The nurse is planning care for a client admitted with a new diagnosis of bipolar disorder. During the manic phase of the disorder, the nurse plans interventions that decrease the risk for violence to others, which would include:
1. encouraging the client to join a basketball game.
2. encouraging the client to participate in group activities.
3. encouraging activities that minimize stimuli.
4. responding to agitation by restraining the client.
Question 2A friend shares with a nurse that her mother has been in a very depressed mood lately and that she is concerned her mother should see a psychiatrist.
To best determine whether the mother might be experiencing a major depressive disorder, the nurse should ask the friend:
1. Does your mother cry a lot, or is she just quiet and sad most of the time?
2. Has her depressed mood caused significant interruption of daily routines?
3. How often does she attend social events outside of the home?
4. Has she been depressed for more than a week?
Question 3The nurse concludes that a client with depression is making progress toward meeting goals when the client says:
1. I am feeling sad today.
2. May I use the phone today?
3. I don't think the medication is working.
4. I'll eat lunch in my room today.
Question 4The nurse notes that a client with depression has an order for phenelzine (Nardil). The nurse plans to teach the client about avoiding foods high in tyramine because:
1. tyramine interferes with Nardil.
2. tyramine causes constipation.
3. tyramine and Nardil can cause a hypertensive crisis.
4. Nardil is absorbed better without tyramine.
Question 5The nurse is caring for the client who is taking lithium carbonate. The nurse reviews the client's laboratory studies and notes that the lithium level is 2.0 meq/L. The nurse assesses the client for:
1. polyuria.
2. weight gain.
3. muscle weakness.
4. mild nausea.
Question 6A client who is depressed is telling the nurse that the challenges of life make life hopeless. The nurse plans to explore with the client:
1. the reason for the fatigue.
2. past success with overcoming challenges.
3. current reasons for failure.
4. distractions to ignore feelings.
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