Extract:

Question 1 of 5

A client is taking diazepam (Valium) for generalized anxiety disorder. Which instruction should the nurse give to this client? Select all that apply.

Correct Answer: A, D, E

Rationale: Instructions include: Consult provider before stopping (
A) to avoid withdrawal, avoid alcohol (
D) to prevent CNS depression, and stop if allergic reactions occur (E). Cheese (
B) is irrelevant, and empty stomach (
C) is not required.

Question 2 of 5

While a client is taking alprazolam (Xanax), which of the following should the nurse instruct the client to avoid?

A. Chocolate. B. Cheese. C. Alcohol. D. Shellfish.

Correct Answer: C

Rationale: The client should avoid alcohol, as it increases CNS depression when combined with alprazolam, posing significant risks.

Question 3 of 5

The client is laughing and telling jokes to a group of clients. Suddenly, the client is crying and talking about a death in the family. A moment later, the client is laughing and joking again. The nurse should:

A. Call the psychiatrist for an order for Ativan as needed. B. Place the client in seclusion and call the psychiatrist for an order for the seclusion. C. Ignore the client's behavior in order not to give the client too much attention. D. Ask the client to come to a quiet area to talk to the nurse individually.

Correct Answer: D

Rationale: Redirecting to a quiet area allows assessment of labile mood and de-escalation.

Question 4 of 5

The physician orders determination of the serum lithium level tomorrow for a client with bipolar disorder, manic phase, who has been receiving lithium 300 mg P.O. three times daily for the past 5 days. At which of the following times should the nurse plan to have the blood specimen obtained?

A. Before bedtime. B. After lunch. C. Before breakfast. D. During the afternoon.

Correct Answer: C

Rationale: Lithium levels are drawn in the morning, 12 hours after the last dose, for accurate trough levels.

Question 5 of 5

A nurse observes a male client who is hyperactive and intrusive sitting very close to a female client with his arm around her shoulders. The nurse hears the male client tell a sexually explicit joke. The nurse approaches the client and asks him to walk down the hallway. Which of the following statements by the nurse should benefit the client?

A. She will not want to be around you with that kind of talk.' B. Telling sexual jokes and touching others is not permitted here.' C. You need to be careful about what you say to other people.' D. I think a time-out in your room would be appropriate now.'

Correct Answer: B

Rationale: Setting clear boundaries about inappropriate behavior promotes a safe environment.