Mood Disorders- R&R bk ?s

The client has bipolar I disorder. Lithium carbonate (Eskalith) 300 mg 4 times daily has been prescribed. After 3 days of lithium therapy, the client says, "What's wrong? My hands are shaking a little." What is the best response by the nurse? A. "Minor hand trembling often happens for a few days after lithium is started. It usually stops in 1 to 2 weeks." B. "There's no reason to worry about that. We won't, and left it last longer than a couple of weeks." C. "Just in case you're blood level is too high, I am not going to give you your next dose of lithium." D. "I wouldn't worry about it if I were you. It's a small tremor that doesn't interfere with your functioning."

A. "Minor hand trembling often happens for a few days after lithium is started. It usually stops in 1 to 2 weeks."

The inpatient mental health client is being treated for major depression. The client has psycho motor retardation, speaks very little, & is extremely inactive physically. The client takes an antidepressant that causes anti-cholinergic side effects. The nurse should conclude that this client is at particular risk for developing which of the following? SATA A. Dry mouth B. Vomiting C. Constipation D. Diarrhea E. Weight loss

A. Dry mouth C. Constipation

A client states, "I just want to sleep all the time. I am overweight again. I will go to work and do my grocery shopping, but that's all. My life's a mess." The nurse should conclude that which nursing diagnosis is most relevant? A. Ineffective coping B. Risk for violence: self-directed C. Activity intolerance D. Anxiety

A. Ineffective coping

The family members of a client in an acute state of mania relate that the client has not slept for 4 nights. They further reported that the client climbed up & down the stairs of a nearby sports stadium for at least 6 hours without stopping. The client now has blisters on the feet & is perspiring profusely. When planning care for this client, the nurse should give priority to which of the following problems? A. Risk for deficient fluid volume B. Ineffective coping C. Impaired skin integrity D. Impaired adjustment

A. Risk for deficient fluid volume

The nurse needs to teach a client about a newly prescribed sertraline (Zoloft). Which information is essential to include in the teaching? SATA A. Sertraline is most often taken as a morning dose B. Constipation is a common side effect of sertraline C. Fever and flulike symptoms are bothersome but not dangerous side effects of sertraline D. Clients taking sertraline will usually recognized improvement within one week E. It is possible that sexual side effects will occur

A. Sertraline is most often taken as a morning dose E. It is possible that sexual side effects will occur

The client is being admitted to the inpatient psychiatric unit with a diagnosis of major depression. During the initial nursing assessment, the nurse anticipates that the client will acknowledge which of the following? SATA A. Suicidal thoughts or plans of suicide over at least the last 2 weeks B. History of one depressive episode within the last 2 years C. Loss of appetite for approximately 3 days D. Loss of interest in previously enjoyed activities E. Presence of hallucinations for at least 3 days

A. Suicidal thoughts or plans of suicide over at least the last 2 weeks D. Loss of interest in previously enjoyed activities

The hospitalized client is in a manic phase of bipolar I disorder. When developing the nursing care plan for this client, how should the nurse expect the client's behavior to be in the social interactions? SATA A. Unpredictable B. Isolative C. Demanding D. Competitive E. Indecisive

A. Unpredictable C. Demanding D. Competitive

The nurse observed that earlier in the afternoon a depressed client visited the coffee shop and sat at a table with 2 other clients. What is the best positive feedback the nurse can give to the client? A. "You are doing such a wonderful job interacting with the other clients." B. "I saw that you sat with others in the coffee shop this afternoon." C. "How are you feeling after your visit to the coffee shop with other clients today?" D. "Do you plan to go to the coffee shop again tomorrow?"

B. "I saw that you sat with others in the coffee shop this afternoon."

The client is scheduled for electroconvulsive therapy (ECT). When teaching the client about what to expect in the post- ECT period, which statements should the nurse make? SATA A. "You should expect that he will be able to remember recent events more clearly than you get the started receiving ECT." B. "It may be hard for you to remember everything that happens during the days and weeks you receive ECT." C. "It is common for persons who receive ECT to lose all painful memories of early life." D. "If you notice that you are having changes in your memory, but a staff member know immediately." E. "Even though modifications have been made in ECT over the years, you may have some disorientation briefly upon awakening from the procedure."

B. "It may be hard for you to remember everything that happens during the days and weeks you receive ECT." E. "Even though modifications have been made in ECT over the years, you may have some disorientation briefly upon awakening from the procedure."

The 26-year-old female hospitalized client is being treated for major depressive disorder. The client participated actively in group therapy during the hour before lunchtime. When it is time for lunch, the client tells the nurse, "I'm not going. I'm going to my room." What is the nurse is best response? A. Ask the client to sit for a few minutes to discuss this B. Assess client if she is angry C. Tell the client that there is a unit schedule that must be followed by everyone D. Ask the client if there is a problem with the food

B. Assess client if she is angry

The nurse assesses the client in a state of elevated affect is at risk for self-harm. The nurse then places high priority on including which of the following in the plan of care? A. In room that is observable from the nurse's station B. Constant supervision of the client C. Administration of all medications intramuscularly rather than orally D. A quiet, not stimulating private room for the client

B. Constant supervision of the client

The client who has a diagnosis of bipolar I disorder is a new order for carbamazepine (Tegretol). Before beginning to administer the medication, the nurse checks to see that which laboratory results are in the client's record? A. Blood glucose B. Liver function studies C. Bleeding and clotting time D. Thyroid profile

B. Liver function studies

The nurse is conducting discharge teaching for a client taking tranylcypromine (Parnate). The nurse determines that the client understands the instructions given if the client says not to eat which food while taking the medication? A. Potatoes B. Salami C. Baked chicken D. Apples

B. Salami

A client in an inpatient unit is awake at 1 AM and tells the nurse, "I can't sleep because of the light in the hall and the noise from the kitchen. I need to have another sleeping pill." What is the most appropriate nursing intervention? A. Administer PRN sedative B. Move the client to a quieter room C. Close the door to the client's room D. Allow the client to watch television for one hour

C. Close the door to the client's room

A client who had coronary bypass surgery 6 days ago reports having no appetite and feeling very sad. The client further complains of having difficulty falling asleep. The nurse concludes that it is likely that this client is experiencing which of the following? A. Disturbed body image B. Activity intolerance C. Depressed mood D. Delayed surgical recovery

C. Depressed mood

A client hospitalized with bipolar disorder is in a state of mania. The client, who was admitted on a formal voluntary status, demands immediate discharge from the facility. What should the nurse do first? A. Notify the police of the client's intention B. Inform the client's spouse of the request of the client C. Offer the client a contract for safety D. Notify the supervisor of the nursing unit

C. Offer the client a contract for safety

The client is admitted to secure psychiatric inpatient unit for the treatment of bipolar I disorder. The nurse begins the intake assessment but the client stands up and begins to walk around the room and shouts, "You can do this to me! Do you know who I am? I want out of here!!" The best action of the nurse at this time focuses on which of the following? A. Obtaining the assessment information limited to 20 minutes at a time, allowing for rest periods B. Providing the client with adequate food and fluids to maintain homeostasis C. Providing client and self with a safe environment D. Administering the prescribed PRN neuroleptic medication to prevent escalation of behavior

C. Providing client and self with a safe environment

The nurse observes that a client is pacing in the hallway, talking rapidly, and gesturing dramatically. The nurse concludes that the client is beginning to demonstrate what kind of behavior? A. Psychomotor retardation B. Anxiety C. Psychomotor agitation D. Depression

C. Psychomotor agitation

The client diagnosed with dysthymia asks the nurse to explain what the diagnosis means. When responding to the client, the nurse should state that before dysthymia can be diagnosed, depressed mood needs to be present for at least how long? A. 2 weeks B. 4 weeks C. 1year D. 2 years

D. 2 years

The hospitalized client is in the acute stage of mania. What is an appropriate client goal for the client to work toward? A. Spend at least 30 minutes per hour watching TV in the activity room. B. Participate actively in the psychodrama group each day. C. Meet other clients in group physical exercises each morning. D. Maintain distance of 2 to 3 feet at all times when interacting with others.

D. Maintain distance of 2 to 3 feet at all times when interacting with others.