NR 326 Weeks 4-7

Question 1

Clients diagnosed with conduct disorder often have which of the following risk factors? (SATA)

Accepted Answer

No remorse or guilt, Harmful to pets, Childhood abuse or trauma, Exposed to violence

Question 2

Nursing interventions for a client experiencing halluciantions:

Accepted Answer

Art Therapy, Music therapy, Teach to seek staff if hallucinations delusions occur, Teach automatic thought-stopping technique

Question 3

Expected findings for a client with Delirium related to an acute urinary tract infection includes (SATA):

Accepted Answer

Rapid personality changes, Restlessness and hallucinations, Fluctuating LOC

Question 4

What will the nurse use to assess for alcohol withdrawal?

Accepted Answer

CIWA

Question 5

A client diagnosed with Bulimia Nervosa exhibits which of the following expected behaviors? (SATA)

Accepted Answer

Excessive laxative use, Self-induced purging, Eating large amounts over short period

Question 6

Nursing considerations for conventional antipsychotics (ex: haloperidol) include which of the following?

Accepted Answer

Use cautiously in clients with seizure disorders, Contraindicated in clients with severe hypotension, Contraindicated in older adults with dementia

Question 7

Borderline Personality Disorder is characterized by which of the following? (SATA)

Accepted Answer

Unstable relationships; and feeling abandoned, Cutting and self-harm

Question 8

Which treatment is expected for Wernicke-Korsakoff Psychosis from alcohol abuse

Accepted Answer

Give Thamine

Question 9

Which nursing actions can assist the client during a panic attack? (SATA)

Accepted Answer

Use few short simple directions., Move to a low noise, calm space, Slow, deep breaths

Question 10

The nurse will monitor for neuroleptic malignant syndrome observing for which of the following signs and symptoms?

Accepted Answer

Sudden high fever, diaphoresis, muscle rigidity

Question 11

Criteria for Major Depression includes which of the following? (SATA)

Accepted Answer

Sleep disturbance, Problems focusing, Loss of energy

Question 12

Tardive dyskinesia includes which of the following nursing considerations? (SATA)

Accepted Answer

Monitor Involuntary movements of the arms, legs, and trunk, Monitor Involuntary movements of the tongue and face, such as lip smacking

Question 13

Oppositional Defiant Disorder is characterized by the following: (SATA)

Accepted Answer

Refuses to follow all rules, Anger, Defiant behavior

Question 14

Client education for a client prescribed Disulfiram includes which of the following?

Accepted Answer

No alcohol exposure on skin or orally 2 weeks before medication., Severe vomiting will occur if alcohol exposure is experienced.

Question 15

Nursing action in the treatment of acute dystonia in EPS includes which of the following?

Accepted Answer

Stop antipsychotic med, benztropine, IM or IV dipenhydramine, airway mgmt

Question 16

The nurse knows that which of the following are true about the therapeutic use of Aripiprazole? (SATA)

Accepted Answer

Decreased risk of EPSs or tardive dyskinesia, Lower risk for weight gain, Treats both Negative & Positive Sx

Question 17

Which personality disorder exhibits magical thinking?

Accepted Answer

Schizotypal

Question 18

Which of the following are best interventions for a client w/cognitive decline/AD? (SATA)

Accepted Answer

Limit the number of choices when dressing or eating, Encourage reminiscence therapy

Question 19

Which of the following characterizes Oppositional Defiant Disorder?

Accepted Answer

Defiance to authorities, Does not follow any rules

Question 20

Which of the following findings should the nurse document as positive symptoms of schizophrenia ? (SATA)

Accepted Answer

Use of clang association, Auditory hallucination

Question 21

Which screening tool is used to assess severity of movement disorder in clients prescribed on antipsychotic medications?

Accepted Answer

AIMS

Question 22

COMMON LABORATORY ABNORMALITIES ASSOCIATED WITH ANOREXIA AND BULIMIA (SATA):

Accepted Answer

Electrolyte imbalance, Anemia, Abnormal blood gasses

Question 23

Which of the following will need Narcan to reverse an overdose? (SATA)

Accepted Answer

Morphine, Heroin

Question 24

What are manifestations of cocaine toxicity?

Accepted Answer

Fever, Ventricular dysrhythmia, Seizures, Agitation

Question 25

A nurse is admitting a client with Post-Traumatic Disorder. What are the manifestations of PTSD? (SATA)

Accepted Answer

Nightmares, Hypervigilance, Flashbacks

Question 26

Which medication is used to treat both opioid and alcohol addiction in recovery, along with a 12-step program?

Accepted Answer

Naltrexone

Question 27

Possible causes of Delirium may include which of the following? (SATA)

Accepted Answer

Withdrawing from alcohol, ICU admission, Urinary tract infection, Electrolyte imbalance

Question 28

Clonidine for the treatment of opioid use: Which shows client understanding?

Accepted Answer

“While taking this medication, I should keep a pack of sugarless gum.”

Question 29

Patients diagnosed with co-occurring histrionic disorder require nurses to be consistent with which of the following?

Accepted Answer

Maintaining professional boundaries and communication

Question 30

An home care RN has a client with AD. Nursing interventions to decrease injury includes which of the following? (SATA)

Accepted Answer

Install extra locks at the top of exit doors., Place the client’s mattress on the floor., Nightlights in all hallways.

Question 31

Expected findings for a client with NCD include which of the following?

Accepted Answer

aphasia, agnosia, apraxia

Question 32

Which of the following responses by the client's wife requires further teaching about Donepezil?

Accepted Answer

"I know this medication will reverse my husband's Dementia."

Question 33

Manifestations of alcohol withdrawal the nurse will assess are which of the following?

Accepted Answer

Nausea, Vomitting, Tremors

Question 34

Nursing interventions to include in the care of a client with psychosis includes: (SATA)

Accepted Answer

Provide single served wrapped foods., Assessing what "voices are saying.", Administer ordered anti-psychotic medication.

Question 35

A nurse caring for a client on aripiprazole if the client exhibits which of the following symptoms?

Accepted Answer

Agitation

Question 36

What are nursing priorities in caring for a client diagnosed with psychosis and history of suicide? (SATA)

Accepted Answer

Directly ask what the voices are saying, Assess S/I, H/I, Monitor insomnia, agitation

Question 37

Nursing interventions to include in caring for a client who is at risk for suicide includes which of the following?

Accepted Answer

Monitor at least every 15 min., Allow the client to share emotions., Discuss safety plan.

Question 38

Nursing priority of action for a client on Clozapine includes which of the following? (SATA)

Accepted Answer

Call the provider if the client complains of fever., Call the provider if the client complains of sore throat.

Question 39

Which are expected findings of bulimia nervosa (SATA)

Accepted Answer

Between binges, clients typically restrict caloric intake, Normal or slightly elevated BMI

Question 40

CIWA is a screening tool for which condition and what score would indicate medical intervention?

Accepted Answer

Withdrawal from alcohol; 11 +

Question 41

A positive CAM-ICU finding for Delirium includes which of the following?

Accepted Answer

Rapid or fluctuating onset of mental status change

Question 42

Nursing considerations for Risperidone include which of the following? (SATA)

Accepted Answer

Obtain baseline fasting blood glucose., Increase fiber and fluids., Monitor cholesterol & triglycerides.

Question 43

Nursing interventions for clients with an eating disorder include which of the following? (SATA)

Accepted Answer

Stay with the client an hour after meals, Encourage the client to express feelings related to eating.

Question 44

The nurse will monitor signs and symptoms of serotonin syndrome which includes which of the following?

Accepted Answer

Fever, hallucinations hyperreflexia

Question 45

Nursing action for neuroleptic malignant syndrome (NMS) includes which of the following?

Accepted Answer

Stop antipsychotic, Give Antipyretics, Dantrolene or Bromocriptine

Question 46

Which are symptoms of mania in bipolar disorder? (SATA)

Accepted Answer

Racing thoughts, Delusions, Mood swings

Question 47

Priority actions by the nurse caring for a client with psychosis and history of suicide attempts (SATA):

Accepted Answer

Assess S/I and H/I

Question 48

Borderline personality disorder traits the nurse recognizes are:

Accepted Answer

Manipulative, Staff splitting, Self-destructive

Question 49

Nursing considerations for Haloperidol include which of the following? (SATA)

Accepted Answer

Monitor for agranulocytosis and EPS, Monitor for psuedoparkinsonism and anticholinergic adverse effects

Question 50

Survivors of intimate partner violence demonstrate which of the following rationalizations for the perpetrator?

Accepted Answer

Believing the perpetrator will change., Fear of losing child custody., Fear of financial loss.

Question 51

Interventions for caregiver role strain that the nurse can use include which of the following? (SATA)

Accepted Answer

Giving resources to help with caregiving role., Offering caregiver support group., Respite care

Question 52

Nursing care for client diagnosed with an eating disorder include which of the following? (SATA)

Accepted Answer

Encourage client decision making and participation in the plan of care, Consistency with care among staff, Consult with registered dietician for meal planning

Question 53

Which following nursing care is best for a client with a dx of anorexia nervosa with binge‑eating and purging behavior?

Accepted Answer

Implement one‑to‑one observation during meal times.

Question 54

Which of these personality disorders may include a history of conduct disorder diagnosed before the age of 15?

Accepted Answer

Antisocial PD

Question 55

Which client is a nurse's first concern?

Accepted Answer

Client suddenly has an elevated mood.

Question 56

Client education to be included for Electroconvulsive Therapy includes which of the following? (SATA)

Accepted Answer

Temporary amnesia may be experienced., Grand Mal seizure will be given., Indicated for individuals who are resistant to medications.

Question 57

A nurse is caring for a client dx w/AD w/script for donepezil. Med teaching includes:

Accepted Answer

“You should take this medication before going to bed.”

Question 58

Negative symptoms of Schizophrenia include which of the following? (SATA)

Accepted Answer

flat affect, anergia, avolition

Question 59

Which would a nurse expect in arterial blood gas lab values for a client presenting with a heroin overdose?

Accepted Answer

Low PH, High PCO2

Question 60

A client with psychosis stares at the ceiling, mumbling. What is the nurse's priority action response?

Accepted Answer

"What do you see on the ceiling? "

NR 326 Weeks 4-7

Questions 60

NR 326 Weeks 4-7

Questions 60