MH personality and mood practice ch 18

A practitioner plans to have a client with the diagnosis of bipolar disorder continue taking lithium after discharge. The nurse confirms that the teaching about the medication plan is understood when the client states:

"I know that I may need to take the medication for the rest of my life.

A client is prescribed a monoamine oxidase inhibitor. The nurse teaches the client about what foods to avoid when taking this medication? Select all that apply.

-Aged cheese -Ripe avocados -Delicatessen meats

What are the symptoms of major depression? Select all that apply.

-Apathy -Guilt feelings -Sleep disturbances

The nurse is caring for a client with the diagnosis of bipolar disorder, manic episode. Which clinical findings support the diagnosis? Select all that apply

-Grandiosity -Talkativeness -Distractibility

A nurse is interacting with a depressed, suicidal client. What themes in the client's conversation are of most concern to the nurse? Select all that apply.

-Hopelessness -loneliness

The nurse suspects serotonin syndrome in a client prescribed second-generation antidepressants for depression. Which assessment findings observed by the nurse would be beneficial in diagnosing the severity of the syndrome? Select all that apply.

-Hyperthermia -Rhabdomyolysis

A college student is brought to the mental health clinic by his parents. The diagnosis is borderline personality disorder. Which factors in the client's history support this diagnosis? Select all that apply.

-Impulsiveness -Lability of mood -Self-destructive behavior

Which of the following are classified as mood disorders? Select all that apply.

-Major depression -Bipolar affective disorder

A nurse is caring for a client with bipolar I disorder. What should the plan of care for this client include? Select all that apply.

-Providing a structured environment for the client -Ensuring that the client's nutritional needs are met

A healthcare provider prescribes lithium carbonate for a client with bipolar disorder, depressive episode. What instructions will the nurse include when teaching the client about lithium? Select all that apply.

-take the medication with food. - It may take several weeks for beneficial results to occur. - You do not have to restrict your intake of dietary sodium

A client with a borderline personality disorder is admitted to the mental health unit. What should the nurse do to maintain a therapeutic relationship with the client?

Be firm, consistent, and understanding and focus on specific target behaviors

A nurse in a mental health facility is caring for a client with the diagnosis of borderline personality disorder. What should the nurse plan to do to maintain a therapeutic relationship?

Be firm, consistent, and understanding because there is a need for structure

Which antidepressant drug may also be used as a first-line medication for smoking cessation?

Bupropion

A hospitalized client with a borderline personality disorder consistently breaks the unit's rules. How will confronting the client about this behavior help the client?

By fostering self-awareness

A nurse is caring for a client with a bipolar disorder depressive episode. What should the nurse's objective for this client be?

Feeling comfortable with the nurse

A health care provider prescribes divalproex (Depakote). What does the nurse consider an appropriate indication for the use of this drug?

Management of manic episodes of bipolar disorder

Which personality disorder is characterized by anxious, fearful behavior?

Dependent personality disorder

A client's history demonstrates a pervasive pattern of unstable and intense relationships, impulsiveness, inappropriate anger, manipulation, offensive behavior, and hostility. The admitting diagnosis is borderline personality disorder. What does the nurse anticipate that this client may attempt to do?

Divide the staff into opposing factions to gain self-esteem

The nursing staff is discussing the best way to develop a relationship with a new client who has antisocial personality disorder. What characteristic of clients with antisocial personality should the nurses consider when planning care?

Exhibits lack of empathy for others

A nurse is caring for a female client during the manic phase of a bipolar disorder. What should the nurse do to help the client with personal hygiene?

Guide her to dress appropriately in her own clothing

A client in the hyperactive phase of a mood disorder, bipolar type, is receiving lithium. A nurse sees that the client's lithium blood level is 1.8 mEq/L. What is the most appropriate nursing action?

Holding the drug and notifying the health care provider (prescribing provider) immediately because the blood lithium level may be toxic

A client is found to have a borderline personality disorder. What behavior does the nurse consider is most typical of these clients?

Impulsive

A client who has a history of psychiatric problems, including an antisocial personality disorder, is admitted to the hospital. What typical behavior does the nurse anticipate?

Interpersonal difficulties

An adult is found to have schizotypal personality disorder. How should a nurse describe the client's behavior?

Introverted and emotionally withdrawn

A client with a history of sleeplessness, lack of interest in eating, and excessive purchases on charge accounts is seen in the mental health clinic. What is the adaptation that the nurse should expect the client to exhibit?

Intrusive involvement with environmental activities

While in the playroom of a pediatric unit the nurse sees several toddlers seated at a table trying to copy the same picture from a book. They are not talking to each other or sharing their crayons. What does the nurse conclude about this behavioral interaction?

It is a typical expression of toddlers' social development.

As a nurse is taking a client's history, the client says, "I need to visit my son." The client repeats this sentence many times, even though it does not belong in the context of the situation. Which disorder does the nurse suspect?

Obsessive-compulsive disorder

A nurse is teaching clients about dietary restrictions during monoamine oxidase inhibitor (MAOI) therapy. What response does the nurse tell them to anticipate if they do not follow these restrictions

Occipital headaches

A client is to begin lithium carbonate therapy. The nurse should ensure that before the drug's administration the client has baseline what?

Renal studies

The nurse is caring for a 30-year-old client who was admitted yesterday with borderline personality disorder (BPD). What is the most important intervention for the nurse caring for a client with BPD?

Setting limits

A client who has been diagnosed with bipolar disorder has been admitted to the psychiatric unit. The nurse recognizes that providing adequate nutrition during the manic phase may be a challenge. Why would adequate nutritional intake be a challenge?

The client is too busy keeping active to eat.

A client has just been admitted with the diagnosis of borderline personality disorder. There is a history of suicidal behavior and self-mutilation. What does the nurse remember is the main reason that clients use self-mutilation?

To express anger or frustration

Amitriptyline (Elavil) is an antidepressant medication used to treat anxiety disorders. Which class of antidepressant medications does it belong to?

Tricyclics

A nurse is caring for a client with antisocial personality disorder. What client characteristic should the nurse consider when formulating a plan of care?

Usually is unable to postpone gratification

An older adult living in a long-term care facility has been receiving lithium 600 mg twice a day for 3 weeks to ease manic behavior. The client is experiencing nausea and vomiting, diarrhea, thirst, polyuria, slurred speech, and muscle weakness. What is the most appropriate nursing intervention?

Withholding the next dose of lithium and drawing blood to test it for toxicity

Which drug is often used to treat bipolar disorder?

lithium

A client is receiving a monoamine oxidase inhibitor (MAOI). What should the nurse teach the client?

many prescribed and over-the-counter drugs cannot be taken with this medication.

A nurse is planning care for a client admitted to the unit with a diagnosis of bipolar disorder, manic phase. In which type of room should the nurse tell the admissions clerk to place this client?

private