PsychExam1ATIQuestions n, n, n, n,
1. A nurse is planning care for a client who has bipolar disorder and is
n, n, n, n, n, n, n, n, n, n, n, n, n,
experiencing a manic episode.Which of the following interventions should
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the nurse include in the plan of care? (Select all that apply.)
n, n, n, n, n, n, n, n, n, n, n, n,
A. Provide flexible client behavior expectations. n, n, n, n,
B. Offer concise explanations. n, n,
C. Establish consistent limits. n, n,
D. Disregard client concerns. n, n,
E. Use a firm approach with communication.: B. CORRECT: Offering concise
n, n, n, n, n, n, n, n, n,
explanations improves the client's ability to focus and comprehend the information.
n, n, n, n, n, n, n, n, n, n, n,
C.CORRECT:Establishing consistent limits
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, n
, n, n,
E.CORRECT:Usinga firm approach with client communication promotes structure and
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, n
, n, n, n, n, n, n, n, n, n,
minimizes inappropriate client behaviors. n, n, n,
2. A nurse is teaching a newly licensed nurse about the use of electroconvul- sive
n, n, n, n, n, n, n, n, n, n, n, n, n,
therapy (ECT) for the treatment of bipolar disorder. Which of the following
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, n, n, n, n, n, n, n, n
, n, n, n,
statements by the newly licensed nurse indicates understanding? A. "ECT is
n, n, n, n, n, n, n, n, n, n, n,
the recommended initial treatment for bipolar disorder."
n, n, n, n, n, n, n,
B. "ECT is contraindicated for clients who have suicidal ideation."
n, n, n, n, n, n, n, n, n,
C."ECT is effective for clients who are experiencing severe mania."
n, n, n, n, n, n, n, n, n, n,
D."ECT is prescribed to prevent
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relapse of bipolar disorder.":C.CORRECT:ECT is appropriate for the treatment of
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, n
, n, n, n, n, n, n,
severe mania associated with bipolar disorder.
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3. Anurseiscaringforaclientwhohasbipolardisorder.Whichofthefollowing is the
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, n
, n
, n
, n
, n
, n
, n
, n
, ,n n
, n
, n
, n, n,
priority nursing action?
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A. Set consistent limits for expected client behavior.
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B. Administer prescribed medications as scheduled. n, n, n, n,
C. Provide the client with stepbystep instructions during hygiene activities. n, n, n, n, n, n, n, n,
D. Monitorthe client for escalating behavior.:D.CORRECT:Monitoring for es- n
, n, n, n, n, ,n n
, n
, n, n,
calating behavior addresses the client's priority need for safety and
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is therefore the priority nursing action.
n, n, n, n, n,
4. A nurse is caring for a client who has bipolar disorder. The client states, "I am
n
, n, n, n, n, n, n, n, n, n, ,n n, n, n, n,
very rich, and I feel I must give my money to you." Which of the following
n, n, n, n, n, n, n, n, n, n, n, n, ,n n, n, n,
responses should the nurse make?
n, n, n, n, n,
A. "Why do you think you feel the need to give money away?" n, n, n, n, n, n, n, n, n, n, n,
B. "I am here to provide care and cannot accept this from you."
n, n, n, n, n, n, n, n, n, n, n,
C. "I can request that your case manager discuss appropriate charity options
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with you."
n, n,
D. "You should know that giving away n, n, n, n, n,
, PsychExam1ATIQuestions n, n, n, n,
your money is inappropriate.": B. CORRECT: This statement is matter
n, of fact n, n, n, n, n, n, n, n,
concise and is a therapeutic response to a client who has bipolar disorder.
n, n, n, n, n, n, n, n, n, n, n, n, n,
5. A nurse is discussing relapse prevention with a client who has bipolar
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disorder.Which of the following information should the nurse include in the
n, ,n n, n, n, n, n, n, n, n, n, n,
teaching? (Select all that apply.)
n, n, n, n, n,
A. Use caffeine in moderation to prevent relapse. n, n, n, n, n, n,
B. Difficulty sleeping can indicate a relapse. n, n, n, n, n,
C. Begin taking your medications as soon as a relapse begins. n, n, n, n, n, n, n, n, n,
D. Participating in psychotherapy can help prevent a relapse. n, n, n, n, n, n, n,
E. Anhedoniaisaclinicalmanifestationofadepressiverelapse.: B.CORRECT: The n, n, n, n, n, n, n, n, n, n
, n,
client should be alert for sleep disturbances, which can indicate a relapse.
n, n, n, n, n, n, n, n, n, n, n, n,
D.CORRECT:Theclient who has bipolar disordercan participate in psychotherapy to
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, n
, n
, n, n, n, n, n, n, n, n, n,
help prevent a relapse.
n, n, n, n,
E.CORRECT:Theonsetofanhedonia,theinabilitytofeelpleasure,isa manifesta- tion of
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, n
, n
, n, n, n, n, n, n, n, n, n, n, n, n,
depression which can indicate a relapse of bipolar disorder.
n, n, n, n, n, n, n, n, n,
6. Anurseiscaringforaclientwhohassubstanceinducedpsychoticdisorder and
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, n
, n
, n
, n
, n
, n
, n
, n
, n
, n
, n,
is experiencing auditory hallucinations.The client states, "The voices won't
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leave me alone!"Which of the following statements should the nurse make?
n, n, n, n, n, n, n, n, n, n, n, n,
(Select all that apply.)
n, n, n, n,
A. "When did you start hearing these things?" n, n, n, n, n, n,
B. "The voices are not real, or else we would both hear them." n, n, n, n, n, n, n, n, n, n, n,
C. "It must be scary to hear voices." n, n, n, n, n, n,
D. "Are the voices you hear telling you to hurt yourself?" n, n, n, n, n, n, n, n, n,
E. "Whyarethevoicestalkingtoonlyyou?":A.CORRECT:Asktheclientdirectly about n, n, n, n, n, n, n, n, n
, n
, n, n, n, n,
the hallucination.
n, n,
C.CORRECT:Focus on the client's feelings rather than agreeing with the client's
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, n
, n, n, n, n, n, n, n, n, n, n,
hallucination.
n,
D.CORRECT:Assess for command hallucinations and the client's risk for injury to self or
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, n
, n, n, n, n, n, n, n, n, n, n, n, n,
others.
n,
7. A nurse is completing an admission assessment for a client who has
n, n, n, n, n, n, n, n, n, n, n,
schizophrenia.Whichofthe followingfindings should the nurse documentas
n, ,n n, n, n, n, n, n, n, n, n,
positive symptoms? (Select all that apply.)
n, n, n, n, n, n,
A. Auditory hallucination n,
B. Lack of motivation n, n,
C. Use of clang associations n, n, n,
D. Delusion of persecution n, n,
E. Constantly waving arms n, n,
F. Flat affect:A.CORRECT:Hallucinations are an example of a positive symptom.
n, n, n
, n, n, n, n, n, n, n, n,
C.CORRECT:Alterations in speech are an example of a positive symptom.
n
, n, n, n, n, n, n, n, n, n, n,
1. A nurse is planning care for a client who has bipolar disorder and is
n, n, n, n, n, n, n, n, n, n, n, n, n,
experiencing a manic episode.Which of the following interventions should
n, n, n, n, ,n n, n, n, n, n,
the nurse include in the plan of care? (Select all that apply.)
n, n, n, n, n, n, n, n, n, n, n, n,
A. Provide flexible client behavior expectations. n, n, n, n,
B. Offer concise explanations. n, n,
C. Establish consistent limits. n, n,
D. Disregard client concerns. n, n,
E. Use a firm approach with communication.: B. CORRECT: Offering concise
n, n, n, n, n, n, n, n, n,
explanations improves the client's ability to focus and comprehend the information.
n, n, n, n, n, n, n, n, n, n, n,
C.CORRECT:Establishing consistent limits
n
, n
, n, n,
E.CORRECT:Usinga firm approach with client communication promotes structure and
n
, n
, n, n, n, n, n, n, n, n, n,
minimizes inappropriate client behaviors. n, n, n,
2. A nurse is teaching a newly licensed nurse about the use of electroconvul- sive
n, n, n, n, n, n, n, n, n, n, n, n, n,
therapy (ECT) for the treatment of bipolar disorder. Which of the following
n
, n, n, n, n, n, n, n, n
, n, n, n,
statements by the newly licensed nurse indicates understanding? A. "ECT is
n, n, n, n, n, n, n, n, n, n, n,
the recommended initial treatment for bipolar disorder."
n, n, n, n, n, n, n,
B. "ECT is contraindicated for clients who have suicidal ideation."
n, n, n, n, n, n, n, n, n,
C."ECT is effective for clients who are experiencing severe mania."
n, n, n, n, n, n, n, n, n, n,
D."ECT is prescribed to prevent
n, n, n, n, n,
relapse of bipolar disorder.":C.CORRECT:ECT is appropriate for the treatment of
n, n, n, n, n
, n
, n, n, n, n, n, n,
severe mania associated with bipolar disorder.
n, n, n, n, n, n,
3. Anurseiscaringforaclientwhohasbipolardisorder.Whichofthefollowing is the
n
, n
, n
, n
, n
, n
, n
, n
, n
, n
, ,n n
, n
, n
, n, n,
priority nursing action?
n, n, n,
A. Set consistent limits for expected client behavior.
n, n, n, n, n, n,
B. Administer prescribed medications as scheduled. n, n, n, n,
C. Provide the client with stepbystep instructions during hygiene activities. n, n, n, n, n, n, n, n,
D. Monitorthe client for escalating behavior.:D.CORRECT:Monitoring for es- n
, n, n, n, n, ,n n
, n
, n, n,
calating behavior addresses the client's priority need for safety and
n, n, n, n, n, n, n, n, n, n,
is therefore the priority nursing action.
n, n, n, n, n,
4. A nurse is caring for a client who has bipolar disorder. The client states, "I am
n
, n, n, n, n, n, n, n, n, n, ,n n, n, n, n,
very rich, and I feel I must give my money to you." Which of the following
n, n, n, n, n, n, n, n, n, n, n, n, ,n n, n, n,
responses should the nurse make?
n, n, n, n, n,
A. "Why do you think you feel the need to give money away?" n, n, n, n, n, n, n, n, n, n, n,
B. "I am here to provide care and cannot accept this from you."
n, n, n, n, n, n, n, n, n, n, n,
C. "I can request that your case manager discuss appropriate charity options
n, n, n, n, n, n, n, n, n, n,
with you."
n, n,
D. "You should know that giving away n, n, n, n, n,
, PsychExam1ATIQuestions n, n, n, n,
your money is inappropriate.": B. CORRECT: This statement is matter
n, of fact n, n, n, n, n, n, n, n,
concise and is a therapeutic response to a client who has bipolar disorder.
n, n, n, n, n, n, n, n, n, n, n, n, n,
5. A nurse is discussing relapse prevention with a client who has bipolar
n, n, n, n, n, n, n, n, n, n, n,
disorder.Which of the following information should the nurse include in the
n, ,n n, n, n, n, n, n, n, n, n, n,
teaching? (Select all that apply.)
n, n, n, n, n,
A. Use caffeine in moderation to prevent relapse. n, n, n, n, n, n,
B. Difficulty sleeping can indicate a relapse. n, n, n, n, n,
C. Begin taking your medications as soon as a relapse begins. n, n, n, n, n, n, n, n, n,
D. Participating in psychotherapy can help prevent a relapse. n, n, n, n, n, n, n,
E. Anhedoniaisaclinicalmanifestationofadepressiverelapse.: B.CORRECT: The n, n, n, n, n, n, n, n, n, n
, n,
client should be alert for sleep disturbances, which can indicate a relapse.
n, n, n, n, n, n, n, n, n, n, n, n,
D.CORRECT:Theclient who has bipolar disordercan participate in psychotherapy to
n
, n
, n
, n, n, n, n, n, n, n, n, n,
help prevent a relapse.
n, n, n, n,
E.CORRECT:Theonsetofanhedonia,theinabilitytofeelpleasure,isa manifesta- tion of
n
, n
, n
, n, n, n, n, n, n, n, n, n, n, n, n,
depression which can indicate a relapse of bipolar disorder.
n, n, n, n, n, n, n, n, n,
6. Anurseiscaringforaclientwhohassubstanceinducedpsychoticdisorder and
n
, n
, n
, n
, n
, n
, n
, n
, n
, n
, n
, n,
is experiencing auditory hallucinations.The client states, "The voices won't
n, n, n, n, ,n n, n, n, n, n,
leave me alone!"Which of the following statements should the nurse make?
n, n, n, n, n, n, n, n, n, n, n, n,
(Select all that apply.)
n, n, n, n,
A. "When did you start hearing these things?" n, n, n, n, n, n,
B. "The voices are not real, or else we would both hear them." n, n, n, n, n, n, n, n, n, n, n,
C. "It must be scary to hear voices." n, n, n, n, n, n,
D. "Are the voices you hear telling you to hurt yourself?" n, n, n, n, n, n, n, n, n,
E. "Whyarethevoicestalkingtoonlyyou?":A.CORRECT:Asktheclientdirectly about n, n, n, n, n, n, n, n, n
, n
, n, n, n, n,
the hallucination.
n, n,
C.CORRECT:Focus on the client's feelings rather than agreeing with the client's
n
, n
, n, n, n, n, n, n, n, n, n, n,
hallucination.
n,
D.CORRECT:Assess for command hallucinations and the client's risk for injury to self or
n
, n
, n, n, n, n, n, n, n, n, n, n, n, n,
others.
n,
7. A nurse is completing an admission assessment for a client who has
n, n, n, n, n, n, n, n, n, n, n,
schizophrenia.Whichofthe followingfindings should the nurse documentas
n, ,n n, n, n, n, n, n, n, n, n,
positive symptoms? (Select all that apply.)
n, n, n, n, n, n,
A. Auditory hallucination n,
B. Lack of motivation n, n,
C. Use of clang associations n, n, n,
D. Delusion of persecution n, n,
E. Constantly waving arms n, n,
F. Flat affect:A.CORRECT:Hallucinations are an example of a positive symptom.
n, n, n
, n, n, n, n, n, n, n, n,
C.CORRECT:Alterations in speech are an example of a positive symptom.
n
, n, n, n, n, n, n, n, n, n, n,
