A nurse is caring for a client with ADHD who has recently started taking lithium. For which of the
following findings should the nurse monitor when evaluating the effectiveness of the medication? -
Answers reduced aggression
A nurse is planning care for a client who will undergo ECT. Which of the following interventions should
the nurse include? - Answers Reorient the client to the environment after ECT.
A nurse is assessing a client who takes phenelzine for the treatment of depression. Which of the
following findings is the priority for the nurse to report to the provider? - Answers Elevated blood
pressure
A nurse is providing discharge teaching to the guardians of an adolescent who has bipolar disorder.
Which of the following manifestations should the nurse identify as an indication of acute mania?
(Select all that apply) - Answers Speaks crassly using a loud voice
Spends excessive amounts of money
A nurse is assessing a client prior to administering lithium. The client began taking lithium 1 week ago
for the treatment of mania. For which of the following findings should the nurse withhold the dose? -
Answers Report of nausea with frequent episodes of emesis
A nurse is evaluating teaching for a client with bipolar disorder and a new prescription for lithium.
Which of the following statements by the client indicates an understanding of the teaching? -
Answers I am likely to gain weight while taking lithium
A nurse is caring for a client who was voluntarily admitted to an inpatient mental health facility for
treatment of major depressive disorder (MDD). After initially consenting to deep brain stimulation,
the client says he does not want to have the procedure. Which of the following actions should the
nurse take? - Answers Tell the client that he has the right to refuse the procedure.
A nurse is interviewing a client with a new diagnosis of Major Depressive Disorder (MDD). Which of
the following questions is the nurse's priority? - Answers Have you thought about hurting yourself?
A nurse is providing teaching to a client who has a new prescription for amitriptyline. The nurse
should teach the client that which of the following over-the-counter medications can cause cardiac
dysrhythmias when taken concurrently with amitriptyline? - Answers Pseudoephedrine
A nurse is obtaining a client's medical history prior to scheduling the client for electroconvulsive
therapy (ECT). Which of the following should the nurse identify as a potential complication of the
procedure? - Answers Cardiac arrhythmia
A nurse is reviewing the medications of a client who has bipolar disorder and a new prescription for
lithium. Which of the following medications may be administered safely while the client is taking
lithium? - Answers valproic acid
A nurse is teaching a client who has depression and is scheduled for transcranial magnetic stimulation
(TMS). The nurse should inform the client that TMS can cause which of the following adverse effects?
- Answers seizures
A nurse is assessing a client who has panic disorder and has been taking paroxetine. Which of the
following should the nurse identify as an adverse effect of the medication? - Answers weight gain
A nurse is teaching a client with major depressive disorder (MDD) who is scheduled to begin
electroconvulsive therapy (ECT). Which of the following pieces of information should the nurse
include? - Answers You can expect to wake up about 15 minutes after the procedure.
A nurse provides dietary teaching to a client with a new prescription for selegiline, an MAOI. Which of
the following food selections by the client indicates an understanding of the teaching? - Answers
yogurt
A nurse is performing an admission assessment on a client who has major depressive disorder (MDD).
Which of the following findings should the nurse expect the client to report? (Select all that apply) -
Answers -Lack of enjoyment from a long-time hobby of gardening.
-Difficulty sleeping for several weeks
-Absence of bathing for several days
-Inability to concentrate on simple tasks
A nurse is updating the plan of care for a client with a new prescription for amitriptyline. The nurse
should plan to monitor the client for which of the following adverse effects? - Answers Drowsiness
A nurse is conducting a risk assessment for clients who are prescribed medications that can cause
orthostatic hypotension. Which of the following medications requires follow-up by the nurse? -
Answers Phenelzine