A nurse is teaching a client non-pharmacological methods to manage generalized anxiety disorder (GAD). Which of the following should the nurse include in the teaching plan?

A client with obsessive-compulsive disorder (OCD) spends two hours daily washing and re-washing their hands. The nurse understands that the primary purpose of the ritualistic hand washing is to:

A 20-year-old client reports severe anxiety and fear of a large dog that attacked them one year ago. The client now avoids all parks and dog-friendly public spaces. The nurse documents that the client is experiencing which symptom of Post-Traumatic Stress Disorder (PTSD)?

A nurse is performing an admission assessment on a client with severe anxiety. Which of the following manifestations are characteristic of a severe anxiety level?

A student receives a failing grade on a major exam and immediately accuses the professor of writing "stupid, unfair questions." Which defense mechanism is the student using?

A client with poor impulse control states, "I don't know why I get so mad at my spouse. I end up screaming at them, but I was really angry at my boss for getting credit for my work." Which defense mechanism is the client displaying?

Which coping mechanism is considered maladaptive?

A client who just lost their favorite pet suddenly and unexpectedly begins volunteering at the local animal shelter. The nurse recognizes this as the positive coping mechanism of:

A client taking paroxetine (Paxil), an SSRI, for PTSD reports experiencing dry mouth, blurred vision, and mild sedation. The nurse should tell the client that these are common side effects and that they should contact the provider if which of the following occurs?

The nurse is reviewing the chart of a client admitted for acute trauma. Which finding requires immediate notification of the healthcare provider?

A client states, "I'm so worried about my child getting sick that I check their temperature every hour and wipe down all surfaces in the house three times a day." The nurse recognizes the thermometer use as a compulsion because it is a:

A nurse is assessing a client experiencing a manic episode. Which of the following manifestations should the nurse expect to find?

A client with bipolar disorder is prescribed lithium. Which client teaching is essential for the nurse to provide?

Multiple Choice (Select One) Which of the following describes a key difference between Bipolar I Disorder and Bipolar II Disorder?

Multiple Choice (Select One) A nurse is caring for a client with major depressive disorder who is taking the herbal supplement St. John's wort. The nurse should be most concerned about the risk of interaction if the client is also prescribed which medication?

Select All That Apply (SATA) The nurse is preparing a client for electroconvulsive therapy (ECT). Which of the following interventions are appropriate for the nurse to perform? (Select all that apply.)

Multiple Choice (Select One) The nurse is caring for a client who is severely depressed and refusing to eat, citing, "I'm not worth feeding." The priority nursing intervention is to:

Select All That Apply (SATA) The nurse is teaching a client about a new prescription for amitriptyline, a tricyclic antidepressant (TCA). Which side effects should the nurse tell the client to report to the provider? (Select all that apply.)

Multiple Choice (Select One) During a manic episode, a client is observed dressing in brightly colored, elaborate clothing and greeting staff with excessive enthusiasm and inappropriate touching. The nurse's most appropriate response is:

Multiple Choice (Select One) A client with major depressive disorder states, "I have to get better quickly because everyone is depending on me." The nurse identifies this statement as:

Multiple Choice (Select One) A client receiving tranylcypromine (Parnate), a Monoamine Oxidase Inhibitor (MAOI), is asking for a snack. Which item, if chosen by the client, indicates the need for further dietary teaching?

Select All That Apply (SATA) A nurse is monitoring a client for signs of lithium toxicity. Which findings should the nurse recognize as early signs of toxicity? (Select all that apply.)

Multiple Choice (Select One) A client with depression has been prescribed sertraline (Zoloft). The nurse should instruct the client that the therapeutic effects of this medication are typically not noticeable until:

Bowtie Question (NGN Style) Use the diagram to identify the most likely cause for the client's condition described: A 78-year-old client is admitted for a hip fracture. On day 2, the client is confused, agitated, pulling at tubes, and rambling about being "at a party." The family reports the client was oriented yesterday.

Bowtie Question (NGN Style) Based on the scenario and the diagram, select the priority signs and symptoms associated with the client's condition. (Select all that apply.)

Bowtie Question (NGN Style) Based on the scenario and the diagram, select the priority nursing interventions for this client's condition. (Select all that apply.)

Multiple Choice (Select One) The nurse is educating the family of a client newly diagnosed with Alzheimer's type dementia. Which statement by the family indicates an understanding of the disorder?

Multiple Choice (Select One) A client is taking donepezil (Aricept) for Alzheimer's disease. The nurse should inform the family that this medication works by:

The nurse is distinguishing between the manifestations of delirium and dementia. Which statement correctly describes a key characteristic of delirium?

Multiple Choice (Select One) A client is diagnosed with Illness Anxiety Disorder (formerly hypochondriasis). The most appropriate nursing action is to:

Select All That Apply (SATA) A client with Somatic Symptom Disorder reports multiple, vague physical complaints for which no medical cause can be found. Which of the following should be included in the client's plan of care? (Select all that apply.)

Multiple Choice (Select One) Which scenario best describes a client exhibiting classic signs of Somatic Symptom Disorder?

Multiple Choice (Select One) A client states, "I have a headache, but I think it's a brain tumor," even though the MRI was clear. The nurse recognizes the client is exhibiting classic signs of:

Multiple Choice (Select One) A client asks the nurse about incorporating yoga and meditation into their mental health treatment plan. The nurse knows these are considered complementary therapies because they are:

Multiple Choice (Select One) A nurse is preparing a client's evening medications. The client asks if they can take their prescribed paroxetine (Paxil) at the same time as their evening melatonin supplement. The nurse should be most concerned about:

Multiple Choice (Select One) Which of the following interventions related to Complementary Therapies should the nurse implement?

Multiple Choice (Select One) A client with dementia is prescribed an antipsychotic medication to manage agitation and aggression. The nurse should notify the provider if the client develops which potential life-threatening adverse effect?

Select All That Apply (SATA). The nurse is assessing a client for alcohol withdrawal. Which symptoms are expected to be present within 4 to 12 hours after the last drink? (Select all that apply.)

Multiple Choice (Select One). A client presents to the Emergency Department with pinpoint pupils, respiratory rate of 6/min, and is unresponsive to verbal stimuli. The nurse should anticipate administering which medication?

Multiple Choice (Select One). A client in the detox unit is taking chlordiazepoxide (Librium) for alcohol withdrawal. The client asks, "Why am I taking this instead of just a drink?" The nurse's best response is:

Multiple Choice (Select One). A client is prescribed disulfiram (Antabuse) as part of their long-term alcohol use disorder treatment. The nurse instructs the client to avoid all products containing alcohol, which include:

Select All That Apply (SATA). A client is withdrawing from opioids. The nurse should anticipate which physical symptoms? (Select all that apply.)

Multiple Choice (Select One). Which medication is used for long-term maintenance treatment of Opioid Use Disorder (OUD) that works by blocking opioid receptors and reducing craving?

Multiple Choice (Select One). The nurse is educating a client who is starting on acamprosate (Campral). The nurse should explain that this medication is used to:

Multiple Choice (Select One). The most severe complication of untreated alcohol withdrawal, characterized by hallucinations, severe disorientation, and grand mal seizures, is known as:

Multiple Choice (Select One). A client taking buprenorphine (Suboxone) as a maintenance medication for OUD asks the nurse how it works. The nurse explains that buprenorphine is a(n):

Select All That Apply (SATA). The nurse is caring for a client with a history of chronic alcohol use. The nurse assesses the client for a deficiency in which essential nutrients? (Select all that apply.)

Multiple Choice (Select One). A client is admitted for opioid overdose. After administering naloxone, which is the nurse’s priority action?

Multiple Choice (Select One). A nurse is preparing to administer clonidine to a client who is experiencing opioid withdrawal. The nurse should first check the client's:

Medication Calculation (Select One). The provider orders alprazolam (Xanax) 0.5 mg PO TID for anxiety. The medication is available in 0.25 mg tablets. How many tablets will the nurse administer per dose?

The client is to receive 15 mg of buspirone (Buspar) PO every 12 hours. The pharmacy dispenses buspirone in 5 mg tablets. How many tablets will the nurse administer for the 0800 dose?

Medication Calculation. The provider orders olanzapine (Zyprexa) 10 mg PO once daily. The pharmacy has 2.5 mg tablets available. How many tablets will the nurse administer?

Medication Calculation. The provider orders 200 mg of lithium carbonate PO. The available tablets are 300 mg/tablet. How many tablets should the nurse administer? Round to the nearest tenth.

Select all that apply. The nurse is planning care for a client in a severe manic state. Which of the following should be included in the plan of care to promote a safe environment?

Select all that apply. A client with Major Depressive Disorder is prescribed fluoxetine (Prozac). Which of the following side effects should the nurse inform the client about?

Select all that apply. A client who has been taking benzodiazepines for several months wishes to discontinue the medication. The nurse should instruct the client that abrupt cessation can lead to which of the following withdrawal symptoms?

Select all that apply. Which of the following interventions are appropriate for the nurse caring for a client with Delirium?

Select all that apply. A nurse is teaching a client about discharge instructions for a new prescription for buspirone (Buspar). Which of the following statements should the nurse include in the teaching?

The nurse is assessing a client for the characteristics of Bipolar I Disorder. Which of the following findings would support this diagnosis?

A client with dementia begins to experience a worsening of confusion and agitation in the late afternoon and evening. The nurse recognizes this as the phenomenon known as:

A client who is admitted for alcohol intoxication reports only drinking on weekends and only "to relieve the stress" of a difficult week. The nurse knows this client is most likely exhibiting: