Title RECALLS 5 (NP5) - STUDENT COPY ✅

33. Charge nurse Jeanine is teaching a client newly prescribed phenelzine. Which dietary items should she instruct the client to avoid while taking this medication? A. smoked bacon B. scrambled eggs C. milk D. kale 34. Charge nurse Jeanine at the school clinic is interviewing a child who is angry and blames their teacher for not passing an exam. The student admits that they did not study for the exam. The child is demonstrating which defense mechanism? A. Undoing B. Projection C. Compensation D. Intellectualization 35. Jeanine assists the client in developing goals while hospitalized. This phase of the nurse-client relationship is best described as which of the following? A. Orientation phase B. Working phase C. Termination phase D. Pre-interaction phase 36. Nurse Miranda Priestly is caring for a client with schizophrenia and has received a new prescription for clozapine. Prior to administering the first dose, she plans on obtaining the client's: A. weight. B. pulmonary function tests. C. urine analysis. D. visual acuity. 37. The psychiatric nurse, Nurse Miranda Priestly, is providing care for a patient who has just calmed down after exhibiting inappropriate behaviors related to bipolar disorder. She knows that which of the following is the best way to help prevent another unseemly episode? A. Identify the consequences of the behavior. B. Assist the client in understanding triggering events or feelings that may have lead to the outburst. C. Ensure that the patient’s safety is upheld. D. Offer the patient clear options to deal with their current behavior. 38. A client scheduled for hip replacement surgery expresses anxiety to Miranda Priestly regarding the upcoming surgery. Which response by Miranda is most therapeutic? A. “Everyone is nervous before any surgery. What you feel is completely normal.” B. “Here’s what’s going to happen to you during the procedure. I will explain it to you in detail.” C. “Can you tell me what you have been told about the surgery?” D. “Let me tell you about the care you will receive and the pain you should anticipate after the surgery.” 39. Miranda has received a prescription to administer thiamine to a client. Miranda understands that this medication is intended to treat: A. systemic lupus erythematosus. B. pernicious anemia. C. Wernicke's encephalopathy. D. iron deficiency anemia. 40. Priestly is caring for the following assigned clients. She should initially follow-up with the client who: A. is repeatedly washing their hands. B. talking over others during group therapy. C. yelling and shouting at others. D. is voluntarily admitted and requesting discharge. 41. Nurse Andrea Sachs is caring for a client with a history of aggressive and violent behavior. When caring for this client, she should initially take which action? A. Restrain the client B. Place the client in seclusion C. Get an order for a sedating medication D. Establish trust with the client 42. Andrea Sachs is caring for a client diagnosed with Generalized Anxiety Disorder (GAD). She should anticipate a prescription for which medication? A. Haloperidol B. Fluphenazine C. Buspirone D. Methylphenidate 43. The most serious adverse effect of tricyclic antidepressant (TCA) overdose is: A. Seizures B. Hyperpyrexia C. Metabolic acidosis D. Cardiac arrhythmias 44. Andrea is teaching a client newly prescribed buspirone for generalized anxiety disorder. Which of the following client statements would indicate the need for further teaching? A. "It may take a few weeks before I notice a benefit." B. "I should take this medication consistently with or without food." C. "I should take this medication only when my anxiety is at its worst." D. "I may experience nausea while taking this medication." 45. Your client has just undergone a fecal diversion surgery and will be discharged to their home. Which type of social support person or support network is most likely to benefit this client in terms of post-discharge self-care and physical adaptations necessary for this client? A. A peer support network like an ostomy group in the community to promote self-care B. An emotional support person to help the client cope with the altered bodily image C. An instrumental support network to help with activities of daily living (ADLs) D. A church group of volunteers who can transport the client to doctor appointments 46. RN Emily is caring for a client who is struggling with severe depression. Which of the following statements would demonstrate effective therapeutic communication with this client? Select all that apply. A. “Great work today in group therapy Steve, you were really talkative today!” B. “I’d like to just sit with you for a while Steve.” C. “Tell me how you’re feeling Steve. I’d like to understand.” D. “Why are you feeling depressed today Steve?” E. "I know exactly how you feel. I've been through the same thing." 47. Emily in the emergency department (ED) is caring for a client experiencing agitation, anxiety, and hypertension. On assessment, the client has mydriasis and diaphoresis. Emily suspects that this client may be intoxicated with which substance? A. Opioids B. Barbiturates C. Amphetamines D. Cannabis 48. Emily is assessing a client who has a borderline personality disorder (BPD). Which of the following would be an expected finding? Select all that apply. A. Self-mutilating behaviors B. Hypervigilance C. Emotional detachment D. Social inhibition E. Impulsivity 49. She cares for a client who is mechanically ventilated and receives multiple intravenous medications. The client's family member is upset and overwhelmed by the client's clinical condition. Which therapeutic action would be appropriate for her to take? A. Let the family member spend time alone with the client B. Reminiscence with the family member about the client C. Ask the family member if they would like to speak with pastoral care D. Explain the different types of medications and therapies the client is receiving 50. She is caring for a client with Alzheimer's disease and is approached by the client's family member, stating, "I'm so tired of hearing Dad talk about the past." She should inform the family member that: A. "You should be more patient with your father and accepting of his disease." B. "Changing the subject to avoid reminiscing may be helpful." 3 | Page
C. "He has lost his short-term memory but can still remember events from long ago." D. "Just remind him when he repeats himself and that will reinforce better behavior." 51. Student nurse Nigel is evaluating laboratory data for a client taking lithium. Which laboratory data requires immediate follow-up? A. white blood cell (WBC) count, 11,500 mm3 B. fasting blood glucose 112 mg/dL C. creatinine 1.6 mg/dL D. free thyroxine T4 (FT4) 0.6 ng/dL 52. Student nurse Nigel is designing a care plan for a client involuntarily admitted with severe major depressive disorder. A critical aspect of this client’s plan of care is: A. the participation of the client. B. a completed medication reconciliation. C. a review of previously prescribed antidepressant medications. D. the assignment of a case manager. 53. Student nurse Nigel is reviewing newly prescribed medications for a client taking lithium. Which medication requires further follow-up? A. Venlafaxine B. Hydrochlorothiazide C. Gabapentin D. Verapamil 54. Student nurse Nigel in the psychiatric unit notes that a client with paranoid schizophrenia is yelling and blocking the television. Other psychiatric clients around the yelling client are now becoming agitated. What is the most appropriate action for Nigel? A. Restrain the client B. Escort the other clients from the room C. Administer haloperidol via intramuscular (IM) injection to the client causing a disruption D. Approach the client causing a disruption calmly while accompanied by two additional staff members 55. Nigel is conducting a suicide assessment on a client. While reviewing the assessment data, Nigel is most concerned about the client A. having alcohol dependence. B. taking an antidepressant for the past five years. C. newly diagnosed with psoriasis. D. just started attending a support group for individuals with psoriasis. 56. Jacqueline is a nurse who is caring for a client who is receiving prescribed aripiprazole. Which of the following client findings would indicate a therapeutic response? A. Reports of no hallucinations and delusions B. Increased concentration and attention C. Improved muscle coordination and gait D. No reports of insomnia or night terrors 57. Jacqueline is talking to new volunteers at an elderly community club regarding elder abuse. Jacqueline identifies which of the volunteer's clients as the one that is most vulnerable to abuse? A. A 75-year-old man that has diabetes B. A 79-year-old man with cataracts C. An 87-year-old woman with Parkinson’s disease D. A 64-year-old woman with psoriasis 58. Jacqueline is caring for a client diagnosed with attention deficit hyperactivity disorder (ADHD). She should anticipate a prescription for which medication? A. Citalopram B. Risperidone C. Methylphenidate D. Carbamazepine 59. Jacqueline is interviewing a 25-year-old female client who recently experienced domestic violence. What is the rationale for excluding the family from the interview to ensure a safe and confidential environment? Select all that apply. A. Promote client autonomy B. Maintain family dynamics and support C. Maintains privacy and confidentiality D. Prevent potential intimidation or coercion E. Minimize the risk of retribution 60. She cares for a client with narcolepsy. Which of the following medications would she anticipate the doctor to prescribe? A. aripiprazole B. modafinil C. ropinirole D. quetiapine 61. Nurse Cersei is caring for a client who is receiving prescribed risperidone. Which of the following findings would indicate a therapeutic response? The client demonstrates: A. a reduction in weight. B. increased mood lability. C. an appropriate gait pattern. D. decreased thoughts of persecution. 62. Cersei, the head nurse of Lannister Hospital, is caring for a client who intentionally overdosed on amitriptyline. What action should the nurse prioritize? A. Obtain a 12-lead electrocardiogram B. Request a prescription to consult psychiatry C. Determine the reasoning for the overdose D. Establish a therapeutic relationship 63. Cersei is assessing a child with suspected attention-deficit/hyperactivity disorder (ADHD). Which of the following findings would support a diagnosis of ADHD? A. waxy flexibility B. distorted perception of one's body shape C. daytime sleepiness D. forgetfulness 64. Cersei provides education to a group of adolescents about the dangers of heroin use. Which of the following statements by one of the adolescents indicates a need for further clarification? A. "Heroin can lead to addiction and dependence, making it difficult to stop using." B. "Injecting heroin increases the risk of contracting blood-borne infections such as HIV and hepatitis." C. "Heroin can cause respiratory depression, which can be life-threatening." D. "Using heroin with friends at a party is safer than using it alone." 65. Cersei is conducting client education regarding medication for a client receiving a monoamine oxidase inhibitor (MAOI). Which of the following should the client avoid? A. Cream cheese B. Swiss cheese C. Milk D. Ice cream 66. Tyrion cares for a client who is receiving prescribed citalopram. Which of the following findings would indicate a therapeutic response? Improved muscle coordination Circumstantial speech pattern Longer attention span Increased self-esteem 67. Tyrion is caring for a client who recently experienced a significant role change due to retirement. Which action would appropriately support this client during this transition? A. Providing the client with resources to explore community-based support groups for retirees. B. Advising the client to focus solely on reminiscing about past career achievements. C. Scheduling family visits without consulting the client's preferences. D. Encouraging the client to avoid discussing retirement to prevent emotional distress. 68. Tyrion is assessing a client experiencing psychosis. The client states, "I am convinced my wife and brother-in-law want to kill me." He interprets this statement as a: A. delusion of reference. B. delusion of persecution. C. delusion of grandeur. D. delusion of erotomania. 69. Tyrion, a wise educator, is shadowing a student nurse caring for a psychiatric client. He should instruct the student that a therapeutic nurse-client relationship starts with: A. A sincere desire to help others B. Acceptance C. Understanding and self-awareness D. Knowledge of psychiatric nursing 70. Tyrion is reviewing eating disorders with a group of students. It would be correct for him to identify that the 4 | Page