ATI Module 2- Mental Health

A nurse is caring for a client who has bipolar disorder. Which of the following actions by the nurse should the nurse interpret as displaying manic behavior? (Select all that apply): 1. talking in rapid, continuous speech 2. interacting with others in a flirtatious way 3. spending large sums of money 4. sleeping for long periods of time 5. dressing in black or grey clothing - -talking in rapid, continuous speech -interacting with others in a flirtatious way -spending large sums of money -pg 74, Chapter 14 a nurse on a mental health unit is caring for clients who have various depressive disorders. The nurse should identify which of the following diagnoses as presenting the greatest risk for suicide a. SAD b. Premenstrual dysphoric disorder c. Recurrent brief depression d. minor depression - c. recurrent brief depression A client who has recurrent brief depression experiences periodic major depressive episodes and is at greatest risk for suicide during these times. What class is Fluoxetine? - SSRI Do SSRIs cause weight gain or weight loss? - weight gain A nurse on an inpatient mental health unit is caring for a client who has major depressive disorder and malnutrition. Which of the following is an appropriate nursing intervention for helping this client at this time? A.) Instruct the client about the importance of eating. B.) Weigh the client at the same time every morning. C.) Ask provider to arrange an nutritional consultation. D.) Sit with the client during meals and snacks. - D. Sit with the client during meals and snacks -A change in appetite is a major symptom of depression. Being present during meals and snacks to support and encourage the client is an appropriate nursing intervention that might actually help the client at this time. A nurse is admitting a client with a suspected cognitive disorder. Which of thefollowing inventories should be included as part of the admission assessment? CAGE questionnaire Abnormal Involuntary Movement Scales (AIMS) Mental Status questionnaire/exam Hamilton Anxiety Scale - -Mental Status questionnaire/exam The use of a mental status questionnaire assists in identifying deterioration in mental status and brain damage which are findings associated with cognitive disorders. Citalopram class? - SSRI A nurse is caring for a client who is a resident in a facility designed for the care of clients with Alzheimer disease.The client has been oriented to name and place and is usually cooperative and able to perform activities of dailyliving (ADL) with minimal supervision. When the client refuses to take medications, the nurse should - D A. notify the provider of the client's increasing confusion.Rationale:Before taking this action, the nurse must make a further assessment regarding the reasons forrefusal. B. crush the pills, if not contraindicated, and mix them in the client's applesauce.Rationale:A confused client can still make valid health care choices. This action does not allow the clientto make a choice. C. explain to the client the possible implications of missing a dose.Rationale:Being confrontational may cause the client to become argumentative and distrustful. D. ask the client to express the reasons for refusing the morning medications and document the event.Rationale:Before making a judgment about the client's competence, the nurse should complete anassessment of the client. It is important to document the client's reasons in his own words,especially if he is refusing ordered medications and/or treatments Why should patients change positions slowly when taking MAOIs? - Because MAOIs can cause orthostatic hypotension A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following behaviors that may cause lithium toxicity? A. Fasting B. Drinking caffeine C. Excercising moderately - A. Fasting Lithium is used to treat the manic stage of bipolar disorder. Toxicity occurs when the level of lithium in the blood becomes too high. Crash dieting or fasting can lead to lithium toxicity because the sodium, electrolyte, and fluid balance are altered, causing the blood levels of lithium to rise.