34)A client with a sever persistent mental illness has started a new medication risperidone a week ago. The nurse observes during a therapy session

Question Answered step-by-step 34) A client with a sever persistent mental illness has started anew medication risperidone a week ago. The nurse observes during a therapy session that the client is drooling, has a stooped posture, and a mask like facial expression. The nurse recognizes these behaviors as indicative of what?1) Tardive dyskinesia2) Pseudo parkinsonism3) acute dystonia4) akathisia  35) An anxiolytic agent lorazepam has been prescribed for the client. Which statement by the client would indicate to the nurse that client education about this medication has been effective?1) This medication will relax me, so I can focus on problem solving2) This medication presents no risk of addiction or dependence 3) My anxiety will be eliminated if I take this medication as prescribed4) I will probably always need tot take this medication for my anxiety 36) A client on the unit suddenly cries out in fear. The nurse notices that the clients head is twisted to one side, the clients back is arched and the clients eyes have rolled back in the sockets. The client has recently begun drug therapy with haloperidol. Based on this assessment, which would be the first action of the nurse?1) Hold the clients medication until the symptoms subside2) Give a PRN dose of benztropine IM3) Get a stat order for a serum drug level4) Place an urgent call to the clients physician  37) A client with obsessive compulsive disorder (OCD) is ordered to start a new medication as part of their treatment. Which medication will most likely prescribed for the client?1) Lorazepam2) Risperidone3) Buspirone4) Paroxetine 38) A client is currently experiencing a panic attack. Which is the most appropriate reason by the nurse1) What are you feeling right now2) There is nothing here to harm you3) You are safe, Take a deep breath4) Just try to relax 39) The nurse is working with a client who is a victim of partner violence. Which techniques should the nurse implement? Select all that apply.1) Tell the victim to report the abuser2) Believe the victim3) Recommend support group or individual counseling4) Recommend couple counseling5) Encouraging development for safety plan 40) A teaching about hostility and aggression was effective when the nurse says which of the following statements? 1) There are stages of aggression that can be identified in aggression incidents2) Anger suppression is especially common in men, who are socialized to avoid the expression of so called negative emotions3) Hypotension is a physical symptom associated with high hostility and aggression4) Anger is not a normal emotion when situations are unfair or unjust 41) A college freshman is admitted to the hospital with a diagnosis of schizophrenia. Friends reported that the client had been in the clients room for 2 days in a trance like skate, not eating nor speaking to anyone. Which is the priority for this client.1) Providing for adequate rest2) Completing an assessment of mental status3) Obtaining more data about the clients college experiences4) Assessing fluid intake and output 42) The most effective way for the nurse to provide culturally competent care to individuals who are grieving is which of the following?1) Suggest developing a new ritual to make morning meaningful2) Ask the client which rituals are personally meaningful 3) Contact a spiritual leader from the clients culture to become involved4) Understand the practices associated with a clients culture 43) The nurse reviews the medications prescribed for an individual diagnosed with posttraumatic stress disorder (PTSD). Which medications are effective with managing the symptoms of PTSD? Select all that apply.1) Haloperidol2) Paroxetine3) Benztropine4) Buspirone5) Sertraline 44) Which of the following statements about the short term use of restrains and seclusion are accurate? Select all that apply.1) A new physician order is needed every 4 hours (2hours for children)2) Close supervision of patient for the duration of the incident3) A face to face evaluation needs to be done within 1 hour and then every 8 hours for adults (every 4 hours for children)4) The debriefing session must be completed 24 hours after termination5) A documented assessment by a nurse every 3 to 4 hours 45) Which is an important part of therapeutic communication for clients who have obsessive compulsive disorder (OCD)?1) To encourage the client to keep the obsession secret2) To share the same obsession with the nurse3) To be instructed to discuss the obsession by the nurse4) To encourage the client to discuss his or her obsession with the nurse 46) A nurse cared for a terminally ill client over a period of a month. The nurse found that spending time with the client was a pleasure. When the client died the nurse experienced feelings of sadness, sleeping poorly lacking energy and feeling mildly depressed. Eventually the nurse explained the feelings to the nurse superior. The nurse supervisor is aware of which of the following? 1) The nurse needs to seek therapy for dysfunctional grief2) The nurse needs to use stress reduction strategies3) The nurse needs to consider taking a leave of absence to pursue healing4) The nurse is experiencing disenfranchised grief 47) A married client expresses to the nurse that the clients spouse frequent nagging angers the client. The nurse role plays assertive communication techniques with the client. Which indicates that the client understands how to use assertive techniques effectively?1) I feel unappreciated when you criticize me2) Are you telling me you want me to change3) I really wish you would stop nagging me4) You are not perfect either 48) A 21-year-old client has been recently diagnosed with agoraphobia. Which  situation is most likely to cause the client anxiety? 1) Having a blood sample drawn and experiencing mild pain 2) Gaining 5 pounds and being unable to exercise vigorously 3) going to a crowded outdoor market independently4) Having the clients work performance closely scrutinized by a supervisor 49) A client has obsessive compulsive disorder (OCD). Which of the following statements made by the client to the nurse would be the best indicator of improvement?1) I only do my ritual to reward myself when I have been good2) I have more control over my thoughts and behaviors3) My friends don’t know about my disorder4) I know that my thoughts and behaviors are not normal 50) A teaching about the assessment of aggressive clients and interventions to marriage them was effective when the new nurse says which of the following statements? Select all that apply.1) Planned adequate events will increase aggression in the milieu 2) Clients with a history of aggression are more likely to be aggressive than other clients3) Aggression is less common on psychiatric units with strong psychiatric leadership and clear staff roles4) Clients who believe staff are not listening to them are more prone to act in a hostile or aggressive manner5) Allowing extra leisure time for clients may increase aggressive behavior on psychiatric units 51) A client with schizophrenia is admitted to the impatient unit. The client does not speak when spoken to but has been observed talking to the sell on occasion . What would be the priority objective at this time?1) The client will increase reality orientation2) The client will begin talking with other clients3) The client will express feelings freely4) The client will increase socialization with others 52) the nurse visits with a client who was recently in a motor vehicle accident. Which is most likely to prevent the client form experiencing complicated grief>1) places trust in people who are familiar to him or her2) dependent to others to meet needs3) tendency to suppress emotions4) history of depression 53) The client has shown much improvement for obsessive-compulsive disorder (OCD) Which would be appropriate outcomes for a client with OCD? Select all that apply.1) The client will demonstrate effective use of behavior therapy techniques 2) The client will stop engaging in the compulsive activity3) The client will complete daily routine activities within a realistic time frame4) The client will conceal the behavior from all persons to avoid anxiety5) The client will spend less time performing rituals 54) A client is observed pacing the hall with clenched fists and swearing at others. The nurse intervenes immediately in a calm manner to prevent the client form moving to which phase of the aggression style1) Escalation2) Triggering3) Crisis4) Recovery 55) Which of the following statements indicates a client may need further teaching about intimate partner violence?1) The victim is less likely to be abused if they are pregnant2) An increase in violence is likely if the victim attempts to display independence3) The abuser often believes the partner belongs to them4) It is realistic for the victim to fear being murdered if they report the abuser Health Science Science Nursing MENTAL HEA NUR4445 Share QuestionEmailCopy link Comments (0)