ch 22 PrepU

c

A 30-year-old woman has been brought to the emergency department after causing a disturbance. She is wearing a pair of tight, pink yoga pants, high heels, a sports bra, and a bright-colored hat. The woman's care providers would recognize that the woman's dress may suggest what? a. Antisocial personality disorder b. Acute confusion c. Mania d. Chronic low self-esteem

c

A client admitted to the inpatient psychiatric unit changes clothes eight or nine times a day, wears heavy eye makeup, is intrusive with other clients, and makes inappropriate sexual advances toward staff members. Which goal would be most appropriate for this client? a. The client will identify two trusted staff members of the opposite sex to help choose appropriate dress. b. The client will record the number of clothing changes per day. c. The client will refrain from being intrusive with others and change clothing only twice per day. d. The client will verbalize feelings of low self-esteem with nursing staff.

c

A client has been admitted to a psychiatric-mental health facility in a manic state. The client's spouse accompanies the client to the facility and informs the nurse that the client has been displaying manic symptoms for the past 2 weeks. The spouse reports that the client has not slept for the past 2 days and that the client has not eaten anything for at least 3 days. Which would be the priority nursing diagnosis for this client? a. Ineffective health maintenance b. Risk for other-directed violence c. Risk for imbalanced nutrition d. Risk for suicide

d

A client has been diagnosed with bipolar disorder. After teaching the client about the different medication classifications used to help stabilize mood, the nurse determines tha the teaching was successful when the client identifies which class of medications? a. Antianxiety b. Anticoagulants c. Antibiotics d. Anticonvulsants

d

A client has just been diagnosed as having major depression. At which time would the nurse expect the client to be at highest risk for self-harm? a. Immediately after a family visit b. On the anniversary of significant life events in the client's life c. During the first few days after admission d. Approximately 2 weeks after starting antidepressant medication

b

A client in the clinic appears to have elevated self-esteem, is more talkative than usual, and is easily distracted. This client is exhibiting symptoms of what? a. Anorexia b. Grandiosity c. Anxiety d. Depression

a

A client is prescribed carbamazepine as part of the treatment plan for bipolar disorder. The nurse obtains a complete blood count and differential before initiating therapy. The nurse would instruct the client to return to the outpatient facility for repeat blood testing at which time? a. 1 month b. 3 months c. 6 months d. 12 months

b

A client who has just been prescribed lithium for bipolar disorder is being given education from the nurse about this medication. Which is important for the nurse to include in teaching? a. The higher the potassium level, the lower the lithium level will be. b. The higher the sodium level, the lower the lithium level will be. c. Changes in diet will not affect lithium levels. d. Lithium has few interactions with other drugs.

a

A client who has liver damage is receiving lithium for treatment of bipolar disorder. The nurse understands that which of the following may occur when the client is receiving lithium? a. Increased plasma concentration b. Decreased plasma concentration c. No alteration in plasma levels d. Monitoring of plasma levels is not needed

c

A client with bipolar disorder has been ordered a medication that is classified as an anticonvulsant. Which drug does the nurse know falls within this class of medications? a. Mannitol b. Lithium c. Carbamazepine d. Methyldopa

c

A client with bipolar disorder has been taking lithium, and today the client's serum lithium level is 2.0 mEq/L. What effects would the nurse expect to see? a. Constipation and postural hypotension b. Fever, muscle rigidity, and disorientation c. Nausea, diarrhea, and confusion d. None; the serum level is in therapeutic range

a

A nurse is caring for a client diagnosed with bipolar disorder who has been prescribed divalproex. The nurse knows that the client should have which test completed before initiation of drug therapy? a. Liver function b. Thyroid level c. White blood cell (WBC) count d. Cardiac enzymes

a

A nurse is reviewing information about medications used to treat bipolar disorders. The nurse demonstrates understanding by identifying which medication classification as effective in stabilizing moods in people with bipolar disorder? a. Anticonvulsants b. Antianxiety c. Anticoagulants d. Antibiotics

b

A nurse who works primarily with clients who have bipolar disorder identifies which group of clients as not being candidates to take lithium as treatment? a. Patients who take bronchodilators b. Patients who take ACE inhibitors c. Patients who drink decaffeinated coffee d. Patients with diabetes who take oral antidiabetic agents

b

A patient with bipolar disorder is prescribed divalproex. Before initiating this therapy, which laboratory test would be mostimportant for the nurse to obtain? a. Clotting function tests b. Liver function tests c. Renal function tests d. Blood glucose level

c

During report, the nurse learns that a client with mania has not slept since admission 2 days ago. On entering the day room, the nurse finds this client dancing to loud music. Which would be the most appropriate statement by the nurse? a. "Do you think you could sit still for a few minutes so we can talk?" b. "How are you ever going to get any rest if you keep that music on?" c. "Let's go to the conference room and talk for a while." d. "Turn the radio down so we can hear ourselves talk."

b

The nurse is seeing a 26-year-old client and the client's family. The client's family describes the client as being "very, very different." The family describes a history of periods of unpredictable behavior and disregard for consequences occurring a few times each year. The client has recently been diagnosed with bipolar I disorder, a condition that is characterized by what? a. The presence of objective signs of depression without the presence of anhedonia b. An elevated mood that lasts for at least 1 week c. Failure to respond to conventional pharmacological treatments for mood disorders d. The client's admission of a mood disorder

a

The psychiatric nurse engages in evidence-based best practices when including nursing interventions into the care plan of a client diagnosed with bipolar disorder. This care plan supports both the administration of prescribed medications and ... a. Group psychoeducation b. Electroconvulsive therapy (ECT) c. Behavior modification d. Music therapy

d

Which behavior is the priority concern as the nurse begins a care plan for a client in the manic phase of bipolar disorder? a. Bizarre, colorful, inappropriate dress b. Grandiose thinking and poor concentration c. Insulting, provocative behavior directed at staff d. Hyperactivity, dismissing meals, and sleep disturbance

a

Which is an anticonvulsant used as a mood stabilizer? a. Divalproex b. Venlafaxine c. Bupropion d. Phenelzine

a

Which of the following is an adverse effect of lithium? a. Nausea and diarrhea b. Anxiety and motor retardation c. Constipation and insomnia d. Ataxia and urinary retention