Question 18
HU NSG221 Mental Health Nursing Exam2. A client taking temazepam informs the nurse of plans to quit taking the medication due to feelings of “hungover” the next day. Which action should the nurse implement?
- A Instruct the client that it is important to reduce the dose of the medication gradually.
- B Discuss with the client that there may be a need for additional sleep if the feeling of fatigue is present the next day.
- C Advise the client to stop taking the medication immediately.
- D Encourage the client to obtain a prescription for a benzodiazepine antagonist.
Question 19
A client is being discharged with a prescription for paroxetine. Which instruction is most important for the nurse to include in this client’s discharge teaching plan? HU NSG221 Mental Health Nursing Exam2
- A Follow a low fat, low cholesterol diet.
- B Schedule regular, daily exercise.
- C Use nicotine patches for smoking cessation.
- D Eliminate the use of alcoholic beverages.
Question 20
A client with a long history of alcohol dependency arrives in the emergency department (ED) describing the feeling of bugs crawling on the client’s body. The client’s blood pressure is 170/102 mm Hg, heart rate is 110 beats/minute, and blood alcohol level (BAL) is 0 mg/dL (0 mmol/L). Which prescription should the nurse administer?
- A Diphenhydramine.
- B Lorazepam.
- C Haloperidol.
- D Thiamine.
Question 21
A female client comes into the emergency department (ED) with reports of frequent panic attacks the last few days and reports that her life is out of control. She is currently taking alprazolam 1 mg PO twice daily and sertraline 200 mg PO daily for anxiety. Which assessment is most important for the nurse to obtain?
- A If the client has any thoughts about ending her life.
- B How long the client has been taking the antianxiety drugs.
- C If she is having any other symptoms, such as tremors.
- D If there is a family member available who can provide additional information.
Question 29
A client with chronic alcohol dependence is admitted with confusion and agitation. An IV infusion with multivitamins and thiamine is prescribed. The client’s spouse asks the nurse why the confusion is not going away since the last drink was two days ago. Which explanation should the nurse provide? HU NSG221 Mental Health Nursing Exam2
- A Alcohol ingestion depletes the body’s reserve stores of vitamins.
- B The IV solution with thiamine will improve the client’s state of confusion.
- C Multivitamins are needed for the client to recover from alcohol addiction.
- D The confusion decreases as the client’s serum iron is replenished.
Question 30
A client who was admitted three weeks ago for alcohol rehabilitation requests diazepam for anxiety. Which response is best for the nurse to provide?
- A Alcoholics should not take sedatives.
- B Are you trying to substitute drugs for alcohol?
- C Relaxation techniques are useful during recovery.
- D Why do you think you are anxious?
Question 31
A female high school teacher, who was a child of alcoholic parents, seeks counseling at the community health clinic because of depression over a student who was killed by a drunk driver. After several weeks of counseling, which client behavior is the best indicator that the client is coping well with the anxiety related to the student’s death?
- A Describes alternatives to becoming depressed over the student’s death.
- B Signs a safety contract with the nurse agreeing not to hurt herself or others.
- C Confronts her parents about the hurt she felt as a child of alcoholic parents.
- D Becomes the faculty sponsor for Students Against Drunk Driving (SADD). HU NSG221 Mental Health Nursing Exam2
Question 32
A middle-aged male client tells the nurse that two weeks ago he began exercising four times a week to lose weight and to help him sleep better. He informs that it still takes him an hour to fall asleep at night. Which action should the nurse implement?
- A Ask the client to describe the exercise schedule that he has been following.
- B Encourage the client to exercise every day to eliminate bedtime wakefulness.
- C Determine the amount of weight the client has lost since increasing his activity.
- D Advise the client that lifestyle changes often take several weeks to be effective.
Question 33
A male client presents to the clinic informing that he has a high stress job and is having difficulty falling asleep at night. The client reports having a constant headache and is seeking medication to help him sleep. Which intervention should the nurse implement?
- A Determine the client’s sleep and activity pattern.
- B Refer client for a sleep study and neurological follow-up.
- C Teach coping strategies to use when feeling stressed.
- D Obtain prescription for client to take when stressed.
Question 34
Complete the diagram by specifying which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
Potential Condition:
- Alcohol withdrawal
Actions to Take:
- Implement seizure precautions
- Infuse thiamine
Parameters to Monitor:
- Vital signs
- Seizure activity HU NSG221 Mental Health Nursing Exam2
Question 35
A female client reports feeling hopeless and is unable to stop crying. She explains that she is worried about losing her job. Since the client’s husband recently lost his job, she feels her employment is essential to the family’s survival. To evaluate the effectiveness of cognitive-behavioral techniques, which client outcome should the nurse include in the plan of care (POC)?
- A Demonstrates a healthy relationship with husband.
- B Relates insight into problematic relationships.
- C Changes thought patterns related to problem solving.
- D Describes how the family can resolve problems. HU NSG221 Mental Health Nursing Exam2
Question 36
An older adult tells the clinic nurse about frequently awakening during the night and often not being able to go back to sleep. Which action(s) should the nurse suggest to the client to help improve sleep? Select all that apply.
- A Take an afternoon nap to make up for missed sleep.
- B Ask the healthcare provider for a mild sedative for bedtime.
- C Drink a mixture of warm water, whiskey, and honey at bedtime.
- D Avoid drinking caffeinated beverages late in the day.
- E Establish a regular time for going to bed and getting up.
Question 37
At 2030, an adult client reports being unable to go to sleep due to the pain caused by an infected abdominal incision. Which intervention should the nurse implement first?
- A Administer the next dose of IV antibiotic due at 2100.
- B Determine if the client has a PRN prescription for a hypnotic.
- C Check the client’s most recent white blood cell (WBC) count.
- D Encourage the client to use patient-controlled analgesia (PCA).
Question 38
A client who is admitted to the medical-surgical unit with a gunshot wound has a blood alcohol level (BAL) of 220 mg/dL (0.22%). The client is awake, alert, and oriented, and does not appear to be intoxicated. Which nursing intervention should the nurse implement?
- A Provide one-on-one observation at the bedside.
- B Monitor for signs of withdrawal every 2 hours.
- C Give acetaminophen for reports of pain.
- D Limit the use of IV fluids containing glucose. HU NSG221 Mental Health Nursing Exam2
Question 39
The nurse is caring for a client with alcoholism who receives a prescription for disulfiram. Which instruction about the medication should the nurse provide?
- A Take daily for greatest effectiveness.
- B Monitor blood tests after each administration.
- C Continue use for a maximum of 10 days.
- D Administer when there is a craving for alcohol.
Question 40
The nurse is preparing a client for discharge after treatment for cocaine abuse. The client is taking home a prescription for a new medication to control cocaine cravings. Which intervention is most important for the nurse to implement?
- A Assess the client for symptoms of cocaine withdrawal.
- B Educate the client about the purpose and side effects of the medication.
- C Determine when the client last used cocaine.
- D Encourage the client to take the medication even if the symptoms are relieved. HU NSG221 Mental Health Nursing Exam2
