1) A nurse isteaching a client who hasschizophrenia about her new prescription for risperidone. Which of

the following statements should the nurse include in the teaching?

a. “You should continue this medication if you develop muscle rigidity”.

b. “You will experience weight loss while taking thismedication.”

c. “You will notice your symptomsimprove within 24 hours of taking this medication.”

d. “You should increase your consumption of complex carbohydrates.”

2) A nurse is admitting a client who has generalized anxiety disorder. Which of the following actionsshould

the nurse plan to take first?

a. Provide the client with a quiet environment

b. Determine how the client handlesstress.

c. Teach the client to use guided imagery.

d. Ask the client to identify her strengths

3) A nurse is conducting an admission interview with a client who is experiencing mania. Which of the

following should the nurse report to the provider?

a. States that he hasn’t bathed in 2 days

b. Reports eating twice in the past two weeks.

c. Makesinappropriate sexual comments.

d. Speaks in rhyming sentences.

4) A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the following

recommendation should the nurse include in the clients plan of care?

a. Validation therapy

b. Thought stopping

c. Operant conditioning

d. Reality orientation therapy

5) A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the

following actions should the nurse take?

a. Encourage the client to join group activities

b. Dim the lights in the clients room

c. Provide detailed explanations to the client

d. Administer methylphenidate

6) A nurse isleading a crisisintervention group for adolescents who witnessed the suicide of a classmate.

Which of the following actions should the nurse take first?

a. Initiate referrals

b. Review community resources

c. Identify prior coping skills

d. Discussthe importance of confidentiality

7) A nurse overhears a client saying, "I am a spy, a spy for the FBI. I am an I, an eye for an eye in the sky. Sky is

up high." The nurse should document the client's statement as which of the following speech alterations?

a. Echolalia

b. Word salad

c. Neologism

d. Clang association

8) An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her

mother is not eating and seems uninterested in routine activities. The daughter states "I'm so worried that

my mother is depressed" which of the following responses should the nurse make?

a. Everyone gets depressed from time to time.

b. You shouldn't worry about this because depressive disorder is easily treated.

c. Older adults are usually diagnosed with depressive disorder as they age.

d. Tell me the reasons you think your mother is depressed.

9) A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following

outcomes should the nurse include in the plan care?

a. Meets own needs without manipulating others.

b. Initiates social interactions with caregivers.

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