A client says to the nurse, "You are the best nurse I've ever met. I want you to remember me." What is an
appropriate response by the nurse?
a. "Thank you. I think you are special too."
b. "I suspect you want something from me. What is it?"
c. "You probably say that to all your nurses."
d. "Are you thinking of suicide?" - ✔✔b
A client with bipolar disorder begins taking lithium carbonate (lithium) 300 mg four times a day. After 3 days of
therapy, the client says, "My hands are shaking." Which is the best response by the nurse?
a. "Fine motor tremors are an early effect of lithium therapy that usually subsides in a few weeks."
b. "It is nothing to worry about unless it continues for the next month."
c. "Tremors can be an early sign of toxicity, but we'll keep monitoring your lithium level to make sure you're OK."
d. "You can expect tremors with lithium. You seem very concerned about such a small tremor." - ✔✔a
A client with bulimia is learning to use the technique of self-monitoring. Which intervention by the nurse would be
most beneficial for this client?
a. Ask the client to write about all feelings and experiences related to food.
b. Assist the client in making daily meal plans for 1 week.
c. Encourage the client to ignore feelings and impulses related to food.
d. Teach the client about nutrition content and calories of various foods. - ✔✔
A client with mania begins dancing around the day room. When she twirled her skirt in front of the male clients, it
was obvious she had no underwear on. The nurse distracts her and takes her to her room to put on underwear.
The nurse acted as they did to
a. minimize the client's embarrassment about her present behavior.
b. keep her from dancing with other clients.
c. avoid embarrassing the male clients who are watching.
d. teach her about proper attire and hygiene. - ✔✔d
A teenager is being evaluated for an eating disorder. Which finding would suggest anorexia nervosa?
a. Guilt and shame about eating patterns
b. Lack of knowledge about food and nutrition
c. Refusal to talk about food-related topics
d. Unrealistic perception of body size - ✔✔
Adverse effects associated with antipsychotic drugs are related to the drugs' effects on receptor sites and can
include
a. insomnia and hypertension.
b. dry mouth, hypotension, and glaucoma.
c. diarrhea and excessive urination.
d. increased sexual drive and improved concentration. - ✔✔
Antipsychotic drugs are also known as neuroleptic drugs because they
, a. cause numerous neurological effects.
b. frequently cause epilepsy.
c. are also minor tranquilizers.
d. are the only drugs known to directly affect nerves. - ✔✔
Antipsychotic drugs are basically
a. serotonin reuptake inhibitors.
b. norepinephrine blockers.
c. dopamine receptor blockers.
d. acetylcholine stimulators. - ✔✔
Attention deficit hyperactivity disorder (the inability to concentrate or focus on an activity) and narcolepsy (sudden
episodes of sleep) are both most effectively treated with the use of
a. neuroinhibitors.
b. dopamine receptor blockers.
c. major tranquilizers.
d. CNS stimulants. - ✔✔
Before administering lithium to a patient, the nurse should check for the concomitant use of which drugs, which
could cause serious adverse effects?
a. Ibuprofen
b. Haloperidol
c. Thiazide diuretics
d. Antacids
e. Ketoconazole
f. Theophylline - ✔✔
Dyskinesias are a common adverse effect of antipsychotic drugs. Nursing interventions for the patient receiving
antipsychotic drugs should include which actions?
a. Positioning to decrease discomfort of dyskinesias
b. Implementing safety measures to prevent injury
c. Encouraging the patient to chew tablets to prevent choking
d. Careful teaching to alert the patient and family about this adverse effect
e. Applying ice to the joints to prevent damage
f. Pureeing all food to decrease the risk of aspiration - ✔✔
Haloperidol (Haldol) is a potent antipsychotic that is associated with severe
a. extrapyramidal effects.
b. hyperactivity.
c. hypotension.
d. anticholinergic effects. - ✔✔
Identify the serum lithium level for maintenance and safety.
a. 0.1 to 1 mEq/L
b. 0.5 to 1.5 mEq/L
c. 10 to 50 mEq/L
d. 50 to 100 mEq/L - ✔✔d
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