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 recognize that which of the following

client medications is contraindicated when taken with selegiline?

a. Warfarin

b. Fluoxetine

c. Calcium carbonate

d. Acetaminophen [Ans:- 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 [Ans:- d

A nurse is providing behavioural 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" [Ans:- 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 [Ans:- d