Quizzes (Module 5-7)

Which medicaiton used in the treatment of bipolar disorder is correctly classified? a. the antimanic medication valproic acid (Depakote) b. the anticonvulsant medication lamotrigine (Lamictal) c. the calcium channel blocker medication aripiprazole (Abilify) d. the antipsychotic medication verpamil (Isoptin)

b

The police arrive at the ED with a client who has lacerated both wrists. Which is the initial nursing action a. administer an antianxiety agent b. assess & treat the wound sites c. secure & record a detailed history d. encourage & assist the client to ventilate feelings

b

A client taking lithium reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, & tremors. The lithium level is 2.5 mEq/L. The nurse plans care based on which representation of this level? a. toxic b. normal c. slightly above normal d. excessively below normal

a

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? a. setting limits on the clients behavior b. asking the client to leave the group c. asking another nurse to escort the client out of the group session d. telling the client that they will not be able to attend any future group sessions

a

A client's medication sheet contains a prescription for sertraline. To ensure administration of the medication, how should the nurse administer the dose? a. on an empty stomach b. at the same time every evening c. evenly spaced around the clock d. as needed

b

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? a. requesting that a peer remain with the client at all times b. removing the client's clothing & placing the client in a hospital gown c. assigning to the client a staff members who will remain with the client at all times d. admitting the client to a seclusion room where all potentially dangerous articles are removed

c

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? a. "I don't believe this is true." b. "The guards are not out to kill you." c. "Do you feel afraid that people are trying to hurt you?" d. "What makes you think the guards were sent to hurt you?"

c

Which nursing interventions are appropriate for a hospitalized client with mania who is exhibiting manipulative behavior? Select all that apply. a. communicate expected behaviors to the client b. ensure that the client knows that they are not in charge of the nursing unit c. assist the client in identifying ways of setting limits on personal behaviors d. follow through about the consequences of behavior in a nonpunitive manner. e. have the client state the consequences for behaving in ways that are viewed as unacceptable

a, c, d, e

A nursing instructor is teaching about the prevalence of bipolar disorder. Which student statement indicates that learning has occurred? a. "This disorder is more prevalent in the lower socioeconomic groups." b. "This disorder is equally prevalent in makes & females." c. "This disorder is more prevalent in married than unmarried persons." d. "This disorder's prevalence can't be evaluated based on demographic data."

b

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? a. chess b. writing c. ping pong d. basketball

b

The nurse notes that a client with schizophrenia & receiving an antipsychotic medication is moving her mouth, protruding her tongue, & grimacing as she watches television. The nurse determines that the client is experiencing which medication complications? a. parkinsonism b. tardive dyskinesia c. hypertensive crisis d. neuroletpic malignant syndrome

b

A manic client begins to make sexual advances toward visitors in the dayroom. When the nurse firmly states that this is inappropriate & will not be allowed, the client becomes verbally abusive & threatens physical violence to the nurse. Based on the analysis of this situation, which intervention should the nurse implement? a. place the client in seclusion for 30 mins b. tell the client that the behavior is inappropriate c. escort the client to their room, with the assistance of other staff d. tell the client that their telephone privileges are revoked for 24 hours

c

A moderately depressed client who was hospitalized 2 days ago suddenly beings smiling & 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? a. suggesting a reduction of medication b. allowing increased "in-room" activities c. increasing the level of suicide precautions d. allowing the client off unit privileges as needed

c Whenever somebody suddenly becomes happy or gives articles away then we need to increase suicide precautions because they have come to grips with it and are planning to do it

The nurse is caring for a client just admitted to the mental health unit & diagnosed with a catatonic stupor. The client is lying on the bed in a fetal position. Which is the most appropriate nursing intervention? a. ask direct questions to encourage talking b. leave the client alone so as to minimize external stimuli c. sit beside the client in silence with occasional open ended questions d. take the client into the dayroom with other clients so that they can help watch them

c this allows them to know we are there for them

The nurse assesses a client with the admitting diagnosis of bipolar affective disorder, mania. Which client symptoms require the nurse's immediate action? a. incessant talking & sexual innuendoes b. Grandiose delusions & poor concentration c. outlandish behaviors & inappropriate dress d. nonstop physical activity & poor nutritional intake

d

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? a. get adequate sunlight b. continue driving as usual c. avoid foods rich in potassium d. get up slowly when changing positions

d

To deal with a client's hallucinations therapeutically, which nursing intervention should be implemented? a) reinforce the perceptual distortions until the client develops new defenses b) provide an unstructured environment c) avoid making connections between anxiety-producing situations and hallucinations d) distract the client's attention

d

Which behavior observed by the nurse indicates a suspicion that a depressed adolescent client may be suicidal? a. The adolescent gives away a dvd & a cherished autographed picture of a performer b. the adolescent runs out of the therapy group, swearing at the group leader, and to her mom c. the adolescent becomes angry while speaking on the phone & slams the down the receiver d. the adolescent gets angry with her roommate when the roommate borrows the client's clothes without asking

a

The nurse observes that a client is pacing, agitated, & presenting aggressive gestures. The client's speech pattern rapid, & affect is belligerent. Based on these observations, which is the nurse's immediate priority of care? a. provide safety for the client & other clients on unit b. provide the clients on the unity with a sense of comfort & safety c. assist the staff in caring for the client in a controlled environment d. offer the client a less stimulating area in which to calm down & gain control

a because of the aggressive patterns & gestures

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? Select all that apply a. figs & raisins b. yogurt c. crackers d. aged cheese e. tossed salad f. oatmeal raisin cookies

c & e

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 & 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

d

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 from this medication? a. platelet count b. blood glucose levels c. liver function studies d. white blood cell count

d

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? a. "Have you talked to your family about this?" b. "Everyone feels this way when they are depressed." c. "You will feel better once your medication begins to work." d. "You sound very upset. Are you thinking of hurting yourself?"

d

The nurse is preparing a client with a history of command hallucinations for discharge by providing instructions on interventions for managing hallucinations & anxiety. Which statement in response to these instructions suggest to the nurse that the client has a need for additional information? a. "My medications will help my anxious feelings." b. "I'll go to support group & talk about what i am feeling." c. "I need to get enough sleep & eat well to help prevent feeling anxious." d. "When I have command hallucinations, I'll call a friend & ask hum what I should do."

d