A client is being started on buspirone (Buspar), a nonbenzodiazepine antidepressant agent. The client should be given which information about the drug?
1. It can cause extreme drowsiness initially.
2. It can lead to dependence.
3. It can cause euphoria in some people.
4. It can take up to 6 weeks to see full effects.
Question 2A client with obsessive-compulsive disorder (OCD) occupies much of the day with rituals involved with washing hands and frequently misses breakfast because of the behavior. What should the nurse do?
1. Wake the client an hour early, allowing time to complete the ritual.
2. Bring the meal to the client's room and allow as much time as needed for washing.
3. Make the client stop washing and go to breakfast with the other clients.
4. Allow the client to miss breakfast, since the ritual is more important than a missed meal.
Question 3A friend confides that he goes around his house 3-4 times to check that all lights are turned off before leaving for work in the morning. He asks the nurse Do you think I have an obsessive-compulsive disorder (OCD)?
To help identify criteria defining the disorder, the nurse should ask:
1. Have you ever considered purchasing an automatic timing device to turn out the lights at a designated time?
2. How much time do you spend doing this activity?
3. Do you do this on the weekends as well?
4. How long have you been doing this?
Question 4A client who was held hostage during a recent war in the Middle East is diagnosed with posttraumatic stress disorder (PTSD). When developing a plan of care, the nurse should anticipate which nursing diagnosis as being appropriate for this client?
1. Disturbed body image related to trauma of imprisonment
2. Acute pain related to nerve damage secondary to torture
3. Self-care deficit related to refusal to bathe self
4. Anxiety related to flashbacks of torture
Question 5A client on the mental health unit has agoraphobia and refuses to go to the dayroom for a scheduled unit activity. The nurse can best reduce the client's anxiety by which action?
1. Premedicate the client with a benzodiazepine.
2. Require the client to go but stay for only 10 minutes.
3. Reinforce that the client knows everyone else on the unit.
4. Offer to accompany the client and stay with her.
Question 6The nurse should initially use which intervention to reduce anxiety in a client demonstrating severe anxiety?
1. Instruct the client to do deep-breathing exercises.
2. Ask the client to verbalize his feelings.
3. Allow the client to be alone in a quiet environment.
4. Encourage the client to identify the source of the anxiety.
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