A nurse is caring for a client in a manic state of her Bipolar disorder. The client is dancing around the dayroom of the inpatient lounge. When she twirled her skirt it was obvious she was not wearing any underwear. The nurse enters the area and distracts her. She takes her to her room to put on underwear. Why did the nurse take this action?

To avoid her embarrassing herself in her manic state/behavior

Because there is no dancing allowed in the day room with other clients

To avoid her sexual passes at the clients

Because she was not following policy

Answer and Explanation

The Correct Answer is A

A.   The nurse’s primary concern is preventing the client from embarrassing herself due to the impulsive and disinhibited behaviors typical of a manic episode.
B.   There is no indication that dancing is prohibited; the issue is with inappropriate behavior.
C.   The focus of the action is not on sexual behavior but on ensuring the client is appropriately dressed in a social setting.
D.   Following policy is important, but the nurse’s action is more about protecting the client from social
embarrassment.

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Correct Answer is ["0.7"]

Explanation

To determine how many mL to administer, use the formula:

mL= Desired Dose/Available Dose per mL mL= 35mg/50 mg/mL

= 0.7 mL

Thus, the nurse should administer 0.7 mL of diphenhydramine.

A. Antisocial personality disorder B. Schizotypal personality disorder C. Histrionic personality disorder D. Narcissistic personality disorder

Correct Answer is A

Explanation

A. Antisocial personality disorder is characterized by disregard for rules and the rights of others. Clients with this disorder often challenge authority and refuse to follow rules.
B. Schizotypal personality disorder involves eccentric behavior and thinking, but it is not associated with defiance of rules.
C. Histrionic personality disorder is characterized by attention-seeking behavior, not by defiance of rules.
D. Narcissistic personality disorder involves a sense of entitlement and superiority, but it does not necessarily involve direct defiance of rules.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer diphenhydramine 35 mg IM to a client who has schizophrenia. Available is diphenhydramine for injection 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.7"]

Explanation

A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has histrionic personality disorder. Which of the following characteristics should the nurse expect?

A nurse is collecting data from a client who has schizophrenia and has been taking chlorpromazine for 8 years. The nurse notes choreiform or jerking uncontrolled movements, lip smacking, and spastic facial distortions. Which of the following conditions should the nurse document in her finding?

A nurse is preparing to administer clonazepam 1 mg PO. Available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

If a silence is heard between sounds when auscultating blood pressure, it is termed a(n)

A nurse is caring for a client who has major depressive disorder and has experienced a recent loss. Which of the following actions should the nurse take first?

A nurse is collecting data from a client who has bipolar disorder with mania. Which of the following findings is the nurse's priority?

A nurse is contributing to the plan of care for a client who has severe depression following the loss of her spouse. When identifying client goals, which of the following goals should the nurse identify as the highest priority?

A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)