663 Exam 1 Stahl Study Guide Chapter 8

663 Exam 1 Stahl Study Guide Chapter 8 The nurse learns at report that a newly admitted manic pt is demonstrating grandiosity. Which statement would be most consistent with this sx A. I cant do anything anymore B. I'm the worlds most astute financier C. I can understand why my wife is upset that I overspend D. I cant understand where all the money in our family goes - CORRECT ANSWER-B. I'm the worlds most astute financier The nurse will base a discussion of dysthymia on the fact that the condition A. typically has an acute onset B. involves delusional thinking C. is chronic low level depression D. does not include SI - CORRECT ANSWER-C. is chronic low level depression What is the priority nursing dx for a pt exhibiting signs of acute mania that include exaggerated physical activity, agitation, insomnia and anorexia A. risk for injury B. chronic low self esteem C. noncompliance D. insomnia - CORRECT ANSWER-A. risk for injury A pt has been admitted with a dx of atypical depression. In planning interventions, the nurse would expect to consider the characteristic sx of A. seasonal episodes B. leaden paralysis C. psychomotor agitation D. increased depression in the morning - CORRECT ANSWER-B. leaden paralysis An inappropriately dressed pt has not slept for 3 days while making excessive, expensive long distance phone calls. When the pt can be heard singing loudly in the examining room, the nurse makes initial plans to focus on A. assessing needs for food, liquids and rest B. setting strict limits on dress and behavior C. conducting an in-depth suicide assessment D. obtaining a complete psychosocial assessment - CORRECT ANSWER-A. assessing needs for food, liquids and rest Which statement by the pt would indicate the need for additional education regarding the prescribed lithium tx regimen A. i will restrict my daily salt intake B. i will take my meds with food C. i will have my blood drawn on schedule D. i will drink 8 to 12 glasses of liquids daily - CORRECT ANSWER-A. i will restrict my daily salt intake The nurse would evaluate that pt ed regarding lithium therapy for an individual with bipolar disorder as effective if the pt states A. I can stop my lithium when I feel better B. I can continue with my diuretic and cardiac meds C. I will probably need to take the lithium for the rest of my life D. I will taper my lithium when a therapeutic serum level is achieved - CORRECT ANSWER-C. I will probably need to take the lithium for the rest of my life A pt who has been taking lithium 300mg TID comes to the outpt department with a list of meds he is taking. Which of the meds on the list would require re-evaluation of lithium dosage A. hydrodiuril daily B. navane BID C. ativan at HS D. cefobid daily - CORRECT ANSWER-A. hydrodiuril daily Which outcomes would be appropriate to determine early favorable response to antidepressant med A. the pt will complete own self care activities B. the pt will demonstrate assertive communication skills C. the pt will describe signs and sx of MDD D. the pt will make plans to attend one community social activity a week - CORRECT ANSWER-A. the pt will complete own self care activities Prior to initiating med therapy with phenelzine, the nurse should plan to determine the pt's A. mood and affect B. activity level C. cognitive ability to understand information about the med D. support network and its members willingness to participate in tx - CORRECT ANSWER-C. cognitive ability to understand information about the med A pt who has a hx of bipolar disorder recently underwent orthopedic surgery and was discharged to return home. When visited by the home care nurse, the nurse documented the following: slow and soft speech; sad facial expression; and pt crying when describing extreme fatigue, low mood, and the feeling that he will never get well. He has refused to bathe and perform ADLs for several days. Which nursing dx would be appropriate A. self care deficit secondary to possible depression B. situational low - CORRECT ANSWER-A. self care deficit secondary to possible depression The nurse caring for an extremely withdrawn pt with depression wants to assist her to become more interactive. The best approach would be to say A. I know youll feel better if you leave your room B. You look so gloomy sitting here all by yourself C. lets explore how it feels to sit alone here all day and feel sad D. i need another person for a card game and id like you to be my partner - CORRECT ANSWER-D. i need another person for a card game and id like you to be my partner Which nursing dx would relate to the primary nursing concern r/t a recently written prescription for amitriptyline 50mg TID A. anxiety B. ineffective coping C. risk for self injury D. chronic low self esteem - CORRECT ANSWER-C. risk for self injury What information concerning amitriptyline 50mg TID would the nurse give the pt regarding the expected outcome of this med therapy A. complying with this therapy will cure your depression B. this med is expected to improve brain chemical imbalance C. amitriptyline will help re-establish you ability to think clearly again D. amitriptyline will be particular effective at assisting you in regaining your independence - CORRECT ANSWER-B. this med is expected to improve brain chemical imbalance Which princple should the nurse apply when planning nursing care for a pt who was vol admitted after a suicide attempt A. pts who attempt suicide and fail will not try again B. the more specific the plan, the greater the risk for suicide C. pts who talk about suicide are less likely to attempt it D. pts who attempt suicide and fail do not really want to die - CORRECT ANSWER-B. the more specific the plan, the greater the risk for suicide An appropriate nursing strategy to assist a pt who was invol admitted after a suicide attempt is A. avoiding any focus on the topic of suicide B. encouraging pt to verbalize personal feelings C. supporting pt focus on others rather than self D. discussing the impact of suicidal thoughts on the family - CORRECT ANSWER-B. encouraging pt to verbalize personal feelings Which principle should the nurse apply when planning care for a pt who is dx with bipolar disorder and currently in the manic phase A. manic pts respond well to peer pressure B. decreasing stimulation tends to diminish sx C. increasing stimulation tends to encourage the pt to focus D. detailed activities will facilitate the pts ability to self control behavior - CORRECT ANSWER-D. detailed activities will facilitate the pts ability to self control behavior