Question: Nurse H. is working with a depressed client who had an identical twin who committed suicide. In assessing this client for suicidal risk, Nurse H. should consider that this patient:
Answer Options:
A. Has the same risk as the general population
B. Is at low risk because he has experienced the trauma of suicide
C. Cannot be assigned a level of risk on such limited data
D. Is at increased risk for suicide
Answer: D
Question: What is the full name of the medical abbreviation ECT?
Answer Options:
A. electro-convulsive therapy
B. extra cerebellar therapy
C. electro-cerebral tracing
D. excitable cortical therapy
Answer: A (Electroconvulsive therapy)
Question: A nurse is attempting to teach a client about ways to cope with anxiety and notes the client is becoming more anxious during the teaching. Which of the following actions should the nurse take?
Answer Options:
A. Give the client time to calm down and then ask the client when a good time would be to teach them.
B. Administer a prescribed PRN antianxiety medication and return to teach the client later.
C. Assess if the client is experiencing environmental stressors that are creating more anxiety.
D. Ask why the client is becoming more anxious.
Answer: A. Give the client time to calm down and then ask the client when a good time would be to teach them.
Question: A nurse is preparing to administer medications to a newly admitted client who has bipolar disorder and is experiencing mania. Which of the following medications should the nurse plan to administer?
Answer Options:
A. Selegiline 6 mg transdermal patch daily
B. Aripiprazole 400 mg IM every 4 weeks
C. Lithium 600 mg PO three times per day
D. Clozapine 25 mg PO daily
Answer: C. Lithium 600 mg PO three times per day
Question: The emergency department calls to say Mr. A., experiencing symptoms of mania, is being admitted. Which of the following available room placements should the nurse choose for him?
Answer Options:
A. A double room shared with a patient with depression
B. A double room shared with a patient with schizophrenia
C. A single room near the nurse’s station
D. A single room near the unit entrance
Answer: C
Question: Medication Calculation: A patient is prescribed 30 mg of Codeine phosphate tablets by mouth twice a day. Codeine phosphate tablets are available in 60 mg tablets (scored). How many tablets will the patient be administered in 24 hours?
Answer Options:
(Short answer calculation)
Answer: 1 tablet total per 24 hours
(Each dose is half a tablet, twice a day = 1 full tablet in 24 hours)
Question: A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of opioid withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Answer Options:
A. Chlordiazepoxide
B. Bupropion
C. Diazepam
D. Naltrexone
Answer: C. Diazepam
Question: A client is started on Valproic acid (Depakote) for bipolar disorder. Which of the following laboratory studies should be monitored regularly?
Answer Options:
A. Valproic Acid Level, AST/ALT & CBC
B. Valproic Acid Level, Serum sodium, potassium & Absolute Neutrophil count
C. Valproic Acid Level, Creatinine, BUN & TSH levels
D. WBC, TSH and granulocyte counts
Answer: A
Question: A nurse is preparing to administer a selegiline 6 mg patch to a client. Which of the following actions should the nurse take?
Answer Options:
A. Monitor the client’s glucose levels.
B. Observe the client for 3 hr following administration of medication.
C. Encourage the client to increase their fiber intake.
D. Instruct the client to change positions slowly.
Answer: D. Instruct the client to change positions slowly.
Question: A client with bipolar disorder: manic phase needs to gain 2 lbs by the end of the week. Which nursing intervention would be implemented?
Answer Options:
A. Accompany the client to the cafeteria to encourage adequate dietary consumption
B. Initiate total parenteral nutrition
C. Teach the importance of a varied diet
D. Provide client with high-calorie finger foods throughout the day
Answer: D
Question: During discharge planning for the client whose manic symptoms are under control, the client asks, “Do I have to take lithium even though I’m not high anymore?” The most appropriate response is:
Answer Options:
A. “Usually patients take medication for 6 months after discharge.”
B. “Taking the medication daily will help you avoid relapses and recurrences.”
C. “You will need to take the medication for about 12 weeks.”
D. “You can stop the medication 1 week after discharge.”
Answer: B
Question: Mr. T. is hospitalized for depression and demonstrates dysfunctional thinking with persistent negativity. Using cognitive therapy, the nurse will focus on:
Answer Options:
A. Creating a safety contract
B. Analyzing and enhancing relationships with significant others
C. Patient recognition and replacement of automatic negative thought patterns
D. Uncovering unconscious conflicts that affect the here and now
Answer: C
Question: A nurse is administering an antidepressant medication. The nurse knows which class of antidepressant medications has adverse effects when combined with foods containing tyramine?
Answer Options:
A. Monoamine oxidase inhibitors (MAOIs)
B. Selective Serotonin Reuptake Inhibitors (SSRIs)
C. Tricyclics
D. Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
Answer: A (MAOIs)
Question: A client diagnosed with bipolar disorder, who has taken lithium carbonate (Lithane) for 1 year, presents with severe diarrhea, blurred vision, and tinnitus. How should the nurse interpret these symptoms?
Answer Options:
A. Symptoms indicate consumption of foods high in tyramine
B. Symptoms indicate the development of lithium tolerance
C. Symptoms indicate lithium carbonate discontinuation syndrome
D. Symptoms indicate lithium carbonate toxicity
Answer: D
Question: A depressed client eats very little and has lost 8 lbs. After a few bites, he says “I’m full. All that food makes me sick.” The most effective way to increase his dietary intake would be to:
Answer Options:
A. Provide a high-calorie liquid diet
B. Serve six small, calorie-dense meals daily
C. Obtain a nutritional consult
D. Take him to the hospital cafeteria for meals
Answer: B