1201 week 4 review

MH 13: A nurse working on acute mental health unit is admitting a client who has major depressive disorder and comorbid anxiety disorder. Which of the following actions is the nurse's priority=? A. placing the client on 1-1 observation B. assisting the client to perform ADLs C. encouraging the client to participate in counseling D. teaching the client about medication adverse effects

A

MH 22: A charge nurse is discussing mirtazapine with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding? A. this medication increase the release of serotonin and norepinephrine B. I should tell the client about the likelihood of insomnia while taking this medication C. this medication is contraindicated for clients who have an eating disorder D. sexual dysfunction is a common adverse effect of this medication

A

MH 23: A nurse is caring fro a county who is experiencing extreme manis due to bipolar disorder. Prior to administration of lithium carbonate, the client's lithium blood levels is 1.2 mEq/L. Which of the following actions should the nurse take? A. administer the next dose of lithium carbonate as scheduled B. prepare for administration of aminophylline C. notify the provide for a possible increase in the dosage of lithium carbonate D. request a stat repeat of the client's lithium blood level

A

MH 23: A nurse is discussing routine follow up needs with a client who has a new prescription for valproate. The nurse should inform the client of the need for routine monitoring of which of the following? A. AST/ALT and LDH B. creatinine and BUN C. WBC and granulocyte counts D. blood sodium and potassium

A

P 8: A nurse is caring for a client who has a new prescription for phenelzine for the treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication? A. orthostatic hypotension B. hearing loss C. GI bleeding D. weight loss

A

P 8: A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine for PTSD. Which of the following statements should the nurse include in the teaching? A. you can have a decreased desire for intimacy while taking this medication B. you should take this medication at bedtime to help promote sleep C. you will have fewer urinary adverse effects if you urinate just before taking this medication D. you'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication

A

P 9: A nurse is reviewing lab findings and notes that the client's lithium level is 2.1 mEq/L. Which of the following is an appropriate action by the nurse? A. perform immediate gastric lavage B. prepare the client for hemodialysis C. administer an additional oral dose of lithium D. request a star repeat of the lab test

A

P 8: A nurse is caring for a client who has depression and a new prescription for venlafaxine. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication? (SATA) A. mydriasis B. dizziness C. decreased libido D. alopecia E. hypotension

A, B, C

P 8: A nurse is caring for a client who has a new prescription for valproic acid. The nurse should instruct the client to have which of the following blood lab test completed periodically? (SATA) A. thrombocyte B. glucose C. amylase D. liver function test E. potassium

A, C, D

MH 22: A nurse is teaching a client who has a new prescription for imipramine how to minimize anticholingeric effects. Which of the following instructions should the nurse include in the teaching? (SATA) A. void just before taking the medication B. increase dietary intake of potassium C. wear sunglasses outside D. change positions slowly when getting up E. chew sugarless gum

A, C, E

MH 14: A nurse is caring for a client who has bipolar disorder. The client states I am very rich, and I feel I must give my money to you. Which of the following responses should the nurse make? A. Why do you think you feel the need to give money away? B. I am here to provide care and cannot accept this from you C. I can request that your case managers discuss appropriate charity options with you D. You should know that giving away your money is inappropriate

B

MH 22: A nurse is providing teaching to a client who has a prescription for amitriptyline. Which of the following manifestations should the nurse monitor as an adverse effect of this medication? (SATA) A. I can expect to experience diarrhea while taking this medication B. I may feel drowsy for a few weeks after starting this medication C. I cannot eat my favorite pizza with pepperoni while taking this medication D. this medication will help me lose the wight that I have gained over the last year

B

MH 23: A nurse is caring for a client who is prescribed lithium therapy. The client tells of the plan to take ibuprofen for OA pain relief. Which of the following statements should the nurse make? A. that is a good choice. B. regular aspirin would be a better choice than ibuprofen C. lithium decrease the effectiveness of ibuprofen D. the ibuprofen will make your lithium level fall too low

B

P 8: A nurse is assessing a client who take lithium carbonate for the treatment of bipolar disorder. The nurse should identify which of the following findings is a possible indication of toxicity to this medication? A. severe HTN B. coarse tremors C. constipation D. muscle spasms

B

P 8: A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing serotonin syndrome? A. brusing B. fever C. tinnitus D. rash

B

MH 13: A nurse is caring for a client who has major depressive disorder. Which of the following should the nurse identify as a risk facet for depression? (SATA) A. male sex B. Hx of chronic bronchitis C. recent death in family D. family hx of depression E. personal hx of panic disorder

B, C, D, E

P 8: A nurse is preparing a teaching plan for a client who has bipolar disorder and a new prescription for carbamazepine. Which of the following instructions should the nurse include in the teaching? A. this medication can safely be taken during pregnancy B. eliminate grapefruit juice from your diet C. you will need to have a CBC and carbamazepine levels drawn periodically D. notify your provider if you develop a rash E. avoid driving for the first few days after starting this medication

B, C, D, E

MH 14: A nurse is planning care for a client who has Bipolar disorder and is experiencing a manic episode. Which of the following interventions should the nurse include in the plan of care? (SATA) A. provide flexible client behavior expectations B. offer concise explanations C. est consistent limits D. disregard client concerns E. use a firm approach with communication

B, C, E

MH 22: A nurse is caring for a client who is taking phenelzine. For which of the following manifestations should the nurse monitor as an adverse effect of this manifestation? (SATA) A. elevate blood glucose level B. orthostatic hypotension C. priapism D. hypomania E. bruxism

B, D

MH 23: A nurse is discussing early indications of toxicity with a client who has a prescription for lithium carbonate for bipolar depression. The nurse should include which of the following manifestations in the teaching? (SATA) A. constipation B. polyuria C. rash. D. muscle weakness E. tinnitus

B, D

MH 14: A nurse is discussing relapse prevention with a client who has bipolar disorder. Which of the following information should the nurse include in the teaching? (SATA) A. use caffeine in moderation to prevent relapse B. difficulty sleeping can indicate relapse C. begin taking your medication as soon as a relapse begins D. participating in psychotherapy can help prevent relapse E. anhendonia is a clinical manifestation of a depressive relapse

B, D, E

MH 13: A charge nurse is discussing the care of a client who has major depressive disorder (MDD) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. care during the continuation phase focuses on treating continued manifestations of MDD B. the treatment of MDD during the maintenance phase lasts 6 - 12 weeks C. the client is at greatest risk for suicide during the first weeks of an MDD episode D. medication and psychotherapy are most effective during the acute phase of MDD

C

MH 13: A nurse is interviewing a client who has a new dx of persistent depressive disorder. Which of the following should the nurse expect? A. wide fluctuations in mood B. report of a min of five clinical findings of depression C. presence of manifestations for at least 2 years D. inflated sense of self esteem

C

MH 13: A nurse is teaching a client who has a new dx of PMDD. Which of the following statements by the client indicates understanding of the teaching? A. I can expect my problems with PMDD to be worst when I'm menstruating B. I should avoid exercising when I am feeling depressed C. I am aware that my PMDD causes me to have rapid mood swings D. I should increase my caloric intake with a nutritional supplements when my PMDD is active

C

MH 14: A nurse is teaching a newly licensed nurse about the use of ECT for the treatment of bipolar disorder. Which of the following statements by the newly licensed nurse indicates understanding? A. ECT is the recommended initial treatment for bipolar disorder B. ECT is contraindicated for clients who have suicidal ideation C. ECT is effective for client who are experiencing severe mania D. ECT is prescribed prevent relapse of bipolar disorder

C

MH 22: A nurse is reviewing the medical record of a client who has a new prescription for bupropion for depression. Which of the following findings is the priority for the nurse to report to the provider? A. the client has family history of seasonal pattern depression B. the client currently smoke 1.5 packs of cigarettes per day C. the client had a MVA last year and sustained a head injury D. the client has a BMI of 25 and has gained 10lb over the last year

C

P 8: A nurse is providing teaching to a client who has a new prescription for amitiripyline for treatment for depression. Which of the following should the nurse include in the teaching? (SATA) A. expect therapeutic effects in 24-48 hr B. discontinue the medication after a week of improved mood C. change positions slowly to minimize dizziness D. decrease dietary fiber intake to control diarrhea E. chew sugarless gum to prevent dry mouth

C, E

MH 14: A nurse is caring for a client who has bipolar disorder. Which of the following is the priority nursing action? A. set consistent limits for expected client behavior B. administer prescribed medications as scheduled C. provide the client with step by step instructions during hygiene activities D. monitor the client for escalating behavior

D

MH 23: A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to begin lithium therapy. When collecting a medical history from the client's caregiver, which of the following statements is the priority to report to the provider? A. current medical condition include DM that is controlled by diet B. recent medications include a course of prednisone for acute bronchitis C. current vaccination include a flu vaccine last month D. current medications include furosemide for CHF

D

P 8: A nurse is caring for a client who has a new prescription for lithium carbonate. When teaching the client about ways to prevent lithium toxicity, the nurse should advise the client to do which of the following? A. avoid the use of acetaminophen for headaches B. restrict intake of foods rich in sodium C. decrease fluid intake to less than 1500mL daily D. limit aerobic activity in hot weather

D