Behavioral Health Slido Module 4

The spouse of a client diagnosed with bipolar disorder asks what evidence supports the possibility of genetic transmission of bipolar disorders. Which response should the nurse provide?

"A higher rate of relatives with bipolar disorder is found among clients with bipolar disorder."

Which symptoms of withdrawal from opioids should the nurse assess for?

nausea, vomiting, diaphoresis, watery eyes

A client demonstrating behaviors associated with acute mania has exhausted the staff by noon. Staff members are feeling defensive and fatigued. Which action will the staff take initially?

Hold a staff meeting to discuss consistency and limit-setting approaches.

Which features should be present in a therapeutic milieu for a client experiencing a hallucinogen overdose?

Simple and safe

A client sustained injuries while intoxicated is now hospitalized. The client is now shaky, irritable, anxious, diaphoretic, and reports nightmares.The client shouts, "Bugs are crawling on my bed. I've got to get out of here." What is your assessment?

The client has symptoms of alcohol withdrawal delirium.

When a client first began using alcohol, two drinks produced relaxation and drowsiness. After 1 year, four drinks are needed to achieve the same response. Why has this change occurred?

Tolerance has developed.

The nurse receives a laboratory report indicating a client's serum level is 1 mEq/L. The client's last dose of lithium was 8 hours ago. What does this result indicate?

Within therapeutic limits

Four new clients were admitted to the behavioral health unit in the past 12 hours. The nurse directs a psychiatric technician to monitor these clients for safety. Which client diagnosis will need the most watchful supervision?

Bipolar 1

Which dinner menu is best suited for a client with acute mania?

Broiled chicken breast on a roll, an ear of corn, and an apple

A nurse cares for a client experiencing an opioid overdose. Which focused assessment has the highest priority?

Respiratory

Which assessment data confirm the suspicion that a patient is experiencing opioid withdrawal?

Rhinorrhea

A client admitted yesterday for injuries sustained while intoxicated believes insects are crawling on the bed.

Risk for injury

A Client diagnosed with alcohol use disorder asks, "How will Alcoholics Anonymous (AA) help me?" What is the nurse's best response?

"An individual is supported by peers while striving for abstinence one day at a time."

A client referred to the eating disorders clinic has lost 35 pounds during the past 3 months. To assess eating patterns, the nurse should ask the client which question?

"Can you tell me on a typical day your meal plan?"

A client diagnosed with anorexia nervosa virtually stopped eating 5 months ago. A nurse asks, "Describe what you think about your present weight and how you look." Which response by the client is most consistent with the diagnosis?

"I am fat and ugly."

A client diagnosed with bipolar disorder is in the maintenance phase of treatment. The client asks, "Do I have to keep taking this lithium even though my mood is stable now?" What is the nurse's most appropriate response?

"Taking the medication every day helps reduce the risk of a relapse."

A client diagnosed with alcohol use disorder says, "Drinking helps me cope with being a single parent." Which therapeutic response by the nurse would help the client conceptualize the drinking objectively?

"Tell me what happened the last time you drank."

A Client asks for information about alcoholics anonymous (AA). What is the nurse's best response? "

AA is a self-help group for which the goal is sobriety."

A client newly diagnosed with bipolar disorder is prescribed lithium. Which information from the client's medical history indicates that monitoring of serum concentrations of the drug will be challenging and critical?

Heart failure

Over the past year, a client has cooked gourmet meals for the family but eats only tiny servings. This person wears layered loose clothing and currently weighs 95 pounds, after a loss of 35 pounds. Which medical diagnosis is most likely?

Anorexia nervosa

The nursing care plan for a client diagnosed with anorexia nervosa includes the intervention "monitor for complications of refeeding." Which system should a nurse closely monitor for dysfunction?

Cardiovascular

A nurse assesses a client who takes lithium. Which findings demonstrate evidence of complications?

Diaphoresis, weakness, and nausea

Which assessment findings are likely for an individual who recently injected heroin?

Drowsiness, constricted pupils, slurred speech

What is the most therapeutic characteristics for a nurse working with a client beginning treatment for alcohol addiction to present?

Empathetic, supportive

A client was diagnosed with anorexia nervosa. The history shows the client virtually stopped eating 5 months ago and lost 25% of body weight. The serum potassium is currently 2.7 mg/dL. Which nursing diagnosis applies?

Imbalanced nutrition: less than body requirements related to reduced oral intake as evidenced by loss of 25% of body weight and hypokalemia

A client waves a newspaper and says, "I must have my credit card and use the computer right now. A store is having a big sale, and I need to order 10 dresses and four pairs of shoes." What is the nurse's appropriate intervention?

Inviting the client to sit together and read a new fashion magazine.

Which suggestions are appropriate for the family of a client with a bipolar 1 diagnosis.

Limit credit card access Provide a structured environment Supervise medication administration Monitor the client's sleep patterns

A nurse wants to teach alternative coping strategies to a client experiencing severe anxiety. Which action should the nurse perform first?

Lower the client's current anxiety

A health teaching plan for a client taking lithium should include which instructions?

Maintain a normal amount of fluids and sodium in their diet.

The plan of care for a client in the manic state of bipolar disorder should include which interventions? (Select all that apply.)

Provide a structured environment for the client Ensure that the client's nutritional needs are met.

A client diagnosed with acute mania has disrobed in the hall three times in 2 hours. What intervention should the nurse implement?

arrange for one-on-one supervision

A client diagnosed with bipolar disorder has rapidly changing mood cycles. The health care provider prescribes an anticonvulsant medication. To prepare teaching materials, which drug should the nurse anticipate will be prescribed?

carbamazepine

A client experiencing acute mania is dancing atop a pool table in the recreation room. The client waves a cue in one hand and says, "I'll throw the pool balls if anyone comes near me." To best assure safety, what is the nurse's first intervention?

clear the room of all other clients

A client diagnosed with bipolar disorder who takes lithium carbonate 300 mg three times daily reports nausea. To reduce the nausea most effectively, the nurse suggests that the lithium be taken with what?

food.

A client diagnosed with bipolar is prescribed lithium. The client telephones the nurse "I've had severe diarrhea for 4 days. I feel very weak and unsteady when I walk. My usual hand tremor has gotten worse." What advise will the nurse give to the client?

have someone bring the client to the clinic immediately.

A client experiencing acute mania undresses in the group room and dances. How should the nurse intervene initially?

letting the client stay in the group room and moving the other clients to a different area.