RPN Mental Health and Psychiatric Nursing 2

Question 1

A client is newly prescribed phenelzine (Nardil), an MAOI. Which dietary teaching is most important?

Accepted Answer

Avoid tyramine-rich foods such as aged cheese and cured meats

Answer

Avoid grapefruit juice due to cytochrome P450 interactions

Answer

Limit fluid intake to prevent lithium toxicity

Answer

Increase calcium intake to prevent bone density loss

Question 2

Which of the following is the therapeutic serum level for lithium carbonate in maintenance therapy?

Accepted Answer

0.6–1.2 mEq/L

Answer

0.1–0.3 mEq/L

Answer

1.5–2.0 mEq/L

Answer

2.5–3.5 mEq/L

Question 3

A client with borderline personality disorder becomes verbally aggressive when the nurse mentions a limit on phone calls. Which nursing response is most appropriate?

Accepted Answer

'I understand you're upset. The limit remains in place, and I'm here to support you.'

Answer

Remove the client's phone privileges immediately to enforce the limit

Answer

Negotiate a compromise to avoid escalating the client's distress

Answer

Avoid enforcing the limit today because the client is emotionally dysregulated

Question 4

A client taking haloperidol (Haldol) develops muscle rigidity, hyperthermia, and altered consciousness. The nurse suspects:

Accepted Answer

Neuroleptic malignant syndrome (NMS)

Answer

Tardive dyskinesia

Answer

Akathisia

Answer

Extrapyramidal side effect (EPS)

Question 5

A client with dementia becomes increasingly confused and agitated after sundown each evening. The nurse documents this as:

Accepted Answer

Sundowner's syndrome (sundowning)

Answer

Confusional psychosis

Answer

Nocturnal delirium episode

Answer

Circadian rhythm disorder

Question 6

Which symptom is classified as a POSITIVE symptom of schizophrenia?

Accepted Answer

Delusions

Answer

Flat affect

Answer

Alogia (poverty of speech)

Answer

Avolition

Question 7

A client with obsessive-compulsive disorder (OCD) spends 3 hours each morning performing handwashing rituals. Which therapeutic approach is evidence-based first-line treatment?

Accepted Answer

Exposure and Response Prevention (ERP)

Answer

Systematic desensitization

Answer

Psychodynamic therapy to explore childhood origins

Answer

Relaxation training and mindfulness meditation