Psych Mental Health Exam 2
The first-line drug used to treat mania is
A. lithium carbonate (Lithium).
B. carbamazepine (Tegretol).
C. lamotrigine (Lamictal).
D. clonazepam (Klonopin). - ANS-A. lithium carbonate (Lithium)
A person who has numerous hypomanic and dysthymic episodes can be assessed as
demonstrating characteristics of
A. bipolar II disorder.
B. bipolar I disorder.
C. cyclothymia.
D. seasonal affective disorder. - ANS-C. cyclothymia
A bipolar client tells the nurse, "I have the finest tenor voice in the world. The three
tenors who do all those TV concerts are going to retire because they can't compete with
me." The nurse would make the assessment that the client is displaying
A. flight of ideas.
B. distractibility.
C. limit testing.
D. grandiosity. - ANS-D. grandiosity
Which behavior would be most characteristic of a client during a manic episode?
A. Going rapidly from one activity to another
B. Taking frequent rest periods and naps during the day
C. Being unwilling to leave home to see other people
D. Watching others intently and talking little - ANS-A. Going rapidly from one activity to
another
The nurse can expect a client demonstrating typical manic behavior to be attired in
clothing that is
A. dark colored and modest.
B. colorful and outlandish.
C. compulsively neat and clean.
D. ill-fitted and ragged. - ANS-B. colorful and outlandish
An outcome for a manic client during the acute phase that would indicate that the
treatment plan was successful would be that the client
,A. reports racing thoughts.
B. is free of injury.
C. is highly distractible.
D. ignores food and fluid. - ANS-B. is free of injury.
When a client experiences four or more mood episodes in a 12-month period, the client
is said to be
A. dyssynchronous.
B. incongruent.
C. cyclothymic.
D. rapid cycling. - ANS-D. rapid cycling
Which room placement would be best for a client experiencing a manic episode?
A. A shared room with a client with dementia
B. A single room near the unit activities area
C. A single room near the nurses' station
D. A shared room away from the unit entrance - ANS-C. A single room near the nurses'
station.
When a hyperactive manic client expresses the intent to strike another client, the initial
nursing intervention would be to
A. question the client's motive.
B. set verbal limits.
C. initiate physical confrontation.
D. prepare the client for seclusion. - ANS-B. set verbal limits.
When a client reports that lithium causes an upset stomach, the nurse suggests taking
the medication:
A. with meals
B. with an antacid
C. 30 minutes before meals
D. 2 hours after meals - ANS-A. with meals
The priority nursing diagnosis for a hyperactive manic client during the acute phase is
A. risk for injury.
B. ineffective role performance.
C. risk for other-directed violence.
D. impaired verbal communication. - ANS-A. risk for injury
, An acute phase nursing intervention aimed at reducing hyperactivity is redirecting the
client to
A. write in a diary.
B. exercise in the gym.
C. direct unit activities.
D. orient a new client to the unit. - ANS-A. write in a diary.
A bipolar client whose continuing phase treatment consists of lithium therapy and
cognitive-behavioral therapy may become noncompliant with medication. Which factor
would be of least concern to the nurse developing a psychoeducation plan to foster
compliance?
A. The side-effects are unpleasant.
B. The voices tell the client to stop taking it.
C. The client prefers to feel "high" and energetic.
D. The client feels well and denies the possibility of recurrence. - ANS-B. The voices tell
the client to stop taking it.
A manic client tells a nurse "Bud. Crud. Dud. I'm a real stud! You'd like what I have to
offer. Let's go to my room." The best approach for the nurse to use would be
A. "What an offensive thing to suggest!"
B. "I don't have sex with clients."
C. "It's time to work on your art project."
D. "Let's walk down to the seclusion room." - ANS-C. "It's time to work on your art
project."
A desired outcome for the maintenance phase of treatment for a manic client would be
that the client will
A. exhibit optimistic, energetic, playful behavior.
B. adhere to follow-up medical appointments.
C. take medication more than 50% of the time.
D. use alcohol to moderate occasional mood "highs." - ANS-B. adhere to follow-up
medical appointments.
What action should the nurse take on learning that a manic client's serum lithium level is
1.8 mEq/L?
A. Withhold medication and notify the physician.
B. Continue to administer medication as ordered.
C. Advise the client to limit fluids for 12 hours.
D. Advise the client to curtail salt intake for 24 hours. - ANS-A. Withhold medication and
notify the physician.
The first-line drug used to treat mania is
A. lithium carbonate (Lithium).
B. carbamazepine (Tegretol).
C. lamotrigine (Lamictal).
D. clonazepam (Klonopin). - ANS-A. lithium carbonate (Lithium)
A person who has numerous hypomanic and dysthymic episodes can be assessed as
demonstrating characteristics of
A. bipolar II disorder.
B. bipolar I disorder.
C. cyclothymia.
D. seasonal affective disorder. - ANS-C. cyclothymia
A bipolar client tells the nurse, "I have the finest tenor voice in the world. The three
tenors who do all those TV concerts are going to retire because they can't compete with
me." The nurse would make the assessment that the client is displaying
A. flight of ideas.
B. distractibility.
C. limit testing.
D. grandiosity. - ANS-D. grandiosity
Which behavior would be most characteristic of a client during a manic episode?
A. Going rapidly from one activity to another
B. Taking frequent rest periods and naps during the day
C. Being unwilling to leave home to see other people
D. Watching others intently and talking little - ANS-A. Going rapidly from one activity to
another
The nurse can expect a client demonstrating typical manic behavior to be attired in
clothing that is
A. dark colored and modest.
B. colorful and outlandish.
C. compulsively neat and clean.
D. ill-fitted and ragged. - ANS-B. colorful and outlandish
An outcome for a manic client during the acute phase that would indicate that the
treatment plan was successful would be that the client
,A. reports racing thoughts.
B. is free of injury.
C. is highly distractible.
D. ignores food and fluid. - ANS-B. is free of injury.
When a client experiences four or more mood episodes in a 12-month period, the client
is said to be
A. dyssynchronous.
B. incongruent.
C. cyclothymic.
D. rapid cycling. - ANS-D. rapid cycling
Which room placement would be best for a client experiencing a manic episode?
A. A shared room with a client with dementia
B. A single room near the unit activities area
C. A single room near the nurses' station
D. A shared room away from the unit entrance - ANS-C. A single room near the nurses'
station.
When a hyperactive manic client expresses the intent to strike another client, the initial
nursing intervention would be to
A. question the client's motive.
B. set verbal limits.
C. initiate physical confrontation.
D. prepare the client for seclusion. - ANS-B. set verbal limits.
When a client reports that lithium causes an upset stomach, the nurse suggests taking
the medication:
A. with meals
B. with an antacid
C. 30 minutes before meals
D. 2 hours after meals - ANS-A. with meals
The priority nursing diagnosis for a hyperactive manic client during the acute phase is
A. risk for injury.
B. ineffective role performance.
C. risk for other-directed violence.
D. impaired verbal communication. - ANS-A. risk for injury
, An acute phase nursing intervention aimed at reducing hyperactivity is redirecting the
client to
A. write in a diary.
B. exercise in the gym.
C. direct unit activities.
D. orient a new client to the unit. - ANS-A. write in a diary.
A bipolar client whose continuing phase treatment consists of lithium therapy and
cognitive-behavioral therapy may become noncompliant with medication. Which factor
would be of least concern to the nurse developing a psychoeducation plan to foster
compliance?
A. The side-effects are unpleasant.
B. The voices tell the client to stop taking it.
C. The client prefers to feel "high" and energetic.
D. The client feels well and denies the possibility of recurrence. - ANS-B. The voices tell
the client to stop taking it.
A manic client tells a nurse "Bud. Crud. Dud. I'm a real stud! You'd like what I have to
offer. Let's go to my room." The best approach for the nurse to use would be
A. "What an offensive thing to suggest!"
B. "I don't have sex with clients."
C. "It's time to work on your art project."
D. "Let's walk down to the seclusion room." - ANS-C. "It's time to work on your art
project."
A desired outcome for the maintenance phase of treatment for a manic client would be
that the client will
A. exhibit optimistic, energetic, playful behavior.
B. adhere to follow-up medical appointments.
C. take medication more than 50% of the time.
D. use alcohol to moderate occasional mood "highs." - ANS-B. adhere to follow-up
medical appointments.
What action should the nurse take on learning that a manic client's serum lithium level is
1.8 mEq/L?
A. Withhold medication and notify the physician.
B. Continue to administer medication as ordered.
C. Advise the client to limit fluids for 12 hours.
D. Advise the client to curtail salt intake for 24 hours. - ANS-A. Withhold medication and
notify the physician.
