Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is reinforcing teaching about a new prescription for haloperidol with a client who has schizophrenia.
Which of the following statements by the client indicates an understanding of the teaching?.
A. "The medication may cause ringing in my ears.”.
A rationale: Ringing in the ears is not a common side effect of haloperidol.
B. "I may experience a metallic taste while taking this medication.”.
B rationale: A metallic taste is not typically associated with haloperidol use.
C. "The medication may cause urinary incontinence.”.
C rationale: Urinary incontinence is not a known side effect of haloperidol.
D. "I may be more sensitive to the sun while taking this medication.”.
D rationale: Haloperidol can cause photosensitivity, making the skin more sensitive to the sun.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Mental health DEC 2023 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Ringing in the ears is not a common side effect of haloperidol.
Choice B rationale:
A metallic taste is not typically associated with haloperidol use.
Choice C rationale:
Urinary incontinence is not a known side effect of haloperidol.
Choice D rationale:
Haloperidol can cause photosensitivity, making the skin more sensitive to the sun.
Similar Questions
A nurse is contributing to the plan of care for a client who has bipolar disorder and whose admission was voluntary.
For which of the following interventions should the nurse confirm that the client has given informed consent?.
A. Attending a cognitive behavioral therapy class.
A rationale: Attending a cognitive behavioral therapy class does not require informed consent as it is a non-invasive form of treatment.
B. Taking an experimental medication.
B rationale: Informed consent is necessary when taking an experimental medication to ensure the client understands the potential risks and benefits.
C. Receiving light therapy.
C rationale: Light therapy is a non-invasive treatment and does not typically require informed consent.
D. Participating in a group exercise program.
D rationale: Participating in a group exercise program is a non-invasive form of treatment and does not require informed consent.
Full Explanation
Choice A rationale:
Attending a cognitive behavioral therapy class does not require informed consent as it is a non-invasive form of treatment.
Choice B rationale:
Informed consent is necessary when taking an experimental medication to ensure the client understands the potential risks and benefits.
Choice C rationale:
Light therapy is a non-invasive treatment and does not typically require informed consent.
Choice D rationale:
Participating in a group exercise program is a non-invasive form of treatment and does not require informed consent.
A nurse is caring for a client who has an anxiety disorder.
The client transforms their anxiety into physical manifestations.
The nurse should recognize that the client is ing which of the following manifestations?.
A. Reaction formation.
A rationale: Reaction formation is a defense mechanism where a person behaves in a way opposite to their true feelings.
B. Somatization.
B rationale: Somatization is the process of experiencing mental or emotional distress as physical symptoms.
C. Intellectualization.
C rationale: Intellectualization is a defense mechanism where a person uses reasoning to block out emotional stress.
D. Sublimation.
D rationale: Sublimation is a defense mechanism where a person transforms unacceptable impulses into socially acceptable behaviors.
Full Explanation
Choice A rationale:
Reaction formation is a defense mechanism where a person behaves in a way opposite to their true feelings.
Choice B rationale:
Somatization is the process of experiencing mental or emotional distress as physical symptoms.
Choice C rationale:
Intellectualization is a defense mechanism where a person uses reasoning to block out emotional stress.
Choice D rationale:
Sublimation is a defense mechanism where a person transforms unacceptable impulses into socially acceptable behaviors.
A nurse is reinforcing teaching with a newly licensed nurse about the Patient Self-Determination Act (PSDA). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?.
A. "The PSDA becomes applicable when a client reaches 65 years of age.”.
The PSDA applies to all adults, not just those who are 65 years of age or older.
B. "Advance directives do not apply to clients receiving mental health care.”.
Advance directives apply to all clients, including those receiving mental health care.
C. "A witness is legally required to sign a client's living will.”.
A witness is not legally required to sign a client’s living will.
D. "A client can verbally designate a durable power of attorney.”. . . . . . .
A client can verbally designate a durable power of attorney, which is part of the PSDA.