The nurse is caring for a client recovering from an electroconvulsive treatment (ECT). For which expected adverse effects should the nurse assess this client? (Select all that apply.)
1. Hypotension
2. Hallucinations
3. Mental confusion
4. Delusions of grandeur
5. Transient memory loss
Question 2The nurse is evaluating care provided to a client with a mood disorder. Which observations indicate that interventions to improve cognition were effective? (Select all that apply.)
1. Hallucinates at bedtime
2. Plans self-care activities
3. Engages in reality-based thinking
4. States efforts to cope with behavior
5. Oriented to person, place, time, and situation
Question 3A client who was experiencing symptoms of early lithium toxicity has had the dosage of medication reduced. The nurse determines that the dosage reduction was effective when the client demonstrates:
1. a coarse hand tremor.
2. a decrease in urine output.
3. a decrease in blood pressure.
4. a return of normal speech.
Question 4A client confides in the nurse that he is going to kill himself. Which question should the nurse ask the client first?
1. What has happened to make you feel this way?
2. Have you ever attempted suicide before?
3. How will you kill yourself?
4. Do you think this will solve your problems?
Question 5The nurse has determined that a client with a bipolar disorder has a nursing diagnosis of hopelessness. Which therapeutic communication skill should the nurse use?
1. Encourage the client to engage in a social activity.
2. Arrange for the client to go on a group outing to the mall.
3. Sit quietly with the client and hold her hand.
4. Ask the client how she has overcome obstacles in the past.
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