Mental Health Exam 2 updated Questions and Answers 2023

Mental Health Exam 2 updated Questions and Answers 2023 1.A suicidal client, with a history of manic behavior, is admitted to the ED. The client's diagnosis is documented as bipolar I disorder: current episode depressed. What is the rationale for this diagnosis instead of a diagnosis of major depressive disorder? A. The physician does not believe the client is suffering from major depression. B. The client has experienced a manic episode in the past. C. The client does not exhibit psychotic symptoms. D. There is no history of major depression in the client's family. - ANS -B 2.In the initial stages of caring for a client experiencing an acute manic episode, what should the nurse consider to be the priority nursing diagnosis? A. Risk for injury related to excessive hyperactivity B. Disturbed sleep pattern related to manic hyperactivity C. Imbalanced nutrition, less than body requirements related to inadequate intake D. Situational low self-esteem related to embarrassment secondary to high-risk behaviors - ANS -A (always safety) A client, who is prescribed lithium carbonate, is being discharged from inpatient care. Which medication information should the nurse teach this client? A. Do not skimp on dietary sodium intake. B. Have serum lithium levels checked every six months. C. Limit fluid intake to 1000 ml of fluid per day. D. Adjust the dose if you feel out of control. - ANS -A In the initial stages of caring for a client experiencing an acute manic episode, what should the nurse consider to be the priority nursing diagnosis? A. Risk for injury related to excessive hyperactivity B. Disturbed sleep pattern related to manic hyperactivity