A client diagnosed with ulcerative colitis also experiences obsessive

Psychiatric Mental Health Nursing NCLEX RN Questions Part 2

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Question 1 of 5.

A client diagnosed with ulcerative colitis also experiences obsessive compulsive anxiety disorder (OCD). In helping the client understand her illness, the nurse should respond with which of the following statements?

A. Your ulcerative colitis has made you perfectionistic and it has caused your OCD.'

B. There is no relationship at all between your colitis and your OCD. They are separate disorders.'

C. The perfectionism and anxiety related to your obsessions and compulsions have led to your colitis.'

D. It is possible that your desire to have everything be perfect has caused stress that may have worsened your colitis, but there's no proof that either disorder caused the other.'

Explanation: The statement that stress from perfectionism may worsen colitis but lacks proof of causation is accurate and balanced, avoiding definitive causal claims. The other options either assert unproven causation or dismiss potential interactions between stress and physical health.

Question 2 of 5.

A client has been taking 30 mg of duloxetine hydrochloride (Cymbalta) twice daily for 2 months because of depression and vague aches and pains. While interacting with the nurse, the client discloses a pattern of drinking a 6-pack of beer daily for the past 10 years to help with sleep. What should the nurse do first?

A. Refer the client to the dual diagnosis program at the clinic.

B. Share the information at the next interdisciplinary treatment conference.

C. Report the client's beer consumption to the physician.

D. Teach the client relaxation exercises to perform before bedtime.

Explanation: Reporting alcohol use to the physician is critical due to potential interactions with Cymbalta, which can increase liver risks or exacerbate depression.

Question 3 of 5.

The nurse is assessing the outcomes of care for a client who has an Axis I diagnosis of major depression. Following the initiation of treatment, arrange the symptoms in chronological order from the one that improves first to the one that improves last.

A. Self-esteem.
B. Sleep.
C. Energy level.
D. Appetite.

Correct arrangement

B. Sleep.
D. Appetite.
C. Energy level.
A. Self-esteem.

Explanation: Depression treatment typically improves sleep first, followed by appetite, energy level, and finally self-esteem, which takes longer to recover.

Question 4 of 5.

A 62-year-old female client with severe depression and psychotic symptoms is scheduled for electroconvulsive therapy (ECT) tomorrow morning. The client's daughter asks the nurse, 'How painful will the treatment be for Mom?' The nurse should respond by saying which of the following?

A. Your mother will be given something for pain before the treatment.'

B. The physician will make sure your mother doesn't suffer needlessly.'

C. Your mother will be asleep during the treatment and will not be in pain.'

D. Your mother will be able to talk to us and tell us if she's in pain.'

Explanation: ECT is performed under anesthesia, ensuring the client is unconscious and feels no pain during the procedure.

Question 5 of 5.

The client with recurring depression will be discharged to the community in a few days. Which of the following is the best approach for the nurse to help the family prepare for the client's return home?

A. Discourage visitors while the client is at home.

B. Provide for a schedule of activities outside the home.

C. Involve the client in usual at-home activities.

D. Encourage the client to sleep as much as possible.

Explanation: Involving the client in usual activities promotes normalcy and recovery, balancing rest and engagement.