Mental Health Exam 2 NCLEX

The nurse is caring for a patient experiencing mania. Which is the most appropriate nursing intervention? A. Provide consistency among staff members when working with the patient. B. Negotiate limits so the patient has a voice in the plan of care. C. Allow only certain staff members to interact with the patient. D. Attempt to control the patient's emotions. - ANS-Provide consistency among staff members when working with the patient. The nurse is planning care for a patient experiencing the acute phase of mania. Which is the priority intervention? A. Maintain stable cardiac status. B. Prevent injury. C. Get the patient to demonstrate thought self control. D. Ensure that the patient get sufficient sleep and rest. - ANS-B. Prevent injury. What critical information should the nurse provide about the use of lithium? A. "You will still have hypersexual tendencies. So be certain to use protection when engaging in intercourse". B. "Lithium will help you to only feel the euphoria of mania but not the anxiety" C. "It will take one to two weeks and may be longer for this medication to start working fully". D. "This medication is a cure for bipolar disorder" - ANS-C. "It will take one to two weeks and may be longer for this medication to start working fully". The nurse has provided education for a patient in the continuation phase after discharge from the hospital. What indicates that the plan of care has been successful? Select all that apply: A. Patient identifies three signs and symptoms of relapse. B. Patient describes the purpose of each medication he has been prescribed. C. Patient states "I no longer have the disease" D. Patient identifies two ways to problem-solve a specific situation. - ANS-A,B,D A bipolar client tells the nurse "I have the finest tenor voice in the world. The three tenors who do all those TV concerts are going to retire because they can't compete with me." The nurse would make the assessment that the client is displaying a. A. flight of ideas. b. B.Distractibility. c. C. limit testing. d. D.Grandiosity. - ANS-D. Grandiosity A client tells the nurse "My doctor thinks my problems with stress relate to the negative way I think about things, and he wants me to learn a new way of thinking." The nurse should be prepared to help the client understand and apply a cognitive technique called: A. Priority restructuring. B. Reframing/restructuring. C. Guided imagery. D. Assertiveness. - ANS-Reframing/restructuring Which client will probably be at greatest risk for experiencing untoward effects of stress? A. Mr. A, who sought medical help for his stress-related symptoms and follows a regimen of medication, proper diet, and rest. B. Mr. B, who finds much satisfaction in implementing highly creative innovations in his work. C. Mr. C, who can depend on the interested support of family, friends, and co-workers. D. Mr. D, who chooses not to deal with the stress-producing situation. - ANS-D. Mr. D, who chooses not to deal with the stress-producing situation. On the basis of recent findings, which client could the nurse expect to have greater difficulty adjusting to life changes that have occurred over the past year? A. A 32-year-old woman who is pregnant, divorcing her husband, and changing residences. B. A 40-year-old man who has received a promotion and undertaken a weight loss program. C. A 45-year-old woman whose daughter left home to attend college and whose ill mother is moving in. D. A 67-year-old retired man who lost his home in a hurricane. - ANS-A. A 32-year-old woman who is pregnant, divorcing her husband, and changing residences. The nurse planning to teach a client to use Benson's relaxation techniques to treat hypertension is essentially teaching the client to A. switch from the sympathetic mode of the autonomic nervous system to the parasympathetic mode. B. alter the internal state by acting on electronic signals related to physiologic processes. C. replace stress-producing activities with daily stress-reducing pleasant activities. D. reduce catecholamine production. - ANS-A. switch from the sympathetic mode of the autonomic nervous system to the parasympathetic mode. A client tells the nurse "I'm told that I should reduce the stress in my life, but I have no idea where to start." The best suggestion for the nurse to make would be Continues...