Chapter 13 NCLEX Review (website)
A client with bipolar disorder has been experiencing more frequent mood swings even though his serum lithium level is 1.3 mEq/dL. Which of the following statements by the nurse would assist the client's understanding of bipolar disorder?
"The part of your brain that controls emotion becomes supersensitive to stress over time and it releases extra neurotransmitters, causing more rapid mood swings."
Which of the following physical symptoms is not typical for a client with severe depression?
Catatonia Catatonia is correct. It is a state of motor or physical activity associated with manic states in bipolar illness. Catatonia is also seen in clients with schizophrenia who have periods of immobility interrupted by episodes of extreme agitation.
A female client changes her clothes eight or nine times a day, wears heavy eye makeup, makes inappropriate sexual advances towards male staff members, and claims she posed for the centerfold of Playboy magazine as a "Playboy Bunny". Which of the following client goals would be most appropriate for this client?
Client will wear subtler eye makeup and change clothing only twice per day.
A 17-year-old client gave birth to her first child 2 months ago and tells the nurse in her obstetrician's office that she fears she's a terrible mother because she doesn't know what to do when her baby continues to cry after feeding and changing him. Which of the following nursing diagnoses is most appropriate for a single, new mother experiencing insomnia, lack of energy, poor concentration, and anxiety?
Ineffective Coping related to feeling overwhelmed by parenting tasks
Which of the following symptoms can be assessed in clients with bipolar disorder during a hypomanic phase? (Select all that apply.)
Lack of sleep Rapid speech Preoccupation with sex
A female client who has recently moved into a basement apartment asks the nurse what she can do to cope with her depressed mood, craving for carbohydrates, and increased appetite. Which of the following treatment modalities is most effective to recommend?
Phototherapy
Which of the following outcomes indicates that a client taking lithium is responding effectively to therapy?
The client completes a crossword puzzle in the daily newspaper
A client is admitted with a diagnosis of major depression. The client expresses feelings of worthlessness and a feeling of being abandoned by significant persons in her life. Which of the following replies by the nurse conveys empathy to this client?
This must be a difficult time for you."
The daughter of an 82-year-old depressed client asks the nurse why her mother has developed depression so late in life without a previous history of depression. Which of the following responses by the nurse is most appropriate?
Women and older adults have higher levels of an enzyme called monoamine oxidase that results in slower signals in the brain, causing depression."
The family of a 22 year old client with bipolar disorder is having difficulty coping with the client's rapid mood swings and grandiose delusions. Following a visit to the unit, the parents discuss their frustration and anger with the nurse and ask what they should do to help their son. Which of the following replies by the nurse is most appropriate?
You can help him establish a routine for work and school and help him monitor his mood."
