While caring for a depressed client, a nurse would evaluate the need for suicide precautions under which circumstance?

The client displays agitation.

The client becomes suddenly cheerful.

The client experiences psychomotor retardation.

The client does not attend group therapy.

Answer and Explanation

The Correct Answer is B

A.   Agitation can be a sign of distress, but sudden cheerfulness may be indicative of a decision to act on suicidal thoughts, as the individual may feel relieved to have made a decision.
B.   Sudden cheerfulness can be a concerning sign, as it may indicate that the client has made a decision to carry out suicidal thoughts.
C.   Psychomotor retardation is a symptom of depression and may not necessarily indicate imminent risk of suicide.
D.   Not attending group therapy may be a sign of withdrawal or isolation, but it does not directly indicate immediate suicidal risk.

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Correct Answer is A

Explanation

A) Correct. Tardive dyskinesia is a side effect of long-term neuroleptic (antipsychotic) treatment. It is characterized by involuntary, repetitive movements, particularly of the face and tongue. This condition is more commonly seen in clients who have been on neuroleptics for extended periods.

B) Incorrect. Discontinuing neuroleptic treatment may lead to withdrawal symptoms or symptom recurrence, but it does not directly increase the risk of developing tardive dyskinesia.

C) Incorrect. Neuroleptic malignant syndrome (NMS) is a different side effect associated with neuroleptic medications, characterized by hyperthermia, autonomic dysregulation, altered mental status, and generalized muscle rigidity.

D) Incorrect. Monoamine oxidase inhibitors (MAOIs) are a different class of medications and are not associated with the development of tardive dyskinesia.

A. Within 24 hours B. Within 8 hours C. Within 18 hours D. Within 72 hours

Correct Answer is B

Explanation

A. 24 hours is a long time for alcohol withdrawal symptoms to occur.
B. Alcohol withdrawal symptoms typically begin within 6 to 8 hours after the last drink for
individuals with a history of heavy alcohol use. These symptoms can range from mild anxiety and tremors to more severe symptoms like seizures and delirium tremens. It's crucial for
healthcare providers to monitor and manage alcohol withdrawal symptoms, as they can be life- threatening in severe cases.
C. Alcohol withdrawal symptoms occur within 6 to 8 hours, not 18 hours.
D. Alcohol withdrawal symptoms occur within 6 to 8 hours, not 72 hours.

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While caring for a depressed client, a nurse would evaluate the need for suicide precautions under which circumstance?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What client population is at risk of developing tardive dyskinesia?

Correct Answer is A

Explanation

A client is admitted to the hospital for alcohol intoxication. The family reports that he is a heavy drinker and has been admitted several times for alcohol detoxification. When can the nurse expect to observe the first symptoms of withdrawal?

Correct Answer is B

Explanation

Benztropine is ordered as needed (PRN) for a client taking haloperidol after being diagnosed with schizoaffective disorder. Which of the following assessments by the nurse would indicate a need for this medication?

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A client diagnosed with bipolar disorder has recently started taking lamotrigine as part of their medication regimen. Which of the following would be an essential teaching point to include regarding the medication?

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While caring for a depressed client, a nurse would evaluate the need for suicide precautions under which circumstance?

The nurse is obtaining the mental health history of a newly admitted client diagnosed with schizophrenia. The client's family reports the client is hearing voices and cannot stay focused on the topic of a discussion. Which thought disturbance is the client demonstrating?