exam 3 mental health

a nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication?

liver function tests must be monitored

a community health nurse is creating a presentation about mood disorders for a local support group. The nurse should include which of the following as a risk factor for suicide?

loss of job

a nurse on an acute mental health unit is caring for a client who has major depressive disorder. Which of the following interventions is the nurse's priority?

monitor for risk of self-harm

a nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients wh0o have bipolar disorder?

paroxetine, lithium, valproate, carbamazepine

a nurse is providing teaching for a client who has a recent diagnosis of depression. Which of the following should the nurse identify as a primary risk factor for this disorder?

past history of childhood trauma

a nurse s admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?

a private room in a quiet location on the unit

a nurse is preparing to administer selegiline for a client who is admitted with major depression. Which of the following actions should the nurse take?

apply to dry skin on the client's upper thigh

a client who has major depressive disorder states to the nurse that he and his family would be better off if he were gone. Which of the following is the nurse's priority response?

are you thinking of harming yourself

a charge nurse is conducting a staff education in-service about depressive disorders. Which of the following should the nurse identify as a risk factor for depression?

chronic illness

a nurse is planning care for a client newly admitted with major depressive disorder. Which of the following actions should the nurse plan to take?

determine the client's need for assistance with grooming

a nurse is creating a presentation about suicide prevention. When providing information about the prevalence of suicide, the nurse should include that a death occurs how often in the US?

every 11 min

a nurse is caring for a client who has a major depressive disorder and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The client reports having an improved appetite, but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?

explain that antidepressants often take several weeks to be fully effective

a nurse is attending a group therapy session and is listening to clients who have bipolar disorder discuss coping strategies. Which of the following statements by the clients indicate adaptive coping?

i get 7 hours at night by skipping afternoon naps i think about being on my favorite beach vacation when i get anxious i tense and release my muscles, starting with my feet i see the glass as half-full when it starts looking empty

a nurse is evaluating the outcomes for an outpatient client who has depression. Which of the following client statements indicates a need for further evaluation?

i just don't like going to the movies like i used to

a nurse is evaluating teaching for a client who has a newly diagnosed depression and a new prescription for bupropion. Which of the following statements by the client indicates understanding of the teaching?

i may not notice a lifting of my mood for at least 2 weeks

A nurse in an acute mental health facility is caring for a client who has major depressive disorder. Since her admission 3 days ago, she has not put on clean clothes, washed her hair, or participated in any of the unit activities. On this day, the nurse observes that she is wearing clean clothes and has combed her hair. Which of the following responses should the nurse make?

i see that you have on clean clothes and have combed your hair

a nurse is teaching a client who has depression about a new prescription for fluoxetine 20 mg daily. Which of the following statements by the client indicates understanding of the teaching?

i should notify my provider if i develop a skin rash

a nurse is reinforcing teaching with an older adult client who has major depressive disorder and a prescription for nortriptyline 25 mg daily. Which of the following client statements indicates understanding of the teaching?

i should sit on the side of the bed before standing up in the morning

a nurse is discussing treatment of depressive disorders with a client who has major depression. Which of the following client statements indicates an understanding of the teaching?

i will attend psychotherapy to help manage my depression

a client who has bipolar disorder approaches the nurse and reveals fresh, self-inflicted, superficial cuts going up and down his right arm. Which of the following actions should the nurse take first?

inspect the cuts for debris

a nurse is caring for an adolescent who is experiencing indications of depression. Which of the following findings should the nurse expect.

irritability, low self-esteem, and insomnia

a nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?

postpartum depression is more likely to occur in women who have a history of depression

a nurse is caring for a client who has major depressive disorder. which of the following findings should the nurse expect?

significant change in weight

a nurse on an inpatient mental health unit is caring for a client who has major depressive disorder and malnutrition. Which of the following actions should the nurse take to improve the client's nutritional status?

sit with the client during meals and snacks

a nurse is caring for a client who has major depressive disorder. Which of the following findings should the nurse expect?

sleep disturbances

a nurse is caring for a client who is in the manic phase of bipolar disorder. the client is running around the unit trying to organize competitive games with the clients. which of the following is an appropriate intervention?

take the client outside for a walk

a nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior?

talking in rapid, continuous speech interacting with others in a flirtatious way spending large amounts of money

a nurse is planning care for a newly admitted client who has major depressive disorder following the loss of a child. Which of the following goals should the nurse identify as the priority?

the client makes a contract not to harm herself

a nurse in an acute mental health unit is admitting a client who has bipolar disorder. Which of the following findings supports the admitting diagnosis of acute mania?

the client responds to questions with disorganized speech

a nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?

the client runs 4 miles outdoors every afternoon

a nurse in an acute care mental health facility is assessing a client who has bipolar disorder. which of the following findings indicates the client is at risk for suicide?

the client's behavior has become impulsive in the past few weeks

a nurse is caring for a client who has major depressive disorder and is scheduled for an ECT. The client's spouse asks the nurse about the possible side effects of the ECT. Which of the following responses should the nurse make?

the main side effects are temporary, and may include mild confusion, a headache, and short-term memory loss

a nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the nurse to suggest to this client?

walking with the nurse in the courtyard

a nurse is teaching a client who has bipolar disorder about lithium. Which of the following statements should the nurse include in the teaching?

we will monitor your lithium levels closely while you are taking this medication

a nurse is caring for a client who has major depressive disorder and attempted suicide. the client tells the nurse, I should have died because I am totally worthless. Which of the following responses should the nurse make?

why do you feel you are worthless

a nurse who works in a psychiatric unit is caring for a client who has bipolar disorder. The client comes to the nurse's station at 0300 demanding that the nurse call the provider immediately. Which of the following responses by the nurse is appropriate?

you must be very upset about something

a nurse is preparing to teach a client about his prescription of lithium for the treatment of bipolar disorder. Which of the following statements should the nurse include in teaching?

you will need to stop this medication if you experience diarrhea

a nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?

you will still need to give informed consent for treatments after admission