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Exam 3 : NUR208/ NUR 208 (New 2024/ 2025
Update) Mental Health Nursing | Questions
and Verified Answers| 100% Correct| A
Grade – Fortis
QUESTION
The nurse is admitting a client diagnosed with bipolar 1 disorder. When assessing the client suicide risk, which of the following will the nurse identify as imposing greatest risk? Answer:
QUESTION
Which nursing diagnosis is most appropriate for a client admitted for overdoes of their antidepressants? Answer:
QUESTION
A client who is experiencing disturbed thoughts Answer:
- Using open ended ques- tions and silence
QUESTION
Which question would be a priority when assessing for symptoms of major depression? Answer:
- You look very sad. Have you thought about harming yourself
QUESTION
500mg of antibiotic in 100ml of D5W to infuse over 30 minutes. Infusion rate at ml/hr, round to the nearest whole number Answer: 200ml/hr
QUESTION
A nurse instructs a patient taking a drug that inhibits the alcohol of (MAO) to avoid tyramine containing foods because of the risk of Answer:
QUESTION
When considering ethical issues in Answer:
- The code of ethics for nurses with interpretive statements
QUESTION
A client admitted to the mental health unit runs into the day room and yells " I am superman, I can fly". What behaviors does the nurse recognizes as being related to? Answer:
QUESTION
Lithium Answer:
QUESTION
Which information should the nurse include in health teaching for adults diagnosed with ADHD and their significant others? SATA Answer:
- Cognitive therapy may help resolve internalized negative beliefs
- Tendency for genetic transmission
- Prevention strategies related to substance abuse
QUESTION
Treatment for a patient that is experiencing a heroin overdose should begin with. Answer:
QUESTION
Orders 6mcg/kg/min of dobutamine for a client who weighs 220 lbs. Dobu- tamine is provided as 500mg in 250ml D5W. ml/hr only Answer: 18ml/hr
QUESTION
Insulin via continuous infusion at 17ml/hr. insulin mixed as 25,000 units in 500ml of 0.9% NS. Units per hr Answer: 850 units
QUESTION
Which of the following clients will the nurse not anticipate the need for electroconvulsive shock therapy ECTP Answer:
- Bipolar patient with cochlear treatment
QUESTION
Acute onset of disordered thinking is most associated with Answer: Delirium
QUESTION
The nurse is teaching a client about the use of light therapy in the treat- ment of seasonal affective disorder depression. The nurse explains that light therapy has been found to suppress which of the following Answer:
QUESTION
12ml/hr
QUESTION
Two patients in a residential facility are diagnosed with dementia. One shouts to the other. "Move along, you're blocking the road". The other patient shouts back Answer: Separate and distract the patients. Take one to the day room and the other to an activities area
QUESTION
The nurse is planning activities for clients diagnosed with bipolar disorder with aggressive social behavior. Which activity will be most appropriate Answer:
QUESTION
The nurse is assigned the care of four clients who are detoxifying from alcohol. The patient with which symptom would be the nurse's highest priori- ty? Answer:
QUESTION
Members at a local church are meeting with a poor homeless family whom they are supporting. Which member statement is an example of altruism Answer:
- I can give you the baby clothes I no longer need
QUESTION
What is the most appropriate nursing action to help manage manic clients who is monopolizing a group therapy session? Answer: Thank the client for their input, but inform the client that others need a chance to contribute
QUESTION
A patient taking lithium should have which instruction included in his or her treatment? Answer:
- Maintain normal salt and fluid in the diet
QUESTION
After patient dies, his hospice nurse finds that she feels devastated by the loss. Which type of grief is she experiencing? Answer:
QUESTION
A college student failed two examinations. The students cried for hours and then tried to call a parent but got no answer. The student then suspended access to his social networking web site. Which suicide risk factor present? Answer:
- Shame and humiliation
- Self-imposed isolation
individuals with serious mental illness are likely to experience which of the following? SATA Answer:
- Unemployment
- Homelessness
- Substance abuse Lack of medical care
QUESTION
Indicators for improvement of a client that was sexually assaulted would include the following? SATA Answer:
- Relief of anger in non destructive ways
- Feelings of empowerment and expressions of hope
- Evidence of comfort in relationships
QUESTION
Which drug should the nurse be prepared to administer to a client with a history of opiate overdose? Answer:
QUESTION
After assessing a victim of sexual assault, which terms could the nurse use in the documentation? SATA Answer:
- Alleged
- Reported
- Refused
- Penetration
QUESTION
What information should not be obtained during initial medical exam of a sexual assault victim? Answer:
- Ascertaining what she might have done to provoke this situation
QUESTION
During a counseling session the client cannot directly answer questions, eventually making their point. The nurse identifies this as Answer:
QUESTION
An older client is experiencing decreased sensory capabilities and difficulty communicating. What intervention is appropriate to improve communication during the physical assessment Answer:
- Look directly at the client when speaking
QUESTION
An adult patient tells the case manager, "I don't have bipolar disorder anymore, so I don't need medicine. After I was in the hospital last year, you helped me get an apartment and disability checks. Now I'm bored and don't have any friends". Which resources should the nurse suggest for this patient? SATA Answer:
- Vocational rehab
- Psychoeducation classes Social Skills training
QUESTION
Which type of therapy encourages storytelling and seniors in socialization and improve mood? Answer:
QUESTION
Providers orders Dopamine 9mcg/kg/min for client who weighs 242lbs. Dopamine provided as 1600mg in 250ml. ml/hr and round to nearest whole number? Answer: 9ml
QUESTION
A forensic nurse is preparing to collect evidence form a client who was sexually assaulted. Which supplies will the nurse anticipate to be used to collect forensic evidence? SATA Answer:
- DNA swabs
- Body map
- Camera
QUESTION
Which intervention will the nurse implement to deescalate a client who is aggressive and displaying signs of potential violence? SATA Answer:
- Be assertive, not aggressive
- Give clear, simple direction
- Identify stressors and stress indicators
QUESTION
During a family therapy session, the teen points tot heir siblings and states, "its his faults, not mine, you only pay attention to him!". The client is demonstrating which of the following Answer:
