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MN660 Midterm Exam Latest Update
The nurse learns at report that a newly admitted manic patient is demonstrating grandiosity. Which statement would be most consistent with this symptom? - Answer. I'm the worlds most astute financier.
The nurse will base a discussion of dysthymia on the fact that the condition: - Answer Is chronic low-level depression
What is the priority nursing diagnosis for a patient exhibiting signs of acute mania that include exaggerated physical activity, agitation, insomnia, and anorexia? - Answer Risk for injury
A patient has been admitted with a diagnosis of atypical depression. In planning interventions, the nurse would expect to consider the characteristic symptom of: - Answer Leaden paralysis
An inappropriately dressed patient has not slept for 3 days while making excessive, expensive long-distance phone calls. When the patient can be heard singing loudly in the examining room, the nurse makes initial plans to focus on: - Answer Assessing needs for food, liquids, and rest
Which statement by the patient would indicate the need for additional education regarding the prescribed lithium treatment regimen? - Answer I will restrict my daily salt intake.
The nurse would evaluate that patient education regarding lithium therapy for an individual with bipolar disorder as effective if the patient states: - Answer I will probably need to take the lithium for the rest of my life.
A patient who has been taking lithium carbonate 300 mg tid comes to the Outpatient Department with a list of medications he is taking. Which of the medications on the list would require re-evaluation of lithium dosage? - Answer HydroDIURIL daily
Which outcomes would be appropriate to determine early favorable response to antidepressant medication? - Answer The patient will complete own self-care activities.
Prior to initiating medication therapy with phenelzine (Nardil), the nurse should plan to determine the patients: - Answer Cognitive ability to understand information about the medication
A patient who has a history 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 patient 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 diagnosis would be appropriate? - Answer Self-care deficit secondary to possible depression
The nurse caring for an extremely withdrawn patient with depression wants to assist her to become more interactive. The best approach would be to say: - Answer I need another person for a card game and Id like you to be my partner.
Which nursing diagnosis would relate to the primary nursing concern related to a recently written prescription for amitriptyline (Elavil) 50 mg tid? - Answer Risk for self-injury
What information concerning amitriptyline (Elavil) 50 mg tid would the nurse give the patient regarding the expected outcome of this medication therapy? - Answer This medication is expected to improve brain chemical imbalance
Which principle should the nurse apply when planning nursing care for a patient who was voluntarily admitted after a suicide attempt? - Answer The more specific the plan, the greater the risk for suicide.
An appropriate nursing strategy to assist a patient who was involuntarily admitted after a suicide attempt is:: - Answer Encouraging patient to verbalize personal feelings
Which principle should the nurse apply when planning care for a patient who is diagnosed with bipolar disorder and currently in the manic phase? - Answer Detailed activities will facilitate the patients ability to self control behavior.
Which nursing intervention is most therapeutic when the nurse is managing the aggressive, disruptive behaviors of a manic patient whose attempts to control the milieu has been rejected by the other patients? - Answer Accompanying the patient to a quieter part of the unit
What information would serve as the basis for the nurses reply when asked whether the cycling of moods from depressed to manic is a constant pattern seen in bipolar disorders? - Answer Clinical observation tells us that mood disorders tend to remit and recur.
The individual who displays the history and symptoms most consistent with a medical diagnosis of seasonal affective disorder (SAD) is: - Answer 26 years of age and complains of 3 consecutive years of depressed mood beginning in November and remitting in April
A patient with suspected seasonal affective disorder asks the nurse, I've been feeling down for 3 months. Will I ever feel like myself again? The response that builds on an understanding of this disorder is: - Answer People who have seasonal mood changes often feel better when spring comes.
A Chinese-American patient comes to the mental health clinic after referral by her primary care physician. She complains of nervousness, headaches, fatigue, and vague
When a father states, I don't understand what the doctor means by saying my daughter has an adjustment disorder. The nurse explains that this disorder often results from: - Answer Failure of existing coping skills
Which question would be most effective in helping a patient with an adjustment disorder identify the event that triggered the maladaptive response? - Answer Did you experience any stressful events recently?
A teenager is admitted to the adolescent unit with a diagnosis of adjustment disorder with depression. Which information collected from the assessment interview will be given highest priority when planning the patients care? - Answer Patient states she finds no pleasure in living.
The nurse has been working with a patient who has adjustment disorder with depressed mood. Which finding would permit the nurse to accurately evaluate that the crisis has been resolved?
a. Absence of presenting symptoms
b. Decreased need for medications
c. Increased socialization with peers
d. Significant increase in the patients appetite - Answer A
(When the presenting symptoms are absent, the nurse can evaluate the problems as resolved. Most patients with adjustment disorders do not require medication, so this is not a good indicator. Data do not substantiate that the patient is experiencing problem socializing. This could indicate the patient is overeating as a means of dealing with stress.)
Which of the following statements would correctly serve as a basis for teaching a family the usual outcome of an adjustment disorder? - Answer The symptoms will likely resolve
completely.
Which activity would be a constructive outlet for tension and anxiety while enhancing self-esteem for a patient with adjustment disorder with anxious mood? - Answer Engaging in regular, age-appropriate physical exercise
The major rationale for careful ongoing assessment of a patient with adjustment disorder is: - Answer The disorder may be a precursor to a more serious mental health problem.
When assessing a patient diagnosed with a mood disorder, which abnormal diagnostic tests would be considered a possible factor in the manifestation of the disorder? SATA - Answer Red Blood Cells, Thyroid Stimulating Hormone, Blood glucose
Which statements regarding a hypomanic episode are true? SATA - Answer Behavior has been observed in the patient for at least 4 days. Patient appears unaware of potentially dangerous situations. Patient is engaging in behaviors that are normally uncharacteristic of them.
What is a common characteristic symptom of catatonic schizophrenia? - Answer Waxy flexibility
When caring for a patient with schizophrenia who is experiencing auditory hallucinations, what is the priority nursing intervention? - Answer Assist the patient in reality testing
What is a key nursing consideration when administering antipsychotic medications to a patient with schizophrenia? - Answer Monitoring for extrapyramidal side effects
A patient with schizophrenia is exhibiting echolalia. How should the nurse respond to this behavior? - Answer Provide simple and concrete instructions
What is a potential side effect of clozapine (Clozaril) that requires close monitoring? -
