Extract:

Question 1 of 5

A client is seeking treatment for a specific phobia. The nurse in the anxiety disorders clinic documents that the client's anxiety is related to exposure to the phobic object. Which is a realistic outcome for anxiety self-control in this situation?

A. Avoid the feared object whenever possibleB. Face the feared object without supportive assistanceC. State that the fear of the object is unrealistic and inappropriateD. Practice relaxation techniques and report decreased physiological sensations associated with thoughts of the feared object

Correct Answer: D

Rationale: Relaxation techniques reduce anxiety symptoms, supporting self-control. Avoidance (
A) perpetuates fear, unsupported exposure (
B) is overwhelming, and stating fear as unrealistic (
C) is not the goal.

Question 2 of 5

A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?

A. The most common manifestation of postpartum depression is harming the infant.'B. Postpartum depression is more likely to occur in women who have a history of depression.'C. Postpartum depression usually begins 48 hours after childbirth.'D. It's common for clients who have postpartum depression to exhibit psychotic behavior.'

Correct Answer: B

Rationale: History of depression increases PPD risk. Harming infants (
A) is rare, onset varies beyond 48 hours (
C), and psychosis (
D) is not common.

Question 3 of 5

A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following client statements should the nurse consider administering alprazolam?

A. The client tells the nurse he is a government agent.B. The client tells the nurse that he is too tired to attend the group meeting.C. The client states, 'I see purple bugs crawling on the wall.'D. The client states, 'My heart is pounding out of my chest.'

Correct Answer: D

Rationale: Heart pounding indicates anxiety, warranting alprazolam. Delusions (
A), fatigue (
B), and hallucinations (
C) are not anxiety-specific.

Question 4 of 5

A nurse is teaching a client who has a new prescription for disulfiram (Antabuse). Which of the following information should the nurse include in the teaching?

A. Take this medication with food.'B. Do not crush this medication before swallowing.'C. Avoid grapefruit juice while taking this medication.'D. Do not use mouthwash while taking this medication.'

Correct Answer: D

Rationale: Alcohol-containing mouthwash causes adverse reactions with disulfiram. Food (
A), crushing (
B), and grapefruit juice (
C) are not critical concerns.

Question 5 of 5

A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care?

A. Monitor the client's whereabouts at all times.B. Reward the client for her change in behavior.C. Ask the client why her behavior has changed.D. Encourage family to take the client out of the facility for short periods of time.

Correct Answer: A

Rationale: Sudden mood improvement may indicate suicide risk, so monitoring whereabouts ensures safety. Rewarding behavior (
B), asking why (
C), or family outings (
D) do not prioritize safety.

Nurselytic

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ATI Mental Health NPRO 2000 Exam Questions

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