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RN Learning System Mental Health Practice Quiz 2
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RN Learning System Mental Health Practice Quiz 2 LATEST EDITION
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RN Learning System Mental Health Practice Quiz 2LATEST EDITION
A nurse is providing discharge teaching for a female client who has an anxiety disorder and a
new prescription for lorazepam. Which of the following instructions should the nurse include in
the teaching?
"This medication can be safely taken during pregnancy."
"This medication must be discontinued by gradual tapering over time."
"An extra dose of the medication can be taken at bedtime if you experience insomnia."
"You should monitor your blood glucose levels closely while taking the medication." -
ANSWER "This medication must be discontinued by gradual tapering over
time."
Rapid withdrawal from lorazepam has been associated with manifestations of withdrawal, such
as anxiousness, sleeplessness, and irritability. It is discontinued by gradually tapering it off over
time to avoid any adverse responses.
lorazepam (Ativan): central nervous system agent; anxiolytic; sedative-hypnotic; potent
benzodiazepine
,A nurse is reviewing the laboratory report of a client who has been taking lithium carbonate for
several months. Which of the following level should the nurse recognizes the therapeutic
lithium level?
1.2 mEq/L
1.6 mEq/L
2.0 mEq/L
2.5 mEq/L - ANSWER 1.2 mEq/L
A lithium level of 1.2 mEq/L is within the expected reference range. Clients taking lithium should
drink six to eight glasses of water a day to maintain a normal state of hydration. Clients should
also consume an adequate amount of sodium to prevent lithium toxicity.
(Chapt 26 Bipolar and Related Disorders)
Normal Lithium Range
0.6 to 1.5 mEq/L
A nurse is caring for a client who has dementia. Which of the following findings should the
nurse expect?
Altered level of consciousness
Impaired judgment
Rapid change in personality
Disturbances in perception - ANSWER Impaired judgment
, Impaired judgment occurs in clients who have dementia because they lose their ability to
reason, think abstractly, and have rational thoughts.
A nurse is reviewing the health history of a young adult client who has depressive disorder.
Which of the following factors should the nurse identify as increasing the clients risk for
depression?
The client is an only child.
The client lives in an urban setting.
The client is married.
The client is female. - ANSWER The client is female.
The nurse should identify female gender as a primary risk factor for depression. The incidence
of depressive disorders is greater in women than in men by almost 2 to 1.
I nurse is caring for a client who has a possessive compulsive disorder the client engages in
repeated handwashing daily. Which of the following should the nurse recognize as the purpose
of the clients behavior?
Relieving anxiety
Gaining attention
Avoiding daily responsibilities
Responding to auditory hallucinations - ANSWER Relieving anxiety
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