Mood Disorder Questions from Class
A monoamine oxidase inhibitor (MAOI) is prescribed for a client. The nurse instructs the client that signs and symptoms of toxicity related to the use of this medication may include: A) Restlessness B) Feelings of fatigue C) Lack of energy D) Lethargy
A) Restlessness
A client who is on lithium carbonate (Lithobid) will be discharged at the end of the week. In formulating a discharge teaching plan, the nurse will include which of the following precautions? A) Avoid soy sauce, wine and aged cheese. B) Take the medication only as prescribed because it can become addicting. C) Check with the psychiatrist before using any over-the counter medications. D) Have the blood lithium level checked every 2 weeks.
C) Check with the psychiatrist before using any over-the counter medications.
A nurse assesses a client with the admitting diagnosis of bipolar affective disorder, mania. The symptom presented by the client that requires the nurse's immediate intervention is the client's: A) Outlandish behaviors and inappropriate dress. B) Nonstop physical activity and poor nutritional intake. C) Grandiose delusions of being a royal descendent of King Arthur. D) Constant, incessant talking that includes sexual innuendoes and teasing the staff.
B) Nonstop physical activity and poor nutritional intake.
Which of the following persons is at highest risk for committing suicide? A) A 24-year-old client who just had an argument with her roommate. B) A 71-year-old client with a cardiac disorder. C) A 75-year-old client with metastatic cancer. D) A 30-year-old newly divorced client who states she has custody of the children.
C) A 75-year-old client with metastatic cancer.
A client is admitted to the mental health unit after an attempt of suicide by hanging. A nurse's most important aspect of care is to maintain client safety. This is accomplished best by: A) Requesting that a peer remain with the client at all times. B) Removing the client's clothing and placing the client in a hospital gown. C) Assigning a staff member to the client 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) Assigning a staff member to the client who will remain with the client at all times.
A client with depression who is taking tranylcypromine sulfate (Parnate) has been instructed on appropriate diet. The nurse determines that the client understands the diet if the client selects which foods from the dietary menu? A) Pepperoni pizza, salad and a cola drink B) Roasted chicken, roasted potatoes, and beer C) Pickled herring, French fries, and milk D) Fried haddock, baked potato and a cola drink
D) Fried haddock, baked potato and a cola drink
A client who is on lithium carbonate (Lithobid) complains of nausea. Later that day the client complains of drowsiness, muscle weakness, and lack of coordination. It is time for the client's 4:00 PM dose of lithium. The best nursing action is: A) Give the 4:00 PM dose as scheduled and reeducate the client that these are normal side effects of the medication. B) Give the 4:00 PM dose and document the client's complaints. C) Give the 4:00 PM dose and notify the physician of the client's complaints. D) Hold the 4:00 PM dose and notify the physician of the client's complaints.
D) Hold the 4:00 PM dose and notify the physician of the client's complaints.
Which behavior observed by a nurse indicates a suspicion that a depressed adolescent client may be suicidal? A) The client runs out of the therapy group, swearing at the group leader, and runs to her room. B) The client gives away a prized CD and a cherished autographed picture of the performer. C) The client becomes angry while speaking on the telephone and slams down the receiver. D) The client gets angry with her roommate when the roommate borrows the client's clothes without asking.
B) The client gives away a prized CD and a cherished autographed picture of the performer.
A nurse is planning activities for a client who has bipolar disorder with aggressive social behavior. Which of the following activities would be most appropriate for this client? A) Chess B) Writing C) Ping pong D) Basketball
B) Writing
A client recently admitted to the hospital in the manic phase of bipolar disorder is dehydrated, unkempt, taking antipsychotic medications and complaining of abdominal fullness and discomfort. The nurse determines that which of the following is an appropriate intervention for these complaints? A) Teach self-grooming skills. B) Reward cleanliness with unit privileges. C) Encourage frequent fluid intake and a high-fiber diet. D) Monitor the adequacy of the antipsychotic dosage.
C) Encourage frequent fluid intake and a high-fiber diet.
A manic client announces to everyone in the dayroom that a stripper is coming to perform this evening. When a nurse firmly states that this is inappropriate and will not happen, the client becomes verbally abusive and threatens physical violence to the nurse. Based on the analysis of this situation, the nurse determines that the appropriate action would be to: A) Orient the client to time, person and place B) Tell the client that the behavior is inappropriate C) Escort the manic client to her room, with assistance D) Tell the client that smoking privileges are revoked for 24 hours.
C) Escort the manic client to her room, with assistance
A client is being prepared for electroconvulsive therapy (ECT). The nurse's plan of care for the day before ECT includes ensuring that the client: A) Is placed on nothing by mouth (NPO) status for 16 to 24 hours. B) Receives no visitors and participates in limited unit activities. C) Shampoos and dries the hair, cleaning it of all hair sprays and creams. D) Does not smoke at all.
C) Shampoos and dries the hair, cleaning it of all hair sprays and creams.
A client with a diagnosis of depression has been meeting with the mental health nurse for therapy sessions for the past 6 weeks. During the session the client says to the nurse, "I lost my job this week, and I'm going to be evicted from my apartment if I can't pay my bill. The only person that I have is my daughter, but I don't want to burden her with my problems." Which response by the nurse would be therapeutic? A) "If you get evicted from your apartment, we will commit you to the hospital so you will have a place to eat and sleep." B) "Why did you lose your job?" C) "There are homeless shelters available, and we will get you into one if you are evicted from your apartment." D) "Let's talk about contacting your daughter. Wouldn't you want to know if your daughter was having difficulty and try to help her if you could?"
D) "Let's talk about contacting your daughter. Wouldn't you want to know if your daughter was having difficulty and try to help her if you could?"
A client with a diagnosis of major depression who has attempted suicide says to a nurse, "I should have died. I've always been a failure. Nothing ever goes right for me." The therapeutic response to the client is: A) "I don't see you as a failure." B) "You have everything to live for." C) "Feeling like this is all part of being ill." D) "You been feeling like a failure for a while?"
D) "You been feeling like a failure for a while?"
A client is admitted to the mental health unit with a diagnosis of depression. A nurse develops a plan of care for the client and includes which appropriate activity in the plan? A) Reading and writing most of the day B) Several activities from which the client can choose C) Nothing, until the client asks to participate in milieu D) A structured program in which the client can participate
D) A structured program in which the client can participate
A nurse is planning care for a client with bipolar disorder who is experiencing psychomotor agitation. Which of the following activities should the nurse plan for this client? A) Reading letters and books in a quiet environment. B) Involving the client in a card game with other clients on the unit. C) Providing an activity such as checkers for the client. D) Including the client in a clay-molding class that is scheduled for today.
D) Including the client in a clay-molding class that is scheduled for today.
A nurse is conducting a group therapy session. During the session, a client with mania consistently talks and dominates the group session, and this behavior is disrupting group interactions. The nurse would initially: A) Ask the client to leave the group session. B) Ask another nurse to escort the client out of the group session. C) Tell the client that she will not be able to attend any future group sessions. D) Tell the client that she needs to allow other clients in the group time to talk.
D) Tell the client that she needs to allow other clients in the group time to talk.
