A client with depression C
remains in bed most of the
day, and declines activities.
Which nursing
problem has the greatest
priority for this client?
A. Loss of interest in
diversional activity.
B. Social isolation.
C. Refusal to address
nutritional needs.
D. Low self-esteem
The RN is preparing B
medications for a client with
bipolar disorder and
notices that the client
discontinued antipsychotic
medication for several days.
Which medication should
also be
discontinued?
a. Lithium. (Lithotabs)
b. Benzotropine (Cogentin).
c. Alprazolam (Xanax).
d. Magnesium (Milk of
Magnesia)
,The RN is teaching a client B
about the initiation of the
prescribed abstinence
therapy using
disulfiram (Antabuse). What
information should the
client acknowledge
understanding?
A. Completely abstain from
heroin or cocaine use.
B. Remain alcohol free for
12 hours prior to the first
dose.
C. Attend monthly meetings
of alcoholics anonymous.
D. Admit to others that he is
a substance user.
,A male client with D
schizophrenia is admitted to
the mental health unit after
abruptly stopping his
prescription for ziprasidone
(Geodon) one month ago.
Which question is most
important for the
RN to ask the client?
A. Have you lost interest in
the things that you used to
enjoy?
B. Is your ability to think or
concentrate decreased?
C. How many continuous
hours do you sleep at
night?
D. Do you hear sounds or
voices that others do not
hear?
, A female client requests A
that her husband be
allowed to stay in the room
during the admission
assessment. When
interviewing the client, the
RN notes a discrepancy
between the client's
verbal and nonverbal
communication. What
action does the RN take?
A. Pay close attention and
document the nonverbal
messages.
B. Ask the client's husband
to interpret the discrepancy.
C. Ignore the nonverbal
behavior and focus on the
client's verbal messages.
D. Integrate the verbal and
nonverbal messages and
interpret them as one.
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