Exam 1: NUR 2459/ NUR2459 Mental and
Behavioral Health Nursing Exam| Scored
100%| Questions and Verified Answers| New
Updated 2023/ 2024 -Rasmussen
Q: A nurse is making a home visit to a client who has Alzheimer’s disease to assess the home
for safety. Which of the following is an appropriate suggestion to decrease the client’s risk for
injury?
Select one:
a. Place rugs over electrical cords.
b. Mark cleaning supplies with colored tape.
c. Install childproof door locks.
d. Place medication bottles within client’s reach.
Answer:
C. Install childproof door locks. Install childproof door locks is correct.
Door locks that are difficult to open are appropriate to reduce the risk of the client wandering
outside without supervision.
Q: A nurse working in an emergency department is caring for a client who has benzodiazapine
toxicity due to an overdose. Which of the following is the priority nursing action?
Select one:
a. Identify the client’s level of orientation
b. Infuse IV fluids
c. Administer flumazenil (Romazicon)
d. Prepaer the client for gastric lavage
Answer:
A. Identify the client’s level of orientation
When taking the nursing process approach to client care the initial step is assessment therefore
identifying the client’s level of orientation is the priority action.
Q: A nurse working in a mental health clinic is providing teaching to a client who has a new
prescription for lorazapam (Ativan) for generalized anxiety disorder. Which of the following is
appropriate for the nurse to include in teaching?
Select one:
a. 3 to 6 weeks of treatment is required to achieve therapeutic benefit.
b. Lorazapam has a lower risk for dependency than other antianxiety medications
c. Report confusion as a potential indication of toxicity
d. Combining alcohol with lorazapam will produce a paradoxical response.
Answer:
C. Report confusion as a potential indication of toxicity
Confusion is a potential indication of lorazapam toxicity that the client should report to the
provider.
Q: A nurse is assessing a client 4 hours after receiving an initial dose of flouxetine (Prozac).
Which of the following findings should the nurse report to the provider as an indication of
serotonin syndrome?
Select one:
a. Hypotension
b. Hyperthermia
c. Muscular flaccidity
d. Constipation
Answer:
B. Hyperthermia
A fever is an indication of serotonin syndrome, along with agitation, diaphoresis, muscle
twitching, and hallucinations.
Q: A nurse is providing teaching to a client who has a new prescription for phenelzine (Nardil).
Which of the following client statements indicates understanding of the teaching?
Select one:
a. “I’ll take the medication at night due to it’s sedative qualities.”
b. “While taking this medication, I’ll need to stay out of the sun to avoid a skin rash.”
c. “This medication will help me loss the weight that I have gained over the past year.”
d. “I cannot eat my favorite pizza with pepperoni while taking this medication.”
Answer:
D. “I cannot eat my favorite pizza with pepperoni while taking this medication.”
Q: A nurse is caring for a client who is on lithium therapy. The client states that he wants to
take ibuprofen for osteoarthritis pain relief. Which of the following statements by the nurse is
appropriate?
Select one:
a. “The ibuprofen will make your lithium level fall too low.”
b. “Regular aspirin would be a better choice than ibuprofen.”
c. “Lithium decreases the effectiveness of ibuprofen.”
d. “That is a good choice. Ibuprofen does not interact with lithium.”
Answer:
B. “Regular aspirin would be a better choice than ibuprofen.”
Aspirin is recommended as a mild analgesic rather than ibuprofen due to the risk for lithium
toxicity.
Q: A nurse is discussing routine follow-up needs for a client who was started on clozapine
(Cloazaril) while hospitalized. The nurse should inform the client of the need for routine
monitoring of which of the following?
Select one:
a. BUN and Creatinine
b. ALT and AST
c. Serum sodium and potassium
d. WBCs, ANC and platelet counts
Answer:
D. WBCs, ANC and platelet counts
Q: A nurse is assessing a client who is currently taking perphenazine (Trilafon), for
extrapyramidal symptoms (EPS). Which of the following is not an extrapyramidal symptom?
Select one:
a. Continual pacing
b. Drooling
c. Urinary retention
d. Involuntary arm movements
Answer:
C. Urinary retention
Urinary retention is an anticholinergic effect.
Q: A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a
flat affect. The nurse should anticipate a prescription of which of the following medications?
Select one:
a. Haloperidol (Haldol)
b. Thiothixene (Navane)
c. Chlorpromazine (Thorazine)
d. Olanzapine (Zyprexa)
Answer:
D. Olanzapine (Zyprexa)