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RN Mental Health Online Practice A (2023) Part 1

Nursing20 CardsCreated 4 months ago

This deck covers key questions and answers from the RN Mental Health Online Practice A (2023) Part 1, focusing on nursing care and interventions for various mental health conditions.

A nurse is preparing to administer diazepam 7.5mg IV Bolus to a client for alcohol withdrawal. Available is diazepam injection 5mg/1mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

1.5 mL

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Key Terms

Term
Definition

A nurse is preparing to administer diazepam 7.5mg IV Bolus to a client for alcohol withdrawal. Available is diazepam injection 5mg/1mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

1.5 mL

A nurse is planning care for a client who has depression and has made frequent suicide attempts. Which of the following statements indicates the client has a decreased risk for suicide?

"It is easier to talk about my feelings now."

A nurse is discussing a 12 steps program with a client who has alcohol use disorder and is in an acute facility undergoing detoxification. Which of the following information should the nurse include in the teaching?

The client should obtain a sponsor before discharge for an increased chance of recovery.

A nurse on a mental health unit observes a client who has acute mania hit another client. Which of the following actions should the nurse take first?

Call for a team of staff members to help with the situation.

A nurse in a community health center is working with a group of clients who have post traumatic stress disorder. Which of the following interventions should the nurse include to reduce anxiety among the group members?

Guided imagery

A nurse is caring for a newly admitted Client.
For each potential finding, click to specify if the finding is consistent with positive or negative symptoms of schizophrenia.

POSITIVE: Delusions of grandeur, clang associations, catatonia

NEGATIVE: Algoia, withdr...

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TermDefinition

A nurse is preparing to administer diazepam 7.5mg IV Bolus to a client for alcohol withdrawal. Available is diazepam injection 5mg/1mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

1.5 mL

A nurse is planning care for a client who has depression and has made frequent suicide attempts. Which of the following statements indicates the client has a decreased risk for suicide?

"It is easier to talk about my feelings now."

A nurse is discussing a 12 steps program with a client who has alcohol use disorder and is in an acute facility undergoing detoxification. Which of the following information should the nurse include in the teaching?

The client should obtain a sponsor before discharge for an increased chance of recovery.

A nurse on a mental health unit observes a client who has acute mania hit another client. Which of the following actions should the nurse take first?

Call for a team of staff members to help with the situation.

A nurse in a community health center is working with a group of clients who have post traumatic stress disorder. Which of the following interventions should the nurse include to reduce anxiety among the group members?

Guided imagery

A nurse is caring for a newly admitted Client.
For each potential finding, click to specify if the finding is consistent with positive or negative symptoms of schizophrenia.

POSITIVE: Delusions of grandeur, clang associations, catatonia

NEGATIVE: Algoia, withdrawl from social activities

A nurse on a mental health unit is caring for a client who has schizophrenia. After reviewing the client's medical record, the nurse should notify the provider of which of the following findings?
SELECT THE 5 UNEXPECTED FINDINGS THAT REQUIRE NOTIFICATION OF THE PROVIDER.

Temperature
Bowel sounds
ANC level
Myalgia
Heart rate

A nurse is caring for a client who has a panic disorder.
Click to highlight the findings in the medical record that indicate maladaptive uses of defense mechanisms.

Returned from exercise class in agitated state.
Client tells the nurse, "That exercise instructor was one of my favorite people here. We had so much in common. But now I know their true nature. She's evil!"

A nurse is caring for a client who has impaired cognitionA nurse is updating the client's plan of care. For each of the following potential nursing interventions, click to specify if the potential intervention is anticipated, nonessential, or contraindicated for the client:

Anticipated:

When addressing the client, approach them from the front when possible.

Give directions to the client slowly and in a moderate tone of voice.

Decrease sensory stimulation.

Assign the client to a room near the nurses' station.

Nonessential:

Provide the client with high-calorie protein drinks hourly.

Contraindicated:

Use a vest restraint to keep the client in a medical recliner.

Ensure the bed is kept at a working height for the nurse.

Keep the lights off in the client's bedroom and bathroom at night.

A nurse is admitting a client who has anorexia nervosa and is at 60% of their ideal body weight. Which of the following interventions should the nurse include in the plan of care?

Encourage the client to drink 125 mL of fluid each hour while awake.

A school nurse is assessing a school aged child who experienced the traumatic loss of a parent 8 months ago. Which of the following findings should the nurse identify as an indication that the child is experiencing post traumatic stress disorder (PTSD)

Lack of interest in an upcoming holiday

A nurse is caring for a group of clients. Which of the following finding should the nurse report?

A client who is taking lamotrigine and has developed a rash

A nurse is reviewing laboratory results for a client who has schizophrenia and is taking clozapine. Which of the following values should the nurse identify as contraindication for receiving clozapine?

WBC count 2,500

During a client's initial interview in a mental health inpatient setting, a nurse identifies that the client is maintaining eye contact and leaning forward. Which of the following assumptions should the nurse make based on the client's nonverbal behaviors?

The client is interested in what the nurse is saying

A nurse is planning care for a client who has schizophrenia and reports auditory hallucinations. Which of the following interventions should the nurse include in the plan?

Promote the use of music to compete with the client's auditory hallucinations

A nurse is planning discharge teaching with a family member of a client who has a new diagnosis of depression. Which of the following information about relapse should the nurse include?

Early identification of changes, such as decreased social involvement, is important.

A nurse is establishing a therapeutic relationship with a client who has antisocial personality disorder. Which of the following strategies should the nurse use when communicating with this client?

Set realistic limits on the client's behavior.

A nurse in a community health center is teaching families of clients who have post traumatic stress disorder (PTSD) about expected clinical manifestations. Which of the following manifestations should the nurse include?

Experiences feelings of isolation

A nurse in an inpatient mental health facility is caring for a client. The client begins pacing with their fists clenched and is verbally abusing the staff. Which of the following actions should the nurse take?

Ensure security personnel are available in the background to assist if the client's behavior escalates.

A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report?

A client was administered one-half of the prescribed dose of medication.