Mental Health (PSYCH) HESI
A client began taking lithium for the treatment of BP ailment approximately 1 month in the past.
The customer asks if it's miles regular to have gained 12 pounds in this time frame. Which is the
perfect nursing reaction?
A. "Thats ordinary. Weight loss is the typical pattern."
B. "What have you been ingesting? Weight benefit is not generally accomplice with lithium."
C. "Weight advantage is a common but troubling side effect."
D. "Weight advantage most effective happens in the course of the primary month of remedy with
this drug." - ANS-Answer:
C. "Weight benefit is a not unusual but troubling facet impact."
A patron recognized with bipolar ailment is distraught over insomnia skilled during the last three
nights and a 12- pound weight reduction during the last 2 weeks. Which ought to be this
customer's precedence nursing analysis?
A. Knowledge deficit R/T bipolar disorder AEB difficulty approximately signs.
B. Altered nutrients: Less than body requirements r/t hyperactivity AEB weight loss.
C. Risk for suicide r/t powerlessness AEB insomnia and anorexia.
D. Altered sleep styles r/t mania AEB insomnia for the beyond three nights. - ANS-Answer:
B. Altered vitamins: Less than body requirements r/t hyperactivity AEB weight loss. (bodily
desires/health always priority.)
A purchaser diagnosed with bipolar ailment: depressive section deliberately overdoses on
sertraline (Zoloft). Family individuals file that the consumer has enjoy anorexia, insomnia, and
recent activity loss. What ought to be the concern nursing diagnosis for this patron?
A. Risk for suicide r/t hopelessness.
B. Anxiety: severe r/t hyperactivity
C. Imbalanced nutrients: less than body requirements r/t refusal to eat
D. Dysfunctional grieving r/t lack of employment. - ANS-Answer:
A. Risk for suicide r/t hopelessness.
A patron identified with BP ailment has been taking lithium carbonate (Lithaine) for 1 12 months.
The purchaser gives in an emergency branch with a temp of 101F (38C), severe diarrhea,
blurred vision, and tinnitus. How ought to the nurse interpret those signs?
A. Symptoms suggest intake of foods excessive in tyramine.
B. Symptoms indicate lithium carbonate discontinuation syndrome.
C. Symptoms indicate the improvement of lithium carbonate tolerance.
D. Symptoms suggest lithium carbonate toxicity. - ANS-Answer:
D. Symptoms suggest lithium carbonate toxicity. (zero.6-1.2 ordinary variety. Blurred imaginative
and prescient and tinnitus is most apparent clue)
, A purchaser diagnosed with BP sickness is exhibiting excessive manic behaviors. A health
practitioner prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The patron's
spouse questions the Zyprexa order. Which is the right nursing response?
A. "Zyprexa in combination with Eskalith treatment plans manic symptoms."
B. "Zyprexa prevents extrapyramidal aspect consequences."
C. "Zyprexa guarantees a very good night time's sleep."
D. "Zyprexa calms hyperactivity until the Eskalith takes effect." - ANS-Answer:
D. "Zyprexa calms hyperactivity till the Eskalith takes impact."
(when it comes to psych meds, it takes four-6 wks to look effect. Give Zyprexa as a bridge till
Lithium takes in impact."
A purchaser recognized with BP ailment: manic episode refuses to take lithium carbonate
because of excessive weight gain. With a view to increase compliance, which remedy must a
nurse count on that a health practitioner will prescribe?
A. Sertraline (Zoloft)
B. Valporic acid (Depakote)
C. Trazodone (Desyrel)
D. Paroxetine (Paxil) - ANS-Answer:
B. Valporic acid (Depakote)
(prescribed to assist with weight loss.)
A clients diagnosed with bp disease: manic phase. Which nursing intervention might be
implemented to reap the final results of "Client will benefit 2 lb through the stop of the week?"
A. Provide consumer with high-calorie finger foods in the course of the day.
B. Accompany client to cafeteria to encourage good enough nutritional consumption.
C. Initiate overall parenteral nutrients to fulfill dietary needs.
D. Teach the importance of a numerous eating regimen to meet dietary desires. - ANS-Answer:
A. Provide client with excessive-calorie finger meals at some point of the day.
(Pt is in manic section. Finger meals can be first-class for them due to the fact pt can not sit
down down and eat a meal, they'll now not sluggish down or stop lengthy enough to devour a
meal.)
A fantastically agitated customer paces the unit and states. "I ought to purchase and promote
this vicinity." The purchaser's mood fluctuates rom suits of laughter to outbursts of anger. Which
is the maximum correct documentation of this client's conduct?
A. "Rates mood 8/10. Exhibiting looseness of affiliation. Euphoric."
B. "Mood euthymic. Exhibiting magical thinking. Restless."
C. "Mood labile. Exhibiting delusions of reference. Hyperactive."
D. "Agitated and pacing. Exhibiting grandiosity. Mood labile." - ANS-Answer:
D. "Agitated and pacing. Exhibiting grandiosity. Mood labile."
A nurse is planning take care of a client recognized with bipolar sickness: manic segment. In
which order have to the nurse prioritize the customer outcomes inside the showcase?
Client outcomes:
A client began taking lithium for the treatment of BP ailment approximately 1 month in the past.
The customer asks if it's miles regular to have gained 12 pounds in this time frame. Which is the
perfect nursing reaction?
A. "Thats ordinary. Weight loss is the typical pattern."
B. "What have you been ingesting? Weight benefit is not generally accomplice with lithium."
C. "Weight advantage is a common but troubling side effect."
D. "Weight advantage most effective happens in the course of the primary month of remedy with
this drug." - ANS-Answer:
C. "Weight benefit is a not unusual but troubling facet impact."
A patron recognized with bipolar ailment is distraught over insomnia skilled during the last three
nights and a 12- pound weight reduction during the last 2 weeks. Which ought to be this
customer's precedence nursing analysis?
A. Knowledge deficit R/T bipolar disorder AEB difficulty approximately signs.
B. Altered nutrients: Less than body requirements r/t hyperactivity AEB weight loss.
C. Risk for suicide r/t powerlessness AEB insomnia and anorexia.
D. Altered sleep styles r/t mania AEB insomnia for the beyond three nights. - ANS-Answer:
B. Altered vitamins: Less than body requirements r/t hyperactivity AEB weight loss. (bodily
desires/health always priority.)
A purchaser diagnosed with bipolar ailment: depressive section deliberately overdoses on
sertraline (Zoloft). Family individuals file that the consumer has enjoy anorexia, insomnia, and
recent activity loss. What ought to be the concern nursing diagnosis for this patron?
A. Risk for suicide r/t hopelessness.
B. Anxiety: severe r/t hyperactivity
C. Imbalanced nutrients: less than body requirements r/t refusal to eat
D. Dysfunctional grieving r/t lack of employment. - ANS-Answer:
A. Risk for suicide r/t hopelessness.
A patron identified with BP ailment has been taking lithium carbonate (Lithaine) for 1 12 months.
The purchaser gives in an emergency branch with a temp of 101F (38C), severe diarrhea,
blurred vision, and tinnitus. How ought to the nurse interpret those signs?
A. Symptoms suggest intake of foods excessive in tyramine.
B. Symptoms indicate lithium carbonate discontinuation syndrome.
C. Symptoms indicate the improvement of lithium carbonate tolerance.
D. Symptoms suggest lithium carbonate toxicity. - ANS-Answer:
D. Symptoms suggest lithium carbonate toxicity. (zero.6-1.2 ordinary variety. Blurred imaginative
and prescient and tinnitus is most apparent clue)
, A purchaser diagnosed with BP sickness is exhibiting excessive manic behaviors. A health
practitioner prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The patron's
spouse questions the Zyprexa order. Which is the right nursing response?
A. "Zyprexa in combination with Eskalith treatment plans manic symptoms."
B. "Zyprexa prevents extrapyramidal aspect consequences."
C. "Zyprexa guarantees a very good night time's sleep."
D. "Zyprexa calms hyperactivity until the Eskalith takes effect." - ANS-Answer:
D. "Zyprexa calms hyperactivity till the Eskalith takes impact."
(when it comes to psych meds, it takes four-6 wks to look effect. Give Zyprexa as a bridge till
Lithium takes in impact."
A purchaser recognized with BP ailment: manic episode refuses to take lithium carbonate
because of excessive weight gain. With a view to increase compliance, which remedy must a
nurse count on that a health practitioner will prescribe?
A. Sertraline (Zoloft)
B. Valporic acid (Depakote)
C. Trazodone (Desyrel)
D. Paroxetine (Paxil) - ANS-Answer:
B. Valporic acid (Depakote)
(prescribed to assist with weight loss.)
A clients diagnosed with bp disease: manic phase. Which nursing intervention might be
implemented to reap the final results of "Client will benefit 2 lb through the stop of the week?"
A. Provide consumer with high-calorie finger foods in the course of the day.
B. Accompany client to cafeteria to encourage good enough nutritional consumption.
C. Initiate overall parenteral nutrients to fulfill dietary needs.
D. Teach the importance of a numerous eating regimen to meet dietary desires. - ANS-Answer:
A. Provide client with excessive-calorie finger meals at some point of the day.
(Pt is in manic section. Finger meals can be first-class for them due to the fact pt can not sit
down down and eat a meal, they'll now not sluggish down or stop lengthy enough to devour a
meal.)
A fantastically agitated customer paces the unit and states. "I ought to purchase and promote
this vicinity." The purchaser's mood fluctuates rom suits of laughter to outbursts of anger. Which
is the maximum correct documentation of this client's conduct?
A. "Rates mood 8/10. Exhibiting looseness of affiliation. Euphoric."
B. "Mood euthymic. Exhibiting magical thinking. Restless."
C. "Mood labile. Exhibiting delusions of reference. Hyperactive."
D. "Agitated and pacing. Exhibiting grandiosity. Mood labile." - ANS-Answer:
D. "Agitated and pacing. Exhibiting grandiosity. Mood labile."
A nurse is planning take care of a client recognized with bipolar sickness: manic segment. In
which order have to the nurse prioritize the customer outcomes inside the showcase?
Client outcomes:
