NR326 Quiz 3
1. A client diagnosed with bipolar I disorder: manic episode refuses to take lithium carbonate
because he complains it will make him feel sick. Which of the following medications might be
prescribed for mood stabilization in bipolar disorder?
A. Sertraline
B. Valproic Acid
C. Trazodone
D. Paroxetine
2. Which of the following statements by a nurse are considered therapeutic? (Select all that
apply.)
A. "I noticed your hands trembling when you told me about your accident."
B. "There are people that are worse off than you."
C. "You look nice today. I am proud you took time in your appearance."
D. "Tell me more about your difficulties at work."
E. "Why do you think this happened to you?"
3. A client who has bipolar disorder and has been resistant to treatment with other medications
has been placed on Lithium. The priority discharge teaching should include?
A. Adequate salt and water in the diet
B. Maintain a tyramine-free daily diet
C. Report for weekly blood tests for CBC level
D. Use sun-blocking agents when outside
4. A 32 year old female is scheduled to have bilateral ECT the next morning. Which of the
following would be the highest nursing priority?
A. Inform patient to have nothing by mouth after midnight
B. Instruct patient to refuse evening medications
C. Have patient sign consent forms for the procedure
D. Educate patient on the risks and benefits of the procedure
5. A nurse is planning care for a client diagnosed with bipolar disorder: manic episode. In which
order should the nurse prioritize the listed client outcomes?
Client Outcomes:
1. Maintains nutritional status
2. Interacts appropriately with peers
3. Remains free from injury
4. Sleeps 6 to 8 hours a night.
A. 2, 1, 3, 4 B. 4, 1, 2, 3 C. 3, 1, 4, 2 D.1, 4, 2, 3
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