Test 5

1. A nurse is caring for a client who is in the manic phase of bipolar disorder. The client is running around the unit trying to organize competitive games with the clients. Which of the following is an appropriate intervention?a) recommend a game of table tennis with another clientb) suggest the client exercise on a stationary bikec) take the client outside for a walkd) praise the client’s efforts to engage in social interaction

2. A nurse in a mental health facility is caring for a client in the busy facility dining room during lunchtime when suddenly the client becomes angry and throws a chair. Which of the following interventions should the nurse perform first?a) restrain the client to prevent injury to himself or othersb) place the client in a monitored seclusion room until he is calmc) administer a PRN antianxiety medicationd) attempt to talk the client down

3. A nurse is caring for a client who is exhibiting severe manifestations of serotonin syndrome. Which of the following is the priority nursing intervention?a) administering an anticonvulsantb) padding side rails to prevent injuryc) preparing for artificial ventilationd) applying a cooling blanket

4. A nurse is planning care for a client who has depression.  The nurse notes that the client has weight loss, an inability to concentrate, an inability to complete everyday tasks, and a preference to sleep all day. Which of the following interventions should be included in the plan of care?a) discourage rest periods during the daytimeb) instruct family to avoid visiting during mealtimesc) offer three or four large meals dailyd) give the client extra time to communicate needs.

5. A nurse working in suicide prevention is discussing suicide interventions with a newly hired nurse. Which of the following statements indicates that the newly hired nurse understands when a tertiary intervention is needed?a) I should perform screenings to identify clients at risk for suicideb) I should recognize the lethality of the suicide planc) I should provide counseling for the family following the suicide of a clientd) I should provide a safe environment to prevent the client from committing suicide

6. A nurse is developing a plan of care for a newly admitted client who has schizophrenia and experiences frequent hallucinations and paranoid delusions. Which of the following actions should the nurse plan to take?a) place the client in seclusion if visual hallucinations are presentb) limit the number of questions asked during assessmentsc) use frequent touch to provide client supportd) directly tell the client that delusions are not real

A nurse is caring for a client who is experiencing a manic episode. Other clients begin to complain about her disruptive behavior on the unit. Which of the following actions should the nurse take?a) warn the client that further disruptions will result in seclusionb) ignore the client’s behavior, realizing it is consistent with her illnessc) Set limits on the client’s behavior and be