NCLEX-PN Review Module 11 Mental Health Quiz

NCLEX-PN Review Module 11 Mental Health Quiz ScienceMedicineNursing Christa_Jenkins7 Save NCLEX-PN Review Module 12 Renal ...40 terms Christa_Jenkins7 Preview NCLEX-PN Review Module 1 Respira...38 terms Christa_Jenkins7 Preview NCLEX-PN Review Module 2 Cardio...40 terms Christa_Jenkins7 Preview NCLEX 40 term Chr 1. The nurse is admitting an older adult client to an extended care facility. The client is confused, very poorly nourished, and has contusions with bruises and welts over the trunk. What would be the most important nursing intervention at this time?*

• Perform a physical assessment.
• Notify the nursing supervisor or PCP regarding client's condition.
• Establish communication and rapport with the client.
• Notify authorities regarding suspected elderly abuse.
• Notify authorities regarding suspected elderly abuse.
• The nurse is caring for a client who is confused. What is a priority of care for this client?

*

• Frequent orientation to person, place, and time.
• Offering client frequent meals that are easy to eat.
• Assisting the client to select comfortable clothing.
• Arranging for a pastor from client's church to visit.
• Frequent orientation to person, place, and time.
• A client who does not speak any English is admitted to the unit. What would be the best approach for the nurse to determine the client's

immediate needs/collect assessment data?*

• Contact the nursing office and determine if there is a translator available.
• Ask a family member to translate the necessary questions and answers.
• Use pictures and pantomime to try to communicate/determine client needs.
• Perform the physical assessment and respect the client's privacy.
• Contact the nursing office and determine if there is a translator available.

• A nurse whose family has a history of drug abuse makes derogatory comments while caring for a substance abuse client. What might explain

the nurse's behavior?*

• Has an issue with denial and repression.
• Is unaware of her feelings when working with this type of client.
• Is experiencing a need to act out her feelings.
• Feels the type of client is insensitive and should be dealt with honestly.
• Is unaware of her feelings when working with this type of client.
• A client is observed by the nurse opening and closing his fist and mumbling angrily while walking back and forth in this room. The nurse

should:

• Attempt to determine source of anxiety.
• Give PRN Ativan for anxiety.
• Call for help to restrain the client.
• Leave the client alone.
• Attempt to determine source of anxiety.
• The family of an alcoholic asks the nurse where they can go for support in their community. Which of the following would be an appropriate

support group for the nurse to recommend?*

• An appropriate social worker
• Alcoholics Anonymous
• Al-Anon
• The staff psychologist
• Al-Anon
• The nurse on a long-term care unit is planning assignments for the day. What will be important for the nurse to consider in assigning staff to

care for a client who is dying?*

• Change the staff assigned to care for the client daily.
• Assign the temporary and part-time staff to this client.
• Whenever possible, assign the same staff to care for the client.
• To prevent staff depression, rotate staff every other day.
• Whenever possible, assign the same staff to care for the client.
• What would be important for the nurse to assess for in caring for a client who is schizophrenic?

*

• Delusions and hallucinations
• Depression and delusions
• Self-care deficits and memory loss
• Bradycardia and flat affect
• Delusions and hallucinations

• A client is on antipsychotic drug therapy. The client has developed Parkinson-like symptoms. What is the nursing interpretation of this

observation?*

• This is an allergic response to the drug.
• The client is demonstrating the therapeutic response to the drug.
• Observations are classified as extrapyramidal side effects.
• Symptoms are cholinergic side effects.
• Observations are classified as extrapyramidal side effects.
• A male client is experiencing auditory hallucinations. What would the nurse be most concerned about?

*

• Feelings of depression when the voices stop.
• How the voices are telling him to hurt someone.
• Feelings of happiness to hear the voices.
• How the voices sound like a woman's voice.
• How the voices are telling him to hurt someone.
• A client taking sertraline (Zoloft) for treatment of depression for the past 11 months reports feeling much better and wishes to discontinue the

medication. Which is the most appropriate response by a nurse?*

• "The medication will have to be reduced gradually to prevent undesirable symptoms."
• "It appears the medication has worked very well. It should be safe to discontinue its use."
• "You should not stop the medication without talking to your health care provider first."
• "You should take this medication indefinitely to prevent recurrence of depressive symptoms."
• "The medication will have to be reduced gradually to prevent undesirable symptoms."
• The family of a client with Alzheimer's disease asks the nurse about caring for the client. What advice would the nurse give to the family?

*

• Identify ways they can limit the client's behavior.
• Identify stimuli that may cause recurring episodes.
• Prioritize client care and family and client needs.
• Place locks on all rooms to maintain client safety.
• Prioritize client care and family and client needs.
• The nurse is caring for a preschool-aged child admitted with a diagnosis of suspected child abuse. During painful procedures, the child

remains quiet and watchful. When planning the care of a victim of child abuse, the nurse should give priority to: *

• Arranging playtime with same-age children.
• Scheduling the same caregiver each day.
• Asking how the injury occurred.
• Praising the child for grown-up behavior.
• Scheduling the same caregiver each day.

• An important nursing consideration when caring for an abused older client is that the abused older adult:

*

• May be humiliated and defensive about abusive experiences.
• Is usually unable to remember the event.
• Is often confused about details regarding the event.
• Believes that everyone is abusive.
• May be humiliated and defensive about abusive experiences.
• A client, being discharged from treatment for alcoholism, is receiving teaching on taking daily doses of disulfiram (Antabuse). Which client

statement indicates to a nurse that the client correctly understands the safe use of disulfiram?*

• "If I take disulfiram and then drink alcohol, I will become intoxicated much more quickly."
• "I should take disulfiram at the same time each day to maintain therapeutic effectiveness."
• "If I do ingest alcohol, I should skip the daily dose of disulfiram to avoid being ill."
• "I should avoid products such as vanilla extract or certain cough preparations containing alcohol while taking disulfiram."
• "I should avoid products such as vanilla extract or certain cough preparations containing alcohol while taking disulfiram."
• A child is brought into the emergency department with bruises and raised welts on the child's back. The nurse suspects child abuse. What

would be the appropriate action?*

• Demand an explanation from the parents.
• Observe the child's response to family members.
• Call the police.
• Call the emergency room (ER) nursing supervisor for follow-up reporting.
• Call the police.
• A Client diagnosed with schizophrenia exhibits clang associations. The nurse recognizes this distorted speech behavior when the client makes

which statement?*

• "You asked about my home. I've gone to the laundromat."
• "Polly wants a cracker, Polly wants a cracker. Polly wants a cracker"
• "I am a spy for the FBI. I am an eye, an eye in the sky. The sky is like a big lie."
• "Yes, I have been a very bad boy. I've been mentally abusing my neighbor's boy"
• "I am a spy for the FBI. I am an eye, an eye in the sky. The sky is like a big lie."
• What is the most important goal in planning the care for a client with a diagnosis of schizophrenia?

*

• To set limits.
• To build trust.
• To encourage group participation in activities.
• To promote expression of feelings.
• To build trust.