A nurse working in an outpatient clinic believesthe client has been non-compliant with the prescribed medication regime, when assessing the client’s mood, the response is better but letter, post office, doctors’ office,shrink and sink, pick, the nurse recognizes. which of the following symptoms? a. Word salad b. Neologism c. Clanging d. Flight of ideas
A client hasreceived a new prescription for quetiapine (Seroquel). Which statement by the client reflects an understanding of this teaching? a. This medication will improve my blood glucose b. This medication will decrease any seizure activity c. I will need constant lab drawn for this medication while taking it. d. My weight will be closely monitored while taking this medication.
Which documentation indicates that the treatment plan for a patient diagnosed with acute mania has been effective? a. “Converses with few interruptions; clothing matches; participates in activities.” b. “Irritable,suggestible, distractible; napped for 10 minutesin afternoon.” c. “Attention span short; writing copious notes; intrudesin conversations.” d. “Heavy makeup;seductive toward staff; pressured speech.”
A nurse is providing education to a client recently prescribed buspirone. Which of the following statement by the client indicates further education is needed? a. This medication won’t cause severe drowsiness b. I don’t have to worry about getting addicted to this medication c. This medication will help with my anxiety d. This medication will be effective by next week
A client with past traumatic experiences usessublimation. Which of the following would demonstrate sublimation? a. The client states she doesn’t think she had a real problem b. The client identifies these symptoms in others c. The client speaks at high school about her story. d. The client forgets these past symptoms.
When educating a client and his family about taking a selective serotonin reuptake inhibitor (SSRI). Which statement from the family shows an understanding of a priority for client education?
a. We will make sure he wears sunscreen. b. We will make sure to avoid aged meats. c. It will be important to watch how much salt we use when cooking. d. If he talks about wanting to hurt himself, we will call the doctor.
A client diagnosed with nyctophobia has recently started systematic desensitization therapy. The nurse understandsthistherapy will help the client through which of the following techniques? a. The client will watch and mimic someone else in the same situation to decrease anxiety b. The client will gradually be exposed to the situation until they do not experience panic level anxiety c. The client will gradually limit the amount of time the client spends in the situation to reduce their anxiety level d. The client will snap rubber band on their wrist to decrease anxiety in the situation
A nurse is preparing to administer imipramine 200 mg PO daily divided equally every 12 hr. The amount available is imipramine 25 mg tablets. How many tablets should the nurse administer with each dose? (Write the number only, do not include the label. Round to the nearest 10th. Do not include a trailing zero. Put a leading zero if applicable) 4
A client is diagnosed with major depressive disorder (MDD) takes propranolol/Inderal for hypertension and imipramine/tetralin for depression… the side effects of these drugs. what would be an essential teaching by the nurse? a. Rise slowly when you change from lying to sitting to standing b. Wear a sunscreen and avoid mid-day direct sun c. Report extrapyramidal symptoms(EPS) d. Taking both these drugs may cause increased agitation.
A nurse is preparing to administer clozapine 300 mg PO daily to a client who has schizophrenia. The amount available is clozapine 200 mg tablets. How many tablets should the nurse administer? (Write the number only, do not include the label. Round to the nearest 10th. Do not include a trailing zero. Put a leading zero if applicable). 1.5
A client with schizophrenia is about to start medication therapy with clozapine (Clozaril). Which of the following would be most important for the nurse to do? a. Monitor for client for a high fever b. Encourage the client to drink enough fluids daily. c. Obtain a baseline white blood cell count.