Extract:

Question 1 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 2 of 5

A nurse is providing teaching to a client who has schizophrenia and is to begin taking haloperidol. Which of the following information should the nurse include in the teaching?

A. This medication will decrease your symptoms of OCD.'B. This medication may cause excessive salivation.'C. You may experience dizziness upon standing while taking this medication.'D. You can stop taking the medication if the adverse effects are bothersome.'

Correct Answer: C

Rationale: Haloperidol causes orthostatic hypotension, leading to dizziness. It’s not for OCD (
A), doesn’t cause salivation (
B), and stopping abruptly (
D) risks worsening symptoms.

Question 3 of 5

A client is admitted for a drug overdose with a barbiturate. Which is the priority nursing action when planning care for this client?

A. Check the client's belongings for additional drugs.B. Pad the side rails of the bed because seizures are likely.C. Prepare a dose of ipecac, an emetic.D. Monitor respiratory function.

Correct Answer: D

Rationale: Barbiturates cause respiratory depression, requiring monitoring to prevent hypoxia. Checking belongings (
A), padding rails (
B), and ipecac (
C) are not priorities.

Question 4 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 5 of 5

A nurse is caring for a client with delirium who is experiencing illusions. What environmental conditions should the nurse arrange for this client?

A. Have the client sit by the nurse's desk while awake in a room with the television onB. Provide a well-lit room without glare or shadows and limit noiseC. Keep the room shadowy with soft lighting around the clock, and keep a radio on continuouslyD. Light the room brightly around the clock and awaken hourly to check mental status

Correct Answer: B

Rationale: A well-lit, low-noise environment minimizes illusions and confusion. TV (
A), shadowy rooms (
C), or bright light with hourly checks (
D) exacerbate delirium.

Nurselytic

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ATI Mental Health NPRO 2000 Exam Questions

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Question 4 of 5

Question 5 of 5

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