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Volume 1QUESTION 1A patient has been admitted to a

Volume 1QUESTION 1A patient has been admitted to an inpatient psychiatric facility in a bipolar manic episode with symptoms of poor impulse control, flamboyant affect, and sexual disinhibition. In the nursing team meeting, the RN discusses the patient’s immediate goals. Which patient outcome will the RN emphasize with the team?QUESTION 2What must the RN consider when assessing cultural influences for individuals with mood disorders?QUESTION 3Which action by the RN best demonstrates the ethical principle of beneficence as applied to a client with severe mental illness? QUESTION 4A client with an inappropriate affect disorder is being cared for by a team that includes an RN, an LPN, and a UAP. The RN explains to the team members that they may notice which of the following client behaviors when they are providing care? QUESTION 5The RN contacts the healthcare provider regarding a client’s sudden onset of symptoms of depression and learns that which medication may be responsible?QUESTION 6Which topics will the RN include when teaching a client about the side effects associated with the use of Selective Serotonin Reuptake Inhibitors (SSRIs)?QUESTION 7The RN should include which interventions in the plan of care for a client admitted to the mental health unit after an attempted suicide?  Select all that apply. QUESTION 8Which assessment data supports the presence of acute delirium in a patient?QUESTION 9The RN would be concerned about which food in the diet of a client admitted with toxic effects of a prescribed Selective Serotonin Reuptake Inhibitor (SSRI)?QUESTION 10The RN notes which assessment data are consistent with a patient experiencing Bipolar Disorder?  Select all that apply.QUESTION 11A client who has been taking clozapine for the past two months reports sudden onset of sore throat, fever, and malaise. Which data is most concerning to the RN?Temperature of 101° FWhite blood count of 3,000/mm3Hematocrit of 46%Pulse of 110QUESTION 12A hospitalized adolescent who was born anatomically male has the self-perception of being female Which of the following actions by the RN is most appropriate for this client?QUESTION 13Which nursing intervention is appropriate for a patient with the nursing diagnosis Impaired memory after returning from a military deployment where a head injury was sustained?QUESTION 14An adult patient with no prior behavioral health history was involuntarily admitted to the mental health unit with a diagnosis of Bipolar Mania after the patient’s brother noticed recent episodes of wild spending sprees, shoplifting, and confrontations with authority figures. When the brother inquires as to what caused the problem, which is the appropriate response by the RN?QUESTION 15When educating a client about ethnic and cultural factors that predispose a person to alcohol addiction, which of the following will the RN include?QUESTION 16A client in alcohol withdrawal has been prescribed lorazepam (Ativan) 2 mg IM, one stat dose.The pharmacy label reads:      0.5    ANSWERQUESTION 17Which is an appropriate outcome when caring for a client with delusions of persecution?QUESTION 18Which of the following would be an expected outcome for the nursing diagnosis Imbalanced nutrition: less than body requirements related to binging and purging?The RN asks an LPN to sit with a highly anxious client and engage in light conversation while admission paperwork is finalized. Which statement made by the LPN to the client and overheard by the RN is appropriate?QUESTION 20The RN is developing a plan of care for a client with Schizophrenia who is experiencing visual hallucinations. What would be an expected short-term outcome for the nursing diagnosis of Anxiety related to unconscious conflict with reality?QUESTION 21A hospitalized client who had been taking low-dose chlordiazepoxide as a sleep aid for several years has stopped this medication abruptly. The RN can expect to see withdrawal symptoms begin how long after cessation of the medication?QUESTION 22A 40-year-old client with new-onset Schizophrenia has been taking fluphenazine for four days and begins to exhibit symptoms of muscular weakness, which is an indication of:QUESTION 23Which of the following observations should make the RN suspect possible parental child abuse when assessing an 8-year-old child that was brought to the emergency room after a school sports injury?QUESTION 24Which RN intervention best supports a care plan based on Maslow’s physiological needs?QUESTION 25The RN is assessing a newly admitted client using the Michigan Alcoholism Screening Test (MAST). When the client responds affirmatively to the question, “Have you ever lost friends because of your drinking?”, the score of 5 is assigned by the RN. What does this indicate about the client’s use of alcoholic beverages?QUESTION 26Which medication is contraindicated for adolescents who are being treated for major depressive disorder?QUESTION 27Which behavior would first alert the RN that a co-worker might be impaired due to substance abuse?QUESTION 28Which side effect would the RN address when providing patient teaching for a client taking typical (traditional) antipsychotic medications?QUESTION 29Which nursing interventions would be appropriate when providing care for a patient who is exhibiting symptoms of a panic attack?  Select all that apply.QUESTION 30Why would the RN ask a client about her use of St. John’s Wort as an alternative treatment for Depression?

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