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A patient with Bipolar disorder has been prescribed Lithium. Good
patient teaching includes: (Select all that apply)
A. High sodium levels can increase of Lithium toxicity.
B. It is not important to monitor medications levels after doing so forth a
month
C. Its important to have your kidneys checked periodically
D. Low sodium levels can increase risk of Lithium toxicity - CORRECT
ANSWER C, D
Patient teaching low sodium levels leads to higher lithium levels
Characteristics of mania include the following: (Select all that apply)
A. Inflated sense of self importance
B. Racing thoughts
C. Distraction by environmental events
D. Drastically reduced sleep requirements - CORRECT ANSWER A, B, C,
D
P. 230
As a nurse, you anticipate that the nursing history of a patient diagnosed
with obsessive-compulsive disorder (OCD) will most likely reveal:
A. A phobia as well
B. An eating disorder
,C. A history of childhood trauma
D. A sibling with the disorder - CORRECT ANSWER D.
P. 281
When working on the floor of the psychiatric unit at John Muir, you
notice a patient counting everything. The patient counts the number of
steps to the front desk, how many times the telephone rings, the
amount of flowers in the dayroom, etc. How should the nurse document
this finding?
A. Compulsion
B. Phobia
C. Obsession
D. Trichotillomania - CORRECT ANSWER A. Compulsion
A homeless bipolar patient states that "I don't need to worry about
finding a job because I am making a movie with Warner brothers next
week and will get a million dollars next month." What kinds of thoughts
in she having?
A. Flight of ideas
B. Grandiosity
C. Rapid cycling
D. Clang association - CORRECT ANSWER B. Grandiosity
What is an important emphasis on medication education for a patient
prescribed an antianxiety medication for obsessive-compulsive behavior
such as Prozac? (Select all that apply)
A. Medication should be taken on an empty stomach
B. Excessive Caffeine beverages should be avoided especially at bedtime.
,C. Benzodiazepines have a quickness's onset of action, while prozac
takes at least 4 weeks to maximize efficacy
D. Anatacids can delay medication absrobtions - CORRECT ANSWER B,
C, D.
Beverages containing caffeine should be avoided because they decrease
the desired effects of the drug.
Benzodiazepines are used most commonly for treatment of anxiety
disorders because they have a quick onset of action; however, because
of the potential for dependence, these medications ideally should be
used for short periods only until other medications or treatments
reduce symptoms.
Antacids may delay absorption.
A nurse is assessing a client with the diagnosis of schizophrenia,
undifferentiated type, unlike paranoid schizophrenia the patient has
more
A. Loose and illogical associations
B. Ritualistic behaviors and obsessive thinking
C. Suspiciousness
D. Euphoria - CORRECT ANSWER A. Loose and illogical associations
A nurse is assessing a client with the diagnosis of schizophrenia,
undifferentiated type, unlike paranoid schizophrenia the patient has
more
While assessing a client with schizophrenia, the nurse notes that the
client is experiencing positive and negative symptoms such as ( select all
that apply).
A. Sociable intrusive
B. Delusions of being poisoned
, C. Agitated and paranoid behaviors
D. Auditory hallucinations
E. Euphoria - CORRECT ANSWER B, C, D
A delusion is a fixed false belief that is resistant to reasoning; when a
person believes that he or she is a famous, historical or fictional
omnipotent character this is called a delusion of grandeur; a delusion is
a positive symptom associated with schizophrenia.
Agitated and restless behaviors are positive symptoms of schizophrenia.
An auditory hallucination is a sensory perception involving the sense of
hearing that occurs in the absence of an external stimulus and is a
positive symptom associated with schizophrenia
You're assessing a client with chronic schizophrenia. As a nurse, which
effects will you most likely observe in the client? (Select all that apply)
A. Pressured speech
B. Flatness
C. Euphoria
D. Apathy
E. Grandiose delusions - CORRECT ANSWER B, D
Flatness and apathy
During a one-on-one interaction with a client with paranoid-type
schizophrenia, the client says to the nurse, "I've figured out how foreign
agents have infiltrated the news media. They want to shut me up before
I spill the beans." How should the nurse describe this statement when
documenting this client's response?
A. Delusions of persecutions
B. Nihilistic delusions
C. Delusions of grandeur