Part 2

1. 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. Wafarin

b. Fluoxetine

c. Calcium carbonate

d. Acetaminophen

2. 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

3. 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”

4. 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

5. 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

6. 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

c. The nurse maintains confidentiality unless the client’s safety is compromised

d. The nurse is seen as a friend

7. A nurse is teaching a client who has a new prescription for disulfiram. Which of the following statements

by the client indicates an understanding of the teaching?

a. “If I cut myself, I can clean the wound with isopropyl alcohol”

b. “I can wear my cologne on special occasions”

c. “When I bake my favorite cookies, I can use pure vanilla extract for flavoring”

d. “I can continue to eat aged cheese and chocolate”

8. A nurse is planning care for a client who has narcissistic personality disorder. Which of the following

actions is appropriate for the nurse to include in the plan of care?

a. Ask the client to sign a no-suicide contract

b. Remain neutral when communicating with the client

c. Request an antipsychotic medication from the provider

d. Provide the client with high-calorie finger foods