NUR 114 test 1

b flash back reactions occur after the use of hallucinogens in which the client relives a bad episode that occurred while using the drug

a 20 year old female client who tried LSD as a teen tells the nurse that she has had bad dreams that make her want to kill herself. which is the explanation for this occurrence? a. these occurrences are referred to as holdover reactions to the drug. b. these are flash backs to a time when the client had a bad trip. c. the drug is still in the clients body d. the client is suicidal and should be on on to one precautions

a When an SSRI is prescribed for client sign as a bipolar affective disorder it can cause alteration in neurotransmitters and trigger a hypomanic or manic episode

a client admitted after experiencing suicidal ideations is prescribed citalopram. 4 days later the client has pressured speech and is noted wearing heavy makeup. what maybe a potential reason for this clients behavior? a. the client is in a manic episode caused by the citalopram b. the client is showing improvement and is close to discharge c. the client is masking depression in an attempt to get out of the hospital d. the client has cheeked medications and taken them in an attempt to OD

c The appropriate short term outcome for the nursing diagnosis of an effective sleep pattern related to eggs and pains disrespect the client to sleep 6 to 8 hours a night by day five. This outcome is client specific, realistic in measurable and includes a timeframe

a client admitted with major depressive disorder has a nursing diagnosis of ineffective sleep pattern r/t aches and pains. which is an appropriate correctly written short outcome for this client? a. the client will express feeling rested upon awakening b. the client will rate pain level at or below a 4/10 c. the client will sleep 6-8 hours at night by day 5 d. the client will maintain a steady sleep pattern while hospitalized

a, b, d, e TMS is a procedure that does not require surgery or medication is FDA approved and has been shown to be safe and effective in the treatment of depression. CBT can help clients deal with symptoms associated with depression. VNS is the procedure for a surgically implanted pacemaker light device sounds electrical pulses to stimulate the vagal nerve. This treatment has been FDA approved for clients experiencing treatment resistant depression. ACT is among the safest and most effective treatments available for depression. ACT causes a roof seizure in the brain and is one of the fastest ways to relieve symptoms and severely depressed or suicidal clients

a client asks the nurse about nonpharmacological treatments for depression. which of the following information should the nurse include in client teaching? select all that apply a. TMS is an FDA approved treatment for depression b. cognitive behavioral therapy can help clients dealing with mild to moderate depression c. research has shown that light therapy can be used to the treatment of all types of depressive disorders d. vagus nerve stimulation has been shown to be effective for depressed clients who have poor response to medications e. ECT affects brain chemistry and decreases depressive symptoms

b Numerous physical conditions can contribute to symptoms of insomnia including irritability anorexia and depressed mood. It is important for the nurse to rule this physical problems before assuming that the symptoms are psychological in nature. The nurse can do this by completing a thorough physical assessment including review of lab test

a client denying suicidal thoughts comes to the ED complaining of insomnia, irritability, anorexia, and depressed mood. which intervention would the nurse implement first? a. request a psych consult b. complete a thorough physical assessment including lab tests c. remove all hazardous materials from the environment d. place the client on a one to one observation

d Distinguishing reality from delusions by DAY 6 is an appropriate outcome for the nursing diagnosis of disturbed thought process related to bio chemical alterations. Also thought processes have improved with the clinic and distinguish reality from delusion

a client diagnosed with bipolar 1 disorder has a nursing diagnosis of disturbed thought process r/t biochemical alterations. based on this diagnosis which correctly written outcome would be appropriate? a. the client will not experience any injury throughout the shift b. the client will interact appropriately with others by day 3 c. the client will be compliant with prescribed medications d. the client will distinguish reality from delusions by day 6

c Disturb sleep patterns to find a time-limited disruption of sleep amount and quality. Because the client is sleeping on two hours at night the client is meeting the defining characteristics of the nursing diagnosis of disturbed sleep pattern. The sleep problem is usually due to excessive hyperactivity and agitation

a client diagnosed with cyclothymic disorder is newly admitted to the inpatient psych unit. the client has a history of irritability and grandiosity and is currently sleeping 2 hours at night. which nursing diagnosis takes priority? a. altered thought process r/t biochemical alterations b. social isolation r/t grandiosity c. disturbed sleep patterns r/t agitation d. risk for violence; self directed r/t depressive symptoms

d Alprazolam is a CNS depressant and it is important for the nurse in this situation to monitor for worsening depressive symptoms and possible worsening of suicidal ideation's

a client diagnosed with major depressive disorder and experiencing suicidal ideations is showing signs of anxiety. alprazolam (xanax) is prescribed. which assessment should be prioritized? a. monitor for s/s physical and psychological withdrawal b. teach the client about side effects of the medication and how to handle these side effects c. assess for nausea and give the medication with food if nausea occurs d. ask the client to rate his or her mood on a scale and monitor for suicidal ideations

d Focusing on strengths and accomplishments to minimize failures as a cognitive nursing intervention. Cognitive interventions focus on altering distortions of thoughts and negative thinking

a client diagnosed with major depressive disorder has a nursing diagnosis of low self esteem r/t negative view of self. which cognitive nursing intervention would be appropriate to deal with this clients problem? a. promote attendance in group therapy to assist the client in socializing b. teach assertiveness skills by role playing situations c. encourage the client to journal to uncover underlying feelings d. focus on strengths and accomplishments to minimize failures

c When the client begins to plan how to deal with conflict at work the client is focusing on a hopeful future. This indicates that the outcome of verbalizing a measure of hope about the future by day three has been successful

a client diagnosed with major depressive disorder has an outcome that states the client will verbalize a measure of hope about the future by day 3. which client statement indicates this outcome was successful? a. i dont want to die because it would hurt my family b. i need to go to group and get out of this room c. i think i am going to talk to my boss about conflicts at work d. i thank you for your compassionate care

c an expected and acceptable side effect of ECT is short term memory loss. It is important for the nurse to teach the client and family members this information to prevent unnecessary anxiety about the symptom

a client diagnosed with major depressive disorder is being considered for ECT. which client teaching should the nurse prioritize? a. empathize with the client about fears regarding ECT b. monitor the any cardiac alterations to prevent possible negative outcomes c. discuss with the client and family expected short term memory loss d. inform the client that injury related to induced seizure commonly occurs

b Because they are numerous junk food and drug drug interactions that may precipitate a hypertensive crisis during treatment with MAOIS it is critical that the nurse prioritize this teaching

a client diagnosed with major depressive disorder is prescribed phenelzine (nardil). which teaching should the nurse prioritize? a. remind the client that the medication takes 6-8 weeks to take full effect b. instruct the client and family about the many food drug and drug drug interactions c. teach the client about the possible sexual side effects and insomnia that can occur d. educate the client about taking the medication prescribed even after symptoms improve

b, c, d, e Discussing the need for medication adherence even when symptoms improved as a teaching point that the nurse for them to review with a client who is prescribed for this medication. Instruct the client about the risk for discontinuation syndrome is a teaching point that the nurse would need to review with a client prescribed this medication. Alerting the client service of dry mouth sedation nausea and sexual side effects is a teaching point that the nurse would need to review with the client prescribed this medication. Reminded the client that this medications full affect may not occur for 6 to 8 weeks is a teaching point of the nurse would need to include

a client diagnosed with major depressive disorder is prescribed vortioxetine (trintellix). which of the following teaching points would the nurse review with the client? select all that apply a. ask the client about suicidal thoughts related to depressed mood b. discuss the need to take medications even when symptoms improve c. instruct the client about the risks of abruptly stopping the medication d. alert the cleint to the risks of dry mouth, sedation, nausea and sexual side effects e. remind the client that the medications full side effects may not occur for 6-8 weeks

d Excepting responsibility for the role played in a loss indicates that the client has moved forward and the grieving process and resolve the problem of dysfunctional grieving

a client has a nursing diagnosis of dysfunctional grieving r/t loss of a job AEB inability to seek employment because of a sad mood. which would support a resolution of this clients problem? a. the client reports anxiety level of 2 out of 10 and denies suicidal ideation b. the client exhibits trusting behaviors toward the treatment team c. the client is noted to be in the denial stage of the grief process d. the client recognizes and accepts the role he or she played in the loss of the job

a Remaining free from injury throughout a hospitalization is a priority outcome for the nursing diagnoses a risk for suicide related to past suicide attempts. Because this outcome addresses client safety it is prioritized

a client has a nursing diagnosis of risk for suicide r/t a past suicide attempt. which outcome based on this diagnosis would the nurse prioritize? a. the client will remain free from injury throughout hospitalization b, the client will set one realistic goal related to relationships by day 3 c. the client will verbalize one positive attribute about self by day 4 d. the client will be easily redirected when discussion about suicide occurs by day 5

b Bupropion lower the seizure threshold. Bupropion is contra indicated for client to have increase potential for seizures such as a client with a closed head trauma injury

a client has been taking bupropion (wellbutrin) for more than 1 year. the client has been in a car accident with LOC and is brought to the ED. for which reason would the nurse question continued use of this medication? a. the client may have a possible injury to the GI system b. the client is at risk for seizures from a potential closed head injury c. the client is at risk of bleeding while taking bupropion d. the client may experience sedation from bupropion, making assessment difficult

a, b. d, e Loss of interest in nearly all activities and adohenia the ability to experience or even imagine any pleasant emotion are symptoms of MDD. Significant weight loss or gain of more than 5% of body weight in one month is one of the many diagnostic criteria for MDD. Psycho motor retardation or agitation occurring nearly every day is a diagnosis criterion for MDD. These symptoms should be observable by others And not merely subjective feelings of restlessness or lethargic. Sleep alteration such as insomnia or hypersomnia that occur nearly every day or diagnostic criterion for MDD

a client is admitted to an inpatient psych unit with a diagnosis of major depressive disorder. which of the following data would the nurse expect to assess? select all that apply a. loss of interest in almost all activities and anhedonia b. a change of more than 5% body weight in 1 month c. fluctuation between increased energy and loss of energy d. psychomotor retardation or agitation e. insomnia or hypersomnia

d A client with depression often is withdrawn while experiencing difficulty concentrating, loss of interest or pleasure, low energy, fatigue and feelings of worthlessness and poor self-esteem. The plan of care needs to provide successful experiences in a stimulating yet structured environment. The remaining options are either too restrictive or offer little or no structure and stimulation

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 includes which intervention? a. encouraging quiet reading and writing for the first few days b. identification of physical activities that will provide exercise c. no socializing activities until the client asks to participate in milieu d. a structured program of activities in which the client can participate

c, e When the client becomes irritable and agitated on awakening the client is exhibiting behavioral symptoms of depression. Other behavioral symptoms include but are not limited to tearfulness restlessness slumped posture and withdrawal. The client stays in bed instead of going to group the client is isolating self and exhibiting a behavioral symptoms of depression

a client is exhibiting behavioral symptoms of depression. which of the following charting entries would be appropriate documentation of those symptoms? select all that apply a. rates mood 4/10 b. expresses thoughts of poor self esteem during group c. became irritable and agitated on waking d. rates anxiety 2/10 after receiving ativan e. stayed in bed when asked to join group

d a hallmark symptom of caffeine withdrawal is a headache, along with fatigue, depression and impaired performance of daily activities. this question would be most appropriate for the nurse to ask the client

a client on the medical unit has been NPO for 3 days and is reporting a headache. which question should the nurse ask the client in regard to determining the reason for the headache? a. do you eat a diet high in glucose? b. how often do you drink alcohol? c. do you take sleeping pills regularly d. how often do you drink caffeinated beverages?

c The client in question is exhibiting signs associated with engels stage of restitution. Restitution is the third stage of engels model in the normal grief response. In this stage of the various rituals associated with loss within a culture are performed. Examples include funerals, legs, special tire, a gathering of friends and family and religious practices customer to spiritual beliefs of the bereaved

a client plans and follows through with the wake and burial of a child lost in a automobile accident. using engels model of normal grief response in which stage would this client fall? a. resolution of the loss b. recovery c. restitution d. developing awareness

b The nurse needs to teach the client about acceptable side effects and what the client can do to deal with them. The nurse can suggest to the client this ice chips small amounts of water or two sugar-free gum or candy to moisten the dry mouth. For orthostatic hypotension the nurse encouraged client to change position slowly. For blurred vision the nurse may suggest use of moisturizing eyedrops

a client recently prescribed venlafaxine 37.5 mg bid complains of dry mouth, orthostatic hypotension, and blurred vision. which nursing intervention is appropriate? a. hold the next dose and document symptoms immediately b. reassure the client that the side effects are transient and teach ways to deal with them c. call the physician to receive an order of benzotropine d. notify dietary about food restrictions related to monoamine oxidize inhibitors

b Powerlessness is defined as the perception that 1 owns action would not significantly affecting outcome a perceived lack of control over our current situation or immediate happening. Because a client I'll come presented in the question address is a lack of control over her life situation the nursing diagnosis of powerlessness documents the clients problems

a clients outcome states, the client will make plan to take control of one life situation by discharge. which nursing diagnosis documents the clients problem that this outcome addressed? a. impaired social interaction b. powerlessness c. knowledge deficit d. dysfunctional grieving

c The charge nurse would first assess the patient's reaction to what is happening the patient is in a fragile state and should be encouraged to verbalize feelings and preferences. Based on the assessment findings the nurse can plan interventions to help the patient feel safe and comfortable

a male-to-female transgender patient is admitted to an acute care psych unit for depression and suicidal ideations. on her arrival, several other patients display suspicion and contempt and verbal harassment is directed toward the woman. what should the charge nurse do first? a. isolate the patient and explain that the action is meant for her safety and privacy b. make general announcement that bullying will not be tolerated c. assess the patients reaction to the comments and nonverbal behaviors d. gently suggest that the patient could temporarily adopt natal gender appearance

c Risk for suicide related to history of attempts is a priority nursing diagnosis for a client who is diagnosed with major depression and has history of two suicide attempts by hanging. A history of suicide attempts increases the clients risk for future tense. Because various means can be used to hang on South the client is at risk for accessing this means even on an inpatient unit. These factors would cause the nurse to prioritize the safety concern

a newly admitted client diagnosed with major depressive disorder has a history of 2 suicide attempts by hanging. which nursing diagnosis takes priority? a. risk for violence directed at others r/t anger turned outward b. social isolation r/t depressed mood c. risk for suicide r/t history of attempts d. hopelessness r/t multiple suicide attempts

a Often south is one technique to generate the establishment of trust with a newly admitted client diagnosed with MDD. Trust is the basis for establishment of any nurse client relationship

a newly admitted client diagnosed with major depressive disorder isolates self in room and stares out the window. which nursing intervention would be the most appropriate to implement when first establishing a nurse-client relationship? a. sit with the client and offer self frequently b. notify the client of group therapy schedule c. introduce the client to others on the unit d. help the client to identify stressors of like that precipitate life crises

d Risk for self-directed violence is the priority diagnosis for a newly admitted client diagnosed with MDD. risk for self directed violence is defined as behaviors in which the individual demonstrates where she can be physically harmful to self. This is a life-threatening problem that requires immediate prioritization by the nurse

a newly admitted client has been diagnosed with major depressive disorder. which nursing diagnosis takes priority? a. social isolation r/t poor mood AEB refusing visits from family b. self care deficit r/t hopelessness AEB not taking a bath for 2 weeks c. anxiety r/t hospitalization AEB anxiety rating 8/10 d. risk for self directed violence r/t depressed mood

a Risk for violence other directed is defined as behaviors in which an individual demonstrates that he or she can be physically emotionally or sexually harmful to others. Because of poor impulse control irritability and hyper active psychomotor behaviors experience during a manic episode does client is at risk for violence directed toward others. Keeping everyone in the milieu is always a nursing priority

a newly admitted client with bipolar 1 disorder is experiencing a manic episode. which nursing diagnosis is priority at this time? a. risk for violence; other directed r/t poor impulse control b. altered thought processes r/t hallucinations c. social isolation r/t manic excitement d. low self esteem r/t guilt about promiscuity

d Although the patient is ruminating about suicide in the early days of major depression the patient has minimal energy to add. The danger for suicide will increase as a medication and therapy begin to help. A new nurse is more likely to be manipulated by patient with borderline personality disorder. Psychotic patients can seem very threatening to new nurses. Depression, dementia, and delirium have behavior symptom overlap this patient should be assigned to an experienced nurse until delirium is treated or ruled out

a newly graduated nurse has just started working at the acute psych unit. which patient would be the best to assign to this nurse? a. patient who is frequently admitted for borderline personality disorder and suicidal gesture b. patient admitted yesterday for disorganized schizophrenia and psychosis c. patient newly admitted to determine differential diagnosis os depression, dementia, or delirium d. patient newly diagnosed with major depression and rumination about loss and suicide

d Client admitted six days ago for suicidal ideation's has become stabilized because of the treatment I received during this time frame. Compared with other clients described as client would have the highest level of readiness to participate in instruction

a nurse is planning to teach about appropriate coping skills. the nurse would expect which client to be at the highest level of readiness to participate in this instruction? a. a newly admitted client with an anxiety level of 8/10 and racing thoughts a client admitted 6 days ago for a manic episode refusing to take medications c. a newly admitted client experiencing suicidal thoughts with a plan to OD d. a client admitted 6 days ago for suicidal thoughts following a depressive disorder

b The clients behavior pacing the halls experiencing irritability should be considered emergent and war immediate tension. Most of sort of behavior that occurs on an inpatient unit is preceded by a period of increasing hyperactivity. Because of these symptoms as the client would need to be assessed first

a nurse on an inpatient psych unit receives report at 1500. which client would need to be assessed first? a. a client on one to one status because of active suicidal ideations b. a client pacing the hall and experiencing irritability and flight of ideas c. a client diagnosed with hypomania and monopolizing time in the milieu d. a client with a history of mania who is to be discharged in the morning

b Almost 95% of all individuals who commit or attempt suicide have a diagnosed mental disorder. Most suicides are associated with mood disorders

a nursing instructor is presenting statistics related to suicide. which student statement indicates that learning has occurred? a. approximately 10,000 individuals int he US will commit suicide each year b. almost 95% of all individuals who commit or attempt suicide have a diagnosed mental disorder c. suicide is the 8th leading cause of death among young americans 15-24 years old d. depressive disorders account for 1/3 of al individuals who commit or attempt suicide

d Major depression is one of the leading causes of disability in the US. This is not to be confused with the occasional bout of the blues a feeling of sadness or downheartedness. Such feelings are common among healthy individuals in our considered a normal response to every day disappointments in life

a nursing student is studying major depressive disorder. which student statement indicates that learning has occurred? a. 1% of the population is effected by depression yearly b. 2-5% of women experience depression during their lifetime c. 1-3% of men become clinically depressed d. major depression is a leading cause of disability in the US

c Before someone enters and alcohol rehabilitation program there should be a medically supervised detoxification. This patient has walked in off the street therefore the nurse must determine whether he is at risk for with drawl symptoms. With drawl from alcohol can be life-threatening. The other questions are relevant and are likely to be included in the interview

a patient comes into the walk in clinic and tells the nurse that he would like to be admitted to an alcohol rehabilitation program. which question is the most important to ask? a. what made you decide to enter a program at this time? b. how much alcohol do you usually consume in a day? c. when was the last time you had a drink? d. have you been in a rehabilitation program before?

a In the Jewish faith the seven day period beginning with the burial is called shiva. During this time mourners do not work and no activity is permitted that diverts attention from thinking about the deceased. Because this clients parent died two days ago the client needs time to participate in the religious ritual

a suicidal jewish american client is admitted to an inpatient psych unit 2 days after the death of a parent. which intervention must the nurse include in the care of this client? a. allow the client time to mourn the loss during this time of shiva b. distract the client from the loss and encourage participation in group c. teach the client alternative coping skills to deal with grief d. discuss positive aspects the client has in their life to build on strengths

b Switching the assignments at shift change or mid shift creates delays for everyone so politely ask her to continue for the day. However her request is not unreasonable dealing with depressed patients can be very exhausting so consider her request for future assignments. Although many patients benefit from having the same caregiver a chronically depressed patient might benefit from stimulation by various caregivers. Explaining scope of practice and current continuity of care is probably not necessary and may seem condescending

an LPN complains to the charge nurse that she is always assigned to the same patient with chronic depression. what should the charge nurse do? a. look at the assignment sheet and see if there is any way to switch assignments with another LPN b. tell her to care for the patient today but her request will be considered for future assignments c. remind her that the continuity of care and patient centered care is the primary goal d. explain that patients with chronic conditions are more likely to fall under the LPN scope of practice

d Object loss theorist suggest that depressive illness occurs as a result of being abandoned by or otherwise separated from my significant other during the first six months of life. The client in question experience parental abandonment and according to the object loss theory this loss has led to the diagnosis of major depressive disorder

during an intake assessment which client statement is evidence of the etiology of a major depressive disorder from an object loss perspective? a. i am so angry all the time and seem to take it out on myself b. my grandmother and great grandfather also had depression c. i just dont think my life is ever going to get better. i keep messing up d. i dont know about my biological family. i was in foster care as an infant

b Assessment of depressive disorders in a 13-year-old adolescent will include feelings of sadness loneliness anxiety and hopelessness the symptoms may be perceived as normal emotional stressors of growing up. Many teens whose symptoms are attributed to the normal adjustments of adolescents are not accurately diagnosed and do not get the help they need

major depressive disorder would be most difficult to detect in which of the following clients? a. 5 year old girl b. 13 year old boy c. 25 year old woman d. 75 year old man

b valproic acid an anticonvulsant is a category d drug which means it will cause harm to the fetus and should not be prescribed to a female client of childbearing age who is not taking birth control

the 24 year old female client diagnosed with bipolar disorder is prescribed valproic acid. which question should the nurse ask the client? a. have you ever had a migraine headache? b. are you taking any type of birth control medication? c. when was the last time you had a seizure? d. how long since you had a manic episode?

a no employee if a facility is above certain rules. in a company with a no drugs policy this includes the CEO. this client is exhibiting signs of cocaine use

the CO if a large manufacturing plant presents in the occupational health clinic with chronic rhinitis and is requesting medication. on inspection the nurse notices holes in the septum that separates the nasal passages. the nurse also notes dilated pupils and tachycardia. the facility has a 'no drug' policy. which intervention should the nurse implement? a. prepare to complete a drug screen urine test b. discuss the clients use of illegal drugs c. notify the supervisor about the situation d. give the client an antihistamine and say nothing

d Current mood and behavior is a priority so that the nurse can prepare for physical or chemical restraints, isolation or private room, an allocation and assignment of staff members. The other questions are also relevant. However the nurse should be aware that challenging the appropriateness of the psychiatric unit versus the trauma unit requires contacting the nursing supervisor because the ED nurse will not be able to assist with this issue

the ED nurse is calling to report on a client who will be admitted in the acute psych unit. he has a history of bipolar disorder and was in an altercation that resulted in the death of another. he has contusions, abrasions, and minor lacerations. what is the priority question that the receiving nurse should ask? a. when will the patient be transferred? b. will a police officer be with him while he is on the unit? c. why isnt the patient being admitted into the trauma unit? d. what is the patients current mood and behavior?

c Conventional antipsychotics are usually not prescribed for older adult patients with psychosis secondary to dementia because of the increased incidence of death usually from cardiac problems or infection. Fluoxetine for depression chlorpromazine for schizophrenia and lorazepam for generalized anxiety disorder are viable options

the charge nurse is reviewing medication prescriptions for several patients on the acute psych unit. which prescription would the nurse most likely question? a. fluoxetine for a middle aged patient with depression b. chloropromazine for a young patient with schizophrenia c. laxapine for an older adult patient with dementia d. lorazepam for a young patient with generalized anxiety disorder

b Adolescence in general our subconscious in the presence of members of the opposite sex and teenagers with anorexia or overly concerned with their appearance therefore it would be better to assign this patient to amateur female staff member. An experienced LPN is able to set boundaries and to assist patients with chronic health problems. Inexperienced RN should be assigned to new admissions particularly if there are cute safety issues. an RN With med surgical experience will be well acquainted with care issues related to dementia

the charge nurse is reviewing the assignment sheet for an acute psychiatric unit. which experienced team member should be reassigned? a. a male LVN assigned to an older male patient with chronic depression and excessing rumination b. young male psych nursing assistant assigned to a female client with anorexia nervosa c. female RN assigned to a newly admitted female patient who has command hallucinations and delusions of persecution d. older female RN with med surg experience assigned to a male patient with alzheimers

a yellow eyes would indicate the client is experiencing some type of hepatic toxicity which would warrant the medication to be discontinued immediately. during the first few months of treatment the client is closely monitored for hepatic toxicity because deaths have occurred

the client diagnosed with bipolar disorder has been taking valproic acid (depakote) an anticonvulsant for 4 months. which assessment data would warrant the medication to be discontinued? a. the clients eyes are yellow b. the client has mood swings c. the clients BP is 164/94 d. the clients serum level is 75 mcg

a carbamazepine an anticonvulsant is prescribed as a mood stabilizer. mood stabilizers are prescribed because they have the ability to moderate extreme shifts in emotions between mania and depression there fore this indicates the medication is effective

the client diagnosed with bipolar disorder is prescribed carbamazepine. which data indicates the medication is effective? a. the client is able to control extremes between mania and depression b. the clients serum carbamazepine level is within the therapeutic range c. the client reports a 3 on a depression scale of 1-10 with 10 indicating severely depressed d. the client has a decrease in delusional thoughts and hallucinations

a, b lithium has a narrow therapeutic range. the level is monitored every 3-5 days initially and then every 2-3 months thereafter. lithium is a salt and may cause dehydration therefore the client should maintain an adequate fluid intake of at least 2000 ml/day

the client diagnosed with bipolar disorder is prescribed lithium. which interventions should the nurse discuss with the client? select all that apply a. instruct the client to monitor serum therapeutic levels b. tell the client to maintain an adequate fluid intake c. encourage the client to decrease the sodium intake in the diet d. tell the client not to take the medication if the radial pulse is less than 60 BPM e. explain ways to prevent orthostatic hypotension

c this is the first intervention because the client is in an acute manic state and the clients physiological need is priority

the client diagnosed with bipolar disorder who is prescribed lithium is admitted to the psych unit in an acute manic state. which interventions should the nurse implement first? a. determine the client serum lithium level b. assess why the client stopped taking lithium c. implement care for the clients physiological needs d. administer a stat dose of lithium to the client

b, c, e this is an extremely high toxic level that requires IV therapy. extremely high levels of lithium require hemodialysis and supportive care. the nurse must monitor cardiac function to assess rhythm dysfunctions

the client diagnosed with bipolar disorder who is taking lithium medication has a lithium level of 3.1 mEq/L. which treatments should the nurse expect the HCP to prescribe? select all that apply a. no treatment because this is within the therapeutic range b. initiate Iv therapy with isotonic sodium chloride c. prepare client for immediate hemodialysis d. administer the antidote for lithium toxicity e. monitor the clients cardiac status on telemetry

b playing soccer or any sport that includes running can lead to dehydration and the nurse must make sure the client understands the need to stay well hydrated during activity therefore this comment needs further clarification for the client taking lithium

the client diagnosed with bipolar disorder who is taking lithium. which statement by the client warrants immediate further clarification by the nurse? a. i will limit the amount of caffeine i drink b. i really enjoy playing soccer on the weekends c. i drink atleast 2000 ml water daily d. i need to call my HCP if i develop diarrhea

a thiamine is given in high doses to decrease the rebound effect on the nervous system as it adjusts to the absence of alcohol and a benzodiazepine is given in high doses and titrated down over several days for the tranquilizing effect to prevent delirium tremens

the client diagnosed with delirium tremens when attempting to quit drinking cold turkey is admitted to the medical unit. which medications should the nurse anticipate giving? a. thiamine (vit B6) and libirium, a benzodiapine b. dilantin an anticonvulsant and feosol an iron preparation c. methadone, a synthetic narcotic, and depakote, mood stabilizer d. mannitol, an osmotic diuretic, and ritalin, a stimulant

b the client will require a follow up program such as a 12 step meetings if the client is not to relapse

the client diagnosed with substance abuse is being discharged from a drug and alcohol rehabilitation facility. which information should the nurse teach the client? a. do not go any place where you can be tempted to use again b. it is important that you attend a 12 step meeting regularly c. now that you are clean your family will be willing to see you again d. you should explain to all your coworkers what has happened

d If a client comes in to the inpatient psychiatric unit with a plan to overdose is critical that the nurse monitor for cheeking in hoarding of medications. Clients my cheek and hoard medications to take it as an overdose add another time

the client experiencing suicidal ideations with a plan to OD on medication if admitted to an inpatient psych unit. vilazodone is prescribed. which nursing intervention takes priority? a. remind the client that the medication effectiveness may take 2-3 weeks b. teach the client to take with food to prevent GI upset c. check the clients BP every shift d. monitor closely for signs that the client may be cheeking the medications

a nausea, vomiting and agitation along with tachycardia diaphoresis tremors and marked insomnia are adverse effects of CNS depressants such as alprazolam (xanax) a benzodiapine

the client has been taking alprazolam daily for the past 2 years. which s/s would warrant intervention by the nurse? a. nausea, vomiting and agitation b. yawning, rhinorrhea and cramps c. disorientation, lethargy and craving d. ataxia, hyperplasia and respiratory distress

d ataxia or lack of coordination and confabulation making up elaborate stories to explain lapses in memory are both symptoms of wernicke-korsakoff syndrome

the client is diagnosed wtih wernicke-korsakoffs syndrome as a result of chronic alcoholism. for which symptoms would the nurse assess? a. insomnia and anxiety b. visual or auditory hallucinations c. extreme tremors and agitation d. ataxia and confabulation

c using a nicotine patch or chewing nicotine is the most successful way to help with nicotine withdrawal symptoms

the client is discussing wanting to quit smoking cigarettes with the clinic nurse. which intervention is most successful in helping the client quit smoking cigarettes? a. encourage the client to attend a smoking cessation support group b. discuss tapering the number of cigarettes daily c. instruct the client to use nicotine replacement therapy such as patches d. explain that clonidine can be taken daily to prevent withdrawal symptoms

d methadone an opiate agonist causes drowsiness, lightheadedness, dizziness, and a transient drop in BP therefore the nurse should discuss how to prevent orthostatic hypotension. methadone is used to treat heroin withdrawal

the client is prescribed methadone. which intervention should the nurse discuss with the client? a. take the medication on an empty stomach b. decrease the fiber in the diet while taking the medication c. do not take methadone if the radial pulse is less than 60 bpm d. learn how to prevent orthostatic hypotension

c, d the client should be in an atmosphere with little stimulation. the client will be irritable and fearful. heroin is administered IV. heroin addicts are at high risk for HIV as a result of shared needles and thus should be tested for HIV

the client is withdrawing from heroin addiction, which interventions should the nurse implement? select all that apply a. initiate seizure precautions b. check VS every hours c. place the client in a calm quiet atmosphere d. have consent form signed for HIV testing e. provide the client with sterile needles

a chlordiazepoxide a benzodiapine diminishes anxiety and has anticonvulsant qualities to provide safe withdrawal from alcohol. it may be ordered every 4 hours or PRN

the client who is diagnosed as a chronic alcoholic is admitted to the medical unit for pneumonia. which medication should the nurse expect the HCP to prescribe to prevent delirium tremens? a. chlordiazepoxide b. thiamine c. disulfiram d. fluoxetine

d respiratory distress, ataxia, hyperpyrexia, convulsions, coma, or stroke are s/s of cocaine overdose. this question would be most appropriate for the nurse to ask based on the clients s/s

the client with staggering gait is brought to the ED bu a friend. the client is SOB and has an oral temperature of 104. which question should the nurse ask the clients friend? a, how many alcoholic drinks has your friend had today? b. when was the last time your friend took amphetamines? c. has your friend been inhaling any kind of paint thinner? d. through which route and which time did your friend take cocaine?

d applying oxygen would be the priority action for this client. the clients breathing is shallow and slow. the greater amount of inhaled oxygen, the better the clients prognosis

the friend of an 18 year old client brings the client to the ED. the client is unconscious and his breathing is slow and shallow. which action should the nurse implement first? a. ask the friend what drugs the client has been taking b. initiate an IV infusion at a keep open rate c. call for a ventilator to be brought to the ED d. apply oxygen at 100% via NC

b immediately on arrival at hospital the client should be rehydrated with large amounts of IV physiologic fluids. this is the first intervention

the male client diagnosed with chronic alcoholism comes to the ED reporting he has not had an alcoholic drink in more than 1 week. which intervention should the ED nurse implement? a. implement seizure precautions according to hospital policy b. rehydrate the client with large amount of IV fluid c. discuss withdrawal treatment in a hospital environment d. administer thiamine through an IV route

a many people do not acknowledge mental illness as a problem and may not believe in taking antidepressant medications. the client may see taking medications as a weakness or feel as if the medication will change them in some way. the nurse must determine if the client will take fluoxetine (prozac) a SSRI and provide information as necessary to allow the client to make an informed choice

the male client is prescribed fluoxetine for a diagnosis of clinical depression after the death of his wife. which question should the nurse ask when discussing his medication? a. how do you feel about taking this medication? b. do you have insurance to pay for the medications c. does your diet include a lot of aged cheese and wine? are you currently taking any ACE inhibitors

a Early treatment contributes to success however one of the greatest barriers in addiction treatment is locating a treatment program that can immediately except a patient. Limited finances and lack of comprehensive programs to make locating a program even more difficult. Medication therapy is one important aspect. Medical detoxification is also important but it is only one set an a long term treatment process. Patients voluntarily participate and consent our ideal but pressure and support from family, friends or employers can increase the likelihood of success

the nurse has identified a client who may be a candidate for substance addiction treatment. which health care team member should the nurse contact to increase the likelihood of a successful long term outcome? a. call a social worker who can locate an immediately available treatment program b. call admissions to obtain patients voluntary consent to enter treatment programs c. consult a pharmacist about medication therapy to counter addiction d. contact the HCP to initiate admission to a medical detox unit

a, c, b, d Assessment of suicidal ideation's must occur before any other assessment data are gathered. If the client is not considering suicide continue with a suicide assessment is unnecessary. Assessment of the access to the means to commit suicide is next. The ability for the client to access the means to carry out the suicide plan is an important assessment order for the nurse to intervene appropriately. If a client has a loaded gun available to him or her at home the nurse would be responsible to assess information and initiate action to decrease the clients access. Assessment of a suicide plan is next. A clients risk for suicide increases if the client has developed a specific plan. Assessment of the clients potential for rescues next. If a client has an involved support system even if a suicide attempt occurs there is a potential for rescue. Without an involved support system the client is a higher risk

the nurse in the ED is assessing a client suspected of being suicidal. number the following questions beginning with the most critical and ending with the least critical. a. are you currently thinking about suicide? b. do you have a gun in your possession? c. do you have a plan to commit suicide? d. do you live alone? do you have local friends or family?

a telemetry and VS should be done to monitor cardiovascular compromise

the nurse is caring for a client who has been abusing amphetamines writes a problem of cardiovascular compromise. which nursing interventions should be implemented? a. monitor telemetry and vital signs every 4 hours b. encourage the client to verbalize the reason for using drugs c. provide a calm, quiet atmosphere fo the client to rest d. place the client on bedrest and low sodium diet

b The patient has a strong family history of completed suicide which is an increased risk factor. The patient may believe that other family members have successfully used suicide saw their problems. A long history of depression suggests that the problem is chronic assess for treatment history, risk factors and coping strategies. Having a feeling of responsibility toward others and feeling fear are protective factors that can be used in the treatment plan

the nurse is interviewing a patient with suicidal ideations and a history of major depression. which comment is cause for greatest concern? a. i have had problems with depression most of my adult life b. my father and my brother both committed suicide c. my with is having health problems and she relies on me d. i am afraid to kill my self and i withed i had more courage

b Solitary activities that require a short attention span with mild physical exertion are the most appropriate activities for a client who is exhibiting aggressive behavior. writing, walks with staff, and fingerpainting are activities that minimize stimuli and provide a constructive release for tension. The remaining options have a competitive element to them or are group activities and should be avoided because they can stimulate aggression an increase psycho motor activity.

the nurse is planning activities for a client diagnosed with bipolar disorder with aggressive social behavior. which activity would be the most appropriate for this client? a. chess b. writing c. board games d. group exercise

a the therapeutic serum level is 0.6-1.5. because the lithium level is within those parameters the nurse should administer the medication

the nurse is preparing to administer lithium to a client diagnosed with bipolar disorder. the lithium level is 1.4 mEq/L. which intervention should the nurse implement? a. administer the medication b. hold the medication c. notify the HCP d. verify the lithium level

b Patients with depression are at high risk for suicide and anti-depression can be used to commit suicide. For the patient who was recently diagnosed with depression and prescribe antidepressants the nurse intervenes because a small number of doses should be prescribed and dispensed and follow up should be weekly to allow for close monitoring and assessment. The other options are correct information to share with patients and family members

the nurse is working with a HCP who recently started treating patients with depression. which action by the provider would prompt the nurse to intervene? a. tells patient and family that it may take 4-8 weeks before the antidepressant medication begins to relieve symptoms b. prescribed 3 months of antidepressants for a patient newly diagnosed with depression and gives a 3 month follow up appointment c. instructs the patient that the initial dose is low but will be gradually increased to reach maintenance dose d. tells the patient and the family to watch for and immediately report anxiety, agitation, irritability, and suicidal thoughts

c most coping behaviors are learned from parents and guardians. children of substance abusers tend to cope

the nurse is working with clients and their families regarding substance abuse. which statement is the scientific rationale for teaching the children new coping mechanisms? a. the child needs to realize that the parent will be changing behaviors b. the child will need to point out to the parent when the parent is not coping c. children tend to mimic behaviors of parents when faced with similar situations d. children need to feel like they're apart of the parents recovery

a HIPPA requires that a health care professional not divulge information about one person to an unauthorized person

the nurse is working with several clients in a substance abuse clinic. client a tells the nurse that another client, client b is using again. which action should the nurse implement? a. tell client a the nurse cannot discuss client b with him b. find out how client a got this information c. inform the HCP that client B is using again d. get in touch with client B and have the client come to the clinic

c the coworkers supervisor or peer review committee should be aware of the nurses suspicion so that the suspicions can be investigated. this is the client safety and care concern

the nurse observes a coworker acting erratically. the clients assigned to this coworker dont seem to get relief when pain medications are administered. which action should the nurse implement? a. try to help the coworker by confronting the coworker with the nurses suspicions b. tell the coworker that the nurse will give all narcotic medications from now on c. report the nurses suspicions to the supervisor or the facilities peer review d. do nothing until the nurse can prove the nurse has been using drugs

a, b, c, e lamotrigine is the preferred treatment for bipolar disorder in pregnancy. lamotrigine dosage may need to be increased during pregnancy the medication should be tapered off in the postpartum period to prepregnancy levels. serum lamotrigine levels should be monitored every 4 weeks during pregnancy. there are no established therapeutic lamotrigine levels, so dose should be individualized to the client. lamotrigine causes no significant increase in birth defects.

the pregnant client diagnosed with bipolar disorder has been taking lamotrigine to control symptoms. the client the client asks the nurse for information about the medication and pregnancy. which information should the nurse tell the client? select all that apply a. lamotrigine is the preferred treatment for bipolar disorder in pregnancy b. medication dosage may need to be increased during pregnancy c. serum levels should be obtained every 4 weeks in pregnancy d. breastfeeding is contraindicated with lamotrigine

d the spouses behavior is enabling the client to continue to drink until he cannot function

the wife of a client diagnosed with chronic alcoholism tells the nurse i have to call his work just about every monday and let them know he is ill or he will lose his job. which would be the nurses best response? a. i am sure that this must be hard or you. tell me about your concerns b. you are afraid he'll lose his source of income c. why would you call in for your husband. can't he do it? d. are you aware when you do this you are enabling him?

c diuretics increase the excretion of lithium from the kidneys therefore the nurse would question administering lithium to this client

to which client should the nurse question administering lithium? a. 54 year old client on a 4-g sodium diet b. 23 year old client taking an antidepressant medication c. 42 year old client taking a loop diuretic d. 30 year old client with 40 ml/hr urine output

d the use of a mood scale objectifies the subjective symptoms of mood as a pain scale objectifies the subjective some symptom of pain. The use of scales is the most accurate way to assess subjective data

which charting entry most accurately documents a clients mood? a. the client expresses an elevation in mood b. a client appears euthymic and is interacting with others c. the client isolates self and is tearful most of the day d. the client rates mood a a 2 out of 10

a Search indicates that depressive symptoms are highest among young, married women of low socioeconomic backgrounds. Compared with other clients presented this client is at higher risk for diagnosis of MDD

which client is at highest risk for the diagnosis of major depressive disorder? a. 24 year old married woman b. 64 year old single woman c. 30 year old single man d. 70 year old married man

b methadone an abstinence medication blocks the craving for heroin

which client should the nurse expect the HCP to prescribe methadone? a. a client addicted to cocaine b. a client addicted to heroin c. a client addicted to amphetamines d. a client addicted to hallucinogens

b disulfiram (antabuse) an abstinence medication is highly effectively motivated clients because the success of medication is entirely dependent on client compliance. this client is highly motivated to quit drinking alcohol

which client would it be most appropriate to prescribe disulfiram? a. a client diagnosed with chronic alcoholism admitted to the medical unit b. a highly motivated client who wants to quit drinking alcohol c. a client who has been taking amphetamines for more than 1 year d. a highly motivated client who wants to quit taking heroin

b All those client rates mood low where there's no indication of suicidal ideation's and the client is it in groups and the milieu. Because this client is observable in the milieu by all staff members assignment to an agency nurse would be appropriate

which client would the charge nurse assign to an agency nurse working on the in patient psych unit for the first time? a. a client experiencing passive suicidal thoughts with a past history of attempts b. a client rating mood as 3/10 and attending but not participating in group therapy c. a client lying in bed all day in a fetal position and refusing all meals d. a client admitted for the first time with a diagnosis of major depression

a A family history of mood disorder indicates a genetic predisposition to the development of major depressive disorder. Twin, family and adopt of studies further support a genetic link as an ideological influence on the development of mood disorders

which clients statement is evidence of the etiology of major depressive disorder from a genetic perspective? a. my maternal grandmother was diagnosed with bipolar affective disorder b. my mood id a 7 out of 10 and i wont harm myself or others c. i am so angry that my father left our family when i was 6 d. i just cant do anything right. i am worthless

c Change in behavior is an indicator that differentiates mood disorders from the typical stormy behaviors that are lessons. Depression can be a common manifestation of the stress and independent conflicts associated with a normal maturation process. Assessment of normal baseline behaviors would help the nurse recognize changes in behaviors that may indicate underlying depressive disorders

which exhibited symptom is the key to understanding whether a child or adolescent is experiencing an underlying depressive disorder? a. irritability with authority b. being uninterested in school c. a change in behaviors over a 2 week period d. feeling insecure at a social gathering

d, e the client should avoid driving and other hazardous activities until the effects of the medication are known because it can cause sedation and drowsiness. the client should wear sunscreen and protective clothing due to the photosensitivity effect

which information should the nurse discuss with the client diagnosed with bipolar disorder who is taking carbamazepine? select all that apply a. instruct the client to use a soft bristled tooth brush b. encourage the client to get ophthalmic examinations annually c. teach the client to monitor the BP daily d. tell the client to avoid hazardous activities e. teach the client to wear sunscreen when outdoors

a Social isolation related to self-directed anger supports the psychoanalytic theory and the development of major depressive disorder. Frued defined melancholia as profoundly painful dejection and sensation of interest in the outside world which accumulates in a delusional expectation of punishment. He observed that melancholy occurs after a loss of a love object. Freud postulated that when the loss has been incorporated into the side of the hostile part the ambivalence that has been felt for the last object is turned in word toward the ego. Another way to state this concept is that the client turns anger towards self

which nursing diagnosis supports the psychoanalytic theory of development of major depressive disorder? a. social isolation r/t self direct anger b. low self esteem r/t learned helplessness c. risk for suicide r/t neurochemical imbalances d. imbalanced nutrition less than body requirements r/t weakness

a Immediately after ECT risk for injury related to altered mental status is the priority nursing diagnosis. The most common side effect of ECT is Memory loss and confusion and these place a client at risk for injury

which nursing diagnosis takes priority immediately after ECT? a. risk for injury r/t altered mental status b. impaired social interaction r/t confusion c. activity intolerance r/t weakness d. chronic confusion r/t side effects of ECT

a Client experienced suicidal ideation's must be monitored closely to prevent suicide attempts. By monitoring or irregular intervals the nurse to prevent client from recognizing patterns of observation. If a client recognizes a pattern of observation the client can use the time in which he or she is not observed a plan and implement a suicide attempt

which nursing intervention takes priority when working with a newly admitted client experiencing suicidal ideations? a. monitor the client at close, but irregular intervals b. encourage the client to participate in group activities c. enlist friends and family to assist the client in remaining safe after discharge d. remind the client that is takes 6-8 weeks for antidepressants to be fully effective

a, b, c Urinary hesitancy, constipation, and blurred vision is an anti-cholinergic side effect of tricyclic antidepressants

which of the following are examples of anticholinergic side effects from tricyclic antidepressants? select all that apply a. urinary hesitancy b. constipation c. blurred vision d. sedation e. weight gain

a, b, c Glycopyrrolate is given to decrease secretions and counteract the effects of bagels simulation induced by ECT. thoipental sodium is a short acting anesthetic medication administered to produce loss of consciousness darn easy team. succinylcholine chloride is a muscle relaxant administer to prevent severe muscle contractions during the seizure reducing the risk for fractured or dislocated bands

which of the following indications may be administered before ECT? select all that apply a. glysopyrrolate (robinul) b. thoipental sodium (pentothal) c. succinlycholine chloride (anectine) d. lorazepam (ativan) e. divaprolex sodium (depakote)

b, c Latuda is an atypical antipsychotic medication used in the treatment of psychosis and mood instability. It is done by taking at least 350 cal in order to be affectively absorbed. Viibryd is an selective serotonin reuptake inhibitor used in the treatment of depression and anxiety. viibryd must be taken with at least 350 cal in order to be affectively absorbed

which of the following medications must be taken with food? select all that apply a. levomilnacipran (fetzima) b. lurasidone (latuda) c. vilazodone (viibryd) d. vortioxetine (trintellix) e. risperdone (risperdal)

d, e Nortriptyline is a classified as a tricyclic antidepressant. Other tricyclic antidepressants include amitriptyline, doxepin, and imipramine. Doxepin is classified as a tricyclic antidepressant

which of the following medications would be classified as tricyclic antidepressants? select all that apply a. bupropion (wellbutrin) b. mirtazapine (remeron) c. citalopram (celexa) d. nortiptyline (pamelor) e. doxepin (sinequan)

c, e When the nurse documents pacing halls throughout the day the nurse is charting a behavioral symptoms of mania. Psycho motor activities and uninhibited social second sexual behaviors are classified as behavioral symptoms. When the nurse documents exhibits poor impulse control the nurse is treating a behavioral symptoms of mania

which of the following nursing charting entries is documentation of a behavioral symptom of mania? select all that apply a. thoughts fragmented, flight of ideas noted b. mood euphoric and expansive. rates mood 10/10 c. pacing halls throughout the day d. easily distracted, unable to focus on goals e. exhibits poor impulse control

b, e Isocarboxazid is a MAOI and the intake a chocolate would likely cause a life-threatening hypertensive crisis. Rasagiline is it a MAOI Eating smoked pork while taking this medication would likely cause life-threatening hypertensive crisis

which of the following situations would place a client at high risk for life threatening hypertensive crisis? select all that apply a. a client is prescribed tranylcypromine (parnate) and eats chicken salad b. a client is prescribed isocarboxazid (marplan) and drinks hot chocolate c. a client is prescribed venlafaxine (effexor) and drinks wine d. a client is prescribed phenelzine (nardil) and eats fresh roasted chicken e. a client i prescribed rasagiline (azilect) and eats smoked pork

a, e Decrease libido know is a physiological alteration exhibited by clients diagnosed with moderate depression. Muscle aches are physiological alterations experience by clients diagnosed with moderate depression

which of the following symptoms are examples of physiological alterations exhibited by clients diagnosed with moderate depression? select all that apply a. decreased libido b. difficulty concentrating c. slumped posture d. helplessness e. muscle aches

c A woman who is drinking when her children are out of site is displaying substance abuse that is not based on medical needs are social norms. The college student is using an illegal substance but at this point the frequency does not suggest that it is a compulsive problem. Person with cancer and person with fracture are using medications for pain as indicated

which person is displaying behaviors that most strongly suggest the need for additional screening for substance abuse? a. person with cancer progressively needs more pain medication to achieve relief b. college student reports occasionally smoking of marijuana during semester break c. stay at home mom reports drinking while her kids are in school and after they go to bed d. person with fractured leg reports taking opioids and tapering off when pain subsides

a marijuana is psychologically addicting not physically addicting. there is no medication that can help the client to quit smoking marijuana

which pharmacologic intervention should the nurse discuss with he client who is requesting help to quit smoking marijuana? a. explain that there is no specific pharmacologic intervention b. instruct the client to use a nicotine patch or chew nicotine gum c. encourage the client to have the HCP prescribe an anti-anxiety medication d. discuss taking dronabinol over a 2 week period

b Alterations in normal electrolyte transferred across a membrane's resulting in elevated levels of intracellular calcium and sodium is an example of bio chemical perspective in the development of bipolar disorder

which statement about the development of bipolar disorder is from a biochemical perspective? a. family studies have shown that if one parent is diagnosed with bipolar disorder, the risk that the child will have the disorder is about 28% b. in bipolar disorder there may be possible alterations in normal electrolyte transfer across cell membranes resulting in elevated levels on intracellular calcium and sodium c. MRI reveals enlarged third ventricles, subcortical white matter, and periventricular hyperintensity in those diagnosed with bipolar disorder d. twin studies have shown a concordance rate among monozygotic twin of 60-80%

d An individual suspected to have persistent depressive disorder and need to experience symptoms for at least two years before diagnosis can be made. This central feature is a chronically depressed mood for the most of the day, more days than not, for at least two years. Client with a diagnosis of MDD show impaired social and occupational functioning that existed for at least two weeks

which statement describes a major difference between a client diagnosed with major depressive disorder and a client diagnosed with persistent depressive disorder (dysthmia)? a. a client diagnosed with persistent depressive disorder is at higher risk for suicide b. a client diagnosed with persistent depressive disorder may experience psychosis c. a client diagnosed with persistent depressive disorder experiences excessive guilt d. a client diagnosed with persistent depressive disorder has symptoms of atleast 2 years

b, d lithium an antimania medication acts like sodium in the body so dehydration can cause lithium toxicity, therefore the client should not become dehydrated. the client should take lithium with food to decrease GI upset

which statements indicate the client diagnosed with bipolar disorder who is taking lithium understands the medication teaching? select all that apply a. i must monitor my daily lithium level b. i will make sure i dont get dehydrated c. i need to taper the dose if i quit taking d. i should take the medication with food e. i will not eat foods high in tyramine

a Confusion restlessness tachycardia labile blood-pressure and diaphoresis all are symptoms of serotonin syndrome. Other symptoms include dilated peoples loss of muscle coordination or twitching diarrhea headache shivering and goosebumps. If this syndrome or suspected the offending agent will be discontinued immediately

which symptoms would the nurse expect to assess in a client experiencing serotonin syndrome? a. confusion, restlessness, tachycardia, labile BP, and diaphoresis b. hypomania, akathisia, cardiac arrhythmias, and panic attacks c. dizziness, lethargy, headache, and nausea d. orthostatic hypotension, urinary retention, constipation and blurred vision

c Medical surgical new UAPs assist patients to ambulate and they frequently care for older confuse patients. Performing 1 to 1 suicide watch requires experience because the observer may have to immediately intervene by calling out for help. Assisting the occupational therapist or medication nurse may be possible but the medical surgical UAP is unlikely to be familiar with behavioral interventions required in the situations

which task can be delegated to a med surg UAP who has been temporarily floated to the acute psych unit to help? a. performing one to one observation of a patient who is suicidal b. assisting the OT to conduct a craft class c. accompanying an older adult patient who wanders on a walk outside d. assisting the medication nurse who is having problems with a patient