Student is writing words that are suggestive of having thoughts of suicide on her notebook and has dried superficial wounds on her arms. She tells the teacher she has no longer wants to keep living. The teacher is aware too that her uncle died by suicide and her father has depression. In assessing risk for self-harm what would be most concerning?
A. The student’s words that she no longer wants to keep living.
B. Wounds to her arms.
C. Death messages written on the notepad.
D. Mental illness and suicide of significant others.
A. The student’s words that she no longer wants to keep living.
A person presents at emergency with both suicidal ideation and a plan but agrees to a voluntary admission in the hospital’s mental health unit. In the unit, this person continues to express risk for self-harm and decides to leave. The doctor determines that status will need to change to involuntary and places on which form?
A. Form 4
B. Form 3
C. Form 2
D. Form 1
D. Form 1
Form 1 (Application by Physician for Psychiatric Assessment) is a provision under the Ontario Mental Health Act that allows a physician to detain a patient for a psychiatric assessment for up to 72 hours at a Schedule 1 Facility. A Form 42 (Notice to Person) is always given to a patient to notify them that they are under a Form 1.
A nurse is volunteering for a crisis hotline and receives a call from someone who sounds sad, saying they just want to talk. The person explains a close family member died last year and the nurse proceeds with a risk assessment for suicide. Which is NOT a suicide risk factor:
A. cannabis use
B. discussing circumstances of family member who died
C. suicide attempt previously
D. ETOH use to decrease pain
E. Depressive periods
B. discussing circumstances of family member who died
Which two medications does suboxone contain?
A. Naloxone and buprenorphine
B. Buprenorphine and codeine
C. Naloxone and morphine
D. Naloxone and methadone
A. Naloxone and buprenorphine
Which response best clarifies the difference between culture and ethnicity:
A. culture refers to having the same world view, ethnicity refers to race
B. culture refers to sharing the same beliefs and values ethnicity refers to shared history and heritage
C. culture refers to shared likes and dislikes ethnicity refers to norms within a culture
D. culture refers to race ethnicity refers to having the same life goals, whereas
B. culture refers to sharing the same beliefs and values ethnicity refers to shared history and heritage
Which indicator suggests the highest risk of violence?
A. a history of recurrent severe depression
B. admission into an alcohol rehabilitation program
C. delusions of persecution
D. somatic symptoms for which no organic basis is found
C. delusions of persecution
A 26-year-old man was refused opioids for back pain a week before by his doctor because he presented with symptoms of withdrawal – runny nose, pupils dilated, mild tachycardia and fever. Now he is brought into emergency unconscious with mild cyanosis, slow respirations – what is the tx most appropriate?
A. naloxone
B. suboxone
C. glucose
D. methadone
A. naloxone
A man refused to leave his home to go for his vaccine, he says he want the vaccine but never goes out from his home, he explains once he was at the mall at Christmas time and had to run out because he felt like he was going to have a heart attack or die. This happened a few times in public and now he never ventures out from his home. Which illness might this be?
A. OCD
B. Major depression
C. GAD
D. Panic disorder
D. Panic disorder
Donepezil used for Alzheimer’s works by reversibly inhibiting acetylcholinesterase
A. TRUE
B. FALSE
A. TRUE
Cognitive behavioural therapy is a therapeutic modality that has the greatest evidence base.
A. TRUE
B. FALSE
A. TRUE
A person with schizophrenia who has a hx of hallucinations telling him to harm a relative state he does not have a psychiatric illness. Which aspect of capacity is the patient unable to demonstrate?
A. Appreciation of his illness
B. Understanding
C. Decision making
D. Communication choices
A. Appreciation of his illness
Erotomaniac refers to a delusional disorder that is a false belief that an individual is in love with him or her.
A. TRUE
B. FALSE
A. TRUE
Autonomy is the ethical principle that refers to the individual’s right to make his or her own decisions
A. TRUE
B. FALSE
A. TRUE
Hypothalamus dysfunction is likely for a person eating more than 6000 calories and 5 litres of fluid per day.
A. TRUE
B. FALSE
A. TRUE
A person’s psychiatric symptoms are improving on the atypical antipsychotic med olanzapine, but he has gained over 10lbs and now has an elevated cholesterol profile. This is consistent with metabolic syndrome.
A. TRUE
B. FALSE
A. TRUE
Typical antipsychotics are associated with extrapyramidal symptoms including muscle rigidity.
A. TRUE
B. FALSE
A. TRUE
The brand / trade name for Diazepam (generic name) is Valium
A. TRUE
B. FALSE
A. TRUE
Neurofibrillary tangles and senile plaques are classic pathologic features of Alzheimer’s
A. TRUE
B. FALSE
A. TRUE
A questionnaire which collects information about trauma experienced in the first 18 years of life is termed the
A. Montreal Cognitive Assessment
B. Mental Status Exam
C. Adverse Childhood Experiences Questionnaire (ACE score)
D. GAD-7
C. Adverse Childhood Experiences Questionnaire (ACE score)
Matilida is a nurse who looks forwards to her interactions with a patient who reminds her of her mother. This is an example of countertransference.
A. TRUE
B. FALSE
A. TRUE
An occupational therapist focuses on:
A. helps the injured person improve their ability to perform activities of daily living independently following a period of physical impairment
B. treating a client’s injury and working to improve his/her ability to perform movement of the human body
C. transcribing medication onto the medication record
D. massage and ambulation transferring
A. helps the injured person improve their ability to perform activities of daily living independently following a period of physical impairment
Prescribing high doses of atypical antipsychotics to prevent a crisis is considered an important factor in early intervention
A. TRUE
B. FALSE
B. FALSE
Substituting irrational for rational beliefs and eliminating self-defeating behavior is a goal of cognitive-behavioural therapy
A. TRUE
B. FALSE
A. TRUE
Persons diagnosed with BD II experience reoccurring episode of depression with episodic occurrences of hypomania
A. TRUE
B. FALSE
A. TRUE
In order to initiate a culturally humble approach, a nurse organizing a refugee service arranges for an interpreter and a cultural consultant to be available.
A. TRUE
B. FALSE
A. TRUE
Tachycardia, diaphoresis, agitation, pupil dilation, tremors and yawning are indicative of serotonin syndrome.
A. TRUE
B. FALSE
A. TRUE
Community primary prevention may involve such activities as seminars for grief management and stress reduction.
A. TRUE
B. FALSE
A. TRUE
Regular blood tests are need for monitoring lithium carbonate.
A. TRUE
B. FALSE
A. TRUE
Positron emission tomography scan provides information about which parts of your brain are particularly active.
A. TRUE
B. FALSE
A. TRUE
Which statement best describes the DSM-5?
A. It provides descriptions of psychiatric disorders with associated symptoms
B. It is a compendium of treatment modalities.
C. It offers a complete list of nursing diagnoses.
D. It suggests common interventions for mental disorders.
A. It provides descriptions of psychiatric disorders with associated symptoms
Asylum-based training programs began in the late 1800s in Canada. What was the rationale for initiating psychiatric nursing training?
A. There were greater needs for custodial care
B. Changes in treatment approaches meant greater needs for nursing care and assistance
C. The early feminist movement advocated for career training for women and girls
D. The moral treatment era meant that early psychotherapy strategies were desired in asylum settings
B. Changes in treatment approaches meant greater needs for nursing care and assistance
A cognitive therapist would help a patient restructure the thought “I am stupid!” to
A. “What I did was stupid.”
B. “I am not as smart as others.”
C. “Things usually go wrong for me.”
D. “Things like this should not happen to anyone.”
A. “What I did was stupid.”
Treatment of mental illnesses with psychotropic drugs is directed at which of the following?
A. Altering brain neurochemistry
B. Correcting brain anatomical defects
C. Regulating social behaviours
D. Activating the body’s normal response to stress
A. Altering brain neurochemistry
Which imaging technique can provide information about brain function?
A. Computed tomography (CT) scan
B. Positron emission tomography (PET) scan
C. Magnetic resonance imaging (MRI) scan
D. Skull radiograph
B. Positron emission tomography (PET) scan
Which statement regarding patients’ rights after being voluntarily admitted to an acute care psychiatric unit is true?
A. All rights remain intact.
B. All rights are temporarily suspended.
C. The right to refuse treatment is no longer guaranteed.
D. Only rights that do not involve decision making remain intact.
A. All rights remain intact.
The mental status examination aids in the collection of what type of data?
A. Numeric
B. Physical
C. Objective
D. Subjective
A. Numeric
What therapeutic communication technique is the nurse using by asking a newly admitted patient, “Can you tell me what was happening to you that led to your being hospitalized here?”
A. Using a minimal encourager
B. Using an open-ended question
C. Paraphrasing
D. Reflecting
B. Using an open-ended question
A man continues to speak of his wife as though she were still alive, 3 years after her death. This behaviour suggests the use of which of the following defence mechanisms?
A. Altruism
B. Denial
C. Undoing
D. Suppression
B. Denial
An obsession is defined as which of the following?
A. Thinking of an action and immediately taking the action.
B. A recurrent, persistent thought or impulse.
C. An intense irrational fear of an object or situation.
D. A recurrent behaviour performed in the same manner.
B. A recurrent, persistent thought or impulse.
Which of the following is the primary purpose of performing a physical examination before beginning treatment for any anxiety disorder?
A. Protect the nurse legally
B. Establish the nursing diagnosis of priority
C. Obtain information about the patient’s psychosocial background
D. Determine whether the anxiety is primary or secondary in origin
D. Determine whether the anxiety is primary or secondary in origin
Which of the following is an important question to ask during the assessment of a patient diagnosed with a depressive disorder?
A. “How often do you hear voices?”
B. “Have you ever considered suicide?”
C. “How long has your memory been bad?”
D. “Do your thoughts always seem jumbled?”
B. “Have you ever considered suicide?”
Inability to leave one’s home because of avoidance of severe anxiety suggests which of the following anxiety disorders?
A. Panic attacks with agoraphobia
B. Obsessive-compulsive disorder
C. Post-traumatic stress response
D. Generalized anxiety disorder
A. Panic attacks with agoraphobia
A new psychiatric nursing assistant mentions to the nurse, “Depression seems to be a disorder of old people. All the depressed patients on the unit are older than 60 years.” Which of the following replies by the nurse clarifies the prevalence of this disorder?
A. “That is a good observation. Depression does mostly strike people older than 50 years.”
B. “Depression is seen in people of all ages, from childhood to old age.”
C. “Depression is most often seen among the middle adult age group.”
D. “The age of onset for most depressive episodes is given as 18 years.”
B. “Depression is seen in people of all ages, from childhood to old age.”
When the clinician mentions that a patient has anhedonia, what can the nurse expect about the patient?
A. The patient has poor retention of recent events.
B. The patient experienced a weight loss from anorexia.
C. The patient obtains no pleasure from previously enjoyed activities.
D. The patient has difficulty with tasks requiring fine motor skills.
C. The patient obtains no pleasure from previously enjoyed activities.
Dysthymia or persistent depressive disorder cannot be diagnosed unless it has existed for how long?
A. At least 3 months
B. At least 6 months
C. At least 1 year
D. At least 2 years
D. At least 2 years
A person who has numerous hypomanic and dysthymic episodes can be assessed as demonstrating characteristics of which of the following?
A. Bipolar II disorder
B. Bipolar I disorder
C. Cyclothymia
D. Seasonal affective disorder
C. Cyclothymia
Which behaviour would be most characteristic of a patient during a manic episode?
A. Going rapidly from one activity to another
B. Taking frequent rest periods and naps during the day
C. Being unwilling to leave home to see other people
D. Watching others intently and talking little
A. Going rapidly from one activity to another
Which of the following would be assessed as a negative symptom of schizophrenia?
A. Anhedonia
B. Hostility
C. Agitation
D. Hallucinations
A. Anhedonia
Which of the following is a subjective symptom the nurse would expect to note during assessment of a patient with anorexia nervosa?
A. Lanugo
B. Hypotension
C. 25-lb weight loss
D. Fear of gaining weight
D. Fear of gaining weight
Which problem is NOT considered a causative agent in delirium?
A. Elevated blood urea nitrogen levels
B. Infection
C. Anticholinergic drugs
D. Antibiotic therapy
D. Antibiotic therapy
What is the usual progression of Alzheimer’s disease?
A. A single, short episode followed by years of normal function
B. Recurring remissions and exacerbations
C. Progressive deterioration
D. There is no usual progression
C. Progressive deterioration
A patient diagnosed with Alzheimer’s disease looks confused when the phone rings and cannot recall many common household objects by name, such as a pencil or glass. The nurse can document this loss of function as which of the following?
A. Apraxia
B. Agnosia
C. Aphasia
D. Anhedonia
B. Agnosia Correct
The family of a patient diagnosed with Alzheimer’s disease mentions to the nurse that seeing his loss of function has been very difficult. A nursing diagnosis that might be considered for such a family would be which of the following?
A. Ineffective denial
B. Anticipatory grieving
C. Disabled family coping
D. Ineffective family therapeutic regimen management
B. Anticipatory grieving
A syndrome that occurs after stopping the long-term use of a drug is called which of the following?
A. Amnesia
B. Tolerance
C. Enabling
D. Withdrawal
D. Withdrawal
Which of the following is the only class of commonly abused drugs that has a specific antidote?
A. Opiates
B. Hallucinogens
C. Amphetamines
D. Benzodiazepines
A. Opiates
The term tolerance, as it relates to substance abuse, refers to which of the following?
A. The use of a substance beyond acceptable societal norms
B. The additive effects achieved by taking two drugs with similar actions
C. The signs and symptoms that occur when an addictive substance is withheld
D. The need to take larger amounts of a substance to achieve the same effects
D. The need to take larger amounts of a substance to achieve the same effects
Benzodiazepines are useful for treating alcohol withdrawal because they do which of the following?
A. Block cortisol secretion
B. Increase dopamine release
C. Decrease serotonin availability
D. Exert a calming effect
D. Exert a calming effect
Which of the following symptoms would signal opioid withdrawal?
A. Rhinorrhea, chills, fever, and muscle aches
B. Illusions, disorientation, tachycardia, and tremors
C. Fatigue, lethargy, sleepiness, and convulsions
D. Synesthesia, depersonalization, and hallucinations
A. Rhinorrhea, chills, fever, and muscle aches
Which is the greatest protective factor against the risk of suicide?
A. One or more previous suicide attempts
B. A sense of responsibility to family, including spouse and children
C. Fear of dying
D. A cultural belief that suicide is a shameful resolution for a dilemma
B. A sense of responsibility to family, including spouse and children
Which of the following is a useful assessment tool for nurses in rating suicide risk?
A. AIMS scale
B. SAD PERSONS scale
C. CAGE questionnaire
D. Mini-Mental Status Examination
B. SAD PERSONS scale
When working with a patient who may have made a covert reference to suicide, the nurse should do which of the following?
A. Be careful not to mention the idea of suicide
B. Listen carefully to see whether the patient mentions it a second time
C. Ask about the possibility of suicidal thoughts in a covert way
D. Ask the patient directly if he or she is thinking of attempting suicide
D. Ask the patient directly if he or she is thinking of attempting suicide
Which of the following suicide interventions has the greatest impact on a patient’s safety?
A. Educating visitors about potentially dangerous gifts
B. Restricting the patient from potentially dangerous areas of the unit.
C. One-on-one observation by the staff Correct
D. Removal of personal items that might prove harmful
C. One-on-one observation by the staff
Which would be the most appropriate response by the nurse to help a patient who is demonstrating escalating anger?
A. Walk the patient to his room and help him practice stress-reduction techniques, such as deep breathing or muscle relaxation
B. Suggest that the patient spend some time in the gym with a punching bag to relieve his stress
C. Suggest that the patient spend some time pacing rapidly in the hallway until he feels less stressed
D. Sit with the patient in the day room so that he can vent his anger and not isolate himself
A. Walk the patient to his room and help him practice stress-reduction techniques, such as deep breathing or muscle relaxation
Criminal responsibility under Canadian Criminal Code is determined by which factors?
A. If the accused has a mental illness.
B. If the accused is unable to judge the nature of the crime.
C. If the accused has just cause for the crime.
D. If the accused can sustain socially acceptable behaviour for 30 days.
B. If the accused is unable to judge the nature of the crime.
When a patient is encouraged to talk with others who have had similar problems, the nurse is suggesting what type of group?
A. Cognitive-behavioural group
B. Time-limited group
C. Support group
D. Milieu group
C. Support group
The nurse in the mental health unit recognizes which as being therapeutic communication techniques? Select all that apply.
a. Restating
b. Listening
c. Asking the client, “Why?”
d. Maintaining neutral responses
e. Providing acknowledgment and feedback
f. Giving advice and approval or disapproval
a. Restating
b. Listening
d. Maintaining neutral responses
e. Providing acknowledgement and feedback
In which part of the nursing care plan would the nurse expect to find this statement:
“Patient voluntarily attends group activities but does not participate actively.”
a. Evaluation
b. Assessment
c. Diagnosis
d. Planning
a. Evaluation
A nurse spends extra time with a client who has personality features similar to the nurse’s estranged spouse. Which aspect of countertransference is most likely to result?
a. Overinvolvement
b. Misuse of honesty
c. Indifference
d. Rescue
a. Overinvolvement
Overinvolvement is a reaction to countertransference; it is important for the nurse to establish firm treatment boundaries, goals, and nursing expectations
When the community health nurse visits a client at home, the client states, “I haven’t slept at all the last couple of nights.” Which response by the nurse illustrates a therapeutic communication response to this client?
a. “Sometimes I have trouble sleeping, too.”
b. “You’re having difficulty sleeping?”
c. “Really?”
d. “I see.”
b. “You’re having difficulty sleeping?”
This option uses the therapeutic communication technique of restating. Restating has a prompting component to it, but it also repeats the client’s major theme, which assists the nurse to obtain a more specific perception of the problem from the client. The other options are not therapeutic responses.
Becky tells you, “I have something secret to tell you, but you can’t tell anyone else.” The nurse agrees. What is the likely consequence of the nurse’s action?
a. Healthy feelings of sympathy by the nurse toward the client.
b. Blurred boundaries in the nurse-client relationship.
c. Improved rapport between the nurse and client.
d. Enhanced trust between the nurse and client.
b. Burred boundaries in the nurse-client relationship
Keeping secrets indicates that the nurse is overly involved and is one aspect of blurred boundaries
As a nurse assesses a new client, the nurse makes sure the door remains open. Which type of communication factor is this action?
a. Personal
b. Non-verbal
c. Relationship
d. Environmental
d. Environmental
Environmental factors that may affect communication include physical factors (e.g. background noise, lack of privacy, uncomfortable accommodations) and societal determinants (e.g. sociopolitical, historical, and economic factors, the presence of others, and expectations of others)
A nurse seeks to establish a relationship with a patient readmitted to the hospital. The patient has bipolar disorder, depressed type, and was hospitalized the preceding month. Which statement by the nurse would contribute to establishing trust?
a. Weren’t you compliant with your medication?
b. It must be discouraging to have been readmitted to the hospital so soon
c. Everyone with bipolar disorder ends up in the hospital periodically
d. You must take your medications religiously or you will be re-hospitalized
b. It must be discouraging to have been readmitted to the hospital so soon
As you begin working with her, you notice that your patient has an uncanny resemblance to your younger sister. As a child, this sister lied and criticized you constantly, then screamed and cried to others if you challenged her. You realize that you are responding negatively to this patient. What’s going on here?
a. Self-actualization
b. Transference
c. Bias
d. Countertransference
d. Countertransference
Countertransference is unconscious feelings the healthcare worker has toward the patient
Which communication technique would be most challenging for a new nurse to use therapeutically?
a. Acknowledging feelings
b. Sharing observations
c. Giving information
d. Interpretation
e. Motivational interviewing
e. Motivational Interviewing
A client experiencing disturbed thought processes believes that his food is being poisoned. Which communication technique should the nurse use to encourage the client to eat?
a. Sharing personal preference regarding food choices
b. Using open-ended questions and silence
c. Offering opinions about the necessity of adequate nutrition.
d. Documenting reasons why client doesn’t want to eat
b. Using open-ended questions and silence
Open-ended questions and silence are strategies used to encourage clients to discuss their problems. Sharing personal food preferences is not a client-centered intervention; the remaining options are not helpful to the client because they do not encourage the client to express feelings. The nurse should not offer opinions and should encourage the client to identify the reasons for the behavior
When providing respectful, appropriate nursing care, how should the nurse identify the patient and his or her observable characteristics?
a. The manic patient in room 234
b. The patient in room 234 is a manic
c. The patient in room 234 is possibly a manic
d. The patient in room 234 is displaying manic behavior
d. The patient in room 234 is displaying manic behavior
Recognizing the frequency of depression among the American population, the nurse should advocate for which mental health promotion intervention?
a. Including discussions on depression as part of school health classes
b. Providing regular depression screening for adolescent and teenage students
c. Increasing the number of community-based depression hotlines available to the public
d. Encouraging senior centers to provide information on accessing community depression resources
b. Providing regular depression screening for adolescent and teenage students
Which statement made by a patient demonstrates a healthy degree of resilience? Select all that apply.
a. “I try to remember not to take other people’s bad moods personally.”
b. “I know that if I get really mad I’ll end up being depressed.”
c. “I really feel that sometimes bad things are meant to happen.”
d. “I’ve learned to calm down before trying to defend my opinions.”
e. “I know that discussing issues with my boss would help me get my point across.”
a. “I try to remember not to take other people’s bad moods personally.”
d. “I’ve learned to calm down before trying to defend my opinions.”
e. “I know that discussing issues with my boss would help me get my point across.”
Which statement demonstrates the nurse’s understanding of the effect of environmental factors on a patient’s mental health?
a. “I’ll need to assess how the patient’s family views mental illness.”
b. “There is a history of depression in the patient’s extended family.”
c. “I’m not familiar with the patient’s Japanese’s cultural view on suicide.”
d. “The patient’s ability to pay for mental health services needs to be assessed.”
c. “I’m not familiar with the patient’s Japanese’s cultural view on suicide.”
When considering stigmatization, which statement made by the nurse demonstrates a need for immediate intervention by the nurse manager?
a. “Depression seems to be a real problem among the teenage population.”
b. “My experience has been that the Irish have a problem with alcohol use.”
c. “Women are at greater risk for developing suicidal thoughts then acting on them.”
d. “We’ve admitted several military veterans with posttraumatic stress disorder this month.”
b. “My experience has been that the Irish have a problem with alcohol use.”
A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be:
a. Nursing Interventions Classification (NIC)
b. Nursing Outcomes Classification (NOC)
c. NANDA-I nursing diagnoses
d. DSM-5
d. DSM-5
Epidemiological studies contribute to improvements in care for individuals with mental disorders by: (Select all that apply)
a. Providing information about effective nursing techniques.
b. Identifying risk factors that contribute to the development of a disorder.
c. Identifying individuals in the general population who will develop a specific disorder.
d. Identifying which individuals will respond favorably to a specific treatment.
b. Identifying risk factors that contribute to the development of a disorder.
d. Identifying which individuals will respond favorably to a specific treatment.
Which of the following activities would be considered nursing care and appropriate to be performed by a basic level nurse for a patient suffering from mental illness?
a. Treating major depression
b. Teaching coping skills for a specific family dynamic
c. Conducting psychotherapy
d. Prescribing antidepressant medication
b. Teaching coping skills for a specific family dynamic
Which statement about mental illness is true?
a. Mental illness is a matter of individual nonconformity with societal norms.
b. Mental illness is present when irrational and illogical behavior occurs.
c. Mental illness changes with culture, time in history, political systems, and the groups defining it.
d. Mental illness is evaluated solely by considering individual control over behavior and appraisal of reality.
c. Mental illness changes with culture, time in history, political systems, and the groups defining it.
The World Health Organization describes health as “a state of complete physical, mental, and social wellbeing and not merely the absence of disease or infirmity.” Which statement is true in regards to overall health? Select all that apply.
a. There is no relationship between physical and mental health.
b. Poor physical health can lead to mental distress and disorders.
c. Poor mental health does not lead to physical illness.
d. There is a strong relationship between physical health and mental health.
e. Mental health needs take precedence over physical health needs.
b. Poor physical health can lead to mental distress and disorders.
d. There is a strong relationship between physical health and mental health.
A male patient reports to the nurse, “I’m told I have memories of childhood abuse stored in my unconscious mind. I want to work on this.” Based on this statement, what information should the nurse provide the patient?
a. To seek the help of a trained therapist to help uncover and deal with the trauma associated with those memories.
b. How to use a defense mechanism such as suppression so that the memories will be less threatening.
c. Psychodynamic therapy will allow the surfacing of those unconscious memories to occur in just a few sessions.
d. Group sessions are valuable to identify underlying themes of the memories being suppressed.
a. To seek the help of a trained therapist to help uncover and deal with the trauma associated with those memories.
Which question should the nurse ask when assessing for what Sullivan’s Interpersonal Theory identifies as the most painful human condition?
a. “Is self-esteem important to you?”
b. “Do you think of yourself as being lonely?”
c. “What do you do to manage your anxiety?”
d. “Have you ever been diagnosed with depression?”
b. “Do you think of yourself as being lonely?”
When discussing therapy options, the nurse should provide information about interpersonal therapy to which patient? Select all that apply.
a. The teenager who is the focus of bullying at school
b. The older woman who has just lost her life partner to cancer
c. The young adult who has begun demonstrating hoarding tendencies
d. The adolescent demonstrating aggressive verbal and physical tendencies
e. The middle-aged adult who recently discovered her partner has been unfaithful
a. The teenager who is the focus of bullying at school
b. The older woman who has just lost her life partner to cancer
e. The middle-aged adult who recently discovered her partner has been unfaithful
When considering the suggestions of Hildegard Peplau, which activity should the nurse regularly engage in to ensure that the patient stays the focus of all therapeutic conversations?
a. Assessing the patient for unexpressed concerns and fears
b. Evaluating the possible need for additional training and education
c. Reflecting on personal behaviors and personal needs
d. Avoiding power struggles with the manipulative patient
c. Reflecting on personal behaviors and personal needs
Which action reflects therapeutic practices associated with operant conditioning?
a. Encouraging a parent to read to their children to foster a love for learning
b. Encouraging a patient to make daily journal entries describing their feelings
c. Suggesting to a new mother that she spend time cuddling her newborn often during the day
d. Acknowledging a patient who is often verbally aggressive for complimenting a picture another patient drew
d. Acknowledging a patient who is often verbally aggressive for complimenting a picture another patient drew
A nurse is assessing a patient who graduated at the top of his class but now obsesses about being incompetent in his new job. The nurse recognizes that this patient may benefit from the following type of psychotherapy:
a. Interpersonal
b. Operant conditioning
c. Behavioral
d. Cognitive-behavioral
d. Cognitive-behavioral
According to Maslow’s hierarchy of needs, the most basic needs category for nurses to address is:
a. physiological
b. safety
c. love and belonging
d. self-actualization
a. physiological
In an outpatient psychiatric clinic, a nurse notices that a newly admitted young male patient smiles when he sees her. One day the young man tells the nurse, “You are pretty like my mother.” The nurse recognizes that the male is exhibiting:
a. Transference
b. Id expression
c. Countertransference
d. A cognitive distortion
a. Transference
Linda is terrified of spiders and cannot explain why. Because she lives in a wooded area, she would like to overcome this overwhelming fear. Her nurse practitioner suggests which therapy?
a. Behavioral
b. Biofeedback
c. Aversion
d. Systematic desensitization
d. Systematic desensitization
A patient is telling a tearful story. The nurse listens empathically and responds therapeutically with:
a. “The next time you find yourself in a similar situation, please call me.”
b. “I am sorry this situation made you feel so badly. Would you like some tea?”
c. “Let’s devise a plan on how you will react next time in a similar situation.”
d. “I am sorry that your friend was so thoughtless. You should be treated better.”
c. “Let’s devise a plan on how you will react next time in a similar situation.”
What is the purpose of the Health Insurance Portability and Accountability Act (HIPAA)? Select all that apply.
a. Ensuring that an individual’s health information is protected
b. Providing third-party players with access to patient’s medical records
c. Facilitating the movement of a patient’s medical information to the interested parties
d. Guaranteeing that all those in need of healthcare coverage have options to obtain it
e. Allowing healthcare providers to obtain personal health to provide high-quality healthcare.
a. Ensuring that an individual’s health information is protected
e. Allowing healthcare providers to obtain personal health to provide high-quality healthcare.
Which intervention demonstrates a nurse’s understanding of the initial action associated with the assessment of a patient’s spiritual beliefs?
a. Offering to pray with the patient
b. Providing a consult with the facility’s chaplain
c. Asking the patient what role spirituality plays in his or her daily life
d. Arranging for care to be provided with respect to religious practices
c. Asking the patient what role spirituality plays in his or her daily life
Which nursing interventions best demonstrate an understanding of the Quality and Safety Education in Nursing (QSEN) competences? Select all that apply.
a. Asking the patient what he or she expects from the treatment he or she is receiving
b. Seeking recertification for cardiopulmonary resuscitation (CPR)
c. Accessing the internet to monitor social media related to opinions on healthcare
d. Consulting with a dietician to discuss a patient’s cultural food preferences and restrictions
e. Reviewing the literature regarding the best way to monitor the patient for a fluid imbalance
a. Asking the patient what he or she expects from the treatment he or she is receiving
b. Seeking recertification for cardiopulmonary resuscitation (CPR)
d. Consulting with a dietician to discuss a patient’s cultural food preferences and restrictions
e. Reviewing the literature regarding the best way to monitor the patient for a fluid imbalance
Which disadvantage is inherent to the problem-oriented charting system (SOAPIE)?
a. Does not support a universal organizational system
b. Commonly allows for the inclusion of subjective information
c. Documentation is not listed in chronological order
d. Does not support the nursing process as a format
c. Documentation is not listed in chronological order
Which standardized rating scale will the nurse specifically include in the assessment of a newly admitted patient diagnosed with major depressive disorder?
a. Mini-Mental State Examination (MMSE)
b. Body Attitude Test
c. Global Assessment of Functioning Scale (GAF)
d. Beck Inventory
d. Beck Inventory
A 13-year-old boy is undergoing a mental health assessment. The nurse practitioner assures him that his medical records are protected and private. The nurse recognizes that this promise cannot be kept when the youth divulges:
a. “I lost my virginity last year.”
b. “I am angry with my parents most of the time.”
c. “I have thoughts of being in love with boys.”
d. “My parents do not know that I hit my grandpa.”
d. “My parents do not know that I hit my grandpa.”
During an interview with a non-English-speaking middle-aged woman recently diagnosed with major depression, the patient’s husband states, “She is happy now and doing very well.” The patient, however, sits motionless, looking at the floor, and wringing her hands. A professional interpreter would provide better information due to the fact that a family member in the interpreter role may: Select all that apply.
a. Be too close to accurately capture the meaning of the patient’s mood.
b. Censor the patient’s thoughts or words.
c. Avoid interpretation.
d. Leave out unsavory details.
a. Be too close to accurately capture the meaning of the patient’s mood.
b. Censor the patient’s thoughts or words.
d. Leave out unsavory details.
A nurse identified a nursing diagnosis of self-mutilation for a female diagnosed with borderline personality disorder. The patient has multiple self-inflicted cuts on her forearms and inner thighs. What is the most important patient outcome for this nursing diagnosis?
a. Identify triggers to self-mutilation
b. Demonstrate a decrease in frequency and intensity of cutting
c. Describe strategies in increase socialization on the unit
d. Describe two strategies to increase self-care
a. Identify triggers to self-mutilation
Medical records are considered legal documents. Proper documentation needs to reflect patient condition along with changes. It should also be based on professional standards designated by the state board of nursing, regulatory agencies, and reimbursement requirements. Proper documentation can be enhanced by:
a. Only using objective data
b. Using the nursing process as a guide
c. Using language the specific patient can understand
d. Avoiding legal jargon
b. Using the nursing process as a guide
Amadi is a 40-year-old African national being treated in a psychiatric outpatient setting due to a court order. Amadi’s medical record is limited in scope, so where can Renata, his registered nurse, obtain more data on Amadi’s condition within legal parameters? Select all that apply.
a. Emergency department records
b. Police records related to the offense resulting in the court order for treatment
c. Calling his family in Africa for details about Amadi’s mental health
d. Past medical records in the current facility
a. Emergency department records
b. Police records related to the offense resulting in the court order for treatment
d. Past medical records in the current facility
Which statement made by either the nurse or the patient demonstrates an ineffective patient-nurse relationship?
a. “I’ve given a lot of thought about what triggers me to be so angry.”
b. “Why do you think it’s acceptable for you to be so disrespectful to staff?”
c. “Will your spouse be available to attend tomorrow’s family group session?”
d. “I wanted you to know that the medication seems to be helping me fell less anxious.”
b. “Why do you think it’s acceptable for you to be so disrespectful to staff?”
The patient expresses sadness at “being all alone with no one to share my life with.” Which response by the nurse demonstrates the existence of a therapeutic relationship?
a. “Loneliness can be a very painful and difficult emotion.”
b. “Let’s talk and see if you and I have any interests in common.”
c. “I use Facebook to find people who share my love of cooking.”
d. “Loneliness is managed by getting involved with people.”
a. “Loneliness can be a very painful and difficult emotion.”
Which patient outcome is directly associated with the goals of a therapeutic nurse-patient relationship?
a. Patient will be respectful of other patients on the unit.
b. Patient will identify suicidal feelings to staff whenever they occur.
c. Patient will engage in at least one social interaction with the unit population daily.
d. Patient will consume a daily diet to meet both nutritional and hydration needs.
b. Patient will identify suicidal feelings to staff whenever they occur
What is the greatest trigger for the development of a patient’s nurse focused transference?
a. The similarity between the nurse and someone the patient already dislikes
b. The nature of the patient’s diagnosed mental illness
c. The history the patient has with their parents
d. The degree of authority the nurse has over the patient
d. The degree of authority the nurse has over the patient
Which patient statement demonstrates a value held regarding children?
a. “Nothing is more important to me than the safety of my children.”
b. “I believe my spouse wants to leave both me and our children.”
c. “I don’t think my child’s success depends on going to college.”
d. “I know my children will help me through my hard times.”
a. “Nothing is more important to me than the safety of my children.”
Mary is a 39-year-old attending a psychiatric outpatient clinic. Mary believes that her husband, sister, and son cause her problems. Listening to Mary describe the problems the nurse displays therapeutic communication in which response?
a. “I understand you are in a difficult situation.”
b. “Thinking about being wronged repeatedly does more harm than good.”
c. “I feel bad about your situation, and I am so sorry it is happening to you and your family.”
d. “It must be so difficult to live with uncaring people.”
a. “I understand you are in a difficult situation.”
A registered nurse is caring for an older male who reports depressive symptoms since his wife of 54 years died suddenly. He cries, maintains closed body posture, and avoids eye contact. Which nursing action describes attending behavior?
a. Reminding the patient gently that he will “feel better over time”
b. Using a soft tone of voice for questioning
c. Sitting with the patient and taking cues for when to talk or when to remain silent
d. Offering medication and bereavement services
c. Sitting with the patient and taking cues for when to talk or when to remain silent
A male patient frequently inquires about the female student nurse’s boyfriend, social activities, and school experiences. Which is the best initial response by the student?
a. The student requests assignment to a patient of the same gender as the student.
b. She limits sharing personal information and stresses the patient-centered focus of the conversation.
c. The student shares information to make the therapeutic relationship more equal.
d. She explains that if he persists in focusing on her, she cannot work with him.
b. She limits sharing personal information and stresses the patient-centered focus of the conversation.
Morgan is a third-year nursing student in her psychiatric clinical rotation. She is assigned to an 80-year-old widow admitted for major depressive disorder. The patient describes many losses and sadness. Morgan becomes teary and says meaningfully, “I am so sorry for you.” Morgan’s instructor overhears the conversation and says, “I understand that getting tearful is a human response. Yet, sympathy isn’t helpful in this field.” The instructor urges Morgan to focus on:
a. “Adopting the patient’s sorrow as your own.”
b. “Maintaining pure objectivity.”
c. “Using empathy to demonstrate respect and validation of the patient’s feelings.”
d. “Using touch to let her know that everything is going to be alright.”
c. “Using empathy to demonstrate respect and validation of the patient’s feelings.”
Emily is a 28-year-old nurse who works on a psychiatric unit. She is assigned to work with Jenna, a 27-year-old who was admitted with major depressive disorder. Emily and Jenna realize that they graduated from the same high school and each has a 2-year-old daughter. Emily and Jenna discuss getting together for a play date with their daughters after Jenna is discharged. This situation reflects:
a. Successful termination
b. Promoting interdependence
c. Boundary blurring
d. A strong therapeutic relationship
c. Boundary blurring
Which statement made by the nurse demonstrates the best understanding of nonverbal communication?
a. “The patient’s verbal and nonverbal communication is often different.”
b. “When my patient responds to my question, I check for congruence between verbal and nonverbal communication to help validate the response.”
c. “If a patient is slumped in the chair, I can be sure he’s angry or depressed.”
d. “It’s easier to understand verbal communication that nonverbal communication.”
b. “When my patient responds to my question, I check for congruence between verbal and nonverbal communication to help validate the response.”
Which nursing statement is an example of reflection?
a. “I think this feeling will pass.”
b. “So you are saying that life has no meaning.”
c. “I’m not sure I understand what you mean.”
d. “You look sad.”
d. “You look sad.”
When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient?
a. Change of shift report
b. Admission interviews
c. One-to-one conversations with patients
d. Conversations with patient families
a. Change of shift report
During an admission assessment and interview, which channels of information communication should the nurse be monitoring? Select all that apply.
a. Auditory
b. Visual
c. Written
d. Tactile
e. Olfactory
a. Auditory
b. Visual
d. Tactile
e. Olfactory
What principle about nurse-patient communication should guide a nurse’s fear about “saying the wrong thing” to a patient?
a. Patients tend to appreciate a well-meaning person who conveys genuine acceptance, respect, and concern for their situation.
b. The patient is more interested in talking to you than listening to what you have to say and so is not likely to be offended.
c. Considering the patient’s history, there is little chance that the comment will do any actual harm.
d. Most people with a mentally illness have by necessity developed a high tolerance of forgiveness.
a. Patients tend to appreciate a well-meaning person who conveys genuine acceptance, respect, and concern for their situation.
You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?
a. “A new psychiatrist is a chance to start fresh; I’m sure it will go well for you.”
b. “You say you look forward to the meeting, but you appear anxious or unhappy.”
c. “I notice that you frowned and avoided eye contact just now. Don’t you feel well?”
d. “I get the impression you don’t really want to see your psychiatrist—can you tell me why?”
b. “You say you look forward to the meeting, but you appear anxious or unhappy.”
Which student behavior is consistent with therapeutic communication?
a. Offering your opinion when asked to convey support.
b. Summarizing the essence of the patient’s comments in your own words.
c. Interrupting periods of silence before they become awkward for the patient.
d. Telling the patient he did well when you approve of his statements or actions.
b. Summarizing the essence of the patient’s comments in your own words.
James is a 42-year-old patient with schizophrenia. He approaches you as you arrive for day shift and anxiously reports, “Last night, demons came to my room and tried to rape me.” Which response would be most therapeutic?
a. “There are no such things as demons. What you saw were hallucinations.”
b. “It is not possible for anyone to enter your room at night. You are safe here.”
c. “You seem very upset. Please tell me more about what you experienced last night.”
d. “That must have been very frightening, but we’ll check on you at night and you’ll be safe.”
c. “You seem very upset. Please tell me more about what you experienced last night.”
Therapeutic communication is the foundation of a patient- centered interview. Which of the following techniques is not considered therapeutic?
a. Restating
b. Encouraging description of perception
c. Summarizing
d. Asking “why” questions
d. Asking “why” questions
Carolina is surprised when her patient does not show for a regularly scheduled appointment. When contacted, the patient states, “I don’t need to come see you anymore. I have found a therapy app on my phone that I love.” How should Carolina respond to this news?
a. “That sounds exciting, would you be willing to visit and show me the app?”
b. “At this time, there is no real evidence that the app can replace our therapy.”
c. “I am not sure that is a good idea right now, we are so close to progress.”
d. “Why would you think that is a better option than meeting with me?”
a. “That sounds exciting, would you be willing to visit and show me the app?”
In the shift report, a nurse is going off and criticizes a client who wears heavy make up & c/o her
attitude. Which comment by the nurse receiving the report best demonstrate proper response?
Ours client need our help to learn behaviors that will help them get along in treatment.
A client thought to be cheecking/pocketing their medication is prescribed lithium 900 mg BID.
The syrup contains 300 mg lithium per 5 ml. At 0800, how many milliliters would the nurse
administer. (Record as a whole number)
900 mg/1 * 5ml/300 mg = 15 ml
Which statement should the nurse identify as correct regarding a client’s right to refuse
medication?
Professionals can override treatment refusal by an actively suicidal or homicidal client.
A 22-year-old college student is admitted to a hospital following a suicide attempt and states,
“No one will ever love a loser like me.” According to Erikson’s theory of personality
Intimacy vs. isolation
A client was transferred to the inpatient behavioral health unit due to a car accident that was
planned. Which of the following has the nurse been completing on daily basis to check the
client’s cognitive status?
Mental status Examination
A client is screaming at the nurse who is attempting to give him his medication. He is yelling and
screaming in his room and any staff members who walks by. Which of the following statement
….?
“Please stop screaming and walk with me outside.”
Which of the following classification of medication are utilized to treat depression? (Select all
that apply).
Selective serotonin reuptake inhibitors (SSRIs).
Tricyclic antidepressants
Monoamine oxidase inhibitors
During an intake assessment, a nurse asks both physiological and psychosocial questions, The
client angrily responds, “I’m here for my heart, not my head problems.” What are the nurse’s
best response?
Psychological factors, like excessive stress, have been found to affect medical conditions.”
A nurse is preparing to administer clozapine 300 mg PO daily to a client who has schizophrenia.
The amount available is clozapine 200 mg tablets. How many tablets should the nurse
administer?
300 mg/ 1 * 1 tablets/200 mg = 1.5 tablets
A client tells the nurse ” I feel bad because my mother does not want to return home after I
leave the hospital. Which nursing response is most therapeutic?
You feel that your mother does not want you to come back home?
Which situation violates the ethical of veracity?
A nurse tricks a client into seclusion by asking the client to carry linen to the seclusion room
An adolescent asks a nurse conducting an assessment interview “Why should I tell anything?
You will just tell my parents whatever you find out”. Which of the following would be the most
appropriate nursing response?
“What you say about feelings is private, but some things, like suicidal thinking, must be
reported to the treatment team.”
Correctly identify the class of medication to the description which is best fit:
Antipsychotic – Given to manage psychotic symptoms
Benzodiazepine – GABA sustaining medication to treat anxiety
Monoamine oxidase inhibitor (MAOI) – Tyramine rich foods can cause hypertensive crisis in
people taking these medication
Selective Serotonin Reuptake Inhibitors (SSRI) – Can lead to serotonin syndrome if with St.
John’s Wort
A nurse is educating a client about the difference between mental health and mental illness
teaching was effective?
Mental health is reflected by a person successfully adapting with adversity
An voluntarily hospitalized client tells the nurse “Get me the forms for discharge against medical
advice now”, Which is the nurse’s best response?
“I will get them for you, but let’s talk about your decision to leave treatment”.
An instructor overhears the nursing student ask a client; this is your third admission. Why did
you stop taking your medications? Which would be the most appropriate instructor response?
Your question implied criticism and could have the effect of making the client feel
defensive
According to Freud, which statement should a nurse associate with predominance of the
superego?
“I don’t ever cheat on tests; it is wrong.”
A male client frequently inquires about the female students nursing boyfriend social activities and school experiences. Which is the best initial response by the student?
She limits sharing personal information and stresses the client focus of the conversation
A nurse Is preparing to administer fluoxetine 30 mg PO daily to a client. The amount available 10
mg/ tablets. How many tablets should the nurse administer per dose? (Write the answer as a
whole number).
30 mg/1 * 1 tablets/ 10 mg = 3 tablets
A mother who is notified that her child was killed in a tragic car accident states, ” I can’t bear to
go on with my life. .” Which nursing statement conveys empathy?
“It must be horrible to lose a child, and I’ll stay with you until your husband arrives.”
A client with paranoid schizophrenia believes evil spirits are being summarized by a local
minister and verbally threatened to bomb to local church. The psychiatrist notifies the minister.
What is the basis for this action?
Demonstrated the duty to warn and protect.
Which of the following indicate that the integrity of the nurse-client relationship may be in
jeopardy? (Select all that apply).
Allowing the client to color a picture for the nurse
Requesting to be reassigned to a particular client
Contacting the client after discharge.
A client diagnosed with schizophrenia refuses to take medication citing the right to autonomy.
Under which circumstances would a nurse have the right to medicate the client ?
A client physically attacks another client after being confronted in group therapy
A nurse working with a newly admitted client explaining the unit rules and daily schedules. The
nurse understands that providing a consistent routine, and a daily structure is an example of
which of the following
Therapeutic milieu
Which of the following should the nurse plan to include In the assessment of an older adult
client?
Identify physical needs and necessary accommodations for this client
According to Maslow’s hierarchy of needs, which of the following client situations would be
considered most basic?
A client seeks shelter at a center for battered woman.
Identify the following theorist to the theory or concept related to them.
Sigmund Feud – Id, Ego, Superego
B. F. Skinner – Classic and operant conditioning
A. Maslow – Hierarchy of Needs
Aaron Beck – Automatic thoughts and cognitive
A client diagnosed with schizophrenia receives fluphenazine from a home health nurse. The
client refuses the medication during one regularly scheduled home visit. Which nursing
intervention is ethically appropriate?
Allow the client to decline the medication, document the refusal and inform the provider
In treatment of anxiety disorders, benzodiazepines are indicated for _ use and have _
Short term; high
During the recent counseling session with a depressed client, the psychiatric nurse observes sign
of transference. Which statement by the client would indicate that the nurse is correct?
You sure do remind me of my mom
Which is a goal for orientation phase of the nurse-client relationship
establish trust
Which expected client outcome should a nurse identify as being correctly formulated as a fully
develop SMART?
Client will initiate interaction with one peer during free time within 2 days.
After fasting from 10 p.m. the previous evening a client finds out that the blood test has been
canceled. The client swears at the nurse and states, “You are incompetent!” Which is the nurse’s
best response?
I see that you are upset, but I feel uncomfortable when you swear at me.
The nurse recognizes which need as the priority concern according to Maslow’s Hierarchy of
needs?
A client exhibiting aggressive behavior toward another client
A client on an inpatient psychiatric unit suffering from major depression. He has poor appetite
and poverty of speech. Which response by the nurse demonstrates offering self?
I would like to sit with you for a while to help you get comfortable talking to me
A nurse asks a client, “if you had a fever and vomiting for 3 days, what would you do? Which
aspect of the mental status examination is the nurse assessing?
Cognition
A client has been involuntarily admitted to an inpatient behavior health unit. During the
admission. Which of the following rights does the patient still retains? (Select all that apply)
The right to informed consent – This was the only answer in my exam. Only one answer to
choose
The right to refuse medication
The nurse is performing a mental status assessment on an elderly nursing home resident. The
client is alert and oriented to person, place and time, the nurse is addressing which part of the….
Level of consciousness
In a psychiatric in-patient setting, the nurse observes an adolescent client’s peer calling the
client names. In this context which statement by the nurse exemplifies the concept of empathy?
“I can see that you are upset. I am here to listen if you would like to talk”.
Which nontherapeutic communication technique is used in the following example? Client, “I and
…. discharge”. Nurse: Why? you should be happy to leave.
Minimizing feelings
During an intake interview, which question would assist the nurse in gathering data about the
client’s judgement?
“If you found a stamped, addressed envelope in the street, what would you do?”
A mental health technician asks the nurse, “How do psychiatrist determine which diagnostic to
give a client? Know which is the nurse’s best response.
Psychiatrists use criteria from the American Psychiatric Association Diagnostic and Statistical
Manual of Mental Disorders (DSM-5).
Which client action should a nurse expect during the working phase of the nurse-client
relationship?
The client gains insight and incorporates alternative behaviors.
A 4 year old child grabs a toy from their siblings, saying “I want that toy now:” The siblings cry,
and the child’s parent becomes upset with the behavior. Using the Freudian theory, a nurse can
interpret the child’s behavior as a product of impulses originating in the:
Id
A nurse is preparing to administer haloperidol 75mg IM per week. Available is haloperidol 100
mg/ml. How many ml should the nurse administer per dose? (Record answers to the nearest
hundredth).
75 mg/ 1 * 1ml/100mg = 0.75 ml
A client tells a nurse that he hates his doctor and plans to hurt the doctor, but she did not report
this prior to leaving. When the nurse returns to work the next day, she finds that the
physician has been brutally beaten by the client and the physician is hospitalized. Which of the
following best represents the nurse’s failure to act by not reporting the client’s intent?
Negligence
The nurse, working on an in-patient psychiatric unit, show an understanding of therapeutic
milieu by which of the following actions.
Having the client decide when group therapy will occur.
A school age is active with sports and had received a most improved player award his
tournament. According to Erickson, which describes his client’ developmental task assessment
Industry
A nurse is preparing to administer lithium 300mg PO every 8 hr. Available is lithium 150 mg
capsule. How many capsules should the nurse administer per dose? (Record answer as a whole
number)
300mg/ 1 * 1 capsules/150 mg = 2 capsules.
A newly admitted client is hyperactive, restless, and disorganized. The client goes to the dinning
room and begins to throw food Verbal intervention is ineffective. Seclusion is instituted for the
primary purpose of:
Reducing environmental stimuli that negatively affect the patient