Mental Health Quiz #8

A client in the hyperactive phase of a mood disorder, bipolar type, is receiving lithium. A nurse identifies that the client's lithium blood level is 1.8 mEq/L. What is the most appropriate nursing action? 1. Continue the usual dose of lithium and note any adverse reactions. 2. Discontinue the drug until the lithium serum level drops to 0.5 mEq/L. 3. Ask the health care provider to increase the dose of lithium because the blood lithium level is too low. 4. Hold the drug and notify the health care provider immediately because the blood lithium level may be toxic.

4. Hold the drug and notify the health care provider immediately because the blood lithium level may be toxic.

A child in the first grade is murdered, and counseling is planned for the other children in the school. What should a nurse identify first before assessing a child's response to a crisis? 1. Developmental level of the child 2. Quality of the child's peer relationships 3. Child's perception of the crisis situation 4. Child's communication patterns with family members

1. Developmental level of the child

A nurse is teaching clients about dietary restrictions when taking a monoamine oxidase inhibitor (MAOI). What response does the nurse tell them to anticipate if they do not follow these restrictions? 1. Occipital headaches. 2. Generalized urticaria. 3. Severe muscle spasms. 4. Sudden drop in blood pressure

1. Occipital headaches

When assisting clients to cope with a crisis the health care provider should follow the principles of intervention. Place the following interventions in order of their priority. 1.___Stabilize the client. 2.___Intervene immediately 3.___Encourage self-reliance 4.___Use the available resources 5.___Facilitate understanding of the event

2,1,5,4,3

A nurse is working with a married woman who has come to the emergency department several times with injuries that appear to be related to domestic violence. While talking with the nurse manager, a nurse expresses disgust that the woman returns to the same situation. What is the nurse manager's best response? 1. "She must not have the financial resources to leave her husband." 2. "Most women attempt to leave about six times before they are able to do so." 3. "There is nothing the staff can do because people are free to choose their own life." 4. "These women should be told how foolish they are to remain in their current situation."

2. "Most women attempt to leave about six times before they are able to do so."

A depressed client has been prescribed a tricyclic antidepressant. How long should the nurse inform the client it will take before noticing a significant change in the depression? 1. 4-6 days 2. 2-4 weeks 3. 5-6 weeks 4. 12-16 hours

2. 2-4 weeks

An extremely anxious client enters a crisis center and asks a nurse for help. Which response best reflects the nurse's role in crisis intervention? 1. "Tell me what you have done to help yourself." 2. I will be here for you to help figure things out." 3. I understand that in the past you have had problems." 4. Tell me about the things that are bothering you the most."

2. I will be here for you to help figure things out."

What is an initial client objective in relation to anger management? 1. Expressing remorse over aggressive actions. 2. Taking responsibility for the hostile behavior. 3. Developing of alternative methods to release feelings. 4. Teaching others how to avoid triggering the angry behavior.

2. Taking responsibility for the hostile behavior.

The nurse leads an assertiveness training program for a group of clients. Which client statement demonstrates that the treatment has been effective? 1. "I know I should put the needs of others before mine?" 2. "I won't stand for it, so I Donald my boss he's a jerk and to get off my back." 3. "It annoys me when people call me 'Dearie,' so I told him not to do it anymore." 4. "It is easier for me to agree up front and then just do enough so that no one notices."

3. "It annoys me when people call me 'Dearie,' so I told him not to do it anymore."

A client is receiving lithium. What is an important nursing intervention while this medication is being administered? 1. Restrict the client's daily sodium intake. 2. Test the client's ring specific gravity weekly. 3. Monitor the client's drug blood level regularly. 4. Withhold the client's other medications for several days.

3. Monitor the client's drug blood level regularly.

What is the most important information a nurse should teach to prevent relapse in a client with a psychiatric illness? 1. Develop close support systems. 2. Create a stress-free environment. 3. Refrain from activities that cause anxiety. 4. Follow the prescribed medication regimen.

4. Follow the prescribed medication regimen.