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Psych care case quiz

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Froggy Jumps 🐸Psych Care LeapVersión en línea Psych care case quiz por RNPRPEPBESTIE 1 The nurse is caring for a client newly started on sertraline. On day 5, the client reports “I finally have some energy again.” What is the most important follow-up? a Encourage participation in group therapy b Assess for increased appetite and sleep changes c Ask about thoughts of self-harm or plan development 2 A client with bipolar disorder is pacing, loudly stating, “I’m chosen to lead millions.” What is the nurse’s best response? a "Tell me more about what makes you feel this way." b "That sounds important to you, but you are safe here." c "You are not a leader of millions." 3 A client receiving haloperidol develops neck stiffness and upward eye deviation. What action should the nurse anticipate? a Hold next dose and monitor b Administer anticholinergic medication as prescribed c Encourage fluids and rest 4 A client states, “I don’t have a drinking problem. I can stop anytime.” What defense mechanism is this? a Displacement b Denial c Projection 5 The nurse is caring for a withdrawn client who has not attended group therapy for 2 days. What is the best initial approach? a "You need to attend group sessions." b Document refusal and notify provider c Sit quietly with the client and offer presence 6 A client with anxiety begins rapid breathing and states, “I can’t catch my breath.” What is the priority nursing action? a Teach deep breathing and remain with the client b Encourage the client to walk c Administer PRN medication immediately 7 A client taking lithium reports nausea, diarrhea, and hand tremors. What is the priority action? a Encourage fluid intake b Hold medication and notify provider c Document as expected side effects 8 During a home visit, a client with depression states, “I gave my things away because I won’t need them.” What is the nurse’s priority response? a Encourage family involvement b Assess for suicide intent and plan c Ask about current mood 9 A client with schizophrenia says, “The TV is sending me messages.” What is the best response? a "I don’t see that, but I know it feels real to you." b Turn off the television c "That is not happening." 10 A client becomes increasingly agitated, clenching fists and pacing. What is the nurse’s priority intervention? a Move the client to a quiet, low-stimulation area b Offer PRN medication c Call security immediately 11 A client on phenelzine asks about diet choices. Which statement indicates understanding? a "I can eat pepperoni pizza occasionally." b "I should avoid aged and fermented foods." c "Fresh meats should be limited."

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Froggy Jumps

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Froggy Jumps

🐸Psych Care LeapVersión en línea

por RNPRPEPBESTIE

The nurse is caring for a client newly started on sertraline. On day 5, the client reports “I finally have some energy again.” What is the most important follow-up?

A client with bipolar disorder is pacing, loudly stating, “I’m chosen to lead millions.” What is the nurse’s best response?

A client receiving haloperidol develops neck stiffness and upward eye deviation. What action should the nurse anticipate?

A client states, “I don’t have a drinking problem. I can stop anytime.” What defense mechanism is this?

The nurse is caring for a withdrawn client who has not attended group therapy for 2 days. What is the best initial approach?

A client with anxiety begins rapid breathing and states, “I can’t catch my breath.” What is the priority nursing action?

A client taking lithium reports nausea, diarrhea, and hand tremors. What is the priority action?

During a home visit, a client with depression states, “I gave my things away because I won’t need them.” What is the nurse’s priority response?

A client with schizophrenia says, “The TV is sending me messages.” What is the best response?

A client becomes increasingly agitated, clenching fists and pacing. What is the nurse’s priority intervention?

A client on phenelzine asks about diet choices. Which statement indicates understanding?