskirt, high heels, 10 bracelets, and eight necklaces. Her makeup is overdone and she is not wearing underwear. The nurse should: You Selected: •Escort the client to her room and assist with choosing appropriate attire. Correct response: •Escort the client to her room and assist with choosing appropriate attire. Explanation: Remediation: Question 9 See full question A client with bipolar disorder is monopolizing the use of the telephone by making several calls each day, interfering with the ability of other clients to use the telephone. The nurse should: You Selected: •limit the amount of calls the client can make each day. Correct response: •limit the amount of calls the client can make each day. Explanation: Remediation: Question 10 See full question The client with acute mania has been admitted to the inpatient unit voluntarily. The nurse approaches the client with medication to be taken orally as prescribed by the health care provider (HCP). The client states, "I do not need that stuff." Which response by the nurse is best? You Selected: •"If you do not take it orally, I will give you a shot." Correct response: •"The medication will help you feel calmer." Explanation: Remediation: Question 11 See full question A client's wife states, "I do not know what to do sometimes. It is so hard having a husband with a mental illness like bipolar disorder." After talking with the client's wife about her feelings and difficulties, which action is most appropriate?You Selected: •Give the wife information about a support group. Correct response: •Give the wife information about a support group. Explanation: Remediation: Question 12 See full question A client who was recently discharged from the psychiatric unit telephones the unit to speak to the nurse. The client states that she took her children to the neighbors' house and has turned on the gas to kill herself. She is home alone and gives the nurse her address. Which action should the nurse take next? You Selected: •T ell the caller that another nurse will telephone the police. Correct response: •T ell the caller that another nurse will telephone the police. Explanation: Remediation: Question 13 See full question The health care provider (HCP) prescribes risperidone for a client with Alzheimer’s disease. The nurse anticipates administering this medication to help decrease which behavior? You Selected: •agitation and assaultiveness Correct response: •agitation and assaultiveness Explanation: Remediation: Question 14 See full questionA client with severe depression states, "My heart has stopped and my blood is black ash." The nurse interprets this statement to be evidence of which problem? You Selected: •delusion Correct response: •delusion Explanation: Remediation: Question 15 See full question A client was admitted with a diagnosis of schizophrenia and exhibiting behaviors of hostility, paranoia and isolation. The student nurse discussed with the nurse what the most therapeutic approach to take with the client would be. Which of the following would indicate to the nurse that the student understands the best approach? You Selected: •Respect the client's need for personal space and avoid physical contact with the client. Correct response: •Respect the client's need for personal space and avoid physical contact with the client. Explanation: Remediation: Question 16 See full question A client admitted to the inpatient psychiatric unit changes clothes eight or nine times a day, wears heavy eye makeup, is intrusive with other clients, and makes inappropriate sexual advances toward staff members. Which of the following client goals would be most appropriate?You Selected: •The client will refrain from hugging other clients and change clothing only twice per day. Correct response: •The client will refrain from hugging other clients and change clothing only twice per day. Explanation: Remediation: Question 17 See full question An adolescent client took 300 acetaminophen tablets in an attempt to kill herself after a relationship breakup. The client is admitted to the adolescent psychiatric unit and is refusing to talk with the nurse. What is the most important nursing approach at this stage of the helping relationship? You Selected: •Supporting suicide precautions and safety measures for the client on the unit Correct response: •Supporting suicide precautions and safety measures for the client on the unit Explanation: Remediation: Question 18 See full question A nurse is counseling an adolescent client for depression. The client’s father died 2 months ago of cancer, and the client's mother died when the client was 11 years old. During the interview the client states, “I just feel like I can't do anything.” Which of the following would be most appropriate response to this client? You Selected: •“I will stay here with you.”Correct response: •“I will stay here with you.” Explanation: Remediation: Question 19 See full question In assessing an adolescent client at an outpatient clinic, the nurse is able to recognize that depression in adolescents is often which of the following? You Selected: •Similar in symptomology to that of adult clients Correct response: •Often masked by aggressive behaviors Explanation: Remediation: Question 20 See full question A client diagnosed with primary degenerative dementia of the Alzheimer's type may be progressing to the middle stage of the disease. T o assess for progression to the middle stage of Alzheimer's disease, the nurse should observe for which behavioral changes? Select all that apply. You Selected: •Impaired communication Correct response: •Occasional irritable outbursts •Impaired communication •Refusing to cooperate with the nursing staff Explanation: Remediation: /.modal - - - - - - - - - - - - - - - - - - - - - - - - Footer - - - - - - - - - - - - - - - - - - - - - - - - -TAKE A PRACTICE QUIZ Question 1 See full question A depressed client in the psychiatric unit hasn't been getting adequate rest and sleep. T o encourage restful sleep at night, the nurse should: You Selected: •gently but firmly set limits on how much time the client spends in bed during the day. Correct response: •gently but firmly set limits on how much time the client spends in bed during the day. Explanation: Remediation: Question 2 See full question A client in the manic phase of bipolar disorder constantly belittles other clients and demands special favors from the nurses. Which nursing intervention is most appropriate for this client? You Selected: •Set limits with consequences for belittling or demanding behavior. Correct response: •Set limits with consequences for belittling or demanding behavior. Explanation: Remediation: Question 3 See full question Modafinil has been ordered for a client diagnosed with narcolepsy. The nurse understands that this medication: You Selected: •promotes wakefulness. Correct response:•promotes wakefulness. Explanation: Remediation: Question 4 See full question A nurse notices that a client admitted for treatment of major depression is pacing, agitated, and becoming verbally aggressive toward other clients. What is the immediate care priority? You Selected: •Ensuring the safety of this client and other clients on the unit Correct response: •Ensuring the safety of this client and other clients on the unit Explanation: Remediation: Question 5 See full question The nurse is caring for a client with acute mania who is euphoric and flirtatious. The nurse overhears the client describing a sexual exploit with a group of clients seated at a table . What should the nurse do next? You Selected: •T ell the client others may not want to hear about sex, and invite him to play a game of ping-pong. Correct response: •T ell the client others may not want to hear about sex, and invite him to play a game of ping-pong. Explanation: Remediation: Question 6 See full question A client has just been admitted with acute delirium of unknown etiology. The client's daughter states that she is worried about her mom because she has never been this sick before. Which would be the most helpful statement to make to the daughter? You Selected: •“The health care provider will prescribe tests to find out what is causing her condition.” Correct response: •“The health care provider will prescribe tests to find out what is causing her condition.” Explanation: Remediation: Question 7 See full question A health care provider (HCP) has prescribed valproic acid for a client with bipolar disorder who has achieved limited success with lithium carbonate. Which information should the nurse teach the client about taking valproic acid? You Selected: •Follow-up blood tests are necessary while on this medication. Correct response: •Follow-up blood tests are necessary while on this medication. Explanation: Remediation: Question 8 See full question A client taking disulfiram during alcohol rehabilitation therapy reports to the nurse that he has a mild cold and plans to use a cough medicine. Which statement made by the client indicates understanding of the nurse's teaching? You Selected:•"I may experience vomiting and an upset stomach if I take cough medicine while taking this medicine." Correct response: •"I may experience vomiting and an upset stomach if I take cough medicine while taking this medicine." Explanation: Remediation: Question 9 See full question A nurse is completing a health history on a psychiatric client brought to the emergency department. The client states that he is a relative of the president of the United States and has very important business to attend to that involves national security. What is the nurse’s best intervention? You Selected: •Respect the client’s point of view while refocusing on issues based in the immediate reality. Correct response: •Respect the client’s point of view while refocusing on issues based in the immediate reality. Explanation: Remediation: Question 10 See full question Which of the following behaviors from a client with dementia would prompt nursing intervention? You Selected: •Attempting to hit others Correct response: •Attempting to hit others Explanation: question 1 See full question After a third arrest for abusing a neighbor's cat, a client isadmitted to the psychiatric unit for treatment of antisocial personality disorder. This client has a history of conduct disorder. Which action is most appropriate for the nurse assigned to this client? You Selected: •Administering antianxiety medication as ordered Correct response: •Examining personal feelings toward the client Explanation: Remediation: Question 2 See full question A nurse is instructing a new group of mental health aides. The nurse should teach the aides that setting limits is most important for: You Selected: •a manic client. Correct response: •a manic client. Explanation: Remediation: Question 3 See full question A nurse is caring for a severely depressed client who is barely functioning. The priority nursing goal for this client would be to: You Selected: •assess for and maintain adequate nutrition and hydration. Correct response: •assess for and maintain adequate nutrition and hydration. Explanation: Remediation: Question 4 See full questionThe client with a diagnosis of bipolar disorder, manic phase, states to the nurse, "I am the Queen of England. Bow before me." The nurse interprets this statement as important to document as which area of the mental status examination? You Selected: •thought content Correct response: •thought content Explanation: Remediation: Question 5 See full question After the nurse teaches a client with bipolar disorder about lithium therapy, which client statement indicates the need for additional teaching? You Selected: •"It is okay to double my next dose of lithium if I forget a dose." Correct response: •"It is okay to double my next dose of lithium if I forget a dose." Explanation: Remediation: Question 6 See full question A client with major depression and suicidal ideation is suddenly calmer and more energetic. Which conclusion should the nurse reach? You Selected: •The client is imminently suicidal. Correct response: •The client is imminently suicidal. Explanation: Remediation: Question 7 See full question A 16-year-old client has been taking the antidepressant fluoxetine for the past week. The client’s mother is concerned that the client is not showing any signs of improvement and may be having increased suicidal thoughts. Which of the following statements would the nurse include when replying to the mother's concern? You Selected: •“Antidepressants can take 2 to 4 weeks before any improvement in symptoms occur.” Correct response: •“Antidepressants can take 2 to 4 weeks before any improvement in symptoms occur.” Explanation: Remediation: Question 8 See full question A depressed client on a psychiatric unit asks the nurse to call the hospital lawyer to discuss writing out a will. What is the nurse’s priority intervention? You Selected: •Discuss thoughts and explore intent for suicide with the client. Correct response: •Discuss thoughts and explore intent for suicide with the client. Explanation: Remediation: Question 9 See full question The nurse is conducting a small-group counseling session on depression. Which of the following client statements would indicate to the nurse that a client is at high risk for suicide? You Selected: •"I have thought about killing myself before." Correct response: •"I have a stockpile of pills in the medicine cabinet and gave my stuff away." Explanation: Remediation: Question 10 See full question The nurse is educating a client who insists that the newly prescribed imipramine is not working for her feelings of depression. When evaluating the client’s statement, which question is most important to ask first? You Selected: •“What is the dosage of medication that you are prescribed?” Correct response: •“How long have you been taking the medication?” Explanation: Question 1 See full question A depressed client in the psychiatric unit hasn't been getting adequate rest and sleep. To encourage restful sleep at night, the nurse should: You Selected:  gently but firmly set limits on how much time the client spends in bed during the day. Correct response:  gently but firmly set limits on how much time the client spends in bed during the day. Explanation: Remediation: Question 2 See full question One day after being admitted with bipolar disorder, a client becomes verbally aggressive during a group therapy session. Which response by the nurse is most therapeutic?You Selected:  "If you continue to talk like that, no one will want to be around you." Correct response:  "Your behavior is disturbing to the other clients. I'll walk with you around the patio to help you release some of your energy." Explanation: Remediation: Question 3 See full question A client with major depression is frequently irritable, abrasive, and uncooperative and refuses to participate in group activities. When working with this client, the nurse should use which approach? You Selected:  Humor Correct response:  Firmness Explanation: Remediation: Question 4 See full question A client, age 87, with major depression undergoes a sixth electroconvulsive therapy (ECT) treatment. When assessing the client immediately after ECT, the nurse expects to find: You Selected:  transitory short-term memory loss and permanent long-term memory loss. Correct response:  transitory short- and long-term memory loss and confusion. Explanation: Remediation: Question 5 See full question A client with Alzheimer's disease mumbles incoherently and rambles in a confused manner. To help redirect the client's attention, the nurse should encourage the client to: You Selected:  participate in a game of charades.