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PN120 PREPU CHAPTER 17 EXAM LATEST UPDATED QUESTIONS AND CORRECT ANSWERS
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PN120 PREPU CHAPTER 17 EXAM LATEST UPDATEDQUESTIONS AND CORRECT ANSWERS
To care for an acutely suicidal client, which is the most effective initial mode of
treatment? - ANSWER Inpatient care
The genetic theory, when applied to the occurrence of depression, supports that the
psychiatric nurse should ... - ANSWER assess for depression in the client's family
history.
When assessing a client immediately following electroconvulsive therapy (ECT),
the nurse expects what in a client? - ANSWER Confusion
A mental health nurse has formed a nursing diagnosis of hopelessness related to
poor self-concept for a client with depression. An appropriate outcome for this
nursing diagnosis would include what? - ANSWER The client will demonstrate an
improved ability to express self.
Which sleep pattern is suggestive of a manic episode? - ANSWER A client stays
awake for several days and nights before "crashing" and sleeping for a long period.
`The primary nursing goal for a client who is admitted for suicidal ideation or
attempt would be what? - ANSWER Prevent self-destructive behavior.
The nurse is told by a client that the client is having suicidal thoughts. Which
intervention has the lowest priority? - ANSWER Administering a mental status
exam to assess for psychosis
A client who just went through an upsetting divorce is threatening to commit
suicide with a handgun. The client is involuntarily admitted to the psychiatric unit.
Which nursing diagnosis has priority? - ANSWER Risk for suicide related to
highly lethal plan
Which is an accurate statement regarding women and suicide? - ANSWER They
are less likely to complete suicide than men.
A nurse is caring for a client diagnosed with bipolar disorder who has been
,prescribed Divalproex. The nurse knows that the client should have which test
completed before initiation of drug therapy. - ANSWER Liver function
A nurse is caring for a group of hospitalized clients with various psychiatric
diagnoses. The nurse identifies which client as having the highest risk for a suicide
attempt. - ANSWER Man with major depressive disorder
A nurse is providing a presentation about suicide for a group of health
professionals. Which would the nurse address as a major contributing factor to the
rising suicide rate among men? - ANSWER Substance abuse
The nurse educates a class on factors that enhance the risk of suicide. The instructor
determines the need for additional education when the class identifies which as one
of these factors. - ANSWER Cautiousness
A client taking lithium for bipolar disorder is having mild diarrhoea. The nurse
informs the client that this is an example of what? - ANSWER Side effect
A client with bipolar disorder is receiving lithium therapy. The nurse reviews the
client's serum plasma drug levels and determines that the client's level is
therapeutic based on what? - ANSWER 1.0 mEq/L
A client diagnosed with bipolar disorder is admitted to an inpatient psychiatric
facility with acute mania and threats of attacking others in the household. Which
would be the priority? - ANSWER Ensuring safety
The nurse is interviewing a client with a diagnosis of depression and the client
states, "Honestly, I know my family would be a lot better off if I wasn't around to
be a burden on them. That's just between you and me, though, okay?" What is the
nurse's best response? - ANSWER "I'm obliged to share what we talk about with
the other people on your care team."
The nurse is working with an inpatient who has a history of suicide attempts. What
action by the client should the nurse follow up on because it may constitute a
suicide planning behaviour? - ANSWER The client has requested extra bedding
despite the warm weather
A client's depression is being treated in the community with phenelzine. The client
has presented to the clinic stating, "I had a few beers and I'm feeling miserable."
What is the nurse's best action? - ANSWER Assess the client's blood pressure
, A client has been diagnosed with major depression. The client reports that the
client often wakes up during the night and has trouble returning to sleep. The nurse
interprets this finding as suggesting what? - ANSWER Middle insomnia
A client has been on lithium for 3 weeks now. The client approaches the nurse,
saying, "I feel like I'm going to throw up, and I can't even hold this cup of coffee
straight. Why can't I do the crossword puzzle? I usually can do them in about 5
minutes." What is the appropriate nursing intervention at this time? - ANSWER
Further assess the client's symptoms, call the physician, hold the client's next dose
of lithium, and have a blood level drawn because the client is showing symptoms of
toxicity.
A 20-year-old client was admitted to the inpatient unit following a suicide attempt.
The client is disheveled, disorganized, and dehydrated. The priority for the client's
care during the first 24 hours of admission will be what? - ANSWER Assessing the
client's current suicidal ideation and putting the client on suicide precautions.
When assessing a client who reports mild symptoms of depression, the nurse
expects that the diagnostic tests ordered will include: - ANSWER thyroid
stimulating hormone (TSH).
A 46-year-old client has been diagnosed with major depressive disorder. The client
is seeing a nurse practitioner who is deciding on an appropriate treatment regimen.
The nurse practitioner knows that which will be the most effective treatment for
this client's depressive disorder? - ANSWER A combination of psychotherapy and
medication
A client is receiving lithium carbonate for the treatment of mania. The nurse would
reinforce which teaching component regarding lithium treatment. - ANSWER
Schedule bloodwork for lithium levels.
The nurse is seeing a 26-year-old client and the client's family. The client's family
describes the client as being "very, very different." The family describes a history
of periods of unpredictable behavior and disregard for consequences occurring a
few times each year. The client has recently been diagnosed with bipolar I disorder,
a condition that is characterized by what? - ANSWER An elevated mood that lasts
for at least 1 week
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