Mental Health quiz 3

A nurse manager is discussing the plan of care of a client who has personality disorder with a newly license nurse. What statement by the nurse indicates understanding

I should practice limit setting to hlep prevent client manipulation

A nurse is planning care for a client who has anorexia with binge-eating and purging behavior . What is the the clients plan of care

Implement one to one observation during meal times

A nurse is caring for a client who states "I plan to commit suicide" What should the nurse identify as the priority?

Lehtality of the method and availability of means

A nurse is caring for a client who has a new prescription for lithium carbonate. When teaching the client about ways to prevent lithium toxicity what should they include?

Limit aerobic activity in hot water

A charge nurse is discussing mirtazapine with a newly licensed nurse. What statement by the nurse indicates understanding?

"This medication increases the release of serotonin and nor epinephrine"

A nursse is providing teaching to a client who has a new prescription for amitriptuline for treatment of depression. What should the nurse include in the teaching?

Change postion slowly to minimize dizziness Chew sugarless gum to prevent dry mouth

A nurse is assessing a client who takes lithium carbonate for bipolar disorder. What is a possible indication for toxicity?

Coarse tremors

A nurse is assisting with the development of protocols to address the increasing number of suicide attempts in the community. What should be the primary nursing interventions?

Conducting a suicide risk screening on all new clients Educating high school teens about suicide prevention Teaching middle school educators about warning indicators of suicide

A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine for PTSD. What should the nurse include in the teaching

" You can have a decreased desire for intimacy while taking this medication"

A nurse is teaching a newly licensed nurse about the use of electroconvulside therapy (ECT), for the treatment of bipolar disorder. What indication shows the nurse understands?

"ECT is effective for clients who are experiencing severe mania"

A nurse is teaching a client who has a new diagnosis of premenstrual dysphoric disorder (PMDD) what statement by the client indicates understanding

"I am aware that my PMDD causes me to have rapid mood swings"

A nurse is providing teaching to a client who has a new prescription for amitriptyline. What statement by the client indicates an understanding of teaching

"I may feel drowsy for a few weeks after starting this medication"

A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior. The client tells the nurse about fears of gaining wright. What response should the nurse make?

"I understand you have concerns about your weight, but first, lets talk about your recent accomplishment"

A nurse is providing teaching for a client who is scheduled to receive ECT for the treatment of major depressive disorder. What statement indicates understanding.

"I will receive a muscle relaxant to protect me from injury during ECT"

A charged nurse is discussing TMS with a new licensed nurse. What statement by the nurse indicates understanding on the teaching

"I will schedule the client for TMS treatment 3 to 5 times a week for the first several weeks"

A nurse is preforming an admission assessment of a client who has bulimia nervosa with purging behavior. What are expected findings?

"Life inst worth living if I gain weight"

A nurse is caring for an adolescents client who has anorexia nervosa with recent rapid weight loss and a current weight of 90lbs. What indicates the clients is experiencing the cognitive distortion of catastrophic?

"Life isn't worth living if I gain weight"

A nurse is caring for a client who has bipolar disorder. The client states "I am very rich and I feel I must give you money" What should the nurse respond

"i am here to provide care and cannot accept this from you"

A nurse is caring for a client who has avoidant personality disorder. What statement is expected for personality disorder?

'Im scared that you're going to leave me"

A nurse is conducting a class for a group of newly licensed nurses on caring for clients who are at risk for suicide. What information should the nurse include in the teaching?

A no-suicide contract decreases the risk for suicide

A nurse is dicurssing routine follow up needs with a client who had a new prescription for valproate. What should the nurse plan to monitor

AST/ALT and LDH

The nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior administration of lithium carbonate, the clients lithium blood level is 102 mEq. What action should the nurse take?

Administer the next dose of lithium carbonate as scheduled

A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder. What should the nurse expect

Attempts to convince other clients to relinquish their belonging Blames others for personal past and current problems

A nurse is leading a peer group discussion about the indications for ECT. What indications should the nurse include in the discussion?

Bipolar disorder with rapid cycling

A nurse s admitting a client who has a new diagnosis of bipolar disorder and is scheduled to begin lithium therapy. When collecting a medical history from the clients caregiver, what is the priority the nurse should report?

Current medications include furosemide for congestive heart failure

A charge nurse is preparing a staff education session on personality disorder. What is a personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching

Difficulty in getting along with other members of a group Display of defense mechanisms when routines are changed Difficulty understanding why it is inappropriate to have a personal relationship with staff

The nurse is discussing relapse prevention with a client who has bipolar disorder. What should the nurse include in the teaching?

Difficulty sleeping can indicate a relapse Participating in psychotherapy can help prevent relapse Anhedonia is a clinical manifestation of a depressive relapse

A nurse is preparing a teaching plan for a client who has bipolar disorder and a new prescription for carbamazepine. What should the nurse include in the teaching

Eliminate grapefruit from yiur diet You will need to have a complete blood count and carbamazepine levels drawn periodically Notify your provider if you develop a rash Avoid driving for the first few days after starting this medication

A nurse is caring for a client who is on suicide precautions. What interventions should the nurse include in the plan of care?

Ensure that the client swallows medication

A nurse is caring for a client who has been taking sertrealine for the past 2 days. What should the nurse assess and a symptom of serotonine

Fever

A nurse is caring for a client who had major depression disorder. What should the nurse identify as a risk behavior for depression?

History of chronic bronchitis Recent death in clients family Family history of depression Personal history of panic disorder

A nurse is preforming an admission assessment of a client who has bulimia nervosa with purging behavior.

Hypokalemia Slightly elevated body weight

A nurse is reviewing the medical records of multiple clients at a community mental health facility. What is an example of the client experiencing an maturation al crisis?

Marriage

A nurse is assessing a client immediately following an ECT procedure. What should the nurse expect?

Memory loss Confusion

A nurse is caring for a client who has bipolar disorder. What is the priority nursing actions?

Monitor the client for escalating behavior

A nurse is assessing a client who has major depressive disorder. The nurse should identify as concerning when pt states comments about suicide?

My family will be better off if Im dead I wish my life was over If i kill myself then my problems will go away

A nurse is caring for a client who has depression and a new prescription for venlafazine. What should the nursing monitor for adverse effects

Mydriasis Dizziness Decreased libido

A nurse is planning care for a client who has bipolar disorder and is experiencing a manic episode. What interventions should the nurse include in the plan of care?

Offer concise explanations Use a firm approach with communication

A nurse is caring for a client who is taking pheneizine. What manifestations should the nurse monitor for adverse effects?

Orthostatic hypo tension Hypo mania

A nurse is caring for a client who has a new prescription for penelzine for the treatment of depression. What is a sign the pt is experiencing adverse effects?

Orthostatic hypotension

A nurse is caring for a client who is experiencing a crisis. What might the provider prescribed?

Paroxetine Lorazepam

A nurse working on an acute mental health unit is admitting a client who has major depressive disorder and co morbid anxiety disorder. What is the nurses priority?

Placing the client on one to one observation

A nurse is discussing early indications of toxicity with a client who had a new prescription for lithium carbonate for bipolar disorder. What should the nurse include in the teaching?

Polyuria Muscle weakness

A nurse is interviewing a client who has a new diagnosis of persistent depressive disorder. What should the nurse expect?

Presence of manifestations for at least 2 years

A nurse is caring for a client who is prescribed lithium therapy. The client tells of the plan to take ibuprofen for osteoarthritis pain relief. What statement should the nurse make?

Regular aspirin would be a better choice than ibuprofen

A nurse is caring for a client who has borderline personality disorder. The client says "the nurse on the evening shift is always nice, you are the meanest nurse ever" What is a defense mechanism

Splitting

A nurse is reviewing the medical record of a client who has a new prescription for bupropion for depression. What is the priority of the nurse to report to the provider?

The client had a motor vehicle crash last year and sustained a head injury

A charge nurse is discussing the care of a client who has major depressive disorder (MDD) with a newly licensed nurse. What statement by the nurse indicates understanding of teaching?

The client is a greatest risk for suicide during the first weeks of an MDD episode?

A nurse is caring for a client who has a new prescription for vaporic acidc. What blood test should the client do?

Thrombocyte count Amylase Liver function test

A nurse is planning care for a client following surgical implantation of a VNS devise. The nurse should plan to monitor for what adverse effect?

Voice changes Cough Neck pain

A nurse is teaching a client who has a new prescription for imipramide how to minimize anticholingeric effects. What instructions should the nurse include in teaching?

Void just before taking this medication Wear sunglasses when outside Chew sugarless gum

A nurse is obtaining a nursing history from a client who has a new diagnosis of anorexia nervous. What questions should the nurse include in the assessment?

What is your relationship like with your family Would you describe your current eating habits Can you discuss your feelings about your appearance

A nurse is reviewing laboratory findings and notes that the clients lithium level is 2.1 meq. What is a appropriate nursing action

preform immediate gastric lavage