Mental Health Exam 2 Varcarolis & ATI bipolar, substance abus
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Mental Health Exm 2 Varcarolis & ATI Bipolar, Sub
Mental Health Exam 2 Varcarolis & ATI bipolar, substance abuse,
eating disorders, stress, diverse practice settings Rated A+
A nurse is caring for a client who is on lithium therapy. The client states that he wants to take ibuprofen
for osteoarthritis pain relief. Which of the following state...
Mental Health Exam 2 Varcarolis & ATI bipolar, substance abuse,
eating disorders, stress, diverse practice settings Rated A+
A nurse is caring for a client who is on lithium therapy. The client states that he wants to take ibuprofen
for osteoarthritis pain relief. Which of the following statements by the nurse is appropriate?
A. "That is a good choice. Ibuprofen does not interact with lithium."
B. "Regular aspirin would be a better choice than ibuprofen."
C. "Lithium decreases the effectiveness of ibuprofen."
D. "The ibuprofen will make your lithium level fall too low." ✔️B
A nurse is discussing routine follow-up needs for a client who has a new prescription for valproic acid
(Depakote). 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. Serum sodium and potassium ✔️A
A nurse is discussing early indications of toxicity with a client who has a new prescription for lithium
carbonate for bipolar disorder. The nurse should include which of the following in the teaching? (Select
all that apply.)
A. Constipation
B. Polyuria
C. Rash
D. Muscle weakness
E. Tinnitus ✔️B, D
,A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to
administration of lithium carbonate, the nurse notes that the lithium blood level is 1.2 mEq/L. Which of
the following is an appropriate action by the nurse?
A. Administer the next dose of lithium carbonate as scheduled.
B. Prepare for administration of aminophylline.
C. Notify the provider for a possible increase in the dosage of lithium carbonate.
D. Request a stat repeat of the client's lithium blood level. ✔️A
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 adult daughter, which of the
following statements is the highest priority to report to the provider?
A. "My mother has diabetes that is controlled by her diet."
B. "My mother recently completed a course of prednisone for acute bronchitis."
C. "My mother received her flu vaccine last month."
D. "My mother is currently on furosemide for her congestive heart failure." ✔️D
A nurse is preparing to obtain a nursing history from a client who has a new diagnosis of anorexia
nervosa. Which of the following questions should the nurse include in the assessment? SELECT ALL THAT
APPLY
a. "what is your relationship like with your family?"
b. "why do you want to lose weight?"
c. "would you describe your current eating habits?"
d. "at what weight do you believe you will look better?"
e. "can you discuss you feelings about your appearance?" ✔️a. "what is your relationship like with your
family?"
c. "would you describe your current eating habits?"
e. "can you discuss you feelings about your appearance?"
,A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a
current weight of 90lb. Which of the following statements indicates the client is experiencing the
cognitive distortion of catastrophizing?
a. "life isn't worth living if I gain weight."
b. "don't pretend like you don't know how fat I am."
c. "if i could be skinny, I know I'd be popular."
d. "when I look in the mirror, I see myself as obese." ✔️a. "life isn't worth living if I gain weight."
A nurse is performing an admission assessment of a client who has bulimia nervosa with purging
behavior. Which of the following is an expected finding? SELECT ALL THAT APPLY
a. amenorrhea
b. hypokalemia
c. mottling of the skin
d. slightly elevated body weight
e. presence of lanugo on the face ✔️b. hypokalemia
d. slightly elevated body weight
A nurse on an acute care unit is planning care for a client who has anorexia nervosa with binge-eating
and purging behavior. Which of the following nursing actions should the nurse include in the client's
plan of care?
a. allow the client to select preferred meal times
b. establish consequences for purging behavior
c. provide the client with a high-fat diet at the start of treatment
d. implement one-to-one observation during meal times ✔️d. implement one-to-one observation
during meal times
A nurse is caring for a client who has bulimia nervosa and has stopped purging behavior. The client tells
the nurse that she is afraid she is going to gain weight. Which of the following response should the nurse
make?
a. "many clients are concerned about their weight. However, the dietician will ensure that you don;t get
too many calories in your diet."
b. "Instead of worrying about your weight, try to focus on other problems at this time."
, c. "I understand you have concerns about you weight, but first, let's talk about your recent
accomplishments."
d. "you are not overweight, and the staff will ensure that you do not gain weight while you are in the
hospital. We know that is important to you." ✔️c. "I understand you have concerns about you weight,
but first, let's talk about your recent accomplishments."
this statement acknowledges the client's concern and then focuses the conversation on the client's
accomplishments which can promote client self-esteem and self-image
A client is brought to the ED. The client is aggressive, has slurred speech, and impaired motor
coordination. Blood alcohol level is 347 mg/dl. Among the physician's orders is thiamine. Which is the
rationale for this intervention?
A. to prevent nutritional deficits
B. to prevent pancreatitis
C. to prevent alcoholic hepatitis
D. to prevent Wernicke's encephalopathy ✔️D. to prevent Wernicke's encephalopathy
Wernicke's encephalopathy is the most serious form of thiamine deficiency in clients diagnosed with
alcoholism. if thiamine replacement therapy is not undertaken quickly, death will ensue.
A client, diagnosed with chronic alcoholism, says to the nurse, "I'm tired of using and I want to stop. Is
there a medication that can help me maintain sobriety?" About which medication would the nurse
provide information?
A. Carbamazepine (Tegretol)
B. Clonidine (Catapres)
C. Disulfiram (Antabuse)
D. Folic acid (Folvite) ✔️C. Disulfiram (Antabuse)
Disulfiram is used as a deterrent to drinking. Ingestion of alcohol while disulfiram is in the body results in
a syndrome of symptoms that can cause varying degrees of discomfort. It can even result in death if
blood alcohol levels are high. It is important that the client understands that all alcohol, oral, and
topical, and medications that contain alcohol, are strictly prohibited when taking this drug.
Drinking alcohol during pregnancy can damage the developing embryo and fetus, resulting in:
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