Scenario:
Nurse Ben documents his initial observations in Susan Choi's mental assessment.
Question:
Nurse Ben performs Susan Choi's initial mental status assessment. Which of the following categories
indicates correct nursing assessment findings? (You will find hot spots to select in the artwork below.
Select only the hot spot that corresponds to your answer.) - ✔✔Thought Content
The client is experiencing a manic episode with denial of the bipolar disorder rather than minimizing of
the disorder.
Scenario:
Nurse Ben continues to collect historical and genetic information related to Susan Choi's episode of
manic behavior.
Question:
Nurse Ben continues to collect information related to Susan Choi's episode of manic behavior. Which of
the following responses to the question asked by the client's mother is appropriate? - ✔✔"According to
the literature, there is strong genetic predisposition for bipolar disorders."
Bipolar disorders have a strong genetic link. The risk for the development of bipolar disorder is higher
for persons who have a relative with this disorder compared to those who do not.
Scenario:
Nurse Ben is confronted with Susan Choi's seductive behavior.
Question:
Susan Choi behaves seductively towards Nurse Ben. Which of the following responses by Ben is
appropriate? - ✔✔"It is the expectation on this unit that there is no inappropriate physical contact. I
need you to stop."
, The nurse is providing information about unit expectations and is giving clear instructions for the client
to stop the inappropriate behavior.
Scenario:
Nurse Ben is preparing to administer olanzapine to Susan Choi.
Question:
Nurse Ben is preparing to administer olanzapine to Susan Choi who is in the early phase of acute mania.
Which of the following are expected outcomes of the medication? (Select all that apply.) - ✔✔-Prevent
mania relapse
-Decrease agitation
-Promote sedation
A client who receives olanzapine can experience fewer mania relapses.
Scenario:
Nurse Ben has asked Nurse Eva to double check the dosage calculation before administering olanzapine.
Question:
Nurse Ben is preparing to administe olanzapine 10 mg IM to Susan Choi, who has acute mania. The
nurse should reconstitute the medication with 2.1 mL of sterile water to yield 5 mg/mL. How many mL
should Ben administer? (Round to the nearest whole number.) - ✔✔2
Desired x Quantity / Have = Amount to give 10 mg × 2 mL / 5 mg = = 2 mL
Scenario:
Nurse Ben is attempting to administer the olanzapine (Zyprexa) IM to Susan Choi.
Question: