Mental Health & Therapeutic Communication

A patient on lithium exhibits severe diarrhea, blurred vision, and muscle weakness. Which of the following actions is the MOST appropriate initial nursing intervention?

A patient taking haloperidol develops muscle rigidity, a shuffling gait, and tremors. These symptoms are indicative of which of the following?

A patient is prescribed alprazolam for anxiety. What is the MOST important instruction the nurse should provide regarding the medication?

A child is prescribed methylphenidate for ADHD. Which of the following side effects should the nurse educate the parents about?

Which nursing intervention should be prioritized FIRST, according to Maslow's Hierarchy of Needs?

A patient who is prescribed zolpidem for insomnia reports feeling drowsy during the daytime. What is the MOST appropriate instruction for the nurse to give?

A doctor orders 300 mg of a medication. The medication is available in 150 mg tablets. How many tablets should the nurse administer?

A medication is to be infused at a rate of 75 mL/hr. The total volume to be infused is 300 mL. How long will the infusion take to complete?

A patient is to receive 500 mL of IV fluid over 4 hours. The drop factor is 15 gtt/mL. What is the correct IV flow rate in drops per minute (gtt/min)?

A nurse is caring for a client with a history of anxiety and difficulty sleeping. According to Maslow's hierarchy of needs, what intervention should the nurse prioritize?

A nurse is assessing a client's affect. Which observation would be most consistent with a client experiencing a blunted affect?

During a mental health assessment, which question would be most appropriate to assess a client's orientation?

A patient being treated for depression is started on phenelzine. Which dietary instruction is most important for the nurse to provide?

A client tells a nurse, “I’m thinking of hurting my neighbor because he plays loud music at night.” According to legal and ethical guidelines, what is the nurse's best course of action?

A client is involuntarily admitted to a mental health facility. Which statement accurately describes this client's rights regarding treatment?

A client experiencing acute mania is rapidly pacing, talking loudly, and exhibiting disruptive behavior on the unit. Which intervention should the nursing team implement FIRST?

Which nursing intervention best demonstrates the principles of therapeutic milieu?

A client taking amitriptyline reports experiencing dizziness upon standing. What is the most appropriate nursing intervention?

During documentation, which of the following represents the most appropriate and objective way to document an incident involving a client's behavior?

A client receiving Cognitive Behavioral Therapy (CBT) is working on identifying negative thought patterns. Which statement best exemplifies a goal of this therapy?

A client taking lithium has a serum lithium level of 1.4 mEq/L. Which of the following interventions should the nurse anticipate?

A client on haloperidol begins exhibiting tongue rolling and involuntary movements of the face. Which of the following medications would the nurse anticipate administering?

A client prescribed alprazolam reports persistent anxiety despite taking the medication as prescribed. What is the MOST appropriate initial nursing intervention?

A child taking methylphenidate for ADHD is experiencing decreased appetite and weight loss. Which intervention should the nurse recommend to the parents?

A client experiencing acute alcohol withdrawal is agitated, diaphoretic, and has a heart rate of 120 bpm. Which intervention should the nurse prioritize according to Maslow's Hierarchy of Needs?

Before administering zolpidem to an older adult client, what is the MOST important assessment the nurse should perform?

A doctor orders ondansetron 8mg IV push. The medication is available as 4mg/2mL. How many mL should the nurse administer?

An IV of 1000 mL normal saline has been ordered to infuse at 50 mL/hr. How long will it take for the IV to infuse completely?

An IV of 500 mL is ordered to infuse over 4 hours. The drop factor is 20 gtt/mL. What is the correct flow rate in drops per minute?

A patient is admitted for detoxification from alcohol. Which nursing intervention takes priority based on Maslow’s hierarchy of needs?

During a mental health assessment, a client struggles to maintain focus and frequently shifts topics. Which aspect of cognitive function is MOST likely impaired?

A nurse observes a client with a flat facial expression and minimal emotional response while discussing a joyful event. How should the nurse document this observation?

Which communication technique would be MOST effective when a client is hesitant to discuss their feelings?

A client states, "I can't be contained; you have no right to keep me here". The staff responds by holding the patient down and injecting them with a sedative without a doctor's order. Which legal tort has MOST likely been committed?

A client in an inpatient psychiatric unit is observed pacing and yelling at other patients. Which intervention should the nurse implement FIRST?

A client being treated for depression is prescribed fluoxetine. What information is MOST important for the nurse to emphasize regarding when the client can expect to feel the full therapeutic effects of the medication?

A client taking tricyclic antidepressants (TCAs) like amitriptyline should be educated about which potential side effect that could cause a safety concern?

A client receiving Cognitive Behavioral Therapy (CBT) is asked to keep a thought record. What is the PRIMARY purpose of this activity?

A client reports that they are experiencing command hallucinations, instructing them to harm their neighbor. What is the MOST appropriate nursing action?

The treatment team is planning care for a client with a history of aggression. Which intervention best exemplifies the principles of creating a therapeutic milieu?

Cognitive Function Assessment

Affect

Mood

Open-ended Questions

False Imprisonment

Battery

Cognitive Behavioral Therapy (CBT)

Therapeutic Milieu

Seclusion & Restraints

MAOIs Dietary Restriction

Lithium

Haloperidol

Anxiolytics

Alcohol

Stimulants

Sedative-hypnotics

Basic Physiological Needs

Safety Needs

Dose Calculation

Drop Factor Calculation

Mental Status Assessment

Effective Communication

Right to Refuse Treatment

Duty to Warn

Assault

Psychobiological Interventions

Handling Aggression

Emergency Admission

Lithium Monitoring

Extrapyramidal Symptoms (EPS)

Anxiolytics & Alcohol

Stimulant Side Effects

Zolpidem Timing

Maslow's Hierarchy Order

Prioritizing Client Needs

Dosage Calculation Formula

IV Flow Rate Formula

Dosage Example