Exam Review
- A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identity that these manifestations indicate which of the following?A)AgoraphobiaB)Generalized anxiety disorderC)Separation anxiety disorderD)Panic disorder
- A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?A)PotassiumB)SodiumC)Vitamin CD)Vitamin K
- A patient with bipolar II disorder is most likely to experience:A)Persistent low-grade depression without hypomaniaB)Psychosis during manic episodesC)Hypomanic episodes alternating with major depressive episodesD)Severe manic episodes
- A client with PTSD experiences exaggerated startle response. The client is paranoid and hypervigilant. Which nursing intervention is most appropriate?A)Refer the client to a support group for individuals with PTSDB)Encourage the client to practice mindfulness meditationC)Provide a structured environment with predictable routines, and consistent staffD)Administer a PRN sedative medication as needed
Exam Review
- Which patient is at the highest risk of developing postpartum depression?A)A mother who had a healthy pregnancy and deliveryB)A first-time mother with a supportive partnerC)A mother with a history of depression and minimal social supportD)A mother with no family history of mental illness
- A patient with a history of bipolar I disorder is prescribed fluoxetine (Prozac) for a depressive episode. What is the nurse's priority action?A)Assess the patient for gastrointestinal side effects.B)Monitor the patient closely for signs of mania.C)Administer the medication as orderedD)Educate the patient about potential weight gain
- A client who has bipolar disorder approaches the nurse and reveals fresh, self-inflicted, superficial cuts going up and down his right arm. Which of the following actions should the nurse take first?A)Document the size and location of the cuts.B)Inspect the cuts for debris.C)Administer a tetanus antitoxin.D)Implement the client's behavioral modification plan.
- A nurse at a walk-in mental health clinic is assessing a client experiencing severe anxiety. The nurse should recognize the client might exhibit which of the following manifestations?A)Attention-seeking conductB)Mild fidgetingC)Threatening behaviorsD)Mild difficulty problem solving
Exam Review
- A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?A)Isolate the client for a period of time.B)Set strict limits on the behaviors so that the client can conform to the unit rules and schedulesC)Confront the client about the senseless nature of the repetitive behaviors.D)Plan the client's schedule to allow time for rituals.
- A nurse in an acute care mental health facility is preparing to administer morning medication for a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?A)Administer the morning dose of lithium.B)Check the client's medication record to assess whether the client has been refusing her lithium.C)Prepare for gastric lavage due to an extremely elevated lithium level.D)Hold the medication and assess for early manifestations of toxicity.
- A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- A nurse is caring for a client who has bipolar disorder. The client states, "I feel like Superman. I can do anything. I can fly home today and then become a U.S. Senator." Which of the following findings is this client exhibiting?A)Reality testingB)DerealizationC)GrandiosityD)Flight of ideas
Exam Review
- A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication?A)Liver function tests must be monitored.B)Thyroid function tests should be performed every 6 months.C)A pretreatment electroencephalogram (EEG) will be done.D)High serum sodium levels can cause toxic levels of valproate
- A nurse on the psychiatric unit is assessing a client who has moderate anxiety disorder. Which of the following findings should the nurse expect?A)ChillsB)Urinary frequencyC)Rapid speechD)Distorted perceptual field
- A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
- A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the nurse plan to take regarding the client's compulsive behaviors?A)Isolate the client for a period of time.B)Set strict limits on the behaviors so that the client can conform to the unit rules and schedules.C)Confront the client about the senseless nature of the repetitive behaviors.D)Plan the client's schedule to allow time for rituals.
Exam Review
- A nurse is caring for a client who has bipolar disorder. Which of the following actions by the client should the nurse interpret as displaying manic behavior? (Select all that apply.)A)Sleeping for long periods of timeB)Dressing in black or grey clothingC)Talking in rapid, continuous speechD)Spending large sums of moneyE)Interacting with others in a flirtatious way
- A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?A)Schedule daily seclusion times.B)Provide a stimulating environment.C)Discourage daytime napping.D)Have consistent unit routines.
- A patient diagnosed with bipolar disorder is prescribed lithium carbonate. Which laboratory result should prompt the nurse to hold the medication and notify the healthcare provider?A)Potassium 4.2 mEq/LB)Sodium 136 mEq/LC)Calcium 9.0 mg/dLD)Creatinine 2.1 mg/dL
- A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state, "I don't know why my wife left me." The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?A)PanicB)ModerateC)MildD)Severe
Exam Review
- A nurse is caring for a client who has bipolar disorder and is taking lithium. The client reports blurred vision and ataxia. Which of the following actions should the nurse take?A)Withhold the medication.B)Administer the next dose as prescribed.C)Prepare to administer propranolol.D)Plan to administer levothyroxine.
- A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After showing the client to his room, which of the following nursing actions is most therapeutic at this time?A)Suggest that the client rest in bed.B)Remain with the client for a while..C)Have the client join a therapy group.D)Medicate the client with a sedative.
- A nurse is preparing a client who has chronic anxiety for discharge from the psychiatric unit. Which of the following instructions should the nurse include in the client's discharge plan?A)Identify anxiety-producing situations.B)Try to repress feelings of anxiety.C)Contact the crisis counselor once a week.D)Eliminate stress and anxiety from daily life.
- A nurse is preparing to administer chlordiazepoxide 50 mg PO every 8 hr to a client. The amount available is chlordiazepoxide 25 mg/capsule. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)