WITH SOLUTIONS GRADED A+
◉ The RN is preparing medications for a client with bipolar disorder
and notices that the client discontinued antipsychotic medication for
several days. Which medication should also be discontinued?
A. Lithium (Lithotabs)
B. Benzotropine (Cogentin)
C. Alprazolam (Xanax)
D. Magnesium( Milk of Magnesia). Answer: B. Benzotropine
◉ A female client requests that her husband be allowed to stay in the
room during the admission assessment. When interviewing the client,
the RN notes a discrepancy between the clients verbal and nonverbal
communication. What action does the RN take?
A. Pay close attention and document the nonverbal messages
B. Ask the client's husband to interpret the discrepancy
C. Ignore the nonverbal behavior and focus on the clients verbal
messages
D. Integrate the verbal and nonverbal messages and interpret them as
one. Answer: A. Pay close attention and document the nonverbal
messages
, ◉ A male client approaches the RN with an angry expression on his face
and raises his voice saying " My roommate is the most selfish, self-
centered, angry person I have ever met. If he loses his temper one more
time with me, I'm going to punch him out!" The RN recognizes that the
client is using which defense mechanism?
A. Denial
B. Projection
C. Rationalization
D. Splitting. Answer: B. Projection
◉ A male client with bipolar disorder wo began taking lithium carbonate
five days ago is complaining of excessive thirst, and the RN find him
attempting to drink water from the bathroom sink faucet. Which
intervention should the RN implement?
A. Report the clients serum lithium level to the HCP
B. Encourage the client to suck on hard candy to relieve the symptoms
C. No action is needed since polydipsia is a common side effect
D. Tell the client that drinking from the faucet is not allowed. Answer:
A. Report the clients serum lithium level to the HCP
◉ The Rn is teaching a client about the initiation of the prescribed
abstinence therapy using disulfiram (Antabuse). What information
should the client acknowledge understanding?
A. Completely abstain form heroin or cocaine use
B. Remain alcohol free for 12 hours prior to the first dose.