A nurse is reviewing the medication administration record of a client who has major

depressive disorder and a new prescription for selegiline. The nurse should

recognizethat which of the following client medications is contraindicated when taken

with selegiline?

a. Wafarin

b. Fluoxetine

c. Calcium carbonate

d. Acetaminophen - b

A nurse in a long-term care facility is assessing a client who has dementia. Which of the

following findings should the nurse identify as a risk for this client?

a. Outside doors have locks

b. The bed is in the low position

c. Hallways are long distances

d. The room has an area rug - d

A nurse is providing behavioral therapy for a client who has obsessive-compulsive

disorder. The client repeatedly checks that the doors are locked at night. Which of the

following instructions should the nurse give the client when using thought stopping

technique?

a. "Ask a family member to check the locks for you at night"

b. "Keep a journal of how often you check the locks each night"

c. "Snap a rubber band on your wrist when you think about checking the locks"

d. "Focus on abdominal breathing whenever you go to check the locks" - c

A nurse in an inpatient mental health facility is assessing a client who has schizophrenia

and is taking haloperidol. Which of the following clinical findings is the nurse's priority?

a. Insomnia

b. Urinary hesitancy

c. Headache

d. High fever - d

A nurse is caring for a client who has Alzheimer's disease. Which of the following

findings should the nurse expect?

a. Failure to recognize familiar objects

b. Altered level of consciousness

c. Excessive motor activity

d. Rapid mood swings - a

A nurse in a mental health facility is interviewing a new client. Which of the following

outcomes must occur if the nurse is to establish a therapeutic nurse-client relationship?

a. The nurse is seen as an authority figure

b. A written contract is established to clarify the steps of the treatment plan