1. Question D.

Take the client a lunch tray and let the

Jose is diagnosed with amphetamine client eat in his room.
psychosis and was admitted to the
emergency room. Nurse Ronald would most Correct Answer: B. Invite the client to lunch
likely prepare to administer which of the and accompany him to the dining room.
following medication?
5. Question
A. Librium The initial nursing intervention for the
B. Valium significant-others during shock phase of a
C. Ativan grief reaction should be focused on:
D. Haldol
A. Presenting the full reality of the loss of
Correct Answer: D. Haldol the individuals.
B. Directing the individual’s activities at this
2. Question time.
Which of the following liquids would nurse C. Staying with the individuals involved.
Leng administer to a female client who is D. Mobilizing the individual’s support
intoxicated with phencyclidine (PCP) to system.
hasten excretion of the chemical?
Correct Answer: C. Staying with the
A. Shake individuals involved.
B. Tea
C. Cranberry Juice 6. Question
D. Grape juice Joy’s stream of consciousness is occupied
exclusively with thoughts of her father’s
Correct Answer: C. Cranberry Juice death. Nurse Ronald should plan to help
Joy through this stage of grieving, which is
3. Question known as:
When developing a plan of care for a female
client with acute stress disorder who lost her A. Shock and disbelief
sister in a car accident. Which of the B. Developing awareness
following would the nurse expect to initiate? C. Resolving the loss
D. Restitution
A. Facilitating progressive review of the
accident and its consequences. Correct Answer: C. Resolving the loss
B. Postponing discussion of the accident
until the client brings it up. 7. Question
C. Telling the client to avoid details of the When taking a health history from a female
accident. client who has a moderate level of cognitive
D. Helping the client to evaluate her sister’s impairment due to dementia, the nurse
behavior. would expect to note the presence of:

Correct Answer: A. Facilitating progressive A. Accentuated premorbid traits

review of the accident and its consequences B. Enhance intelligence
C. Increased inhibitions
4. Question D. Hypervigilance
The nursing assistant tells nurse Ronald
that the client is not in the dining room for Correct Answer: A. Accentuated premorbid
lunch. Nurse Ronald would direct the traits
nursing assistant to do which of the
following? 8. Question
What is the priority care for a client with
A. Tell the client he’ll need to wait until dementia resulting from AIDS?
supper to eat if he misses lunch.
B. Invite the client to lunch and accompany A. Planning for remotivation therapy.
him to the dining room. B. Arranging for long-term custodial care.
C. Inform the client that he has 10 minutes C. Providing basic intellectual stimulation.
to get to the dining room for lunch. D. Assessing pain frequently.
Correct Answer: C. Providing basic Correct Answer: B. Loneliness
intellectual stimulation

13. Question
9. Question One morning a female client on the inpatient
Jerome who has an eating disorder often psychiatric service complains to nurse
exhibits similar symptoms. Nurse Lhey Hazel that she has been waiting for over an
would expect an adolescent client with hour for someone to accompany her to
anorexia to exhibit: activities. Nurse Hazel replies to the client
“We’re doing the best we can. There are a
A. Affective instability lot of other people in the unit who need
B. Dishered, unkempt physical appearance attention too.” This statement shows that
C. Depersonalization and derealization the nurse’s use of:
D. Repetitive motor mechanisms
A. Defensive behavior
Correct Answer: A. Affective instability B. Reality reinforcement
C. Limit-setting behavior
10. Question D. Impulse control
The primary nursing diagnosis for a female
client with a medical diagnosis of major Correct Answer: A. Defensive behavior
depression would be:
14. Question
A. Situational low self-esteem related to A nursing diagnosis for a male client with a
altered role diagnosed multiple personality disorder is
B. Powerlessness related to the loss of chronic low self-esteem probably related to
idealized self childhood abuse. The most appropriate
C. Spiritual distress related to depression short-term client outcome would be:
D. Impaired verbal communication related
to depression A. Verbalizing the need for anxiety
medications.
Correct Answer: D. Impaired verbal B. Recognizing each existing personality.
communication related to depression C. Engaging in object-oriented activities.
D. Eliminating defense mechanisms and
11. Question phobia.
When developing an initial nursing care plan
for a male client with a Bipolar I disorder Correct Answer: B. Recognizing each
(manic episode) nurse Ron should plan to? existing personality

A. Isolate his gym time. 15. Question

B. Encourage his active participation in unit A 25-year-old male is admitted to a mental
programs. health facility because of inappropriate
C. Provide foods, fluids, and rest. behavior. The client has been hearing
D. Discourage his participation in voices, responding to imaginary
programs. companions, and withdrawing to his room
for several days at a time. Nurse Monette
Correct Answer: C. Provide foods, fluids, understands that the withdrawal is a
and rest defense against the client’s fear of:

12. Question A. Phobia

Grace is exhibiting withdrawn patterns of B. Powerlessness
behavior. Nurse Johnny is aware that this C. Punishment
type of behavior eventually produces a D. Rejection
feeling of:
Correct Answer: D. Rejection
A. Repression
B. Loneliness 16. Question
C. Anger When asking the parents about the onset of
D. Paranoia problems in young client with the diagnosis
of schizophrenia, Nurse Linda would expect
that they would relate the client’s difficulties Nurse Bea notices a female client sitting
began in: alone in the corner smiling and talking to
herself. Realizing that the client is
A. Early childhood hallucinating. Nurse Bea should:
B. Late childhood
C. Adolescence A. Invite the client to help decorate the
D. Puberty dayroom.
B. Leave the client alone until he stops
Correct Answer: C. Adolescence talking.
C. Ask the client why he is smiling and
17. Question talking.
Jose, who has been hospitalized with D. Tell the client it is not good for him to talk
schizophrenia tells Nurse Ron, “My heart to himself.
has stopped and my veins have turned to
glass!” Nurse Ron is aware that this is an Correct Answer: B. Leave the client alone
example of: until he stops talking

A. Somatic delusions 21. Question

B. Depersonalization When being admitted to a mental health
C. Hypochondriasis facility, a young female adult tells Nurse
D. Echolalia Mylene that the voices she hears frighten
her. Nurse Mylene understands that the
Correct Answer: A. Somatic delusions client tends to hallucinate more vividly:

A. While watching TV
18. Question B. During mealtime
In recognizing common behaviors exhibited C. During group activities
by a male client who has a diagnosis of D. After going to bed
schizophrenia, nurse Josie can anticipate:
Correct Answer: D. After going to bed
A. Slumped posture, pessimistic outlook,
and flight of ideas 22. Question
B. Grandiosity, arrogance, and distractibility Nurse John recognizes that paranoid
C. Withdrawal, regressed behavior, and delusions usually are related to the defense
lack of social skills mechanism of:
D. Disorientation, forgetfulness, and anxiety
A. Projection
Correct Answer: C. Withdrawal, regressed B. Identification
behavior, and lack of social skills C. Repression
D. Regression
19. Question
One morning, nurse Diane finds a disturbed Correct Answer: A. Projection
client curled up in the fetal position in the
corner of the dayroom. The most accurate 23. Question
initial evaluation of the behavior would be When planning care for a male client using
that the client is: paranoid ideation, nurse Jasmin should
realize the importance of:
A. Physically ill and experiencing
abdominal discomfort. A. Giving the client difficult tasks to provide
B. Tired and probably did not sleep well last stimulation.
night. B. Providing the client with activities in
C. Attempting to hide from the nurse. which success can be achieved.
D. Feeling more anxious today. C. Removing stress so that the client can
relax.
Correct Answer: D. Feeling more anxious D. Not placing any demands on the client.
today
Correct Answer: B. Providing the client with
20. Question activities in which success can be achieved.
24. Question
Nurse Gerry is aware that the defense 28. Question
mechanism commonly used by clients who Junnel, who is manic, but not yet on
are alcoholics is: medication, comes to the drug treatment
center. The nurse would not let this client
A. Displacement join the group session because:
B. Denial
C. Projection A. The client is disruptive.
D. Compensation B. The client is harmful to self.
C. The client is harmful to others.
Correct Answer: B. Denial D. The client needs to be on medication
25. Question first.
Within a few hours of alcohol withdrawal,
nurse John should assess the male client Correct Answer: A. The client is disruptive.
for the presence of:
29. Question
A. Disorientation, paranoia, tachycardia Dervid, an adolescent boy, was admitted for
B. Tremors, fever, profuse diaphoresis substance abuse and hallucinations. The
C. Irritability, heightened alertness, jerky client’s mother asks Nurse Armando to talk
movements with his husband when he arrives at the
D. Yawning, anxiety, convulsions hospital. The mother says that she is afraid
of what the father might say to the boy. The
Correct Answer: C. Irritability, heightened most appropriate nursing intervention would
alertness, jerky movements be to:

26. Question A. Inform the mother that she and the

Mr. Marquez reports losing his job, not father can work through this problem
being able to sleep at night, and feeling themselves.
upset with his wife. Nurse John responds to B. Refer the mother to the hospital social
the client, “You may want to talk about your worker.
employment situation in group today.” The C. Agree to talk with the mother and the
Nurse is using which therapeutic technique? father together.
D. Suggest that the father and son work
A. Observations things out.
B. Restating
C. Exploring Correct Answer: C. Agree to talk with the
D. Focusing mother and the father together.

Correct Answer: D. Focusing 30. Question

What is Nurse John likely to note in a male
27. Question client being admitted for alcohol withdrawal?
Tony refuses his evening dose of
Haloperidol (Haldol), then becomes A. Perceptual disorders
extremely agitated in the dayroom while B. Impending coma
other clients are watching television. He C. Recent alcohol intake
begins cursing and throwing furniture. Nurse D. Depression with mutism
Oliver first action is to:
Correct Answer: A. Perceptual disorders
A. Check the client’s medical record for an
order for an as-needed I.M. dose of 31. Question
medication for agitation. Aira has taken amitriptyline HCL (Elavil) for
B. Place the client in full leather restraints. 3 days, but now complains that it “doesn’t
C. Call the attending physician and report help” and refuses to take it. What should the
the behavior. nurse say or do?
D. Remove all other clients from the
dayroom. A. Withhold the drug.
B. Record the client’s response.
Correct Answer: D. Remove all other clients C. Encourage the client to tell the doctor.
from the dayroom.
 D. Suggest that it takes a while before 35. Question
seeing the results. What parental behavior toward a child
during an admission procedure should
Correct Answer: D. Suggest that it takes a cause Nurse Ron to suspect child abuse?
while before seeing the results.
A. Flat affect
32. Question B. Expressing guilt
Dervid, an adolescent has a history of C. Acting overly solicitous toward the child.
truancy from school, running away from D. Ignoring the child.
home and “borrowing” other people’s things
without their permission. The adolescent Correct Answer: C. Acting overly solicitous
denies stealing, rationalizing instead that as toward the child.
long as no one was using the items, it was
all right to borrow them. It is important for 36. Question
the nurse to understand the Nurse Lynnette notices that a female client
psychodynamically, this behavior may be with obsessive-compulsive disorder washes
largely attributed to a developmental defect her hands for long periods each day. How
related to the: should the nurse respond to this compulsive
behavior?
A. Id
B. Ego A. By designating times during which the
C. Superego client can focus on the behavior.
D. Oedipal complex B. By urging the client to reduce the
frequency of the behavior as rapidly as
Correct Answer: C. Superego possible.
C. By calling attention to or attempting to
33. Question prevent the behavior.
In preparing a female client for D. By discouraging the client from
electroconvulsive therapy (ECT), Nurse verbalizing anxieties.
Michelle knows that succinylcholine
(Anectine) will be administered for which Correct Answer: A. By designating times
therapeutic effect? during which the client can focus on the
behavior.
A. Short-acting anesthesia
B. Decreased oral and respiratory 37. Question
secretions After seeking help at an outpatient mental
C. Skeletal muscle paralysis health clinic, Ruby who was raped while
D. Analgesia walking her dog is diagnosed with
posttraumatic stress disorder (PTSD). Three
Correct Answer: C. Skeletal muscle months later, Ruby returns to the clinic,
paralysis complaining of fear, loss of control, and
helpless feelings. Which nursing
intervention is most appropriate for Ruby?
34. Question
Nurse Gina is aware that the dietary A. Recommending a high-protein, low-fat
implications for a client in manic phase of diet.
bipolar disorder is: B. Giving sleep medication, as prescribed,
to restore a normal sleep-wake cycle.
A. Serve the client a bowl of soup, buttered C. Allowing the client time to heal.
French bread, and apple slices. D. Exploring the meaning of the traumatic
B. Increase calories, decrease fat and event with the client.
decrease protein.
C. Give the client pieces of cut-up steak, Correct Answer: D. Exploring the meaning
carrots, and an apple. of the traumatic event with the client.
D. Increase calories, carbohydrates, and
protein. 38. Question
Meryl, age 19, is highly dependent on her
Correct Answer: D. Increase calories, parents and fears leaving home to go away
carbohydrates, and protein. to college. Shortly before the semester
starts, she complains that her legs are C. A reminder of the need to schedule
paralyzed and is rushed to the emergency blood work in 1 week to check blood levels
department. When physical examination of the drug.
rules out a physical cause for her paralysis, D. A warning that immediate sedation can
the physician admits her to the psychiatric occur with a resultant drop in pulse.
unit where she is diagnosed with conversion
disorder. Meryl asks the nurse, “Why has Correct Answer: A. A warning about the
this happened to me?” What is the nurse’s drug’s delayed therapeutic effect, which is
best response? from 14 to 30 days.

A. "You've developed this paralysis so you 41. Question

can stay with your parents. You must deal Richard with agoraphobia has been
with this conflict if you want to walk again." symptom-free for 4 months. Classic signs
B. "It must be awful not to be able to move and symptoms of phobias include:
your legs. You may feel better if you realize
the problem is psychological, not physical." A. Insomnia and an inability to concentrate.
C. "Your problem is real but there is no B. Severe anxiety and fear.
physical basis for it. We'll work on what is C. Depression and weight loss.
going on in your life to find out why it's D. Withdrawal and failure to distinguish
happened." reality from fantasy.
D. "It isn't uncommon for someone with
your personality to develop a conversion Correct Answer: B. Severe anxiety and fear.
disorder during times of stress."
42. Question
Correct Answer: C. “Your problem is real but Which medications have been found to help
there is no physical basis for it. We’ll work reduce or eliminate panic attacks?
on what is going on in your life to find out
why it’s happened.” A. Antidepressants
B. Anticholinergics
39. Question C. Antipsychotics
Nurse Krina knows that the following drugs D. Mood stabilizers
have been known to be effective in treating
obsessive-compulsive disorder (OCD): Correct Answer: A. Antidepressants

A. benztropine (Cogentin) and 43. Question

diphenhydramine (Benadryl). A client seeks care because she feels
B. chlordiazepoxide (Librium) and depressed and has gained weight. To treat
diazepam (Valium) her atypical depression, the physician
C. fluvoxamine (Luvox) and clomipramine prescribes tranylcypromine sulfate
(Anafranil) (Parnate), 10 mg by mouth twice per day.
D. divalproex (Depakote) and lithium When this drug is used to treat atypical
(Lithobid) depression, what is its onset of action?

Correct Answer: C. fluvoxamine (Luvox) and A. 1 to 2 days

clomipramine (Anafranil) B. 3 to 5 days
C. 6 to 8 days
40. Question D. 10 to 14 days
Alfred was newly diagnosed with anxiety
disorder. The physician prescribed Correct Answer: B. 3 to 5 days
buspirone (BuSpar). The nurse is aware
that the teaching instructions for newly 44. Question
prescribed buspirone should include which A 65 years old client is in the first stage of
of the following? Alzheimer’s disease. Nurse Patricia should
plan to focus this client’s care on:
A. A warning about the drug's delayed
therapeutic effect, which is from 14 to 30 A. Offering nourishing finger foods to help
days. maintain the client's nutritional status.
B. A warning about the incidence of B. Providing emotional support and
neuroleptic malignant syndrome (NMS). individual counseling.
 C. Monitoring the client to prevent minor 48. Question
illnesses from turning into major problems. Nurse Cristina is caring for a client who
D. Suggesting new activities for the client experiences false sensory perceptions with
and family to do together. no basis in reality. These perceptions are
known as:
Correct Answer: B. Providing emotional
support and individual counseling. A. Delusions
B. Hallucinations
45. Question C. Loose associations
The nurse is assessing a client who has just D. Neologisms
been admitted to the emergency
department. Which signs would suggest an Correct Answer: B. Hallucinations
overdose of an antianxiety agent?
49. Question
A. Combativeness, sweating, and Nurse Marco is developing a plan of care for
confusion a client with anorexia nervosa. Which action
B. Agitation, hyperactivity, and grandiose should the nurse include in the plan?
ideation
C. Emotional lability, euphoria, and A. Restricts visits with the family and
impaired memory friends until the client begins to eat.
D. Suspiciousness, dilated pupils, and B. Provide privacy during meals.
increased blood pressure C. Set up a strict eating plan for the client.
D. Encourage the client to exercise, which
Correct Answer: C. Emotional lability, will reduce her anxiety.
euphoria, and impaired memory
Correct Answer: C. Set up a strict eating
46. Question plan for the client.
The nurse is caring for a client diagnosed
with an antisocial personality disorder. The 50. Question
client has a history of fighting, cruelty to Tim is admitted with a diagnosis of
animals, and stealing. Which of the delusions of grandeur. The nurse is aware
following traits would the nurse be most that this diagnosis reflects a belief that one
likely to uncover during the assessment? is:

A. History of gainful employment. A. Highly important or famous.

B. Frequent expression of guilt regarding B. Being persecuted.
antisocial behavior. C. Connected to events unrelated to
C. Demonstrated ability to maintain close, oneself.
stable relationships. D. Responsible for the evil in the world.
D. A low tolerance for frustration.
Correct Answer: A. Highly important or
Correct Answer: D. A low tolerance for famous.
frustration
51. Question
47. Question Nurse Jen is caring for a male client with
Nurse Amy is providing care for a male manic depression. The plan of care for a
client undergoing opiate withdrawal. Opiate client in a manic state would include:
withdrawal causes severe physical
discomfort and can be life-threatening. To A. Offering high-calorie meals and strongly
minimize these effects, opiate users are encouraging the client to finish all food.
commonly detoxified with: B. Insisting that the client remain active
through the day so that he’ll sleep at night.
A. Barbiturates C. Allowing the client to exhibit hyperactive,
B. Amphetamines demanding, manipulative behavior without
C. Methadone setting limits.
D. Benzodiazepines D. Listening attentively with a neutral
attitude and avoiding power struggles.
Correct Answer: C. Methadone
Correct Answer: D. Listening attentively with 56. Question
a neutral attitude and avoiding power Nicolas is experiencing hallucinations and
struggles. tells the nurse, “The voices are telling me
I’m no good.” The client asks if the nurse
52. Question hears the voices. The most appropriate
Ramon is admitted for detoxification after a response by the nurse would be:
cocaine overdose. The client tells the nurse
that he frequently uses cocaine but that he A. “It is the voice of your conscience, which
can control his use if he chooses. Which only you can control.”
coping mechanism is he using? B. “No, I do not hear your voices, but I
believe you can hear them”.
A. Withdrawal C. “The voices are coming from within you
B. Logical thinking and only you can hear them.”
C. Repression D. “Oh, the voices are a symptom of your
D. Denial illness; don’t pay any attention to them.”

Correct Answer: D. Denial Correct Answer: B. “No, I do not hear your

voices, but I believe you can hear them”.
53. Question
Richard is admitted with a diagnosis of 57. Question
schizotypal personality disorder. Which The nurse is aware that the side effect of
signs would this client exhibit during social electroconvulsive therapy that a client may
situations? experience:

A. Aggressive behavior A. Loss of appetite

B. Paranoid thoughts B. Postural hypotension
C. Emotional affect C. Confusion for a time after treatment
D. Independence needs D. Complete loss of memory for a time

Correct Answer: B. Paranoid thoughts Correct Answer: C. Confusion for a time

after treatment
54. Question
Nurse Mickey is caring for a client 58. Question
diagnosed with bulimia. The most A dying male client gradually moves toward
appropriate initial goal for a client diagnosed resolution of feelings regarding impending
with bulimia is to: death. Basing care on the theory of
Kubler-Ross, Nurse Trish plans to use
A. Avoid shopping for large amounts of nonverbal interventions when assessment
food. reveals that the client is in the:
B. Control eating impulses.
C. Identify anxiety-causing situations. A. Anger stage
D. Eat only three meals per day. B. Denial stage
C. Bargaining stage
Correct Answer: C. Identify anxiety-causing D. Acceptance stage
situations
Correct Answer: D. Acceptance stage
55. Question
Rudolf is admitted for an overdose of 59. Question
amphetamines. When assessing the client, The outcome that is unrelated to a crisis
the nurse should expect to see: state is:

A. Tension and irritability A. Learning more constructive coping skills.

B. Slow pulse B. Decompensation to a lower level of
C. Hypotension functioning.
D. Constipation C. Adaptation and a return to a prior level
of functioning.
Correct Answer: A. Tension and irritability D. A higher level of anxiety continuing for
more than 3 months.
Correct Answer: D. A higher level of anxiety 64. Question
continuing for more than 3 months. Nurse Kate would expect that a client with
vascular dementia would experience:
60. Question
Miranda, a psychiatric client is to be A. Loss of remote memory related to
discharged with orders for haloperidol anoxia.
(Haldol) therapy. When developing a B. Loss of abstract thinking related to
teaching plan for discharge, the nurse emotional state.
should include cautioning the client against: C. Inability to concentrate related to
decreased stimuli.
A. Driving at night. D. Disturbance in recalling recent events
B. Staying in the sun. related to cerebral hypoxia.
C. Ingesting wines and cheeses.
D. Taking medications containing aspirin. Correct Answer: D. Disturbance in recalling
recent events related to cerebral hypoxia.
Correct Answer: B. Staying in the sun
65. Question
61. Question Josefina is to be discharged on a regimen of
Jen, a nursing student is anxious about the lithium carbonate. In the teaching plan for
upcoming board examination but is able to discharge the nurse should include:
study intently and does not become
distracted by a roommate’s talking and loud A. Advising the client to watch the diet
music. The student’s ability to ignore carefully.
distractions and to focus on studying B. Suggesting that the client take the pills
demonstrates: with milk.
C. Reminding the client that a CBC must be
A. Mild-level anxiety done once a month.
B. Panic-level anxiety D. Encouraging the client to have blood
C. Severe-level anxiety levels checked as ordered.
D. Moderate-level anxiety
Correct Answer: D. Encouraging the client
Correct Answer: D. Moderate-level anxiety to have blood levels checked as ordered.

62. Question 66. Question

When assessing a premorbid personality The psychiatrist orders lithium carbonate
characteristics of a client with a major 600 mg p.o t.i.d for a female client. Nurse
depression, it would be unusual for the Katrina would be aware that the teaching
nurse to find that this client demonstrated: about the side effects of this drug were
understood when the client state, “I will call
A. Rigidity my doctor immediately if I notice any:
B. Stubbornness
C. Diverse interest A. Sensitivity to bright light or sun.
D. Over meticulousness B. Fine hand tremors or slurred speech.
C. Sexual dysfunction or breast
Correct Answer: C. Diverse interest enlargement.
D. Inability to urinate or difficulty when
63. Question urinating.
Nurse Krina recognizes that the suicidal risk
for depressed client is greatest: Correct Answer: B. Fine hand tremors or
slurred speech
A. As their depression begins to improve.
B. When their depression is most severe. 67. Question
C. Before any type of treatment is started. Nurse Mylene recognizes that the most
D. As they lose interest in the environment. important factor necessary for the
establishment of trust in a critical care area
Correct Answer: A. As their depression is:
begins to improve
A. Privacy
B. Respect
C. Empathy B. Males account for more attempts than
D. Presence do females.
C. Females talk more about suicide before
Correct Answer: D. Presence attempting it.
D. Males are more likely to use lethal
68. Question methods than are females.
When establishing an initial nurse-client
relationship, Nurse Hazel should explore Correct Answer: D. Males are more likely to
with the client the: use lethal methods than are females

A. Client’s perception of the presenting 72. Question

problem. David with paranoid schizophrenia
B. Occurrence of fantasies the client may repeatedly uses profanity during an activity
experience. therapy session. Which response by the
C. Details of any ritualistic acts carried out nurse would be most appropriate?
by the client.
D. Client’s feelings when external; controls A. "Your behavior won't be tolerated. Go to
are instituted. your room immediately."
B. "You're just doing this to get back at me
Correct Answer: A. Client’s perception of for making you come to therapy."
the presenting problem. C. "Your cursing is interrupting the activity.
Take time out in your room for 10 minutes."
69. Question D. "I'm disappointed in you. You can't
Tranylcypromine sulfate (Parnate) is control yourself even for a few minutes."
prescribed for a depressed client who has
not responded to the tricyclic Correct Answer: C. “Your cursing is
antidepressants. After teaching the client interrupting the activity. Take time out in
about the medication, Nurse Marian your room for 10 minutes.”
evaluates that learning has occurred when
the client states, “I will avoid: 73. Question
Nurse Maureen knows that the
A. Citrus fruit, tuna, and yellow vegetables.” non-antipsychotic medication used to treat
B. Chocolate milk, aged cheese, and some clients with schizoaffective disorder is:
yogurt”
C. Green leafy vegetables, chicken, and A. phenelzine (Nardil)
milk.” B. chlordiazepoxide (Librium)
D. Whole grains, red meats, and C. lithium carbonate (Lithane)
carbonated soda.” D. imipramine (Tofranil)

Correct Answer: B. Chocolate milk, aged Correct Answer: C. lithium carbonate

cheese, and yogurt’” (Lithane)

70. Question 74. Question

Nurse John is aware that most crisis Which information is most important for the
situations should resolve in about: nurse Trinity to include in a teaching plan for
a male schizophrenic client taking clozapine
A. 1 to 2 weeks (Clozaril)?
B. 4 to 6 weeks
C. 4 to 6 months A. Monthly blood tests will be necessary.
D. 6 to 12 months B. Report a sore throat or fever to the
physician immediately.
Correct Answer: B. 4 to 6 weeks C. Blood pressure must be monitored for
hypertension.
71. Question D. Stop the medication when symptoms
Nurse Judy knows that statistics show that subside.
in adolescent suicidal behavior:
Correct Answer: B. Report a sore throat or
A. Females use more dramatic methods fever to the physician immediately.
than males.
75. Question
Ricky with chronic schizophrenia takes
neuroleptic medication and is admitted to
the psychiatric unit. Nursing assessment
reveals rigidity, fever, hypertension, and
diaphoresis. These findings suggest which
life-threatening reaction:

A. Tardive dyskinesia
B. Dystonia
C. Neuroleptic malignant syndrome
D. Akathisia

Correct Answer: C. Neuroleptic malignant

syndrome