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A nurse in a mental health clinic is caring for a client who has bipolar disorder and reports that
they stopped taking lithium 2 weeks ago. the nurse should recognize which of the following as
an expected adverse effect that might have caused the client to stop taking the medication?
Hand tremors
A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above their
ideal body weight. Which of the following interventions should the nurse include in the plan?
identify the client's trigger foods
A nurse is caring for a client whose child has a terminal illness. The client requests information
about how to deal with the upcoming loss. Which of the following statements should the nurse
make?
"It is not uncommon to feel angry toward yourself or others."
A nurse in a mental health clinic is planning care for a client who has a new prescription for
olanzapine. Which of the following interventions should the nurse identify as the priority?
Instruct the client to avoid driving during initial therapy.
A nurse is counseling an adolescent who has anorexia nervosa and reports excessive laxative
use and a fear of gaining weight. The client states, "I'm so fat I can't even stand to look at
, myself." Which of the following therapeutic responses demonstrates the nurse's use of
summarizing?
"You're saying that you think you are fat and are using laxatives because you are afraid of
gaining weight."
A nurse is admitting a client who has schizophrenia to an acute care setting. When the nurse
questions the client regarding their admission, the client states, "I'm red, in the head, and I'm
going to bed!" The nurse should document the client's speech pattern as which of the
following?
Clang association
A nurse is caring for a client who has alcohol use disorder.
Complete the following sentence by using the list of options.
The client is at greatest risk for _______ as evidenced by the client's ________
violent behavior
agitation
A nurse on a mental health unit is caring for a recently admitted client.
For each potential assessment finding, click to specify if it is a positive or negative symptom of
schizophrenia.
Delusions of grandeur
Absence of intonation in speech
Catatonia