Mental health exam #3 2025 With
Questions and Answers 100% Pass
Solution
At 10:00 P.M., the nurse offers trazodone (Desyrel) 150 milligrams to a
newly admitted client experiencing mania. The client responds, "I feel
great, and I don't need to sleep." The nurse's most therapeutic response is:
- ANSWER>>You and your family stated you did not sleep at all last night.
That can be tough on your system.
During family support group, a family member asks: "How is bipolar
disorder different from depression?" Which of the following is the best
response? - ANSWER>>Often, individuals with bipolar disorder can feel
elated, are productive, and do not think there is anything wrong when they
have manic feelings.
Your client states, "Many of the people in my family experience similar
symptoms with each depressive episode. Does that mean that we have the
same genetic defect?" Your best response includes which of the following?
(Select all that apply.) - ANSWER>>Heredity does seem to play a role in
mood disorders. You and your family members may have the same biologic
predisposition.
There are probably several genetic or biologic abnormalities associated
with depression.
Your client states, "I'm going to participate in an experimental brain imaging
study. My primary health care provider thinks I have bipolar I disorder. Are
there lab tests that can help diagnose mood disorders?" Your first response
is: - ANSWER>>Although some abnormal results are found in individuals
with mood disorders, there are no diagnostic lab tests specific to mood
disorders at this time.
, You administer the first dose of an antidepressant to your inpatient client
with major depression. The client asks, "Is this medicine going to fix my
depression?" Your accurate response includes which of the following?
(Select all that apply.) - ANSWER>>In addition, we are going to assist you
in regulating your circadian rhythms, which should improve your
depression.
It should help your depression, and you should feel the full therapeutic
effect in 2 to 3 weeks.
This medication should increase the availability of neurotransmitters in your
brain.
Based on your knowledge of circadian rhythms, discharge teaching for
clients with mood disorders should include which of the following? -
ANSWER>>Antidepressants and mood stabilizers can help restore
circadian rhythms.
You are the triage nurse in an emergency room. Your initial assessment
indicates that depression may be part of the client's problem. Which of the
following nursing actions is essential? - ANSWER>>Ask about depression
and suicidal ideation directly.
Your client with intense suicidal ideation has been hospitalized for 1 week,
during which time he has received a selective serotonin reuptake inhibitor
(SSRI). He reports "no change" in suicidal ideation, although he
demonstrates a wider range of affect and takes more initiative in self-care.
The health care team is considering his imminent discharge. It is essential
to consider which of the following factors? - ANSWER>>The client may
have enough energy to plan and complete a suicide attempt.
A colleague expresses frustration with a client with bipolar disorder on his
seventh admission within 2 years. "I wish he would try taking his
medication. Instead he keeps stopping the medicine and coming back
here." Your best initial response is: - ANSWER>>It can be frustrating to
Questions and Answers 100% Pass
Solution
At 10:00 P.M., the nurse offers trazodone (Desyrel) 150 milligrams to a
newly admitted client experiencing mania. The client responds, "I feel
great, and I don't need to sleep." The nurse's most therapeutic response is:
- ANSWER>>You and your family stated you did not sleep at all last night.
That can be tough on your system.
During family support group, a family member asks: "How is bipolar
disorder different from depression?" Which of the following is the best
response? - ANSWER>>Often, individuals with bipolar disorder can feel
elated, are productive, and do not think there is anything wrong when they
have manic feelings.
Your client states, "Many of the people in my family experience similar
symptoms with each depressive episode. Does that mean that we have the
same genetic defect?" Your best response includes which of the following?
(Select all that apply.) - ANSWER>>Heredity does seem to play a role in
mood disorders. You and your family members may have the same biologic
predisposition.
There are probably several genetic or biologic abnormalities associated
with depression.
Your client states, "I'm going to participate in an experimental brain imaging
study. My primary health care provider thinks I have bipolar I disorder. Are
there lab tests that can help diagnose mood disorders?" Your first response
is: - ANSWER>>Although some abnormal results are found in individuals
with mood disorders, there are no diagnostic lab tests specific to mood
disorders at this time.
, You administer the first dose of an antidepressant to your inpatient client
with major depression. The client asks, "Is this medicine going to fix my
depression?" Your accurate response includes which of the following?
(Select all that apply.) - ANSWER>>In addition, we are going to assist you
in regulating your circadian rhythms, which should improve your
depression.
It should help your depression, and you should feel the full therapeutic
effect in 2 to 3 weeks.
This medication should increase the availability of neurotransmitters in your
brain.
Based on your knowledge of circadian rhythms, discharge teaching for
clients with mood disorders should include which of the following? -
ANSWER>>Antidepressants and mood stabilizers can help restore
circadian rhythms.
You are the triage nurse in an emergency room. Your initial assessment
indicates that depression may be part of the client's problem. Which of the
following nursing actions is essential? - ANSWER>>Ask about depression
and suicidal ideation directly.
Your client with intense suicidal ideation has been hospitalized for 1 week,
during which time he has received a selective serotonin reuptake inhibitor
(SSRI). He reports "no change" in suicidal ideation, although he
demonstrates a wider range of affect and takes more initiative in self-care.
The health care team is considering his imminent discharge. It is essential
to consider which of the following factors? - ANSWER>>The client may
have enough energy to plan and complete a suicide attempt.
A colleague expresses frustration with a client with bipolar disorder on his
seventh admission within 2 years. "I wish he would try taking his
medication. Instead he keeps stopping the medicine and coming back
here." Your best initial response is: - ANSWER>>It can be frustrating to
