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RN Nursing School · Mental Health · 280 questions

Treatment Modalities practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Treatment Modalities, practise in the app.

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  1. 1Which of the following drugs is classified as an analeptic?Answer →
  2. 2A psychiatric nurse is caring for a client newly prescribed an SSRI for depression. Which combination of roles best represents the nurse's responsibilities to ensure effective treatment and client progress?Answer →
  3. 3A patient is prescribed haloperidol 2 mg orally twice daily for schizophrenia. If haloperidol is available in 1 mg tablets, how many tablets will the patient need for one week?Answer →
  4. 4A nurse is caring for a client who is being prescribed electroconvulsive therapy by the provider. The client states they do not want this treatment. Which of the following statements should the nurse make to the client?Answer →
  5. 5The physician orders heparin IV drip at 1050 units/h. The medication is supplied in 25,000 units/500 mL of NS. Calculate the flow rate in milliliters per hour. Round your answer to the nearest whole number.Answer →
  6. 6A nurse is preparing to administer olanzapine 20 mg PO daily. Available is olanzapine 10 mg orally-disintegrating tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  7. 7A nurse is teaching a newly licensed nurse about electroconvulsive therapy (ECT). Which of the following statements by the newly licensed nurse indicates understanding?Answer →
  8. 8The prescriber writes this order, "Give amantadine (Symmetrel) 100 mg per PEG tube twice a day. The medication is available in a liquid form with a concentration 50 mg/5 mL. Identify how many milliliters the nurse will give with each dose.Answer →
  9. 9A patient with borderline personality disorder has been prescribed sertraline. Which statement by the patient indicates the need for further teaching about this medication?Answer →
  10. 10The spouse of a man being treated with sertraline (Zoloft) calls the unit nurse to report that he had a grand mal seizure. Prior to the seizure, he had seemed confused and his forehead felt very hot. The man does not have history of seizure-disorder or infection. What condition is most likely causing client reaction and which action should the nurse expect will be taken?Answer →
  11. 11A patient with liver cirrhosis has low serum albumin levels. Which of the following best explains the clinical relevance of albumin in pharmacokinetics?Answer →
  12. 12What is the therapeutic effect of Levodopa in Parkinson's disease?Answer →
  13. 13A patient receiving clozapine therapy for schizophrenia has an order for 100 mg twice daily. The pharmacy can only supply 50 mg tablets. How many tablets are needed weekly?Answer →
  14. 14A nurse administering a benzodiazepine understands that its calming effects are largely due to its action on GABA receptors. What is the most accurate explanation of this mechanism?Answer →
  15. 15A nurse is caring for a client with has schizophrenia and is taking haloperidol. The nurse should monitor the client for which of the following adverse effects?Answer →
  16. 16A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?Answer →
  17. 17A client diagnosed with depression is prescribed a monoamine oxidase inhibitor (MAOI). The nurse is providing dietary teaching to prevent hypertensive crisis caused by tyramine-rich foods, which can dangerously elevate blood pressure when combined with MAOIs. Which of the following meals would NOT be safe or appropriate for the client on a tyramine-restricted diet? Select all that apply.Answer →
  18. 18A nurse is reinforcing discharge teaching with a client who has bipolar disorder and is to begin taking lithium. Which of the following instructions should the nurse include in the teaching?Answer →
  19. 19A nurse is providing teaching to a client who has a new prescription for venlafaxine (Effexor). The nurse determines that medication teaching has been effective when the client makes which statement?Answer →
  20. 20A nurse is discussing psychoanalytic therapy with a client. The nurse should include information about which of the following in the discussion?Answer →
  21. 21A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine. Which of the following findings should the nurse recognize as EPS? (Select all that apply.)Answer →
  22. 22When implementing a therapeutic milieu on a psychiatric unit, which intervention is most important for the nurse to implement?Answer →
  23. 23A nurse is preparing to teach a client about his prescription of lithium for the treatment of bipolar disorder. Which of the following statements should the nurse include in the teaching?Answer →
  24. 24The nurse is taking care of a client who was recently prescribed with Nardil (Phenelzine). Nurse is planning this client plan of care and preparing the teaching for mentioned medication. What situation related to this client will lead the nurse to have an important nurse consideration and give teaching related to mentioned medication?Answer →
  25. 25Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.Answer →
  26. 26A nurse is planning to administer lithium to a client. Which of the following conditions should the nurse identify as a contraindication for the medication?Answer →
  27. 27A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?Answer →
  28. 28The nurse has received a new prescription for the client to begin taking sertraline. Prior to administering the initial dose of sertraline, it is most important for the nurse to obtain which information?Answer →
  29. 29A nurse is preparing to administer an oral extended-release antihypertensive medication. Which instruction is most important to include in patient teaching?Answer →
  30. 30A nurse is caring for a client who has paranoid schizophrenia and a new prescription for risperidone. The client asks the nurse what the medicine is supposed to do. Which of the following responses should the nurse make?Answer →
  31. 31The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)Answer →
  32. 32A nurse is providing teaching to a client who has depressive disorder and a new prescription for doxepin. Which of the following instructions should the nurse include in the teaching?Answer →
  33. 33A nurse is discussing with a newly licensed nurse the mental health resource available to meet the needs of a client who has schizoaffective disorder, no transportation, and lives at home with their parents. Which of the following resources should the nurse identify as meeting the needs for the client?Answer →
  34. 34A client taking risperidone is seen in the mental health clinic with clinical manifestations of restlessness and an inability to sit still. The nurse recognizes this as which of the following?Answer →
  35. 35A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?Answer →
  36. 36After two days in the adult psychiatric intensive care unit, the client was moved to the behavioral care unit. After a day in the behavioral care unit, the client is now stable and preparing for discharge home. Client receives a prescription for paroxetine 50 mg by mouth (PO). Which statement(s) indicate client teaching about paroxetine has been effective? Select all that apply.Answer →
  37. 37A patient is prescribed lithium carbonate, and the order is for 300 mg taken twice daily. The available tablets are 150 mg. How many tablets should the patient take per day?Answer →
  38. 38What is a potential side effect of anticholinergic medications?Answer →
  39. 39A client with MDD has been prescribed a tricyclic antidepressant (TCA). Which teaching is the priority?Answer →
  40. 40A nurse is caring for an older adult client who has a prescription for lorazepam 0.5 mg. Which of the following findings should the nurse report to the provider immediately?Answer →
  41. 41During a clinic visit, Lexi shares several updates about her life. Based on her medication regimen, the nurse should be most concerned by which client's statement?Answer →
  42. 42A client taking sertraline reports feeling "restless and having trouble sleeping since starting the medication." Which nursing action is most appropriate?Answer →
  43. 43Which term best describes these symptoms, and what is the expected intervention ordered by the provider?Answer →
  44. 44A nurse is leading a community support group for adolescents without housing in which one member has remained silent throughout the discussion. Which of the following actions should the nurse take?Answer →
  45. 45During a group psychotherapy session, a nurse observes that group members are taking on different roles that influence the group dynamics. Which set of roles should the nurse recognize as essential for the effective functioning of the group?Answer →
  46. 46Which of the following are possible uses for benzodiazepines? (Select all that apply)Answer →
  47. 47A client receiving an SSRI reports new onset agitation, sweating, diarrhea, and muscle twitching after adding another medication. What is the nurse's priority action?Answer →
  48. 48Which information should the nurse include in the discharge instructions for a client prescribed alprazolam (Xanax)?Answer →
  49. 49A nurse is reinforcing teaching with a client who is scheduled to receive electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?Answer →
  50. 50A nurse reviews the client's medication list. The nurse correctly identifies that which of the following medications is a tricyclic antidepressant?Answer →
  51. 51During the norming phase of group therapy, which factor most accurately reflects the group's development and promotes effective group functioning?Answer →
  52. 52A nurse is preparing to administer valproate (Depakote) to a patient with epilepsy. Which laboratory test is essential to monitor the medication's therapeutic level and safety?Answer →
  53. 53A client in cognitive behavioral therapy makes a statement. Which statement gives the nurse reason to assume the client understands the basis of this type of therapy?Answer →
  54. 54A client with Myasthenia Gravis arrives at the emergency department experiencing diplopia, muscle strength +2/5, and pulse oximetry 89%. The nurse anticipates administering which medication?Answer →
  55. 55A nurse is educating a patient recently diagnosed with Parkinson's disease about why tremors and rigidity occur. The patient asks, "What causes all these movement problems?" Which of the following is the most accurate explanation the nurse can provide?Answer →
  56. 56The use of CAM therapies to treat mental health problems should be used in addition to traditional medications too?Answer →
  57. 57A nurse reviewing the laboratory results for a client diagnosed with bipolar disorder notes the lithium level as 1.16 mEq/L, taken 8 to 12 hours after the last dose of lithium. What will be the most appropriate nurse intervention depending on how nurse interpret this information?Answer →
  58. 58Which statement is most appropriate when educating a patient about SSRIs and safety?Answer →
  59. 59A client reports their anxiety symptoms are significantly reduced when they take diazepam (Valium). The reduction in symptoms is most likely caused by enhanced/increased levels of which neurotransmitter?Answer →
  60. 60A family member of client receiving Haldol (haloperidol) reported slight shaking or tremor, his face not showing any expression, stiffness, soft or low voice, hunching over when he walks with fast but short steps. Select the nurse's best analysis of this scenario.Answer →
  61. 61A client who is taking clozapine calls the clinic and reports a sore throat to the nurse. Which of the following is an appropriate response by the nurse?Answer →
  62. 62A nurse is monitoring a client who was recently started on a selective serotonin reuptake inhibitor (SSRI) and presents with possible serotonin syndrome. Which of the following findings should the nurse identify as indicative of serotonin syndrome? (Select all that apply)Answer →
  63. 63A nurse is assessing a client who received morphine for severe pain 30 min ago. Which of the following findings is the nurse's priority?Answer →
  64. 64A nurse is reviewing laboratory results for a client who is receiving lithium carbonate. The client's blood lithium level is 1.8 mEq/L. Which of the following actions should the nurse take?Answer →
  65. 65A physician has prescribed 450mg of a liquid medication every 4 hours for pain. The drug is available as 150mg per 5 mL. How many tablespoons will the patient receive per dose? ______ tbspAnswer →
  66. 66A 26-year-old male undergoing general anesthesia for a routine appendectomy suddenly develops muscle rigidity, tachycardia, hypercapnia, and a rapid rise in body temperature. The anesthesiologist suspects malignant hyperthermia. Which of the following is the most appropriate initial intervention?Answer →
  67. 67A nurse is planning a group psychotherapy session and must determine the optimal number of participants to ensure effective interaction and therapeutic benefits. Which group size should the nurse aim for?Answer →
  68. 68Preparing the client for treatment?Answer →
  69. 69A charge nurse is working with a newly licensed nurse and discussing milieu therapy. The charge nurse should describe milieu therapy as which of the following? (Select all that apply.)Answer →
  70. 70A nurse in the emergency department is assessing a client who is experiencing manifestations of Serotonin Syndrome. Which of the following actions should the nurse take?Answer →
  71. 71Which of the following is a common contraindication to lithium therapy?Answer →
  72. 72The nurse should include what information for a client prescribed lithium?Answer →
  73. 73The nurse should monitor for which priority concern in patients taking benzodiazepines?Answer →
  74. 74Beta1-adrenergic receptors are found primarily in the smooth muscle of the bronchioles and blood vessels, while beta2 receptors are mainly located in the heart.Answer →
  75. 75A client abruptly stops taking paroxetine. Which finding should the nurse expect?Answer →
  76. 76A nurse is caring for a client who is prescribed clozapine. Which of the following laboratory values should the nurse monitor?Answer →
  77. 77At the 30 day follow up visit after being started on buspirone for anxiety, the patient tells the nurse, "I only take this medicine when my anxiety gets bad. I'm worried I might become addicted to it." Which patient education statement about buspirone made by the nurse would be incorrect?Answer →
  78. 78Which of the following best differentiates wearing-off from the on/off phenomenon in Parkinson's treatment?Answer →
  79. 79A nurse is preparing to administer selegiline for a client who is admitted with major depression. Which of the following actions should the nurse take?Answer →
  80. 80A nurse is caring for a patient who has major depressive disorder and was prescribed citalopram 1 week ago. The patient reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?Answer →
  81. 81A nurse is reviewing a medication list for a patient newly diagnosed with bipolar disorder who has been prescribed olanzapine (Zyprexa) and quetiapine (Seroquel). To classify these drugs accurately and anticipate their side effects, which antipsychotic generation do these medications belong to?Answer →
  82. 82A client has received maintenance doses of fluphenazine decanoate (Prolixin Decanoate) 25 mg IM every 2 weeks for 2 years. The clinic nurse notes the client started making involuntary movements, grimacing and seems to be constantly smacking her lips. On the next clinic visit, the client's neck and shoulders twist in a slow, snakelike motion. Please complete the following statement with options provided. The nurse should suspect the presence of and shouldAnswer →
  83. 83A nurse is caring for a client who asks, "Is individual or group therapy more beneficial?" Which of the following responses should the nurse give?Answer →
  84. 84The nurse is preparing to administer 0900 medications to a client who is scheduled for hemodialysis at 0930. Which medication should the nurse hold and clarify with the healthcare provider?Answer →
  85. 85At 2030, an adult client reports being unable to go to sleep due to the pain caused by an infected abdominal incision. Which intervention should the nurse implement first?Answer →
  86. 86A nurse is caring for a client prescribed phenelzine. Which food should the nurse instruct the client to avoid?Answer →
  87. 87A nurse is planning care for a client who has alcohol use disorder. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.Answer →
  88. 88A member of an investigational drug study team is working with healthy volunteers whose participation will help to determine the optimal dosage range and pharmacokinetics of the drug. The team member is participating in what type of study?Answer →
  89. 89A client on the inpatient psychiatric unit is taking the antipsychotic medication clozapine. Which assessment finding is most important for the nurse to report to the healthcare provider (HCP) immediately?Answer →
  90. 90A client with neuroleptic malignant syndrome receives a prescription for dantrolene 1.5 mg/kg IV. The client weighs 132 pounds. The label on 250 mg vial reads, "Reconstitute with 5 mL sterile water for injection, USP. Reconstitution yields 50 mg/mL." How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)Answer →
  91. 91Which of the following is a common contraindication to lithium therapy?Answer →
  92. 92A nurse is teaching about the role of GABA. Which statement is accurate?Answer →
  93. 93The primary location of Beta1-adrenergic receptors is in the lungs, where they mediate bronchodilation.Answer →
  94. 94A nurse is providing teaching to a client who has been prescribed Phenelzine (Nardil). Which statement by the client indicates that the client understands the teaching?Answer →
  95. 95A nurse is collecting data from a client who has schizophrenia and is taking fluphenazine. The nurse observes that the client's tongue is protruding and he has irregular movements of his limbs. The nurse should identify that the client is exhibiting manifestations of which of the following?Answer →
  96. 96A client taking phenelzine (Nardil) ate aged cheese at lunch and is now experiencing severe headache and palpitations. Which is the priority nursing action?Answer →
  97. 97You are to administer of Drug B 125 mg. Drug B is supplied as a liquid with 500 mg/oz. How many milliliters will you administer using a medicine cup? ______ mlAnswer →
  98. 98A male client is admitted to the emergency department (ED) because of a possible overdose of methadone and benzodiazepines. His admission respiratory rate is 6 breaths/minute. Based on this finding, the nurse should prepare for which intervention?Answer →
  99. 99Which statements are true regarding the selective serotonin reuptake inhibitors (SSRIs)? (Select all that apply.)Answer →
  100. 100A nurse is explaining the key components of a residential psychiatric treatment program to a new staff member. Which of the following best describes the comprehensive approach used in these programs?Answer →
  101. 101When a client was discharged from the unit 6 months ago, the plan was for him to take chlorpromazine (Thorazine), 300 mg PO daily. He tells the nurse he stopped taking his pills after a few months because they made him feel like a "robot." What manifestations of this common side effect should the nurse determine, this client might been experienced?Answer →
  102. 102Which statement most accurately reflects the classification of a drug like valproic acid under the FDA Pregnancy Risk Category system?Answer →
  103. 103A client is being discharged with a prescription for paroxetine. Which instruction is most important for the nurse to include in this client's discharge teaching plan?Answer →
  104. 104A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?Answer →
  105. 105The nurse is educating a patient with a new prescription for Venlafaxine. Which statement made by the nurse about discontinuing this medicine is correct?Answer →
  106. 106The phobias. constitute a class of drugs that are commonly prescribed for cardiac arrhythmias but have also been found to be effective treatment for socialAnswer →
  107. 107Neuroleptic malignant syndrome is a life-threatening adverse reaction to antipsychotic medications characterized by hyperthermia, autonomic dysfunction, and muscle breakdown.Answer →
  108. 108A nurse is reviewing the medical records for a group of clients prior to administering the clients' medications. For which of the following clients should the nurse withhold the prescribed medication and notify the provider?Answer →
  109. 109A primigravida who is 2 weeks post-delivery receives a prescription for lorazepam for anxiety and postpartum depression. Which intervention is most important for the nurse to implement?Answer →
  110. 110A nurse is caring for a client who has anorexia nervosa. Which of the following actions should the nurse plan to take during the working phase of the nurse-client relationship?Answer →
  111. 111A patient with bipolar disorder is prescribed divalproex sodium, 750 mg daily in divided doses. If the tablets available are 250 mg each, how should the daily dosage be divided?Answer →
  112. 112Which client is at increased risk for developing drug interactions?Answer →
  113. 113Which medication requires serum levels drawn?Answer →
  114. 114A client with Alzheimer's disease has been diagnosed with major depressive disorder and is prescribed sertraline. Which response by the nurse demonstrates appropriate understanding of the use of SSRIs in this population?Answer →
  115. 115A nurse is providing discharge education to a client taking fluoxetine (Prozac). Which potential side effects should the nurse include in the teaching?Answer →
  116. 116A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?Answer →
  117. 117N-acetylcysteine (NAC) is the antidote for acetaminophen (Tylenol) overdose.Answer →
  118. 118When caring for clients with neuromuscular diseases, the nurse needs to administer the right drug for the right reason. Select all the appropriate associations.Answer →
  119. 119A client admitted on a hospital psych unit is on Lithium and has suffered from diarrhea and vomiting. What should the nurse in-charge of this client recognize, what should do first and what instructions should be included in a teaching plan for this client?Answer →
  120. 120Which prescribed non-selective MAOI would be contraindicated for a client with Parkinsonism prescribed Levodopa?Answer →
  121. 121Lithium should be used cautiously in patients with the following conditions (Select all that apply):Answer →
  122. 122A nurse is assisting a provider in obtaining informed consent from a client who has depressive disorder and is scheduled to have electroconvulsive therapy (ECT). The signature of the nurse on the consent form indicates which of the following?Answer →
  123. 123Which drugs would be affected by the first-pass effect when administered? (Select all that apply.)Answer →
  124. 124What is the primary mechanism of action of levodopa in Parkinson's disease treatment?Answer →
  125. 125A nurse is preparing to assist with the care of a client who is to undergo electroconvulsive therapy (ECT). Which of the following pieces of equipment should the nurse set up in the room prior to the treatment? (Select all that apply.)Answer →
  126. 126Which of the following statements are true regarding benzodiazepines? (Select all that apply)Answer →
  127. 127A nurse is discussing the therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of therapeutic milieu?Answer →
  128. 128The nurse is providing care to a client with urge incontinence. Which drug classification should the nurse expect to see in the client's plan of care?Answer →
  129. 129A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules, how many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  130. 130Which of the following medications are selective serotonin reuptake inhibitors (SSRIs)?Answer →
  131. 131A nurse is assessing a client on an antipsychotic who has high fever, muscle rigidity, and altered mental status. Which complication does the nurse suspect?Answer →
  132. 132The patient asks the nurse how selective serotonin reuptake inhibitors (SSRIs) work to relieve anxiety and depression. The nurse correctly explains the method of action when she states:Answer →
  133. 133A nurse is explaining the structure of a partial hospitalization program (PHP) to a client recently discharged from inpatient psychiatric care. Which statement accurately describes the typical treatment hours of a PHP?Answer →
  134. 134A client with schizophrenia is prescribed a new medication. When the client asks the nurse why they need to take the medication, which explanation should the nurse provide?Answer →
  135. 135A nurse is reviewing the medical record of a client who has schizophrenia and is receiving olanzapine. Which of the following findings should the nurse identify as an adverse effect of this second-generation antipsychotic medication?Answer →
  136. 136A client has received maintenance doses of fluphenazine decanoate (Prolixin Decanoate) 25 mg IM every 2 weeks for 2 years. The clinic nurse notes the client started making involuntary movements, grimacing and seems to be constantly smacking her lips. On the next clinic visit, the client's neck and shoulders twist in a slow, snakelike motion. Please complete the following statement with options provided. The nurse should suspect the presence of ______ and should ______.Answer →
  137. 137A client receiving haloperidol presents with a temperature of 40.2°C (104.4°F), generalized muscle rigidity, diaphoresis, and fluctuating blood pressure. After assessing these signs, what should be the nurse's priority action?Answer →
  138. 138A nurse is assessing a client who has schizophrenia which has been treated with fluphenazine for several years. Which of the following findings should the nurse document as manifestations of tardive dyskinesia (TD)?Answer →
  139. 139A nurse is caring for a client with schizophrenia taking first-generation meds who has facial twitching. What is this?Answer →
  140. 140A nurse in a mental health facility is caring for a newly admitted client. Which of the following resources should the nurse recommend to help the client adapt to the health care setting?Answer →
  141. 141Which of the following accurately describes the regulation of herbal supplements in the United States?Answer →
  142. 142When assessing a client who takes psychotropic medications, the nurse checks the client's electronic medical record (EMR) to review the results of the client's Abnormal Involuntary Movement Scale (AIMS) for tardive dyskinesia screening. Which nursing assessment finding indicates to the nurse a need for this screening?Answer →
  143. 143A 70-year-old patient with osteoarthritis and a history of chronic kidney disease (CKD) stage 3 is prescribed ibuprofen for pain management. Which of the following is the most appropriate nursing action?Answer →
  144. 144A nurse is planning discharge teaching for a client recently stabilized on an inpatient psychiatric unit. Which group of clients would be the most appropriate candidates for referral to outpatient psychiatric treatment?Answer →
  145. 145A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include?Answer →
  146. 146The nurse is reviewing the client's medical record. Select the 3 findings that require immediate follow-up.Answer →
  147. 147Gamma-aminobutyric acid (GABA) is an excitatory neurotransmitter that enhances nerve transmission and alertness in the central nervous system.Answer →
  148. 148A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?Answer →
  149. 149The nurse should suspect the presence of….and should…Answer →
  150. 150Which condition should the nurse suspect, and what is the most appropriate immediate action?Answer →
  151. 151A client asks why buspirone was prescribed instead of diazepam for anxiety. On what knowledge should the nurse's reply be based?Answer →
  152. 152Which of the following antidepressant medications is also used for smoking cessation?Answer →
  153. 153A client receiving clozapine therapy presents with a fever of 38.5°C (101.3°F) and a sore throat. Which nursing action takes priority to ensure patient safety?Answer →
  154. 154The nurse needs to verify that a prescribed dose of an antibiotic is appropriate for a client weighing 110 lbs. The drug literature recommends 15 mg/Kg/dose. The nurse identifies that the appropriate dose for this client would be? Label answer in mg.Answer →
  155. 155The nurse is leading a group on the inpatient psychiatric unit. Which approach should the nurse use during the working phase of group development?Answer →
  156. 156A 35-year-old client with generalized anxiety disorder has recently been prescribed an anxiolytic medication. During a follow-up visit, the client reports experiencing persistent drowsiness, occasional headaches, mild gastrointestinal discomfort, constipation, tingling sensations in the extremities, and a transient moderate drop in blood pressure shortly after taking the medication. The nurse reviews the client's current medication regimen and finds no other drugs that would explain these effects. The nurse recognizes that these symptoms are most consistent with the pharmacologic mechanism of the anxiolytic, which works by enhancing inhibitory neurotransmission in the central nervous system. These adverse effects are most likely related to which drug action?Answer →
  157. 157A nurse is working with a client who is the caregiver of a family member who has a serious mental illness. Which of the following statements by the client indicates acceptance of the role change?Answer →
  158. 158A client diagnosed with depression has been prescribed a monoamine oxidase inhibitor (MAOI). During a teaching session, the nurse instructs the client to avoid certain foods (eg, aged cheeses, cured meats, fermented products) and certain medications. What is the primary reason the nurse gives this instruction?Answer →
  159. 159A client with generalized anxiety disorder attends a support group for the third time. During the group session, the client asks for "help" on several occasions. Which response is Best for the nurse to provide this client?Answer →
  160. 160Which statement reflects the FDA black box warning for antidepressants?Answer →
  161. 161A client with depression accidentally ingests an excessive amount of amitriptyline (Elavil). Which symptom indicates life-threatening toxicity?Answer →
  162. 162A nurse is preparing a client for electroconvulsive therapy (ECT). Which of the following client statements indicates an understanding of the procedure?Answer →
  163. 163A nurse is caring for a client who has severe depression and is scheduled to receive electroconvulsive therapy. The nurse should recognize that the client will receive succinylcholine to prevent which of the following adverse effects?Answer →
  164. 164A family member of a client receiving Haldol (haloperidol) reported slight shaking or tremor, his face not showing any expression, stiffness, soft or low voice, hunching over when he walks with fast but short steps. Select the nurse's best analysis of this scenario?Answer →
  165. 165When planning care, the nurse would consider that which one of the following types of antipsychotic medications is most likely to produce extrapyramidal effects?Answer →
  166. 166A nurse is caring for a client who has received nine electroconvulsive therapy (ECT) treatments and reports short-term memory loss. Which of the following responses should the nurse make?Answer →
  167. 167Lithium is prescribed for a new client. Which information of a condition collected from the client's history indicates that monitoring of serum concentrations of the drug will be most challenging and critical?Answer →
  168. 168A nurse is collaborating with a psychiatric care team managing a client with an eating disorder. How should the nurse prioritize involving physical, occupational, and recreational therapists in the client's care plan?Answer →
  169. 169Review the History and Physical, Nurses' Notes, and Orders. Drag one condition and two nursing actions to complete the sentence. The client is showing signs of [blank1] and the nurse should plan to [blank2] and [blank3].Answer →
  170. 170The nurse is teaching a group of adolescents about assertive communication. Two of the adolescents are seated at a round table and another is sitting on a small sofa nearby. To facilitate group interaction, which intervention is best for the nurse to implement?Answer →
  171. 171A client is admitted to the psychiatric unit for schizophrenia. The health care provider's orders read: Administer benztropine PRN for extra pyramidal symptoms. The nurse should give this medication when the client exhibits which of the following?Answer →
  172. 172A male client is admitted to the substance abuse unit for alcohol detoxification. Which of the following medications is nurse most likely to administer to reduce the symptoms of alcohol withdrawal?Answer →
  173. 173A nurse is caring for a client with schizophrenia taking clozapine. Which lab value is most important to monitor?Answer →
  174. 174The nurse is reviewing antiepileptic drug (AED) therapy. Which statements about AED therapy are accurate? (Select all that apply.)Answer →
  175. 175Signs and symptoms of lithium toxicity can include (Select all that apply):Answer →
  176. 176A nurse is providing teaching to a client who has been prescribed Phenelzine (Nardil). Which statement by the client indicates that the client understands the teaching?Answer →
  177. 177The nurse reviews the prescriptions and assessment data. Click to indicate which interventions could help reduce symptoms if added to the plan of care. Each row must have one response option selected.Answer →
  178. 178A nurse is providing care for a client who has just received electroconvulsive therapy. Which of the following findings should the nurse expect after the treatment?Answer →
  179. 179Barbiturates have a high risk for dependency and overdose.Answer →
  180. 180A positive inotropic effect refers to a decrease in myocardial contractility, which results in a lower cardiac output.Answer →
  181. 181The nurse is to administer epinephrine 0.3 mg subcutaneously. The ampule contains 1 mL of medication and is labeled 1 mg/mL. Identify how many milliliters of epinephrine the nurse will give.Answer →
  182. 182A client with schizophrenia returns to the clinic two weeks after receiving a prescription for haloperidol. To assess for neuroleptic malignant syndrome (NMS), which information is most important for the nurse to obtain during this visit?Answer →
  183. 183A nurse is caring for a client who is experiencing mild depression and asks about herbal treatments. The nurse should identify that which of the following herbal treatments is used for depression?Answer →
  184. 184A nurse is teaching a client about benzodiazepines. Which statements should be included in the teaching? (Select All That Apply)Answer →
  185. 185A client experiences an episode of severe acute anxiety. Of these medications in the client's medical record, which is most appropriate to administer as an as-needed (PRN) anxiolytic medication?Answer →
  186. 186A nurse is caring for a patient with anorexia nervosa prescribed alprazolam to manage anxiety before meals. Which nursing teaching statement is the most critical to ensure the patient's safety?Answer →
  187. 187Describe the expectations for group behaviors at the beginning of the first group session. Explain that those with anxiety tend to talk more than others, but it is important to allow all to speak. If a client becomes disruptive, ask that client to leave and return when the anxiety is lessened. Arrange seating so that there is less opportunity for the clients to talk among themselves. [Note: This question's full stem is truncated in the source; see failed_extractions for the partial leading text.]Answer →
  188. 188A nurse is caring for an older adult client who has a prescription for alprazolam. Which of the following findings should the nurse report to the provider immediately?Answer →
  189. 189Your patient has ½ cups of coffee, and 1 pint of a dietary supplement for breakfast. At lunch they drink 6 ounces of water and 2 cups of broth. For dinner the patient had 1 ½ cups of coffee and 14 ounces of water. This patient also has 650 ml of IV fluid during this 12-hour shift. What is their total intake in milliliters? ______ mlAnswer →
  190. 190Order: Haldol 4 mg IM every 6 hours prn for agitation. Supply: Haldol 5 mg/ml. How many ml will the nurse administer?Answer →
  191. 191What is a key difference between a trade name and a generic drug name?Answer →
  192. 192A nurse is reinforcing teaching about valproate with a client who has a bipolar disorder. Which of the following information should the nurse include in the teaching?Answer →
  193. 193A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John's Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?Answer →
  194. 194A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?Answer →
  195. 195While completing the history portion of an admission assessment of a client with schizophrenia, the nurse notices that the client is continually moving in the chair and frequently stands and then sits back down. The nurse knows that this client most likely is experiencing the side effect of?Answer →
  196. 196Complete the following sentence by using the lists of options. The nurse should first.... followed by….Answer →
  197. 197A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?Answer →
  198. 198A nurse is caring for a client who is inquiring about the use of herbal remedies in treating manifestations of mental illness. Which of the following topics should the nurse prepare to discuss with the client?Answer →
  199. 199The findings in the client's medical record indicate Target 1 and Target 2Answer →
  200. 200The nurse is developing a teaching plan for a client who has been diagnosed recently with a mental health disorder and has been prescribed psychotropic medication. Which interventions regarding the medication should the nurse include in the teaching plan? (Select all that apply)Answer →
  201. 201A client's haloperidol dose has been increased to 10 mg daily. Over the past 24 hours they have become more combative, with a pulse of 120/min, a temperature of 101.5 F, drooling and complaints of feeling stiff. Which of the following is the most appropriate nursing intervention?Answer →
  202. 202An appropriate intervention for a client prescribed olanzapine is which of the following?Answer →
  203. 203A nurse is preparing to administer diphenhydramine 50 mg PO every 6 hr to a client who has acute dystonia. Available is diphenhydramine 25 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  204. 204A nurse is reviewing the medical record of a client who has schizophrenia and is receiving olanzapine. Which of the following findings should the nurse identify as an adverse effect of olanzapine?Answer →
  205. 205Buccal administration bypasses first-pass metabolismAnswer →
  206. 206A nurse is collecting data from a client who is to begin taking alprazolam. Which of the following findings should the nurse identify is a contraindication to this medication?Answer →
  207. 207Which of the following would most likely occur with stimulation of Beta2-adrenergic receptors?Answer →
  208. 208Bradykinesia, chorea, and dystonia all describe the same type of abnormal involuntary movement patterns seen in Parkinson's disease.Answer →
  209. 209A nurse is caring for a client who has schizophrenia and diabetes mellitus. The nurse is reviewing a list of the client's prescribed medications and has questions about interactions. To which of the following members of the interprofessional team should the nurse direct their questions?Answer →
  210. 210Which receptor is primarily stimulated by epinephrine to increase heart rate?Answer →
  211. 211Which 3 actions should the nurse perform right away?Answer →
  212. 212A nurse is providing teaching about disulfiram to a client who has a history of alcohol use disorder. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)Answer →
  213. 213The nurse is taking care of a client who was recently prescribed with Nardil (Phenelzine). Nurse is planning this client plan of care and preparing the teaching for mentioned medication. What situation related to this client will lead the nurse to have an important nurse consideration and give teaching related to mentioned medication?Answer →
  214. 214Order: Methylphenidate 20mg PO every morning. Supply: Methylphenidate (Oral Solution) 25mg/5ml. How many ml will the nurse administer?Answer →
  215. 215Adrenergic agonists mimic the actions of the sympathetic nervous system and are also known as sympathomimetics.Answer →
  216. 216Which clinical sign should prompt a nurse to suspect serotonin syndrome in a patient recently prescribed multiple serotonergic agents?Answer →
  217. 217A client is given the diagnosis of generalized anxiety disorder and is prescribed a benzodiazepine. The client should be instructed on which of the following?Answer →
  218. 218A client taking trazodone reports an erection lasting 3 hours. Which action is appropriate?Answer →
  219. 219A client with depression who is taking a tricyclic antidepressant reports frequent early morning awakening and difficulty going back to sleep. Which client data is significant for the nurse to obtain in planning this client's teaching?Answer →
  220. 220Adjunctive drugs are used when monotherapy fails and act presynaptically to reverse postural instability and rigidity by enhancing endogenous dopamine production.Answer →
  221. 221A nurse is administering multiple types of ophthalmic drops to a client. Which of the following actions should the nurse take?Answer →
  222. 222A patient with a history of bipolar disorder is being started on lithium and the nurse is providing education on this mood stabilizing medication. The patient asks what changes he might experience with his bipolar disorder symptoms. The nurse correctly states:Answer →
  223. 223A nurse in a mental health facility reinforces teaching about the risks and benefits of electroconvulsive therapy as part of the informed consent process. Which of the following ethical principles is the nurse practicing?Answer →
  224. 224When assessing a female client who has been taking an antipsychotic medication for the past year, the nurse observes that the client demonstrates involuntary foot tapping while both feet are flat on the floor. The nurse plans to report the observation to the healthcare provider. Which additional action should the nurse take?Answer →
  225. 225A nurse is caring for a 45-year-old client diagnosed with major depressive disorder who has been taking Sertraline (Zoloft) for the past 3 weeks. Which of the following treatments or medications would be contraindicated for this client? (Select all that apply.)Answer →
  226. 226A nurse is preparing to administer dextrose 5% in water (D5W) 1,200 mL IV to infuse over 24 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) gtt/minAnswer →
  227. 227A client started on Lithium 2 days ago presents with severe diarrhea, vomiting, and seizures. What should the nurse do first and what treatment should be included?Answer →
  228. 228A nurse is monitoring a client who takes lithium for bipolar disorder. Which finding suggests lithium toxicity?Answer →
  229. 229A client assigned male at birth, who is prescribed risperidone, tells the nurse that he has a white milky substance coming out of his nipples. The nurse documents this symptom as which of the following?Answer →
  230. 230A nurse is reinforcing dietary teaching with a client who has a new prescription for a monoamine oxidase inhibitor (MAOI). Which of the following foods should the nurse instruct the client to avoid while taking an MAOI?Answer →
  231. 231A nurse is preparing to administer methylphenidate 25 mg PO to a school-age child who has ADHD. Available is methylphenidate 10 mg/5 mL liquid. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  232. 232The nurse is scheduled to give the patient 500 mg of Drug M. The medication is available as 400 mg/tsp. How many ml will the nurse administer to the patient using a 10 ml oral syringe? ______ mlAnswer →
  233. 233The nurse is leading a group on the inpatient psychiatric unit. Which approach should the nurse use during the working phase of group development?Answer →
  234. 234A client recently started fluoxetine. Which statement indicates the client needs further teaching?Answer →
  235. 235The physician orders 250 mg of Drug D every six hours as needed. The medication is supplied as an oral solution at 200 mg/2 ml. How many teaspoons will the nurse give the patient with each dose? ______ tspAnswer →
  236. 236A nurse is reviewing the medication plan for a client newly diagnosed with obsessive-compulsive disorder (OCD). The healthcare provider prescribes sertraline (Zoloft). The client asks, "Why am I being given an antidepressant if I don't feel depressed?" Which response by the nurse is most appropriate?Answer →
  237. 237A nurse is caring for a client who has schizophrenia and has been taking a first generation medication for several years. The patient is exhibiting jerking movements and twitching of the face and tongue. Which of the following is the client experiencing?Answer →
  238. 238A psychiatrist orders lorazepam 0.5 mg IV for a patient with severe anxiety, given every 4 hours PRN. Each lorazepam vial contains 2 mg per mL. How much solution should be administered per dose?Answer →
  239. 239A nurse is reviewing the medical record of a client who has a new prescription for selegiline transdermal. Which of the following findings should the nurse identify as a contraindication for administration of this medication to the client?Answer →
  240. 240When a patient is taking an adrenergic agonist drug, the nurse expects to observe which effect?Answer →
  241. 241Group therapy, which assists in relieving emotional distress and encourages psychological and behavioral changes, was developed following World War II as a result of a?Answer →
  242. 242Levodopa is a dopamine precursor that crosses the blood-brain barrier and is converted into dopamine in the CNS, helping to restore motor function in Parkinson's patients (Lexicomp, 2023). [What is the primary mechanism of action of levodopa?]Answer →
  243. 243A nurse is caring for a client taking sertraline. Which adverse effect should the nurse teach the client to report immediately?Answer →
  244. 244The nurse recognizes that the use of [drug class] leads to [mechanism] causing serotonin syndrome. Drag from the Word Choices to complete the sentence.Answer →
  245. 245The physician orders erythromycin 500 mg in 100 mL of D5W to infuse in 30 minutes. Calculate the flow rate in milliliters per hour. (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) ___ mL/hrAnswer →
  246. 246When a client was discharged from the unit 6 months ago, the plan was for him to take chlorpromazine (Thorazine), 300 mg PO daily. He tells the nurse he stopped taking his pills after a few months because they made him feel like a "robot." What manifestations of this common side effect should the nurse determine this client might been experienced?Answer →
  247. 247A nurse is reviewing lab results for a patient receiving long-term valproic acid therapy for seizure management. Which of the following serum levels would most likely prompt the nurse to hold the medication and notify the provider due to risk of toxicity?Answer →
  248. 248An agonist drug binds to a receptor and blocks its activity, as seen with naloxone in opioid overdose.Answer →
  249. 249Rigidity in Parkinson's disease is best described as muscle stiffness that contributes to the classic "cogwheel" resistance during passive movement.Answer →
  250. 250A nurse is caring for a 45-year-old client diagnosed with major depressive disorder who has been taking Sertraline (Zoloft) for the past 3 weeks. Which of the following treatments or medications would be contraindicated for this client? (Select all that apply.)Answer →
  251. 251Dopaminergic receptors respond only to synthetic dopamine and are not considered part of the adrenergic receptor classification.Answer →
  252. 252A client with a diagnosis of schizophrenia is prescribed Invega Sustenna, the nurse understands the main reason for this medication is which of the following?Answer →
  253. 253A client taking a first-generation antipsychotic develops drooling, shuffling gait, and rigidity. What is the nurse's priority intervention?Answer →
  254. 254A nurse is reviewing the medication plan for a client newly diagnosed with Obsessive-Compulsive Disorder (OCD). The healthcare provider prescribes sertraline (Zoloft). The client asks, "Why am I being given an antidepressant if I don't feel depressed?" Which response by the nurse is most appropriate?Answer →
  255. 255Select from the choices below what condition the client is most likely experiencing [blank1], two actions the nurse should take [blank2] and [blank3], and two parameters the nurse should monitor to assess the client's progress [blank4] and [blank5].Answer →
  256. 256A male client tells the nurse that he does not want to take the atypical antipsychotic drug olanzapine, because of the side effects he experienced when he took the drug for a year. Which experience is most likely related to taking olanzapine?Answer →
  257. 257A nurse is collecting data from a client who is receiving multiple antipsychotic medications. The client exhibits muscle rigidity, hyperpyrexia, and diaphoresis. The nurse should identify that the client may be experiencing which of the following adverse effects?Answer →
  258. 258The nurse is speaking to a client about Electroconvulsive Therapy. The nurse knows that this therapy is effective for: Please drag and drop all possible answersAnswer →
  259. 259A nurse is caring for a client who is prescribed alprazolam, a benzodiazepine for managing severe manifestations of anxiety. Which of the following should the nurse prepare to discuss with the client?Answer →
  260. 260The patient reports not feeling well. After checking the patient's vital signs, the nurse is alerted to a temperature of 102 degrees. The nurse recalls that SNRI have the potential to cause what complication related to the finding?Answer →
  261. 261A client is treated with an antipsychotic medication. The nurse provides teaching about which general side effects associated with this medication. Select all that apply.Answer →
  262. 262Selective serotonin reuptake inhibitors (SSRIs) are most health care providers' drugs of choice for the treatment of depression because?Answer →
  263. 263The home health nurse is to give the patient 900 mg of medication C during the home visit. The medication is available as 200 mg/10 ml. How many ounces of medication will the nurse give the patient? ______ ozAnswer →
  264. 264A nurse is caring for a hospitalized patient receiving lorazepam for acute anxiety. Which is the most critical consideration?Answer →
  265. 265A drug dose that delivers 800 mg has a half-life of 5 hours. Identify how much drug will remain in the body after one half-life.Answer →
  266. 266A client with major depressive disorder is starting venlafaxine (SNRI). Which assessment is most important for the nurse to monitor?Answer →
  267. 267A new client has been prescribed lithium for the management of bipolar disorder. Before initiating therapy, the nurse reviews the client's medical history to identify factors that could affect lithium serum levels and increase the risk of toxicity. Which element of the client's history suggests that careful monitoring of lithium levels will be particularly challenging and critical?Answer →
  268. 268A nurse is caring for a 35-year-old client with schizophrenia who was recently started on aripiprazole (Abilify). Which of the following findings should the nurse identify as the most common side effects of the client's medication therapy?Answer →
  269. 269A client with a neuromuscular disease is prescribed an anticholinergic drug. Which of the following would be an unexpected physiologic response to this drug category?Answer →
  270. 270A nurse is educating a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?Answer →
  271. 271A client taking haloperidol suddenly develops muscle rigidity, fever, and confusion. What condition does the nurse suspect?Answer →
  272. 272A client started haloperidol 3 days ago and reports neck stiffness and eyes rolling upward. Which medication should the nurse anticipate administering?Answer →
  273. 273A 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? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  274. 274A client's head is twisted to one side, his back is arched, and is experiencing an oculogyric crisis. The client has recently begun drug therapy with an antipsychotic medication. Based on this assessment, what should the nurse do FIRST?Answer →
  275. 275A nurse is assessing a client following treatment for serotonin syndrome caused by an antidepressant medication. Which of the following findings Indicates the treatment has been effective?Answer →
  276. 276A nurse is planning care for a client who has been prescribed a monoamine oxidase inhibitor (MAOI). The nurse should identify that which of the following foods are contraindicated and should be eliminated from the client's diet? (Select all that apply.)Answer →
  277. 277A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to report to the provider?Answer →
  278. 278When administering zolpidem to an older adult client, which computer documentation indicates that the desired outcome has been achieved?Answer →
  279. 279Complete the following sentence by using the lists of options. The client is at risk for.... as evidenced by the client's…Answer →
  280. 280A nurse is teaching about SSRI onset of action. Which statement should the nurse include?Answer →