Mental Health Exam 2 Quizzes

Which nursing interventions are appropriate for the hospitalized client with mania who is exhibiting manipulative behavior? SATA

- communicate expected behaviors to the client - follow through about the consequences of behavior in a non-punitive manner - assist the client in identifying ways of setting limits on personal behaviors - have the client state the consequences for behaving in ways that are viewed as unacceptable

A hospitalized client is started on phenelzine for the treatment of depression. The nurse should instruct the client that which foods are acceptable to consume while taking this medication? SATA

- crackers -tossed salad *do not want aged or fermented foods: mostly dairy: high in tyramine

A client is admitted to the mental health unit with a diagnosis of depression. the nurse should develop a plan of care for the client that included which intervention?

A structure program of activities in which the client can participate

The police arrive at the emergency department with a client who has lacerated both wrists. Which is the initial nursing action?

Assess and treat the wound sites

A client is admitted to the mental health unit after an attempted suicide by hanging. The nurse can best ensure client safety by which action?

Assigning to the client a staff member who will remain with the client at all times

A client's medication sheet contains a prescription for sertraline. To ensure safe administration of the medication, how should the nurse administer the dose?

At the same time every evening

to deal with a client's hallucinations therapeutically, which nursing intervention should be implemented?

Distract the client's attention

A client says to the nurse, "the federal guards were sent to kill me."which is the best response by the nurse to the client's concern?

Do you feel afraid that people are trying to hurt you

A manic client begins to mkae sexual advances toward visitors in the dayroom. When the nurse firmly states that this is inappropriate and will not be allowed, the client becomes verbally abusive and threatens physical violence to the nurse. Based on the analysis of this situation, which intervention should the nurse implement?

Escort the client to their room with the assistance of other staff

A moderately depressed client who was hospitalized 2 days ago suddenly begins smiling and reporting that the crisis is over. The client says to the nurse, "I'm finally cured." How should the nurse interpret this behavior as a cue to modify the treatment plan?

Increasing the level of suicide precautions

The nurse assess a client with the admitting diagnosis of bipolar affective disorder, mania. Which client symptoms require the nurse's immediate action?

Nonstop physical activity and poor nutritional intake

The nurse observes that a client is pacing, agitated, and presenting aggressive gestures. the client's speech pattern is rapid, and affect is belligerent. Based on these observations, which is the nurse's immediate priority of care?

Provide safety for the client and other clients on unit

The nurse is conducting a group therapy session. During the session, a client dx with mania consistently disrupts the group's interactions. Which intervention should the nurse initially implement

Setting limits on the client's behavior

The nurse notes that a client with Schizophrenia and receiving an antipsychotics medication is moving her mouth, protruding her tongue, and grimacing as she watched television, The nurse determines that the client is experiencing which medication complication

Tardive dyskinesia

which behavior observed by the nurse indicates a suspicion that a depressed adolescent client may be suicidal?

The adolescent gives away a dvd and a cherished autographed picture of a performer

The nurse is preparing a client with a history of command hallucinations for discharge by providing instructions on interventions for managing hallucinations and anxiety. Which statement in response to these instructions suggests to the nurse that the client has a need for additional information?

When I have command hallucinations I'll call a friend and ask him what I should do

A depressed client on an inpatient unit says to the nurse, "my family would be better off without me" which is the nurse's best response?

You sound very upset. Are you thinking of hurting yourself

The nurse is administering risperidone to a client who is scheduled to be discharged. Before discharge, which instruction should the nurse provide to the client?

get up slowly when changing positions

The nurse is caring for a client just admitted to the mental health unit and diagnosed with catatonic stupor. The client is lying on the bed in a fetal position. Which is the most apporpriate nursing intervention?

sit beside the client in silence with occasional open-ended questions

Which medication used in the treatment of bipolar disorder is correctly classified?

the anticonvulsant med lamotrigine

A nursing instructor is teaching about the prevalence of Bipolar do. Which student statement indicates that learning has occurred?

this do is equally prevalent in females and males

A client takin lithium reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus and tremors. the lithium level is 2.5 mEq/L. The nurse plans care based on which representaion of this level?

toxic therapeutic level .6-1.2

A client with schizophrenia has been started on medication therapy with clozapine. the nurse should assess the results of which laboratory study to monitor for adverse effects form this medication?

white blood cell count

The nurse is planning activities for a client diagnosed with bipolar disorder with aggressive social behavior. Which activity would be most appropriate for this client?

writing - nothing competitive