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Question
The nurse should monitor for which of the following in the client taking venlafaxine (Effexor)?1. Increased weight
2. Prolonged QTc interval
3. Increased blood pressure
4. Tardive dyskinesia
Answer
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Related questions
Q:
Which of the following information should be included in psychoeducation with a family of a client recently diagnosed with a mental illness?1. "Most mental illnesses are inherited so the entire family should be tested for the same disorder."2. "Mental illness is extremely complex and it may take several years for the right treatment to be effective."3. "Most mental illnesses are caused by an imbalance of chemicals in the brain and can be treated with medications and therapy."4. "Earlier screening and diagnosis could have prevented the severity of symptoms and behavior problems."
Q:
Parents of adult clients with mental health disorders struggle to find a balance between emotional support and fostering independence. The nurse helps by:1. Teaching the client and family about past mistakes.2. Providing psychoeducation group therapy.3. Providing interaction with family members.4. Teaching the client to embrace the future.
Q:
The nurse knows that because people with mental illness continue to be ostracized by mainstream society, families must cope with the burden of:1. Dementia.2. Shame.3. Isolation.4. Stigma.
Q:
The therapist for an interactive therapy group has noticed some behaviors among the members that need to be made overt. The therapist would be concerned about:1. Expressing affection and sorrow.2. Suggesting alternatives and denigrating each other.3. Power struggles and attention-seeking.4. Seeking social support and increasing conflict.
Q:
The nurse knows that the primary task of the interactional group therapist is to make sure events in the session take precedence over:1. Outside events.2. Illness prevention.3. Family matters.4. Individual therapy.
Q:
A few members of an outpatient group have begun meeting socially in a local restaurant for coffee and donuts before going to work each day. What should the group therapist leader do in this situation?1. Discourage social meetings outside regular group sessions2. Encourage all members to meet for coffee and donuts each morning3. Join the members a few mornings a week4. Suggest meeting for dinner once a week instead
Q:
The nurse is planning a group to rehabilitate sex offenders in a forensic psychiatric hospital. Which of the following factors would most likely decrease the degree of trust and cohesion among the members?1. One hour weekly sessions2. Addition of new members3. Confidentiality rights of victims4. Member interaction outside the group
Q:
The charge nurse is reviewing the care plans for the clients on the unit. In several care plans, the nurse has noted that the words noncompliant and manipulative have been used to describe those clients with severe mental illness. The nurse plans on discussing this with the staff at the next unit meeting. Which of the following responses will demonstrate the charge nurse's personal accountability to the staff?1. "If you use these terms regularly, you will need to reassess your reasons for working in psychiatric settings."2. "Does the use of these terms reflect an underlying level of stress on the unit that I should be aware of?"3. "While these terms might be accurate, they are not appropriate to use in a care plan."4. "How might these terms reflect negativity and stigma towards persons with mental illness?"
Q:
A client approaches the nurse grimacing, talking in a whisper, and waving his arms. Which of the following actions best demonstrates the nurse's ability to develop a therapeutic relationship?1. Greet the client by name to demonstrate caring.2. Assist the client to leave the area to prevent distress to others.3. Ignore the client to convey disapproval of the behavior.4. Confront the client about the behavior to encourage insight.
Q:
A nurse has completed orientation to a locked psychiatric unit. Which statement best demonstrates that the nurse is prepared to fulfill the professional role?
1. "I took a course in self-defense so I can take care of myself."
2. "I will ask for support from colleagues when I need it."
3. "I know there is a fine line between the clients and the staff."
4. "I can maintain proper distance by engaging in therapeutic interventions."
Q:
When planning nursing care, the nurse understands that the main value of having knowledge of a variety of nursing theories is to be able to do which of the following?
1. Promote consideration and use of nursing research.
2. Build the skill and effectiveness of the nurse's practice.
3. Enhance collaboration and understanding between the nurse and the mental health care team.
4. Implement individualized nursing interventions depending on what is best for the client's situation.
Q:
The nursing student asks the nurse the reason that knowledge of nursing theories is important. The nurse should respond that nurses use nursing theories to do which of the following?
Standard Text: Select all that apply.
1. Organize assessment data.
2. Generate goals.
3. Evaluate outcomes.
4. Plan interventions.
5. Generate nursing actions.
Q:
The psychiatric-mental health nurse is planning a personal program of continuing education to better meet the challenges of the future in psychiatric nursing practice. What areas should be included in the nurse's plan for continuing education?
Standard Text: Select all that apply.
1. Psychiatric nursing care in nontraditional settings
2. Psychopharmacology
3. Genetic research
4. Psychobiology
5. Physical health of psychiatric clients
Q:
The nurse is assessing a client in the home. Given the nurse's knowledge of the top 10 causes of disability worldwide, choose the priority area for data collection.
1. Social interactions and history of abuse
2. Irrational fears and quality of communication
3. Memory and childhood history
4. Mood and patterns of alcohol usage
Q:
During the evaluation of the effectiveness of the nurse's discharge teaching, which client report would indicate to the nurse that the client understands the leading cause of disability and decrement in health? The client reports a need to incorporate strategies to prevent:
1. Obesity.
2. Anxiety.
3. Depression.
4. Cancer.
Q:
The nurse plans to implement health promotion activities at the local senior citizen center. To meet the goal of promoting knowledge related to maximizing mental health and functional ability, the nurse's teaching is guided by World Health Organization research and should include discussion of which priority area specific to the leading causes of mental disability?
1. Social isolation
2. Dementia
3. Alcohol
4. Over-the-counter medications
Q:
The nurse is asked to provide traits of a mentally healthy individual at a hospital in-service. The nurse knows that mentally healthy individuals are:
1. Physically healthy and dependent.
2. Middle-aged and physically ill.
3. Dependent and needy.
4. Independent and autonomous.
Q:
The nursing assistant verbalizes to the psychiatric nurse that normal people don"t have mental disorders. Which approach by the nurse would be best?
1. Instruct the nursing assistant that anyone can have a mental health problem.
2. Alert the nursing manager of the nursing assistant's remark.
3. Refer the nursing assistant back to the psychiatric orientation materials.
4. Ignore the comment; the nurse has no responsibility in this situation.
Q:
Which statement indicates that the nurse understands the developmental"interpersonal perspective of the self-system?1. "A person's sense of security is primarily derived from doing well in school."2. "Security is only achieved when a child discovers his or her autonomy."3. "Feelings of self-worth are established during infancy."4. "Childhood experiences influence the way people view and understand themselves."
Q:
In comparing the major features of psychiatric theories, the nurse correctly concludes that:1. Medical"psychobiologic and psychoanalytic theories focus on the individual client.2. Social"interpersonal and medical"psychobiologic theories seek to change behavior through pharmacology.3. Social"interpersonal and medical"psychobiologic theories are in direct opposition to the other.4. Cognitive behavioral and psychoanalytic theories share the premise that behavior stems from the unconscious and requires the client to develop insight.
Q:
Which of the following statements made by the nursing student best summarizes the medical"psychobiologic position on mental disorders?1. Factors related to mental disorders can include excesses or deficiencies of brain neurotransmitters as well as alterations in biologic rhythms, including the sleep"wake cycle and genetic predispositions.2. Mental illnesses with an organic cause have an unpredictable course and poor prognosis.3. Mental disorders rarely respond to physical or somatic treatments without careful monitoring of progress by clinicians in medical settings.4. Biological interventions such as hormones, diet, and medications must be changed frequently as they are only effective for short periods of time.
Q:
Which of the following statements best reflects the nurse's comprehensive understanding of medical"psychobiologic theories?1. Psychobiologic explanations of mental disorders do little to decrease the stigma associated with mental illness.2. Individuals suffering from emotional disturbances have complex personalities that require changes in their motivation and willingness to comply with treatment.3. Mental disorders rarely respond to physical or somatic treatments.4. Mental disorders have characteristic structural, biochemical, and mental symptoms that can be diagnosed, run a characteristic course, and have a particular prognosis for recovery.
Q:
A nurse educator is teaching a group of students about humanism. The educator knows that humanism is a philosophy of service to benefit humanity through applying which of the following concepts?1. Science is the core consideration of humanistic philosophy.2. Caring practices and compassion must be approached holistically.3. Limitations of life in today's world have little effect on planning effective interventions.4. Mental health clients must rely on clinicians for difficult decision-making and care.
Q:
In order to plan for the care of a client on an acetylcholinesterase inhibitor, the nurse should assess for which of the following?1. Level of depression2. Memory impairment3. Blood pressure4. Mania
Q:
The client with bipolar disorder has been on lamotrigine (Lamictal) for three years and has had a stable mood for one year and asks what the risks would be of just stopping all the lamotrigine at once. Which nursing response is the most important point?1. Stopping this medication is usually not problematic.2. Stopping this medication could trigger a panic attack.3. Stopping this medication may trigger headaches.4. Stopping this medication abruptly carries the risk of seizures.
Q:
A 15-year-old client was depressed due to the loss of the client's mother and was placed on venlafaxine (Effexor). Two weeks later the client returns to the clinic and says, "I am feeling worse and have no hope." What nursing action is a priority?1. Assess for suicidality.2. Ask what the client enjoys.3. Assess if the client is sleeping at night.4. Evaluate how the client's other family members are coping.
Q:
A client previously treated for insomnia with flurazepam (Dalmane) is being switched to eszopiclone (Lunesta). How would the nurse explain the benefits of the newer nonbenzodiazepines as compared to the benzodiazepines for the treatment of insomnia?1. Benzodiazepines do not induce sleep.2. Nonbenzodiazepines lead to more withdrawal.3. Nonbenzodiazepines trigger a rebound effect.4. Nonbenzodiazepines do not produce as much hangover effect.
Q:
The nurse expresses ambivalence about the use of electroconvulsive therapy (ECT). How can this attitude influence client care?1. This attitude may be communicated to the client and the family, thus hindering the nursing care.2. The client may be unaware of the nurse's attitude.3. The nurse's attitude may spread to other staff members.4. The nurse's ambivalence will have no effect as long as the nurse is professional.
Q:
When focusing on psychobiology, what is most important for the client's family to understand?1. The client's symptoms2. The underlying neurobiology of behavior3. The client's medication regimen4. The client's phenotype
Q:
The nurse is working with a client who has demonstrated an unwillingness to change self-defeating behaviors. The nurse determines that the patient is exhibiting resistance. Which of the following phenomena are forms of client resistance?
Standard Text: Select all that apply.
1. Overdisclosure
2. Negative transference
3. Acting-out
4. Countertransference
5. Positive transference