Extract:

Question 1 of 5

After the nurse administers haloperidol (Haldol) 5 mg P.O. to a client with acute mania, the client refuses to lie down on her bed, runs out on the unit, pushes clients in her vicinity out of the way, and screams threatening remarks to the staff. Which of the following should the nurse do next?

Correct Answer: C

Rationale: Seclusion and restraints may be necessary to ensure safety if the client poses a danger after medication.

Question 2 of 5

The client in the early stage of Alzheimer's disease and his adult son attend an appointment at the community mental health center. While conversing with the nurse, the son states, 'I'm tired of hearing about how things were 30 years ago. Why does Dad always talk about the past?' The nurse should tell the son:

A. Your dad lost his short-term memory, but he still has his long-term memory.' B. You need to be more accepting of your dad's behavior.' C. I want you to understand your dad's level of anxiety.' D. (written out of order) 'Telling your dad that you are tired of hearing about the past will help him stop.'

Correct Answer: A

Rationale: In early Alzheimer's, short-term memory is impaired, but long-term memory remains intact, explaining the client's focus on past events.

Question 3 of 5

After a period of unsuccessful treatment with Elavil (amitriptyline), a woman diagnosed with depression is switched to Parnate (tranylcypromine). Which statement by the client indicates the client understands the side effects of Parnate?

A. I must do increase my intake of sodium.' B. I must refrain from strenuous exercise.' C. I must refrain from eating aged cheese or yeast products.' D. I should decrease my intake of foods containing sugar.'

Correct Answer: C

Rationale: Parnate is a monoamine oxidase inhibitor (MAOI), and clients must avoid tyramine-rich foods like aged cheese and yeast products to prevent hypertensive crisis.

Question 4 of 5

A client commonly jumps when spoken to and reports feeling uneasy. The client says, 'It's as though something bad is going to happen.' In which order from first to last should the following nursing actions be done?

Order the Items

Source Container

Teach problem solving strategies.

Ask the client to deep breathe for 2 minutes.

Discuss the client's feelings in more depth.

Reduce environmental stimuli.

Correct Answer: D,B,C,A

Rationale: First reduce stimuli, then use deep breathing, discuss feelings, and finally teach problem-solving to manage anxiety.

Question 5 of 5

A client with paranoid schizophrenia is suspicious of medications. Which approach should the nurse use?

A. Insist the client take the medication. B. Explain the medication's benefits simply. C. Administer the medication covertly. D. Allow the client to skip doses.

Correct Answer: B

Rationale: Explaining benefits simply builds trust and encourages adherence without coercion.